Loading...
HomeMy WebLinkAboutTR-7072A Jill M.Doherty,President QF SO(/Tyo Town Hall Annex James F.King,Vice-President ,`4 �� 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. . G John Bredemeyer Telephone(631) 765-1892 �DUMY,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0518C Date: January 28, 2010 THIS CERTIFIES that the placement of quarry stone on filter fabric behind bulkhead arid return;re-grade and re-plant the slope At 580 Basin Road, Southold,New York Suffolk County Tax Map'# 81-1-16.7 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 3/30/09 pursuant to which Trustees Administrative Permit# 7072A Dated 4/22/09 was issued and conforms to all of.the requirements and conditions of the applicable provisions.of.law.The project for which this certificate is being issued is for the placement of quarry stone on filter fabric behind bulkhead and.retum, re-grade and re-planf the slope The certificate is issued to MARY ZUPA owner of the aforesaid property. C. :uthoriz Signs fire. FQjI-CO James F.King,President y. Town Hall,53095 Main Rd. Jill M.Doherty,Vice-President �. P.O. Box 1179 Peggy.A.Dickerson Southold,NY 11971 Dave Bergen Telephone(631)765=1892 Bob Ghosio,Jr. Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275. Ch. 111. INSPECTION.SCHEDULE Pre-construction, hay bale.line/silt.boom/silt curtain 1 St day of construction Y2 constructed I/ Project complete, comp liance pllance Inspection. INSPECTED BY: COMMENTS: . � rra 5fs etc. 5 10 V l CERTIFICATE OF COMPLIANCE: James F.King,President ��Qf SUUT�O Town Hall Jill M. Doherty,Vice-President ,`O l0 53095 Route'25 P:O. Box 1179 Peggy A.Dickerson Southold,New York 11911-0659 Dave Bergen G Q. Bob Ghosio, Jr. a0 Telephone(631)765-1892 OIyC�(f ,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE ; PERMIT. r INSPECTION SCHEDULE Pre-construction, .hay bale line 1 st day of construction % constructed __Z Project,complete, compliance inspection. Pict View' 'repared for: Mary Zupa E �#I r w N F I \ E I Durveyed: 05-29-08 , MAR 3 0 2009 %mended: 02-20-09 [... ►. s 3CT# 1000-81-1--16.7 _ Coven: Southold SO&firld Tolvil Enoard of Trustees Suffolk County, NY y t � Qa `i.w 60` O U'G r 62 i rey�`on��9 5 ,.A: APPROVED � bP OP tp BOARD OF RUSTEE* b' bN TOWN OF SOUTHOLD e s , ��•.� � = St° $ � sav b• ��.......a AT� /9Y \ache € <.....-.b�....-... a..--. e: a? \b� \Cant Pc°Pg\op?k'0 g�`� I 7 tree ` � f:........ , k 4 \3• p,Pp\ de steep 1 us�n9 e h � 1 '� (• � �' ''•..�-.-•� �pcpco�i1&p\ane ...................:• site am r c ._ _ .' b• ��` pile Cil e5 °n \t%cape ass 18 ° mesh afifl -�.`'; �each �\thlJke hed �' b� b�C�Ze s\oP ace estabC�s �ecti Q n b� sta cants I unto\P plant . patens olternlflora b� �� 12" on canter plant finger j F behind existing Spec!' er tit/al Lori 5111 Bulkhead , �� s� low silles htna OroAHN bulkhead ��- place ALN p/dam a 6. r / \�1�PQ j. approx. 6 yyds 5., 1 l�APr°X. 6 \ r _ � MQty - of 5.-.10 lb i On �Uar ---- uarr stone I filter fa StO�e j �n filter fabric �. Boat bUlkhe d ric Lehi 0r A , ehlnd bulkhead Basin a return and return 'V 0 1 to Applicant proposes to ' � 01� regrade steep slope :1 using stock plied material to create approx. 3,on I slope -- i ''' �%'•`�;`�.-• 1 Plant new slopa with cafe S E A VySDECamerican beach rays IS oc i LEVEL APPROVED AS PER TER2v[S r M.APPING Si�oeoo9 ��;9,q;;4if�y�� i` A n c0'JDITIO S of P.O. Box#366. -1f73?D3oa�00/ Aquebogue D ' NY 11931 stabilize new slop a face =Plante bat i 3 /�`0 � ROBERT H.FOX "' - / NYS PLS#5019; with jute mesh until plantsare established 2i�oizo5L io,aa�s ro G:\SLM\zupaSLOPE0209.pro I James Y.King,President OF SQ(/jyo Town Hall Annex Jill M. Doherty,Vice-President Q 54375 Main Road P.O:Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen Q '�► O Telephone(631) 765,1892 'Bob Ghosio,Jr. y �'►C�UIt �,� Fax(631) 765-6641 •. : BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD: Permit No.: 7072A Date of Receipt of Application. March 30, 2009 Applicant: Mary Zupa SCTM#; 81-1-16.7 Project Location: 580 Basin Rd., Southold Date of Resolution/Issuance: April 22, 2009 Date of Expiration: April 22, 2011 Reviewed by: Board.of Trustees Project Description: To place approx. 6 cy. of 5-10 Ib..quarry stone on filter fabric behind bulkhead and return; re-grade steep slope to approx. 3 on 1 using onsite fill and plant slope with Cape American Beachgrass 18" on center and stabilize slope with jute mesh until plants are established. .Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The . issuance of an Administrative Permit allows for the operations as indicated on the plan prepared by Robert Fox last dated.February 20, 2009. Inspections: Final If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in:Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James King; Preside Board of Trustees James F.'King,President '*QF SD!/ryo Town Hall Annex Jill M.Doherty,Vice=President � -54375 Main Road Peggy A.Dickerson P.O.Box 1179. Southold,New York 11971-0959 Dave Bergen A �r Bob Ghosio,Jr.. %2� �O Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: MARY ZUPA Please,be advised that.your application dated March 30, 2009 has been reviewed by this Board at the regular meeting of April 22, 2009 and your application.has been approved pending the completion of the folio wing_ items checked off below. Revised..Plans for proposed project Pre-Construction Hay Bale.Line Inspection Fee-($50.00) 1st Day of Construction ($50.00) Y2 Constructed ($50.00) XX Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are, now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code: The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES. TOTAL FEES DUE: $_ $50.00 BY: James F. King, President Board of Trustees r tt r' y h � ? 44 S,V _� fY� �•.�p%fP i�� * 4., lA � � `fir,` � ; 'J�tY! .Y ((���y�,�r� Oil ORA e • }},� �• 'Y�• '���` '�;R�. ��'�����/ ;_ �•�� . � �ig('"�"Yid ��e►',9ge��� �'• k • ' y3���i4w i�., a r�1 'f ''�• �'pt� ° •' ' �"' i�`,�% � � r.� Via'+► A +�: .; .. Q.�"fS;Y 1f .0 4.,�� I r :; );�► ':, k� `f/� 04/08/2009 12 '. 57 ? ter• � 1�, 1 t 1 . - - N Ake N —a s _ " Lin. 1�SP, �� AN,r �•<" e Ot as''a1�fie' �+f�+ +1.� ► ♦.�♦ .. ., _ � _ ..o �wrail�E �•e b J•��� n:i•��'��at�� �I'n4ia ��y�',t�+<Ir�l'le;R•� w ,i4 ►�� .t �` �. l� i�o.��`/` 4►♦ Ili t, � r♦ atip; �'\C�iti� 1: �j} �•.��,i��lo��.y �s!r 1�•4;i '��-j1 V, �5��x�•��+ , ' �'� � �e l�J`z1(/ � e O� � � a�°o i�yr kv .5;— y r 40 IA ' `�'.T , \ .` �{ f • •1 S° •tea 11'sA"•. _ i- � a . call .. 1p,j _ Aw vp if - a �, '' ►It fit._ 3s ,�, _.sar ar IF VA WAI t ` WAKWA ip 10 o i^^merle' a.L �..'/w O ...�•,� "7 .is • ,r 3.. r'v►, ^�lJ�. �� . Ji - � ✓�/ �/ro1,� �Yh r"s•'�,�''��'. N am. }:fi. ��/r 'h ��� ��LI .ire•- g F.., I7"_' �*' �� .r1 A �y� / �tl✓�� 'ill i-` 1, ? "� > TM '�`',%r. ,y�� � :1 r brrr ��j'ri�I �I�p1�' � �lY �%�► �:syo`�'n`�. �.:: P. ,{� u.. '�-•`�.n„ ., y I.il��"� r•j�`r�GI s - r ► �l�rr.'' �,r Ir�f•--.- / fort � D / i> r ter,.. �i► j��+�r.ri r r r(i� ����J "y�i� wr �►�� •Wf a : '+r. .-���! �l �• �lbi/L/��/r�����1�� �nr/1Wii'���fj�.+✓ �'n��'i�J� a + ;�"�'� yr i.�►i it 4Ij/l hFO r �'j�I �/i y4l j '1��� aO fir �r a . + nl'' . . "�r�rjlr► �„�'n!�,,�An n��Y �,/ � �1i'Sf�+�. r�►n�t �'�� ON Zkk /t 1; ram, \ MA �' � -"� ".. �'!%fit •'�.�ix;`.r�� � � � � -� �F r.t ISS�Y�Iii/�r' ���� �+ •��� _SW ��� I i_ y low Alm i Aft r, 4r.le id �i! vo `� Vill F 1.Alv,! 44 ZIA 21 f, • --7p- T.CF.r7-vw- AO 44r I.Ar 41 IR Pro, Vt Off 40, 1000 3.1 i IJ .> 1 - Y �,. _ - _' ,} :l�Ill ����J�'���1�^ v .. - i� l - .,�_...-�,r�/r. V 1!� �jLIL - - .. Y t - .t.oy- • . ♦ � - .., ram, v.. 1 I ice. « 1 • r Orm - •'f � r n r�s i �(� Via. ]I' .. • !i AW *_..w. I i eA�ff ��� `��j�. �� ^ :fir ,I °\I 'hl •� "'�... ...."�Fs ... .C'..,y -.�� AN W,-Zi �• A�� .^- �\1r i � r,; • • .R.; ,t-__ i' era_ �" SUM VA ������"'� ,tv�w � ��►►\\��ii" YS _\�.. ._.-. ��1.1 .� y ,���w� ,! � � '..�U� t � -�,� J f�;.,ti, -gyp. �•!I�~�!'y:w', �}� ram. 6:. a�II�r'iN� .�\ il�� ` ■ r�j vna[:�nrs ♦ tea., r a , .fit f'-1 v.la' .�Qs�� �o�r �.,t�-�ti.1 w� •` ♦-, � „� •1 ��' �t►.� a .. "^+9TM wq e - �'4z 'r. �+l'. y,� - -�'Y. .\ rwty� �! �,. �i, 4, .w -it.?i.' „ ♦ H-I� ','� \ ♦�� `.''`; y +nIR y> i , �4 �( ,V.• �. a/"j� NE- 441 ir ��.,,A�� r> ,' '�. +k;y/ .$r � y .qp-+ ��h ; ,��'.11r'' s �.e,�+.�•� shy, � ,� � :rr" +:s' • .yam � t} t ��• .' ,, � �i[�� �+g .�7w ♦�.- _ d'o4. �(�►. 1d�, � i. 1.. rs_ _1• l -mot. .l'S� of� �..:.2, . iit+ ., os0FF0(,� James F.King,President W C4 P.O.Box 1179 Jill M.Doherty,Vice-President "a G�2 Southold,NY 11971 Peggy A.Dickerson Telephone(631)765-1892 too Dave Bergen ,y Fax(631)765-6641 Bob Ghosio,Jr. O `F Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: MARY ZUPA requests an Administrative Permit to place approx. 6 cy. of 5- 10 lb. quarry stone on filter fabric behind bulkhead and return; re-grade steep slope to approx. 3 on 1 using onsite fill and plant slope with Cape American Beachgrass 18 on center and stabilize slope with jute mesh until plants are established. Located: 580 Basin Rd., Southold. SCTM#81-1-16.7 Typ f area to be impacted: _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of'Town Code proposed work falls under: l/6apt.275 Chapt. 111 other Typnof"Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Prese Were: _J.King _J.Doherty_P.Dic rson D. Bergen(- Ghosio, D. Dzenkowski Mark Terry_othe Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review- v :i�..wwa_+21'... au�..,'✓ei1�1:99T:AJ.�L ..�i --, .- r. 777 9-7 , 9olm BAY i SOUTNOLD �,E•"a r _f SEE SEC.IO.IJJ •� sew[urr a'.2.4 cl n 1 xx. F.I.2B ml O t9 ,.19e1 Ict1 ^E � .t e0U - 19.t ISa 1S5 1.3 x.Te Lae x.11 xJlJcl { � -� _ 0• i I[ 91 SEE SEC.a9.1JJ. IS.T - 12 2j llv - Iu, x � 3 � x.OIIU 11 - v 1.591c1 x3elcl \ P a.a - J' sums .J s�lm O J.0 ' Q a.1e E 1 19.1 ' 15mc1. N CJ n JI x0 xl a E 3SJ _ 31, _ x a- .mom e. ® �, — -- — -- -- NOTICE COUNTY OF SUFFOLK Q SOUTHOLD SECTION NO E °^,- —�-- s,..-^mn^b- Izl1 �z -- -- -- -- Red Property Tax Service Agency r6 u9wax9x¢,urtRnve suE ou E I,,,,,d„„ ___-- o —_. _ — —_ mmm�m at'9xr emtml v ns F CgntY Canter Povertead,N Y ll901 , n19¢a O 81 N , , -..-:. a.•n —__ —_ —_ —"—- n nrlwl 9wmn vwessa o M T. -0 4 IwE x rtEr� A a. p waomn T.sEnna 9cExcr. yO P mtm 1° IaDa PROPERTY MAPua eml m rrml wtt�m..a ln. I 1 OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 OSVFf�(�l' Southold,NY 11971 Main Rd.&Youngs Ave. �O�' �G� Telephone: 631 765-1938 Southold,NY 11971 t Fax: 631 765-3136 0 CO3 2 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Jim King,President Town of Southold Board of Trustees From: Mark Terry,LWRP Coordinator ! APR 2 2 2009 i, Scott A. Hilary,LWRP Coordinator 1 ; i Y Date: April 8, 2009 .° Re: Chapter 268,WATERFRONT CONSISTENCY REVIEW Administrative for MARY ZUPA SCTM#81-1-16.7 MARY ZUPA requests an Administrative Permit to place approx. 6 cy. of 5-10 lb. quarry stone on filter fabric behind bulkhead and return; re-grade steep slope to approx. 3 on 1 using onsite fill and plant slope with Cape American Beachgrass 187 on center and stabilize slope with jute mesh' until plants are established. Located: 580 Basin Rd., Southold. SCTM#81-146.7 The proposed action has been reviewed to Chapter.268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program(LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation the proposed action is CONSISTENT with .LWRP policy . standards and therefore is CONSISTENT with the LWRP. t 4n c 1� rEE+fu f } e �:?Se ctt� �°s'i" � ✓sxtl ,rg R. d• 11 - Pursuant to Chapter 268,the Board of Trustees shall consider this.recommendation in preparing its written determination regarding the consistency of the proposed action. . • 1 + James F. King, President ��Of SDUjyo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box Peggy A.Dickerson Southold,New Yorkk 11971-0959 Dave Bergen n Bob unu;3 o,. Jr. ® �Q Telephone(631)765-1892 �IyCOUN�'� Fax(6.31)765-6641 .BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applicatio —Wetland Permit Application Administrative Permit Amendment/Transfer/E tension Received Application: Received Fee:$ ompleted Application 3 O _Incomplete �t I _SEQRA.Classification: MAR 3 0. 2009 Type I Type II ' Unlisted { "n Coordination:(date sent) �t WRP Consistency Assessment Form 02 ftl T '0 a+tl r:f trsteAs CAC Referral Sent: -,D-ate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: -flu-blic Hearing Held: Resolution: Name of Address ,�s-6-�- / A P, L\ b I SE S o Phone Number:(631) s /� Suffolk County Tax Map Number: 1000 - Property Location: _eD 1-314151/1/ R D_ 61 C-- o 'c r Al, Y /12,71 /S PD w Ri-), (provide LILCO Pole#, distance to cross streets, and location) II LIL`I AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area(in square feet): 74 052 R 80 Area Zoning: Previous use of property: vacant land residential Intended use of property: Prior permits/approvals for site improvements: AFru%tees and amendment Date (BHs/ 9/25/02, 12/21/05 Trusteehandeamend 2005, 3/18/09 (Dock) NYDEC BH/house 11/2002, 2/20/09 NYDEC Dock 2/20/09 Health Dept 2003 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Permits issued for house, bulkheads,plantings, dock. Trustee amendment issued in 2005 to restore damaged areas caused by bulkheading work included extending retainer and constructing wall en9 Bay slope This werk was net approved by the NYDEC which directed that stone be installed and slope regraded in accordance witti map ot Sea Level Mapping dated February 009 . Project Description (use attachments if necessary): restore eroded and dam . areas with stone, sand an beach electz±u and watem oil k platform. Vx tc �o Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Prevent erosion , and install elecric and water a oc Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? 22 (cubic yards) Manner in which material will be removed or deposited: small caterpillar and by hand Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) No unfavorable impacts anticipated Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: prevent erosion and restore areas . provide water and electric to dock Area of wetlands on lot: 14000 square feet Percent coverage of lot: 20 % Closest distance between nearest existing structure and upland edge of wetlands: na feet Closest distance between nearest proposed structure and upland edge of wetlands: n/a feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? cubic yards How much material will be filled? 22 cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: small caterpillar and by hand Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): no unfavorable effects anticipated PROJECT ID NUMBER 617,20 SEOR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM fo.r.UN,LISTED ACTIONS Only PART I PROJECT INFORMATION (.To_be completed by Applicantror Projpct Sponsor) 1.'APPLICANT I SPONSOR: 2:PROJECT NAME` Mary S . Zupa 3.PROJECT LOCATION: Southold Suffolk Municipality County 4,PRECISE LOCATION: Street Addess and Road Intersectlons, Prominent landmarks etc -or provide maD 580 Basin Road, Southold, NY 5.IS PROPOSED ACTION: ❑ New, ❑Expansion El ModificationI alteration 6.DESCRIBE PROJECT,BRIEFLY: Placement of quarry stone behind bulkheads to prevent further erosion as shown on Map of Sea Level Mapping dated February 20, 2009 . 0 Soy P NT J Ef►c-H GRfIS S a1v SLoPr (Se�lf- e.vC-10se I ins �) 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 10 feet by 20 feet �s7�tiE� 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ElYes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as.many as apply.) ©Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park./Forest f Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY .OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ©Yes F—],No If yes, list agency name and permit ] approval: 'DEC re—al),Its e NG�os j oN A,1 P I-4 73 8-- o .3 a 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? f-1Yes ❑No If yes, list agency name and permit / approval: t� Southold Trustees 5636, and NY DEC 1-LO3!S-O3OD, /D9010 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? QYes ❑No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Mary S . Zupa Date: 3/3 0/0 9 Signature If the action Is a Costal Area;and you are a.stote-agency, complete the Coastal Assessment Form before proeeeding with this assessment PART Il- IMPACT ASSESSMENT To be cOm feted by Lead A end A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN NYCRR PART"t 7:47 If yes,coordlnate:the review process and use 1he'FULL EAF. Yes No B. WILL ACTION RECEIVE'.COORDINATED REVIEW AS'PROVIDED,FOR UNLISTED-ACTIONS IN:6 NYCRR;'PART.617;6? If No;a`negative declaration may be,superseded by another Involved.agency. Yes 0 No C. COULD ACTION RESULT IN ANY ADVERSE.EFFECTS ASSOCIATED WITH THE FOLLOWING::,(Answers may handwritten;if legible) C1. Existing air quality,, quality or quantity;noise levels,existing traffic pattern,solid waste production,or disposal, potential,for erosion,drainage,or flooding problems?'Explain briefly:, C2. Aesthetic,agricultural,archaeological,historic,or other natural or".cultural resources;or community or neighborhood,character?Explain briefly: C3, Vegetation or fauna,fish,shellfish or wildIII`6 species;significant habitats;or threatened or endangered species?Explain briepy: F-7 ....... C4. A community's existing plans or goals es officially adopted;or a change in use or intenaityofuse of Grfid.or'other natu'ral resources?Exptainbriefly: C5. Growth,subsequent development,or related activities likely to,be induced by the proposed action?a xplaln briefly: C6. Long term,,shoitterm,cumulatlVe,or other effects not Identified inCi-05? Explain briefly: CT Other impacts,(includin2 chan es In use of either quantity or ecof ene Ex Rlain briefl ., D: WILL THE PROJECT HAVE,AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA If es ex lain briefl : Yes No E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED,TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es explain: Yes No PART III•DETERMINATION OF SIGNIFICANCE,(To be completed by Agency); INSTRUCTIONS: For'eachadverseeftect identified above,determinewhetheritIssubstantial,,large,;importantor otherwise sigh ificant: Each effect should:be assessed,in donnecdonwith its(a)setting(i.e,urbah.or rural);(b).peobability of occurring;(c)duraiion;(d)irreversibility,;(e) geographic scope;and(f)magnitude. .If necessary,add attachments orreference supporting materials: Ensure that explanations contain sufficient detail to-show thatall relevant adverse impacts have-been identified and adequately addressed. If question d of part,ii was checked yes,the determination of significance rhdstevaluate the potential impact oftheP�Oposed action on the environmental characteristics ofthe CEA. Check this box if youhave Identified one or,more potentially large or,significant adverse impacts which MAY occur.Then proceed directly to the FULL EAF and/or,prepare a positive declaration. Check this box If you have determined,based on the information and analysis above and any supporting documentation,that the proposed actin WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination. Name of Lead;Agency Date Print or Type Name of Responsible Officer In Lead Agency, ;title of Responsible Officer ignature of Responsible.Oflicerin lead Agency Signature of'Preparer(If different Rom responsible o cer Board of Trustees Application County of Suffolk State of New York MA -) S• Z.0 PA BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Si a •e SWORN TO BEFORE ME THIS 30` i DAY OF O�sM C , ,2000 CONNIE D.BUNCH Notary Public State of New York No.01bU6185050 Qualified in Suffolk County �•-� p Commission Expires April 14, 0jj Notary Public Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended.to supplement other information used by a 'Town of Southold agency in making a.determination of consistency. *Except minor-exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as 'to its si ing f cant beneficial and adverse effects.upon the coastal area(which includes all of Southold Towns 3. If any question in Section C on this form is answered "yes" or "no", then the proposed.action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail,'listing both supporting and non-. supporting facts. If an action cannot be certified as consistent with the LWRP policy standards.and conditions,it shall not be undertaken. V. A copy of the LWRP is available in the following places: online at the Town,,of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department;all local libraries and the Town Clerk's office'. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# �'_. PROJECT NAME &)/VI IN I S��T1 Ve I I Fm 1s A-51,21 ►��/� D The Application has been submitted to(check'appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check'appropriate r`esponse):" s (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b). Financial assistance(e.g: grant,loan, subsidy) '(c) Permit,approval, license;.certification: Nature and extent of action: _ P1,gC_ M NI- QF ''CTONI; �i�v� low S� �� ��� �e — itS S,�tiow N � !1' Wljrp ge't s L,P A-s S-ke wN o-IV -Ovt SAS A4/+ P N Location of action: S�,!� 8ASI1V R.OA Site acreage: f, Present land use: VR-C,41V 1' LAN D Present zoning classification: R 86 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name'of applicant: f i/l�-kj s Z tIPA (b) Mailing address: y 4—c, P/}R14f )S po ✓li i 120A D S ✓f_ /,�_ ,/may, (c)"Telephone number: Area Code(63i) (d) Application number,if any: Will the action be directly undertaken,require funding; or approval by a state or federal agency? Yes 0 No❑ If yes, which state or federal agency? b E G (tome. k,g t,-e, -Lkt'1 r MTh o vA O. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide, all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. M Yes ❑ No 0 Not Applicable Th c_e 17 eiv n o v E +,o p g,o-E e S/oN e_ CNVAI � _U bw,? Zw� D S . eS TR UST� S E365 e i .e_. A_P_s_�hel-E( aae— i:')i 02e)ve,l_ A L--.e- k c,-6' i.y s A f R ie7L y R 41 -C_Nd S L.'s 0-' 1 r,,V A ( ecL-- (�a Ro -CA Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through,6 for evaluation criteria ❑ Yes.0 No Not Applicable I Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic.resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑ No ❑ Not Applicable V v NJ- Sce-Vv4c, q11 f. r 1 in erL fo P,,I her Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III-Policies Pages 8 through 16-for evaluation criteria Yes ❑ No Not Applicable FuR-L -e-(2aSIaN 1111t=o =fie. FkZaNlc- Ec'tvqQ V AAA re-lG Attach additional sheets if necessary Policy.5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16.through 21 for evaluation criteria ❑ Yes ❑ No Not Applicable I ' Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of'Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies, Pages.22 through 32 for evaluation criteria. I ❑ ❑ Yes No Not Ap]_ able -r�bil� z�lid� b� �,✓� I1c1L �[ � } iJ sp-,4,geass a4zl - Ah u l c rP -e- -La Attach additional sheets if necessary Policy 7. Protect and improve air quality in,the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [] No Not Applicable Attach additional sheets if.necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and .hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy.9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the.Town of Southold. See LWRP Section III-Policies; Pages 38 through 46 for evaluation criteria. ❑ Yef No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE l Policy 10. Protect.Southold's water-dependent uses and promote siting-of new water-dependent uses in suitable locations, See LWRP Section III Policies; Pages 47 through 56 for,evaluation criteria. ' Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands.in the Town of.Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable ;Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources.'See LWRP Section III-Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No .Not Applicable PREPARED BY Vic _v TITLE 0G Alf,KA-1.L,S6,/J_DATE -30- Plan View N Prepared for: nary Zupa w+e i ' Surveyed: 05-29-08 s Amended: 02-20-09 SC T# 1000-81-1-16.7 Town: Southold Suffolk County, NY 0 retQ\�\n9 1" a F0 o u 62 , \\ / 1, 'i/ \• • b3 hQ .��a j.'i;��k.s�,.�-.-�>r-f..h�i= \ 166 .; � � I ,�. �ic: •h.� top ko b\ ......0 . a'-----��"-----�--,-----'--• ,,a,...�;.-" of P ,D�a rtp�oPosrioe�se to �_�0 � • �•- ri ce9 0�•3 carts `t j 6\ ......................... ry�--".. � stocP �.. ors. cage am i$n o c esh pr/ed t!!! -�,-`: -�t ��thch�rassth 1Ute ed oe open tabC�sh 9� � b�C�2 si ace es Dections 5 n�ipia"ts plant Apatens 4 alternifioro 6` �\ Slant tidal 12" on center !nt@r behind existing p@C1eS Low Sill Bulkhead 6� 5 land wsillb l head f�HW Mace ALW lam appro b . r� 1Q0y�PQ t.�• :max• 6 yyd5 5' y X. 6 � v c ---- 0 5 -.101b 16 YCIS, i \ on fitter fab�,b stone quarry stone bu C on filter fabric i boat 1l�head behlncd °{' ' behind bulkhead II return and return U ga51i1 O B11_ `} 1 - to Applicant proposes to 01 regrode steep slope I Al' using stock plied moterlal -,' I' to create opprox. 3 on I slope ' Q, , Plant new 510 e with cape S E A / ;;:;• p n .rsnEc LEVEL j, americon beach rocs IS oc ` e i./, ;,:- g MAPPING A13PTZ AS PER TERMS i AN-)�e COND;TtUN;S OF P.O. Box#366; ! ILr? cYj ry Aquebogue t,i, 'I' ����3b � �a NY 11931 i ROBERT H.FOX -/.. -- stablltze new elope face � n�zTs 3 /� 0 with Jute mesh until Plants recentlu `?_ M'S PLS#50197 p planted 2i2oi2005 104425hM are es edtablish areazupoSLOPE020�pro