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HomeMy WebLinkAboutTR-7073A Jill M.Doherty,President �QF SO(/�y Town Hall Annex James F.King,Vice-President ,`O l 54375 Main Road 0 P.O.Box 1179 Dave Bergen Southold,New York 11971-0059 Bob Ghosio,Jr. G Q John Bredemeyer Telephone(631) 765-1592 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 Project complete;compliance inspection. INSPECTED BY: COMMENTS: V CERTIFICATE OF COMPLIANCE: Jill M.Doherty,President QF SO(/ryO Town Hall Annex James F.King,Vice-President �� �� 54375 Main Road Dave Bergen P.O.Box 1179 Southold,New York 11971-0959 Bob Ghosio,Jr. G Q John Bredemeyer O Telephone(631) 765-1892 COU Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0606C Date November 10, 2010 .THIS CERTIFIES that the 80' long retaining wall At 200 Basin Rd., Southold Suffolk County Tax Map#81-1-20 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/30/09 pursuant to which Trustees Wetland Permit#7073A 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 80' long retainingg wall. The certificate is issued to KEVIN &DOREEN BARR owners of the aforesaid property. Authorized Signatu e James F.King,President `�OF.S Town Hall Jill M.Doherty,Vice=President ,`O� y�lO 53095 Route 25 P.O.Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Q B.ob'.Ghosio-, Jr. Telephone(631)765-1892 I�COU '� 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 FORA PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE: Pre-construction, hay bale*line 1st day of construction Y2 constructed �/ P,roject complete, compliance inspection. .James F. King,President QF S0!/ryo Town Hall Annex ' Jill M. Doherty,Vice-President 54375 Main Road P.O: Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G `Bob Ghosio,Jr: ;R1 �O Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD. Permit No.: 7073A . Date of Receipt of Application: March 30, 2009 Applicant: Kevin Barr. SCTM#: 81-1-20 Project Location: 200 Basin Rd.,.Southold Date of Resolution/Issuance: April 22, 2009 .Date of Expiration: April 22, 2011 Reviewed by: Board of Trustees Project Description: To construct an 80'+/- long retaining wall approx. 8' from western property line to level ground to structure and reduce run-off from property. 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 Creative Environmental Design dated February 2009 and stamped approved on April 22, 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., c mes F. King, Pres' nt Board of Trustees James F.King,President SO(/ryO Town Hall. Jill M.Doherty,Vice-President ' 53095 Route 25 P.O. Box 1179 Peggy A.Dickerson . Southold,New York 11971-0959 Dave Bergen G Q Bob Ghosio,Jr. �O Telephone(631)765-1892 DUNTY, Fax(631)765-6641 BOARD OF.TOWN TRUSTEES. TOWN OF SOUTHOLD TO: _ �A �)7 e1 QC iLll Please be advised that your application dated (3o C9 has been.reviewed'by this Board at the regular meeting of q/a j2f 09 :and your application has'been approved pending the completion;of the following items checked off below: , Revised Plans for proposed project,. l Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 Sc Day.:of Construction ($50.00) Constructed'($,50.00) 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: $ ,0?� BY:- James F. King, President Board of Trustees t' �`cam_ ',► W t. t t - b r to a •�tq►1 e I Ito: 1 _ WWA $ t�/r. a.....• . _ - _ � :.:► ;ate A' t J 1 t i r "yp ♦ e r x t r � j� +� \ 'Y � , 1. F w..a�t .° �;•�»: yr B � QD0 OSU�FU(�- James F.King,President Off' CQ P.O.Box 1179 Jill M.Doherty,Vice-President Southold,NY 11971 Peggy A.Dickerson Telephone(631)765-1892 Dave Bergen ,y Fax(631)765-6641 Bob Ghosio,Jr. Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: Creative Environmental Design on behalf of KEVIN BARR requests an Administrative Permit to construct an 80'+/- Fong retaining wall approx. 8' from western property line to level ground to structure and reduce run-off from property. Located: 200 Basin Rd., Southold. SCTM#81-1-20 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound V Bay Distance of proposed work to edge of wetland P of Town Code proposed work falls under: _tapt.275 Chapt. 111 other Typ 'of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ng _ herty—`Y Dickerson — --B Sdrgen C—B osio, �. Dzenkowski Mark Terry other Form filled out in the field by O Mailed/Faxed to: Date: Environmental Technician Review- u oo�aBAYi .�•/! (J t ` SOUrHO[D sza scc ram '- / I-0 F. 28�J . x.t z.., - - 15.1 15.e I5.5 1Gl 3 3.11 IJa 3.L 3.L.tcl 3 +y 0�' 3. ROBINssso u x.eaiG ze saris , ,sz 2'. 3 - a x of ttv �. xnx 0 P• a zT,x - ssuG Q3 UT la e.,A ' SOIIU - y 114 uua N " xt o I d3 F . �� 145e1c1 x1.x ' a >.„,iA - 3 s i W � Y y . E --Z-- ,�,m T) __ __ __ __ ,. COUNTY OF SUFFOLK © E SOUTHOLD NOTICE K to,n v SECTION NO N �— _ T �TM�•ta•t•� Red-Property Tax Service al lw Agency T ° 6 p 1 s ^^--- —_— r —_ —_ —_._ satau mxn uv.s wa®Im G c—ty Wm Porvlmxl,NT ll9% Y ° OO1 nv sszna.mc,. a"0 P osrm b 1000 L PROPERTY MAP .a OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 S�FFU(�`o Southold,NY 11971 Main Rd.&Youngs Ave. ��O Gy.� Telephone:631 765-1938 Southold,NY 11971 ,� Fax: 631 765-3136 0 N 2 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Jim King,President Town of Southold Board of Trustees From: Mark Terry,LWRP Coordinator Scott A.Hilary,LWRP Coordinator Ai R 2 LOU Date: April 8,2009 Re: Chapter 268,WATERFRONT CONSISTENCY REVIEW Administrative Permit for KEVIN BARR SCTM#81-1-20 Creative Environmental Design on behalf of KEVIN BARR requests an Administrative Permit to construct an 80'+/- long retaining wall approx. 8' from western property line to level ground to structure and reduce run-off from property. Located: 200 Basin Rd., Southold. SCTM#81-1-20 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 that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. , James F.King,President �,�F SUUro Town Hall Jill M. Doherty,Vice-President ,�O y�. 53095 Route 25 Peggy A.Dickerson J P.O.Box 1179 Southold,New York 11971-0059 Dave Bergen G Q Bob unosi.o, Jr. Telephone(631)765-1892 l Fax(631)765-6641 . y�4UNTY;�� • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only j r � _Coastal Erosion Permit Application _Wetland Permit Application Administrative Permit / _Amendment/Transfer/Ex erasion V�eceived Application: . 3O Q O. z��� d Received Fee:$ 5 f Completed Application 3 09 _Incomplete _SEQRA,Classification:. .� Type I Type II Unlisted Coordination:(date sent) _ / WRP Consistency Assessment Form 3�0� _CAC Referral Sent: _/Irate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: :�A:rublic Hearing Held: ^ - Resolution: Name of Applicante�1{� Address Phone Number:(-,��) 01&110�1 Suffolk County Tax Map Number: 1000 I "l ZO Property Location:_ Zoo &".5I n 200d `& 1� ly` l K?) (provide LILCO Pole#, distance to cross streets, and location) AGENT: �-,mffbnl 'e l (If applicable) Address: 3,166 Phone 7� 1C)215_ rd .of,'Trustee''s, Applidatio GENERAL DATA Land Area (in square feet): Area Zoning: � � Previous use of property: �l�ert'[ Intended use of property: i Covenants and Restrictions: Yes pL No If"Yes", please provide copy. J Prior permits/approvals for site improvements: .Agency Date No prior permits/approvals for site improvements. Has-.any permit/approval ever been revoked or suspended by a governmental agency.?. . No Yes If yes,provide explanation: Project Description (use attachments if necessary): G�Av� ZAt'1111- W 1\ ko �����Q (Onx 2 4 Rnard of Trustees Applicatii ` WETLAND/TRUSTEE LANDS APPLICATION DATA. . Purpose of the proposed operations: K2 c c C1}n � Area of wetlands on lot: C7 square feet Percent coverage of lot: % Closest distance between nearest,existing structure and upland edge of wetlands: . feet Closest distance between nearest,proposed structure and'upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? 6 cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited:. A feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: �� er. 2 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 atta((chhment\s-if appropriaate): Wc�lc-r�c PROJECT ID NUMBER 617.20 SE4R APPENDIX.C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by A plicant or Project Sponsor) 1.APPLICANT/SPONS R 2.PROJECT NAME . lvw 3.PROJECT LOCATI N: 1\ C Municipality IU County J U dl 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION: New ❑Expansion ❑Modification/alteration . 6.DESCRIBE PROJECT BRIEFLY: (fen NuC G�Gu��•Ww'� GQ ( ��� W���n n^,__ � f 'f o GCbJ A- �° S�T V�2 wind r��J o� dun �roi n P(b�c, H 7.AMOUNT OF LAND AFFECTED: Initially .02, acres Ultimately .Q Z acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [R]Yes ❑ 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/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 n No If yes, list agency name and permit / approval: 11.UULS ANY AZWEG I UF I HE A(;I ION HAVE A CURRENTLY VALID PERMIT R APPROVAL? ®Yes El No If yes, list agency name and permit / approval: 12. AS A RESULT. OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes ®No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sp Name Date: Signature J If the action Is a Costal Area, and you are a state agency, ' complete the Coastal Assessment Form before.proceeding with this assessment a PART II - IMPACT ASSESSMENT To be completed by-Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? , If yes,coordinate the review process and use the 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 �.No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels;existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthete,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be.induced by'the proposed action?Explain briefly: ' C6. Longterm.short term,cumulative,or other effects not identified in.C1-05? Explain briefly: ' C7. Other impacts(including changes in use of either quan&or a of energ ? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If es,explain briefly: Yes ❑No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If xes ex lain: Yes No .E PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and (f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations.contain sufficient detail to show that all relevant adverse-impacts have been identified and adequately addressed. If question.d of part ii was checked Check this box if you have 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. - - Checkthis 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 thi determination. Name of Lead Agency Date Print or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer Signature of Responsible.Officer in Lead Agency. Signature of Preparer(if different from responsible officer) INUV-1b-;LUWb U4;;:f( ;eWJ ;:�Z( bS(;:� r.LrJ�i�J Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) �1 I, Le y i I\- !r' �residing at 1.20a LJaS r � (print owner of property) (mailing address) H. _d ,� I k.Q 1�do hereby authorize ��Ve (Agent) S,`l%tM1r1 4� 6-\ to apply for permit(s)from the Southold.Board of Town Trustees on my behalf. (Ow er gnature) TOTAL P.02 - , . . is :a.' •l\ ., ` 3oar`d &E Trustees) Application County of Suffolk State of New York 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/IIER 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 Y REPRESENTATIVES(S), TO ENTER ONTO M PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS.APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF VN fAN ,2021 WENDY L. KUKLA Notary Public, State of New York No. 01 KU6176871 Notary Pub] Qualified in Suffolk County ` Commission Expires 11/05/2011 i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. h\ YOU,RNAME: &5g3e_r 'J2I 1`� 04U-A Y% . EVj-iWY"U10111 1 (Last name,first name,diddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate.the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance . Trustee .0 Change ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally.(or through your company,spouse,sibling,parent,or child)have a relationship.with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial.ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and"sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the`applicant (when the applicant is a corporation); B)the legal or beneficial•owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Sub e A of �•Nh. 200_c Signature ti Print Name Form TS 1 Ji c , iIW11}�,,.:,Jj.� - °iP. .a.� Ui<e of - ,rd, IV, v1s o P %r C�,' < l ,f d'"�� N r:a w u rorry h \ Pone( a Q? m„1"PX� IS t m�a�a 4 ,S orene I v cv sari�,Ehn''4 F 9 ti a1U3 / c`n = B L o s`t�?``� Yq,sue Wn /r 48 Mai�S:ti^N 4,7 W``c C ny it P Rd .., ,. 45 ��QdC°n Dr`� \Lr J/ ) w '9•CrpPk ,,,+�:;`bll C� 1 t�. f Rd SOuth4ld ~�4ennecorr s Drio y%� Or Greenfield$Ai- o� y MOckn ma' s Ln S a 1'lasharrl Pon �� o,¢<},_ c` T _,. •3T� �Hgmm ° or1C � a r ucA Jasm;,rP �e0�.5�'.�o�dLo Yl�S.GT't !,Anris l } --[--- .._, �' udi(s Old Main Rd ttiz� C d A _ aWdY= a c c� y if �f4 �tMefhir�$r E u a,o x Main Z Fay o ..,..v.°nqJ� I II l s dSagc\ 8dy..y yh v f Sm 3 4 nta k°r Rd c 4n vdoW y •'J`�-J� c 9i6'� I °i r o. , Har er;Rtl W # 5 a n r 2 w;•_ o t,3 P: p {� r�\'> o'M1 Wi ) tq rnP�Ck Plt f rf �� 90L Hgmmedieu Ln Sr Q/ �a oa A Jerni Dr6h�rpi+o o "� e Marl r.., a4eA c p6 y 1 rn .L,. d�`•o, y �a Hoed,� d�om4 A n Dr $ C �. /s� � 4,... 1 r7Spur�, ni 3 :+.F!.._...: Cr-,'e f : I arpo Rd�z. a "4 P v tpheas� i�'v> e i y/� 1,,niy.,..,,..9 i0 o '�Ow, �(,�rrn/.� ��J, 3.,.. y 'ti...'P65a"c—� 9 w i;w tr Drr a�si �l�\� •✓'` 5� In r r• eZ HIS AyA. W (sFldr....A p ;q:'n�,3 n-- - e C vcQe A° o f 4 1�— a \t� onk/n 9e Rd 44lywc� /ed �cc��NPc� P / Jo`A.cy Cr. -. � �1• /' ` 'sti\staid�'PwC�;: 2 Christopher St 3.PettyRd \\ 45 r"cai 4.Town Ck Ln JL "Q Q s�;-y, t c !'`// 5.Garden Ct CONKLING FT- �o-' " y�.Asy�_R = 4 �_{,1=a o .o Ropyne 54." `KOr e ta, c° ,..a " z, Rdr Dr.S Cie e% � Southold .'xOrch a.Qv v^_ B Cn r,: ifhooQ [y I e31J. 1 E► tAR.�l J` ¢1 4� z. Qa, z5o•u9/d y cP�.qt. _ ° ? c.... y n �S 4, 6 Via° f a0` d 33c°g.' C r' GOr `i ° l` era `�, •,`+rnL,°r eta!,. ;. �nr; ,tG,:. a�R�, e "�. O,nao ��i n C� •G� �• :i(P 4"Y � v�,• he r Pn `\ to I A /� tic —� _)?' y�: Zt,r o y.� O;, c✓� c+ `i`s� ' � 'mac Bayview'S{' �( �O ,fl PA DISE PTA 000- —�~\ZD let, 9���,,,,•;p`..�;,,.r��.,,..�d:4 yro°J "''•.ti.,...b..:......,�,..,.%r . a R ti��a�„ ��e,r b�e�"'' '•.tipa ca5ea,`' .x yy c odi }Q,4, L,N gt�p�'ft vy.'���eaR °�`�� v I CEDAR BEACH \ O "f'a``d,�,dA.,a�d��1 COUNTY PARK CEDAR BEACH PT \ I Jessup Neck Shelter Island Sound MORTON NATIONAL / WILDLIFE REFUGE Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. 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 sioxiificant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 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. 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, e�. ng Departrnent; all local libraries and the.Town Clerk's office. ll J B. DESCRIPTION OF SITE AND PROPOSED ACTION AR3pSCTM# l000 - �l - -Z C� 2PROJECT NAME " �� W 11 €�o,Q u eCn �, j� The Application has been submitted to (check'appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees l. Category of Town of Southold'agency action(check appropriate response): (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:� ^ 1 ` 1 � ® 1 1 V�KI( 4�� �C) I.Gyr�l �r/�J�Y� G�;d\a� � �1'f�y�V� G.y�c� �'�QJC•� �� cvre, N�� a 1pc ^ (�n 7,4'--4Z* �i�\ Location of action: W�eyn (' Site acreage: :G-) ko f e, Present land use: Present zoning classification: 9= 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: &,cY (b) Mailing address: C. s¢,n. 0, GT -0 (c) Telephone number: Area Code OZ (d) Application number,if any: Will the action be directly undertaken,require funding,,or approval by a state or federal agency? Yes ❑ No® If yes,which state or federal agency? 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 0AW Section,III.-Policies; Page 2 for evaluation criteria. ®Yes ❑ No Not Applicable t.aocz P10n A +n ike. i6«\;Or'6 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of .the Town of Southold. See LV;U Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No EN Not Applicable V � 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 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 (� 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 Applicab t,��. 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: Yes No: Not App ale .: 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 E Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation'in Town of Southold from.soli&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. ❑ Ye�] No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICII 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 D\j 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 TITLE_L rn 6(Frx I i DATE 3)21 `I d stJRVEY OF LOT 1 4 PART OF LOT 2 MAC' O1 pARAD 15E POINT �� ��' �� N 3161 �PRI L I I I a63 FILE No. E���� ���... � AILED ......._ �� . 5ITuATE= BAYVIEN If 11 I M TOM Is, LD AR 3 0 2009 tE SI �OLIG , NY _.� S SURVEYED OI-02-03 03rd o oltr 7s tees PROP. MOUSE 04-•Oc1-2008 8o�rd of Trustees 05-21-2008, 06-05-2008, 06-15-2008, 06-23-2008 SUFFOLK COUNTY TAX # (000 - 81 - I - 20 C>RTMEDTO: 5outho Id E30y Kevin]Baff (Toyqr' Horbor) slosh ��ar cN-co�arn«rs r,�«u o ld Test Hole S8°0�/ By 5urveL�or IO11� 1°�'� 1 El= 26 wood deck 7 PRO I GAT OL �y L wwood 0.5' a Neck a I m 6M 01,0M Sllty I I —m 4 a t• I I 5W P°oa a Swd 0 I I bow— °- I N om 5P Prc lu ory I I m q $ rsandO� I Lot 8 i� LU 0 I I Z w 2 I I U- rn 17' I a �' L � STAKED H YBALES AND PROJECT LIMITING FENCE i O L v N 0 _ I Y is 0 11. i~ m screen Porch I I LL Q Q� --------------3 `-- Ae0'FRO BULKHEAD __ __I I � w = � O ------- -- V Z -i7 O PGRAOP, 7.0 0 16.0' 1 .0 _ K d� Q x.a .x P F �me' riGk- z PR c tZ (5 OP. House- Be4 IL lfl J DW 4.5' n p . ry 11.0 D ,shed m em. PROP. 6 lS I 0 PROP05ED 2 STORY HOUSE is•_ CA 0 Q 4.0' 24,8 12.0' O conc m ra I, m q. - - n• PROP05ED 2 STORYlo - O w I YAp�y GARAGE N N m concrete r% .� w PROP. � _ N � 2 h SEPTIC a I 3 j3O I �S PR GP OP. Z GP r m I PERVIOUS g I u1 I DRIVEW DAY V J W r �lJ W I U OI hol. EP I I r I I r 3 I e1m20' S83�,� N840 S' p 100.03' 9I=2q' Robfiv n °° °�e��t Dwe I I inq ,�� OF NEVy 1'p Public Water �P'lei C. EN�R NOS' Land Now or Formerly of: Victor J. Zupa DRAINAGE CALCUL.ATION5s SITE DATA: ROOF (V$W=I-LING 4 6ARA6U DESCRWMN: AREA: IOrCOVPRAGEk �'O O DWELLING ROOF AREA 3g64 S.F. PROPERTY: 29, 128 S.F. 5964 X OX7 X 1.0 = 6-15 G.F. J 615 / 42.24 = IS.45 VL.F. REQUIRED BUILDABLE LAND: PROPERTY LANDWARD OF BULKHEAD 28, 514 S.F. ► O S PROVIDE PROPOSED HOUSE: 3, 964 S.F. 13.90% 2 81-0" DIA. X W-ON DEPTH DRAINAGE POOLS PROPOSED DECK 440 S.F. I 01.54% 16 V.L.F. PROVIDED PROPOSED POOL 198 S.F. 00.70% ,o; /1r.Yara 91a.�lAcara.\e.! PRoPSED SEPTIC FOR 6 BE $ZOOM HOUSE TO BE ""''° '" ° `., ONE ROUND 1500 GALLON SEPTIC TANK AND TWO PROPOSED LOT COVERAGE: 4, 602 S.F. 16. 14% .�r«+,.e.ww�.e...aar.we�. 8' DIAMETER 8' DEEP LEECHIN57 POOLS WITH —A I-�,R ROOM FOR 50% EXPANSION ry rw.rota L.1d a rro/ i io,a e...,a.. em c.rvrdia+r Yai M oey Io w i'�•p^for Ma+ti wevy r p.rpv�4 EXISTING SEPTIC TO BE REMOVED A5 PER DEPARTMENT ' STANDARDS AND AREA FILLED N" CLEAN SAND !br u�M 1fOrM01'A.b oAfU.d I'NtMbr AREA = 24,128 sf or 0.6? acres JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC 50ALE III= 30' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.\\Compagserver\prosk02\02-343 proposed house.prc I • i I i t ... SLY•.__..-•-__._ -�; "L/ ^\� i 1 � .L � (`� �� .I� 1+ �"� i ,.� y � r•�r'^ ""'1'} � �,..v �•^'+ '�i J1 I �* ~ �.. � I[J //� w �' �,./ `Y1 ..�•,...� .'."ti. �°�,. r 1 �Y••b� �Zr ".`.�.�.I Y "`a I'- 5„/".-/ �_•'�,- - _�.l A yJ� Y / ,1 .y 1 d s � f I , a o { i �i � ,fit-_-',�•, ( _ f 1 � •r or 4. f ( t JJJ h A t A � i i v^''''�,� �' ,,r....,•-mow.✓" -w..r4+�. .+..++,.,,r',+.a �Y - � ^��"� "'"� ` - , N , 4�i WALL— d ,, 0 L•> M � _�,�•,� -- ---��--.--•-�._. .. = ,.'� APPROVE® BY MAR 30 2409 LOARD OF TRUSTEES arialOfTws rust lo ees TOWN OF SOUTHOLD !; DATE /jaQ Z 2 o 9, P=FFI 7ul ILI Lam...... .r ' � � ___•__ ....,,�,..._..-_. ....M., ,,. .._. 4 � � 711 scu": 'ArrwoIM w, I -� wu►viiwiv i t i'