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HomeMy WebLinkAboutTR-7071A Jill M.Doherty,President QF SO(/l Town Hall Annex James F.King,Vice-President ,`O� ��� 54375 Main Road P.O..Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. G Q John Bredemeyer � � �� Telephone(631) 765-1892 Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE.'OF COMPLIANCE #0595C Date: October 18, 2010 THIS CERTIFIES that the removal of grass/lawn and planting of beachgrass seaward of the dwelling approx 25' at west end*and approx. 11' at east of property, relocate existing driveway 8' north with pervious gravel-, as-built patio,• relocate outdoor shower with new drywell as-built garden shed At 20 Third Street New Suffolk,New York Suffolk County Tax Map# 117-10-19 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 4/3/09 pursuant to which Trustees Administrative Permit#7071A Dated 4/22/09 and Amended on 8/19/09 and Amended again on 5/19/10 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 removal of grass/lawn and planting of beachgrass seaward of the dwelling qpprox 25' at west end and approx. 1 F at east of property' relocate existing driveway 8' north with pervious gravel,• as-built patio,• relocate outdoor shower with new drXwell• as-built garden shed The certificate is issued to NICHOLAS DE CROISSET owner of the aforesaid property. thorized Signaturev Jill M.Doherty,President �OF S0(/�y Town Hall Annex James F. King,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio,Jr. G Q John Bredemeyer �� Telephone(631) 765-1892 �y COU Fax(631) 765-6641 NT`I,�� 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 1st day of construction Y constructed V Project complete, compliance inspection. INSPECTED BY: COMMENTS: 1 CERTIFICATE OF COMPLIANCE: �` Jill M. Doherty,President *QF sorry Town Hall Annex James F. King,Vice-President ,`O� ��� 54375 Main Road Dave Bergen P.O.Box 1179 Southold,New York 11971-0959 Bob Ghosio,Jr. • O� Telephone(631) 765-1892 John Bredemeyer Fax(631) 765-6641 ��yCOUNT'1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 19, 2010 Mr. Nicolas deCroisset 135 West 3rd St., Apt. 5 New York, NY 10012: RE: 20 THIRD ST., NEW SUFFOLK SCTM#117-10-19 Dear Mr. deCroisset: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., May 19, 2010: RESOLVED, that the Southold.Town Board of Trustees APPROVES the Amendment to Permit#7071 A to reduce the size of the:outdoor shower, as depicted on the revised survey received.on April 19, 2010 and stamped approved on May 19, 2010. This is not a determination from any other agency. Sincerely, Jill. Doherty,.Preside Boa of Trustees JMD:lms Nicolas de Croisset 135 West 3`d Street, apt 5 New York NY 10012 April 15,2010 ..--- �, Property : 20 Third Street New Suffolk,NY 11956 APR 1 9 2010 Tax Map# : 1000-117-10-19 Dear Trustees, I would like to apply for an amend my original plan in order to reduce the size of my outdoor shower by 40%. It is larger than needed and was not scaled correctly relative to the property. Thank you for your consideration. Best grgardy. Nicolas de Croisset JACKSON STREET ' ►.�«� N/0/F w o THOMAS .M MARTIN a & JAYNE P. MARTIN IR FOUND N 87"21 '00" E 9 0.00' 14�• CONC. MOH. mG a FENCE 'n CE &'RyLFENG / 1.1•S. PIP ku,nLLiyyPE Q 1 y- O a.d W a'a �� m a ROOF c H fl-y LA,ti�o\ Ira o v-�1~e_ b 16S' D 'ems o m ... r n 0' 1.0' a �E ENCLOSURE i:{o lZj A, D HOT WATER Nek" ..c cn Pa m SHO Q z C WER Tits J �a :: c �•.: N fA101.11. l� r :•:y 9 3'uft FLAG >C E- ROOF OVER -•3, CONG PAT10 1 - �a STEP ;a UND t' Y WOOD BULKHEA/ �W srE00P°s woaD BULKHEAD —` go APPARENT HIGH WATER MARK AS OF 01/20/08 -TIE LINE N 89028'30" W 89.47' � GREAT B�'CONIC BAY _APPROVED BY - o ' BOARD OF TRUSTEES c -0 , TOWN OF SOUTHOLD �4 w o Vl DATE -7 0'7 • J. James F.King,President \QF SUUT Town Hall Jill M. Doherty,Vice-President I`O y�lO. 53095 Route 25 P.O.Box 1179 Peggy A.Dickerson Southold,New York 11971-0959. Dave Bergen G Bob Ghosio, Jr. �Q 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 FOR A.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 1sc day of construction constructed Project complete, compliance.inspection. James F.King,President QF so yo Town Hall Annex Jill M.Doherty,Vice-President ,`O 54375 Main Road Peggy A.Dickerson P.O.Box 11794 Southold, New York 11971-0959 Dave Bergen G Q Bob Ghosio;Jr. %� ,�O Telephone(631) 765-1892 `,oU ,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No. 7071A Date of Receipt.of Application: April 3, 2009 Applicant: Nick deCroisset SCTM#: 117-10-19. Project Location: 20. Third St., New Suffolk Date of Resolution/Issuance: April 22, 2009 Date of Expiration: April 22,201.1 Reviewed by: Board of Trustees Project Description: To remove existing grass/lawn seaward of the dwelling approx., 25' at west end and.'approx. 11' at east of property, and plant beachgrass, construct a patio with pervious base approx. 15'X 30'. at grade, move existing driveway/parking area landward approx. 8' north using pervious gravel and relocate existing outdoor shower connecting drain to new pre-cast drywell. 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 received on April 3, 2009 and stamped approved on May 7, 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. ool ' .Jame F. King, Presida 7t Board.of Trustees r OgUEfO(�' James F.King,President Off' C4 P.O.Box 1179 Jill A Doherty,Vice-President 3 G�� Southold,NY 11971 Peggy A.Dickerson y Telephone(631)765-1892 Dave Bergen ,yarFax(631)765-6641 Bob Ghosio,Jr. Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 1 a l Mark Boeckman on behalf of NICK deCROISSET requests an Administrative Permit to remove existing grass/lawn seaward of the dwelling approx. 25' at west end and approx. I V at east end of property, and plant beachgrass, construct a patio with pervious base approx. 15'X 30' at grade, move existing driveway/parking area landward approx. 8' north using pervious gravel and relocate existing outdoor shower connecting drain to new pre-cast drywell. Located: 20 Third St., New Suffolk .SCTM#117-10-19 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound 7"Bay Distance of proposed work to edge of wetland P rt of Town Code proposed work falls under: apt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre-Submission Violation Info needed- ,Modifications:— h I Conditions: d Present Were:' King,,4,,J.Doherty 71n'Dickerson -7B Bergenp S.Ghosio, D. Dzenkowski :Mark Terry_other Form fille out ,the field by Mailed/Faxed to: Date: Environmental Technician Review- ce.Ix.01 � e 12-o1 _ OAK RD. ' an 's� 1 a t y ". 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"my x.a[A ' ' i '1 1.]1tU 1'1 x9LLv ]3 3.6IxtlO a92 _ � U ]Js.W N y14sISZs U. y 10 Ts s O?Y . 1 2 ISIIU 1't ' • • a' 13A xJ � f1.1 � ZO.I eeutwo v M �J x.leltl ldltct �y " v .. . 90 BAY PECONIC GREAT - L z�- f21I , —_ _ ,.—_•—_ . incr NOTICE NTY E R C c 0 _ OU OF SUFFOLK © ieJ^� SDUTHDLD SECTION NO — W„ •�w;P� r Real Pro erty Tax Service Agency v C 1y eprlter RNerhee4,N, 11991 N w 6 117 ..w .. +WKu6r"� Y.r SSiiw:+y4✓ �.... >7 • -'yc°- Yut m A -�eii,e.i 1000 _='.a'e�'r �r ,�.� ,a•�r:u-.-...-. -..� - - James F..King,President QF SO&A" Town Hall Jill M. Doherty,Vice-President ��� Ol0 53095 Route 25 P.O.Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen Bob unu"iQ,. Jr, Telephone(631)765-1892 `,ouffm Fax(631)765-6641 BOARD OF TOWN TRUSTEES T9WN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application ri 1`�1' _Wetland Permit Application _�Administrative Permit 1 C � � X'r Amendment/Transf r tension (� , n ? eceived Application: e// V Cl (1 s w �p��� Received Fee:$ _Completed Application _Incomplete _SEQRA.Classification: Type I Type H Unlisted `l Coordination:(date sent) e,_,EWRP Consistency Assessment Form CAC Referral Sent:/"- J� u�1 _ �� Prol, ate of Inspection: j & 0 __Receipt of CAC Report _Lead Agency Determination: Technical Review: Public Hearing Held: _Resolution: Name of Applicant__& , � A e G P_0\S s Address a'k, 1az,� �zw Ste. lam. Phone Number:(WV) Suffolk County Tax Map Number: 1000 = 'i 1 - C> - Property Location: (provide LILCO Pole#, distance to cross streets, and location) AGENT: y_� ?=5 r c (If applicable) Address:._ `74­70 Q�r -A-5 1�. 0 5� Phone: (h 1. 2 £ P 1 and of Trustees Applicati GENERAL DATA Land Area(in square feet): ►O k K O Q Area Zoning: 0 Previous use of property: S ,a,r,, „�,,�„ CGA a Intended use of property: 5 co�� Covenants and Restrictions: Yes No If"Yes",please provide copy. 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): RgELd r�,J1z_ V,:a ��•4 ��L..Sr.a J.l ,.�oryz n icy POP-r>&- A PP-1k ZW � �S6�r ���� tc �C��n� Y ► L. rz�sT ��D u�r �2Cr�l�(��'� ��3 �HG-► e-�, 5 11 Board of Trustees Applicat' - L WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: Area of wetlands on lot: 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? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): �C�"i.r. i PROJECT ID NUMBER 617.20 _ _ SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME Icier &PROJECT LOCATION: Municipality County - 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map z,C� TlA I(z 0 �r�2 E_9: 5.IS PROPOSED ACTION: ❑ New ❑Expansion 1-11�A'odification/alteration 6.DESCRIBE PROJECT BRIEFLY: LL�� i\�N�b�G -1Sry C.f�Wis -t�[ w .VJ IJCyLi.(> 1✓�dl L-� 1 �7?r5.6 Q_ 61V'0!z- r-3 i-i \ l7tlZri��tVr 0)C'i L_r) orcx:a ` I M 2Y irC.L. 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ©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) a'es ❑No If yes, list agency name and permit / approval: CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes 5;?No If yes, list agency name and permit / approval: 12. AS A RES T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [Dyes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: / Signature ` If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT(To be completed by Lead Agency) A. DOES ACTION CEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Yes fUl 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. El Yes EjNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be hanbwritten,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. Aesthetic,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. Long term,short term,cumulative,or other effects not identified in C1 C5? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If Yes,ex lain briefl Yes �No i E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If Xes explain: Yes No PART Ill-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 „e rhonotem4Ra on-GfsgnifisanseFAustevaluate4hepetentialimpaekg4hepre iron-~„ «ntal-e;arracterfst o Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULI. EAF and/or prepare a positive declaration. _ - ---...._,....--................... Check this box if you have deter mined,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 Officu m Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Board of Trustees APPlica�Lon County of Suffolk State of New York Us s BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/I ER 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 a S DAY OF ,2007 Notary Public MARILOU P.REVENTAR Notary Public,State of New York No.31-4994048 Qualified in New York Coun Commission Expires July 30, ' r3oard of Trustees Applica--�. -n, AUTHORIZATION (where the applicant is not the owner) residing at f 3 t". \.j�a r ��� 'r (print owner of property) (mailing address) my do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner' s signature) i 8 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. YOUR NAME: b C- C R.\55 F T + X)k co t `S (Last name,first name,ipiddle 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 Change of Zone 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 X 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 Submitted this Z1 day of 200 Signature__,., � ,,;ti, �_}('' Print Name f.c o L- c2o►sJE t Form TS I Town of Southold i LWRP CONSISTENCY ASSESSMENT FORM i 1 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 siwdficant 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. i 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, g Department, all local libraries and the Town Clerk's office.' B. DESCRIPTION OF SITE AND PROPOSED ACTION 0 l/ S CTM# 3 ; -�-- - 2009 PROJECT NAME Soethho ld ,. i , of Trustee$ 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:response): a , Action undertaken directly b Town agency a capital O Y Y g y( •g• P �❑ -construction,planning activity,;agency regulation,land transaction). (b) Financial assistance(e.g. grant,loan,.subsidy) (c) Permit,approval,license;-certification:. Nature and exte t of action: . FA-1-743 Location of action: Site acreage: 1Cj OZ) s . i Present land use: Present zoning classification'. 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: r t1ya s Ae o c e fs (b) Mailing address: ' .)e a 1f \ �( 1� (c) Telephone number:Area Code 6 c\ (d) Application number,if any: 1 Will the action be directly undertaken,require funding;.or approval by a state or federal agency? Yes ❑ NoE 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 Twill further each policy. Incomplete answers will require that the form be returned for completion. i DEVELOPED COAST POLICY.: Policy.l. 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. ❑Yes ❑ No Not Applicable 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.❑ No 0 Not Applicable Attach additional sheets if necessary i 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 �Ye ❑ 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 - I 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.E] 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'.- flicable j I l i i i 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. I , Yes No�Not'Applicable, i 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. 0 Yes '❑ No [�NotApplicable ' 1 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. I _ YeO No Not Applicable licable Attach additional sheets if necessary , WORKING COAST-POLL .,�S c Policy 10. Protect Southold's water-dependent uses and promote siting of new water dependent uses in :suitable locations.' See LWRRSection III'•=Policies; Pages.47 througk 56 for evaluation criteria. ❑ Yes ❑ No .Not Applicable _jG .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. O'Yes ❑ No YNotApplicable Al i nj o i,2 i Attach additional sheets if necessary i 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 i �l✓ls o ��a Attach additional sheets if necessary Policy,13. Promote appropriate use and development.-of energy and mineral resources. See LWRP Section.III—.Policies; Pa es 65 through 68 for evaluation criteria. ❑ Yes [INo ❑ ot.Applicable PREPARED BY o✓i, ;ry1 TITLE DATE i. 1zZI AI cPC r'Al & .RICHARD '` ' 1�4 WOOD R Ov JUG RTTr 27 2009 g S 05°0a.9 99 g$ doerrTown 0 d� w ustees :=c :•? ::�;+. '—"ROW of BUSHES . 12 / O J cr) ffff 4. WOOD f; RAIL w co , � o W ;� 0 4aa tee w - 2Zo y' . Oo 21.0' wd Ln TOR F � �"� 81 ' q° �. HOUSERAMS . �� , 233,E �'►} z . WATcn 9R aSTOcftE METEREHCE •`,,. . WER VALVE .1 ,HEWE .Rolf f 0 eO O g n ` V wp •� b' �W BULKHEAD122 b a . ASpHAI.T PAVEMENTSTREET b A. DVERHr4D WIRES -.-''�- APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD App — � DATE 0 E D 1� BOARD OF T RU m tY .:� °� Z TOWN OF SOU T HOA D James F. King,President �*QF SOUTyO 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 John Holzapfel �� �� Telephone(631)765-1892 Fax(631)765-6641 D C � o BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD JUL 2 7 2009 South hold Town of APPLICATION FOR AN AMENDMENT TO A WETLAND Board es DATE aI ' ZI• q OWNER W164 VE C26 PHONE 1 • �T3 Z 5 ADDRESS Zb "Tl- I%N Sz' 4JFvJ SyFromet- �3! AGENT MA'RV t Me e-,c&,,j PHONE� . Z9�• , 31 g ADDRESS ?4`1 o Mr ��Q►�i t-t•r:.�c tc PROPERTY LOCATION ,Zp t�" Ff;ntt TAX MAP NO. INS C.3 • l ��• �� I/We �A ICI✓d/_%f j request an Amendment to Permit# A,b so6w Nj o�N, PLA,- ( N%ft.L .4 6AR."iJ S*)r-n Signed By: 0%U1F111,,tJill M:Doherty,President P.O.Box 1179 James F.King,Vice-President Southold,NY 11971 Dave Bergen Telephone(631)765-1892 Bob Ghosib,Jr. Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field Inspection/Worksession Report I� Date/Time: Z 2. ► v Nicolas deCroisset Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland G Pert of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion Amendment Administrative_Emergency Pre-Submission Violation Info needed: C1 i i q C] Modifications: k Ao-,c Conditions: Present Were: J.King _J.Doherty_J. Bredemeyer D. Bergeny B.Ghosio, D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date. 4 James F.King,President '\XOF soUryo Town Hall Annex Jill M.Doherty,Vice-President �� l0 54375 Main Road, P.O.Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen G Q �' • �O Telephone(631) 765-1892 Bob Ghosio,Jr. �OI�C�U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 19, 2009 Mr. Mark Boeckman 7470 Route 48 Mattituck, NY 11952 RE: NICK DECROISSET 20 THIRD STREET,.NEW SUFFOLK SCTM# 117-10-19 Dear Mr. Boeckman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 19, 2009: RESOLVED, that the Southold Town.Board of Trustees APPROVE the Amendment to Administrative Permit#7071 A for the new location.of the as-built patio, outdoor shower and garden shed, and as depicted on the revised site plan prepared by Mark Boeckman received on July 27, 2009. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK:eac osufFot� James F.King,President O� CpG P.O.Box 1179 Jill M.Doherty,Vice-President y� Southold,NY 11971 Peggy A.Dickerson ti Telephone(631)765-1892 Dave Bergen Fax(631)765-6641 Bob Ghosio,Jr. V Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: g�l Z- 6 l( Mark Boeckman on behalf of NICK DECROISSET requests an Amendment to Administrative Permit#7071A for the new location of the as-built patio, outdoor shower and garden shed. Located: 20 Third St., New Suffolk. SCTM#117-10-19 Type of area to be impacted:c� � altwater Wetland Freshwater Wetland Sound ' Bay Distance of proposed work to edge of wetland Par6f Town Code proposed work falls under: _Chapt.275 Chapt. 111 - other Type of Application: Wetland _Coastal Erosion Amendment Ad min istrative_Emergency Pre-Submission Violation Info needed: 7 r P Modifications: Conditions: Present Were: /J.King �XJD / _ . oherty_P. iDckerson D. Bergen_ B.Ghosio, D. Dzenkowski other Form filled out in the field by r 6 r- Mailed/Faxed to: Date: WILLIAy TWRIc T JUL 2 7 2009 Southhold Town g S �� Board of Trustees 05*00 '00 W ROW OF BUSHES 127, O O 'cr) 1 U F� E--q a�m r� tn- � . y I WOOD AIL HqD 22.0 10.2 21.0 r` d00 m STORY FRAME HOUSE o a a ®001,005' W Nam, g•o' o 233,28 rA�lk WATER i a METER vi STOCKADE 8 ,,.., NCE o a , WATER -r o ; VALVE .HEDGE•ROW. U� •` o� OO 0 9j / . . q r►vOD ULKHEAD S at�- 122. Jill _`� a o ASPHALT PAVEMENT ° 4, Q ST_rlc " EE ' 9 OVERHM W F?ES APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE �v� J.ACKSON STREET N SURVEY OF PROPERTY ►v can N/0/F w o THOMAS M. MARTIN SI T UA TE U:'r �,6 . & JAYNE P. MARTIN CU NEW SUFFOLK ) 90.00'N ��°`-1 '0 O" E CAPPED REBSA�R 74.40' CONCD M1•ON. TOWN OF SOUTHOLD 3FOUND350' W�000 FENCE PIPE -POST & PAIL FENCE 1.1•s. SUFFOLK COUNTY, NEW YORK z o lu p S.C. TAX No. 1000- 1 17- 10-19 BF�LL. 9LK. SCALE 1 "=20' 'ONE. J d.yRNOEWAY- -� w FRAME SHED O _ --- JANUARY 2, 2008 -UTILITYP p - .--o - _ -.. ' JANUARY :20, 2008 VERIFIED HIGH WATER MARK ,MAY`:9, 2009 STAKE PROPERTY LINES �y NOVEMBER 19, 2009 UPDATE SURVEY AREA = 11,105 sq. ft. WATER 1 9 2010 _ �,-� VALVE I ° ROOF OVER APR WOOD PORCH (TO BULKHEAD) 0.255 ac. O ,R\ _ - FRAME OUTSIDE SHOWER fs Pig 93, SLATE. p o h] Vf 1 p PATIO.... _ 1 1 CERTIFIED TO: o Zo �o y _ y�.y NICOLAS DE CROISSET FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK m o NOTES: 93, 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM 2s.s' FLAG BLKH. POLE 1.4'W. ROOF OVER CONC. PAnO I - CONC. I UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF �o STEP ro SECTION 7209 OF THE NEW YORK STATE =o w I o EDUCATION LAW. p FOUND .. I WOOD BULKHEAD COPIES OF THIS SURVEY MAP NOT BEARING NAIL I THE LAND SURVEYOR'S INKED SEAL OR BLKH. OOD WOOD BULKHEAD EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. 1.2'W. STEPS HEREON SHALL RUN F o —' ONLY FTO TIHESPERSONT ED FOR WHOM THE SURVEY N r o N IS PREPARED, AND ON HIS BEHALF TO THE N V TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND ` Q p TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Q APPARENT HIGH WATER MARK AS OF 01/20/08 LINE THE EXISTENCE OF RIGHTS OF WAY N 89*28'30" W 89.47' AND/OR EASEMENTS OF RECORD, IF o ANY, NOT SHOWN ARE NOT GUARANTEED. C_T�)EA T PECONIC PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS E Nathan Taft Corwin III o FFORTSUCHIUSE BYNTHEPNEWVYD -j+ E , TITLE ASSOCIATION. �P o Land Surveyor zz r Title Surveys — Subdivisions — Site Plans — Construction Layout \� ! PHONE (631)727-2090 Fax (631)727-1727 \O� OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 --— -- N.Y.S. Lic. No. 50467 Jamesport, New York 11947 Jamesport, New York 11947 a.: 04/08/2009 15 '. 47 FIN Aft� Mr fir ...� _ -• ___1 ___l"""_.-.,.,..- . .. - ;y gar - •� MI- . � �.may. .. vi 4- M all f. � j y� x V• some r soon u 7� i i _ � � ..e/.,_ _ _♦ it _ . l e •- , 08/ 12/2009 14 : 52