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HomeMy WebLinkAboutTR-7378 Jill M.Doherty,President ti Town Hall,53095 Main Rd. James F.King,Vice-President �. P.O.Box 1179 Dave Bergen �, Southold;NY 11971 Bob Ghosio,Jr. � Telephone(631)765-1892 John Bredemeyer �# �' 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 $O SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction Y2 constructed Project complete, compliance inspection. L' s1j1 - pr♦•1 BOARD' F S'OUTHOL`D W TON:TRUSTEES -OSOUTHOL 7; NEW"YORK . PERMIT,NO,_7378 DATE AUGi)ST'18,2010` F N ISSUEDvTO„�JOHN VEARSON : } PROPERTY ADDRESS. 3575 WELLS AVENUE. SOUTHOLD sal, � SCTM#70 4 5 ♦1:, ♦11Q1 � r. '/'r� Art7'THO'R ZATTON` x 1 e11. }1 _ Pursuanf'ao the piovisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of J Southold and m accordance with the Resolution,o�f thejBoard of'frustees¢adopted at the-meeting held on August 18 2010,iand m considgV.9n of apphcationfee in the sum of$a 50 OOnp�aid by John Pearson and . ' 11 subject to the Terms and.Conditions as stated m the Resolution;the Southold Town Board of Tntstees '. y authorizes and permits,the following fill1 F=' ;a f r r x t r �a rite ng 1 - 7 -- Wetland Perim to constructr approximately''ml Iinear,Ieet of amyl bulkhead s/ place of(and+/ 6" to+/ 12" higher,than) existing timber';bulkl ea., and hackfill with approximately:25 cubic yards sand to be trucked in from.an d upland source, construct i f . ,11 4'x8' wood walk to existing dockjn place ofieaustiri wal behind,bulkhead;; and-as , g � /I depicted.:on the site-plan prepared by,EN Consultants,Inc last dated July 12,20I0, and , < • , stamped>approved,on August ,, , dINc WITNESS WHEREOF,'the said Board of TrusteesherebqcausestitsrCorporate Seal to beaffixed;; � and these_+presents'to besubscril;ed b.v a•man thesaid Board as.of;this'date_ ;r j 'AII`C �w.,.' � s(.i -:J i f_... F ,� ,..,�-..: of -. f 5s, ). t:: — ..,.1 S:11,�•. ,. 4 . 1 tY: x - �i "- TERMS ANDCONDITIONS ; The Permittee John Pearson,residing at 3575 Wells Avenue, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: l. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties,and the said Permittee _ assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained tely,indefini ,or as l ong as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to'the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized: 9. That the Permittee will obtain all other permits and consents.that.may be required supplemental to this permit,which may be subject to revoke upon failure to.obtain same. Jill M.Doherty,President �QF SU(/T Town Hall Annex James F. King,Vice-President ,`O� Ol0 54375 Main Road P.O. Box 1179 Dave Bergen 1 Southold,New York 11971-0959 Bob Ghosio,Jr. G pQ Telephone(631) 765-1892 John Bredemeyer 'Q a�y CoU Fax(631) 765-6641 nm,��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 18, 2010 Mr. Robert E. Herrmann EN-Consultants, Inc. 1319 North Sea Road Southampton, NY 11968 RE: JOHN PEARSON 3575 WELLS AVENUE, SOUTHOLD SCTM# 70-4-5 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 18, 2010 regarding the above matter: WHEREAS, EN-Consultants, Inc. on behalf of JOHN PEARSON applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town'of Southold, application dated July 27, 2010, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 18, 2010, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, NM�Of s?a— U T H O . n� . OR � p tflFVEI.fF 3 0'.O y O " [ n FPS Cnd00 i taE[K LM m o PK r T 7 � 'F �iWELLS ROAD JAS/yI AE yQ V•C. ,f ypR[`FONRG f� J. OOQ 'y T N �4 i �� y, EPA Sti fV 9Qo JUL 2 7 2010 ki,�..dti C �1H aQ�P Q a —tK OR ti 'q, \m �larp¢f = 40 Coutho;dTTov n_ w 9 rn board of Trustees to .---D AGC� ------------ =-- �- -.�- � {Sl SS VIA N i[St W�`3\��J DRIVEWAY O °[f4R✓if �� y50 Tr 0 5u13,fcf p�0m�rr) TO ' 4✓ w' W T--- Z7 0 rrfico-G Ju r ' \�1 1. .. C_ G[E �.- CFH: D y<-J41'=&Coun1;4,Iq�G'n AAal:J LS,• n' .: Z N rcrr I 000` it� 1 Stluchold: N Wzst -T—= • Y.0:. \ 9\ a°• t(sv']�. G 60p :;u G7��v'�-y p a4 •.:. 1 112 STORY FRAME HOUSE rr1 c[ SrG++ ���G"% Rp AND GARAGES�p�of -� a L ��.¢ a e WC -+ ��Py yGREATr HOG�a t4 Ro . 3 n �$� DECK BOARD OF TRUSTEES Z TOWN OF SOUTHOLD 4 12 14 _ N O APPRO 101 L.F. OF VINY SUL D A E TO B CONSTRUCTED IN PLA E OF (AND 12" IGHER THAN) EX. TIMBE BULKHEA ±84' ±100' EX. VEGETATED BA REPLANTED`& TAINED a 1 D AS NONTU UFFER - O ARPRO TOP OF BAN E 0 N O VSS x C1C— — fPRQX b�1T ACKFILL ADJ. BLKHD. � AHW •T ass _ u EX. WALK TO DOCK TO ADJ. BLKHD. \5°Q BE REPLACED (IN-PLACE) ALW } EX. DOCK N TO REMAIN N JOCKEY CREEK F� o CO Notes, EN-CONSULTANTS, INC. o I) Purpose: Maintain exl5ting bulkhead 1319 NORTH SEA ROAD t 2) Pat 5heathing Alw SOUTHAMPTON, NY 11968 �snoH m o 3) to be vinyl New s Q q 4) Approximately 25 cubic yards clean sand to 631.283.6360 be ihcked in from an upland source for bar cf(Il 5) Pbtvr d em6ankment to be revegetated wO native gra55e5,wildflowers,and grandcover5 and f ROP05W 131KHM2 WMACMW(IN maIpertti l as o no !! /I�Wer FLACK) FOR JOHN MAR50N ON JOCKEY 6) I?roperty location:35�5 Wells Aver�;ie, 5ou&dd,5CrM #100010-4-5 C M 5OUTHOW, 5UFFdLK COUNTY, NY 5HMf I OF I '/ 12110 fv EL. 18,9' 1VELL5 ROAD EL. 18;4' = SURVEY OF PROPERTY 101.07 N81.401000E ' EL. ,8.6' A T SO UTHOLD EL 18.6 TOWN OF SO UTHOLD 4 ----_-_-_ --- - SUFFOLK COUNTY, N. Y. 1000=70-04-05 SCALE: 1'=30' MAY 11, 2010 o 0 23. p T w � STORY 1 E 14 RG , 20'. LOT 6 FRAME 9.8 F.F. 0. 6.6 r.- 1aEL 1 EL 9'8, Ac c GAS T � _.14 o � a A LA.LOT 16 2y k 0 —— — —— ——14 _12 12— N J U L 2 7 2010 ► �, LOT 5 -ro o Southold Tov n N Board of Trustees / i LOT NUMBERS REFER TO "PLAN OF LOTS OWNED BY GEORGE H. WELLS FILED IN THE SUFFOLK COUNTY yyOOD CLERK'S OFFICE ON NOVEMBER 28, 1927 AS FILE BULKHEAD 100.5- NO. 859. ,��OF NE'ry� yW ALONG BULKHEAD v EL 5 2. S'9.Zq,36 0 ME o nE ONE x K ELEVATIONS REFERENCED TO N.G.V.D. CERTIFIED TO. OgEE ' ,� �l��,�k JOHN W- PEARSON G,KEY , p r NORTH FORK BANK JD COMMONWEALTH LAND TITLE INSURANCE COMPANY 09618 ANY ALTERATION OR ADDIAON TO THIS SURVEY IS A VIOLATION 15tCONIC BYO OF SECTION 7209OF THE NEW YORK STATE EDUCA77ON LAW. AREA=20,493 SO. FT. (631) 765-5020 FAX 65-1797 EXCEPT AS PER SEC71ON 7209—SUBDIVISION 2. ALL CERTIFICATIONS TO TIE LINE P—.-O. BOX 909 HEREOA�RE VAZ/D FOR THIS MAP AND COPIES THEREOF Y7�---- — SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR OU TRAVELER STREET SOU 97-363 WHOSE SIGNATURE APPEARS HEREON. __ - THOLD, MY 11971 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application', and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOHN PEARSON to construct approximately 101 linear feet of vinyl bulkhead in place of(and +/-6" to +/-12" higher than) existing timber bulkhead and backfill with approximately 25 cubic yards sand to be trucked in from and upland source; construct 4'x8' wood walk to existing dock in place of existing walk behind bulkhead; and as depicted on the site plan prepared by EN-Consultants, Inc. last dated July 12, 2010, and stamped approved on August 18, 2010. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Jil M. Doherty President, Board of Trustees JMD/eac i I I ���agpFFOt4.c�G Peter Young;Chairman I* Town Hall,53095 Main Rd. Lauren Standish,Secretary w P.O.Box 1179 G� !� Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., August 11, 2010, the following recommendation was made: Moved by Jack McGreevy, seconded by Doug Hardy, it was RESOLVED to SUPPORT the Wetland Permit application of JOHN PEARSON to construct approx. 101 If. of vinyl bulkhead in place of(and +/-6" higher than) existing timber bulkhead and backfill with approx. 25 cy. sand to be trucked in from an upland source; construct 4'X 8' wood walk to existing dock in place of existing walk behind bulkhead. Located: 3575 Wells Ave., Southold. SCTM#70-4-5 Inspected by: Jack McGreevy, Doug Hardy, Audrey Horton The CAC Supports the application with the Condition the bulkhead is not raised and is constructed in-place with rip-rap within 12" on top of the bulkhead and landward, designed to minimize reflective wave energy, and with a 6'-8' landward return on the west end of the new bulkhead. Vote of Council: Ayes: All Motion Carried i i Jill M.Doherty,President O� Q P.O.Box 1179 James F.King,Vice-President Oyu Southold,NY 11971 Dave Bergen y Telephone(631)765-1892 Bob Ghosio,Jr. �. Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: / — f 0 JOHN PEARSON requests a Wetland Permit to construct approx. 101 If. of vinyl bulkhead in place of(and +/-6" higher than) existing timber bulkhead and backfill with approx. 25 cy. sand to be trucked in from an upland source; construct 4'X 8' wood walk to existing dock in place of existing walk behind bulkhead. Located: 3575 Wells Ave., Southold. SCTM#70-4-5 Type area to be impacted: altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of.-Town Code proposed work falls under: apt.275 Chapt. 111 other Type of Application: 6,— Vetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Vio.lation Info needed- Modifications: Conditions: Present WereL�gDzenkowski ing _J.Doherty ZJBdemeyer D. Bergen_ B.Ghosio, other Form filled out in the field by Mailed/Faxed to: i Date: f ' t �F i l �:°' •' e "°t" a � .�. Ufa,• ,,.� _ � r Ae �/ 081-I'112010-- 12�' .] 8 JOHN PEARSON,3575 WELLS AVENUE.SOUTHOLD is :A z �y Figure 1. Looking northwest westerly half of ex. +101'timber bulkhead to he replaced(in-place) with vinyl. P 4 ' .. , , ko s ae "Air- Figure 2. Looking northeast at easterly half of e.- +101'timber bulkhead to he replaced(in-place)with vinyb JOHN PEARSON,3575 WELLS AVENUE,SOUTHOLD ' _ Imo, •i• c Figure 3. Looking west along top of westerly half of ex +101'timber bulkhead to be replaced(in place) with vinyl. I 1 ► i�;�, da- 4'""* 5 lit HY *•'; lm Figure 4. 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NOTICE [ r- SECTION NO We,FeuU,4iEn.,�'J4Fa 1 e --- �4 --- W — •— — — 9eM,w o 4n Red Property Tax Service Agency r 070 ma:a,m G count]Center mverneod,N Y 11901 p,.e. n �ua A.x au y —_-- -- -- 9rr u.—..— .qm• .bur.m ixa uti ----- -- -- u,< °• JGIl a r¢u G 1000 w4 weex,.�,.x .max:9mc,. - osn9ct o PROPERTY MPP I f FI69X U,F:•n.,a,.w OFFICE LOCATION: OF SO(/ry MAILING ADDRESS: Town Hall Annex �0� Ol0 P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 �Q Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner i 't AUG 1 6 2010 = ° LWRP Coordinator Date: August 16, 2010 Eezre��Tru =sos — Re: Proposed Wetland Permit for JOHN PEARSON SCTM# 1000-70-4-5 En-Consultants, Inc. on behalf of JOHN PEARSON requests a Wetland Permit to construct approx. 101 If. of vinyl bulkhead in place of (and +/-6" higher than) existing timber bulkhead and backfill with approx. 25 cy. sand to be trucked in from an upland source; construct 4'X 8' wood walk to existing dock in place of existing walk behind bulkhead. Located: 3575 Wells Ave., Southold. SCTM#70-4-5 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 me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided the following best management practice is required pursuant to: § 275-11. Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (2) Erosion control. Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation of a silt boom that will retain all suspended sediments within the immediate proiect area. Pursuant to Chapter 2.68, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney i gSal:FQ(,�.to� Jill M.Doherty,President Town Hall, 53095 Main Rd. James F.King,Vice-President yam,. P.O.Box 1179 Dave Bergen Southold,NY 11971 Bob Ghosio,Jr. Telephone(631)765-1892 John Brederneyer �r �`� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application :�4: etland Permit Application Administrative Permit _Amendment/Tra s er/Extension _Received Application: oOl eceived Feel —seompleted Application Incomplete .•. _SEQRA Classification: r� 1 Type I Type II Unlisted Ei _Coordination: (date sent) •� ). y f _rLWRP Consistency Assessment Form 13a IZ1 JUL 2 7 2010 CAC Referral Sent: ino✓ ✓IIate of Inspection: Z111110 _Receipt of CAC Report: Southold Toy;i _Lead Agency Determination: Board of Trustees _Technical Review: poll Public Hearing Held: Resolution: Name of Applicant JOHN PEARSON Address 3575 WELLS AVENUE, SOUTHOLD,NY 11971 Phone Number: 631 765-6941 Suffolk County Tax Map Number: 1000 - 70-4-5 Property Location:3575 WELLS AVENUE,SOUTHOLD (provide LILCO Pole #, distance to cross streets, and location) AGENT:EN-CONSULTANTS,INC. (If applicable) Address: 1319 NORTH SEA ROAD, SOUTHAMPTON,NY 11968 Phone:631-283-6360 cw" 1 Board of Trustees Appl-' ition GENERAL DATA Land Area(in square feet):20,493 SQ.FT. Area Zoning: R-40 Previous use of property: RESIDENTIAL, 1-FAMILY DWELLING Intended use of property: NO CHANGE Covenants and Restrictions: Yes X No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes",please provide copy of decision. 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? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Construct approximately 101 linear feet of vinyl bulkhead in place of(and+/-6"higher than)existing timber bulkhead and backfill with approximately 25 cubic yards sand to be trucked in from an upland source;construct 4'x 8'wood walk to existing dock in place of existing walk behind bulkhead,all as depicted on the project plan prepared by En-Consultants,Inc.dated July 12,2010. Board of Trustees Appl, tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To maintain existing bulkheaded shoreline. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 °% Closest distance between nearest existing structure and upland edge of wetlands: N/A 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? N/A cubic yards How much material will be filled? +/-25 cubic yards Depth of which material will be removed or deposited: <2 feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Approximately 25 cubic yard clean sand fill will be trucked in from an upland source and dumped&graded as backfill to be vegetated landward of new bulkhead. 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): The project entails the ordinary and routine maintenance of a bulkheaded shoreline through the in-place replacement of an existing treated timber bulkhead with new untreated,vinyl-sheathed bulkhead. As the existing vegetated embankment behind the bulkhead will be restored through native plantings and maintained as a nonturf buffer,the project will have no adverse impact on the adjacent tidal wetlands or waters of the Town. 617.20 SEQR PROJECT ID NUMBER APPENDIX 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/SPONSOR 2.PROJECT NAME JOHN PEARSON BY EN-CONSULTANTS,INC. PEARSON BULKHEAD REPLACEMENT 3.PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK 4.PRECISE LOCATION:Street Address and Road Intersections.Prominent landmarks etc-or provide map 3575 WELLS AVENUE,TOWN OF SOUTHOLD,SCTM#1000-70-4-5 5.IS PROPOSED ACTION: ❑ New ❑Expansion ❑Nbdiflcation/alteration 6.DESCRIBE PROJECT BRIEFLY: Construct approximately 101 linear feet of vinyl bulkhead in place of(and+/-6"higher than)existing timber bulkhead and backfill with approximately 25 cubic yards sand to be trucked in from an upland source; construct 4'x 8'wood walk to existing dock in place of existing walk behind bulkhead,all as depicted on the project plan prepared by En-Consultants,Inc.dated July 12,2010. 7.AMOUNT OF LAND AFFECTED: initially 0.47 acres Ultimately 0.47 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) ®Yes No If yes,list agency name and permit/ approval: DEC,COE,DOS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ®No If yes,list agency name and permit/ approval: ItS A R�LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? u Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/Sponsor Name ROBERT E.HERRMANN,COASTAL MANAGEMENT SPECIALIST Date:JULY 16,2010 Signature If the action is a Coastal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II- IMPACT ASSESSMENT(To be com ided 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. Ej Yes a No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration may be superseded by another involved agency. a Yes a 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 patter,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly. No C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: No - C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly No 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: No C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Longterm,short tens,cumulative,or other effects not identified in Cl-05? Explain briefly: No C7. Other.im acts(inducting changes in use.of either quan&or type of energy? Explain briefl : 'No D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL C14ARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? if yes,explain briefly: Yes a No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes a lain: Yes a No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS; For each adverse effect Identified above,determine whether it is substantial,large,importantorotherwise 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;(a) 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 yes,the determination of significance mustevaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box ff you have identified one or more potentially large or significant adverse Impacts which MAY occur.Then proceed directly to the FUL 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 thi determination. Board of Trustees Name of Lead Agency Date Jill M. Doherty President Print or Tr Nam of Responsible Officer in Lead Agency Title of Responsible Officer Sig a of Respo ible Officer in Lead.Agency Signature of Preparer(If different from responsible officer) ao � Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 0� 1000 70 6 32 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN 13—isFFIcT Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK- PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT Yes No a.What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within 20,493 SQ.FT. Generated by a Two(2")Inch Rainfall on Site? the Scope of work for Proposed Construction) (S.F./Acres)) (This item will include all run-off created by site b,What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site improvements and the permanent creation of construction activity? (S.F./Acres) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This item shall include all proposed Grade Changes and Construct approximately 101 linear feet of vinyl bulkhead Slopes Controlling Surface Water Flow, 3 Does the Site Plan and/or Survey describe the erosion Elin place of(and+/-6"higher than)existing timber and sediment control practices that will be used to control site erosion and storm water discharger.This bulkhead and backfill with approximately 25 cubic yards Item must be maintained throughout the Entire Construction Period. sand to be trucked in from an upland source;construct 4'x 4 Will this Project Require an Land Filling,Gradingor Excavation where(here is a change to the Natural ❑ 8'wood walk to existing dock in place of existing walk Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? behind bulkhead,all as depicted on the project plan ❑ 5 Will this Application Require Land Disturbing Activities prepared by En-Consultants,Inc,dated July 12,2010. Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface. 6 Is there a Natural Water Course Running through the Site?Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres:including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes Elare part of a larger common plan that will ultimately disturb one or more acres of lands, which Exceed Fifteen(15)feet of Vertical Rise to Ii-dudingCbrntnu�tionactivitiesirrvolvingsoffdisturbanesoflesssthanone(1)arewhere One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges, p (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off ❑ X 1.The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit. In addition,the SWPPP shall Area?(This item will NOT include the installation of Driveway Aprons.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE:If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. that is knowledgeable in the principles and practices of Storm Water Management. AC heck Mark and/or Arsvkr for each Question is fora Completed Application). STATE OF NEW Y O R K, SUFFOLK ss COUNTY OF --- --------------------- That I, ROBERT E.HERRMANN being duty sworn,deposes and says that he/she is the applicant for Permit; (Nlrrecfuchidiralsig1 gDmxmt) And that he/she is the AGENT-FOR-OWNER - - ------- ---------------------------------- -------------------------------------------------------------------------- (0—Catracta Pit C-p-atte,C fi—etc. Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed.in the manners set forth in the application filed herewith. Sworn to before me this; -- 16TH------------------------------day of,JULY-------------------------- 120 10 Notary Public --------------------------------------------------------------------------- ------------------------------------------------------------------ (signature of Applicant) FORM - 06/10 - Folk�o� - Jill M. Doherty,President y - Town Hall,53095 Main Rd. James F.King,Vice-President ��. P.O. Box 1179 Dave Bergen ' T``' Southold,NY 11971 Bob Ghosio,Jr. Telephone(631)765-1892 John Bredemeyer �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JOHN PEARSON COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Robert Herrmann , txsi /dba En—Consultants, Inc. 1319 .North Sea Road, Southampton, NY 11968 being duly sworn, depose and say: That on the H Today of August , 2010, I personally posted the property known as 3575 Wells Avenue, Southold by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed., August 18, 2010 on or about 6:00 PM. Dated: (signature Sworn to before me this (s h--day of N.2000 N ofary'Public lo �h1H,STEPHENS NolaryPu61�•Slafeolil�rYork CormissiouNo,�11E9�1 UuafdiediiSuhHouury cinrrilssionE> rosRupO,i NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: John Pearson SCTM#1000-70-4-5 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Construct approximately 101 linear feet of vinyl bulkhead in place of(and+/-6"higher than)existing timber bulkhead and backfill with approximately 25 cubic yards sand to be trucked in from an upland source;construct 4'x 8'wood walk to existing dock in place of existing walk behind bulkhead, all as depicted on the project plan prepared by En-Consultants,Inc.dated July 12,2010. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3575 Wells Avenue,Southold 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: August 18th,2010 @ 6:00 P.M. You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: John Pearson MAILING ADDRESS: 3575 Wells Avenue,Southold,NY 11971 PHONE#: 631-765-6941 AGENT: EN-CONSULTANTS,INC. MAILING ADDRESS: 1319 NORTH SEA ROAD, SOUTHAMPTON,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. J EktU STA_ SP"O LI T H O • � TRPV ELER 3 .0.� o � �IONHH Es�E.c CRON• = Hippo pond C WELLS ROAD s� F� [T o ! PR T ERRY G�r� CEH 1` 2... JASMINE c4¢4 , HPROW E" 101.07. tAo M.S. Z cpEC/G`t 9<L PO'P1 9O 9 P P N �s v,0 CREEK DR 'p0�P°o O T tA �m .Harper L� r.. A pt. N 1 09 _ 40' wN 'key us v „sr W Q SITS C ACCESS VIA N Z Q�j r2 sour" o SU6JECf PC;OPEt?iY) DRIVEWAY cL p Fq ,cLE �O so 1 iD 4V RP�EWy�o?VIC ''9 Iz— H9lf/ D TI -L/EPAR`- 0\ate F,V JJJ o =qe 1�04 Suffdk County Hag5tron Map 28 L GtEHN P N w25+ =Q SOU.Y hold l i +1j(]O[)v \ N 4p iI;L/3 � to ;;ae NpgR s -n , Cr err mo 5 1 112 STORY tie o �P b : o FRAME HOUSE m «, SSG ,' �� ✓' RD P' AND GARAGE Z n5 +oa �/� r V y S�Jooti .0 I (�� wGREAT gT HOG•%� 0 L4 >�. J) n , =..NECK m 14 0 _ z o APPR 101 L.F. OF VINY BULK 12 t u u TO B CONSTRUCTED IN P E OF (AND 12" IGHER THAN) EX. TIMBE BULKHEA ±84' ±100' EX. VEGETATED BA 10 0 REPLANTED & JAA 4TAINED 10"� AS NONTU UFFER O� X k xz APPRO TOP OF BAN GE 0 N IN' � = Q z O �� - - — •— £PR!?X:•• I ACKFILL — x ADJ. BLKHD. AHW — — EL. 5.5' U = z ADJ. BLKHD. C EX. WALK TO DOCK TO BE REPLACED (IN—PLACE) _ _ ALW_ EX. DOCK v N +� TO REMAIN JOCKEY CREEK +I �g EN-CONSULTANTS ING. z 1319 NORTH SEA RD. SOU T HAMPTON, N.Y. 11968 � +1 631-283-6360 z °' Notes; n 6 1) Purpose; Maintain existing bulkhead ' 2) Patum;ALW g fl 3) New 5heathinq to be vinyl nowxi o �}) Approximately 25 cubic yards clean Sand to be trucked in from an upland source for backfdl Ft 5) t2kurbed embankment to 6e revegetated with native gra5se5, wildflowers,and ircundc,,er,and ROP05W PULKHM) PMACMNf C IN maintained as W nonturFber 6) Property location;35�5 Wells Avenue, PLAa) FOP, JOHN MAp50N ON JOCKEY Southdd,Scfm #1000-10-4-5 CMK, 5OUTHOL12, 5UFFOLK COUNTY, NY SVfI OF I 1/ 12/ 10 PROOF OF MAILING OF NOT ATTACH CERTIFIED MAIL RE_—_PTS Name : Address : RITA&JOSEPH DeNICOLO 3 VALENTINE DRIVE ALBERTSON,NY 11507 JOAN&TOR TORKELSON P.O.BOX 511 SOUTHOLD,NY 11971 ATHINA&STEVEN SKOPELITIS P.O.BOX 1535 SOUTHOLD,NY 11971 JENNIFER&MICHAEL KOKE P.O.BOX 1035 SOUTHOLD,NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E.HERRMANN doing business at EN-CONSULTANTS,INC. 1319 NORTH SEA ROAD SOUTHAMPTON,NY 11968 Bing duly sworn, deposes and says that on the 23rd day of JULY 120 10 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at SOUTHAMPTON that said Notices were Mailed to each of said persons by (certified)IC> 4t) mail. ROBERT E.HE ANN COASTAL MANAGEMENT SPECIALIST Sworn to before me this 23rd day o f JULY ,2 0 10 )rdaryP�'c•S'�aafPf�Yo� �r��d��oaCau j N o t a r y P u i c - CorariosEssAugl2 U.S. Postal ServiCew Aw d,'► U.S. Postal Servicew RECEIPT CERTIFIED e . ■ 1 r"' (Domestic Mail Only, o Insurance Coverager r-r (Domestic • No Insurance Coverage Provider t IU O Postage $ PAP N� C3 Postage $ ftl J �� nj Certified Fee n h _ Certified Fee �I e� n a ^Ol Q _ M Return Receipt Fee l��� 2�10 Postmark 0 Return Receipt Fee G G Postmark p (Endorsement Required) Here , _. (Endorsement Required) Here Restricted Delivery Fee O Restricted Delivery Fee r 0 (Endorsement Required) (Endorsement Required) V$P 5 , m I Total Postag-" --- U P S rU Total Postage&Fees M Im Sent To Jennifer& Michael Koke Sent To Rita&Joseph DeNicolo 0 Street,A t.IVi O P Street,Apt.No., r- --PO Box No P.O.•BOX 1.035 I or PO Box No. 3 Valentine Drive City State,zh Southold, NY 11971 cityty State,NA, Albertson,NY 11507 :rr :rr U.S. Postal Service,,. TM U.S. Postal Servikeer RECEIPT ■ , 1 ■ ■ (DomesticCIO • r Insurance Coverqgre Provided) (Domestic M r coverage .-r Ln Ln E6= Ln Q' I O Postage $ p T O A/ Er R1 n/y {I o Postage $ MPTO Certified Fee �. ru �y ra J Certified Fee O Return Receipt Fee Post mar rl .fl p (Endorsement Required) 2 ? ��1 t(iere O Return Receipt Fee Postmark O p (EndarsementRequired) 1���_ 2,9 '010 HSYeW' Restricted Delivery Fee 'A p (Endorsement Required) Restricted Delivery Fee 0 — u (Endorsement Required) m o IU Total Postage Q gym" ��� Mm — pU Total Postage&F^^^ -11 -- -- (1�$ps -- co Sent To I m o _ Athina& Steven Skopelitis ! CO Sent To Joan&Tor Torkelson Street Apt No; P.O. BOX 1535 C3 Street Apt NY,7 �orPO Box No. O P.O.BOX 511 City State,ZIP Southold,NY 11.971 or PO Box No. city State,ziP+4 Southold,NY 11971 :rr i 3 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, J v yx Pe�y3m residing at (print owner of property) (mailing address) A"�—e Seel/ A 14� do hereby authorize j� (Agent) to apply for permit(s) from the i Southold Board of Town Trustees on my behalf. (Owner's signature) Board of Trustees Applica n County of Suffolk State of New York 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/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. Signature SWORN TO BEFORE ME THIS DAY OF [,)-PLr ( 12010 DEBORAH L KELLY Notary Public,State of New York No.01KE6037196 Qualified in Suffolk County Commission Expires February 14,20 ly Notary Public 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. I YOUR NAME: JJ 0 � v W �C�C� �`S C) A (Last name,first name,middle 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 1I (If"Other",name the activity.) �'C (A Cf L u t c A PG, C' 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 Ll_­� 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.at' day of / ` l 200 U Signature Print Name �c1 t'C y_f 0`1 Form TS 1 1319 North Sea Road Southampton, New York 11968 ^^ 631-283-6360 3-6136 EN CONSULTANTS, INC. Fax: nsulta ts.com www.enconsultants.com ENVIRONMENTAL CONSULTING July 19, 2010 Mark Terry, LWRP Coordinator Planning Board Town of Southold P.O. Box 1179 Southold,NY 11971 Re: John Pearson,3575 Wells Avenue, Southold Dear Mr. Terry: Attached please find a copy of an application being filed with the Board of Trustees for a Town Wetlands Permit to replace an existing timber bulkhead with a vinyl bulkhead in the same location, as depicted on the project plan prepared by En-Consultants, Inc., dated July 12, 2010. Pursuant to Town Code §268-5 ("Review of Actions") and the corresponding definitions of "action" and"minor action"by §286-3 ("Definitions"),the project meets the following definition of minor action and is thus not subject to waterfront consistency review pursuant to Chapter 268: "GG. Within all Town creeks, replacement of existing bulkhead on the applicant's property in the same location with a silt curtain deployed prior to and during construction." Therefore, I have not filed an LWRP Consistency Assessment Form with the Trustees. Should you determine the project is not exempt from waterfront consistency review, however, please let me know and I will file the form with your office immediately. Resp ctfully yours, Robe E. Herrmann Coastal Management Specialist cc: Lauren Standish,Board of Trustees i 1319 North Sea Road Southampton, New York 11968 136 A.. 631-283-6360 EN-CONSULTANTS, INC. www•enc nsult nt 6com ENVIRONMENTAL CONSULTING July 16,2010 Town of Southold Board of Trustees 54375 Main Road .Post Office Box 1179 Southold,New York 11971 Attn.: Lauren Standish Re: John Pearson 3575 Wells Avenue, Southold SCTM 41000-70-4-5 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three(3)Wetland Permit Applications including: a) Short Environmental Assessment Form; b) Authorization&Disclosure Forms; c) project plans; and d) survey. 2. One(1)set of site photographs. 3. Application fee of$250.00 wetlands. I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Since f Robert E.Herrmann �!! J U L 2 7 2010 i Coastal Management Specialist � Sou�h o;d Town /khs 6oa;d of Trustees Enc.