HomeMy WebLinkAboutTR-7426A Jill M.Doherty,President - Town Hall,53095 Main Rd.
James FDave Bergen
P.O.Box 1179
g 4 ' Southold,NY 11971
Bob Ghosio,Jr.
�l �` 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 SO SHALL BE
CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT.
INSPECTION SCHEDULE
V -
. Pre construction, hay bale line
1st day of construction
Y2 constructed
l/ Project complete, compliance inspection.
Jill M.Doherty,President *QF S��ry Town Hall Annex
James F.King,Vice-President O`� ��� 54375 Main Road
Dave Bergen
P.O.Box 1179
J Southold,New York 11971-0959
Bob Ghosio,Jr. A
John Bredemeyer '.� �O Telephone(631) 765-1892
OI,YCOU Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 7426A
Date of Receipt of Application: October 26, 2010
Applicant: Betty Sullivan
SCTM#: 43-5-2
Project Location: 380 Inlet Lane, Greenport
Date of Resolution/Issuance: November 17, 2010
Date of Expiration:.November 17, 2012
Reviewed by: Board of Trustees
Project Description: To construct a second-story addition and two-story
addition to the existing single-family dwelling.
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
survey prepared by Nathan Taft Corwin, III, last dated August 2, 2008, and
.stamped approved on November 17, 2010.
Special Conditions: None.
Inspections: Hay bale line inspection prior to construction &final inspection.
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.
Jill h Doherty, Preside t
Board of Trustees
JMD:eac
Jill M.Doherty,President
ti Town Hall,53095 Main Rd.
James F.Dave Bergen
P.O.Box 1179
g ' ` Southold,NY 11971
Bob Ghosio,Jr. P� fits' Telephone(631)765-1892
John Bredemeyer Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO:
Please be advised that your application dated 02. OK,cZI O has been
reviewed by this Board at the regular meeting ofi(1oerA6er /7,,2cloand your
application has been approved pending the completion of the following items checked
off below.
Revised Plans for proposed project
V Pre-Construction Hay Bale Line Inspection Fee $50.00
1 st 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: $ IOI� v
BY: Jill M. Doherty, President
Board of Trustees
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Jill M.Doherty,President CQ P:O.Box 1179
James F:King,Vice-President �� G�� Southold,NY 11971
Dave Bergen ti Telephone(631)765-1892
Bob Ghosio,Jr. ,a, atFax(631)765-6641
John Bredemeyer Oy '`;IV
Southold Town Board of Trustees
Field Inspection/Worksession Report
Date/Time:
b
'Catherine Mesiano, Inc. on behalf of BETTY SULLIVAN requests an
Administrative Permit to construct a second-story addition and two=story
addition to the existing single-family dwelling..Located: 380'Inlet Lane,
Greenport. SCTM#43-5-2
T e-of 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:
Chapt.275 Chapt. 111 other
Type of Application: Wetland Coastal Erosion _Amendment
Administrative_Emergency Pre-Submission Violation
Info needed:
l C) S
Modifications: -
Conditions: 42
Present Were: `-J/King `J.Doherty "J. Bredemeyer�i[� Bergen v
B.Ghosio; N---D�Dzenkowski other
Form filled out in the field by
Mailed/Faxed to:
Date
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OFFICE LOCATION: �QF SO(/�y MAILING ADDRESS:
Town Hall Annex ��� �l0 P.O. Box 1179
54375 State Route 25 Southold,NY 11971
(cor.Main Rd. &Youngs Ave.)
Southold, NY 11971 N Telephone: 631 765-1938
p Fax: 631765-3136
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LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Jill Doherty, President j �C I .0
Town of Southold Board of Trustees r
NOV 1 0 2010
From: Mark Terry, Principal Planner !
LWRP Coordinator
So;;11;o!c oovri
Date: November 10, 2010 - Pond of Tr e`s
Re: Proposed Wetland Permit for Betty Sullivan
SCTM# 1000-43.-5-2
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 denoted following 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.
Cc: Lori Hulse, Assistant Town Attorney
Betty Sullivan
380 Inlet Lane,Greenport,NY
SCTM#1000-43-05-02
Office Use Only
_Coastal Erosion Permit Application
_Wetland Permit Application V Administrative Permit
Amendment/Transfer/Exten ion fib
XceivedApplicationnj �Q
deceived Fee-$
mpleted Application [o
-SEQomplete l� C E n g 17
SE RA Classification: _ `
Type I Type fI Unlisted
_Coordination:(date sent)) i
SAC Referral Sent: en 0- OCT 2 6 2010
-Date of Inspection:
_Receipt of CAC Report: _ J
_Lead Agency Determination: Southold Tmn
Technical of Trustees
Review:
j/Public Hearing Held:
Resolution:
Name of Applicant: Betty Sullivan
Address: 380 Inlet Lane, Greenport, NY
Phone Number: 631-862-0640
SUFFOLK COUNTY TAX MAP NUMBER: 1 000-43-rJ-2
PROPERTY LOCATION: 380 Inlet Lane, Greenport, NY
(provide LILCO Pole#, distance to cross streets, and location)
AGENT: Catherine Mesiano, Inc.
Address: 12 Mill Pond Lane East Moriches, NY 11940
cmesianogoptonline.net Phone: 631 878 8961 or 553-3992
Betty Sullivan
380 Inlet Lane,Greenport,NY
SUM#1000-43-05-02
GENERAL DATA
Land Area(in square feet):
Area Zoning: R-40
Previous use of property: single family dwelling
Intended use of property: same w/ addition
Covenants and Restrictions: Yes X No
If"Yes",please provide copy.
Does this project require a variance form the Zoning Board of Appeals Yes X No
Prior permits/approvals for site improvements:
Agency Date
Trustees -Amendment to Wetland Permit#5258 October 17, 2007
Trustees -Amendment to Wetland Permit#5258 September 17, 2008
NYSDEC 2008
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):
2nd story and 2 story addition to the existing single family dwelling
as approved 9/17/2008 per Wetland Permit#5258
Betty Sullivan
380 Inlet Lane,Greenport,NY
SCTM#1000-43-05-02
Board of Trustees Application Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: addition to existing dwelling
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?
X No Yes
If yes,how much material will be excavated?_cubic yards
How much material will be filled? n/a 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):
NO NEGATIVE EFFECT ON WETLANDS OR TOWN WATERS IS ANTICIPATED AS
A RESULT OF THE PROPOSED ACTION. DRYWELLS WILL BE UTILIZED FOR
CONTAINMENT OF STORMWATER RUNOFF.
Town of Southold
U Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
��00o 4- p 5 D Z STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN
agog- e3`"ct(o� �iTo — o� CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK.
SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORKASSESSMENr Yes No
a. What is the Total Area of the Project Parcels?
Include Total Area of all Parcels located within '� Will this Project Retain All Inch
Rainfall
o Run-Off
the Scope of Work for Proposed Construction) . 5,A Generated by i Two(all Inch Rainfall on Site?
(S.F./Aces) (This item will include all run-off created by site f ❑
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.l Aces) impervious surfaces.)
2 Does the Site Plan and/or Survey Show All Proposed
PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages asNeeded) Drainage Structures Indicating Size&Location?This ,/ ❑
Item shall include all Proposed Grade Changes and
oZ tn� •y oZ sor v a�d r Slopes Controlling Surface Water Flow.
3 Does the Site Plan and/or Survey describe the erosion ❑
, t Gn.t..� ) -�t r- 2- and sediment control practices that will be.used to v
control site erosion and storm water discharges. This —
item must be maintained throughout the Entire
Construction Period.
4 Will this Project Require any Land Filling,Grading or
Excavation where there is a change to the Natural a
Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel?
5 Will this Application Require Land Disturbing Activities l
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
are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to ✓
including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance?
the DEC has determined that a SPDES permit is required for stone water discharges.
(SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious FJ
/
for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off
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
identify potential sources of pollution which may reasonably be expected to affect the Aprons.)
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
that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit
(NOTE: A Check Mark(4)and/or Answer for each Question is Required fora Complete Application)
SPATE OF NEW YORK,
5
n COUNTY OF.........: ��..........SS
That I,....1., �GmW.fln�G�a'l`signlng.%- �'
...........being duly sworn,deposes and says that he/she is the applicant for Permit,
Docume p y
Andthat he/she is the ....................... .�...�...L .... ........... ............................... . .. ..... ..............................................................
(Owner,Contractor,Agent,*Corporate Officer,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 manner set forth in the application filed herewith.
Sworn to before me this;
...............................................day of.._.-....,.,....... .......................,20,
NotaryPublic: _.,...... ..----................. ... ............................................................................
(Signature of Applicant)
FORM - 06/10
617.20
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION To be completed b A licant or Project Sponsor)
1. APPLICANT/SPONSOR 2. PROJECT NAME
Betty Sullivan Betty Sullivan 380 Inlet Lane,Greenport
3. PROJECT LOCATION:
Municipality Greenport County Suffolk
4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map)
380 Inlet Lane,Greenport,NY
5. PROPOSED ACTION IS:
New . 0 Expansion ❑Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
2nd story and 2 story additions to existing single family dwelling
7. AMOUNT OF LAND AFFECTED:
Initially <1 acres Ultimately <1 acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
Yes No If No,describe briefly
9.' WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
0 Residential Industrial Commercial Agriculture Park/ForesUOpen 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 W No If Yes,list agency(s)name and permit/approvals:
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
Yes No If Yes,list agency(s)name and permittapprovals:
NYSDEC 2008
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/sponsor e: Catherine Mesiano,Inc. agent for sullivan Date: 10/13/10
Signature:
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
Reset
PART II- IMPACT ASSESSMENT(To be com feted by Lead A end
A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF.
Yes a No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.E7 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 pattern,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 spedes,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:
No
C6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly:
No
C7. Other impacts(including changes in use.of either quantity or type of energy? Explain briefly:
'No
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL•AREA CEA? If yes,explain briefly:
aYes . a No
E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If Yes explain:
Yes a No
PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency)
INSTRUCTIONS; Foreach 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;(6).duration;(d)irreversibility;(e)
geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain
suffident detail.to show that all relevant adverse impacts have been identifled.and adequately addressed. If question d of part If was checked
yes,the determination ofsignificance mustevaluate the potential impact ofthe proposed action on the environmental characteristics of the CEA.
Check this box if you have Identified one or more potentially large or signifloant adverse impacts which MAY occur.Then proceed directly to the FULI
EAF and/or prepare a positive declaration.
Check this box If you have determined,based on the informaflon and analysis above and any supporting documentation,that the proposed scoot
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
P nt or Type Name of Rim pores le Officer in Lead Agency Title of Responsible Officer
Itl
Signature of Re nsib a Officer i ead.Agency Signature of Preparer(If different from responsible officer)
V
Betty Sullivan
380 Inlet Lane,Greenport
SCTM 1000-43-5-2 `
County of Suffolk
State of New York
BETTY SULLIVAN BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/ SHE IS THE APPLICANT FOR THE
ABOVE DESCRIBED PERMIT 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 ARRISING UNDER OR BY VIRTUE OF
SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I
HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR
REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION.
/ l
J�Aj
Bgtty rh-
Sworn to before me this C day of 0.4 0 IO
Rf
Meta �Ublic '
lwf�rli�C�y�twt
q IC mi3
Betty Sullivan
380 Inlet Lane,Greenport
SCTM 1000-43-5-2 .
AUTHORIZATION
I, Betty Sullivan residing at 380 Inlet Lane, Greenport, NY 11944
do hereby authorize Catherine Mesiano, Inc. to apply for permits from the
Southold Board of Town Trustees on my behalf.
tty S ' 'an
Date: to a 11 r a
Sworn to before me thisQ day of OCULL , 20 JO.
Qua Public
up
Newy ::DW3
Betty Sullivan
380 Inlet Lane,Greenport
SCTM 1000-43-5-2
APPLICANT
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: -BETTY SULLIVAN
,4-
NATURE OF APPLICATION: (Check all that apply.)
Tax grievance
Variance
Change of zone
Approval of plat
Exemption from plat or official map
Other(If"Other," name the activity) WETLANDS PERMIT
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) 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 noncorporate
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 � day=Q- , 2010
Signature
Print name Sullivan
Betty Sullivan
380 Inlet Lane,Greenport,NY
SCTM#1000-43-05-02
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 Permit 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 significant 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",then the proposed action may affect the
achievement of the LWRP policy standards and conditions contained in the consistency review law.Thus,
the action should be analyzed in more detail and,if necessary,modified prior to making a determination
that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions.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,the Planning Department,all local libraries
and the Town Clerk's office.
B.DESCRIPTION OF SITE AND PROPOSED ACTION
scTM# 1000-43-5-2
The Application has been submitted to (check appropriate response):
Town Board Planning Dept. Building Dept. X Board of Trustees ZBA
1. 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:
2nd story and 2 story addition to the existing single family dwelling as approved
9/17/2008 per Wetland Permit#5258
Betty Sullivan
380 Inlet Lane,Greenport,NY
SUM#1000-43-05-02
Location of action 380 INLET POND LANE, GREENPORT
Site acreage:
Present land use: SINGLE FAMILY DWELLING
Present zoning classification: R-40
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: BETTY SULLIVAN
(b) Mailing address: 380 INLET POND LANE, GREENPORT, NY 11944
(c) Telephone number: Area Code 631-862-0640
(d)Application number,if any: #5258
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?
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community
character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a
coastal location, and minimizes adverse effects of development. See LWRP Section III — Policies;
Page 2 for evaluation criteria.
Yes No Not Applicable
The ,proposed action is to be conducted on an improved site. Construction of the
addition at this site is consistent with the area.
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 Not Applicable
The proposed project is not located near any historic sites or districts.
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
The subiect site is developed with a single family dwelling. Policy 3 has no relevance to
the proposed action.
Betty Sullivan
380 Inlet Lane,Greenport,NY
SCTM#1000-43-05-02
NATURAL COAST POLICIES
Policy 4.Minimize loss of life,structures,and natural resources from flooding and erosion.
Yes No Not Applicable
The proposed actions will be undertaken in accordance with current FEMA standards,
which address and prohibit conditions that are conducive to flooding and erosion.
Policy 5.Protect and improve water quality and supply in the Town of Southold.
Yes No Not Applicable
The subject site is developed with a sin leg family dwelling. Policy 5 has no relevance to
construction of the proposed addition.
Policy 6.Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands.
Yes No Not Applicable
The subject site is developed with a pre-existing single family dwelling. Staked
hayba/es will be utilized during construction to prevent stormwater runoff into the
wetland. Additional drywells, if necessary, will contain stormwater runoff when the
proiect is complete.
Policy 7.Protect and improve air quality in the Town of Southold.
Yes No Not Applicable
It does not appear that Policy 7 is relevant to construction of the proposed additions.
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and
hazardous substances and wastes.
Yes No Not Applicable
The subject site is developed with a single family dwelling. Any solid waste, etc. is
disposed of at the Town landfill.
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.
Yes No Not Applicable
Construction of the proposed additions will have no impact on public access to, and
recreational use of, coastal waters, etc.
00
Betty Sullivan
380 Inlet Lane,Greenport, NY
SCTM#1000-43-05-02
WORKING COAST POLICIES
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
It does not appear that Policy 10 is relevant to construction of the proposed additions on
a residentially developed lot.
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Section III — Policies; Pages 57 through 62 for evaluation
criteria.
Yes No Not Applicable
It does not appear that Policy 11 is relevant to construction of the proposed addition on
a residentially developed lot.
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
It does not appear that Policy 12 is relevant to construction of the proposed additions on
a residentially developed lot.
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
It does not appear that Policy 13 is relevant to construction of the proposed additions on
a residentially developed lot.
FIN 17V
OL.AW OFFICES OF
DENNIS C. COLLINS, P.C.
407 EAST MAIN STREET,SUITE 8,P.O.Box 391,PORT JEFFERSON,NEW YORK 11777
T*F—I.EPHONE(631)331-0642
Leal Assistant FACSIMILE(631)473-9054
Lisa A. Coffey
i1 tl
July 28, 2010 E
OCT 2 6 20110
Southold Board of Town Trustees i
Town Hall
53905 Route 25 Sol',;iolci Tov""'
P.O. Box 1179 co_rd ei Trustees
Southold,New York 11971-0959
Re: Betty Sullivan
380 Inlet Pond Lane, Greenport SCTM
#43-5-2
Gentlemen,
We hereby request a two year extension of permit 45258, an amendment to which was last
approved by the Board of Trustees on September 17, 2008. Construction would be commenced
within that period of time.
Thank you for your consideration.
Very truly yours,
l
ennis C. Collins, Esq., as attorney for the applicant
DCC:Iac
cc: Catherine Mesiano
CATHERINE MESIANO , INC .
12 MILL POND LANE
EAST MORICHES , NY 11940
PHONE / FAX : 631 - 878 - 8951
e - mail : cmesiano@optonIine . net
October 26, 2010
Jill Doherty, President
Southold Board of Town Trustees ro
Box 1179 --
it
Southold, NY 11971
RE: Betty Sullivan OCT 2 6 2010 _.j
380 Inlet Lane, Greenport, NY —sOT;"-1 oT, -—..q--.
SUM # 1000-43-05-02 6natd of Trustees
Dear Ms. Doherty:
I am the agent for the above referenced applicant. Ms. Sullivan is requesting an
Administrative Permit, as directed by your office, to extend Wetlands Permit # 5258 last
amended September 17, 2008 for a 2nd story and 2 story addition to the existing single
family dwelling, as illustrated on the enclosed plan.
Enclosed please find the following:
1. Application,
2. Transactional disclosure
3. Release
4. Authorization
5. Survey prepared by Nathan Corwin, L.S.
6. Short EAF
7. LWRP form
Please note that you already have a check for the application fee.
Thank you for your consideration.
Very truly yours,
Catherine Mesiano, President
Enclosures
APPROVED BY
L'F"3ARD OF TRUSTEES
SURVEY OF PROPERTY
TOWN OF SOUTHOLD '
SITUATED AT
mANHANS - GREENPORTET NE - JZ-10
TOWN OF SOUTHOLD
f jj� OCT 2 6 2010
ze, SUFFOLK COUNTY, NEW YORK
R
T S.C. TAX No. 1000-43-05-02
C" T
Nn 2 A irnje
SCALE l "=30'
OCTOBER 4, 1999
FEBRUARY 28, 2000 LOCATED WETLAND FLAGS
8-
N101F z MARCH 7 ADDED PROPOSED ADDITIONS
NV10TOR J- RAUOH ET. AL.
JUNE 17, 2000 REVISED SITE PLAN
o W
0 INGRID J. B. MADSEN 401 AUGUST 18, 2000 ADDED TOPOGRAPHICAL SURVEY
En _e U DECEMBER 2, 2000 SET LATH FOR D.E.C. INSPECTION
9
00500 JUNE 5, 2001 SURVEY UNDER CONSTRUCTION
1=)Z S 87 E 4'Dlz�rm EXIST. OUT51DE 'rp 6 '0) DECEMBER 3, 2001 FINAL SURVEY
FOUND PIPE DRYPIELL SHOP%--R 4 WOOD Q IEN-f.0 APRIL 20, 2007 UPDATE SURVEY AND ADDED PROPOSED ADDITIONS
X 0-7'S, 0.4'E PLATFORM 246.93' FLAG NOVEMBER 7, 2007 ADDED DRYWELLS
O TO 5E REMOVEX, WALL -V9�40'f-'
.9L AUGUST 2, 2008 ADDED PROPOSED DECK ADDITION
WUUO TIE WALL 2 0.4'N 10100101- CONC FOMUOND 0
0 36.9' N �$ /
WALL J,2
0
i
2.2'S, 3.2 W PROP05M AREA 23,139.74 sq. ft.
0 ..t -
9� GARAGE 9 %
0,---. 2 STORY TO TIE LINE 0.531 ac.
ADDITION ITION aIL
WATER VALVE CIS. -f— .
HYDRANT PROP SM
C� :224'
ADVI 1 ' NOTES:
0
W (n C41i CV
ap 1. FLOOD ZONE INFORMATION TAKEN FROM:
Uj 01 FLOOD INSURANCE RATE MAP No. 36103CO176 G MAY 4, 1998
La
CONC 00 AIL 0
APRON 0 ZONE AE: BASE FLOOD ELEVATIONS DETERMINED
N 8
z T 35. C3 ZONE VE: COASTAL FLOOD WITH VELOCITY HAZARD (WAVE ACTION);
N m 4.0 BASE FLOOD ELEVATIONS DETERMINED
23' 10
14
0 S ca. fr< 6.0' 2. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
LLJ 0 0
C' _6 EXISTING ELEVATIONS ARE SHOWN THUS:
6� FIRST FLOOR
G.FL- GARAGE FLOOR
a
0 18,n
I(-,-V) .0 '6 1
0'm 'n
cli 0 z
'0 0 0
L0 6.01 z: 2 , 2
L0 0 50.0- CO AL i�; A�
W-IVA2ER-_SERVICE:W 0' 9 (0 (S �� UNAUTHORIZED ALTERATION OR ADDITION
_--23& LOT COVERAGE OVER ADJACENT AREA TO THIS SURVEY IS A VIOLATION OF
WATER —————— U) FLAG. N) SECTION 7209 OF THE NEW YORK STATE
ER 32.3'
0 METER 7s.o. 11L Q) (ADJACENT AREA = 21,928 sq. ft.) EDUCATION LAW.
z 'b
X DESCRIPTION AREA X LOT COVERAGE
d COPIES OF THIS SURVEY MAP NOT BEARING
0 FOUND LI I- CIV EXISTING HOUSE 1,403 sq. ft. 6.40X THE LAND SURVEYOR'S INKED SEAL OR
CD CONC. MON. 183.9' FOUND & GARAGE EMBOSSED SEAL SHALL NOT BE CONSIDERED
4'DlMrm TR PIPE 2.0 TO BE A VALID TRUE COPY.
L DRYINELL 100. LI EXISTING DECKS 535 sq. ft. 2.44X CERTIFICATIONS INDICATED HEREON SHALL RUN
00 N 87*05)00)9 1 ONLY TO THE PERSON FOR WHOM THE SURVEY
"C 0 TOTAL EXISTING 1,938 sq. ft. 8.84X
'X W I G I IS PREPARED, AND ON HIS BEHALF TO THE
PROPOSED ADDITIONS 537 sq. ff. 2.45X TITLE COMPANY, GOVERNMENTAL AGENCY AND
N101F 215. LENDING INSTITUTION LISTED HEREON, AND
8
TOTAL EXISTING 2,475 sq. ft. 11.29X TO THE ASSIGNEES OF THE LENDING INSTI-
D TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
JOHN V. RYAN & PROPOSED
JOAN A. RYAN
o THE EXISTENCE OF RIGHTS OF WAY
ti AND/OR EASEMENTS OF RECORD, IF
at ANY, NOT SHOWN ARE NOT GUARANTEED.
DRAINAGE SYSTEM CALCULATIONS: PREPARED IN ACCORDANCE WITH THE MINIMUM Nathan Taft Corwin III
STANDARDS FOR TITLE SURV_QC&AS"ESTAQLISHED
ROOF AREA: 1,956 sq. ft. BY THE L.I.A.L.S. AND AP OVE 4AN
1,956 sq. ft. X 0.17 = 333 cu. ft. FOR SUCH USE BY T, N
333 cu. ft. / 42.2 = 8 vertical ft. of 8' dia. leaching pool required TITLE ASSOCIATION. yA Land Surveyor
PROVIDE (2) 8' dia. X 4' high STORM DRAIN POOLS
Successor To: Stanley J. Isaksen, Jr. L.S.
Joseph A. Ingegno L.S.
CERTIFIED TO: Title Surveys — Subdivisions Site Pions — Construction Layout
BETTY SULLIVAN PHONE (631)727-2090 Fax (631)727-1727
OFFICES LOCATED AT MAILING ADDRESS
4AND S 1586 Main Road P.O. Box 16
N.Y.S. Lic. No. 50467 Jamesport, New York 11947 Jamesport, New York 11947
7q--1 R-