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Home My WebLink AboutTR-7782 James F.King,President Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President P.O.Box 1179 Dave Bergen 60 w Southold,NY 11971 John Bredemeyer 4 ! Telephone(631)765-1892 Michael J.Domino 41 �`a�! 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 1st day of construction % constructed Project complete, compliance inspection 'n\,il♦1♦f♦♦/♦•�/n� `\'1N♦••1••ylry ' '•r\\I 1 j R: ��\~'4♦1♦1/ 2i•�� •i��♦1� 'r - �CV1♦111 ♦mil♦•r�Y - -.�.dill ///%j •'�, 'S� •, _ '� .: a _. � � .� �' .: Ili l� eeQlf _ �T 1•e�: ' 'BOARD-OFSG JTHOL6 TOWN TRUSTEES y �, °"S�bCfTHbLD,NEW PEM1;T N0. 782,, (, ., s,( DATE: MARCH 21 20I2 7 ►pl,,• :�V•1.1 ISSUER)TO'. EDWRDrAURZEJ1t1�IA t 1' ..•. � PROPERTY ADDRESS: 50 SHORE RD., GREENPORT '%•el SCTM#47-2-1' AUTHORIZATION Y' Pursuant to the provisions of Chapter 21�•and Chapter'l 1 I of the Town Code of the Town of Southold i w s # and in accordance with the Resolution of the Board of Trustees Adopted at the'meeting lield'on`March 21.2012 i consideration of application fee in the sum of$250.00 paid by Edward Jurzenia and subject to the Terms and 11! Conditions-as srdted in the Resoliitialf; fie'Soiiili'd1d'Towri Board"of Trustees'authorize§�grid peh fits lihe folio'Win ''1,17.. .! E 71' ,'ty:; i :{. �: „.5 . ( , :'.. j��{; �..- r.l lll'.1;:ii � j ..i. I {' l , {. lib • ... y Wetland Permit to in shaft unf r well draining soils are encountered;.fill excavated area with sand and gravel and to C•N E �;: :i'et? '.� :1!'s f'1tllftr 4Jue7 C�:i`i/ W )I(;; ,•( i.. � � 1,: 1 t )L i; .= remove trees as needed for site access; said removal of a�l dead trees,and as depicted on the site plan dated February 17, 2012 stamped by Joseph Fischettii,fJr. Licensed Profess�onal,En ineer,xeei, ,e �o Ma ,8 2012 and stain ed a roved on Ma 8 2012. y u . . .A . y1,8,, p. :.pp Yi This approval is conditioned upon the follodving�t the;site shall be;,dewatered rn,(accordan with the recommendation of the Town Engineering office dated march 5,2012; hay bale = " ' asidrawn okthe,sulianitteds_plan;L§halilb6intili�-edidti iitgteonstruction;;andithe applicdnt mad r�hno�%e<otrly�the stress nequired�#o •site!=a&es�and--alonglSEilvermereRoadtlprior to rsaa/ ednstru-tki'"dn site,�tliejre li's-After the /."i• compleYioi�tof hW` e i ii�cdIigiKfi li'ti�s�' l±•`tli66 ar`Vifd in`dicafdi §'of'growtl`%Iife"on the 41 remaining trees, as per Trustee site inspection. A:r):. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate'Sb�floi•be affixed, and these presents to be subscribed by a majority of the said Board as of this date. 11 ;Q1♦if �s � //♦'� S•Nbld ' y W >, �'' :, •..- ` �`�-.�'�'; 1,� � � i ., 1 6 `�� `�.// .,. - Ar�,ll /lii��_.. ANiei 1 INii.. .• A/ VI 1��i/ll Ilil...� :i// Liile /,I iL•, r ..::: �- ♦♦,p! •.:.^.. 'A4..•r� -.� 4 .,♦�„s,ly.♦ . :AS4.%ti _ .. -.- -:. ...... --..... Wit: '..;:♦•♦/i../♦i•�.,;�. n ej/�I.IS.•:1•i��: T»RVIS AND CONDITIONS' The Pennitte EdwardJurzenia 1400`Silvenmere Rd., Greenport;NY as part of the consideration for the issuance of the Perim does;understand;and prescribe to the following: x.: i' 1. That.the said Board of(T stees and the Town of Southold are released from any and all g damages, or c, kaiins for,damages of suits arising directly or indirectly as a result of any operation pet�fonned•'puisuaiit-to this~permit, and the said Pennittee will,at his-or heroW`t expense, defend any and all such suits initiated by third parties, and the said Pennittee assumes full liability with respect thereto,to the complete exeluson.of theBoaid df Trustees of the'rown of Southold. n,,...._ _._...__ . .....- 2. That this Permit is valid fora period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request:ford an extension may be made to the Board at a later date. .. 3. That this Permit should be retained indef nitel'y, or as long as the said Permittee wishes to :r maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. Z at:the.wor�C_involved will,bq.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 i for revocation of this.. enmit by resolution of,the`said Board.. 5. That there will be no unreasonable interference with navigation,as a`result of the work herein'authori2ed'. = 6. That there shall be no ntei`ferenceKwith the right of the public to pass,-and repass along'the `,�"lrbeacl 'bbtween=high aiidilow%%water marks:' e n ._ s s 3LIU . ,G}'. a s;,;if; ;()'=Ti 'jig :• 2.7. :,�Thattif:futuretdperations of,the Town of Southold require the removal and/or.alterations in tv , f ;,, ,f , ,<theBlootioni of xhe4v��k liereln authar�Ld,or,if,;i_n�the opinion-of;the:Board:otiTrustees { ' s..gthe.v ork.shatlrcau_sefu�areasonablenobstructiQn.tq free navigation,:the said Permittee wjll;be, required. upon due noftce, toArye}ngve or altet this;work project gpin.stated yyithouk; expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work � `F authori.ed ` 9. That the Pennittee will obtain all other permits and consents that may be required suppiejAenta4o this permit,,,which may be subject to revoke upon failure to obtain same. tm��„a:.r. i- ,J• JA -ye F i James F.King,President ��0f S0!/j Town Hall Annex o. Bob Ghosio,Jr.,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G ANC Telephone(631) 765-1892 Michael.J.Domino OCOU Fax(631) 765-6641 BOARD.OF TOWN TRUSTEES March 21, 2012 TOWN OF SOUTHOLD Mr. Edward Jurzenia 70930 Silvermere Rd. P.O. Box 285 Greenport, NY 11944 RE: 50 SHORE RD., GREENPORT SCTM#47-2-1 Dear Mr. Jurzenia: The Board of Town Trustees took the following action during its regular meeting held on Wed., March 21, 2012 regarding the above matter: WHEREAS; EDWARD JURZENIA 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, completed application dated December 15, 2011, 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 January 18, 2012, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, 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, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application of EDWARD JURZENIA to install a storm water run-off drainage area; excavate shaft until well draining soils are encountered; fill excavated area with sand and gravel and to remove trees as needed for site access; and removal of all dead trees, and as depicted on the site plan dated February 17, 2012 stamped by Joseph Fischettii, Jr. Licensed Professional Engineer received on May 8, 2012 and stamped approved on May 8, 2012. This approval is conditioned upon the following: the site shall be dewatered in accordance with the recommendation of the Town Engineering office dated March 5, 2012; hay bales, as drawn on the submitted plan, shall be utilized during construction; and the applicant may remove only the trees required for site access and along Silvermere Road prior to construction on site, the remaining trees on site may be removed two months after the completion of the permitted activities if there are no indicators of growth/life on the remaining trees, as per Trustee site inspection. 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: $100.00 Very truly yours, �JamesF. King, Pre ent Board of Trustees JFK/Ims Ed Jurzenia 1400 Silvermere Road Greenport, NY 11944 (631)477-0011 February 23, 2012 VIA HAND DELIVERY Jim King, President -- -- _ - Town of Southold Trustees Town Hall Annex Building 54375 Route 25 F E g 2 3 2012 P.O. Box 1179 121 Southold NY 119671 E - - - --- Re: 50 Shore Road, Greenport NY —= - SCTM# 1000-47-2-1 Dear President and Members of the Board of Trustees: As requested, attached hereto please find an updated plan of proposed work at the subject property illustrating a cross section of the drywell/drainage feature. If you require any additional information,please let me know. Resp tfully bmitted, Ed Jurzema f ' APPROXIMATE LINE OF EXISITNG WETLANDS. 1� SCTM#: 1000-45-06-08 W. GRADE -�f w PROVIDE CLEAN SAND&GRAVEL 1° • ° °° • ° •° 1 FILL TO REPLACE EXCAVATED CLAY MATERIAL VACANT w UPLAND ——— — — — WOODED AREA CONTRACTOR MAY USE CONCRETE I ° ° • °= e I m w Lu 12'DIAMETER CUTTING RINGS w x HAY BALES&SILT AS NEEDED TO ACCOMMODATE tr ~ FENCING AS NEEDED THE EXCAVATION OF CLAY MATERIAL. • ° I O m \\ Existing \\ OR REQUIRED. I o I p w Lift Station F I ° • ° ` I W 0 wa t TOWN Right-Of-Way I '• ° ° ° ° ` I w p .1+ pU) SILVERMERE ROAD 0 W o a f+ s. � c IL . . . . . . TOWN Right-Of-Way I ° • °°•• ° °• I w 3 y Z REPAIR ALL DAMAGE I r o ° ° ° I .. •L U4 a 20'X 20' EXCAVATION AREA N TO EXISTING PRIVATE ROAD 'p = WITH 12'DIAMETER DRAINAGE AS NEEDED OR REQUIRED. I ` ° ° : I d 41 SHAFT AT CENTER. EXCAVATE I ,> .° ;. I O •rl i SCTM#: TO A DEPTH AS NEEDED TO REACH : NOTES: ° ° CL 1000-47-02-01 WELL DRAINING SOIL AS APPROVED -20=-' 1. ALL EXCAVATED MATERIAL MAY L BY THE ENGINEER. BACKFILL I BE LEFT ON SITE. VACANT WITH CLEAN SAND&GRAVEL. 2. ALL TREES ON PROJECT SITE ca LOT > MAY BE REMOVED AS NEEDED OCR 20'FOOT WIDE CONSTRUCTION °i TO ACCOMMODATE SITE ACCESS. CROSS SECTION PAD FOR EQUIPMENT ACCESS. a O ALL FILL TO BE CLEAN,NATURAL, ,ti° : SCTM#: EXCAVATION PROFILE STONE OR PACKING DIRT MATERIALS. Z 100047-02-07 SCALE: 1"=10.0' d Q EXISTING COTTAGE N A T. J ` N y NOTE: CONTRACTOR SHALL N SCTM#: ? -•`: PROTECT ALL ADJACENT 100047-02-06 Q N sn O PROPERTIES AS NEEDED FROM EXISTING :,1',; '..` FEB DAMAGE ASSOCIATED WITH O i CONSTRUCTION ACTIVITY. COTTAGE41 O ' SCTM#: L"_ .<^'"`, '�• cFt Q 1000-47-02-02 -------- EXISTING COTTAGE SCTM STORMWATER DRAIANGE PROJECT CL1000-47TI-02-03 SCHEMA T IC SITE PLAN C � EXISTING 3 a COTTAGE SCALE: 1" = 40.0' o y 1 James F.King,President �rjF S0(/ry Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O� �� 54375 Main Road P.O.Box 1179 Dave Bergen g Southold,New York 11971-0959 John Bredemeyer G pQ Telephone(631) 765-1892 Michael.J.Domino Fax(631) 765-6641 ADUNTY,Nc� BOARD OF-TOWN TRUSTEES TOWN OF SOUTHOLD March 21, 2012 Mr. Edward Jurzenia 70930 Silvermere Rd. P.O. Box 285 Greenport, NY 11944 RE: 50 SHORE RD., GREENPORT SCTM#47-2-1 Dear Mr. Jurzenia: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on.Wed., March 21, 2012: RESOLVED, that the Board of Trustees APPROVES the application of EDWARD JURZENIA to install a storm water run-off drainage area; excavate shaft until well draining soils are encountered; fill excavated area with sand and gravel and to remove trees as needed for site access; and removal of all dead trees. This approval is conditioned upon the following: i) the applicant shall submit a plan stamped by a licensed professional engineer; ii) the site shall,be dewatered in accordance with the recommendation of the Town Engineering office dated March 5, 2012; iii) hay bales, as drawn on the submitted plan, shall be utilized during construction; and iv) the applicant may remove only the trees required for site access and along Silvermere Road prior to construction on site, the remaining trees on site may be removed two months after the completion of the permitted activities if there are no indicators of growth/life on the remaining trees, as per Trustee site inspection. Very truly yours, m; 4 es F. King, Presi nt Board of Trustees JFK:Ims Ed Jurzenia 1400 Silvermere Road Greenport,NY 11944 (631)477-0011 Via Hand Delivery Jill Doherty, Chairperson Town Hall Annex Building 54375 Route 25 P.O. Box 1179 Southold,NY 119671 Re: 50 Shore Road, Greenport NY SCTM# 100-47-2-1 Dear Chairperson Doherty and the Board of Trustees: As requested, attached hereto please find an updated survey of the subject property indicating where the proposed drywell/drainage feature will be located. Please let me know when the Trustees will be placing this matter back on an agenda for further consideration and if you require any additional information. Resp fully bmitted, 6: Ed Jurzema DEC 1 5 2011 t\ Z SURVEY OF PROPERTY �g SITUATE NEAR THE VILLAGE OF GREENPORT TOWN OF SOUT.HOLD / SUFFOLK COUNTY, NEW YORK SNORE DRIVE S.C. TAX No. 1000-47-02-01 WATER METER SCALE 1"=30' XSP T ROADWAY WOOD SIGN DECEMBER 11, 2011 / WOOD TIES EDGE OF WATER I_=129.13' / R`2��82•p0� AREA = 16,063 sq. ft. / 0.369 cc. / no A M / CERTIFIED TO: EDWARD P. JURZENIA /QD (xq 0 M rp ti • `jP� O x W / o 3 -. •O IFED �� Y D Z • y rt ,J ' EDGE OF WAS z/ y N 85.31'40" yW VEL ROADWAY 90.84' / SILVER LANE / N.Y.S. Lic. No. 50467 UNAMORQED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION OF THE NEVYDRx SATE muanoN Nathan Taft Corwin III •>t' LAW. J COPIES OF THIS SURVEY YAP NOT BEARING THE LAND SURVEYOR'S INKED SEAT.OR r0�-,ed dre�,�e I Occ�tors �°' `RUE NOT BE CONSIDERED Land Surveyor p EMBOSSED BE A VALID TRUE COPY. 2 CERTIFICATIONS INDICATED HEREON SHALL RUN ' o ONLY TO THE PERSON FOR WHOM THE SURVEY C IS PREPARED,AND ON HIS BEHALF TO'THE- Successor To:Staey aksen,Jr. L.S. TITLE COMPANY,GOVERNMENTAL n AL AGENCY AND Jo h gegno L.S. LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE IENDING man— Titre Sumys —.Suhdmmons — Site Plans — Comhuction Layout 7UT10K CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)72771727 THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road ' P.O. Box 16 Jame sport. New York 11947 Jamesport. New York 11947 d I V, t• �.. ' i � _ Jew . r [ t•'°,J ` 1-`R_ ti. � � � ^_ �: wit IVY V Aft - ?t_t - •y,,.1/W 'a sNy� J y„ ... �,•}'t - , M. _ �� ,. L T f IL Y .•L tea... t S la ..'LS •y__ •�"• T , j'� 46 t om• Aor y� Ilk am.. ,� - O i� #� '�(� �• Y R �► 1 � � '' ;�tiK x"`""'r'•� �J' � },#T�'" .�.'r .y�y.♦y" -:'?.py'�,� �"� ,"#�` .�w'' .4�'+' �y'� _�� `•M'�'Ss.�'Q,t• •T ` � f It '"� 3►��`�d•� . yam,,, r: y — ..Av \ y+rc- .erOV _ 0, - rt� s J177 IL r `� •.� �" j I*. -•!} :nor, - - .�' fi�� -r . A�� l•.1 rM_N r :y�j� _V,,� . ,�'°� -} � �� :gyp/ ` e pt 4A r ~ �y�1? M �� 'gip f ; � '� +~•'� `. t l�r� `��`y � a.• 3Fj � y �.. .. n Ir _ �` I �•Y� � ri rl L 41 :o J�l "MIX, o F - -+ "�+�' J �1R ` \ _'w �. LIB I ry �� "• — _',� ._ vp 10 RM ZA id i9 r r 1711�M r •t ` � ~� �� '+1� ,a 1 r ( I• 1� /-. _ � is� - - r - a �'� �'� r�i,t�I.tc.,► + 1 r �k— [ APPROXIMATE LINE OF EXISITNG WETLANDS. SCTM#: 1000-45-06-08 MN \ VACANTtii j \ - UPLAND \ WOODED AREA A \ HAY BALES&SILT— — —— � � FENCING AS NEEDED �� ems'""i • ` , OR REQUIRED. N Existing \1 ` Lift Station ... ... TOWN Right-Of-Way MAY - 4 2011 . SILVERMERE ROAD . -,,�. _ .6a`... . . . . . . . . . TOWN Right-Of-Way ----__- ---- -- - REPAIR ALL DAMAGE 20'X 20' EXCAVATION AREA N TO EXISTING PRIVATE ROAD WITH 12'DIAMETER DRAINAGE AS NEEDED OR REQUIRED. �¢ SHAFTATCENTER. EXCAVATE SCTM#: TO A DEPTH AS NEEDED TO REACH 1 8 NOTES: 1000-47-02-01 WELL DRAINING SOIL. BACKFILL --20'-- 1. ALL EXCAVATED MATERIAL MAY VACANT WITH CLEAN SAND&GRAVEL. BE LEFT ON SITE. 2. ALL TREES ON PROJECT SITE MAY BE REMOVED AS NEEDED OIL 20'FOOT WIDE CONSTRUCTION y TO ACCOMMODATE SITE ACCESS. PAD FOR EQUIPMENT ACCESS. `i,`,. IL ALL FILL TO BE CLEAN,NATURAL, _ �Y�•. SCTM#: \ STONE OR PACKING DIRT MATERIALS. ,E %� Z 1000-47.02-07 ' a EXISTING �w COTTAGE NOTE: CONTRACTOR SHALL SCTM#: N PROTECT ALL ADJACENT 1000-47.02-06 PROPERTIES AS NEEDED FROM EXISTING VA DAMAGE ASSOCIATED WITH !i N "��`'=_ CONSTRUCTION ACTIVITY. COTTAGE SCTM#: 1000-47-02-02 \ \ EXISTING COTTAGE / STORMWATER DRAIANGE PROJECT SCTM#: 1000-47-02-03 SCHEMATIC SITE PLAN EXISTING COTTAGE SCALE: 1"=50.0' MAO OP L.,i Nt�oE Fc o ro 3 y4:t A. 7bwm of SOUTNaLgN.Y. Q Lj ISLAND rob -r" � DINE rZ9 y 'J Jam. 47"'Ira gy�en -- -- - - ' _ _Irk -v •I- '. MAY - G 2011 1 r�Ysa . . . - - nix � - • . N . ...-••,'"ter - - P .� •C . � O .N � •1.• . C.= ' - ; • a . -.. - ��agUFFOt�-C GG Peter Young,Chainnan y - Town Hall,53095 Main Rd. � P.O.Box 1179 Lauren Standish,Secretary w +'►r 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., January 11, 2012 the following recommendation was made: Moved by Doug Hardy, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of EDWARD JURZENIA to install a storm water run-off drainage area; excavate shaft until well draining soils are encountered; fill excavated area with sand and gravel; remove trees as needed for site access; and removal of all dead trees. Located: 50 Shore Rd., Greenport. SCTM#47-2-1 Inspected by: Derek Bossen, Doug Hardy, William McDermott Vote of Council: Ayes: All Motion Carried MCDONAL,D GEOSCIENCE BOX 1000 SOUTHOLD NEW YORK 11971 631-7655-3677 �_ r, C i Y DATE; i�r E JAN 1 1 2012 DEAR SIRS: YOUR BORING IS DONE. BEFORE THE DATA CAN BE RELEASED WE REQUIRE PAYMENT OF THE FOLLOWING AMOUNT; , TEST HOLE BORING....$ YOU MARK S. MCDONALD BORING DONE AT THE REQUEST OF: SCTM �� 4-1- ADDRESS TOTAL FOOTAGE DRILLED: m. C. s. 0. Z8075819 .. 1 ,� 002245 HUDSONCITY SAVING S BANK Ol U/2012 55-7231/2212 149-02 74825 MALN RD.,GREENPORT,W 11944-2823 GREENPORT MARK $940.00 CASHIER'S CHECK AAJ, ORIZED IONATURES u000 2 2 4 5Il' 1: 2 2 1 2 7 2 3 L 61: 2 2 149 0000 0118 _ .. ..-.;..__. ..:..:._....+�+ le....u-it ,�-.-..��<..,.;.;z-..+4TE'A.-s".:U z,.p`....s... a..,.,......� ..9-,yz.�1=•4..--�-'Msi.rak:=`lw.-.g#''' -=n' { -i,:z: SU�FO(,t Jill M.Doherty,President � COG P.O.Box 1179 Bob Ghosio;Jr.,Vice-President �� y Southold,NY 11971 James F.King tooTelephone(631 765-180 Dave Bergen G am Fax(631)765-6641 John Bredemeyer y Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: EDWARD JURZENIA requests a Wetland Permit to install a storm water run-off drainage area; excavate shaft until well draining soils are encountered; fill excavated area with sand and gravel; remove trees as needed for site access; and removal of all dead trees. Located: 50 Shore Rd., Greenport. SCTM#47-2-1 Type of area to be impacPd: _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland n P�fTown Code proposed work falls under: 5-of Chapt. 11 other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Pre!!! Were: '"J. King B. Ghosio P""'D. Bergen, J. Bredemeyer r/ i _other �4. Ero% Form filled out in the field by Mailed/Faxed to: Date: { r f 7 Edward Jurzenia t� i{ y 50 Shore Road,Greenport / 5CTM#47-2-1 a • s a n , 9y E. „ .. �- / ` • 4 '�.. � +_;�:• �. ram' '��' � ,.A• � a: .Lv �� 4 �'e �;.-� �� iy ;.� .r�� +1. 1r'r 111112012 10 IT-W 7 r 'j r ., SS F,� gyp,.,. s•,� ` v" -� � �. ��'. ,:,� 1 •' :� r,y .t�, •1 � ., '! ,3 �� 4pi.( r r fi �J jle� p`O ..� c �, _y�f ., � - �.i r i a,, �y .' 1. d , �f, �,'i. .'+1' .L` ��. a•i,` � �• . R11 l 1 •j' � y� 1 1 t� it}e ` ,. ?' ;'E•r .`. �,s , �:l<'��k t a l,:k s ' tl i t � � j` � %� .•1 �• "•+ * r4+ t�Ya 1 �,"'_.:•> <°. l�l J. �f r1'%n`'t I�i�., 1, r � r�.4 iv .9 � 't� �" «. •'+{ #.` �.L V�',�,--. E' X r .• � " 1- w'�.� *' r� t .t � � l � •1 • � �i �f ':� ! ' � �' _��, ! `��,�,. 1 t� ,�1�1 y� '�i�.rP1` ,''* R A, .'tw��L 'i€ *>? i+k 1r. Pw� �'�ji. !j I*alk 1; t�j ,�� k+. •'°"•. f �' � �� '. 1 1f ��'!" ` l �,; '� c� y r��r�:at^ t,l`� '�, •� �'(,, r f�Uy� � Jill M.Doherty,President �� FO( qq P.O.Box 1179 Bob Ghosio,Jr.,Vice-President �� Southold,NY 11971 James F.King Telephone(631 765-1892 CIO Dave Bergen ,y � Fax(631)765-6641 John Bredemeyer Dy �'F Southold Town Board of Trustees Field Inspection[Worksession Report Date/Time: � � u EDWARD JURZENIA requests a Wetland Permit to install a stormwater run-off drainage area; excavate shaft until well draining soils are encountered; fill excavated area with sand and gravel; remove trees as needed for site access and removal all dead trees. Located: 50 Shore Rd., Greenport. SCTM#47-2-1 Type of area to be impacted _Saltwater Wetland freshwater Wetland Sound Bay Dist ce of proposed work to edge of wetland 7of Town Code proposed work falls under: chapt.275 Chapt, 111 other Type of Application: Wetland _Coastal Erosion _Amendment mer_Administrative_Egency Pre-Submission Violation Info needed: A I , !)Lar+/ OVA Modifications: Conditions: �res t Were: J. Doherty B. GhosioZi. ng D. Bergen, J. Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: iZ 'Ft Ink, z- {� +R •� �'titrR � ` vca4• °.p ya. ;.a : s. �- Ot',.. fi\'�Cii`.*'t'�*^• `, ... 44 , d _ 9 i 'mow i''. Shore Road �• � \,i r' �n t ' Page 1 of 1 Standish, Lauren From: Patrick Bencivenga[pbencivenga@mac.com] Sent: Monday, June 13, 2011 2:1.8 PM To: Standish, Lauren Subject: Silermere Drive, silver Sands Motel waste sight I am a home owner at 935 Shore Drive, adjacent to Silvermere Drive and behind the Silver Sands Motel. I am aware of the non drainage condition at this location am not available to attend this hearing. The area in question poses a problem and most importantly is a health risk to the neighboring and surrounding communities. A stagnant body of water such as this is a breading ground for mosquitos. In addition, this problem whlch I have been advised was caused by the lack of drainage has killed the many trees which at one time were alive and well. They are now dead and pose a potential liability and risk in the event a tree falls into the road,thus blocking access. There are people of older age living on this block and there is certainly a potential need for emergency access. The area in question is a obvious problem that if not corrected will have negative effects on for the local community. Thank you. E 1 Patrick Bencivenga 935 Shore Drive f Greenport,NY 11944 U U N 1 3 20111 Souf,old ir.�:n Boare of Trustees On May 31, 2011, at 10:12 AM, Standish, Lauren wrote: .C'auae�c�?L. Sta�sdiQl� Secretarial Assistant Board of Trustees (631) 765-1892 6/13/2011 ��9gpfFQl�.�d Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1892 0� Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 15, 2011, the following recommendation was made: Moved by Meaghan Burke, seconcded by Jack McGreevy, it was RESOLVED to NOT SUPPORT the Wetland Permit application of EDWARD JURZENIA to install a stormwater run-off drainage area; excavate shaft until well draining soils are encountered; fill excavated area with sand and gravel; remove trees as needed for site access and removal of all dead trees. Located: 50 Shore Rd., Greenport. SCTM#47-2-1 Inspected by: Meaghan Burke, Peter Young The CAC does Not Support the application because the application is incomplete. The CAC recommends the Trustees require a detailed site plan to include test borings to determine if they can reach adequate depths of well draining soils. Vote of Council: Ayes: All Motion Carried IDS* JT- SwVEP g Z 1 x5.)pe O yo/ 1 L5110 a / ell COUNTY F U LK DC 'E T.. OUTHOLD SECTION NO NOTICE T(I S rvice Agency y Red Proper 'N Y 119ol I- County Center L -1 T. EanA P E G E =OR -11 T. R SCOTT A. RUSSELL JAMES A. RICHTER R.A. SUPERVISOR ENGINEER TOWN HALL - 53095 MAIN ROAD TOWN OF SOUTHOLD,NEW YORK 11971 Fax. (631)-765-9015 Tel.(631)-765-1560 JAMIE.RICHTER@TOWN:SOUTHOLD.NY.US J a N 17 2012 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD January 17, 2012 James King - President Southold Town Board of Trustees 53095 Main Road Southold, New York 11971 Re: Test Hole Data Sheet SCTM#:1000-47-02-01 Dear Mr. King: As per your request, I have reviewed the Test Hole data for the above referenced residential lot located on Silvermere.Road in Greenport. This report is dated 12/14/11 and has been prepared by the office of McDonald Geoscience. Your question, as I understand it, was weather or not a gravel shaft could be expected to provide adequate drainage for this residential building lot. This type of drainage shaft would not be considered an uncommon drainage practice where clayed soils are found to exist. In addition, the Suffolk County Health Department requires a similar method of construction for new septic systems that are designed in areas where poor drainage soils are encountered. By excavating a shaft through the bad soils and backfilling with clean sand&gravel,you provide a filtered conduit through witch water can recharge back into the ground water system. In this case, the intent would be to construct a stormwater BMP that would allow surface water to recharge back into the water table and reduce the flooding on this residential lot. My only concern would be the stability of the site during construction. The applicant should be required to install Hay Bales&Silt Fencing around the perimeter of the construction activity to control silt and prevent debris from entering the road system and adjacent wetlands on the other side of the town roadway. In an effort to assure the success of this type of BMP at this location, I would recommend that it be excavated to a average width of eight(8)feet in diameter and extend a minimum of five(6)feet below the bottom of the clay layers or forty six(46')feet in depth. If you have any questions concerning this matter, please contact my office. SWA. Richter, R.A. cc: Peter Harris,Superintendent of Highways Jim McMahon, DPW SCOTT A. RUSSELL JAMES A. RICHTER, R.A. SUPERVISOR ENGINEER TOWN HALL - 53095 MAIN ROAD 94 TOWN OF SOUTHOLD,NEW YORK 11971 Fax. (631)-765-9015 Tel.(631)-765-1560 JAMIE.RICHTER@TOWN.SOUTHOLD.NY.US OFFICE OF THE ENGINEER TOWN OF SOUTHOLD January 17, 2012 James King - President Southold Town Board of Trustees 53095 Main Road Southold, New York 11971 Re: Test Hole Data Sheet SCTM#:1000-47-02-01 Dear Mr. King: As per your request, I have reviewed the Test Hole data for the above referenced residential lot located on Silvermere Road in Greenport. This report is dated 12/14/11 and has been prepared by the office of McDonald Geoscience. Your question, as I understand it, was weather or not a gravel shaft could be expected to provide adequate drainage for this residential building lot. This type of drainage shaft would not be considered an uncommon drainage practice where clayed soils are found to exist. In addition, the Suffolk County Health Department requires a similar method of construction for new septic systems that are designed in areas where poor drainage soils are encountered. By excavating a shaft through the bad soils and backfilling with clean sand&gravel,you provide a filtered conduit through witch water can recharge back into the ground water system. In this case, the intent would be to construct a stormwater BMP that would allow surface water to recharge back into the water table and reduce the flooding on this residential lot. My only concern would be the stability of the site during construction. The applicant should be required to install Hay Bales&Silt Fencing around the perimeter of the construction activity to control silt and prevent debris from entering the road system and adjacent wetlands on the other side of the town roadway. In an effort to assure the success of this type of BMP at this location, I would recommend that it be excavated to a average width of eight(8')feet in diameter and extend a minimum of five(5')feet below the bottom of the clay layers or forty six(46')feet in depth. If you have any questions concerning this matter, please contact my office. Sincerely, James A. Richter, R.A. cc: Peter Harris,Superintendent of Highways Jim McMahon, DPW McDONALD GEOtSCIE1VCE Box 1000 • Southold, New York 11971 • (631).765-3677 TEST HOLE DATA SHEET Name: Jurvenid Surveyor: NC Location: Greenort Tax Map Number: 1000-47-2-1 JAN 13 2012 Project Description: Lod Date: 12/14/1 1 -__----- ➢ dark brown loam OL Brown clay CH --- 7.21 ..ZA Water in brown clay -------- 37' Water in brown cleyey .sand SC ----- 41 Water in .pale brown fine sand SP 53° Comments: Water encountered 7.2' b8'low`:.surf.ace• .Compa.rp elevation to. water level. inflater level readings in :extensive clays can be unreliable J Test hole boring. ...$9.40 0.0 McDONALD GEOSCJUVCE Box 1000 • Southold, New York 11971 • (631) 765-3677 TEST HOLE DATA SHEET Name: Jurzenia Surveyor: NC Location: Creenort JA I 1 3 2012 Tax Map Number: 1000-47-2-1 Project Description: Lo.'t Date: 12/14/11 ----- 1 ° Dark brown loam OL Brown clay Cif -r -- 7.2° dater in brown clay q14 ------- 37' . Water in brown clayey sand SC ------- 41 ' Water in pale brown fine sand 5P . 53' Comments: Water encountered 7.2° below::.surface. .Compare ale.vation to water level. water level rea:dngs .in :extensive clays can -be unreliable Test hole boring. $9 4 0 0.0 s SCOTT A. RUSSELL ;` A DAMES A. RICHTER, R.A. SUPERVISOR ENGINEER TOWN HALL - 53095 MAIN ROAD xx TOWN OF SOUTHOLD,NEW YORK 11971 Fax. (631)-765-9015 Tel.(631)-765-1560 JAMIE.RICHTER@TOWN.SOUTHOLD.NY.US OFFICE OF THE ENGINEER TOWN OF SOUTHOLD March 5, 2012 James King - President Southold Town Board of Trustees 53095 Main Road - 5 2012 Southold, New York 11971 MAR Re: 50 Shore Road, Greenport SCTM#: 1000-47-02-01 Dear Mr. King: As per your request, I have reviewed your letter dated 3/2/12 an offer the following: Your first question, as I understand it,was whether or not the site would need to be drained prior to excavation of the shaft. While it is possible to excavate the shaft without dewatering the site, it is not recommended. Without dewatering,the site may be difficult to maintain and could become a silt problem for the adjacent Town Road. Various locations could be used to dissipate the standing water. A potential location for dissipation of stormwater would be to the north by pumping into an existing drainage system that currently runs along the railroad tracks. Your second question related to how much material will be excavated and how will it affect the final grade of the site. Exacting Topography of the site has not been taken. However, it would appear that it would take well over 1,000 Cubic Yards of material to fill in the lot. The proposed excavation would generate about 100 Cubic Yards of material. While there would be a change in grade, it would not be considered significant. If you have any questions concerning this matter, please contact my office. n rely, James A. Richter, R.A. cc: Lori Hulse,Asst.Town Attorney Jim McMahon, DPW Page 1 of 1 Standish, Lauren From: Terry, Mark Sent: Wednesday, February 22, 2012 3:33 PM To: Standish, Lauren Cc: Hulse, Lori Subject: SCTM#1000-47.-2-1 Lauren, Please forward this to the Board. I have reviewed the proposed action on SCTM# 1000-47-2-1. It is my understanding that the action is being proposed as a flood control project, in that respect the action is CONSISTENT with Policy 4 of the LWRP which states: "Minimize loss of life, structures and natural resources from flooding and erosion. However, it is unclear if the drainage control structure would continue to benefit the adjacent property owners or be limited to the subject parcel. Could the Board clarify this? Also I am not qualified to determine if the proposal will succeed in providing flood control, for that determination an engineer should be consulted. Mark Terry . Principal Planner LWRP Coordinator Town of Southold Planning Department P.O. Box 1179 53095 Main Road Southold, New York 11971 (631) 765-1938 Mark.Terry a�town.southold.nv.us 2/23/2012 James F.King,President QF Sol/Ijs, Town Hall Annex Bob Ghosio,Jr.,Vice-President !`O� Ol0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G 4 '� • �� Telephone(631) 765-1892 Michael.J.Domino �OlyCOU Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Jamie Richter, R.A. Office of the Engineer -� FROM: James F. King, Preside . Vt Bo ard of Trustees DATE: March 2, 2012 RE: Edward Jurzenia 50 Shore Rd., Greenport SCTM#47-2-1 As you know this Board is considering an application to install a private drainage feature at the above referenced site. During the January 18, 2012 public hearing the issue whether the site would require dewatering prior to commencing the proposed work was raised. Please advise this Board if, in your opinion, the site would require dewatering and the appropriate method of dewatering. Additionally, the applicant has represented that all materials from the site that are excavated to complete the installation of the drainage feature will be left on site. Please advise if you believe that this will result in a change of grade on the property. We would appreciate your prompt attention to this matter as to avoid further delay in this application. James F.King,President QF SO(/42' Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O l0 54375 Main Road Dave Bergen P.O.Box 1179 1 Southold,New York 11971-0959 John Bredemeyer N Michael.J.Domino O �Q Telephone(631) 765-1892 Fax(631)765-6641 louffN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: James A. Richter, R.A. Office of the Engineer FROM: James F. King, Presiden Board of Trustees DATE: January 24, 2012 RE: PROPOSED STORMWATER DRAINAGE PROJECT . 505 SHORE RD.- GREENPORT SCTM#47-2-1 A public hearing concerning the above-referenced application was held on Wed., January 18, 2012. Our Board closed the hearing and reserved decision until a thorough review of alf recently submitted documentation and testimony from the hearing has been completed. In order to move forward with a decision and ensure this.project will not have an adverse affect on the adjacent properties,the Code requires the project plans to be stamped by a registered professional engineer. We would appreciate your prompt attention to this matter as to avoid further delay on this application. Jill M.Doherty,President so Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 James F.King Southold,New York 11971-0959 Dave Bergen G Q John Bredemeyer �� Telephone(631) 765-1892 IyCOum Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20, 2011 Mr. Robert Schroeder 1100 Manhasset Ave. Greenport, NY 11944 RE: ED JURZENIA 505 SHORE RD., GREENPORT SCTM#47-2-1 Dear Mr. Schroeder: The Board of Trustees reviewed the request to waive certain application requirements. After inspecting the property on June 15, 2011, the Board finds that in order to conduct a thorough review of your proposed drainage project, the requirement of a survey created no more than one year to the date of application, and certified by a registered land surveyor or registered professional engineer is an important component of your application. In addition,we are asking that you also include test borings with the actual depth needed to reach well-draining soils. Please be advised that your application for the above-referenced property remains incomplete and therefore the hearing scheduled for June 22, 2011 has been postponed until further notice. Your application will be considered for a hearing upon receipt of this requirement. F uly yours, Doherty, residof Trustees a Cc: Ed Jurzenia `19 May 6, 2011 HAND DELIVERED Jill Doherty, President Southold Board of Trustees 54375 Route 25 (Main Road) MAY - 6 2011 P.O. Box 1179 Southold,NY 11971 Re: Application of Ed Jurzenia Dear Ms. Doherty, In response to your letter dated May 6, 2011, enclosed please find a check in the amount of$250.00, a copy of a portion of a map drawn by Van Tuyl, from the 199)s and a completed Erosion, Sedimentation and Storm Water Run-off Assessment Form. Additionally,please consider this letter a formal request to have the following application requirements waived: 1. Application fee 2. Survey dated no more than one year prior to the date of the application 3. Dated and stamped plans certified by an Engineer. The reason for the requested waiver stems from the history of the flooded condition of this property, which I believe was the result of certain work performed by the Town in the area and is the direct cause of the necessity of making this application to the Trustees. Further, the proposed work will benefit the Town and my neighborhood, since it will provide much needed drainage for the entire area and will prevent stormwater runoff into the Bay. I believe it is unfair to have to pay a fee for the application, for an updated survey and engineered plans in light of these circumstances. Finally, as an alternative to certified Engineering plans, I have provided a detailed drawing which fully illustrates the work to be performed on site. The nature of the work on site is vey simple and should not require a full set of engineered plans. I have also submitted a copy of a portion of a map from the 1950s to assist the Board. ectfully sub itted, Edward Jurzenia Jill M.Doherty,President so Town Hall Annex Bob Ghosio,Jr.,Vice-President �� lQ 54375 Main Road P.O.Box 1179 James F. King Southold,New York 11971-0959 Dave Bergen G �� Telephone (631) 765-1892 John Bredemeyer � C4U Fax(631) 765-6641 NTY,� BOARD OF TOWN.TRUSTEES TOWN OF SOUTHOLD May 6, 2011 Mr. Robert Schroeder 1100 Manhasset Ave. Greenport, NY 11944 RE: ED JURZENIA 505 SHORE ROAD, GREENPORT SCTM#47-2-1 Dear Mr. Schroeder: Please be advised that your application for the above-referenced_ property submitted on May 4, 2011 is incomplete pending the following items: - application fee in the amount of$250.00 made payable to the Town of Southold; - completion of the Storm-water Run-off Assessment Form (copy attached); and - survey created no more than one year prior to the date of application, and certified by a registered land surveyor or registered professional engineer. Your application will be processed upon receipt of these items. Sincerely, 4-I M. Doherty, Preside oard of Trustees JMD:Ims Cc: Ed Jurzenia 01 �uFo�,��d� i Jill M.Doherty,President - Town Hall,53095 Main Rd. James F.King,Vice-President P.O.Box 1179 Dave Bergen EO Southold,NY 11971 Bob Ghosio,Jr. A'� ��` Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I Office Use Only Cho stal Erosion Permit Application _✓Wetland Permit Application Administrative Permit _Amendment/Transf r/Extension ,-'Received Applicatio if /Received Fee:$ _L,,elbmpletedAppl' - -incomplete _SEQRA Classification: L i Type I Type II Unlisted Coordination:(date sent) — 4 2011 �LWRP Consistency Assessment Form M A`� ; -,,-CAC Referral Sent: I I. _'. ate of Inspection: IJ _Receipt of CAC Report: _Lead Agency Determination: Technical Review: ,.,V-ublic Hearing Held: 3 1 Resolution: Name of Applicant �Cf JUf?'O n i a Address Y�/Phone Number:( Suffolk County Tax Map Number: 1000 - / Property Location: A �-'��/ �� r"�/`� 7 L�� n' q y (provide LILCO Pole#, distance to cross streets, and location) AGENT: ('; �,C� �1 I >> — (If applicable) gyp' ,(/ Address: C f y 0 M A/L-A1�---,C ,A Ve �� /`��i' r ll qz 7 Phone: a ` ( - I rd of Trustees Applicatio QGENERAL DAT/A17 Land Area(in square feet): U U6 Area Zoning: f�— Previous use of property: ��4 Intended use of property: Covenants and Restrictions: YesNo If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes _ _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? No Yes If yes, provide explanation: Project Description (use attachments if necessary): z ��-��-ter`," �.��-�-�� r��-� ��.��✓�- of S 7-te A0e�� ct7 F--rd of Trustees Applicatio- WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: AY ' O� Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between n .rest existing structure and upland edge of wetlands: 1L-' 4" feet Closest distance between gearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? Now Yes If yes, how much material will be excavated? 6 cubic yards How much material will be filled? �� "' cubic yards Depth of which material will be removed or deposited:z 44/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): /�..�lam- - PROOF OF MAILING OF NOTICE. ATTACH CERTIFIED MAIL RECEIPTS Address:Add Name: �- 7. ." JA N3 2012 + i 4 9 F j17 t STATE OF NEW YORK COUNTY OF S FO K Jl(IL h j ll1 V .,.residing at bein duly sworn, deposes and says.that on.the /f day.of ,.20�,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 there.respective names; that the addresses.set opposite the name's of said persons are the.address of said persons as.shown on the current assessment ' l o the wn o uthold; that said Notices were mailed at.the.United States Post. . Office at d ,that said No s were�nai to ach of said persons by (certified) (registered)mail. Sworn to before me this 3"1 Day of j e-,-Lc-4 20 la, Notary Public TAMMI S.GRATTAN Notary Public.State of Now York No.OIGR6142111: Quakfied in SuffolkCou Canrrussion Expires March 13, 1 y. Jill A Doherty,President tiTown Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President w. P.O.Box 1179 James F. King Southold,NY 11971 Dave Bergen Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD j! Ib, BOARD OF TRUSTEES: TOWN OF SOUTHOLD f JA N - 3 2012 --------------------------------------------------------------- In the Matter of the Application of 01 EDWARD JURZENIA COUNTY OF SUFFOLK) STATE OF NEW YORK) ,7V/ AFFID AVIT 07 POSTING 4 resiping at/dba � iV�oe nl //��L1� being duly sworn, depose and say: That onthe 5 day of AA) 201 �r erso y p7 ted the property known as Sao1 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, January 18, 2012 on or about 6:00 PM. Dated: (signature) Sworn to before me this 3'r"d ay of—3----3 2 0 1 2 .� Notary Public TAMMI S.GRATTAN Naary Public,State of Now No.OIGR6142111 Qualified in Suffolk Coun Commission Expires March,13, Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: s c T M.0: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A (Doo LT9 �L i STORM-WATER,GRADING DRAINAGE AND EROSION CONTROL PLAN bT r}Tfc' e on itTocck 0_ 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? I Will this Project Retain All Storm Water Run-Off (Include Total Area of all Parcels located within the Scope of Work for Proposed Construction) yV��o (<,e� p Generated by a Two(2")Inch Rainfall on Site? \, l` X (s.F./Aces) (This item will include all run-off created by site ' b. What is the Total Area of Land Clearing cleating and/or construction activities as well as all — and/or Ground Disturbance for the proposed 5 aC r` Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F./Acres) PROVIDE BRIEF PROJECT' DESCRIPTION (Provide Addganal Pages as Needed) 2 Does the Site Plan and Survey Show All Proposed Drainage Structures Indicating Size&Location?This Item shall Include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. �1 vv 3 Does the Site Plan and/or Survey describe the erosion ❑ and sediment control practices that will be used to control site.erosion and storm water discharges. This Rom 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 Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 6 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? a — 6 Is there a Natural Water Course Running through the ` Site? Is this Project within the Trustees jurisdiction LX General DEC SWPPP Requirements: or within One Hundred(100')feetof a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one o more acres;including disturbances of less then one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that wII 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 storm water discharges. El -Y, (SWPPP's Shall meet the Minimum Requirements of the SPDES General Pormtt 8 Will Driveways.Parking Areas or other impervious for Storm Water Discharges from Construction activity-Permit No.GP.040.001.) Surfaces be Sloped to Direct Storm-Water Run-Off — 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NO]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 shag 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 LX\ 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?(rhis item will NOT Include the tnatalaaon of Driveway Aprons.) Identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answerto Questions tine 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 6 tweed5,000 S.F.&'1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm Water,Grading,Drainage'&Eroiion:ContiorPlan{s Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management. Southold and Must be Submitted for Reilew Prior to Issuance of Any Building Permit (NOTE: A Check Mark(./)and/or Answer for each Question is Required for a Complete Applicallan) STATE OF NEW YORK, MAY — 6 , COUNTY OF..1.11121y....................1% �he4.f . �..... A.... - „ 'I�aE I,.... ... ...... ..... .................being duly sworn,deposes and says that he/she is t11e;;applicantfor Periiiit, - (Name ndividual signing Document) I o nes L...—..._ ..__..._Bo')rl r.f._..,,. Andthat he/she is the ........................................................................................................................... ................... (owner,Contractor,Agent,Corporate officer,eta) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performe the said work and to make and file this application;that all statements contained in this application are true tgoe best of hi ledge and belief;and that the work will be performed in the manner set forth in the application filed here ' Sworn to before me this; �{ .......... ................ y of..1:.! 4.............................,20 NotaryPublic: ...:....................... .......... . . ... ...... ... ..............................................FM .. ......................... (Signature W Appll n FORM - 06I7 NOTARY PUBLIC,State of New York No.02AN6098246 Qualified in Suffolk County Commission Expires January 12,20 01- PROJECT ID NUMBER SEAR APPPENDIENDI X 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 3.PROJECT LOCATION: Municipality County County v r�2�✓�Q n 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc or provide map 5.IS PROPOSED ACTION: ElNew ❑Expansion 1-1 Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: � _J(7 7.AMOUNT OF� LAND AFFECTED: Initially - c acres Ultimately j acres 8. ILL 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.) I/tl Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) V, a 4A': 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ElYes Iro If yes, list agency name and permit / approval: 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ElYes 2rNo If yes, list agency name and permit /,approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes ,®No I CERTIFY THAT TH77INFORMATION &I D ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: i Signature I "thW-actio is a Costal ea,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 EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Yes 9✓ No B. WILL ACTION RECEIVE,COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes 0✓ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. 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. Longterm,short term,cumulative,or other effects not identified in C1-05? 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 es,ex lain briefly: ❑ Yes r No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Yes P1 No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FULL EAF and/or prepare a positive declaration. 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 IN determination. Board of Trustees Name of Lead Agency Date Jill M. Doherty President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) J ' F04�� Jill M.Doherty,President �► Town Hall,53095 Main Rd. h ft P.O.Box 1179 Bob Ghosio,Jr.,Vice-President W +� James F.King � '► 'g' Southold,NY 11971 Dave Bergen y Telephone(631)765-1892 John Bredemeyer Fax(63])765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES. TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MAY 2 3 2011 pp EDWARD JURZENIA Southold Town Board of Trustees COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING residing at/dba g being duly sworn, depose and say: That on theo day of1M),2011 I personally posted the ropert known as 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 June 22 2011 on or about 6:00 PM. Dated: J-OZ3- I (signature) Sworn to before me this d-3 day of 201 I Notary Public IAI1 w N No.O1WAfi140448 woe ntY 1 ;d I PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: -ThmaS BC° Sri eeur l.n �L75 .Trrna A) L/ STATE OF NEW YORK COUNTY OF SUFFOLK / � j p��}��/� � �►�'��q� esiding at being duly sworn, deposes and says that on the day of ,20_, 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 there 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 Noti s were mailed at-the United States Post Office at that said Noti were maile to a ch of said persons by (certified) (registered)mail. Sworn to before me this Day of ,20�L WREN STANDISH Notary Public, fate of New y4 Qualified inSSuffolkQ�un n a V commission Expires olk 9,2 Notary Public ird of Trustees. Applicani( AUTHORIZATION r (where the applicant is not the owner) 42,�`,f1I'Q—residing .at (print owner of property) (mailing address) 0(&X 'g6�1-fcl hereby authorize (Agent) to apply for permit(s) from the Southold and of T - n ustees on my behalf. 1 (Owner' s si.�gnature I I 8 i i lard of Trustees Applicati County of Suffolk State of New York i f 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 r 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 O MY PROP T TO INSPECT THE PREMISES IN CONJUNCTION WIT VIEW OF T S PLICATION. I' Signature SWORN TO BEFORE ME THIS R� DAY OF 2011 i JENNIFER ANDALORO NOTARY PUBLIC, State of New York No. 02AN6098246 Qualified in Suffolk County Commission Expires January 12, 2012-.1 otary ub is I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: �J (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 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 applicantlagent/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 thi ay o 200_ Signature r Print Name Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its 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" 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,i A copy of the LWRP is available in the following places: o'' line�af-,the Tor-.wn..of Soutihold 1 s website (southoldtown.northfork.net), the Board of Trustee's'Office, the Planning Department, all local libraries and the Town Clerk's office. " MAY - 4 2 11 B. DESCRIPTION OF SITE AND PROPOSED ACTION cO{ti=a':' 7o.^vn PROJECT NAME 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): f (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: i ' ' C Location of action: Site acreage: 5�. 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 I information shall be provided: (a) Name of applicant: 4k�xv? (b) Mailing address: e�7(9 Qf ��Pe/-I"ei�-6 (c) Telephone number: Area Code (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. i Yes ❑ No ❑ Not Applicable I 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 i I ❑ Yes ❑ No Not Applicable i i i i Attach additional sheets if necessary Policy 3: Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable 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 C Yes ❑ No ❑Not Applicable 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. ❑ ❑ J. 1 i Yes No Not Apl. ble I 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 Page02 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable i 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. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the.Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yeo No Not Applicable i Attach additional sheets if necessary WORKING COAST POLICIEf 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 i Attach additional sheets if necessary i 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 ❑ NoA�7 Not Applicable i Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ NoN Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable '�PREPARED BY G TITLE " ' ' DATE �K