Loading...
HomeMy WebLinkAboutTR-7888 1 , gUFF91 James F.King,President ��p� L'pG Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President co y� P.O.Box 1179 Dave Bergen a Southold,NY 11971 John Bredemeyer Telephone(631)765-1892 Michael J.Domino Q( ���! 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 1 st day of construction % constructed Project complete, compliance inspection �'`. j�iei rlr/rlr, I �y,..v, �1e�r lri���r - - - -C,! /••.,i`, — ry1/'1'1•lrl�•r ,;n .:�,�11„l.•/r/r/r,i .. � ,,��11,1,•/•/•�/ x � �11,1.r/,l,,e Q ,,•, BOARD OF SOUTHOLD TOWN'TRUSTEES SOUTHOLD,NEW YORK PERMIT.NO. 7888:& 7888C DATE: AUGUST 22, 2012 ,\ !!,!.• •�cPi ISSUED TO: SUZANNE SMITH & ESTATE OF,EDGAR SMITH ;•,�, L PROPERTY ADDRESS: 680 BAY:LANE, ORIENT a!s l SCTM# 24-2-9 !! � AUTHORIZATION }\ Pursuant to the provisions of Chapter 275,and/or Chapter 111 of the Town Code of the Town of ' ^ ;,111 Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on Auszust 22,2012,and in consideration of application fee in the sum of$500.00 paid'by Suzanne Smith and subject toSz the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and ' permits the following: Wetland Permit to re-stack fallen stone and re-cap concrete within property f line; and as depicted on the survey prepared by Robert H. Fox, last dated June 12, ` 2012, and stamped approved on August 22, 2012. \ I IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. _ J 4 .. n 3 �4gUFFQ(��-C 1 I f fw)Ytn;iiL7F." .id5.i""2f?d7' +"l7 "pi J u��rz�G.��r.�°,�(tut4exiard$`w-�fJ 1JUTY&t'7.�i✓, 4`�'.�,$i.G `Yuei9R7 "L8'a��ru u' W�.au`(A.SiX�i' •�. 2�Elie e!el+ii�..Y.,; r,dlri�lele elelNi •�iileRli e!lliii�� V. v�ejllAi.elliiii ='i��leie e1,1N� a'` - a,. ���lele.le�ii� .,l�ieli ele�ie� �. e.� i PLAN VIEW N Applicant: Suzanne Smith \ Surveyed: 06-12-12 W E SCT# 1000 24 2 9 Town: Southold S Suffolk County, NY h`/s oyster Datum: M L L W to ry�A!�n4s /O S�,2Q00`? "9 • pX{� ref•��` ,S 8 �? �q 1c�et J U L 1 7 2012 o f r G> �Qj CG w0 vac, .2� - Q// EoaT^f Trusi"S-- 0�� 1' ` APPROVED BY �, ?6 BOARD.OF TRUSTEES /16 TOVM.'OF SOUTHOLD o� DATA Z Z Z caP Re-stack fallen stones & ui re-cap concrete within PL 4 PO Box#366 �' i„''�'` '1`( i HW d Aquebogue «.: ,.,,, 1 i C/ Q N Y 11931 ���� LW fallen Cl e o�`� �" _ ne SEAWALL ROBERT H.FOX �` a'<<;_ , . , ; � ��':,���F bttm. 5to WS PLS#50197 ` c�,a E,;`�. 1 11=10' TERMS AND CONDITIONS The Permittee Suzanne Smith&Estate of Edgar Smith residing at-680 Bav Lane Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released'from any and all damages,or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application.may be cause for revocation of this Permit by.resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of theJown of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town`of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work - authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. James F.King,President o�*rjf SOU�yOl Town Hall Annex Bob Ghosio,Jr.,Vice-President O 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q • �O Telephone(631).765-1892 Michael J. Domino Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT#7888C Applicant/Agent: Patricia C. Moore, Esq. Permittee: Suzanne Smith & Estate of Edgar Smith SCTM#: 24-2-9 Project Location: 680 Bay Lane, Orient Date of Resolution/Issuance: August 22, 2012 Date of Expiration:.August 22, 2014. Reviewed by: John Bredemeyer, Trustee DESCRIPTION OF ACTIVITY: To re-stack fallen stone and re-cap concrete within property line as depicted on the survey prepared by Robert H. Fox, last dated June 12, 2012, and stamped approved on August 22, 2012. INSPECTIONS: Final Inspection SPECIAL CONDITIONS: (apply if marked) In accordance with Chapter 111-15 Erosion Protection Structures: XX A maintenance agreement is attached hereto and is a necessary special . condition of this permit. BY: C57,-ie7f James . King, Presiderd Board of Trustees James,F.King,President .,S Town Hall Annex Q 54375 Main Road Bob Ghosio,Jr.,Vice-President ,`� P.O:Box 1179 Dave Bergen [. Southold,New York 11971-0959 John.Bredemeyer Q Telephone(631)765-1892 Michael J.Domino 'Cps a Fax(631)765-6641 yc®UNTV�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN,CODE I (We)_ h The owners of record of property at: 680 Bay Lane, Orient, New York SCTM#: 1000-24-2-9 in applying for a Coastal Erosion Permit for an erosion,protection structure do hereby agree to a 30-Year Maintenance program for a structure as described:to-re-stack fallen stone and re-cap concrete within property line, as shown on the attached licensed survey and/or site plan for the -approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30'years and/or equivalent to the original approved structure..Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. or 1/ Nota ze gnature of ovine of record N MAGGIOTTO TE OF NEW YORK Notary Public. 01 MA6001541 Qualified In Westchester County My commission Expires January 20, 201 d This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator.. James F.King,President *Of SUUr Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O� ��� 54375 Main Road P.O.Box 1179 Dave Bergen [ Southold,New York 11971-0959 John Bredemeyer G Q Michael J. Domino �O �0 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD . August 22, 2012 Ms. Patricia C. Moore, Esq. 51020 Main Road Southold,.NY 11971 RE: SUZANNE K. SMITH & ESTATE OF EDGAR SMITH 680 BAY LANE, ORIENT SCTM# 24-2-9 Dear Ms. Moore: .The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 22, 2012 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of SUZANNE K. SMITH & ESTATE OF EDGAR SMITH 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, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated July 17, 2012, 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 22, 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 and Chapter 111 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of SUZANNE SMITH & ESTATE OF EDGAR SMITH to re-stack fallen stone and re-cap concrete within property line as depicted on the survey prepared by Robert H. Fox, last dated June 12, 2012, and stamped approved on August 22, 2012. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, a�a James . King President, Board of Trustees JFK/amn �o�OguFFOt,fco James F.King,President G�� Town Hall Annex Bob Ghosio,Jr.,Vice-President . COD x 54375 Route 25,P.O.Box 1179 Dave Bergen p • Southold,NY 11971 John Dave Bergen 'jj� O' Telephone(631)765-1892 Michael J.Domino �! 'Aa Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Suzanne Smith & Estate of Edgar Smith C/O Patricia C. Moore Esq. Please be advised that your application dated July 17, 2012 has been reviewed by this Board at the regular meeting of August 22, 2012 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project XX Property Owner to Sign and Notarize.the enclosed 30-Year Maintenance 1 Agreement Form and return original to the Board of Trustees Office recQ1ve Pre-Construction Ha Bale Line Inspection Fee ($50.00) D` I �(2 Y p 1st Day of Construction ($50.00) 'h Constructed ($50.00) I XX Final Ins ection Fee $50.00 p ( ) � 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: Final Inspection Fee = $50.00 TOTAL FEES DUE: $ 50.00 BY: James F. King,.President Board of Trustees - ��ti add Peter Young,Chairman y Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 !► '� Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., August 15, 2012 the following recommendation was made: Moved by William McDermott, seconded by Jack McGreevy, it was RESOLVED to Support the Wetland Permit and Coastal Erosion Permit applications of SUZANNE K. SMITH AND ESTATE OF EDGAR SMITH to re-stack-fallen stone and re- cap concrete within property line. Located: 680 Bay Lane, Orient. SCTM#24-2-9 Inspected by: William McDermott, John Stein Vote of Council: Ayes: All Motion Carried OgUP FO(,� James F.King,President ��� 44G P.O.Box 1179 Bob Ghosio,Jr.,Vice-President y� Southold,NY 11971 Dave Bergen ti Telephone(631765-1892 John Bredemeyer w Fax(631)765-6641 Michael J. Domino y !� Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time:,F/,0",/�L 12 d�- SUZANNE K. SMITH & ESTATE OF EDGAR SMITH requests a Wetland Permit and Coastal Erosion Permit to re-stack fallen stone and re-cap concrete within property line. Located: 680 Bay Lane, Orient. SCTM#24-2-9 Ty of area to be impacted: /_Saltwater Wetland Freshwater Wetland Sound x/Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: �hapt.275 ✓Chapt. 111 other Type of Application: 'Wetland !'Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: T-�� e rcm O-V e) t Modifications: C�_J Jv�'�i' 5-0 z a >I Conditions: ®�� �f f//� /f� Cojjld/) CW L -i O 662im aLLC' l ed Le Present Were: J. King B. Ghosio D. Bergen, t J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: too m us nr— gas son all all 41 1 c � �C.;,,i. - t . t. �'e a';�• day ".7 - - - �S••a F T'.: fat "�1 La,'a: q •.: `' _ ""-'', i�a`._.t,�. _...: _,,�,#f:':'._, .ram .J �- -,� - _ _.. L Al _ wars. — — r. RP lW N 58 i _ s p i znic� e STATE sr ft f 8 „ Q a, L yA o � e SEE SEC. i p0 rt w i a sea .s � P NOTICE COUNTY OF SUFFOLK © e n EOeeMe BECnommo Read Property Tax Service Agency r 24 E r ��• r R,1 r O _ u �_r— s_u• -- ^` s..p ur,u.eiw,rLN,nM, Y xo P , Aee,en , PaOPERTY AMP M=V0 LETTER PATRICIA C. MOORE, ATZ ___�SIEY AT LAW 51020 Main Road Southold,NY 11971 (631)765-4330 email:pcmoorel @optonline.net DATE ro SUB CQ �4 4u �-Q�-E3 'O�L" j4. P 17 d i ''zt Lc' ' ►-1e'f.J >' ? OCT i �ou not Beard of Trustees � SIGNED N Please reply No reply necessary OFFICE LOCATION: ���� SU �,0 MAILING ADDRESS: Town Hall Annex h0 lQ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: Southold, NY 11971 G Q lephone: 631 765-1938 Fax: 631 765-3136 OMNI LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD ,+ -- ,, MEMORANDUM To: Jim King President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: August 13, 2012 Re: Proposed Wetland Permit for SUZANNE K. SMITH & ESTATE OF EDGAR SMITH SCTM# 1000-24-2-9 Patricia C. Moore, Esq. on behalf of SUZANNE K. SMITH & ESTATE OF EDGAR SMITH requests a Wetland Permit and Coastal Erosion Permit to re-stack fallen stone and re-cap concrete within property line. Located: 680 Bay Lane, Orient. SCTM#24-2-9 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 EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "A" which states: A. Maintenance or repair involving no substantial changes in an existing structure or facility; 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 Office Use Only 1S4 Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _Amendment/Tran-'-'Exte sio �eceived Application: -9 LR 1Y i/Iteceived Fee:$ °j001- ZCompleted Application 0- --- - ---- _Incomplete ;� ���; L, �• LL —SEQRA Classification: Type I Type II Unlisted I I` Coordination: sent) ✓LWRP Consistency Assessment Form �' i 2��2 _ �ZCAC Referral Sent: mate of Inspection: c ,. ; , T•,.,;, Receipt of CAC Report: E o c f `rus'cr _Lead Agency Determination: - - Technical Review: _✓Public Hearing Held: a- -Resolution: Name of Applicant 130ZCLnr)e- �'►� 0,V C1 L�Sak !�lEaTIV �rv� Address b t-j'S 73 Yop.CF jy� u!n� 14 , +4 o.sA-I acts� N14 . 10'7 L 0q Phone Number:( ) 0-4c &�t -76E-4 j-Sa Suffolk County Tax Map Number: .1000 - a`f - - - 9 Property Location: C La c We- (provide LILCO Pole#, distance to cross streets, and location) AGENT: 76L7�f CXA lL C- e- (If applicable) Address: Phone: - 0 �1 I P;.,: d of Trustees Application GENERAL DATA Land Area(in square feet): 106 )6 Area Zoning: Q - 40 Previous use of property: ( WLAX a Intended use of property: '5An-tJV_ -cuen -A r-.-_ Cct_P Covenants and Restrictions: Yes X. No 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. Will this project require any demolition as per Town Code or as determined by the Building Dept. Yes X No Does the structure(s) on property have a valid Certificate of Occupancy (Yes No 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? 7C No Yes If yes, provide explanation: Project Description (use attachments if necessary): e- CaP kk-k-C B,,amid of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:�n fn Q-'�L k 'CO CV-- Area of wetlands on lot: I OO X l o' square feet Percent coverage of lot: I % Closest distance between nearest existing structure and upland edge of wetlands: IV feet ~Pfuvn Closest distance between nearest proposed structure and upland edge of wetlands: OA cs feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? ! cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): B6a.rd of Trustees Application COASTAL EROSIONAPPLICATION DATA Purposes of proposed activity: fe-- G�MCL- Are wetlands present within 100 feet of the proposed activity? No x Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? .� (cubic yards) How much material will be filled? (cubic yards) Manner in which__tmaterial will be removed or deposited: LI V! a VAC) e-►r Mcg- . P oVc Y1(Gof Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) MCA b==D 1 l)y n exv4— 44 p�( r-A,.QAy\ 'Z LAA-" 1�20 U C PROJECT ID NUMBER 617.20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME C"�r t re-c 3.PROJECT LOCATION: 6 Lave.Municipality CnA^=�- County 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map l T>" Lwv, We_%fr a-U�-nl O n ev-1- TI aAf 6 f 5. IS PROPOSED ACTION: El New ❑Expansion Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: re ram- en, � w 7.AMOUNT.OF LAND AFFECTED: _ Initially i&/. acres Ultimately "Z5 acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? JAJYes 0 No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) tliuq Residential Industrial Commercial ❑Agriculture Park/Forest/Open Space Other (describe) Ct/l,fiv�.s 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) Yes No If yes, list agency name and permit / approval: 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ElYes l�l — 1 UlNo If yes, list agency name and permit // approval: (� iK l ei� SVL Cd C�Vz-, 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PER APPROVAL REQUIRE MODIFICATION? ❑Yes 17171 No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor N r66 C /�d:�P Date: Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Yes IZI No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 6.17.6? If No,a negative declaration may be superseded by another involved agency. Ej Yes [Z 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 CI-05? Explain briefly: C7. Other impacts including than es in use of either guantitx or tzee of ener ? Ex lain briefly: - D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? jif yes,explain briefl : Yes ✓0 No E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex lain: Yes ❑✓ 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 mustevaluate 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 FULI. EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actin WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Board of Trustees Zv/Z Name of Lead Agency ` Date OI 191&4 Ef I<. 146A) h` President p Print or Tye Name of Responsible Officer 1p Lead Agency Title of Responsible Officer Si ture of Responsible Officer in Le gency Signature of Preparer(If different from responsible officer) -] N"-MO LETTER PATRICIA C. MOORE, ATTORNEY AT LAW 51020 Main Road Southold,NY 11971 (631)765-4330 email:pcmoorel @optonline.net DATE TO SU JECT 1 l 1 L 1 L-_. Bc,rd ^f Tr,!CiYrc SIGNED Please reply No reply necessary BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF SIGN SUZANNE K. SMITH AND E/O EDGAR SMITH POSTING Regarding Posting of Sign Upon Applicant's Land Identified as SCTM: 1000-24-2-9 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, v-,r, S residing at o� b L being duly sworn, depose and say that: On the OL`day of August, 2012 1 personally posted the property known as Bay Lane, Orient, by placing the board of Trustees official Poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing to be held on Wednesday, August 22, 2012 on or about 6:00 P.M. Sworn to before.me this day of August, 2012 X 1A otary Pu i CHRISTOPHER GARCIA'*. 14gtary Public,State of New York No.o1ga6135790 Cdualified in Orange County a G-11mission Expires Oct.24,20 . .r PATRICIA C. MOORE, ATTORNEY .AW 51020 Main Road : D O Southold, NY 11971 LETTER (631) 765.4330 I email: pcmoore@mooreattys.com Date....... ................................................................................................................................ To.......-............... .... .v ...................................................................................................................... Subject...............v........- .....1....t............................................................................. ......... .................................................................................................................................................................................................................... .......... ............... ..I ..L... .C. E W . JD- .................... ... ..................... .............................. ................................................. . .................... ................1..... 1. ................... ....Southhold Town ................................................................................................................................................................................................................................................Baar.d..Df._Trus tees.................................................................. .�. - ................................. ............. ................ ..................................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................................................. ....................................................................................................................................................................................................................................:............................................................................................................................................................................................. ..............................................................................................................................................................................................................................................................................................................................................................-................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................ .... ..................... ..y.........................:..................................................................................... ❑ Please reply ❑ No reply necessary SIGNED i BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK -=-------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF SUZANNE K. SMITH and ESTATE OF EDGAR SMITH MAILING Applicant's Land Identified as sctm: 1000-24-2-9 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On th day of August, 2012, 1 personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to the neighbors on the attached list. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. E KI S Signatur ) Sworn to before me this l© day of August, 2012. ( otary Public) MARGARET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County Commission Ex Tres Jun 3 t�7of s PLEASE list, on the back of this AMA—Val on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. SUZANNE K. SMITH ESTATE OF EDGAR J. SMITH JR SCTM: 1000-24-2-9 Oysterponds Historical Society PO BOX 70 Orient NY 11957 sctm: 1000-24-2-13.1 John&Martha Watts 2 Pierrpont PI Brooklyn NY 11201 sctm: 1000-24-2-8 Weehouse Partners, Inc. c/o Smith 645 Broadway Unit 14 Hastings on Hudson NY 10706 sctm; 1000-24-2-10 RECEIPT ------ • RECEIPT � f 7192 6463 3110 0001 2747 7192 6463 3110 0001 2754 FROM: FROM: RECEIPT MOORE LAW OFFICE MOORE LAWkFFICE 7192 6463 3110 0001 2761 RE:SMITH TRUSTEES RE:S T.USTEES FROM: ���OL��f MOORE LAW OFFICE (EN RE:SMITH TRUSTEES ©7f0eS NjTO: n � hn&7M.'P�1VV�ttspysterponds His(ofic� Society ierrpont PI ` �NOL Po Box 70 9� SEND TO: Orient 7 11957 l oklyn NY 11201 ggryry�� ` �rNeehouse Partners,hr19� ` c/o rn _.J �G(G - " US P S _ `" 645rBiba-4way�J1. 14 of ! FEES: Hastings on�FLdsT NY 10 06 FEES: Postage45' -' Postage 0.45 �- Certfied Fee 2.95 ES: Certified Fee 2•95 Return Receipt R t�u�r'ge��pt 2.35 2.35 osf a 0:45 Restricted �� ub 2.95 Reslnet TOTAL Return Receipt 2.35 TOTAL $5.75 1 $5.75 Restricted POSTMARK OR DATE POSTMARK OR DATE TOTAL $5.75 I POSTMARK OR DATE i Lwm.cd of Trustees Application County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONT004Y PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH RE I W OF THIS APPL CATION. Signature SWORN TO BEFORE ME THIS f DAY OF�C.IC.. ,20 — Notary Public PATRICIA C. Ni00RE (Votary Public, State of New York Suffolk County-Igo.4861663 Commission Expires June 16, �T —,;,ard of Trustees Application County of Suffolk State of New York v1 nC-- S vwU+lA 0,wA i�ST� c�� E06�►/L Sht IT14 AJ (',U }c-(-LP•-rt-2 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS V DAY OF ,20 Notary Public PATRICIA C.MOORE Notary Public,State of New York Suffolk County-No.48616'3 Commission Expires June 1 � 1 _,:d of Trustees Application' County of Suffolk State of New York G-1 I4:f_ C%1 S NQ DvJ t9E _rc!j (0�cu"BEING DULY SWORN DEP SES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signatu6j SWORN TO BEFORE ME THIS (�7 DAY OF j ,20 Notary Public MARGARET C. RUTKOWSfd No[acy P-.0ic:. State of New York QuG'If ed in Suffolk County Commission Expires June 3, �S --"rd of Trustees Application- AUTHORIZATION (where the applicant is not the owner) U 2 A-Q oc k- S H i TN fM D I, E)Z) EC)G19e, 12M I,u residing atC10 `� ,C, 4 i --A (print owner of property) (mailing address) IGLI `/� do hereby authorize �A T2l C t A (Agent) to apply for permit(s) from the Southold and of Town Trustees on my behalf. , �- i, " (O a 's signature) SkxZ A-s l cal s o 1� D 6-r Z.t�r, to e4't'c4,c n)2 � o 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 pilrPose 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:SIrI 11 l ZAal11� K . SM lia} A�►n2� � 72L�ZI�c/ � c , (Last name,first name,middle initial,unless you are applying in the name of 11n someone else or other entity,such as a company.If so,indicate the other i5 I'A ? l L 1 C 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 applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of.the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 20Q� Signature Print Name �21 _ ' �-t t-n4 . Form TS 1 � �1- v V v 01 Ac��2� f-r r 7a a . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS (Smith et al 1000-24-2-9) 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form; should review the exempt minor action list,policies and explanations of,_--- `— each policy contained in the Town of Southold Local Waterfront 1 i" V` J U L 1 $ 2012 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). I , ',,° T' , 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#1000-24-2- 9 re-stack existing rocks and re-cap concrete retaining wall The Application has been submitted to (check appropriate response): Zoning Board Town Board_Planning.Dept._Building Dept._Board of Trustees_X 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: repair existing sea wall (re-stack fallen stones &recap concrete) storm damage to existing dock- replace boards on dock, replace runner beams, as needed; end of dock needs runner beams, both center beams, outside box beam&2 new butt block Location of action: Bay Avenue West, Orient Site acreage:.5 acres Present land use: house with concrete platform, concrete sea wall & stacked stone 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: Suzanne Smith & Estate of Edgar Smith Jr. (b) Mailing address: 645 Broadway Unit 14,Hastings on the Hudson,NY 10706-2504 (c) Telephone number: Area Code (631 )765-4330 (c/o Pat) (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: 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 dverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes No Not Applicable r Orient is a historic district, existing dock structure predates 1947, Orient Harbor provided ship access to travelers, military and commerce. Repair work needed due to storm damage. Normal maintenance to be undertaken to sea wall. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria Yes X No Not Applicable Historic District 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 X No Not Applicable Sea wall adds to the maritime character of Orient Harbor and protects upland road & homes. 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 stacked stone and sea wall protects upland road and homes Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III-Policies Pages 16 through 21 for evaluation criteria Yes No Not 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. Yes No Not Applicable Existing sea wall predates all Town, State and Federal regulations; coastal ecosystem has developed with existing sea wall Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III- Policies Pages 32 through 34 for evaluation criteria. See Section III-Policies Pages; 34 through 38 for evaluation criteria. Yes No Not Applicable 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. Yes No Not Applicable Attach additional sheets if necessary 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 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III- Policies; Pages 57 through 62 for evaluation criteria. Yes No Not Applicable existing sea wall constructed to protect upland private road & homes. Attach additional sheets if necessary r i Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Yes No Not Applicable 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