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TR-9409
Glenn Goldsmith, President 1�F SQ�ry Town Hall Annex Michael J. Domino,Vice-President hOVv ��� 54375 Route P.O. Box 1179 , John M. Bredemeyer III l Southold, New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams '� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1673C Date: January 16, 2020 THIS CERTIFIES that installation of a 16'x32' in-ground swimming pool with 12"coping; a '4'k8' precast dDy y6ll for pool backwash; pool equipment area; and pool enclosure fencing; with the condition that any trees to be removed will be flagged and approved by area Trustee prior to their' removal,• At 405 Cedar Point Drive West, Southold Suffolk County Tax Map#1000-90-2-27 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 7,2019 pursuant to which Trustees Wetland Permit#9409 Dated March 20,2019,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for installation of a 16'x32' in-ground swimming pool with 12"coping,• a 4'x8' precast drywell for pool backwash; pool equipment area,• and pool enclosure fencing;with the condition that any trees to be removed will be flagged and approved by area Trustee prior to their removal. The certificate is issued to K Mac Reality,LLC owner of the aforesaid property. Authorized Signature 1 1 - Glenn Goldsmith,President *QF SU(/� Town Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III 1 l�L Southold,New York 11971 A.Nicholas Krupski G Q Telephone (631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: INSPECTED BY:' i Ch.,275- Ch. 111 INSPECTION SCHEDULE Pre-construction; haybaI6 line%silt iboom/silt curtain 1St day of construction % constructed Project complete, compliance inspection LA COMM NTS: TLf!ti CERTIFICATE OF COMPLIANCE: Michael J. Domino,President 0� soyo Town Hall Annex John M.Bredemeyer III,Vice-President �� lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G • Telephone (631) 765-1892 Greg Williams 'O� cOUFax(631) 765-6641 � NT`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 3 ?�tll V Ch. 275 Ch. 111 INSPECTION SCHEDULE X Pre-construction, ToReg- 1St day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: COMMENT e) K_ 6uod A __2 CERTIFICATE OF COMPLIANCE: Michael J. Domino, President o�pS�fFO(��,y c` Town Hall Annex John M. Bredemeyer, III, Vice President 54375 Route 25 Glenn Goldsmith �') _2= Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE _ Pre-construction, 1st day of construction %2 constructed When project complete, call for compliance inspection; •iii•''F•t �•e ii`e•�. :. - - _ iii i••'.,. ,yi11•i5/e i.••,. ., ••�.�/,�.,•- ,.i,i1N D",�,�'. - -:11091 11 Ilj�• ••�y111•'I'lllj�r. y�91/ 111'1j�:•-' - '`\N IIIjr �1 I it p 1u:..:.:.g •�1 �j" _ }� _ ♦ � — .�- � „,ay�,�S— .. Z — _ .,,ash.. = ^�'.. Z ..+tnw.�'L �,, Z 4. — _/-.' g+x' ..vSs^`l�µn,;tuMi,I.Z 1np'lirnsn,'r£ybSn,rrn _„�rn�.[ro'!xvngimnn,?riwr:msr.FY„' rxenvv+fF+t. ^Tn,^nyZn1^rigevn*xr^ !nrcrA..1vrrcs+ri*er nrocx•'.Z4 wry.^^^<!i."l�i*)xra mimeo++'mrgf`n,,,rin*+kx^sTF.;rrr �),' •r1°01,� ,3 Fmk- ', ,•1,1 a Irl° w BOARD OF SOUTHOLD TOWN TRUSTEES F , SOUTHOLD, NEW YORK � G s PERMIT NO. 9409 DATE: MARCH 20,2019 . t ISSUED TO: K MAC REALITY,LLC PROPERTY ADDRESS: 405 CEDAR POINT DRIVE WEST,SOUTHOLD 1`: •`; Cry I _ SCTM# 1000-90-2-27 yl� t ,6 R AUTHORIZATION \�11•� � ��lln se Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in III %' _•r'> r accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 20,2019, and in consideration of application fee in the sum of$250.00 paid by K Mac Reality LLC and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the -: following: Wetland Permit to install a 161x32' in-ground swimming pool with 12" coping; a 4'x8' precast , t drywell for pool backwash; pool equipment area; and pool enclosure fencing; with the condition that any trees to be removed will be flagged and approved by area Trustee prior to h a'c their removal; and as depicted on the survey prepared by Nathan Taft Corwin,III Land I �.k Surveyor, last dated November 28,2018, and stamped approved on March 20,2019. N �••1a IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, I - and these presents to be subscribed by a majority of the said Board as of the 20`h day of March,2019. � dal F f _ /� I�@�•y. cco o ''iia � /•�� + ' {.— t(� ruiiiuti..o�:C6r•„�dc..�„ss.aA�,26,.tw,ir,.�,,:.nvu�.,.�..»,;.,S..x..ua3,7:.,5v.,a;.itiw..Y;..•1az5u'L,.uaSzd.:a>u.�c�;,u.a.:,.oswnu4zia,`.�,ca•sn.t::miYaaxvu�..u�:nua;,�4scw'snwwxi~w:u�twv.:•:.o:nn•.•-n:acZS„a�,i:wa:.i,,,r'<���� `*L�% ='r�' -"s '_ �s-:. � ��d � =€� �`L.-J — z's �� ��g• =3.�sm � �i�� � F Z ��� e:+ - �T� ;Y• _ •'+" / , 'y,��=mT� 115'R'S'^<'+^tg�:I , , 1A:`��,'v� „ 9om_gv;^,•C ,��Ii: e1ii,:• _ '�i.:: iel:iLa TERMS AND CONDITIONS The Permittee K Mac Reality,LLC,residing at 405 Cedar Point Drive West, Southold, 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 the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President h0�*0 SO Town Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New'York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Q �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2019 Luke Pranzo Swim King Pools 471 Route 25A Rocky Point, NY 11778 RE: K MAC REALITY, LLC 405 CEDAR POINT DRIVE WEST, SOUTHOLD SCTM# 1000-90-2-27 Dear Mr. Pranzo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 20, 2019 regarding the above matter: WHEREAS, Swim King Pools on behalf of K MAC REALITY, LLC applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 7, 2019, 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 March 20, 2019, at which time all interested persons were given an opportunity to be heard, and, 2 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, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of K MAC REALITY, LLC to install a 16'x32' in-ground swimming pool with 12" coping; a 4'x8' precast drywell for pool backwash; pool equipment area; and pool enclosure fencing; with the condition that any trees to be removed will be flagged and approved by area Trustee prior to their removal; and as depicted on the survey prepared by Nathan Taft Corwin, III Land Surveyor, last dated November 28, 2018, and stamped approved on March 20, 2019. 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, Michael J. Domino President, Board of Trustees MJD/dd I�suFFoc,�e Michael J. Domino, FiresidentO� °y� Town Hall Annex John M Bredemeyer, III, Vice-Presidenty 54375 Route 25 Glenn Goldsmith o '� '° P O. Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams � �r'Y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: K MAC REALITY, LLC c/o SWIM KING POOLS Please be advised that your application dated January 7, 2019 has been reviewed by this Board at the regular meeting of March 20, 2019 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) — (Silt boom) 1 t Day of Construction ($50.00) '/2 Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30- Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Michael J. Domino, President Board of Trustees SUFFO(� -.1 - Michael J. Domino,Presi } �0 CD Town Hall Annex John M. Bredemeyer III,Vice-Pres dent ��� GyJ, 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: J kAA, /'I--I ?� Completed in field by: Swim King Pools on behalf of K MAC REALITY, LLC requests a Wetland Permit to install a 16'x32' in-ground swimming pool with 12" coping; a 4'x8' precast drywell for pool backwash; pool equipment area; and pool enclosure fencing. Located: 405 Cedar Point Drive West, Southold. SCTM# 1000-90- 2-27 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice o Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: - J. Bredemeyer --A Domino vG. Goldsmith -"'/N. Krupski '�G. Williams Other SURVEY OF LOT 146 MAP OF CEDAR BEACH PARK FILE No. 90 FILED DECEMBER 20, 1927 SITUATE BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-90-02-27 SCALE 1 "=30' SEPTIC SYSTEM TIE MEASUREMENTS C� MAY 6, 2005 HOUSE HOUSE R�2 JUNE 22, 2005 ADDED SITE PLAN CORNER �A CORNER[q] S OCTOBER 18, 2005 REVISED WETLAND NOTE NK 9 00 x �� NOVEMBER 10, 2005 REVISED SITE PLAN SEPTIC TA \ NOVEMBER 13, 2007 LATH OUT BUFFER LINE COVER 36 14 2j� )2 AUGUST 4, 2009 LATH SET FOR SITE INSPECTION LEACHING POOL JUNE 5, 2012 UPDATE DATUM & FLOOD ZONES 39' 27' rpzl �� FEBRUARY 7 2013, 2012 REVISE HOUSE LOCATION COVER 1 -tom 3 x Z/c FEBRUARY 27, 2013 2012 REVISE PER SCDHS NOTICE 02/19/2013 LEACHING POOL MARCS 26, 2013, 2012 ADD TESTHOLE COVER 2 25 28 Ss gTF,Q MAY 14, 2013 FOUNDATION LOCATION X IN OCTOBER 3, 2013 FINAL SURVEY TFST 6y o39 2 STReFT) �� APRILEMBE 5, 2014 RELOCATED PROPOSED PROPOPOOL SED POOL �F<</ .0 �. x 7�_ � JUNE 12, 2015 RELOCATED PROPOSED POOL NOVEMBER 28, 2018 RELOCATED NEW PROPOSED POOL ,DQ) AREA = 25,868 sq. ft. OF (TO TIE LINE) 0.594 ac. Cj CERTIFIED: ��v 2p2 •'' O Z KEVIN McDERMOTT 4 • ��� 4 n/ FST FATEMA MEAH J.P. MORGAN CHASE BANK • ,? °j b ^ << WESTCOR LAND TITLE INSURANCE COMPANY q 2.9 App SpRNSa tip FQq� STO o cy �6� NOTES: W � x ARFF*Op oF�kR\ 6 FF�FyASF 1. ELEVATIONS T1988 EXISTING SPOT ELEVATIONS ARE SHOWNDATUM THUS: 4 O 1 ER lIN °R��r /�9,p y EXISTING CONTOUR LINES ARE SHOWN T IN HUS: —— —7— —— a 0 2. FLOOD ZONE INFORMATION TAKEN FROM: 2BEST HO a FLOOD INSURANCE RATE MAP No. 36103COl69H LE k t T 6, $ ZONE AE: BASE FLOOD ELEVATIONS DETERMINED Co 40' �� AREAS OF 0.2% ANNUAL CHANCE °, ZONE X" CHANCE FLOOD WITH AVERAGE DEPTHSFLOOD; AFLEESSSO � ANNUAL S THAN 1 FOOT 2 TASK TOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; O [7 pq(gTF„ Ge fS,O, O b AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. LL W QQ2 0 no,:..: .O cn ~ / 0 ry 0 3� LOT COVERAGE �4 3� / 1 pRq/N'...- / N o iORA y DESCRIPTION AREA % LOT COVERAGE 2 I ?:0 Q HOUSE 1,725 sq. ft. 6.7% �l 40' ((yy 2 ��o FRONT PORCH 200 sq. it. 0•8% DECK OVER 217 sq. ft. 0.8% A pSCREENED PORCH OL SLo • I QO _� DECK 454 sq. ft. 1.7% (6 I�4 DH :6 j PATIO 300 sq. ft. 1.1% Z N p O \ `O�k* OUTSIDE SHOWER 18 sq. ft. 0.1% -- F qF THE NYS FRESHWATER WETLANDPROPOSED POOL 612 sq. ft. 2.4% SHF" BOUNDARY IS & COPING p grn �F< OLK ENVIRONMENTAL CO EQUAL To TOTAL 3,52s sq. it. 13.6% Q I \ 0 d \ \ < 6) ON THE SURVEY PREPARED By CONSULTING Inc. LINE AS 00��7 \� Y \ _\ (REVISED 6/22/05 AS DETERMINED BY R. INGEGNO, LASTN ST SAG tc MARSH ON 9/26 05 F � ¢ / /V > No N 75' S � FS 43 No to/STU l 30 'S O NVQ a I V \ NrBUF TI7 ON s 7 9 �3),, Sr wE i I \ FES , 2 �/°� ''3' APPROVED �h ► ' F �s 2� TEST HOLE DATA BY zo i i \ s •� 3'' "� Wj I l x 1 �S 1 �9, (TEST HOLE DUG ON APRIL 18, 2004 AT 1:30 pm BY OTHERS) BOARD OF 1 t�USTEES TOWN OF SOUTHOLD PREPARED IN ACCORDANCE WITH THE MINIMUM coo ^ 1 j\ "S4, O EL 111 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED p 00 -lop 0 #�`� ��� � S, 0' BY THE L.I.A.L.S. AND APPROVED AND ADOPTED o� �4c5 �\ �< J S`3�, C HUMUS FOR SUCH USE ASSOCIATION. THE NEW..YORKrSTATE LAND �o 2 ���� Q, j 2� DATE yy►��� nn,�, q yO �� yO d .G DARK BROWN LOAM if1A 20 goj BROWN SILTY LOAM X__ 1.5' .. 4 ,A BROWN LOAMY SILT 3.3' C PALE BROWN COARSE SAND N.Y.S. Li,. No. 50467 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF ___-- --- - - - EL -� 2 LA SECTION 72OF THE NEW YORK STATE Nathan T of t Corwin 12.3' EDUCATION LAW. " COPIES OF THIS SURVEY MAP NOT BEARING WATER IN PALE BROWN THE LAND SURVEYOR'S INKED SEAL Land Surveyor COARSE SAND EMBOSSED SEAL SHALL NOT BE CONSIDERED JAV .. �� I TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. - TITLE COMPANY, GOVERNMENTAL AGENCY AND 17 LENDING INSTITUTION LISTED HEREON, AND Joseph A. Ingegno L.S. TO THE ASSIGNEES OF THE LENDING INSTI- - TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New Ycrk 11947 Jamesport, New York 11947 s Mac Reality,LLC j 5 Cedar Point Drive West,Southold / M#: 1000-90-2-27 /12/19 E i - - 1 o 04 ,.17 R ,3 12 /� -�/-2 01-9 143 - •M Y Y �r� .a�'� K Mac Reality,LLC —� 405 Cedar Point Drive West,Southold i ,SCTM#: 1000-90-2-27 3/12/19 r � I i +w, A �. a - -'. � .C.r,- .'. --: 3 '.�" 3,r u.. w�.:, f�� j�'iY�� �'��.r.' std✓e�-i� LLi' �:� r - I-• .. aW ..' � fY@ i4-p `tom d. .. t + v a 1� A .All K Mac Reality,LLC 5 Cedar Point Drive West,Southold M#: 1000-90-2-27 /12/19 r� a a� wigs* ">~>«=>i� �l , + i s r i fyf. u yYt 1we as 41 _ �� I -.!' '..{ ry ., �i�''`�+ 'N }�}t _ Ali • ' .. , '• �: ` 13 M11N 13 z 7K 'yx� '.i,'.. •a ,�'divFfr',6,+e ;;''�'w t, ' '"� �� � �� V �.,. if �,` ..�• ! • .n• ���y�ji �1v' ��^`�" w,+kid• /[ '�'. y �"�y"19.+�' � ' „•r . 0 �� ,.�' - �.•! ? i � J +j,.y: �s. �" �� ':•�, ./�..y�l'itro .. .�.�•' �i�y} j~`,sial ,l�:q �'�'�'�! +� �'�.`� �� } � - • y •.s ��A� �_�,.. _ ���� .,i�* •. . it� .* 1�,fir ,���C`.a� �'�+4�• ��� ~'�.� it � ` w' . i 1.41 r rti,,: � "}� - },y�y+rr�• a' j T� � e�lt��� .1�,',� �\, ��`,�y ,��. �4 �- ' � *.*'p',. • --. • - ..i ;°+ -.., 's ..,w. `�j���aeS••�.�'�..u:i.L�mtlta:"_r���� '� r.�°,._�' ...}I[,: .i•i���....:�' r~A�..1r_ �;14�S�t_9�'a'•' i'�"'`• ... i=:.•�?` '�.a V ��, +A} -�.� =�.-� y t. K Mac Reality,LLC 05 Cedar Point Drive West,Southold `, �r.' '_ r�t *� — +• CTM#: 1000-90-2-27 y ` +i,, F r ti `�'• 3/12/19 ` ,��7r•v .y.�so�' � ��_'9�a �c. i N► \i ,t i 'a jr. - S .. 1- - ti..- .•ar j-rvj _ r •i Aw- Vw i - �, 'ms's I•.. _ � (a'+. ,ate"{ �.11►•:'� �" ��' � n�. jam' _ . .���'A.ik�__�_A ^ < i fat '� °°. s7 .Y ► // v.�. .. "46.- VA- 4p 3. ^ .nom -w� .,` e�•• ;� eV LALI t 4: t ti ,• ,4, , tea'�` y y .y .. ,.. _ ,, , _•� of � ��.� t.: M- ` � �� v�� Ire,.\ ` t� �'` '., � O• t Ok s..f 1,�. -A. • i s ten'' r Nw y ` r�. = 'S. .��{ w,r �: .v.. - c...: _ .Lr : �+ .. -i :KAY` .ir•, . . .. .' James F.King,President �o��OF S�U)yD/- 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 Colo Michael J.DominoQ �Q Telephone(631) 765-1892 Fax(631) 765-6641 �OOUNT�,N BOARD OF TOWN TRUSTEES January 23, 2013 TOWN OF SOUTHOLD Mr. Charles,Cuddy, Esq. 445 Griffing Avenue Riverhead, NY 11901 RE: MARY MANZI 405 CEDAR POINT DRIVE, SOUTHOLD SCTM#90-2-27 Dear Mr. Cuddy: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, January 23, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#7161 to reflect the proposed residence further from the wetlands; the Non-Disturbance Buffer to be increased from 50' to 75'; and the proposed split rail fence and/or cedar trees on 15' centers be placed and maintained along the landward edge of the Non-Disturbance Buffer; a 75' Non-Disturbance Buffer is to be established and subsequently - maintained from the split-rail fence and/or cedar trees seaward with a 4' wide access path through buffer to the water, and temporary placement of hay bales and silt fencing to be located along the landward edge of the 75' buffer; and as depicted on the revised site plan prepared by Jeffrey T. Butler, P.E., P.C., last dated November 14, 2012 and stamped approved on January 23, 2013. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at(631)765-1892. Si rely, James F. King President, Board of Trustees JFK:amn Rb 51 TEE PLAN OF t LOT 146 MAP OF PP-OF05ED a� /VS CEDAR BEACH PARK 4 BEDROOM 6/ Ej�T SITUATED AT SANITARY v 5YSTEP us . O, • > V-9c,�T BAYVIEW �ar.�� \ TOWN OF SOUTHOLD 2 3 SUFFOLK COUNTY, NEW YORK PROPOSE 5.C.T.M. NO. 1000—q0-02-27 U m ORGH AREA = 25,867.50 SQ.FT. m k yQ LP, LPJ \ -PROPOSED W PROPOSED p ,ya' u.: ` DRYNELL FOR 0.5x4 AG. DRYNELL en ROOF RUNOFF FOR ROOF N rye 9po .d �•FOR TIE LINE) w o RUNOFF _ 0D �3 Revised per NYSDEG comments 1-2-13xx r K�POSE� ) �X68' LV 2 z O 25 TORY o m 34 FRAME , TYPICAL SYSTEM, 2 J at^ZELl.I '? 1- A x BALLW L 1 TANK D LS LS V LC, , C5 D•lJ1A K D'o�P IPxApt.9 Poa1.9 I� p ry 'rES�Le� D•o rmL�ew>:eRa1w w.7e+ j IIJ JAN 1 1 2013 w (` LINE OF SECOND /1 PROP05ED d ti SoUtlUd sown �4 y STORY REGI# BALCONY l p.Pat, SK r4� CC9 cr u, tr ppDPYO�cDG� EtfrT1T � Hpi t. z 44i I oDM �puD SITE PLAN BASED ON ' c,i'.:`•' � F�`�0 y EP t r 1 ORIGINAL r.A,RVEY BY, m 9� NATHAN TAFT GOMN ill,1.5. rcD 073A OSP q4 I r` S PA.BOX 16 op�ra� JANE5PORT,W IIQ47 7 0 TYPIr_�I w irr LAYOL71• Met 4UW-AS V 7 W m REVI�a�ios tis�"e& �t+e`�"°� o�� Z i. o _Nors 1 \ ' 800-212-41801 811 q ~ L $ o a TEST HOL F DATA 1 \ '1\ /9 �• l7Esr HOLE OW eY OTHERSI rw/a®1i Is. APPROVE B 1 I >3. >•w BOARD O�T O RUSTEE I � �' 1 /fie ' \ ""�° DYYn,uur.bn.rM oentnrbn wdmDin 1. O F, s eR, e�«ur hwpooupro N.vYohCYyeNNewuend F ry Su btt Cu melee on Lore Nutl mWm aC WN OF SOOTT I 1 1�S�S /9e • .� o•N oyNe<taoa27s-upoe,ptt,ew"48hol. 04 n v $ Cgq 4 `�/ OS, e,a,n mon a.n to.onty M.ImcWaro O N IL ry i 4 / \ 6 S MIDWAY INLET a reok.nd.wbWWldw)Ddwbloo a 04 g o - - BDATE .nr .en.n�.a°.°pbmgb.:" „°°n. °' bple reywWenpne tMeuph RlC Dyw dont R1 Q 5��`. art.Ml'ur ITIC.Dl..w a11-BOP62F70X1 4j p jjjppp fu mon u+fommm� I < . SITE P L A - / O P�/—tVE 17D p��ot AIWI,Venc9V tlaD0- 2-"W bj nr•au.dl,.er.t taoo-zrzateo w tr _pw . 1 mM For•auv.mn wh mmpWd penond DmD•M.h hth mrtr.aYe 30 15 O SO 60 90 120 150 n opNeL Neviro utpty�. pbr�m d GRAPHIC_SCALE r = 30'-0' n dbarel•ne•aaWw of I BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO,7161 ]PATE: AUGUST 19,2009 ISSUED TO: JOSEPH MANZI K PROPERTY ADDRESS: 405 CEDAR POINT DRIVE WEST.-SOUTHOLD SCTM#90-2-27 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 1'}1 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 19 2009,and in consideration of application fee in the,sum of$250.00 paid by Joseph-Manzi and subject to the Terms and Conditions as's`ttaW in the Resolution,the South to d Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a two-story single-family dwelling, in-ground swimming pool,deck,garage,driveway and sanitary system,with the conditions that either a split-rail fence and/or a line of cedar trees on 15' centers to be placed and maintained along the landward edge of the 50'Non,Disturbance Buffer.,a 50' Non- Disturbance Buffer to be maintained from the,splittrrail fence and/or cedar trees seaward with a 4' wide access path through the buffer to the water,a line of staked hay bales with silt fencing is installed along the 50' setback, and as depicted ori the survey prepared by Joseph A.Ingegno,last dated November 10,2005,and received on June 1 30,2-009. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seat to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. LAO '� �• Bob G os o, Jr. — Absent r YWI� Is Ic"OF 'OLD I, 207 f3 3A4Q p 3 OR 4 IN 12 ---------I 13 mm DO -------------------- Cealw soUTHOW 61 3' 4I IA TOWN OF WTOLD 4 WC) 0 z7 W (5s') WEST 2S 249 33 N OIL LAKE Is Ns ------------ TOm OF soLo � lm,F 29 u f9 W LU4Ke zal O 31 pt, ♦ Is is 2D 20 17 Is ml 66 :12A(.) 2 mn 8 1 HOG NECK BAY COUNTY OF SUFFOLK SICTION NO Property Service Tax ServiAgency 090 OFFICE LOCATION: �' ��� MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 J Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) c� Southold,NY 11971 O �� Telephone: 631765-1938 eoUNTi,e� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: March 7, 2019 Re: LWRP Coastal Consistency Review for K MAC REALITY, LLC SCTM# 1000-90-2-27 Swim King Pools on behalf of K MAC REALITY, LLC requests a Wetland Permit to install a 16'x32' in-ground swimming pool with 12" coping; a 4'x8' precast drywell for pool backwash; pool equipment area; and pool enclosure fencing. Located: 405 Cedar Point Drive West, Southold. SCTM# 1000-90-2-27 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, the proposed action is recommended as CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney s-- Peter Young,Chairman ti Town Hall,53095 Main Rd. Lauren Standish,Secretary d P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 13, 2019 the following recommendation was made: Moved by Peter Meeker, seconded by Carol Brown, it was RESOLVED to SUPPORT the application KMAC REALTY LLC for the installation of a 16'X 32' in-ground swimming pool with 12" coping and a 4'X 8' precast drywell. Located: 405 Cedar Point Drive West, Southold. SCTM#90-2-27 Inspected by: Peter Meeker, Carol Brown, John Stein Vote of Council: Ayes: All Motion Carried Michael J. Domino, President �o�o ooTown Hall Annex John M. Bredemeyer, III, Vice-Presidento 54375 Route 25 Glenn Goldsmith N .1c P.O. Box 1179 A Nicholas Krupski y • Southold, NY 11971 Greg Williams X01 , � Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS J SCTM#: �� a Property Owner Name: r,-7,lq Date Sent to Bldg. Dept: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: 11q1)J Signature of Reviewer Date 1 (/Jy Michael J.Domino,President ��QF SDTown Hall Annex� John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • �Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 D �y�OUNT`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _ Amendment/Transfer/Extension J�, ! ?. '? --' ;-- Received Application: j.7•t'T Received Fee: $ 450.00 Completed Application: , L! •, `�'+ Incomplete: ti } SEQRA Classification: Type I_ Type II Unlisted Lead Agency Determination: Coordination:(date sent): o t-- Boa!""ni —v4--LWRP Consistency Assessment Farm Sent- CAC Referral Sent: �'30 "1 Date of Inspection: 2_q&jq Receipt of CAC Report: Technical Review: _74Public Hearing Held: •13•! Resolution: 86,41-ry Legal Name of Property Owner(s): k Mae [— Mailing Address: �d cS �C1J(G�r �T- �� J.ou,4� IV II`1"71 Phone Number: - (0— Suffolk County Tax Map Number: 1000 - !O Property Location: q O- CaO(me- Snih�.6 I2t V)V I4�d f necessary,provide LILCO Pole #, distance to cross streets, and location) AGENT (If applicable): Zb- 9" rImo Mailing Address: U Phone Number: Board of Trustees Applic .on GENERAL DATA Land Area(in square feet): _,�T R,6 8 C F Area Zoning: - q0 Previous use of property: n ljz_ Intended use of property: Covenants and Restrictions on property? Yes No If"'Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. 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 1 Y t�^,�..� 37%6 G 3 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?—_4-No Yes If yes, provide explanation: Project Description(use attachments if necessary): .M ?7, Board of Trustees Applic- -- -.on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: o S2— Vl 4P-4 1d0N1 I %Z Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No �G_Yes If yes,how much material will be excavated? j,7,eU cubic yards How much material will be filled? D 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: `r�,rlu7z� �u�nnD Js�u� O �IMdV�I.f s 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): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Allmac_ Name of Action or Project: / Project Location(describe,and attach a location map): 1/®S A/ 'r)-r Brief Description of Proposed Action:/ I�S � v� �� �� ✓Ut� L 4,odfw.,-Ak 12.,"' 4y1'11 et Name of Applicant o o Telephone: E-Mail: Address: & / City/PO• State: Zip Code: 1.Does the pr posed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit �or�approval: ��� � ��W� �s.� sc, �✓ ❑ 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑CommercialResidential(suburban) ❑Forest ❑Agriculture &hAquatic ❑Other(specify)): ❑Parkland �� >� �/'Iv / Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ® ❑ b.Consistent with the adopted comprehensive plan? ❑ 0 ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ �(' 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ® ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ® ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: V_11 J 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: Ak ® ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 1 El 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? ® ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO. YES wetlands or other waterbodies regulated by a federal,state or local agency? El b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? n ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: LTJ 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline El Forest ❑Agri cultural/grasslands El Early mid-successional 'J Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? � ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, 1`77A :W_11q a.Will storm water discharges flow to adjacent properties? �]NO ES 9l IV/ �f b.Will storm water discharges be directed to established conveyance systems(runoff and drains)? If Yes,briefly describe: ❑NO S Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: Z ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: n ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ® ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 'T Applicant/sponsor name: �(,� &11710 Date: 1he Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning Elregulations? [4 2. Will the proposed action result in a change in the use or intensity of use of land? E 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate F-1reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental *mpa7,1 . Town of Southold-Board of Trustees 3 Name of Lead Agency 6ate Michael 0%nf11 10% President Print or Type Name of RdspFnTsWOMJer in Lead Agency Title of Responsible Officer Signature of Respo sible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applic Lon AFFIDAVIT �EU�J1 jJLDtt- 64 �'fo 1 •�� BEING DULY SWORN DEPOSES AND AF IRMS THAT H 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Ar,:,- 55�' Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME TIIIS 74' DAY OF 6U1"V , 20p1q, _ 61 Notary Public JOANNE M MARINARO NOTARY BUC SUFOLK COUN(Y UC.#01 COMM.EXP 1 0 a. Board of Trustees Applict Lon AUTHORIZATION (Where the applicant is not the owner) I/We, 40VVol me l if � owners of the property identified as SCTM# 1000- ��� �Zr �� in the town of New York, hereby authorizes_ el-,41 to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. roperty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF JOU'1UQJ- / 20� Notary Public NOTARY PUBLIC STATE OF NEW YORK SUFFOLK COUNTY LIC.#01p�A6a COMM.EXP. �P 6� 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 pgssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: ���� ' Lb-A (Last name,first dame,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee 5G 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,njarriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO . X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold �✓�/� Title or position of that person Describe the relationship between yourself(the 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 this_��"dAo aid 20 Signature Print Name �t Form TS I y APPLICANUAGENUREPRESENTATIVE 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 Wssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Mac-/ vwl�l (Last name,first name,iniddl ilial,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 9Q 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 _ A 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 t 'sday Signature Print N e .` Form TS 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF UFFOLK at a c L B!ACJ �r1 dx-,residing ��' 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 Notices were mailed at the United States Post Office at ' that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this 4) Day of \Q jLAa&-NL, 20 19 Notary Public JOANNE M MARINARO NOTARY PU13UG SUFFOLK STATE OF NEW YORK Uc.#01 COMM.EXP. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: �-- .� SCTM# IU. �� �� YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention �of>the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Cd C�c� / �Y- LrJ Iry-vd`G� AZ`X 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: MAILING ADDRESS: 15;- ' _ PHONE #: I b q5k AGENT: L P� MAILING ADDRESS: �A PHONE #: 6 ?::o (- TO 166<- Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address. 1_�, as .c.uV, 22-/7 S 15T ,z 44-60'( L,-A ��H C�/ �j a✓Q° C SG 57 s !�-. C��a✓, ,,t- 1]✓ Su v �1 oP P y �1 /os�14,p� 3 / ) V A)Y/ 1/bb C�!h ��7/Cr�f SGGj 7 Sr C��/J ✓1 �S�_ 1 f� �I� 13r /v Y 112 STATE OF NEW YORK COUNTY OF SUFFOLK Zu AL /��4�►Zo , residing at /Z L�2�73'Gv1 �Ji� / � ✓�� being duly sworn, deposes and says that on the 2Vi day of Mew , 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 Koll of the Town of Southold; that said Notices were mailed at the United States Post Office at • k that said Notices were mailed to each of said persons by CERTIb'IED MAIL/RETUR RECEIPT. Sworn to before me this g Day of AIA&* , 20A_ Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No, O1 D1475593 00alif Od In Suffolk County My tbffifflimlon Expires April 30, 20 -4. Michael J.Domino,rresident SUFF© Town Hall Annex John M.Bredemeyer III,Vice-President bY�� G� � 54375 Route 25 Glenn Goldsmith � P.O.Box 1179 A.Nicholas Krupski �� Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 ��l Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of K MAC REALITY, LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORMIS TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, L zL IoA2,, , residing at/dba 532AI ti ge—owi �06_r a� x_e' M70� being duly sworn, depose and say: That on the ItAlay of PA,," , 2011 , I personally posted the property known as K ��, �gj t-q LLC— qoS- Cedrr -Pee . _SG by placing the Board of<Tjrustees 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 Wednesday, March 20, 2019. Dated: nj7 (signature) Sworn to before me this /glay oftrc!-,201 tary Public JOANNE M MARINARO NNARYPUBLIC STATE OF NEW y0W SUFFOLK COUNTY LIC.#Ot COMAA.EW. a' Service -- TM { Postal CERTIFIED o RECEIPT i CERTIFIED RECEIPT IL Domestic Mail Onlyr-1 Domestic Mail Only rq For delivery information,visit our website at wwv! iru a UEW Ln Certified Mail—FeeLn Certified Mail Fee 4 0 Extra Services&Fees(check box,add lee p to ( W O Extra Services&Fees(checkbox edd lee op t, I I rU ❑Return Receipt(hardcopy) $ W ❑Retum Recelpt(hardcopy) $ t S— {O ❑Return Receipt(electronic) $ - -- P k !".� O ❑Return Receipt(electronic) $ ''=� Postin ❑certified Mafl Restricted Delivery $ ore �- O ❑Certified Mail Restricted Delivery $ - Hoe O ❑Adult Signature Required $ �9 � 0 ❑Adult Signature Required $ []Adult C Adult Signature Restricted Delivery$ -"0 t y ❑Adult Signature Restricted Delivery$ �• N CD 1O Postage t p Postage (O M $ $I_I a c� / 1 m $ $0.5511:0 Imo Total Postage and Fees / {i 9 ° cO Total Postage and Fees I Sent To ;Steve Makos j senrro Fier/Kaminar 2016 d s D sveefani p S6eefar 95 Charles St .i -- ------------------ 300 Pavilion Ct ctry3yate ------------------------------------------ Ci ---- -- --------------------- ' Southold NY 11971 ry-s Unit#5 j New York NY 10014 PS- Form 3800, 7530-02rOOO-9047 See Reverse for Instructions, S For bee Reverse for Instructions Postal i Postal , © RECET ■ CERTIFIED M1 MAVRECEIPT W ( .. e t-a .. • m i Er �� • L N I • ,•r{;��I� ii1 p •F ru •5040 ` ,[F L 1 I 1 �j � ll r Ltd Certified Mail Fee peek@ Ln Certified Mail Fee $3.50 µ 'Vi 2 789 0 $ $3.50 1 it � 0 1 Co $ j 6 Extra Services&Fees(check boxy add fee dj te)°Ulf� 1 0 Extra Services&Fees(cheakbax,add fee re ) � ❑Return Receipt(hardcopy) $ ,•„i { ❑Return Receipt(hardcopy) - $ - ❑Return Receipt(electronic) $ Postrnarg u !I N ❑Retum Receipt(electronic) $ _ P r 0 ❑Certified Mail Restricted Delivery $ -• ?, Here(p 7 E3 ,5C.,t fied Mail Restricted Delivery $ : H 0 ❑Adult Signature Required $ �{, fl� Adult Signature Required $ i ;` � ❑ ti®7 � ❑Adult Signature Restricted DelNery$ { 'V []Adult Signature Restricted Delivery$ p Postage C= I0 Postage cc m $t l._tL $ $0.55 M $ X (�� cO Total Postage and Fees ?, I Total Postage and Fees, $ Claus Hertel e� '' cO Sent To Gerard Case as '--------------------------------------- siearanda;505 West Cedar Point v --:----------- � s 2-17 51 Ave Apt 604 =---------------------------------------- crit's�a7e;z Southold NY 11971 = - Long Island City NY 11101 low PS Form 3800,April 2015 PSN 7530-02-dOO-9047 U.S. Postal ServiceTm ' • - { MAV© o RECEIPT ! Domestic Only �`- ..mestic Mail Only r-q rq ru ULS Certrfied Mail Fee r. Certified Mad Fee Ln iED $ $3.5007811�?!,s- � 07$•$ � QC: $ $3.•.t �£`� � � Extra Services&Fees(check bo)c,add lee t • C3 Extra Services&Fees(checkbox,add fee p -�,� ❑Return Receipt(hardcopy) $ --% C. ❑Return Receipt(hardcopy) $ "n;? �° CD y RJ ' —0, . ru ❑Return Receipt electronic $ - '{ (� ❑Return Receipt(electronic) $ Postmarl� 0 P( ) QPe�tmark O t ' N Here ❑Certified Mall Restricted Delivery $ - - ere O ❑Certified Mall Restrict Delivery $ C3 ev ❑Adult Signature Required $ ® []Adult Signature Required $ Q1_ fr []Adult Signature Restricted Delivery$ []Adult Signature Restricted Delivery$ Postage M Postage $0.55 Q M g $�l.cc m $0.55 m $ / 9 cOTotal Postage and Fees, Total Postage and Fees , ! ' 2 I $ David SYi �ib y -- -$Fi:V.r �co Sent Tc Erin L. Petrausch w Sent To to �'� ------- 256 West 10 St Os 1—,75 Clinton St •---------------------------------------------- O Streetar ,r- Apt 3D - •------------------------------------------- cry s�Apt 6K - ----------------------------------------------- c"y,sra New York NY 10014 Brooklyn NY 11201. - PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS 77 Name: STATE OF NEW YORK COUNTY OF SUFFOLK residing 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 Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public NUTILt: 'Uim Ht: AI< ING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: K MACK REALITY, LLC SUBJECT OF PUBLIC HEARING : For a Wetland Permit to install a 16'x32' in-ground swimming pool with 12" coping; a 4'x8' precast drywell for pool backwash; pool equipment area; and pool enclosure fencing. Located : 405 Cedar Point Drive West, Southold. SCTM# 1000- 90-2-27 TIME & DATE OF PUBLIC HEARING : Wednesday, March 20, 2019 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a.determination of consistency. *Except minor exempt actions including Building 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. 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# PROJECT NAME The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board[2 Building Dept. ® Board of Trustees 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 f actio 1. An g: !a S� �4 �1%� r � fj Location of action: S D Site acreage: Present land use: 'ee� Present zoning classification: X— 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: (b) Mailing address:- G (c) Telephone number: Area Code ) (d) Application number,if any: N/ Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes L No❑ If yes,which state or federal agency? Zy rS , 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. [—]Yes ❑ No [�d- Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 1� Not Applicable 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 0 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 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 El 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. ❑ ❑ IlJ i Yes No Not t&pplicable 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. ❑ Yes [:] No[Z 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 [A 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. ❑ YesD No 1- Not Applicable Attach additional sheets if necessary WORKING COAST POLr%.jLES 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 9 Not Applicable ` 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 ❑ No 9 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 [A Not Applicable PREPARED BY L�A_V(?v,)S-c2 TITLE DATEd/��