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TR-9458
Michael J. Domino, PresidentpS�FFQ(,t Town Hall Annex John M. Bredemeyer, III, Vice-President -D yam`? 54375 Route 25 Glenn Goldsmith co ? P.O. Box 1179 A Nicholas Krupski y • o��� 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, hay bale line/silt boom/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; :"iiP i:i•'.;. . 'iii 04•�r •li..-�::•. ..•qi'4::•• ..•iii Yr•'•. ,�i � .Vii 'i::•• 'i•QIII /IIOr, � 1111 +1°/'i•.." •iy1N' �iJ/° ,11f +I'I° ., r'� •C H 11'j''•: ,.• •11'•9'lJ' f••�11i f�/r•a (' 1 0 \1 0'0'• 1 I' ' '� �� 'f='s flr��, %'��.,,•.�� �if�•, > . � �I""„ ''.: � ;ori., �-,°:s,.`= � • �Q"".II�C+i:M,?ynm r,n,n,»nun•,p@1.tl?$•^,�d�'�y7y'rxrrrr.rryry!mpr•,wv,n.n,n,;nv�,rp!lo,%n,ny„nx�,nf*rnI�{al,orGrrrnrr agylo, nrtnar,•�ry?YmmrgAr%vYelrmnr.YY rrrrn�rrrrn�rnnpnrnr+Yr Xgarn.,<i-nnnrrc/..•ryA•.,rml,r lrnr.{n,:,nn��' _ :0111 & .3 BOARD OF SOUTHOLD TOWN TRUSTEES 2 ,r SOUTHOLD, NEW YORK , N:'K PERMIT NO. 9458 DATE: MAY 15,2019 ISSUED TO: PETER&DIANE MOLLICA L{ PROPERTY ADDRESS: OFF ANCHOR LANE, SOUTHOLD '; SCTM# 1000-71-2-21 „„''•° .• 'ta•1' AUTHORIZATION <! 0ti Pursuant to the provisions of Chapter 275 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 May 15, 2019, and in , t consideration of application fee in the sum of 250.00 aid b Peter&Diane Mollica and subject to the Terms PP �P Y J �•; and Conditions as stated in the Resolution the Southold Town Board of Trustees authorizes and permits the following: c Wetland Permit to remove existing timber bulkhead and landward replacement of 25 linear ' feet of new vinyl bulkhead and 5 linear foot long bulkhead return; remove existing 5'x22' floating dock and install a 6'x20' floating dock in new landward location of existing; install new ,,� on-grade 5' wide un-treated walkway landward of proposed bulkhead; and included in the work is the removal of approximately 15 cubic yards of fill from landward side of bulkhead E. prior to its relocation; and as depicted on the site plan prepared by Jeffrey Patanjo dated a January 14 2019 and stamped approved on May 15 2019. � rY P PP Y � ., 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 the 15th day of May,2019. ' F �u i • ''''1•'IrlC2Lilt coo •i 't' ' t f"G�/!li.tr+•y �-L'jam• '�''f 'm''�:�. F 10 21 •\0111 ” �i + i €- '= .3'11'p1 I rliif' : '�� •%7v»,s,�L';a,i�.a,.,hi,a3r;.a;.o,Nr„u.aS,a,�,:u13.uv;.v,:Cir��,3:,ru,+;,a,.,rNu,�,,.rnnr,,.,NS;.;iavr,A+u„�..srirN,aa.Luil4•r„iyiu.,i».J.ivi,.u�.\•iGi ti\ur ir]aa:ad,••v,u»15?aiiv,ui.%,.u,.r,vi� vav)Siirfrvi�,uj��J,uipAi. ,r / �”: !Ir __ �+''`� �w�:. � � e � ilQ�,,P' =l�.n � `.�6 = � ,;�\`1;6 _ w .e`d:iiyjw. o. I •.`l,,���•F/ _ _ I-;�/ \v - •�/ 9 ',,,�Rm3/� ^\��'"^�n^'a_^^��fi'��/ \��, ',r,+rtrrJr.�-.�^•^;la:....'.."'"� �_,P[n^�•"_r/ �y^`\r� �s,:�:��, - 1111 i:i�� - _ °�ilf r1::N - °riiii ::ii•' _ - '1::%„i.:�' _ °:r..%,�itli:� - -_ °•�i+i%�+t�ii.�. ..:Siii i��'% __ so TERMS AND CONDITIONS The Permittee Peter&Diane Mollica residing at off Anchor Lane 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 ��Q� SO(/�yO Town Hall Annex John M.Bredemeyer III,Vice-President Q 54375 Route 25 O P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas KrupskiG Q Telephone(631) 765-1892 Greg Williams � �� Fax(631) 765-6641 olycou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 15, 2019 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: PETER & DIANE MOLLICA OFF ANCHOR LANE, SOUTHOLD SCTM# 1000-71-2-21 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 15, 2019 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of PETER & DIANE MOLLICA 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_February 20,_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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 15, 2019, 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 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVE the application of PETER & DIANE MOLLICA to remove existing timber bulkhead and landward replacement of 25 linear feet of new vinyl bulkhead and 5 linear foot long bulkhead return; remove existing 5'x22' floating dock and install a 6'x20' floating dock in new landward location of existing; install new on-grade 5' wide un-treated walkway landward of proposed bulkhead; and included in the work is the removal of approximately 15 cubic yards of fill from landward side of bulkhead prior to its relocation; and as depicted on the site plan prepared by Jeffrey Patanjo dated January 14, 2019, and stamped approved on May 15, 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, y Michael J. Domino President, Board of Trustees MJD/dd % SUFFOL/r Michael J. Domino, President � . � . Town Hall Annex John M. Bredemeyer, III, Vice-President �o � ;� -` 54375 Route 25 Glenn Goldsmith t o " g�h. P O. Box 1179 A Nicholas Krupski � �o�,;- Southold, NY 11971 Greg Williams l_ Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: PETER & DIANE MOLLICA c/o JEFFREY PATANJO Please be advised that your application dated February 20, 2019 has been reviewed by this Board at the regular meeting of May 15, 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) 1St Day of Construction ($50.00) % 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 [q BY: Michael J. Domino, President Board of Trustees c-+- i !" •� :� �i,� r-i•:1:_!. her: \(3 L 26.92 � - lU 1M��iL!•1`I1l � � i)Q'IVF_ [Ft t:•,7 f. kOgCU� �: rr,�ol� 1 N 11165 f I Z: nl/ 50" - - ILO iu p m I L 2 N— uj juj r 14 �ti CA V � N I 19 M E I Eli Z tOG.O AO•� _ N.6 Q'OS K7 W 10102 r T oto Ms r m a A mw TI w ` iSK11QN/701 q M KW 1UIK WAS ¢cam C,nu.SVPYR AN N'Jr um,m ANCHOPl.f„'f T_ O fJ,10:flC&M L'--,r r a —6v tED . iIOw AVAIm1Nl fr dYJAMrLS•t11..„.!-.>�SHALL VIT •-._....--.-__-.._.----..�_�- pNO ARC AO J.rLf slur 7o K _ � —• flNf COYfAil.W.L.Am,At L7 AAO ao VA AM WM'Ai Of,at,ios n1 [.� WOOL COSAKM AAe MOf / • ` >O asp A alksm bamuflor6 w + �, (/l r .j r �; • � � � 'A fie. , f'I ;! ��, ��r� !1f �i,! !�� !,� . , (3V TEED TO ME US,uFE TL7 tIE lNSURA.NCE[A. LU ASSUTZYE`�8[} FES-.tid ;1�7fi I'i 1� .NOT£ Lor Nd5.REFEP-TC>'MAP OF 14AR6URLIGHT5F, rArES-gECTIpNONE.�ILEO f1 Q�,�E�tC U rU}r f ' ! ' FEB Z 0 2019 1N Ttil-SUFFOL CCOUNTY CLE2K'S OFF►C_E P6 P tAP t t0,4362r n a �rr--L. 1 LOT NO'S. 3A 70 16Gi R¢E SMo�VN O,� Qt-IFlLEO MAP OF !') i �. V C�•�—� j , - �Maa21NG Fl,OTS'; pa7Ea. MHY- z8�i9'65_ uceMs a £ .LAND Sulky tits j F Boa"d orT. ^re - 0 5 10 15 ' ' ' I ' ' ' I LOCUS HEIDECKER LAND SURVEYING METERS A / FEET 0 10 20 30 40 GRAPHIC SCALE 1" = 10' SHELTER ISLAND SOUND J Q ' Z Q U •-262 -377• -423, -387, PROJECT SITE -4 59, OJQ'�`V ANCHOR -3 03 !IC �'V -2 84 -327. -409. -477. -421, -401. -398. -264 FLOATING DOCK fO N I -4 08 -3 21 -269 -385, N.T.S. -3.13, .-_4.51 -436, -397, -333, .-279 281 ' M N -280 -433 -403. -367, -397, _471 -321, ,-262 •-249 M -4.83 -248 I -277. -342. -411 , -469. -447. -451. -478. 1000-71-2-11 2 240 WINDJAMMER LLC FLOATING DOCK 99' -4.80 -314 -281, -328, -409, -471 -459, -423 • , -387 -304. -262. ro I I -358 -411 -476, -492 -382, -430, -398, -314, -259, a N -394 -431. -354-q 71 -486. -468. , . -257 v -425. N o �U(7 I J Z O -417 0 ~ .-268 N 11,20 -410, -433, -466 -479, -474, -444 1000-79-4-8 I 0 • ZARA /KASNIA 60' FLOATING DOCK 0 -443 -297 m a N ll1 -3 79 ,-3 77 -439. -471. Q-4 84. -487 -4.21. -377 w .-281 z -358 -369. -4 27 n . -474 _481 -456, -322, tl N U U -4 76 -448. IO N U O j Z -368 Z,= -510 oz, -351, -400, -461, -479 8 o LL -4 85, -4 46, 1000-79 K ZARA / ASNIA 62' -470. FLONTING DOCK •-3 70 -279. -279 -328 -4 07 -419. -347 -453, -479, -450, -302, -410 .-2,39 N -348 -4 11, -4 04, -4 49 -4 89, -4 55, -4 13, -2 77 -351Of , Of o-o 0 -327. N -410, NOTES I cD 25 rn aZ -3 56 -3 91, -3 83, _413, -4 33, -4 31, 1000-71-2- _2 73 1 FIELD WORK WAS CONDUCTED OCTOBER 17, F HEIDTMANN 2018 BY HEIDECKER LAND SURVEYING,PLLC AND ALL MEASUREMENTS WERE TAKEN ON 00= o O' FLOATING DOC .-3 02 THE GROUND Li LL 6 -430 2 NORTH ARROW IS BASED UPON CPS to OBSERVATIONS CONDUCTED BY HEIDECKER O K LANG SURVEYING,PLLC O �'- 3 ELEVATIONS SHOWN REFERENCE MEAN LOWER LOW WATER(MLLW)VERTICAL DATUM -279 -368 -383. -367. -299, -403. -426. -387. -277. -234. 92 -256 -321 -342. -338. -325. -3 15-299. -3 29, -1.79 1000-79-4-61 -214 �f I i`._•7 �` 1 it RHODE/CROWELL 1 JI`.- t _322 FLOATING DOCK -261 -1 92. -287. 1 77 -340. FEB 2 0 2019 --'r -362. -345. -263. -247. -244. ) -200. -264 -312. -321, -332 -244. -201 -1 44 - -215. i B9 T V -288 -251. 182 -251, -1 98 1000-79-4-5 FLOATING DOCK _21g SAL-NO -1 52 Unauthonzad allerat-o ATE• Volatin to this au y o a JOHN GERD HEIDECKER NY STATE LAND SURVEYOR UC a 050719 DATE BATHYMETRIC SURVEY SHEET NO. v ldl- !section 7209, bdmsian 2,of the Naw York 751 COgTES AVENUE State Education Law Copies of OCTOBER 19, 2018 1 OF 1 this survey map not beann9 HOLBROOK.NEW YORK 11741 DRAWN BY B M ANCHOR LANE, WINDJAMMER DRIVE, PROJ.NO the land surveyor's inked r embossed seal shall n t b¢ (631)-772-9604 CHK BY J H & SCHOONER DRIVE 18HLS725 omidered to be a valid appy lheldecker®heldeckerls com TOWN OF SOUTHOLD CAD FILE SCALE 1"= 10' 1 SUFFOLKCOUNTY. W YORK lemstaem i I' DOST.BULKHEAD TO REMAIN - g l PROPOSED 5'<F BUIIOM:AD RETIIIN C , R,Rd06 • p 25.38' _ <22.58'„ PR1f06ED 25 LF VINYL BULKHEAD RELOCATID - �pqy�15 CY OF FIL AND 5'LANDWARD OF OEM LOCATION \ OF AT 9 ML &WOFF SOE i ' " RDIOyE AND DISPOSE OF DOST.BULKHEAD 1 ti 1 F p EXIVO CAVATE DREDGE TO DEPTH OF MO'BELOW M.L.W.TO MATCH ETOSING ms' s'X T4 FAD OF�' b , PROPOSED 5'WIDE DN-TRFATFD TIMBER DE]CIL c _� c PROPSED 6'X 20'FLOATING DOCK APPARTNT MRW.&M.LW ALONG FACE OF DOSING BULKHEAD { am ao"'Q I LINE OF BULKHEAD LOCATION SUBWIIED AND 26.92' I APPROVED UNDER NEIGHBORING APPLICATION a I � 4 DOM CONCRETE DRIVEWAY "' -APPROVED BY S8�'°=''1_a _ -- 8'.66' 6� LOCATION MAP BOARD OF I-R,USTEES N.T.S. � - �Br�•1D"� -- -- -- -- 195.x9_ _J rTOWN-OF 'SOUTHOLD I -- -- -- 5 — -- -- ----- I ( DATE &A, is 2019 5/4'X6' I I o IPE DE ING PRO ' CCA PTREATED TIMBER PILE. 6' I O.C. PROPOSED STRINGERS& q ERS 1 DOSING WOOD DECK AND STARS NOTES: DUSTING CONCRETE WALKWAY I 1. LOT AREA: 0.49 ACRES PROPOSED x8'CCA TOP, MIDDLE do BOTTOM 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: WALE APPRaaWE MXW.EL ZM •a. SMRY I RODERICK VAN TUYL, P.C. W FRAME REaoace - I 612 1ST STREET, GREENPORT NY 11941 § SURVEY LATEST DATED FEBRUARY 12, 1976 m PROPOSED s'x2o ' I I FLOATING DOCK A I PROPOSED B'TIP CG LAY--LAG PILE I APPRD7aNTE YLW d M M I I PROPOSED 8'TIP CCA PILE § �1,I I TO BE R BULKHEAD EMOVED N O.C. 8' LENGTH. BOLTED � �RETY. PROPERTY OWNER: PREPARED BY: LAY-LOG WITH a/4'PETER MOLLICA JEFFREY PATANJO GALVANIZED THRU—BOLTS. Sw BOT M B.1311 DIANE MOLLICA P.O. BOX 582 PR50 SCHOONER LANE BOHEMIA, NY 11716cAL. , . V I I SOUTHOLD, NY 11971 631-484-9332 �!i��ri�Ii�ri..ri. i �j JJPATANJO@GMAIL.COM I I R PROPOSED 16' LONG CWC b 9000 VINYL SHEETING f � {�� � ni '1 tib --f_._.•; TYPICAL BULKHEAD SECTION NJ:J: N.T.S. FEB 2 0 2019 1 AT 51#'05'10"D 101.02' ANCHOR LANE }^._ Board of?',�?_s PROPOSED ed Bulkhead Permit Plans SCALE: 1"=40' BULKHEAD PLANA DATE: ETAILS & LOCATION MAP ,-.,4-,9 50 SCHOONER DRIVE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: X MAP N0. 1000-79-04-02 1 of 1 ' i Michael J. Domi resident O�QSUFFO(�` Town Hall Annex John M. Bredemeyer ill, vice-President ,,� �� 54375 Route 25 Glenn Goldsmith o •`:� ` P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 'L ® p�- Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD T ,� Date/Time: sr ~� Completed in field by: Jeffrey Patanjo on behalf of PETER & DIANE MOLLICA requests a Wetland Permit to remove existing timber bulkhead and landward replacement of 25 linear feet of new vinyl bulkhead and 5 linear foot long bulkhead return; remove existing 5'x22' floating dock and install a 6'x20' floating dock in new landward location of existing; install new on-grade 5' wide un-treated walkway landward of proposed bulkhead; and included in the work is the removal of approximately 15 cubic yards of fill from landward side of bulkhead prior to its relocation. Located: Off Anchor Lane, Southold. SCTM# 1000-71-2-21 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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 of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 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 M. Domino G. Goldsmith N. Krupski ,o,�G. Williams Other 50 Schooner Lane Photos July, 2018 1 w :. Rry ❑ - 1 F R 1 N RT1.1F E-lD RID t � taA 19 3.5 a w2 �^ '(wsOr' S SOUTyO "°9 e z m n n w ° /° u � BAY w m O e u � b " m B 110 olsa°m1 isNd m 12 is 1 2 i.aNd ; 32 - _ b '• 12 _ "38 J] n' mi 20.9 `° 12Nd mlEx aw>=r w fa w fa,e i1F fo -> E 3.f � w a NOVn wa AN B%ETWIXEOEONN EXISTS IST 1 1 21MCE,_S w n 0]9-02-003.10,003.9 33 ti � aw 15 32 _ 1 2A cl 34.ty fig 61 m 12� 10.9 3 1.m - $ f]a n i31 21112 F _ 15 DI 3o 13.TA $ Aw w /2 w z/f • o¢- sT n._ �coNc wo t" 190 _ fn b n O >.s� N_i 3e xo.0 21 ii n b b 39.9A )>10z 't8 w 29.1A u W lolslswcEr ♦ ^ _ tuz Ftl/.8 ` 11.4 a 2Nd IS1 "A y v m i.I e$ I to z a i i •� f9,2 i— 9 SODr1101Dw )S9A 9 /2 m+- a °x °' 1J c i t+2Y 1 i4 143 n ) 1. d 19 1. 72 ° iTN °1 A lfl) w OI ITA 1W /1A / - 1�A + w 221 ) 1° 113+ 11q m i11 11 +2NdIrm A ffl/ w ?9A 20AZ +aa T. )1 n� 'e R i zo Z qs'..?? ^t?NO 1� m- . w 2.DA O ZSA e n < HArma i y w 16.M I'm 19 0 O ws TOWN OF �a LJVc r 10 -1+ z u n o a sounlan 9 of 19.10 16.11 1.911 a./ 3S 3S 1 FD. ) _ 1SN21 c1 iSA(32 el ,.9A(d 1SA(d 1$Yd m Z)1 1.INd 1.°Ncl 3 / 5 9 Ti m g ,y 9 10 11 12 13 s w 53 Im a 53 2� ze e i _ 121 n 31A R21M N 51 1 A 2ow 13.1 219A I� TOWN of souTHoln a5 a/ 3 2 d -rb o a rr m z) ZM rfl 2{t T 12m 1> 20 n 2> m, 1.1 ) e it b Bi W +2/ $ 15 b ftYl�s Yom, r�7 a az au �� 1a$f 13 2 " -o a0m _ 2yd i 39 I / /) •• Q n� 1s2 s � 3.f ' vn fo lm ' ONE IINEF 11�,., I w' Sff SEC.NO O99 SEE SEG NO.099 4 mb COUNTY OF SUFFOLK © EK°° a DOWHOLD SECTION NO L ...w-...d ...+r.... ... s..... ______ a..yo.. —w.iswu. --. i NOTICE E wm .�ew�.. .a�n..a r..n.- _.. Real Property Tax Service Agency v a>9 ..... ..- cwrm mwamlr � � co�nry cmwr Rlwxwl,N 111.1 M Oi9 + Q�J errs xertr ry OFFICE LOCATION: ®`�®v s®Ur� MAILING ADDRESS: Town Hall Annex �® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 G Telephone: 631765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: May 9, 2019 Re: LWRP Coastal Consistency Review for PETER & DIANE MOLLICA SCTM# 1000-71-2-21 Jeffrey Patanjo on behalf of PETER & DIANE MOLLICA requests a Wetland Permit to remove existing timber bulkhead and landward replacement of 25 linear feet of new vinyl bulkhead and 5 linear foot long bulkhead return; remove existing 5'x22' floating dock and install a 6'x20' floating dock in new landward location of existing; install new on-grade 5' wide un-treated walkway landward of proposed bulkhead; and included in the work is the removal of approximately 15 cubic yards of fill from landward side of bulkhead prior to its relocation. Located: Off Anchor Lane, Southold. SCTM# 1000-71-2-21 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 INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. A Wetland Permit for the existing structures was not located within Town records, including the dock structure. 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 Peter Young,Chairman H = Town Hall,53095'Main Rd. Lauren Standish,Secretary P.O.Box 1179 �► ';r 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., May-8, 2019 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of PETER & DIANE MOLLICA for the removal of existing timber bulkhead and landward replacement of 25 If. of new vinyl bulkhead and 5 If. bulkhead return. Remove existing 5'X 22' floating dock and,6'X 20' floating dock in new landward location of existing. Install new on-grade 5' wide untreated walkway landward of proposed bulkhead. Included in the work is the removal of approx. 15 cy. of fill from landward side of bulkhead prior to its relocation. Located: 50 Schooner lane, Southold. SCTM#71-2-21 Inspected by: Peter Meeker Vote of Council: Ayes: All Motion Carried Michael J.Domino,President } s1� Town Hall Annex r John M.Bredemeyer IIIP.O. ,Vice-President ''`� C� Route 25 P.O.Box 1179 , Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 ; Greg Williams h� Fax(631)766-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Ofdlce'Use Only,- e Coastal Erosion Permit Application � 3 Wetland Permit Application Administrative Permit i FEB Z 0 2019 Amendment/Transfer/Extension Received Application: ZZfJ��� Received Fee: $ 2-50.00 Completed Application; •N. . ___ �______ Incomplete: 1 SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. + Lead Agency Determination Date: Coordination:(date sent): .S�l�{ LWRP Consistency Assessmet Form Sent; 3 Z CAC Referral Sent: .l Date of Inspection: _ •`� Receipt of CAC Report: Technical Review: Public Hearing Held;_ Resolution: Owner(s)Legal Name of Pro e_ (as shown on Deed): Pe I« 7:),,c-1e_ AA f Ili c 4 d �c�ccel1 f 4n 'hog Mailing Address: �- 5 ®0 Lt 01 '7 J Phone Number: Q 1 -7- 77q7- &10b-3 Suffolk County Tax Map Number: 1000 - Property 000 -Property Location: 5-0 5 ch VVn ex G�✓�c - ° 1+®?aQ s« Lo ee,_t(.v j — Qfo)<cf IS +J7,r®"q A e•tSe4►eht . (If necessary,provide LILCO Pole#,distance to cross streets,and location) AGENT(If applicable): -(� f-e A-t-4 e7 a Mailing Address: -D ' (3 tLenn` `_ J 1 (—7 Phone Number: 3 I' `f 8 -1 3 3 I Board of Trustees Application GENERAL DATA Land Area(in square feet): 2 1 1 3 y y Area Zoning: . ' Previous use of property: f LC S. Intended use of property., ' Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. r Will this project require a Building Permit as per Town Code? Yes L--'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 ✓ 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? No ✓Yes Ifyes, provide explanation: Project Description(use attachments if necessary):. S'e'e e ek RE: 50 SCHOONER LANE. -SOUTHOLD SCTIVI No. 1000-79-4-2 PROJECT DESCRIPTION The proposed project includes the removal of the existing timber bulkhead and landward replacement of 25 LF of new vinyl bulkhead and 5 LF bulkhead return. Remove existing 5' x 22' floating dock and 6' x 20' floating dock in new landward location of existing. Install new on-grade 5' wide un-treaded walkway landward of proposed bulkhead. Included in the work is the removal of approximately 15 CY of fill from landward side of bulkhead prior to it's relocation. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 15,e a-t-+ 1 Area of wetlands on lot: square feet Percent coverage of lot: �% Closest distance between nearest existing structure and upland edge of wetlands: /So feet Closest distance between nearest proposed structure and upland edge of wetlands: /S-0 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: y - Z_ Manner in which material will be removed or deposited: A-4- +,cry --m 12t . L a,,&4e tp 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): oe"'e TQC d u Ct O0 &✓ A a d40l X c a Qtre �o I?--- 0 n+c LlCti co,,O , Short Environmental Assessment Form Part I -Project Information 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 1 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 Name of Action or Project: 50 Schooner Lane Bulkhead Project Location(describe,and attach a location map): 50 Schooner Lane-Southold,See location map Brief Description of Proposed Action: Remove existing bulkhead,install new 25 If vinyl bulkhead landward of existing with 5 If return.Install 6'x 20'floating dock to replace existing 5' x 22',Remove 15 CY of material between existing and proposed bulkheads and deliver to upland location. Name of Applicant or Sponsor: Telephone: 917-747-6663 Peter&Diane Mollica E-Mail: Address: 50 Schooner Lane City/PO: State: Zip Code: Southold NY 11971 1.Does the proposed 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 1:1may 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: ❑ 171NYSDEC/NYSDOS/Town of Southold Trustees 3.a.Total acreage of the site of the proposed action? 0.02 acres b.Total acreage to be physically disturbed? 0 01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.02 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial [:]Commercial m Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic El Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed acticLo _ _ NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ 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:Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, 1:1gency: u o County, -Date: - 98-8. 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: El 1-7 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑✓ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑✓ ❑ 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? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® 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? Tiger Salamander,Piping PI ❑ ❑✓ 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, a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES ❑✓ ❑ b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: NO DYES Page 2 of 3 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: 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: 5_/1 ❑ 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: Z ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/s onsor name: Peter Diane Mollica Date:--'�,•'�'�t 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 I 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 l 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 tonin; t—�/ regulations? J "J _77 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 2 –( ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the � F-1I establishment of Critical Environmental Area(CEA)? L�/J 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 enet,y and it fails to incorporate El available energy conservation or renewable energy opportunities? ��11 7. Will the proposed action impact existing: ❑ a, public 1 private water supplies? ! El — b.public!private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic.archaeological, architectural or aesthetic resources? M 9. Will the proposed action result in an adverse change to natural Iesources(e g,wetlands, E waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 18.Docs 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: ❑ ❑ 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: ❑ 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: 7 0 I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE �� Applicant/sponsor name P er& nd'e M1llica Date: Signature: Part 2-Impact Assessment. The Lend Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the infonnation contained in.Part I 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?" M 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 ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? El 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 El ❑ 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—""I ❑ reasonably available energy conservation or renewable energy opportunities? I—J 7. Witt the proposed action impact existing: El El a.public/private water supplies? b.public/private wastewater treatment utilities? 0 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, l t waterbodies,groundwater,air quality,flora and fauna)? t t Page 3 of 4 � I --'-------_� - _u� 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 I--]problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The head 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-tern,long-term and cumulative impacts. {— I 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 I you have determined,based on the information and analysts above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impa/c/t,6(. Town of Southold-Board of Trustees Name of Lead Agency Date _M-i c h a e l _J■ -Do -In Q------- President Print or Type Name of,Responsible Officer in Lead Agency Title of Responsible Officer Signattue of Res nsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 EAF Mapper Surr—tory Report -- Monday, July 30, 2018 5:31 PM I ''l Disclaimer: The EAF Mapper is a screening tool intended to assist t r project sponsors and reviewing agencies in preparing an environmental L � 710® OJ1,t 000 7 100-'I 40'10001 — ,� assessment form(EAF).Not all questions asked in the EAF are 1� J ?'109;200=7aG4 answered by the EAF Mapper.Additional information on any EAF 1'44=1GG-26004• _ 7 I ( . I OG=1'G�0`'f.Q00`, 710'0 200 X0007.1©Q=2QQ-1 QQ 1 ti j question can be obtained by consulting the EAF Workbooks. Although 7100-'100-2700�a I 7.100 200 1003 + r r` -= 7 1002 00-6X00 7100-2 00-1002 ` r., the EAF Mapper provides the most up-to-date digital data available to - 7100=1.00 20000 / i '� DEC you may also need to contact local or other data sources in order J I ti � 7.100_100-1800© � 7J1fOr0�200-20007100-200'160©QI 1� to obtain data not provided b the Mapper.Digital data Is not a X100''100-22QOCj'� =ti. �' ,-! - ' 71 t70,20Q;30pG 71C?4-240=1?000 P Y Pp s -17'I.00'Ia0` 190007100-200-8000 . rr r� substitute fora enc determinations. ��.``--•'4�rr,-.d. a• , �-- �. �I QQ-2 G 4-1rGG a©,ice-•,,`�'aK I r iIr•_�.,I 1 agency j 7900L300-5004 . ! _ -„ X71 0-264-x3090 __f'[. I _ - rµ ,. 71 00:244-9000 4 7900-300j4002 :r7 00=40:70=1040'. ;: 1 7100-200-18000 -�_ d i•166-2"00-f'10�1� _ d P+1on`traal 79676-300-6000 i iL _ �i -�__� 8000-100-2000'2 I I f'�'-1--�_ 0 ♦i l�''7T•. =•. .fl_ _rx t1 i,iIp1r -....,_ � 1 ( � -400-8004 �' , ilk I I R,• ,, • ; r..;. 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Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7 [Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health, water, Area- Identify] vegetation, &scenic beauty,Agency:Suffolk County, Date:7-12-88 Part 1 /Question 12a [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a [Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15 [Threatened or Yes Endangered Animal] Part 1 /Question 15 [Threatened or Tiger Salamander, Piping Plover Endangered Animal -Name] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 Board of Trustees Application - AFFIDAVIT e �-ex_ 4 kie_ • /tAc t rc,_ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF H_fS/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 CLAIM_S 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.--.` -+- - �i tur roperty Owner Signature of Property Owner 44; f (� YK&,uL,4 SWORN TO BEFORE ME THIS _DAY OF �r -20 I JA'CKIE'LE SPIEGLE . .•. .. Notary Public; tAte0f04V '!o rk Registration#01 LEti381,891 Qualified] n:Kings County Commission Expires-0ct.`1�,a,2t)22 ; (D 1-� Board of Trustees Application AFFIDAVIT V e - -eA- 14 PLC- A.0 1 l c, - 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 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. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS l DAY OF NZ 24EIEBOr A R NOTARY PUBLMELIIC STATE Q ER Notary Public SUFFOLK COUNTY W YORK COMM, pC.#01 DE6349898 APPLICANUAGENURE,PRE,SENTATIV E TRANSACTIONAL DISCLOSURE FORM 7'lu,'f men of Soutbold's Code of Fthics orohibi(,s conflicts of interest nn file Dart of town ofticcrs and emnloyems.Thc_ima—lose of dais form is to provide infotmotion which can alert the town of passible cot)nicts of mtercml ind allow it to idA whatever action is necees-try to avoid same. YOUR NAME: ® (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance _ Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If'Other',name the activity.)_ - ---- Do you personally(or through your company,spouse,sibling,paretn.or child)have a relationship with any officer or employee of the'1-own of Southold? "Relationship"includes by blood,marriage,or business interest -Business inieresf'meatus a business, including a partnership,in which the town officer or employee tas even a partial ownership of(or employment hy)a corporation in which the town officer or employee owns moic than 5%of the/shares. YES _ NO __ v 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 l)cscribe the telationship between yourself(the;ipl)licant/agcntlrepresentative)and the town officer or employee.Either check the appropriate line A)through D)author 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)ilia owner of greater than 5%of the shares of'the corlmrate stock of the applicant (when ilia applicant is n corporation); 13)the legn!ar bene!icia!owneeofany interest in a non-corporate entity(when the applicant is nota corporation); C) an officer.director,partner.oremployce of the applicant;or D)the actual applicant. DESCRIPTION Or RELATIONSHIP Submittedis 1 day of /�•P�� 2�� Signature Print Name )I��✓ __,�'Iy U L Form'I'S 1 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, PC 4-e I— i k,`1 -e— A-A o I t- c e...- owners owners of the property identified as SCTM# 1000- -7 c `f - -L- in the town of So .1 jc New York, hereby authorizes �e -r•4:�,r c a,'f' 1 a 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. Ur/ . Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF (� `r ,20 I�( J'y _ Notary Public BARBARA H.TANDY Notary Public,State Of New York No. 01 TA6036001 Qualified In Suffolk County Commission Expires 01/13/20�3 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) owners of the property identified as SCTM# 1000- -7 �' 2' in the town of m •• t New York, hereby authorizes -r-4:,r e sa g.vi 1 to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board ofTrustees'for this property. Prope wner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF F!tk ruary 20 C Notary Public } r State of New York County of Kings The foregoinstrument was acknowledged before me this day of ,20_�. by �� DANNELL Nota Public c#0, GZ 138183 My Common Expires APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSUR4 FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on tate part of town officers and nlovees The outroose of his,corm is to provide information w hrch can alert the town oftmssible collaicts of httcrest and allow it to take whatever ctro i pecesEnryto avnid same. r YOUR NAME: AA l d t !t e°' 1 e (Last name,first name,4iiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF-APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zohe 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 erttploymenl by)a corporation in which the town officer or employee owns mai a 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 Al through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,patent,or child is(check all that-apply): A)the owner of greater than 5%of the sliares of the corporate stock of the applicant (when The applicant is a corporation); B)the legal or-beneficial owner orally interest in a non-corporate entity(when"the applicant is not a corporation); C)an officer,director,partner,or employee or the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted t ' of C 20_1119Signature Print Name_ O r ---- Form TS 1 APPLICANT/AGENT/REPRESENTATIVE i TRANSACTIONAL DISCLOSURE]FORM . 1 The Town cif Southold's Code of Ethics prohibit conflicts of interest tin the;hart of town`oflicers and employees The nurpose of this fohii-is-to` rovide information which can alert the town of 0054ible conflicts of interest and allow i!to take whltever action is necessaiv'to,avoid same. �- YOUR NAME: l_ .a + et e1) a (Last name,first name,4iiddle initial,unless you are app ying 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.) - t Tax grievance Building s 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,persodally(orthrough your'company,:spouse,sibling,parent,or child)have a relationship witivany officer or'cmpltiyee w of the Ton af�Southold? "Relationship"includes by blood,nlarriagc;or business interest"Business.interese,means a business, including a partnership,in which the town ofticeP or offililoyee has'even acpartial ownership of(or employ rient by)a'corporatioii in which the town offieer'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 a Describe the relationship betweenyourseif(the applictuitlagent/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 sh-aresof the,corporate stock of the applicont (when ille applicant is a corporation);. I3)the legator berfeficial ownee of any interest"in anon-corporate entity(whet!the applicant is not a corporation); C)`an,officer,director;partner o_eemployce of-the applicant,or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 2-day of 20–U Signature Print Name J1M- Fotm TS I f Michael J.,Domino,President �SOEEOCK�,OG Town Hall Annex John M.Bredemeyer III,Vice-President ��.• ��,, 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski %.I-- ® Southold,NY 11971 Greg Williams A ap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD,OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of PETER.&DIANE MOLLICA ' COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE, I; Jeffrey Patanjo ,residing at/dba PO Box 582,Bohemia,NY 11716 being duly sworn, depose and say: That on the- -7 day of May , 2019, I personally posted the property known as 50 Schooner Drive, Southold,NY SCTM#1000-79-04-02 by placing-the.Board of Trustees official poster where it can easily be seen, and that I-have checked,to be sure the poster has remained in place for eight days prior to the date of the public hearing.-Date of hearing noted thereon to be held Wednesday, May 15,2019. Dated: (sI*) Sworn to before me this 7 day of May 2019 MARILYN S.HICKS NOTARY PUBLIC,STATE OF NEW YORK tar• ` NOu ,li6 Registration No.01H16365489 Qualified in Suffolk County Commission Expires October 10,2021 IT COB � _ 0 _a i m:s c ''io\ ? �, B ( yqqt € °"k °C�.„..z ,;.,ate n f r }€ '.. . ;i jt €.,;x EZI iF ty� s1 €• tYrux L;:'� € ti `;,,1" r�'�: E'ra ,,.✓ .:z: C;M^1 " •, ,' •' ED M Certified Mad Fee Certified Mad Fee > $ > m ti iy\ "' 1--3 Extra Services&Fees(checkbox,add tee as appropriate)'�� �- Extra Services&Fees(check box,add fee as (JO ❑Return Receipt(hardcopy) $ ❑Return Receipt(hardcoPY) $ n. Return Receipt(electronic) $ Postm\k:i1� 1 Return Receipt(electronic) $ ❑Certified Mail Restricted Delivery $ I ere - ❑Certified Mail Restricted Delivery $ l �YW� rF Here 0 E] � Adult Signature Required $ �` `-'•� 0 []Adult Signature Required $� []Adult Signature Restricted Delivery$ / El Adult Signature Restricted Delivery$ O Postage O Postage m $ Sp S mro $ ? a Total Postage and SCTM#100 - - -9 r9 $taI Postage and SCTM#1000-71-2-27 $— Rogers APRT#1 a Sent To lannucci Pasquale R CO Sent To ra Rogers APRT#II SfieetandApEN6 O §tieetandApCNo IannucCl Emily E r- ------------ 132� 9 Broadway Ave 4 state;2ip�-4a 102 Lexington St. City,State,ZIP+4 I , Holbrook, NY 11741 _ B B Westbury, NY 11590 Ln ®° IT' ;.a B '• t r& t:-- fig ;, ,�; M Certified Mad Fee 1-3 Extra Services&Fees(check box,add The as appropdais) El Return Receipt(hardcopy) $ N Y PO f 11 C]RReturnReceipt(electronic) $-I C-3 / ❑Certrtied Mail Restricted Delivery $; Here E-3 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ fl Postage \ V 5 I m $ _ rro Total Postage an( $ SCTM#1000-71-2-1.1 a Sent To Harbor Lights POA I C3 StreeiandAi K PO Box 1327 N CiryState,ZiP+4' Southold, NY 11971 cee PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: t 7I STATE OF NEW YORK- COUNTY ORKCOUNTY OF SUFFOLK , residing at being duly sworn, deposes and says that on the day of , 2C , 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 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIP'T'S Name: Address: SCTM#7000-71-2-27 SCTM#1000-71-2-9 SCTM#1000-71-2-1.1 lannucci Pasquale R Rogers QPRT#I Harbor Lights POA lannucci Emily E Rogers QPRT#II PO Box 1327 102 Lexington St. 132 9 Broadway Ave Southold, NY 11971 Westbury,NY 11590 Holbrook, NY 11741 STATE OF NEW YORK COUNTY OF SUFFOLK Jeffrey,,Patanjo . residing at PO Box 582,Bohemia,NY 11716 being duly sworn,deposes and says that on the - I day of_ May .2019 -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 Bohemia that said Notices were mailed to each of said persons by CERT D MAEURETURN RECEIPT. AA� Sworn to before me this Day of-May ,2019 MARILYN S.HICKS NOTARY PUBLIC,STATE OF NEW YORK Regi"lon No.01HI6365489 No ry,Public Qualified in Suffolk County Commission Expires October 10,2021 May 10, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 � CE Southold, New York 11971 L RE: 50 SCHOONER LANE -SOUTHOLD 201 SCTM No. 1000-79-4-2 DDDD /4FFIDAVIT$ wn tees Dear Trustees: Attached, please find affidavit and mailing and posting for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffr y Patanjo P.O. Box 582 Bohemia, NY 11716 NUTILt: 'Uim Ht: ARING 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 : PETER & DAINE MOLLICA SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove existing timber bulkhead and landward replacement of 25 linear feet of new vinyl bulkhead and 5 linear foot long bulkhead return; remove existing 5'x22' floating dock and install a 6'x20' floating dock in new landward location of existing; install new on- grade 5' wide un-treated walkway landward of proposed bulkhead; and included in the work is the removal of approximately 15 cubic yards of fill from landward side o---, bulkhead prior to its relocation. Located: Off Anchor Lane, Southold. SCTM# 1000- 71 -2-21 TIME & DATE OF PUBLIC HEARING : Wednesday, May 15, 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 sianif cant 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 ansover 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# '? I �- PROJECT NAME 5-0 .g" o o n t2. 6— - S v.�4-1101 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (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: Sw et �4--G L(b eco f Location of action: r0 5 e,4 o o c Site acreage: 4 Present land use: S Present zoning classification: l?-�S•_ 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: 10e-4-elf- . �7- 0 ea rle- AA 0 lite 44- (b) Mailing address: 5"d re-Ao n-e Z It 1-7 5 4A 111-7 1 (c) Telephone number: Area Code 7- _-7 Y'7 (d) Application,nurnber,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? i Yes R No❑ If yes,which state or federal agency? f-J K S A G e- /M`'i e.D oS a 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. DEVELOMD COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. Yes ,❑ No ❑ Not Applicable rfo�a&4 er t5& i-ben t- 4eta -t �Jl���a�-S __�ep� en ku✓ltoS- 'A S Su P!®�..-fit•�y I'ltcy ®r1.S �y'c �tavi�y IhSZ't/�c� i✓o�" _ . Attach additional sheets if necessary Policy 2. Protect and preserve ,historic and archaeological resources of the Town of Southold. See LWRP Section III-PPolic/ies Pages 3 through 6 for evaluation criteria 1-1Yes El No 2 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 ❑ Not Applicable /)r,, -e-n kkoi t t.S �iS 4.l �..e-4 Ap a— d?-e—c y 4 t,"21 . 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 S through 16 for evaluation criteria EI�Yes ❑ No ❑ Not Applicable rre� rvf-ce S �t, eynSf lots �� L*.,� d,,G �H elC� Attach additional sheets if necessary Policy S. 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 -to w,d afeeJ sir n n..( ,® t�®,,•r �n� ti� lov l�[Gk cwaP. 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. ❑ F1 Yes No Not Applicable F'rDi-eG Y _ s !l it 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[�]'Plot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVVRP Section III-PoIicies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No L7s.Not Applicable PlUBLIC 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. Ye�] No❑ Not Applicable Pt va e a tee,-_0 SCG reg,tt.,- V S'C�• Attach additional sheets if necessary WORDING 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. F1 Yes 1:1 No U 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. ElYes 1:1 No No L=-1 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. 0 Yes F1, No [E Not Applicable PREPARED BY `� ®` w • ° TITLE 9 n IDATE LY /� March 4, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P-ECE0VE P.O. Box 1179 Southold, New York 11971 RF MAR s 8 2019 RE: 50 SCHOONER LANE -SOUTHOLD SCTM No. 1000-79-4-2 Southold Town ADDITIONAL FORMS ar Lof TruSim S Dear Trustees: Attached, please find original signature pages that were inadvertently left out of our submission package. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, PAA—� J rey Patanjo P.O. Box 582 Bohemia, NY 11716 1 r 1 February 15, 2019 Town of Southold Trustees IFi_. r�, Town Hall Annex Building `s!j ? 1f; 54375 Rte. 25 FES 20 2019 P.O. Box 1179 Southold, New York 11971 n Both;;v!T;r,;,_3,C RE: 50 SCHOONER LANE-SOUTHOLD T' SCTM No. 1000-79-4-2 PERMIT APPLICATION Dear Trustees: We hereby submit one (1) original and three (3) copies of the applications, project plans,,water depth survey, checks and project description for above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, J rey Patanjo P.O. Box 582 Bohemia, NY 11716