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40200 Main, LLC
Michael J. Domino, Pri": sat Sc Town Hall Annex John M. Brederneyer III,Vice-President yam,, 54375 Route 25 - 'Glenn Goldsmith yP.O. Box 1179 ZZ A.Nicholas Krupski Southold,NY 11971 Greg Williams 4,- dap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 6 142--l1e, Completed in field by: � !' Costello Marine Contracting Corp. on behalf of 40200 MAIN, LLC requests a Pre-Submission Inspection to discuss proposed improvements on the property. Located: Orient By The Sea Restaurant & Marina, 40200 Main Road, Orient. SCTM# 1000-15-9-8.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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. 111.4./ SEQRA Type: 1 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 & ackno ed the foregoing Trustees comments: Agent/Owner: k = Present were: Bredemeyer '—M. Domino G. Goldsmith N. Krupski G. Williams Other 4t immommumbafift lid i 6 / 12 / 2019 10 ' 37 ' I ttt _i Nom rte *« LS . j 6 / 12 /2019 10 : 37 t ,Y imp_!W- # � ' ^ 6/ 12 / 019 10 . 38 40200 Main,LLC ri 40200 Main Road,Orient SCTM#: 1000-15-9-8.1 6/12/19 -----, v Yr I _ s � -,um_. 6� a ON............ q - 1 • - � 1 1o1 � 7 IRV- , n 6 / 12 /2019 10 ' 38 40200 Main,LLC 0200 Main Road,Orient CTM#; 1000-15-9-8.1 /12/19 Elko � . Nt now r� 40200 Main,LLC 40200 Main Road,Orient SCTMN: 1000-15-9-8.1 6/12/19 d 1 � y �� •A. 1w �il�/�i>�� fe I I 1 r- y k � s r r r 0D� �D�O� ► �l® a Wi oil 1. =Moro X it rW ♦r�i. �S ��. _ -. _ __ '! _ ,- � "\ r _e7 6 / 12 /2019 10 : 39 . -- 6 / 1 10 ' 39 ISLAND C \ of m 13 (P I ,1111 l.0 1.0 ,.te L5 0^ � � 1IJAN 3 ► e' a c n u It f 1,+ 1.n °� SCI-I.D.2 FD 25 — eS ° za m£^•^ w on `� '.s -,50� ,�, �- w' ` '> LD 40 MD.60 PD.65 ; L� / .�. ° °R. " a y0m ",x ". X12• I COIMIYOF BUFFOII( I O s lip VO. N v z' a`• .Q '� ° `- m' :a•1' 1.n O at 01� , ^• a zas z..e ; :�?• S ,n M 1,e $ Pn g�tee ,1°"• I „„w I �.: �'a ",x �ays 0 mza.) �°. e$,�,,1 z6„ fm ,n a ,>•.�'`r I ZIA 1r„° sy, U.'s m z0 _ •1 U 4 241 t.w �_. ^ . ``' ^, • m.. x1.15 z..te a ,• §-�� ,u m s /' 24.13 24.,6 9 •: � 2.3, W 2.38 � • ,a1'tr ♦� � z.32 x.3i ° M �pau,a••pM �,.M "L- \ "3l Ln. ✓ 'gip", ~11 t �p f° nm 8 1x)11 � �\ t \ n® )f� � / 19. ,501 ,• g p "" v ZTAW t.tWd QO FOR PCL ND. iqt PCL 110. a 43 • p • GT SEE 6EC.NO. -SEC rq. �,. ^ 1•e' s �s ,Lp1 @DOt-0022 OZp01-00.1i , � �. M11 .\ A rant—Z--- ------Z.-- ur E `9 w' zw<I I 9m "P" y a ♦ zy a tax _ NOnCE COUNTY OF SUFFOLK © x + ff SOIJINOLD SECTION NO L ,,,,_� —�— ww - tzt> - 0 w..� --�-- ^-'� --•-- Real Property Tax Ser\nCeAgency v E _'__ �! — ,.. —__ w..� --•-- a"'w--�-- c..ne)enr w..nw...nr„s°, P +� 015 N —__— oeau. --.-- o.wu.--�-- u P a no 1000 PROPERTYMM err r�wn rmww wMoul Wni+E"wAws1'mf O[+f< >m e m O o...: frw.rnawxn na l,wx�i,�Ncr 1° � �z zj;� :ij�:�:r�:�����r�� . r:� �:arc• wM��.���:�r: :j�•����r: ��»r•�Wo_tNNUMIK June 5, 2019 Southold Town Trustees t '` I ; PO Box 1179 Southold,NY 11971 r' k JUN 5 2019 - RE: Orient By The Sea Restaurant&Marina 40200 Main Road, Orient �— Dear Trustees: I am requesting a Pre-submission on-site conference regarding the above-referenced property. The new property owner wishes to make improvements to the property and would like insight from the Board of Trustees prior to finalizing the project plans. The following people are expected to be in attendance: ■ Ed D. Burke, Sr.,Esq. ■ Lisa Poyer of Inter-Science Research Associates, Inc. ■ Don McAulay, SeaScape Partners ■ Bob Haase,Property Manager&Previous Owner ■ John Costello/Jane Costello—Costello Marine Contracting Corp. I have enclosed the required application forms and a check in the amount of$50.00. I can be reached at the office, (631)477-1199 or via email jane@costellomarine.com, or John Costello can be contacted directly on his cell phone(631) 902-1711. Sincerely, /JafneP.4Costello Permit Manager enclosures • . ► •T•7.�M�IIIC•���-r :_ _. •7•�'��-�1��•�I�� r K•7►'�11��•�C7�3�ysti, _�• : • • • • -�+y 111 • ' • • n . • • i1 BURKE & SULLIVAN, PLLC Attorneys at Law Est. 1970 41 Meeting House Lane Tel: 631-283-4111 Southampton, New York 11968 Fax: 631-283-7711 (Not for Service) EDWARD D.BURKE,Sr.,Esq. Web: www.hurkeandsulLivan.com NYSSupreme Court Justice(2000-2007) Southampton Town Justice(1994-1999/2008.2015) Of Counsel:. DENISE BURKE O'BRIEN,Esq. TIMOTHY S.McCULLEY,Esq. JOSEPH M.BURKE,Esq. KIERAN PAPE•MURPHREE,Esq. June 3, 2019 Town of Southold 54375 Route 25 Southold,New York 11971 Re: 40200 Main LLC To Whom It May Concern: The undersigned is counsel for 40200 Main LLC. Based upon my knowledge and review of the LLC documents and all other necessary documents and records, it is confirmed that Marc is the Managing Member of 40200 Main LLC. I give this opinion knowing that the Town of Southold will rely on same. Very truly yours, BURKE ULLIVAN, PLLC H4 rar . Burke, Sr. EDB:lm General Legal Practice, Land Use, Permitting and Commercial Matters 8y Appointinenr on 3348 Noyac Road Sag Harbor,New York 11963 i so U- Town Hall Annex Michael J.Domino,,President O� r©� 154b75 Route 25 John M.Bredemeyer III,Vice-President �. P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G v ,. Telephone(631)765-1892 Greg Williams D � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD % - 3 Chapter 275-8 A. "Presubmission conference. Applicants are encouraged to schedule a voluntary presubmission site visit to discuss the proposed operations with the Board. Discussions in the..field are purely advisory and nonbinding, but this meeting is intended to facilitate communication between the applicant and the Board, There will be a $50,for this conference,which may be applied to an application fee for a wetlands permit made within six months of the site visit and which application involves structures that were the subject of the site visit." I HAVE READ THE FOREGOING AND AM AWARE OF ITS CONTENT: 40200 Main LLC by Marc Rowan, Managing Member J APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emplovees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: COSTELLO MARINE CONTRACTING CORP. (Last name,first name,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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/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 that 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 5 day of ,20_Lf Signature Print Na Jane Costello for Costello Marine Contracting Corp. APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSUF FORM The.Tovm,of Souttiold' C d'e of Etlues rohibits conflict's of interest an the art of tow :officers and•em 7" ees.The u se.of .this form is•to rovidG•iiiformahon_which can-alerfthc tot 'of ss'i61c conflicts of ihterestanil irlio�v itto tape hatever action is itecessarvto avoid same. YOURNAME: 11 (Last name,fiistname,-diddle initial,unless you are applyingti the name of someone else or other entity,such as a company:If so,indicate thb.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 'I3xamption from plator official map _ Planning Other (If"other,name the activity.) Do yau,potsorially for Through your comp ury;.spouse,siblitrg,parent,or-cliila)'have'a relatiorfslrin witli any officer or employee oFtbc Town of Sbuthold? "Rclationsh!V'includes by blood,rgaid,ai6,or'b'usincss ihtcresL"Bus4 eiss.intemsY means a busial including;a partnership;in which,thc'town officer•or•employce,has•evcn a partial ownership of(or empldy#idh by)a curporatian in Which the town off icer or employee owns more than.5,'l of the shares. YES __ NO XX lfydu 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 Dcscribbthe mlationsbip betweenyoursdlf(the applicantlagent/representative)and the town officer or employee.Either check the appropriate.line A)through D)ar(dlor descobe 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 ot:greater than S'to of-the shares of the corporate stock of the.applicirtit (Nihon the applicant is a corporation); ' B)'the legal orbenefic?al owner of arty interest in a non-corporate,entity,(whch tile' applicant is nota corporation); C)an 'fficer,•director,partner, ,oor employee of the applicant;or _ D)the.actual applicant. DESCRIPTION OF RELATIONSHIP Submitted`4s f 20�,L gnature Print Name_ arc Rowa Manaaina Member Form TS 1 Board of Trustees Appl.ic Lon AUTHORIZATION (Where the applicant is not the owner) 1/We, Marc Rowan , owners of the property identified as SCTM# 1000-.015'. 00-09. 00-008. 0 01 in the town of New York,hereby authorizes to act as my agent and handle all necessary work involved with the application process for permits) from the Southold Town Board of Trustees for this property, Property Owner's Signature Property Owner's Signature 40200 Main LLC by Marc Rowan, Managing Member SWORN TO BEFORE ME THIS 'J Sfi DAY OF May .,20 1 y BIANCA J RENSNER Notary Public, State of New York Notary Public No OIRE6354084 Qualified in New York County Commission Expires February 6,2021 Board of Trustees Appli<' `tion AFFIDAVIT Marc Rowan 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 HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAYBE 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 40200 Main LLC by Marc Rowan, Managing Member SWORN TO BEFORE ME THIS 3 l ct_DAY OF 1" `� 20 119 BIANCA J RENSNER Notary Public Notary Public,State of New York No.01 RE6354084 Qualified in New York County Commission Expires February 6,2021