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TR-9481
Michael J.Domino, President q SU(/l�o Town 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 • Telephone (631) 765-1892 Greg Williams �cDUNTY, O Fax(631) 765-6641 � �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: U'r"G Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: CONNTS: CERTIFICATE OF COMPLIANCE: Michael J.Domino, President 'Qf SD(/Jy Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith 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 CERTIFICATE OF COMPLIANCE 1647C Date: October 11, 2019 THIS CERTIFIES that the installation of a 4' high fencing along west property line 140 linear feet to upper wood retaining wall,south 110 linear feet, east along property line 150' to upper wood retaining wall; and to plant 3'-4' of natural vegetation along wood retaining wall(native vegetation 110'x4' non-turf buffer); At 19965 Soundview Avenue, Southold Suffolk County Tax Map#1000-51-4-5.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 12,2019 pursuant to which Trustees Wetland Permit#9481 Dated June 19,2019,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'1 is for the installation of a 4' high fencing along west property line 140 linear feet to upper wood retainig wall south 110 linear feet east along property line 150' to upper wood retaining wall; and to plant 3'-4' of natural vegetation along wood retaining wall (native vegetation 110'x4' non-turf buffer). The certificate is issued to Karan Ahooia owner of the aforesaid property. Authorized Signature *a, CC#: C19-38915 i COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A PASCALE,Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 08127/2019 under Liber D00013025 and Page 932 and, that the same is a true copy thereof,and of the whole of such original In Testimony Whereof,I have hereunto set my hand and affixed the seal of said County and Court this 08127/2019 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL 1111111 Illi IIIII IIIII IIIII IIIII IIIII IIIA VIII IIII IIII 111111 IIIII IIIII 1111 IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 08/27/2019 Number of Pages: 7 At: 12:36:06 PM Receipt Number : 19-0161382 LIBER: D00013025 PAGE: 932 District: Section: Block: Lot: 1000 051.00 04.00 005.001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $35.00 NO Handlmng $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $8.75 NO RPT $200.00 NO Fees Paid $283.75 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County F,I.,r L E. z Number of pages rQLI i,;)•p{'' _ _IlUisi_,i_v Phis document will be public Iecord Please remove all Social Security Nurnbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page/Filing Fee 1- 1 Handling 20. 00 1 Basic Tax2 Additional Tax TP-584 Sub Total Notation Spec/Asset or EA-52 17(County) Sub Total l Spec /Add EA-5217(State) TOT MTG TAX Zoo Dual Town Dual County R.P T S.A. >, Held forAppointment Comm of Ed 5 _00 Transfer Tax (IjZ, Affidavit R 4 Mansion Tax OREDThe property covered by this mortgage is CertiffeclCopy _ or will be improved by a one or two NYS Surcharge 15 00 �r) � family dwelling only Sub Total YES or-NO Other Grand Total�� r� If NO, see appropriate tax clause on i, page# of this instrument. f 72,5 JJ I r � 3939405 1000 05100 0400 005001 5 Community Preservation Fund _ Real Property P T S I ` (� Consideration Amount$ Tax Service R VITA I I(�■ Agency CPF Tax.Due $ Verification 27-AUG4 Improved 6 Satisfactions%Discharges[Releases List Propperty Owners Mailing Address RttCORD&RETURN TO. Vacant Land PATRICIA C MOORE ESQ. 51020 MAIN ROAD TD SOUTHOLD NY 11971 TD TD Mall to.Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co Name www suffolkcountyny gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DECLARATION OF COVENANTS made by- (SPECIFY TYPE OF INSTRUMENT) KARAH AHOOJA The premises herein is situated in SUFFOLK COUNTY,NEW YORK TO In the TOWN of SOUTHOLD TOWN OF SOUTHOLD In the VILLAGE or HAMLET of SOUTHOLD BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING (over) IMPORTANT NOTICE If the document you've dust recorded is your SATISFACTION OF MORTGAGE, please be aware of the following If a portion of your monthly mortgage payment included your property taxes,`vou will now need to contact your local Town T ax Receiver so that you may be billed directly for all future property tax statements Local property taxes are payable twice a year- on or before January 10,4 and on or before May 31,1 Failure to make payments in a timely fashion could result in a penalty Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst,N.Y. 11757 Riverhead,N Y 11901 (631)957-3004 (631)727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville,N Y 11738 Shelter Island,N.Y 11964 (631)451-9009 (631)749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton,N Y 11937 Smithtown,N Y. 11787 (631)324-2770 (631)360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington,N Y. 11743 Southampton,N.Y. 11968 (631)351-3217 (631)283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip,N.Y. 11751 Southold,N Y 11971 (631)224-5580 (631)765-1803 Sincerely, Judith A Pascale Suffolk County Clerk dw 2/99 110104..06106Fd DECLARATION OF COVENANTS Sr THIS DECLARATION made this 0—/ day of August, 2019 by KARAN AHOOJA, residing at 31 E. 28TH Street, Apt 5W, New York, NY 10016 hereinafter referred to as "DECLARANT(S)" WITNESSETH : WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located at 19965 Soundview Avenue, Southold, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 51, Block 4, Lot 5.1 which is more particularly bounded and described as set forth in Schedule"A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S)therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town`of Southold to undertake certain regulated activities;and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required the planting of 4' of natural vegetation along the wood retaining wall(native vegetation 1 10'X 4'non-turf buffer)as depicted on the project plan stamped approved by the Board of Trustees of the Town of Southold on June 19,2019;and WHEREAS, as the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the property, and NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained plantings of 4' of natural vegetation along the wood retaining wall with the native vegetation forming 110' X 4' of"non-turf buffer" as defined by Chapter 275 of the Town Code, to wit: "A designated area where turf grass, pesticides and fertilizers . 1 are not permitted", as depicted on the project plan stamped approved by the Board of Trustees of the Town of Southold on June 19, 2019 and attached herewith as Exhibit A;and 2) In accordance with the Terms and conditions as set forth in Permit No 9481 issued by the Board of Trustees of the Town of Southold June 19, 2019 and attached herewith as Exhibit B;and 3) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument thisc�l day of August,2019 KARAN AHOOJA STATE OF NEW YORK ss: COUNTY OF s uFF-11=F On thea I day of August in the year 2019, before me the undersigned, a Notary Public in and for said State, personally appeared KARAN AHOOJA, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the Instrument, the individual or the persons on behalf of which the Individual(s)acted,executed the instrument. N tary ublic MARGARET C RUTKOWSKI NOTARY PUBLIC,STATE OF NEW YORK Registration No.01RU4982528 Quaetled in Suffolk:r�}�y ? 2 My CommissionDpims kme%-.,20�� SCHEDULE A ALL that certain plot,piece or parcel of land,situate,lying and being in the Town of Southold,County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the northerly side of Soundview Avenue,said point being the intersection of the division line between the easterly line of premises herein and the westerly line of lairds now or formerly of Franco G.Punta and Claudia Purita with the northerly side of Soundview Avenue,said point additionally being North 82 degrees 16 minutes 30 seconds West a distance of 100.00 feet from the westerly line of lands now or formerly of Michael D Esposito and Yolanda Kanes, RUNNING THENCE along the northerly side of Soundview Avenue the following two courses and distances: 1) North 82 degrees 16 minutes 30 seconds West,17.52 feet to a granite monument; 2) North 70 degrees 28 minutes 50 seconds West,110.95 feet to a point,said point being the intersection of the division line between the westerly line of premises herein and the easterly line of lands now or formerly of Karen Daley and Mary Jablonski with the northerly side of Soundview Avenue; THENCE North 01 degree 01 minute 20 seconds East along the last mentioned division line and passing through a granite monument a distance of 203.34 feet to the mean highwater mark of Long Island Sound; THENCE easterly along the mean highwater mark of Long Island Sound the following four courses and distances. 1) South 63 degrees 53 minutes 34 secohds East,12.71 feet; 2) South 67 degrees 49 minutes 40 seconds East,25.31 fee(; 3) South 75 degrees 03 minutes 42 seconds East,88.37 feet; 4) North 89 degrees 23 minutes 14 seconds East,21.63 feet to a_point on the division line between the easterly line of premises herein and the westerly line of lands now of,fotmerly of Franco G.Purita and Claudia Purita; THE14CE South 06 degrees 33 minutes 10 seconds West along the last mentioned division line a distance of 206.39 feet to the intersection of the division line between the easterly line of premises herein and the westerly line•of lands now or formerly of Franco G.Purita and Claudia Purita with the northerly side of Soundview Avenue,the point or place of BEGINNING SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK LANG. SC TAX No 1000-51-04-5.1 Z.32 SCALE 1"=20' J ISLA.N DECEMBER 6, 1995 6TH, D OCTOBER 22 1996(BOOED CO.STAT EROSON—SE-E) 1AJJ�0•f SQ UND - JOLT,6_RCHJB°E1006NMOE0°TOPOGFMHM L`SURAEYRM lWE) g X5.0 JAHUAw 12 2002 SET SE2BA°6 S ACEs C.23 2009 EI-ILR ALG 10,2016 UP—5URVEY ♦W gg .ZJLH N 49'23 Id" 2131 AREA=26,96a°q 1, N 63 Do ROLD SE—C A PAN—El.NATIONAL—E-U—CE CO4PANY l' s — � tt 9�k, 6D6< -k �r35- 01 171 ° ! -��- 'iiPROVED BY ARD OF 1RUSTEE OF SOUTHO DATE T✓l*-!4, 2a!f ..,4,,. S'0�ge°: Nathan Taft Corwin III OU1V)j Land Surveyor BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.9481 DATE: JUNE 19,2019 ISSUED TO: I{ARAN AHOOJA i PROPERTY ADDRESS: 19965 SOUNDVIEW AVENUE,SOUTHOLD j SCTM#1000-51-4-5.1 1J AUTHORIZATION 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 June 19,2019,and in consideration of application fee in the sum of 250 00 paid by Karan Ahooja and subject to the Terris and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following- Wetland Permit to install 4'high fencing along west property line 140 linear feet to upper wood retaining wall,south 110 linear feet,east along property line 150'to upper wood retaining wall;and to plant 3'-4'of natural vegetation along wood retaining wall(native vegetation 1101x4'non-turf buffer);and as depicted on the project plan prepared by Patricia Moore, received on April 15,2019,and stamped approved on June 19,2019. 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 19th day of June,2019. � , TERMS AND CONDITIONS The Permittee Karan Ahooia residing at 19965 Soundview Avenue 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 ai ising directly or indirectly as a result of any operation performed pursuant to this permit,and the paid 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 or iginally 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 Pei mittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this 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. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the Pei mittee 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 author ize 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. 4 Michael J. Domino, President ��o�o oo� Town Hall Annex John M. Bredemeyer, III, Vice-President t"� y1' 54375 Route 25 Glenn Goldsmith V, N z P.O. Box 1179 A, Nicholas Krupski y • �� Y Southold, NY 11971 Greg Williams �1 , ( ���f�' 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 Y2 constructed Whenjroect complete, call for compliance inspection; P p P P N BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9481 DATE: JUNE 19,2019 ISSUED TO: KARAN AHOOJA 7%. PROPERTY ADDRESS: 19965 SOUNDVIEW AVENUE,SOUTHOLD 2 SCTM# 1000-51-4-5.1 AUTHORIZATION I Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in V accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 19, 2019, and in consideration of application fee in the sum of$250.00 Daid by Karan Ahooja and subject to the Terms and Conditions as stated in the Resolution, the Southold �own 'Board of Trustees authorizes and permits the % following: Wetland Permit to install 41 high fencing along west property line 140 linear feet to upper A wood retaining wall,south 110 linear feet,east along property line 150' to upper wood I retaining wall; and to plant 3'-4' of natural vegetation along wood retaining wall (native 110'x4' non-turf buffer); and as depicted on the project plan prepared by Patricia vegetation Moore, received on April 15,2019,and stamped approved on June 19,2019. 4 IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, th and these presents to be subscribed by a majority of the said Board as of the 19 day of June,2019. ffiFF014- J� co COP k 4,- A n 1�1'�`117_;, > Vi_ ci R V 14� A 'It y too TERMS AND CONDITIONS The Permittee Karan Ahooja residing at 19965 Soundview Avenue, Southold, New York as part of the consideration for the issuance of the Permit does understand andprescribe 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. r 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. Than 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. The Permittee is required to provide evidence that a copy of this 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. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 11. 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. SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S 63• LQ� S.C. TAX No. 1000-51 -04-5.1 .7— SCALE 7 SCALE 1"=20' S 6)• jAsL� A T� DECEMBER 6, 1995 X9.4 S OCTOBER 22, 1996 (ADDED COASTAL EROSION HAZARD LINE) JULY 16, 1998 (ADDED FENCE LOCATIONS ON EAST PROPERTY LINE) S �J MARCH 28, 2006 ADDED TOPOGRAPHICAL SURVEY5.03.4 JANUARY 17, 2007 SET SETBACK STAKES 2" E i MARCH 23, 2009 FINAL SURVEY STEPS AUGUST 13, 2018 UPDATE SURVEY o MdN XINGED ALUM NUY N x"'_`zowcAP �"IW4 1.22ok0"G 883jacyl N 89"23'14 " E �+E,D 21.63 AREA = 26,968 sq, ft. u0 E (TO BULKHEAD) 0.619 OC. WOOTM's-R0'r 1SREP�NRff WALK CERTIFIED T0: t'EGEYA i OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY �0 M KARAN AHOOJA ORANRE �iILO \ W Ll J wood LWOwp N `11D) �"-A (� 1�r7 r= ^'1 3 _TW or eLD,r p(� E� t� LL.� �i t( l (�;`,? ��� �l� ,*oCa STEP , ,,/< / WOOD"I'll, r r I�� I\�! I f�i �/� k,Cw?e•Q1�yy. gz tY Wnt�°�" NyD°°DEC, SLA Ki"r�' I I.E. ES Nr TAL EROSION IAZAD 1HARM._ HE OU 2 STORY OS � QPHOTO �14 FRAME HOUSE No. ss-578-6J Southold?0111n HOUSE N p k' y� D 19965 l(/J"1( E`c�'' Z 2UMTSIC 2A- �,�-13s � 1 " ' /®� {_ Board of ir(Istres G � ^ SLATE PA1K) YHK i / F'E.• le.E• W ISS' wood / STEP$ -d5 Z j / 21•' �a� �J FENCE NOGNr CHA40E le' FENCE HEKiIr CIMNCC A� S '°'?8 ST'�si�sic ApPROVED Y Np s c "Olt F -Q4.00, 0 2e " =' . _ g b ..BOARD OF T RUS EES � toe � F FLAT 3 s ;'0-2"S POOL ANE EoW FOR 3 F TOWN OF SOUT OC® ATE 1OVE HOUSE Nc uNlr P w OpA,a°u0m 0"E O/l _ �+cTrrNp l !' WAtK ap1, gRA E ~ R;. Z , //`''T 26r 6. or_k°e �E' '�w7 PREPARED IN-ACCORDANCE WITH THE MINIMUM T$j 8g,£/ cY�� I • T\' �7 323' f • r �� ��� —`�� STANDARDS FOR TITLE SURVEYS AS ESTABUSHEO AhIAO OC Q�ir %Gl I' d / • STp • 1 BLOCK ' '§ BY THE LIALS AND APPROVED AND ADOPTED U" Cq„A•72TY, y�4i A NQ pa_ I • RDV il� 3 FOR SUCH USE BY THE NEW YORK STATE LAND DO, Of i , ""WAI, 1 TITLE ASSOCIATION 0..._ RW c( •♦ / • p • 'P d•O a°J � •a 3 , •q�A�w •A7 POLE NASD BLOCK A=� / '• w o A • d . N )`07-2.9,'50, pc-2D'C .7 e• ••e •WELL T,9•E N Y.S. Uc No 50467 V O'.,fir ROW a, ©�© ,yiC �✓/O/F UNAUTHORIZED ESD Y SERAT`pOlAT10 ADDITION • • • • OF PA ,A IRONpPE N BZ•T 6130' �LAIVD pSf�S'/TO SECTION 7209 OF THE NEW YORK STATE O ^ n `A- •.� w A XAAr SECTIO 7 LAW. T 7m I1 •a unUh TO0.00• `S Nathan Taft Corwin Ill COPIES OF THIS SURVEY IAP NOT BEARING V�11 4. FCHDE N 82'1630 THE LAND SURVEYORS INKED SEAL OR ,Cl •n 15 0Ty 'EncIf— EM w W BOSSED SEAL SHALL NOT BE CONSIDERED ' ' . a • d •OY OAC FOUNp 66,64' TO BE A VALID TRUE COPY I CONN Land SurveyorI�y� p•95• . A MON CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY 10 THE PERSON FOR WHOM THE SURVEY' i . 8"16"11,,," .zo„ - >m PIN O PREPARED,AND ON FOR BEHALF TO THE A 8 •1 6 J TITLE COMPANY.GOVERNMENTAL AGENCY AND + � title SurVe -SUbdni9an5 - Srfe Plans - COn5lruchOn Layout TENDING INSTITUTION LISTED HEREON AND 1 K / T T� a 17.52' YS Y TO THE ASSIGNEES OF THE LENDING IAND v TUTION CERTIFICATIONS ARE NOT TRANSFERABLE PHONE (631)727-2090 Fox (6J1)727-1727 OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 1506 Nam Road P 0 Boa 16 AND/OR EASEMENTS OF RECORD.IF ANT.NOT SHOWN ARE NOT GUARANTEED. J—port,New York 11947 Jomespurt,New York 11947 r Michael J.Domino,President �O��QF $Q(�ryOl Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 O P.O.Box 1179 Glenn Goldsmith l�[ Southold,New York 11971 A.Nicholas Krupski cA ,c Telephone(631) 765-1892 Greg Williams �Q Fax(631) 765-6641 couffm BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2019 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: KARAN AHOOJA 19965 SOUNDVIEW AVENUE, SOUTHOLD SCTM# 1000-51-4-5.1 Dear Mrs. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 19, 2019, regarding the above matter: WHEREAS, Patricia C. Moore, Esq., on behalf of KARAN AHOOJA 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 April 12, 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 June 19, 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 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 KARAN AHOOJA to install 4' high fencing along west property line 140 linear feet to upper wood retaining wall, south 110 linear feet, east along property line 150' to upper wood retaining wall; and to plant 3'-4' of natural vegetation along wood retaining wall (native vegetation 110'x4' non-turf buffer); and as depicted on the project plan prepared by Patricia Moore, received on April 15, 2019, and stamped approved on June 19, 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 00�0 Michael J. Domino; Presidenti,� Town Hall Annex John M. Bredemeyer, III, Vice-President o 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A Nicholas Krupski 'yyj Southold `NY 11971 Greg Williams _„`r Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: KARAN AHOOJA c/o PATRICIA C. MOORE, ESQ. Please be advised that your application dated _ Apnl12, 2019 has been reviewed by this Board at the regular meeting of June 19, 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) B/ 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 Town Hall Annex Michael J. Domino, f ent John M. Bredemeyer III,Vice-President �� ��,,t� 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams � p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �' in fileted Com Q p field by: ►'i!f *11!M-f/1 Patricia Moore, Esq. on behalf of KARAN AHOO'JA requests a Wetland Permit to install 4' high fencing along west property line 140 linear feet to upper wood retaining wall, south 110 linear feet, east along property line 150' to upper wood retaining wall; and to plant 3'-4' of natural vegetation along wood retaining wall (native vegetation 110'x4' non-turf buffer). Located: 19965 Soundview Avenue, Southold. SCTM# 1000-51-4-5.1 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 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 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: 0)4- -eff �Ihv S /9 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J.Bredemeyer ✓M. Domino 'G. Goldsmith N. Krupski /G. Williams Other Michael J. Domino, President *OF SO(fJyO Town Hall Annex l 54375 Route 25 John M. Bredemeyer III,Vice-President h0 Q P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski • Telephone(631) 765-1892 Greg Williams O! Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: -r-):5 A Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: �S�aY►�- COMMENTS: r _ opad � _. r CERTIFICATE OF COMPLIANCE: RAILINGS & PORCH POSTS RAILING • Interstate's Railing Systems and Posts add safety to any deck,porch,or stairway,without sacrificing style and visual appeal. • T-Rail Tops are not available in Gray or Cedar Grain. -). ac in f� e fW ✓l r/C l�� Y 9 � I r I ' 6 I S £ yy KANSAS STANDARD TOP i RICHMOND STANDARD TOP r� I� a S11 - r� BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.6966 DATE: SEPTEMBER 17,2008 ISSUED TO: SHEILA PATEL PROPERTY ADDRESS: 19965 SOUNDVIEW AVENUE,SOUTHOLD SCTM#514-5.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 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 September 17,2008,,and in consideration of application fee in the sum of$250.00 paid by Sheila Patel and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct new upper retaining wall immediately landward of existing wall and cut existing wall to grade after new wall construction is completed, and as depicted on the site plan prepared by Costello Marine Contracting Corp.,last dated October 28,2008,and received on October 31,2008. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, M and these presents to be subscribed by a majority of the said Board as of this date. �� Og�ffOt,�C s o C4 v � I i f 1I . L oNQ•+ 1'94s1iv� ,��.Irvp 5743D••j� �'Roloos�� CoNSaR�cT �20•a/• !��''!` OJT N�Y�L.RCTA/NI7J¢/ � W.�6L /MI`iEI�IATlI.Y�QilW,C ' 'v, �• -��ctST•/i►+Qy w.uc.-ctiT��w�t_ f aysTiwrdr WA"7V dWQ.t Cbft_ .��7a�Z.s.titw watt � ��, l3 6o�rl�c3f'Bo SdB�NR�.Et w� 46 d" uo AOOWAdLIVr I./MfT qC' .• t 1 als7rt/A�A�+C� ' I►lC►ar�tNT 'v . a p 0 N � 4 s o 'vim.?g• .+rata®.e•�•h, N� OV a�Q ~ V� -rCL. .ter /04= .varve yo.�c, .vy, /�a3 .18006 STM/opo-•S/4-5- / -• OI!♦-- --� � COY. ?a t�$ .Jtwr'24,2 -77 m I-- �- SoUND 2MC) SEE SEC NO IM ISLAND rl 4 LONG V SEE SEC.NO 1� s D 5 C al 31� 1% FOR NO SEE NO W 3.11 13_ PECONIC IAND MST INC - S 1211 40 310 '57A 19 .6 32D %�* .) 3IA ,3 7444 1.4 rV 7A(.) FORPM-N SEE SEC No 51 ISNO 16 3.. 0 7 SWE5 N'- &4 �144 9 NORT K L NOTICE NTYOFSUFFOLK SOUTHOLD SECTION NO AM cou E G Real cy Y E ---— N Y 1-1 A IE (21) Property Tax Service Agen 051 5' N =7.T=MZ.—E" 1000 --- P PROPERTY MAP —k�11.01ERTY OFFICE LOCATION: ® OF SO(/r�®� 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 C®UNT`I,� ► LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, AICP LNRP Coordinator Date: June 14, 2019 Re: LWRP Coastal Consistency Review for KARAN AHOOJA SIITM# 1000-51-4-5.1 i Patricia Moore, Esq. on behalf of KARAN AHOOJA requests a Wetland Permit to install 4' high fencirig along west property line 140 linear feet to upper wood retaining wall, south 110 linear feet, east plong property line 150' to upper wood retaining wall; and to plant 3'-4' of natural vegetation along'wood retaining wall (native vegetation 110'x4' non-turf buffer). Located: 19965 Soundview Avenue, Southold. SCTM# 1000-51-4-5.1 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 on the new submittal and my assessment, the proposed action is recommended as CCiNSISTENT 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: Demon Hagan, Assistant Town Attorney i ���gUFFOt,k�dG Peter Young,Chairman ccej Town Hall,53095 Main Rd. Lauren Standish,Secretary +h P.O.Box 1179 i 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., June 12, 2019 the following recommendation was made: Moved by Carol Brown, seconded by Peter Young, it was RESOLVED to SUPPORT the application of KARAN AHOOJA for a 4' fence along west property line 140' to upper wood retaining wall, south 110 If, east along property line 150' to upper wood retaining wall. Plant 3-4' of natural vegetation along wood retaining wall, native vegetation 110'X 4' non-turf buffer. Located: 19965 Soundview Ave., Southold. SCTM#51-4-5.1 Inspected by: Carol Brown The CAC Supports the application with a 10' non-turf vegetated buffer. Vote of Council: Ayes: All Motion Carried Michael J.Domino,President �OF.SDd/jy� ' Town Hall Annex John M.Bredemeyer III,Vice-President �d �® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith A AW, Southold,New York 11971 A.Nicholas Krupski G. ®' Telephone(631) 765-1892 Greg Williams �Or Fax(631) 765-6641 7011 `I; - BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only i Coastal Erosion Permit Application-- hwu_ _ / Wetland Permit Application �__ AAdministrativ it• x4t t/. -� Amendmen xtension vl ur Received Applicatio :E Received Fee: $ � •�D - Completed Application: Incomplete: ::_ ___ - - SEQRA Classification. Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): . _ °e � f ' LWRP Consistency Assessment F rm Sent: / L �. 7 q , ! CAC Referral Sent:_ 5 Zq•l Date of Inspection: APR 12 2019 +=-' Receipt of CAC Report: Technical Review'. Public Hearing Held: •/ -/ - _ S;,ct1lc!i for Resolution: Owner(s)Legal Name of Property (as shown on Deed): Mailing Address: 31 C Z80 St /}p�y /V"O YOLk , IV y /°b/b Phone Number: Suffolk County Tax Map Number: 1000 - SI q - 5 1 Property Location: l9`J(oS Sandyieco ye (If necessary,provide LILCO Pole#, distance to cross streets, and location) - AGENT(If applicable): 'Fa'FKci a C Mcorrz 6", Mailing Address: __5710Z0AUIA 2a i ,-u F�01�, \1 i I`f 7 _-- --- - �133 Phone Number: 6�� �I Board of Trustees Applin GENERAL DATA Land Area(in square feet):. -.27 , 38 T. 00 S,7 iq- Area Zoning: Previous use of property: Aocl, buWiC zz�,d i'SP�7��'I.1%'✓Gf w ,S i��s Intended use of property: kves f- ouf4 //D L4Sf �S O Covenants and Restrictions on property? Yes >C No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes k 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 X 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 /f&/slam " Date z 516 -7 3 s/ .7/2y��0 V0 y/i 7/6 G No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? k No Yes If yes,provide explanation: Project Description(use attachments if necessary) -/,14 //0 &CM!� An�-i,s��� f 7- 22 la'av-4 AuV Ala4,t� a&ten�°P /� )�D 0 �/I/n 6 LP.-P [ter o� tG'�J l/O X V / A104 f7/Y� vv ci Board of Trustees Appl: tion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: - _'I�. -_It(7Ut1X ,YI4`�l�f IP�U 6"- Area of wetlands on lot: _rte ob o square feet Percent coverage of lot: __ f Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? 'X .--_ No -_- Yes If yes, how much material will be excavated? (A cubic yards How much material will be filled?- -_—__ �_ cubic yards Depth of which material will be removed or deposited: ; ns s •_-_ feet(rc�)- Proposed slope throughout the area of operations: Manner in which material will be removed or deposited:, �_�0 0 -_120c- 5 - �zs-r n 9Ac J iv� a-W& VIC1mcg dun 6h rro_6s --- 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): 61Z20 Appendix B Short Environmental Assessment Form ins'truct'ions for-CompleHn� 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 �l a rq Lai G� Name of Action or Project: Project Location describe and attach a location map): f'9/f*o-5' - 1 - -� Brief Description of Proposed Action: .. i l� IS-0 �F;� � rt- LI� t�o �� t' � P ' 1 !3(0- w e ►J&+-LYJ b� Name of Applicant or Sponsor: Telephone:(W)) _7165- J'33-0'PeLfMGeUt C_ /1vore E-Mail:; CI�IO�Ye- LloDtnea _ s.toY0 Address: - - - - - - - �5-/02_0 A/_ta(A l Road City/PO: l State: Zip Code: S©G�i6/0( 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO J 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: 3.a.Total acreage of the site of the proposed action? _ acres - b.Total acreage to be physically disturbed? O acres i c.Total acreage(project site and any contiguous properties)owned _ or controlled by the applicant or project sponsor? _' J�_ _acres 4. Check all-land uses that occur on,adjoining and near the proposed action. E]Urban ❑Rural(non-agriculture) [-]Industrial ❑Commercial (residential(suburban) ❑Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland - Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? Q ;❑ b.Consistent_with the adopted comprehensive plan? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO _VES, landscape? ES- 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::' El (�( 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: ❑ 10 10. Will the proposed-action connect to an existing public/private water supply? - -" `NO YES If No,describe method for providing potable water: _ - A//A- ";❑ in, 11.Will the proposed action connect to existing wastewater utilities? ':/r NO- i YES_ If No,describe method for providing wastewater treatment: __ NlA ❑ ❑ i 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic N_O 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: ❑ CT 14. Ide fy the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply EffShoreline ❑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? ❑ 16. Is the project site located in the 100 year flood plain? -NO I YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO- _ YES If e a.WilI storm water discharges flow to adjacent properties? EfrNO ❑YES .",U EJ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? j If Yes,briefly describe: ❑TIO [—]YES 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:- 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: ET ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS-TRUE AND ACCURATE TO THE BEST-OF MY KNOWLEDGE u ' Applicant/sponso Date: 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 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? ❑' 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 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 ❑;` __reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? '—'- ❑1' b.public/private wastewater treatment utilities? 8. Will theproposed 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 1 - _ -- -- -- --- -- - - — — - -- -i 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 a problems? 11. Will the proposed action create a hazard to environmental resources or human health? !; a 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. ElCheck 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 im acts. Town of Southold-Board of Trustees _ (� ( _ Name of Lead Agency Date _ _AA 1�`h ! ■' A President - -- — Print or Type Name of Responsible icer in Lead Agency Title of Responsible Officer — Signature of Respons le Officer in Lead A eiicy Signature of Preparer(if diffeieiit from Responsible Officer) PRINT Page 4 of 4 Board of TXtis tees'- Appl ,cation I3A m C) �71"'1 —EING,,RULY_SWORN DEPOSES AND API'TRMS''THAT�iSHKIS"T IE APPLICANT F'O'THE AABOVE' DESCRIBED PERMIT(S) AND THAT'AI�L STA' EMIENTS CONTAINED HEREIN ARE TRUE TO TIE BEST OF-HISMER XNOWL'EDGE AND BELIEF;AND THAT ALL WORK WILL BE DONE,IN THE MANNER SET:�ORTH-.T T'T'HiIS';,IP Z:,TCATION AND AS MAY BE APPROVED BY THE SOLTTHOLD TOWN BQ--'R .OF'TRIJSTEE$: THE APPLICANT AGREES TO HOLD'TRETOWN OF SOUT.IIOLDAND` HE: BOARD OF TRUSTEES IIARMLESS.AND.F�REE FROM.Ai�`AND AI L� DAMI AOES AND CLAIMS ARISING UNDER OR RY VIRTUE_OF SAID PERMTT(S);J GRANTED. IN'OOMPL,19TING THIS APPLICATION,Y HERE�3Y AUTHOR-IZFY'THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES;INCLUI.)ING TAE CONSERVATION ADVISORY COUNCIL,T(7 ENTER ONTO MY PROPERTY TO, INSPECT TIDE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDINQ A FINAL INSPECTION, I PURTAER AUTHORIZE'THIE BOARD OF' TRUSTEES TO ENTER ONTO MV`PROPU TY A:ND.AS'REOUTRED TO',7INSU12 C09PLIANCE'WITH ANY-CONDITION OF ANY WETLAND.OR C()ASTAI; EROSION PERMIT ISSUED'BY THE_BOX,"10I`°TItIJS'TElES DCJ1tING°THETERM .OF TIME-PERMIT. Signature of Property Owner- Signature of Property: By Karan Ahooja March 25, 2019 Patricia C. Moore, Esq. 51020 Main Road Southold,NY 11971 Dear Ms. Moore: I, Karan Ahooja, as owner of the property located at 19965 Soundview Ave, Southold, NY (sctm: 1000-51-4-5.1), hereby authorize you to make any and all applications and appear on my behalf to the Southold Town Planning Dept., Suffolk County Health Department and any other necessary agencies on my behalf regarding property located at 19965 Soundview Ave., Southold,NY. Very truly yours, Karan Ahooja APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information,which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME AHOOJA,KARAN AND MOORE,PATRICIA C. (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 or company name.) NATURE OF APPLICATION (Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X 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 Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold Title or position of that person: Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship in the space provided The Town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this�day of Signature ' Karan Ahooja at ' ' C.Moore Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) KARAN AHOOJA, as owner of premises 19965 SOUNDVIEW AVE, SOUTHOLD,NY(sctm: 1000-51-4-5.1) residing at 31 E. 28th St.,Apt 5W,New York,NY 10016 do hereby authorize our attorney, Patricia C. Moore,to apply for permit(s) and appear before the Southold Board of Town Trustees on my behalf. �— (owner's signature) Karan Ahooja _ BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF KARAN AHOOJA MAILING Applicant's Land Identified as 1000-51-4-5.1 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Julia Schade, residing at Southold, New York, being duly sworn, depose and say that: On the 10th Day of June, 2019, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names;that the addresses set below 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 Southold, New York, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. JULIA SCHADE Sworn to before me this da (1\16Public) BETSY A.PERKINS Notary Public, State of New York No.01 PE6130636 Qualified in Suffolk County-,,_,�,/ Commission Expires July 18, . 1 AHOOJA TRUSTEES NEIGHBOR LIST 1000-51-4-2 KAREN DALY MARY JABLONSKI 34-27 79TH ST JACKSON HEIGHTS, NY 11372 1000-51-4-6 FRANCO AND CLAUDIA PURITA 19995 SOUNDVIEW AVE SOUTHOLD, NY 11971 1000-51-3-4.14 OLD NORTH RD BARN LLC 5195 OLD NORTH RD SOUTHOLD, NY 11971 BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF AHOOJA SIGN POSTING Regarding Posting of Sign Upon Applicant's Land Identified as 1000-51-4-5.1 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE, of Southold, New York, being duly sworn, depose and say that: On the 11th day of June, 2019, 1 personally posted the property known as 19965 Soundview Avenue, Southold, New York by placing the board of Trustees official Poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing to be held on Wednesday, June 19, 2019 at or about 5:30 p.m. Patricia C. Moore Sworn to before me this C day of June, 2019 otary Publ' BETSY A. PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Coun r Commission Expires July 181 ML9 NIE&RUPU n.j C3 r_3 m L U 0- Em Lr) Certified Mail Fee C3 $ L J C3 Extra Services&Fees(check box,add fee as apiernpriate), U) -0 0 0 Return Receipt(hardcopy) $ > 0 0 C3 n 0 a c� 0, C3 E]Return Receipt(electronic) $ t k CD g 10 3 E]Certified Mal Restricted Delivery $ er (Y) = Z > =r 0 (D C) 1-3 Adult Signature Required z (0 (D 0, C:) 0 �d ja V3 ID Adult Signature Restricted Delivery 0 0 in Cr (0 93 IZI Postage P� SD C:) ru CD (D $ �t R- 0 E! ru C' KAREN DALY CD r) MARY JABLONSKI 0) — '0 si � W I m 9TH 'Z'I 34-277 ST z (D C:) 0 ------------------ 0 JACKSON HEIGHTS,NY 113 72 �5 0 ,< =r 0) 0 (D C0 2. 0') C) SD 0 co r 0 0 110 13 P P3 m 110 r-3 5 2 2 2 O�>CL Cn m < E a CD ------------- got= Q CL— 3 CD r 'LQ .0 0.n 10. CD *CD < L (D ICD m '0 Eo! Z� q-(�S 0 Ln Certified Mail Fee 3'0 ID $ Extra Services&Fe�s(checkbox,'addfee as appnpatij cr cr CL El Return Receipt(hardcopy) $ CD < Z3 C3 CL ace CD 9 Return Receipt(electronic) $ --TV Ros_trma W?stT C3 Certifled Mail Restricted Delivery $ C3 []Adult Signature Required $ CL < re ----------------------------------- R oAdultSignatum estricted Delivery$ C3-Postage ru Cr $ )s,Ma,, , ,h re 9, 0 0[3 0 [11313 ru E3 . X.T 0 m T.0 m.m.3, 0 ID aa 0 -A iri FRANCO�A�N�DCLAUDIA Z a c 0 El '5 -----------_---- 11 E3 19995 SOUNDVIEW AVE > a.0.0 0. z C'. % 0 Cn 0 CL CD SOUTHOLD,NY 11971 3 ------------ ----- CD .3 en 0 ct CD CL 0 nvl� D 0 C3 E3 m /S\ Lill Certified Mail Fee C3 i r_3 Extra Services&Fees(check box,add fee as appropriate) El Return Receipt(hardcopy) $ C3 El Return Receipt(electmnic) $ C3 Postm r3 El Certified Mail Restricted Delivery $ . \ "' Her 1:3 E]Adult Signature Required $_ A%'v) , I [:]Adult Signature Restricted Delivery$ E:3 �ics_tage ru ru OLD NORTH RD BARN LLC 5195 OLD NORTH RD ----------------- SOUTHOLD,NY 11971 ------------------ ,NUTILL: Uim HLARING 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. OWNERS) OF RECORD : KARAN AHOOJA SUBJECT OF PUBLIC HEARING : For a Wetland Permit to install 4' high fencing along west property line 140 linear feet to upper wood retaining wall, south 110 linear feet, east along property line 150' to upper wood retaining wall ; and to plant 3'-4' of natural vegetation along wood retaining wall (native vegetation 110'x4' non-turf buffer). Located : 19965 Soundview Avenue, Southold. SCTM# 1000-51 -4-5.1 TIME & DATE OF PUBLIC HEARING : Wednesday, June 19,-. 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) 7651892 Town of Southold MRP-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 wily be-,evaluated. as, ta.-its,�sigiif cant 'beneficial and,adverse effects uponJhe-,coastal,area fwhieliincludes.all_o£Soutizold`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 sunnor-ting.and".n6fi slip ortigg facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shill n6t'be.i ndeifiakeh. 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 PROJECT NAME The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital 0, 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: Waco d- - -7-- --- • Location of action:- -- 9!2k Is- i G Site acreage:---- Present ;___Present land user Present zoning classification:__-_-_/ �® 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: Cil �= ° 2 ��///�q(J_� LT- 4� L�d�f� -.I - -, (c) Telephone number: Area Code( ) __ _ -�b 7 RS V6o - �&-3 c,?".-- _ (d) Application number,if'any:.: Will the action be directly undertaken,require funding, or approval by a state or federal agency? If yes,which state or federal agency? Yes O. No 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 0 No [] 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 ,0 No 19 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 ;0 Yes E] 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 0',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 0 Yes Or No IMAINot 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. EJ 11 Yes No Not Applicable 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 'Q No" Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 0'Yes 0 No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. J YO No,&Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III.—Policies; Pages 47 through 56 for evaluation criteria. Q Yes 0', No LN 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. 0 Yes j ` 0, No'I�J 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� 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. �.J Yes �: No Not Applicable PREPARED BY, _ _ __= _-- -__— ___ TITLE - — _ - -_ DATE