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TR-9586
Glenn Goldsmith,President �QF S0(/rTown Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �O �� Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1740C Date: August 12, 2020 THIS CERTIFIES that the existing two-story,2,173.4sq.ft. dwelling with a6ched,70sq.ft. front porch'with steps to'Oounkremove existing seaward side open deck and landing and construct a new 354.1AA covered-porch with landing and a 143.3sq.ft.open deck for a total of 497.4sq.ft.of new structure; and install a dDwell for the covered porch; At 845 Watersedge Way, Southold .Suffolk County Tax Map#1000-88-5-63 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 30,2019 pursuant to which Trustees Wetland Permit#9586 Dated November 13,2019,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing two-story,2,173.4sq.ft.dwelling with attached 70sq ft front porch with steps to ground,• remove existing seaward-side,open deck and landing and construct a new 354 lsq ft covered porch with landing and a 143 3sc.ft open deck fora total of 497.4sq.ft. of new structure,and install a drywell for the covered porch. The certificate is issued to Patricia Cosimano owner of the aforesaj#property. Authorized Signature Glenn Goldsmith,President �QF s®(/r Town-Hall Annex Michael J.Domino,Vice-President �Q� y®�O 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� �® Fax(631) 765-6641 OUNi`t,-� - - - -- - -- - - - --- BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: `�2-0 INSPECTEUBY:` ;: R,_. .. . :Ch-.,-275 .°E ; e Ch. 111 A. . INSPECTION SCHEDULE Pre-coristrUotion :haybale fitlefsilt�boomt/silt curtain 1St day of construction Y constructed Project complete, compliance inspection CQMMENTS: CERTIFICATE OF COMPLIANCE: `�. Michael J. Domino, President c%opo copy` Town Hall Annex John M. Bredemeyer, III, Vice-President 1 54375 Route 25 Glenn Goldsmith c N z k P-O- Box 1179 ' A Nicholas Krupski3 y �`Y Southold, NY 11971 Greg Williams ` �01 , ��; % 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 When project complete, call for compliance inspection; pvr BOARD OF SOUTHOLD TOWN TRUSTEES .3 SOUTHOLD, NEW YORK PERMIT NO. 9586 DATE: NOVEMBER 13,2019 ISSUED TO: PATRICIA COSIMANO PROPERTY ADDRESS: 845 WATERSEDGE WAY,SOUTHOLD SCTM# 1000-88-5-63 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 November 13, 2019, and in consideration of application fee in the sum of$250.00 paid by Patricia Cosimano and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits 1 the following: Wetland Permit for the existing two-story,2,173.4sq.ft. dwelling with attached 70sq.ft. I A front porch with steps to ground; remove existing seaward side open deck and landing and construct a new 354.1sq.ft covered porch with landing and a 143.3sq.ft. open deck for a total of 497.4sq.ft. of new structure; and install a drywell for the covered porch; H and as depicted on the site plan prepared by Mark Schwartz, dated August 30,2019, and stamped approved on November 13, 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 13th day of November,2019. John M. Bredemeyer, III Absent CM Ac coo 41� .. W1. TERMS AND CONDITIONS The Permittee Patricia Cosimano,residing at 845 Watersedge Way, 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. 1 Michael J.Domino,President 0f SD(/JyO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams '� �� Fax(631) 765-6641 ?M BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 19, 2019 Michael A. Kimack P.O. Box 1047 Southold, NY 11971 RE: PATRICIA COSIMANO 845 WATERSEDGE WAY, SOUTHOLD SCTM# 1000-88-5-63 Dear Mr. Kimack: The Board of Town Trustees took the following action during its Regular meeting held on Wednesday, November 13, 2019 regarding the above matter: WHEREAS, Michael Kimack on behalf of PATRICIA COSIMANO 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 September 30, 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 November 13, 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 PATRICIA COSIMANO for the existing two-story, 2,173.4sq.ft. dwelling with attached 70sq.ft. front porch with steps to ground; remove existing seaward side open deck and landing and construct a new 354.1sq.ft covered porch with landing and a 143.3sq.ft. open deck for a total of 497.4sq.ft. of new structure; and install a drywell for the covered porch; and as depicted on the site plan prepared by Mark Schwartz, dated August 30, 2019, and stamped approved on November 13, 2019. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Michael J. Domino President, Board of Trustees MJD/dd i • RsvrsoRs SITE DATA: SCTM#1000-88-05-63 oucRipnON AREA LOTCOVERAGE: EXCAVATE FILL: mmwrt - I - nmRrt I a.wrt - looart - pA�„RVV-ip uI1pR 1'0.I Om<mvu[q >)WR a� 1 mem...sa I wamR m l t amu , N 37054'10" E 168.36' 016� �N�° ------------------- b 1 Com" 49-9' (3%° i u O p 39 s' % — a n ddw EXISTING DRIVEWAY tJ► W N NO � QG O 7.0' O I O MASONRY CN \ °° EXISTING Cn W 14,3' ,p EXISTING 2 STORY COVERED P E C O N I C s �' PROPOSED HOUSE PORCH ° a q x V G DECK ° 1 - BAY �; � ;' ------------ � 19 1 I 1 PROPOSED _ O TOPSOIL I I N COVERED I - o U o Q ;LOCATION PORCH 32.8' +4P ®VED BY 1 CONCRETEI—I 'R 0 24.0 OF IZUSTEES Q0 WASHOUT o vi � 0 _ DW I V1/N-OF 'SOUTHOLD s - --- - --- -- S 37054'10" W 176.79DATE No�6 i2 i3, 201q • 111; I►�r ••� VIII ! li I U8 I h+l m STORM WATER MANAGEMENT DETAILS ..n N.T.S. FT- 11 ;SITE PLAN SCALE:1"=10'-0• SEP 3 0 2019 _= \ \/ "ate m nsvwRismsE,v,ma ® I sm:i:t,iu eMR "in .� URA%W /Ms � scnca • Burd G1 fnl,,aoC o mer i' .'a�23 ariwmts � ?' e�•�E� sRFart+uameR. S-1 i , I a¢visioxs i 1 i I - I _ ❑❑❑ E111:11 ❑ EMFND EK PLUMBING vwr I III - I I III--IILJ I SOUTH ELEVATION x SCALE.1/4'=1'-W O I a I old U I W A I i Or `a 2 _ W o � _ ❑❑ _- - - - - -- i ,1 fir, r !'__ II 4�J{ if-_?- (�••�i a O ❑ - - - - - - - �J SEP 3 0 2019 WEST ELEVATION Sct;;t;l,i,t;isria SCALE:1/4"=r-0' — Board of lru-tees gp I -- I x I EAST ELEVATION SCALE:1/4'=1'-0° nxnwrL�iMs Joe m �1T wwow '\hpA 6'p` SIICL(NUIrIDBR. j A-1 i I i I RBVISIONB I 9r4• I I 9'-10• 9'-10° 10'-0° y 10" 10° 17i u 0 0 �; (q 7%iDSLUM ACQGIRDER i (4)]X10EWMACQGIRDER FI•If41 (4)2MO SLUM ACQ GIRDER Fa: :J---••-• I ]0X30 GONG PIFB REIFO0.Cm w/ i. (4)13 RBAR.CONNECfEDTO 1 STEELPOSTB/SEPLAW REBAR I TO CONONUE UNTO FOODNG • I FOOTN TOBE3wom MDL T BELOW GRADE(ITP) 1 I I I I I I I I I 1 I I � ( Q I I Z N I ,J_-_. 7%IO ACQ MN(2)1/2'UGER BE EDGWAXCHCFDTOCONCRFEEWALL I O y� MM O)IA'ms WEDGE4T AN[HERf®3]'OC - 1--1 {4)2MOACQ I ( W I h I w I EXISTING x I I U 0 (1)2MOACQ_ a IT---•4 2• o'2j 10° U I q i I I FOUNDATION SCALE 1/4"=V-0" I W I � I qa� I x 1 -10° -----------•--- -------- ------------------------------ --------- - -- O 66 0 3 u N ImxPccowMN � O s VJ a Tmro4 TUBEMELCOUIMN TO CONG PIER(IYPI i EON COVERED PORCH RII •r ii INSTALL DX O0.OKI OUTLET AT EACH COLUMN IM: F,1 v u 0VTLMT0BE3'AFD(PER0WNBU(V1F),0N Vaiii' DECK ii IANUWA0.DADESOPCOWMNS PROVIDE MMES LIGHTS ATCOVERED PO CH iiii (QN/LOCATIONTBDWICV E) dZ ° VT=FG COLUMN iVMLQXV4 I TUBESTEELCOLUMN TO CONC.PIER cm X tC k N REMOVE/CUTBRIULfOR NEW GIRDER it Ir �� aD GOIDE0.HANGER TO BE ATTACHED TO { II i 0 MEATH04G.PATCH/REPM0.AS REQUIRED I 1�+^�S' ' II I V SEP J 0 2019 w M 10^ ScuihL;!Trnvn I W s'-0° Sc rd o�Tlu�ir:es i V I F , I . FLOOR PLAN SCALE:1/4"=1'-0" • DBAR'N MHIMS scAte i • )OB R •.oJ• { I aaacoR BNeBTNU BBR. A-2 ° ^ ` ------------- ------------ OZ 61 ROOF PLAN a Fl N 2MO RX 01� VERSATEK READ BOARD 2.0 j MUNG MLGIRDER SEP 3 0 2019 =0 AOQ DJ (4)0 MT CONC PIER (4)05 VERT REBAR CONC MER a SCALE JOBN CROSS SECTION A wmow � � � ^ Michael J. Domino, President Town Hall Annex John M. Bredemeyer, 111, Vice-President o 54375 Route 25 Glenn Goldsmith s o t P O. Box 1179 A Nicholas Krupski ;y�jt7[ �oo�° Southold, NY 11971 Greg Williams Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: PATRICIA COSIMANO c/o MICHAEL KIMACK Please be advised that your application dated September 30, 2019 has been reviewed by this Board at the regular meeting of November 13, 2019 and your application has been approved pending the completion of the following items checked off below. Pre-Construction Hay Bale Line Inspection Fee ($50.00) — (Silt boom) 1St Day of Construction ($50.00) '/2 Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30- Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 W BY: Michael J. Domino, President Board of Trustees SO Fol . Michael J. Domirn' esident OtiQ �'w 3Town Hall Annex John M. Bredemeyer III,'Vice-President �� yJ, 54375 Route 25 Glenn Goldsmith P.O.Box 1179 A.Nicholas Krupski CIO ze O e Southold,NY 11971 Greg Williams p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES Q TOWN OF SOUTHOLD Date/Time: % �� Completed in field by: S Michael Kimack on behalf of PATRICIA COSIMANO requests a Wetland Permit for the existing two- story, 2,173.4sq.ft. dwelling with attached 70sq.ft. front porch with steps to ground; remove existing seaward side open deck and landing and construct a new 354.1sq.ft covered porch with landing and a 143.3sq.ft. open deck for a total of 497.4sq.ft. of new structure; and 'install a drywell for the covered porch. Located: 845 Watersedge Way, Southold. SCTM# 1000-88-5-63 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 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/stand rds: pr I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer . Domino GoldsmithKN ur pski Williams Other �� r � ..,._ I ' rf I ..o I } ♦ems wn ..., -..,.,.-_...._. 1 - o � o cliq4,`y �. 1 o v L'XIS'1'ING DRIVE-WAY Ala ti- � � 1 d p� .0 { / MAAI)NRr 01 - WALKCN Eo O 0 ia.3' EXISTING rovr r 2 STORY PORcil �+ HOUSE PROPOSED L 1 DECK------------ 03 13 G G PROPOSED TOP SOIL I 1 H COVERED O : ;LOCATION\ — / PORCH _ p `0 32 8' p v- \ WASHOUT '_ UT 0 WASHO _ - �3/ 24.0 � \ O^ DW I S 37°54'10" W 176.79' STORM WATER MANAGEMENT DETAILS N.TS. a _mSITE PLAN mwtusmrz m� ® wnworwcc e,.a® . . .n. _4jjjW _J�rx':dS -+w i . a �r ._... i-Aw*„ OIL— I�IY� 11 i FEE (1)Cosimano Residence Taken Sept.24,2019 Looking SW {2)Cosimano Residence Taken Sept.24,2019 Looking NW , V� a 09 . 24 2019 22 : 01 y. 09 . � • - �Gat4iib a� � F �t Y 1 �. j -'2019 22 . 02 (5)Cosimano Residence Taken Sept.24,2019 Looking South {S)Cosimano Residence i Taken Sept.24,2019 Looking SW Legend Cosi fano residence Write a description for your map r 845 Watersedge Way wY IVA r ��y,,:.,�.!.-.�<ra•�'�4rdy 'Fa'�, :'"< � FA --4_`� ! -��� - - w,r...•.f- _ y'ye... �'�`j'-�`.+� (ys�i,�.-Y•..•:C.w..,.G' `�4' x�:�- 'Gl.-_-� . ��`:A•- �f j �;Y'x _ y" .'F.t✓tl �..,y�.a-�j, t__ ,� • ,,,� .- �'� _ :v fr�+b :..t' .�''�s �'y _ ..:x• . «'+ e r ,�+� w � `r, r c: _ 4_ r '4,5- P..-�+.�K+- ,"'' 3'.-„�� � .i,�« �,s, r:F�`�.A r".`x+iC.M''-'"... z f�v1.4 ., v'.•kyL'c'�: 3'-'Gr.- � -; w -.tF3''- - •''J'�S�tfip'.+ �' .'w � f,., b`" YW:'s,.c ycvw •�•e .� 3�' ��-,t�`«4"`��. c r,..r +� �4- 'r'^,yF,• �= e�"- :c .r'.�.� �^a•.,,,M1 a•,•r.✓•• �J r„ _ 'e-e.,�ti.�. � 5�.( '�,, K �k� $�. ;' ;r'-� °t� - � �i'r,'>��.. �s�"��*'£i�'�a an. 1jy.-�y w • .0 1Dr MM IN wwmk�l M, f f a � :sY �;{'-�t,�,-;i�vn .' t'a`i' .�. ^(-��.. ���.-z � 4 ��`* ��. , •.;�. �r�' ��t,,F "�' '�"��,. n'~4: J ^ W � -:s+� F. :����h.y r`e'f`*'^c.,i�x E ',yS "++...i �.r2�•" J„___ z X }t. �c'�- •- � 4 r w: e - st^ , L" - . •M.. ,. .. .-:;' "Y' a•' y e,, ".+� .a'•�"•'c.ia � `+`�' { ;c,Y'off' r w ���a<."mrd�� �`'� � .;. .�• .. t F .,. �' r ,S,y �c ,+ "'�"� x,� ��ia��.�.«�� - - �f ,g,�x Xaa k '' -v. .,urm+ ���t-., �, .. ,� ��"-��i�"""i`� S•`s:Y.�` �zt. ;a�.'. �s�-�� t fx. srs^ •�a�e� � tir-,;' > _ _-`^ - � � ���• _ r'- ,per.. 7.t[,. 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U 13, Fz 28 fAaACF1� ,tzmwA>E°o w' geld �.— ._Ja L.D.43 12d ,3.90 3.,,ts9� fere _ vrmc � f¢ 15 15 ao 19A les HOG NECK BAY r9x s n _ NOTICE COUNTY OF SUFFOLK © K m9 - Sou'rim O SECTION NO oueay,a E ,,,..,� u�— lz1) —2— �� --�— -•��--x-- m Real Property Tax Agency v W . .NyiM OHHCnM rr _ y ere. rsa.0 Psmiwlpxa err -� rrrr °"q' .nn o xwra wsrancaurry rw[wvis aaar�t[o ,rte � �� ecus ffr w' mt,ENxrmn ror.as rrrE m a vINN 1000 = a ear ztAwv 2.,w u..u� ---� .,ate.,., --.-- - - —r-- rww wr+as r, aPeErtrcoi ♦vizx PROPERTY MAP" OFFICE LOCATION: ®� S®Ury®� MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CAS Southold, NY 11971 ® �@ Telephone: 631 765-1938 ® Fax: 631 765-3136' � OnUNT1,� 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: November 7, 2019 Re: LWRP Coastal Consistency Review for PATRICIA COSIMANO SCTM# 1000-88-5-63 Michael Kimack on behalf of PATRICIA COSIMANO requests a Wetland Permit for the existing two- story, 2,173.4sq.ft. dwelling with attached 70sq.ft. front porch with steps to ground; remove existing seaward side open deck and landing and construct a new 354.1sq.ft covered porch with landing and a 143.3sq.ft. open deck for a total of 497.4sq.ft. of new structure; and install a drywell for the covered porch. Located: 845 Watersedge Way, Southold. SCTM# 1000-88-5-63 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney 4 3 s - Peter Young,ChairmanH Town Hall,53095 Main Rd. Lauren Standish,Secretary d P.O.Box 1179 'F 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., November 6, 2019 the following recommendation was made: Moved by Carol Brown, seconded by John Stein,-it was RESOLVED to SUPPORT the application of PATRICIA COSIMANO,to remove existing open deck and landing. Construct covered porch with landing and open,deck.- Located: 845 Waters Edge Way, Southold. SCTM#88-5-63 Inspected by: John Stein,,Carol Brown, Peter Meeker Vote of Council: Ayes: All Motion Carried F SUFFO(� Michael J. Domino, Prey `,nt o`er COG Town Hall Annex John M. Bredemeyer, III,,-,ce-President o� y. 54375 Route 25 Glenn Goldsmith N x P.O- Box 1179 A Nicholas Krupski y Southold, NY 11971 Greg Williams, , Telephone (631) 765-1892 Fax (631) 765-6641 SOUTffOLD TOWN BOARD OF TRUSTEES F_Fm LE-23 U TO- SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIIWFW1,9 SCTM#- ti*�a,... CffE,0'.Tr 110"D., E COG l A00Property Owner Name: Date Sent to Bldg- Dept: q• 30 .I'R The office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? t COMMENTS: b3 Signaturaeo Re ewe Date Michael J.Domino,President ' ��� Mrd W° Town Hall Annex t _ f��^• "` 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Glenn Goldsmiths 0, ''` °0'' r dE Southold,New York 11971 A.Nicholas Kru ski P Telephone(631) 765-1892 Greg Williams " „ Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only � Coastal Erosion Permit Application Wetland Permit Application t JI Administrative Permit DEP 3 0 2011 Ci Amen dment/Transfer/Extensi ' Received Application:_ -'I��'�� Received Fee: $ 2. O B er of Trust es Completed Application: 3061 Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): ���/•�R LWRP Consistency Assessmen Form Sent: AC Referral Sent: /0+23•l Date of Inspection: H._ -I Receipt of CAC Report: Technical Review: p"—Public Hearing Held: Resolution: Owner(s) Legal Name of Pr,Qperty(as shown on Deed): C14d.S�I/`9.9/Id d Mailing Address: ` eT �5Z76 E�1/(/�9� Phone Number: ,;�— 65�6 /�✓� Suffolk County Tax Map Number: 1000 - Property 000 -Property Location: rl 4-5U_ ,6e.006-me- /,/JJY (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): d/C'1VA& A kZRA CSC Mailing Address: /? 0 f1X 104-1 y SQ 07Y640 LY,, ll9 Z/ Phone Number:. - d_17-61- 6&0 7 00� Board of Trustees Application GENERAL DATA Land Area(in square feet): 1-7� IL 0 Area Zoning: — d Previous use of property: 6214—z Intended use of property: �? ('ll��N j'"�i C OA14 .054k/Ly Covenants and Restrictions on property? Yes __No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _ Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes 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 No Does the structure (s) on property have a valid Certificate of Occupancy? Yl Yes No Prior permits/approvals for site improvements: Agency � 3� Date g/2�41/ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_ No Yes If yes, provide explanation: Project Description (use attachments if necessary):, yoyz , Av,0 .Vr_71r►!G. CoAv s'r,eUCT CO V,'-R4P P&,PC/,# W!tI-1 4 9?.4.SSS u AXIS>71V6 2 .57-cRIV 4-T ?17 -3.4 �IVI,eXI��1M& lf—�AQIIe70 PORCH edf F4 S 7-0 O Board of Trustees Appliaatxvsi WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: �'Q Rj!�&,4 C� aC/5���� U)/ Q k7 y ,04gC .1t CnOV -oR 14 oe,6i5Av boy".eA1 1-/5AG1'h1 C OVJWI&/Z'4 ®!U Area of wetlands on lot: 0 _ square feet Percent coverage of lot: _ _—% Closest distance between nearest existing structure and upland edge of wetlands: �c�feet Closest distance between nearest proposed structure and upland edge of wetlands: .4 _feet Does the project involve excavation or filling? X 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: AIA feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: .&,ZA�_ 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): .AIP /HOOT 0lt11741- 1&4r, S' UJ1 /iV-r7A4.1-AZ7-0V e 61Z20 Appendix B Short Environn:ental Assessment Form Instructions-for Complain-, Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: C 0 rl&.4 N® Project Location(describe,and attach a location map): Brief Description of PPrrropoase'd Action: ,r pG �./ !I Name of Applicant or Sponsor: Telephone: 86-7 Address: City/PO: D47 State- Zip Code• S D 7 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO IVES 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: ❑ TA Now- C -- 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? _acres 4. Check all land uses that occur on,adjoining and near the proposed action. — ❑Urban El Rural(non-agriculture) ❑Industrial ❑CommercialResidential(suburban)IF i ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ...._._M......_._ ❑Parkland Paae 1 of 4 Y 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? 1:1 ❑ b.Consistent with the adopted comprehensive plan? L❑_J ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: _ _ ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? 9 0 c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? � ).Does the proposed action meet or exceed the state energy code requircments9 NO YES If the proposed action will exceed requirements,describe design features and technologies ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water. __M,12 fes( Q 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: /y/A rV ❑ 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: 9 Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional Wetland ❑Urban PTStiburban 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? L(] 16,Is the project site located in the 100 year flood plain? NO YES VS 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 systems(runoff and sto m drains)? If Yes,briefly describe: []NO DYES 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: ._—__.._. _ A 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE 1S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: OP17— 0 L 9 Signature: 1 _ tl- 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 1. 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 L❑—! establishment of a Critical Environmental Area(CEA)9 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: o a. public/private water supplies? FVI b.public/private wastewater treatment utilities? —[— 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action tesult in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flout and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage a problems? [Ef 11. Will the proposed action create a hazard to environmental resources or human health? Z 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-tern, long-term and cumulative impacts. F] Check this box if you have determined.based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental imp ts. Town of Southold-Board of Trustees _ l Name of Lead Agency Da e � ����� � es President Pi int or TypeTJame oesponsib e i r a rig Agency Title of Responsible Officer r �Signature of Responsib Officer in Lead Agency Si-nature of Preparer(if different from Responsible Officer) PRINIf Page 4 of 4 Board of Trustees Application AFFIDAVIT C' .S'/ Avo BEING DULY SWORN DEPOSE SAND 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 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. e' Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF 20�y a Notary Public MICHAEL A.KIMACK Notary Public,State of New York No.02VJ5056823 Duaiified in Nassau County Commission Expires March 11,2022 Board of Trustees Application AUTHORIZA'T'ION (Where the applicant is not the owner) ?/C/A- 6799 HA A/0 , 1 owners of the property identified as SCTM# 1000- 88- S— 63 in the town of _C0_ New York, hereby authorizes 14• e/" Qf 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. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS �hDAY OF „f,�pT r�,g ,� , 20 Notary Public MICHAEL A.KIMACK Notary Public,State of New York No.02KI5056823 Qualified in Nassau County Potttmission Expires March 11,2022 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Cotte of Ethics prohibits conflicts of interest on the part of town officers and emnlovees.The purnose of this form is to provide inforination which can alert the town of passible conflicts of interest and allow it to take whatever action is trecessary to avoid same. YOUR NAME: Q CZ09 (Last name,first name,4piddle 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,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO A If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold_ Title or position of that person _ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A}the owner of greater than 5%of the shares of the corporate stock of the appliceut (when the applicant is a corporation); 13)the legal or•beneficial owner of any interest in a nott-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 /6 day of. ,!' 20,E Signature --� J Print Name _ �ll gIOR C I AAM Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The numose of this form is to orovide information which can alert the town ofngssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: < /-/ ClG /V I Cf,)WZL .4 (Last name,fust name,-iliiddle initial,unless you are applying to 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,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 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 Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A}the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); 13)the legal of 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 201 Signature Mrs f Print Name Form TS 1 �UFFO(� Michael J. Domino,President4�Qs �C � Town Hall Annex John M. Bredemeyer 11I,Vice-President �J,N.A 54375 Route 25 Glenn Goldsmith } P.O Box 1179 ze A.Nicholas Krupski . Southold,NY 11971 Greg Williams �� �q`r.ry 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 PATRICIA COSIMANO 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 1,Z!/Cl�.4jg!5L 4, KlA,!AC//- , residing at/dba p, &6X 7 being duly sworn, depose and say: That on the25'day of OC7?3®�iP , 2019, I personally posted the property known as by placing the Board of Trustees official poster where i�asily 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,November 13, 2019. Dated: (signature) Sworn to before me this g day ofNOVCn jg�q 91- Notary blic TRACEY L. DWYER N7TAd'-ff f=tUBL!C,SZ^,TEHOF NEW YORK N,01.01 C-0i&3069 0 C2 IALIPIED N SUPF OLK'COUNTY Jul"E 3J,2_ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 88-4-14 DeAW f'Az11sav P,P.4llllro 2 323 C�ivr�E.4 vim. /3,EZZtfO , itl-Y /< 7/6 -4- 40 f/�it ey f'06Roryill Y �'Ll�1rt /S�✓S B � .7 9 171 � S OUTh�6 � /,r,4a �8 = 62 POr4? 0' s'Us•4N ,�/orvtl� ® 787 -s= B Dx 7B BAY �/�u v�iv Assoc. 4 �9 71 88 64 ,so1rrNoprvY STATE OF NEW YORK COUNTY OF SUFFOLK M/CAAW-e A &li'7,Q ,L' , residing at 0 D, �ilk 1047 S`DUTQUJ NY , being duly sworn, deposes and says that on the day of (, 9122, , 20� deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at OU 21191P , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Awl Sworn to before me this f� Day of , 20 'A4Notary Public TRACEY L. DYER NOTARY PUSLIC,STATL OF NEW YORK NO.01 QUALIFIED!N SUFFOLK COUNTY COEXP!:,ES JUNIE 30,2b�q'�_ I i t U.S.:'-'Pbstal I ® © ■ bE'RTl FlED MAV RECEIPT Q' ®. Domestic Mail OnlyLn Q m SHE,,CD e ° BEt t IjFi tL s= t 11 •SOUTH0Q,r"tdY11971 i • ;; ;; cp fr h1 Ai to Sr a? GµT 2 aj w., c 1 N L:. , � Certified Mail Fee $3 r0 p, Lr) Certified Mail Fee w. �A DY 3 $ $3.50 $ o N Extra Services&Fees(checkbox,add fee asps Gaarlate) Extra Services&Fees(check box,add fee agor�r�te) - ❑Return Receipt(hardcopy) $ A V �rJJll�l �. �d ® ❑Retum Receipt(Hardcopy) $ �A VV VV ,t®� - H je" I Q ❑Return Receipt(electronic) $ Wtmark, r— . Q ❑Return Receipt(electronic) $ poy{ rk 'b! Q ❑Certified Mail Restricted Delivery $ fl(1 "[� HIRR ❑Certdied Mad Restricted Delivery- $ ere Cj)j tV F a ❑Adult Signature Required $ g Q []Adult Signature Required. $ Sir �5 I Q i ❑ 00 Adult Signature Restricted Delivery$ a-7 ® ❑Adult Signature Restncted Dellvery$ Ij- Q Postage cA �" Q Postage 55 1 L6V" a g $11.55 ��` ru $,. . $�1•.�.1 10 . 2it19 . 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Q ❑Certified Mail Restricted Delivery $ dam_ Ie i Q ❑Certified Mata Restricted Delivery $ _ t0�� Q ❑Adult Signature Required $ (� f"' f I Q []Adult Signature Required $' . tM1 []Adult Signature Restricted Delivery$ #t�tlti1 1� O ❑Adair Sig nature Restricted Delivery$ ruPostage $0.55 �1 29.17 °� C3 ir Postage , $0:55 019'. Total Postage and Fees J 1V i t17 fU $ „$6.85 G�� I m Total Poetage and F g•85 o f` Sent (�f�/� /�/��/ Sent To �f�j�/{} ,{/ Q —---- -- �(�,t vl �/+Y V-,M0A�/ —=----------- .f!!I!._ V-V—' ,� i p O f{K/�.7 �. Q StreetandAp � �?�,-_/.`�-T-- - City,Sta +4 l ------f` / :I I 1 I I 11•I r vr.Y.,"_-+—y,,YID• �_— �l SENDER: COMPLETE SECTION • ELivEnY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X E3 Agent i so that we can return the card to you. ddressee , ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. tevery or on the front if space permits. 11. Article Addressed to: 3 D. Is delivery address different from Item 1? Tlyes If YES,enter delivery address below: Q No po C,r"`' 1 i II IIIIIII IIII 111 IN111111111111111111 III ❑AduIltSiignatureice e ❑Rregistered Mail `Mail s® dult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 3554 7305 812135 Wcertified Mall® Delivery ❑Certified Mail Restricted Delivery Retum Receipt for l 11 Collect on Delivery erChandlse �_e.+�lanl.i�r t or_ffransfar_fmm_secviceJa6el1 ❑Collect on Delivery Restricted Delivery ❑Signature Confirmatl0 1 1 ❑Insured Mad 0 Signature Confirmation L7 2620 ; 0000 0052 13592 - ❑Insured Mad Restricted Delivery Restricted Dehvery (over$500) E PS Form 3811,JUIy2016 PSN 7530-02-000-9053 Domestic Return Receipt t ---- I PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: I LI yv STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of ,20___, deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public r • • DELIVERY • COMPLETE SECTION i tura FPrdintyour e itegjsI 1,2,and 3. w� .>k ❑Agent name and address on thry reversd'�'•� "�:':,:� 0 Addressee we Can return the card to you. dyed by(Printed Name) 0.Date of Delivery his card to the back of the mailpe,e front if space permits. D. Is delivery address different from item i? ❑Yes 1. Article Addressed to: - if YES,enter delivery address bgJ� •��?„3�,140 • 2323 ��ara� A✓E• Q�� l ANY. '00'4, N Y ��7�G ®19 1 3. Service Type rion ail Expresso II I IIIIII ILII III 0 Adult Signature Regi eredMail R p�dult Signature Restricted Delivery ❑Registered Mail Restricted 111111 IN I III I I I II II I II III CertifiedMailO Reetu Receiptfor I 9590 9402 3554 7305 8121 28 ❑Certified Mall Restricted Delivery Merchandise cl Collect on I �Inbdr6d ery Restricted Delivery 0 Signature Confirmation”' k r_rTranSfer from-servicelabel) C1 Signature Confirmation El t i, 1 estripted Delivery t `iRestricted Delivery118 3 0 9 0,,00 .1°%•4.91'8`, 8 0 7'41 j Domestic Return Receipt j PS Form•38'11,SWly 0`Y50&4530-02`000-9053 i i i! ' • • DELIVERY SENDER:'CQMPLETE,THIS SECTION- A.• A.Signature ` ■ Compute items 1,2,and 3. _ ❑Agent 1 ■ Print 6. Date of yqwe d �calved by 71ed Name,)ur name and address on the reverse X [3 Addressee l so that" an return the card to you. elivery D1 7 • � ( , ` ■ Attach this card to the back of the mailpiece, 1 or on the front if space permits. - D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑'No r'41'UOWN /loll/%!� 1787 _ 3. Service Type 0 Priority Mail Express® II l IIIIII I'll IIII IIIIIII IIIIIIII III 11111111111 El Adult Signature El Registered Mailm PjAdult Signature Restricted Delivery ❑Registered Mail Restricted �- erhfied Malt® elivery ❑Certified Mail Restricted Delivery eturn Receipt for 9590 9402 5397 9189 4386 55 Merchandise ❑Collect on Delivery 0 Signature ConfirmationTm 0 Collect on Delivery Restricted Delivery ❑Signature Confirmation _2—Article_Number_iTmnsfer_from_s�9;�36�� 0 Insured Mad Restricted Delivery L 7 2620 Oo00 0 0 5 2 ❑Insured Mail Restricted Delivery (over$500) Domestic Return Receipt Z �� PStForm 3811,July 201'5•PSN 7530-02-000-9053" i NUTILt: Uim Ht: AKING 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: PATRICIA COSIMANO SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the existing two-story, 2,173.4sq.ft. dwelling with attached 70sq.ft. front porch with steps to ground; remove existing seaward side open deck and landing and, construct a new 354.1sq.ft covered porch with landing and a 143.3sq.ft. open deck for a total of 497.4sq.ft. of new structure; and install a drywell for the covered porch. Located: 845 Watersedge Way, Southold. SCTM## 1000- 88-5-63 TIME & DATE OF PUBLIC HEARING : Wednesday, November 13, 2019 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town files) which are available for inspection prior to the day of the hearing during normal business days between the hours of B 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 evalua#ed, as to its si niallt beneficial and adverse effects upon the coastal area(which includes all of Southold Town 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION 1:7SCTM# C7 b�- - PROJECT NAME COEIHANO 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: Location of action: �q,� ��¢�T„ ,CS' � (a&h ,fo UM pZ.,0 Site acreage:_ a. ?98 Present land'use: Present zoning classification: R,5RD,6V7Z4 L W6 FA IX -Y 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: a06 f.4/I/ (b) Mailing address: (t' Qj �,¢ ,s' fj(� ` y (c) Telephone number: Area Code( } ��� �Z213- (d) Application number, if any: l/ Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be,returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ Not Applicable L, c c vim' PUZA661 z&6 IJAID 7;V,05 aO 6 ® oV 7_�" oGU�,�ey�y��1d2� 6� 7Vr�,� PYA1W 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 V"�I Not Applicable A10 Ai�!. 510//15 01V ZNZ-ALOMMAnz d� W-1_W 4AZ --i'M 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 Z Not Applicable ZUE 0 D Cd D PD PC 16 V QUILL .JV [ LI 1 D1' / S 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 El No y"7"I' Not Applicable PAU C y 4 N U L. ZV ZhU—S Q C 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 n Not Applicable C.L Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32,for evaluation criteria. Yes No Not Applicable Attach'additional sheets if necessary 1 Policy 7. Protect and improve air quality in the Town of Southold. See LW 'P Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWIIP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ NoX Not Applicable 26[lcY 8 /V off- ,41an. ro zVlS pe_aa:cr 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. ❑ YeO No X Not Applicable Attach additional sheets if necessary i WORKING COAST POLICIES Policy 14. 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. E] Yes ❑ No,® Not Applicable ?041 CY /D ^/o r- ,,,SPL. 7- Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No W Not Applicable eOU A107- TV AEOVEC7 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 0//cY /Z N07-96-02. Attach additional sheets if necessary Policy 13. ,Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ElNo ® Not Applicable 1204/CY /9 A/Dp' ISMZ, Zb 7222T PRQ 925 cr PREPARED TITLE_ AGAAZr— DATE_Z0)y