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HomeMy WebLinkAboutTR-9602A Glenn Goldsmith,President �QF so Town Town Hall Annex Michael J.Domino,Vice-President ��� Ol0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III l�[ Southold, New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams ��O �� Fax(631) 765-6641 ly��UNTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1734C Date: August 3, 2020 THIS CERTIFIES that the 3'x33' (999sq ft) extension to terrace with 13'03' (429sa.ft.) roof; At 4380 Paradise Point Road, Southold Suffolk County Tax Map #1000-81-3-6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 9, 2019 pursuant to which Trustees Administrative Permit#9602A Dated December 11,2019,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 3'x33' (999sq ft) extension to terrace with 13'x33' (429sct.ft.)roof. The certificate is issued to Douglas&Ellen Ciampa owners of the jfLoresaid property. Authorized Signature Glenn Goldsmith, President �QF soUry Town Hall Annex Michael J. Domino,Vice-President ,`Q ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III #[ Southold,New York 11971 A.Nicholas Krupski G e Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: MPEOTE'D'8Y:` i Ch;�275-.,t FIT Ch. 111 INSPECTION SCHEDULE _ `-;x '.,._ r_ Pre-coiistr,totion;,'h'ay,bbate:linefsilt�b.QoM!silt curtain 1St day of construction '/ constructed Project complete, compliance inspection COM` ENTSi, Azd CERTIFICATE OF COMPLIANCE: _ ��gUFFQ(T Michael J. Domino; President %o�� �o�y` Town Hall Annex John M_ Bredemeyer, III, Vice-President ,r'� 54375 Route 25 Glenn Goldsmith c N C' P_O. Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams �ol , ��� -` 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 '/2 constructed When project complete, call for compliance inspection; Michael J.Domino,President S0(/rTown Hall Annex John M.Bredemeyer III,Vice-President ,`O� ��� 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 �yCOUNTI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9602A Date of Receipt.of Application: October 9, 2019 Applicant: Douglas & Ellen Ciampa SCTM#: 1000-81-3-6 Project Location: 4380 Paradise Point Road, Southold Date of Resolution/Issuance: December 11, 2019 Date of Expiration: December 11, 2021 Reviewed by: Greg Williams, Trustee Project Description: For a 3'x33' (999sq.ft.) extension to terrace with 13'x33' (429sq.ft.) roof. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan submitted by Samuels & Steelman, Architects dated October 7, 2019 and stamped approved on December 11, 2019. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. j- Michael J. Domino, President Board of Trustees SITE SCTM # 1000-81-03-06 PROPERTY: 4380 Paradise Point Road ADDRESS Southold, NY 11971 OWNER: Doug & Ellen Ciampa 7� 23 Glen Way, Cold Spring Harbor, NY 11724 OVERHEAD WIRES SITE: 52,298 sf= 1.201 ac z AAo go 0 0 ° S E P ZONING: R-40 Uj J /24"HARDWOOb _D o v SURVEYOR: Nathan Taft Corwin III _ D � C� 1 D �TIL►rr P ' o ° o c a PO Box 16, Jamesport, NY 11947111111111 :3 POST Wi O OD GAT P " OLE \wATEEDCE OF PAV OT 8 LICENSE # 50467& FENRD8» PINE00 HAWO ANIVALVE 0 V� < D o c ° o NOVEMBER 12, 2001 Pz IV2° PIN �w _Y�VERHEAD o Dw 5 22 5 � _----_- . D TOPOGRAPHICAL SURVEY ADDED 10/26/10 Z o tp5'xq.,, O �f E WIRES E ARDWOOD 18 HAR OOD if'_-_\ 10"HARDWOOD 24"H ST & R O "HA \ _� (n Z `\ 15522 , Al FENCE .�—BECGIq B 5 5. 2 2 N LACK CUR& o \ OD-�!1,` FOUND 12"HARDWO -p OUND Q (N CONC. MON ®C"A""1"10 10 A[`m LOA J Iv om (1q C/) SOUTHOLD BAY ® w J -I, w w C-14 = — — \ -fes PROJECT I \ — _ __ _- -- - _ \ CD SITE Uj 06cn 0 0 0 1 1 m '-- - ___ o� �/ I D M Z V z_ n m O PROPOSED 120 SF ADDITIONI DRIVEWAY IS'-O" TO EXISTING STONE TERRACE N D ! I 'XF w to GREAT HOG NECK /7' t I SHELTER ISLAND Q tib. %L�t 1 L"� c�cn SOUNDCL 1- '� �, %`, 8'x4'; -` _.' -__- ,�, p,,, '' _•tom' > 0m x3-GAR GARAGE \garage +16.5 6' `,,5Tj' PROPOSED 450 5F COVERED i EE %�- u v Y I o PORCH OVER EXISTING TERRACE. - ' �`' -- f ice' I � � � �� "�,� I� PORCH NO SCREENS OR OTHER FORMS - , ��'� . �.�G:-- � ;� - �n =�= - OF ENCLOSURE - -- - yy;r x v /` ? y --` - TW16.6+,'' ,\'% X ' '� yj' ,��� \` � J; �X! ;' W, oma, N/0/F EXISTING BLUESTONE PAVING ON I X�; ' `.� . x4;% "�� � \ 5,232�sq fit, .h xc,, � ROBERT J. SCALIA RE I NF. GONG. SLAB ,{ '` �� ;� :�� ".<'u'��>'� �� �� :��yx� '�' I Z`° LINDA SCALI ' EXISTING TWO TORY FRAME \` D " A 08 z I 5FA RESIDENCE w/FULL BASEMENT �� z � y °'Z 'yy et �/ X y y >'< I r*i o Q. c > EXISTING +21k master s I W fz�rP11 yl—�� {>,;,mafn Ist Hr. .25� O SWIMMING POOL ' �xsuite �> I 8 4, +oom �X basement/ I I,T ?;4 +22 5 %` i SITE AREA 52 298 sf= 1.201 ac J �' ° ° _ ' n 20 n \ \ ` X�' �' ;'x �"� �' i' I D Ill J' W 3 Q UPLAND AREA 47,480 sfVE4 Z , I o z LU • ui zz rn e�fev +115 +22.25 EXISTING w a " _ T \� m ' " O STRUCTURE IT cq Un w/porches/steps 5,232 sf Q I- 5 m N1O1F 1 r,8 1,9 2p �, POOL & TERRACE 3,155 sf co- DOUGLAS F. BARN -„ N LANDS PED AREA 16 PROPOSED TERRACE EXPANSION 120 sf JESSICA W. BARNARD m o moo'. 41.m PROPOSED z ri Z COVERAGE 8,507 sf= 17.9% z0 ------------------- K: i mr! o z �� +"� -- ',FOU ?o- r i \� Z ' I fl1V MON:, g1EW y 1� r n - > - - - - - OF �- AN --- -----•- ------------ -- _- - -- -- - - - -20 8 � .rP_ _ ___� -K' ---- 6 _ 12 --- --- -- 14----- ----------- ----- _-- ---------------------- ----------- - 10---- ------------------------ -- - --- ------_10 r � " Cr1*8 --------- - -------- ---- ------- f;I t -- 8 TB 6.9 TB 7.0 TB 6.8 BOTTOM OF BANK TB 6.8 TB 2.5 / BB 2.9 BB 2.0 BB 2. WOOD BULKHEAD BB 2.6 BB 2.1 N PROJECT NO: N 8 — .41 1009 O DRAWN BY: 0 p0 o TCSTIE LINE ALONG O O BEACH APPARENT HIGH WATER MARK N 0 ON OCTOBER 26, 2010 9 �y pCHECKED BY: z o APPROVED BY o A V V Z — Z _ Z S 45040928 " W BOARD OF 1 RUSTEES DATE: 10/7/19 147 . 02' 49018906 �9 , 42036' 26" W W 2 . 14 TOWN OF SOUTHOLD SCALE: 1„ = 20'-011 S 51 - 269 DATE DE�E�IP��e ,I 20 • S 4 5° 0 7 5 4 " E � Iq SHEET TITLE: 5 . 339 � - 3 I SHELTER ISLAND SOUND SURVEY NOTES: SITE PLAN 1 . ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELE\WIONS ARE SHOWN THUS: EXISTING CONTOUR LINES ARE SHOWN THUS: - - - - - -5- - - - - - ------ --- F.FL. - FIRST FLOOR SHEET NO.: G.FL. - GARAGE FLOOR TB - TOP OF BULKHEAD SCALE. 1 2O�-OWE BB - BOTTOM OF BULKHEAD OCT 9 2019 TW - TOP OF WALL BW - BOTTOM OF WALL CONSTRUCTION DOCUMENTS Z D Lij2 SCREENED PORCH ARRA G cn Z D I O Z ® J cnLLII ® F- LJ 1� cn I \,% EXISTING i W Q ' II --F O I ' 0 I � V Z FAMILY ROOM a I SWIMMING POOL W uJ o Jill e,, El F ---------- --------------- / otf Z. cn Lu -Jo r i i r i �•� \ < j \� f / C \ � W• � � � c M e/ y F- PANTRY BAR/� i � � ., ERR , GE l�l'1 ' NET R O �/ \ � �` \.` � - v/ I W LOA BEARIN -COLUMN PPO TING % / OOC�F 5 GTUR_E VE, CO I OTE TO / L OF EX STING 51DENGE. NO p ,�r \ / \\✓- / / REEK O OTHER ENGL05URE OO ,� AREA OF NEW STONE PAYING wBRIGK TRIM TO MATCH EXISTING ON EXISTING /i E CONCRETSLAB / = � / EXISTING L / ��RBEQUE c��;3soN AREA OF NEW TERRACE, w/GONG. SLAB � � J�T�;�Fp r, STONE PAVING, SHOWN HATCHED / / PROJECT NO: / 1009 DRAWN BY: TCS 4,Q�G G D • 10/7/19 1/419 = 1' - 0" SHEET TITLE: ENLARGED Q SITE PLAN t� LOOR k OCr9 ?u19, SHEET NO: SCALE: 1/4" = V -0" f REGULATORY APPROV S Wz AA W � • � 2 O US Q � Z f Z O J ® W ui J W_ W 08 0 Q O EXI5TING RESIDENCE TO z REMAIN Z G. EXISTING RESIDENCE TOW Lu REMAIN Q AIE LIL -�E]F] Q a -EIE] 2nd FLR. ----------------- 111010, NEW WOOD 5HIN6LED ROOF WOPEN CEILING BELOW 08 Z N Q• M � _i N QO p v NEW COLUMNS 8 STRUCTURE FOR W J• z SUPPORT OF ROOF ABOVE _ = W' M u OPEN COVERED _ TERRACE BELOW O � OPEN COVERED � W• N M CZ TERRACE BELOA GARAGE SLAB N I I I I I II I I II I I I I I I I I II I I II I I I E-I---- NEW MASONRY FOUNDATION I I I u I I u I I PIERS I \ I I II I I II I I I I I I I I II I I II I I I E L E�- T 10 [1.0 tiiuUTvi tLEVAm"Il0imm SCALE: 1/4" - 1' -0" SCALE: 1/4" =T -0" PROJECT NO: 1009 ®RAWN BY: TCS BATE:CHECKE5 BY: 10/7/19 1/4" = 1' - 0" SHEET TITLE: EXTERIOR ELEVATIONS SHEET NO: OCT 9 2'T,9 Michael J. Domino, Pres O��SUFFD(�-C Town Hall Annex John M. Bredemeyer III,Vice-President �� yea 54375 Route 25 Glenn GoldsmithN P.O.Box 1179 A.Nicholas Krupski d Southold,NY 11971 Greg Williams 'y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD41 //�� Date/Time: �� A Completed in field by: (-rGti at 14, 5 (.,����> Samuels & Steelman Architects on behalf of DOUGLAS & ELLEN CIAMPA request an Administrative Permit for a 3'x33' (999sq.ft.) extension to terrace with 13'x33' (429sq.ft.) roof. Located: 4380 Paradise Point Road, Southold. SCTM#: 1000-81-3-6. 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 Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/s andards: P(/' o 7 q, /­7 s l �li C�A,/ I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. redemeyer M. Domino G. Goldsmith N. Krupski :�7 G. Williams Other SURVEY 0E PROPERTY SITUATE PARADISE POINT TOWN OF SOUTHOLD SUFFOLK COUNTY , NEVA YORK S.C . TAX No , 1 +000 -81 --- 03 - 06 y - SCALE 1 "=30' ,.•:. -''_ •._ NOVEMBER 12, .2001- AUGUST 4, 2004 SET CONC. MONUMENTS & WOOD STAKES OCTOBER 26, 201.Q ADDED TOPOGRAPHICAL SURVEY MARCH 23, 2011 ADDED PROPOSED HOUSE, POOL & PATIO APRIL 4, 2011 LOCATED TREES AUGUST 30, 2011 STAKE FOUNDATION SEPTEMBER 26, 2011 FOUNDATION LOCATION :: ' � '° ,- j• +.�° JUNE 0, 2012 FINAL SURVEY 70., JULY_ 18, 2012 CORRECTED WATER & SEPTIC LINE LOCATIONS r 'v . . *. .' - '` • '' ,." ,,� .� - �'` _ AREA — 52,298 sq. ft. `� (TO TIE LINE) ,201 O C. YY, • �,� SEPTIC SYSTEM TIE MEASUREMENTS ••� ..---- HOUSE HOUSE CORNER �A CORNER BM SEPTIC TANK 24' 46' 0 INLET COVER • •.' `� '��' -- SEPTIC TANK • :. y r o �7 ; y ,' J/ � ,,•'� C�� OUTLET COVED 51 27' .. ' . 'F•• _ . • _ ,= - d . . d • + �. :n , LEACHING POOL 4 �°- � �y t'' COVER i 63 37 I �i - ......_ ,;. _ "' 1 elli 41 •: , - o r LEACHING POOL �'` - • , rn -.�. GU�B �Y ► 1► `�' �.off, "T' 7 fi 43' '•�.• i . '..y ..11 Lr' �• + d ! �l �` .•._.. er,. . ... _ .. - :s {_....r..�,t_+aa. COVER Z i;'•�.:: : ,:. ` ` �3�,` T. LEACHING POOL , ,'; . .. if' COVER 3 fi3 25 IN LOCK CURB APRON • \ '� • ! �, O� f- t; - _ '�,: . _ � � �'�. fid-.. ,O c.• •a If. *• � • �, S'��yW,l, � ryA• ± Ifo' �� v�4it �f s.�;'r': '•n_•c^�.�. � z r;.-`� ' +. � -�. +.'+rte J � fit' "Y,� y - y _. a-\y ' ' '� -. _ - � .!.' •� +{p 1�• r+ • •- f d h. �4 V. ri -060 �i • i d i ' � s• �g O � ,2 � � , iJ U"K � 1 WE �, 4}' � A o Cy , � 9 N4� s'Ta,o .& i OCT 9 2019 yx ,• X41 dq Ce PREPARED IN ACCORDANCE WrrH THE MINIMUM O STANDARDS FOR TITLE SURVEYS AS ESTABUSHED ^' BY THE L.I.A.L.S. AND APPROVED AND ADOPTED yY`r vs"s �. FOR SUCH USE BY THE NEW YORK STATE LAND - 0 O TITLE ASSOCIATION_' , y !•. .� qDq •.apt"'� / 41 AV N-Y.S. Lic. No. 50467 !� • UNAUTHORIZED ALTERATION OR ADWWN _ TO THIS SURVEY IS A VIOLATION OF SECTION 7209 DF THE NEW YORK STATE �, EDUCATION LAW. Pft rw COPIES or THIS SURVEY MAP NOT BEARING Nathan '1"�aft uv THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE CO". L cand !S&i u r v e IL AF r C£RTIFICA11ONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY tS PREPARED, AND ON HIS BEHALF TO THE Successor To: Stanley J. Isaksen, Jr. L.S. TITLE COMPANY, GOVERNMENTAL AGENCY AND Joseph A. In a no LS. LENDING INST11t1TION LISTED HEREON, AND P 9 9 TO THE ASSIGNEES OF THE LENDING INSTitle Surveys — Subdi stuns — Srto Puns — Construction Layout INSTI– TUTION- CERTIFICATIONS ARE NOOTRANSFERABLE.ANSFEERE ABLE. Y PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING A 0RESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Rood P.O. Box 16 ANY,, NOT S14OWN ARE NOT GUARANTEED. Jornesport, New York 11947 Jamesport, New York 11947 x -per ..� _- fillr < 1 x •' I t.-w. ` •` 40A r "� R r r ' f r � ♦�/. e 4 � � •yrs (��#„ � v� ` + 1 ti K � a ■ i• M ` , y 46'' SOUTHOLD SEE SEC NO.133 !/ 21A / F.D.28 IDA5 OA. ` 2V) J " f^ 13.7 13A IDA 163 2AA 1AA M 23A(w I E a 25 e 119A 13.a ry A' P.® I 1. 1OA(w ROB( ,s. _ e.0 n zaA(w a° 14,4 ,32 / 2eA(q SEE SEC NO,}1 1S.] / 29A SA 9 /2A1A(w14 n i 1 SAM 22.(6) 2TA O / 8 s..A(q _ 219.3 .W 3 IDA a ' z1A O19.7 CIA P 1917 w l &W.) � ,m4 m I p I 23 21 I" NO.FON PARCEL 1)KI I SEE SEC.NO. .I a1Fe601e.1 242 I 244 Lu g a =1 ------ w— — NOT CE COUNTY OF SUFFOLK © K un _ — OLO SECTION NO <m Y ux.E or �..cn v o�wr ww 81 pro raw .. y. ITTIM• .:a.�,- ',qtr': w - _ ,«. _ OFFICE LOCATION: ®�*®v-So MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) spa Southold,NY 11971 a� Telephone: 631765-1938 Fax: 631765-3136 c®U ,� 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: December 10, 2019 Re: LWRP Coastal Consistency Review DOUGLAS & ELLEN CIAMPA SCTM# 1000-81-3-6 Samuels & Steelman Architects on behalf of DOUGLAS & ELLEN CIAMPA request an Administrative Permit for a 3'x33' (999sq.ft.) extension to terrace with 13'x33' (429sq.ft.) roof. Located: 4380 Paradise Point Road, Southold. SCTM#: 1000-81-3-6 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 EXEMPT from EXEMPT from LWRP CC review pursuant to § 268-3. Definitions IL ll. Additions to an existing building or rebuilt residential structure which results in no net increase in ground area coverage, except where the parcel is located in a coastal erosion hazard area; 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 " � o��S11EFOC,f: Town Hal( Annex Michael J_ Dominos �sident John M_ Bredem,eyG-' , *:.1, Vice-President o� 54375 Route 25 Glenn Goldsmith x P.O. Box 1179 A Nicholas Krupski y 4� Southold, NY 11971 Greg Williams I , dao Telephone (631) 765-1892 Fax (631) 765-6641 SOUTROLD TOWN BOARD OF TRUSTEES TO. SOUTHOLD TOWN B UILDING'DEPARTMENT RE. VERIFICATION OF BUILDING DEPARTMENT PERMIT!REQUIREMENTS =3 OCT 2 3 2019 SCTM#: 9E Property Owner Name: Date Sent to Bldg_ Dept: 10' •1''7 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 Wil( the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered a Demolition as described under Town Code? ' COMMENTS: ignature of eviewer Date r Town Hall Annex Michael J.Domino,President John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith _ Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams ��r "l' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit AmendmentJTransferBxtension OCT 9 2019 I Received Application:_ 10•q•t'7 Received Fee: $ 00 �_ ._. _ Completed Application:_ 10►2Z.1 �� '' T° Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: VCoordination:(date sent): j LWRP Consistency Assessment Form Sent: 11, •!q CAC Referral Sent: Date of Inspection: I Z• f' Receipt of CAC Report: Technical Review:_ Public Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): Douglas Ciampa and Ellen Ciampa 23 Glen Way, Cold Spring Harbor, NY 11724 ! Mailing Address: Phone Number: J Suffolk County Tax Map Number: 1000- 81-03-06 Property Location: 4380 Paradise Point Road, Southold, NY 11971 (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): Tom Samuels, Samuels and Steelman Architects Mailing Address: 25235 Main Road, Cutchogue, NY 11935 Phone Number: 631 734-6405 Board of' Trustees Application GENERAL'DATA Land Area(in square feet):; 52,298 Area Zoning: Roo Previous use of property:. Intended u"se of property: cCVrLt✓ Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require.a Building Permit as per Town Code? . V.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 _,kf No If"Yes",please provide copy of decision. Will this project require y demolition as per Town Code or as determined by the Building Dept.? Yes require Does.the structure(s)on property have a valid Certificate of Occupancy? 7/---Yes, -'No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or,suspended by a governmental agency? V No Yes If yes, provide explanation:, Project Description(use attachments if necessary): Extend an existing terrace and add a new roof covering. , at a portion of that existing/new terrace. ,All drainage from the terrace is currently directed to subsurface systems. The new porch will not be enclosed by screens. T-eryv, a z� ©b� S �t ' -� q 1 l vee _roo of Us Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Extend an existing terrace and add a new roof covering at a portion of that existing/new terrace. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 6/0 Closest distance between nearest existing structure and upland edge of wetlands: 66'-2" feet Closest distance between nearest proposed structure and upland edge of wetlands: 831-4"feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): Boar Trusteeis Application I 1 AUTHORT ATION (Where the applicant is not the owner) IfWe, Douglas and Ellen Ciam a owners of the property identified as SCTM#1000- 81-03-06 in the town of Southold New York,I lereby authorizes Tom Samuels, i Samuels&Steelman Architects to act as my agent and handle all necessary work involved with the application proc ss for pemiit(s)froin the Southold Town Board of Trustees for this property. t ` 1 I Pr erty Owner's Signature Property Owner's Signature glas Ciampa Ellen Ciampa SWORN TO BEFORE ME THIS lJ D� Y OF l%L'ro 20 /0/- f t/ 0/-/`r Notary Public A6168A M IIFOUNIOS NOTARY PUBLIC-STATE OF NEW YORK No. 01,S16326177 Qualified in Queens Count` My Commission Expires June 15, 3- f 3 i i t r f 617.20 Appendix B Sliort Environmental Assessment Form Instructions for Comhletiny, Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Ciampa Residence ; Project Location(describe,and attach a location map): 4380 Paradise Point Road, Southold, NY 11971 ; Brief Description of Proposed Action: Extend an existing terrace and add a new roof covering at a portion of that existing/new terrace. Name of Applicant or Sponsor: Telephone: Douglas Ciampa and Ellen Ciampa E-Mail: Address: 23 Glen Way City/PO: State: Zip Code: Cold Spring Harbor NY 1.1724 _ 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, .'NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that r 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? 1.20 acres b.Total acreage to be physically disturbed? ® acres c.Total acreage(project site and any contiguous properties)owned 1.20 or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. F-1 Urban []Rural(non-agriculture) [-]Industrial ❑Commercial 14Residential(suburban) E]Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 ! 5. Is the proposed action, NO YE N/A a.A permitted use under the zoning regulations? ►`I, ❑ b.Consistent with the adopted comprehensive plan? L1:1 ff._1 E .6. Is the proposed action consistent with the predominant character of the existing built or natural NO Y 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: ,` LJ• ❑; 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: ❑ ' Meets NYS energy code 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ; 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YE 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? 7V LTJ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline E3 Forest Vuburban ricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban 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? N YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? CSfNO [ YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and st9pm drains)? -if Yes,briefly describe: All drainage from the terrace is currently directeg]unnNO YES to a subsurface system. 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: u ❑ '20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Tom Samuels Date: 9/25/19 Signature: , Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I_ Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ 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? ❑ L__I 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑, reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑' a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ ❑ 8. Will the proposed action impair the character or quality,of important historic,archaeological, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage : problems? El 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every 'question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by 'the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-tenn,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Boars Trustees Application t AFFIDAVIT I Douglas Ciampa BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS PIE 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. i 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 i TRUSTEES,THEIR AGENT(S)OR REPRES9NTATIVES,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 1 COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. I j i ffE 1 L t f rgn of Prope y Owner Signature of Property Owner SWORN TO BEFORE ME THIS v DAY OF 20 • � s N i Notary Public 1 AWHA M 11POUN108 I NOTARY_PU81IC-STATE OF NEW YoiK No. 01 S16326177 Qualified in Queens County MY Commission Expires June is, Boar Trustea�s Application I ' ' I . I AFFIDAVdT 3 Ellen Ciampa ( BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS ITHE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE iOWN 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 OFA ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. 1 i ( Signature of Property wner Signature of Property Owner I SWORN TO BEFORE ME THIS D'Y OF �l�y ''� 20 A Notary Publi r ALISSA M SIPOUNIOS NOTARY PUBLIC-STATE OF NEW YORI(i No, OIS16326177 Qualified in Queens Co unfy t My Commission Expires June 15.J0.2,,3- API'LICANUAGENU/REPRE'SENTATIVE TRANSACTIONAL DISCLOSURE.YORM The Town of Southold's Code of Ethics prohibits conflicts of interest.on the part of town officers and employees.The purpose o this form is to X rovide informationwhich can alert the town of p2ssible conflicts-of interest and allow it to,take whatever action is necessary•to avoid same. Tom Samuels YOUR NAME: (Last name,first name,.gtiddle 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,roarriage,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 offTccr or employee owns more than 5%of the shares. YES NO X1 ifyou 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 ofgreater than 5%of the shares of the corporate stock of the appliclnt (when the applicant is a corporation); 13)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 Submittedday of ® _ Signature _ Print Name . om amues Form TS 1 APPLICANT/AGENtAWI PM, ENTATISTE TRANSACTIONAL WSCLOSLW FORM The Town of Southold'll Code of Ethics nroh(bits conflicts of interest on the Part of town officers and employees The numose of this form w to provide mfortnntion which can Wert the tom nfIossble conflicts of interest and allow It to take whatever actino is necessary to avoid same. YOURNAME: Ellen Ciarnpa (Last name,first name,rp(ddle 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.) i NAME OF APPLICATION:(Check all that apply.) Tax grievance Building Variance Trustee Change ofZone CoastO Erosion Approval of plat Mooring Exemption from plat or official map Plasm,g Other (lf"Other'-,name the activity.) I Do you personally(or through)our company,spouse,sibling,par+,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"mcludes by blood,manage,or business interest."Business interest"means a busmcss, including aparmership,in shich the town officer or employee has Fvcn a partial ownership of(or employment by)acorporation in which the town oBiccror employee owns more than 545 of the shares. YES NO �t If you answered"YES",complete the balance of this form and date and sign where indicated ` 1 Name of person employed by the Town of Southold Title or position of that person I Describe the relationship between yourself(the applicant/agent/rep(esentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided.i The town officer or employee or his or herspouse,sibling,parent,br child is(check all that apply). _A)the owner of greater than M'.of the shares of the corporate stock of the applrepnt (when the applicant is a corporation), i _B)the legal or beneficial owner of any interest in a non-corporate entity(when die applicant is not a corporation); _Q an officer,director,partner,or employee of the applicant,or _D)the actual applicant. i DESCRIPTION OF RELATIONSHIP _ I I SubmitteI� day of ��-2 �9 SignaturePrint Namen iampa T� Form TS 1 I 1 i f { 1 APPLICANT/AGENT RESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold s Code of Elhics prohibits con I*L,o17't the part of town officers and emnlnvees The pit of this form is to protide mforaintinn which can alert the town pf possible conflicts of mteresl and allow it to take whatever action IS noccssary to avoid sump. YOURNAME: Douglas Ciampa (Last name,first name,Middlemitiai,unless ou are applying in the nine of someone else or other entity,such as a comp y.if so,indicate the other } person's or company's name) NAME OF APPLICATION'(Check all that apply.) Tax grievance Budding Variance Trustee Change ofZone Coastal Erosion i - Approval ofplat Mooritlg Exemption from plat or official map Planning Other (If"Other',name the activity) Do you personally(or through your company,spouse,sibling,parept,orchdd)have a relationship with any officer or employee ofthe Town of Southold?"Relationship"includes by blood,mann ge,or business interest."Business interest"means a business, including a partnenhip,in which the town officer or cmployeo has even a partial ownership of(or employment by)a corporation in which the town oCticcr or employee owns more than 5%ofthe sl lares i YES NO If you answered"YES",complete the balance of this form and date and sign where indicated Name of person employed by the Town of Southold Title or position of that person i Describe the relationship between yourself(the apphcant/agentheptesentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space pro Ifded. The town officer or employee or his or her spouse,sibling,parent,Uii r child is(check all that apply) j ^A)the owner of greater than 5%of the shares of the corpordte stock of the applicant (when the applicant is a corporation), I _B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corpo=104 I _C)an officer,director,partner,or employee of the applicants or _D)the actual applicant. DESCRIPTION OF RELATIONSHIP 4 ' I f Submtttedthisl of a 0041 Sign illus Print Name ugasis } Fann TS 1 i fi<" 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' s�. be:evaluated a 'to its, sig4c cant' beiieficial`arid:adverse effects,upoii'the coastal,area(which�includes'allof.Southold_Town).- 3., I£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-exnlained.in Aeiaili listing both sunnortin� and_non- sQdtiortin facts: If an action cannot be certified as consistent with the LWRP policy standards and conditions,',it shall-riot be undertaken. A copy of the LWRP is available'in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all,- .. local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# :81 03 06 PROJECT NAAM Ciampa Residence- The,Applieation has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees"l_I' 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) L__J (c) Permit,approval,license,certification: Nature and extent of action: Extend an existing terrace and add a new roof covering at a portion of that existing/new terrace. Location of action: 4380 Paridise Road, Southold - _ 1.20 Site acreage: Present land use: Residence Present zoning classification: R40 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: Douglas Ciampa and Ellen Ciampa ; (b) Mailing address' 23 Glen Way, Cold Spring Harbor, NY 11724 (c) Telephone number:Area Code( ) (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes No If yes,which state or federalagencyX C. Evaluate the project to the following policies by analyzing how the project will further support or E 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 0 Not Applicable Renovating this existing terrace and adding a new roof covering at a portionofthis existing terrace preserves open space around the existing residence and makes efficient use of the existing structure and property. . 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 Q Yes'0 No YNot Applicable There is no historic or archeological structures on-property.- Attach nproperty.Attach additional sheets if necessary - y Policy 3. Enhance visual quality and 'protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑ No ❑ Not Applicable The renovations of existing structure are in keeping in style and scale of neighboring structures.---' - a 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 91 Yes ❑ No_ ❑ Not Applicable All rainwater runoff is and will be directed to subsurface systems. Attach additional sheets if necessary Policy 5. Protect and improve water quality'and supply in`the Town of,Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes 0 No 0 Not Applicable All rainwater runoff is and will be directed to subsurface systems. Attach'additional sheets if necessary E Policy 6. Protect and restore the quality and function of,the Town of Southold ecosystems including. Significant Coastal Fish and Wildlife Habitats and wetland's. See LWRP Section III—Policies; Pages 22 { through 32 for evaluation criteria. - ❑" Y Yes No Aot Applicable -No development will take place in the"protected",or"natural indiginous.enviornment". 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 in, No❑ Not Applicable The development will,not add pollutants into the air. All construction vehicles meet the Federal standards for air pollution discharge. The mechanical systems of the residence meet the federal standards for -- -air pollutions discharge. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous, substances and wastes. See LWRP Section III-Policies; Pages 34 through 38 for evaluation criteria., Yes 0 No ❑ Not Applicable _The construction and use of the building will make use of the town's disposal and recycling center. 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. u � No❑ Not Applicable , Ye No public land involved. Littoral access unimpeded. 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. ❑ Yes ❑ No ❑ Not Applicable There is no public or commercial activities or uses on site. Historically this property and neighboring properties are residential in use and will remain residential.- Attach esidential.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. U Yes ❑ No ❑ Not Applicable This project will protect and preserve the living marine resources by maintaining ; all rainwater discharge and sanitary flow from the residence o site by approved SCDHS sanitary system drywells and subsurface systems for rainwater runoff. 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. ❑YesE] No L� Not Applicable There is no agricultural lands on site. 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. LY ❑ No ❑ Not Applicable The construction will be using equipment approved by the Federal government for energy usage. The residence will meet Federal standards for conserving energy"energy Star Program"and will " use"NY State Energy Conservation and Construction Code"for renovation of the building. PREPARED BY Tom Samuels TITLE Architect DATE 9/25/19 i S A M U E L S & S T E E L M A N October 8, 2019 OCT 9 2019 Southold Town Board of Trustees ? Town of Southold PO Box 1179 ' Southold, NY 11971-0959 _- - RE: NEW COVERED PORCH AT THE CIAMPA RESIDENCE 4380 Paradise Point Road, Southold, NY 11971 SCTM# 1000-81-03-06 Dear Board of Trustees: We are requesting an ADMINISTRATIVE WETLANDS PERMIT for the above referenced project, which proposed to extend an existing terrace and add a new roof covering at a portion of that existing/new terrace. All drainage from that terrace is currently directed to subsurface systems. The new porch will not be enclosed by screens.. For your review we are submitting the following documents: 1. Completed application with project description 2. Short Environmental Assessment Form 3. Authorization Form 4. Agent Authorization Form 5. Agent& Owner Transactional Disclosure Forms 6. LWRP 7. Survey of property in current state 8. Photographs 9. Four(4) SITE PLAN, FLOOR PLANS and ELEVATIONS 10. Application Fee - check for$100 Please place us on the agenda and call us with any questions or concerns. Sincerely, Thomas C. Samuels,Architect enc. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407