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HomeMy WebLinkAboutTR-9565 f rot Michael J. Domino, President `�o�o copy\ Town Hall Annex John M_ Bredemeyer, III; Vice-President 54375 Route 25 Glenn Goldsmith W ,zA P.O Box 1179 A Nicholas Krupskiy o�,�, Southold, NY 11971 Greg Williams �01 �4,:f�" Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9565 DATE: OCTOBER 16,2019 ISSUED TO: GABRIEL FERRARI PROPERTY ADDRESS: 295 BAYVIEW AVENUE, SOUTHOLD SCTM# 1000-52-5-26 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in (� iaccordance with the Re'solution of the Board of Trustees adopted at the meeting held on October 16, 2019, and in consideration of application fee in the sum of$250.00 mid by Gabriel Ferrari and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the removal and replacement of 321f of existing bulkhead with new vinyl bulkhead in same location as existing and 12" raised height above existing top cap and removal and replacement of 301f of existing bulkhead with rip-rap revetment in same location as existing; establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the new bulkhead; install 10cy of clean sand fill landward of new bulkhead and revetment; and as depicted on the site plan prepared by Jeffrey Patanjo last dated October 1, 2019, and stamped approved on October 16,2019. 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 16th day of October,2019. C) coo 177 J TERMS AND CONDITIU,,o The Permittee Gabriel Ferrari, residing at 295 Bayview Avenue, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits 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. N 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President �pF SOUjTown Hall Annex John M.Bredemeyer III,Vice-President ,`O� ��� 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 cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 16, 2019 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: GABRIEL FERRARI 295 BAYVIEW AVENUE, SOUTHOLD SCTM# 1000-52-5-26 , Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 16, 2019 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of GABRIEL FERRARI 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 June 10, 2019, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, ,WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 16, 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, N,OW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVE the application of GABRIEL FERRARI for the removal and replacement of 321f of existing bulkhead with new vinyl bulkhead in same location as existing and 12" raised height above existing top cap and removal and replacement of 301f of existing bulkhead with rip-rap revetment in same location as existing; establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the new bulkhead; install 10cy of clean sand fill landward of new bulkhead and revetment; and as depicted on the site plan prepared by Jeffrey Patanjo , last dated October 1, 2019, and stamped approved on October 16, 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, a v Michael J. Domino President, Board of Trustees MJ D/dd Michael J. Domino, President ;�o�' Town Hall Annex John M. Bredemeyer, III, Vice-President =r 54375 Route 25, Glenn Goldsmith o P.O Box 1179 A Nicholas Krupski ���j oo�{i' Southold, NY 11971 Greg Williams' o ��Y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: GABRIEL FERRARI c/o JEFF PATANJO Please be advised that your application dated June 10, 2019 has been reviewed by,this Board at the regular meeting of October 16, 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) 1 St Day of Construction ($50.00) % Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft ) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) xx 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 g�) BY: Michael J. Domino, President 60 Board of Trustees I NOTES: Psossos 1. LOT AREA: 7,881 S.F. / 0.181 ACRES PROPOSED ALUMINUM OR CCA TIMBER TOP CAP PROPOSED 12' LONG CGA ARSHAMI 2• PORTIONS OF PLAN FROM SURVEY PREPARED BY: PROPOSED 10 CY CLEAN FILL TREATED TIMBER PILE, 6' D.C. % �'`�---_..,;'N PECONIC LAND SURVEYORS afl -' FROM UPLAND SOURCE PLACED PROPOSED 3'X8• ) �$ 1230 TRAVELER STREET, SOUTHOLD NY 11971 BEHIND BULKHEAD REAR WALE ' NOTE: REMOVE EXISTING BULKHEAD pAteRgO°� t SURVEY LATEST DATED OCTOBER 22, 2013 STRUCTURE IN ITS ENTIRETYAND INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION WITH RAISED ELEVATION OF 1' HEIGHT ABOVE EXIST. TOPCAP 4 '', l �v�sh E r APPROIW9E YJiw.El..25t a7jo �•.� 295 Bayview Avenue PROPOSED 8'x8ALE TOP k BOTTOM WALE I �p • I ' � o PROPOSED 8'TIP CCA LAY—LOG PILE APPROXWTE YLw IL O.ot ti '' .d EXISTING BULKHEAD r C; ] �O C PROPOSED 8'TIP CCA PILE, 6' TO BE REMOVED IN i �//////////////�/ ._._ - is; . _„ y / 0• O.C. 8' LENGTH. BOLTED TO ITS ENTIRETY. /\\j\\j\\j\\\/\\\/\\j�\//\\\� — - t H�` ?S s,w�' rU�A \ ��-p LAY—LOG WITH 3/4' \�\\ \j\\ \\\ ' °r y6" GALVANIZED THRU—BOLTS. / / / / / / I ,, Lj 1 PROPOSED 20' LONG 1' DUI. � L „E RD 6' D.C.°.°. LOCATION MAP , N.T.S. /J\\ PROPOSED 10' LONG SHOREGUARD 225 VINYL / S APPROVED BY SHEETING 1 STORY P / FRAME RESIDENCE "BOARD OF I RUSTEES / GARAGE � TOWN-OF SOUTHOt PT-AL SECTION . TS / DATE 0C"b .. 1l zbtq N. 1P0 VEGETATED WETLANDS AS IDENTIFIED BY J. PATANJO ON MAY 2, 2019 00 N18021'28"y{T PROPOSED 30 LF RIP-RAP REVETMENT / PROPOSED 10 CY CLEAN FILL / IN SAME LOCATION AS EXISTING BULKHEAD FROM UPLAND SOURCE PLACED :p 3.0`9 BEHIND REVETMENT q PROPOSED 10 WIDE NON-TURF BUFFER EXISTING BULKHEAD ITS BE REMOVED IN yy PROPOSED ROCK REM TO CONSIST TIS ENTIRErv. \ LIMIT OF FILL PLACEMENT / 4-5 TONS AND UPPER-COURSES _3 -_ I �j �-LANDWARD OF BULKHEAD Q E BOU TON AND AND PUKED IN AN INIETILOCIM MANNER ---- I CONSISTENT WITH NISDEC AND SDUTHDLD TOWN APPROXIMATE Y.H.W.EL 2JU SPECIFICATIONS AND REQUROUNTS. \ 0 V ` _ \ $yea OCT - 2019 LIMITSREW OF TO INSITKIN N DISKED To AREA / REWIRED TO INSTALL AND STACK ROCK \ ANY EXCESS FAL WILL BE UTILIZED BETYEFUI APPROXIMATE Y.LW EL O.Oi BOULDERS TD CREATE A TDIT COMPACTED REVETYETVf ssTEM. � Southold Town PROPOSED SILT FABRIC UNDER ALL \ \ i\�%\\i7\i�\\��� 14 \ / PROPOSED 32 LF VINYL BULKHEAD T stee IN SAME LOCATION AS EXISTING REYETMExT NOTE:THE MAXIMUM QUANTrTY OF STONE TO BE PLACED APPARENT M.H.W. ALONG Proposed Bulkhead Permit Plans SCALE: 1"=2°� IS 2.5 TONS PER LINEAL FOOT OF REVETMENT FACE OF BULKHEAD PROPOSED PLAN, DETAIL AND DATE: REVETMENT TYPICAL SECTION O I PROPERTY OWNER: PREPARED BY: LOCATION MAP 5-22-19 GABRIEL FERRARI JEFFREY PATANJO 6-24-19 N.T.S. 311 6TH STREET P.O. BOX 58210-1-19 GREENPORT, NY 11944 BOHEMIA, NY 11716295 BAYVIEW AVENUE SOUTHOLD, TOWN OF SOUTHOLD 631-484-9332 SUFFOLK COUNTY, NY SHEET: JJPATANJOQGMAIL.COM TAX MAP NO. 1000-052-05-26 1 OF 1 M SURVEY OF PROPERTY AT ARSHAMOMA0UE TOWN Off' SOUTH'OLD SUFFOLK COUNTY, N.Y. 1000-52 0 -26 SCALE I'=2tr OCTOBER 22 2413 lig `{�{ • g'Q' \a 16 - 1� �• �� i 43. O % N 10 2019 5 srn,t;,ald iarin / 5 Board oLT i ` s CERTIFIED TO- g LESLIE R. CONN $ REGWA L. CONN ADVOCATES ABSTRACT,gir- WESTCOR LAND TITLE 1ANCE CAVY sr� NS 6'r KFJP,,q, R-4 q ` LOT NUMBERS ARE REFERENCED TO MAP OF SQMAj0Z _ r HAVEN"FILED IN 7NE SUFFOLK COUNTY CLERKS OFFICE z` j AS MAP NO. 11333. °. L• rwV/ RYS. UC. NO. 49616 ANY ALTERA770N OR AOD17ION TO IBIS SURVEY IS A VIOLATION ONIC fbEC , EYURS, P.C.C. OF S£0770M 72090E THE NEW YORK STA 7E EDUCA77ON LAM: EC 765-5020 FAX EXCEPT AS PER SECTION 7209-SUBDIV79'ON 2. ALL CER77RCA710NS ) 765-7797 'L-+LIDL4WR'O Q L%l°111 W. FT. lle?sw ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY!F P.O. 80X 909 �npry� SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF WE SURVEYOR 7230 7RAVELER STREET LaMUf r� ry Q� �� a WHOSE WONATURE APPEARS HEREON. SOUTHOLD, MY 11971 •✓ ! o�pSOFFo�,�coG Michael J. Domino, Presi �j Town Hall Annex John M. Bredemeyer III,Vice-President �� �� 54375 Route 25 Glenn Goldsmith co = P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1-0 A Completed infield by: Jeffrey Patanjo on behalf of GABRIEL FERRARI requests a Wetland Permit to remove and replace 47 linear feet of existing bulkhead with new vinyl bulkhead in same location as existing, and raise the bulkhead height an additional 12" higher than existing; remove and replace in-place 25 linear feet of vinyl bulkhead return; install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the new bulkhead; and to install 10 cubic yards of clean sand fill. Located: 295 Bayview Avenue, Southold. SCTM# 1000-52-5-26 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 0/ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: —WA-1z, I have read & acknowledged the foregoing Trustees comments: Agent/Owner: M. Domino /GGoldsmith �Kru skiPresent were. JBredemeyer � p , G. Williams Other Michael J. Domino, Pre; O�QSVFF@L�`►�!� Town Hall Annex John M. Bredemeyer III, Vice=rresident � �f 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Gre;Williams ?%� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Zdl Completed in field bF, Iy: Jeffrey Patanjo on behalf of GABRIEL FERRARI requests a Wetland Permit to remove and replace 47 linear feet of existing bulkhead with new vinyl bulkhead in same location as existing, and raise the bulkhead height an additional 12" higher than existing; remove and replace in-place 25 linear feet of vinyl bulkhead return; install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the new bulkhead; and to install 10 cubic yards of clean sand fill. Located: 295 Bayview Avenue, Southold. SCTM# 1000-52-5-26 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 E'rosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetlan� Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside (� �'� �eview/consultpnt/application completeness/comments/standards: A1,1"x'„ �►+��-�ri,.�. r� fv 14R a I have read & acknowledged the foregoing Trustees comments: Agent/Owner: /J . Present were: Bredemeyer —,Z-M. Domino ✓G. Goldsmith ""N. Krupski /G. Williams Other Michael J. Domino, Pi ,, O��SUIrFU(�COG Town Hall Annex John M. Bredemeyer III,Vice-President a� �� 54375 Route 25 Glenn Goldsmith o `� P.O.Box 1179 w ze A Nicholas Krupski f1p, Southold,NY 11971 Greg Williams ypl Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 7) 10 ) /l Completed in field by: � �— IV Jeffrey Patanjo on behalf of GABRIEL FERRARI requests a Wetland Permit to remove and replace 47 linear feet of existing bulkhead with new vinyl bulkhead in same location as existing, and raise the bulkhead height an additional 12" higher than existing; remove and replace in-place 25 linear feet of vinyl bulkhead return; install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the new bulkhead; and to install 10 cubic yards of clean sand fill. Located: 295 Bayview Avenue, Southold. SCTM# 1000-52-5-26 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 Notic of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: p 1 . 4��- 4n�xd A AAjva . I have read & acknowledged the foregoing Trustees comments: Agent/Owner: �� / Present were: A'�J. Bredemeyer -PC/I. Domino n/ G. Goldsmith N. Krupski G. Williams Other 41 r e � jo w �,, r• �.' 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'+pp. 1.I oboion td D58-01-011 t. m6o,aoF \ __ w yr OR ,• t a --- —_ —_—_�---_ ___-------� --------- -- ———— ———-—LINE WTCM_—_--- ----- UNE ^ ✓ WTCH SEEsm NO.— / SEE SEG NO.OS6 7 TICE COUNTYOFSUFFOLK © K °"T SOUTHOLD SECTION NO Real Property Tax SernceAge nq v � y �. 052 T r-.nir a w tit NQvtitA A 1 TRD atoFFmrr 'r P 10� PROPERTY MAP -- -- mw.smu ustF.Av Rats October 1, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte:25 C E C �_F � V E P.O. Box 1179 Southold, New York 11971 1 OCT - 8 2019 RE: 295 BAYVIEw AVE-SOUTHOLD SCTM NO.,1000-52-05-26 Southold Town REVISED PLAN SUBMISSION Board of Trustees Dear Trustees: We hereby submit one (1) original and three (3) copies of the revised project plans and revised project description for above referenced project. Plans have been revised based on comments at the previous public hearing with reference to rip-rap in lieu of bulkhead for a portion of the project. We appreciate the opportunity to have this heard at the next hearing. If you should have any questions or require anything further, please do not hesitate to call me at 631-484- 9332. Very truly yours, J ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: 295 BAYVIEw AVE -SOUTHOLD SCTM No. 1000-52-05-26 PROJECT DESCRIPTION Project includes the removal and replacement of 32 LF of existing bulkhead with new vinyl bulkhead in same location as existing and 12" raised height above existing top cap and removal and replacement of 30 LF of existing bulkhead with rip-rap revetment in same location as existing. Install 10' wide non-turf buffer and install 10 CY of clean sand fill landward of new bulkhead and revetment. iD L ®CT - 8 2019 5c�c'��fd 1odan Qu31ti ai T�,astees Cantrell, Elizabeth From: Jeffrey Patanjo <jjpatanjo@gmail.com> Sent: Monday, September 16, 2019 10:53 PM To: Cantrell, Elizabeth Subject: Postponements Elizabeth, Please be advised we would like to postpone the following applications until the October hearings: Ferrari—Bayview Ave.,Southold McGregor—Broadwaters Ave., Cutchogue Thank you in advance, Jeff Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 631-484-9332 JJPatanjo@gmail.com ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i OFFICE LOCATION: ®��®f S®Ul�Y®� MAILING ADDRESS: Town Hall Annex O P.O. Box 1179 54375 State Route 25 l Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) 4W Southold,NY 11971 Q Telephone: 631765-1938 ®';feou � LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: July 3, 2019 Re: LWRP Coastal Consistency Review for 295 BAYVIEW AVE SCTM# 1000-52-5-26 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 INCONSISTENT with LWRP Policy 6, specifically 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. Town records indicate that the structure was constructed without Southold Town Board of Trustees review or permit. In the event the action is approved, it is recommended that a vegetated, non-turf buffer is required landward of the bulkhead to further Policy 6. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. �vaFF0z Peter Young,Chairman Q '� Town Hall,53095 Main Rd Lauren Standish,Secretary P.O.Box 1179 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., July 10, 2019 the following recommendation was made: Moved by Carol Brown, seconded by John Stein, it was RESOLVED to SUPPORT the application of GABRIEL FERRARI to remove and replace 47 If. of existing bulkhead with new vinyl bulkhead in same location as existing and raised height of 12". Remove and replace 25 If. of vinyl bulkhead return. Install 10' wide non-turf buffer and install 10 cy. of clean sand fill. Located: 295 Bayview Ave., Southold. SCTM#52-5-26 Inspected by: John Stein, Carol Brown, Peter Meeker The CAC Supports the application with the installation of a 10' non-turf vegetated buffer and depicted on the site plan. Vote of Council: Ayes: All Motion Carried ®� S®(JT Michael J.Domino,President Town Hall Annex John M.Bredemeyer III,Vice-President '�® l® � 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski ® O Telephone(631) 765-1892 Greg Williams a 00l1M Fax(631) 765-6641 � �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application � i 141 Wetland Permit Application j Administrative Permit Amendment/Transfer/Extension JUN 1 0 2019 Received Application: 6'10`lQ t� Received Fee: $ 250.00 T Completed Application: •���� down Incomplete: / Board of T sTrig i�n._� SEQRA Classification: Type I Type II i/ Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: �Coordination:(date sent): 6•�.�� _LWRP Consistency Ase nt Form Sent: / CAC Referral Sent: `1 Date of Inspection: 7,1 Receipt of CAC Report: Technical Review: Public Hearing Held: • jpq Resolution: Owner(s) Legal Name of Property (as shown on Deed): 6a 6,r 1 e-L F erre,,r t' Mailing Address: 3 I 1 (e-1--k 5 T ^-eh Por .N I j j %V q Phone Number: Suffolk County Tax Map Number: 1000 - Property 000 -Property Location: 2- q 5- l3 ft t/t ew 4 ue- 56,44-1d, ,11 111771 5fz Cae'A.f'-100% MAY (If necessary,provide LILCO Pole#, distance tocrossstreets, and location) AGENT (If applicable): (-(f<<-a ('a"ra r 1 a Mailing Address: f2 `� r3 Sg j3c h e-en`~-' 1jy 11 -714 Phone Number: b 3 l• q gq • q 3 3 a— C a� I Board of Trustees Application GENERAL, DATA Land Area(in square feet): Area Zoning: 12e S Previous use of property: 145 Intended use of property: 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 ✓ No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure (s) on property have a valid Certificate of Occupancy? ✓Yes No Prior permits/approvals for site improvements: Agency Date ✓ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓No Yes If yes, provide explanation: Project Description (use attachments if necessary): Aelnoye- BF 1r-x(s-t1AJ 6aUChea -A)VrA Aew In skne_ LDG4Ton AS ekes-tir7' .►adL of- 10 " . &fnnut -*kko /�6 uCL �S L� o� uc��►L ��C!c.y a.�.eQ !k�✓r,.�. �n.St�.1/ /o� -�i�cQ� - rt nn- 2v-/IF �y�� �'KQ �n32'�c�� !4 G� v� Gl��.! Sr►.rrk ��� . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: "ve. 4A12tDAsre,c q7 LF PI- -Oxt S'r-1 n &,(-A riew Vgt /it 5',sow-`e&*$l o^ AS e*tS /� �4c� /LALs<dt k�rg 04- 1 �`. A ANA te� V-6- -ra 64 %4-!,L s�L � ti . �'.�s �! wc�cff no#k- Tvtd(- 4aWel-- .4rA Jae-4 ,I, cle&A Area of wetlands on lot: .01 square feet Percent coverage of lot: '01 % Closest distance between nearest existing structure and upland edge of wetlands:feet Closest distance between nearest proposed structure and upland edge of wetlands: , 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? 149 cubic yards Depth of which material will be removed or deposited: / feet Proposed slope throughout the area of operations: 0 -2 0 Manner in which material will be removed or deposited: S ��� �'�<<< Frm•K 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): 4� vee ev ovc. -'-K66-�lny ✓u4c'-t#r•h drV Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 295 Bayvlew Ave-Southold Project Location(describe,and attach a location map): See Location Map Brief Description of Proposed Action: Remove and replace 47 LF of bulkhead with new vinyl bulkhead and 25 LF return. Install 10 CY of clean sand fill landward of bulkhead Name of Applicant or Sponsor: Telephone:eP 646-670-0088 Gabriel Ferrari E-Mail: gabe@ lovesickpictures.com Address: 311 6th Street City/PO: State: Zip Code: Greenport NY 11944 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 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 government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/Town of Southold Trustees ❑ 0 3. a.Total acreage of the site of the proposed action? 0.18 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.18 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial ® Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ P-1 ❑ b. Consistent with the adopted comprehensive plan? ❑ Fv1 ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Mill Creek,Name:Peconic Bay and Environs,Reason:Significant coastal fish&wildlife habitat, If Yes,identify: Reason:Protect public health,water,vegetation,&scenic beauty,Agency:Southold,Town of,Agency:Suffolk ❑ a County,Da... NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO ❑ b. Are public transportation services available at or near the site of the proposed action? 21 ❑ c. Are any pedestrian accommodations or bicycle routes available on or,near the site of the proposed 21 ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. 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 project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ 21 archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 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? ❑ a b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? R1 ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: oShoreline ❑Forest ❑Agricultural/grasslands [:1 Early mid-successional R]Wetland ❑ Urban m Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑ 16. Is the project site located in the 100-year flood plan? NO YES 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, Z ❑ a. Will storm water discharges flow to adjacent properties? 21 ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑✓ El- If If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES 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 I YES completed)for hazardous waste? If Yes,describe: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/nam : Gabriel Ferr ri Date: Signature: Title:Owner PRINT FORM Page 3 of 3 Part 2-Impact Asse.�._ -`rt. The Lead Agency is responsible for the coma ?on of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materii't&'ubmitted 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 i small to large impact impact may may i I 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? I�6 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic orEl 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 incorporateLl reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: pr El a.public/private water supplies? ' i 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, (l waterbodies,groundwater,air quality,flora and fauna)? I�� 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage 1- ❑ problems? �f _ 11. Will the proposed action create a hazard to environmental resources or human health? Q 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 clement of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result to 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 7/1,(17 — Name of Lead Agency Date President MOP ne� ■ _ nn or yp i n e o lies n9b r9li Lead Agency Title of Responsible Officer +i r ! Signature of e is,4ef cer in Lead Agency Signature of Preparer(if different from Responsible Officer) i ._ EAF Mapper Summa i Report Wednesday, May 22, 2019 10:17 PM "''s,`- `_>. �..-,�' ''- _. .gym=r...,.•.,.:�r._,. -------_ - _ -=-:-�tLL"__�_— _—_ Disclaimer: The EAF Mapper is a screening tool intended to assist `} project sponsors an rewewmm g agencies preparing an environments :52001304e.422000,,� ..: - _s assessment form(EAF).Not all questions asked in the EAF are ;« T5200=5.00= 1:000'ra answered by the EAF Mapper Additional information on any EAF '. ` ' `'r' =w 'rye 200-500-40000"1" ; = +" 'v .' question can be obtained by consulting the EAF Workbooks Although ;5200-500 ci 000' - .,.,,, -:.;. ` `5200-5,00;.040133, 5X30-5&559x6 the EAF Mapper provides the most up-to-date digital data available to 'i' ,•+ - e- :f/ ^�r_ t _ `' _ ra,_ DEC you may also need to contact local or other data sources in order =5200 5001 20000 52t1p=50't?c390'01. v ` "` fr - F i 5200`=500=60i1t2;,i to obtain data not provided by the Mapper.Digital data is not a 52'00-50-0-'2100:Ov substitute for agency determinations e' 200=501)=3a 000, ti 520400=23000' 5200=5.00-351}00` 4 ~w "`' t r` -°Otlaw'a�t+gon cat" 50Q 2401005200-5,00-34000- 66 0 34000 0�a0409 "P .. ,h :5200-500 25000 ;4. ;-e=.F S 52 0-5Qi7=3300.4 ;. n Yom..•, - �'.' % -660 00 2Q 00-27tIb0.'.,'ti y' _ .' - ;,.,��; _ •,- -Fl� :.,�' ..,f-. rr•• - n�;:s '� ,'�'•_ Roths�tpr�,. �.� �:�,��;` _ 520.0=500=28000 :` Ibar d�"�• f. .y.J>. - �C, ` ani'!� .,J" •t'l C.J��9rS:' n ...-..a` •`•' ; .5200`500=29001 ,'f52,OQratSQ'62006 il' :, , ra" -, 3- "y�'vB.c 't"ori Oro I `4` 52013-530-31©©dJ` _ :,' r " ? _ _ - 3,�;P t 4,w le�ret" d• - ;_' :� " fpiayiitetice ScuiQEI` � !€�,_�.,,e,rrnirt,LiFSS. ` ..{_ ' t _',r _ •• w .Irjtegmsp"},It�GRrEMEfSIT.P.htRCaii,'�Es`ri_= _ �-'�*;--; :��,,.�":`;4�.�:. „��•`��,�:: ,�';#" - ]�pan to 1=7l`Fsii China{ fpri g)', :i t� .a _ ' ` - [r iin� ivofgi ernt: 1 ►fin Esri t `�" ��-- . acru,���rr; ,.Garmin:;• 9 . M ftcrea Esii 3tj iisf6j)' 6 i•{ r = 0olurnbuj, btagh`' • 'DSC iilri INCREIMENT ttltp.: OperrStr'eet[vlsp Litpaxantritiutc�sf'artd•thet18, ` Is a(}iIry JsKjiaErl CEpng} EsI � o Onnatt ongn !Part 1 /Question 7 [Critical Environmental Yes I Area] i Part 1 /Question 7[Critical Environmental Name:Mill Creek, Name:Peconic Bay and Environs, Reason:Significant coastal Area- identify] fish&wildlife habitat, Reason:Protect public health, water, vegetation, &scenic I beauty,Agency:Southold,Town of,Agency:Suffolk County, Date:3-9-90, Date:7-12-88 Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible I Sites] ! Part 1 /Question 12b [Archeological Sites] Yes i Part 1 /Question 13a[Wetlands or Other Yes- Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or No ii Endangered Animal] _ i _ _ Part 1%Question 16[100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report , Board of Trustees Appl: ,tion AUTIIORIZATION (Where the applicant is not the owner) I/We, Got brt e I rerr rt owners of the property identified as SCTM# 1000- Z — O5 Z(o in the town of 5,0&4ha P ,New York,hereby authorizes iik-" 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. L Property Owner's S' ature Property Owner's Signature SWORN TO BEFORE ME THIS -�/ DAY OF , 20—tq _ 11 A L C 4, ;I�j ,I otary lic EMILY J REEVE Notery Public,State of New York No.01 RE6059270 ®uaniied in Suffolk County My commission expires July 23-2021 Board of Trustees Appl' Ltion -AFFIDAVIT r'nbrle-1Ferrari BEING DULY SWORN DEP SES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE / DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE, CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. 6 Sig re of Prop wner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF , 20 0 Nq64y Public EMILY J REEVE Notary Public,State of NewYotk No.01 RE6059270 Qualified in Suffolk County My commission expires July 23.2021 L�YYLIG�PI/PLGETQ'T/REYRE3ETi'TATa'Y� TRANSACTIONAL DISCLOSURE FORM The To%m of Southold's Code of Ethics prohibits conflicts of interest on the pari of town officers and employees.The puroose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: fa-'re&e . , C>,brreL (Last name,first name,Aniddle 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 Twee 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 - If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Soutlibld Title or position of that person Describe the relationship between yourself(the applicantla$ent/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); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of ZgAf-. 20a Signature _ Print Name Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Drohibitc conflicts of interest on the part of town officers and employees.The Pg ose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name,firs nam ,rpiddle initial,urAess 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 employeeas even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%o he shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line 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); B)the legal orbcneficial 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 9`�day of i 2011 Signature Print Name N Form TS 1 ® r C3 ®® ® f "I' J C3 ®o Q' C3 > 3 \:oj ka t»:m Y' ,aim Certified Mall Fee (II ED 1 Certified Mall Fee ru LrI $ Zit, 1111 $ �® 7ti .T, Extra Services&Fees(check box,add fee as appropriate) ,�- - , t(� Extra Services&Fees(checkbox,add fee es ro dare ,`,(e ❑Retum Receipt(hardcopy) $ 0 ny `9 aPP P ) O ❑Return Receipt(electronic) $ CO ost%k, O ❑Return Receipt(hardcopy) $ O p 20�(� '4 C3 ❑Certifled Mail Restricted Delivery $ �U�Here C3 ❑Certified d Mall R(electronic) $ C I�Stinatk 0 ❑Certified Mall Restricted Delivery, $ J % Q ❑Adult Signature Required $ OO ❑Adult Signature Requiretl $ Here E]Adult Signature Restricted Delivery$ Svc' ❑Adult Signature Restricted Delivery$ O Postage (J SQ p Postage O Total Postage ani �� l3 Total Postage am $ m m sent To SCTM#1000-52-5-25 $ca ~ C3 P , , f O -----t and Apt Nr cO Sent To SCTM#1000-52-5-36.1 � Stieef anilApt.lvi Visith ankh Prates&Julie a White, David H tti _______________ 19 Dunhill Road r` PO Box 4448 clry,srare,z�P+a Manhasset Hills, NY 11040 j crry,'State,ZiP+d B B Fort Lauderdale, FL 33338 i Ln ®® Er Ir cc, Certified Mad Fee Extra Services&Fees(check box,add fee as appropriate) ❑Return Receipt(hardcopy) $ 1 C3 ❑Return Receipt(electronic) $ "` POryn3fR�' r-30 Certified Mail Restricted Delivery $ J Here- C3 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ ' p Postage U5pej E' $ I E3 Total Postagei2 im j -� � $ ent To SCTM#1000=52-5-27 o Street and Apt. Hockemeyer,Judith C&James C r` 166-26 Powells Cove Blvd 9A Cary,State,ZIP-1 - ' Whitestone, NY 11357 :IB PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: STATE OF NEW Y(x COUNTY OF SUFF; ._ " residing at being duly sworn, deposes and says that on the day of , 2CL_, 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 1 A II P ' PROOF OF MAILING OF NOTICE ` ATTACH CERTIFIED MAIL RECEIPTS Name: Address; r SCTM#1000-52-5-25 SCTM#1000-52-5-27 Visithpanich, Pratas&Julie Hockemeyer,Judith C&James C 19 Dunhill Road 166-26 Powells Cove Blvd 9A Manhasset Hills, NY 11040 Whitestone, NY 11357 i SCTM#1000-52-5-36.1 White, David H PO Box 4448 fI I Fort Lauderdale, FL 33338 i I __ • STATE OF NEW YORK I 'COUNTY OF_SUFFOLK Jeff_rey Patanjo_ residing at P.O. Box 582,Bohemia,NY 11716 -being duly sworn;deposes and says that on the �i day of_July - -_ _ _ 2019 de onent mailed a•true co } -- -= - - P py 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 - St 4(,A that said Notices were m ' ed to each of said persons by r CERTIFIED MAIL/RETARN RECEIPT. Sworn to before me this q_ 'Day of-july ,2019 MARILYN S HICKS _ NOTARY PUBLIC,STATE OF NEIN YORK NO PUb11C Registration No 01 HI6365489 Qualified in Suffolk County c i` Commission Expir,s October 10,2021 i i s , 1 Michael J. Domino,President, ��S��FO(k�D Town Hall Annex John M.13redemeyer III,Vice-PresidentGyJ, 54375 Route 25 Glenn Goldsmith ' w z P.O.Box 1179 ,.A.Nicholas Krupski t Southold,NY 11971• -Greg Williams Telephone(63 1)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD '-,BOARD OP TRUSTEES: TOWN OF SOUTHOLD Iii the Matter of the Application of GABRIEL FERRARI -COUNTY OF-SUFFOLK- STATE OF NEW YORK , AFFIDAVIT OF POSTING THIS FORM IS TO BE,COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE I, Jeffrey Patanjo• ;residing at/dba PO Box 582 Bohemia,NY 11716 . being duly sworn, depose and say: That on theLday of July , 2019 ,I personally posted,the property known as, " 295-Bayview Avenue,,Southold 'SCTM# 1000-52-5-26 by placing the,Board of Trustees official poster where it,can easily be seen, and that I have checked to be,sure the poster has remained in place for eight days prior to the date of the public hearing:Date of hearing doted thereon to.be held Wednesday,July 17,2419. (sig/ae) Sworn to before me this 6, day-of-July-'2019- . ILA MARILYN S. HICKS Notaly;Pu IiC NOTARY PUBLIC,STATE'OF NEW YORK = Registration No.01 H16365489 ousi'fied in Suffolk County Commission Expires October 10, 621 July 9, 2019 Town of Southold Trustees FLSout1h:01dT0Wn]Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 r e RE: 295 BAYVIEw AVE-SOUTHOLD _ SCTM No. 1000-52-5-26 AFFIDAVITS Dear Trustees: Attached please find affidavits of posting and mailing for above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Je rey Patanjo P.O. Box 582 Bohemia, NY 11716 NU' TiLt 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: GABRIEL FERRARI SUBJECT OF PUBLIC HEARING : For a wetland Permit to remove and replace 47 linear feet of existing bulkhead with new vinyl bulkhead in same location as existing, and raise the bulkhead height an additional 12" higher than existing ; remove and replace in-place 25 linear feet of vinyl bulkhead return; install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the new bulkhead; and to install 10 cubic yards of clean sand fill. Located: 295 Bayview Avenue, Southold. SCTM## 1000-52-5-26 TIME & DATE OF PUBLIC HEARING : Wednesday, July 17, 2019 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si ' cant beneficial and adverse effects upon-the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and Ron- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 5 d a 5- _ PROJECT NAME ags Q! .&fu-(ew A v-e 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: 4rn,o,,e-of,,q 2q" q7 LF o E- t;.jCIGked !4 NeL, t L t k 1,ft f"1�t,1�.. .,�ib�c� !o' � /►oa=�/� h��•r�.e� Ga ccs eF c./cr�n 50��� (( . p Location of action: 9,S Q!,y v pct. Auc a 4J+L-,td- _ N l l er7 Site acreage: Present land use: (s ' Present zoning classification: �S 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided:/ (a) Name of applicant: ca a�✓! t eL �t f (b) Mailing address: S! (c) Telephone number: Area Code 70, (d) Application number,if any:. !�f -' Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes F5"'No❑ If yes,which state or federal agency? &J�U 4)Vc-- 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 - inAmizes adverse effects of development. See LSP Section IIIc—Policies; Page 2 for evaluation criteria. RrYes ❑ No ❑ Not Applicable 1'!1 rc4 Provt cacS 4nf a.. N cw b ,Ut-4L4 D ecRc s-teo4- .,,jt+k rl e.,�h L, Al K7 Pry c.rlce - Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVW Section III—Policias Pages 3 through 6 for evaluation criteria 11 Yes ❑ No loot Applicable { Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See }LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No RNot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4> Minimize loss of life, structures, and natural resources from flooding and erosion. See LVW Section I—Policies Pages g through 16 for evaluation criteria des ❑ No ❑ Not Applicable Pro-1-et.4-S aS�.,,sfi ,cs d (-,,.c- else- t-o by LK Je VCN ` Wu, Attach additional sheets if necessary Policy 5e Protect and improve water quality and supply in the Town of.Southold. See LNNW Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ Ido ❑Not Applicable t i,-eA l�L'Ft M w't'ri4.. ,fe��C'<s St cQ[in cwt t•c-f[ e -P/dSL o n 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 I,VVMP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes leo t Applicable �bllti`}' Prr-1"tG-�f GGoB SrEi✓AS 'OWLAQ Wet(-Vwds 4., "'x5r ,ted.+eed, IF t rvs Lr,.. �-H.,na.�k -�cr f-��ra y LJ r llL�+ta-•� . -- Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No�ot Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in 'Town of Southold from solid waste and hazardous substances and wastes. 'W . Sec LRP Section III—Policies; Pages 34 through 38 for evaluation criteria. F-1Yes F] No I-� I�ot Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LVVRP Section IIg—Policies; Pages 38 through 46 for evaluation criteria. YeO No❑ Not Applicable (ro,cGf Pro-1-0&3 ICYti i2-^R f/b-1Z" lknca- iL /tewteow+ae.2 14Attach additional sheets if necessary W® NG COAST P__drCIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWP.P Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ I ® Not Applicable Attach additional sheets if necessary Policy 711. 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 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRF Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ yes 11 No[J Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate nese and development of energy and mineral resources. See LWRP Section H1—Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No 2 of Applicable ]PREPARED BY J o 'I'D'LE A to 4- DA'I'S s—2 2—17 June 4, 2019 Town of Southold Trustees Town Hall Annex Building DDI 54375 Rte. 25 P.O. Box 1179 UJ Southold, New York 11971 JUN 10 2019 RE: 295 l3AyvIEw AVE-SOUTHOLD Srtity�I�Town SCTM No. 1000-62-05-26 6 r Tr PERMIT APPLICATION Dear Trustees: We hereby submit one (1) original and three (3) copies of the applications, project plans, check and project description for above referenced project. If you should have any questions or require anything further, please do not hesitate to Call me at 631-484-9332. Very truly yours, J rey Patanjo P.O. Box 582 Bohemia, NY 11716