Loading...
HomeMy WebLinkAboutTR-9688A Glenn Goldsmith,President QF S®!/TTown Hall Annex Michael J.Domino,slice-President ,`®� 00. 0 54375 Route 25 P.O.Box 1179 - - --- ----- ----John M.-BredemeyeF I-I�------------------- �i[- �- -------------Southold,-Nevi-Y-or-1��-X971------- --- ------ A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams • �® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES' YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 12' -HOURS PRI®R T®-COMMENCEMENT OF THE ACTIVITIES CHOKE66'F' F '­BELOVI/ INSPECTION SCHEDULE .Pre-constructi®n; Glenn Goldsmith,President �QF S®(/Ty Town Hall Annex Michael J.Domino,Vice-President ,`O ��� 54375 Route 25 - - -- -------- --- P.O.Box 1179 John M.Bredemeyer III Southold New York 11971 T A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams • �� Fax(631) 765-6641 1�e4UM`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9688A Date of Receipt of Application: August 7, 2020 Applicant: Jonathan Babkow & Maria Rubin SCTM#: 1000-23-1-18.1 Project Location: 360 Private Road #8, East Marion Date of ResolutionlIssuance: September 16, 2020 Date of Expiration: September 16, 2022 - Reviewed by- John Bredemeyer, III, Trustee Project Description: Remove eight (8) trees and miscellaneous shrubs; plant new trees and shrubs. Findings: The project meets--all the r-equirements-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 prepared by Samuels & Steelman, Architects, dated July 13, 2020 and stamped approved on September 16, 2020. Special Conditions: One time removal of marked tree(s) located in the non- disturbance area. 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. eo ��4" Glenn Goldsmith, President Board of Trustees REVISIONS: NOTE: LOCATION OF NEJM POOL_ a r ENCLOSURE FENCE 15 BOUNDARY ' Q 3 BETWEIEN NON DISTURBANCE � - CD FxsT NON TURF BUFFER DAM POND wopo ogT,No °�k ON DISTURBANCE ZONE QC ° N/0/F v GARY STANZONI - -- CpNC 1�1, & LAURA STANZONI ON TURF BUFFER 15 FT WIDE _.. .. Uj � EXISTING TREE TO REMAI i y'q<< ,SII, S V 6I.3 LANTINC75 "NON-TURF" O \ M Io3 r 00,, MxiST a - 56, beach grass, I gal, IS" oc 2 sty fr dwelling 6 gRsy `;9' F P, - HYD, hydranga, 24", 48" or, EXISTING FENCE O BE REMOVE ) - JUN, Juniperus chinensis Sea Green, 24", 48" oc - 06, ornamental grosses, I gal, 50" oc lit £xsr - PER, perennials, I gal, 50�� oc y � j „Iy� R oop _ PIN, pinus mugo, 24”, 48oc ® W RR, rosa rugosa, 24", 48 oc l An Ank V XISTIN6 TREE TO BE REMOVED EXISTING TREE TO BE REMOVE XI5TIN6 FENCE TO BE REMOVED , � I: IT 111, w y / S 1= ry GED{ y. >�X: -� i wap .�' 1,II, �o > ST D HYD _- �,% POOL ENCLOSURE FENCE NEW EVERGREEN SCREEN PLANTING w M ,GED_ JUN '��,h ,� x - GED, EASTERN RED CEDAR 8' HT `� GE . LANTIN65 "NON-TURF" 8— �R HYD BG ,, oN T - 56, beach grass, I gal, 18" oc N/O/F D lawn BG y\ , ` _ S �q� - HYD, hydranga, 24", 48" or- Michael cMichael Mendillo & _ FIN - HYD- - 6 - JUN, c Juni erus chinensis Sea Green, 24", 48" o Barbara Mendillo EXI5TIN6 4D GED.j - PI JUN • \� - 06, ornamental grasses, I gal, 50" or, 1000-23-1-3.2 TO BE REMOVED lawn x 8 - PER, perennials, I gal, 50" or- DWELLING cDWELLING WITH WELL Gip _ AR ,ti 9 - FIN, pinus mugo, 2 ED. ,0 c g - RR, rosa ru osa 24", 48" G ,\ Z �G �• PLANTIN65 "NON-TURF" ju EXIST. TREE T GED 9BE REMOVED �` o XISTIN6 TREES TO MAIN - HYD, hydranga, 24", 48 oc _,- � f', / ��. �, � � D. o J O - JUN, Juniperus chinensis Sea Green, 24", 48" cc. - 06, ornamental grasses, I gal, 50" oc 10- - E a �� EXISTIN t i �� lawn - PER, perennials, I al, 50 oc PLANTS` yy 5• PPIIN� Q� GE XISTIN6 PLANTS TO E D - PIN, pinus mugo, 24", 48" or, / REMOVED------ STONE �� -11 WALKWAY lawn \ y G X15TING TREE TO BE REMOVED NEW POOL FENG 1 1 O O _ _- \' o G I?- 12 EW EVERGREEN SCREEN PLANTING Im !-- O or 12 - GED EASTERN RED GED A T (� PROPOSED OE f� i EXISTING PLANTS TO REMAI 13— \\ 20'x4O' -PLANT IN65 "NON-TURF" LU W POOL BACK WASH DRY WELL ' \ GE - HYD, hyd nga, 24", 48" OC.- JUN, Junip rue chinensis Sea Green, 24", 48" oc lawn - 06, ornam ntal grasses, I gal, 50" or- PROPOSED NEW POOL EQUIPMENT . �`--�` r - - TERRACE &TRADE iONE , / - PER, p nue merennato 24a148�Iocc 2 sty fr dwelling N/O/F I GATEPaul Z Fried � � ,-. LPA, Judith Fried 13 - 1000-23-1 -4 PROP0012 NF- -XISTIN6 PLANTS DWELLING WITH WELL EXISTING PLANTS TO REMAI - QST�� �` TO REMAIN RSI]7ENG� ma_ . _- o � ,LP otS z- � FIRST FIN FLR \` � - � ,' -�' W POOL FENCE Cl) Q• ELEV +14.5 PROPOSED NEW UNDER6R0 4' i GARAGE SLAB " `I 3 -I a w DRYWELLS FOR STORMWATER �._ .' ELEV +15.0 `�LP, o-- ° o TOTAL GROSS FLOOR - W J• 3 x RUNOFF FROM DRIVEWAY AREA 5,504 SF — = a z •M OIL TANK IN BASEMENT W• � o 30, W `n GATE a N 0 RIGHT OF I```` OP05ED NEW SEPTIC SYSTEM W• N WAY — FARKIN6 I `` o Q D GARY STAN Z \ ` ,\ COURT 13 ,-`\ 2 LAURA STANZONI 7 , _ , s 0 co 1 1 ROAD / ENTRY WALKWAY_ N 75.3 cr• 10- o` — TE5T HOLE EL + 12.1 F c�OF N-IRr \ ` -c ATF` O '� P05ED NEW UNDERGROUND .G F� — — i — DRYWELL5 FOR 5TORMWATER �{ ' o ENTRY / i RUNOFF FROM BUILDING 5TRUGTURES DRIVE 2 sty fr dwelling TSN� w i ��CIS TMS f N/0/F �, \ PROJ7T-NO: GARY STANZONI Zi / 1705 & LAURA STANZONI o DRAWN BY: 1000-23-1 -15 ` `, UT DWELLING WITH WELL � � � � � � — — CHECKED BY: W PROPOSED WELLV, NS \` DATE: FOR RESIDENTIAL WATER July 13, 2020 \30' WIDE , 0 E \ SCALE: RIGHT OF XI5TIN6 WELL T B o 10 1" = 20' - 0" WAY ABANDONED 1 ar SHEET TITLE: I 9 APPROVED BY ENLARGED BOARD OF I RUSTEES SITE TOWN OF SOUTHOLD PLANTING . . . . —ADATE PLAN SEE SHEET SP-I FOR REMAINING s PORTION OF 51TE SHEET NO: L A H_ E P N', L P. D A P Rw�l E z ON- SCALE: 1 " = 20'-0" TOWN TRUSTEES SUBMISSION ADMINISTRATIVE PERMIT Glenn Goldsmith, Pre nt o�OS�FFO(,�e,o Town Hall Annex Michael J Domino, Vice-Pi— lent �� Gy�,q 54375 Route 25 John M. Bredemeyer III N P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971- Greg Williams -A Telephone (631) 765-1892 �l �a Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ''� a••y�1� Completed in field by: Samuels & Steelman, Architects on behalf of JONATHAN BABKOW & MARIA RUBIN requests an Administrative Permit to remove eight (8) trees and miscellaneous shrubs; plant new trees and shrubs. Located: 360 Private Road #8, East Marion. SCTM#: 1000-23-1-18.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I 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: l �i4h evAs � �3 / mss :-,�1��� r�� ,s 1 have read & acknowledged the foregoing Trustees comments: Agent/Owner: , /' Present were: y J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other -,A AUG 7 2020 SURVEY OF PROPERTY ,e6 0SIT UA TE L ORIENT o TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-23-01 - 18. 1 67. I .3'r N .300.1 SCALE 1 99=30' co 6,9 .9 V..• > loy - JUNE 21 , 2017 In X'u\ CNV ZQ TOTAL AREA 77,883 sq. ft. 1 .788 ac. X\—. ................ .............. X X Ln IS401 0 X X2j .22 %M1,'.,o LA NOTES: �\ha /�1 `�/ / /� j 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM X X 0. 0. EXISTING ELEVATIONS ARE SHOWN THUS:A&g 101, \ EXISTING CONTOUR LINES ARE SHOWN THUS:— — XX————— 10- X - mi X X F.FL - FIRST FLOOR G.FL GARAGE FLOOR TB TOP OF BULKHEAD B8 BOTTOM OF BULKHEAD -LLZTW TOP OF WALL .81 . .' -- . ... .1 ' ' 4 BW BOTrOM OF WALL 12— INGROUIND POOL Ct S CERTIFIED TO: -;'-,— XIzz xim XJ= BIG APPLE ABSTRACT Corp. 133 I; ID I/ POVE TITLE No. BAM 18488 FENCE 13.5 H 20.8' OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY P. STEVEN LEDERMAN WOOD FENCE POOL t EQUIP. WO D E FEFENCE FENCE 16.2 4.0 44 13— VJr& N -7 20.0 3.10\ 2 STORY FRAME X2.9 HOUSE & GARAGE HIMNE 9 �Y R N. F.FL 14,4 7.5'-: AIR 2) In 4.0' COND. UNITS S.0' 15.7' J2 23.2' _7 xJ2.6 -LID �X) POUND 0 CK C0p&� O/P A2 V, -N, ....... X-ul XJM &Zh PP oAr r'.*•--' .10 443 X ZoAll 7,s-30 Rs 29. 96 10— -LU 11 4eb J.0 X ma 01K • 0 Y, X 10 POLE och, X 05PO 2502 9 X.&J RNEWAYSo 0 X xlu cosc. 1,- , 1 110 lz ————————— X24 Z-4 O XZ4 Xm X-U A- Xm X 5 Xm • 0 CE NN I.3 XC VR *- .0 5 %, r Xu mX X-14 x -Z� X'm — X..12\ XIA X�u X/ /'—,, "I X (X�u -- \\ Xm Xm Xm -U\x I I X 6 N:z I \ -1 1-1XA4 - I / h� "O� CONC.FOUNDp 28 X-U Wu X MON. *0 .......... PREPARED IN ACCORDANCE WITH THE MINIMUM im11 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED X-U CID. BY THE L.I.A.L.S. AND APPROVED AND ADOPTED -42 -:L4 X FOR SUCH USE BY THE NEW YORK STATE LAND X 001-�� �� �I � MoNoo2NR0 �/o K TITLE ASSOCIATION. 4 X 41b �z Aj N.Y.S. Uic. No. 50467 5-'1� UNAUTHORIZED ALTERATION OR ADDITION TO THIS A OLATION OF SECTION 720SURV9 EY OFIS THEVINEW YORK STATE Nathan Taft Corwin III EDUCATION LAW. <�0 COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. ro 3- CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY. GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout LENDING INSITRMON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI— PHONE (631)727-2090 Fox (631)727-1727 TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jannesport, New York 11947 Jamesport, New York 11947 37-134 REVISIONS: NOTE: LOCATION OF NEN POOL ENCLOSURE FENCE 15 BOUNDARY 55TNEEN NON DISTURBANCE E FxNON TURF BUFFER .�� ► _ DAM POND w° tOgISTT �^ K; °D /N .t.._ °°°k N/0/F ON DISTURBANCE ZONE v GARY STANZONI r r & LAURA STANZONI �: ...__ Uj ON TURF BUFFER 15 FT Il I DE EXISTING TREE TO REMAI �q<� ,I�, S A 61• LANTI N65 "NON-TURF" O I03 100', Mk/ST o - B6, beach grass, I gal, 18" oa 2 sty fr dwelling 6 y , gRsy 39, F ,pq� - HYD, hydranga, 24", 48" or, - JUN, Junlperus chlnensls Sea Green, 24", 48" oc EXISTING FENCE O BE REMOVE ) - 06, ornamental grosses, I gal, 50" oc Uj ti F - PERperennials, I gal, 50" oc - PIN, pinus mugo, 24", 48 or, - RR, rosa rugosa, 24", 48" oc Amok® z 'y XISTIN6 TREE TO BE REMOVED >� < x f. EXI5TIN6 TREE TO BE REMOVE f y' /sr, ,�I►, XISTING FENCE TO BE REMOVED LU 0OD It ; NEW EVERGREEN SCREEN PLANTING M ED SUN ' x ;' ,il►, W POOL ENCLOSURE FENCE - GED, EASTERN RED CEDAR 8' HT N GE " ' ki LANTINC75 NON-TURF 8— �� HYD - ,:� -z-z`, . � � p sT ED� �' ;y N - B6, beach grass, I gal, IS�� oc N/0/F L lawn P!N BG \ J S �q<� - HYD, hydranga, 24", 48" oc Michael Mendillo & +IYD GEDr -- " _6 - JUN, Junlperus chlnensls Sea Green, 24", 48 oc Barbara Mendillo EXI5TIN& TREES 4D _ - PI J'UN \ - 06, ornamental grasses, I gal, 50" oc 1000-23-1 -3.2 TO BE REMOVED j, lawn -`� 8 p g " - PER, perennials, I al, 50 oc DWELLING WITH WELL GED - n, 9 - PIN, pinus mugo, 2 g� _ 0 h' �7o - RR, rosa rugosa 24", 48" c GED � _ o� `N cr• PLANTINGS "NON-TURF" GED jun ,'�� EXIST. TREE T vQ i - HYD, hydranga, 24", 48" oc f } p0 BE REMOVED /� J or XISTIN6 TREES TO MAIN Z - JUN, Junlperus chinensis Sea Green, 24", 48" Q - 06, ornamental grasses, I gal, 50" or, 10— t� EXISTI \ ! V�oj - lawn - PER perennials, I gal, 50" or, PLANTS` GE 0 - p g NEW STEP Qcv -11 XISTIN6 PLANTS TO E D - PIN, pinus mugo, 24", 48" oc / REMOVED STOP Amy _ ,11 a WALKWAY I� lawn XISTIN6 TREE TO BE REMOVED Amhara \ o - W EVERGREEN SCREEN PLANTINGS 12 -- PROPOSED �0 ��er NEW POOL FENG - GED, EASTERN RED CED A T 13_ \ � o��� J — � , GE EXI5TIN6 PLANTS TO REMAI _ G 'b M Uj Q ` ' ! LANTIN65 "NON-TURF" POOL BACK WASH DRYWELL 1 \ Fr - HYD, hyd ngo, 24", 48" oc -, D - JUN, Junip rus chlnensls Sea Green, 24", 48" oc , lawn - 06, ornom nta I grasses,�� o I gal, 50" oc NEW POOL EQUIPMENT ��_ �� '` _ PROPOSED STONE GE - PER, perennols, I gal, TERRACE ON GRADE j '�G. ( - PIN, pinus m o, 24", 48" oG 2 sty fr dwelling N/O/F (SATE Paul Z Fried � � Judith Fried I 1000-23-1-4 13 PR01=05ED NIEW EX15TIN& PLANTS DWELLING WITH WELL EXISTING PLANTS TO REMAI -__ 5T `�„- TO REMAIN � Z RSIDNG oma_--_ " �- LP FIRST FIN FLR "�`�� ,'���-' o W POOL FENCE to Q• CDM ELEV +14.5 PROP05ED'NEW UNDER&R0 6 ELEY6E+15.0 SLAB \ ` /LP`s J N o ° DRYWELLS FOR STORMWATER o TOTAL 68055 FLOOR W -1• 3 X RUNOFF FROM DRIVEWAY AREA 5,504 SF — a z M OIL TANK IN BASEMENT W• � o 30' WI ` GATE POSED NEW SEPTIC SYSTEM W• a N = M RIGHT OF U WAY — PARKINS I o Q GARY (— STANZ 12` / COURT 13 LAURA STANZONI 11- Cl) Cl) 10 -1-3.3 ROAD _� \ TRY WALKWAY_ `� --en A/ 7 5.30,00" W \ \ \ \ / Lon 10- CATEST HOLE EL + 12.) ,���o r c�v,s �� �- C� ��.STSG OP \ i POSED NEW UNDERGROUND aG t, DRYWELL5 FOR 5T ORMWATER o ENTRY RUNOFF FROM BUILDIN6 STRUCTURES DRIVE 2 sty fr dwelling m , GO�RT To A N/O/F RROJEC��Nd. GARY STANZONI \ U 1705 & LAURA STANZONI �" 1000-23-1 -15 DRAWN BY:L ' UT DWELLING WITH WELL ` _ _ _ — — — CHECKED BY: g � , W PROPOSED WELL \ DATE: NS FOR RESIDENTIAL WATER \ � July 13, 2020 \30WIDE SCALE: RIGHT OF X15TING WELL TO BE o 10 1" = 20' _ 0" WAY ABANDONED \ CP SHEET TITLE: 9 ENLARGED SITE PLANTING SEE SHEET SP-I FOR REMAINING PLAN PORTION OF 51TE SHEET NO: H L H, P, 1 Aa L vt L SCALE: 1 " = 20'-0" TOWN TRUSTEES SUBMISSION ADMINISTRATIVE PERMIT .es'pelm, �a, .d � � `�ilAc:' .L� .f ih •,. f" -•3 '�''kyr '' a�d�. . \ - �3 4 ji I t: 45 �•, ,%H '`��'P • �"` �. \�. tiM ` ".P ,,��'�I. .L'"Nd�4 y�i .t ,. "'I tt, `,'7 C ' 1 .� �j; � "41� � � 'r�d`S,i� f l��t 61�,.i � �S• t r=` �'A� i.,V'f}�\ I.t.' , r ♦ t � _ � � t � �( �''rf +yap ' y ��. ..,•.. nom- •• V6 gg�� `t � � �� � '...1 °�(ltlt, ' t�h� rte; •��yr i ' � „������ �} ' a\' v f ,y 31 -- 1 . '� /f, tf; W >i? \y�{ .��v1 �1�� !'�" ,f �,,r'''f.�'1, 11,4 �.;� '�j- \i� � y ��/ t •f.f� � �w.�i"/ J" .���� �i f.--'�' < C` Vii, al L «- id'•' f•�'4 1 � S� l 1 ! � II,,� � l�a�i^,'✓#� ,1 ,>. �/' _ / IV MWA tet, . • �` ! ,�.' el` ` Y�,'`ink IL I- y �z"� -,'% % Ff'i�, '7+•+ft ✓ ,� ✓e�f� ;. . �., 03, r r � 1 •• �'' �� �� rt'•• ` ` y _.S' } �. SS._,- r '< 'AIR 1p. t � .' '�� C.i yam.� J '�-- �• r a �•1' � '�`�� 'Z� ?•e'„ r "' ,� r t� { `�" // ,e• 11 � V! �5�� 3� v �=::••.:. ��'P' Y l �y..,.. ,'k>r -y �iq „f v � � r`'` r�.��5�`:�• >.tF, y '` ,;'s, � .,1� .i;' '�r 1.. . .y-�. �.I ► t� �� _ ��� i 1 r• ..�-�. ' N•. y�,,_ '�: .fi',�' y ^. � ��t �� R rT .- _ - ��"'sem Ly � �" ut .! -.N '} _"� r,t„1 � � r�`s'•'�+ \yY���� 1 C" � � `R��.((tl i.d�.R i4 r • y r _ - � f ' � ' II� k k� I ) t" � ' �'`�e` °' A> ,t ��" A�nIA� �fqqr• t � � � Iy� ktItl fi �Yu 1 DECLARATION OF COVENANTS THIS DECLARATION made-this' clay-of-Janua_ry,2020 by MAIA RUBIN AND JONATHAN BABKOW,residing at 2112 Broadway, Apt. 7C,New York, New York 10023, hereafter referred to as `DECLARANT": W_-i TN-E-S,S-ETu: WHEREAS, DECLARANT is the owner of a certain real property located at 360 Private Road#8, East Marion,Town of Southold, County of Suffolk, State of New York 11939,described in the Suffolk County T ax-Map as District !000, Section 023.00;-Block 01.00, Lot 018.001, which is more particularly bounded and described as set forth in "Schedule A"annexed hereto,hereafter referred to as the Property; WHEREAS,the Property is situate on lands within the jurisdiction of the Board of Trustees,of the Town of Southold(hereinafter the "Trustees")pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, DECLARANT has made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS,as a condition of the granting of a Wetlands Permit to undertake such"regulated activities,the Trustees have required that DECLARANT record evidence of the Wetlands Permit issued by the Trustees and the"non-turf buffer" condition of the Permit,whereby the Trustees required that the DECLARANT establish and perpetually maintain a,15'wide non-turfbuffer landward offence and that.the area_seaward,oflhe fence be a non-disturbance zone; tree removal is to be limited to and as depicted on the site plan prepared by Samuels& Steelman Architects, dated February 5, 2019 and 1 � stamped approved on February 13, 2019 (the"Plan"),attached as"Schedule B", and the Trustees' Permit dated February 13, 2019,attached hereto as "Schedule C". WHEREAS the DECLARANT has considered the foregoinand has determined that 3_ the same will to n the best interest of the DECLARANT.and sug Sequent ownem ofthe Progert• and NOW,THEREFORE,THE DECLARANT does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained a"Non Turf Buffer" as defined by Chapter 275 of the Town Code within the"Non Disturbance Zone",as shown on the Plan. 2) These covenants shall run with the land and shall be binding on the DECLARANT,their heirs, assigns,purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. 3) These covenants shall constitute a notice covenant and deed restriction restricting the Property as aforesaid. IN WITNESS WHEREOF, the owner has executed this instrument this 2 r day of January, 2020. ,ata Rubiis (� Jona an Babkow STATE OF NEW YORK, COUNTY OF I��i� L U+Y K : ss: On the 211'day of ')0CA+' , in the year efore me,the,undersigned, a Notary Public in and for said State, ersonaIl appeared Maia Rubin and Jonathan p Y pp Babkow,personally known to me or proved to me on the basis of satisfactory evidence that they executed the same in their capacity and that by their signatures on the instrument,the individuals, or the persons or entities-upon.behalf of which the individuals acted, executed the instrument. Notary Public re1c&r?'rusteesBabko1i02019 - :SAMANTHA SHANEIL ELLIOTT CHARLEY Notary Public-State of New York N0.01EL6389601 Qualified in New York County y Commission Expires Apr"1,2023 SCHEDULE A ALL that certain plot,piece or parcel of land, situate,lying and being in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the Northerly side of-Main Road (S.R. 25) where same is intersected by land now or formerly of Fried with the Northerly side of Main Road; RUNNING THENCE Westerly along said Northerly side of Main Road on a curve to the left, having a radius of 2898.00 feel, a distance of 62.3 0,feet; THENCE along a 30 foot wide right of way the following two (2) courses: 1. North 6I degrees 28 minutes West 161.99 feet; 2. North 15 degrees 30 minutes 00 seconds West 21-1.74 feet; 7 -—ENCt North 77 degrees J0_ nutes U0_see ends vest 29.96 feet to land now or formerly of Mendillo; ' THENCE along land now or formerly of Mendillo North 18 degrees 33 minutes 50 seconds East 231.62 feet more or less to the Southwesterly side of Dam Pond; THENCE along the Southwesterly-side of Dam Pond, on a tie line bearing South 61 degrees 31 minutes 00 seconds East 103.39 feet-to the Westerly side of land now or formerly of Fried; THENCE along land now or formerly of Fried, South 15 degrees 30 minutes'00 seconds East 451.08 feet to the Northerly side of Main Road(S.R. 25) and the point or place of BEGINNING. flldµ SHEET++SF-Z APPROVED FY— DA M DAM POND SIT .}..A 76 EOARROF1Ru s VZ,O.= Lo I.Df'r,IAGAtIAN of)tr7t Pons` Aos17e4W3 s E�suDMsrWn I 7Y o , ��a QY2.o'_LRE}-F;�GE 159ARv�A4Y OWNER: John 9,4& i1LB RuU Dere0V"on 01firmAwam� �'ti a a ej• K---A�er artat4m6Y r JJ%• �� ERE,4REA: 77.681EF,ur1.78+icor LU L .'�'uc®ene".ucL lO�: •srE we rlr'DnIDn;'icCtlatt,7�+o`CE 20�L Wfft Aos; 31760rFf.-U06ACMU ZORIRC: R•0 >0 gig"05 4"51EF 7.r,x"•') LU CWPAGE ' B ` J a m r \ FLOOD ZONE: �r14 ti ` SUfvfiYOR: NNfuoTCl ConlloID ��,�- w '} \ 1506 MJto Rood I �'���� � �' 1 J�aomspehl NonYerk ltQN lir 15�,YL11 LttEhiSEssOt67 `�. OATFjp JU71E21,'bD17 •+�' z Ett1rAT10NSARL+fiEFfJtENCm ... NA.V9.19t8 R0.RIiR ,Im /r LOCATION MAP 0 fo ,�i•'=•7 § �•�^�r __ '+"'r`g�Y�+'�,Z�"��v '_""�"�..n.�rva.."" �l I sir' fB i't�v�f r LLF F"- f r im '1 L. K .a1e•Rba� ' ��I 4'� �II •�y� � rattc� 1 n K, 3 Y mw 5 S E { 9 ar.. itOs i NOVEIARER 1E,SD1 ~ { 9710E77i OVERALL'-� tS PLAN 6 OQ9 rx . ai,eellfrftlflQW,u • F TERMS AMID CONDITIONS The Permittee Jonathan Babkow&Maria Rubin residing at 360 Private Road#8 East Marion 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 fuff fidliilify with respect thereto,to the complete exclusion of the Btsard'ofTrustees 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 Peimit 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 Towrrof=Southold; 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel.Such evidence shall be provided within ninety(90)calendar days of issuance of-this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J Domino,President q�OF SO lyp� Town Hall Annex John M.Bredemeyer III,Vice-President p 54375 Route 25 Glenn•-Goldsmith '' ' ; - '.O.Box 1179 A.NicholasKrupski Southold,New York 11971 Greg Williams ® �� Telephone(631)765-1892 IyC�UN Fax(631)765-6641 1ROARD OF TOWN TRUSTEES TOWN OF SOUTH_ OLD_ February 13, 201.9. Nancy Steelman Samuels&SteelMan Ard*ects 25235 Main Road Cutchogue, NY 11935 RE: JONATHAN BABKOW& MAMA RUBIN 360 PRIVATE ROAD#8, EAST MARION SCTM#1000-23-1-18.1 Dear Ms. Shelman: ` The Board of Town'Trustees took the following action during its regular meeting held on Wednesday, 1'`','bruary 13, 2019 regarding the above matter: WHEREAS,ci=:,wjelsA Steelman Architects,-on behalf-of JONA+THAN-BA-BKOW&MA-RIA RUBIN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold-Town Code, the Wetiand Ordinance of the Town of'Southold, application dated November 15, 2018, 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 Polic}l:-)f the Local Waterfront Revitalization Pro-gram-to.the greatest-et-possiblethroug?I th—_k,1position of-theiolioWing-Best Management Practice requirements: establishing a 15'non-turf buffer and a non-disturbance zone; limiting tree removal; sanitary located beyond!Trustee jurisdiction; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 16, 2019 and February 13, 2019, at which'time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question-and the surrounding-area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, y - 2 ` WHEREAS, the structure complies Avith.the,standards s Town Code, and, et forth in chapter 275 of the Southold WHEREAS, the Board-has determined that the prgject as proposed will not affect the health, safety,and general welfare of the people of the to+nWn,• NOW THEREFORE BE IT, RESOLVED; that for the,mitigating factors and baT*ed.upon the Best Management Practice requirement imposed above,the Board of Trusteep deems the action to be Consistent with the Local Waterfront.Revitalization Program pursuant to Chapter'268-5 of the'Southold Town Code, and,. RES LVED, that the Board.of Trustees approve the application of JONATHAN BABKOW & liflA -RUBIN#o demolish-existing 2,543sq#t.--t elling with-1,567s JL of decd existing 2,236sq.ft. of vinyl pool, terrace and retaining walls; remove existing 2,8 0sq.ft.ove concrete driveway and walkway; construct new 2,$61 sq.ft. two-story dwelling with attached 2- car garage; construct a 352sq.ft. landward terrace-and a 675sq.ft. seaward side terrace attached to dwelling; construct a 620sq.ft. trellis; c nstruct a combined 2 972sq.ft. gunite swimming pool (20'x40') and pool terrace seawar of dwelling; install pool enclosure fencing around perimeter of property; install a new well ani sanitary.system,2,255sq.ft. of tnew.gravet driveway and-parking area and new 322sq.ft. entN walkway, all to be located landward of Trustee jurisdiction; and to install gutters to leader to drywells to contain roof runoff, and in accordahce with Chapter-236 of the Town Code—IStormwater Management;with the condition to establish and perpetually maintain a 15'wide nqn-turf buffer landward of fence and that the area seaward of the fence be a non-disturbance,z ne; tree removal is to be limited; and as depicted on the site'plan prepared by Samuels &Teelman Architects, dated February 5, 2019, and stamped approved-on-February:13,•2U� . Permit to construct and complete project will expir two years from'the date the permit is signed. Fees must be paid,if applicable, and permit issueq 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 Michael J_.DoMiao President, Board of Trustees MJD/dd -- SCHEDULE "C" I BOARD OF SOUTHOL TOWN TRUSTEES SOUTHOLD,NPW YORK 'PERMIT NO.9388 DATE: FEBRUARY 1A,•2019 + ISSUED TO: JONATHAN BABKOW&N4X A RUBIN PROPERTY ADDRESS: 360 PRIVATE ROAD#8,EAST MARION SCThi#1000-23-1-18.1 AUTHORIZJ�TION Pursuant.to the.provisions of Chapter 275 of he Town Code of the-Town of Southold and, in accordance with the Resolution of the Board of Trustees ac opted at the meeting held on February 13,2019,and in consideration of application_fee in the sum of$250.00 p fid by J! Nathan Babkow&Maria Rubin and subject to the Terms and Conditions as-stated in the Resolution,tie Southold Town Board of-Trustees authorizes and permits the following: Wetland Permit to demolish existing 2,543sq.ft.d elling with 1,$67sq.ft.of decking;remove existing,2,236sq.ft.of-vinyl pool,terrace and retaft ing walls;remove existing 2,830sq.ft. concrete driveway and walkway; consfruct•new 2, 61sq.%two-story dwelling with attached 2- car garage; construct a 352sq.ft.landward terrace and a,675sq.ft.seaward side terrace attached to dwelling;construct a 620sq.ft.trellis;c nstruct a combined 2,972sq.f4 gunite swimming pool(201x40')and pool terrace seaway of dwelling;install pool enclosure fencing around perimeter of property;-install a new well a id sanitary system,2;255sq.ft.of new gravel driveway and parking area and new 322sq.ff.ent walkway,all to be,located landward of Trustee jurisdiction; and to install gutters to leaders to drywells to contain roof runoff,and in accordance with Chapter 236 of the Town Code- tormwater Mahagement-with the condiflam to establish and perpetual) ,maintain a 15'wide n' n-turf buffer landward of fence and that the area seaway of the fence be,a non-disturbance zo e;tree removal is to a imtte ;an as eptcte on est _ an repare y amue &_ S eelman Architects,.dated ebruary 5,2019, an s ampe ;tpprore 'on a rum , -�'-- '----- - -� 1N VRTNESS WHEREOF,the said Board of Trustees her 6y causes its Corporate Seal to be affixed, and,these presents to be subscribed by a majority of the sai I Board as of the 13c'day of February,2019. �.�� P,'� 71E OREHT.EASTMMgry gWl(DISTRICT .� •.V/ Fp26 M.D.60 PD.85 LA.40 '_— H s $ /o do„ 3,2 dl . L � aan 2— WA • ; 6 ,s ,- sw .D. i �I tanra,n --II amat j — ------ _—_�__ NOTICE COUNTYOFSUFFOLK © K � °' sommo1D sECTtoara ------ - 0 --•-- —,..-- twx,aw.cc.•xu,Qa.ay.Ean Real Property Tax SennceAgency r M 023 -- -- - ,� OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex � �� fa P.O. Box 1179 54375 State Route 25r Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971a Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: September 9, 2020 Re: LWRP Coastal Consistency Review of BABKOW/RUBIN SCTM# 1000-23-1-18.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based 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 6.3 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. A Wetlands Permit was issued in 2019 that also required the installation of a 15' wide non-turf buffer landward of the fence and that the area seaward be a non- disturbance zone; tree removal is to be limited" Removing trees within the non-disturbance zone does not meet this policy. D. Provide adequate buffers between wetlands and adjacent or nearby uses and activities in order to ensure protection of the wetland's character, quality, values, and functions. E. Maintain buffers to ensure that adverse effects of adjacent or nearby development are avoided: 1. Maintain buffers to achieve a high filtration efficiency of surface runoff. 2. Avoid permanent or unnecessary disturbance within buffer areas. The removal of the trees and miscellaneous shrubs (species unidentified) does not support these policies. The installation of native, drought and salt tolerant vegetation in the 15' wide buffer is supported. 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 1 " Michael J.Domino,President '��� G'f' Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President tt` P.O.Box 1179 Charles J.Sanders "j Southold,New York 11971 Glenn Goldsmith �s+ yep Telephone(631) 765-1892 Fax(631) 765-6641 A.Nicholas Krapski ; BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Exte sion rReceived Application: Y•7•ZQ eceived Fee: $ 100,.00CF Completed Application:Incomplete:SEQRA Classification: Type I Type H Unlisted Ej Lead Agency Determination: 2o2oCoordination:(date sent):LWRP Consistency Assessment Form Sent:CAC Referral Sent: p` Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Legal Name of Property Owner(s): Jonathan Babkow & Maia Rubin Mailing Address: 2112 Broadway, 7C, New York, NY 10023 Phone Number: 917 664-1302 Suffolk County Tax Map Number: 1000- 23-1-18.1 Property Location: 360 Private Road #8, East Marion, NY 11939 Pole#254A2 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Nancy Steelman, Samuels and Steelman Architects Mailing Address: '6 Phone Number: 631 734-6405 z i Board of Trustees AppL tion GENERAL DATA Land Area(in square feet): 77,883 sq. ft. Area Zoning: R-80, Previous use of property: Residence- Single Family and In-ground Pool Intended use of property: Residence - Single Family and In-ground Pool 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 X No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be'required. Does this,project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. Will this project requireany demolition as per Town Code or as determined by the Building Dept.? Yes _ X_ No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date __—Sol thold.T-own Triustees 2/13/19 NY State DEC 5/8/18 v No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_ (X No Yes If yes,provide explanation: Project Description(use attachments if necessary): Remove 8 trees and miscellaneous shrubs. Plant new trees and shrubs. f S Board of Trustees Appl.- ,tiou WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Remove 8 trees and miscellaneous shrubs. Plant new trees and shrubs. Area of wetlands on lot: 347_ square feet Percent coverage of lot: 0.44_-.,_ % i Closest distance between nearest existing,structure and upland edge of wetlands: NA feet } 'Closest distance between nearest proposed structure and upland edge of wetlands: . NA feet Does the project involve excavation or filling? No X Yes If yes,.how much material will be excavated? NA cubic yards r How much material will be filled? NA _cubic yards Depth of which material will be removed or deposited: NA feet Proposed slope throughout the area of operations: NA Manner in which material will be removed or deposited:, backhoe.(roots chainsaw-and—,, hand digging 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): NONE 617.20 App endix B Short Environmental Assessment Forrn 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 I based on information currently available. If additional,research-or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Jonathan Babkow &Maia Rubin Name of Action or Project: w Babkow/Rubin Residence Project Location'(describe,and attach a location map). T 360 Private Road #8 East Marion NY 11939 Brief Description of Proposed Action: Remove 8 trees and miscellaneous shrubs. Plant new trees and shrubs Name of Applicant or Sponsor: Telephone 917 664-1302 Jonathan Babkow&Maia Rubin E-Mail: jonathan.babkow@gs.com Address: 2112 Broadway, 7C City/PO: — State: Zip Code: NY 1 New York 1 ____10023 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 governmental Agency? NO I YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site-ofthe'proposed action? 1 7gg___acres b.Total acreage to be physically disturbed? a 0.05 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.788 acres 4. Check all land uses that occur on,adjoining and near the proposed action. MUrban j]Rural(non-agriculture) [:]Industrial ❑Commercial AResidential(suburban)' ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Pagel of 4 '5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? D 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? El MIJ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES 1fYes,identify: 1--} S. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES , 1. ' b.Are pub Iic'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 cncrgy code requirements? O YES If the proposed action will exceed requirements,describe design features and technologies: LA 10. Will the proposed action connect to an existing public/private water supply? NO YES ; s If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? µ NO YES If No,describe method for providing wastewater-treatment:'_ ...•—__—-. ___—""—__ F 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological 'sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? IVI 1-61 b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? 0 If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: y14. Id ratify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Id ❑Forest ❑Agricultural/grasslands ❑Early mid-successional Wetland []Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NT YER S by the State or Federal government as threatened or endangered? El 16,Is the project site located in the 100 year flood plain? •NO 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? rM NO DYES L1&J :F] . b.Will storm water discharges be directed to established conveyance systems,(ru off and storm,drains)? If Yes,briefly describe: WNO AYES Page 2 of 4 y � I8.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 LLM m19.Has,the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: _ -- _� .. 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous,waste? If Yes,describe: I AFFIRM THAT"THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BESTOF MY KNOWLEDGE Applicant/spons me: a Stet'I an,Agent _w,„. „ Hw Date: a 20, 0„ Signature Part 2--Impact Assessment. The Lead Agency is responsible for the completion of fart 2. Answer all of the following questions in Part 2.using the information contained in Part I and other materials submitted by the project sponsor or ; otherwise available to the reviewer: When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or w Moderate small to large' impact impact Tay may occur occur 1. Will the proposed action create a material conflict with an adopte'd•land use plan or zoning regulations? 2. Will the proposed action-result in a change in the use or mtensity.of use of land? - El lEj 3. Will the proposed action impair the character or quality of the existing community? El 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? Lr► t 2 S, Will the proposed action result in an adverse change in the existing level of traffic or _ F-1 affect existing infrastructure for mass transit,biking or walkway? -6.mm 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: n❑ a.public/,private water supplies? b.public/private wastcwater treatment utilities? ED E 8. Will the proposed action impair the character or quality of important historic,archaeological, j'- J y El architectural or aesthetic resources? -- lL.__..._. 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,.gicundwater,air quality,flora and fauna)? 1 t Page 3 of 4 � 4 No,or Moderate small to large iml att impact may may occur occur. 10. Will the proposed action .result in an increase in the potential for erosion,flooding or drainage El I""""I problems? I _ J L_ l 11. Will the proposed action create a hazard to environmental resources or-human health?mm� DO 10 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 inay occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3- ` Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to-avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be,significant.Each potential impact should be assessed considering its.setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. i (� Check this box if you have determined,based on the information and-analysis above,and any supporting documentation, , t� 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 9Print or Type Name of Responsible Officer in Lead Agency v Title of Responsible Officer w Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PR Page 4 of 4 . 5� Town of Southold Erosion Sedimentation 8t. Storm-Water Run-off ASSESSMENT FORM- PROPERTY LOCATION: S.0 T.M.#: THE=FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Q� 100© 23 1 18.1 STORM-WATER;GRADING.DRAINAGE AND EROSiON,CONTROL PLAN s S—{ion '`ft7ec'T" "Low CERTIFIED BY A DESIGN PROFESSfONAi.IN THE STATE OlF NEW YORK. , SCOPE OF WORK - PROPOSED CONSTRUCTION D'I'EM V/ WORK ASSESSMENT des No a. What is the Total Area of the Project Parcels? 77,583 sf I Will this Project Retain All Storm-Water Run-Off (include Total Area of ah Parcels,located within Generated by a Two(2°)Inch Rainfall on'Site? the Scope of Work for Proposed Construction)' . 1.788 ac-. (This item will include all run-off created by site b. What is the Total Area of Land Clearing2,500/Acres) clearing and/or construction activities as well as all X -� and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? 05 Boxes impervious surfaces.) PROVIDR BRYEF PRO)= DESCRIPTION glxMdeAaditenelP�asrda�ed) Does the Site Plan and/or Survey Show All Proposed Drainage Structures indicating Size 8r Location?This X Item shall Include all Proposed Grade Changes and Remove 7 trees and miscellaneous.shrubs. Slopes Controlling Surface,WaterFlow. Plant new trees and scrubs. Does the Site Plan and/or Survey describe the erosion and sediment control practices that Will be used to X control site erosion and storm water discharges. This item must be maintained throughout the Entine Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there Is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an-Area in Excess of Five-Thous X (5,000 S.F.)Square Feet ofGround Surface? 6 is there a Natural Water Course Runrdnt'through the Site? is this Project within the Trustees jurisdiction General DEC SWPPP ftegtrlroments; or within One Hundred{100')feet of a Wetland or Submission at a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; Including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are pan of a larger common pian that will ultimately disturb one or more acres of lend; which Exceed Fifteen(15)feet of Vertical Rise to X Including Constnrction,aWties Involving sell disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance?, El the DEC ties determined that a SPDES permit is required for storm water discharges. (SWPPP's Shall meet the 11Animurn Requirements,of the SPDES General Permit -8 Will Driveways;,Parking Areas or other Impervious forStorm Water,Discharges from Construction activity-Permit No.GP41-10001.) Surfaces be Sloped to Direct Storm-Water Run-Off x f..T he SWPPP shell be prepared prior to the submittal of the NO).The NOI shall be into and/or in.the dkectlon of a Town right-of-way? submitted to,tha Department prior to the commencement of construction activity. 2.The SWPPP stall describe the erosion and sediment control practices and where -g Will this Project Require the Placement of Materia), required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce tie pollutants in storm water discharges and to assure item Within the Town Right-of-Way or Road Shoulder compliance with the teams and condlions bf this permit.In addition,the SWPPP shall Area?ma item vAu NOT Irtelude she hwtallason of Dftewq Aprons.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges: NOTE. If Any Answer to Questions One through Nine Is Answered with a dhectc Math 3.A0 SWPPPe that require the post-rolstnictfon storm water management practice Ina Box and the construction site disturbance Is between 8,000 S.F.&1-Acm[name. twirnpotterd stiaii be prepared by a qualitied Design Professional Cleansed in New York a Storm-Water.Grading,Drainage 6 Erosion Control Plan to Required by the Town of that is knowledgeable In the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to issuance of Any Building Pernik (NOTE: ACheckMade(J)andlorAnswer fweechQuestion isRequired rare Complete Appiicalton) (€' , STATE OF NEW YOM Suffolk ! COUNTY OF............................... . , .SS s 'I7uat 1;...Nancy Steelman........................ .' ".......being duly swam,deposes and says that he/she is the applicant for Permit, (Name of krdtvtduef s3gmng Ctatarmeni)' Andthat he/she is the ................Agent............. .. .............................................................. (Owner,Contractor Agent,Corporate Offfi»r,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to i make and file thi i'application;that all statements contained in this application are true to the be�iil {lt3Vfl ISt3 fief;and that the work will he performed in the manner set forth in the application filed herewith. ryNo 0.$,l a d of Now Yo 08 Sworn to before me this; I lifted InSuffolkCourtly f ........ZY........... .dayoe.,. G1/V,t—....................2t)Zo on i May23.2M4 1 Notary'Publie ..<. ;- -........<............. .,....... i nature of Applicant) f FORM - 06110 � i r Board of Trustees AppyLtio' n AFFIIDAVIT -Jonathan Babkow BEING DULY SWORN DEPOSES AND AFFIRMS THAT iW/SIIE IS THE APPLICANT,FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO'THEBEST 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 S,OUTHOLD AND7HI; 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 A VISORY'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 OFANY WETLAND OR COAS'T'AL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING TIE-TERM OF THE PERMIT. Signa re of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS ' . , DAY OF D_:" &-I ,,200_ NOtary ub11C JOHN M GA60R A Notary Public-State of New York NO.01GA6332762 Qualified in Nassau County My Commission Expires Nov 9,2023 Board of Trustees Appl- tion AFFIDAVIT Iaia Rubin BEING DULY SWORN DEPOSES 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 90ARVOF 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 TERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF ,,207i0 Notary P lic Ey JOHN M GABOR JR tary Public-State of New York NO.OIGA6332762 Qualified in Nassau County ommission Expires Nov 9,2023 Board of Trustees Appl; tion AUTHORIZATION (Where the applicant is not the owner) I/We,; Jonathan Babkow owners of the property identified as SCTM# 1000- -in the town of East Marion New York,hereby authorizes Nancy teelman, Samuels & Steelman Architects to act as my agent and handle all necessary work involved with the application process for permits)from the Southold Town Board of Trustees for this property. ,r i Prope y Owner's Signature Property Owner's Signature Jonan Babkow SWORN TO BEFORE ME THIS . , DAY OF7 Notary PlIfic JOHN M GABOR JR Notary Public-State of New York NO.OIGA6332762 Qualified in Nassau County MY Commission Expires Nov 9,2023 Board of Trustees App] Ltion AUTHORIZATION (Where the applicant is not the owner) I/We, Vaia Rubin _ _ _-- owners of the property identified as SCTM#-1000-, in the town of East Marion New York,hereby authorizes Nancy Steelman, Samuels & Steelman Architects to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature Mafia Rubin SWORN TO BEFORE ME THIS DAY OF_ - Notary VWic JOHN M GABOR JR Notary Public-State of New York NO.OIGA633276Z Qualified in Nassau County My Commission Expires Nov 9,2023 IL APPLICANT/AGENT/REPRESEN'TATIVE TRANSACTIONAL]DISCLOSURE FORM Th+�^riawn of Sdx,thnid'g Code inf o e eo'Fthlcs ibtcfccis tn rtf ilt`srr i.`is o nenvide inforMA n which can rticrt•lEiiafimgslhle co--fllcts ci i to 5 allow it tc take whatcv cion is' fi �s�rYttin si�oid St.;,te. YOURNAME• Jonathan Babkow (Last name,first name,ipiddle 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 _w Planning Other (If"Other",name the activity.) Do you&rsonaily(ae tlirotigh-your cotnpany;,spotiw,sibling,parent,or child)liavb'a tel4tion4hip With any C Icer or, 'Ployce of thc:'3"own,of 5cnt�thuld? 'tRa;lationslnip"4nclacies by blond,`nj`nrr`iagc,zrr tnutiiiacssilntcrest;;`Busiancssinterest"mcanns a hitsin , ins.lutlin a parttierslniyi,in Svliich'iia toGvti officer or empl_oyce has.even•a partial ownership cif(tnrrtnpioy mann bye aotlntaratioln in which,,tljc town of icefor employee owns more:than 5"do b(the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold _ . Title or position of that person - Describe,the relationship between yourself(the applicantlagenttcepresentative)and the town officer or employee.Either check the appropriate line A)through D)a ndlor•describe itt the sFa '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`50o of,the shores 017111c MPOmIc stock'of the applictnnt (when the applicant is a corgorati6n}; B)the legal or beneficial owner ofany-interest'in a ritrtt-ccirpomte entity(When the applicant is not a coa'poitttion); C)an offieer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION Or RELATIONSHIP Submitted this G�d of 20 Signature,an._ Print Name Jonat an BabkoW Form TS I AppLicANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tl►e Tocv►rcif S ttiotd',s Code of Ethic$.tt i►ibits contiiei's of interest on the part of town 6ffteers and em overs,The nurnose of tills€rite is 3o tovicJc iatforinatior tvllich can at -it.toxo df jo,.1mhie conflicts of'ntct ,5t, tt-d allow it to take�vhatcver action is necessaN t0 avoid Sastre. YOURNAME: Maia Rubin (Last name,first name,i►iddle 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(orthroughynur company;spouse,sitrJirig,parcnt;.or cltiid}have°a rclaiionship.ivith tusyofGcer or_emptoyee of thc,Town,gfSoutl?ald? "iteiatloriship"i►icJude"s by blood;t►jariiage,:or t►ustttess interest.,"Business interesP'means ti business, inciuilitig a partnersill iiivhich the town officer or employce has cvcn,a partial oivrtersi►ip of(0 fly)u`cgfppratiion in wfiich,d►q town officer or,etnployce,owns tndmAban-S%of Ilia shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where,indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applieantligen(/representative)and the town officer or employee.Either check thc;appropriaw line A)through D)rdid;cr describe in tite 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 S%of the slimes oft he._corporate stock of the applimt (when the applicant is a corporation); B)the legul or beneficial owner of any intorest in a'rion-coip"oiaie entity-(wlteii tiie appiirLnt is not hcoal►=►tion); C)an officer,director,partner,or employee of the applicant;or = D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this2 da of 01 r20 Z Signature,:--, Print Name Maia Rubin Form TS 1 APPLICANT/AGENTrREPRESENTATIVE TRANSACTIONAL]bISCLOSURF,,FORM r+�' ntt•ofSnts#l�oldas Code of t EcsroE�iti't c;�ntlEcf 'the tzrirt rif#ow�aEr a�ct'ctn oer,; `the qui se ot, this fot�rt as to roY'rit, e'inn ' ti �v iEch a nE tIr `f''vvr�a osslbte ca pct o 'i'ntc . ►nd a err it' a a°e�v ac'on i� YOUR NAME: Nancy Steelman (Last name,first name,.r#►iddle 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"tither'',name the activity.) u Do yriu perotially`(rFrthrougis ynur company,spouse,siEiling,ptucirt,or cirEld)have°at rclaiiotistsip with-tory officer or cmplpycc a theTolvtt_of at�thald? "Relt►tionship"includes by talcjod,s arri gc«=pt?rus}i#cssi!Iteresi."(3utiiness interest°'tneans,s business, incluiting a pac till rslaEp wldcit tEte# eYn officer or cruPiOX c huslcvcn a psrriiat ordrtc`rsEtip'rkf( rem taycrtent=lay}a corporation in�i 11:n=clic town apt cer iar:1:tttlttoyce n�vs?s more than 5°l-df t}ie shares. YES NO X_ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Towmof Southold Title or position of that person - ,Descritae the relationship betwcen,yourself(the appitcpint/agenrlrepresentative)and the town officer or employee.Either check the appropriate line A)thrsugh D)anddot describe in the spin-prodded. 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,o'f•the corporate stock of the applicant (when the applicant is a corporation); B)the legal or benclicial owner of any utiercst:in 11n6ni.corpdratte entiEy(When tho, atpplic;uit is not a i,itsot ttic�n}; C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted�th*iO *ot.21,20Signaturcf Print Nam - Form TS 1 1 t f Town of Southold I, Bim'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 lie ,evaluated .as to- its- si 6MI-11c nt beneficial-arid adyerse-effectsupon die coastal`area{which.includes all of�Sol6ol'd T4wn�. • y 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 7 review law. Thos each answer must be a lainW in detait listin both sup orting and non.= sunnortina,facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,if shaltriot.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# 23 - 1 18.1 PRO 'NA�'IE Babkow/Rubin Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept, ❑ Board of Trustees X❑ I. 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: see attaached_ Locationof action: 360 Private Road #8, East Marion, NY 11939 Site acreage: 1.788 acres Present land use: single family residential Present zoning classification: R-80 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: Jonathan Babkow& Maia Rubin (ti) Mailing address: 2112 Broadway, 7C, New York, NY 10023 (c) Telephone number: Area Code(9 7 664-1302 ,(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 federal agency'? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. -DL4 V e,LOPi±;.i COAST DAICY 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. �-kes No Not Applicable Attach'additional sheets if necessary Policy 2. Protea and preserve historic and archaeological resources of the Town of Southold. See LVM Section M—Policies Pages 3 through 6 for evaluation criteria 'El Yes 0"No ®, Not Applicable .. There is no historic or archeological structures on property. 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 Fx] Yes ❑ No ❑ Not Applicable Building structure is in keeping in style and scale of neighboring stuctures. _ z 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 `1---1 des ❑ No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria El Yes 1----1 No D Not Applicable Attach additional'sheets if necessary Policy 6. Protect and restore the quality and function-of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria.. ❑ ❑ Not Applicable Yes No Not Applicable No development will take lace m the."protected" or "natural indigenous.environment Attach additional sheets if necessary i 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 [] o' Not Applicable The development will not add pollutants into the air. 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. O'Yes El No ® blot Applicable t 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. YeF-1 leo© Not Applicable No public land involved. Littoral access unimpeded. Attach additional sheets if necessary 4 WORE ING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of now water-dependent uses in suitable locations. See LWRP Section III-•—Policies; Pages 47 through 56 for evaluation criteria. Yes �� No Not Applicable There are no public or commercial activities or uses on site. Historically this property and neighboring roperties are residential in use and will remain residential. 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. ; 12 Yes ❑, No ❑ Not Applicable ' This pro'ect will protect and preserve the living marine'resources by Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LNM Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No IN Not'Applicable t ,There are no agricultural lands on site. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LdVRP Section III—Policies;Pages 65 through 68 for evaluation criteria. I I Yes ❑. No ❑ Not Applicable Ibp- ioamilbe, --e y the F-ede�al goyernment g_proj ll mpet Federal sta energy PREPARED BY Nancy Steelman TITLE Architect DATE I S A M U E L S & August 3, 2020 S T E E L M A N Board of Town Trustees Town of Southold P.O. Box 1179 I Southold, NY 11971-0959 S(�— RE: Babkow-Rubin Residence AUG 7 2020 370 Private Road #8, East Marion, NY TAX MAP # 1000-23-1-18 Southoi Town Boar'o T int€e Dear Board of Trustees, We are requesting an ADMINISTRATIVE PERMIT for the above reference property. A Wetlands Permit was approved on February 13, 2019 for construction of a new Residence and Pool within the Trustee Jurisdiction. At the Trustee's inspection for the Wetlands Permit, we agreed to submit a separate Administrative Permit application for tree removal and proposed landscape plan. For your review we are submitting the following documents: 1. Completed application with project description 2. Copy of Covenant 3. Short Environmental Assessment Form 4. Storm Water Assessment Form 4. Owner Affidavit Form 5. Agent Authorization Form 6. Agent & Owner Transactional Disclosure Forms 7. LWRP Consistency Assessment Form 8. Photographs of subject area 9. Survey of property in current state 10. Site Plan 11. Application Fee - check for$100 Please call us with any questions or concerns. Sincepely, 4prinELS T ELM N ARCHITECTS ci n n, al Architect ARCHITECTS enclosures 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407