HomeMy WebLinkAboutLoria DiSalvo, Diane
From: DiSalvo, Diane
Sent: Friday, November 06, 2020 10:35 AM
To: 'nickmazzaferro@verizon.net'
Cc: Goldsmith, Glenn; Krupski, Nick
Subject: 1090 First Street, New Suffolk- Philip Loria
Mr. Mazzaferro,
This office is once again in receipt of your wetland permit application most recently received on September 17 2020.
There are still a few issues with the application that need addressing prior to putting it on for a public hearing.The
current issues consist of but may not be limited to:
-Your written project description is incomplete and needs to provide more detail with regards to the application.The fill
to be used is not part of the project description.
-Will any retaining structures be utilized for elevation for this project?
-An I/A sanitary system would be required for this project,furthermore if the sanitary will be under the driveway how
will they be handled?
-This project would require a ZBA variance prior to Trustee approval for the location and height of the structure.
- If the applicant wishes to use the"sand easement" as part of the "legal property" deeded lot lines, a formal approval
from the ZBA, Planning, and Suffolk County must be obtained prior to the Trustees. (Please contact Town Attorney for
further clarification regarding this matter).
-A project such as this in close proximity to the road and water; we would also need an elevation plan depicting a side
profile from the street all the way to the water and any grade changes.
Feel free to reach out for any further clarification.
Sincerely
Board of Trustees.
DiRv'e DiSL2LVO
5outhoLol TOWw Trustees
54.37 5 Route 25
P.O. PDX 11 j9
Sou.tlnoLc{, NY :L�J7:L
(C031) j(,5-18R2
(C,31) 7c,5 0 4-
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Glenn Goldsmith,President QF sorry Town Hall Annex
Michael J.Domino,Vice-President �Q, ��� 54375 Route 25
III P.O.Box 1179
John M.Bredemeer
Y �[ �' - Southold,New York
11971
A.Nicholas Krupski Telephone(631)765-1892
Greg Williams Fax(631) 765-6641
o�y�4UNTV,��
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD a n �l
Nicholas J. Mazzaferro, P.E.
PO Box 57
Greenport, NY 11,944
RE: Wetland-Permit Application -1090 First Street, New Suffolk .
SCTM# 1000-117-7-31
Dear Mr. Mazzaferro,
This office is in receipt of your Wetland Permit application received July 20, 2020. The
office is returning said application--for_:its incompleteness-including but not limited to the
following: survey of existing cannot be drawn on; incomplete application; incomplete
New York State'licensed professional site plans; incomplete New York State,licensed
professional elevations; proposing entire project to be located within legal property
boundary lines.
A copy of Town Code Chapter 275-6 is enclosed regarding applications.
Sincerely,,
Glenn
�Goldsmith;-President
Board of Trustees
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S E P 1 7 2020
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Woo FIRSTSTREET n A
NEWSUFFOIIt,NY11956 /y 4
DIST lOOO SECL117 BLOCK7 LOr:31.
P E C 0 N I C BAY
BW 0.8' BW 1.0'
TW 4.0' 7W 3 8'
BW 2.5' BW 2.6' SEP 1 7 2020 1
S3634!49*W WOOD BW 1.4' CONC.
3.30' (SURVEY) S01'3732"E TW 5.8'---�, WALL L=S02*3f46'W r 81.19' (SUR BULKHEAD A BW 42'
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PHIL LORIA
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SUBJECT PREMISES AREA= 6,962 SO. Fr. (0.159 Ac.)
1 [6.1] [GRASS]
_X, FLOOD -LONE LINE THE PREMISES HEREON BEING KNOWN AS LOT 31, BLOCK 7, SECTION 117, [5.4]
DISTRICT 1000 AS SHOWN ON THE OFFICIAL TAX MAPS OF THE COUNTY
OF SUFFOLK. X[4.7]
LOT 30 ------ LOT 31 [5.7]
THE SURVEYOR'S SEAL, SIGNATURE AND ANY CERTIFICATION APPEARING Cl x
HEREON SIGNIFY THAT, TO THE BEST OF HIS KNOWLEDGE AND BELIEF, 164
THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE MINIMUM 'n _j
C/) zo :-' CO (46]
STANDARDS FOR LAND SURVEYS AS SET FORTH IN THE CODE OF LOOD ZONE AE CCL CM CA
co(A (ELEv. 6)
PRACTICE ADOPTED BY THE NEW YORK STATE ASSOCIATION OF [6.2] It
' [GRASS]
PROFESSIONAL LAND SURVEYORS, INC. 2 STORY M CERTIFICATIONS SHALL RUN ONLY TO THE PERSON FOR WHOM THIS FRAME [5.7] [5.4] [5.3] 9-ZE
100 37' TO THE TO THE
x x
SURVEY WAS PREPARED, AND ON HIS BEHALF, TO THE TITLE COMPANY, NORTHERN SIDE OF KING STREET
LENDING INSTITUTION AND GOVERNMENTAL AGENCY LISTED HEREON; SAID [4.8] [MONUMENT FOUND]
CERTIFICATIONS ARE NOT INTENDED TO RUN TO ADDITIONAL TITLE _%
x
COMPANIES, LENDING INSTITUTIONS, SUBSEQUENT OWNERS OR FUTURE [WOOD WALL] 100.33' N06*59'1 O'E [4 7]
CONTRACT VENDEES. [G ------6 [4-4] [4.3]
ELEVATIONS HEREON WERE TAKEN FROM AN ACTUAL HELD SURVEY BY [4.1] [4.1]
-j �N
THIS OFFICE ON OCTOBER 24, 2017 ALL ELEVATIONS ARE RELATIVE TO [4.6] [4-4] Q� ca
NAVO-88 DATUM. [4.9] F I R S [5.1] S T R E E T [4.8] [4.6]
A PORTION OF THE PREMISES HEREON LIES WITHIN AN AREA OF SPECIAL [4.9] X x x x x
FLOOD HAllARD (ZONE AE)(ELEV. 6) & (ZONE VE)(ELEV. 8) AS [4.8] [5.1] [MACADAM ROADWAY]
DEPICTED ON FLOW INSURANCE RATE MAP No. 36103CO501H, REVISED [5.0] [4.9] [5.0] [4.7]
--x Ci
SEPTEMBER 25, 2009. PROPERTY SURVEY Qo
LIE
UNDERGROUND IMPROVEMENTS, STRUCTURES, UTILITIES OR PREPARED FOR 2 V) CL
PHIL LORI�4
CL
ENCROACHMENTS, AND ANY EASEMENTS RELATED THERETO,ARE NOT I':[ �5 N
SHOWN HEREON UNLESS OTHERWISE NOTED. cl �2
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UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A "-1,Na3'41'50-W PROPERTY S1 TUA TE A T
LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, fit N E S02'32'46'W S36*34'49*W 10.10
SUB-DIVISION 2 OF THE NEW YORK STATE EDUCATION LAW. 1090 FIRST STREET
01 252 330
�9' ' _\_
'06E %4-19
TRANSCRIBED DRAINAGE AND PROPOSED GRADING IS SOURCED FROM S83*41'50 E -SD4*0 TOWN OF SOUTHHOLD CQ
9.95 "u 79!8,
PLANS PREPARED BY N.J. MAllAAERRO, P.E. (DATED. JUNE 24, 2020), UJ
I- ""A 1�
1B.7-B COUNTY OF SUFFOLK
c�
LINE AND GRADE SURVEYORS, D.P.
23 Nepperhan Avenue SapSAN3634W*E 4.09
STATE OF NEWYORK
Elmsford, New York 10523 SCALE. I" = 20' N d
Phone: (914) 347-3141 rA N.10
SAND EASEMENT Date: OCTOBER 24, 2017
off=@1ncandgmdznet
Copyright (c) 2020 CONTRACTORS'LINE& GRADE SOUTH All rights reserved 0.•\37-2381 Phil Lorid RRST ST\dwg\2381-Survey BASEJ.dwg
{ brWimel J.Domici,_, gUFF111xE, -==TavakHall Annex
John M Brakinew 111,Vimce. � `"- 4-kMiRod,25
Charles J.sanders P.O.Box 1179
cc
GIMM OOMMith ,s� SoulhoK NY 11971
A.Nidwlas Knpld A p! Telephone(651)765-1892
Fax(631)765-WI
' ''�UWN`OF"SabT'SOLD
DatelTme: c{' z.E 'k awe Completed in field by: K/ 1
PHIL LORIA requests a Pre-Submission Inspection to discuss constructing a proposed dwelling on
the vacant property. Located: 1090 First Street, New Suffolk. SCTM#1000-117-7-31
CH.275-3-SETBACKS
WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waive_r 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
E. Landscaping or gardening:%Itsk
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 of Hearing Card Posted: Y / N
Ch. 275 Ch. 111 SEQRA Type: ! II Unlisted Action
Type of Application: Pre-Submission Administrative Amendment Wetland
Coastal Erosion Emergency Violation Non-Jurisdiction
Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line
Additional Information/suggested modifications/conditions/need for outside
review/consultant/application completeness/comments/standards:
Sa,1�,, �a1Y �i�¢ F"[„C:�'ll-^;av;>ai. 'a'eean;r,,i-Vkaa;;',•,�
Present were: J. Bredemeyer M. Domino G Goldsmith N.Krupski
C.Sanders Other
Page 1 of 2
�oStIFPUCA,�oG Town Hall Annex
Michael J.Domina,Fresst , 54375 Route 25
_ John M.Bredemeyer III,Vice-President
P.O.Box 1179
Charles J.Sanders
Glenn Goldsmith Southold,NY 11971
z
y A.Nicholas Krupslci oy�lpl �a� Telephone(631)763-1892
Fax(63t)765-6641
�r
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DatelTime: Completed in Work Session by:
PHIL LORIA requests a Pre-Submission Inspection to discuss construdlng a proposed dwelling on
the vacant property. Located: 1090 First Street, New Suffolk. SCTM#1000-117-7-31
Ch.276.12-STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment—*
A.Adversely affect the wetlands of the Town:
B.Cause damage from erosion,turbidity or siltation:
C.Cause saltwater intrusion in the fresh water recourses of the Town:
D.Adversely affect fish,shelffrsh or outer bene€iciai marine organisms,aquatic
wildlife&vegetation or the natural habitat thereof:
E. Increase the danger of flood and storm-tide damage:
F.Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town:
G.Change the course of any channel or the natural movement or flow of any waters:
H.Weaken or undermine the lateral support of other lands in the vicinity:
1.Otherwise adversely affect the health,safety and general welfare of the people of the Town:
JS Adversely affect the aesthetic value of the wetland and adjacent areas: MET-X or Comment=*
Ch. 111-9-ISSUANCE OF PERMIT
A. Is reasonable and necessary,considering reasonable alternatives to the proposed
activity and the extent to which the proposed activity requires a shoreline location:
B. Is not likely to cause a measurable increase in erosion at the proposed site and at
other locations:
C. Prevents,if possible,or minimizes adverse effects on natural protective features
and their functions and protective values,existing erosion protection structures
and natural resources:
D.525%Expansion/Calculation
Work Session Notes Application Complete
SEQRA Classification Confirmed Coordinated Review Y/N Pas/Neg Declaration
CAC:
LWRP:
Additional Information on comments/to be discussed/Public Hearing:
Date: Completed By:
Present: J. Bredemeyer M. Domino G.Goldsmith N.Krupski
C.Sanders E. Cantrell D. Di Salvo Other
Page 2 of 2
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PLAT MAP
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Box 729,Shoreham,NY,11788-a729 631 744-0800 Fax 631 744-OaDO
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Phil Luria
Box 15
New Suffolk, NY 11956
631-484-3408
August 23,2017
Southold Town Trustees
Town Hall,Southold NY
By Band AUG 2 3 209
Re: logo ist street
New Suffolk,NY 11956 0° awn
Parcel:1000-117.-7-31 rd of ThIstm
To the Trustees:
My name is Phil Loria and I have been a resident of Southold town for 45 years and
have been the owner of Captain MarVs Fishing Station in New Suffolk for 45 years.
I am writing to ask for permission to build my retirement home on the piece of
vacant residential property that I have owned on First Street here in New Suffolk for
almost as long as I've owned Capt Marty's.
I would appreciate your input as
s to what I need to do so I can apply for a building
permit I understand you need to inspect the property so this letter grants you
permission to do so. I would like to be there when you conduct the Field Inspection
and can be reached at the phone number above.
I have included a copy of the Google Earth aerial photo of the property from the
Southold Town Tax Map and a copy of the survey.
Thank you for your assistance.
Sincerely,
Phil Lori
Enc.
i rA4--,,
TEES
SOUTHOLQ JRUS
Issued Ti% Date ��• t�. t�
Acidress,joqo F'RW sr. , 1�EW s ,
THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION
TOWN TRUSTEES OFFICE.TOWN OF SOUTHOLD
SOUTHOLD, N.Y. 11471
TEL.: 765-1892
i J _ r'
Michael J.Domino,President Town Hall Annex
54375 Route 25
John M.Bredemeyer III,Vice-President �-to�® P.O.Box 1179
# rr h
Glenn GoldsmithvM �_� �,' & Southold New York 11971
A.Nicholas Krupski �''� Telephone(631)765-1892
Greg Williams r gq.# . �� Fax(631) 765-6641
t
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 9674A
Date of Receipt of Application: September 6, 2019
Applicant: Philip Loria
SCTM#: 1000-117-7-31
Project Location: 1090 First Street, New Suffolk
Date of Resolutionlissuance: November 13, 2019
Date of Expiration: November 13, 2021
Reviewed by: Board of Trustees
Project Description: As-built re-sheathing of 105' of timber bulkhead with vinyl with an
8' return on the southeast corner; replace dead-men and all hardware with hot dipped
galvanized hardware; bulkhead to be capped with 2" CCA wood. Backfill with 60 yards
of clean sand from an approved source. All work to be done on the landward side of the
bulkhead.
Findings; The project meets all the requirements for issuance of an Administrative
Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an
Administrative Permit allows for the operations as indicated on the survey prepared by
Contractors' Line &Grade South LLC, last dated October 25, 2019 and stamped
approved on November 13, 2019; and the project plan prepared by Philip Loria, received
on September 6, 2019 and stamped approved on November 13, 2019.
Special Conditions: To establish and perpetually maintain a 10'wide non-turf buffer
landward of the bulkhead.
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.
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.
Michael J. Domi'no, President
Board of Trustees
E R IT
No .
has been issued t o : - -A--A).MP L-O P-J-41 _ _____ _ .________ __.. ___
F t F$T . 5°TJU 6, 7" '
a ddress: NE'-d' . JM Y ___ _ ___
rb jw , -n. ,mi3ee- , AUL44.H � M C
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f o r:
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under the Environmental Conservation Law,
Article 25 , Title - 2 ( Tidal Wetla As)
wo�
Pe rmit Administrator
New York State Date Issued
Department of Environmental Conservation
Expiratidn Date
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NOTICE COUNTY OF SUFFOLK K SOUntOLD SECT ON NO
Real Property Tau Service A O v "
. . .. - -....-. . - w..�
'
�. ,.. ..�... ti
`y
Glenn Goldsmith,President f Q� Town Hall Annex
Q 54375 Route 25
Michael J.Domino,Vice-President
�-Z, P.O.Box 1179
John M.Bredemeyer III k. '7�' Southold,New York 11971
A.Nicholas Krupski Y ;{ Telephone(631)765-1892
Greg Williams `^� �� Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
This Section For Office Use Only
-74 Coastal Erosion Permit Application � � -
tetj
and Permit Application • ;
Administrative Permit
�LAmendment/Transfer/Exte ion S E P 1 7 2020
r/TReceived Application: -f►17Z0 I
Received Fee: $ -� 6
Completed Application:
Incomplete: -
SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date: K
�Coordination:(date sent):
�LWRP Consistency Assessment Form Sent:
CAC Referral Sent:
Date of Inspection:
Receipt of CAC Report:
Technical Review: TP
Public Hearing Held:
Resolution:
Owner(s)Legal Name of Property(as shown on Deed):
Mailing Address: `�� �VnCkA L AMe, �1025A �,L*Y �C' UJ KW 1��1UI
Phone Number:
Suffolk County Tax Map Number: 1000- l J
Property Location: l 0 ���A 4-Ae e�
to cw
(If necessary,provide LILCO Pole , distance to cross streets, and location)
AGENT(If applicable): 1y' �L CX C'
Mailing Address: U D17� Gi C P N( qj
Phone Number
i
Hoard of Trustees Applic`4awion
GENERAL DATA
Land Area(in square feet): - '
Area Zoning:
Previous use of property: C'U,OL V�
Intended use of property: KA.AA\J
Covenants and Restrictions on property? Yes X 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
P,.
1 o)� � �1 L14 es tr Rq-N It
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?_y—No— Yes
If yes,provide explanation:
Project Description(use attacbments if necessary): ILaw N
Board of Trustees Appllci an
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of'the proposed operations:
koc0o 1�c 6A S� e C/� P P-W SAVA 1J\ M SJO
Area of wetlands on lot: 0 square feet
Percent coverage of lot: %
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? cubic yards
Depth of which material will be removed or deposited: i a )' 1, / feet
Proposed slope throughout the area of operations: C�° +0 ��o
Manner in which material will be removed or deposited:
Statement of the effect, if any,on the wetlands and tidal waters of the town that may result by
reason of such proposed operations(use attachments if appropriate):
C<x'(k
t Cyr`�.\"�1vv. l b w Gk1 1
-Board of Trustees Applioa" ,'Dn
AUT H OPJZATION
(Where the applicant is not the owner)
I/We, l- `( 1k ,
owners of the property identified as SCTM# 1000- in the town of
e.�Z- �- New York,hereby authorizes
T�) , (p f1 01 kkc1�4 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 is Signature Property Owner's Signature
SWORN TO BEFORE ME THIS. DAY OF , 20 c)—V
LYN DS BARKER
NOTARY PUBLIC,,STATE OF NEW YORK
No. OIBA6156676
NO Public Qualified in Suffolk County
Commission Expires,November 27,20
Board of Trustees Appl.ioa',_,ran
AFFIDAVIT
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 BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLLD 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.
Signature of Prope Owner Signature of Property Owner
SWORN TO BEFORE ME THIS � DAY OF b4 20 �Q
Not Public
LYNDSEY BARKER
NOTARY PUBLIC,STATE OF NEW YORK
No. 01 BA6156676
Qualified in Suffolk County
Commission Expires November 27,20
Building Department Application
AUTHORIZATION
(Where the Applicant is not the Owner)
I,�t W�� residing at 4
(Print pro 1 rty owner's name) ,^ (Mailing Address)
D
"'1��E`f kelkG l Cl UI do hereby authorize N�• Z �e.Y I p�
Q (Agent)
5nk �� �P N`/ ��r1y�to apply on my behalf to the
Southold Building Department.
1 /49 /102_J
(Owner's Sign ure) ( ate)
(PrInt Owner's Name)
f
APPLICANT/AGENUREPRESENTATINE
TRANSACTIONAL DISCLOSURE FORM[
r '
The To wn of Southold's Code of Ethics prohibits conflicts of intcrest on the m�of town officers and emt1latrees.The numose of
this f t v'd farina ion iv 'c ( e town asgib a confl is of trrt d al w it to take wave action is i
nCrQGars+tQavoid same.
YOUR NAME-
elkk ; Upt�6, U)At\1-
(Last name,fm name,qiiddle 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.)
N"E OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(if"Other",name the activity.)
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship-with any officer or employee
of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business,
including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation
in which tite town officer or employee owns more than 5%of the shams.
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 applicantlagemt/representative)and the town officer or employee.Either check
4r,z wMwz0atc 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 at beneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation);
C)an officer,director,partner,orenrpla tee ofthe apPl)ssnf;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Subtn tted thi Ol ay o 20,2—c)
Signature
Print Name CA 1A
Form TS 1
APPLICANT/AGENTAREPRESENTATM
TRANSACTIONAL DISCLOSURE FORM
`The Town of 1 's Code o E hi ' c flicis ofinterest on the pf MW 6officem d e ees. se of o
ibis fai ` i to v'd info i w ieh le town of Ig c c fittere d low t to a v a is
RgM,M to.avoid ame
YOUR NAME
nn� r- A pp
{Last same,first name,t}i dle initial,unless you applying in 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 ,T
Exemption from plat or official map Planning
Other
Of"Other',name the activity.)
Do you personally(or through your company,spouso,sibling,parent,or child)Statue nrelationship- itb any officer or employee
.ofthe'Town of-Southold? "Relationship"includes by blo6d,marriage,or be mss interest."Business interesel means a business,
including a parttrvrship,in which the town offtccr or employee has even a partial ownership of(or eittployrnent by),a GotporatioA
in which tine town off9ceror cmployee owns more thlrn 5°%ofthe 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 applicantlagcnttrepresentative)and the town officer or employee.Either check
the appropriate line A)through D)andlor 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°/a of the shards ofthecorporate stock of the applicant
(when the applicant is a corporation)c
13)the legal or bene(ieial owner of any intermit in a non-corporate entity(whets the
applicant is not a corporation);
C)an officer,director. or employee ofthe applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submittelk
of J� ---20�
Signature
Print Na a -
Form TS I
i
617.20
Appendix 13
,Short Environmental Assessment Form
Instructions for Comole:ting
Fart 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1, Responses
bemmm-e e£the application for approval or funding,are subject to public review,and may be subject to further verification.
. t i on h€fd�wn available— 1f addidonal s�-.ate or investigation vvould be neediDJ to I=JP
to a ,please answer as thoroughly as possible based on currenfiriformafion.
Complete all items in Part I. 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
Namr,of Action or Project:
�6"W
Project Location describe,and attach a location map):
Brief Description of Proposed Action: 9 I
Qal-64►0i, �e �aC/w� \�/ �S�r��c r 0."G4�a e, ��d✓h S_
Name of Applicant or Spon�s �_Ion: � (� Telephone: U- � -
c'\,onl' 6 A V0� E-Mail: W,�cat,Tk6Z-z Cl'e4Up rw •��
Address:
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 YES
If Yes,list agency s)name nd permit or approval: 1 ,`a (�
1 o w,r� d Sol, & �V�\d tib ��1 o` 1�
3.a.Total acreage of the site of the proposed action? oJ4 acres
b.Total acreage to be physically disturbed? a ®Z acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? _—acres
A. Check all land uses that occur on,adjoining and near the proposed action.
[Urban ❑Rural(non-agriculture) g(Industrial ❑Commercial ,Residential(suburban)
❑Forest ❑Agriculture ❑Aquatic ❑Other(specify):
❑Parkland
Page I of 4
5. Is the proposed action, i NO YES I NIA
a.A permitted use under the zoning regulations? ❑ j� a
b.Consistent with the adopted comprehensive plan? El1;-N ❑
6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape?
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify: .,
S. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
FO
b.Are public transportation service(s)available at or near the site of the proposed action?
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action?
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies: El M
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 thelm-oposed action connect to existing wastewater utilities? NO YES
If No,des ribs methodod for providing wastewater treatment: �e v�
�G ® ❑
--w•. S: c
i?. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO I YES
Places? kNO
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 YES
wetlands or other waterbodies regulated by a federal,state or local agency?
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody?if Yes,identify the wetland or waterbodyy and extent of alterations in square feet or acres:
14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply:
El Shoreline ❑Forest ❑Agriculturallgrasslands ❑Early mid-successional
Wetland ❑Urban ❑Suburban
15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES
by the State or Federal government as threatened or endangered? 0
36.is tine pto-eat site located in the I M 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, t
a.Will storm water discharges flow to adjacent properties? ( NO DYES
b.Will stoma water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: DNO CRYES
__._.aN ca. ._yob
Page 2 of 4
J -
kewdeowtsimaction or wher a t€vit€es that result in NO I
lrrr rfiu (e.g.retention pond,waste lagoon,dam)?
IifY ,=pile pmp and size:
49.Has tibe AL-&93e pmposed action or an adjoining property been the location of an active or closed NO YES
solW waste management facility'? (�j
If Yes describe- IU
2 -Has*e site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes, fiber
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF My
KNOWLEDGE
Applicant/ n iG S Y&ZZ 1(� FL Date: I I 1
l Signature-
Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following
questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
No,or Moderate
small to large
impact impact
may may
occur Occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ ❑
regulations`
2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑
3. Will the proposed action impair the character or quality of the existing community? ❑ ❑
4. VV i)i the proposed action have an impact on the environmental characteristics that caused the ❑ ❑
establishment of a Critical Environmental Area(CEA)?
S. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ("❑
affect existing infrastructure for mass transit,biking or walkway? L]
6_ Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑
reasonably available energy conservation or renewable energy opportunities?
7. Will the proposed action impact existing: ❑ ❑
a.public/private water supplies?
b.public/private wastewater treatment utilities? ❑ ❑
8. Will the proposed action impair the character or quality of important historic,archaeological, (� ❑
architectural or aesthetic resources? �--,J
9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ (�
waterbodies,groundwater,air quality,flora and fauna)? L J
Page 3 of 4
No,or Moderste
small to large
impact impact
may may
occur occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
11. Will the proposed action create a hazard to environmental resources or human health? El I E=1
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,tong-term and
cumulative impacts.
Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Town of Southold-Board of Trustees
Name of Lead Agency i Date
President
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer -
t _ Signature of Responsible Officer in Lead Agency Signature of freparer(if different from Responsible Officer)
PRINT Page 4 of
Town of Southold
LW'YCONSIST�ENCY 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 doteration 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 Rnosed action MIU be evah'attecl:.. a~s -ta signitiiicacit
b eneFiciai and adve a effects u on the coastal areas which`no udes all of Souffiold 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. Thus2 each xaswer'must be ex 1 ' ed in de it listing both s_0HP2jJ10 and aon-
s „oti . If an action cannot be certified as consistent with the LWRP policy standards and
conditions,it-shall nut 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.
R. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM#
PROJECT NAME,\0 °��, �:Y s� GA-tci �e w SV�'v1�- N`j l\�s-h Lc,
T I
The Application has been submitted to(check appropriate response):
Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees
1. Category of Town of Southold agency action(check appropriate'response):
(a) Action undertaken directly by Town agency(e.g.capital ❑
construction,planning activity,agency regulation,land transaction) ❑
(b) Financial assistance(e.g.grant,loan,subsidy)
(c) Permit,approval,license,certification:
Nature and extent of action:
Location of action: 1 1 V�',A�2 qA e.J S) 1 C, l\5�Jb
Site d roage: �, I
Present land use:
Present zoning classification:
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provid�redd:
(a) Name of applicant: ��o� S Q�-t_� d �F CL 0\1
(b) Mailing address: Q-0 t(� J
A
(c) Telephone number:Area Code
(d) Application number,if any: I
Will the action be directly undertaken,require funding,or approval by a state or federal agency?
Yes D No N 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.
DEYELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and
minimizes adverse effects of development. See LWRP Section III--Policies; Page 2 for evaluation
criteria.
E Yes [] No ❑ Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Sectiio~n�III—Policies Pages 3 through 6 for evaluation criteria
0 Yes El No Not Applicable_
Attach additional sheets if.necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III—Policies Pages 6 through 7 for evaluation criteria
Yes [] No ❑ Not Applicable
`+C4 �W C'x?v OW D &A i Jot
'boa Cod
J
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy d. Minimize loss of life, structures, and natural resources from flooding and erosion. See LVVRP
Section III—Policies Pages S through 16 for evaluation criteria
N Yes 11 No El Not Applicable
b
Attach additional sheets ifnecessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
—Policies Pages 16 through 21 for evaluation criteria
Yes No Not Applicable
Attach additiobal 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 LW RP Section III—Policies; Pages 22
through 32 for evaluation criteria.
2L l F]
Yes No Not Applicable
V4 -
e 2W dy �e
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❑ Not Applicable
vJ \"
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 evaluatiop criteria.
Yes ❑ No ❑ Not Applicable
�v.n" \c1-, rs N-Q-- W7 Vv
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.
❑ WE] No Not Applicable
a o e
Q,\n J .c, 0.C.t.0 v iOQ w SJ
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria.
Yes ❑ No ❑ Not Applicable
v Z
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 M--Policies; Pages 57 through 62 for evaluation criteria.
❑Yes ❑ No� Not Applicable
lfsooxeu
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages
62 through 65 for evaluation criteria.
❑ Yes ❑ No M Not Applicable
0"V v u
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III—Policies; Pages 65 through 68 for evaluation criteria.
❑Yes ❑ No Not Applicable
PREPARED B TTLE..&cj DATE2 I
J
N. J. MAZZAFERRO, P.E.
PO Box 57, Greenport,N.Y. 11944
Phone - 516-457-5596
Consulting Engineer
August 29, 2020 Construction, Estimating, Labor Law
Page 1 of 1
Town of Southold-Trustees JU
Southold Town Hall SEP 17 2020
53095 Main Road
PO Box 1179
Southold NY 11971 B0 ` f
a rI o ofT r rig°'e2s
Application—Wetland Permit for 1090 First Street, New Suffolk,NY. 11956
Owner- Loria, Phil
District-1000, Section-117, Block-7, Lot-31
Dear Trustees,
Please find enclosed one original and three copies of the revised Application for a
Wetland Permit.
Based upon the letter from the Trustees,the existing survey,the existing and proposed
elevations and the building layout have been addressed by a NYS Licensed Professional
Surveyor. The building plans have also been revised to ensure the entire project is located
within the legal property boundaries.
I have included a copy of the checklist indicating the documents submitted. In addition,
copies of prior permits and the results of a preliminary review of the site by the Trustees
(dated 9-12-2017) are also attached.
Please contact me regarding this application. If there are any issues or questions, I am
available for a meeting if that will help the process advance.
Thank Y u
cholas J.4ferro.P.E. (Agent) ^`
PO Box 57 iu c
Greenport,NY 11944
516-457-5596