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HomeMy WebLinkAboutTR-9754 Glenn Goldsmith,President ®F SOy Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President O� ®l � ® P.O. Box 1179 Eric Sepenoski J 1 Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �� Fax(631) 765-6641 COUNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 2052C Date: July 27, 2023 THIS CERTIFIES that the conversion of cleared wetland area(f 2 100sqft)to non-fertilized grass area-, remove six(6)trees as indicated on survey' construct new 25 0'x14 0' (350sq ft.)deck with landing and staircase;-and driveway area to be improved with pea stone and/or gravel 600 sg.ft; At 5875 Main Bayview Road, Southold; Suffolk County Tax Map 91000-78-7-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 25, 2020 pursuant to which Trustees Wetland Permit#9754 Dated November 18, 2020,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for conversion of cleared wetland area(±2 100sq.ft.)to non-fertilized grass area; remove six(6)trees as indicated on survey; construct new 25 0'x14.0' (350sg.ft.) deck with landing and staircase; and driveway area to be improved with pea stone and/or gravel 00 sq.ft. The certificate is issued to Brian M. Cleary owner of the aforesaid property. a Authorized Signature r-= Glenn Goldsmith,President ®v S®�!'�� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 IrOUNTi b.z(, Z3 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 2 2 INSPEC ED BY: �? Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: ! 0\w\ (A'MFaA&AtA� mti� M Le V-CA uiMA &AA —D CERTIFICATE OF COMPLIANCE: �' DiSalvo, Diane From: Brian Cleary <brian.cleary@talos.com> Sent: Friday,August 19, 2022 12:48 PM To: Cantrell, Elizabeth; DiSalvo, Diane Cc: Brian Cleary Subject: [SPAM] - Permit confirmation: 5875 Main Bayview Rd, Southold, N.Y. Attachments: DEC permit.pdf Hi Elizabeth, Diane, This email is to confirm that the Board of Trustees and the DEC have both issued permits(below and attached)to allow for the construction of a 350 sq.ft. deck at the property listed; 5875 Main Bayview Road,Southold, NY 11971. Please note/keep for your records: As part of the permit authorization with the DEC, a non-disturbance buffer(a —1,000 sq ft, non-fertilized, native-species, garden) will be placed in the corner of the yard. Please let me know if you have any questions. Thank you, 1 . , u•_. Ik'47 1i�' t.. yti�rt, cu}��il�. "' i�'f.-T'• �q+?II'"`;:�';a';.�q, l4 4; r ), lIOARDOFSOLmSOLU'fO\1'ti'I'RI;STtifS A 5O0'Ci1OlA,NIi1L'YORK ;tag.•�E DAM Sf1YPAMP.R IR,2112 f+� ItiSUf:U TO: Elltt.\Y 17 C[V.,11;V ,•p;•4 1'ROI'EIt7Y nIH)FMSti: 5fr5 57.UY 1115N!€'a"RU\y17.tiO7ffgIO1.0 I; %a. t- Sf:T\Ltl 10110-Ps-7 y. .1Ln7I5 f\TION �°,,,t, thTs:um to Jra fu�rniQs of Cluyw 2i5 of Jm'I'—Cask of vc Tcmn of. cnJ iv .d "" ,ceurdena ovS R¢Rr.+»hni.*n of dv-Bout cf Tr¢cti9 ro}_ped 4 ecz1=3 hr.'d°¢�JSCtOI c1�2r'24. is eanei:k—of eryli.l-1'e m J:e n.m of 51300)'id Ly�rJg3,11„(;�y:ail ct;ecl to Ih:Tcr+ns ,��t t�� s:1 Cen:Ulien\¢6 t2:d In the Cc?na T--R—d-I'1-WO--b—'mA perms da �J K'e17¢ed Prrn.il m..—I d-md—fl-d area Ia:.1URs:I.f1.)19--f rtiliad 6rur a n•¢: y",�'.'•�[�r�� + + rcnvne da iG)tree+as indicalrvl on+¢n eY:cnecer¢et¢rry 25.0'aI3.0'(93Qa.1St.)deck a116 I•�%”`:f �',�y^.Std la¢di¢g¢aJ+1nlreasc:Hall dri\¢n:lY¢:ra to tae impmzed»itk prs c[amo¢edba•Ur¢rs1 600 and-dopicicJ o¢ILe s¢ney prepaml hp bnbu¢)i.Wit I:\P.7.,.5,rn-civat a�?•i 9urcu\hr 19.SOIO,�nJ+f:un{rcd npproxcd na,\"member l&:0:0. + 1i�h , t't {' IN W I1Nh5S W17f;IIF-()F,6e uld Bauil¢f 7na:ccz t vcgy caanx 7:\Cancnx 3eif to Iro a(fnr4 sv)Ncx �--'*� r—e to be wys>iW hp—paq ar ma cid Bmrd a cfh I5'dry of Ya\snha,M.b. ,,��f�!? • 1 tiy�''�j, o�ulalrt -=F....•� ,z 4Ct Vt LC.L�!.Li aa._ ;1ttr'f''�P g Q-�t.title� _ _ __ ..._. •• - _.. - —--�_ _-_.__ _ _ _��.�,..rtay.y c - Y � - 0 '. Brian Cleary Senior Account Manager e: brian.cleary(@talos.com mobile: 617-216-8465 telegram: @briancleary talos.com 2 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY 6 Stony Brook,50 Circle Road,Stony Brook,NY 11100 P:(631)444-03651 F:(631)444-0360 Niwvi.d nC.ny.rlov August 1, 2022 Brian Cleary 5875 Main Bayview Rd. Southold, NY 11971 Re: Application #1-4738-04854/00001 Cleary Property: 5875 Main Bayview Road SCTM# 1000-78-7-7 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are,enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term.of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, ffss Scott Environmental Analyst cc: Cole Environmental Services BMHP File NEWYORK I Department of f� .""°. 1111 Environrnen[al Conservation Am NEW YORK STATE DETARTMI NT OF ENVIRONMENTAL CONSrRVATION acility DEC 11) 1-4738-04854 PERMIT Under the Environmental Conservation Law (ECL) Permittee and Facility Information Permit Issued To: Facility: BRIAN CLE:ARY CLEARY PROPERTY 5875 MAIN BAYVIEW RD 5875 MAIN BAYVIL.W RD SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 Facility Application Contact: COLE ENVIRONMENTAL SERVICES 425 MONTAUI< HWY EAST QUOGUE, NY 11942-0471 (631) 369-9445 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 716.245 NYTM-N: 4546.618 Latitude: 41'02'31.5" Longitude: 72'25'38.1" Authorized Activity: Construction of a deck and the establishment of a non-disturbance buffer. All work must be done according to the plans prepared by Cole Environmental Services Inc., last revised 4/22/2022. EES. Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-04854/00001 New Permit Effective Date: 8/1/2022 Expiration Date: 7/31/2027 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this Permit. Permit Administrator: KEVIN A KISPERT, Deputy Permit Administrator Address: NYSDEC Region I I-leadquarters SUNY a, Stony BrookJ50 Circic•Rd Stony Brook, NY 11790 -3409 Authorised Signature: —C ` _ Date^l/ /JQo1,1- Page I of 6 NEW v012K S"rA"rE DEPARTMENT OF ENVIRONNII?NTAL CONSERVATION � Facility D1?C ID 1-4738-0484 Distribution List COLE ENVIRONMENTAL SERVICES Bureau of Marine Habitat Protection Elyssa E Scott Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL. AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along; with photographs of the completed work. 3. Conformance With Plans All activities authorized by this permit must be in Strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Cole Environmental Services, last revised 4/22/2022. 4. Concrete Leachate During;construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. ;. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. G. No Disturbance to Vegetated Tidal Wetlands '[here shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. Page 2 of 6 t NEW YORK STATE DEPARTMENT OF ENVIRONME.NI'AL CONSERVATION .. Facility DI-'C II) 1-4738-04854 7. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the prolect work area and/or Upland areas greater than 75 linear Iect frons tile tdal wetland boundary. 8. No Unauthorized Fill No till or backfill is authorized by this permit without further written approval fi'orn the department (permit, modification, amendment). 9. Install, Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground OCCUrs and is t0 be maintained in good and (inlCtional condition until thick vegetative cover is established. 10. Tidal Wetland Covenant The permittee shall incorporate the attached Covenant(or similar Department-approved language) to the deed for the property where the project will be conducted and file it with the Clerk of St1FF01_,K County within 30 days of the effective date of this permit. This deed covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof of record, alone with the number assigned to this permit, shall be submitted within 90 days of the effective date of this permit to Marine Habitat Protection NYSDEC Region 1 l-leadgUarters SUNY a Stony Brool(150 Circle Rd Stony Brook, NY] 1790 -3409 Attn: Compliance 11. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 houru s shall be contained by a continuous line of staked haybales/silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 12. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 13. Eastablish Vegetated Buffer To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established as shown on the approved plans. There shall be no disturbance to the natural vegetation or topography within this area. la. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents. lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated .with the project. 1-i. State Not Liable for Damage The State ofNew York shall in no case be liable for any damage or injury tO the St iCture or work herein authorized which may be caused by or result from future operations undertaken by the State (br the conservation or improvement of navigation, or for other purposes, and 110 claim or right to Compensation shall accrue frons any such damage. Page 3 of 6 Aft NEW YORK STA'T'E I)F:PARTMEN7'OF ENVIRONMEN'I'AI.CONSERVATION 'ROW Facility DEC ID 1-4738-04854 16. State May Order Rellloval or Alteration of Worlc I I futurC operations by the State of New York require an alteration 111 the position Of the StRiCtLII'C of Work herein alitlOriZcd, or if, in the opinion of the Department of Erivironnlental Conservation it Shall CaUse Unreasonable obstRietlon to the 'free navigation of said waters or flood flows or enclanger the health. safety or welfare of the people of the State, or cause loss or c1CStruction of the natural resources of the State, the owner may be ordered by the Department to ren10VC or alter the structural work, obstructions, or hazards Caused thereby without expense to the State, and If, upon the expiration of revocation Of this permit, the StructurC, fill, excavation, or other modification oftllC watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the Lll7C011lpICtCd Stl'LiCtLll'C Or fill and restore to Its foriner condition the navigable and flood Capacity of the watercourse. No claim shall be made against the State of'New York on account of any such removal or alteration. 17. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and ill SLICK Halle and manner as the Department of Environmental Conservation may lawfully require, remove all of any portion of file uncompleted structure of fill and restore elle site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit arca when requested by the Department. A copy of this permit, including all referenced neaps, drawings and special Conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify. supersede or rescind any order or C1ClCrIllillati011 previously issued by the Department or any of the terms, conditions or requirements ContalllCd Ill SUCK order or determination. Page 4 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION � Facility UBC ID 1-4738-04854 3. Applications For Permit Renewals, Modifications or Transfers "file per►llittee must submit a Separate written application to the Department for permit renewal, modification of transfer of this permit. SLIch application I11LISt ilICILICIC ally fOl-I11S Or SLIppiCll1Cntal information the Department reLluircS. Any renewal, modification or transfer granted by the DepartnICIlt lmllst be in writing. SLlbmission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region I I-Ieadquarters SUNY @ Stony BrookJ50 Circle RLI Stony Brook, NY 11790 -3409 4. Submission of Renewal Application 'file permittee must submit a renewal application at least 30 clays before permit expiration for the Billowing permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. f lilure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. G. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer Shoulcl be submitted prior to actual transfer of ownership. Page 5 of 6 NEW YORK STATEA)EPARTMENT O1�ENVIRONNIEN'I'A1,C:ONSf.RVA"PION s Facility DEC. 11) 1-4738-04854 FNOTIFICATION OF OTHER PERMITTEE OBLIGATIONS `1 Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee. excepting state or federal agencies, expressly agrees to rlldemmf'y and hold llarmless the Department of I?nvironmental'Conservation of the State of New York, its representatives, employees, and agents ("DI_;C"') for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in Compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, sults, actions, or damages to the extent attributable to DEC's own negligent or Intentional acts or omissions, or to any claims, suits,or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item 13: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. i Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of'- way ights-ot-way that may be required to carry out the activities that are authorized by this permit. Item D: 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. r Page 6 of 6 NEINYORK Department of STATE OF OPPORTUNITY Environmental Conservation NOTIC The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Lawfor work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator SUSAN,ACKERMAN Permit Number 1-4738-04854/00001 Expiration Date 7/31/2027 Note: This notice is NOT a permit NOTICE OF COMMENCEMENT OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail: dec.sm.RIMHP-BEH@dec.iiy.gov SUNY at Stony Brook 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: r Dear DEC: Pursuant to the special conditions of the referenced permit,you are hereby noted that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted an the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign,and approved plans will be available at the site for inspection in accordance with General Condition No.1. (Both signatures required) PERMITTEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line X X X X X X X NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail:dec.sm.R1MHP-BEH@dec.ny.gov 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER:. EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required) a PERMITTEE: DATE CONTRACTOR: DATE THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORKAND/OR A COMPLETED SURVEY, AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. j, ! PLANT TYPE SPACING MAGNOLIA VIRGINIANA 5',QC DRAWING INFORMATION 1 SCALE:1"=36' BACCHARIS HALIMIFOLIA $`Q..0 f � MORELLA PENSYLVANICA 3'OC `l CLETHRAALNIFOLIA 3LOC Jl ` LINDERA BENZOIN 3'CC PHOTINIA MELANCARPA 3-lac- GRAPHIC 'OCGRAPHIC SCALE PANICUf,A VIRGATUM CATA QC NDOAH" 7�..._"Qs LIATRtS 5PICATA 12'e a ECHINACEA PURPUREA 12"OC ASCELPIASTUBEROSA i2"Q(" i'�` ••�!!•i i i+1`1 ` i 1 i AQUILEGIA CANADENSIS 12,10 NOTE:CAGES TO BE USED AS NEEDEDTO PROTECT PLANT5 UNTIL THEY ARE ESTABILESHEO � "JYnm corsnR®ito:i w cs,,,pfezirm' 631-369-9445 IAT CLEARING AREA 31..864-05 S.F. - 0.73 ACRE(S) 12,238.57 S.F CLEARED ( 88% LOT CLEARED BRIAN CLEARY "uC is 5875 MAIN BAYVIEW ROAD SOUTHOLD,NY 12-an SCI'M NO;1000-07800-0700-007000 fill,ii THIS IS A SITE PLAN BASED ON A SURVEY PREPARED BY: . JOSHUA R.WICKS 14 TRAINOR AVE CENTER MORICHES,NY 11934 1A51"OPUAIED08.09.21 SITE PLAN DRAWN BY CES ON 04.22.22 a s S 59°00'00" E 992,00' AREA TO Sr I 41WIDEP-MV�OLIS C F i NATWE, C'P • j i i DE:PFNCszNlSPEU-s! •,�, r.5[,25''ECJ � .�is � r.lG Yk i ' AREA TO BE Aa FRG 26'"f ry V PLANTED WITH NATIVE,NON- L +{ _ { FERTILIZER jGEPENDENT SPECS A5 LISTED bG 2 STY. '•�I ., FR. RES-.. Fi.�l`'ze t`�"•i !. saw`=sz' ( /^ CPAv[aPIJflAAr {•. v� pll? MK no`. u L 4.2' ra anent xis N 5900.0'0011 w 9x2.00 I•J�SbEC ____._.__.......__. �l�1AI,� BAYVIEW ROAlj 3VEDA8PER TERMS IAT .AREA AND CONDITIONS OF 3f.884,06 S.F. ; PER5�9CtNQ. _ N ` 0.73 ACRE(S) J DATE o r' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY 0,Stony Brook,50 Circle Road,Stony Brook,NY 11190 P:(631)444-03651 R(631)444.0360 ww"rcriroc.nY.gaV August 1, 2022 Brian Cleary 5875 Main Bayview Rd. Southold, NY 11971 Re: Application #1-4738-04854/00001 Cleary Property: 5875 Main Bayview Road SCTM# 1000-78-7-7 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, I , ` yssa Scott Environmental Analyst cc: Cole Environmental Services BMHP File NEWYORK Department of s,n,rm Environmental , Conservation e� NEW YORK STATE: DEPAWYMP N'r OF ENVIRONMENTAL.CONSERVATION FacilitY DP.0 II) 14738-04854 PERMIT _ Under the Environmental Conservation Law (CCL) CPermittee and Facility Information Permit Issued To: Facility: BRIAN CLEARY CLI ARY PROPERTY 5875 MAIN BAYVIEW RD 5875 MAIN BAYVIEW RD SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 Facility Application Contact: COLD ENVIRONMENTAL SERVICES 425 MONTAUK I-IWY EAST QUOGUE, NY 11942-0471 (631) 369-9445 Facility Location: in SOUTHOLD in SUFI~OLK COUNTY Facility Principal Reference Point: NYTM-E: 716.245 NYTM-N: 4546.618 Latitude: 41102'31.5" Longitude: 72°25'38.1" Authorized Activity: Construction of a deck and the establishment of a non-disturbance buffer. All work must be done according to the plans prepared by Cole Environmental Services Inc., last revised 4/22/2022. EES. Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-04854/00001 New Permit Effective Date: 8/1/2022 Expiration Date: 7/_31/2027 (�--y�-'---- NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the CCL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: KEVIN A KISPERT, Deputy Permit Administrator Address: NYSDEC Region I Headquarters SUNY (i? Stony BrookJ50 Circle Rd Stony Brook, NY 11790 -3409 Authorized Signature: _— C Date 9/ Page 1 of 6 A& NEW YORK S"rA'rE DEPARTMENT OF ENVIRONMENTAL CONSERVATION + Facility DEC ID I-4738-04854 Distribution List COLE ENVIRONMENTAL SERVICES Bureau of'Marine Habitat Protection Flyssa E Scott Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDI'T'IONS, APPLY TO ALL, AUTHORIZED PERMITS NOTIFICATION Or OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS- Apply to the Following Permits: TIDAL WETLANDS t. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Cole Environmental Services, last revised 4/22/2022. 4. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be potu-ed to displace water within the forms. 5. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be Suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 6. No Disturbance to Vegetated Tidal Wetlands There shall be Ifo disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. Pale 2 of 6 NEW YORK STATE DEPAwrmENT OF ENVIRONMENTAL CONSERVATION �... .. Facility DEC II) 1-4738-04854 7. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/01' Uplalld areas greater than 75 lineal' feet from the tidal wetland boundary. 8. No Unauthorized Fill No Fill or backfill is authorized by this permit without further written approval from the department (permit. modification, amendment). 9. Install, Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and lirnctional condition until thick vegetative cover is established. 10. Tidal Wetland Covenant The permittee shall incorporate the attached Covenant(or similar Department-approved language) to the deed for the property where the project will be C011ducted and file it with the Clerk of SUFFOLK County within 30 days of the effective date of this permit. This deed covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be submitted within 90 clays of the effective date of this permit to Marine Habitat Protection NYSDEC Region l Headquarters SUNY a., Stony BrookJ50 Circle Rd Stony Brook, NY11790-3409 Attn: Compliance 11. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 }lours shall be contained by a continuous line of staked haybales/silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 12. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 13. Eastablish Vegetated Buffer To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established as shown on the approved plans. There shall be no disturbance to the natural vegetation or topography within this area. 14. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 15. State Not Liable for Damabe The State of New York shall In no case be liable l0r anv damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other Ixn'poses, and no claim or right to CoillpellSatloll Shall accrue from any such damage. Page 3 of 6 NEW YORK STATE DF.PART'MENTOf ENV IRONMUNTA1,CONSERVAT ION Facility DEC ID 1-4738-04854 16. State May Order Removal or Alteration of Work If fUtUl'e operations by the State ol'New York require an alteration in the position Of the Structure or work hercin authorized, or it, Ill the opinion of the Department of Envll'onmental Conservation It Shall cause unreasonable obstruction to tine flee navigation of said waters or flood blows or endanger the health, safety or welfhre of the people of the State, or cause loss or destruction Of the natural resources of the State, (lie owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and it: upon the expiration or revocation of this permit, the structul•c, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and ill SUCK time and manner as the Department of Environmental Conservation may require, remove,all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account ofany such removal or alteration. 17. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to Such extent and in such tinge and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its lbriner condition. No claim shall be made against the State of New York on account of any Such removal or alteration. GENERAL CONDITIONS - Apply to ALL Authorized Permits: i. Facility Inspection by The Department The permitted site or I'acility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SADA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available ('or inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify. supersede or rescind any order or determination previously issued by the Departmelit or any of the terms, conditions or requirements contained in such order or determination. Pagel of 6 NEW YORK STA'1'I-. DI?I'Al2'i'MEN'1'OR ENVI•RONMI;N`1'Al.CONSERVATION Facility UEC II) 1-4738-04854 3. Applications I+or Permit Renewals, 'Modifications or Transfers The permittee must submit it separate Written application to the Department for permit renewal, modification or transfer of this permit. Such application must Include any forms or Supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of-' applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDFC Region 1 Headquarters SUNY tr Stony BrookJ50 Circle Rd Stony Brook,NY 11790 -3409 4. Submission of Renewal Application The per•mittec must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revolve this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page .5 of 6 AMN NEW YORK STATE,DEPARTMENT OFENVIRONMEWYAL CONSERVATION Facility DEC 11) 1-4738-04854 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification E*� The Pernlittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees., and agents ("DE"C") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or ornissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not ill compliance with the terms and conditions of permit. This i ndernni f icat loll does not extend to any claims. Suits, actions, or damages to the extent attributable to DEC's own negligent oi, z intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen Suit or civil rights provision Under 1eder.al or state laws. Item 13: Perinittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of' their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-or- way that may be required to carry out the activities that are authorized by this permit. Item D: 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' tiny rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 6 of 6 �NEWYORK Department of STATE OF OPPORTUNITY Environmental Conservation NOTIC The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator SUSAN ACKERMAN Permit Number 1-4738-04854/00001 Expiration Date 7/31/2027 c Note: This notice is NOT a permit NOTICE OF COMMENCEMENT OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail: dec.sm.R1MHP-BEH@dec.ny.gov SUNY at Stony Brook 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Dear DEC: Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign,and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITTEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVEADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR NAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line X X X X X X X NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection-NYSDEC E-Mail:dec.sm.R1MHP-BEH@dec.ny.gov 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on .We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required) PERMITTEE: DATE CONTRACTOR: DATE THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORKAND/OR A COMPLETED SURVEY, AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. PLANT TYPE SPACING \jt, DRAWING INFORMATION MAGNOLIA VIRGINIANA SCALE:1"=30' BACCHARIS HALIMIF041A .5 QS MORELLA PENSYLVANICA 3'OC CLETHRAALNIFOLIA 3'OC • LINDERA BENZOIN ,3'OC PHOTINIA MELANCARPA 3'0(: GRAPHIC SCALE L{ATRI PANICUM LIATRI SP"SHENANDOAH" u"OC � S 5PICATA 12';,0... ECHINACEAPURPUREA ,1,2"0 n i ` ASCELPIASTUBEROSA 1.�"QC AQUILEGIA CANADENSIS 12"04 NOTE:CAGES UN USED AS NEEDED TO PRO'ECT PLANES UNTILILTHEY ARE ESTABILISHEp. "y—tonsuBntionW Campfetum" 631-319-9445 a6 LOT CLEARING AREA 31,889.05 S.F. — 0.73 ACRES) 12,.238.57 S.F CLEARER 38�.LOT CLEARER w`r to •tWa se BRIAN CLEARY S$75 MAIN BAYVIEW ROAD nac ie SOUTHOLD,NY 21-071 SCCM NO:-ION-078OD-0700.007000 mgty s' :LAc st THIS IS A SITE PLAN BASED ON A SURVEY PREPARED BY: m�trr JOSHUA R.WICKS 1° 14 TMNOR AVE .CENTER MORICHES,NY 11934 LAS"i"UPUAi"E0 U8.09.21 SITE PLAN DRAWN BY CES ON 04.22.22 5` " w � S 51°00'00" E 19..2.00' Fu s —_ t,I:e'f TC1 RiE w 4 \rI E PERVIOUS PLANTED WITH PATH I ^ E FER"RUZER j ,I"(`i � rr�nixc s' f7EP t?:C.PdT S'e`ct,it�S� ! SO ����• y{ I AS UST`E _._.. f f* i3 Co . b r � E — E lrE WEha1t7 i AI'.11„TG5 Gu- spa. nnc to,i PLANTED A,10H i NATIVE.,NON- w 1 f FERTILIZ=R �o+ DEPENDENT F C EfldT SP:CIEC AS'_ISTCC �s_.F� " i Wiz.- z , LO- �V I �"4• E i� 1 Q 2 STY- t``i vFw; FR. RES. mw� 4 f zE #5875 r,-, t�y r CFAN:=1St' 'CPA1T17R(JEN9>'...E `�'1 :9 a.. 1 �4 .......7.4.x.@5........... .�„K nu L 5.2' '3."3''NEAL on :m. IV 51000'00" W 192:00' MysDec ,_ _ .___........_..._. MAIN PA YVIEW ROA �PRDyEa�aPIrATEF�MS LOT AREA i AND CONDITIONS OF 31.884.05 S.F. PERMIT NO 0.73 ACRE(S) ) �- DATE Q �' Town Hall Annex Glenn Goldsmith, Presidents w� 54375 Route 25 A. Nicholas Krupski,Vice President ,A P.O. Box 1179 Eric Sepenoski 1 Southold, New York 11971 Liz Gillooly . �} Telephone(631) 765 1892 Elizabeth Peeples µ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 17, 2022 Brian M. Cleary 5875 Main Bayview Road Southold, NY 11971 RE: 5875 MAIN BAYVIEW ROAD, SOUTHOLD SCTM# 1000-78-7-7 Dear Mr. Cleary: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 16, 2022: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit #9754, issued on November 18, 2020. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Gi eA7�4'9' Pt�iddent„ Bd of Trustees GG:dd DiSalvo, Diane From: Brian Cleary <briancleary1 @gmail.com> Sent: Wednesday, November 16, 2022 3:47 PM To: DiSalvo, Diane Subject: Brian Cleary - request for permit extension (9754) Hi Diane, Thank you for the phone call earlier. As discussed, I'd like to request that Permit#9754 be extended for an additional year, as it is set to expire on November 18, 2022. 1 will put a check in the mail tomorrow, November 17,for the amount of$50. As mentioned,the converted wetland area,the removal of 6 trees and improvement of the driveway with gravel (at 5875 Main Bayview Rd) have all been completed. The construction of the deck is the Ione outstanding item from the permit that hasn't been started, as it was waiting for DEC approval and signature by an engineer. Thank you so much for your help and please let me know if you need any additional information from me. Brian Cleary 617-216-8465 5875 Main Bayview Road,Southold NY 11971 brianclearyl@gmail.com ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. Glenn Goldsmith,President QF so(/ry Town Hall Annex Michael J. Domino,Vice-President 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A. Nicholas Krupski y G Q 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 TZ'HOUR -N 16R TO'COMMENCEMENT OF THE ACTIVITIES CHtek-Eb,,OEF - ' BELOW - INSPECTION SCHEDULE Pre-constructfon;,[%—' 6Wale"lin'e%ilfb 6m/silf'bdrtain 1st day,of oonstrtic#ion % constructed When project complete, call for compliance inspection; ao 3i opeids 6•ie� --"FiioS p•. -' '•0�0 DAY"L- = a:a1t 96'�O J'9b4r , opm;, dao ii'oie�T•' - - -"nj°e@pPp v�4°e @@P is � 1; dly/:�._.:,T"�• P°�/'��,e, ,,�w� _ ••11 P`P , p@ P ,p DP,.r•—',�,u,� l@ PP �,�,u�� '>t4 4 ®p -t �:�r;.( uu a .✓'"-tee, �' �•`•� • �� .' �":• � „✓'"-06; w _ -:��g ''�f 0 +,yr.rrrr'r n� „rao o^Aw r rrr4rrrrr4�rrrrnvav n b'• :!rCY . rrrtrrrr r rt4r'n v rrrtar�frrrnrrrm�y{arrrrvlr,rn{7:rlv�fer��rvnllrrr{flr'l'1rvAa{r�vr�ru!`rVrrrrrrrn,�...l.alvr.vrrrrrrvrvr .,)�r rergarrrnrvq,-nerrrrr upnyn•V Arr��rrnrn.ruvraarTrrn!cryo^arAnro�ll°.' ..1.'!'L''') { �!1v�?;9!t',,. - ..� "� ;aado06 3 I i 10spa; _ BOARD OF SOUTHOLD TOWN TRUSTEES - SOUTHOLD,NEW YORK `. 1t � PERMIT NO. 9754 DATE: NOVEMBER 18,2020 ISSUED TO: BRIAN M. CLEARY PROPERTY ADDRESS: 5875 MAIN BAYVIEW ROAD,SOUTHOLD in SCTM# 1000-78-7-7 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 18, 2020 and in consideration of application fee in the sum of$250.00 aid b Brian M. Cleary and subject to the Terms " t Pp p Y J �� r and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the Il • COp@IP ' I = oJ. j following: =' ! Wetland Permit to convert cleared wetland area(f 2,100sq.ft.)to non-fertilized grass area; s , , `��tee:• remove six{6)trees as indicated on survey; construct new 25.0 x14.0 (350sq.ft.)deck with }' 0 !epee•, landing and staircase; and driveway area to be improved with pea stone and/or gravel 600 sq.ft.; and as depicted on the survey prepared by Joshua R.Wicks P.L.S., received on November 18,2020,and stamped approved on November 18,2020. " oeoP _3 i•,a` t IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these " presents to be subscribed by a majority of the said Board as of the 18''day of November,2020. • ee91e9 � i f Spap@,pE :iale0o � I y �` J v"l/'�4% �`rra'C.'-�"'l „�" ~.,rrf/�f''1rLy � ,s••- �Q66Po = � ,�®� ,��®O� I = olo"oe' Vin•'. - �Ze• . °iaelel : i �'us n _---_ _—_-_----_--_--_-_— ----- iitt•i trr7.(rr}}rii7t}rrrrri),irrarrrrrrrrir,i,i' r(((rrtr•rttriry tM1lrririiLe` - i•tt•r}r•r rtrirrri(n i s •vr'fi•rtr?rArith(Wfiirrnririirrt•rriirll/irr•irlitiAr\rrr.irliA rrrrt•rirr(etelriNj,rrrrvt r}j,{Ctir 'r,Qirti- r�i irrr or'.rr� _ t"\=✓:nunr e i( fe - e '.f �'rrr• �o rtv�'a 0e v ,lr.rr, r, `"" `- ®a��0.� f M1.a:r o °iddd a00p.r 1 eddd d0@a.�'� �•ga9.dd b'IeA;.r v -;4e6„AOS:.. �fii, see eao � '.ggadodooa10p1p� :eele6a elelvo.�• �-,R:p`,o,�p,:•� ::___..:: •:><:,:. _ __ � err-........... TERMS AND CONDITIONS The Permittee Brian M. Cleary, residing at 5875 Main Bayview Road, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President S0!/1Town Hall Annex Michael J.Domino ,`OO01 0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III #t Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 �yeoONTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 20, 2020 Michael Kimack P.O. Box 1047 Southold, NY 11971. - RE: BRIAN M. CLEARY. 5875 MAIN BAYVIEW ROAD, SOUTHOLD SCTM# 1000-78-7-7 Dear Mr. Kimack: The Board of Town Trustees-took;the�,following;action-.during,its regular meeting held on Wednesday, November 18, 2020 regarding the above matter: WHEREAS, Michael Kimack on behalf of BRIAN M. CLEARY applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 25, 2020, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the deck be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the action be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program policy 6.3 to the greatest extent possible through the imposition of the following Best Management Practice requirements: the trees were dead and imposed risk to life; and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 18, 2020, at which time all interested persons were given an opportunity to be heard, and, 2 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, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the _ Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action-to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of BRIAN M. CLEARY to convert cleared wetland area (± 2,100sq.ft.) to non-fertilized grass area; remove six (6) trees as indicated on survey; construct new 25.0'x14.0' (350sq.ft.) deck with landing and staircase; and driveway area.to be improved with pea stone and/or gravel 600 sq.ft.; and as depicted on the survey prepared by Joshua R. Wicks P.L.S., received on November 18,.2020, and stamped approved on November,1.8, 2020. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. J Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Ve truly yours enn Gold ith President, Board of Trustees GG/dd JOSHUA R. WICKS P . L . S SURVEYED BY J.R W. DRAWN BY:D.T.O. JOB NO:JRWig-o38o 14 Trainor Avenue Center Moriches, N.Y. 11934 JoshuaRWicks@gmail.com S 51000 '100" E 192. 00 ' 4C.10 #631-405-8108 /025 GRAPHIC SCALE TAX MAP LOT 006.000 ° 1(30) 2(60) 3(90) \(3\) z5UPVEY �� PPO � Cp � � 51TCWT� C SOUTNO�n TOWN Or 50UNIOV n fL��I I I Area of clearing(2100 SF+f-) i SEE �,�C}�c (�y 5UFFaK COUNTY, NeW Y09 1 I I to be revegetated with grass i IBJ as an extension of lawn area TR forfamily EE o CS SuffollkRk Cou* I-ax Map No,: O foe{-" �` �_ o r� .- � ( APPROVED BY Io� I �,�, � F I o `BARD OF TRUSTEES PATS 5UPWF;Y P: I/8/2020 o �c 4S 5UPMY UPPATE; 8/912020 N w 'CaWN OF "SOUTHOLD SCALE ; III-3ol �- o = Z TAX MAP LOT 007. 00 1t �� I D�'- /1/Ol/g(��k /$ 2020 TREE Q r v = ( � ,,�1 O d =7 EXISTING L LJ y 0 POIAT t j T) -� I Lai 1 Ob IW/STEPS TRS �QG H 35.4^ I NOV 1 8 2020 O Q T To2 STY. WOOD CC 4 BE REMOVED FR. RES. (�� O Soutilold Town 5875 Board of 1(u tees TREE \ # .. C�_4 9z - - —-- --- -- LOT AREA - GRAVEL DRIVEWAY � �- I 44.6' Driveway area to be improved J—�� PROP. witn pea stone and/or gravel I 31,884.05 S.F. �/) 745:65'•.......... -35.4' DR- OSEU TANK ,.R Y 0.73 ACRE(S) SPIKE 4.2' FND. `\ r — OVERHEAD WIRES :a OH —OH —C41 —OH —OH —OH —_o?OH —OH —OH —OH —OH H.: OH —CH —W —ON _T UTIL OLE Polf �,p F NEW Y N 51000 '00" W 192. 0 .0 ' ',P R. LOT CLEARINGREA 31,884.05 S.F. = 0.73 ACRES) IIIAIN BA YVI.JE�'W ROAD 12,238.57 S.F CLEARED 38% LOT CLEARED li ,l, - 051 cF o02 �O i ysF� LAND I i CHECKED BY: (1) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209,SUB-DIVISION 2, OF NEW YORK STATE EDUCATION LAW- (2) ONLY'BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP (n SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC. THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE LENDING INSTITUTION LISTED ON THIS F- BOUNDARY SURVEY MAP (4) THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE (5)THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY (6) THE OFFSET (OR DIMENSIONS) SHOWN HEREON �I FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS,ADDITIONS TO BUILDINGS. AND ANY OTHER TYPE OF CONSTRUCTION (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY (8) THIS SURVEY WAS PERFORMED WITH A TRIMBLE S8 ROBOTIC Z TOTAL STATION (9) THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED �OSUFFO(„�� Glenn Goldsmith, President Town Hall Annex Michael J. Dominoy z 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 A Nicholas Krupski y�jo �o�c Southold, NY 11971 Greg Williams � jr Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: BRIAN M. CLEARY c/o MICHAEL KIMACK Please be advised that your application dated September 25, 2020 has been reviewed by this Board at the regular meeting of November 18, 2020 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 St Day of Construction ($50.00) % Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES. TOTAL FEES DUE: $ 50.00 "I . •20 12 X353 BY: Glenn Goldsmith, President Board of Trustees o eX J .�' ' ' / n e rot FRM� R. WICKS P . L . S . W, DRAWN BY:D.T.O. JOB NO.:JRWig—o380 14 Trainor Avenue Center Moriches, N.Y. 11934 S 51000 '100"' E 192.00 ' oJoshuaxwicks®gmail.com #631-405-8108 ° •- GRAPHIC SCALE 3( Y TAX MAP LOT 006.000 (30) 46��t�Pp dT) CO TREEM m SITUA C 50U� o-r TOWN OF SOUfNO'n LSI I 1 Area of clearing(2100 sF+f) 5L1MU COUNIX NeW YL)/\T I 1 to be revegetated with grass as an extension of lawn area �TREE forfamily O Ch Suffolk Cou* -rax Map No, N „�°"""� "� O 1000-078,00-07,00-007,000 J I 1 12AT� 5UMYR?: 1/8/2020 5UMY UPPAT�: 8/9/2020 o � � � o SCALA, I �O W I TAX MAP LOT 007 00 f � I [� 1 � 1 y7I WOOD O L LO C PLAT y W _ D, nn�� vvuuTY,Cnnq 0'FTR1LO LL o �� STY. , w,�rc�Nv z .�: o ° BE RE19WQ) FR. RES. ~i I 1 TREE #5875 a w F.FL=11.41 GRAVEL DRIVEWAY 1 CRAB=4sz LOT AREA �y 44,6' Driveway area to be improved i witn pea stone andf or gravel 31,884.05 S.F. 745:65-c...... ...,.. i 35.4" 0.73 ACRE(S) SPIKE FND.° .. ., ..n 4.2' —m OVERHEAD WIRES ,...�.o� '°�:� rye .°.....oN n, ..ar -....,�ox Yon �.,„ ,"� __..._a� ,.�M —ox a+ —ai —w a+ al -e ai +'v'kp" °° Im +'�,..�.oe .—.ImaIfnL „ OLE POLE OF NEIN N 51000 '00" W 192. 00 ' , LOT CLEARING AREA 31,884.05 S.F. = 0.73 ACRE(S) 1VIA I N BA YVIEW LOAD 12,238.57 S.F CLEARED 38% LOT CLEARED f - ' ) 0510 ` ' AN CHECKED BY: °• (.d) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209,_SUB-DIVISION 2, OF NEW YORK STATE EDUCATION LAW (U) MANLY"BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION.. (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP W S$0NW'V THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND aIVrVErQR',,,. INC.. THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE LENDING INSTITUTION LISTED ON THIS F-- BOUNDARY SURVEY MAP. (4) THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE. (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED.. IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. (6) THE OFFSET (OR DIMENSIONS) SHOWN HEREON OI FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS,ADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION. (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY. (8) THIS SURVEY WAS PERFORMED WITH A TRIMBLE S8 ROBOTIC z TOTAL STATION. (9').THE EXISTENCE OF RIGHT OF WAYS AND/014 EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED .. JOSHUA R. WICKS P . L . S . SURVEYED BY:J.R.W DRAWN BY:D.T.O. JOB NO JRWig-o38o 14 Trainor Avenue NOV 1 0 2020 Center Moriches, N.Y. 11934 '� ' �u,..__. u.� _�. � `,�. .............. Joshuaa 3�Pic40®g8108.com S 5100000 E 192. 00 . � _ GRAPHIC SCALE TAX WAP 'LOT 006 000 C'fTP Ir l Crrl 5UPVEY PPOPEPTY I CSO ��70 1�0 SlfllAf� C BEREMOVED .� SOUTI lO�l� f0WN OF-';0UfH0tI' 5UFFaK COUNTY NeW YOR\ Area of clearing(2100 SF+f-) L�\J1 I to be revegetated with grass SEE as an extension of lawn area TREE o forfamily Suffolk CouU 1 ax Map No,: , d 1-4 1 Pff� 5UpVMP: 1/8/2020 o 0 5UP&EY UFPAT�: 8/912020 I� y rz 0 5c&L : I' =30' I� � I �O� I� W TAX MAP LOT 007 000 I E- d a TREE z o Q EXISTING WOOD t O J a w t7CE DECK 1 W/S`TEPSTR&I �35e4^ I � C �o � Ta 2 STY.mum � +,' p FR. RES _BE � s fREE #5875 l F.FL:11.41' _J .,... I CRAWL=4.92' GRAVEL DRIVEWAYLOT AREA 4' 4,4 6 Driveway area to be improved PROP. witn pea stone and/or gravel 39,884.05 S.F. .......745:65........ , ROPOaD TANK " air; 0.73 ACRE(S) " 1 , SPIKE FND. 4.2' � � � � r – – OVERHEAD WIRES ox OH OM -OH ON W ON UT1L .m�m:.. IrH ox ax ox orOH or ox ax ox — POLE PM N 51000 '00" W 192. 00 ' 41, LOT CLEARING AREA 15 31,884.05 S.F. = 0.73 ACRE(S) MAIN BA YV I E W ROAD 12,238.57 S.F CLEARED 38% LOT CLEARED k 0CL ................................. a AND 1,"' (1) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATI717=014" N OF SECTION 7209, SUB—DIVISION 2, OF NEW YORK STATE EDUCATION LAW (2) ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP %!.SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. IIJC THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE LENDING INSTITUTION LISTED ON THIS '. --+BOUNDARY SURVEY MAP (4) THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KIJOWN AND OFTEN MUST BE ESTIMATED IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY (6) THE OFFSET (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS. POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BUILDINGS AND ANY OTHER TYPE OF CONSTRUCTION (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY (8) THIS SURVEY WAS PERFORMED WITH A TRIMBLE SB ROBOTIC ""TOTAL STATION f4THE EXISTENCE OF RIGHT OF WAYS ANO,Qyi EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED / gUFFO(,� Glenn Goldsmith, Pr( 'it Q '' Town Hall Annex Michael J.Domino ��� GV_ 54375 Route 25 John M. Bredemeyer III y P.O.Box 1179 A.Nicholas Krupski r Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �� ) a �� Completed infield by:-,)M. Michael Kimack on behalf of BRIAN M. CLEARY requests a Wetland Permit to convert cleared wetland area (± 2,100sq.ft.) to grass area; remove six (6) trees as indicated on survey; construct new 25.0'x14.0' (350sq.ft.) deck with landing and staircase. Located: 5875 Main Bayview Road, Southold. SCTM# 1000-78-7-7 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice o/,,Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / j Present were: Q/ J. Bredemeyer -1. Domino X G. Goldsmith Krupski F G. Williams Other r JOSHUA R. WICKS P . L. S SURVEYED BY-J.R.W. DRAWN BY-D.T.O JOB NO•JRWig-0380\ 14 Trainor Avenue Center Moriches, N.Y. 11934 IS 51000 ,100 E 19 2. 0 �c 0 ' No oS/o2 JoshuaRWicks@gmail.com #831-405-8108 I s GRAPHIC SCALE I o i z TAX MAP LOT 006 000 (30) (60) 3(90) w 5UPVjffY or PPOPEPTY ^� 5111lA-I� RE REMM I I � 50MOU' -"OWN OF SOU1"NOLn II TREE 5uFFOV COW NeW YOW TREE O U Suffolk Cou* rax Map No,: N O 5U MY U PA 1I: %912020 I� o SCALA; TAX MAP LOT 007 000MOVED 1 f jEE Io _lEXISTING LO ^ 1 c_7 WOOD w J wOD PLAT Q) jW/S EPS TREE FE 35 4" d' -7L . 'I 1 11A ,R9) , [� BE` 2 STY.FR. RES. e I SEP 2 5 2020 1 I I T TREE \ #5875 I I ` F.FL=11.47' CW=42L ' GRAVEL DRIVEWAY S I(t)` '""� LOT AREA < 44.6' EOard of Tr(�st::es PROP. 39,884.05 S.F. L....v 1 74.5:65.'..... . , f�� TANK 35.4' DR ROPOS'. 0.73 ACRE(S) SPIKE T 4.2� FND _ ` �' r OVERHEAD WIRES I C"\_w OR —OH —OR —OR —OR —OR —w!0H —OR —OR —OR —OR —OR —OR —OR OR —OR —OH OH��OR — H—OH —OH —OH —OR — POLE i POLE OF NEW N 51000 '00" W 192. 00 ' �.`P���P R. 4,�c�,p� LOT CLEARING AREA kp MAIN B /� YVIEW ROAD 31,884.05 S.F. = 0.73 ACRES) 1`1 12,238.57 S.F CLEARED 38% LOT CLEARED cFys,F/kO. 05102 LAND S�1 CHECKED BY: FBOUNDARY HORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF NEW YORK STATE EDUCATION LAW (2) ONLYIBOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION 3 CERTIFICATIONS ON THIS BOUNDARY P AT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE LENDING INSTITUTION LISTED SURVEY 0 S SURVEY MAP (4) THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY 6 THE OFFSET(OR DIMENSIONS SHOWN HEREON STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY (8) THIS SURVEY)WAS PERFORMED WITH A TRIMBLE S8 ROBOTIC TION (9) THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED , TRUSTEES %VifFO#,r SUPERVISOR John M. Bredemeyer, III, President ®fid .,_,' �p� SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President Henry P. Smith ® 1 '";�"h =` Town Hall John B. 'Ilithill vim- ' 53095 Main Road William G. Albertson ®� P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 8,• 1993 . Gordon K. Ahlers, P.E. Manor Lane Jamesport NY 11947 Re: ELI GREEN SCTM #78-7-7 Dear Mr. Ahlers, The following action was taken by the Board of Trustees at their regular meeting of December 6, 1993: RESOLVED, that the Southold Town Board of Trustees grant a waiver to raise the house from present elevation of 6.7 ' to 12 ". Located Main Bayview Road, Southold. If you have any questions, please call our office. Ve truly yours,, MOM ohn M. Bredemeyer, III President, Board of Trustees{ 1' JMB/djh GORDON K. AHLERS P.E. CONSULTING ENGINEER TEL. & FAX 516 722 3227 188 MANOR LANE JAMESPORT, N.Y. 11947 June 225, 1996 Board of Trustees Town of Southold 53095 Main Road Southold, New York 11971 Re: Eli Green SCTM #78-7-7 Waiver to Raise House of 12/6/93 Request for Chapter 97 Waiver Continuance Gentlemen: Enclosures covering Original Waiver granted 12/6/93 are forwarded for information and use with respect to Waiver Continuance. It is requested that a Continuance of Waiver be granted. The Residence has the same ground footprint and location upon which Original Waiver was granted. When house was raised, the old ridge tree pole snapped, requiring construction of a new roof, covering original exterior walls. This is the reason for Waiver Continuance and Reapproval. Please call this Office, if additional fee or other information is required to process this Waiver Continuance. Thank you. Very truly yours, o�roAhlers, P. E. cc: Eli Green 263 Carlton Ave. Brooklyn, N. Y. 11205 SMITH' DRIVE SOUTH N 40°44 '50" E 766, 74 ' TAX MAP LOT 004 004 _ LAND N/F OF EARL J WILLIAM ( mN — s' l o � ly I g I f r� l � I Ul EDGE OF CLEARING O 67 4. 43.4'!////// 4 i N on y� W X09 o Ln :p N f) uul In, 43.4 / o l v r W � EDGE-OFF CLEAR ti 0 O'er ' J :U p ) L O -,... ._ S 40044 '50" W tl2p J 6�.Je�4 TAJC Vi, I , IL ACME • .., ��� �fib" `� � n l .,\ � - I . � $�� f �� a -..moi ��'•. ; I 1 r I K � 1 1 a a M `til► {�"! �, ,�. „r + `,�� �' !� �� :i �, ��^'�"�^':�•< a�>Z�^ "fid.° °` `' `. VFew K. Al I 9 F1f 1�R• S- "A, t , tr 0)ClearyResidence Taken Sept.12, 2020 Looking NE s• :-� r Al NIP Ox V,� V; All A, r ' TM (4)Cleary Residence _. Taken Sept.12,2020 Looking NNW r � r ... �'!.ft 7 ar;gyp y4 aIRMO A r` � a lilt" A c� • v � o (5)Cleary Residence Taken Sept.12, 2020 Looking WNW s , {6)Cleary Residence Taken Sept. 12,2020 Looking SE ' ♦ F �1 Y. ....r`d„ a�A �.� �r:�. '�-),�,♦-`.� . zil - m vill p,._ ,. > 1 , 1 1 ANN 39 ^� y SLEEPY H LLOW s--- 5;",.r -1 % �� toza w tae $ te.> ,ae ,avc)m� • � J° _Y 5.,,O10- GD w A to., m�lycl tw tw tw `) TQMN OF ,020 % 001,11,010 r ,02, O' as 10 -wo p17 2i 27 z, tat +e s N ,w,x -P 2 x � SEE SEC-NO-07] nJ 3 w , 2. 20 / N w w .. COUNIYOF 121 SUFFOLK ' -; --� w - ' f ° w . 41 14.2 CFX 11.1_ ,52 �J o t ) 1� t.'SEE0. m ^ SEC.NO, Q1A ieA - ,l>A(c) _ 1 522 \ 4 20 �1 72 µA ,aM�•Q /- �. vl ' 21 3 y N ' 2 ,.alar O3 4z2 O� 5 61 a '�S azj6 321 5Iw ,$ m >' ,d O r yr M y s. b s s ,z 5 �. @ e, 1.4,,� sS'W`) iwym_—zL--l1ME � ccN,tt SEE SEC-NO.W? f L e �"! p = - fBB) t NOTICE COUNTY OF SUFFOLK © K ,wwv SOUTHOLD SECTION NO —7Z-- Rt) —O— --�-- —^-- wx, cK wpx., Eox Real Property Tax Service Agency v e ------- s.. --�— --"-- wm"su oxa x.axns e g corxr c.xw anxra,Nrnwt m vuNwaF 078 rrx. n .r�¢tN9stzu u• —___ __m__ or •-- yy1x' p pm as,wer xo 7000 PROPERTY MAP Glenn Goldsmith,President �f. Q� �f? ';:,, Town Hall Annex � 54375 Route 25 Michael J. Domino,Vice-Presidents+ t , P.O.Box 1179 John M.Bredemeyer III "�� Southold,New York 11971 A.Nicholas Krupski $ ' '= '�; ` " Telephone (631) 765-1892 Greg Williams ".�" = s ', Fax(631) 765-6641 1'�., �s .; ., ,.� (fit 6'ou N pol .,7 f BOARD OF TOWN TRUSTEES __�--_______� I-1�TOWN OF SOUTHOLDZO2O L,This Section For Office Use Only __ 1lr;�s: cs Coastal Erosion Permit Application l Wetland Permit Application Administrative Permit Amendment/Transfer/Extens' Received Application: Received Fee: $_,500.0 A6—&UT � Completed Application: 10•ff tW Incomplete: / SEQRA Classification: Type I Type II ✓ Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: �Coordination:(date sent): _ VLWRP Consistency Assessment Form Sent:-il, CAC Referral Sent: 10.)A_W Date of Inspection: I1•!D•ZO __Receipt of CAC Report: _ Technical Review: Public Hearing Held: X1.1�•� Resolution: Owner(s) Legal Name of Property (as shown on Deed): C, L Mailing Address: _ 6 3 /4:) IV Y Al X 0 a r Phone Number: 617 -2/.6 94 6,5 Suffolk County Tax Map Number: 1000 - 7 -7 Property Location: �_Z57 kAl.1V HAYV14W RD -r2r)LV6W. _X // 7e (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): " / Mailing Address: _ 0 /�. d� � • ��� ��� --�� 9 �� — Phone Number: Board of Trustees Ap; ration GENERAL DATA Land Area(in square feet): 46 4- d� Area Zoning: �- Previous use of property: ���D,��V�"1,�L D A1/ FAH14Y Intended use of property: )?k2A VA1 DAA 6—14 M/LY 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? _�C Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes �( No Does the structure(s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date Z� No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?^)No Yes If yes, provide explanation: Project Description (use attachments if necessary): dS� d s Board of Trustees Apr --ati.on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ro w /� &,e ASS' .4"ill U cr NEW 4E C e Area of wetlands on lot: 6,46 square feet Percent coverage of lot: 62 % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 46 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated?— IVIA —cubic yards How much material will be filled?_ 0cubic yards Depth of which material will be removed or deposited: -NIA feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: )JA— 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): 617.20 Appendix B Short Environmental Assessment Form Instructions for Com letin! Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: i Project Location(describe,and attach a location map): Brief Description of Proposed Actieon:1,6A e4 0 � T�� I�C4 /Z��U sA� 7-6 GU CV Z�. D 'X `` , D � X93-0 �J W177-1 Name of Applicant or Sponsor: 'Telephone: _ 6o&7 C14 E-Ma' ' A14C1C ZDyK e57— Address: ®. 9QX 1047 City/PO: State: Zip Code: J b-M- I.Does the proposed action only involve the legiive adoption of-a plan,local law,ordinance, 1 0 Y slatES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: _ F] 3.a.Total acreage of the site of the proposed action? O_ acres b.Total acreage to be physically disturbed? 0.06 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? )4_71 „acres 4. Check all land uses that occur on,adjoining and near the proposed action. Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial WResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I of 4 5. Is the proposed action. NO` YES N/A a.A permitted use under the zoning regulations? ❑ 2 ❑ b. Consistent with the adopted comprehensive plan? ❑ 0 ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 54 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: _____ — -- - __� ___. __ _. �( ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO J YES b.Are public transportation service(s)available at or near the site of the proposed action? (� F]c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? �1 ❑ 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 tecn fogies: NA AM 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: /,ZA ^ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: �� ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ h. 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 I YES ,.wetlands or other waterbodies regulated by a federal,state or local agency? ❑ FK b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? El If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agri cultural/grasslands ❑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? jam( ❑ 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, N7 ❑ a.Will storm water discharges flow to adjacent properties'? ❑NO [—]YES b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO [—]YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO Yrs water or other liquids(e.g.retention pond,waste lagoon,dam)? IfYes,explain purpose and size: _.__ __________ __ ___ ___ _____ _... __ __. _._ _ ___ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility'? If Yes,describe: ^______�________ ____ _�. ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 1a 9L)VV C/C Date: _ � ��Q 2 Signature: Pant 2-Impact Assessment. The Dead Agency is responsible for tlue 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 Inrge impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning I—�j ❑ regulations? U 2. Will the proposed action result in a change in the use or intensity of use of land? EL 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? l-1 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? �J 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate fj reasonably available energy conservation or renewable energy opportunities? II �� 7. Will the proposed action impact existing: n a. public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies.groundwater,air quality, flora and fauna)? Page 3 of 4 No,or m. Moderate s m a I I to large impact impact may may OCCIII' ocCul' 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage t l problems? U 11. Will the proposed action create a hazard to environmental resources or human health? LZ Part 3-Determination of significance. The Lend 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, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an denvironmental 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 Pri4or'll' pe Nan of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Uffreer in bead Agency Signature of Preparer(if different from Responsible Officer) PRINT � ["age 4 of 4 Board of Trustees Al ication AFFIDAVIT RIA A/ C,LL4 _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 WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY,BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLL:DING A FINAL INSPECTION. I FURTHER AUTHORIZE, THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY ANI) AS REQUIRED TO INSURE. COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOArM OF TRUSTEES DURING THE TERM ' OF THE PERMIT. Signati.ire of Property xvmer Signature of Property Owner SWORN TO BEFORE ME THIS _�4� DAY OF , 2020 Notafy Public MICHAEL A.KIMACK Notary Public,State of New York No.02KI5056823 Qualified in Nassau County Commission Expires March 11,2022 Board of Trustees A] i.cation AUTHORIZATION (Where the applicant is not the owner) owners of the property identified as SCTM# 1000--19 7 — 7 in the town of -_S_OMSOLr) , New York, hereby authorizes —1 �1 A'. ��//t'1�4 CSC �_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 /3il,4r11 S WOR q TO BEFORE ME THIS T f#' DAY OF 20,_D_ X- 49W1—�Notary Public MICHAEL A.IGMACK fftwy Public,State of New York No.02K15056823 Qualfied in Nassau County Commission Expires March 11,2022 AI'PLICANT/AGENTirREPRES ENTATIVE TRANSACTIONAL DISCLOSURE FORM T_he Town of Southold's Codc of Ethics prohibits contlicts of interest on the part of town officers and employees.Tile pu rn sc nt this form is toymvide information tk hich can alert the tcnvn of ssihle conflicts of interest and allow it to take whatever action is pecessarti to avoid same. YOUR NAME: cRye B/ UAY (Last name,f1mt name,middle 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 i Building _ Variance __ Trustee Change of*Zone Coastal Erosion _ Approval of-plat Mooring F.xcmpuon frorn plat or official map Planning Other (If"Other name the activity.) Do you hi rsonal ly(or through %-our company, %pouse.sibling.parent,or child)have a relationship with dn-y officer or employee of the Toon of'Southold? 'Re atronship"includes by hlood.marriage,or business interest "Business interest"means a business, including a partnership, in%t hir-h the town officer or employee has even a partial ownership of(or employment by)a cmpoiaoon in v.hich the town officer or cniployce owns more than 5%of 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 vie'I'o•wn of Southold Title or position of that person Describe the relationship between yourself(die applican i/agenVrepresentative)and the town officer or employee,Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): the ovener of greater than 5%of the shares of the corpoi ate stock of the applicant (when the applicant is a corporation); __13)the legal or beneficial owner of any interest in a non-corporate entity(when die applicant is not a corporat",on). an officer,director,partner,or employee of the applicarit;or the actual applicant. DI?SCRIPHON Of RELATIONSHIP Submitted this; /Q day of r 202 Signature ' _ Print Name_�— _ C/_ Forrn TS 1 APPLICANT/AGENTiREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of intcrc�ston the Hart of town officers and employees.Theyumo ofof ;is form's to vide inforrnntlon v}ich can alert the tow f o .ible co Pliers of interest and allow it to take whatever acti n is nc:cossary to avoid Same. A� ��ii YOUR NAME: Kll�i�C✓G /-�I C�Ih' L (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 Planning Other (if"Other'",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than S%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the'I'own of Southold Title br position of that person Describe the relationship between yourself(the applicanUagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than S%of the shares of the corporate stock of the applicant (when the applicant is a corporation); 13)the legal or beneficial owner of tiny interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this daof Signature_ 20!g_0� 11 Print Name 45ya�o Form TS 1 a Glenn Goldsmith,President �0 Co Town Hall Annex Michael J.Domino �� G�,a 54375 Route 25 John M.Bredemeyer III y z P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 4, 2020 Michael Kimack P.O. Box 1047 Southold, NY 11971 Re: Board of Trustees Application of Brian M. Cleary 5875 Main Bayview Road, Southold SCTM# 1000-78-7-7 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Order 202.1, this application is now scheduled to be heard by the Southold Town Board of Trustees, via videoconferencing on Wednesday, November 18, 2020 beginning at 5:30 P.M. Please continue to check the Town's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. ry Truly ours, 14 Glenn Goldsmith, President Board of Trustees 1 e ,Yf-'•fit Glenn Goldsmith,President �0 CCG Town Hall Annex Michael J. Domino1 j� y:�A 54375 Route 25 John M. Bredemeyer III �yx ,�{ P.O. Box 1179 A.Nicholas Krupski y !� Southold,NY 11971 Greg Williams 'j1p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESEDAY, NOVEMBER 18, 2020 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, November 18, 2020 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform. Written comments"may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disalvo@town.southold.ny.us. Said comments will be considered at the public hearing provided,that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.southoIdtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OO13M. Options for public attendance: - • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 962 8115 2407 Password: 299051 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right"Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. Glenn Goldsmith,President O�pSUFF��k`'O� ,-Town Hall Annex Michael J.Domino �� yJ, 54375 Route 25 John M.Bredemeyer III ti P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams yp! {� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of BRIAN M. CLEARY COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE I, VC&AEL A_ &/ residing at/dba tP p, paC 04 7 -COCZnY 040 N,y Z& 7,/ being duly sworn, depose and say: That on the 0�day of JVOY. , 20-00, I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,November 18,2020. Dated: (signature) Sworn to before me this �L day of '20` 0 DAVID J.JANNUZZI w NOTARY PUBLIC,STATE OF NEW YORK Rugistraaan No.02JA6052585 Quah 5F d;n Suffolk County Commi>5;�; E_.g1i,os February 13,Z61� Notary Public PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Name: Address: aR i f`0 vrN©LD, NY- //,V7,/ 4- 4 3 J-7-,5V" sc� � � p. �. BOX g94 So v�N�D, N Y 7�- � 6 , GULL//�/y C�'�AG �� �� 6 T 47rN, �2 0 G,El2 &,per Axy 119 STATE OF NEW YORK COUNTY OF SUFFOLK ` &f CIAN�� 9!/'1,4 CLI ,residing at 1J O.ADX /0d 7 f1I1 .�,A1)1l j,97/ , being duly sworn,deposes and says that on the day of�o V , 20 0, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at�Q!/7�,1DGl� , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to b fore me this Day of Notary Public DAVID J.JANNUZZI NOTARY p6SLIC,STArF1 OF* NEW YORK Re91st' tier h!, ACv X35 QuBlffiv:.i,,,�:ufi�Ia c,;�uity �� Commission E" Q� � 1' ' -- -a) N > ® ao o 'aai ! 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Service Type d Registered l Expresso 0 ❑certified Mail Restricted Deliveryp, P92P i II I III II III IIV II III VI I I II I I I I III II II III ❑Adult Signature ❑Registered Ma11T^I i OO []Adult signature Required $ 8 d ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted Certified Mail® Delivery []Adult Signature Restricted Delivery$ 9590 9402 6229 0265 6107 57 Certified Mai(Restricted Delivery ❑signature Confinnation*^1 ' C3 Postage ❑Collect on Delivery ❑Signature Confirmation 2.-Article-Number fTrsnsfer-from.servirn lahatt 13 Collect on Delivery Restricted Delivery Restricted Delivery �' $ US�s Insured Mail' O Fe Total Postage and es i frl 8 3090 - 0 b 01'''441S 10224 ' a ❑(over$DMa i Real Delivery I t s ' $ ' ( PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt �p Sent To�jra Y��L �ir-4144 rMCCRAKKTT C3 - C�ty,State, tP+4® 1_,M11i11 �0�4t11 •-_-------- .y 7� _- :1/ 1 11 111•I - 71 COMPLE TE THIS SECTION • • 'ON DELIVERY ■ Complete items 1,2,and 3. A. Signature cd Print your name and address on the reverse X - /, Agent so that we can return the card to you. V`� Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes &lj h M,/•J If YES,enter delivery address below: ❑No /� fY /V At 7N-906,5k GR4trOA) 217 6-1,h sr• ovFOR7 , X1944 3. Service��IIIIIIIIIIIIIIIIIIIIIIIIIIII I� ��I��� I�IIIIII ❑AdultSgn turee El❑RegisteredMai1611 p."ess® gAduIt Signature Restricted Delivery 13 Ristered Mail Restricted' Delivery 9590 9402 6229 0265 6107 64 ❑certified Mail®ertified Mall Restricted Delivery 13 Signature C`onfinnationTm 10 Collect on Delivery 13 Signature Confirmation —9-_Articic Number_(Transferfrnm service/a6e/) ❑Collect on Delivery Restricted Delivery Restricted Delivery' 18 3090, 0001 .4915: 0217 11 loured Mail ❑Insured Mail Restricted Delivery ' — (over$500) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Retilrnhjeceipt 4� J i 3 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: F�•Y 1•'u t S. ::n - F' '��4 ±nom,"`F _;x:..'s fE:.... _;4.c•` _ .r•�l-%,o:^.;"�!- ..": �.` a -J': •f•i,�f, r )kJ.� '-•YY>y^�' xaF', ,d -a "� "SYv..:s '� M1Jr »0 j���s'�•�_'-- ;°Y 9�';�_c'k':- LQ, d� ',�..^gs'rr,"t'.'d;''`"'.'vr ux•'�<'�,:�.:. :.. 2,q�`.:;:.�'+'L_`x,xY`-^•.;{��-.s^r;' `>t�?`_ __ 4�}•'—_t y+;n.,Y,_r>y`' -t__ ` STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn,deposes and says that on the day of ,20___, deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were availed at the United States Post Office at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public NOTICE F HEARING r� NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. OWNER(S) OF RECORD: BRIAN M. CLEARY SUBJECT OF PUBLIC HEARING: For a Wetland Permit to convert cleared wetland area (± 2,100sq.ft.) to grass area; remove six (6) trees as indicated on survey; construct new 25.0'x14.0' (350sq.ft.) deck with landing and staircase. Located: 5875 Main Bayview Road, Southold. SCTM# 1000-78-7-7 TIME & DATE OF PUBLIC HEARING: Wednesday, November 18, 2020 — at or about 5:30P.M. — To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the,bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each ans-,yer must be explained in detail, listing both supporting and non- suppotfacts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be-undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# -Ij- -I_ PROJECT NAME BSP IMI CZ649 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Townyof 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: o � Vo6Y� ods' VCl Location of action: ;P7 S'Q ®0_O Site acreage: Q. Present land use: - ROD 9NVAL ON j5 rA)YIZ X Present zoning classification: IVIW OME tCAlI/L y 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: 9RIA 10 CL44 RY (b) Mailing address: 6 25� 7-�y J W AR N X /Y Y. /0 603—dp/ 8Z (c) Telephone number: Area Code( ) l� ` 7 4 (d) Application number, if any: � Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No X If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Poster 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 LVVRP Section III—Policies; Page 2 for evaluation criteria. , Yes ❑ No ��1ot Applicable 77/ Cl 4 WZL &RO QR ALk� CCr- oma r-Ar7iLY AF,2!57!aA1 a2/2Z,4- VAZ�e2,0 Z -GDA!'r /VZ-- Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See Leh RP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable C y o ML. S 990 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 0 Not Applicable nV Attach additional sheets if necessary NATURAL, COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable /t/CGU ®erCJC GL-/L� ,�'ZE &AI I�,b ,��V� ➢�� Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III --Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No IgNot Applicable EPL/C.y 5- Ala r ",RY T7- W/S 0716-c " Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑. ❑ Yes No 'Not Applicable POZI CY 6 Ai or , e-N, n nV 1s ,ppQL�cr 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 F] Not Applicable F-OU CY ? N07' 1gAn. M 2111-5 eR 8W!gE Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ln:�] Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑1 Ye❑ No® Not Applicable OL Z C a r n rAZI-5 Attach additional sheets if necessary WORIUNG COAST i=WACIES 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 iv r ARN, ra 2y//s pk o " Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long. Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable 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 I�CK Not Applicable P-cy1 w 12 A P'Pz, a 7V/S' Ak oz,C�C/ 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 F-1Non Not Applicable 6L CY l 7 D PREPARE]) BY�� TITLE ,¢Z 7777 DATE V1,��OZU