HomeMy WebLinkAboutTR-9775A Glenn Goldsmith,President �q S0(/ry Town Hall Annex
A. Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25
P.O. Box 1179
John M. Bredemeyer III Southold, New York
11971
Michael J. Domino G Q Telephone(631) 765-1892
Greg Williams �� Fax(631) 765-6641
COUNT`I
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1799C Date: March 8, 2021
THIS CERTIFIES that the installation of 85' of 6' high chain link fence, 75' to be on the
southwest property line labeled now/or formerly of Curtis &Rita Winkler, and a 10' return along
the northerly line labeled now or formerly of Thomas Schlichter& Felicia Scocozza;
At 550 Rene Drive, Southold-
Suffolk County Tax Map #1000-54=6-4.5
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated November 30,2020 pursuant to which Trustees Administrative Permit#9775A
Dated December 21, 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 the installation of 85' of 6' high chain link fence; 75' to be on the southwest
property line labeled now/or formerly of Curtis &Rita Winkler, and a 10' return along the
northers line-labeled-now or-formerly of Thomas-Schlichter&Felicia Scocozza.
The certificate is issued to Li Zhao &Nicolas Svetec owners of the aforesaid property.
Authorized Signature
Glenn Goldsmith,— sident ���F sout Town Hall Annex
A. Nicholas Krupski,L _-President ,`O ���' 54375 Route 25
P.O. Box 1179
John M. Bredemeyer III
Southold,New York
11971
Michael J. Domino CP
G Q Telephone(631) 765-1892
Greg Williams �� Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DATE OF INSPECTION:
INSPECTED BY: `
'Ch. 2175' Ch. 111
INSPECTION SCHEDULE
Pre-construction, haybale-line/silt boom/silt curtain
1St day of construction
Y constructed
Project complete, compliance inspection
COMMENTS:
C� �.
CERTIFICATE OF COMPLIANCE:
Glenn Goldsmith,President QF S0 Town Hall Annex
Michael J.Domino ,`O� Ol0 54375 Route 25
P.O.Box 1179
John M.Bredemeyer III Southold,New York 11971
A.Nicholas Krupski G Telephone(631) 765-1892
Greg Williams2p
Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 9775A
Date of Receipt of Application: November 30, 2020,
Applicant: Li Zhao & Nicolas Svetec
SCTM#: 1000-54-6-4.5
Project Location: 550 Rene Drive, Southold
Date,of Resolution/Issuance: December 21, 2020
.Date of Expiration: December 21, 2022
Reviewed br—Michael J. Domino, Trustee _
Project Description: Install 85' of 6' high chain link-fence; 75'to be on the southwest
property line labeled now/dr formerly of Curtis-& Rita Winkler,,and a' 1,0' return along the
northerly-line labeled now or formerly of Thomas Schlichter& Felicia Scocozza..
Findings: The project-meets all the-,requirements'for issuance of an Administrative
Permit set forth in Chapter 275-of the Southold Town Code. The issuance of an,
Administrative Permit allows for the operations as indicated on-the project plan prepared
by Li Zhao received on November 30, 2020 and stamped approved on December 21,
2020.
Special Conditions: None.
Inspections: Final Inspection.
If the proposed activities do not meet the requirements for issuance of an Administrative
Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be
required.
This is not a determination from any other agency.
Genn Goldsmith, "President
Board of Trustees
Glenn Goldsmith,President QF SU!/jTown Hall Annex
Michael J.Domino,Vice-President �O� ��� 54375 Route 25
P.O.Box 1179
John M.Bredemeyer III
Southold,New York
11971
A.Nicholas Krupski G Q Telephone(631) 765-1892
Greg Williams �� �� Fax(631) 765-6641
cou
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SOUTHOLD TOWN BOARD OF TRUSTEES
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HO`URS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHE61(06O0F
BELOW
INSPECTION SCHEDULE
Pre-construction;--hay bale-line/silt boom/silt curtain
1St day of construction
'/ constructed
When project complete, call for compliance inspection;
7HE AREA OF WIS PROPERTY IS 57,526 S.F. OR 1.321 ACRES
n R-80 AS PER ZONING MAP
lJ t-I CLEARING CALCULATIONS
EXISTING CLEARING IS 16,466 S.F. (28.5%)
COVERAGE CALCULATIONS
F
ALLOWABLE COVERAGE AS PER R-80 IS 11.505 S.F. (20%)
o EXISTING COVERAGE IS 2.586 S.F. (45%)
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CERTIFIED TO: �y���o0 �' L„; "'•
Nicolas Svetec & Li Zhco
+ First American Title Ins. Co. c,
j The Rockerfeller University, ISAOA.
GUARANTEES INDICATED SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND/OR AGENCY, AND ARE NOT TRANSFERASW..
S.C.T.M. NO. 1000 — 54 — 6 — 4.5
SURVEY OF: DESCRIBED PROPERTY
GARY BENZ, L.S.
SITUATED IN: SOU774OLD TOWN OF:SOUMOLD Surveying and Land Planning
527-B Hawkins Avenue
SUFFOLK COUNTY, NEW YORK Ronkonkoma, N.Y. 11779
pDATE: 8/2712020 JOB NO. G20-6040 SCALE: 1" = 50' GaryBenzLS®Yahoo.com / (631) 648-9348
THE EXISTENCE OF RIGHT OF WAYS, VIETLANDS, UNDER UNAUTHORIZED ALTERATION OR AD0177W TO COPIES OF THIS SURVEY MAP NOT BEARING THE LAND
GROUND UTILITIES AND/OR EASEMENTS OF RECORD THIS SURVEY IS A VIOLA 770M OF SEC77ON 7209 SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL
IF ANY,NOT SHOWN ARE NOT GUARANTEED. OF THE NET/YORK STATE EDUCATION LAW. NOT 6E CONSIDERED TO BE A VALID TRUE COPY.
Glenn Goldsi , President �o��S�fFQ(�r`=v Town Hal[Annex
Michael J. uomino „ ��, 54375 Route 25
John M. Bredemeyer III o '` P.O. Box 1179
A. Nicholas Krupski o Southold, NY 11971
Greg Williams � p! Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
f TOWN OF SOUTHOLD
Date/Time: i/ `�. �� Completed in field by:
LI ZHAO & NICOLAS SVETEC request an Administrative Permit to install 85' of 6' high chain link
fence; 75' to be on the southwest property line labeled now/or formerly of Curtis & Rita Winkler, and
a 10' return along the northerly line labeled now or formerly of Thomas Schlichter & Felicia Scocozza.
Located: 550 Rene Drive, Southold. SCTM#: 1000-54-6-4.5
CH. 275-3 - SETBACKS
WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required
1. Residence: 100 feet
2. Driveway: 50"feet
3. Sanitary Leaching Pool (cesspool): 100 feet
4. Septic Tank: 75 feet
5. Swimming Pool and related structures: 50 feet
6. Landscaping or gardening: 50 feet
7. Placement of C&D material: 100 feet
TOP OF BLUFF:
1. Residence: 100 feet
2. Driveway: 100 feet
3. Sanitary leaching pool (cesspool) 100 feet:
4. Swimming pool and related structures: 100 feet
Public Notice of Hearing Card Posted: ,Y / N
Ch. 275 V1 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:
e�- j4 -a-1 f-.
I have read & acknowledged the foregoing Trustees comments:
Agent/Owner:
Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski
G. Williams Other
THE AREA OF THIS PROPERTY IS 57,526 S.F. OR 1.321 ACRES
R-80 AS PER ZONING MAP
LJ �J
CLEARING CALCULATIONS
EXISTING CLEARING IS 16,466 S.F. (28.67.)
COVERAGE CALCULATIONS
I T ALLOWABLE COVERAGE AS PER R-80 IS 11,505 S.F. (207.)
�i11flOf��fLsl "o EXISTING COVERAGE IS 2,586 S.F. (4.57.)
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Nicolas Svetec & Li Zhao ��,`� o��
First American Title Ins. Co. 2F� �►�®i
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The RockerfeNer University, ISAOA.
GUARANTEES INDICATED SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND/OR AGENCY, AND ARE NOT TRANSFERABLEE,
S.C.T.M. N0. 1000 — 54 — 6 — 4.5
SURVEY OF: DESCRIBED PROPERTY
GARY BENZ, L.S.
'SITUATED IN: SOUTHOLD TOWN OF: SOUTHOLD
Surveying and Land Planning
527-B Hawkins Avenue
,SUFFOLK COUNTY, NEW YORK Ronkonkoma, N.Y. 11779
IDATE: 8/27/2020 JOB NO. G20-6040 SCALE: 1" = 50GaryBenzLS®Yahoo.com / (631) 648-9348
THE EXISTENCE OF_-RIGHT OF WAYS, WETLANDS, UNDER UNAUTHORIZED ALTERATION OR ADDITION TO COPIES OF THIS SURVEY MAP NOT BEARING THE LAND
GROUND UTILITIES ANL✓OR EASEMENTS OF RECORD THIS SURVEY IS A VIOLATION OF SECTION 7209 SURVEYOR'S INKED SEAL OR' EMBOSSED SEAL SHALL
IF ANY, NOT SHOWN ARE NOT GUARANTEED. OF THE NEW YORK STATE EDUCATION LAW. NOT BE CONSIDERED TO BE A VALID TRUE COPY.
THE AREA OF THIS PROPERTY IS 57,526 S.F. OR 1.321 ACRES
6 n R-80 AS PER ZONING MAP
�J V CLEARING CALCULATIONS
t
EXISTING CLEARING IS 16,465 S.F. (29.5%)
I
COVERAGE CALCULATIONS
ALLOWABLE COVERAGE AS PER R—BO IS 11.505 S.F. (20%)
.p �A �OL4C�1 ky° EXISTING COVERAGE IS 2,596 SF (45%)
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3 First American Title Ins. Co. yc��
{ The Rockerfeller University, (SADA.
GUARANTEES INDICATED SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND/OR AGENCY, AND ARE NOT TRANSFERABLE
S.C.T.M. NO. 1000 - 54 - 6 - 4.5
SURVEY OF. DESCRIBED PROPERTY GARY BENZ, L.S.
SITUATED IN: SOUTHOLD TOWN OR SOUTHOLD Surveying and Land Planning
SUFFOLK COUNTY, NEW YORK 527-B Hawkins Avenue
Ronkonkoma. N.Y. 11779
DATE: 8/27/2020 JOB NO. G20-6040 SCALE: 1" = 50' GaryBenzLS®Yahoo.00m / (631) 646-9346
THE EXISTENCE OF RIGHT OF WAYS, WETLANDS UNDER UNAUTHORIZED ALTERATION OR AD017ION TO COPIES OF THIS SURVEY MAP NOT BEARING THE LANG
GROUND UTILITIES AND/OR EASEMENTS OF RECORD THIS SURVEY IS A WOLA77ON OF SECTION 7209 SURVEYORS INKED SEAL OR EMBOSSED SEAL SHA
T1
IF ANY, NOT SHOWN ARE NOT GUARANTEED. OF THE NEW YORK STATE EDUCARON LAW NOT BE CONSIDERED TO BE A VALID TRUE COPY
7HE AREA OF THIS PROPERTY IS 57,526 S.F. OR 1.321 ACRES
n R-80 AS PER ZONING MAP
i u CLEARING CALCULATIONS
( EXISTING CLEARING IS 16,466 S.F. (28.6%)
1
f COVERAGE CALCULA11ONS
1 ALLOWABLE COVERAGE AS PER R-80 IS 11,505 S.F. (20%)
p..eQ�F 1�OQ4� agyo EIOSTING COVERAGE IS 2,586 S.F. (4.5%)
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CERTIFIED TO: �Z�<, o ,�• ;< .
Nicolas Svetec & Li Zhaoq��,q
! First American Title Ins. Co. ytl
{ The Rockerfeller University, ISAOA.
GUARANTEES INDICATED SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND/OR AGENCY, AND ARE NOT TRANSFERABLE.
S.C.T.M. NO. 1000 — 54 — 6 — 4.5
SURVEY OF: DESCRIBED PROPERTY GARY BENZ, L.S.
SITUATED IN: SOUTNOLD TOWN OR SOUMOLD Surveying and Land Planning
SUFFOLK COUNTY, NEW YORK 527-8 Hawkins Avenue
Ronkonkoma, N.Y. 11779
DATE: 8/27/2020 JOB NO. G20-6040 SCALE: 1' = 50' GaryBenzLSOYahoo.com / (631) 648-9348
THE EXISTENCE OF RIGHT OF WAYS, WETLANDS. UNDER UNAUTHORIZED ALTERATION OR ADD177W TO COPIES OF RS SURVEY MAP NOT BEARING THE LAND
GROUND U77U77ES AND/OR EASEMENTS OF RECORD THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL
IF ANY, NOT SHOWN ARE NOT GUARANTEED OF THE NEW YORK STATE EDUCA77ON LAW. NOT BE CONSIDERED TO BE A VALID TRUE COPY
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SUulhold Town
Bard of Ttustees
.�'t^ 1 Ckb„g„ ly'�.arc �.IYiJ ) o-�yj�f, .. '*�` Jt�`'...►
All the pictures were taken on 09/16/2020 at about 4 pm. Please see locations 1-3 marked on a
survey page (previous page).
The picture up-left was from location 1 to 2. Up-right was about 10 ft (next to the pine tree)
from 1 to 2. The bottom left was from site 3 to 1.
The property line is roughly near the border of the lawn of the neighbor. The up-right figure
shows the chain link of the Obrien family. If we extend that chain link fence, it would be the
property line of our home with the Winkler family.
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE, made the i�( day of September, 2020
BETWEEN PAUL STUCKART and KATHLEEN STUCKART (a/k/a CATHLEEN STUCKART), as husband
and wife, both residing at 550 Renee Drive, Southold, NY 11971
party of ttie,first part; and LI ZHAO and NICOLAS SVETEC, both residing at 550 Rene# Drive, Southold, NY
11971
party of the second part,
WITNESSETH, that the party of the.first part, in consideration of TEN and no1100ths ($10.00)'dollars paid by,
the party ,of the second part, does hereby grant and "release unto the party of the second part, the heirs or
successors-and assigns of the party of the second part_forever,
SEE SCHEDULE"A"ANNEXED HERETO AND MADE A PART HEREOF
BEING AND INTENDED TO BE the same premises conveyed to the parties of the first part.by deed made by
Stephen J, Grande dated,July 31, 2000 and recorded in the Suffolk-.County•Cierk's Office on August 29,;2000
in Lfber'12066 Page 778.
TOGETHER-with all right, title and.interest, if any, of the party,of-the first part in end"to any,streets and roads
abutting the above described premises to the center lines thereof; TOGETHER with the-appurtenarices and,all
the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the
premises herein granted unto-the party of the second part,the heirs-or.successors and-assigns of the party of
the,second part.forev&.
AND the party of the first"part'covenants that the party. of"the first part has not done or suffered, anything
whereby the said premises have been encumbered in any way whatever, except as aforesaid.
AND the party of the.first part, in compliance With Section 13 of the Lien Law, covenants that'the party of the
first part will receive the,consideration for this conveyance and-will hold,the right to receive such consideration
as a.trust fund to.be applied first for the purpose of paying the cost of the improvement and will'apply the same
first,to-the payment of the cost of the improvement before using any part of the total of the same for any other
purpose. The word "party' shall be construed as if it read "parties" whenever the sense of this indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written.
�J
TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE
State of New York, County of Suffolk SS: State of New York,County of Ss:
,On the/Y day of September in the year 2020 On the day of In the year
before me, the undersigned, personally appeared PAUL Before me,the undersigned,personally appeared
STUCKART and KATHLEEN STUCKART (a/k/a CATHLEEN
STUCKART personally known to me or proved to me on the basis of
personally known to me or proved to me on the basis of satisfactory evidence to be the Individual(s) whose name(s) is
satisfactory evidence to be the individual(s) whose names) Is (are) subscribed to-the within instrument and acknowledged to
(are),subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/thei'r
me 'that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the
capecity(ies), and that by his/her/their signature(s) on the instrument,the individual(s),or the person upon behalf of which
instrument,the idividual(s),or the person upon behalf of which the individuals)acted,executed the instrument
the individ s acted executed the instrument,
(signature and office of individual.taking acknowledgment)
,(signature and office of individual taking-acknowledgment)
NOTARY PUBLIC
SCOT F 1LE SCNNIA�y
NOTARY pUSLIC,STATE OF NEW YORK
Registration No.01Ft 6107151
Qi alifieii In Nassau County.
Cpmmisslon fires March 22,2
'TO BE USED'ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE
State(or District of Columbia,,Territory,or Foreign Country)of ss:
On the: day of in the year before me,the undersigned,personaliy:appeared
personally known to me or proved-to me on the basis of satisfactory evidence to'ba the individual(s) whose names) is,(are).
subscribed to the within instrument and acknowledged to me'that he/she/they executed the same 16 his/her/their capacity(ies),and'
that by hiWher/their signatures) on the,instrument, the individual(S); or the person_upon behalf of which the Individual(s)'acted,
executed the;instrument,and that such individual made such appearance before,the undersigned in.the
in
(Insert the City.or other political subdivision) (and insert the State or Country or other:place the`acknowledgment was taken)
(signature and office of individual taking,acknowledgment)
BARGAIN AND SALE DEED DISTRICT 1000
ON 0
WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 066.0.00
BLOCK
S/, t(o� 6 Y _3 LOT 004.005,
Title No. -5 COUNTY OR TOWN
PAUL STUCKART&KATHLEEN STUCKART STREET ADDRESS
TO
LI zHAO &NICOLAS SVETEC Recorded at Request of
COMMONWEALTH LAND TITLE INSURANCE COMPANY
RETURN BY MAIL TO:
STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS
Distributed by WILLIAM D. SFiAPIRO, ESQ.
34 E. Montauk Highway,#3
Commonwealth Hampton Bays, NY 11946
1* LANDANipwc.&COMPANY
COMM NWEALTH LAND TITLE INSURANCE COMPANY
w
DiSalvo, Diane
From: Li Zhao <lizhao.bio@gmail.com>
Sent: Wednesday, December 02, 2020 2:30 PM
To: DiSalvo, Diane
Subject: Re:Administrative application
Attachments: Survey Reading [550 Rene] (dragged).pdf
Dear Diane,
Thank you for the email. Our board of trustees has jurisdiction to within 100 ft of the wetland. For that, we hope
to add 85 ft fence in total: 75 ft is on the property line with"Land now or formerly of Curtis &Rita Winkler",
and 10 ft on the property line with"Land now or formerly of Thomas Schlichter&Felicia Scocozza".
Please let me know if there are other questions.
Best,
Li
On Dec 2, 2020, at 14:13, DiSalvo, Diane <diane.disalvo@town.southold.ny.us> wrote:
Please advise me by return email the approximate length of the 6' high chain link fence that you are
applying'to put up
D,bG1 vte T iI SP Lvo
5outhoLo Towv�. Trustees
54375 TR.oute 25
{P.O. goX
southoLol, NY :IzJ7z
0031) j��18°2
. 1
OFFICE LOCATION: �� � MAILING ADDRESS:
Town Hall Annex " ' , P.O. Box 1179
54375 State Route 25 aw Southold,NY 11971
(cor.Main Rd. &Youngs Ave.)
Southold, NY 11971 � # Telephone: 631 765-1938
�
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Glenn Goldsmith, President
Town of Southold Board of Trustees
From: Mark Terry, AICP
LWRP Coordinator
Date: December 9, 2020
Re: LWRP Coastal Consistency Review of LI ZHAO & NICOLAS SVETEC
SCTM# 1000-47-2-3.
LI ZHAO & NICOLAS SVETEC request an Administrative Permit to install 85' of 6' high chain link
fence; 75' to be on the southwest property line labeled now/or formerly of Curtis & Rita Winkler,
and a 10' return along the northerly line labeled now or formerly of Thomas Schlichter& Felicia
Scocozza. Located: 550 Rene Drive, Southold. SCTM#: 1000-54-6-4.5
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the
Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy
Standards. Based upon the information provided on the LWRP Consistency Assessment Form
submitted to this department, as well as the records available to me, it is my recommendation that
the proposed action is CONSISTENT with the LWRP policies.
Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its
written determination regarding the consistency of the proposed action.
Cc: Damon Hagan, Assistant Town Attorney
s "-"'-
Glenn Goldsmith,President # � Town Hall Annex
4,1
'
Michael J.Domino,Vice-President 54375 Route 25
.,•• P.O.Sox 1179
John M.Bredemeyer III Southold,New York 11971
A.Nicholas Krupski
Telephone(631) 765-1892
Greg Williams ri ' Fax(631) 765-6641
BOARD OF TOWN TRUSTEES JF-,'�
TOWN OF SOUTHOLD + L
NOV 30 2020
' This Section For OfficeTJs�Only Souti<<�;- i�wri
Coastal Erosion Permit Application Board of 7i�st�as
Wetland Permit Application
Administrative Permit
�Amendment/Transfe.r/F,xtension
�Received Application:. 111' o-40-
Received Fee: $162,OV —
Completed Application: (Z•3.20
Incomplete•
SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
�Coordination:(date sent)•-
LWRP Consistency Assessment Form Sent:..
CAC Referral Sent:
Date of Inspection:.
Receipt of CAC Report::
74
Technical Review:
Public Hearing Held: 124.2D
Resolution:•
Owner(s)Legal Name of Property(as shown on Deed):, L 1
Mailing Address: r 2 5 0 , ve't')
Phone Number:
Suffolk County Tax Map Number: 1000 - —
Property Location: '�,oka D t d /V l DU
(If necessary,provide LILCO Pole#, distance to cross streets, and location)
AGENT(If applicable):
Mailing Address:
Phone Number:•.. .
Board of Trustees Appli tion
GENERAL,DATA
Land Area(in square feet): 5`1"
Area Zoning:
Previous use of property: 1"� �►
Intended use of property:
Covenants and Restrictions on property? Yes No
If"Yes",please provide a copy.
Will this project require a Building Permit as per Town Code? Yes No
If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals? Yesw 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?_XyYes No
Prior permits/approvals for site improvements:
A ency - Date
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?_X_No Yes
If yes,provide explanation:
Project Description(use attachments if necessary):
�. i1lYl �y ll� X -el L i& '
Project Description
Proposed project:
Add fence on the 550 Rene Dr property.
Please see the mark on the survey. Blue colored area refers to the region that is within
100 ft of the border of wetland.
Type of fence: chain link fence.,
Description of the chain link fence: Marine grade. Vinyl Coated. Black color. 2" square
mesh. All posts are Black Steel posts. All posts will have concrete footing. And each
post located roughly 8-9 Feet apart (on the center). The height will be 6 feet.
Area that needs permission from the trustee: The property line that is next to "Land now
or formally of Curtis & Rita Winkler", and 10 ft of the "Land now or formerly Iof Thomas
Schlichter". Most of these regions are about 50-80 ft away from the border of the
wetland.
Clearing: only minimal leaves and branches will be removed for installing the chain link.
No tree needs to be trimmed or cut down.
iI
NOV 3 n 2020
RC.Bf'J " ?{u,!.ees
Board of Trustees Appl:- tion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:. .
1`
Area of wetlands on lot: �'�`��' square feet
Percent coverage of lot: %
Closest distance between nearest existing structure and upland edge of wetlands: feet
Closest distance between nearest proposed structure and upland edge of wetlands: 0 _feet
Does the project involve excavation or filling? X No Yes
If yes,how much material will be excavated? cubic yards
How much material will be filled? n_ cubic yards
Depth of which material will be removed or deposited: , I - feet
Proposed slope throughout the area of operations: )I n Q(umPC k
Manner in which material will be.removed or deposited:
Statement of the effect, if any,on the wetlands and tidal waters of the town that may result by
reason of such proposed operations (use attachments if appropriate):
617.20
Appendix B
Short Environmental Assessment Form
Instructi6ns,for'Completing
Part l -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 l -Project and Sponsor Information
Name of Action or Project:
Project Location(descrie,add attach a location map):
, z� ( ice b� n4 On
Brief Description of Propose Action: _
tR,5 tbA'�'? t 1112 i:�41 Ce, W t'U
MtkL coni VJ 6- XAr +o fit - c,�e� (A-4_
Name of Applicant or Sponsor:nn Telephone: 0 , d 65-102
E-NCail:, /eZlll2c�. o 0 twel it
Address:
City/PO: State: Zip Code:
I.Does the proposed action onlyinvolvethe legislative adoption of a plan,local law,ordinance, NO YES
administrative rule,or'regulation?
If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that
may be affected in the municipality and proceed to Part 2. If no,continue to question 2.
2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES
If Yes,list agency(s)name and permit or approval:
3.a.Total acreage of the site of the proposed action?
b.Total acreage to be physically disturbed? j7 acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? I,Z k_acres
4. Check all land uses that occur on,adjoining and near the proposed action.
❑Urban 0 Rural(non-agriculture) []Industrial ❑Commercial, MResidential(suburban)
ri
❑Forest ❑Agriculture ❑Aquatic [10ther(specify):
❑Parkland
Page I of 4
5. is the proposed action; NO YES I N/A
a. A permitted use under the zoning regulations? El `
El
b.Consistent with the adopted comprehensive plan? ❑
6. Is the proposed action consistent with the predominant character of the existing built or natural .NO YES
landscape? E !
FX]
X j
7. Is the site of the proposed action located in,or does it adjoip,a state listed Critical Environmental Area? NO VY`E1S
If Yes,identify: f V wi,'Lbeaiil' n atviu, yyy�
E]
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
FAI El
b.Are public transportation service(s)available at or near the site of the proposed action?
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action?
LL-3 1:11
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
10. Will the proposed action connect to an existing,public/private water supply? NO YES
If No,describe method for providing potable water:
'11.Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment: _ r
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places? ,G`I
b.Is the proposed action located in an archeological sensitive area?
0 El
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency?
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody?
If Yes,identi the wetland or waterbod�y and extent of alterations in square feet or acres:
� _ � /ted(. We- w It n.of- AA4,e,f M�r,.
6�-
14. Identi a typical abitat types that occur on;or are likely to be found on the project site. Check all that apply:.
0 Shoreline Forest Agricultural/grasslands E]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?
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, =K7
a.Will storm water discharges flow to adjacent properties? NO DYES rC`J.
b.Will stdrm water discharges be directed to established conveyance systems runoff and storm drains)?
If Yes,briefly describe: NO AYES
Page 2 of 4
18.Does the proposed action include construction or other activities that result in the impoundment of NO YCS
water or other liquids(e.g.retention pond,,waste lagoon,dam)?
If Yes,explain purpose and size: •
iUl
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,describes
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe:.
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO TIME BEST OF MY
KNOWLEDGE
Applicant/sponsor name:ILt 1 A 0A) Date: f Z 2-
Signature:Signature:
Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following
questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
No,or (Moderate
small to large
impact impact
may may
occur occur
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations? El
2. Will the proposed action result in a change in the use or intensity of use of land?
3. Will the proposed action impair the character or quality of the existing community? �{
4. Will the proposed action have an impact on the environmental characteristics that caused the (�
establishment of a Critical Environmental Area(CEA)? (�
5. Will the proposed action result in an adverse change in the'existing level of traffic or
affect existing infrastructure for mass transit,biking or walkway?
—9— EL
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate
reasonably available energy conservation or renewable ener ' opportunities?
7. Will the proposed action impact existing:
a.public J private water supplies? JO ..............
b.public 1 private wastewater treatment utilities?
8. Will the proposed action impair the character or quality of important historic,archaeological, "(
architectural or aesthetic resources? 1.....
9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands,
waterbodies,groundwater,air quality,flora and fauna)?
Page 3 of 4
No,or Moderate
small to targe
impact impact
may may
occur occur
10. Will the proposed action result in an increase in the.potential for erosion,flooding or drainage
problems? VI
11. Will the proposed action create a hazard to environmental resources or human health?
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur"',or if there is a need to explain why a particular
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-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
environmental impact statement is required.
Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Town of Southold-Board of Trustees
Name of Lead Agency Date
President
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer)
_PRINT gage 4 of
Board of Trustees Appl. Ltion
,AFFIDAVIT
L11y (/� 1 - -� EING DULY SWORN
DEPOSES AND AFFI S THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT
ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE
BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES
AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF
GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE
TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE
CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION,
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL
EROSION PERMIT ISSUED BYTHE BOARD OF TRUSTEES DURING THE TERM
OF THE PERMIT.
Signature o Property Owner .Signature of Property Owner
SWORN TO BEFORE ME THIS , DAY OF ; Ol/ 20 Z'&7
Nota6 Public . Q}�Af�iMAD, RASH RRIAZ
Notary Public-state of New York
No.o1R16320662
Qualified in Queens count
gni.comm.Expires Mar.9,20 23
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE ORM
Durmnoieo
dbli�'9 '6f Widtaitin'd-6116w-ft to take whativer-ke-tion Is
ormadon Wk-h-cah-Aled 16imfi),6f V-6 s mflW6
I Mostil;!
YOURNAME: ec virvios H 1, APLID ) L,
(Last name,first name,.riddle initial,unless you are applying in the name of
someone else or other entity,such as°a company.If so,indicate,th,e other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance :1 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 axelationship with any officer or employee
of the Town of Southold?
old? "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 1 partial ownership'of(or employment by)a corporation
in which the town officer or employee owns more than 5%of the shares.
YES NO ----x—I - -
If you answered"YES",complete the balance of this form and date and sign where,indicated.
Name of person employed by the Town of Southold
Title or position of that person
Describe the'relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check-
the appropriate line A)through D)and/or describe in the space provided.
The town'officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
the owner of greater than 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
3)the legal or beneficial owner of any interest in a non-corporate entity(wheft the
applicant is not a corporation);
an officer,director,partner,or employee of the applicant or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
-Submitted this ')-Aayof ka e*wkn/ 200X
Print Name t4 lr�A"r C
Form TS I
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.
2.1 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 u on the coastal.area which includes all of Southold Town .
3, If any question in Section C on this form is answered "yes" or "no", then the proposed action will
,affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus each answer must be ex lained in detail .listin both supporting and non-
ottif g,facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions,4t shall:notbemndertaken.
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. DESCRIP'T'ION OF SITE AND PROPOSED ACTION
SCTM#1, _D..�? ._0 0
PROJECT NAME u- ? �� �J SD d� �, ��+��o(6
The Application has been submitted to(check appropriate response):
Town Board ❑ Planning Board❑ ]Building Dept. ❑ Board of Trustees
1. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency(e.g. capital
-construction,planning activity, agency regulation,land transaction)
(b) Financial assistance(e.g. grant,loan, subsidy)
(c) Permit, approval, license,certification:
Nature and extent of action:
-to 17's_ M-Ve, LJA� . e-1((ep
I C C ti Y>1 �I�%1 t0✓� -014j GES S.
A
Location of action: br , 5 V ktrA V 10-71
Site acreage: ( L 6 afv-e
Present Land use: '�-5 S 6 S
Present zoning classification:,
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant:
(b) Mailing address:
(c) Telephone number: Area Code(
(d); Application number,if any
Will the action be directly undertaken,require funding,or approval by a state or federal agency?
Yes . No If yes,which state or federal 49PAQ?
C. Evaluate the project to the following policies by analyzing how the project will further support or
not support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
DEVELOPED COAST POLICY
Policy 1. Foster a pattern of development in the Town of Southold that enhances community character,
preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section M—Policies; Page 2 for evaluation
criteria.
Yes No Not Applicable
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III—Policies Pages 3 through 6 for evaluation criteria
El Yes'.' , No LN Not Applicable
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III�Policies Pages 6 through 7 for evaluation criteria
Yes:[D No [�d Not Applicable
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 1:1 Not Applicable
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III
—Policies Pages 16 through 21 for evaluation criteria
Yes No °F]Not Applicable
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22
through 32 for evaluation criteria.
" .F]
Yes No ____ Applicable
Attach additional sheets-if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LVVRP Section III — Policies
Pages 32 through 34 for evaluation criteria.
Yes .�No: Not Applicable
Attach additional sheets if necessary w.d.
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LVVRP Section III—Policies; Pages 34 through 38 for evaluation criteria.
MYes tiNo ❑ 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.
' No� Not Applicable
Attach additional-sheets:if necessary
WORIKING COAST P( , , CIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section ItI—Policies; Pages 47 through 56 for evaluation criteria.
,Yes ,n No Not Applicable
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 Not Applicable
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.
Q Yes F], No Not Applicable
PREPARED BY CID TITLE, DATE
Nicolas Svetec & Li Zhao
504 E 631d ST APT 250
New York, NY 10065
530-665-0281
nico.svetec@gmail.com
lizhao.bio@gmail.com
11/22/2020
Board of Trustees � � f F,tea
5 � �a
Southold Town Hall Annexpp--
54375 Main Rd. P.O. Box 1179 ( I
Southold, NY 11971 NOV 3 0 2020
Ph: (631) 765-1892
Fx: (631) 765-6641 , -
sa"tF11"ii
Board of Tr;,!ees
RE: 550 RENE DRIVE, Southold, NY 11971
SCTM#54-6-4.5
Dear Trustees of Southold,
First, we would like to thank you for visiting our home on November 10. We enjoyed
meeting with all of your and learn about our right and responsibility.
As we discussed, we plan to add a fence on our property, especially our highest priority
is to add the fence in the west corner of our home, which is within 100 ft of the wetland
area. We now officially apply for the permit.
Please find the attached supporting material:
1) Application fee: The total application fee is $100. Through our phone call, we learnt
that the pre-submission ($50 dollars) can be deducted in the application fee. We thus
write a check for $50. If we misunderstood it, please cash a second check $50, which is
included in the application.
2) The original application and a copy.
3) One original survey and three copies of survey of the property.
4) Original and copies of the plan.
5) Three copies of photographs in the area.
Per our discussion, since the fence is a normal fence for household, this project does
not need to be reviewed by the Building Department.
Please contact us if you have questions or concerns. Thank you!
Sincerely,
Li Nicolas