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HomeMy WebLinkAboutTR-9193A Glenn Goldsmith,President Town Hall Annex ®� S®U�� 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 c®u�y',� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2123 C Date: February 27, 2024 THIS CERTIFIES that the removal of existing concrete patio and construct a seaward side 20'x39' wood deck; as-built 3'10"x7'2"outdoor shower on a bed of gravel with 6' high wood privacy walls on three sides with five (5)mahogany 4"x4"posts set in concrete with 1"x4"mahogany flooring and plumbing. At 3655 Stillwater Avenue, Cutchoguue, Suffolk County Tax Map#1000-136-2-11 Conforms to the application for a Trustees Permit heretofore filed in this office Dated pursuant to which Trustees Administrative Permit#9193A Dated April 18,2018,and Administratively Amended on March 18,2021,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of existing concrete patio and construct a seaward side 20'x39' wood deck; as-built 3'10"x7'2"outdoor shower on a bed of gravel with 6' high wood privacy walls on three sides with five(5)mahogany 4"x4"posts set in concrete with 1"x4" mahogany flooring and plumbing. The certificate is issued to Eric Jadow owners of the aforesaid property. 0 Authorized Signature Glenn Goldsmith,President ®F 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 C®UNT4,� I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Z— Z i INSPECTED BY: N V'r^I" Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale lime/silt boom/silt curtain 1st day of construction j % constructed Project complete, compliance inspection COMMENTS: ciV CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President �if so��y Town Hall Annex A. Nicholas Krupski,Vice President ,`OOl0 54375 Route 25 P.O. Box 11 John M. Bredemeyer III Southold, New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �' �� Fax(631) 765-6641 oly�DU�,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 2021 Eric Jadow 3655 Stillwater Avenue Cutchogue, NY 11935 RE: 3655 STILLWATER AVENUE, CUTCHOGUE SCTM# 1000-136-2-11 Dear Mr. Jadow: The following action was taken at the Southold Town Board of Trustees regular meeting held on Thursday, March 18,-2021: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Administrative Permit 49193A from James & Kimberly Gavin to Eric Jadow, as issued on April 18, 2018; and BE IT FURTHER RESOLVED, that the Southold Town-Board of Trustees APPROVES the Administrative Amendment to Administrative Permit#9193A for the as-built 3'10"x7'2" outdoor shower on a.bed of gravel with 6' high wood privacy walls on three sides with five (5) mahogany 4"x4" posts set in concrete with 1"x4" mahogany flooring and plumbing; and as-indicated on the project plan prepared by Eric Jadow, received on March 1, 2021, and stamped approved on March 18, 2021. Any other activity within 100' of the wetland,boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Glenn Goldsmith, President Board of Trustees GG/dd SURVEY OF: J PROPERTY LOCATED AT CUTCHOGUE LOT No. 21, 22 & 23 AS SHOWN ON MAP OF PROPERTY OF M.S. HAND FILED: SEPTEMNBER 18. 1930: FILE No. 730 < TOWN OF SOUT HOLD �e��e<ftis SUFFOLK COUNTY, NEW YORK AREA = 50.370.2 SF. S.C.T.M. # 1000-136-2-11 \ 70;j ' PILE o0 SCALE: 1"=40' 23 •0,3,`32,, NOTE: THE EXISTENCE OF RIGHT OF WAYS. WETLANDS AND/OR EASEMENTS OF RECORD v \ PILE IF ANY. NOT SHOWN ARE NOT GUARANTEED. ELEVATIONS REFER TO 1988 NAVD0' � ELEVATION SHOWN THUS + ���J '5 _y.+ G� ,0 / \ NOTE: WATER SERVICE AND SEPTIC SYSTEM LOCATION BY OTHERS. B.O.H. REF. No. O SEPTIC LOCATION S.T. 30• 43• L.P.1 78• 69' trp t•z N �3 ~ f�JO , 1�� V� V E FEMA: TOWN OF SOUTHOLD No. 360813 MAP No. 36103CO163HQF NAIL VAR _ 1 202t Lo h0 wl • �C nL u,m \ Al C - V� 57. POLE 6' d :v A •;,� °o- Southold Town Board of Trustees Fg- �, q!L °a•s CONC. MON. . 6ASPHALT 1 DRIVEWAY •8' O~ a tk 1� ` O N 9� �ANy . 0p 5�` 6� J5C QJ�,5 Y4S�ii / LPI' ^ � QP A POLE EXISTING COVERAGE = 1815.1 SF. = 0.4% 0, PROPOSED COVERAGE = x;2617.2 SF. = 0.5% J °°, 01, o APPROVEY Fo 050761sJ� LAND UNAUTHORIZED ALTERATION OR ADDITION TO-THIS SURVEY IS A VIOLATIONOF ION 7209 OF THE NEW YORK STATE EDUCATION LAW. gpgRD,'®F P�USTEES COP ES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED 1Zb G�`a`vE�r �ti0 OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. p j GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO M1 TO V Y N,O F.'SOUTH®LD SURVEYED B Y THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO PAUL B A R Y L S K I LAND SURVEYING THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. m q. pn� P A T C H O G U E NY 11772 GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL ,�. DATE jwf(kc'f !8 202! INSTITUTIONS OR SUBSEOUENT OWNERS. CONC. 1 PHONE 631-294-6985 CERTIFIED T0: MON. FAX 631-627-3186 \ EJ INVESTMENT HOLDINGS. LLC o PAULBARYLSKIaYAHOO.COM 33655 STILLWATER AVENUE �,� o JULY 8, 2017 CUTCHOGUE NY 11935 9-1-2017: ADDED ELEVATIONS 10-4-2017: REVISIONS 1-15-2019: PROPOSED ADDITIONS 2750-P27A 5-3-2019: PROPOSED ADDITIONS 11-2-2020: REVISE SURVEY ' I Glenn Goldsmith, P" dentOSUFF©(kC _ Town Hall Annex �, O A. Nicholas Krur;�N-1 Vice-President „gyp `�$�,� 54375'Route 25 John M. Bredemeyer, IIIcoo cz P.SouthOold�NY119971 Michael J. Domino o Greg Williams ti p! Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �L3Ai Completed in field by: IV,V`�^P1�� ERIC JADOW requests a Transfer of Administrative Permit#9193A from James & Kimberly Gavin, as issued on April 18, 2018 and an Administrative Amendment to Administrative Permit#9193A for the as-built 3'10"x7'2" outdoor shower on a bed of gravel with 6' high wood privacy walls on three sides with five (5) mahogany 4"x4" posts set in concrete with 1"x4" mahogany flooring and plumbing. Located: 3655 Stillwater Avenue, Cutchogue. SCTM#: 1000-136-2-11 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and,related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: e 5 c*-Adk 46 �ws( id,,,,44 Necoe b{.dl, 0_0 6,f? CU .C-r r-111 jf pis wwu, 6( po ra,,((e Cows} r I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith ,�N. Krupski G. Williams Other SURVEY OF: PROPERTY LOCATED AT CUTCHOGUE LOT No. 21. 22 & 23 AS SHOWN ON MAP OF PROPERTY OF M.S. HAND �f FILED: SEPTEMNBER 18. 1930: FILE No. 730 <r TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK `mer tiF AREA = 50.370.2 SF. s S.C.T.M. # 1000-136-2-11 SOo SCALE: 1'•=40' \ �ss�s� PILE O; NOTE: THE EXISTENCE OF RIGHT OF WAYS. Q( 23 03� 2� O��lyc >\ WETLANDS AND/OR EASEMENTS OF RECORD V / \ IF ANY. NOT SHOWN ARE NOT GUARANTEED. ZO c PILE A ELEVATIONS REFER TO 1988 NAVD ELEVATION SHOWN THUS NOTE: WATER SERVICE AND SEPTIC SYSTEM LOCATION / \ BY OTHERS. B.O.H. REF. No. p / SEPTIC LOCATION �1p G -A' -B' TQC S.T. 30• 43' pa PM L.P.1 78' 69' � 1°� ��z� �t �f��D e � �O'( N�Opi�w �ti�� E _C E V E FEMA: D TOWN OF SOUTHOLD No. 360813 MAP No. 36103CO163H Q (O F - c�� 0 AI 1 � MAR _ 2 t `S POLE :aa ^i �? ° '%,�°o -! Southold Town �z�v� / os °�°y'•,���O°3 so m �� 2 �\�e Board of Trust@88 v A 42 GRV£w^K 6,�, -im 42 C'a.y+ pc *\ SNF k. Fes•0 CONC. MON. / o� tLPHALT DRIVEWAY "B' ti bc N 1 O y , _ h LF; ) ! AGE 5 'y�O� �JS� Q� Pv�B Y�S4/ V`r 2 POLE 0a EXISTING COVERAGE = 1815.1 SF. = 0.47. O, F° time GHQ O PROPOSED COVERAGE = .2617.2 SF. = 0.5% •O O cF / ,gym G O. 050782 UNAUTHORIZED ALTERATION OR ADDITION TO-THIS SURVEY IS A VIOLATIONFO LAND S V OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. p 2� SFJ tri PIES OF THIS SURVEY EMBOSSED LNO SEAL SHALL S BE CONSIDERED IDERED TO BT BEARING THE LAND SURVEYORS ORALID TRUE COPY. GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO SURVEYED B Y: THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON HIS BEHALF TO •� PAUL B A R Y L S K I LAND SURVEYING THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL ti30 PATCH 0 G U E NY 11772 INSTITUTIONS OR SUBSEQUENT OWNERS. � OONW. \ PHONE 631-294-6985 � CERTIFIED TO: FAX 631-627-3186 EJ INVESTMENT HOLDINGS. LLC PAULBARYLSKIaYAH00.COM 33655 STILLWATER AVENUE JULY 8. 2017 CUTCHOGUE NY 11935 9-1-2017: ADDED ELEVATIONS 10-4-2017: REVISIONS 1-15-2019: PROPOSED ADDITIONS 2750-P27A 5-3-2019: PROPOSED ADDITIONS I1-2-2020: REVISE SURVEY Michael J. Domino,President ��Of SO(/ryO Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G Q � p Telephone (631) 765-1892 Greg WilliamsO Fax(631) 765-6641 CrO Z ! $ BOARD OF TOWN TRUSTEES cpp %0"1-" TOWN OF SOUTHOLD DATE OF INSPECTION: 643/ 6 /Ch. 275 Ch. 111 PES- tot �r INSPECTION SCHEDULE f v 1q er ? o Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/ constructed compliance Project complete, inspection. J p INSPECTED BY: N, COMMENTS: oK Nee) OP14 I l J�I � GUI oey'f -�6 cin ale WaCERTIFICATE OF COMPLIANCE: _710118 !O-01-t AE.z E� �'kPkop 40P. . a Eric Jadow EJ Investment Holdings LLC 3655 Stillwater Avenue Cutchogue NY 11935 D C E E 01 :VA7 Southold Town Board Trustees Southold Town Board of Trustees Attn:Diane PO Box 1179 Southold,New York 11971 Dear Southold Town Board Trustees, I am the new Ownerof 3655 Stillwater Avenue in Cutchogue New York. I would like to transfer existing permit number 9193A, which was issued to the previous owner,into EJ Investment Holdings LLC,the current Owner,which is an LLC owned by me and is located at the 3655 Stillwater Avenue address. I would also like to Amend permit number9193A to include the as built outdoor shower. The outdoor shower dimensions are 3'-10"wide x 7-2"long with 6' high wood privacy walls on three sides. There are five Mahogany 4"x 4" poststhat are set in concrete 4' below grade and a bed of gravel has been placed underthe entire shower. The flooring is 1"x 4"Mahogany boards screwed to 2"x 6" pressure treated framing members 16"O.C. The plumbingfor the showeris coppertube with shut off valves on the interior of the house and was supplied and installed by J.ZEE's Plumbing and Heating. I would also like to obtain a final Certificate of Compliance for the residence. Documents enclosed:Survey,Managing Members Documentation,Deed Recording and a check Thank you Sinc rely, %, ric J.' EJ Investment Holdings LLC erici32199@gmail.com 914-255-5312 i IIIIIII IIII VIII VIII VIII VIII VIII VIII VIII IIII IIII I IIIIII VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 12/22/2020 Number of Pages: 5 At: 9:59:50 PM Receipt Number: 20-0213746 *ELECTRONICALLY RECORDED* Transfer Tax Number: 20-15306 LIBER: D00013083 PAGE: 909 District: Section: Block: Lot: 1000 136.00 02.00 011.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $200.00 NO Mansion Tax $0.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Comm.Pres $0.00 NO Transfer Tax $0.00 NO Transfer Tax Number: 20-15306 Fees Paid $400.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Judith A. Pascale County Clerk, Suffolk County i\OVViWia+/ Number of pages 5 12/22/2020 9:59:50 PM JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00013083 Social Security Numbers P 909 prior to recording. 20-15306 Deed/Mortgage Instrument Deed I Mortgage Tax Stamp Recording/Filing Stamps 31 Fps 25.00 Mortgage Amt. Page!Filing Fee 1. Basic Tax Handling 20. 00 2. Additional Tax 7P-584 5.00 Sub Total 0.00 SpecJAssR. Notation or EA-52 17(County) 5.00 Sub Total 55.00 Spec./Add. EA-5217(State) 125.00 TOT.MTG.TAX 200.00 Dual Town Dual County R.PT.S.A. Held for Appointment Comm.of Ed. 5. 00 a' Transfer Tax 0.00 Affidavit • ,, Mansion Tax 0-00 �� The property covered by this mortgage is Certified Copy 0.00 or will be improved by a one or two NYS Surcharge 15. 00 345.00 fhnAy dwelling only. Sub Total YES or NO Other Grand Total 400.00 If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. Section Block Lot 5 Community Preservation Fund Real Property 20053663 1000-436.00-0200-019.000 Consideration Amount$0.00 T Tax Service RPUTY A 0.00 Agency 92117!2020 CPF Tax Due $ Verification Improved g SatisfactiondDischarges/Releases List Property Owners Mailing Addressb RECORD&RETURN TO: Vacant Land Fidelity National Title NYC TD 10 485 Lexington Avemm 18th Floor TD New York NY 10017 TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 ormation 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkeountyny.gov/derk lTfflel# g suinpolk-County Recording & Endorsement Page This page forms part of the attached DEISD made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOLD In the VILLAGE or HAMLET of BOXES 6 THRU 8 MAST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. ,MOL, (over) Bargain and Sale Deed,with Covenant against Grantor's Acts—Indtvidual or Corporation(Single Sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the day of ,in the year 2020 BETWEEN GAIL JADOW and E.J.INVESTMENT HOLDINGS,LLC,having an address at 3655 Stillwater Avenue, Cutchogue,New York 11935, party of the first part,and ERIC JADOW,having an address at 3655 Stillwater Avenue,Cutchogue,New York 1193 , party of the second part, WITNESSETH,that the party of the first part,in consideration of ZERO($0.00)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 EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF. Being the same premises conveyed to the party of the first part by deed dated September 7,2018 and recorded on October 2,2018 in Liber Book D00012981 Page 019. Premises known as 3655 Stillwater Avenue,Cutchogue,New York 11935. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the parry 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 forever. 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. This conveyance is subject to any matters of record. 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. IN PRESENCE OF: 9JAD�O E.J.INVESTMENT HOLDINGS,LLC Name:Eric Jadow 4527404vl 017829.0102 ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE CKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County of L'PA"-O' ,ss: State of New York,County of ,ss: On the day of in the year 2020, n the ��� day of C "1 l L in the year 2020, before me,the undersigned, rsonally appeared GAIL fore me,the undersi ,personally appeared ERIC JADOW,personally known to me or proved to me on the basis JADOW,personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are f satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that iubscribed to the within instrument and acknowledged to me that they executed the same in their capacity,and that by their she executed the same in her capacity,and that by her signature signature on the instrument,the individuals,or the persons upon on the instrument,the individual,or the person upon behalf of behalf of which the individu acted,executed the instrument. which the individual acted,executed the instrument. SEE ATrAci4ED &'07-AR �L ANNMARIE BARBAGALLO Votary Pubic.State of NowYork No.02g4735572 Quatilim in oubans County Commission Expires Jan 31, LZ at air Anale g With Covenants SEMON: 136 GAIL JADOW and BLOCK: 2 E.J.INVESTMENT HOLDINGS,LLC LOT: 11 TO COUNTY OF SUFFOLK ERIC JADOW RETURN BY MAIL TO: Moses&Singer LLP 405 Lexington Avenue New York,New York 10174 Attn: Rebecca Provder,Esq. 4527404v1 017829.0102 If the document youVe just recorded is your SATISFAMON OF MORTGAGE,please be aware of the following: If a portion of your monthly mortgage payment included your property taxes,'you will now need to contact your local Town Tax Receiver so that you may be billed directly for all future orooerty tax statements. Local property taxes are payable twice ayear: on or before January 10th and on or before May 31st Failure to make payments in a timely fashion could result in a penalty. please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst,N.Y. 11757 Riverhead,N.Y. 11901 (631)957-3004 (631)727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville,N.Y. 11738 Shelter Island,N.Y. 11964 (631)451-9009 (631)749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton,N.Y. 11937 Smithtown,N.Y. 11787 (631)324-2770 (631)360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington,N.Y. 11743 Southampton,N.Y. 11968 (631)351-3217 (631)283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Tates 40 Nassau Avenue 53095 Main Street Islip,N.Y. 11751 Southold,N.Y. 11971 (6311224-5580 (631)765-1803 Sincerely, Judith A.Pascale Suffolk County Clerk a�maa_oe�oam STATE OF NEW YORK ) ss.. COUNTY OF KINGS ) On the dZ I day of tom' in the year 2020, pursuant to New York State Executive Order No. 202.7 dated arch 19 2020 as extended by Exec, rve Ordero.,2 2.38 dated June 6 2020 before me,the undersigned, personally appeared C f"/C M O 1L who at the tune was physically situated in the State of New York, County of_ /1,is C.$ personally known to me or proved to me by presentation of a valid photo identification to be the individual whose name is subscnbed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature'on the instrument, the individual, or the person upon behalf of which the individual acted,executed the instrument. NO ARY PUBLIC _ LAUREN T.GIANNONE Notary Public.State of New York No.01G16056118 Qualified in Kings County Commission Expires March 19,2023 4529312v1 999999.0621 SCHEDULE A Legal Description ALL that certain plot,piece or parcel of land, situate, lying and being at Cutchogue,Town of Southold, Suffolk County, New York,being known and designated as Lot Nos. 21, 22 and 23 on a certain map entitled, "Map of Properly ofM.S. Hand, Cutchogue, Long Island, New York, dated March 4,1930, Daniel R Young, Surveyor, Riverhead,New York,"and filed in the Office of the Clerk of the County of Suffolk on September 18,1930 as Map No.730,which said lots when taken together are bounded and described as follows: BEGINNING at a point on the Northeast side of Stillwater Avenue,where the division line between Lot 20 and 21 on the aforesaid map intersects said Northeast side of Stillwater Avenue; RUNNING THENCE North 41 degrees 00 minutes West along the Northeast side of Stillwater Avenue, 135.00 feet to the division line between Lot 23 and 24 on the aforesaid map; RUNNING THENCE North 52 degrees 30 minutes 30 seconds East along the last mentioned division line,324 feet,more or less,to the waters of Eugenic Creek; RUNNING THENCE Southeasterly in a general direction of the waters of Eugene Creek, 150 feet to the division line between Lots 20 and 21 on the aforesaid map; RUNNING THENCE South 54 degrees 44 minutes 50 seconds West along the last mentioned division line, 350 feet, more or less, to the Northeast side of Stillwater Avenue, at the point or place of BEGINNING 4527404vl 017829.0102 Michael J. Domino, President ��OF SoUrjtiO Town Hall Annex John M. Bredemeyer III,Vice-President ti0 l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • Q Telephone (631) 765-1892 Greg Williams D Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9193A Date of Receipt of Application: March 23, 2018 Applicant: James & Kimberly Gavin SCTM#: 1000-136-2-11 Project Location: 3655 Stillwater Avenue, Cutchogue Date of Resolution/Issuance: April 18, 2018 Date of Expiration: April 18, 2020 Reviewed by: Board of Trustees Project Description: To remove existing concrete patio and construct a seaward side 20'x39' wood deck. 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 site plan prepared by Nancy Dwyer Design Consulting, Inc., dated January 27, 2018 and stamped approved on April 18, 2018. 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. —Pu�'�J Michael J. Domino, President Board of Trustees r - Michael J. Domino, President �o� eaGy Town Hall Annex John M. Bredemeyer, III, Vice-President 54375 Route 25 Glenn Goldsmith H x P.O. Box 1179 A Nicholas Krupski �y �Z` Southold, NY 11971 Greg Williams �l , , dao Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction Y2 constructed 7 complete,lete liance inspection; 1 p com p _ p SURVEY O F. LOCKING CASTING TO GRADE � 0' PROPERTY LOCATED AT CUTCHOGUE f i NIH. 24- LOT No. 21 , 22 & 23 AS SHOWN ON 2 MAX. 7/4�PI7C-H ZO' ^ 6' MIN TOP 4"DIA MIN. SLAB MAP OF PROPERTY OF M S HAND CLASS 2400 " o I/8'PITCHFILED: SEPTEMNBER 18, 1930: FILE No. 730 OREOUIVALENT TOWN OF SOUTHOLD DEPTH l CLASS 241, OR EOUIVALEN7 I 20/ I PIPE SUFFOLK COUNTY, NEW YORK AREA = 50,370 2 SF. S SEPTIC'TANK HIGHEST EXPECTED I S.C T M. # 1000-136-2-11 SO. 1000 GALLONS � GROUND WATERPILE 2 SCALE 1 "=40' �s�3 �� a TYPICAL 10 DIA SEPTIC TANK 0� D NOTE THE EXISTENCE OF RIGHT OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD �� �P`�e PILE IF ANY, NOT SHOWN ARE NOT GUARANTEED ELEVATIONS REFER TO 1988 NAVD �o� ELEVATION SHOWN THUS ��� VO PGP '�D °'�' 61 X XX PROPOSED N GRADES ALL RESIDENCE WITHIN 150' HAVE PUBLIC WATER & SEPTIC � P eqo �o� I MAR 2 3 2018 1 1 5 0 NAIL FINISHED GRADE 8 0 . .-1— /�'w �' UTI:' �. ,� INLET I MIN. C , ` .0 POLE O' OHD. > a FROM SEPTIC TANK p 2' MAX. 1' LP.'t v .. ��> I/8'PITCH 7 0 EXP DIA MIN. EXP LP 10. ST MIN OpOy �Oo'jJ p� o cu SS 2400 4b O O O O W ,C .( EXP �` 9>yC� < LP LP g'I •�.�n O' 1.0 uW. N COLIAH 8.0 DIA LEACHING POOL l C p Y R A No �� 00 > Q� O O 5 CONC. OR ASPHALT o W w SURVEYED BY. MON. / DRIVEWAY CROSSOVER PIPES PAUL BARYLSKI LAND SURVEYING Y 3 BACKFILL WITH R ,� �� CLEAN SAND AND �PC�-0�i.O`�"/ �• TEST GRAVEL MATERIAL GROUND WATER PATCHOGUE NY 11772 HOLE L n J� I'O G` HICHEST2EXPECTED PHONE 631-294-6985 oao'� ���R„�0� �� ��NGE V6� F� TYPICAL SANITARY LEACHING POOL GROUND WATER FAX 631-627-3186 POLE PAULBARYLSKI(gYAHOO.COMf ��7 JULY 8, 2017 '0 o 10' 4' x 8 15' 8' DIA 9-1-2017: ADDED ELEVATIONS �oc� 500 \O' O �/ I PIPING SEPTIC TANK PIPING L.P GRADING 10-4-2017. REVISIONS ��A \00 FF9 EL. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ��, LOCKING CASTING OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. 2 61 TO GRADE a PROP COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED PJ�P-1 / I TEST HOLE DATA GROUND OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY (� a GfiJ�V� I > 1 MIN 1 MIN AREA OF PROPOSED GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO S/ (NOT TO SCALE T/CH 2' MAX p• MAX ' FILL THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO O� BY- McDONALD GEOSCIENCE PITCH 4' DIA rr THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION / 8/21/2017 12.55 PM Bo PROPOSED SEPTIC TANK MIN. O O O C7 CD )p LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. �p 4. 4'DIA 5 i° I 8^ ED O p CD GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL GRADE EL.= 8.5 N. INSTITUTIONS OR SUBSEOUENT OWNERS. �j� ,\^�' DEVIH ►YJ O D' O O [7 [7 z CERTIFIED TO: GONG. 2' BROWN SILTY SAND ' MON. �S }cLMIN oz 5�1. s.D' uAR IN. �z JAMES GAVIN, JR 1 pW `°L 2.0 KIMBERLY GAVIN 7.1' ACKFILL WITH PALE BROWN FINE SAND - HIGHEST i B TITLE AMERICA LAND SERVICES, INC. !— 4�RAbNELDEF PD 1.4 EL EXPECT GROUND WATER GRD. WATER ^� 17' WATER IN PALE BROWN FINE SAND OLD .REPUBLIC NATIONAL TITLE INSURANCE COMPANY 1 CfTIZENS BANK, N.A. SANITARY SYSTEM DETAIL WATER ENCOUNTERED 71' BELOW SURFACE 2750-1 5 GAVIN RE51DENCE z NEW DECK LU �4 v LU W r r r1iS n\ n� i 3 see r� e Psv a� uh yr U Photo I Photo 2 G AD Ln 6 r. G m 1 _ a _ 3 7 CO Ln Ln Aw r NAIILuj � .. ' ' LU 2 0 4 / Photo 3 Photo 4 N _ l m z /lVA V r` � x o �� o� � r„ c9 4,1 J' 2 3 O o ASPHALT cA 'o G I O DRIVEWAY ? V Photo 5 Photo G F N ro Z p Photos * location key for 3655 Stillwater Ave . Ima9e5 taken 3 . 20 . 20 18 L o = � o W s. µ U) U z Photo 7 Photo 8 PAGE: 2 L U U Z GAVIN RE51DENCE NEW DECK � o ON EXISTING HOUSE TO REMAIN --� uw - � Q ` W 2" Q EXISTING DOOR .{ } EXISTING HOUSE- STRUCTURE, WINDOWS, EXISTING BAY LLJ DOORS, SURFACE MATERIALS, I WINDOW ALL TO REMAIN EXISTING CONCRETE DECK TO BE STEPPED IN STOOP TO BE REMOVED II FROM EDGE OF HOUSE L-- -- - TO CONFORM WITH SIDE YARD SETBACK rr"^ REQUIREMENTS V w Q U 4"x 6 DECK BOARDS NEW DECK o Dowty [V APPROX. FLOOR HEIGHT I x 10 RIBBON CONTINUOUSLY AROUND DECK 5TRUCTURE j _ GRADE LATTICE PROPOSED NEW DECKSTRUCTURF I a STAIRTO GRADE LOCATION SCREEN OTO SIDE YARD G TO GRADE TO BE CONSTRUCTED ACROSS BACK TO ALIGN WITH EXISTING, (WATERSIDE) OF EXISTING HOU5E APPROVED, CATWALK DECK FRAME* CONCRETE FOOTINGS DECK ELEVATION 3'-0" BELOW GRADE IN AREAS SHOWN ON PLAN SCALE: 4" I ' = -011 m DOWN Q _ L — N THESE STAIRS ARE U' Z m SITE PLAN CENTER OF CAT WALK N o - E In O Ln 10' 8'-6" SCALE: SCTM: 1000- 13G-2- 1 Information taken from DECK LAYOUT LU surveys prepared by Paul Baryl5kl Land Surveying SCALE' 4 — I _0` Patchogue, New York, �oF z dated July 8, 2017 DECK ELEVATION Q LU PROPERTY AREAS: PILE Existing Lot Area: 49,345 5q.ft. D_ O CIZ Ex15ting House: 1 288 5Cl.ft VO �P�e PILE (with entry porch) Proposed New Deck: 7G5 515t.ft. P `L Total Area: 2053 5C�.ft. VP� o� tK V / TOTAL LOT COVERAGE: 4. 1 % Areas of Improvement Ilnclude: ALL RESIDENCE WITHIN P *Remove- old concrete patio 150' HAVE PUBLIC WATER •New decking t, handralll5 (If needed) & SEPTIC •New deck frame structure / •New support posts under deck w/ footings OUTLIN OF SILT FENCING TOSET IN PLACE P R TO ANY CONSTRU ON Extent of Land D15turbance: / TAKING PLACE 900 501. + Zd / �. NAIL *TO BE CONTAINED FULLY B I D SIL FENCING w / ti, a '/ QJ PROPOSED NEW DECK OUTLINE OF CONCRETE PATIO TO BE REMOVED y P��. F 9 � MAINTAIN 15'-0"REQUIRED cs WPB �� O ,•' SIDE YARD SETBACK CONC. OR\V'✓ ASPHALT 'd o �O. .-' ' MENSION APPROVED BY MON. DRIVEWAY � � •` BOARD OF 1 RUSTEES v z TEST HOLE ti � TOWN OF SOUTHOLD DATE . A-PgiL (Sj 2015 It o ?, SURVEY OF: PROPERTY LOCATED AT CUTCHOGUE �� 0 LOT No. 21 , 22 & 23 AS SHOWN ON 06' MAP OF PROPERTY OF M.S. HAND z FILED: SEPTEMNBER 18, 1930: FILE No. 730 r P TEST HOLE DATA W ¢ TOWN OF SOUTH OLD z mss/ oR�� (NOT L SCALE) SUFFOLK COUNTY, NEW YORK O� BY: McDONALD GEOSCIENCE o �i 8/21/2017 12:55 PM f ' r. h LU o oF� GRADE EL.= 8.5 AREA = 50, 370.2 SF. S.C.T.M. # 1000-136-2- 11 � CONC. 2' BROWN SILTY SANDo MAR 2 3 2018 C' MON. — SCALE: 1 `40'= 7.1' PALE BROWN FINE SAND z NOTE: THE EXISTENCE OF RIGHT OF WAYS, - WETLANDS AND/OR EASEMENTS OF RECORD So�ah�+'dlown z 17' WATER IN PALE BROWN FINE SAND IF ANY, NOT SHOWN ARE NOT GUARANTEED. WATER ENCOUNTERED 7.1' BELOW SURFACE ELEVATIONS REFER TO 1988 NAVD PAGE: ELEVATION SHOWN THUS I UNAUTHOR/ZED ALTERATION OR ADDITION TO THI5 DRAWING AND RELATED DOCUMENTS 15 A VIOLATION OF SEC. 7209 OF THEN.Y.S.EDUCATION LAW Michael J. Domino, Preside ��0 CSG Town Hall Annex John M Bredemeyer 1II, Vice-Presiuent = k' A ' 54375 Route 25 Glenn Goldsmith y = P.O. Box 1179 A.Nicholas Krupski 0 = . r Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 ! o � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: k Completed in field by: N Dwyer Design Consulting, Inc. on behalf of JAMES & KIMBERLY GAVIN request an Administrative Permit to remove existing concrete patio and construct a seaward side 20'x39' wood deck. Located: 3655 Stillwater Avenue, Cutchogue. SCTM# 1000-136-2-11 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence- 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50-feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1 Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: s4,�+ o K. I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Page 1 of 2 Michael J. Domino,Preside O��SUFFO(Ke Town Hall Annex John M. Bredemeyer III, Vice-Presiaent �� y� 54375 Route 25 Glenn Goldsmith o '` P.O.Box 1179 Wo A.Nicholas Kru ski Southold,NY 11971 p Greg Williams 'y p! Telephone(631)765-1892 �Ol Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Dwyer Design Consulting, Inc. on behalf of JAMES & KIMBERLY GAVIN request an Administrative Permit to remove existing concrete patio and construct a seaward side 20'x39' wood deck. Located: 3655 Stillwater Avenue, Cutchogue. SCTM# 1000-136-2-11 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. <25% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 ) ) r I r`. r Oy `� # -"ems ------------- ell ) a.vNcl f ) �y s � AVF r o k r —�—, - '-�rR')-' cY�....., -- -- •:-:u,-- -- '��:.�:.—:•...:tom'°•••Z:�'.S�Y�r.�..":���an"ixt-�:.5�rmn�c•�E• COUNTY.OF S FOLK. C K °^ aan„oho secs wo ..,..+s...t ter,., "'�. 'w. "`� 0 _ - <,i:xs".. "',�.__., „�..w«�e-..+a.��...t""«..t .-�• .._� �`:at-+r-:.tcv.•-�.=:'=.•*^' .itai Er, 't.,;I .”.`.�'fxy_-'r_"__ - .::r..<. +U T't'� _ _ '•Real'P,ropeAy:T :��� e' �T � m.��...�.-�:, t�.��' �. �: a asr" rN - �~.�' �d.:2�-'`_W.-,. .�-".��"' �---- -- �syF��*r mss,,.. .��)• `"""`�..s� �y(qq G7eE'�"�".+�_:ir�+. '136`' _ E„x,.-cy_..:-.-.,._-.r--. ..-...,�;:�,.�,..:_.. �r,...�:_,�.....�..:. -.�:��-1z---�{ -...,•.- �. �-...__._.�—j...__.__ ..�- ,_-.. .,�- .__ .—sawrvs'rcray.�a,.+.ur::;�.r. .. _ ' _. ,d - -., -;,:. -- -,-: � _ _ . .._.__..-._:.,": OFFICE LOCATION: �O�*Of SU(/lyOlO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375.State Route 25 Southold, NY 11971 (cor Main Rd. &Youngs Ave.) G Q Southold, NY 11971 �p Telephone: 631 765-1938 Fait: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: April 12, 2018 Re: Local Waterfront Coastal Consistency Review for JAMES & KIMBERLY GAVIN. SCTM# 1000-136-2-11 Dwyer Design Consulting, Inc. on behalf of JAMES & KIMBERLY GAVIN request an Administrative Permit to remove existing concrete patio and construct a seaward side 20'x39' wood deck. Located: 3655 Stillwater Avenue, Cutchogue. SCTM# 1000-136-2-11 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 actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP. The following is recommended to further Policy 6: 1. The establishment of a vegetated, non-turf buffer landward of the bulkhead. 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 James r K ng TruSLCC "° J6uTTk6T6. T\c,- York (TyT-U5S Qc .,.. Oave Bergen.- TrusLce G OQ, elephonc (63 U 765-1892 Charles J Sanders. Truscce T Fax (63 i) 765-6641 �7 coUtII`(,� BOARD OF TOWN TRUSTEESD TO WN O F SOUTHO GD D To: Southold.Tow6 Building Department il� MAR 2 6 2018 Re= Verification of Building Department Permit Requirements BUILDING DEPT. TOWN OF SOUTHOLD SCTM#: �3io'Z Property Owner Mame: Date Sent to Bldg- Dept_: i The OfFce of the Board of Trustees is forwarding the above referenced app[icafioa for verification of the Building Depar[menVs permitting requirements stated below_ YES [SIO Will the proposed project require a Building Permit? Wel[ the proposed project require a variance determination from the Zoning Board of Appeals? " Vtifiit anypart of this application be considered as Demolition as -described under Town Code? COMMENTS: 42 Date Sig ature of Revi veer Town Hall Annex John M.Bredemeyer III,President 54375 Main Road Michael J.Domino,Vice-President ~'` P.O. Box 1179 James F. King,Trustee A Southold,New York 11971-0959 s �,. Dave Bergen,Trustee i Telephone(631) 765-1892 Charles J.Sanders,Trustee '. ` ' I Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application Wetland Permit Application (� Administrative Permit , E C E IV E / Amendment/Transfer/Extension ✓,L Received Application:. 3 2 3 1$ V Received Fee:S. Iooj00.,.. ... MAR 2 3 2018 Completed Application : Z _Incomplete: _SEQRA Class f cation: Southold Town Type I Type II Unlisted Board of Trustees ZLoordination:(date sent): 3 301 g WRP Consistency Assessment Form: _ECAC Referral Sent: y Date of Inspection: .11.I _Receipt of CAC Report: _Lead Agency Determination: Technical Review: _Public Hearing Held. Resolution: Name of Applicant: Gavin Residence___-__1� `� Ktglp62L , Mailing Address:: 3655 Stillwater Avenue, Cutchogue, NY 11935. Phone Number: 631-807-0118 Suffolk County Tax Map Number: 1000- 136-2-11. j Property Location.-.- _3655 Stillwater Avenue,Cutchogue. { (provide LILCO Pole#, distance`to crossstreets,and location) AGENT:. Nancy Dwyer- Dwyer Design Consulting,.Inc. _ (If applicable) Address: PO Box 632, Southold, NY 11971 I Phone: . 631-765-8905 _ _ Joard of Trustees Applicat i i GENERAL DATA Land Area(in square feet): 50,370 sq.ft. _ Area Zoning:, R-40. Previous use of property: Single-family residence Intended use of property:. same with attached wood deck 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-. i Does this project require a variance from the Zoning Board of Appeals? Yes `� No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes - No Does the structure(s)on property have a valid Certificate of Occupancy? V Yes No Prior permits/approvals for site improvements: Agency Date ; DEC June, 2010 Trustees Nov. 2009, amended July, 2010 M 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): _ Remove existing concrete-,patio and build a wood deck attached to the waterside of the existing house. out 'oard of Trustees Applicat•., ;L WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To construct a wood deck attached to.the existing.-house.- Area of wetlands on lot: 21,098 square feet !� Percent coverage of lot: 41.8 L Closest distance between nearest existing structure and upland !' edge of wetlands: 35'-$" feet Closest distance between nearest proposed structure and upland edge of wetlands: 19'4" feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated?_ cubic yards How much material will be filled? __. cubic yards i Depth of which material will be removed or deposited::_ __ .__. feet Proposed slope throughout the area of operations: 0_1 % Manner in which material will be removed or deposited: Wood posts on concrete pier footings to be dug by hand in locations indicated on framing plans. I 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): Little-to no-effecton - the_wetlands-silt fencing_will be..installed_prior to_any work---_--_ beginning which will-protect-the a wet an s;-- eeping`it clear o debris. 'Additionally, all work proposed is behind the existing bulkhead. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part.1 -Project and Sponsor Information Name of Action or Project: Gavin Residence Project Location(describe,and attach a location map): 3655 Stillwater Ave, Cutchogue Brief Description of Proposed Action: Removal of existing concrete patio and construction of new, wood deck attached to house. Name of Applicant or Sponsor: -Telephone: 631-765-8905 . _._. Nancy Dwyer "E-Mail:dwyerdesigns.inc@yahoo.com Address: PO Box 632 _ City/PO: State: Zip Code: Southold iNY 11971 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES- administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO ' , YES.__ If Yes, list agency(s)name and pen-nit or approval: Town of Southold Building,-permit required:_. _.._- 3.a.Total acreage of the site of the proposed action? .1.o4 .- acres b.Total acreage to be physically disturbed? o 1 5 acres c.Total acreage"(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.04 acres 4. Check all land uses that occur on,adjoining and-near the proposed-action. p Urban ❑Rural(non-agriculture) ❑Industrial [_]Commercial dResidential(suburban) E3 Forest ❑Agriculture ❑Aquatic El Other(specify):_,. __.........._..__ ....._ ..._._.. ❑Parkland Page 1 of 4 5. Is the proposed action, ;_ - N0'---YES 'N/A - a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? Ej 6. Is the proposed action consistent with the predominant character of the existing built or natural NO - YES_. landscape? 7. 19 the site the proposed action located in-,or does it adjoin,a state listed Critical Environmental Area? 1V0 YES If Yes,identify:. a ;❑ 8. a.Will the proposed-action result in a substantial increase in traffic above present levels? NO 'YES 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? .13 __.. -- - - -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"-.. E 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: s� E 14. Id ntify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline El Forest ❑Agri cultural/grasslands El 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 floodplain? _NO_ YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO .._YES If Yes, a.Will storm water discharges Flow to adjacent properties? ❑NO OYES 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 '-YES- water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size:..- El 19.Has t I he site-of the proposed action or an adjoining pro.perty been the location of-an active or closed NO YES solid waste management facility? If Yes,describe: ---------- 1071-1as 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: _ o �a: I-AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor nt Na Dwer Date,:,, 3.18,2018­ Signature: A 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 I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No.or '-Moderate- SM211 to large impact impact may may occur occur. I-.- Will the proposed action create a I material-confli6t with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of Use of land? 3. Will the proposed action impair the character or quality of the existing community? a o 4. Will the proposed action have an impact on the environmental characteristics that caused the %a 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? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate C1 ❑ reasonably-available-energy conser -oconservation renewable-energy-opp-ortunitiesZ------ 7. Will the proposed action impAct existing: a.public/private water supplies? b.public/private wastewater treatment utilities? El 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 ' t - - No,or Moderate ` small to large impact impact may may occur i occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? �' E J 11. Will the proposed action create a hazard to environmental resources or human health? a. a 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. ElCheck 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. ElCheck 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 Page 4 of 4 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: T,-*weAj- Od'IILCIII (Last name,first nam6,ipiddle initial,unless yo 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 5%of shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this y of /tel 200./ Signature Print Name Form TS 1 APPLICANT/AGENUREPRESEWATIVE TRANSACTIONAL DISCLOSURE,FORM necessary twavcila,iiimr- aiyyl ro S 64 V r) {Last.naine;flirt C"Ifi ti someone-cW*-.6 'rzriti as pany:Jf,so,.Jndic*ttiefatligr­ person's&'company's name,) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change ofZone 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 chi[ p with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or bu iness,interest"means a business, including a partnership,in which the town officer or employee has even a pa r employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanVagent/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 554-6fthe shares of the cd* stock dtille',Vp (when the applicant is a corporation); B)the legal or beneficial owner.,of-any interest in a non-corporate entity.(WtoftA bw applicant is not a corporation); .:dircctor,:partner.-.`�' I f the applicant;or an partner.or employee o D)the actual applicant. DESCRIPTION OF RELATIONSHIP Subtriffted this AA-1—- C 200 stpai'U'r- Print Ntttne Form TS I STE.PHEt!MCGRATH Notary Public-State of New YOrK NO.01NIC6133063 .. Qualified in Suffolk Gou't. My Commission Expires— i Board of Trustees Application i AFFIDAVIT i BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF 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 i TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner SWORN TO BEFORE ME THIS ti DAY OF AU Notary Public 7E SPHEh; PUblic.r S1a7e a�Ilow'1'oir, r.F.Nq1qr,r,y N6.1 o1c:-ice133n63 0113ti�feriin Sirffolh;C.ouni,,- � Board of Trustees Application I AUTHORIZATION (where the applicant is not the owner) Jit rrn r'S Ca v 0-1 I residing at (print name of owner of property) (mailing;addTe§s) 3( 3 ��1 w ✓ do hereby authorize (Agent) 1 i jto apply for permit(s)from the I f '.I Southold Board of Town Trustees on my behalf i (r I (Owner's signature) I .. I I STEPHEN'MCGRATH I Notary Public-state of New YorK N0. 01MC6133063 Qualified in Suffolk Co_un y My Commission Expires_ March 15, 2018' NYS DEC, Division of Environmental Permits Town of Southold, Board of Trustees& Building Department RE`. James Gavin 3655 Stillwater Avenue, Cutchogue, NY SCTM: 1000-136-2-11 To Whom It May Concern;; This letter is to hereby authorize Nancy Dwyer, of Dwyer Design Consulting, Inc., to represent me in reviewing my property files and filing all new applications for permits, as needed, on my behalf, for the proposed new deck to be located at my existing residence indicated above. Sincerely, James Gavin, Property Owner APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM the Tawn of Southald's Codc of Ethics nrobtbr atlicr df iritcte��+oN t —hit oftown ofFicers nnd-cmtilavecs Thtrourti so af: this form is to{Lti2vide mfomiaiion vvhicFi can algin tr+c toti, otpossldlc cmi'licts o f liitG�.�,,� rie�rrtcary-te iY618 _ s[tnc YOUR NAME: ` (Last name,first name,.iri_.,a°inttiul;unless you are applying=itithe.name.of someone else or other entity,such as: company.If so,.i;dii uteaiic':other person's or company's name.) ; NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change ofZone 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 thanS%�oft15r,dins.. YES - NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/represcntative)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 owncr.of.greater than 5%'of ihe'sh5ies<of th :corporate stock of the applicant .(vrlieii"th'e'apj�;licant�is iicgt'jioi`etion}; B}:ihi legal or'.bene(iciai ativner of -in terestih:it non-corporate entity(when the appl'icant'is nota corpora on); G ;an';ofFcyr director;;pactnc�„or emplayec:ofahc applicant;or -- D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this o7A day of 'Signature• _.•.- __ _...-_._-_ ,�'' - --- Print Name Form TS l ' ;t)Z,'tL`oaa sandx3uoissuirwoa, Riuno�0,,nueseN ul patj!lerip 61.tbt!-§V L0;`ON Nadia 8akhash4, ih •MaN46 elejg,!P!14nd Ne3nN Nota D 4W?1B8 Blpt N ry:l?iililic;,Sta2e;of:New=V o?3 ri No 0.1 BAI 1- -19: Qualified in'Nassau!Co4nty. ' Commissibn;Ezplres0ec:.13 20= Board of Trustees Application AFFIDAVIT a �S Q ✓1 17 _.BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. - ature of. erty Own-" SWORN TO BEFORE ME THIS- a3. DAY OF 20_/J. _ - -_- ---- _ NadiaBakhash Nok y':Pubfi� Notary Public,State of New York No.01BA6120219 Qualified in Nassau County Commission Expires Dec.13,202co Town of Southold LWRP CONSISTENCY ASSESSMENT FORM, A. INSTRUCTIONS L. 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 siwuficant beneficial and adverse effects_pXon 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 Atfgw-er:must-bC*i plamed- 6 detail,:lishnz:both.su»portig aq&non, supporting facts. If anaction 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# 136 - 2 11 PROJECT NAME Gavin Residence 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: Requesting a permit to construct a new.wood deck attached to existing residennc�e.-_ �,eG� �ieol�s?� �s o?�� �C �9 fzjl ieG�'oss floy� Location of action:-- 3655 StilhNater Ave, Cutch!Rgue,NY 11935 Site;pprqagq!: 104 or 50,370 sq.ft. Present land use: Single family residence Present zoning classification: R-40 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: Nancy Dwyer (b) Mailing address:- PO Box 632 Southold, NY 11971 (c) Telephone number: Area Code 631-7657§905 (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? 03–j Yes N If yes,which state or federal,xageftcY 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 III–Policies; Page 2 for evaluation criteria. M— Yes E], No 0 Not Applicable -,.Thjs-p.ropoted--deck Will-giverthe homeowner the ability.to enjoy outdoor living space, taking advantage of it's existing, waterfront location. �c�addktiona-I sh6ets if necessary -ssary 4---- 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 Yes EJNo 0 Not Applicable I 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 F-], Yes'D, No 0 Not Applicable Attach iddifflo-ini-I sheets if nece-ssary 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 ----- ----- Attach additional she- is-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-0 No 2 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. n F7 1. We will be installing a silt fence prior to any work beginning, in an effort to protect the wetlands from any construction debris and limiting intrusion to the surrounding area. Yes No Not A�P;t;;cable 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. F Yes .F No Not Applicable 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. 0 Yes No 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. -0 Yes No 0 Not Applicable Attach additional sheets if necessary J WORKING COAST POLICfhS Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LVVRI` Section III—Policies; Pages 47 through 56 for evaluation criteria. ,0:Yes El No 2 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 LVVRI`Section III—Policies; Pages 57 through 62 for evaluation criteria. 'D.YesEl No Not Applicable --------- ------ Attach additional-ifie�e-6-ifin-e-*c-'e-*s--s'a'r-y-'-'* Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. El Yes D. No 0 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. Yes 0. No 0 Not Applicable PREPARED BY TITLEe-51 fjk,-W DATE U