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TR-9896
Glenn Goldsmith, President �rg so(/Ty Town Hall Annex A-Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25 John M. Bredemeyer III P.O. Box 1179 Southold,New York 11971 Michael J. Domino cn ,r G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD-OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72=HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF_ BELOW INSPECTION SCHEDULE Pre-constructicsn; liay;bale,line/silf boom/silt curtain '.1St day o -cobstruction - % constructed- X When project complete, call for compliance inspection; - �ji1 i�iij. .;eoi o�ioo`:. -°'01°i91ii�C100. :,�°t0�OOar•:.- �e,•,•�0�Gij.- - �a1i ie9�• - 001°1iV•: ,';C\p010 181pp°';••�' a^p1110 181pp°°. ,_ - �,''ep104P 1/110 - -e\pefl IPIP° , 1000 Pllp°op:, ' ,':6op1PP PIP°F• •"o POQ° P8p°°e•• i uy.rwrea. .os+unn,n rcu„ .rry.°r u,arerru., -n wily ���\ rr�• e 'r ,o ��`•�?�, ";�':.:�':55,[-,.. :.5 ;1,54'A' _a^a'",- - t,�,rc�r7'N".',T%';�ya�cg2T�'".rS"'r9.s!':�4:`�"><!�nT.hzk'.•�•�y�.z.:°:x32I'.'*'n.1Tti;'S'�'�'•f',';bT!1��2!.iyX'�T_.,.?'N"k'^,�.•�S'2�+a.,���r�,k,zc.^!�+�C+'!+u'�a�;acrrnr,�mrrr�n'S[2.',�4c'�':7 rn;rr�ry�rx„r` � ��� wk 7. • =,'11Pf BOARD OF SOUTHOLD TOWN TRUSTEES = SOUTHOLD,NEW YORK PERMIT NO. 9896 DATE: MAY 19,2021 ISSUED TO: GEOFFROY PENNY PROPERTY ADDRESS: 570 MASON DRIVE, CUTCHOGUE ? Z SCTM# 1000-104-7-2 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on Max 19,2021, and in consideration of application fee in the sum of$250.00 paid by Geoffroy Penny and subject to the Terms and 2 ' Conditions as stated in the Resolution the Southold Town Board of Trustees authorizes and permits the following: 3 P Wetland Permit to install a 201x40' in-ground swimming pool and associated 30'x50' pool patio 04'+ with 4' high black pool code compliant estate fencing; install pool backwash drywell and pool equipment area; with the condition that the pool be saltwater and that there is landscaping (, around the pool equipment; and as depicted on the site plan prepared by Jeffrey Patanjo,last s - `�:- s dated April 19,2021,and stamped approved on May 19,2021. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the 19th day of May,2021. a\pPP1 2 tl'y °0111°1CW :6pidi4°4 �t u 0i0emo: ry _ .1111f '�s�t• � IP°p°pj .eee b ' �`' "1'i i d SiYY,ievu5511`iivfi�7T(n�v'ain'"irJ'Yi'41i..l�iiC51`i2ir73�3:tv^:virrir e,eiMri��in7rrSn.vi�i�iiCiu'iaivmY\urhr)iii5�nriCrliitiinr;”,enn"fiiiviaiSiiliu`riSYili•,^",ru'.��� e v�� sSiiiCrrSr'piiiie.'�,1`i�SFPirv�>•�3iir,i�,uJhnri�:iidrarvr•u•",rM9riw:i�,ir`�•Jrvra'ir.vSC,�.ir,i;:ru.'EZ`n _ _ _s _ ., ,C. � - - - m _ •. - ',;vA ®a°� ,.::eP aa;,.. °• ;e,Ap aae.•: ,°.ee ea\ .°:ee aa::•� - _•'e:e:Pee„oeaa.8'° __ ..;i.�iPe°eP;°1i9.N'-' __�:;mi�,ds°4°1°re:%� - _..;�aded°1°!°l�e;.t '� !•;�ItQ40_°10I�e;.,__ - �'�0°dA4:_°101�p;:�"'� '.;aelsl 0/ep::••__ TERMS AND CONDITIONS The Permittee, Geoffroy Penny, residing at 570 Mason Drive Cutchogue New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. Thatthere will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town. of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith, President �QF SO(/ly 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 00U01 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 26, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: GEOFFROY PENNY 570 MASON DRIVE, CUTCHOGUE SCTM# 1000-104-7-2 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 19, 2021 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of GEOFFROY PENNY applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town -Code, the Wetland Ordinance of the Town of Southold, application dated,April 2, 2021 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 19, 2021, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board--has-determined-that the project as proposed will not affect-the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of GEOFFROY PENNY to install a 20'x40' in-ground swimming pool and associated 30'x50' pool patio with 4' high black pool code compliant estate fencing; install pool backwash drywell and pool equipment area; with the condition that the pool be saltwater and that there is landscaping around the pool equipment; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated April 19, 2021, and stamped approved on May 19, 2021. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, 4nnGoldsmith President, Board of Trustees GG/dd f N 08°05'30" W 368.56' ' o' .\•� PORCH \� •� \ t=i ' sioFwq \ d M.H.W. \ TIDAL WETLAND AS DELINATED � x \ BY J. PATANJO ON 3-10-21 ` LAGOON FRAME + \ 1 I HOUSE '- 75' 30' 'z GARAGE � I / a ZN3 w= \ PROPOSED a o �gY o \ ' SILT FENCE ' 0 O - o I oC t o w /. DRIVEWAY � rn 10pF cs, — — — 353.76' PROPOSED 4'TALL BLACK POOL CODE _ — — COMPLIANT ESTATE FENCE — — — PROPOSED BRICK PAVER PATIO S 12008'10" E PROPOSED 20'X 40'IN-GROUND POOL PROPOSED POOL EQUIPMENT LOCATION MAP PROPOSED POOL DRYWELL N.T.S. p APPROVEDBY 1 r'�•'l25 ., _ , *'�- ,�*r.,s�r ;iry, _4,r' :��'„`: 5i„_ fP BOAR® OF TRUSTEES TOWN OF SOUTHOLD APR 2 6 2021 41 ®ATE JQ n '9epek sd ;., r.n.''hy. °s; _ "''l SOUt OIC{ SOW 3,w y}(, s «” ,; ; ► ( Board of Trustees PRGWRTY OW ER: froy Penn cutcno ue NY 11935 Proposed Pool Permit Plans SCALE: 1'-30' PREPARED BY: JEFFREY PATANJO PROPOSED PLAN DATE: P.O. BOX 582 3-24-21 570 MASON DRIVE, CUTCHOGUE 4-19-21 BOHEMIA, NY 11716 PROJECT -484-9332 C�' 631-484-9332 TOWN OF SOUTHOLD . SUFFOLK COUNTY NY JJPATANJOOGMAILCOM LOCATION SHEET: TAX MAP NO. 1000-104-7-2 1 of 1 O Glenn Goldsmith, President ,��oS11FF0(�c®G� Town Hall Annex A Nicholas Krupski, Vice-President y54375 Route 25 John M. Bredemeyer, III o ® � P.O. Box 1179 Michael J. Domino o- Southold, NY 11971 Greg Williams of Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: GEOFFROY PENNY c/o JEFF PATANJO Please be advised that your application dated April 2, 2021 has been reviewed by this Board at the regular meeting of May 19, 2021 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 15t Day of Construction ($50.00) %Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President � l Board of Trustees Glenn Goldsrr President - Town Hall Annex A.Nicholas Krupski, Vice President 54375 Route 25 John M. Bredemeyer III a P.O. Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams a; �� _ Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: S Completed in field by: Jeffrey Patanjo on behalf of GEOFFROY PENNY requests a Wetland Permit to install a 20'x40' in- ground swimming pool and associated 30'x50' pool patio with 4' high black pool code compliant estate fencing; install pool backwash drywell and pool equipment area. Located: 570 Mason Drive, Cutchogue. SCTM# 1000-104-7-2 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 y Ch. 111 SEORA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment 1Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: _z- Present were; J. Bredemeyer M. Domino E G. Goldsmith �� N. Krupski G. Williams Other N 08005'30" W 368.56' �z IP- I zo i' .\•� PORCH A � FSP sioF�q \ d 4- M. w `?� M.H.W. '\ TIDAL WETLAND AS DELINATED BY J. PATANJO ON 3-10-21 I \ \ I.AGooN 1 � FRAME I HOUSE 75' 30' i I / GARAGE � ! / o z1a \ / PROPOSED w p 0- ���Fi�gy C \ ' I SILT FENCE o o a N o ► I o 0P4 N /. DRIVEWAY 1001, co — — 353.76' PROPOSED 4'TALL BLACK POOL CODE _ — — COMPLIANT ESTATE FENCE — PROPOSED BRICK PAVER PATIO S 12°08'10., E PROPOSED 20'X 40'IN-GROUND POOL PROPOSED POOL EQUIPMENT LOCATION MAP PROPOSED POOL DRYWELL N.T.S. ,✓� , ,i 'Y _ _ �s ti , E C E L tti ,Ea`sPCGtchogug—;,-., APR 2 6 2021 , �.m ,f Southold `Town Board of Trustees PROPERTY OWNER: Geoffroy Penny ",y` PO Box 1440 Cutchogue NY 11935 P'r'oposed Pool Permit Plans SCALE: f 'z' ,_ NassauFar_ms., �e�.:de PREPARED BY: JEFFREY PATANJO PROPOSED PLAN DATE: P.O. BOX 582 3-24-21 ,BOHEMIANY 11716 570 MASON DRIVE, CUTCHOCUE 4-19-21 PROJECT 631-484-9332 TOWN OF SOUTHOLD LOCATION JJPATANJO@GMAIL.COM SUFFOLK COUNTY, NY 09 . SHEET: TAX MAP N0. 1000-109-7-2 1 of 1 5URVEY OF PROPERTY - 51TUATE: PEGONIG N TOM 5OUTHOLD 5Uf9--OLK COUNTY, NY s SURVEYED 0I-12-00 W - E AMENDED 02-05-02 prop. add. 03-02-02 amen. sep. 05-02-02 fnd loc. OI-15-03 S slab elev. 02-10-03 FINAL 04-lq-2005 SUFFOLK COUNTY TAX # 1000-104--7-2 �(�(� E CZEE O»�MOY L.PENNY 3 A�9 P�o2�'3®,, APR(9 �l (/ pPj0nV ,bt�1 ele° Soter Boa 9� 9 v0�� Y On I PP` \ N \ � O \\6 tP( (\lu O �\` S21.6 A il� 3 O n,5onr'4 o,•tvewQy 00 ° m alt ® I __-- -- ->_• ale GLI�� 1 r prop-ger 5liory �rQm�e 10' 8 r--fl HoUSe GQ�Qg_ 9l Q \ (� 20' N } ` � 8 cp a O p \ Pat, \ -10 4 1 9 0 ^o li -!, ste 5 ` 1 L i �s 1 ON 1 J -R-. FOX- 5 \ & rrr P A III 06 �p��¢ ?0 "a' vo /////�• / �+,/\\� \1y' //� - "4+;• n 'Ux,.,M1:r¢ne n ternklcn n^M'/,In'!n n wrv� I NOTES: ���j�v VV M n Y.� S[rllu L nG:nn oxy {I \CJI r 'Gist copM1><,/.an the or,95n nF IhW wrvnt ■ MONUMENT A nit nn nrg2�nr ��ynr J4k,:fj "�\��- •>tumpon a and J,nu tr-rGMbcrM to tin voh0 trvr -Ga,hrwncmn5 W"tatl nrre°r•°,IT,ry that+`! t v etl N aurxaave n'N the eK- •�` T »t[�coon nP wacnce fer Lana rurvnF9 nnep[nn — - by the W. Ycrk$tot"e ADsn41°t AREA 53, kn nF FTafass�wwl 848 5F OR 1.24 ACRES N!!a for Wham tk yrrd I ;!^,t? ,ntl a,rn.l:eMlr l°lM LRIe ec,gany, enmen• kol ng,-rcy mtl _ to[lIMnrn rmosrttj^mrn�,nlremsMfrcnIrklUIn nbtt�otln SUFFOLK COU=DEPT.OF HEALTH nn5rbl4ltoihltltnnknawnl l nCrxSehr°ttnul,rt4lao.cnma- S>RWCES REF.#PUD-M-W71 JOHN C. EHLERS LAND SURVEYOR GRAPHIG 5GALE 1"=40' 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 RIVERHEAD,N.Y. 11901 REF 369-8288 Fax 369-8287 .1\Hp server\flpros\99-266J. i wi f / ti z � . , Photo 1 6 . X � Re 0 0I sea M oR' �b. I ` . as M +.p03 - 't• w � ° � `-. C y M w ? M v,..�1�Wc1 .D.�\ LO.4' m-BW � c � N Zs a •�� +o"^ LO.T'��__ Mir w late a616M "tat * 6 g+ O.- � `e.; +' � e1/A1 ,,,.✓a �9 22'1,)z0 •� •te zd� "pw�8�1`�" ,a o-+ste t •w, 01.O�Yt1 � °�� � ,6 M t,M `'4•r M w �s w,)1 t G1 Nay. 1 � °` Y J Jap •z? ",P.� `° \ BROAOWATERS COVE TOWN OF SOUTHOLD \ � y i r•_�re.w l\ p a w F 12 ) ..� .. \ 1 �/",+ any•., z 6 ate 41 xi � �._tsy twy I:Ia •-I at �` �•�iia --�iw ,� +, HAYWATER COVE ' - u i � y' I" d t •�'toy tae £T $ " v� a °'•a ♦ ..�r2.;11 a *°' T3 L •+.•.. u. •• ,r — -- o-..,r --a-- d..�.. --.-- • NOTICE COUNTY OF SUFFOLK © K o. SOUTIOLO SECTION NO G I I '^ '_'" _--_'—_— �•°Real Properly Tax Service Agency v 104 Hy........� -u__� o.... .. y —_— a.,�.. __•�_ o...�..—_yr__ nC SAI Ceunry GMN Nn�M•a.xYf+Mt M D n r a,N•s �e .� --� o..u. --.-- o.r.-.__.w-- wnw r ]tYJpS� ^ a v rmcr.o 1000 PROPERTY IMP fF 4, Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish, Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held May 12, 2021 the following recommendation was made: GEOFFROY PENNY for the installation of a 20'X 40' in-ground swimming pool and associated 30'X 50' pool patio and 4' tall black pool code compliant estate fencing. Pool to be placed 75' from tidal wetland line and pool equipment and backwash to drywell to be placed 1 00' from tidal wetland line. Located: 570 Mason Drive, Cutchogue. SCTM#104-7-2 The CAC inspected the property, however a quorum was not present. A drainage plan should be required for the proposed project. OFFICE LOCATION: �� + � �mr��� MAILING ADDRESS: Town Hall Annex ^ °r P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 1 � ' Telephone: 631 765-1938 y' Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To.: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: March 11, 2021 Re: Local Waterfront Coastal Consistency Review for GEOFFROY'PENNY SCTM# 1000-104-7-2 Jeffrey Patanjo on behalf of GEOFFROY PENNY requests a Wetland Permit to install a 20'x40' in- ground swimming pool and associated 30'x50' pool patio with 4' high black pool code compliant estate fencing; install pool backwash drywell and pool equipment area. Located: 570 Mason Drive, Cutchogue. SCTM# 1000-104-7-2 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 action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. 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 _f April 19, 2021 -- Town of Southold Trustees ® �'.- Town Hall Annex Building i 54375 Rte. 25 APR 26 2021 J P.O. Box 1179 Southold, New York 11971 southo—id Town Po_ard of-trustees RE: GEOFFROY PENNY 570 MASON DR. -CUTCHOGUE SCTM No. 1000-104-7-2 APPLICATION REVISIONS Dear Trustees: Attached please find four (4) copies of revised plans and project descriptions reflecting the pool fence as requested. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, J ffrc Patanjo P.O. Box 582 Bohemia, NY 11716 PROJECT DESCRIPTION (revised 4-19-21): The project includes the installation of a 20'x 40' in-ground swimming pool and associated 30'x 50' pool patio and 4'tall black pool code compliant estate fencing as shown on the attached drawings. Pool to be placed 75' away from tidal wetland line and pool equipment and backwash drywell to be placed 100' away from tidal wetland line. �pR 2 6 2021 Southold Town Board of Trustees Town Hall Annex Glenn Goldsmith,President ,7 ti 54375 Route 25 i. A.Nicholas Krupski,Vice President ;i d.` ;; �� C/ ; P.O.Box 1179 Jahn M.Bredeme er III tY % a` Southold,New York 11971 y y "�= =3 !•! rte. Fes' ' t3 Telephone(631)765-1892 Michael J.Domino ;ik� Greg Williams fp! }; Fax(631)765-6641 :i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: �—Received Fee: $ Za•—IL ,2•� Completed Application: Incomplete: Unlisted ` SEQRA Classification: Type I Type 11 np E Lead Agency Determination Date: D Cy Coordination:(date sent): 0NRP Consistency Assessment Form Sent: i APR 0 2 2021 CAC Referral Sent: Date of Inspection: Jr Z Receipt of CAC Report: Southold Town Technical Review: Board of Trustees Public Hearing Held: S• Resolution: Owner(s)Legal Name of property(as shown on Deed): deo F��aH Qenn� Mailing Address: Phone Number: �° S • R 6 Suffolk County Tax Map Number: 1000- 1 7 Property Location: 70 /1A46on - Ameq ve (If necessary,provide LILCO Pole#,distance to cross streets,and location) AGENT(If applicable): —'Fe, ` � Dia i1 � Mailing Address: � D �oje Nt l�� 'k) Phone Number: Board of Trustees Application GENERAL DATA Land Area(in square feet): 63 Area Zoning: S Previous use of property: s ' Intended use of property:. S Covenants and Restrictions on property? Yes �No If"Yes",please provide a copy. t Will this project require a Building Permit as per Town Code? ZYes ----.NO If"Yes", be advised this application will be reviewed by the Building Dept.,prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓ No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? - y Yes ,�No Does the structure(s)on property have a valid Certificate of Occupancy? "/Yes No Prior permits/approvals for site improvements: Agency Date - 11'v�CGs � �'9✓S� ; - -$ r 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): PROJECT DESCRIPTION: The project includes the installation of a 20'x 40' in-ground swimming pool and associated 30'x 50' pool patio as shown on the attached drawings. Pool to be placed 75'away from tidal wetland line and pool equipment and backwash drywell to be placed 100' away from tidal wetland line. Board of Trustees Applicanion WETLAND'/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: See— ci,cA Area of wetlands on lot: LU square feet Percent coverage of lot: �''3 Closest distance between nearest existing structure and upland edge of wetlands: -7 7 feet Closest distance between nearest proposed structure and upland edge of wetlands: _ feet Does the project involve excavation or filling? ._.No ✓ Yes If yes,how much material will be excavated? . 1'77 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:, Manner in which material will be removed or deposited:, A 1 l 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): o s��e c+ ^ f Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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: 570 Mason Dr.-Cutchogue Project Location(describe,and attach a location map): 570 Mason Dr.-Cutchogue Brief Description of Proposed Action: Construct 20'x40'in-ground pool and associated pool equipment in rear yard.All work landward of MHW and tidal wetlands lines. Name of Applicant or Sponsor: Telephone:P 631445-7496 Geoffroy Penny E-Mail: geoffroysr@yahoo.com Address: P.O.Box 1440 City/PO: State: Zip Code: Mattituck NY 111952 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 Z El 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 government Agency? NO YES If Yes,list agency(s)name and permit or approval:Town of Southold Trustees ❑ l IZI- 3. a.Total acreage of the site of the proposed action? 1.24 acres b.Total acreage to be physically disturbed? .02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.24 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑✓ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ ❑✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name Cutchogue Harbor,Reason-Significant coastal fish&wildlife habitat,Agency-Southold,Town of,Date 3-24- If Yes,identify: 88 ❑ ❑✓ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑✓ ❑ b. Are public transportation services available at or near the site of the proposed action? Fv_(1 ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: FV1 F] 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ ❑✓ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 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: Page 2 of 3 r , 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: ®Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional [Z]Wetland ❑ Urban m Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑ ❑ Piping Plover,Least Tern 16. Is the project site located in the 100-year flood plan? 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? ❑ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ ❑ If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY I�NO`VLEDGE Applicant/sponsor/name Geoffroy Penny Date: Signature: Title:Owner PRINT FORM Page of EAF Mapper Summary Report Monday, March 15, 2021 6:25 PM I- Disclaimer: The EAF Mappers a screening tool intended to assist 4^ ;[�Q .-g,I= Part 2-Impact AssesF qt. The Lead Agency is responsible for the corn on of Part 2. Answer all of the following questions in Part 2 usint --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 small to large I impact impact may may occur occur I. Wil ro osed action create a eonflc � ��I the p p � �material i�t with an adopted land use plan or zoning regulations? Will theproposed action re _-..��_ ...�..�......._._... _ � -� result in 2. a change in the use or intensity of use of land? 3. Will the proposed action impair the character or qualityof the existing community? Z 4 Will the proposed action havea-ton �........... __ an impact on the environmental characteristics that caused the establishment of Critical Environmental Area(CEA)? L..._.I l Will thexisopo action result i in 5 __... p p ._.d a_.. me n an adverse change in the existing level of traffic or g infrastructure for mass transit, g y biking or walkway? ___._........_ 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate rcasoar�i Iy availabl2re �] energy conservation or renewable nities? 0 .. _energy opportu�._,-....__..�............ _ m� 7. Will the proposed action impact existing: a,public/private water supplies? ._, b.public/private wastewater treatment utilities? El 8 architectural alor aesthetic thele resources?character orWill osed action impair the quality of important historic,archaeological, 21 9. Will the proposed action result in an adverse change to natural resources(e.g., wetlands, waterbodies,groundwater,air quality,flora and fauna)? 10 problems?ill heo osed action result in an increase in the potential for erosion;floodingorrai . proposed _. drainage 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 detennined 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-tern,long-term and cumulative impacts. Check this \i1 or have determined,based on the information and analysis above,and an supporting documentation, that fatthe proposed action y result one or more potentiallarge o significantadverse 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 5IC31`I _ Name of Lcad Agency Date President Prints of Type Nag ue of'Responsible Officer in Lead Agency Title of Responsible Officer i dm�gri"Iter onsr�l�le:Officer in Lead Agency Signature of Preparer(if different From Responsible Officer) c ! I Board of Trustees Application AUTHORMATION (Where the applicant is not the owner) co�f P cvl n Me, - - owners of the property identified as SCTM# 1000- I o�' _a ,in the town of Cu k c, a I ,New York,hereby authorizes Da.�o�n to act as my agent and handle all necessary work involved with the application process for pennit(s)from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF 20- r --- Notary Public �. ATE p''�,� 5,. „. R Debomhl�rlOW81l Notary Public.State of New York 2**'.. HELRY` No.01OR6290392 PUBM Qualified in Suffolk-County N 4 vo '.•°` commission EXPIM 051t3/20.42-(:;0 'rrnrnu ` Board of Trustees Application AFFIDAVIT G e,F�c, Qcr►n BEING DULY SWORN DEPOSES AND AFFIRMS TjMTHE/SHETT�APPLICANTS CONTAINED HEREIN ' DESCRIBED PERbUT(S)AND THAT AL ARE TRUE TO THE BEST OF HISMMR KNOWLEDGE AND BELIEF,AND THAT { . ALL WORK WILL BE DONE BY�EMANNER OLD TOWN BOARD OSET FORTH IN THIS TRUST EES.N . AND AS MAY BE APPROVED THE APPLICANT AGREES TO HOLD THE TOWN OF S.OUTHOLD 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 HEREBYLIN THE UTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES, CONSERVATION ADVISORY O CTNTAPPY TOWH�S L CATION, INSPECT THE PRENIISESINCJUoCIO INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND ASREQUIRED A TAL RE COMPLIANCE WITH ANY CONDITION OF ANY WET EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS l g—DAY OF 20 — Notary Public DeborAdOrlo%IfJki, 'WTD`• Notary Public,Stele of New York No.010MO392 QuWi6ed in Suffolk County % H :' I9n�ttpl�Og1131�b�S APPLICANUAGENT/REPRESENTAIM TRANSACTIONAL DISCLOSURE,FORM e.cro oat it i •o'w Web n�.••�rvtii�voictsa e. � YOURNA1v1E: Pe V)n () fo SFr® (East name, name,�iiddle initial,unl you are applying w the name of someone else or other entity,such ns 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 Zones Coastal Edon Approval of plat Mooring Exemption from plat or official map Planning --=--" Other (If"Other,name the activity.) Do you personaliy1or through your company.4ois6r sibling,parent,or child)have a relationship with any officer or employee ootaship"Includes by-blood,ttlurtiage,or busmesa interest."Business inferasr m64ns a business, of the Town 1~3outliold? "ReTa(i including a part6ership,'iq which the 3pwnofficer oremployee has even h partial itlyiiietship of(or eirtploymetit by).a corporation in which the town otTiceror employee owns nibre tW 55/40 ►e 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 applicent/agent/cepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe inthe space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner afZ=terthan%of",$1 ares of the corporate stock bf lire applicQnt (when the applicant is a corporation), enG w1n the B)the legal or beneficial owner of any,interest m a nocarpo<a ty applicant-is not Wo4otat!0n); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this_-.:�Y Of 20__, Signt�ure PrintNarne Form TS 1 A PPUCANUAGENVIRMPRESEN TATM "TR,ANSAcTioNA3L DiscLOSM FORM YOUR NAME: _e . a (UdMme,fir,tuamQgrjddIe initial,unless you aA qlslying)d file tmme of someone else or other amity,such as a company.If so,indicatg the other per�a's orcomganpE's name) " NAME OF APPUCATION: (Check all*9 VPIY) - Tax grievance -- Budding Variance _ ' Gunge of Zone ,.. ,,,,.____. Coastal Etosioa •--- � Approval of plat _,,,. Mooring Bxmption from pit or official map: Planning . Other (If"Other,Trema the activity.) Do you perSWt *,through yoa!ivoinpany,�i siblings mfr or child)have a telatiaaship.with any effacer of employee ,of the Town $ ald7"ite r tdp"lnclu by.blood; of bus' t+ "Busiitussi�"ittehe►s a business, including&� �hieb*e,WM-o$-or,C0ploYee.hiigieo.ti Par"ol pof(Or . ac4rporatiOn in which"tamowwrorempioyee&Wns Mbft deli SIMOM shares. NO If you answered"YES",complete the balaatce of this form and slate and sign where indicated. Name of person employed by the Town of Southold -- Title br position of'that person Describe the reladonship between yourself(the applicsiatlapWrepresentative)and The town officer or employee.F.itherchc& the appropriate line A)through I))andlor desedbe inthe space provided. ` The town offiea or employee or his or her spouse,sibling,paten;or child is(check all that apply): A)theownerdf'SVSWV n$%4Ft1ks *f ,unit =%stack birft aollcoft B)theIega,orber eaatOwimofaobali"AM*"at*a*.. applratuttfs not arpEnadonk W C)an officer,director,partneic,or employee of thea pP.cantor D)fire actual appiicam. DBSqION OF RELATIONSHIP Submitted this •1 5day of AA~e c6• 2031 Print Alatne ' Form TS l Glenn Goldsmith,President �fOQ '�CD Town Hall Annex A.Nicholas Krupski,Vice President ,� Gym 54375 Route 25 John M.Bredemeyer IIIrca � P.O.Box 1179 Michael J.Domino o � Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 27, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of Geoffroy Penny 570 Mason Drive, Cutchogue SCTM# 1000-104-7-2 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Order 202.1, this application is now scheduled to be heard by the Southold Town Board of Trustees, via videoconferencing on Wednesday, May 19, 2021 beginning at 5:30 P.M. Please continue to ,check the Town's website as the meetin date approaches for the latest meeting agenda and videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said ,informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. Very Truly Yours, 4s - Glenn G4dsmith, President - Board of Trustees ;`f Sul•1•Qt��4` Glenn Goldsmith, President ,:Y0�0 BOG�, Town Hall Annex A.Nicholas Krupski,Vice President 'rj� ���?; 54375 Route 25 John M. Bredemeyer III N ,?�Y P.O.Box 1179 Michael J.Domino ��f' Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, MAY 19, 2021 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, May 19, 2021 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disaivo@town.southold.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:06 P.M: (Prevailing Time) on the day of the public hearing. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone'. Further details about how to tune in to the meeting are on the Town's website at https:/Iwww.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 929 4246 7425 Password: 716691 • Telephone: Call 1(646) 558-8856 — -- - Enter-Meeting Ib and-Password-when prompted (same as-above).- — -- — - -- In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit: https://www.southoldtownnV.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. { Glenn Goldsmith, President O�QCOG Town Hall Annex A.Nicholas Krupski,Vice President �� y� 54375 Route 25 John M.Bredemeyer III y g P.O. Box 1179 Michael J.Domino g wry ' Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BE ADVISED — AS PER CHAPTER 55 NOTICE OF PUBLIC HEARINGS Failure to submit the following originals to this office by or no later than 12:OOPM the day prior to the scheduled public Hearing for your application will result in a postponement of said application. This office WILL NOT contact you to request said information: • All original white & green certified return receipt mail receipts stamped by U.S.P.S. • Completed original Proof of Mailing Form Failure to submit the following originals to this office by or no later than 12:OOPM the day of the scheduled Public Hearing for your application will result in a postponement of said application: • Original Affidavit of Posting form — DO NOT COMPLETE SAID FORM UNTIL THE GREEN SIGN HAS BEEN IN PLACE ON THE PROPERTY FOR AT LEAST SEVEN (7) FULL DAYS. Sign the form on the eighth day that the green notice of hearing sign has been up on said premises. All green signature cards related to said application that were returned to, your office should be either dropped off in our "Trustee drop box" or mailed into our office whenever they are received. These cards are not required prior to the Public Hearing, unless specifically requested for by this office. This specific requirement is subject to change. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: /���c�C.2r C2-3- STATE OF'NEW YORK '---- - --- COUNTY-OP SUFFOLK residing,at being duly sworn, deposes and says that on the day of ,20� , deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at .that said Notices were mailed to each of said persons by CERTIFIED MfAWRETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public Glenn Goldsmith, President �pS�FFD��-co Town Hall Annex A.Nicholas Krupski,Vice President �,,�� GAJ, 54375 Route 25 John M.Bredemeyer III ro P.O.Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams ��Ol dap! Telephone(631)765-1892 j Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of GEOFFROY PENNY COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, ,�TrPq pr Ean D ,residing at/dba R.Q.25lIX JrB2—T-6o'?emin P l4 11-711r being duly sworn, depose and say: That on the 8 day of M&I , 20 2 e, I personally posted the property known as 510 4iaszS )n 'De�u-e, CtxkCylt')GLAe- P�-A 11c1:nx5- by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, May 19, 2021. Dated: ^�� 2 p 2 ( a M — "1 0Aj_ Y (s' nae) worn to before me this day of P020 FNotary A MEDINA GARCIA ic-State of New York01ME6095200 in Suffolk County on Expires Jul 7, 2b23 PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-104-7-1.3 SCTM#1000-104-5-23 Patrick Sweeney Oscar E Levins&Beth P Blevins 44 Chestnut Hill Rd 640 Haywaters Dr Stamford,CT 06903 Cutchogue,NY 11935 SCTM#1000-104-7-3 SCTM#1000-104-5-24 John R Corbley&Susan K Corbley Patrick J O'Neill&Deirdre O'Neill 680 Mason Dr 91 Bulson Rd Cutchogue,NY 11935 Rockville Centre,NY 11570 I , STATE OF NEW YORK COUNTY OFSUFFOLK residing at�.(�• I0.��� I1�I being duly sworn,deposes and says that on the I I day of fir- , J , 20 I, deponent mailed a-true copy of the Notice set forth in the Board of T�Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at P-)nneryl y G ,that said Notices wefe mailed it e ch f said persons by CERTIFIED MAEURETURN RECEIPT. Sworn to before me this t - Day of May , 20__ Notary Public SCOTT A CAMPAGNA j Notary Public-State of New York p NO 01CA6376886 /f. Qualified in Suffolk County My Commission Expires Jun 18,2022 i Er ° I• 1 C3 / ° 0 rl L .E l Certified Mail Fee Certified Mall Fee ua - I $ add(ee as appropriate),,, ��"N l Extra Services&Fees(checkbox, $ ----•w„. ❑Return Receipt(hardcopy) -postmark fr{ C3 Extra Services&Fees(check box,a$(ee eses a ;ti r "., t-� Return Receipt(electronic) $�— Return Receipt(hardcoPY) m;'!;_ ^Here "•�`, t`r j Postmark: l� Certified Mail Restricted Delivery $ r- Return Receipt(electronic) $� `-^ Here\C- i�_,, C3 t I a Adult Signature Required $�> Certfied Mail Restricted Delivery $1 � � '� � Adult Signature Required $�� � � {=-' i Adult Signature ResMcted Delivery$ 0 I --- - ` Adult Signature ResMcted Delivery$ „�� ; [] Postage C3 postage a T Total postageSCTM#1000-104-7-3 ti Total Postage• $ John R Corbley&Susan K Corbley I ru SCTM#1000-104-5-23 Er Sent To $ Oscar E Levins&Beth P Blevins 0680 Mason Dr Q' sent To waters Dr I C3 Siieeiand'ApE i Cutchogue,NY 11935 ra 640 Hay p 9iieei and•A""p£ CUtChogue,NY 11935 C,ry"siaie;?iPi (ilry$tate,Z)F _ :1 1 1 1 1 111•a TIVI IlService 777777� U.S. Postal CERTIFIED _— _ _ _ _—__ 1 1 111•1 _ :11 1 p ■ ■ U.S. PoStalService"" C3 CE5 e ■ ■ Domestic, C3 / sticpifir° /nly „� C3 0 gig °co L U Certified Mail Fee ¢Tr= _ Q(% Certified Mall Fee - Extra Services&Fees(check boll,add(ee es epp oPdate) $ $ i','- ❑Return Receipt(hardcePY) Q 4 ,. Postmark I' Extra Services&Fees(check box,a$(ea as apPropdete) .; n i Return Receipt(electronic) $ q7 Here 4 ❑Return Receipt(hanrcepY) " �p'$stmafk �¢5•II I I] ❑Certified Mali Restricted Delivery $_� C��1 , 1 O ❑Return Receipt(electronic) $ l�Adult Signature Required C3 ❑Certified Mail Restricted Delivery $ r Here cA r� I Adult Signature Restricted Delivery$ - r i *^-- _ ---—_ C []Adult Signature Required $� yam; •,�• postage _ —7 a i! Adult Signature Restricted Delivery$ ( ,,�' �',r� j $ 1 O Postage Total Postag 43 $ - rLi SCTM#1000-104-5-24 rnui Total Postage r $ Patrick J O'Neill&Deirdre O'Neill Q' SCTM#1000-104-7-1.3 Sent To r9 1, 91 Bulson Rd tT $ ent To Patrick Sweeney 103 veeiandAj Rockville Centre,NY 11570 j r'1 44 Chestnut Hill Rd Sliest and Apt Stamford,CT 06903 crry,stare,� (ill},$tate.ZIP :1 1 A> 1 I 111•1• - :11 1 11 111•1 - NOTICE F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. OWNER(S) OF RECORD: GEOFFROY PENNY SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a 20'x40' in- ground swimming pool and associated 30'x50' pool patio with 4' high, black pool code compliant estate fencing; install pool backwash drywell and pool equipment area. Located: 570 Mason Drive, Cutchogue. SCTM# 1000-104-7-2 TIME & DATE OF PUBLIC HEARING: Wednesday, May 19, 2021 — at or about 5:30P.M. — To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 I Town of Southold fiSISMCY,ASSESSMENT FORM A. INSTRUCTIONS I. 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 dckumination 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 OMOgW action 'll be evaluates as to its - benefDial � o c :the tea, ` eludes all of ` o 3. If any question in Section C on this forms 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 1h& Mc_h-UWer mgA be ggfte_d ift,d"h ' —oth d am SMU2 AW If an action cannot be certified as consistent with the LWRP policy standards and conditions,it 1Wt lie.M&1 a a. A copy of the LWRP is available in the following places: online at the Town ofSouthold'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# 9- 2� PROJECT NAME- 5-70 a s a,., 2 – C..>+C, �,e The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees l. 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: � I P Location of action: S-7 n S o.J D C' 4-G �c Site acreage: i • 2`� Present land use. ms's Present zoning classification: S, 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 ofapplic : Geo-W4-0-4 penm4 (b) Mailing address: c Telephone number•:Area Code ?J! ' q`V S - -704 (d) Applicationhumber,if any:- Will the ac'on be directly undertaken,require funding,or approval by a state or federal agency? Yes. No If yes,which state or federal WACY?- S C C. Evaluate the project to the following policies by analyzing bow 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,snakes 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. R 'es .0 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 11 Yes 0 No z .Applicable e � 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 0 No RNot Applicable AD B ZG 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 EJ Yes El No allot Applicable n v e Attach additional sheets i necessary Policy 5. Protect and improve water quality and supply in the Town of Southold.See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria El Yes El No U Not Applicable do a tc 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 M—Policies; Pages 22 through 32 for evaluation criteria. D M Yes No Not Applicable Zt ch additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LVM Section M --Policies Pages 32 through 34 for evaluation criteria. Yes No allot Applicable Attach additional sheets ifnecessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section M--Policies;Pages 34 through.38 for evatuatioix criteria. 1:1 U Yes No U Not Applicable ,n- -e EE:Ge'k 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 crit". El YesD No allot Applicable Attach additional sheets ifnecessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria. D Yes E] No E Not Applicable tia 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. Ej Yes .� LJ No Not Applicable no 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 2=1 Not Applicable rVo Attach additional sheets ifnecessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. 0 Yes EJNo DNot Applicable lie PREPARED BY rte_ TITLE V4� DATE 3 March 29, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 _ Southold, New York 11971 RE: 570 MASON DR. -CUTCHOGUE SCTM No. 1000-104-7-2 APPLICATION FOR PERMIT _.._� Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application, deed, previous surveys and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, )effrey Patanjo P.O. Box 582 Bohemia, NY 11716 APR m 2 2021 Southold Town Board of Trustees