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HomeMy WebLinkAboutTR-9823 Glenn Goldsmith,President So 11 Town Town Hall Annex A. Nicholas Krupski,Vice President ®A. Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly G � Telephone(631) 765-1892 Elizabeth Peeples �® �® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1974C Date:November 2, 2022 THIS CERTIFIES that the existing 1,80 1 sqft 1 '/2 story dwelling; construct a new 10'x15' above round pool with new 528sq ft raised patio using impervious pavers around pool with steps to ground; install 48"high pool enclosure fencing around edges of raised patio and a self-closing gate with alarm at base of steps; relocate existing 4'x4.8' outdoor shower approximately 30' landward,• install an on-grade 790sq ft masonry patio using pervious pavers; and abandon existingsanitary system in rear yard and install new septic system in front yard; with the condition of sound screening for the pool equipment, that the pool be saltwater,• that backwash be tied into an existing drvwell; At 405 Lake Avenue, Southold; Suffolk County Tax Map#1000-80-3-16 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 24, 2020 pursuant to which Trustees Wetland Permit 49823 Dated February 17, 2021 was issued and Amended on May 19, 2021 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 existing 1,80 1 sq.ft., 1 %z story dwelling construct a new 10'x15' aboveground with new 528sq ft raised patio using impervious pavers around pool with steps to ground; install 48"high pool enclosure fencing around edges of raised patio and a self-closing gate with alarm at base of steps; relocate existing 4'x4.8' outdoor shower approximately 30' landward; install an on-grade 790sq ft masonry_patio using pervious pavers; and abandon existing sanitary system in rear yard and install new septic system in front yard; with the condition of sound screening for the pool equipment that the pool be saltwater; that backwash be tied into an existing drywell. The certificate is issued to t beth Sciscente owner of the aforesaid property. alla Authorized Signature Glenn Goldsmith,President ,`�®F SO Town Hall Annex A. Nicholas Krupski,Vice President i�� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly e� G Telephone(631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 BOARD OF TO TRUSTEES TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 1117,117, 1 . INSPECTED BY: Eya4vA-� Pce'0 .6 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: tg4CA +Inas- Demo w Davexs WPxr. nod irbli2ed on. Ale-, St-opt A�eAdvjtied h5 ce�►fi��c o� r��n�I i a��P ��� � �ss�e. CERTIFICATE OF COMPLIANCE: FSP Glenn Goldsmith,President �QF sorry 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 G @ Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 ,-UNT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 19, 2021 Anthony Portillo AMP Architecture, PLLC 1075 Franklinville Road Laurel, NY 11948 RE: MARYBETH SCISCENTE j 405 LAKE AVENUE; SOUTHOLD SCTM# 1000780-3-16 Dear Mr. Poitillo: - The following action was taken by the Southold Town Board ofTrustees'at their Regular Meeting held on Wednesday, May 19, 2021: WHEREAS, AMP Arch'itecture,Ion behalf of MAR YBETH SCISCENTE applied to the Southold Town Trustees for an Amendment to Wetland Permit#9823 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 to be 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 structure complies with the standards set forth in Chapter 275 of the Southold Town Code, 2 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 Southold Town Board of Trustees APPROVE-the-Amendment-to Wetland Permit#9823 for the existing 1,801sq.ft., 1 Y2 story dwelling; construct a new 10'x15' above ground pool with new 528sq.ft. raised patio using impervious pavers around pool with steps to ground; install 48" high pool enclosure fencing around edges of raised patio and a self-closing gate with alarm at base of steps; relocate existing 4'x4.8' outdoor shower approximately 30' landward; install an on-grade 790sq.ft. masonry patio using pervious pavers; and abandon existing sanitary system in rear yard and install new septic system in front yard; and as depicted on site plan prepared by AMP Architecture, LLC, received on May 6, 2021, and stamped approved on May 19, 2021. 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: None This is not a determination from any,other agency. Sincerely, Glenn Goldsmith, President Board of Trustees GG:dd a rn PRO�EGT I, ZONING DATA` o t W Z TAX MAP# 000-80-3-16 Lu MEAN HIGH WATER ZONING P15TRICT R-40 NO }z EXIST. 12 STORY o MAR RESIDENCE K TIE LINE LOT AREA 03 ACRES S CD 0 FEMA FLOOD ZONE AE pa 00 Z vm I WETLANDS DISTRICT Y p 4a" HEIGHT FENCE I DEG DISTRICT NON-JURISDICTION ¢ w AROUND EDGE OF m RAISED PATIO I Zco SITE LAYOUT NOTES Z>:g I THI5 15 AN ARCHITECT'S 517E PLAN 8 15 SUBJECT TO VERIFICATION BY A LICENSED IN NEW STA I RS I SURVEYOR THE INFORMATION El w \ NEW RAISED PATIO REPRESENTED ON THI5 SITE PLAN 15 TO THE `\ (IMPERVIOUS PAVERS) ARGHITECT'5 BEST OF KNOWLEDGE. g C _ EXIST. BULKHEADI 2 SURVEY INFORMATION WA5 OBTAINED FROM A SURVEY DATED NOVEMBER 2020 w� AND PREPARED BY 111-1 EXISTING-III=1 I I=1 I 1=L=1 III=III=— III=III=III=III=III=III=III=III=III=17=III III=III=III=I == I==I = 1==___—__—__ — _ _ — — — — — — MICHAEL W MINTO,L 5 P G Lu 1=III= 1=III=JJ 1=1J 1=III—III=L=LII=�_ 1=III=III=III=III=III=1I=III=111—I I—IIIE I I—I1 E III—J 1=11=III=III=�11=1I 1=ll=1 LI=1I I_L—I I III-1 I I—I I I_J I—III—i _I _�_i_i_I _u—I 8l WOODVIEW LANE ELI=i EARTH .III- �.''6 22111=1 11=1)=1I it I— 1=1 I�I 1=J 1=1 1=11=1I I I 1=1 1=1 11 I I1=1 11=1 I1=1 li I I=1 111 I I it 1=1 1=1I L—II I �I 11=1 I1=1I 1=1 I1=1I 1=L=1 I I1=1 1=1 1=111=1 1=1 1=i 1=1 EL. 3.03 GENTEREAGH,N r 11720 � — — — — — — — — — — TELEPHONE (631)580-1202 Q SELF—CLOSING OATE I \ W/ ALARM `APP C)'VE®- [53 I • 1 -SOAR® OF I RUSTEdS SITE ELEVATION _ • ,� LOT GOVERACGE ®PSI E ���( �({ 2021 k �{�—.� DESCRIPTION(FOOTPRINT) AREA %LOT 1 { GOVERASE MAY - 5 20 21 11,665 O S.F. .iL.°� TOTAL LOT AREA L- --`— EXI5TIN5 BUILDING 1,5010 5 F 154% S r 1 li i 1 u vv n PROPOSED RAISED PATIO 5250 5 F 45% Be ird of ImStecs EXIST GONG, TOTAL AREA OF ALL STRUCTURES t 2324 O SF 20 O% (TO BE REMOVED EXIST.OUTDOOR SHOWER •• e� 45"HEIGHT FENCE (TO BE RELOCATED) f **MAXIMUM LOT COVERASE ALLOWED -:20% RELOCATED AROUND EDGE OF EXIST WATER SUPPLY LINE, OUTDOOR SHOWER RAISED PATIO a TO MAINTAIN 10'MIN _ _ _ N22_°24'00'W_ _ _ _ _ 101505' 5EWA5E DISPOSAL SYSTEM-- ----------------- ------- ---- ------------------- -I o' _ o w o PROJECT: I 3- _ _ 10 51DEYARD SETBACK I I, _ 18 6' di Z 0 EXI5TIN5 T75' SCISCENTE GRAVEL J, DRIVEWAY 10' 10 0 EXISTING RESIDENCE i MIN o 9 FLOATINS r .yy I o 1 PROP\ NEW I 10'xws, 1�' DOCK tl p i \ E.P L P PROP I mX t� A 6 POOL 1% " y 405 LAKE AVENUE EF. 1,y- EXISTING \ i OA m s SOUTHOLD,NY 11971 NEW 1� 11�STORY FRAME IN oo bz t6 L P NEW t� RESIDENCE �— 61 rn-y L P. NEN LP "}SEW t�y RAISED PATIO w EXISTING NEPq -y DRAWING DRAWING TITLE: V I O ii (IMPERVIOUS 1 > BULKHEAD y SITE PLAN&ZONING DATA I PROP NEW z In PAVERS) n 1 PROPERTY ELEVATION E P.� LF ALARMS ON {n ALL SLIDIN5 gg5' s EXISTING rn NIW DOORS 3O, nes N RAMP Z 156' PAGE: Q �\ \ IS'5111EYARD SETBACK 0 3' – '__zp ,-� i_ � a NEW ON-GRADE MHW of face of TR S _ _ ! N D W p MASONRY PATIO a Bulkhead SELF-CLOSING (PERVIOUS PAVERS) ` z-un L -i 3 N GATE W/ALARM 1 0~ D 115 05/ -0`1� y' Z —fva _ _ _ 521°58'45"W 200,89' ' �, REMOVE EX15T DROP m INLET 4 DRYWELL DEMOLISH RELOCATED DRY WELLt< � C EXIST FENCE 8 (NOT INCLUDED IN SCOPE REMOVE EXIST CURB 4 PORTION RETAINING WALL OF SEPTIC SUBMISSION), OF GRAVEL DRIVEWAY RELOCATION MUST p , RESPECT ALL REa'D REMOVE 4 RESET EXIST. COBBLESTONE CURB AS SETBACKS AND REMAIN COBBLESTONE MODIFICATION MIN 2'-0"ABOVE HIGHEST OF DRIVEWAY SHAPE) RECORDED 5 W LEVEL \c..✓ tiF @� SITE PLAN (p0 �i3�Sy SCALE,I'-0•=10'-0° �� CD a C.) a tm z0 W 7 N J F'�•1 - LC T ~z N z J F-J I S'-�y2" a m o �� z vm — — — — — — — — — — — — — — — — — — 0 - - -31 - - I- -' - - - - - - - -� I a Wa z0��° e I z}V �z LLW� I I I X50 I I I = J U J dJ I I NEW SALTWCONCRETTEATER I I E a � CONCRUNITS POL TO BE N°5 AL ED N AREA I I ((GST PAVERS) (LATHAM POOLS GTL) I I I I VERSA-LOK ,CONCRETE UNITS (r-5T PAVERS EXISTING HOUSE I L NOT PART OF THIS p FILING Lt - - - - _ _ - - - - ' PROVIDE GLEAN I I g SAND FILL � I of I ,•� I PROJECT: SCISCENTE RESIDENCE 405 LAKE AVENUE SOUTHOLD,NY 11971 — — — — — — — - DRAWING TITLE: FOUNDATION PLAN aVE • — — I PAGE: 3-- y MAY 1 4 2 A-101.000 CHEEK WALLS 21 I I Sou-LDATE 0��o�J iarm Board of ,X� '4 i ,E 9 a i?ter!. F•, f=OUNDATI ON PLAN ' f0' I� SCALE,1/2•o r-o^ Nz, "�, 03741)'Z' ��� Glenn Goldsmitl -sident �y �FFQ(,� Town Hall Annex A.Nicholas Krupski, Vice President rte, 54375 Route 25 John M. Bredemeyer III �` P.O.Box 1179 Michael J. Domino , u© Southold,NY 11971 Greg Williams ccs Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: /kyr I Completed infield by: T ]h AMP Architecture on behalf of MARYBETH SCISCENTE requests an Amendment to Wetland Permit #9823 for the existing 1,801sq.ft., 1 '/2 story dwelling; construct a new 10'x15' above ground pool with new 528sq.ft. raised patio using impervious pavers around pool with steps to ground; install 48" high pool enclosure fencing around edges of raised patio and a self-closing gate with alarm at base of steps, relocate existing 4'x4.8' outdoor shower approximately 30' landward; install an on-grade 790sq.ft. masonry patio using pervious pavers; and abandon existing sanitary system in rear yard and install new septic system in front yard. Located: 405 Lake Avenue, Southold. SCTM# 1000-80-3-16 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 St9RA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment /Wetland Coastal E�osion 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_ / Present were: -**"-J. Bredemeyer J M. Domino --G. Goldsmith N. Krupski lG. Williams Other J, •� i '� �_y ' •74'•. f L ' ' .. .�' •�, ` ,. ... , �*. . y .. ' �}'�'' t`� � f; • "''ram x y - y sk OL I 05 Lake I� . r venue,Southold • '1000-80-3-16 ' ..` f. _ •_,-, "Y��' il� p�y dF^ • _ s4 CK '1.12"r_� /.5/12/21 r 3 •74 r _ • 9 -- .� •« .. �i. -. ?4 - y it � � ti`. V 'Swy�T��T� ` '{. w � TA .Iw�. J•.r f �• I' �Y'• —'G•` .t. _ - p,r,.� .( - y• - 4", •■ may,R r I NO 71 V nil ~� - aa� -"�� t far. v+'- -• - rt • i _ lip � - -.. ,• ,d.,;,:/,• 7C�.A,r . -r r - drl . r. ...., .. i.. _Lr,. � �+ _ - � F c�• '� `•`rte� �' 71 r~ t - { ,,.777 � � ��F- �•�+d +'F.}w � . J J �1yy7 7Yr. .. -14 F 021 s n ^�a A PHOTO , f?ROJEGT% aZONING;'D 9TA rv�p` '`4_- W Z ei TAX MAP# 1000-80-3-16 �I w} MEAN HIGH WATER ZONING DISTRICT R-40 NG m z EXIST. ISTORY o RESIDENCE MARK I TIE LINE LOT AREA O5 ACRES x m rno FEMA FLOOD ZONE AE 0 o 0 Z am I WETLAND5 DISTRICT Y 0 x p 48'1 HEIGHT FENCE I DEG DISTRICT NON-JURISDICTION 4 w AROUND EDGE OF s o RAISED PATIO I O7Q 51TE LAYOUT NOTES Z el THIS I5 AN ARCHITECT'S SITE PLAN 4 IS 5UBJECT TO VERIFICATION BY A LICENSED m J N NEW STAIRS I LL W v3 SURVEYOR THE INFORMATION m NEW RAISED PATIO REPRE5ENTEO ON TH15 SITE PLAN 15 TO THE r m (IMPERVIOUS PAVERS) ARCHITECT'S BEST OF KNOWLEDGE �g C EXIST. BULKHEAD 1 2,SURVEY INFORMATION WAS OBTAINED _ FROM A SURVEY DATED NOVEMBER 2020 wm -- i— I AND PREPARED BY: _ _ _ _ III=1 EXISTING=1 I 1=1 I I-1 =1 I 1=1 1=III_—I�1=III=III=III=III=111=I 1=J 1=111=I I I=III=III=III=III=I I= _—_______—______ — — — — — MICHAEL W MINTO,L 5 P G `w' 1=1I 1= EARTH �=1I II �I I I, L,I I-111=111-111=1 1--11 1=I I=11=I 1111 Ill I!—J 1=I I I-II=LI E—_I I—III—L—I LI—I I I-1I I—I I—I1J—III—I 11—III—III—III—I�=I I1=I— — — —= = = 81 WOODVIEW LANE 111-EL: 6.22111=I I I=L=III ill— 1=111=111=J�=III=III=III=111=III=111=III=111=III=111=111=III=111=1=III=111=111=111=i1�=111i 111=III=111-1 111=111=111=111=I�=III-1I Il I=III EL: 3.03 GENTEREAGH,NY. II'720 — — — — — — — — — — — — — — — — — — — — — — — — — — TELEPHONE (63U 580-1202 Q SELF-CLOSING GATE W/ ALARM I I SITE ELEVATION \ r 51-ALE.SAW=P-o" j� fs LOT-G�OVERAGE DESCRIPTION(FOOTPRINT) AREA %LOT COVERAGE MAY - 6 2021 TOTAL LOT AREA 11,665.0 S.F. EXISTING BUILDING 1,8010 5F 15,4% CUi,i1;;,1U 4:wn PROPOSED RAISED PATIO 5280 SF 45% BioiTf" '2S EX15T.GONG. TOTAL AREA OF ALL STRUCTURES :25:2-10 5 F 200% (TO BE REMOVED EXIST OUTDOOR 5HONER 48"HEIGHT FENCE (TO BE RELOCATED) f "*MAXIMUM LOT COVERAGE ALLOWED-20% OUTDOOR L5HOWER RA OCATED SED PATIO OF 8 EXIST WATER SUPPLY LINE, TO MAINTAIN 10'MIN. N22°24'00"W —5€PARA�49i F - - - - - _ _ _ _ _ _ _ 5EWAGE DISPOSAL SYSTEM - lo --------------------- --I o-4- N O e T PROJECT: O EXISTING 10'SIDEYAEE SE'TBAGK I I, 186' X - - SCISCENTE GRAVEL c EXISTING J� DRIVEWAY MI to ,� RESIDENCE s FLOATING 1lo'xNl5' Iw DOCK NEW 1.1 —� E.P L P y 405 LAKE AVENUE PROP �x 1 A6 POOL 1 y ��a OI`� E.P �, EXISTING C` s SOUTHOLD,NY 11971 y CE LEP NEW NEW / ` � l STORESIR ENRAME 1 I Iao' t9 L P a NEW O ys DRAWING TITLE: L P "}EN RAISED PATIO m EXISTIN6 2 SITE PLAN&ZONING DATA �T f PROP a (IMPERVIOUS It� A BULKHEAD ,v NEW v In PAVERS) n Z PROPERTY ELEVATION LP ; ALARMS ON In I //a, ; ALL SLIDING EXISTIN6 rn 0 NIW 7�i� \ X p DOORS go, RAMP P ,5 _ Z _ _ _ Ib b' m PAGE: T f �\0\ 15'SIPI RD SETBACK O gT - - p NEW ON-GRADE MHN at face of TRUSTEES F . DN o MA50NRY PATIO Bulkhead SELF-CLOSING (PERVIOUS PAVERS) a_ GATE N/ALARM 1 py 3 DATE 05/ -Q1 - -N - - - - o 521°58'45"W I 200 89' + REMOVE EXIST DROP DEMOLISH RELOCATED DRY WELL II O� t• INLET 4 DRYWELL EXIST FENCE 4 (NOT INCLUDED IN SCOPE REMOVE EXIST CURB 4 PORTION RETAINING WALL OF SEPTIC SUBM15510N), OF GRAVEL DRIVEWAY RELOCATION MUST REMOVE 4 RESET EXIST. RESPECT ALL REO'D COBBLESTONE CURB AS 5ETBACK5 AND REMAIN Y3 REG'D(NOTE MODIFICATION MIN 2'-0"ABOVE HIGHEST ~ OF DRIVENAY SHAPE) RECORDED GW LEVEL SITE PLAN 'I SCALE I'-O'=10'-0• �� 0374ab _ I azo � W J � y Z Y O 00 _....................................^....W„�^ .. m 00J J a� Y }(� p �W� M r.-D Lo X30 I ', Q I w U I NW SALTWATER I VER5A-LOK a E n I CONCRETE UNITS I POOL TO BE I (05T PAVERS) INSTALLED IN AREA I (LATHAM POOLS GTL) I I VER5A-LOK � CONCRETE UNITS y EXISTING (GST PAVERS HOUSE — NOT PART OF THIS i FILING 1 PROVIDE LAN SAND FILL O I PROJ ECT: w I SCISCENTE RESIDENCE 405 LAKE AVENUE SOU HOLD,NY 11971 AWING WLE- �. FOUNDATION PLAN io , PAGE: ...... CHEEK WALLS A-101.00 MAY 1i 2021 „ ._ POUNPATION PLAN � ,;,r UNAUTHORIZED ALTERATION OR ADDITION THE EXISTENCE OF RIGHTS OF WAY TO THIS SURVEY IS A VIOLATION OF AND/OR EASEMENTS OF RECORD IF DRAWN MM CHECKED MM I DATE NOV. 2020 DRAWING &JOB NO. 20-1104 SECTION 7209 OF THE NEW YORK -STATE ANY, NOT .SHOWN ARE NOT EDUCATION LAW. GUARANTEED. ELEVATIONS REFER TO NAVD 1988. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR Premises known as: EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. # 405 Lake Avenue Drive, Southold GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND' TO THE ASSIGNEES OF THE LENDING INSTI— TUTION. GUARANTEES ARE NOT TRANSFERABLE. _ � C� � � � � Yachf $ Area= 11,665 s.f. D astr) S79"45'20,,E Test Hole Data- . APR - 2 2021 59,48' Acual Provided by: McDonald Geoscience 6-11-19 (S79'36 f - 60.00' ) floating EL=5:5 Southold Town ) dock 31— MIXED SAND, LOAM; DEBRIS I Board of Truste F0 d Nail Bulkhe°d (6p,) \t pile BROWN FINE TO"MEDIUM SAND (SP) a, romp 3.7' EL=1.8 � AF ��� ro /_AfHW at face of Bulkhead WATER IN BROWN FINE TO MEDIUM SAND (SP) 3�;� oc a utility"' k ti c`, ��c Post �C,2zr� 8' WATER ENCOUNTERED 3.7' BELOW GRADE v h k' o masonry M" retaining -°j' Wall ,40 ry " 8b AC1111 v k 93g .qj V oB � R me 0 Nlm°ey A. 4 3 9 �o o 00 1?00, feq arbor s r%/ni g CO ria// d- � gravel - 76 0 °und Monument�o ro o� dIlewoy /�e1 0• a h S (. apro x% CJ 105 hn/ x' k Lam, asphalt y fence Pavement cudcobblest°ne °�o°d fence ^ (tcyke pr,v� Ve U� BO 0 '0 R°Qc/ Survey of Lot 5 'MAP OF RE—SUBDIVISION OF BLOCK "F" Certified to: OF MAP OF REYDON SHORES CHICAGO TITLE INSURANCE COMPANY FILED OCTOBER 7, 1936 AS 'FILE NO. 1215 LAND BARON ABSTRACT (LB15930) situate in the MICHAEL SCISCENTE AND M_ARYBETH P.- SCISCENTE - Town of Southold Suffolk County, New York Michael W. Minto, L.S.P. C. District 1000 Section 80 Block 3 Lot 16 LICENSED PROFESSIONAL LAND SURvEybR NEW YORK STATE LICENSE NUMBER 050871 Scale 1 "= 30' Surveyed February 23, 2018 -87 Woodview Lane Updated November 25, 2020 Centereach, N.Y. 11720 GRAPHIC SCALE PHONE/FAX: (631) 580-1202 CELLULAR: (631) 766-9714 30 0 11 ao so izo EMAIL: mikeminto lspc®gmail;com ( IN FEET ) 1 inch = 30 ft. RCHITECTURE Operating Business Address:1075 Franklinville Road,Laurel,N.Y.11948 Business Phone (516)214-0160 LLC May 6, 2021 11_JI `tom I'� VJ Wetlands Permit Application , MAY — 6 2021 Sciscente Residence 405 Lake Avenue Southold Town Southold NY 11971 Board of Trustees SCTM: 1000-80-3-16 Project Description: Existing 1%story family home, 1,801 SF. Proposed raised patio, impervious pavers, 528 SF,with steps to ground. Relocated outdoor shower(4 x 4.8), approx. 30 ft landward. Self closing gate w. alarm at base of steps New on grade masonry patio, pervious pavers, 790 SF Fence around edge of raised patio,48" height fence. - I r Town Hall Annex i Michael J.Domino,President � '�_ John M.Bredeme er III Vice-President �® ' i '� 54375 Route 26 Y -° P.O.Box 1179 Glenn Goldsmith ,s Southold,New York 11971 +' A.Nicholas Krupski G - '_' Telephone(631)765-1892 Greg Williams �< '```/ �a'^� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Seciion For Office Use Only Coastal Erosion Permit Application D Wetland Permit Application -Administrative Permit APR —2 2021 Amendment/Transfer/ExtensiQn Received Application: - ----=-_T'4-Zi - Southold Town, Received Fee: $ -- Completed Application:. _--Board of Trustee Incomplete• ----- -__--- --- - SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _^ Coordination:(date sent): - �LWRP Consistency Asses met orm Sent:-__--- ✓ Date of Inspection:. --,h I ►�I_T _ " Receipt of CAC Report: Technical Review: T Public Hearing Held:'- _•I -ZI _ L__ Resolution: - Owner(s)Legal Name of Property (as shown on Deed): Marybeth Sciscente _ Mailing Address: 405 LAKE AVENUE DRIVE,SOUTHOLD,NY, 11971 Phone Number: (516) 301-8617 Suffolk County Tax Map Number: 1000 - SECTION 80 -BLOCK 3 -LOT 16 Property Location: 405 LAKE AVENUE DRIVE,SOUTHOLD,NY, 11971 (If necessary,provide LILCO'Pole#, distance to cross streets,and location) - - - AGENT(If applicable): AMP ARCHITECTURE a 1075 FRANKLINVILLE ROAD, LAUREL,NY, 11948 ' Mailing Address: Phone Number: (516) 214-0160 ;. i r Board of Trustees Application GENERAL DATA Land Area(in square feet): 11,665 S.F. Area Zoning: R-40 Previous use of property: _ 1 FAMILY RESIDENTIAL Intended use of property:.' 1 FAMILY RESIDENTIAL Covenants and Restrictions on property? Yes X _ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No o _ S Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No ` i 2 Prior permits/approvals for site improvements: h } Agency Date 04/19/05 CERTIFICATE OF OCCUPANCY#Z-30180 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): -NEW 10'X 15ABOVE GROUND POOL -NEW RAISED PATIO, 18'-7"x 27-10", 528 S.F. -NEW ON-GRADE MASONRY PATIO, 26'-10"x 29'-6", 549 S.F. -ABANDON EXIST. SEPTIC SYSTEM IN REAR YEAR,INSTALL NEW SEPTIC SYSTEM IN FRONT YARD r , 1 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: -NEW 10'X 15'ABOVE GROUND POOL -NEW RAISED PATIO, 18'-7"x 27-10",528 S.F. j -NEW ON-GRADE MASONRY PATIO,26'-10"x 29'-6",,549_S.F. -ABANDON EXIST. SEPTIC SYSTEM IN REAR YEAR,INSTALL NEW SEPTIC SYSTEM IN___ FRONT YARD i Area of wetlands on lot:_ 0 square feet Percent coverage of lot: 20.5 Closest distance between nearest existing structure and upland edge of wetlands: _ 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? X .No _ Yes s S If yes,how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited:, N/A feet Proposed slope throughout the area of operations: -3% Manner in which material will be removed or deposited.-- N/A 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): WETLANDS ON PROPERTY WILL NOT BE AFFECTED BY THE PROPOSED RECONSTRUCTION OF THE WOODEN DECK 61Z20 Appendix B Short Environmental Assessment Form :Instructions for,Comnleting, 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. a Part 1 Project anifSponsor Information r Name of Action or Project: SCISCENTE RESIDENCE s Project Location(describe,and attach a location map): a 405 LAKE AVENUE DRIVE,SOUTHOLD,NY, 11971 Brief Description of Proposed Action: r Y -NEW RAISED PATIO, 18'-7"x 27'-10", 528 S.F. -NEW ON-GRADE MASONRY PATIO,26'-10"x 29'-6", 549 S.F. s - NEW 10'X 15ABOVE GROUND POOL i -ABANDON EXIST.SEPTIC SYSTEM IN REAR YEAR,INSTALL NEW SEPTIC SYSTEM IN FRONT YARD f Name of Applicant or Sponsor: _ Telephone: (516) 214-0160 AMP ARCHITECTURE,PLLC. E-Mail:, aportillo@amparchitect.com Address: 1075 FRANKLINVILLE ROAD City/KO State; Zip Code: LAUREL N.Y. 11948 ].'Does the proposed-action only involve the legislative adoption of a plan,local law,ordinance, ,NO €YE5 administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that x 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 finding from any other governmental Agency? NO 1 YES If Yes,list agency(s)name and permit or approval. �' Building Department Qf 3.a.Total acreage of the site of the proposed action? .01 acres b.Total acreage to be physically disturbed? .01 ,acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 27 _acres 4. Check all land uses that occur on,adjoining and near the proposed action. E]Urban E:1 Rural(non-agriculture) ❑Industrial [—]Commercial ❑x Residential(suburban) El Forest ❑Agriculture ElAquatic El Other(specify): ❑Parkland Page 1 of 4 I f1 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑X l❑J 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ X❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:' _ ❑ ' tom' 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES Q Q b.Are public transportation service(s)available at or near the site of the proposed action? Xf' ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 1771X F. 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: MEETS CODE ❑'; X❑ 10. Will the proposed-action connect to an existing public/private water supply? - -3 NO E YES" If No,describe method for providing potable water. (--''�_ X ; M 3© f 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ( X 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO ";YES' Places? JZX 1 I E❑ b. Is the proposed action located in an archeological sensitive area? 1:= X 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? 1 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 acresx< 1" 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 X1 Wetland ❑Urban ❑x 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? _a 16. Is the project site located in the 100 year flood plain? NO YES' X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES' If Yes, j—X� a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES L 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 -,............................ .......... . .......... ...... ...... .............. ...................................................11-1-1111,............ .............. 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES - -- ------------- water or other liquids(e.g.retention pond,waste lagoon,clarn)? IfYes,explain purpose and size: ... .................................. r----1 .........................................................---......................... .................................. --- ----------------- .......... ............-........... --—-------------- 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? IfYes,describe: ......................... ................................ ...... ......................- Ex] 0 ................ ................ I.......................................................................................... ...............- ...................... ------------------------ ...................-............... ........................ "I'l""I'll""I'll'll""I'll""I'll'I................................................------ .......... ........................... 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? IfYes,describe:...................-- -------........................ ...... ... ......... ................... .... .................................. ®R El I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE tt Applicant/sons JX�,S')(-(k I I ---------........ Signature: ---------------...._........ m._ 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 small to large impact impact may may occur occur .................. I. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ...................... ... ............"I'll.... ........................ ............................................................. .... ............ ............... .............. 2. Will the proposed action result in a change in the use or intensity Of USC of land? .............................................................................................------- ...................... ......................................... .............. ............................. --------- 3. Will the proposed action impair the character or quality of the existing community? ..........................—----- ............. 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? E] ......... .....I'll............... .......... .......... .......... 5. Will the proposed action result in an adverse change in the existing level of traffic or affect exng 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 reasonably available energy conservation or renewable eneE rt -----............. -__-_____ Y----- _2pp0 unities? -111-....... 7. Will the proposed action impact existing: a. public/private water supplies? El b.public/private wastewater treatment utilities? ............."I'l""I'll""I'll'll""I'llI.............. .......... ----.........."I'll, ... ...... . ........... ................ ......... .... ....... . ...... 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? F-14, L--1 .......... --y_....-.-............... .......................9. Will the proposed action result in aadverse change to natural resources(e.g., wetlands, waterbodies,groundwater, air qualit , flora and filUna)? EJ ............. ............-.1 -------------------------------------- ------................ ............... Page 3 of 4 m. . . _ ..... _ _ .......... m.m �_ rs. No, .or ....Moderate small to large impact impact may may occur occur Will the �o osed action result in an increase in thepotentia����� � ������•� —�__ _ —.� .. 10. p p l for erosion,flooding or drainage problei 11. W II the s ro osed action create a hazard to environmental resources or human p p health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-tern, long-term and cumulative impacts. Check this proposed ....��� ,i . .aati _ i a ,a uppo...t.docum. ......... Check this box if You have determined,based on Y1te'information and afrr rNv�,ts above,and any supporting documentation, Y action may result in one or more potentially large or significant adverse impacts and an ,environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold Board of Trustees Name of Lead �riaency D1le fwy President w a a"row Print 4T" pe l'�itrrr tr1 °°es ponsible Officer in Lead Agency Title of Responsible Officer Signature of R Si,, esponsible flwer in Lead Agency Signature of Preparer(if different fi°om Responsible Officer) PRINT Page 4 of Board of Trustees Application AFFIDAVIT I .AVIT BEING DMY SWORN , DEPOSES,AND AFFIRMS THAT HE/SHE IS THE A"LIC;ANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE T121.7E TO THE BEST OF IS/ ER KNOWLEDGE AND BELIE`,AND TRAIT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE,S€3UTHOLD TOWN BOARD CDF"TRV8TEES. TMAPPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AN D THE BOARD OF TRUSTEES HARMLESS AND FREE,FROM,ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF :GRAN'T'ED. IN COMPLETING LE'TING THIS APPLICATION,ATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR ACBENT(S)`CDR REPRESENTATIVES,INCLUDING-THE C ONSk VATICDN ADVISORY COUNCIL,TO ENTER ONTO ICY PROPERTY TO INSPECT"TETE PREMISES IN CONJUNCTION C;TION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION.. I FURTHER AUTHORIZE`T' E BOAR OF TRUSTEES'TCI'ENTER'ONTCD MY PROPERTY ANTI AS,REQUIRED TO INSURE COMPLIANCE PLIANC>E WITH ANY CONDITION OF ANY WETLAND OR:COA:STAL EROSION PERMIT ISSUED DY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature ofproperty bv6eil Signature ofPropertyOwner SWORIN TO BEFORE ISE THIS r ,I}A SI OF _Gdo��.T',- ; 20 .�r_ r _07,/£3 U036 fkjelcm V0,k tM3N!}c INS t.' "=c-IVO Notary Pubii c -M -7�,N'C a iz ork 3207 r-miPnty con",i lisslon Exph.,s 1011B126-2,1 Board of Trustees kpplication AUT ZATI N (Where the applicant is not the owner) IIWe, ��� t AS C,qtC owners,of the property identified as SCTMg`1000- 80-3-16 in the town of .GZ.$til0( ,.New York,hereby authorizes AMP Architecture to act as,my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. ( gi - Property Properly Owner`s Si ayure Owner's Signature S WORN'TO BEFORE ME THIS ����,DAY OF C Notary-Publicc,.,f E _ t I APPLICANT/ON'VNER 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: C'/, C cv,re., moaYt ih,SC1qL ` (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,`such as-a company.If sojudicate the other,person's or company's name.) TYPE OF APPLICATION:(Check all that apply) ,! ,Tax"grievance Building Permit € Variance Trustee Permit Change of Zone Coastal Erosion ,Approval of Plat Mooring Other(activity) Plauning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee.oi the Town of Southold?"Relationship"`includes by blood,marr'iag�,or business,interest."Business interest"' means a business,including a par".tnership,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 the shares. YES NO ll 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 tbe'relationship betweeniyourself(the applicant/agent/representative)and the town officer or employee.Either check the:appropriate'line A)through D)and/or describe,M 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 that 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:apon-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 day of ,20 `�t' Y Signature Print Name IWAL2 -?�i� ,- � 1C7Vt. C C:Is/ . IJr Glenn Goldsmith, President y�QSUFFf7('YCOG Town Hall Annex A.Nicholas Krupski,Vice President �'�� y��j 54375 Route 25 John M.Bredemeyer III � P.O.Box 1179 Michael J.DominoSouthold,NY 11971 Greg Williams p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 6, 2021 AMP Architecture LLC 1075 Franklinville Road Laurel, NY 11948 Re: Board of Trustees Application of Marybeth Sciscente 405 Lake Avenue, Southold SCTM# 1000-80-3-16 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 meeting date approaches for the latest meeting agenda and videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. Very Truly Yours, v Glenn Goldsmith,4Pre Board of Trustees Glenn Goldsmith, President , �\O COG Town Hall Annex A.Nicholas Krupski, Vice President �}�� y� 54375 Route 25 John M. Bredemeyer III i7 P.O. Box 1179 Michael J. Domino ,� ® ��rr' Southold,NY 11971 Greg Williams `;� 0� ���;Y' 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@southbldtownny.gov and diane.disalvo@town.southold.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.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) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit. https://www.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�S fFQ(' COG Town Hall Annex A.Nicholas Krupski,Vice President �� y� 54375 Route 25 John M.Bredemeyer III P.O. Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams yha �pl�j 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: ed - 3-- i7 S10 - 3 -- �� - y - y STATE OF NEW YORK COUNTY OF'SUFFOLK residing at being duly sworn, deposes and says that on the day of ,20____, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public Glenn Goldsmith,President 'e SVFF704 CSG h Town Hall Annex , A.Nicholas Krupski,Vice President bi,,� 2f� 54375 Route 25 h John M. Bredemeyer IIIyam`, } P.O.Box 1179 Michael J.Domino • � Southold,NY 11971 Greg Williams y �ap'r.�Y Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MARYBETH SCISCENTE 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 ��residing at/dba 1�� YC,lY1dinV111-Q 2d I-(��X�I 1�! 1l��•I � being duly sworn, depose and say: That on the day of M(�� , 201 , I personally posted the property known as HOF)' Luz 1DY. Sa �)-M kd NSI 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: (signa e) Sworn tonp0c%� re me this ' r�day o (A"—� Deboffib0dow9kl Notary Public,State of New York No.01OR6280392 Qualified in Suffolk County Notary Public .,N yYia�.` C=WsslonExpires05/13/20,2 COMPLETE •N COMPLETE THIS SECTIONON ■ Complete items-t ,'and 3. A. Signature } ■ Print your-narrl address on the reverse X C gent i so khat we earl turn the card to you. ❑Addressee (Panted Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, B. Received by(P or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑No CuS ��e�i"e,r 390 L-a - Id N-71 I{ I` 3. Service Type ❑Priority Mail Express® I II IIIIII IIII III III I II II I III III II I I IIIIII III ❑Adult Signature ❑Registered MailTM E3R Adult Signature Restricted Delivery ❑Registered Mail Restricted Certified Mail® Delivery 9590 9402 6358 0296 0370 50 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTm I ❑Collect on Delivery ❑Signature Confirmation j_ 2. Article Number(Transfer from service label ❑Collect on Delwery Restricted Delivery Restricted Delivery ! — ——�–----- – r,, ..^i Mail 7020 2450. 0002 3 3 5 7 18941 500)it Restricted Delivery C PS Form 3811,July 2020 PSN 7530-02-000-9053, Domestic Return Receipt SENQ�R,. COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY j ■ Complete items 1,2,and 3. A. Srg a/fure / I i ■ Print your name and address on the reverse X / f / 0 Agent I i I so that we can return the card to you. i VVV ❑Addressee ■ Attach this card to the back of the mailpiece, B.' ec-iv by(Printed Name) Date of Delivery or on the front if space permits. j 1. Article Addressed to: D. Is delivery addresst rom item 1? ❑Yes If YES,enter r -ty, drgsskelow: ❑ No 14 3. Service Type Priority Mail Express® II I IIIIII Ilil III I III I II II I III II I I II I I III III III ❑Adult Signature ❑Registered Mail ❑Adult Signature Restricted Delivery ❑ Restricted Mail Restricted XCertified Mail® Delivery 9590 9402 6358 0296 0370 74 El Certified Mail Restricted Delivery E]Signature ConfirmationTm ❑Collect on Delivery ❑Signature Confirmation 1r2._Article_NUmber'(Transfer from servica'lab-el)- _-_:_–: ❑Collect on Delivery Restricted Delivery Restricted Delivery F7---Mail ., I} 7020 2 4 5 0 0 0 0 2' 3 3 5 7 18 5 6 `- >ail Restricted Dervery � PS Form 3811,July 2020 PSN 7530-02-000-9053 _— Domestic Return Receipt ! sccsr.��rTer PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: PU C& �� Address: STATE OF NEW YORK COUNTY OF`SUFFOLK kchZ° s ,residing at rGn�liny�lie Rd C 1 , being duly-swam, deposes and says that on the 10 day of , 20kL-deponent mailed a true copy of the Notice set forth in the Board of Trdstees Application, directed to each of the above named persons at the addresses set opposite there respective naives; 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 Lav that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. " 47 ,Sworn to Wore me this l Day of 20 p2, Notary Public BARBARA H. TANDY Notary Public,State Of New York No. 01 TA6086001 (qualified in Suffolk County �7 Commission Expires 01/13/20 a ARCHrFEMRE Operating Business Address:1075 Franklinville Rd,Laurel NY 11948 p"W Brooklyn Office:204 25"'St,Suite 203,Brooklyn,NY 11232 Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 80-3-15 335Lake Drive LLC 135 Whitehall Blvd Garden City NY 11530 80-3-17 Jean Graham 1221 Hillsboro Mile#29A Hillsboro Beach, FL 22051 80-3-21.1 Reydon Shores Prop Assn. PO Box 1693 Southold NY 11971 80-4-4 Gus Mueller 390 Lake Dr Southold NY 11971 r-- fU.S. ■ • Postal f CERTIFIED o ■ CERTIFIED MAIL@ RECEIPT ®. • ta. Only— Er ro3 C13•SDu Sys 11 n •'D •e )a r., �°�°'' �' � A L U �II rt y LU Is -7 ",E:: Certified Mail Fee in Certified Mail Fee q `^ �3.6i1 11943 r �$3a60 0948 M Extra Services&Fees(checkbox,add fee ppp ate) m' Extra Services&Fees(checkbox,add res$)jPpfggpate) []Return Receipt(hardcopy) $ ��t• - • ❑Retum Receipt(hardcopy) $ AA�e LL������ O ❑Return Receipt(electronic) $ $I I.00 Postmark' .'❑Return Receipt(electronic) - $ t t.I_I,I ' Postmark'- ❑Certified Mail Restricted Delivery $ '$-0fill- ' � Here _� - 0 ❑Certlfled Mall Restricted Delivery $' di.0 UUI 'Here-' ' ❑Adult Signature Required $ ate _ El Adult Signature Regwred $ 7 1 LJ I ,t �•7 ° ❑Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ -i • C3 Postage c O• Postage_' $11.7c iPl $ 05/1 i 1/2021 i � $ 05/14/2021 ; ru Total Postage and Fed s�4 ru Total Postage and S 2)_I $ O Sent To Sent N 1 (A f1J - rr��llcc 1 `r i O S T WJ, 1 { IIA��III --- �4� - = = ------------------------ Cl Sveet andAgt; :,-or PO Box oi O Street an t or P B N U Labe- Dc' ==== PL ---------- ------ r�__Mlle- a = City State,Zld lC� I Crty,State ZP+4 �� ^ :ee • e e eee.,. :ee a eee PostalWIN Servicib U.1S.:Postal Service RTIFIEDI MAIL@ RECEIPT CE • o i ..0 D, Only r •° , „ th �O g , i OLL Irl Certified Mail Fee $3.60'CO 119,E„ r� i 1943 8c I;J5e uT Certified MatI Fee '$3.6j 1 Rl $' �s M $ ,) c 4c Rl Extra Services&Fees(checkbox,edd tee 9 er.tru , rTl I ❑Return Racal (hardcopy) '$ '9 1 �i�t�1 Extra Services&Fees(check box,odd fee�s gpp are) j(_j x11 Postmark ❑ Return Receipt(hardcopy) pe'' • Return Receipt(electronic) $ fl I If ddt int Here ❑Return Receipt(electronic) $ Postmark '' -❑Certified Mail Restricted Delivery $ � E:3 rkll Here I ❑AdultSignatureRequired ' $ j}= ❑Certified Mali Restricted Delivery $ �1�1 , [:]Adult Signature Required $ e � r, []Adult signature ResMcted Delivery$ F1 Adult Signature Restricted Delivery$ _ i -- p Postage $0.75, -_ En Postage ' j l07� i Ln $ '05/11 x/2021 Ln $ 11 /14/2421 --I- Total Postage and F�esys?10• I N Total Postage and Feels 74 ru $ „ y' Sent To D sent •�yy�� /po�yyp }�f I N I� ------, "{'----- - - Ill - - - C3 SfreeItanifRP Olo..o PO Box o - y -- QIYf ' , ® O Street and t No„(or,�PpO OXX�N j — --- Iti � p L1Il�.t_tLk�l - ------------------ - Crry State, + -----------1 City State IP+4® t 1 :e e a e e •e e•e :ee e 1 e• ee••e ___ __F____H__E_A_R 1_N_G_ 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: MARYBETH SCISCENTE SUBJECT OF PUBLIC HEARING: For an Amendment to Wetland Permit #9823 for the existing 1,801sq.ft., 1 % story dwelling; construct a new 10'x15' above ground pool with new 528sq.ft. raised patio using impervious pavers around pool with steps to ground; install 48" high pool enclosure fencing around edges of raised patio and a self-closing gate with alarm at base of steps; relocate existing 4'x4.8' outdoor shower approximately 30' landward; install an on-grade 790sq.ft. masonry patio using pervious pavers; and abandon existing sanitary system in rear yard and install new septic system in front yard. Located: 405 Lake Avenue, ,- Southold. SCTM# 1000-80-3-16 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 f ) _J Town of Southold QWRP'CONSISTENCy.ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for ; proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed 'actions will be evaluak�h as ;to =its �siga, beneficial and.adverse e`focts Won t,he�eoas�l& a:,W_ ichfiOudes all of.Sbtithold`Toym . 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 Angwer-,must bg gy&n&d.'in detail:'lisfim,both IURT)21:92 and- Sup nd- ;ss Romain faets. If an action cannot be certified as consistent'with the LWRP policy st&fdarcls and conditions, it shall ncit le,�detaken t r 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 a SCTM# 80 3 16 PROJECT NAME SCISCENTE 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: -NEW RAISED PATIO 18'-7"x 27-10", 529 S F -NEW ON-GRADE MASONRY PATIO, 26'-10"x 29'-6",549 S.F. -ABANDON EXIST. SEPTIC SYSTEM IN REAR YEAR,INSTALL NEW SEPTIC SYSTEM IN FRONT YARD Location of action: 405 LAKE AVENUE DRIVE,SOUTHOLD,NY, 11971 Site acreage: •27 Present land use: SINGLE-FAMILY USE 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: AMP ARCHITECTURE,PLLC f (b) Mailing address: 1075 FRANKLINVILLE ROAD,LAUREL,NY, 11948 " (c) Telephone number: Area Code( (516) 214-0160 ,A k (d) Application number,if an, Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes El, No f If yes,which state or federal agency? s C. Evaluate the project to the following policies by analyzing how the projectwill-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. IE''6'ELOP]9D3'r+COAS 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. El Yes No [:] Not Applicable THE PROPOSED RECONSTRUCTED DECK MAINTAINS THE COMMUNITY.CHARACTER,PRESERVES. OPEN SPACE,.MAKES EFFICIENT USE OF INFRASTRUCTURE AND GOOD USE OF THE COASTAL LOCATION AND MINIMIZED ADVERSE EFFECTS OF DEVELOPMENT. 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 F1 Yes 1-1 No X❑ Not Applicable 0 THE PROPERTY HAS NO HISTROIC OR ARCHAEOLOGICAL RESOURCES. 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 No 0 Not Applicable Yes ❑ THERE ARE NO SCENIC RESOURCES ON THE PROPERTY TO PR T Attach additional sheets if necessary NATURAL,COAST POLICIES 4 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 X ` Yes„LJ No ❑ Not Applicable EXISTING BULKHEAD MINIMIZES LOSS FROM FLOODING AND EROSION,NOT LOCATED 1N CEH Attach additional sheets if necessary ; Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No F1 Not Applicable 'NEW SEPTIC TANKS WILL IMPROVE THE WATER QUALITY AND SUPPLY BECUASE IT WILL MEET SCDHS STANDARDS UNLIKE THE EXIST.SEPTIC SYSTEM. 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. ❑ ❑ I"1 0 Yes No Not Applicable PROPERTY-IS-NOT LOCATED IN THE WETLANDS NOR WILL WORK INTERUP COASTAL FISH AND WILDLIFE Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies 4 Pages 32 through 34 for evaluation criteria. Y � 3 ,Q Yes 'LJ No;o Not Applicable PROPOSED WORK WILL NOT AFFECT AIR QUALITY. 4 _ S 3 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. [K]Yes L. 1 No ❑ Not Applicable ALL WASTE IS CONTROLLE AND ALL CONSTRUCTION DEBRI WILL BE DISPOSED OF PROPERLY x 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. ❑. Ye�j No 0 Not Applicable THIS IS A PRIVATE PROPERTY THAT HAS NO PUBLIC ACCESS OR AFFECTS PUBLIC SPACES,NOR ITS NEIGHBORS. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Q Yes ❑ No ❑ Not Applicable RECONSTRUCTED DECK AND NEW SEPTIC SYSTEM ARE LOCATED ON A PRIVATE RESIDENTIAL SITE,DOES NOT AFFECT NATURAL SHORELINE OR WATER AREAS. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No❑ Not Applicable ` RECONSTRUCTED DECK AND NEW SEPTIC SYSTEM WILL NOT INTERFERE WITH MARINE RESOURCES. 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 El Not Applicable THIS IS A PRIVATE RESIDENTIAL SITE THAT HAS NO AGRICULTURAL LANDS. 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. F] Yes ❑ No � Not Applicable RECONSTRUCTED DECK AND SEPTIC SYSTEM DO NOT APPLY TO ENERGY CODES. � l PREPARED BY TITLE �rn nI My� t5/DATE J Operating Business Address:1075 Franklinville Rd,Laurel NY 11948 4RCHrrEMREBrooklyn Office:450 95"'St,C9,Brooklyn,NY 11209 c Laurel Office:1075 Franklinville Rd,Laurel NY 11948 Business Phone:(516)214-0160 Anthony Portillo:(716)572-4741 April 2,2021 R Southold Town Trustees ; APR ® 2 2021 P.O. Box 1179 Southold NY 11971 Southold Town Board of Trustees RE:Wetlands Permit Application Marybeth Sciscente 405 Lake Ave Southold, NY 11971 Dear Diane and Elizabeth, Enclosed is the following: Updated/Amended Trustees Application showing the new above ground pool and deck dimensions. Thank you, Jessica Magee AMP Architecture,PLLC Administrative Coordinator Office: 516-214-0160 Email.jmagee@amparchitect.com Glenn Goldsmith,President �QF SD(/ly Town Hall Annex A. Nicholas Krupski,Vice President hQ� Ol0 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 BOARD OF TOWN TRUSTEES ---- ---- ---- - - --- - -�-- - - - ------------- -- ---- ----TOWi�T-flF-SOU�HOL-D--- - ---- - - ----- -- - -- - --- ---- ---- - ---------- SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF-TRUSTEES 72 HOURS' PRIG_ R TO C_ OMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW' INSPECTION SCHEDULE Pre-construction,'hay bale line/silt bbom/silt curtain 1St day of construction- % constructed When project complete, call for compliance inspection; MA BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9823 DATE: FEBRUARY 17,2021 ISSUED TO: MARYBETH SCISCENTE PROPERTY ADDRESS: 405 LAKE AVENUE,SOUTHOLD SCTM# 1000-80-3-16 1 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 February 17,2021 and in consideration of application fee in the sum of$250.00 paid by MaEybeth Sciscente and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the 1.5 following: 5 Wetland Permit to reconstruct existing 201-3.5'lx291-3.511(593sq.ft.)seaward side wood deck with new 10'x16' fiberglass pool; install a new 1717'lx281011 (358sq.ft.) masonry patio seaward of deck; and to abandon the existing sanitary system in rear yard and install new septic system in front yard; with the condition of sound screening for the pool equipment,that the pool be saltwater; that backwash be tied into an existing drywelI; and as depicted on the site plan prepared by AMP Architecture,PLLC received on February 10,2021,and stamped approved I on February 17,2021. 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 17th day of February,2021. 55 C) 9 t S-42 TERMS AND CONDITIONS The Permittee Marvbeth Sciscente, residing at 405 Lake Avenue, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President �QF SOUK, Town Hall Annex A.Nicholas Krupski,Vice President ,`O� O- 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III l [ Southold,New York 11971 Michael J.Domino c/> >e G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 A.0 i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 23, 2021 Anthony Portillo AMP Architecture, PLLC 1075 Franklin_ville Road Laurel, NY 11948 RE: MARYBETH SCISCENTE 406-LAKE AVENUE, SOUTHOLD SCTM# 1000=80-3-16 Dear Mr. Portillo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 17, 2021`r6garding'the`above matter:' WHEREAS, AMP Architecture, on behalf of MARYBETH SCISCENTE 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 December 24, 2020, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the construction of new 10'x16'fiberglass pool; install a-new 17'7"x28'0" (358sq.ft.) masonry patio seaward of deck; and to abandon the existing sanitary system in rear yard and install new septic system in front yard be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the deck be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has1urthered the Local Waterfront Revitalization Program policy 6.3 to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structure; and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 17, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of.Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of MARYBETH SCISCENTE to reconstruct existing 20'-3.5"x29'-3.5" (593sq.ft.) seaward side,wood deck with new 10'x16' fiberglass pool; install a new 177"x28'0" (358sq.ft.) masonry patio seaward of deck; and to abandon the existing sanitary system in rear yard and install new septic system in front yard; with the condition of sound screening for the pool equipment, that the pool be saltwater; that backwash be tied into an existing drywell; and as depicted on the site plan prepared by- AMP Architecture, PLLC received on February 10, 2021, and stamped approved on February 17, 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 Inspections are-required at-a fee of$50.00 perinspection. (See attached schedule.) Fees: $50.00 Very truly yours, 4 Glenn Asmith" President, Board of Trustees GG/dd o��gUFFOLK�oG Glenn Goldsmith, President �� d Town Hall Annex A Nicholas Krupski, Vice-Presidenty $ 54375 Route 25 John M. Bredemeyer, III o '^ P.O. Box 1179 Michael J. Domino �.dj o�� Southold, NY 11971 Greg Williams Ol ' �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD� TO: MARYBETH SCISCENTE c/o AMP ARCHITECTURE Please be advised that your application dated December 24, 2020 has been reviewed by this Board at the regular meeting of February 17, 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) 1St Day of Construction ($50.00) %Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) 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 Z64 Board of Trustees �� -,*"�= bPieai^cONNF tar zo LU TAX MAP'S 1000-80-3-16 MEAN HIGH WATER ZONING D15TRICT R-40 NG z EXIST, 12 STORY MARK & TIE LINE RESIDENCE Lor AREA 0.3 ACRES § J I � Y 1 FEMA FLOOD ZONE AE y U)m am WETLANDS DISTRICT Y I ¢ 4 I DEC, DISTRICT NON-JURISDICTION z¢ J V4 REGONSTRUGTED SITE 1 AYrOUT NOTES TECT-5 51TE ¢ DECK 1 SUBJECT TO VERTH15 IS AN IIFICATION BY A LICENSED U_w 1 SURVEYOR. THE INFORMATION NEW STAIRS ti REPRESENTED ON THI5 SITE PLAN 15 TO THE ARCHITECT'S BEST OF KNOWLEDGE. g C EXIST. BULKHEAD I 2.SURVEY INFORMATION WA5 OBTAINED FROM A SURVEY DATED NOVEMBER 2020 � - AND PREPARED BY: 2 =111 — MICHAEL W.MINTO,L 5 P.G. _ _ _ �_ — _ _ = 1_ 51 WOODVIEW LANE = 3 III I i — _EXISTING = _ _ — =III=T=III=III=11=III=III=III=III=11 ElII=III=all=11=111=III=III=III—III=I�=III=11l=III=III=III=III=l11=III—III—III—III__II I I =_ — — --_ 11=III—III=III- I—III—III „III ,Ill;i f l _ — J II=III=III=�IEARTH _�=III=1 EL: 6 221 X111=III�lll III IIIA�Il i III=111=111=111 III�II1�111 11 111=111=Iz Fir= II _Ila—�III=1�1=111=111 III=111�IIh�111=111 III=III X111=111=111 II 111=III=111��IIIA III EL: 3 O3 GENTEREAGH,N.Y. II r20 TELEPHONE- (631)580-1202 ¢ I I I ' I = -APPS! Y 1 "'BOARD ®F `f RUSTEES 51TE ELEVATION 51-ALE,3AW -0" :-TOWN OF-SOUTHOLD gl OT=GOV'',ERAC ,=r: x z; .; ,r;;a * k :u"'' _ A`�_ ' ^max =" ., _ DATE DESCRIPTION(FOOTPRINT) AREA %LOT ""'�I I`L &24 COVERAGE s TOTAL LOT AREA 11,665 0 5.F EXISTING BUILDING 1801.0 5F 154% K EXIST DECTO BE PROPOSED WOOD DECK 5250 SF 45% RECONSTRUCTED EXIST.CONG. EXIST OUTDOOR SHOWER TOTAL AREA OF ALL STRUCTURES 2329 O 5 F 200% (TO BE REMOVED (TO BE RELOCATED) g **MAXIMUM LOT COVERAGE ALLOWED-20% RELOCATED $ OUTDOOR SHOWER m EXIST WATER SUPPLY LINE, TO MAINTAIN 10'MIN. N22°24'00"W 195.05' SEWAGE DISP05AL SYSTEMs ---------- ---------------------- -------------------- PROJECT: 3- - 10 510EY.y SETBACK 1 .I' 180 T81, SCISCENTE z O EXISTING VEL EXISTING RESIDENCE D IRS EKAAY 10' to rAD MIN. o, n '18.0' 1 r O I !PROP. NEW / �p X \ E P PROP, �' 405 LAKE AVENUE LF E p I �% EXI5TING wm y ,w O SOUTHOLD,NY 11971 n \ 5TORY FRAME 1'� p 95 m LEP NEWNEW w RESIDENCE 1 --oDRAWING TITLE: L P LP �EW EXI5TZ SITE PLAN&ZONING DATA O F BULKHEt PROPERTY ELEVATION IPROPNEW p rnE•P• L,P/ I825'� PAGE: _15'5IDEYARD SETBACK NEW PATIO oP O4114 Ay L__ 521°s8'4s"W 200&9' REMOVE EXIST.DROP DEMOLISH RELOCATED DRY WELL INLET 4 DRYWELLFEB 1 EXIST FENCE 4 (NOT INCLUDED IN SCOPE REMOVE EXIST.CURB 4 PORTION RETAINING WALL OF SEPTIC SUBMI5510N), OF GRAVEL DRIVEWAY RELOCATION MUST RESPECT ALL REOV REMOVE 4 RESET EX15T SETBACKS AND REMAIN COBBLESTONE CURB AS MIN.2'-0"ABOVE HIGHEST Southold Town REO'D(NOTE MODIFICATION RECORDED OK LEVEL Board of Trustees ®374®� OF DRIVEWAY SHAPE) SITE PLAN xALE,I'-W-10'-0" 0� ��' Peter Cawla 135 Wifteltall Blvd Garden City., New York 1.1530 February 15,2021 To Whoin it May Concern: I am the owner of355 Lake Avenue(formerly Lake,Drive),and the next-door neighbor of Marybetb and Nfich-aO Sciscenw of 405 Lake Avenue,Southold, NY. I would like to express nty complete support for the Sciscent& application to improve their property. I am aware that they will he building a new deck to xplace the existing rotting,om;w;%voll as adding a 4-foot deep°`dipping"pool in the dock. I am also aware that they will be'snoving the old septic System currently�undcr the deck, to the front of the house. As my lot is currently unimproved,T'have also offered flicm complete access to use my](it to Assist:-,with the protlect,whether it bc foi parking vehicle'es,or equipment ae6ess,6r othenvise. Please let me know i II can b.-of furdier 'rhank yotL S111CO. ly yours. Principal of 355 lAke Drive I.'I.0 F EB 17 2021 Southold Town Board of Trustees FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24139 Date JANUARY 24, 1996 THIS CERTIFIES that the building ADDITION Location 'of Property 405 LAKE DRIVE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 3 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 25, 1993 pursuant to which Building Permit No. 21766-Z dated NOVEMBER 8, 1993 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ISMAIL EMEK & NILUFER NOBER (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ), 1-et/' B lding Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date..../ .. .............................................. 19. NA 21766 Z Permissio �s hereby granted t �; to.. lev....., ...: ..... .. e . .. . ......... ..........W..�.........•5%?•y•�-• . .... ��^����..M.................... I III / I ...........................1,(. .. .7. ..........�................................ ...VV.....rV... ..�dQ.........1.......�1. t �~ ............................................................ ....................................................................................... Xat premises located at.. . ... ..5..' Z� .......................................................... ,..... ...................... ............... .......................... GG County Tax Map No. 1000 Section.........OP ........ Block..........;:9.......... Lot No. ..Z.6................ pursuant to application dated ........ ............................. 19.. ...., and approved by the E ` Building Inspector. Fee$...... .. i Bullding Inspector Rev. 6/30/80 �o�oSu�Fo��-�oG d y� COD Town Hall,53095 Main Road p • Fax(516)765-1823 P. 0. Box 1179 y� �� Telephone (516)765-1802 Southold,New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 19, 1996 Mr. Emek Ismail 22 Elizabeth Drive Laurel Hollow, N.Y. 11791 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is not on file. $25.00 No Health Department Approval on file. 4 No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1964) . BUILDING PERMIT # 21766-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1302 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2 Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For ex=sting buildings (prior to April 9, 19f 57) non- uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property snowing all property wines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If- a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling S25.00, Alterations to dwelling 525.00, Swimming pool S25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - S100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - 550.00 5. Temporary Certw=irate of Occupancy - Residential 515.00, Commercial515.00 Date . . . . . . . . . ./���1.��. . . . . . . . . . . . . . . . . . . . . New Construction. .. .. . . . . Old Or Pre-existing Building. . . . . . . . . ..f. . . . . Location of Property.. . .. . . .Gu �. .��:r �.. . . . . . . . ?y4A . . t�'l�N5. . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . .-::I-Mr • sqv. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . � . . . . .Block. . . . . . . 0. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . .. . . !�`-.". . . . . . . . .?Filed ?jay. . . .":-::` .Loty�. . .-. . . . . . . . . . . _ . . . . . . ?ermit No. . . .r.( .!�+.6•:Date Of Permit. .IIJ�!l.�✓. . . . . . . .Applicant. . . . . ./ �y . . . . . . . . . . . . . . 3ealtn Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underw-riters approval. . . . . . . . . . . . . . . . . . . . . . . . . ?anning Board Approval. . . . . . I . . . . . . . . . . . . . . . . . 3eouest _or: Temporary Certificate. . . . . . . . . . . te. . . . - • • - lee Submitted: 5. . . . . . . . . . . . . . . . . . . . M*:,50'1 t ( �. . . . o�osu�Fot,��o Gyp N Town Wall,53095 Main Road p Fax(516)765-1823 P.O, Box 1179 Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 5, 1996 Mr. Emek Ismail 22 Elizabeth Drive Laurel Hollow, NY 11791 Re: Building Permit #21766-Z Premises: 405 Lake Drive, Southold Suff. Co. Tax Map #1000-80-3-16 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. 1\ ' ��SUFFQ(kc y 2 Town Hall,53095 Main Road p Fax(516)765-1823 P.O.Box'1179 y �� Telephone(516)765-1802 Southold,New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 19, 1996 Mr. Emek Ismail 22 Elizabeth Drive Laurel Hollow, N.Y. 11791 To Whom This May Concern: We are unable to Complete your Certificate of Occupancy_; because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 21766--Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. =I :LD IJIDA7 � �� CQt`?cYE NTS � V M FOUNDATION ( 1st) FOUNDATION (2nd ) 2. z 0 ROUGH FRAME & C1�y -PLUMBING ` 3. y INSULATION PER N. Y. STATE ENERGY -CODE \ 4 . FI;JAL ADDITIONAL COMMENTS ; � Ell 0 z x ' r ' t7 V•-� ro te 0�,Op CCJA c�Rmoo., .00 i Nx� out r i• ,peck vo I p �6 Pouf' � I C Gtr+✓ rjr cA f ' C eA i E i � t I ' f 549-'_z ,x V - / f0 MA\P ' `.� - :ter^1�`{+ • C.77Z1 i§ L1` s••� r .a.: J�14JaV— l�i� Y t/t{.. C�•,{''��5 00 � '` i ;VIXI .�`-� 1.`�M'�;,.•�- ti.�� .ww.�:.iwr.� ..azn�:•Qa�•�,.`� I� t ,1 1 } � �, \ r iii.-------`— -- -- • �---- %:; N a U d lv�l�� �'f� �'�)kl '�' T-� r ✓ _ f1 t�! to th�thorfxe aJte!eUon or .J._.! + t J,"� u Q, ,` � i`•``rte~ �'' { gd�orte7208 of�AB��oB�� - -. •- .__ ---_--- ;� !t + ptw Coo+$Std the JaW 3 Is serve not emt veyor's fn d sea!boaft tobea seat no, or r C) G 1'a4d t copy, be considered ---,-•. hereon sh only loth bested hereon is p►epared for whom L`ie stuall n n tttle on his beh eY �►rtP2nA all to the 1 y , i leridfnp go.."t rri7iie s 0 t to the ass- on,�sted hewn acid t.r /• cam' ( f sof th .:;, r I y I r Qft naj are not tri ' t CA f,Et i1 t _""y"wi 1,•. A2 -,k t 1 1 54 D Moi-i u f-IFNIT �•LX, Nva. QEFE:2 TO'MF�P OF f 1E S r � T r B �<< F OP MA S #= f•' {•�k�l�! :uF v��t � + :K 1 FILED IN 77-iE �v'UF'FCU _`LEje"3 OFFICE A3 1, MAP KJO, 12 1,t t acs Y i`� ..5UFF COZAX MAP PAW, 5-io ►` ,- ;',_ V,f. V- 0{r--NLC # AET CC;R2' ►J oVE AG VE'YUr t Fp t/►ND r'A'hir.' ui?V'E=y..IfG� - Gre-E :i\N`t����}'r �`I. T.y1 5Id rift itf83 UN 17 vj `: IQK, ivffir P(11 �;. rs+.. C.. Thomas C. Jariin$ CbMmts*inn®t t Aar 11ZII r Based on the i,nformatir.n ra" hams submitted, the New York State Oepartw 4.nt of Envira=ental Conservation has data=inted that; Thgre4fe;xe, in A000rd&n4ie w ith the u.-,zant Tidal Wetlands Land Use (6NycpA pat 66l') no pam, 4 , J _ rftcrai.r*f =dsr the Tidal Wta'.":. ands Aer P111ab2Ae be advised, hovav*r. k.Aat no aonzt=liction, or disturbance of any k-.nd may take plaaek seaward of the wetlands I-Irzsdi at or".1 baturld'arl?, as Ind W&tftd above" wit l;C:" a permit. _t 4 S � youw raspongi.ba l .ty to an;gttre t11at a12 raec s ax y precautLons awe ,akp_tl to ravia.ftt any sedimentatioa: or other altiaratidr. sig d.41.5t balks to trio t�t.'.,r�d V=tac3 0r Valeta'iOn with— '"j dal Watlamda ji=lzdiction, which may result from yc%ir pra4aQ-c. Sudh prscat.4tiong zay inrjuA* maintaining adacpate wor:. area b8tween the tidal wr land a��,adiati oral ho=dary and yo= prolmot (i.. e. a 15, its 20t vide construction arta) or are.eting a tamporary hay bale he:-n. $saves be fu.rthgr advized that this lattar goes not batllOves you Of the r&spdna:.bil:.ty of Obtaining any necessary parmit:s or approv-Alis ' t�om cat.riar a�+�rtCi�+s. va,-; tinily yours, t/_ epu+'J � s�S�Y1�t? : 1 LAdMin_J ztrator \ �•• .... ... ♦-.•.. /�%.N lr u.,.1..r.r._� . .... .,. �rY.. • • v • �. ...�-1M/y.., • .i w.•-•y'�"'""'�•r'••' _ '++R� Print Key Output Page 1 5738SS1 V2R2M0 920925 SOUTHOLD 10/25/93 11:30:44 Display Device . . . . . . WY User . . . . . . . . . . . GEORGIAR PL010-23 WY TOWN OF SOUTHOLD 10/25/93 *UPDATE* PARCEL MASTER FILE MAINTENANCE 11.30.18 Address: 405 LAKE AVE APN: 1000 80 3 16 SEL TYPE EFF DATE EXP DATE EXCPT DESCRIPTION TEXT? 1. PMT 6/18/93 12/18/94 BP # 21488-Z ALT - CO Z-22556 Y 2. PMT 1/05/89 BP # 17738-Z ALT/REPAIR COZ-18264 Y 3. TRA 12/07/88 TRANSFER OWNERSHIP PROPERTY Y 4. TRA 0/00/60 TRANSFER OWNERSHIP PROPERTY Y Selection: ~' H=History, T=Text: H Cmd1-Prey Screen Cmd7-End Job Cmd10-Entry Mode h r!'�fas .v-,-...tib:-�i„S"r'.'d1`�;a.s,.-..Y” .. .. � - - ) .. - . S"?=,f•`a%f V�'.`i' BOARD OF HEALTH .. K- - FORM NO.1 3 SETS g.KPLANS �. . TOWN OF SOUTHOLD SURVEY. 0��._.. OCT 5 BUILDING DEPARTMENT CHECK . ... TOWN HALL SEPTIC r0RH _ ._..... . . . . . t, SOUTHOLD, N.Y. 11971 iiTEL..765-1802 NOTIFY a„fy`..�,, ,, � CALL . �. . ... .r�,zL Examine /r/ . 19MAIL TO: fl('- 7Y5 Approved ..���........., 10 Permit No.PI76.�`.' . . . . . . .. . . . .. . .; �0 fox S'y/ Disapproved a/c ......... ........ ............ ........ Sl�e)f� .. . . . ... . . ... ..............•............ ... .. ...... .. ....ice .���.,........ . - , uilt�g Inspector) APPLICATION FOR BUILDING PERMIT . Date . . ( ........, 19�� INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public stieets or arias, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- catio,i. c. The work covered by this application may not be commenced before issuance of Building Permit. di Upon approval of this application,the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building.Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws,Ordinances or Regulations, for the construction of buildings,additions or alterations,or for removal or demolition,as herein described. The applicant agrees to*comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for pecessary inspections. ` (Signature of applicant,or name,if a corporation) ..... .. ....................................... (Mailing address of applicant) State whether applicant/is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ��• ....... .............................. Name of owner of premises /a/./......,4—,rnC/<•,,,,,,,,,,,, , (as on the tax roll or latest deed) I/f applicant is a corporation,signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ...201 Plumber's License No. .. ..... ...... . ......... . Electrician's License No. ...................... Other Trade's License No. .. ........... ........ 1. Location of land on which prproposed work wi 1 bed ne. . . .. ... House Number /Street Hamlet County Tax Map �A 10000 Section ./............ ...... Block ........ ...... ' Lot........ ......... .. Subdivision ..//(. •4Q 1, -.-e .fie-..,....... Filed Map No. . .. .... ..... . . Lot .. ......... .... (Name) ?. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... D✓(J..4 k 1 ? .... ... .... ........... ...................... b.Intended use and occupancy ....' � Ge.. ................ ........... .... .............. ��2G"'*iy���;bY��U>JaV,i,_. 't t.•','Ya-%qt'�'1: .I .. _. e4 , .._. ,.• .r--in,..N� •3. Nature of work check which c_... ( applicable):New Building ......, ... Addition ' -Repair Removal . Alteration;—. . Demolition Other Work. _ .�� boC�� ......:...... ............. �(Description) 4. Estimated Cost . ✓. ... i• . ...................... Fee ......... ..............::........... i (to be paid on filing this application) 5. If dwelling,number of dwelling units .. ... ..••••.••_ Number of dwelling units on each floor................ If garage,number of cars . 6. If business,commercial or mi�ed occupancy,specify nature and extent of-each type of use . .••. 7• Dimensions of existing structures,if any:Front. Height ..... Rear ...... .... Depth ............... • .Niimber of Stories . • Dimensions of same structure with alterations or additions:Front •'''''''' Depth .. i Rear .................. Height . ,.,..... .Number of Stories . ''''' 8. Dimensions of entire new cons ruction:Front . Rear . ' Height ...............Number of Stories .. Depth .... .......... , 9. Size of lot: Front ................ ....... ..... ..............'............ 10. Date of Purchase .... ......�............. Rear...................... Depth ..................... �• .Name of Former Owner 11. .Zone or use district in which premises are situated. 12. Does proposed construction violate any zoninglaw,o 13. Will lot be regraded ordinance or regulation: .W,V......I................... Will excess£ill be removed from premises: 14. Name of Owner Yes •Nopremises .. �•• ..C�r.•,Address ..`p•?" Q-1'••,••Phone No. J=�IZY Name of Architectct ........ .Address •l, """' Phone No. Name of Contractor ....,,.•• ,•• Address . Ph Is this property within 300 feet of a tidal wetland? *Yes. . one No. .""""""•• *If yes,'Southold 'own Trustees Permit may be required,..... No......... i' PLOT DIAGRAM Locate clearly and distinctly allllI buildings, whether existing or proposed, and.indicate al1 set-back dimensions from property fines.Give street and block Number or description according to deed,and show street names and indicate whether interior or corner lot. •� tt g[ A�.// pp Win 7 By: P!E,IFS tltl,t, ,Ni: tat f�fhr�Ti1/� r;fvt ?Y; -4 pd,,, Ff.H; Th+E Fol!.t�i1/Uit't:;Ii9,3P%FCTi()!13,r•,: 9. FEsa+Vt:ll7slfvr Firi1(?,tl dNARr-1) ' i�C,3i:i7f1l1t�d;i�,.(1t:lC:ricl`r= _ PIA1{1 MING 4' t•{r`iC_ i:i;)Pl! fft?{E 71q)PJ EihtJii BECd.'11110't FTF i-i?Rc d';•tS ALL SMALL t,IFET . 1'I•tr ;1EL1UjR*E11 F-P111 S OF TMr- N.'1: STATt: t t)itsrtilif.1'it)N & V_:NERGY Al()T BESFt)N:SISLE f.-OR tDf pie•;!1i 0;1 CONST(JUCTION EliFiO S • I ' I STATE OF NEW Y R /1 COUNTY OF.. Qv. f 7V NI ecJr Z •••'''' I •• •••• •• ••... .. being duly sworn,deposes and says that he is the applicant (Name of individual signin contract) zbove named. - I , ie is the (Contractor,agent,corporate officer,etc.) ,f said owner or owners, and is duly a�thorized to perforin or have performed the said work and to make and file this pplication;that all statements contained in this,application are true to the best of his knowledge and belief;and that the cork will be performed in the manner se forth in the application filed therewith. worn to before me this —, ......... ... 2S .!.daY ..' l9 otary Public, ... �t , Counter _.- --- to t,�n � Y !tUifLRt i. . .... NOTAIIY PU C!State of N.Y. No.47250 Suffolk Couoh4r (Si re applicant) Term Expires May 31,19�7 Glenn Goldsmith, Pre, t' p$uFFQ�K Town Hall Annex A.Nicholas Krupski,Vice rresident 54375 Route 25 � John M. Bredemeyer III ro 2 P.O.Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams �?%O Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: � Completed in field by: AMP Architecture on behalf of MARYBETH SCISCENTE requests a Wetland Permit to reconstruct existing 20'-3.5"x29'-3.5" (593sq.ft.) seaward side wood deck with new 10'x16' fiberglass pool; install a new 177"x28'0" (358sq.ft.) masonry patio seaward of deck; and to abandon the existing sanitary system in rear yard and install new septic system in front yard. Located: 405 Lake Avenue, Southold. SCTM# 1000-80-3-16 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice o Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 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: I �d� �- ' E ✓ Svc �1 � I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: Bredemeyer /M. Domino G. Goldsmith N. Krupski (3(-'Williams Other W 7 0 TAX MAP 1000-80-3-16 =i a LU MEAN HIGH WATER ZONING DISTRICT R-40 NG L; EXIST. 12 STORY MARK I TIE LINE LOT AREA 0.5 ACRES g;> i RESIDENCE o FEMA FLOOD ZONE AE a am WETLANDS DISTRICT Y DEC,DISTRICT NON-JURISDICTION a 00 REGONSTRUGTED SITE LAYOUT NOTES I. THI5 15 AN ARCHITECT'S SITE PLAN 4 15 Z z Z rI SUBJECT TO VERIFICATION BY A LICENSED LL W cy SURVEYOR. THE INFORMATION w d NEW STAIRS REPRESENTED ON THI5 SITE PLAN 15 TO THE r ARCHITECT'S BEST OF KNOWLEDGE. .oi g C EXIST. BULKHEAD I 2 SURVEY INFORMATION WAS OBTAINED - I FROM A SURVEY DATED NOVEMBER 2020 ww AND PREPARED BY. 2m MICHAEL W.MINTO,L 5 PC, L+ T=1 1=1 11=1 EX I ST I NCS=1 5-1 WOODVIEW LANE = v – – – - I I=1 11=I ISI I I=1 I I=111=111=111=111=111=111=111=111=111=I I I=111=111–I,I-111-111=111=111=111=111=I I I=111=111=111=111=111-111 -111=111-111-111-111 i l = –a =– – –— – GENTEREAGH NY 11-720 L„ – ilEARTH l 1111 EL: 6.2211 it l li III=Illi II I I it 1 1 I l l i lII I1=1 11=1I l l l l i l l IIII i lI 11i III III I I I I I I=1 I I��I 11 I I I�III i1 11=1I 1=III–III=111�I I I �I 1=1I II I I I it l l i�I-1111 lli I I I�III=I I IDI I=1I I� EL: 3.03 TELEPHONE: (651)550-1202 Q I I I I 51TE ELEVATION SCALE,9/Ib° I'-a° LOT GOVERAG DESCRIPTION(FOOTPRINT) AREA %LOT COVERAGE TOTAL LOT AREA 11665.0 5 F. EXISTING BUILDING IA01 O S.F. 15.4% EXIST DECK TO BE PROPOSED WOOD DECK 528 O 5 F 4.5% RECONSTRUCTED EXIST.GONG. � EXIST.OUTDOOR SHOWER TOTAL AREA OF ALL STRUCTURES 2529 O 5 F 20.0% (TO BE REMOVED) (TO BE RELOCATED) � f "MAXIMUM LOT COVERAGE ALLOWED-20% RELOCATED 8 OUTDOOR SHOWER EXIST.WATER SUPPLY LINE, TO MAINTAIN MIN _ _ _ N22_°24'O0'q^I OS' SEWAGE DISPOSAL SYSTEM ---------- ----------------- .. ------------------- PROJECT: 1 - - 10'SIDEYARD SETBACK Zo_ EXISTING ,e I' SCISCENTE GRAVELEXI5TIN6 to RESIDENCE / DRIVEWAY MIN. IQ i FLOATING T8.O' DOCK to o I \ E.p NEW pROp , N qc 405 LAKE AVENUE T p / L P' \ E P IY�. EXISTING A " O SOUTHOLD,NY 11971 STORY FRAME �Q ct o sig rn LEP NEyy NEW RESIDENCE w p� $y _ I DRAWING TITLE: L.P L �e ➢ t� � V EXISTING Z SRE PLAN&ZONING DATA / I 0 p BULKHEAD 1 PROPERTY ELEVATION PROP\ I I E.P EXISTING s RAMP \`_ L.P. 825' / I � rn O1 'NIW �/N \ Z p I B' i IbT'--I 31 PAGE: - 7` \p\ 15'SIDEYARD SETeAGK NEW PATIO MH W at face of o Bulkhead -- 521°55'45'Y I 200 59' 4V ✓� REMOVE EXIST.DROPP DEMOLISH RELOCATED DRY WELL INLET 4 DRYWELL FEB EXIST.FENCE 4 (NOT INCLUDED IN SCOPE 202' REMOVE EXIST.CURB 4 PORTION RETAINING WALL OF SEPTIC SUBMISSION), y; y I L OF GRAVEL DRIVEWAY RELOCATION MUST kh'i RESPECT ALL REQ'D REMOVE 4 RESET EXIST. COBBLESTONE CURB AS SETBACKS AND REMAIN REQ'D(NOTE MODIFICATION MIN 2'-O"ABOVE HIGHEST Southold Town RB RECORDED G.W LEVEL oard of Trustees '�j� 0374'0 OF DRIVEWAY SHAPE) 51TE PLAN ®F ��� SCALE,r-o�=lo�-o° -PROJECT/.'ZO,NINP�.DATA E E zo TAX MAP u 1000-aO-3-16� [rFDEC ZONING D15TRICT R-40 NG d M z0 2MEAN HIGH WATER LOT AREA 03 ACRES EXIST. I STORY '� 4 2�2� m 0 RESIDENCE MARK & TIE LINE FEMA FLOOD ZONE AE } v co WETLANDS DISTRICT Y p Southold Town I DEC DISTRICT NON-.AJRI5DICTION a w Board of Trustees z1.0 1 SITE LAYOUT NOTES Z}e} REGONSTRUGTED I I TH15 15 AN ARGHITEGT'5 SITE PLAN 8 15 v SUBJECT TO VERIFICATION BY A LICENSEDSURVEYOR THE INFORMATION N `� DECK I REPRESENTED ON T 15 SITE PLAN 15 TO THE LL w LO ` ARCHITECT'S BEST OF KNOWLEDGE. g O � i I NEW STAIRS 2 SURVEY INFORMATION WA5 OBTAINED FROM A SURVEY DATED NOVEMBER 2020 w EXIST. BULKHEADI AND PREPARED BY MICHAEL W MINTO,L.5 PC w — _ _ &7 WOODVIEN LANE 1= S J 1.m,I-,TT.1 I'�7—TI�I�I—�I I I—�I I— IiT—T_ 1TfI T— '�'(_'(77_ —I� 7T(—iT 1 GENTEREAGH,N.Y.11720 c) -� I I,=I I Irl ILEX I STI N�7-J1I'—I_�—I 1=1I 1=1 I I I I=1 II I =1 11=1 I ISI IJ 11=1 J 1=1 1=!11=1 I J,=1 11=1 11=1 1=1 1I I=I1�=I= I I—I 1= 1= — = 1=1 = I I f _ _ TELEPHONE. (631)580-1202 Q I I I TIS 111 I EARTH I(i ISI ITI"11 I"' I I�I 1111 I Ii I�I I I I I I I I I I I I I I ILI I II i Illi I1 I DTII I III I�I I I II I I III I I I I I I ILI I(�I I ILI I I I I II I H I I I I I I I I II 111 11=1 I�I I-1 11=1 V I I I EL: 6.22 = _ = - - = =II— = — = = = =i EL: 5.05 I I I I SITE ELEVATION SGALE,5/I6'-I'-O' L`OT'1'00VERAGE ��jj DESCRIPTION(FOOTPRINT) AREA % LOT D AC, COVEERAGe -T TOTAL LOT AREA 11,665 O 5 F �• ���� EXISTING BUILDING 1,8010 SF 15496 EXI5T DECK TO BE PROPOSED WOOD DECK 5260 SF 4.5% ® p RECONSTRUCTED TOTAL AREA OF ALL STRUCTURES 252110 5 F 200% EXIST.GONG f : (TO BE REMOVED EXIST OUTDOOR SHOI^ER OCATED (TO BE RELOCATED) "MAXIMUM LOT COVERAGE ALLOWED -20% OUTDOOR LSHOWER ��9� Q3��®� 1�� PROJ_Mi—1 ECT: PROPOSED - - N22_°24'00"W_ _ Ig505' �Qjr N�V�_l SCISCENTE IA SEPTIC - - - - - - - - - - - ` SYSTEM _7 0_D RESIDENCE ' f PRO E _ _ 10'SIDEt'ARD SETBACK 1�� 246' E.P� LJ' E.P ,f 7B 6' 405 LAKE AVENUE EXISTING L SOUTHOLD,NY 11971 NEW NEW NEW ,Q FLOATING -v m z LJ' L P. LP. I 1 601' DOCK t� DRAWING TITLE: yr SITE PLAN&ZONING DATA X �A OO o FV, EXISTING O'� PROPERTY ELEVATION y I f PROP NEW C O q Z 7C I STORY FRAME t� O o i f V E.P. L P. w RESIDENCE �y `"" 1� rnl` 7's t=y" o EXISTING S% vy I EXISTING g o BULKHEAD PAGE' GRAVEL SEW 1 a 1� P1-101.�� OI DRIVEWAY 0 EXISTING 846' s RAMP 05. � - - _ - - - _ - DATE 12/23/20 10F 1 7`; 15'51DEYARD SETBACK NEW PATIO MHN at face of EXIST BuI_head DROP INLETAY a� - - - - - - - - -1 --------- ----------- 51-M - - - - - - - - SITE PLAN V-,.Lv,1'-0•°10'-0- UNAUTHORIZED,ALTERATION OR ADDITION THE EXISTENCE OF RIGHTS- OF'WAY TO THIS SURVEY IS A' VIOLATION OF AND/OR;_EASEMENTS, OF RECORD IF DRAWN MM CHECKED 'MM, DATE .HDV. 2020 DRAVING k JOB N0. 20-1104 SECTION 7209' OF`THE'NEW YORK STATE ANY, 'NOT SHOWN ARE NOT - — - - EDUCATION LAW. GUARANTEED. ELEVATIONS,'REFER TO NAVD 1988. COPIES OF THIS;SURVEY MAP -NOT BEARING, THE LAND SURVEYOR'S INKED SEAL- -OR Premises: kriowh= as: EMBOSSED SEAL-, SHALL,NOT BE, CONSIDERED !TO BE A VALID,'TRUE COPY. .05 Lake .Avenue-Drive,.ESoutliold GUARANTEES' INDICATED HEREON +SHALL RUN ONLY TO THE 'PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS, BEHALF TO THE TITLE'COMPANY.-'GOVERNMENTAL AGENCY'iAND' LENDING- INSTITUTION.LISTED, HEREON, AND-'- D (� ` To THE ASSIGNEES'`OF THE LENDING 'INSTI—• IrS� TUITION. GUARANTEES ,ARE NOT TRANSFERABLE: V Yacht B Area= 11665- 9J. DEC 2 4 20205��; S79'4520"E 59:48' Teat-Hole Data Southold Town Actuaj Provided by:McDonald Geoscience 'fi-11=19 Board Of TrUSte@g �SOS�o 36 E) floating - - EL=55 MAP); dock MIXED,SAND,,`LOAM, `DEBRIS' Foripd Ndil`--,_.§01khedd.. - pile t'IYP) 3 __SAND BROWN'FINE,T0,'MEDIUM SAND ,(SP) ramp d!Hli+ 3J' EL=1.8 �o . 1 I ko of face of BWkheod "_- WATER IN BROWN 'FINE TO MEDIUM SAND,,(SP) �� j,o 'Post WATER,ENCOUNTERED 3.7' BELOW GRADE mas"op �ti ,Q ,°io ;�k n�� , retoiriiirg c' � o o• ;3 r A: deck � - k 9 Ss ,gym o' 4' \ off^ 32691 Ste• -�[!�• 4141 Piro, - -- n tib, ��.. O ' 'roof ,^w• F c� '�• 'of V� /onai�9e o� :372 .oar- � ,moo _ � �� •o QO; ACV, $4- �/ fegc a�6br slaipipVo/% m �' daps o gufiedt o• a} ry :QQ rn a ', i prop- L k cy,,�y.;,'-• ,;f ;�^ as h�yJ loX IOSzJx' v• , ti ` 0holt _ac �`' 1)'• �, •_C ti 7z PWepJegt cobbl �o.ulb wood e / `0/_ esto c o !pce 00 00pW A-clk %;�. AQ: A- te Poc, .Survey .of Lot 5. MAP OF RE—SUBDIVI'S10N OF BLOCK '"F" Certified to:' OF MAP OF RLYDON -SHORES CHICAGO TITLE INSURANCE COMPANY FILED 'OCTOBER 7;; 1.936' AS FILE 'NO,. 1215 _LAND BARON-ABSTRACT ' L615930 �-__-__ ) situate in .the ,MICHAEL'SCl5CENTE-AND' MARYBETH P: -SCISCENTE Town of -Southold .S,uffo-Ik: County,, New York Mi&hael W: Mihtb, L:S':P._C. District -1000' Section 80, Block, 3 'Lot 1.6 LICENSED PROFESSIONAL-, LAND SURVEYOR Scale 1 "= 30 Surve ed Feb.ruar 23, 2018 NEW- YORK STATE LICENSE',NUAi1BER 050871 Y Y 87 W6-6.d;ie_ lwye U-4- ted November 25j 7020 .Centereach; 11T.E 1-1'7,20 GRAPHIC_: SCALE PHONE/FAX: (639)' 580_- 1202 30, 0 15 30 60 120 CELLULAR: (631) -766-9714 1 EMAIL-: r'n1kernintolspc®gmail:c0m 1 inch = :30• 'ft. • -idFA.. PHOTO • • • . PHOTO#3 PHOTO#4 PHOTO#5 _may a. _ 3 SEC.W.1. tat ^ 'V' •; )- , 11 1 .3 �1?� r4r f, III ',•� ` - 13 I I ie 13.1 b w _ • O,. A Ij ---- 17_---- - - --- f1 to -� 16 /J tr fat m (/UKEE 1 _U a 30.1 2i m .mf 2ZI __ S l 13 1 1^ 23.1 q w S 1 _--�33 13 r tat 4 ?2 m, i G� x: M7 � � m GROVE A'a <� @ vp ��r had '•" mti m 41 NOTICE ' COUNTY OF SUFFOLK © K Wt 113 ,a^� J,x37t= SECTION NO 1.1 Real Property Tax SericeAgency v _.,>~..� _ �- -- w.Wu. __�__ W�—_•__ wroucmw,rrwv wrwmuwrzo town cwwftf..n.w.xY„f^7 M 333 NLL..Sff 80 A P OlffsCfW t000 PROPERTY MAP Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary t 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: MARYBETH SCISCENTE to Amend Wetland Permit #9823 to include a new raised patio, new on-grade masonry patio, abandon existing septic system in rear yard, and install new septic system in front yard. Located: 405 Lake Avenue Drive, Southold. SCTM#80-3-16 The CAC reviewed the amended application and recommends an I/A septic system. OFFICE LOCATION: �� �� " . MAILING ADDRESS: Town Hall Annex �" �� P.O_Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) n w Telephone: 631 765-1938 ee Southold, NY 11971 �� P Fast: 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 12, 2021 Re: Local Waterfront Coastal Consistency Review for MARYBETH SCISCENTE SCTM# 1000-80-3-16 AMP Architecture on behalf of MARYBETH SCISCENTE requests an Amendment to Wetland Permit#9823 for the existing 1,801 sq.ft., 1 '/2 story dwelling; construct a new 10'x15' above ground pool with new 528sq.ft. raised patio using impervious pavers around pool with steps to ground; install 48" high pool enclosure fencing around edges of raised patio and a self-closing gate with alarm at base of steps; relocate existing 4'x4.8' outdoor shower approximately 30' landward; install an on-grade 790sq.ft. masonry patio using pervious pavers; and abandon existing sanitary system in rear yard and install new septic system in front yard. Located: 405 Lake Avenue, Southold. SCTM# 1000-80-3-16 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 provided that: 1. A pool dewatering well is required. 2. Verify the outdoor shower drain connection to the sanitary system. 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 OFFICE LOCATION: �� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: February 10, 2021 Re: Local Waterfront Coastal Consistency Review for MARYBETH SCISCENTE SCTM# 1000-80-3-16 AMP Architecture on behalf of MARYBETH SCISCENTE requests a Wetland Permit to reconstruct existing 20'-3.5"x29'-3.5" (593sq.ft.) seaward side wood deck with new 10'x16' fiberglass pool; install a new 17'7"x28'0" (358sq.ft.) masonry patio seaward of deck; and to abandon the existing sanitary system in rear yard and install new septic system in front yard. Located: 405 Lake Avenue, Southold. SCTM# 1000-80-3-16 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 to construct a new 10'x16' fiberglasspool', install a new 17'7"'x28'0Q` (358s .ft. masonry patio seaward of deck° and to abandon the existing sanitaa system in rear yard and install new septic sstem in front yard is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. The replacement of the deck is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. A Wetlands Permit was not located in Town records. Unpermitted structures cannot be reconstructed. 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 Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary r P.O.Box 1179 " Southold,NY 11971 A Telephone(631)" 5-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 10, 2021 the following recommendation was made: Moved by John Steins seconded by Carol Brown, it was RESOLVED to SUPPORT the application of MARYBETH SCI SCE TE to reconstruct the wood deck (with fiberglass pool), new masonry patio, and abandon existing septic system in rear and install new septic system in front yard. Located: 405 Lake Drive, Southold. SCTM#80-3-16 Inspected by: John Stein, Carol Brown The CAC Supports the application with a drywell for the pool backwash. Vote of Council: Ayes: All Motion Carried % 6 I � � Glenn Goldsmith,President QF 30 Town Hall Annex Michael J.Domino,Vice-President ,`O� y�lO 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III 41 Southold,New York 11971 A.Nicholas Krnpski G Telephone(631) 765-1892 Greg Williams0�1\1 iFax(631) 765-6641 t (� 0��� !` i .,, tom}f �.,,r I L4F i�S�\�/ ' , _1LJ Li iDl BOARD OF TOWN TRUSTEES 1 ''�� JAN - 6 2021 TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENTa, RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIRE_M,ENTS"c _'E"�-1 x"Ej-15,7) Date'Se"r'i'18'-Bldg_'Dept: I. �. y( .^Y: ' The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's,perMittinq-requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board-of Appeals? t ra> Will any part of this application be consider, d: , Qerrwlition as described under Town Code? COMMENTS: f �S�" Y L Signature of Reviewer Date Michael J.Domino,President Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith �_ Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Greg Williams ��� 'aFax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Secfion For Uffce Use Only Coastal Erosion Permit Application E �-� EWetland Permit Application _Administrative Permit Amendment/Transfer/Extension DEC 2 4 202 Received Application: -_ 1.2.Z+20 -- _ Received Fee: $ 25f1 XVY� Sauii�aftl Town - Completed Application: i F01 _ Board or'Trustees - r Incomplete: - ---- - -- - SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date:, Coordination:(date sent), - :0WRP Consistency Ass ss ent Form Sent: AC Referral Sent: _ 1 2-I Date of Inspection: Z.Q•2f - Receipt of CAC Report: :Z echnicalReview:' -Public Hearing Held: X1742 _ Resolution: --- --- _ Owner(s)Legal Name of Property (as shown on Deed):_ Marybeth Sciscente Mailing Address: 405 LAKE AVENUE DRIVE,SOUTHOLD,NY, 11971 Phone Number: (516) 301-8617 Suffolk County Tax Map Number: 1000- SECTION 80-BLOCK 3 -LOT 16 Property Location: 405 LAKE AVENUE DRIVE,SOUTHOLD,NY, 11971 (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): AMP ARCHITECTURE Mailing Address--. , _. 1075 FRANKLINVILLE ROAD,LAUREL,NY, 11948 Phone Number: (516) 214-0160 Board of Trustees Applicaulon GENERAL DATA Land Area(in square feet) - 11,665 S.F. ,. - "' R-40 Area Zoning Previous use of roe 1 FAMILY RESIDENTIAL _- Intended use of ro1 FAMILY RESIDENTIAL k p peity - - - - - - - - - - Covenants and-Restrictions on property? Yes X _- No If"Yes",please provide a copy. k - i Will this project require a Building Permit as per Town Code? X Yes No If'Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review ` and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes __ X ___No If"Yes",please provide copy of decision. Will this project require any demolition as per Town;Code or as determined by the Building Dept.? Yes X No p -- - s Does`the structure(s)on property have a valid Certificate of Occupancy? X Yes No i. Prior permits/approvals for site improvements: [ \ r Y Agency i', Date 04/19/05 i; CERTIFICATE_OF OCCUPANCY#Z-30180 E No prior peftitdapprovals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provideexplanation: . Project Description(use attachments if necessary):.-- -RECONSTRUCTING WOOD DECK(WITH,FIBERGLASS POOL),20'-3.5"x 29'-3.5",593 S.F. -NEW MASONRY PATI0, 1T-7"x 28'-0", 358 S.F. f -ABANDON EXIST. SEPTIC SYSTEM IN REAR YEAR,INSTALL NEW SEPTIC SYSTEM IN FRONT YARD A Board of Trustees Applic;--ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:,, -RECONSTRUCTING WOOD DECK(WITH FIBERGLASS POOL),20'-3.5"x 29'-3.5",593 S.F. NEW MASONRY PATIO, 17'-7"x 28'-0", 358 S.F. ABANDON EXIST.SEPTIC SYSTEM IN REAR YEAR,INSTALL NEW SEPTIC SYSTEM IN FRONT YARD Area of,,wetlands on lot: 0 -square feet Percenivoverage of lot. 20.5 Closest"distance between nearest existing structure-and upland edge of wetlands: 0— -Ject Closestdistance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? If yes,how much material will be excavated? N/A --cubic yards Haw much material Will be filled? N/A -cubid yards Depth of which material will be.removed or deposited: N/A feet Proposed slope throughout the area of operations. N/A Manner in which material will be removed or depositedv, 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): WETLANDS ON PROPERTY WILL NOT BE AFFECTED BY THE_PRQPOS RECONSTRUCTION OF THE WOODEN DECK 61 Z20 Appendix B Short Environmental Assessment Form Instructions'.for COmnleting 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. t 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: SCISCENTE RESIDENCE Project Location(describe,and attach a location map): - }� L 405 LAKE AVENUE DRIVE,SOUTHOLD,NY, 11971 Brief Description of Proposed-Action: -RECONSTRUCTING WOOD DECK(WITH FIBERGLASS POOL) ,20'-3.5"x 29'-3.5", 593 S.F. -NEW MASONRY PATIO, 17'-7"x 28'-0", 358 S.F. -ABANDON EXIST. SEPTIC SYSTEM IN REAR YEAR,INSTALL NEW SEPTIC SYSTEM IN FRONT YARD Name of;Applicant or Sponsor: Telephone: (516) 214-0160 _ AMP ARCHITECTURE,PLLC. E=Mail:• aportillo@amparchitect.com Address:, - - - -- - - --- --- - - - - -__ - - -- _ -- ---- -- - 1075 FRANKLINVILLE ROAD = City/PO: - - - - - - State: Zip Code: - LAUREL N.Y. 11948 ' 1.Does the proposed action only involve the-legislative adoption of a plan,local law,ordinance, 1 NO_ 'NES, administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that a 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 .I YES If Yes,list agency(s)name and permit or approval: Building Department t { 3.a.Total acreage of the site of the proposed action? .01 acres b.Total acreage to be physically disturbed? .01 _acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? _.27. - ,acres 4. Check all-land uses that occur on,adjoining and near the proposed action. ; ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) i El Forest ❑Agriculture DAquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES 1V/A 1 a.A permitted use under the zoning regulations? Cl LIVS0 '❑ b.Consistent with the adopted comprehensive pian? IX - — - - - ❑- ❑ - .❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural -NO YES_ landscape? ❑, X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YEa If Yes,identify:' _ FTT 8. a.Will the proposed action result in a substantial increase in traffic above present levels? _NO YES ry 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? 0 ❑ 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: MEETS CODE Q,. XQ 10. Will the proposed action connect to an existing public/private water supply. NO : YES If No,describe method for providing potable water: X , " 11.Will the proposed action connect to existing-wastewater utilities? NO YES, If No,describe method for providing wastewater treatment:. ---- _ _ ____ __ _ ___ °❑ , 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO 7 YES Places? b. Is the proposed action located in an archeological sensitive area? ❑ ' F1- 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? ❑ a, b.Would the proposed action physically after,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: r,71 -❑' 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply.' El Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland _ ❑Urban ❑x Suburban I5.Does,the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES -- X 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 [:]YES '[X ! b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO AYES Page 2 of 4 18. Does-the proposed action include construction or other activities that result in the impoundmenf of NO- YES water�or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size:. _ -�-- I - 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO _; YES_ solid waste management facility? If Yes,describe: ❑ ? i 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: - -_ _ d a 1'AFFIRM THAT THE INFORMATION PROVIDED ABOVE-IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorname: �ni�T[�L'�yy CC��'C� I►-CI Date: IZ-2k--L0 Signature: - -_- __------ -- -__- - - M -__-_-- ---- - ----- - , 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 small to large impact impact may may occur occur L, Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? ❑ ❑. 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑' _ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? ❑ '❑: 6. W il[the proposed action cause an increase in the use of energy and it fails to incorporate _-_reasonably_available energy conservation or renewable energy opportunities? �^ 7. Will the proposed action impact existing: a. public/private water supplies? - " b.public/private wastewater treatment utilities? ❑ ❑. 8. Will the proposed action impair the character or quality of important historic,archaeological, ,❑ EDarchitectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, -❑ rlf waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? a 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 1 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. � r Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, - that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President _ Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of 11esponsi51e'Officer in LeadAgedcy Signature of Preparer(if differeiit from-Responsible Officer) PRINT Page 4 of 4 - BoAkd :of Triistpes Applica-�s:on AFFIDAVIT f f l s , � ALF c ` . x - ( - ; . �s of I�ULYSWORN DEPOSES AND AFFIRMS,THAT HE IE IS'THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL.STAiTEMENTS°CClNTA NED'HEREIN ARE TRUE-TO THE BEST IOC`HISMEIt.KNOWLEDGE AND+BELIEF;ANDT THAT ALL WORK WILL BE DONE IN.THE MANNER SE�'.FOItTH tIN THI5,APPLICATION AND,AS'MAY 9E APPROVED ABY THE SOVTH,OLD TOWN BOARD OF TROSTEES. 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-IUOR BY VYRTUE-Of SAID'PERWT(S),_IE GRANTS IN COMP.I STING THIS APPLICATION;T;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 FNA .INSPR+L"I'IONe vFTIIER AYTTIORYZE-THE BOARD OF - -R 'TO 3EA1TEXt ONTO MY PROPERTY ANU AS REQ,IREE]D TO INSURE COMPLIANCE WITH"ANY CONDITION OF ANY WETLANWORCOASTAL, EROSION PERMIT ISSUED`BY THE BOARD OF°TRUSTEES'DURING THE TERM OF THE PERMIT - &('/±�l%� :Signature af-,roperty er- _ Sgnafiure of-Propert3!Owner y= ,rd. SWOW4 TO BEFORE 1VIE THIS_. '_. = _ _DAY 0F$N.._ __�_- =20. -. - - no saa*3 uol%ok MGN r _ Gi 6l.QZE f�i n Ras}o�j IAS_ ft�1i.'d 31 3HiVO' GATf IERIA1f<A:,KRE.IKO:V$1<1 kctary'Publid,State,of:Xew York' t v..Qt KR603201 Qualifiedin Nassau County- ;Comrnlssion Expi�es-i0/,1 [20 ( ' efi 1 Zotmd -of Ttusteei; -App:lic..lon AUTHORIZATION (Where the applicant is not theowner) { I/We, r - - SCBE seew owners of.the property identified as SCTM#'1000- _- 1_ in the town of rQt,llii4( New York,hereby.authorizes, ANAP Architecture to.act as,my agent and handle all necessary work'involved with the applieation p"roces"s for permits) from.the Southold'Town Board of Trustees for-thisproperty. Property Owner's Sigi6i tire " Property;Owner's Signatare SWORN TO BEFORE ME THIS. _ : �_ DAY OFJ Cern_ - . - �20- Z � GFTNFrjNE A 4<Rl)KCJWSKI Notary Public I�oia pude,�.R,Stag ai_ier York No.O i�} 51 32019 auafizied in t�-ssau County I Cornmissidi Expires 10118/26 { r i I I s s t i 1 d TRANSACTIONAL, OS--URE- -jFORM, ThdTownof'Southoldls CodeeofEthies prohibifirconificts'of interest oh the Wart of town idUbdrs bnd,bmW lormIg to provide'itiftibittiW-Whidi can alert the town of possibli'conflids of interest and allow,ifto take whateverieflon"Is'- ,necessary-to avoid same. e q Y,OUR,�XAWM:_ -j;; v -- , - (Lugfname,first'uibcimiddle iiitiilpunless yoiiarea�plylng in Weiiie 6f5-0OPPe- §e or Or q-D -'y;,§U06 iia CqMP,9 by-ifsq,Indpie the qther person's afr e4wpahyls�a)1, TWE OF APPJUCAIION:(Cheek ift-that, f a-X,,-,,g-r ,fevange,, Building Permit, Variance T-ro' stee Permit Change of Zone Coastal Erosion- -A 01#6*51 of Plat 1VIo6n*ng, Plalinm* g boyotf,personally(dif through,your company;spouse,sibling,parenti-or child)have a rebtionshipwith-a officer-,.or .employee of,the'Town{of Southold?"kelitiouskip'Nncludesby-blood,marriage;or business interest�'Bushfess I inierese--? means a,business,lnilu&g a artfiershipi in, -vv]Ach the7"tOWlioMcer-or,employee'kas�,,even a partial ownership--if(qr� cOi#q-;*i0#,Ju which the townofficer oir.elmployve owns,more-than 5%of the shares. YES NO If- d yonanswere "YES!Iicomoletethebabnceofihisform-an-ddaieaitds,ignwk:Ciroi#Oi Name of person employed bytheTown-af Southold -Xitle'or vosition,of alai versft-, P pp -ca!k !agent/represen'tative),and the-,town 6ffiecr-or 6ployce.Either check=the appropriate,line A)-Chjrohgfij)) -o'dlofrdescr�i-*t-,milia gpice'provided T-Jfe,,town,oftker or-employee-of his,orlek--spouse-;AbRAIM,parent,or i0dk Ai&A V ,14tAPP Aytke owner of greater-that 51/6,of tle shares-of-4hetorpora,testock of the applicant(Wheirihe a0pkaht'Is' '-di eorporatiol# the legal or beneficial owner ofany Werest not a corporation) !)),the actual appliput MSC-RIPTION,OFRELATIONSHIP C Submitted this' day 10 Print Name MMV40t R 'tZr `G =►/W APPLICANT/AGENT/REPRESENTATNE TRANSACTIONAL DISCLOSURE FORM The Town of SiSiithold's Code of Ethics prohibiis conflicts of interest bn the Odd 6f-WW •officers nnd.emulo .The purpose of this farm 1§16provide inforinaiion which can alert the4own of possible canflicts of intemst and allow it-tatake whatever action is neoe'ss Wo avoid same: �1 �Ut'\�i O 2-C"t �C) { YOUR NAME: .- _ __. - 1`� _ - •-—-�- - - (Last name,first name,ipiddlb initial,unless you are applying ni-the name of t someone else or other entity,such as a company.If so,indicate the other 4 person's or company's name.) NAME OF APPLICATION: (Check all that apply.) „ i Tax grievance Building - Variance -_- Trustee Change of Zone - Coastal Erosion ' Approval of plat Mooring 7 i Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you peisoriitlly:(or throughyour company;'spouse,sibling,parent,,or-child)havc�a ir;fationship with ariy,officer.or employee of the,°I'own:of Southold? "Relationship"includes 6y blood,tgan iage,:or business inteiest."Bu§inessanterest"means a business; including a pnrtnershipi,in which the ta�vn•of6eer_or;craployce Weyen�a partial ownership of,(oc employmcnt-by),n corporation j in which the town ofti�er o�Gemployee oiyns•rnofethan 5%ofthe shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. ; Name of person employed by the Town of Southold---- Title outhold-- -Title or position of that person: - _ _ _ -, DescAbe'the re1ationship'b6twee6ybbrWf(the applicbnt/agent/representative)and the town officer or employee.Either check the appioWnit line A)thrbugh D)and7or descril�in the-space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)illie owner;of greater;th'an 5%of the s6ePe§of-the,corporate stock of the applicant (when Yiie appliesnt•is`a coigoration) f B)the legal orbenefieaal:o%Vti-&df dny�interest`in anon-corporate entity(when the :appiicnnt is n`ot a corporation); an'officer,director;partne_i_•;oieiriploy"ee ofthe applicant;or _T D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 'L� -day of tX,c,,1!''ice 20 Z�" Signature -- Print Name P�I-Isffyk %4 !' -EM l,�- Form TS I Board of Trustees Appli`__zion AFFIDAVIT ( CZ S S C Cs C61vt BEING DULY SWORN :DEPOSES AND AFFIRMS THAT HWSHE ISTHE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER 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 FLEE 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 TRIS 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 TEM OF THE PERMIT. ignatur of pe y er Signature of Property Owner 4( SWORN TO BEFORE ME THIS, t0 _ - DAY OF `� �•y�t,t�L ,2Q ( - MICHAEL THOMAS WYNNE MA�L - Notary Public North Carolina Notary Pub- iG Buncombe County My Commission Expires Dec 18, 2023 Board of Trustees Appli__tion AUTHORIZATION (Where the applicant is not the owner) I/We, I _.._r�' l � Cil/1aof-, S SCr S Ce e - owners of the property identified as SCTM# 1000- ,in the town of Sb u"-rtA o t � _ :New York,hereby authorizes AMP Architecture I to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. operty s,Si Lure Property Owner's Signature SWORN TO BEFORE ME THIS, DAY OF � �u4k'LQL 20- > 9 MICHAEL THOM:Caroli]na Notary Public Notary public-NoBuncombe CMy Commission Expir APPLICANT/OWNER 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. M j YOUR NAME: (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) I TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 pfficer or employee owns more than 5%of the shares. YES NO l// 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 that 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 d of 11 V �2 Signature Print Nam gUfFQ��- Glenn Goldsmith,President �Q C� Town Hall Annex A.Nicholas Krupski,Vice President ,��� G�� 54375 Route 25 John M.Bredemeyer III a P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams y ® p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 3, 2021 AMP Architecture 1075 Franklinville Road Laurel, NY 11948 Re: Board of Trustees Application of Marybeth Sciscente 405 Lake Avenue, Southold SCTM# 1000-80-3-16 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; February 17, 2021 beginning at 5:30 P.M.- Please - continue',to check the Town's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required'paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your,records so that you can access the meeting in order to have a conversation with the Board during your application review. VVq1y Truly Yours, v Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President A Coo CDG Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 John M.Bredemeyer III � h z P.O.Box 1179 Michael J. Domino 0 ® 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, FEBRUARY 17, 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, February 17, 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=persan- 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 elizabeth'c@southoldtownny.gov and diane.disalvo@town.southold.ny_usr_Said.comments will -.-.be,considered at the public hearing provided that they are submitted no#ater-than 12:00 P.M. (Prevailing Time) on the day of the public hearing. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option-to-listen in-via-telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.southoldtownnV.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: 936 5601 0209 Password: 238680 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabeticai order. Click on the name of the application to view the file. w ! pts, Glenn Goldsmith,President �0 COG Town Hall Annex Michael J.Domino ti� ���, 54375 Route 25 John M.Bredemeyer IIIc x P.O.Box 1179 A.Nicholas Krupski � Aft 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 thefollowingoriginals 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: Or-3 K5 - � - 3- ) 7 STATE OF NEW YORK COUNTY OF SUFFOLK x.., residing at being duly sworn, deposes and says that on the day of , 20____, deponent mailed a-true copy of the Notice set forth in1he 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 MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS r Name: P10(q beJ11 d M 1'C h at Address: 0-5 LA K.E A Ve �ci�3Ue/LAt-- STATE OF NEW YORK COUNTY OF SUFFOLK _ C� 'e ,(n 'Brenna r , residing at saw being duly sworn,deposes and says that on the Cts' day of Fj? ��� , 20 ZI , 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 n_r,re-1 .Qq , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this 9 Day of 20 a l Notary Public BARBARA H.TANDY ' Notary Public,State Of New York No. 01 TA6086001 Qualified In Suffolk County Commission Expires 01/13/20 ja3 I i f I i I i i ' • Postal ■TIFIED O ■ ■ I S 0 /• • { Q I• u IIC`- IIIN Ell I ^ CO u] Otith•0 'f Y• 111• . 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C3 �� - �111�f��nn we--�---C---------------------------------------------- r� �^� I I Street and Apt.Alo.,or PO Box Pfo. �11 jl (,1(nld t �,CL�S4.\��t�lf,, 1 B!-- i Ctty Z/P+4e b t`L 1 City, tate, I(P1+4 - lv :rr r ., r,r•• MI r 1 1 I I C 1 Glenn Goldsmith,President _ 'O�p VFF© 041 Town Hall Annex A.Nicholas Krupski,Vice President G�� 54375 Route 25 John M.Bredemeyer III y P.O.Box 1179 Michael J.Domino � Southold,NY 11971 Greg Williams A, p! ¢'� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MARYBETH SCISCENTE COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE ,residing at/dba -er�Y, �' _r�CAB2 being duly sworn, depose and say: That on the GtNay of� n�-� , 20 ZI, I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,February 17, 2021. Dated: (signature) Sworn to before me this day of 7i8.20 04 BARBARA H. TANDY otary Public Notary No.Public,0TA6o8600 State Of j York Qualified In Suffolk County Commission Expires 01/13/20 0�3 t COMPLETE • COMPLETE ■ Complete items 1,2,and 3. 4A. Siture ■ Print your name and address on the reverse ElAgent so that we can return the card to you. ��+ 11Addressee ■ Attach this card to the back of the mailpiece;., ved by(Printed Name) C. Date of Delivery or on the front if space permits. �= 1. Article Addressed to: D. Is delivery address different from item 17 ❑Yes If YES,enter delivery address below: p No 'P(D W K I G 3 b O IIIllllil lill IIIIIII II III�IIII III III�IIII I III 3. Service Type ❑PriontyMail sO ❑Adult Signature ❑ jteredr ❑Adult Sigature Restricted Deliv ❑Registere aal estricted ❑Certified Mnail® 9590 9402 6132 0209 4562 79 ❑Certified Mall Restricted Delivery Rg , °pt for ❑Collect on Delivery c arftlise l 2. Article Number•:(fransfer from servlCe,label), ❑Collect on Delivery Restricted Delivery ❑Signature Confirmationym j — i; –: ❑Insured Mail , ❑Signature Confirmation 1 7 0 2 012 9 D`' p 0 0 2 31 5 7 9 0 Mail Restricted Deliveryw t'Re`stricted Delivery !�PS Form 3811;July 2015 PSN 7530-02-000-9053 Domestic Return Receipt t USPS .Tracking' FA°S > Track Another Package + Tracking Number: 70201290000002315806 Remove X Your item was forwarded to a different address at 3:46 pm on February 12, 2021 in POMPANO BEACH, FL. This was because of forwarding instructions or because the address or ZIP Code on ,the label was incorrect. Alert CD CD February 12, 2021 at 3:46 pm W Forwarded POMPANO BEACH, FL Get Updates u Text & Email Updates u Tracking History Product Information u See Less Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. MSPS Tracking® FABS > Track Another Package + Tracking Number: 70201290000002319996 Remove x Your item was delivered to an individual at the address at 2:38 pm on February 11, 2021 in SOUTHOLD, NY 11971. Delivered CD CD February 11, 2021 at 2:38 pm Delivered, Left with Individual 0 SOUTHOLD, NY 11971 Get Updates u Text & Email Updates u Tracking History u Product Information u See Less s� ' Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. USPS Tracking® FAQs > Track Another Package + Tracking Number: 70201290000002319989 Remove X Your package will arrive later than expected, but is still on its way. It is currently in transit to the next facility. In-Transit February 14, 2021 In Transit,Arriving Late Get Updates v Text & Email Updates u Tracking History u Product Information u See Less Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. 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. OWNERS) OF RECORD: MARYBETH SCISCENTE SU13JECT OF PUBLIC HEARING: For a.Wetland Permit to reconstruct existing 20'- 3.5'px29'-3.5" (593sq.ft.) seaward side wood deck with new 10'x16' fiberglass pool; install a new 17'7"x28'0" (358sq.ft.) masonry patio seaward of deck; and to abandon the existing sanitary system in rear yard and install new septic system in front yard. Located: 405 Lake Avenue, Southold. SCTM# 1000-80-3-16 TIME & DATE OF PUBLIC HEARING: 4 Wednesday, February 17, 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 Town of Southold L'VfFRl CON3ISTEI CY=ASSESSMENT-FORM. A. INSTRUCTIONS 1.,. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits ( acid 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 s Waterfront Revitalization Program. ,A proposed Faction vsrill-_be.:.evatuatecl-as,to:itsµsiggcant; :beneficial and_adverse_effects°upon-tlie•coasfialka dj which'inc`lucles all oflSoub oldTowaZ 1. - ' 3 If.any question it! 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 anweir:mast"lie'explained;'ia detail;-<lia'ting% tli,suuuor"tinm and"rion�: i s®pwortinn.fawets. If.an action"cannot be certified-as consistent with the LWRP policy standards and conditions,iii liall_fiU ie,.:iiiic7eitakeii: A copy of the LWRP is available in the following places: online at the Town of Southold's F website(southoldtown.northfork,net), the Board of Trustee's Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION s SCTM# 80 = 3 16 s PROJECT NAME, __SCISCENTE RESIDENCE The Application has,been submitted to(check appropriate'response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees OF 1. Categoryof 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: .Q. 1, Nature and extent of action:,4 -RECONSTRUCTING WOOD DECK(WITH FIBERGLASS POOL),_20'-3.5"x 29'-3.5", 593 S.F. -NEW MASONRY PATI0,1T-7"x 28'-0",358_U- -ABANDON EXIST. SEPTIC SYSTEM IN REAR YEAR,_INSTALL NEW SEPTIC SYSTEM IN FRONT YARD a Location of action: 405 LAKE AVENUE DRIVE,_SOUTHOLD,-N-Y,-11971^-­_._ Site acreage: _.27-- Present.land user.,- SINGLE-FAMILY USE Present zoning_classification: _ =R-40 _ - - 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 of applicant: , AMP ARCHITECTURE,PLLC 1075 FRANKLINVILLE ROAD,LAUREL,NY, 11948 (b), Mailing address: _ _ (c) Telephone number: Area Code( },. _(516),214-0160-, (d), Application number;ifriy � Will the action be directly undertaken,require funding,or approval by a state or federal agency? j Yes;0 No. If yes;'which.state or federal agency? ' s 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. J - , 5 D _If{ -Ok,19VI COAST TOLICY1 Policy 1. Foster-a pattern of development in the Town of Southold that enhances community character, preserves opeii,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, Q,Yes Q No Q Not Applicable THE PROPOSED RECONSTRUCTED DECK MAIN_T_AINS THE.COM_MUNI_TY-CH-ARACTER_„PRESERVES-._ .PEN_SPACr,",MAKES.EFFICIENT,USB-OF INFRASTRUCTURB,_AND_GQOD.USE OF THE COASTAL _ - ° :I;OCAT�ORAND MINIMIZED ADVERSE EFFECTS OF DEVELOPMENT. - 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 J Yes Zl No I Not Applicable J " / J 1 ' y r , THE PROPERTY HAS NO HISTROIC OR ARCHAEOLOGICAL RESOURCES--- _Attkh addifi6nil Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Sectiolil III—Policies Pages 6 through 7 for evaluation criteria Yes No L2J' Not Applicable �THERE-ARE 1W SCENIC RESOURCES ON THE PROPERTY TO PROJECT. AMch additiond sheets if nicessary 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 `;,COs. Yes El No n Not Applicable EXISTING BULKHEAD MINIMIZES LOSS FROM FLOODING AND EROSION,NOT LO-CAT-ED-IN.CEHA 'Attach idd!fi6n9 sfi6et6ififi&egs*_ Policy-5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III Polides Paps 16 through 21 for evaluation criteria Lai: Yesrl No n Not Applicable '--'NEW-SEPTIC TANKS WILL IMPROVE THE_W__ATEk_0_1JA!ftyAN_b SCDHS-STANDARDS_UNUIKtTffE_1ffi9f._99P_ff 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. Yes No Not-Applicable PROPERTY ISNOT LOCATED.IN_THE WETLANDS-NOR WILL WORKINTERUP COASTAL FISH AND WILDLIFE . _ _ _ Attach additional sheets if necessary F, 1 Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. T � Yes ` No Q Not Applicable PROPOSED WORK WILL NOT AFFECT AIR QUALITY. 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—PoIicies; Pages 34 through 38 for evaluation criteria. f Ye-'W- -" No 0 Not Applicable ALL WASTE IS CONTROLLE AND ALL CONSTRUCTION DEBRI WILL BE DISPOSED OF PROPERLY_ 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 Sectio_n_III—Policies;Pages 38 through 46 for evaluation criteria. 0 YelD No E Not Applicable THIS IS A PRIVATE PROPERTY TH_AT HAS NO PUBLIC ACCESS OR R AFFECT_S PUBLIC_SPACE_S,NOR ITS NEIGHBORS. Attach additional sheets if necessary 1 i 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 111--Policies; Pages 47 through 56 for evaluation criteria. n Yes ❑ No ❑ Not Applicable RECONSTRUCTED DECK AND NEW SEPTIC SYSTEM ARE LOCATED ON A PRIV_ATE_RESIDENTIAL SITE, DOES NOT AFFECT NATURAL SHORELINE_OR WATER AREAS. Attach additional sheets if necessary s j Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. Yes 0 No ❑ Not Applicable ` RECONSTRUCTED DECK AND NEW SEPTIC SYSTEMWILLNOT INTERFERE WITH_MARINE _ RESOURCES. - ---- ----- 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 0 No 0 Not Applicable THIS IS A PRIVATE RESIDENTIAL SITE THAT HAS NO AGRICULTURAL LANDS. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable RECONSTRUCTED DECK AND SEPTIC SYSTEM DO NOT APPLY TO ENERGY CODES.._ PREPARED EY--_ DATE