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TR-9925
Glenn Goldsmith,President �QF soar Town Hall Annex A. Nicholas Krupski,Vice President hQ� y�lO 54375 Route 25 P.O. Box 1 John M. Bredemeyer III Southold, New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 Irou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction;-hay;baleline/silt bbom/rAt-curt9in. ' 1 st day of construction- '% constructed- _ When,project complete,,call for compliance inspection; 50 1`5EN"�owia'li U5.......... .............. U BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK 31 PERMIT NO. 9925 DATE: JUNE 16,2021 ISSUED TO: STEVE &JANE PETERSON REVOCABLE TRUST PROPERTY ADDRESS: 300 JACKSONS LANDING,MATTITUCK SCTM# 1000-113-4-5 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 June 16, 2021 and in consideration of application fee in the sum of$250.00 paid by Steve&Jane Peterson and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install a 141x28' swimming pool; a 10'x181 on-grade bluestone patio; 1 and pool enclosure fencing; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveying,PLLC, dated November 10,2020, and stamped approved on June 16,2021. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these 1s presents to be subscribed by a majority of the said Board as of the 16th day of June,2021. FDt C) e�' coo 0 IMTIN'10 �6� A"'W4,0'T —Noe— TERMS AND CONDITIONS The Permittee Steve &Jane Peterson Rev. Trust, residing at 300 Jacksons Landing, Mattituck,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 *0 SO(/ry Town Hall Annex A. Nicholas Krupski,Vice President ,`O� O1 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 TOWN OF SOUTHOLD June 22, 2021 Robert Anderson Suffolk Environmental.Consulting, Inc. P.O. Box 2003 - Bridgehampton, NY 11932-2003 RE: STEVE & JANE PETERSON REVOCABLE TRUST 300:JACKS6NS.LANDING; MATTITUCK SCTM#1000=113=4=5 _ "Dear'Mr.ArAerson:" The--Board of Town Trustees took the.following action during its regular meeting held on Wednesday, June 16; 2021--`regarding the above matter:' - - WHEREAS, Suffolk-Environmental-on behalf of STEVE & JANE PETERSON REVOCABLE TRUST applied to-the Southold Town7ruste- es for a permit"dfid er the provisions of Chapter 275 of the Southold Town Code,--the Wetland'Ordinance'of the Town of Southold, application dated April 26, 2021, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and'recommendations, and-, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 16, 2021, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the-structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of STEVE&JANE PETERSON REVOCABLE TRUST to install a 14'x28' swimming pool; a 10'x18' on- grade bluestone-patio; and pool enclosure fencing;,and as depicted on the•survey prepared by Kenneth M. Woychuk, Land Surveying;.PLLC, -dated Novemba 10, 2020, ,and stamped approved on, June 16, 2021. „ :'.,'Permit to construct.and complete;project will expire.two yeas;from the date the.permit. = is signed. _Fees;mus t,be:paid, if`a;pplicable, and-permit,issued=,w ithin;six.monttis of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, GlXnGoldsmP President, Board of Trustees GG/dd S.C.T.M. NO. DISTRICT- 1000 SECTION: 113 BLOCK: 4 LOT(S):5 - i DD ROVED BY APR 2 6 2021 -BOARD OF I RUSTEES Southol TOWN-OF SOUTHOLD Board of Trustees 'DATE ITVW 14 202 L :g -D X09, MON. Olt- 16, . LOT 2 �}� / `1213`14\15` 9 MON. LOT 3 8. �li = •31� , Vµ0 m `�~` 15 W - Fos°C ;osry •...•• � o % ��, e ��, 12 LOT 4 9 10 t`�O oFck ooh `` d�vN vJ v `6` p�� ,1 � IIt1I*?� 9R/Ckp uN�Eipg110 I EDGE OF TIDAL WETIMDS AS DETERMINED BY ` p,Q✓so .8 'SUFFOLK ENMRONMENTAC CONSULTING INC.- 5, 0 F0 SF �`c� s ``�� — — --"— - - — — -- --- MARCH 4, 2021 X x X x x x X x x f X X x x x . PoS� `� Q) x x x x x x x `� \ x x x x x x x x x x x x x x x x x x x x x xO \ x x x x/.� x x x x F * x x x /O x x x x � O x x x x x44 �,Y x x x FAG ��`�� � X x x x x x x x x POLE �6 O X xxxxxxxx .Os.xxxxT �`- --5 Sx x x x x x x S6xXxXXXXXXXX�cj .XXXxx Yv V xxx `� .xxxxxxxx'X FOA �` __ ;� ` TYPICAL SILT xxxxxxxxxxxxx"x ' SCREEN SEC TION x x x x x x x �` e ��j� �Jlh•�Y xxxxxxxXXxXxXx x x x GEOTEXTILE FABRIC h 17 �/N x x x x x x x x x x ` F x x x x x x x x SUPPORT POSTS I x� xxxXX X X XX WOOD OR METAL S x xXxXx xxx X} FLOW DIRECTION 2/ x x x x EXCAVATED AND l� \ BACKFILLED TRENCH + \ EXISTING GROUND 7 AZOqT 1 I I—I 11=1J=L1=1J1=L1- ° :,=�r I I--lel---11�—T1i--Lri—Ill=l I I: =LI—11=�7IIll�=�lll I Ill_I=1�L=L 111 I► -�11�11�1=�1LI I=IL.�—�1 IJ1 I=I II�LInJ�l-111=1�11�1—I�I�I�1: III iIIII� III�IIIIIII "1�1=1�1_I11 <• X MINIMUM THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL REVISED 04-06-21 LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS. AREA:20,524.07 SQ.FT. or 0.47 ACRES ELEVA77ON DATUM. NAVD88 UNAUTHORIZED ALTERA77ON OR ADD177ON TO THIS SURVEY IS A VIOLA77ON OF SECTION 7209 OF 7HE NEW YORK STATE EDUCATION LAW. COPIES OF 7HIS SURVEY MAP NOT BEARING 7HE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO 7HE PERSON FOR WHOM 7HE SURVEY /S PREPARED AND ON HIS BEHALF TO 7/E 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO 7HE ASSIGNEES OF 7HE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. 77-1E OFFSETS OR DIMENSIONS SHOWN HEREON FROM 7HE PROPERTY LINES TO 7HE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT 77-IE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUC-TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 7HE PREMISES AT THE 77ME OF SURVEY SURVEY OF: LOT 3 CERTIFIED TO: STEVEN R. PETERSON; MAP OF:JACKSON'S LANDING JANE A. PETERSON; FILED:MAR. 28, 1969 No. 5280 SITUATED AT: MATTITUCK TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 FILE #220-146 SCALE: 1"=30' DATE: NOV. 10, 2020 PHONE (831)298-1588 FAX (631) 298-1588 N�SLI N0. 050882 maintaining the records of Robert J. Hennessy h Kenneth M. lloychuk �oStIFFO[,re0 Glenn Goldsmith, President hyo Gy Town Hall Annex A Nicholas Krupski, Vice-President y 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 Michael J. Domino Southold, NY 11971 Greg Williams �l 'X` �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: STEVE & JANE PETERSON c/o SUFFOLK ENVIRONMENTAL Please be advised that your application dated April 26, 2021 has been reviewed by this Board at the regular meeting of June 16, 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.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Suffolk Environmental Consulting, Inc. Newman Village - Suite E 2310 Main Street PO Box 2003 - Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President June 24th,2021 HAND DELIVERED 2 (ta 2 g V E ® tS Ly t5 Board of Trustees jUH 2 4 2M Town of Southold P.O. Box 1179 Southold Town Southold, NY Poard of Trustees 11971 RE: STEVE &JANE PETERSON TRT. Property Situate: 300 Jackson Landing - Mattituck, New York •11952 SCTM#: 1000 -113 - 04 -05 Dear Members of the Board, As per the Board's request, enclosed herewith please find a check in the amount of fifty dollars ($50.00) in full satisfaction of the requisite final inspection fee. Thank you for your time and consideration in reviewing this application. Yoursl , Robert W. Anderson (enc.) 1 Cantrell, Elizabeth From: DONNA Liberti <suburban806@msn com> Sent: Monday,June 7, 2021 10:56 AM To: Cantrell, Elizabeth Subject: [SPAM] - Public Hearing Re. Steve and Jane Peterson/Pool Permit Trustees - Please let it be known that Joseph and Eleanor Nargentino, owning the home at 400 Jackson Landing, (abutting the property of Steve and Jane Peterson) approve of their proposal to build a pool on their property. Steve and Jane have been wonderful neighbors, much as Jane's parents Hank and Harriet were before them. They truly deserve to enjoy the time spent in their yard in the manner in which they desire. We wish them all the best, and are especially happy for them, knowing they will be making wonderful memories with their grandchildren in their new pool. Thank you, Joseph and Eleanor Nargentino F EC EE E F � JUN - 7 2021 IJT�Y,,n 1 Glenn G With, President _ • � ` � Town Hall Annex A.Nicholas Krupski, Vice PresidentE 54375 Route 25 John M. Bredemeyer III o P.O. Bax 1179 Michael J. Domino Southold,NY 11971 Greg Williams ': Telephone(631)765-1892 f�- ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1 V6 Completed in field by: L7 Suffolk Environmental Consulting on behalf of STEVE & JANE PETERSON REVOCABLE TRUST requests a Wetland Permit to install a 14'x28' swimming pool; a 10'x18' on-grade bluestone patio; and pool enclosure fencing. Located: 300 Jacksons Landing, Mattituck. SCTM# 1000-113-4-5 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 f Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment v 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: 4 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino �F G. Goldsmith N. Krupski G. Williams Other S.C.T.M. N0. DISTRICT: 1000 SECTION: 113 BLOCK: 4 LOT(S):5 F® CC� EUWE A P R 26 2021 Southold Town Board of Trustees �II�L gpAD 09, �S O MON. \ V `` 16_o` LOT 2 1 it `'�12'`13'�14\15�`` WIA. 10 MON. LOT 3 -,► \� �`� �qll ' � 15 �n ,1 ,�. ::::.;:�',:y 0 R/Oki �' •\`� ry�� FOPO� b� �Sp• �/� Q `\ 12 J 34 --- -- \� LOT 4 9 10 l® ") v B � ``3j> UAN Q 0~` ' QQ EDGE OF 71DAL WETLANDS AS DETERMINED BY �` 5.� SUFFOLK ENVIRONMENTAL CONSULTING INC. -- MARCH 4, 2021 X A X ,a yti '` S/�T41 A,y Al, ` -'7 x x X x XX ` X X x C X X N \ X x x •x ROPoS \`\ --� x x z x x z x x x x x x \ x �� `\ �`` x x x x x x x `. x x x x x x x x X X X x/•� x x x x F �C x x x ./Q9 x x x x O X x x XXI'44 4, x x x FLAG �r x x x x x �x x x x POLE \� ^ 1V 6' 0 x xxxxxxxx 74,5 xXxX� s� x X x X x x X > 3 _J 62 xXXXXXaaX , -\ X x x x x o x x T� c XvXXxX a .XXXXXXXx,xaFO� \`� _ a ` TYPICAL SILT XzxxXXxxxxxxx x SCREEN SECTION X x X z X x x �\ XXxzXxXxXxXxzx x x x GEOTEXTILE FABRIC l C/N x x x x x x x x x x ` F x z x x x x x x SUPPORT POSTS x x x x x x x WOOD OR METAL Sx x x x x x �' x xxxxx xxxx} FLOW DIRECTION x x x x EXCAVATED AND BACKFILLED TRENCH \ EXISTING GROUND Az 04 I �1J1 I I=LI-1=T=II • _�`S I I=ll T1--Ll=�ll--1Tl--�I---Jl Ill—I1=J1—I I—Ill ll Jl —I I �J1�JJ.ll�.Ll=1= 2'MINIMUM a THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL REVISED 04-06-21 LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS AREA:20,524.07 SQ.FT. or 0.47 ACRES ELEVATION DATUM: NAVD88 UNAU7HORIZED ALTERARON OR ADDITION TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO 774E ASSIGNEES OF THE LENDING INS7777J770N, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM 774E PROPERTY LINES TO THE S7RUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARAN7EED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF: LOT 3 CERTIFIED TO: STEVEN R. PETERSON; MAP ORJACKSON'S LANDING JANE A. PETERSON; FILED:MAR. 28, 1969 No. 5280 SITUATED AT: MATTITUCK TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Boz 153 Aquebogue, New York 11931 FILE #220-146 SCALE: 1 "=30' DATE: NOV. 10, 2020 PHONE (831)298-1588 FAX (831) 298-1588 10;��C. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk APR 2 6 2021 1.0RIGA S Southold Town DESIGN/BUILD 42' steel Joseph Fischetti, P.E. .:fa PROFESSIONAL ENGINEER 28' 2/22/21 GUNITE POOL 300 Jackson Landing Mattituck NY 11952 PROJECT TEAM: Designer/Builder 8' RIGAS CO 22260 main road,onent ny 11957 631 3238022 c@rigasco com Engineer Joseph Fischetti, P.E. P O Box 616,Southold NY 11971 631 7652954 New 14' x 2b' gunite pool Scale,as Noted New 10' x 1 b' bluestone patio A2 - 14' x 28' Gunite Pool, reinforced with #4 rebar - 22" Beam with 8" thick walls and floors GAS 22 x12 reinforced gunite pool' - Nater Line Tile with Plaster Interior f=inish D EC E OV E IGN/BUILD beam with (4) #4 rebars continuous - 2 Skimmers, I Returns ApR 2 6 2021 J sep Fischetti, P.E. Southold Tow PROFE SIONAL ENGINEER Board f Trust es 41b 40 • = Nater Line Dashed 2/22/21 �:. GUNITE POOL ~ ,; 300 Jackson Landing �" �'o • i• ;i �• °i '• r ;� " i�. MattituckNY 11952 8"- thick 'unite walls and floor with #4 rebars at PROJECT TEAM: 10110G, each way vertical ,8c horizontal P Designer/Builder RIGAS CO 22260 main road,onent ny 11957 631 323 8022 c@dgasco com coping . 'water line Engineer- - - : _ ' 'D EJoseph Fischetti, P.E. P O Box 616,Southold NY 11971 E-16" 631 7652954 12" ° Scale as Noted 12" A3 STEVEN R. & JANE A. PETERSON REV. TRUST Property Situate: 300 Jacksons Landing •Mattituck, NY 11952 SCTM#: 1000 - 113 - 04 - 05 (Photographs taken on April 23ra, 2021) g +� x - I _ L r g , u r � _ �� �.,P �� � � �� � Yom• r.. ,, "a'i+A: �� � y d4 4, The photograph above (taken facing southwest) depicts the location of the easterly most and seaward corner of the proposed swimming pool. STEVEN R. & JANE A. PETERSON REV. TRUST Property Situate: 300 Jacksons Landing •Mattituck, NY 11952 SCTM#: 1000 - 113 - 04 - 05 (Pliotograplis taken on April 23rd, 2021) a IWWI 4h ft 041 's �• pit' r y�y'_ , a p, The photograph above (taken facing west) depicts the location of the westerly and seaward most corners of the proposed swimming pool (blue circle) and bluestone patio (red circle). STEVEN R. & JANE A. PETERSON REV. TRUST Property Situate: 300 Jacksons Landing •Mattituck, NY 11952 SCTM#: 1000 - 113 - 04 - 05 (Photographs taken on April 23rd, 2021) o r , a" a Wt a � w Me• � �y g b y u n The photograph above (taken facing east) depicts the proposed easterly (red circle) and westerly (purple circle) corners of the proposed swimming pool as well as the westerly and seaward most corner of the proposed bluestone patio (blue circle). STEVEN R. & JANE A. PETERSON REV. TRUST Property Situate: 300 Jacksons Landing •Mattituck, NY 11952 SCTM#: 1000 - 113 - 04 - 05 (Photographs taken on April 23rd 2021) _ "8 e f , ' 11 .,.. rt` S 'X .• , The photograph above (taken facing northeast) depicts the proposed easterly (red circle) and westerly (purple circle) corners of the proposed swimming pool as well as the westerly and seaward most corner of the proposed bluestone patio (blue circle) and the existing dwelling thereon. STEVEN R. & JANE A. PETERSON REV. TRUST Property Situate: 300 Jacksons Landing •Mattituck, NY •11952 SCTM#: 1000 - 113 - 04 - 05 (Photographs taken on April 23rd, 2021) 44 MI TT AW `1r 7 � � 1 � � � it �4� x � � ��� � � �� •�' yy r ,r. a x The photograph above (taken facing northwest) depicts the proposed easterly (red circle) and westerly (purple circle) corners of the proposed swimming pool as well as the westerly and seaward most corner of the proposed bluestone patio (blue circle) and the existing dwelling thereon. RIGAS Property Situate: 300 Jackson Landing • Mattituck, NY 11952 SCTM#: 1000— 111 —05—04 Rd Rd r' s ✓'. SEE SEG!(G Y9e, s F SEE 9EC NO 106 b c� •E AM N t Ok 1 1 SM 1 i0.<{ 9 iGi LISz MATCH IJNE. o4 xY ns fORPCl N6 ''y Y -• •"..�.. s "E �Fl 11 '4 0 p F�iti V*' yy\".t. 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OFFICE LOCATION: r MAILING ADDRESS: Town Hall Annex �� " . �' µk P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Via, 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: June 10, 2021 Re: Local Waterfront Coastal Consistency Review for STEVE & JANE PETERSON REVOCABLE TRUST SCTM# 1000-113-4-5 Suffolk Environmental Consulting on behalf of STEVE & JANE PETERSON REVOCABLE TRUST requests a Wetland Permit to install a 14'x28' swimming pool; a 10'x18' on-grade bluestone patio; and pool enclosure fencing. Located: 300 Jacksons Landing, Mattituck. SCTM# 1000-113-4-5 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP. Require the installation of a vegetated, non turf buffer landward of the Tidal Wetlands to further Policy 6. 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 , P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 jr Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held June 9, 2021 the following recommendation was made: Moved by John Chandler, seconded by Carol Brown, it was RESOLVED to SUPPORT the application of STEVE & JANE PETERSON REV.TRUST to install a swimming pool (14'X 28') located 55' landward of the tidal wetland boundary to the south, as well as an on-grade bluestone patio (10'X 18') located 52' landward of the tidal wetlands thereon. Located: 300 Jacksons Landing, Mattituck. SCTM#113-4-5 Inspected by: Carol Brown, John Chandler The CAC Supports the application as submitted, and only as submitted. Vote of Council: Ayes: All Motion Carried + p � Michael J,Domino,President yah �� ATower Hall AnnexM..IBredeme er Il 54875 Route 25 Johny T, C1ica�Presadent P.O.Box 1179 Charlea J.S'atnders Southold,New Mork 11971 Glenn Goldsmith - , �' .��z Telephone(531) 765-1992 A. N9c'olaa Krups � � 0 1' ��nx( 1} i85-65 1 �� _ ; BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application X Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application- 1.2G•Z1 eceived Fee:$ ZO.W ✓ Completed Application: q,Z7 21 Incomplete: ® E C E Q 'd E SEQRA Classification: Type I Type II Unlisted —�,,Coordination:(date sent) `` APP 2 6 2021 LWRP Consistency Ass ^ss� nt Form: a`1 —y�CAC Referral Sent: `�'f V Date of Inspection: Southold Town Receipt of CAC Report: LBoard of Trustees Lead Agency Determination Technical Review: Public Hearing Held: •LI Resolution: Name of Applicant Steve and Jane Peterson Rev. Trt. (c/o Constantine Rigas) Address 22260 Main Road • Orient, NY• 11957 Phone Number: (631)—323 —8022 Suffolk County Tax Map Number: 1000—113 —04—05 Property Location: 300 Jacksons Landing • Mattituck,NY • 11952 259.7' Southeast of W Mill Road. (provide LILCO Pole#, distance to cross streets, and location) AGENT: Robert W. Anderson- Suffolk Environmental Consulting, Inc. (If applicable) Address: P.O. Box 2003• Bridgehampton,NY 11932 Phone: (631) 537—5160 '_k c9 ����\ c�� Board of Trustees Application GENERAL DATA Land Area(in square feet): 20,524.07 sq. ft. Previous use of property: Residential Intended use of property: Residential w/ Swimming Pool Covenants and Restrictions: Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes X 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 a decision Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date X 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): Applicant Proposes to install a swimming pool (14' x 28') located 55.0' landward of the tidal wetland boundary to the south, as well as an @-grade bluestone 12atio (10' x 18') located 52.0' landward of tidal wetlands thereon. i Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed operations: provide the property with a swimming pool Area of wetlands on lot: 2565.5 f square feet Percent coverage of lot: 12.5 % Closest distance between nearest existing structures and upland edge of wetlands: 0.0 feet (Dock Assembly) Closest distance between nearest proposed structures and upland edge of wetlands: 52.0' feet(Proposed Bluestone Patio) Does the project involve excavation or filling? No X Yes If Yes,how much material will be excavated? 72.0 yds How much material will be filled? N/A Depth of which material will be removed or deposited: 5.0± feet Proposed slope throughout the area of operations: none Manner in which material will be removed or deposited: soil to be excavated by way of backhoe/front end loader 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): No further impact to wetlands anticipated in that, many other parcels along the same waterbody improved in a similar manner to what is being proposed with little to no appreciable impact to the adjacent surface waters/tidal wetlands. _.1 Board of Trustees Application COASTAL EROSION APPLICATION DATA N/A Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 617.20 Appendix B Short En M-on mental Assessment F omi 111strilctions for C01110efilig Part 1 - Project information] The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of tile application for approval or funding,are subject to public review,rind may be subject to further verification. Complete Part I based on information currently available, If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible blued on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or Lisefill to the lead agency;attach additional pages as necessary to supplement any item. Part I - ProjectandSponsor Information Nianle of Action or Project: Steve and Jane Peterson Rev.Trt. (c/o Constantine Rigas) Project Location(describe,and attach a Imation map): 300 Jacksons Landing Mattituck, NY - 11952 Brief Description of Proposed Action: Applicant proposes to install a swimming pool (14"x 28') located 55.0' landward of the tidal wetland boundary to the south, as well as an @-grade bluestone patio (10' x 18') located 52.0' landward of tidal wetlands thereon. Mame of Applicant or Sponsor: Telephone: 1(631)537-5160 Robert Anderson @ Suffolk Environmental Consulting, Inc. E-Mail: 'Pruce@suffoken*onmenta1.coTn Address: P.O.Box 2003 ---------------------------- C'ityipo: State: lip Qodc: Bridgehampton PtY 11932 1. Does the proposed action only involve the legislative adoption of plan,local law, ordinanc4 NO YES administrative rule.or regiflationT F� If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that Fx may be affected in the municipality and proceed to Part 2. Ifno,continue Wquestion 2. 2. Does the proposed action require a permit,approval or ftinding , from any other governmental Agencyl? NO YES -if Yes.list ap-encv(s)name and mcmit-or approval- - M)( Town of Southold Board of Trustees Wetlands Permit. NYSDEC TidaI Wetlands Perm-i"tLL\J 3.a.Total acreage of tile site of the proposed action) 0.47 'acres bA Total acreage to be physica I ly(I isto rbedf <0.1"' acres c.Total acreage(project site and any contiguous properties) owned or controlled by the applicant or project sponsod ;, 0.47 ----acres 4. Check all land tises that occur on,adjoining and near the proposed action] ❑Urban [:3Rural (tioii-a,victilttire) [3Industrial OCommercial OResidential(stiblirban) 0 Forest MAgrictiltme MAqtiatic [:1 Other(speci 0 Parkland Page 1 of 4 S. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations 0 El b.Consistent with the adopted comprehensive plan' 0 1:1 6. Is the proposed action consistent with the predominant character of the existing built or natural) NO YES landscape'[ ❑ El 7. Is the site of the proposed action located.in, ordp_es it adioin,a state listed Critical Enyi-ron.niental,Area?l NO YES If Yes,identify: _.`- _. _ - - - LL ® ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels' NO YES M El- b. b. Are public transportation senvice(s) available at or near the site of the proposed action? I'm EJ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Toes the proposed action meet or exceed(lie state energy code requiremcnts`I NO YES If the proposed action will exceed requirenh_ents,describe design_ features and technologies: F1 L 10. Will the proposed action connect to an existing public/private watersupply: NO YES if-No.-describe method for proAding_potable water:. _--_. _ - _..__ NSA 11. Will the proposed-action connect NO YES If No,describe method for providing wastewater treatment: _ ❑ ❑ NSA 12. a.Does the site contain a structure that is listed on either the State or National Register of Historiel NO YES Places?l m b.Is the proposed action located in an archeological sensitive area? mX 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 fexferal,state or local agency:] ElEl— b. b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? El ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:SMw n m pM 14. identify the typical habiiat types that occur cin,or are likely to be foiind on the project site Check all that apply: ®Shoreline ❑Forest ❑Agricultural/grasslands ❑1»ariy mid-strceessional ❑ Wetland ❑Urban ®Suburban 1 S.Doe 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'] ® El 16.Is the pn)ject site located in the 100 year flood plainj NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sourues'f NO YES 1 f Yes, ® F-1a. Will storm water discharges flow to adjacent properties? ❑NO ❑YFS b.Will stomp water discharges be directed to established conveyance systems(runoff tuhd stone drains)'? if Yes,briefly describe: .. .W_ ._ _ ,_.[�NO N [ YES Page 2 of 4 18. Dt--s the proposed action include construction or other activities that result in the iMPOUndment ofl No YES ®eater or other liquids(e.g.retention pond.®caste lagoon® am) If Yes,explain purpose and sire: 19. Hats the site of the proposed.action or an adjoining property been the location ofan active or closedl NO YES solid waste management facility'] If Yes,describe: Li '10. Hats the site of the proposed action or an adjoining propem been the subject of remediation(ongoing or O I'E completed) for harardow;`wste7 If Yes,describe: El I AFFIRM THAT T E INFORMATION PROVIDED ABOVE. IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicantisponsor nam err i n iron.Cor u t n ,Inc.Date: � 2� Signature Part 2 - Impact Assessment] The Lead A enc% is responsible for the completion of Part 2. An_cv`•er all of the following questions in part 2 using*the info ration contained in part I and other materials submitted by the project sponsor or other`s isc available to the revie`ver. When answering the questions the reviewer should be guided by the concept"I lave my responses been reasonable considering the scale and context of the proposed action'?" No.or Moderate small to large impact impact mai nta` occur occur I. Will(tic pr apo d action,crc to a material conflict with an adopted hind us-,plan or zoninall reg m atlons' Will the proposed action result in a clam e in the use or intensity of use of land— . Will the proposed action impair the character or quality ofthe existing community 4. Will the proposed action have an impact on the environmental characteristics that caused the] establishment of a('ritical Environmental Area(CIA F S. Will the proposed action rc°sult in an adverse change in the existing level of traffic oq aftect existing infrastructure for mass transit,biking or wMIk`aa),V EJ 0 G. Will the proposed action cause an increase in the use of energy and it fails to incorrate rcasonably available ener �conservation or renewable enqa oppcwtunitiesl T Will the proposed action nap tit existin} a. public 'private water upplics�? Li b, public private wastewater treatment utilities? F1 8. Will the proposed action impair the character or quality of important historic,archaeologgicarll architectural or aesthetic r ourcc� - 9. Will the proposed action result in an adverse change to natural resources(e.g..avetlandi waterbodies,groundwater,air quality, flora and fauna)F Page 3 of No,or 'Moderate small to large impact impact ma., mai occur occur M Will the proposed action result in an increase in the potential for erosion. flooding ordrainagel problems` 4 Li 11. Will the proposed action create a hazard to environmental resources or human healthl 1Z :fEl:j Part 3 ® determination or significancel The Lead Agenc® 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 stifficient detail,identify the impact,including any measures or design elements that have been included byl the project sponsor to avoid or red tice impactsl Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential int pactshould be assessed considering its setting®probability of occurringl duration.irreversibility. geographic scope and magnitude. Also considerthe potential for short-term.long-term andi cumulative impact4 Check this box If you have determined. based on the information and analysis above.and an),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),on have determined,based on the information and analysis above, and an), supporting documentation. that the proposed action will not result in any significant adverse environmental impacts. -1 Name of Lead Agency to Print or Nam lotsp- ns wib-c Officer in Lead Agency Title of Responsible Ofificer 'Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) L PRINT7 Page 4 of 4 Board of Trustees Applici, On AUTHOMATION (Where the applicant is not the owner) I/We, Steven R Peterson Revocable Trust and the lane A Peterson Revocable Trust, c%Constantine Rigas,Agent ` owners of the property identified as SCTM# 1000- 113.00-04.00-005.000 in the town of Mattituck New York,hereby authorizes Suffolk Environmental Consulting Inc 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. IV z2 roperty Owner' ignature roperty Owner's Signature 'SWORN TO BEFORE ME THIS DAY OF / y b-rC- ,_20 Lisa Ann Smith NOTARY PUBLIC Narisivie STATE OF FLORIDA otary Public Comm#GG937179 acExpires 12/412023 i' I Board sof Trustees Ap'plica ___,on AFFIDAVIT Steven R Peterson Revocable Trust and the Jane A Peterson Revocable Trust BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN-THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 'BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. JN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO-ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. 1 FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. '::i�Signature o Property Owner afore of Property er I, I t�f SWORN TO BEFORE ME THIS ., -DAY OF,_ � ,20 Lisa Ann Smith NOTARY PUBLIC $FIV�::! STATE OF FLORIDA Comm#GG937179 -Notary Public Expires 12/4/2023 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the 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: Jane A. Peterson, Trustee (Last name,first name, middle initial,unless you are applying in the name of someone else of other entity, such as a company.If so, indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,"name the activity.) Do you personally(or through your company,spouse,sibling,parent, or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage, or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered "YES," complete the balance of this form and date and sign where indicated. Name of person employed by 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 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 then 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 141_ ay of �� — 2021 Signature Print name Jane A. Pet rson APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the art of the town officers and employees The pumose 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: Steven R. Peterson, Trustee (Last name,first name,middle initial, unless you are applying in the name of someone else of other entity, such as a company.If so, indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,"name the activity.) Do you personally(or through your company,spouse,sibling,parent, or child)have a relationship with any officer or employee of the Town of Southold?"Relationship" includes by blood,marriage,or business interest."Business interest"means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered "YES," complete the balance of this form and date and sign where indicated. Name of person employed by 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 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 then 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 'L' of 2021 Signature 41r� Print name Steven it Peterson APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the 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: Robert W. Anderson k Suffolk Environmental Consulting, Inc. (Last name,first name,middle initial, unless you are applying in the name of someone else of other entity, such as a company. If so, indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,"name the activity.) Do you personally(or through your company, spouse,sibling,parent, or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage, or business interest."Business interest"means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered "YES," complete the balance of this form and date and sign where indicated. Name of person employed by 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 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 then 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 `rd f - 2021 Signature Print name obe Anderson Glenn Goldsmith,President �,UFFO(,q- �-0�4 CCG Town Hall Annex A.Nicholas Krupski,Vice President ,� �� 54375 Route 25 John M.Bredemeyer III y P.O.Box 1179 Michael J.Domino vG �r Southold,NY 11971 Greg Williams '� p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 2, 2021 Suffolk Environmental Consulting P.O. Box 2003 Bridgehampton, NY 11932 Re: Board of Trustees Application of Steve & Jane Peterson Revocable Trust 200 Jacksons Landing, Southold SCTM# 1000-113-4-5 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, June 16, 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. ery Truly Y urs, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President vyO\ OG Town Hall Annex A.Nicholas Krupski, Vice President y1 54375 Route 25 John M.Bredemeyer III N ? P.O. Box 1179 Michael J.Domino w�,y ® �� Southold,NY 11971 Greg Williams �4( �`arTelephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, JUNE 16, 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, June 16, 2021 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disalvo@town.southold.ny.us. Said comments will be considered at the public hearing provided-that they,are submitted no'latet 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 t6-tune-info the meeting are ori 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: 957-4891- 803-8 Password: 845569 • 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. ` t Glenn Goldsmith, President r �Q '�0�"� Town Hall Annex A.Nicholas Kcupski, Vice President �� y� 54375 Route 25 John M. Bredemeyer III w x P.O. Box 1179 Michael J. Domino ® �� Southold,NY 11971 Greg Williams Q y Telephone(631)765-1892 ��l 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. ';ard of Trustees Applicati PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: i' NAME: ADDRESS: Arcadia-5 L.L.C. 24 Millerwoods Drive J Miller Place, NY 11764 I Nargentino J & E, QPRT 87 Hitchcock Lane Old Westbury, NY 11568 Joyce Oropeza 210 Belle Ct. Norwood,NJ I 07648 STATE OF NEW YORK COUTNY OF SUFFOLK 'iLol�rk W • pandtarSoh -, residing at Su o��F—hJ��or�w�tA�a� CoriSuRiAlJAC. I2 1pA U*10_ 01'�'!_being duly sworn, deposes and says that on the . 3rA, day of 20 21 , 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 their 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 located at j2iT4>G' C44 kV_M_ 4 i &I V ,that-said Notices were,mailed-to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sig re Sworn to before me this T Day of MONO , 20 21 MATTHEW D. 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Newman Village ® Suite E © 2310 Main Street PO Box 2003 ® Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED ;�. June 3rd,2021 r Board of Trustees JUN -4 f, Southold Town P.O.Box 1179 cTowm Southold,NY Mrd; f1rustees. 11971 RE: Steve and Jane Peterson Rev. Trt PROPERTY—Affidavit of Mailing Situate: 300 Jackson Landing •Mattituck, NY • 11952 SCTM#: 1000—113—04—05 Dear Members of the Board, As per Southold Town Code X55-1,please find the Affidavit of Mailing for the subject parcel attached herewith. Thank you for your time and consideration regarding this application. Should you have any questions or concerns please feel free to reach out to this Office at any time. Sincerely, Robert W. Anderson � Board of Trustees Applica n PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME- NAME: i l L3 i E ' STATE OF NEW YORK COUTNY 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-abbve named persons at the addresses set opposite their 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 located at .:-_,-that-said-Notices-werr mailed tto each of said persons by CERTIFIED MAM/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public OF N TICE HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. OWNER(S) OF RECORD: STEVE & JANE PETERSON REVOCABLE TRUST SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a 14'x28' swimming pool; a 10'x18' on-grade bluestone patio; and pool enclosure fencing. Located: 300 Jacksons Landing, Mattituck. SCTM## 1000-113-4-5 TIME & DATE OF PUBLIC HEARING: Wednesday, June 161 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 Glow Goldsmith,Presithmi Towit I 1;j11 Annex A, NieliplQs Krupski, Vicc Presidgm 3437i lilanto 25 Johii M.Bredameyer [fl 13(w 1179 Ooffino y 11971 Grog w[Ma"Is 1'e 1cphimp,(631)765-i 892 Fax(0 P)705-66,41 1 BOAM) OF rOWN 'I" `roWN OF SQUTHOLD BOARD OF IAUIS7171313S'TONVN OF SOUTHOLD In Ilic Matter of the Appliciltion of STEVE &JANE PETERSON REVOCABLE TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO jV0 T-COMPLEM., THIS-FOR41 0V77LA M,R POSTIAW RE-1f"I TINY rX PL4 CE FOR la Robert W.Anderson reliiditlg at/dba Suffolk Environmental Consulting,Inc. P.O. Box 2003 - Briqgehampton,NY - 11932 Iving ditty �wom, dopase and say. '11,1at fill the 3rd dity of June r ')021 , I rxn-sonally posted 11tv property t.jlvvNn as 300 Jacksons Landing - Mattituck,NY - 11952 by placing the Board of'fi,ustees official 1101king poster where it can easily be seen From We strect, and that 1,have ebeeked to be sure the nuticing,poster has remahied in place for a full seven days inwiedi-titely piveed ing ihe date ref Lite PUb]ic h0ar1q.,r, Date o F heuing nctled there n to be held Wednesday,June 16,2021. Dwed: TWAIL Its* WL% S-N,vom to beforc my lith; I& day 01"SpiEl-ow MATTHEW D. IVANS NOTARY PUBLIC-STATE OF NEW YORK No.01 IV6053859 Qualified in Suffolk County Xerivary, My Commission Expires 01-22-20e 113 Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered"yes"or"no",then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail,listing both supporting and non- supporting facts.. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 111 - 04 - 05 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees ® ZBA ❑ 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: Applicant proposes to install a swimming_pool 14' x 28') located 55.0' landward of the tidal wetland-oundary to the south, as well as an @-grade bluestone patio (10' x 18') located 52.0' landward of tidal wetlands thereon. Location of action:_ 300 Jacksons Landing • Mattituck,NY 11952 Site acreage: 0.47 :L acres Present land use: Residentially Improved 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: Steve and Jane Peterson Rev. Trt. (c/o Constantine Rigas) (b) Mailing address: 22260 Main Road • Orient,NY • 11957 (c) Telephone number: Area Code(631)323 —8022 (d) Application number, if any: N/A Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ® No ❑ If yes,which state or federal agency? NYSDEC, DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ® Yes ❑ No ❑ Not Applicable This project is consistent with the above policy in that,the proposed dwelling will be bult in a manner characteristic of the surrounding neighborhood.Consequently,this project is consistent with the above referenced project. 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 ❑ Yes ❑ No ® Not Applicable This policy is not applicable to the subject project 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 5 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable This project is consistent with the above policy in that,the proposed dwelling will be bult in a manner characteristic of the surrounding neighborhood. Consequently,this project is consistent with the above referenced project. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This policy is not applicable to the subject project 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 ® Not Applicable This policy is not applicable to the proposed project. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria ❑ Yes ❑ No ® Not Applicable This policy is not applicable to the proposed project. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Not Applicable Attach additional sheets if necessary 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 ❑ Yes ❑ No ® Not Applicable Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Ao'licable. 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 Not Applicable. Attach additional sheets if necessary Policy 12 Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies;Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Suffolk Environmental Consulting, Inc. Newman Village Suite E a 2310 Main Street m PO Box 2003 m Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED April 23rd,2021 E C E l5 0 V E Board of Trustees an U U Town of Southold APR 2 6 2021 P.O. Box 1179 Southold,NY Southold Town 11971 Board of Trustees RE: STEVEN R. &JANE A. PETERSON REV. TRT. Property (c/o Constantine Rigas)—Proposed Swimming Pool &Patio Situate: 300 Jacksons Landing •Mattituck, NY • 11952 SCTM#: 1000—113—04—05 Dear Members of the Board, This Firm represents the owners of the subject property,who are seeking all necessary regulatory approvals to improve upon the existing dwelling in a residential manner by installing a swimming pool with attached bluestone patio thereon. Consequently, your Boards approval is required. Enclosed herewith,please find the following application materials: 1. Southold Town Board of Trustees Wetlands Permit Application, (one original and three [3] copies); 2. LWRP Consistency Assessment Form, (four [4] sets); 3. Authorization Form, (one original and three [3] copies); 4. Agent Authorizatioin Form, (one original and three [3] copies); 5. Applicant Transactional Disclosure Form, (one original and three [3] copies); 6. Representative Transactional Disclosure Form, (one original and three [3] coipies); 7. SEQRA Short Environmental Assessment Form, (one original and three [3] copies); 8. Location Map, (four [4] sets); 9. Photographs of the subject property as well as conditions thereon, (four [4] sets); 10. Site Plans prepared by Joseph Fischetti, P.E. last dated February 22nd,2021, (four [4] sets); 11. Survey prepared by Kenneth Woychuk, L.S. last dated April 6f, 2021, (four [4] sets) and; 12. Check made payable to Town of Southold in the amount of two-hundred fifty dollars ($250.00) in full satisfaction of the requisite application fee. Thank you for your time and anticipated cooperation regarding this project. Should you have any questions or concerns pertaining to this application or it's contents, please feel free to reach out to this office at any time. Yours Truly, Robert W. Anderson (enc.) C.c. C.Rigas