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HomeMy WebLinkAboutTR-9802 Glenn Goldsmith,President ®V S0 Town Hall Annex A. Nicholas Krupski,Vice President ems® ®�® 54375 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 1973C Date: October 30,2022 THIS CERTIFIES that the installation of a 20'x38' gunite swimming pool with'8'x8' built-in spa and associated 1 300sq ft pool patio/deck closer to the edge of wetlands: install a drywell for pool backwash; and install approximately 450 linear feet of pool enclosure fencing with gates; with the condition of soundproofing the pool equipment and that pool backwash is tied into an existing house dawell; At 995 West Road, Cutchogue; Suffolk County Tax Map#1000-110-7-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated November 6, 2020 pursuant to which Trustees Wetland Permit#9802 Dated January 20, 2021 was issued and Amended on October 20, 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 installation of a 20'x38' u� nite swimming pool with 8'x8' built-in spa and associated 1,3 00sqft pool patio/deck closer to-the edge of wetlands: install a drywell for pool backwash; and install approximately 450 linear feet of pool enclosure fencing with gates; with the condition of soundproofing the pool equipment and that pool backwash is tied into an existing house drywell. The certificate is issue Pat J. lavane owner of the aforesaid property. s d Authorized Signature rr l - Glenn Goldsmith, President ��`�® 0 �®� Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly ear Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 6OUNil, � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 10 S& Z2 INSPECTED BY: JJ. rug�K' _ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1 st day of construction % constructed Project complete, compliance inspection COMMENTS: ,p ® Du c� yr q�/S (5� � re,) t r/'ff-,r r ,y/zo/Z I ) &k -4 rSS✓e CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President O��QF so Town Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 11 John M. Bredemeyer III Southold, New York 11971 Michael J.Domino G • 0 Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 - �y�0UN1`l,Nc� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 27, 2021 Creative Environmental Design P.O. Box 160 Peconic, NY 11958 RE: PAT J.:IAVARONE 995 WEST ROAD, CUTCHOGUE SCTM#1000-110-7-3 Dear Mr. Cichanowicz: 1 le i • The following action was taken by the Southold-Town Board of Trustees at their Regular Meeting held on \/Vednesday, October 20, 2021: WHEREAS; Creative Erivironmehtal Design on behalf.of PAT J. IAVARONE applied to the Southold Town Trustees for an Amendment to Wetland Per #9802 under the provisions of Chapter 275 of the Southold Town Code,,the Wetland Ordinance of the Town of Southold; application dated August 16,"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, 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, 2 RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#9802 to relocate proposed 20'x38' gunite swimming pool with*8'x8' built-in spa and associated 1,300sq.ft. pool patio/deck closer to the edge of wetlands: install a drywell for pool backwash; and install approximately 450 linear feet of pool enclosure fencing with gates; and as depicted on'the site plan prepared by Creative Environmental Design, received on October 15, 2021, 2021 and stamped approved on _October 20, 2021. The Permittee is required to provide evidence that a copy of this-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. 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.) This,is not a determination from any other agency. Fees: None Sincerely, Glenn Goldsmith, President Board of Trustees GG/dd . - - . - - . - - - - - - - - . - - . - - . - - . - �, f f _ f 7UAh ' C) _ -------------------------------------- , i zz I I Sd�J-5 DOOM i A r j-M z i--------- - � __I -t n /i _ .___ _ _ __ _ _ _ _ _ _- _ _. ... --------T-- 17D �_. __..__.__ -_�- II /// /// /// / /// /// 70 I --- - I_ f ---------------------------------El -- ----- -- - -� - - 1 A it � f / o ce - - - - - - - - - - - - - - _._.. <� 710 > O FULL LENGTH 51MMOUT BENCH O --,► > Q)%�& --AO APPROVED BY � I :Z 7q D BOARD OF I RUSTEES -< OTOWN OF SOUTHOLD O Z DATE or,VeW 2©�Zvzl O 70 VI PLAN A5 OF "Noma � � r RevisionScale:• 10-2-20 Cichanowicz OCT 15 2021 Southold Town ' Board of Trustees 10/15/2021 Date : 1 10 Ivarone Creative nvironmental Design DiSalvo, Diane From: David Cichanowicz <creativeenvdesign@yahoo.com> Sent: Tuesday, October 26, 2021 420 PM To: DiSalvo, Diane Subject: Re: lavarone Sorry!, lavarone pool description: 20x38' gunite pool with built in spa, Drywell for pool, approx. 1300 sq. ft. patio adjacent to, and pool code fence. Do you need any more than this? let me know, thanks, Dave C On Tuesday, October 26, 2021, 03:17:32 PM EDT, DiSalvo, Diane <diane disalvo@town.southold ny us> wrote. This is dust a "gentle" reminder dd From: creativeenvdesign <creativeenvdesign@yahoo com> Sent: Thursday, October 21, 2021 3 54 PM To: DiSalvo, Diane <diane.disalvo@town.southold ny us> Subject: RE lavarone Will do Q Sent from my Verizon, Samsung Galaxy smartphone -------- Original message-------- From "DiSalvo, Diane" <diane disalvoatown southold ny us> 1 Date 10/21/21 1 25 PM (GMT-05 00) To creativeenvdesignaVahoo com Subject lavarone Please provide us with an updated project description which conforms to the plan which you submitted on October 15, 2021 —so that I can prepare the Amendment to Permit#9802 (which was approved on 10-20-21) You can simply reply to this email with the description. Thank You Diane DiSalvo Office Assistant Southold Town Trustees P.O. Box 1179 Southold, NY 11971 (631) 765-1892 2 92 A A O,o - - - - - - - - - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - { I I A i 7C� I I II i r I � i r I Zzz:z-," (7D,7C1 � / / j Wh 7 3 - L T --------------------------------- L � z / FU�`- � / I C • - - • - - • - - • - - • - - - - - • - - • - - • - - • - - - - - - - - - - - - - - - - - O _ Ilk ZI 70 O �• RU STH sMMaJT sB4CH O V � 73 V � o PDO C) -� z O z O � 0 r o 04 VI PLAN A5 OF RevisionC E-�W---- [LT � andsca pe Plan : 10-2-20 Landscape 0 CT 15 2021 Ar m ■ ■ ■ f5/2021 Southold TownONI De 10 '� Board of TrusteesDate: ei i ve b Avi ro %%j11 10 VC:11 U1 le Ure t 11 IU11111 11tca FOJ Glenn Goldsmith, idem Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M. Bredemeyer III P.O.Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams Telephone(631)765-1892 0- e Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time. 0 A3 -z 1 Completed in field by: N 6 Creative Environmental Design on behalf of PAT J. IAVARONE requests an Amendment to Wetland Permit #9802 to relocate proposed 20'x40' gunite swimming pool with 8'x8' spa and associated 1,400sq.ft. pool patio/deck closer to the edge of wetlands: install a drywell for pool backwash; and install approximately 450 linear feet of pool enclosure fencing with gates . Located: 995 West Road, Cutchogue. SCTM# 1000-110-7-3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2 Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4e 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 Noticeof 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: Atovf PdCy w / Pet j0 ar rpbleK„ IY I have read & acknowledged the foregoing Trustees comments- Agent/Owner: Present were: /J. Bredemeyer M. Domino G. Goldsmith N. Krupski '/G. Williams Other WE5T ROAD X\ r — - — — - — — - — — - — — - — — - �� —�� v7 - — — - — — - — — - — — - — — - — — - — v��. �\ U DRIVEWAYX\ > \ �vyv �� \ vy \ GABA I �\A \\ VA I I ro J I I ; I I I ; I 1 I I i I I I I I � , I I , I ..., u� ------------------------- POOL ----------- ----POOL E OUR , I I OI i ' N I I I -------------------------------------------------------------------- N I I 5,o„ 5,0„ 1 22 3,0„ - 3,0„ I TF F1 IUM, - - _ 21 � 269 n .k 6"SDR PRA NAGE PIPE 20 Q Q�J %` 19 U 12'0" N "TTFD POOL PATIO 6i A I 1S r-- --,---- -- --------- ------------------ - APPROVED PERMT LINES > I � i LJ ; i ---------------- - ---- ------- �„ " ---' GRAf)E ' ------- ---- ------ ------- --- - -- I ------- - ------ PROPO��ED ANT TO PERMT AREA ------------------------ _'- ---- - I `►' FLAG POLE T7 O 57 Q F� U Q TOP OF DLUFF ' I • D AUG 1 6 2021 RIKI-EAD I Southold Town —� Board of Trustees Q� WOOD DECK 000 KI-EAP N W000 BULKI-EAD I 0 N I � i'A-r IAVAD,,/-)NE r � I995 WE5-f ROAD No ECONIC Y CUTrUrL-'Kn../GUE NY >1000-110-07-03 o o co Michael J.Domino,President 0� soyo 'own Hall Annex John M.Bredemeyer III,Vice-President �� �O 54375 Route 25 dlenn Goldsmith [ P•O.Box 1179 A.Nicholas Krupski Q Southold,New York 11971 Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD [IF-1a r ---- i This Section For Office Use Only ; ' Jj'I Coastal Erosion Permit Application AUG 1 6 2021 Wetland Permit Application � _ Administrative Permit SouFE-cF d Town X Amendment/Transfer/Extensi -Be3ri of Tr ;ses )(4 Received Application: �' �•� - Received Fee: $ S0. it Completed Application: $1� Incomplete: SEQRA Classification: Type I Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: ,Coordination:(date sent): ✓✓ LWRP Consistency,Asses e t Form Sent: ® a I AC Referral Sent: - - dDate of Inspection: •y Receipt of CAC Report: - echnical Review: Public Hearing Held: ' Resolution: Ownef(s)Legal Name of Property" (as shown on Deed): ��1� c 1 o\joxO W C... Mailing Address: VN O FA vie 0 �j Phone Number: �S�(42- k�2 L�- ��_vs Suffolk County Tax Map Number: 1000 Property Location: S_�P- 'M c (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Creative Environr truai OC$4gT� Mailing Address: PO Bei 160 Pwonic,NY 11958 Phone Number: 1 r l � t DiSalvo, Diane From: David Cichanowicz <creativeenvdesign@yahoo.com> Sent: Monday,August 16, 2021 1:50 PM To: DiSalvo, Diane Subject: Description for lavarone amendment permit i Hi Diane I dropped off the information for the lavarone full amendment , Elizabeth said I can email you the full description, which is: Project Description: to amend Southold town building permit# 45937, Southold town trustee's permit# 9802 Moving pool location. To install a 20x40 Gunite pool with an 8x8 spa associated with Pool Code fence and Drywell. Deck is to be 1400 sq ft Fence is to be 450 Lin. Ft. Thank you, Please let me know if you need anything else. Penny Creative Environmental Design ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i Board of Trustees Appli.._ :ion GENERAL DATA Land Area(in square feet): _ M ,q 3 a 03- 2 . F Area Zoning: _ �\ - LAC) Previous use of property: CA ` Intended use of property: eN t PA Covenants and Restrictions on property? Yes _/ _No If"Yes",please provide a copy. Will this project require'a Building Permit as per Town Code? Yes ;" No If"Yes" be advised this application will be reviewed by the Buil ing-Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes. No If"Yes",please provide copy, of decision. Will this project requii any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Aenvy - � � Date 1 '�o I � TU-UkoCL �ruSkP�S q%Oa J 1 IsbOANC)IIN No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes,provide explanation: Project Description (use attachments if necessary): T"2A01 IPain,1 O� 0, 2C5 0 C�v,0; k �1 w i k� C��SSCC,� �e _�c��� n &-le-e, �-' LL Board of Trustees Applin- :ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feeC Closest distance between nearest proposed structure and upland edge of wetlands: _feet Does the project involve excavation or filling? No Yes If'yes,how much material will be excavated? a cubic yards How much material will be filled? cubic yards _ t - Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: �(I Manner in which material will be removed or deposited: A r.� 0, 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): k0,S co V1 eA,i r 61Z20 - Append&B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part l based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: NTavaroNe Project Location(describe,and attach a location map): V,o -b C_Uo l tC� Brief Description of Proposed Action: NS�,a�trak�(�.1 Oar a Gins ct� X001 w� �s ,c,,��el] DWI W iJ C_ �CA_X e. Name of Applicant or Sponsor: Telephone: 3 �1 �IRV C_ `_,\C— C_NQIJ i C_ E-Mail:CCC Pv,,j e.w v d A�©0 Address: Coal Creative Environmental Design City/PO: Po BOX State: Zip Code: -._ Wc,NY 11958 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that V1 F1 may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site of the proposed action? ares-5q F4. b.Total acreage to be physically disturbed? .0711A0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? ams f-+ 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial VResidential(suburban) El Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I of 4 5. Is the proposed action, - NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YE landscape? ❑ 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: 9 F-1 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? 9 . ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 0 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO, YES If No,describe method for providing wastewater treatment: d �� 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated-by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. 1dqhtify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline El Forest ❑Agricultural/grasslands El Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑ 16.is the project site located in the 100 year flood plain? Nq YES 17.Will the proposed action create storm water discharge,either from point or non-p 'nt sources? NO YES If Yes, , a.Will storm water discharges flow to adjacent properties? NO ❑YES _& El b.Will storm water discharges be directed to established conveyance systems(runoff and�st drains)? If Yes,briefly describe: ❑NO LTJ Y ES Page 2 of 4 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,dam)? If Yes,explain purpose and size: Id El 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: 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: F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant .seas- , Date Signature: F r - a r_ Y 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 Dart 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2 }� 1—J 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? r/( 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? S. Will the proposed action result in an adverse change in the existing level of traffic or El affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate 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? El 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 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? F� 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or T -Name ofResvpnsible�Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead-Agency Signature of Preparer(if different from Responsible Officer) EPRINT Page 4 of 4 AUTHO ZATK®N (Where the,applicant is not the owner) 9 owners of the property identified as SCTM# 1000-_ 110. ' 7 in the tors,of S®d-T$4`�i'� New`fork,hereby authorizes David Cichanowicz, Pres. Creative Envionmentai Design to act as any agent and handle all necessary work involved with the application process for peit(s)from the Southold Town Board of Trustees for this property. Pro city s Siggaaatua�e Proper Owner's Signatiat'9 SWORN TO BEFORE 1E TMs J DAA OF -gtgR,h e r 20 Z IL) Notary Public FGIANCARL0 ASSANTE ta7Public-Stats o/New York NO.01AS61'88808 QuallRed•in Suffolk County ommission Expires Jun 16,2024 Bowed 09 Twust®®m Amply,, —Ion ATFKIIDAVIIT BRING DULY SWORN DEPOSES AND, t_ �,'�}1 ATi' ffi_�' HS'II' A �ILIItCAR1'1�YOR THE ABOVE DESCII5ED Iln l � r(�D A TrI �AIL}L,ST�`ATI'EIdIIE�TfS ®1�TC , RED IKEREnq ARE TRU-139 T o TI'I�IE�EST�OIF I�iS/IIIEIIB H�hI®�YB.EBBc�E ARCD EMUSK AND TELAU ALL WORK WIIII.It,1 E flD� E T�IIIiIE I (Al �SETt'IIa'OIIBTI'H$IN T EO All PILIItCAT TON AND AS MAY BE APPROVED BY T kE SO OO TOWN BOAM(DIF TRUSTEES. THE APPLICANT AGREES TO]E04M'IIM TOWN OIF SOLUTCHOILID AND THE BOARD GIF Ti KUSTi'EES MIAnMESS AND,]FREE FROM ANY Alm ALL DAMAGES AND CLAIMS ARISING UNDER OR By VBT UZ O]F SAUD EE IITrjS)�.17 OiI8ANTfIE-D. IN cCoMp-L E'II. ,G TITS APP LIItCATIIORT9 II IIIIKR%3T AtDTHORHZIE THE TI#US'II'EI+�9'THEm AGENT' (3)OR Imo+PR SIENTATWX39 INCLUDING'THE CONSIERVATffaN ADVffSORY cCOUN CH L9 TO ENTER ONTO IY PROPERTY Y TPO INSPECT THE PREMISES IN tCOI`Y�I'UNC T ION W.)I'li'H THIS AI'ImuCATI'IIORI9 INCLUDING A IRRTAL INPZECTi kii. II IE URTi'II$ER AUTHORIZE THE 30AIM GIF TRUSTEES TO ZMMR OM Ki II RO'PIERTI Y AND AS EEQUMMIID To JNSu= COW ff--IANP.IE WI TR A, �COf MUHOST a ANY WET'LAN D OR-COA,31rAIL EIIBOSHORTI E II- Suit III3 Y'TI' IEOA OIF TI'flBIUSTf'EIES Im$TI tIII tG TI'II�E Ti'EI 01K TEM PERMIT.. Siiha Property Owner Signature of Proper Owner SWORN TO BEFORE 1ViE THIS DAA'OF /U D a<QK(er .2026 t- Notary Public GIANCARLO ASSANT E ' Notary Public.ttatP of-NewYork ,No.81AS6184809 Qualif"In 5U961h county My comeriission Ekplras.Jun 16,2024 !ice PLICli\N8�29,GE Ili]i E Y'� SEN H A 11 H C!L' TRANSACTIONAL DISCLOSURE FORM Dr.Town of Sonthold's Code of Ethics prohibits conllictc of inters st on the part of town ofticxrs enc)cmnlnyeec.Ttie numaco of this rorme Infojimation which can, le the to ' of .ti ble co ti'ctc ow it to Inka w1kibLy—or Action is n• ary to avoid sgi nye. YOUP.NAMM (Last name,lust name,spitddle initial,upless you are applying in the name of someone else or other entity,-such as a company.If so,indicate lhb other person's or company's name.) ` NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Taustee Change ofZonc Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",nitre the activity.) Do you personalty(or through your company,spouse,sibling,parent.or child)have relationship,silo any offreer'orcmployce of the lowrr of,SoulholQ? "Relationship"Includes by Mobil,agarriagc,or business ilatems1."Business intorost';mmu a business, including a,partrtership,in which the town officer or employee has even a partial ownership of(or employment by)n-corporation in which the town officer or employe,;owns more than 5°io•of the shams. YES NO X If you answered"YES",complete the balance of this form and dabs and sign when indicemd. Name of pempn employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicxant/,,W nthxpmentadve)and the town officer or employee.Either check the appmpiiate line A)through D)and/or descrt'be In the space prolHded. The town officer or employee or his or her spouse,sibling,paleaik or child is(check altdiat apply): A)the owner of grater Ihwa Soto of the shares of the corporate stock of the appiicout (when the applicant is o corporation). 13)the legal ori enef cial owner of any interest in a noxi-corpormte entity(whin tite applicant is not a corporation); Q,an officer,,director,parltei,or employee of the applicant;or D)the actual applicant. DESCRiFTION OF RELATIONSHIP Subm this dak of N14t1 Qty bk>v' 201r'Z u Signature ii'eintYVatne �a�anc�rl 0 5S 9�t-f-t; • Form'I'S 1 GIAWCARLo'dSS'AidYE Notary Public-State of New York 140.01AS6188808 Qualified in Suffolk County A4y commission Expires Jun 16,2024 APH t�Ntin�+li�V 1�g/A�GTMgJ71�/1A11�iv1�'Lry7P�Azgyl l`6 JL71���1•LpB�W�i,��.I' 1lROL•51�,�f/J�1'�a+3L ONAL IDES�S..1LOS 1l'�YRM th' ism de'nforin 'o_ Conflicts o o d Y to avoids bl' of�uterest and allow it to �.acti YOUR NAME• 1 (som� ,Bis4 a 3nigiel�udless youne are applyigg id the name of person's orso or tY.such ass company.Ifso,indices the.other �y's,nama) NAME OF APPLICATION: (Check an that apply.) grance Tax iannce- Building Change ofZone T Approval of plat Coastal'Erosion Exemption from plat or official map Mooring Other Planning (If"Other",name the activity,) Do you personally(or through ycwrcompgy,spouse,sr`bling.,parent,or chit of the Town of Southoldn 'fRelationab-7''''-dudes bl` d)•have a relationship with arpr officer or employee includin a> rP m,-• �' 6,n pnoge.or business ii�tierest. Business interests means a business, in which the•town offic ce or employeea town officer or empooyee has,even apdrtiai ownership of(or employment by)a corporation .owns morestiaan 5:%ofthe,Shares. YES - NO • . • Ifydu answered"YET',complete the balance of this form and date and sign when indicated. Name of pecsomemployed by the Town of-Southold Tittle or position ofthat person Describe the relationship between yourself(the:applicarat/ the appropriate line A throw D ancuor d agentlrepresentative)indthetown officer or employee,Either check through-D) escaibe inthe�space provided, The town Officer or employee or his or her spouse,sibling,Parent;or child is(check all tfiat apply): A)the owner of greater than 5%ofthe shares of the corporate stock ofthe applicant (when the applicant is a eoryor#tion); B)the Iegal•oe)Senefieial owner of any infest inn non-oorporate entity(whey the applicant isnot a corporation); C)an officer.director,partnee,o¢employee of the applicant;or D)the actual applicant. DESCRIMON OF RELATIONSHIP Subntitped of 20 Signa6e Print PTme Form TS 1 fes, I Glenn Goldsmith,PresidentFF04eo, Town Hall Annex A.Nicholas Krupski,Vice President ���� Gym 54375 Route 25 John M.Bredemeyer III ra P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams '1 ® Cpl Telephone(631)765-1892 ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 24, 2021 Dave Cichanowicz Creative Environmental Design P.O. Box 160 Peconic, NY 11958 Re: Board of Trustees Application of Pat J. lavarone 995 West Road, Cutchogue SCTM# 1000-110-7-3 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Orders, this application is now scheduled to be heard by the Southold Town Board of Trustees via a combination of an in-person meeting and videoconferencing on Wednesday, October 20, 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. 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. V ry Truly Yours, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President � � Town Hall Annex A.Nicholas Krupski,Vice PresidentKCS 54375 Route 25 John M. Bredemeyer III �� eo�" P.O.Box 1179 Michael J.Domino y x Southold,NY 11971 Greg Williams �ytp 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 PAT J. IAVARONE COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGTH DAY OR LATER I, 15Av i b Ci6p wn Wka ,residing at/dba C, -eok,,Ne A LI'(� 9Tc , ?0 L�oX being duly sworn, depose and say: That on the g 15dayof 0G-Vdn4<' , 2091 , I personally posted the property known as 99S V( est dp�b , C'1AcA(\.0 a Wy I M)s 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, October 20,2021. Dated: (signature) Sworn to before me this frday of O(-'C 20)-l Y PENNY LOUISE MAFFETONE NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIMA6402379 f qa Qualified in Suffolk County otary Pu 11C Commission Expires December 30 2023 1 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NT :1-6 y i) CP t'1P Wo AW i NAME: ADDRESS: Au-w Sc\wF�rk'->-r^Ph K:5 West �1�, Cv�ck,oc���, WY 1\a3�j bRv"b O- vkowc- q-40 \tjCSk Ra. C�+C.03ve- NY 11j35 Us ANhir��s�- , NY Ilo3d I� , �,o�►N�S �p�j W eS'� �.� , C��C�,pgue, N� I`�t�j STATE OF NEW YORK COUNTY OF SUFFOLK bAV1C,i �ia 4! Q�W"�C- , residing at?A 1w) pe'r-rlkijr- ot'i:--N , being duly sworn, deposes and says that on the y 4�-' day of C7 C .ka\, e.<- , 20_a�_, 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 that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of ()QJQ c C , 20 =No. ISE MAFFETONE STATE OF NEW YORK o.01 MA6402379 Suffolk Countyotary Pu iss December 30 202° 4 • D m 0 m m m' ° m m - I m i m m s ' m m•a rq p fU "u •tsar fi sit 1,11k,'0130 R' C�� -FOR, 45 � IS �E Q _ � , i l c� +., i O _ rq rq Pose 7f, >-z; 9• r S Post $- Certified Fee j I°i I j I i. ..0 Certified Fee $0.I ill ,� Po qr)<' C 1 ° %� Post a M Return Receipt Fee y ^J (7 -� M Retum Receipt Fee A m CI (Endorsement Required) $I I,I I)1 " �� 'o il (Endorsement Required) +'-I=IIIi , a CI11;111_ ^,C C3 Q, y C3 Restricted Delivery Fee a f O Restricted Delivery Fee `y (Endorsement Required) N J 3 fit+ )N rJ'� (Endorsement Required) 'a„•�j�C]�a.,�� I M $ll,c� C] 1i11 Total hostage&Fees _ j Ci/n4/12021 Total Postage&Fees - 10 lr Iq r�C, ftl 12 M Sent To -- ` " Sen rtl NICO,A CCJ = N t _ `i- bW .............. ,- - - rl Street Apt.No.; rl Street,Apt.No.; j or PO Box No. Cl or PO Box No. -------------- ----------- RlS� �► -L 1��9.0 - �- �J►�C.° k 4 � - - Crty,State,ZIP+4 1 ,/ � 1( Cr ,State,ZIP+4 I 0 m ® A m ■ E:3 ill U1 co ( FFIC' L UP 6FE v OPostage $ -3C O��y�1UN So, ni Postage q, _r CertiflecNit c y Y I I `', I Certified Fee CI I-IG M I Postmfr C1 Q a Postrqar 0 Return Receipt Fee $j I,I111 iii He Return Receipt Fee $Il,I-iil> b (Endorsement Required) m IZ3 (Endorsement Required) �' CI 7, n Restricted DeliveryFee --1 _ �f O Restricted Delivery Fee O ail<111 i -a r (Endorsement Requ r@•d) 3 (Endorsement Required) v f -0 >_ OJ�d ln � Total Posta Postaj 1;A/-2021 ��q� ge&Fees �! M Total Postage&`is C3 1i .Ju fU Sent To i it/04/2021 Sent To ia �_c� - y A�1 �. S c 1�_ �a n. ".1-rq --=----------------=------------------- rl hreet Apt.No.; C] Street Apt.No.; fv�� l► }p /`�� C1 or PO Box No. ( �/,, �oC ,h\ f` or PO Box No. !Je- ]_�Q_ ----- f� --------- yam•' -- .C�..} '°' - -- Cdy,State,ZIP City,State,ZIP+4� r . Complete items 1,2,andS3. l tura ` 5 ! f. Print your name and address As on the reverse [I Agent � El so that we can return the card to you. �' ■ Attach this card to the back of the maiipiece, �B-•�Recceeiiv`e�d by(Prin d Name) C. Date of Delivery or on the front if space permits. et�1�J" �© TJ _5 161/7/0? 1. Article Addressed to: D. Is delivery address different from item 1? 'El'?es If YES,enter delivery address below: ❑ No I IIIIII IIII I�I I IIII III I I II II II�I I III III I�II 3. Service Type ❑PriorityMail Express® ❑Adult Signature ❑Registered Ma11T11 ❑Adult Signature Restricted Delivery ❑Registered Mad Restricted ❑Certified Mad® Delivery 9590 9402 4554 8278 4361 72 ❑Certified Mad Restricted Delivery ❑Return Merchandise urnReceipt for ❑Collect on Delivery 2. Article Number r rsfer from service label ❑Collect on Delivery Restricted Delivery 11 Signature Confirmatiorl —�- n t�eured Mail ElSignature,Confumation 6 41 2 5 0 4 'uted Mail Restricted Delivery Restricted Delivery Q 0 3 ;er$500) fes' Domestic Return Receipt ' ?015 PSN 75°0-02-000-9053 Glenn Goldsmith,President ��o�pS�FFD(�-cow Town Hall Annex A.Nicholas Krupski,Vice President O?<� 54375 Route 25 John M.Bredemeyer III y z P.O.Box 1179 Michael J.Domino �y �� Southold,NY 11971 Greg Williams ��l �a� Telephone(631)765-1892 ---� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, OCTOBER 20, 2021 at 5:OOPM & 5:30PM TOWN HALL MAIN MEETING HALL AND VIA ZOOM ONLINE PLATFORM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday. October 20, 2021 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. The public is invited to attend the meetings either in person or virtually via the Zoom online platform. Masks are required at all times when inside any of the Town Buildings. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disaivo@town.southold.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 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: 843 4487 8128 Password: 533831 • 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 alphabetical order. Click on the name of the application to view the file. Glenn Goldsmith,President Town Hall Annex Glenn Goldsmith, President O�QSUFFO(/ cOG Town Hall Annex A.Nicholas Krupski,Vice President �� 54375 Route 25 John M.Bredemeyer III w z P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams 'y,�o® �apl� 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 Failyre 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. Board of Trustees Appl4 .tion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME NAME: j r.L::..-iii;:: ;. Ilo - �- 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 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 were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of 720 Notary Public NOTICE F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees i both in-person and via the online Zoom platform. OWNER(S) OF RECORD: PAT J. IAVARONE SUBJECT OF PUBLIC HEARING: For an Amendment to Wetland Permit #9802 to relocate proposed 20'x40' gunite swimming pool with 8'x8' spa and associated 1,400sq.ft. pool patio/deck closer to the edge of wetlands: install a drywell for pool backwash; and install approximately 450 linear feet of pool enclosure fencing with gates . Located: 995 West Road, Cutchogue. SCTM# 1000-110-7-3 TIME & DATE OF PUBLIC HEARING: - Wednesday, October 20, 2021 — at or about 5:30P.M. — Either in Person or via ZOOM. 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. 211; 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 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 sigdficant 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# _ PROJECT NAME PAT The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees EM/ 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: , 03-L)0L Location of action: Site acreage: Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: 1'� (b) Mailing address: S �vkc�•oG� WY 1193 (c) Telephone number: Area Code( } 'jk(°„ - L'q y - (d) Application number,if any: N/ Will the action directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,-makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation Jer*a, t Yes ❑ No _U.Not Applicable L - 6 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-- cies Pages 3 through 6 for evaluation criteria ❑ Yes 1:1No Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LMSection —Policies Pages 6 through 7 for evaluation criteria 3p Yes No ''> ='Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation'criteria ❑ Yes ❑ No VNot Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluati n criteria. Yes No Non applicable "} Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LVVRP Section III — Policies Pages 32 through 34 for aluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 10/Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LMW Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeO No VNot Applicable Attach additional sheets if necessary WORIINO COAST POLE%-,IES 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. ❑ Yes ❑ No of Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wa rs. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ElYes ❑ No Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No IVNot Applicable PREPARED BY TITLE_ �t;2.e� DATE) Glenn Goldsmith, President Qf sook, Town Hall Annex A.Nicholas Krups1d,Vice President ,`O� �l0 54375 Roue P.O. Box 11799 John M.Bredemeyer III Southold,New York 11971 Michael J.Domino G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 flum - BOARD OF TOWN TRUSTEES -- maw-e--So-UT-HaLD =--- ----- SOUTHOLD TOWN•BOARD OF TRUSTEES "YOU ARE REQUIRED TO-CONTACT THE OFFICE OF THE-BOARD OF TRUSTEES 72"HOURS PM611 TO-COMMENCEMENT OF THE ACTIVITIES CHECKtD.-OFF BEL-'OW INSPECTION SCHEDULE . Pte- bifructicrr;>ky bate':Brie/silt boom/silk curaiA ;�sc d; y ofcdnsiction` % constructed en *ro ect or` tete-calf for corn pP fiance hspe�ction; Wh p � . , .G .. p - BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9802 DATE: JANUARY 20,2021 ISSUED TO: PAT J.IAVARONE PROPERTY ADDRESS: 995 WEST ROAD, CUTCHOGUE SCTM# 1000-110-7-3 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 Jamiga 20,2021, and 6 in consideration of application fee in the sum of$250.00 paid by Pat J. lavarone 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 201x40' gunite pool with associated pool code fence and drywell 771 behind existing bulkhead;with the condition of soundproofing the pool equipment and that pool backwash is tied into an existing house drywell; and as depicted on the site plan prepared by Creative Environmental Design,dated December 21,2020,and stamped approved on January 20,2021. 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 20th day of January,2021. z1a g%If F01 COD -JIL 'I 1 12 M62b1 M .......... TERMS AND CONDITIONS The Permittee Pat J Iavarone residing at 995 West Road Cutchoaue,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,PresidentSOF SU(/rTown Hall Annex A. Nicholas Krupski,Vice President 0- 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 BOARD OF_TOWN_TRUSTEES ------ ------------------- TOWN OF SOUTHOLD - - -- ---- ----- January 25, 2021 David..Cichanowicz _Creative.Environmental Design P.O. Box.160 Peconic,.NY 11958 RE: P&'J. IAVARONE 995 WEST ROAD, CUTCHOGUE SCTM# 1060=110=7-3 -----'-Dear.Mr-.-Cichanowicz:-- ," `- = = _ = - -- -•-- - _- - -- The Board of Town Trustees took the following action during its regular meeting,held on Wednesday, January 20, 2021 regarding the above matter: WHEREAS, Creative Environmental Design on behalf of PAT J. IAVARONE 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.November 6, 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 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 January 20, 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 Burd-Inas-determined-that�he-pr-ojeet-as-preposed-witl-not affect-the health, safety and general welfare of the people 'of the town,,- NOW THEREFORE BE IT, --R-ESOLVEDr,-that-thy Board-of Trustees-have found-the-application-to-be-Consist€nt--- ---- -- - - -- - -- with the Local Waterfront Revitalization Program, and, RESO�VED, that the Board of Trustees approve the application of PAT J. IAVARONE to install a 20'x40' gunite pool with associated pool code fence and drywell 77' behind existing bulkhead; with the condition of soundproofing the pool equipment and that.pool backwash is tied into an existing house drywell; and as depicted on the site plan prepared by Creative Environmental Design, dated December 21, 2020, and stamped approved on January 20, 2021. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must bepaid, if applicable, and_permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, 4w. piol�A- , Glenn Goldsmith President, Board of Trustees GG/dd o��gOFFOC�ea, Glenn Goldsmith, President ,� y Town Hall Annex A Nicholas Krupski, Vice-President y g 54375 Route 25 John M. Bredemeyer, III P.O: Box 1179 Michael J. Domino 'yl�® o�� Southold, NY 11971 Greg Williams �l ' ` �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: PAT J. IAVARONE c/o CREATIVE ENVIRONMENTAL Please be advised that your application dated November 6, 2020 has been reviewed by this Board at the regular meeting of January 20, 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) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) 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 �'2� •�'� f �% BY: Glenn Goldsmith, President Board of Trustees WE5T ROAD r- - - - - - - - - - - - - - - - - - �� \ \ \ \ \ \ \ w XX \ \ \ I V,E WA \ \ \ \ \ I I GARA N 0 ' I N c L I � --------------- J I � i I I I 1 I 1 I � i t I I I , I 1 ! 1 , I I 1 1 1 1 I , 1 1 I I I RE5IDENCE I 1 I I I I 1 I 1 , Poa f OUR ; I 1 , I I OI 1 , 1 1 , 1 1 I I ----------------------I N PORCH! 22 � I I o I ELIMINATE 2 5TEP5 _ 21' �`.DWwr Ful-049TH 5WL40UT BENa I ' 20 - - % •% 8, 49 0" ; �S e 10'qH 20x40 GUNiTE Pool SWR�IOIJt � J e `- ------------------------ --- - e - -------------� -_---- --- -- I FROM BULKF EAD FLAG POLE - F r I uJ I _TOP OF BLUFF - D EC 21 2020 0 ' _____._e\ APPROVED BY sr,. ���-I�,;,, p�FBOARD- Aj"NG WALL __ _ _ OF 'i RUSTEES ' TOWN OF SOUTHOLD DATE �-Agvo20 Zoa� BULK-E�,D I IN - - - - - wooD 0 I e� _ WOOD DECK :_ KI-EAD ' -- - — WOOD 5L LKW-ADFAT 1AVARG)NE N 995 wE5-f ONOAD ,o N CONIC Y CUTCHOCAJE NY1000 110-07-03 '— o o c� � 0 t Glenn Goldsmith, Pref grit, o�OSUFFO(�-COG, Town Hall Annex A.Nicholas Krupski,Vice. .��ident 54375 Route 25 John M. Bredemeyer III C3 z P.O.Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ' I Date/Time:_�►a k1 Completed in field by: Creative Environmental Design on behalf of PAT J. IAVARONE requests a Wetland Permit to install a 20'x40' gunite pool with associated pool code fence and drywell 77' behind existing bulkhead.' Located: 995 West Road, Cutchogue. SCTM# 1000-110-7-3 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 of Hearing Card Posted: Y / N Ch. 275 y Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 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: 1 7 ,11 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: —el,—J. Bredemeyer 'v M. Domino G. Goldsmith N. Krupski �G. Williams Other WEST ROAD r- - - - - - - - - - - - - - - - - - -�X �- - - - - vv y - - - - - - - - - - - - - - - - - - ---- - - - - - -� -\� - - - - - _, \ I Xx I \\ \\\Dkil �y �\ I XA I GABA v v v v v \ \ \ \ 0 7 X \ AV I I I I I J I I � I I � � I I I I I } rT \ 1 ------------ ---------- , , l\\ I 1 1 I RESIDENCE I I POa f QuP. I 0 N ------ r N PORCH 22 0 r -- ELIMINATE 2 5TEP5 ' 1 171 21 C 9� ' DW „ FULL LENGTH 5WMAff BFNCH 20 ` 8, 0 „ 40'G" 18 10'R" 20x40 GmiTE Poa- - C 5wwiarr J _4Yt -� �-� Lj - - I r �\ ---------------------- ------- I -------------- '----- I v -- ----------------- - fi ---- — -------------- I - 8J FROM BULKIfAD FLAG POLE T7 I I 0 r r e TOP OF BLUFF ?' DEC 2 1 2020 � o RETAINING WALL n e� I RLIKHEA 0 � N e Woos DECK W" *CAD 0 WOOD BULK}-EAD I N I I \ � r FA-r IAVADNOANE N c995 � w- —E5T Po-A–r) ,o CONIC Y CUT GALIROGUENY 1000-110-07-03 " o o c� � 0 i NOV 202o SURVEY OF PROPERTY SIT UA TE Y CUTCHOGUE 3� Q TOWN OF SOUTHOLD ` = • SUFFOLK COUNTY, NEW YORK A'1 — — 1f\`•=. t` b�g3 9166 S.C. TAX No. 1000- 110-07-03 oY �• of A.Q :,�" .� . '• SCALE 1 "=20' 32 JANUARY 4, 2008 tp • _ : - �. .. m! 6'. o AREA = 34,932 sq. ft. X010X 29 a'. ' • \ • 3Tl�D` ` (TO TIE LINE) 0.802 cc. mj �C' •C _` � A .. f .•_ ` ` .t f..'. ` ` x29.9 /�A} 6\09• aZZ \ \ \f+ '41 -29 2 CERTIEIE.�D TQ: :' . A ANGELINA PROPERTIES, LLC a� —28 ` \ • , . w (� s/. X99 -. _ •!,f •4 � � /� f•• _ 'i 4s o ,\3` c `s-�' d �, •,. 4; 222 OIs _ 25.5 Z_ r?a Z'y J ' '.� f-• � '/- '� �- �,,,,�,_ � 262 2M 27 C►U►�� 'I 9♦ - •. ._ � _. 26.0 a . 262 OIL � : '• ', 219 A �. A • •' J/ V u p 21 28 a Z4� >>� diiCEO 22.9 -� � x b� 4dep C � Is 26 2M6 lb .I28� I x ;' ♦♦ x / _ ♦209 ' � POOL . 1W . ti .LI NpT 'S: x1.4? 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM / sb. / ZP-,-"s EXISTING ELEVATIONS ARE SHOWN THUS:m / EXISTING CONTOUR LINES ARE SHOWN THUS: — — — —s— — — — F.FL - tiHjl tLUVH + G.FL. - GARAGE FLOOR / T.S. - TOP OF BULKHEAD N / l e BOTTOM OF BULKHEAD ,♦ aj ` x2p TN: - TOP OF WALL ' ♦♦ Ct4 P.W. BOTTOM OF WALL }6 t �' C40� '�. t' /, / 61.2 f 40 x11A /1T3 `;!•y' ,wcK2D wins PREPARED IN ACCORDANCE WITH THE M1NNIUM / O ' / STANDARDS FOR TITLE SURVEYS AS ESTAp:,ISHEp z � BY THE LIA.LS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. 'r N.Y.S. Lic. No. 50467 "1Z C�A 0 UNAUTHORIZED ALTERATION OR ADDITION Nathan Taft Cor ,I . I I fwTlY STATE Land Surveyor COPIES OF THIS SURVEY MAD NOT BEARING TwC LAND SURVEYOR'S IVItCD SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO TME PERSON FOR w40M THE SURVEY Trtfe Surveys - Subdivisions - Site Plans - Construction Layout IS PREPARED, AND ON HIS BEHALF TO THE TALE COMPANY. GOVERNMENTAL AGENCY AND LEND!NG INSTITUTION LISTED HEREON, AND PHONE (631)727-2090 Fox (631)727-1727 To THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERRFICATIONS ARE NOT TRANSFERABLE. t?MCES LOCATED AT bMIUA'G ADDPSS 322 ROANOKE AVENUE P.O. Box 1931 THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD. IF RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 ANY. NOT SHOWN ARE NOT GUARANTEED. 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Ze aza +Qtr \- aM 24 - f ate RD. 115 om A(0 J to t co z /JyU .s s• a to ,t u• y' to nfc«:�two ewn \ x o r ,- I 611K ,,. �(Cd4�9M11gN eAm.Nn \ z� , I SEE SEC.NO.117 • I J - _ L �� • •Tram•,sn•linty„�a5p w '_ri - - n..., - E . �h O _m_w COUNTY OF SUFFOLK © N NOTICE K Iwo secnoN w ff_ __ —__ _= wl�• 2 �uW —�— i• z+Nm.txu Reil Property Tax Service Agency nwNrew�.Krewior+s..e oa E .,.. ,m_ ""' •• .--.-- ••," --•-- tv t N.t W E omlmtanlaN ov.vn roNnoN oc 1t1E ,010 smTNoED 110 —h..A Nl'/lWI SIFTOIR CGNIY TK EVP 6 f%II®IIEp M ,� " nN OE D --•-- --w�- 1" —__ r - - (21�. •• tl• Mr1110Uf vMmBl e9✓A64u16 i1E P _2ea• -__ . ..- _..` R•1 s NFnI A•TDRY TNt9aNlCE XHf.Y � w•o•...+� OFFICE LOCATION: ��� ii ��� p MAILING ADDRESS: Town Hall Annex w P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) P" Southold, NY 11971 Telephone: 631 765-1938 ,.=4� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: October 14, 2021 Re: LWRP Coastal Consistency Review for PAT J. IAVARONE SCTM# 1000-110-7-3 Creative Environmental Design on behalf of PAT J. IAVARONE requests an Amendment to Wetland Permit#9802 to relocate proposed 20'x40' gunite swimming pool with 8'x8' spa and associated 1,400sq.ft. pool patio/deck closer to the edge of wetlands: install a drywell for pool backwash; and install approximately 450 linear feet of pool enclosure fencing with gates . Located: 995 West Road, Cutchogue. SCTM# 1000-110-7-3 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 and therefore CONSISTENT with the LWRP. 1. The relocation of the pool further seaward does not place it within a FEMA flood zone or hurricane risk (SLOSH Map). 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 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 13, 2021 the following recommendation was made: Moved by Carol Brown, seconded by Maggie Merrill, it was RESOLVED to NOT SUPPORT the application of PAT J. IAVARONE to Amend Wetland Permit#9802 for the installation of a 20'X 40' gunite pool with associated pool code fence and drywell. Located: 995 West Rd., Cutchogue. SCTM#110-7-3 Inspected by: Carol Brown, John Stein The CAC does Not Support the change in location of the proposed pool because of inadequate setbacks. Vote of Council: Ayes: All Motion Carried p N•+ OFFICELOCATION:LOCATION: "n MAILING ADDRESS: �'� � �� , Town Hall Annex ' > P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 , ' � i LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: January 15, 2021 Re: LWRP Coastal Consistency Review for PAT J. IAVARONE SCTM# 1000-110-7-3 Creative Environmental Design on behalf of PAT J. IAVARONE requests a Wetland Permit to install a 20'x40' gunite pool with associated pool code fence and drywell 77' behind existing bulkhead. Located: 995 West Road, Cutchogue. SCTM# 1000-110-7-3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney j/( Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary Zk 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 Wed., January 13, 2021 the following recommendation was made: Moved by John Chandler, seconded by Peter Young, it was RESOLVED to SUPPORT the application of PAT J. IAVARONE for the installation of a 20'X 40' gunite swimming pool with associated pool code fence and drywell 83' behind existing bulkhead. Located: 995 West Rd., Cutchogue. SCTM#110-7-3 Inspected by: Peter Young, John Chandler, Peter Meeker The CAC Supports the application with the installation of a drywell for the pool backwash and questions the legality of the boat lift. Vote of Council: Ayes: All Motion Carried Creative Environmental Design P.O. BoX 160 39160 Wpute 25 Teconic, N Y11958 631734-7923 Creativeenvdesi,qn@yahoo.com To: Southold Town Board r of Trustees I- ' ET�k' r1'� � From: David Cichanowicz NOV 1 2 2020 Date: November 12, 2020 _ - �- Re: Wetland application for Pat lavarone SCTM#1000-110-7-3 Enclosed please find updated drawings dated 11/12/20 showing the proposed pool 77' behind bulkhead. Please disregard the original drawings showing 83' behind bulkhead. 1 r. Glenn Goldsmith,President OF S0 Town Hall Annex Michael J.Domino,Vice-President ,`O� y�lO 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III l�[ [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 olyC4U ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT j D� RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIRE ENTS I- D E c 7 2020 sGTM#: 1: t' ;'f, \•"f`t .t.,.�.. if 1.'.C" PropertY Owner Name: I�4'✓A�lQONlE _.r, <>r.,°,,�•`� k,- Date'Sent�d'Bldg 'Dept: �2. T Z!� .. .. - _...< f,-�_,- , , ,,-: . �.-•1 The Office of the Board of Trustees is forwarding the above referenced-application for verification of the Building Deartment'sper fitting 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? ` Will any part of this application�be considered;a,Det' olition as described under Town Code? - COMMENTS:S4M • _ av ture of Reviewer Date - Michael J.,Domino,President ®��®�s® M. ® Town Hall Annex John Bredemeyer III,Vice-President �� 54375 Route 25 Glenn Goldsmith � `.. P.O.Box 1179 A.Nicholas Iirupski G yz Southold,New York 11971 Greg Williams Telephone(631)765-1892 �Avulm,� Fax(631) 765-6641 ]BOARD ®F TOWN TIl$UsTRES TOWN OF SOUTHOLD THans S�iomm For Office Use only . Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Am endment/Transfer/Extension Received Application: 11•(o•20 Received Fee:s. 2,W•66 Completed Application: 12.7.Zp Incomplete: SEQRA Classification: Type Type II Lead Agency Determination Date: Unlisted Negative Dec. Positive Dec. __7fCoordination:(date sent): LWRP ConsistencyAssess MtForm Sent: Fla n r CAC Referral Sent. 12J a3 ao 1 j E 0,� ,r , Date of Inspection: 1.13 Receipt of CAC Report: Ll� Technical Review: NOV 6 2020 Public Hearing Held: ,ZI Resolution: S , oard of Tru,+r.,S Owner(s)Legal Name of Property(as shovan on;Deed): Mailing Address: Q r-j Phone Number:__ t G, q7 4^ Suffolk County Tax Map Number: 1000- Property Location: fig U'y (If necessary,provide LILCO Pole#, distance to,cross streets, and location) AGENT(If applicable): `. &Vc Mailing Address: C=tive Envir omental Design FG gnu I An Phone Number: ��1-234, -i(57a-2, Peconic,NY 11958 Cash Se n� Soasr d of Trustees Applic ion GENERAL DATA Land Area(in square feet): Area Zordng: Previous use of properly: i Intended use of property: Covenants and Restrictions,on property? YesNo If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? es 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 If"Yes",please provide copy of decision. �0 Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes _ No Does the structure(s)on property have a valid Certificate of Occupancy?—ZYes �o Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? l� No Yes If yes,provide explanation: Project Description(use attachments if necessary): � �1 d�,�;�� ®k 6 Board of Trustees Applic Lon �1i ET LANDPTfl USTEE]'LANDS APPLICATION DATA Purpose of the proposed operations: V019i j x- wc—t4641p� Area of wetlands on lot: . �. P- square feet Percent coverage of lot: it Closest distance between nearest existing structure and upland 0 t p edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No l/ Yes If yes,how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: 6.feet Proposed slope throughout the area of operations: --Atlk- Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason.of such proposed operations (use attachments if appropriate): i � 1 617.20 Appendix E ,Short Environmental Assessment Fopm Instructions forCoyntoletia Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): Brief Description,of Proposed Action• ' zZW 6 Vk&-rx o-' cL- &U-n'144- POD( L0`4\ osSS Wad_ Name of Applicant or Sponsor: Telephone: E=Mail: C I/da C® Address: ve nvl�tE en SDS➢ PO Box 160 City/PO: 9 State: Zip Code: LD.'Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, administrative rule,or regulation? 1�1® YES If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. LW 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: �s ❑ II�J 3.a.Total acreage of the site of the proposed action? as= b.Total acreage to be physically disturbed? �D7 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban [I Rural(non-agriculture) ClIndustrial El Commercial f/Residential(suburban) ❑Forest DAgriculture ❑,Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 S. Is the proposed action, a.A permitted use under the zoning regulations?! NO TY!EShN/Ab.Consistent with the adopted comprehensive plan? ❑6. is the proposed action conEl sistent with the predominant character of the existing built or natural ❑ landscape? YES 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Areal NO� YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? 10 ❑ NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ® EJ Y.Does the proposed action meet or exceed the state energy code requirements? ❑ If the proposed action will exceed requirements,describe design features and technologies: NO YES 10. Wi1l the proposed action connect to an-existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect•to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that-is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? ❑ Li action,or lands adjoining the,proposed action,contain NO YES 13.a.Does any portion of the site ofthe�proposed wetlands or other waterbodies regulated,by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? El Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 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 [3 Wetland El Early mid-successional ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? �lvO YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO OYES Page 2 of 4 . t I S.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,dam)? If Yes,explain purpose and size: ! FYes, he site of the proposed action or an adjoining property been the location of an active or closed NO `YES waste management facility? scribe: e site of the.proposed action or an adjoining property been the subject of remediation(ongoing or NO 'l zS eted)for hazardous was scribe- ❑ I AFFIRM THAT THE INFORMATION PROV](+DEID ABOVE IS TRUE AND ACCURATE TO TIME BEST OF MY I . OWLEDsGE Applican n �� ` �� Signature: Date• —l0 Part 2-Impact Assessment. The Lead Agency is;responsible for the completion of Part 2. Answer all of the,following questions in Part-.2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and;context of the proposed action?" No,or Moderate small to large impact impact may may ' 1. Will the proposed action create a�material conflict with an adopted land use plan or zoning occur occur regulations? ❑ 2. Will the proposed action result hi 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. Will the proposed acition cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? L=.J ❑ 7. Will the proposed action impact existing: ❑ a.public/priva a water supplies? b.public/private wastewater treatment utilities? S. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? ❑ 9. Will the proposed action result in an adverse change to natural resources,(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? ❑ Page 3 of 4 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 n{ problems? I L✓J ❑ 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Leadi 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 The 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. F] 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, thatthe proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees 1/1 y121 /i i ,n Name ofLeadAgency Date C9 I :mac. C=OS2n,tl-� President Print or pe Naf R onsibl Officer in Lead Agency Title of Responsible Officer 'Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board 02 Trustee@ Applicamaon AU`I HORRZATRON (Where the,applicant is not the owner) I/We, i owners of the property identified as SCTM# 1000- 1/®o _ 7 in the town of 9,0 Q> New York,hereby authorizes David Cichanowicz, Pres. Creative Envionimental Design to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold'Town Board of T, for this property. Pro erty s Property Owner's Signature SWORN TO BEFORE ME TH s DAY OF /NJI}V-Q-tit b P 20 �y Notary Public GIANCARLO ASSANYE Notary Public.State of New York NO.01AS6188806 Qualified in Suffolk County !Ay Commission Expires Jun 16. 2 4 Board of Trustees Aypljoa',_,;n AFFffDAVRT EEING DULY SWORN DEPOSES AND A}FFI S THAT HE/SHE,IS TIEIE APPLICANT FOR THE,ABOVE IlDES,CRIBMI)PERMIT(S)AND THAI'ALL,STATEM�ENTS CONTAINED HEREIN ARE TRUE TO THHE',BEST-OF HISMER KTOWLEDGIE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORT,H IN THIS APPLICATION AND AS MAY BE APPROVED BY TAE SOU'THIOLD TOWN HOARD OF TRUSTEES. THE APPLICANT AGREES TO HO .1lD THE TOWN OF SOUTIHOLID AND THE BOARD OF TRUSTEES 9A LESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS 5 ARISINGUNDER OH,By VIRTUE'OF SAID PERMIT(S),IF GRANTED. IN COMI?LETING TSI$APPLICATION,I HEREBY AUTHORIZE TE[E TRUSTEES,TI1EIR AGENT(S)®R ISEPRESENTATI'VE59 INCLUDING THE CONSERVATION AD@ ffSGIi'COUIqCdL,TO ENTER ONTO RAY PROPERTY TO INSPECT THE PREMISES 1N CONJUNCTION WITH THIS APPLICATION, INCLUDING A F`IN'AL INSPECTION. I F—URTHER AUTHORIZE THE BOAHI➢OF TRUSTEES'TO'E'NTER'ONT-6,I�ff,PROPERTY AND AS REQUIRED:TO INSURE COMPLIANCE WITH AIRYCONDITIION:OF ANY WETLAND ORCOASTAL EROSION'PERMII'T ISSU'ED,Ey T'HIE BOARD,OF TRUSTEES DURING THE TERM OFTIHE PERMIT. r Si awe Property Owner Signature of Property Owner SWORN TO,BEFORE ME'M' IS DAY OF_ /y �QI 10�� ,20 Notary Public GIANCARLO ASSANTD.-"- Now Notary Public-State of NO.0tAS6188804Qualified in Suffolk Couy COMMISsi0n Expires Jun TRANSACTIONAL IONAIL DISC LOSURE FORM The Town of Sonthold's Code of Ethics imhihits eotallicf�%of interest on the pfd of trnvtl officers and employees.'fietLrposc n this form is to Inovide inforinationwhich can alert the tnwn_ofpossible conflicts'din-w;st tend-illow it to take wtlatever action is 11�6,'.ti'�sary to lyoid sante. YOUR NAME: d�!Q®Pi`� i CIA (Last name,first name,ipiddle initial.unless you are applying in the name of someone else or other entity,such as a company..If so,indicate thb.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievanceBuilding X_ . Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you pet sonldly(or throut ll your company,sponse,sibling,parent,or child)haven relationship with any officer or employee of t11c Town of Southold? "Relationship"includes by blond,nrairiage,or buiiness intemst."i3usin=interest"means a business, including a partnership,in which the towtbofficer or employee has even it partial owticrSilip of(or employment by)a corporation in which the town officer or employee owns more than 51,4.of the shares. YES NO X If ydu 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,patent,or child is(check all that apply): A)the owner of greitter thtui S%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal orbaneficial owner of any interest in a non-corporate entity(when ilia applicant is not a corporation); C)an officer,director,partnei,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Subni this day of AN�k�QV 200-57 u Signature Printi4atne t`anCQ ri o SS 9n+Q d Form T5 I GIANCARLO ASSANYE Notary Public-state of New York i NO.OtAS61'®a@08 Qualified in Suffolk County Ray Commission Exgires Jun 16,2024 TRAWSACrflbNYAL DISCLOSURE IA'ORt M The'Town of Southold's Code of Ethics prohibits conflicts of interest on_the of to officers and em o this form is,to provide mformatron whrchscatr alert the town of mssrble con_fircts of iliteresY and allow iwhatever ac t to take honors MV,to avoid same YOUR 0 ? �L (Last name,first name,gnrddle inrUal,unless you are applying id the name of someone else or other entity,such as a company.If so,indicate the.oiher person'sor company's name.) NAME OF APPLICATION: (Check all.,that apply.) Tax grievance Building Variance Z,N stee Change of Zone Coastal Erosion Approval ofplat Mooring Exemption from plat or official map Other planning (If"Other",name the activity.) Do You personally(or through your company;spouse,sibling,-parent,or chive 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 ha&e'ven a partial,ownership of(or employment by)a corporation in which,the town officer or employee,owmm'orethan 5%aofthe shares. YES NO 4 t lfyou 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)andfor descrtbe m the space provided The town officer or employee or his or her,spouse,sibling,parent,of child is(check all that apply): h A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal-orrteneficial owner of any interest iqa non-corporate entity(when the applicant is nota corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted a of 20 Signature 10 Print Name C L Form TS l SUFFoc� Glenn Goldsmith,President 0�0 .0, Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M.Bredemeyer III w z P.O.Box 1179 Michael J.Domino 07 Southold,NY 11971 Greg Williams 'y p� Telephone(631)765-1892 ��� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 5, 2021 Dave Cichanowicz Creative Environmental Design P.O. Box 160 Peconic, NY 11958 Re: Board of Trustees Application of Pat J. lavarone 995 West Road, Cutchogue SCTM# 1000-110=7-3 ='" 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, January 20, 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. Xly, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President 010, Town Town Hall Annex Michael J.Domino �� yj� 54375 Route 25 John M.Bredemeyer IIIc z P.O.Box 1179 A.Nicholas Krupski 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, JANUARY 20, 2021 6:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, January 20, 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. Sacd.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: 923 8675 3943 Password: 646408 • 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 alphabetical order. Click on the name of the application to view the file. Glenn Goldsmith,PresidentO�QSVfFQ(�-COG Town Hall Annex = Michael J.Domino �� y, 54375 Route 25 John M.Bredemeyer III w = P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams ?,hod p! 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: I //o L/5' • ///1 �� ' , I =$TATE.Op'L1wW Z'QR I . ; residing:at being;dulyaworn,.deposes and says,that•.on the clay of •, 20 ,•depopenuniai-leda•true copy,of the Notice •4 set forth in.the Board of Trustees Application;'dirdeted to each of the above named 17 persons at the addresses set-opposite thek' etopposite,there respective naines;,that the addresses set opposite,the names of said persons are the address of said persons as shown on the current assessment•roll of the Town of'Southold,,that said Notices were mailed at the United States Post Office at .that said Notices were mailed to each of said persons by CERTIFIED MAIU/RETURN RECEIPT. Sworn to before me this Day of ,20 Notary Public Glenn Goldsmith,President O�QS � Town Hall Annex A.Nicholas Krupski,Vice President �� G'y�a 54375 Route 25 John M.Bredemeyer III ro � P.O.Box 1179 Michael J.Domino R. rft Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of PAT J. IAVARONE COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE Creative Environmental Design PO Box 160 residing at/dba Peconic.QTY 1195$ being duly sworn, depose and say: That on the day of hfzGe t c� , 20 a4 , 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,January 20, 2021. Dated: a(signature) Sworn to before me this 1% day ofW 2021 DIANE DISALVO (�((�PAW NOTARY PUBLIC-STATE OF NEW YORK Notary Public No, O1 D1476693 Qualified in Suffolk County My ftMmission ExpRes Apol 30. 20 7-2— 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF-NEW YORK, Creative,Environmental Design - = C017NTYLLOF��S�,J1�F-OLK =" - - - - P Box 160 - --- Peconic, NY 1.1955 residing at - PLDr\�, - 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 ��V�,� ,that said Notices were mail h of said persons by CERTIFIED MAEURETURN RECEIPT. Sworn to before me this 4*1 Day of TAW 20 LI Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 QUalitled In Suffolk County My t OMMission Expires April 30, 20 Z� ° o F Ln rU B ® ; L e ru U1 �� D i .Cucha e LP 4 fj 11jV`' TA, L V rR 56l ilrL _n •- $2.ou Posta5 s 6� / Certified Feel r Certified Fee t i,I'II i R P � Return Receipt Fee -Here's , t ,� osk J O Postmar a i (red) m r3 (Endorsement Requ $0.Ili; r3 (Endorsement Required) -- inryReturn Receipt Fee Rtritd Delive Fee y C3 l (Endorsement Required) O Restricted Delivery Fee Y r�4-," (Endorsement Required) —0 i .!c r¢ l peccl Total Postage&Fees �t .nCil/C19/2021 � m � c Total Postage&Fees Sent T \ M c Se ' _ -------- --- f1J �n ------- ------ I ru Street Ap.No., ` .�..�)�� C3 or PO Box No r r-� Street, -- '.rersT Sta or POB Crty, 27P+4 Cr to 0A. k :A0 - M70- I oa. � � o®i® ®� S ® - ■ sn 0 CO FU • , n L�t % � t „4,7 , i.{'�•'7Ct' rd RM R o ,�°° or t�X1:1958 I � PostA3 95 58 yea �� � �- 1 P-Qy.} �� N� 1 ` `� Certified Fee +i 1 "1 � i_l I{• I Certified Fee pear d i M Return `#Receipt Fee _. _ A PoalWrk �Z (1e're a� (Endorsement Required) 0.Cl1_1 �6• "� v m Return Receipt Fee - tly �r f] I).- J Restricted Delivery Fee (Endorsement Required) . (Endorsement Required) __.• �'cy C3 Restricted Delivery Fee b �� 7 ���*; O SI i (Endorsement Required) k- Postage&Fees C3fil/09/2021 02021 Total Postage&Fees m c' Sent To \ M --- - --------- ---------- -- n Se To - -------------------- -- r-9 Street,Apt o; r ru C3 or PO ox No. r Street, pt. N cn it rty, t e, C3 Z! or PO Box No. ------ I f`- City,State,ZI 4 i :AI 11. 1 ® ■ B e f ■ Complete Items 1,2,and 3. A. signature l ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. ate of Delivery or on the front if space permits. 1. icle Addressed to: D. Is delivery address different from item 1? El Yes' If YES,enter delivery address below: ❑ No V 4 qqo �v to I t �q II I I IIII IIII Ill i II I I II it II ILII I I'II III 3. Service Type ❑Priority Mall Expresso ❑Adult Signature ❑Registered MaiITM i ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail(D Delivery 9590 9402 4554 8278 4360 97 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise Collect on Delivery Restricted Delivery ❑Signature Confirmation El 2. Article Number(Transfer from service label) __ ,..,ured Mall ❑Signature Confirmation 7 012 3460 3 6 41 2528 juted Mail Restricted Delivery Restricted Delivery er$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt j i PLETE THIS SECTIO COM., N ON DE`Lj�IERy ■ Complete items 1,2,and 3. A Signature I ■ Print'yoiir name and address on the reverse so that we can return the card to you. - X ❑Agent ■ Attach this card to the back of the mailp iece, B. Received by(Printed Name El Addressee or on the front if space permits. { ) C. Date of Delivery 1. Arti a Address to: _ D. Is delivery address differentymm item 1? ❑Yes If YES,enter delivery address below: ❑No II I IIIIII IIII III I IIII III I I II II II III III II IIII 0 Adult Signature 0 RegisteredPriority Mil Express® I� 0 Adult Signature Restricted DeliveryMail 9590 9402 4554 8278 4361 03 0 Certified MmI0 ❑Registered Mall Restricted 0 Certified Mail Restricted DeliveryDelivery ❑Collect on Delivery ❑Return ReceiMerchandise for �_2 Article Number_(Transfer from service label Merchandise ' ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTm 7 7 012 3 4 6 0 0003 6 410 2 511 ^ured Mail 0 Signature Confirmation 012 3 4 6 - lured Me)[Restricted Delivery Restricted Delivery PS Form 3811,;July 2015 PSN 7530-02=000-9053' r$soo) Domestic Return Receipt } ■ Complete-iteins 1,2,and 3. A signature ■ Print, *e and address on the reverse j so that wp: return the card to you. X 17 Agent ■ Attach this'card to the back of the mailpiece, EJ Addressee or on the front if space permits. B R�eiDved b Prin"^Name ) C. D to of Delivery � 1. icle Addressed to^ D. Is delivery address different from item 1? s n cLs }\ If YES,enter delivery address below: ❑No 3. Service Type d I VIII III I I I II III I I II �I III 0 Adult Signature 0 Priority Mail Express® 0 Adult Signature Restricted Delivery 0 Registered Majim 9590 9402 4554 8278 4361 10 0 Certified Marl@ ry 0 Registered Mail Restricted 0 Certified Mal Restricted Delivery Delivery 2. Article Number 0 Collect on Delivery ry 0 M rchandiseiPt for flransfer from service/abe% ❑Collect on Delivery Restricted Delivery,'0 Signature Confirmation 7 01'2 '3 4 6 0 r 0 O d 3 '6 410 2 5 3 5 Insured Mail ,0 Signature Confirmation Ilnsured Matl Restricted Delivery.� Restricted Delivery -�; PS Form 3811,July 2015 PSN 7530-02-000-9053' (over$500) Domestic Return Receipt NOTICE- F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. OWNER(S) OF RECORD: 'PAT J. MARONE SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a 20'x40' gunite pool with associated pool code fence and drywell 77' behind existing bulkhead. Located: 995 West Road, Cutchogue. SCTM# 1000-110-7-3 TIME & DATE OF PUBLIC HEARING: Wednesday, January 20, 2021— at or about 5:30P.M. — To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen' click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 TOWA of Southold ILS C®NTSI«T�IYC ASSBSSl%NdT$+ORIS A. 1INSTRUC 0NS 1• All applicants for permite including Town of Southold agencies, shad, coYnplete this CCAF for Proposed actions that are subject to the Town of Southold waterfront Consistency Review Law. This assessment is intended to suppleinent other information used by a Town of Southold agency in Making a determination of consistency. Except minor exempt actions including Building Permits and other ministeridl 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 roposed action will be evaluated as to its si 'nig ficant beneficial and adverse effects upon, he coastal area which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or 1�10", then the proposed action will affect the achievement of.the Lw'RP policy standards and conditions contained iii the consistency review law. Thus -ezeh a it:ant-be.exp Mug an de sna , o ._Eas�sd If'an action cannot be - 1 ,"11111111:111 to -both.saa erti .and non_ conditions,it shall-not be undertaken, ceded,as-consistent with the LWRP policy standards and olic 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. . BDIESCRI—PnONl 01E SIR AND FROPOSED ACTg®N 8CTM- #- PROJECT NAME The AP]PRcat on has been submitted,to(check appropriate response): TOWIM Board ❑ pkn inng Bonne❑ Bnn C&,g Dept. ❑ Board of Tnate l• Category of Town of Southold agency action(check appropriate-response): (a) Action undertaken directly by Town agency(e.g, capital ❑ construction,planning activity,agency regulation,laud transaction) (b)• ]Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,cern£cation: Lid Nature and extent of action: Q `a11 . b Location of action:—TIS a Site acreage: LP 4`31— �6 � Present land use: �L` �A J c Present zoning classification: 2• If an application for the proposed action,has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: - (b) Mailing address: t (c) Telephone number:Area Code (d) Application-number,if any: Will the action be directly undertaken,require funding,,or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? Co IEvaRuste,the.PY'Neet to the foflDw,,kg,polities+ y an , , �' �Ily g how tine gra oject wm- funrt➢ner support or nn®t}stinpg�oa t➢tie po'la�aeso Provqd r, ,.OroposeaIl-Bes>r M" (Poet?]r.2Z aces that WEffan "her each p®flaw AUDcoanIln16te aanswers MH tregaana a ipIlaIg 4416rm, IlDe returnid ffor com} Ile4zinno RIEVEIL.OID_COAST I (DUCY po9iey Il', Rbsteir a pattern of dewefl®pmetmt in the Town of Southold that enhances CormnrantnannttY character, IPeseaves open space,Makes effflelept use of attafaustruetu rep makes henefliew use of a coastal Ilocattaon,and mmiAnhes adverse eNects of devefl®"McDnto Be, ILS Geeta®� [— ®Ilieies9 Mage g®a°e�vafluattaonn Criteria. LTJ es ❑ leo ❑ loot AppEcable Wew tC1.� S 1"`6�- 1A IDf.� a atl�na�5 �lL Attach additional sheets if necessary IP°oflaey 20 Protect and preserve flnasign*c and archaeological resourr_es of the Town of Southold. See II: Section M=?0 ivies Pages 3.tthraugh fi for evalaaataon cn*tera& ❑ Yes ❑ NoVNI'O"t-'App'flncfle i Attach additional sheets if necessary Policy lEnhe nee visu aR quaNty and Protect scenic resources thirouaglnouat HAW '' - Section DTII—Policaes pages 6 throaugIl 1,7 forevalu atnon ematea�az the Town ®f Southold. See �� ❑ NO ❑ loot A , Hae��He Ilei Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. MIRIMIze floss of H eq sftmoaaa a& atn0�n�t MMI reseurces &OM floodiung 'Md erosion. See L* WR P SectionIIffi—Folaeies Pages 8.thyouagln 16 for O—vg criteria yes ® NO WNOtAP �li�e��Ile Attach additional sheets ifnecessary IPoRicy S. Protect Mandl improve waster quaHty jMd Supply in the' TOWD Of BouathOldo See ILS Section M —IDORdles IPzges 16 tflnu°oungh 21 for evaluation ou nteriz Yes ® leo Tot Applka bXe Attach additional.sheets.ifnecessary IPOKeY 6, Protect anal u'estore the n , -ty aIl fanch on.of�the �o�n of Southold ecosystems includingSig�nafiea nt cCoRsgal Fish and WiRdlife H$atiitzts and wetlands. See LVnU, Section M—Policies; IPages 22 through 32 for eviluna<ti® ea nter*z. ❑ ❑ i Yes No No�,-10fleable t Attach additional sheets if necessary Policy 9. Via°®tett auadl improve ain° ,,Uaflt3r;inn the Town of Sou t-hold- See ILS Sectiolm III( ]?zges�2 tflhro h,34 ffo�°evaluation,en'tea ia. Policies ❑ Yes ❑ Noof Appfl pable, Attach additional sheets if necessary Policy 8. WKaa ,ern—",IrO nMont.,9fl.d'egraallataon in Tow, oiF,SaautHn®flafl froann solid waste and Ibavcau afl®ups suebst ccs aMa�wastes. See ILS Meati®m --Policies; Mages,34 through 38 for evafluuatiogn criteria. ❑1Yes ❑ NO,U40 Applicable PUBLIC COAST P(DjdICUS Poli 9 �' . Pr ov'n Ile ffoar Public access tog and recreational use off•, coastal waters, public Rands, and public resources of the Town of Southold. dee criteria. LWE"SectiOD M=]Policies; Pages 38 throm&46 for e`valmatkim t�°nt�e ❑ ymD No Not Applicable Attach additional.sheets ifnecessary WOR ? ;„G COAST, ?,@L,, POJICY fl®• Protect Souathold's water-dependent uses and prommote siting suitable 10cattionns° Bee ILMW�Secttiou M—joUcies9 pew fl a rcrit gia - nt uses hn ages ro through 56$o ❑ yes ❑ I% of Applacabie i Attach additional sheets ifnecessary► PoliCy 11- Promote sustainalnle 'ase Of laying marine resources ian }Estaaany and Tov-nti Bate °Bee 3L Seed' ffi— ° Long flsl��l Soan>m�9 $lie ]Peconic I�olacies9 Pages 57 through 62 for ewalaaation criteria. ❑ yes ❑ ISIo Not App➢icghle � Attach.additional sheets if necessary policy 12° fl'rot"t ugaicultural•lanads•ian tine Town of Southold. See IL P Section I l—PORCie 62 tt&rougfi 65 for�6val�attienn crite ia° s,,Pages ❑ YesEl NoMott A , licaflnY Ply e i Attach additional sheets if necessary Iftlacy 13o Promote appr®priate use and ��elopffiennt of energy► aimal miaderaIl resources. SWR �ectionn ffi_P®lncies9 Pages 6�tlurotngh 68 for�es�al'nattiona criteria. ee 3LP ❑ Yes ❑ NOTog Appncahle PREPARED By TIT.LIE_j C_E DATE 0 ���