Loading...
HomeMy WebLinkAboutDioguardi, Vincent & Maria Glenn Goldsmith,President �Oq so 11 Town Hall Annex A. Nicholas Krupski,Vice President V� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III 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 December 20, 2021 Thomas C. Wolpert, PE Young & Young 400 Ostrander Avenue Riverhead, NY 11901 RE: VINCENT & MARIA- DIOGUARDI 4890 SOUND AVENUE, MATTITUCK SCTM#: 1000=121-3-7.3 Dear Mr. Wolpert: The Southold Town Board of Trustees reviewed your letter received in this office on October 26, 2021 and the survey prepared.by Howard W-. Young, Licensed Land Surveyor, last dated October 20;,2021 and determined'that'the proposed installation of- sanitary system is.out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no clearing, no removal of vegetation, no cut or fill of land or removal of sod, no construction, sedimentation, or disturbance of any kind may take place within 100' landward from the top of the bluff, or seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without further application to, and written authorization from, the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area 2 between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This_deterrnination,is__not_a_determ_ination from any_other agency_. If you have any further questions, please do not hesitate to call. Sincerely, = Glenn Goldsmith, President Board of Trustees GG:dd (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A IAOLA71ON OF SECTION 72D9 OF THE NEW YORK S A`E EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE ANO ARE NOT TO R:USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT RE CONSIDERED TO BE A VALID TRU INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICAIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)de CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED ED`FROCERTIFICAT M OTHERS \ LEGEND SITE DATA \ \ R-WI-0°* � nNK, 400 Ostrander Avenue, Riverhead, New York I1a01 \ EOP =EDGE OF PAVEMENT AREA = 2.2514 AGRE5 tel. 651.727.2505 fox. 651.727.0144 5 �,F WDF --- 0 =WOOD FENCE odmin@youngengineering.com rk�6 0 CLF —0 =CHAIN LINK FENCE *SUBDIVISION-"PECONIC HOMES,INC." FILED IN THE OFFICE OF THE CLERK OF Rue PVCF O n =PVC FENCE SUFFOLK COUNTY ON NOV.01,1994 AS FILE NO.9589. PRF O =POST&RAIL FENCE DATUM =NGVD 1988 \ E CM5 =CONCRETE MONUMENT SET Howard W. Young, Land Surveyor CMF =CONCRETE MONUMENT FOUND * HIGHEST EXPECTED GROUND WATER ELEVATION 4.0 Thomas G. Wol ort, Professional Engineer n WSS =WOOD STAKE SET = Douglas E. Adams, Professional Engineer \ WSF =WOOD STAKE FOUND * NUMBER OF BEDROOMS(DESIGN EQUIVALENT) =7 Robert G. Tast, Architect w WV = WATER VALVE =UTILITY POLE *AFCHITECT TO VERIFY FINISHED FLOOR ELEVATION(S). 60 Robert 5tromski, Architect \ Q0Qi =PHOTO DIRECTION&NUMBER \ ' \ CO. S HEALTH DEPARTMENT USE .oa> oK,•� cJ \ C° °*O ^ 0/ 0^, 0^, \ s`�jrhy \ 3 °'Ar \ 04 \ 0�n \ o� \ 0.0. \\ Sgg0 OCT 2 6 2021 \ y 296 ' -- -- ---� a \ o SURVEYOR'S CERTIFICATION LO\ _ 2 N o WE HEREBY CERTIFY TO VINCENT DIOGUA D="& ItvlQf�f'AA,� \ o t �Q1 5� 256 �2 `L1 A M p D 10 G U AR D I THAT THIS SURVEY WAS PREPARED IN�AdCb�Dr�.)'dd WI a \ ��ro �'�� xO� 26 I PROPOSED N WETLANDS AS DETERMINED BY US LANDWAPD LIMIT OF THE CODE OF PRACTICE FOR LAND SURVEYS ADOP3EDr)3Y 1E`\ C11 \ P x Z�� 2$ 2�1� BIlOWER LOCATION OF ON 10/20/21 STATE ASSOCIATION OF PROFESSIONAL LAND G Qj 7 \ J Q \ �OQ�P��I �. �\ �� 5� I POST MOUNTEDOf 2 f 7- Q�P�Z �� o $ 99k 2 CONTROL �twktL 5 2 I c3� /�.� \ 5� p� �_ R3 P o TOP OF BANK 1• K.r; �$i PANEL & VENT O� = °�L \ l '� 2 0 1 • HOWARD W.YOUNG,N.Y. .L.S.NO.4 893 \ q a 3y �O ` ` \ > ate, , , L11 0 Qh \ I��k ° n ��` Gi3\ly?ipp� p0 \\ I �� �° f°P ye �` f�, ° EXISTING SURVEY FOR �t VINCENT DIOGUARDI & 0 f WELL 0 1 \\ I Z°o5 0 'o,neo ��� �'r \ ��� {`` 015 �� oma, MARIA DIOGUARDI NOTES FOR \\ I Rl�oo °° 26. .fl�\rd,, LOT 2 "PECONIC HOMES, INC." ABANDONMENT OF SANITARY STRUCTURES \ b1.6 ��' \ �1�2 at Mattituck, Town of Southold I �K N ABANDONMENT IN-PLACE \\ 9(><2 \ L$. $$(�9 \ 0 �� 1 Suffolk County, New York Cr EXISTING SYSTEMS SHALL BE ABANDONED BY REMOVING ALL RESIDUAL SEWAGE04 o WASTES BY A LICENSED WASTE HAULER,REMOVING THE TOP OF THE \\ 5�6" y� ` ��66 rte~-► BUILDING PERMIT SURVEY STRUCTURE(S),BACKFILLING WITH SUITABLE SAND AND GRAVEL MATERIAL,AND x 0 0 PROPERLY COMPACTING. �� 1 WOODS Ul O 0 \ County Tax Map District 1000 Section 121 Block 03 Lot 7.3 ABANDONMENT BY REMOVAL N�'CP s� \ x�g� v FIELD SURVEY COMPLETED OCT.30,2019 EXISTING SYSTEMS MAY ALSO BE ABANDONED BY REMOVING ALL RESIDUAL c�P �� Gj \ - - MAP PREPARED OCT.31,2019 SEWAGE WASTES BY A LICENSED HAULER,REMOVING THE ENTIRE STRUCTURE(S), �N��DO�y�O�c� \�� COMPACTING.BACKFILLING SUITABLE SAND AND GRAVEL MATERIAL,AND PROPERLY ��Z PgP��-��N�PR \ ` GMF 1 Record of Revisions O ,�� �G� REVISION DATE ABANDONMENT OF SEWER PIPING �` �` p�' \ 89 BLDG.PERMIT DATA �� .�� _ 202 DEC 21 2020 �j 60 AMENDED BLDG.PERMIT DATA AUG.18 2021 THE ASSOCIATED SEWER PIPING SHALL BE CUT AND CAPPED AS A MEANS OF c,`� P(, \ N oQl`41Ttw AMENDED BLDG.PERMIT DATA OCT, 20 2021 ABANDONMENT.THE DEPARTMENT SHOULD BE CONTACTED FOR FURTHER \ GMF $Fj ABANDONMENT REQUIREMENTS,IF FUTURE CONSTRUCTION I5 CONTEMPLATED IN THE AREA OF THE ABANDONED SEPTIC SYSTEM. o P CERTIFICATION REQUIRED or f ormer y THE ABANDONMENT OF EXISTING SEWAGE DISPOSAL SYSTEMS,EITHER It 1 now her F• smith IN-PLACE,OR BY REMOVAL,MUST BE CERTIFIED BY EITHER A LICENSED DESIGN PROFESSIONAL OR LICENSED CONTRACTOR AS INDICATED BY THE DEPARTMENT Ch is smith 40 0 20 40 80 120 ON THE PERMIT TO CONSTRUCT.FOR PROJECTS SERVED BY MUNICIPAL SEWER GC CL DISTRICTS,THE APPROPRIATE MUNICIPAL AGENCY WITH JURISDICTION �pwelltn9� Scale: V - 40' SHOULD ALSO BE CONTACTED. 1 JOB NO.2019-0150 � DWG. 2019_0150_bp 2 OF 3 (1)LINA UTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 72D9 OF THE NEW YORK STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARI NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)h CESSPOOLS(GP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS 400 Ostrander Avenue, Riverhead, New York 114101 tel. 631, 27.2303 fax. 631.727.0144 admin®youngengineering.com Howard W. Young, Land surveyor Thomas G. Wolpert, Professional Engineer Douglas E. Adams, Professional Engineer Robert G. Tost, Architect Robert 5tromski, Architect HEALTH DEPARTMENT USE 0„I . 20' 4" PVC ® 53' 15' 2.0095 MIN. 4" PVC a 4" PVC 1.0095 MIN. LOOKING 1.0095 MN. 2 STORY CASTING TO FRAME HOUSE GRADE (6 BEDROOMS) FFEL=241.65 RIM=30.5 EL=30.5 EL=241.0 RIM=2S.5 GONG. COVER PRECAST I' MI . TOP SLAB 2' MAX. OR DOME IE=25.4 PROVIDE GLEAN OUT AT IE=25.6 DSO' FLOW LINE IE=24.41 IE=24.7 IE=24.5 OCT 2 6 2021 ( y I I t 1 FACE OF BUILDING 4 0.33' 4.00' (__ 4' DIA. DISTRIBUTION BOX PROVIDE END GAP LEVELING DEVICE LP1 11 MDL#SL-4 MFG BY '1UF-TITS OR APPROVED EQUAL FOR ALL DISTRIBUTION BOX OUTLET PIPES io s a SURVEYOR'S CERTIFICATION 9! 10.00' N *WE HEREBY CERTIFY TO VINCENT D 1 0 0 0 (��M A 3 D 1 0 0 0 AR D I THAT THIS SURVEY WAS PREPAR / BOT=15.0 THE CODE OF PRACTICE FOR LAND SURVEYS ADOP NEWYO�R, {?\\\ 2,000 GAL. SEPTIC TANK HYDRAULIO PROFILrz STATE ASSOCIATION OF PROFESSIONAL LAND kV5 R�- U 61 r N SCALE: NTS 8' SANITARY LEACHING POOL M _ _ n TOTAL OF (2) POOLS i 4"15 sFSWA cr H16HEST EXPECTED GW / ,; :tip f EHOWARD W.YOUNG, L=4.0 S .45893 / 3 .S.L. .N SURVEY FOR VINCENT DIOGUARDI & MARIA DIOGUARDI TF-5T HOLD LOT 2 "PECONIC HOMES, TNG." DY McDONALD 6E05CIENCE E DATE: 10/22/19 a at Mattituck, Town of Southold LO EL�28.8 0.0' Suffolk County, New York I MIXED SAND 0 3 LOAM N 1.01 BUILDING PERMIT SURVEY o BROWN SILTY 121 Block 03 Lot 7.3 SAND County Tax Map District lOOO Section a (5M) 0 FIELD SURVEY COMPLETED OCT.30,2019 2 0 o , MAP PREPARED OCT.31,2019 9 Record of Revisions PALE IDRONN FINE 5AN0 REVISION DATE (5P) BLDG.PERMIT DATA DEC. 21,2020 AMENDED BLDG PERMIT DATA AUG.18,2021 AMENDED BLDG PERMIT DATA OCT.20,2021 EL-11.5 1-7.01 HI&HE5T EXPECTED GROUNDWATER EL=4.0 N a c } 50 0 25 50 100 150 Do Scale: 1" = 50' 9 JOB NO.2019-0150 DWG. 2019_0150_bp 3 OF 3 (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK.STATE EDUCATION LAW.(2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND IRE NOT TO BE USED TO ESTABUSH PROPERTY LINES OR FOR ERECTION OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTINJ CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W),SEPTIC TANKS(ST)h CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. 400 Ostrander Avenue, Riverhead, New York I1a01 tel. 631.727.2303 fax. 631.727.0144 soUNDisVE admin®youngengineering.com A��N � vEU ROAr) `.\ `rte x_ or 2,056 TO FARM �\\ Ar'p { Thomas G WolpeHoviordrt Profe sioand nal Engineer \`\�S6 SfF E Douglas E. Adams, Professional Engineer \ Robert G. Tost Architect Robert etromski, Architect NN \\ •00, HEALTH DEPARTMENT USE ` ` \ ,mttuRHF+fonrq \ 5 \\\ \ QJcc � 2A� \\\ \ .66, 6.0 \ \ ` r'sro \ ?k ` 1 { OCT 2 To m ,\ C 4- y0\ 0/h SURVEYOR'S CERTIFICATION _ `, '� *WE HEREBY CERTIFY TO VINCENT D I O G U p I NI/ k21A�`y D 10 G U AR D I THAT THIS SURVEY WAS PREPAR IN` CCDRDANCE.WI��t ,: THE CODE OF PRACTICE FOR LAND SURVEYS ADOP 60 4Y THE NEw YbRk S�6O STATE ASSOCIATION OF PROFESSIONAL LAND SfUR ORS. IV70� Jj,H•ti iy N Qo HOWARD W.YOUNG,N.Y. .S.NO.4 93 \,\ co SURVEY FOR S110�6s1„ VINCENT DIOGUARDI 2296 o MARIA DIOGUARDI " :0 LOT 2 "PECONIC HOMES, INC. o? at Mattituck, Town of Southold NN �o kp �M C' Suffolk County, New York N oG fs `` N > " o sem- C BUILDING PERMIT SURVEY tS` 1>0 `� N C71 a Gf'r�•hl `� `�� � County Tax Map District 1000 Section 121 Bock 03 Lot 7.3 :g. FIELD SURVEY tp✓ MAP PREPARED COMPLETED OCT.30,2019 2019 �0 PROPOSED �o`,\ N m Record of Revisions SANITARY `� O� � REVISION DATE SYSTEM `\\ p° BLDG.PERMIT DATA DEC. 21,2020 `fl AMENDED BLDG.PERMIT DATA AUG.18.2021 \` AMENDED BLDG.PERMIT DATA OCT.20,2021 2 STORY FRAME HOUSE &GARAGE \�; 202�89W ( 7 BEDROOM) ;( Ng5 01 EXISTING 1i I now or formsth& In WELL � ' Christopher F' ith In le Marriner Sm 100 0 50 100 200 300 Scale: 1" = 100' JOB NO.2019-0150 1 DWG. 2019_0150_bp 1 OF 3 Glenn G "' nith, President �QF,SI� >>� Town Hall Annex A. Nicholas 1iski,Vice President ,`O ��� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III [ Southold, New York 11971 Michael J. Domino cn ac G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 00M, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NON-JURISDICTION INSPECTION DATE OF INSPECTION: INSPECTED BY: Ch. 275 Ch.:111 COMMENTS:' SvS er•, aac_k Pecr.; �.;S ocy k�oc kPnce_ G ed 4e o-� IA& and b tAes YOUNG &YOUNG Telephone (631) 727-2303 400 Ostrander Avenue Facsimile (631) 727-0144 Riverhead,New York 11901 admin@youngengineering.com HOWARD W. YOUNG,Land Surveyor THOMAS C.WOLPERT,Professional Engineer DOUGLAS ADAMS,Professional Engineer/Geologist ROBERT C. TAST,Architect ROBERT STROMSKI,Architect October 22, 2021 Town of Southold Board of Trustees Town Hall Annex 54375 Main Road P.O. Box 1179 rE E 0 V ESouthold, New York 11971-0959 lU RE: Proposed Sanitary Upgrade 2 6 2021 VINCENT DIOGUARDI & MARIA DIOGUARDI Southoia covin Lot 2, "Peconic Homes, Inc," Board ofTrust�es 24 i k kat 'ft1d sooAlP A-E. at Mattituck, T/0 Southold, NY (19-0150) SCTM No.: 1000-121-03-7.3 Dear Members of the Board: Enclosed are the following items: 1. application fee— Maria Dioguardi check no. 1054 payable to "Town of Southold' in the amount of Fifty Dollars ($50.00), 2. one (1) original -Authorization Form, 3. one (1) original - Affidavit, 4. one (1) set— Photograph Nos. 1-6, 5. one (1) original - Applicant Transactional Disclosure Form, and 6. two (2) prints— Building Permit Survey (Sheets 1-3 of 3) last dated October 20, 2021 depicting the existing conditions and proposed improvements. Kindly consider this request to issue a Letter of No Jurisdiction since all proposed construction activities and sewage disposal system improvements are located more than 100' landward of the top of bank of Laurel Lake. Planning Engineering Land Surveying Page 2 of 2 October 22, 2021 If you have any questions, please contact us. Very truly yours, Thomas C. Wolpert TCW/cw Encl. cc. Mrs. Maria Dioguardi + encl. + 1 print i I► ��� �� OCT 2 62021 L i Southold Town Board of Tru;ties Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, _ Mario( DiOqucrrcU _ r owners of the property identified as SCTM# 1000- 121 — -3 -- -7� 3 __ in the town of L / l ca ff ifu0h , TT/O Soc,4i o(d ,New York,hereby authorizes j o cin j )'o�_ Y /I f-bi : Th am 0:5 C, Wo/A el--, F E, to act as my agent and handle all x necessary work involved with the application process for permit(s)from the Southold Town s Board of Trustees for this property. f Property Owner's Signature Property Owner's Signature Morinit?q,ard SWORN TO BEFORE ME THIS_ � I DVj(OP AA L 20� HARSHANE S ROY Notary Public State of New York NO.01RO6381265 N �� Qualified in Nassau County My Commission Expires Oct 1,2022 ECc- `E 9L)1 I` � }� OCT 2 6 2021 ! Southold foam 13oard of irustess Board of Trustees Application AFFIDAVIT F N u ri a 'D(0c r-d 1 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE ` DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER]KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES } AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO s INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE } COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. X v E Signature of Property Owner Signature of Property Owner Maria Viogueerdi �J J sf SWORN TO BEFORE ME THIS J! DAY OF G , 201L_ HARSHANE S ROY Notary Public-State of New York NO.01RO6381 .65 No ary P lic Qualified in Nassau County My Commission Expires Oct 1, 2022 20216 OCT 2 6 . So�ahold Twill Board o.Tnastees APPLICANT/AGENT/RFPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc,Town of SouthoId's Code of Fthias Wohibits conflicts of interest on Vie Bart of town officers and employees.'i'ffe Bumoscof this form is to piovidc inforination which can alert the town of possible conflicts of interest and allow,it to-take whatever action,is neeessary to avoid same. s YOUR NAME: _�1� q ucrdcQl Marl G (Last-dame,first nafne,middle initial,unless you are applying-Ili the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Tit Y Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning = t Other ! (If"Other',name the activity.) Do you personally(or through your.company,spouse,sibling,parent,or child)have a relationship.wiih any'officer or employec of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.•"Business irUerusf'means a business, including partnership,in which the town,officer or employee lia§cve�i a paitial ownership of(or employment by)a corporation in which the town officer or employec owns more than 51/o of the shares. YES NO ifyou answered"YES",complete the balance of this form and slate 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/agenUrepresentative)and the town officer or employee.Either check : the appropriate line A)through D)and/or describe'in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the.owner of greater,than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); E�)the legator l enencial alvner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of ANVO 20V E C r, I�7 Signature " �� Print Name rla rr a 17 i oa uQ�- ! 6 I Form TS I OCT 2 6 2021 Southold tg2Yin p Boar of Trustees f •�. j :J■) `��.� ■ d, . `. Ilo � '� •! •�••� ��a ,yam AphOl [; • ,4 � � � �', � •- '>f � ���'�� ,��� '� .•�1+, � ��� �� yip RS• Lk N _ ,�v"■•yam`' +� • . .� t, `�' � 7th-, -.• , 1 • t • + �dr44 • _; t PHOTO NO. 4 VINCENT DIOGUARDI & MARIA DIOGUARDI 2445 KIRKUP LANE AT MATTITUCK, T/O SOUTHOLD, NY OCTOBER 20, 20212:29 PM 1 ,77 51D - - 1^•• - OCT 2 6 2021 � �. ��'• �• '�• • - -� }� Southold Town �' ' '•�_ " . � , .• Boa , owlL _ - �1 J 4E a�•` � Via. , "*Ww 3w 4 77, 14 IL 4.4 its , r •.,. Gk. { r - -�Mr'- a -,YID'_ M • R • �, . F 9 .A-�.'L�sy''�� C t�������'^`��_`.. w A'� .1-_ .� ` �-ir•'� -.1' �,�'jt � - 1 / i , .1 � ' ,,�}... r °" a'�'�t�:7s S.✓ '�`V _�:• _,� 4 -�'. ♦/ "� ' Q � � .9 it y' t� �� ! � ♦ +iii. �'. f??ii ♦ - - r"§'�it• '- �� ` •i• � !' `�7s�T��•'.+ �T )���� '~'ti,s� ,�,•", ya t.:, � � `;ter•+��ti ^�' ti '��� Nb r� "1'�r.r,,;.�a" 'P '�i��� .,, �{+f��r•, �,, ?1.�t, Y �.,� �).i. .�-'�v -. 'Y a F�4 '�"w:,,�t.-x► "`+y~ ;,'/r � , - -.� �\r •.,>, y ~ s t •M ..t-),J', a" .0 ti -r y.� r' •� � ,l►/�r•�" ., s�� �a �'r J,~y` 1 ��Rr-..1y S•-,�• r ^'�r�}h•t�. r• 1{. a ty+�`•'r•'� _ 4 � � {•.,.J X4;.1 +, # '4� `�K_ r y + - � •,�•�. `+ -a� �,i -�r. _• t . � � s _ '�/•'"�'"• rtl�•�,'� , .'�'," '`'may. - -•tv� � :!�: - - �..�J�S�•..a,:7ct. � ':r�'�.�� �:�.�..+h� �nr�i�l:�'i'�� '•` i•_- �li�����.. --�' .y{`\� 4_v1�,'�'�11.�'S?"��? i_ ' - ...��. PHOTO NO. 3 VINCENT DIOGUARDI & MARIA DIOGUARDI 2445 KIRKUP LANE AT MATTITUCK, T/O SOUTHOLD, NY OCTOBER 20, 20212:29 PM Vit. ''.•- •.�'�,; 'd.• . � ' .i v. - i , �� d '•�i � � ilk 4y1- IL sa r ' r14 7-40 Am _t• •-"'/�.*A r P! ``' 'rR ~��_'+r j :• 7't F .. ot. dL •r ' -,�.a,v it , y�-t.Y r K• Ja `� ! �j • • . ..� lr. • �'�"•`fin * 4/,'•� �`'�'yy��`'�r. •.1• x�f�;.'�lfrt' L��.. •*+ �� �•�r � rLr ��� � iif � °ti}'•�.��4'�:�,''(��''r�+:,'.1� � � N- +' '��• :fit°:�',r�� .` i.y. , 7 .� �i• T► ` ,. _ '� •t fes+ 17- 1r-• - : '•10 ,. rr' /y� .r' ,f r -' '.r ,S'`T"4;,•Y{ tv IF .� `� Vii`' "-+'- •�t�•Y a 3sf - '• -.Well ..:r � _ � sFk ,'��G..r• •.t t.. `••a'i!w 'a1,. �r. . '> � .a•.��. + �ir► r �r he yt•,, iG>•�.-"`•♦ _ -� �i. -..�+" 'isa, •T,.. 'ir-' w ♦.i+ r .=h_ �'�' - rr ""�..1Rl -'_., J '• !"'. _ Ai Ir b Nov- am_+�.F. . Y L ^ r.i •��/���i . M A .+, ,•{`.S' '. •• � '�"�M "•' .,y. .- � � � �.��� j� � �•T R ♦� + ;:.wo• _�.,.' ,,,.. •.':^� - •I.ti►'r'. - � - _ r,}�N����•�.-• - .Nr �'• �'•r�I- r _ t , PHOTO NO. 1 VINCENT DIOGUARDI & MARIA DIOGUARDI 2445 KIRKUP LANE AT MATTITUCK, T/O SOUTHOLD, NY OCTOBER 20, 2021 2:27 PM l�► 'la `� y�� .► y�r � �a a� � } Yw IL 0 APO ftl PvId low 4c 40 TY ter.. �1' "••i�4a•��. .` ! 1 _1�r••�'R,.� t• ' '�• (# Ac If ' •`►" ¢ ti, 'aj,- `'F' .�` '• '�► '` 'ter•• A ,�r.• +�� a • 7ZIF w 16 ' rs �� vw L.W. ^-!jv;�• �i PHOTO NO. 2 VINCENT DIOGUARDI & MARIA DIOGUARDI 2445 KIRKUP LANE AT MATTITUCK, T/O SOUTHOLD, NY OCTOBER 20120212:28 PM • t I. 4 'r' ' r • ' •!e ,141 . al �►- xr� . f Y � } -.�� .r7-.-}'..�`„ � `-fes, •� `�,•, +�"• • hr t it a:.l 47. w ir �.. , - Y iy%A4 r/�, M —, - a••.� .�"+,'•,,,a�f��ri'1 fw '� -�j« a t f 4 �,..�v[�� � 4, 1. �.w � • ' � ' ,r w/f, �''' F •"� ,�r�� j,'t� -" rr!�, '}� �{'CI'�'►�.�rI .• �"'.'" Y- r 'R �''ry��r" '"•�. • �.{� ``. .� ,,rr[��Nti-.. _+► - 1 - ."°i I� ♦1 .moi_ ! Uy, •. _ •/" Li C` .r� :� � �y�� � �3 �"�`'"''+mss. •.� •. � �- •I r +,.r•� r}�..^" r" �rf T •� ' r..7 � ,r�-rc �- _••�►-�..�'L.. ` .''',�.a' '.+'!.^lJAIL .� ✓� r•�,l- �, , �+�f ,fit4 ��; br .�.•��'�••,+;S►�"'` �"r'i•�w f�-" + �"yam '++* .���tii+ '7jeOw �: . `�$ h� �tb+"�::1;',�'��r� `,s+w.y •• L ��L.�'` a 7� � a M1.. :! •;�• y '�• 0.l 0r •� •- ► ����.•�'•r _ ��i.-J..�� I�• r A�•f= .r ... T1 }lip 1 S•• Ap I.. J4 y�. . 1�� _ , t 7� .I �' 7�_+``_• � •�'_�i i•J -�x' �_ ..»r' ! �t�' r� • f• •�• As 1.10 Iri 40 r tab "•}� ' :ii r'"r• �"` � �/ 4r'•�. r '��.f r ,fie ..)•��Y r•�fMA� �- i � �• PHOTO NO. 5 VINCENT DIOGUARDI & MARIA DIOGUARDI 2445 KIRKUP LANE AT MATTITUCK, T/O SOUTHOLD, NY OCTOBER 20, 2021 2:30 PM { f '1 �iir• � - � a\��tires 1-''�j► '�` y OCT 2 6 2021 41 ` �, �k• � _ ti � �.'� ''� r r� �1``'fir, '1 � i- _ T�� � ; (. � r- �' •fir �T _{ '' 1 w .. r i � t�,��:i, i*' �►V►-� '.l Ili y, ' �•. .� �•��iT r j ? L�� +' "tee- � _ _ '��.}• Lel M°" 1, °•��� � f`r S� �� ,'4 � �) �, r'.` �y� � � ��•;r � �►'h ►' ' b i+`.' �;i _ .-+ is � * +�,�•s• � •�! � � �- res J �. •i ': � NM � yY{ ,5� �+ '` `till'-.M1•y . .� 1 y�+rJ i 1 (� � �i.�; t � ` •�T'r $!�,' '_ � � r '4'1, ,�.���,`.f�'}y_�r -44 fi l:���- a ��- j �{,' ����. .?.,d`• C1 � _ !' . '' �r '� •xJ� •'l., ;y �� v JA� + � •s'.t-', r �'� • r rr�, s+ _ j~ fro '! PHOTO NO. 6 VINCENT DIOGUARDI & MARIA DIOGUARDI 2445 KIRKUP LANE AT MATTITUCK, T/O SOUTHOLD, NY OCTOBER 20, 20212:31 PM maw mm. mn.m waw - ,.,, ,nera«a y E i+ d1 m,ao� rue2w /Y ♦.no!_....�-Z—�-� , b ,.« M\Od` �r�".�eA�io�^h-, SOUND IN r es « .Y .Y • ''� � me "°. d ! © cawrae•rau y wt,w w,xomry '� a 1 r 3 �aa,ao, uuxnn uKe ........... ............... .....g_..... ... ._...�_I _._.......__ ..._....t... _.......... _.._ _ __.. ___. .._.......... z T vu, E m.wc.w,a ae w,m w.e.c w.�m � COUNWOFSUFFOLK F •.. _ - __~_ _ Real P o=TTaxSSe nit Age y µ s 121