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HomeMy WebLinkAboutTR-10184 Glenn Goldsmith, President I�J� SO °e��, Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ,�� ��� P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 coull—1i, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction % constructed When project complete, call for compliance inspection; IF a, w5l err 9, BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK '''� PERMIT NO. 10184 DATE: JULY 13 2022 M ISSUED TO: JOSEPH&DEBORAH POLIDORA V- I PROPERTY ADDRESS: 1055 POINT PLEASANT ROAD,MATTITUCK SCTM#: 1000-114-1-1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 13, 2022, and in -11 consideration of application fee in the sum of$250.00 paid by Joseph & Deborah Polidora 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 demolish the existing single story entrance and bathroom and construct a new single story foyer,bathroom with basement under; construct a 16.1' x 61-011 addition to the existing one story structure on the west; construct a new covered entry porch; construct a new enclosed connection between the new foyer area and existing garage as a laundry area; demolish the existing covered porch at the rear of the dwelling and construct a new 9.7'x 24.4' single story addition with basement under; construct a new 16.51 x 26.5'addition with basement e the under at the rear of the garage; construct a window well from the new basement; remove existing cesspool and install a new UA OWTS system enclosed with a new concrete retaining wall; drywells; new well; establish and perpetually maintain the land seaward of the retaining wall as a non-turf-buffer; and as depicted on the survey prepared by AJC Land Surveying PLLC, last dated August 16,2022, and stamped approved on August 22,2022. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these as of the year and day first above written. presents to be subscribed by a majority of the said Board %5 A jWN TERMS AND CONDITIONS The Permittee Joseph& Deborah Polidora residing at 1055 Point Pleasant Road Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. 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. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President ®F so-//" Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® y® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 22, 2022 Nigel Robert Williamson, R.A. P.O. Box 1758 Southold, NY 11971 RE: JOSEPH & DEBORAH POLIDORA 1055 POINT PLEASANT ROAD, MATTITUCK SCTM# 1000-114-1-1 Dear Mr. Williamson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 13, 2022 regarding the above matter: WHEREAS, Nigel R. Williamson, on behalf of JOSEPH & DEBORAH POLIDORA 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 January 13, 2022, 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 recommended that the proposed application be found Consistent with the LWRP, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 16, 2022 and July 13, 2022, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JOSEPH & DEBORAH POLIDORA to demolish the existing single story entrance and bathroom and construct a new single story foyer, bathroom with basement under; construct a 16.1' x 6'-0" addition to the existing one story structure on the west; construct a new covered entry porch; construct a new enclosed connection between the new foyer area and existing garage as a laundry area; demolish the existing covered porch at the rear of the dwelling and construct a new 9.7'x 24.4' single story addition with basement under; construct a new 16.5' x 26.5'addition with basement under at the rear of the garage; construct a window well from the new basement; remove the existing cesspool and install a new I/A OWTS system enclosed with a new concrete retaining wall; drywells; new well; establish and perpetually maintain the land seaward of the retaining wall as a non-turf-buffer; and as depicted on the survey prepared by AJC Land Surveying PLLC, last dated August 16, 2022, and stamped approved on August 22, 2022. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very tr ours, Glenn Goldsmith President, Board of Trustees GG:dd SURVEY OF PROPER'T'Y LOT 3- MAP OF POINT PLEASANT A P AP R.C 'E.D FILED: MAY 17, 191 6-MAP NO.720 BOAR,` r i W T EES SITUATE TOWN C g= ti�OUOL® MATTITUCK _ TOWN OF SOUTHOLD D E C E I V E DATA A u�ccs- Z2 Zozy. SUFFOLK COUNTY, N.Y. ::� u TAX MAP NO.: 1001 14.00-01.00.001.000 1 LOT AREA: 29,985.57 S.F. (0.688 ACRES) 2 0- DATE SURVEYED:JUNE 29, 2020 AUG PROPOSED ADDITIONS:JUNE 17,2021 n�Es SwdOfTat REVISED:AUG. 31, 2021 Of REV.AS PER DEC: FEB. 13, 2022 REVISED:JUNE 16, 2022 REVISED:AUG. 16, 2022 ELEVATIONS REFER TO NAVD88. � CREEK���_ r i I 60 OOH�(�(]� ARD T Feet SCALE: 1 INCH= 3 O FEET 107.26 EXISTING LOT COVERAGE: N790 17'28"E RESIDENCE= 930.39 S.F.OR 3.1% n'FgN GARAGE=489.25 S.F.OR 1.6% LOW OPEN PORCH= 214.30 S.F.OR 0.7% Y O GAZEBO=81.58 S.F. OR 0.3% �'� ' J O TOTAL=1,715.52 S.F.OR 5.7% /2 INTER-TIDAL VEGETATION *- PROPOSED LOT COVERAGE: RESIDENCE= 930.39 S.F.OR 3.1% GARAGE= 489.25 S.F.OR 1.6% FLAG ° M�IV HIGH_ GAZEBO=81.58 S.F.OR 0.3/o . REAR ADDITION=438 S.F.OR 2.4% •�' -•..� _. COVERED PORCH=42.00 S.F.OR 0.1% ENCLOSED ADDITION=42.73 S.F.OR 0.1% `6 6-___-- _ ___-- _- - FRONT ADDITION= 256 S.F. OR 0.9% STEPPINGSTONES_.0__- , 10 TOTAL= 2,280 S.F.OR 7.6% ---- ----------- -------�- ©- - ---12 PROPOSED 4'WIDE EXISTING PERVIOUS GRASS TIDAL WETLAND BOUNDARY AS FLAGGED 10 ,____�_- -- ------ _ A CESS TO CREEK-NO CHANGE IN GRADE BY SHAWN M.BARRON,M.S.ON JUNE 22,2020 _ - - 77 12 - 1-ux m _ `3 1 -PROPOSED BUFFER ZONE(HATCHED AREA)W/ `LNATIVE PLANTINGS- NON TURF BUFFER 14--- < 8 6 -NO CHANGE IN GRADE. 16'" I� -----18 NATURAL VEGETATION LINE PROPOSED RETAINING WALL PROPOSED I/A SANITARY A �� _?'--' X12�.' , 16 � D - 0 2 22 1 ADJACENT DESIGNED BY OTHERS 20 WELL RADIUS g9 r , r-7 190R / W APPROX.CESSPOOL 0� Zti' -1 L 3-L-- LOCATION AS PER - LL - __-- 4 ADJACENT SURVEY Y BOULDER WALL TO BE REMOVED (TO BE PROPERLY I -- ABANDONED) ri, PEIR LINE ;' REMOVED EXISTING PORCH-PROPOSED -26ADDITION WITH BASEMEN--(UNDER Q 1 S TORY 22 6� - r .'15o CH 16 5 1 2 PROPOSED 4X4 WINDOW WF7LL 150' ADJACENT l ~CELLAR (To BE REM.) WELL RADIUS 24 ENTRANCE4 E1 Lo � PROPOSED NEW 4.8x8.9 PROPOSED 6'Ox4'DP. 0'�, S-�N, op ENCLOSED CONNECTION DRYWELL------_-.._ __y- VENT /16.0 1.5 STORY N i` __28 LQ 1 FRAME 1? ADJACENT ADJACENT U)N �STORY'RESIDENCE N PROPOSED 6'Ox6'DP/ RESIDENCE RESIDENCE 1055 1.2' 16.1 FL 2 11 4, DRYWELL / EXISTING SINGLE STORY 1 = .5.5 PROPOSED (FOYER/BATH AREA)TO BE i 0.6 24.6,' cN STORY 1 STORY DEMOLISHED& E d FRAME ADDITION RECONSTRUCTED WITH 2 ��` ,f'AT. NGARAGE BASEMENT BASEMENT UNDER W/BASEMENT G.FL.=29.3 UNDER - -- --- ,"- ---�'' I � 1.6' 100'LV ` PROPOSED 6'Ox4'-6'DP. DRYWELL PROPOSED C 100'ADJACENT I 4.0x10.5 I WELLRADIUS a COVERED PORCH PROPOSED 6x 16 I ct I LLI Lt-I 1 STORYADDITION a WELL I WELL � o W0 3 �! I 0 Iuj 0 EXISTING WELL I- �? 1\ PROPOSED B'S x6'DP. L TO BE ABANDONED i a� w DRYWEL z � W _ z 3a 3 'Z a M o o � z ND 1 � 0 w � z 1 ° Q o J 1I \ �- Q w U PROPOSED WELL UTILITY\ >' P POLE`Q,- UTILITY IL POLE Z z ° o z UlELL ��' O z V� W o Z 7 U 0 d ': W , a Cn 0 TEST HOLE; N O Ym 3: ELEV.29.1 6: 00 o co >,i, No ( �01 N NEST HOLE (NOT TO SCALE) O SHAWN M.BARRON,M.S. z DATE:JUNE19,2020 n GRADE ELEV.29.16 v MON.FND. SANDY LOAM W/GRAVEL 102-00 MON.FND. MON.FND. S M n o 5' SW COARSE SAND W/GRAVEL 51 .00 S53016'00"W J 2�2Qx. ........ ......:.. . . .. ..... . ...2.22 .......... ( N GRAVEL ROAD ° � 10' MIXED SAND W/GRAVEL ........�x............................................ x o SP 3 ........ w o 15' HOME PIKEa a 17' NO WATER ENCOUNTERED ( POINT PLEASANT ROAD ) 3 Y U H LEGAL NOTES H COPYRIGHT 2019AlC LAND SUFVEYINC.PL-ALL RIGHTS RESERVE Q 2 JNAU CRI-1 ALTE FA TION OF ADDITON TO TMS SURVEY MAP BEARING A LI,I-ED LAND SLIF E UW'S SEAL IS A\TGLATION OF SECTION 7209. SUBDIVISION 2.OF NEW YORK,STATE EDUCATION LAW 3.ONLY BOUNDARY SURVEY MAPS WITH 1}1E SURVEYOR EMBOSSED SEAL.ARE GENUINE TRUE.AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK Q AND OPINION. 0 M1 E TIFI.ATONS ON THISBULJNDARV SIJkVEY MAY SIGNIFY THAT THE MAP WAS PHEPAREC ASCONCE AWITH THE CURFENT EXISTNG--11-' OF PRACTICE FOR D"i -ANUR VEY5 ADOPTED BY THE NEW V ORh STA tE 4SSOCIATION OF PRUFE.SSIONAL LANC SUk\EYCI I'.i.INC 111,CFRTIFICATON IS LIMITED'1".PERSONS FOR NGUNTHEBEA SURVEY MAP IS PREPARED TO THE-LE COMPANY TO THE GOVERNMF..N"fAl-.AGENCY AND TO THE LENDING INSTPJTON LI.S'iED ON H THIS BOUNDARY SURVURVMAP MAP Z �� y a 5 9 THE"E-F CATONS HEREIN ARE NOTTRANSFERABLF OF NE Lv Q DELOCAT'DNOF MIRG UNDERGROUNDIMPROVEMENTSSEEN OR iMENT THEERE F W NSOR AND OFTEN MJ PEC:NCTC ❑ IF ANY W UNDERGROUND IMPROVEMENT OR ENLR A MENL'FX i RARE SHOWN. iE'IMPR ✓EMEN.S F CHOACHMFNI RE NJT COVERED BY THIS SURVEY J I.THE OFFSETS IOR DIME-ONS)SHOWN HEREON FROM THE STRLJOTUFFE TOT E PROPER7,SNE.ARE FORA SPE IFI PI JRPOSE AND USE AND THEREFOREIL � 0 O_ _ENOTINTENDEDTDGUIDETHEERECTI NU fNCE-FREINGW'AINI !LS POOLS PATI PLANTINGA AREAS ADOTONSTOBUILDINGS E .ANDANYOTHRIYPE t OF CONSTRUCTION 8 ONLY SUR\EYS BEARING THE MAKERS EMBOSSED SEAL HCJL.DBEREUED UPONSNCE CTHERTHANEMBOSSEDSEAL COPIESMAY C ONTZAIN UNAUTHORIZED AND UNDETECTABLE MODIFIC.ATIONS.DELETIONS ADDITIONS AND CHANGES d b PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY UNLESS OTHERWISE NOTED O IC ALL MEASUREMENTS REFER I'O U S SURVEY FOOT � � L+ � N AJC LAND SURVEYING PLLC ` 0 ®990 ° LAND SURVEYING & PLANNING AND 77 S. COLEMAN ROAD, CENTEREACH, NY 11720 N PHONE: 631.846.9973 EMAIL: AJC246@OPTONLINE.NETlekk GE JOSEPH CECERE PR FES NAL LAND SURVEYOR U Nigel Robert Williamson Architect P.O. Box 1758 Southold, NY 11971 Phone 631.834.9740 June 24 2022 Mr. Glenn Goldsmith,President Board of Town Trustees 54375 Route 25 Southold,NY 11971 Re: Polidora residence 1055 Point Pleasant Rd., Mattituck, SCTM 1000-114-0001-001 Dear Mr. Goldsmith: The following is a description of the proposed project. 1. Demolish the existing single story entrance and bathroom and construct a new single story foyer,bathroom with basement under. 2. Construct a 16.1' x 6'-0" addition to the existing one story structure on the west. 3. Construct a new covered entry porch. 4. Construct a new enclosed connection between the new foyer area and existing garage as a laundry area. 5. Demolish the existing covered porch at the rear of the dwelling and construct a new 9.7'x 24.4' single story addition with basement under. 6. Construct a new 16.5' x 26.5'addition with basement under at the rear of the garage 7. Construct a window well from the new basement. 8. Remove the existing cesspool and install a new UA OWTS system enclosed with a new concrete retaining wall. •9. Drywells. 10.New well. I am also enclosing two sealed and signed copies of the survey by AJC Land Surveying P.L.L.C. dated June 16,2022. I trust that everything is in order. If additional information is required please do not hesitate to contact me. I thank you for your assistance in this matter. Your's faithfully, D EC E 0 V E N' elRobert Williamson R.A. JUN 2 4 2022 Encs. Southold Town Board of Trustees �,C4,S11FF0L/( Glenn Goldsmith, President Town Trustees A Nicholas Krupski, Vice-President H a 54375 Route 25 Eric Sepenoski o '" P.O. Box 1179 Liz Gillooly y� ao�� Southold, NY 11971 Elizabeth Peeples �l 'X' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JOSEPH & DEBORAH POLIDORA c/o NIGEL R. WILLIAMSON Please be advised that your application dated January 13, 2022 has been reviewed by this Board at the regular meeting of July 13, 2022 and your application has been approved pending the completion of the following items checked off below. xx Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) Y2 Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel, Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 ?i�/'vy BY: Glenn Goldsmith, President Board of Trustees � � •�� � ,/ ..�L���i► 'sem .� �i �` ..., �. � + r S �,•Ada io W557, wtvr, all Ar 4 .46 � . `, , � � M 8Y .....-rte �'•: � r� 't '! ��,, ,•, N .off � 8•c�. :,� �.��- 1 �•.; � �����„-»�-� �`+'.ii- *'e:c. !�; � rtl, ~� mow._, �y -♦ :�,� _�- .*.�*. � �� - . � ., - . ' � .,• ., 3 /�9�/�022 15 ;1,,1, , RF �� �r�� 'J��/� ��� �l�7�C��..cut "!� �� ✓ �' ~' a` �.. r - -_ �' �I -• �1�.- Joseph&Deborah Polidora 1055 Point Pleasant Road,Mattituck SCTM#: 1000-114-1-1 ` 3/9/22 t 40 1004- � _ . {�.►- -�ICY�rl,� _ ♦ - . -, • Glenn Goldsmith,President " G Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski ' P.O.Box 1179 Liz Gillooly " ' Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: �Z Completed in field by: G Go L t 5m., Nigel R. Williamson on behalf of JOSEPH & DEBORAH POLIDORA requests a Wetland Permit to demolish existing one-story entrance and construct a new 6'x24.6' one-story entrance to dwelling with a basement under (same footprint); construct a new 4.8'x8.9' enclosed addition connecting the existing dwelling to existing 489.25sq.ft., 1.5 story garage; construct a new 4.0'x10.5' covered entry porch; construct a 4.6'x4.6' outdoor shower (open to the sky); demolish existing 8.8'x24.4' seaward side covered porch and construct a new 18.67'x38.0' single-story addition with basement under and 4.0'x4.0' egress window; the total square footage of existing and proposed dwelling habitable area is 1,682.58sq.ft.; construct a new 383sq.ft. stone patio in between the new addition and garage; remove existing cesspool and existing boulder retaining wall closest to dwelling on seaward side, install a new I/A OWTS system with a waterproofed 66.0' long retaining wall with a 19' westerly return and a 17' easterly return to retain the proposed I/A sanitary system; and create a 4.0' wide pervious access path with stepping stones to creek. Located: 1055 Point Pleasant Road, Mattituck. SCTM# 1000-114-1-1 Ty�of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Ahapt.275 Chapt. 111 other Type of Application: JWetland Coastal Erosion Amendment Administrative Emergency _, ,Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: /-G, Qoldsmith /N. Kru ski ✓ E. Sepenoski ✓ L. Gillooly X. Peeples Cantrell, Elizabeth From: Nigel Williamson <nigel_architect@hotmail.com> Sent: Monday,June 13, 2022 3:34 PM To: Cantrell, Elizabeth Subject: 1055 Point Pleasant Road, Mattituck, N.Y. 11952 Good afternoon Elizabeth, I would like to table the above for June. Hopefully I will have the revised survey soon. Yours sincerely, Nigel ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i Cantrell, Elizabeth From: Nigel Williamson <nigel_architect@hotmail.com> Sent: Monday, April 25, 2022 9:30 AM To: Cantrell, Elizabeth Subject: Polidora residence, 1055 Point Pleasant Road, Mattituck, N.Y. 11952 Good morning Elizabeth, My clients respectfully request another postponement as we are still working on the revisions to the proposed structures. Yours sincerely Nigel ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i Cantrell, Elizabeth From: Nigel Williamson <nigel_architect@hotmail.com> Sent: Wednesday, March 30, 2022 8:06 AM To: Cantrell, Elizabeth Subject: Re: Polidora residence, 1055 Point Pleasant Road, Mattituck, N.Y. 11952 i Good morning Elizabeth, We would like to postpone until May. We are revising the plan. Thank you Nigel Sent from my iPhone On Mar 23, 2022, at 15:42, Cantrell, Elizabeth<elizabethc@town.southold.ny.us>wrote: Hi Nigel, You are correct, your application is tabled until you either submit a different proposal for the project (including written project description) or you request in writing to move forward with what was last submitted to the Board (no changes). If by chance your clients/you wished to get onto April's agenda you would need to submit the revisions by end of day March 31St Senior Office Assistant Town of Southold Board of Trustees Office: 631-765-1892 Email: elizabethc@southoldtownny.gov From: Nigel Williamson <nigel_architect@hotmail.com> Sent: Wednesday, March 23, 2022 10:20 AM To:Cantrell, Elizabeth<elizabethc@town.southold.ny.us> Subject: Polidora residence, 1055 Point Pleasant Road, Mattituck, N.Y. 11952 Good morning Elizabeth, I know that at the last Trustee meeting I requested to keep the application open so that my client could revise their project. I am just confirming in this email in case you needed a written confirmation. Yours sincerely Nigel ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1. Glenn Gol: �. President . Town Hall Annex A.Nicholas Krupsi i, `Dice President „' ° ;. 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz Gillooly _ Southold,NY 11971 Elizabeth Peeples P t. Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: .3/ Completed in field by: w's Nigel R. Williamson on behalf of JOSEPH & DEBORAH POLIDORA requests a Wetland Permit to demolish existing one-story entrance and construct a new 6'x24.6' one-story entrance to dwelling with a basement under (same footprint); construct a new 4.8'x8.9' enclosed addition connecting the existing dwelling to existing 489.25sq.ft., 1.5 story garage; construct a new 4.0'x10.5' covered entry porch; construct a 4.6'x4.6' outdoor shower (open to the sky); demolish existing 8.8'x24.4' seaward side covered porch and construct a new 18.67'x38.0' single-story addition with basement under and 4.0'x4.0' egress window; the total square footage of existing and proposed dwelling habitable area is 1,682.58sq.ft.; construct a new 383sq.ft. stone patio in between the new addition and garage; remove existing cesspool and existing boulder retaining wall closest to dwelling on seaward side, install a new I/A OWTS system with a waterproofed 66.0' long retaining wall with a 19' westerly return and a 17' easterly return to retain the proposed I/A sanitary system; and create a 4.0' wide pervious access path with stepping stones to creek. Located: 1055 Point Pleasant Road, Mattituck. SCTM# 1000- 114-1-1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 1001 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275_ Ch. 111 SEQRA Type: 1 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: have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples Other N N n o p u, 0 0 r� 70 fl) c IA m �xlsrlN� C) Q" Q N � IvC:)r+ ` e-r 0 m - - z m �! LO Uq N z c z�__ � al I j 3 I 41 trt ��•j � j i. L_� ti I 4. e t ro I + I LLII � I i I to n\ m ave q � A ED o SER ,;q? 13 � NIGF1 AOBER7' �� kAAA.Sp(V 557-1 - 9 F N 1 3 2022 So�tnold Town JAN nBoard of Trustees Nigel Robert Williamson Architect P.O. Box 1758 Southold N.Y. 11971 Phone 631.834.9740 3g:p- I , ECEIVE MAR - Z 2022 SouftId Town o kITGNE►J DINItJ4.Rood LIVWG4 R-00th ! Board of Trustees co m ' ' ap W.L.C.. p12b POSED STo$IE PATIO II 383 s4 Fr S�TrIN[i Rooth. b I! N u n I BE ZOOM 1, W 13A114 1 II II �"p II II — I II u� IG' i III I I � f F-Y� LAUnIDRy S4T — � F12 cl, M U 00 Fp- to aj a _ s_ G4RbE L O I G� to=o" tv H 0) 4 c ej s FIRST FLOOR PLAN 00 InO .. .. Q� m ci Polidora Residence, z 1055 Point Pleasant Road, Mattituck N.Y 11952 PW-A - z MARDI,waa. PPOPaSM 3&3. AL IT STOPS PATO ADDED. S.C.T.M. 1000-114-01-001 s�LE I r4= I'O' DATE: i.3'rp 1vzoJ �z�. SUR EY PE ' LOT 3- MAP OF POINT PLEASANT FILED:MAY 17, 1916-MAP NO.720 ,'." �, ((� �E 11/I E SITUATES )� �`� - --V �r------ MATT(TUCK I SAN 1 3 20222 TOWN OF SOUTHOLD �' SUFFOLK COUNTY, N.Y. Southold -rawn TAX MAP NO.: 1000"1 14.00-01.00.001.000 Board of Tru-ices LOT AREA:29,985.57 S.F.(0.688 ACRES) DATE SURVEYED:JUNE 29,2020 PROPOSED ADDITIONS:JUNE 17,2021 REVISED:AUG.31,2021 ELEVATIONS REFER TO NAVD88. 0 30 60 Feet SCALE: 1 INCH= 30 FEET HOWARDuI S CREEK EXISTING LOT COVERAGE: RESIDENCE=930.39 S.F.OR 3.1% 10-7-26 GARAGE=489.25 S.F.OR 1.6% N-790171 OPEN PORCH=214.30 S.F.OR 0.7% r GAZEBO=81.58 S.F.OR 0.3% MEAN TOTAL=1,715.52 S.F.OR 5.7% Y LOW �'r:Yl -YYY-y ��.1..Y,y..rYYY'Y YYY`Y'Yl'-(YYY O 0 PROPOSED LOT COVERAGE: - - z N RESIDENCE=930.39 S.F.OR 3.1% o r^ GARAGE=489.25 S.F.OR 1,6% ' � INTER-TIDAL VEGETATION O GAZEBO=81.58 S.F.OR 0.3% 4 REAR ADDITION=709.46 S.F.OR 2.4% COVERED PORCH=42.00 S.F.OR 0.1% FLAG _ 1,,1._ hit _- WATER,_. �� f MN HIGH .�• rti` µ'Y�ry ENCLOSED ADDITION=42.73 S.F.OR 0.1% TOTAL= 2,295.41 S.F.OR 7.6% �' Y ;-• - -�"'`' N� - rrr 6 6- STEPPING STONES 8 -10 8 - - ..x --- -- - TIDAL WETLAND BOUNDARY AS FLAGGED " . - 1 a 0 --- C11 - -- / -' 4 PROPOSED 4'WIDE PERVIOUS ACCESS TO CREEK BY SHAWN M.BARRON,M.S.ON JUNE 22,2020 12-' - - 1 ox 10;�� /• 16 3 14 '-PROPOSED BUFFER ZONE(HATCHED AREA) < _ ECK WITfj ,L ] 16` Y ,I-0✓'� ,l� U�-�� -18 NATURAL VEGETATION LINE `C '< / %r J _p O� 00yVA1-L PROPOSED RETAINING WALL Xx 20 PROPOSED I/A SANITARY AS ���� 2 �J2 aQI% .I6 <i DESIGNED BY OTHERS -i 'i 0�y2 &6N -220. / O , 150' ADJACENT APPROX.CESSPOOL 622,g9 "g" O�- R L / WELL RADIUS r 1 r��OG LOCATION AS PER l '�'. 1 J L.. 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COLEMAN ROAD, CENTEREACH, NY 11720 L PHONE: 631 .846.9973 EMAIL:AJC246@OPTONLINE.NET ANGELo JOSEPH CECERE N PROFESSIONAL LAND SURVEYOR 38 '- 0' ��� ;,�,b��a� :.,�.�����w *�; p=. •� �• ;coo 00 7 1 1 !I t W ' 1 tj S •s4 ,• r , E i I ij � j EXTG-. $AisEmEwT � { I I � ' „ , CF)s�4'tt�f t'4a1 - - - - - - 4%9 UN EXUOSMATED 00 ro i � 0 S 0 .f B-I&S.4 EE E NP LAS Lm 0 E 151"1 N G cr o Fo - �ifj \1 �P L00n 0 ... o -� x m Polidoira est ence o 1055 Point Pleasant Road, Mattituck, N....,Y 11952 S.C. T.M . 1000-114-01-001 1rO` DAM, 13' Ti��ww4) , 20.2-2 . 38'-0" 41, f,' .— _._. _,.._. ._.....—._....._,. rte=-_...._.___--_ ..__..._ .I I O ' kl-MHEO DlNWc.. Room LIVIIJC>r RRDOH ,f Ls .rl�� 7 i i ! i I={ -- --- -_ ' rj t PRo POS E,D ST-OoE. PATIO till 3 83 scz SITTING 1Z00M. RED200M I S&T 4 1 2-0'-0- -4 O —O• 3 •Ii ATH rn _ IF 1XIM � ! l� 00 5 NO W ER ; ! GoVE RE.D PO P-c4-I t I a i M El ay Li. iT IS A VIOLATION Or-!. ' ril LAW FOR ANY PERSON, UNLESS ACTl�IG UNDr:.RTHE DIRECTION OF A LICENSED !T0 !T s ARCHITECT,TO ALTER ANY ITEM ON THIS DRAINING IN ANY WAY,ANY AUTHORIZED ALTERATION MUST BE } NOTED,SEALED,AND I DESCRIBED IN ACCORDANCE �c �• • z I WITH ls ,r.�'G� �, FIRST PLAN H HE LAW —- --�.'- —f' r0 E C E I V E z 4-J ty a. O I MAR _ 2 2022 r�'�� 3 y'`� 00 E:X IST INQ% Southold Town , Board of Trustees O ulido .s O U' l ' et 1055 Point Pleasant Road Mattituck, N . Y 11952 (ZEV Af — 2''D MDa12cw, 2012. pi'oposM 383 StZ. Fr Smut; PATIO AbDED. S.C.T. M . 1000-114-01-001 sCAi-C : %4 " = 1'o, aA� : 13r � i I PROPOSED i I i I� I i PWDQ. Rr,. �J-J, , i j r 1 qq 1 9 ; eootti. 2. , ED200t i.3. Z� { - j 1 ; t I} 1 i 4 00 STo � m Qo i 0 i i 1 0 rn U) c--I 1 y. SECOND FLOOR PLAN } O E!C ISTI QGr. CU Ln Ln CR! Lo s w m s z.�. tul Ali ora si e � m Z C�. 1055 Point Pleasant Road, Mattituc- , N . Y 11952 S.c .T.ISI , 1000-114-01-001 SCA+- : ,, � _ ,,rte.. 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M-. 1000-114-01-001SCALE -IOSS -POINJT PLE.A.-SAMT- ROAD _1000 114.00- MOI -OoL0001 CREEK =16' Ate 4 VST 2021 ,, TIME: 11:56 A-14- HOWARD T>l Dmemolis OF PHOTDcuk.P"S.' 107.26 N79°17'28"E MeAN LOW WATER _W 0 IPjTER­TIQX VEGETATION r- FLAG �1J� WATER .._- 't �Z:. MN • HIGH w N STEPPING STONES O TIDAL WETLAND BOUNDARY AS FLAGGED •,r i• . � `___ .--- •- - � -, __.-BY SHAWN M.BARRON,M.S.ON JUNE 22,2020 10X10 .3 _ DECK WIT. GAZEBO' g`t1,1�32 , NATURAL VEGETATION LINE 1?i \_1 1`Lby�6� 50' ADJACENT �y2O�99 e BOQ WELL RADIUS APPROX.CESSPOOL 2 ' - _•_ _-= ALL n•_._ LOCATION AS PER _F ADJACENT SURVEY (TO BE PROPERLY ABANDONED) co OP 150' ADJACENT-/ CELLAR m PORCH WELL RADIUS - ENTRANCE 24.4 O SAN. m 1,5 STORY DJAIC-Et 16.0___--FRAME= ADJACENT O 1 RESIDENCE a) RESIDEN, RESIDENCESTORY #1055 N 16.1 __F_FJ F.29,6... -? 20.3 ' q 1.5 cD 24.6 STORY 4 FRAME _ PAT. N GARAGE G.FL.=29.3 - _.- 1.6' 1��I vv 100'ADJACENT co WELLRADIUS L J. =. WELL 1-OT 37 `-' EXISTING WELL - TO BE ABANDONED LJ 0 r C•d ❑ j'l <r UTILITY, p� POLE`tL UTILITY L Y POLE o WELL j ® < Z mZ > �O O Lu U = 7 Y vTEST HOLE. � CND ELEV2916QO US 0 to - O o m O O /� -7z �y 102.00 MON.FND. MON.FND. MON,FND. MON.FND. -..__. 51 .00 S83°16'00"W i3 1 2920x..................:........................_v.......... 2 - GRAVEL ROAD 20 ........... ............................................4 .......... HOME PIKE ( POINT PLEASANT ROAD ) Policlora Residence 1055 Point Pleasant Road, Mattituck, N.Y. 11952 1000-114.00-0001-001.000 1th August, 1 • . A. Looking North MEN- - �, ,:,� torr d"• ! •�+� m n ! i LookingNorth "on WEEK y • "� I� ��� tea` 4 ' �iYRs i� r t+} Polidora Residence 1055 Point Pleasant Road, Mattituck, N.Y. 11952 S.C.T.M. 1000-114.00-0001-001.000 1th August, 2021 11:56 a.m. ` C. Looking North S ^ D. Looking South MN and We 2 Polidora Residence 1055 Point Pleasant Road, Mattituck, N.Y. 119S2 1000-114.00-0001-001.000 1th August, 1 E. Looking North - ... •� .e ti,+� � �{�I .i s ^may �`��t._ F. Looking West +7�b r Policlora Residence 1055 Point Pleasant Road, 11952 August,S.C.T.M. 1000-114.00-0001-001.000 • . _ G. Looking H. Looking East h t 4 o. T T 00 Policlora Residence 1055 Point Pleasant Road, 1000-114.00-0001-001.000 1th August, 1 . . J. Looking South .y:.. { t � � ,r.� `.•d'T if K. Looking South Polidora Residence 1055 Point Pleasant Road, Mattituck, N.Y. 11952 S.C.T.M. 1000-114.00-0001-001.000 1th August, 2021 11:56 a.m. L. Looking West M. Looking East 6 Policlora Residence 1 Point Pleasant Road, 1000-114.00-0001-001.000 1th August, 1 LookingN. -r. R" SEE SEC.NO.ter !< wrw R w b ME � ® •" -3- /•HE EIaTLN �iNE" t w «tm do' 1.MTCN -. � r et.xz.o, m 1 4 Y A OR PCL NO. 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II�Da <b xw.rc� TCN 4 1 t--.--—lllE +SA 1.M TGr�N -- LINE x S / 1.rHc) EC.NO.1xx u 131 z.]Mc1 L ...... ,".. ^^ ,.+ — �- o..� -- -- oru.. --«-- • NOTICE COUNTY OF SUFFOLK'© E v agmgap SECTION NO G«. � Real Property Tax Service Agency Y E ----- y —_— __-- -- -- t,�wN w�N....xr„w, M ” 114 U A 1.1 114 *mc*w 1000 z P PROPERTY MAP OFFICE LOCATION: �,� MAILING ADDRESS: Town Hall Annex � � �� "w, P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 �� y� Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: March 15, 2022 Re: LWRP Coastal Consistency Review for JOSEPH & DEBORAH POLIDORA SCTM# 1000-114-1-1 Note that the applicant provides a setback to the mean high-water line. In my opinion, this is an incorrect measurement. Setbacks should be measured from the wetland line as specified in the Town Code. Nigel R. Williamson on behalf of JOSEPH & DEBORAH POLIDORA requests a Wetland Permit to demolish existing one-story entrance and construct a new 6'x24.6' one-story entrance to dwelling with a basement under(same footprint); construct a new 4.8'x8.9' enclosed addition connecting the existing dwelling to existing 489.25sq.ft., 1.5 story garage; construct a new 4.0'x10.5' covered entry porch; construct a 4.6'x4.6' outdoor shower (open to the sky); demolish existing 8.8'x24.4' seaward side covered porch and construct a new 18.67'x38.0' single-story addition with basement under and 4.0'x4.0' egress window; the total square footage of existing and proposed dwelling habitable area is 1,682.58sq.ft.; construct a new 383sq.ft. stone patio in between the new addition and garage; remove existing cesspool and existing boulder retaining wall closest to dwelling on seaward side, install a new I/A OWTS system with a waterproofed 66.0' long retaining wall with a 19' westerly return and a 17' easterly return to retain the proposed I/A sanitary system; and create a 4.0' wide pervious access path with stepping stones to creek. Located: 1055 Point Pleasant Road, Mattituck. SCTM# 1000-114-1-1 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 Policy Standards and therefore is CONSISTENT with the LWRP. 1. It is recommended that the buffer zone be vegetated and expanded. 2. The I/A OWTS should be relocated to landward of the structure to better protect water quality. 3. The drainage of the outdoor shower should be determined. It is recommended that the non-turf buffer be vegetated with native, salt-tolerant species. 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 FOO f John G.Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary _P4P.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., March 9, 2022 the following recommendation was made: Moved by Caroline Burghardt, seconded by Maggie Merrill, it was RESOLVED to SUPPORT the application of JOSEPH & DEBORAH POLIDORA to demolish the existing single-story entrance and construct a new single-story entrance with basement under (same footprint). Construct a new 4.8'X 8.9' enclosed addition connecting the existing dwelling and garage. Construct a new 4'X 10.5' covered entry porch. Construct an enclosed outdoor shower open to the sky. Demolish the existing 8.8' X 24.4' covered porch at rear and construct a new 18.67'X 38' single story addition with basement under and 4'X 4' egress window. Construct a new stone patio between the new addition and existing garage. Remove the existing cesspool and install a new I/A septic system with a retaining wall waterproofed. Located: 1055 Point Pleasant Rd., Mattituck. SCTM#114-1-1 Inspected by: Maggie Merrill, Caroline Burghardt The CAC Supports the application with a non-turf buffer planted with native vegetation. Vats of Council: Ayes: All Motion Carried r � f Cantrell, Elizabeth From: Nigel Williamson <nigel_architect@hotmail.com> Sent: Wednesday, March 2, 2022 4:43 PM To: Cantrell, Elizabeth Subject: Polidora residence. Point Pleasant Road, Mattituck Good.afternoon Elizabeth, The existing residence is 930.30 square feet.The proposed rear addition is 709.46 square feet.The proposed enclosed addition is 42.73 square feet.The total square footage of existing and proposed habitable area is 1,682.58 square feet. We are proposing to create a 4'-0" wide impervious access path to the creek. We are proposing to remove the existing boulder retainer wall closest to the dwelling at the rear and construct a new 66'-0" long retaining wall with a 19'-0" return on the west side and a 17'-0" return on the east side to retain the proposed new I/A sanitary system. Yours sincerely Nigel Sent from my iPhone ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 Cantrell, Elizabeth From: Nigel Williamson <nigel_architect@hotmail.com> Sent: Wednesday, March 2, 2022 1:13 PM To: Cantrell, Elizabeth Subject: Polidora residence Good afternoon Elizabeth, Proposed stone patio-383 sq.ft. Yours sincerely Nigel Sent from my iPhone ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 Glenn Goldsmith,President Town Hall Annex •, A.Nicholas Krupski,Vice President �® �� 54375 Route 25 P.O.Box 1179 John M. Bredemeyer III i Southold,New York 11971 Michael J.Domino G Telephone(631) 765-1892 Greg Williams �� ���'. Fax(631) 765-6641 00 BOARD OF TOWN TRUSTEES D Q U TOWN OF SOUTHOLD i JIN 13 This Section For Office Use Only Southold Town Coastal Erosion Permit Application Board of Trustees 1( Wetland Permit Application Administrative Permit Amendment/Transfer/Extension _(LReceived Application: I.13'2y' K Received Fee: $MOO Completed Application: 'Zy Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date-, ,Coordination:(date sent): WRP Consistency Assessment Form Sent: a, CAC Referral Sent: ✓Date of Inspection: � Z' Receipt of CAC Report: Technical Review: Public Hearing Held: 3• •�� Resolution: Owner(s) Legal Name of Property (as shown on Deed): .T�"N DF ROeA1a fLOLI D OVA Mailing Address: I059- RoiJr Pl,Eas"-F RDA•D HA7111-"-l-f •y. 11952 Phone Number: 631-A45-. 3877 Suffolk County Tax Map Number: 1000 - 1.14.00 - 01.00 - 001 .000 Property Location: 10.55 PQjQT' PLS&SAr 1.1- -00% , MA-ET-17-UG44- N y 119152 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): N)�EL 20BE12f kJiLL;,6MS.0 Mailing Address: P.O . Box 1.758, SooTwoL-1D, M-V 11771 Phone Number: 631- 8-14.9 740. Email: ^ e l-���''�`E Lot""c" 1. �M 31 Board of Trustees Appli ;ion GENERAL DATA Land Area(in square feet): 29, !35.5. 51 &a-. M Area Zoning: R4Q Previous use of property: S 1►d G LC ram l i-u W E LL iy Cr Intended use of property: _ 51 1J 1;LE FgM t L-u W P-LL 11J 4 Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _X_Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? X Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? ___X__Yes No Does the structure (s) on property have a valid Certificate of Occupancy? _Yes No 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?__X_No Yes If yes, provide explanation: _ (_6` 24, 4.6 sww�. DEMOLISld TUU; Exisr�v� sia4u- -STD& ,l firm Project Description (use attachments if necessary): � GPOIT44 cr o ►JEo sIyGLE s10" Awi"Jec W/ J AJtL �I'r U�1aE� �Sgr�E oofPRa�Jf, Co�.1St??.�1LI" A �Ea 4.8 y 8.�1� �1�SE0 ��rboeJ C�oA3dlkc-noCr TkE ExzsTla4 00Eu.JJC{ aa�4E C1k1sTUAJC-r F> X1611 4.v',�W.SCOVERED EAIT" poet . (p,�sri2 r A+4 E►JCWsIv OM401 . Sieow� q&& 7D THC sky. DEmwLisH TME EX�STrclt� 8.8�x 24.4 Co�cR�u gcH @ Q,�a� Co,rJST cf ,Gl a1rrJ 16.67`,c 38.0' S'04LX sto kpp1rial W $*s-ap�Ar,-vr Uh3ziU- (i 4.0' x 4.0 F-4eES5 Wivbo Go11s"taJcr A LJGW s7o E paTto BErk� .1 ?kE 11EU EyflDifu►� �x+.srl�4 Crp{tASE . (_gM4VF. TNS +sr«1S CESSFs�L 1�S�A1.L �} #aja 1 o0TS sLis 7-em M1 A "T-A 1A3I J4 1Jr,LA- W&MP..f RJL0JFEb . Board of Trustees Appli'__;ion WETLAND/TRUSTEE LANDS APPLICATION DATA Dr-M USH THF; Exis-riorr $1a4M S109q EIJTWCL Et Purpose of the proposed operations:GoAkT'AycT A 436:0 StOr'L c STOgAl F-R1TPA&uCE; W1 BAS-iF-vT- u anE2 CsamE Fo4T-P9,ar.) 00451-u cT A aELJ 400'T-1,04 G-a,JECT►&)J TH6 E�isr►eJ4 �rJ�c:u�►G� Cst}P.�lG6. �o�s ►cT #Je J 4.0',.. tc3.5" rvdZQED Errr" oProcoot s,-cowER ops► To THF- stay, DO-wa H THE 'E�c is r�sl S•8� x ?�1-.•4 G&VEPC-D 2ck "A-p- _i" coAJsT)2t)cr A #J C-4 18.6-1 38.0' ADUjTw 0 WEMEOI- UJbk.R it 4.0v- 4.0' E4{26SS W10W C-04srwor A JW STOOP- ppr to SF-Twaalj AbD17-t0s1 Ex,str,�rr G*Ojl . MA�r✓ THE Fac,sr►�cf C4ESS o�� ��s�w q- �1F-0 [/A 'DWrS S y1"rE H to/ A N 6v%� 4JBEM(L p gaor- RF-T-A I OJ J4 I *I L-. Area of wetlands on lot: S"293 square feet Percent coverage of lot: 17.6 Closest distance between nearest existing structure and upland edge of wetlands: 99.7 feet Closest distance between nearest proposed structure and upland edge of wetlands: (,7.1 feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? . /(a 2.208 cubic yards How much material will be filled? 113.332- cubic yards Depth of which material will be removed E)r-depes ted; S' I O'�" feet (B.As Ew E#Jfi) D6p0s I ME> ; 4'-0" 4 2' 0.. Proposed slope throughout the area of operations: 23.5 70 LL. 2-6,0' Manner in which material will be removed or deposited:, $g0kH.0E- RPSCA - t� lump TRUc 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): N O W g &L'r' ForreX169S eHM4 SkLW TO BE Ie STA•1J-. T e�vrra r R.a apff L)al Co►�sT J c.Ttojl � u 617.20 Appendix B Short Environmental Assessment Form Instructions for CommPletina. 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: PO L I D 0 J2d Q,ES I D!rN GE Project Location(describe,and attach a location map): IOSS P011j-1- PL_EaspM1- P.�aD, Marr,Tuc.k., W.y, 11852 Brief Description of Proposed Action:DEM,OLISH THE E4147-101;- StvGLE Srv12f, UTJ?A4cF, eCnJSMV T ,4 NEW St►J4L,6 SIV" F_07V4iJCE W/ BASEN6WrU►JOE2(SAM E .OTPP-I Jr ��1ST07CT AA! 1,) $'x 8.4' &►JCLoSI;M D►rto G7�Jr.JEC.r►v Gr 'rMS Ex is-ri4Qr D Er.L►v4 ,E.fr(r. CcR2.t ae. Co�L1STWC_T- A- JFrJ 4.0 x to-s covEeED ar#Jr�9 pt12cq. C0JS-r�Crr A� E4CLOSED OU OP_ SHDWF-?(.opFL4 TO TUE S)L4. DEl�t.4LISH ZfIE E4;M-_ 8.8`9-2-4.4' GovEP-ED2GJf@a �+ Co Sar 4 ►JEW 18.67' .38 .0' S) 41-F, STv" P'DW' ad ral Jar;.r N"T• u►Joq q..p x 4t) E.Cr2E.SS W►Wt�oi1. C0A1•r r-43Cr & u E LJ S70LI1Z p4TIJO 86rWEEA1 T14AIEJJ AbDJrbAl d CXTCc. CrA-aQQC-E.W d �►E E T 6-KT-4r,. (:F-CSP-'9,0L- 4 JOST04y a AJEtJ 1�A 00-rS SEpn e_ SH�r�rt fJ'Ea WaM2.pao4r P�F-TAIAbA)Cr W L.J-_ Name of Applicant or Sponsor: Telephone: 631 .834 1740 Mi4E L RPBEl27 LSI LL•1A M so.l E-Mail:n► e,J_are J,1 tP.C.C&/+obrnai I.ca9-m Address: p.0. 1 ase City/PO: State: Zip Code: SoJTJ-WL V N y. 1)C171 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 NA 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 a ency(s)name and permit or approval: TOW U VF SoUT'kotA $o4.20 ❑ 7-M2pp VMS. WJ' s� Sovr,0c.b BU►L-o►ar� 1�l=PLLfLTlkEc1T SUFFG.IC r4 oEpr. or SrLWAMP- MAJ MEAJT. /,l.V.S. E f v►RDe.1NtEa17A.L.Cowlf�2vAT► !� 3.a.Total acreage of the site of the proposed action? 0.68B acres b.Total acreage to be physically disturbed? p.D 27 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.688 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban []Rural(non-agriculture) ❑Industrial [:]Commercial Residential (suburban) El Forest ❑Agriculture ❑Aquatic NLOther(specify): TJDm, k1ETL;"bS ❑Parkland Page 1 of 4 5. Is the proposed action, NO—' YES N/A a.A permitted use under the zoning regulations? ❑` INN ❑ b.Consistent with the adopted comprehensive plan? ❑, N" 1-1 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES 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:.. 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES DQ ❑ 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? X. ❑ 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: lrr.1COL" Q22C 5101LOT AL S1JWcr-u2ES,. ❑ 10. Will the proposed action connect to an existing public/ rivate water supply? E.rcT4 WELL?D $E . -NO YES �}BI;E,JDaAJED (rvo CL9.SE Tb EVc1SrtJS k P90PIDSED SEpm.) If No,describe method for providing potable water: NF–W WELL M ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 1�►� OWTS .SL1S'fM ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? �rul ❑ b. Is the proposed action Iocated 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? PLOQ;)jx)S Cp–EE1L MAanl or aGIb dy'-t ZNN b.Would the proposed action physically alter,or encroach into,any existing wet and or water b y? (� If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: VNII 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 ❑Agri cultural/grassIan ds ❑Early mid-successional D9 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 floodplain? 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? K NO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO YES ALL STVJLHW47,S -FRo eyur�rio&e OIRaRoSED sl-.vary ES LJILt- DIScmAg4r= i 7roM-1JE_W AR.o(locEb 2i.1W�LLS Page 2 of 4 ............................................................................ 118, Does the proposed action 4i6lude constructkni or offreir actMtles d)at resuft in the inrpoundinient of' NO YES water or(Aher liquMs(e,g.retenfion pond,waste flagoon,darn)? H'Yes,ex1flain purpose and size: ....... ............ ............_... ...... ........................ ................------------------------ .................. ........... ........................... ............ .... ......... t 9. Has the site of the proposed action or air ad.loining property been the location ofan active or c�ooed NO YES sofid waste rnanagernent facifity? H'Yes,descr%e.� . ................................... .................. ............................................... ............. .........................-—----------------------.............................................................. ....... ............ ------ ............................. .................. ........... ............- 20.Has the site ofthe proposed acflon or an adjoining property been the sub.ject of rernediation(ongoing or NO YES completed)for hazardous waste? I fYes,desciribe° .......... - -- ----------.......... .................. ............... ............................... . ..........._................... .................................. I ........... --- -----. ............................. ... ...................-— -AFMI" THATTHE INFORMA.'rm PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BESTOF AdIlY KNOW 1..,EDG11li, AppUcara/sponryor name: Date- SignatUre: —-- - ---------------- --—---------------- J Part.2 Tunpact Assessment. The Lead Ageincy is responsilfle for thre cornpllefioni of 1.1art 2. Answer. afl ofthe iNlowing questions din Part 2 USflrng the inforrination contained hn Part d and other n-weriak subrriited by the proJect sponsor or otherwdse avaiiable to the revrewer. When answering the qirrCSti0flS the revflewer shOUki be gu�ded by the concept"Have rny responses been rcasonabe considering the scale and context ofthe piroposed action?" ................... ....................—--------................... .................... No,of� Moderate smallf I o large firnpact Unpaid may M-ay o cc ur oc.cur ............... 1, WM the proposed action create a rnaterU coriffict With an adopted land Use l.)lIan or Z.Ordlig TegLflafions? .................. ...........—-------- ......--- - ----.. ..................... 1 Wifl the proposed action resuit in achanue �n the use or intensity of use oHand? Z, [A/ ............. ............. Mil the l)woj-,)ostA action irnpair the character oi quaifty of�hc�exisling,cornn-Hrinky? e El .................... '­­­1111-1111.................... --------------- ... ........... ...... 4. Wfll the proposed action have an inapact on the ein.1 vironrneinufl characteristics that caLlSed the El establishment ofa Crftica� Enviii-onrinentat Area(CEA)? ........................ .....---—------- ------ 5, Wili the proposed action resuh:in an adveirse change kii the existing leved of traffic or affiect existing inftastructUTC fm rnass trans�t, bikJnCg or waH<way? 6. Wdi the proposed action cause an nncrease in the use ofene�gy and 4 fiaHs to inemporate tvailabk,.einerrgy c;onse�vation or renewable enemy oppoitunifies? 7. Will the proposed action impact exnsfing: a. pubiic private water suppiies? b. pubHc private waste"Pater tn eatTrient UfilifieS? ................ ................ ................ 8. WiH the proposed action imi.mir Orcharacter or q aht adOriportant Idstoric,airchaeoiogical, architecturai or riesthefic,resources? ............—------ ---------- 9, WH1 the pfoposed acl.R)n restilt in an adverse chain1ge to nannal resources(e,g., wo,hands, watcxbod�es,gronindwatff, @if�()Uality,flora and Fauna)? E-1 ........... ................................ 11age.3 cif'4 .. No,or Moderate sir nape to l airge impact mrrnpmaant May Ma occur occur p .. .... -____ 0, Wfll the proposed action result in antlMcM� as� rn rhe potential ffru errsour, flooding or draurape rs . .. ........ . ..-, I El I .. pp. �up the proposed actncncreate ad to envprarearesources— nrauMnaa peatdp . .... Part 3-Determination of significance. The J.,ead Agency is responsible for the completion of' art 3 .For every question in Part 2 that turas answered"moderate to par e impact may occur",or pff'there us as need to expmpaauun why a particular eperrnent of the proposed action may or wiH not result in as significant adverse envprununiarMentap impact,ppease complete part 3. Part 3 shoWd, in sufficient detau`p, identify the impact,u"ncp udprap any rineasaares or design epcments that have been included by the project:sponsor to avoid or reduce uirrnpacts" part 3 should also expWri how the pead agency det rrrnuuned that the impact may or w iH not be significant,Each Ipotential impact should be assessed considering its setting,pmrobamllbuputy Of OCCUrrin , duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-terim and currnWat'uve impacts, ou have determined, based earn the uunflormatucrun and analysis above and any unpup oirfiang docuumentatm n,,...., Check this box ifyou y t"s that the prculryuused aau°turan may result in one or Mranare prounteautnaply panMge or sup;rupffucamrnt adverse nnaapacu.s and an qq ernvirdunumeuntal irnpuaact statement us rerpuanredl. 9� Check this Ilaex pff yrnuM have determined,based on the information and analysis above,and any SUPI)Orfing d=Mentaafl:uen, that the proposed action will not result in any significant adverse envuramrun-ne ntal impacts, TomiMn cf Souutholld...Board a fTmstea„ Nam w6 l eaGd Agency Rate Presudent ....t r„tin . u p rwwaa,pole C.Dplueeu-in p...,ead.Adeuncy ltutllc r,�ICffteuprennsnpu9u u"",uQffoa^p u. II°rp�t t���re ",4npura•�a par m;r� ,mas!maaw000u..o[Res1ponsible, uffuuMun Lead , e cy Scnaturc rp p u .nauau (uff dHffcucnt ffuuuo pesprasR c Offreu-) Page 4 of Board Of T•rust9es Appl,ic- ®n AFFIDAVIT .0l11b o_� BEING DULL' SWORN D OSES AND AFFIRMS THAT /SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERl%ll '(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO TUE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORD WILL DE DONE IN THE MARINER SET FORTH IN THIS APPLICATION AND AS MAY DE APPROVED BY THE SOUTHOL1D TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOM OF SOU UOLD AND THE BOARD OF TRUSTEES HARMLESS ASID ®OMA �EIt1 D ALL)9 IF AND CLAIMS ARISING UNDER OR B VIRTUE GRANTED. IN COMPLETING THIS APPLEREINCLUDING UTS AUTHORIZE T HE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, CONSERVATION ADAIIISORY COUNCIL,TO ENTER ON'T'O MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THF.BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION BOARD ®F TRUSTEES IDUR�NG THE'I'E EROSION PERMIT ISSUE OF THE PERMIT. Signa r of Property Owner Signature or Property Owner SWORN TO BEFORE ME THIS DAY OF ,Z0� DAVID J.JANNUZZ! I NOTARY PUBLIC,STATE OF NEW YORK Registration No.02JA6052585 Qualified in suftolk county Commission Expires February 13, Notary Public Board of Trustees Applic��--on AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- O 14-CO 1 - 0®O1 in the town of TUG(c ,New York,hereby authorizes 41 OL Remr $yL I Fl to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. 0 Property er's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF ' 20-4)�, Notary Public I yP 13..�FL1'it\8/t31s7e,lq SMS iwa•.�,7�1�AAd�i'a'+ TRANSACTIONAL DISCLOSUIM FOR Tl�e ToNim of SouthoJd's Code of Fd"cs icii antalei#lit tom n�of possible conflicts of nten st and 91Inw it to Eke W11-11river action s this form into rovidc irifarmatron��1� neces-sary to avoid same. YOUR NAME: ®I-t (Last me,first nAm�e,rpiddl initial,unless you are applying 1A the name of na 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.) Building Tai grievance Trustee Variance Coastal Erosion Change of Zone —=---' Mooring Approval of plat PIanning �— Exemption from plat or official map Other (If"Other',name the activity.) llu you personally(or through your company,spouse;sibling,parent,or child have.1 miationship with any.oft`tcer or-cmployce of the Toy+'rt of Southold? "Relationships'includes by blood,.ntarriagc;.or-business rntore L"Biusine_�s inierest .means v busitic5s, including a partnership,in which the town officccor employee has eyed aliartial o�vnr rslr"tp of employment by)a corporation in which the town offic'e'r-or employee owns more than I of ie-shares. YES NO —_`�— If you answered"YES",complete the balance ofthis 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(ttie applicant/agrnVrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or doscril 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); B)the legal or�bene6eial owner of any interest in a non-corporate entity(whey the applicant-is nota corppration); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP ?,O SubmiitedThis da f -1 S ipatu're Lite Print Name a Form TS I APPLICANT/AOEN`i MPRESEN'T.A.TIVE T12ANSACTIONAL DISCLOSURE FORM The:Town of South Code of Fthics iohibits conflicts of interest on tlie- art of town officers and emplovees The narposc of this form is to rovidc information which eats alert-the tow r of�ossible.contficts of intea land aloe; ilio taloa whatever action is necessary to avoid same. YOUR NAME: (Last name,fust name,iriddle initial,unless you are applying ill 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 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 personally(or through your company,spousei sibling;parent,or child)Itave a relationship:Nvitir Any officer or ctfiployee of the Town of Southold? "1telationship"includes l y blood,.marriage,orbusiness into-rest"13usine"ss iiilenrsl"nieuts a business, including a.partnership,in which the town officer or employee has even a-partial otiGiicrship of(or emptoymeiit by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO _ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of perspn employed by the Town of Southold Title or position of that person Describe the relationship bctwcen-yourscif(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner ofgreater than S%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legat or beneficial owner of any interest in anon-corporate entity(wheir the applicant is not a corporation); Q an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this n- day of Signture. Print Name aeb^V-61. . Form TS I APPLICANT/AGENT/REPKESENT'A.TI F- TRANSACTIONAL DISCLOSURE FOS The Town of South Code of Ethics prohibits conflicts°of Less ble conflicts of interest aners and d al ow it to take wha emuwsd of ver action s this form is to Provide information which can alert th necessary to avoid samlIe. +1 YOUR NAME: �'LI C43 tai i S 0— (Last name,first name,1piddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) 'Tax grievance Building 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 personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES _ NO 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 applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 7 day of jJ 20 Signa ture- PrintName e � - Form TS 1" Board of Trustees Appl ,tion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: JIL?�7L Cc 9 STATE OF NEW YORK COUN-TY..OF SUFFOLK residingat being duly sworn, deposes and says that on the day of 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- e names of said persons are the address lof: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 Joicatedet that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN.RECEIPT. Signature Sworn to before me this Day of , 20 __._— Glenn Goldsmith,President N'06,0offo(A-C Town Hall Annex A.Nicholas Krupski,Vice President tiY��o Gym 54375 Route 25 Eric Sepenoski ti P.O.Box 1179 Liz Gillooly o a � Southold,NY 11971 Elizabeth Peeples 'y1 09 f Telephone(631)765-1892 "a, � �s= Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JOSEPH & DEBORAH POLIDORA COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING .' N',"i RWERGIMNold ftAl1�IERD I, gi4EL %SERr IJ LLiAMsoJ , residing at/dba P.o. 6ox /758 500T-KDLD ►J. 11971 being duly sworn, dep se and say: That on the -7 IC day of MAJU14 , 2022, I personally posted the property known as IOSS Polor PLEAsA4JT- 6AD HA"ri-ITucl - 1/952. by placing the Board of Trustees official noticing poster w1lere 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, March 16, 2022. Dated: (signatu e) Sworn to before me this /S11-day of*4 .202.2 • TRACY KARSCH PAWMBO Notary Public,State of New York No.02PA6087274,Suffolk County Commission Expires March 30, 3 Notary P blic �—J/L.'X Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#:_PownOQA R66DIEWCE -- 1000 - 114- 1- 1 NAME: ADDRESS: M2. 4 Mies. T MoLL;E12 P.O. Bax 1110 (114 - I - 3.2, HATT i rOCX, �N `l• 1Jq sz MR.. 5 MR.S. T• I-AFOR SSS �OIA1T PLEAS/ T �Ab 0113 - 7- 16) MAt7'i rudf- 1 MQ, AQ,wtj W. POom 2.10 FaIILd1ew P-0 AD,' 0114 _ 1 - 8.-Z) PALM 19EAU4) FL. 33480. STATE OF NEW YORK COUNTY OF SUFFOLK NIc:ieL QoB€Q-T WiLLIAM.CoJ ,residing at P.O. 13"x /7s8 Sou Toto LD , KI.V, 11971 , being duly sworn, deposes and says that on the_ �day of MARCH , 20 2-2-, 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 �A rny)c.k N , �i , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signat Sworn to efore me this _ -- DAVID J.JANNU771 Day of , 20 NOTARY PUBLIC,STATE OF NEW YORK Regist-.2tion No,02JA6052585 Qualified in suffoik County��q�?, Commission Expires February 13,—L t • ON ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reversef �X, E3 Addressee so that we can return the card to you. Addressee ■ Attach this card to the back of the mailpiece, �B•� eived by ri d Name) C. Date of Delivery or on the front if space permits. �.t�'av-%t, )1q . p y AJO/L 1._Article.Addressed-to. D. Is delivery address different from item 1? ❑Yes a0i � � � o � c €�' c If YES °�¢ o z u'S. 0 ry address below: ❑No _g -0 0 0 g �Mr. & Mrs.J. Moller �� , pp ❑® g�, ���0' P.O. Box 116 > T• N N�E 9 »�'cc Mattituck, N.Y. 11952 ra EJ� E L r M M m X y •" �a U E3 aQ�o¢Mwwoc a) ?! I ty � ' I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ' 3. Se❑Adult St B ❑Priority Mail Express@.ti �v ❑Registered MaiITMoo❑Adult Signa ed Delivery ❑Registered MailRestricted °' �9590 9403 0380 5163 6038 15 ❑Certified Maii@ Delivery❑Certified Mail Restricted Delivery ❑Retum Receipt for❑Collect on Delivery Merchandise CC d a)0--•-7m- ❑Collect on Delive TM m m °' .>_>-2. Article Numher_lTransfer_from-servicelabel) ry Restricted Delivery ❑Signature Confirmation a g g O_d'm,.❑Si nature Confrmation P M a7 0 21 + 5Id d D d 2s'' 2 6 8 6 1199i i i'istrict d Delivery s Restricted Delivery m 0-0.0 o��woUU PS Form 3811,April 2015 PSN 7530-02-000-9053 to v'm W o o'ru Domestic Return Receipt _ m o a¢ 0 n 6-ta ai❑❑❑❑❑❑i_rl ..� co ai v• • • es • ui o� l ■ Complete items 1,2,and 3. A. Signatur —_ 00 d) E . ■ Print your name and address on the reverse E3 Agent ' a 0 C3 6 �'... so that we can return the card to you. X 0 Addressee 0-0° z.~o ■ Attach this card to the back of the mailpiece, eceived by f'ed �fre) C. Dat of livery u, o;E cn z or on the front if space permits. ' ( G�- I ri a o �, v = ,y g o a _ p a v a� `° a ro ® o V1 uo 1__Article Address ed_to -- D. Is delivery address different from item 1 ❑ es m v O N �'� Q "'- '- a) o a� cc L — OD �_.m o •�' If YES,enter delivery address below: ❑No � :. -N � E � o. L .� � � y � w ' Mr.Aaron W. Ford E = ,= ca„ ° ., �° CU r-i — M CL I210 Fairview Road - ' I 9 20 U o z C3 r � Palm Beach, FL. 33480 . 9 -a �; a — o +%- 00 Y • ° N O 41 �� E c*- ;o o 06 0- � �� o Service Type ❑Priority Mail Express@ U 0, ren Q o i 4- 3. ¢ IIIIIIIII IIII III I I I I I II I III II I IIII I III I II I I III ❑Adult Signature Ln N❑Registered MD_ ❑Adult Signature Restricted Delivery ❑Registered Mail Restricteds 9590 9403 0380 5163 6038 39 ❑Certified Mail@ Delivery 13 Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2.-Article Number frransfer_from-service label]_-___- ❑-Collect on Delivery Restricted Delivery ❑Signature Confirmationm I ❑Signature Confirmation 7021 ; 0350 0 0 0 2 2 6 8 6. 117.5, Restricted Delivery Restricted Delivery PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt Postal ServiceTm U.S. Postal Service CERTIFIED o RECEIPT CERTIFIED MAILP RECEIPT nJ 1 Domestic Mail Only 111 Domestic Mail Only CEI r%- rl -- For delivery information, r-I For delivery information,visit our website at www.usps-com". CD Certified Mail Fee $J.75 v_x•- I to ci ED Certified Mail Fee " •.f=' -� $ t; 'c Fi - lD $ $3.115 IU Extra Services&Fees(checkbox add ree sappy rate) " rU Extra Services&Fees(check box,add E]Return Receipt(hardcopy) $ flap. 1,I I): ^`•�'.�- ..` ❑Return Receipt(hardcopy) $ •r.•°__ /,� nJ ReturnRecei t electronic $ Postmark ' n 1 t ❑ P(electronic) `'N,� ❑Return Receipt(electronic) $ / �f�Postmark r-3 ❑Certified Mail Restricted Delivery $ -r n_- r 1) "Pere � I i 0 ❑Certified Mall Restricted Delivery $ ❑Adult Signature Required $ +--� _ f-,`, `� ; •'--*•1 C3 ❑Adult Signature Required $ l- * ° t•"' 'r• ��1 Adult Signature Restricted Delivery$ �, E]Adult Signature Restricted Delivery$ `S ❑ g ry '„ J C3 Postage 0 age Post In _6 'ti s �✓' 1°�_'�i ( r - 4. M Total Postage e - .f M Total Postage $8.i $ Mr `�t1lVlrs.J. Laforce o $ Mr.Aaron W. Ford r-I Sent To r q Sent To ru 855 Point Pleasant Road ru 210 Fairview Road O Streel snit ApL� c3 Mattituck, N.Y. 11952 o treat Palm Beach, FL. 33480 - ------------- Ciry,State;ZIRi 'City,State,Z! Postal CERTIFIED k . ■ lr Domestic lT' For delivery i r� at www.usps.comD. Mit r j U�9 information,visit our 1 ? t�website U co Certified Mail Fee 4',3.75 !I952 -0 $ 7_i-I� !_I6 Extra Services&Fees(check bob add raq date) ❑Return Recelpt(hardcopy). $ -' �-�%\ nJ El Return Receipt(electronic) $ i-30 ❑Certified Mall Restricted Delivery $ S 11_I I I I �•`yam%,,`/f' Here [:3 []Adult Signature Required $ (_� El Adult Signature Restricted Delivery$ EM Postage t; ; Ln $ la' �•. ftil Total Postage at M`? $ Mr1VIrs.J. Moller E rq Sent To -' ru P.O. Box 116 o SdeaisndA' 'Mattituck, N.Y. 11952 r` Ciry-Stete;ZiP+� :rr - Ii ,NOTICE OF HL'.OARINC NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: JOSEPH & DEBORAH POLIDORA SUBJECT OF PUBLIC HEARING: For a Wetland Permit to demolish existing one-story entrance and construct a new 6'x24.6' one-story entrance to dwelling with a basement under (same footprint); construct a new 4.8'x8.9' enclosed addition connecting the existing dwelling to existing 489.25sq.ft., 1.5 story garage; construct a new 4.0'x10.5' covered entry porch; construct a 4.6'x4.6' outdoor shower (open to the sky); demolish existing 8.8'x24.4' seaward side covered porch and construct a new 18.67x38.0' single-story addition with basement under and 4.0'x4.0' egress window; the total square footage of existing and proposed dwelling habitable area is 1,682.58sq.ft.; construct a new 383sq.ft. stone patio in between the new addition and garage; remove existing cesspool and existing boulder retaining wall closest to dwelling on seaward side, install a new I/A OWTS system with a waterproofed 66.0' long retaining wall with a 19' westerly return and a 17' easterly return to retain the proposed I/A sanitary system; and create a 4.0' wide pervious access path with stepping stones to creek. Located: 1055 Point Pleasant Road, Mattituck. SCTM# 1000-114-1-1 TIME & DATE OF PUBLIC HEARING: Wednesday, March 16, 2022 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of B a.m. and 4 p.m. 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 includingg 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 proceed action will A. evaluated. as to its silmificant beneficial and adverse effects uponthe 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 ager must.be cxplainM in detail, listing both supporting and non- sup-porting 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# 114.00 - ol.00 - 001.000 PROJECT NAME Li D O2.b, PE,51 DF-OCE The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. 1ECK' Board of Trustees ❑ APPF LS 1. Category of Town of Southold agency`dction(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: ``� 8U1W 1A1Gr �EpA29'M T — N�Tic 6F DISAPP2oVA-L- — J8u1L-0i-d *#4iT-. DEPAQ'rM��r � EhaV��DrJMEt•�7?�1— C�,aSEr�AT�orJ � 1�1A�rid(, Location of action: 1455 Poi xi 7- el,F.AsA+�T POA-0 , H4TT-I Tucl-, IS \J. 11 gSS2 Site acreage: 0. 685 Ac¢E.5 C-291g85.57 Sn-- T� Present land use: S tdGt,r FaM►L-u DWE-L-L-iy& Present zoning classification: 240 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: 1JiGEL koeeer I��LLIe,Ms�d (b) Mailing address: P.D. Bax 1758 SoUrKOLIO N.'-f. 1197) (c) Telephone number: Area Code( )_ 631. 834.974.0 (d) Application number,if any: N/A Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ie!�N No-E] If yes,which state or federal-agency? .V .S. ,DEA EAJf 1r4 vi 2otJ M t 4-1 Tat- TTEQ. OF . tjoIJ -J0ais01Gr►'O,J . 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 criteria. xYes ,F] No ❑ Not Applicable Ir is to keepl►J4 W/ rive soRno,)ODi4a �1EiGHeoae►won • - Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 9 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III-Policies Pages 6 through 7 for evaluation criteria Yes ❑ No X 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 ❑ Not Applicable E E2r HJT a�.1 kop"D2 cP.cek- Hk5 W - iD i✓ r-TA d, Amt. kogbff PAOM PkDOasED ! EXIST-10a Iii✓ �tilTA�r:IEI� 8�f ��B��o DlZ�k.lEI.L.S A&) ex is T t -3 ti P,0VLZ& Wm-L- PRaetEn vie n1E►J 1�FI ��TS I�ll�..� O�E✓�1T C�►.QeJ, 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 91 Yes ❑ No ❑Not Applicable A IJF-W 1/A OWrs SL4sTEM Is fv BE jkLr7-syLkLD rkEFy- isi-)Ocr GEssp.aoL' is TV Bc PUMPED Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III-Policies; Pages.22 through 32 for evaluation criteria. (Yes) No Not Applicable A tJ E O 1/4 O&JTS SNS TEM /S tV SE 1OSTftL ED THE 6x)s 111.)4 C(Ss&or L ]� T° Q� 19uw9pEn t�, �.EawJEa _ •. L4ILI,NES - BvF�2 rs 7� B� nJs -c.Eb BETfJEE�I THE �E►J` 2�TAr�Jti tJAu ^ �H E .S TSP��1 Gr,�7��GS '1v l-w►Ja.�Lti 5 [AEE k. • D Q�CS� 2M� FJ2 Fl�W E 6�J LlS�1STt�1Gr Smic:Tuker JJIL I1 SC e Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. F] 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 ❑ Not Applicable IJaQ 1/'A ©WT.S SNs7-g;q !S 7o gE j;JSMLL_15D TME 'ex.isri4c, _ GE SSQ9oL 1S 7-0 dE pUMPG_t-� F�' i2i✓moygx� PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye�] No Not Applicable Attach additional sheets if necessary t WORIUNNG COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No 1�71 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LV'RP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No ❑ Not Applicable ` OeW A 0WTS SSL f-r 13 TO BE 1OSMLL, Q) 'TNF, Exis1-ij5 GF_ SAs2L /s 7b de euM&D HccJ6D Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LMW Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No 1,ni Not Applicable tj 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 12�11 Not Applicable PREPARED BY giGEc. &g9r 01iTITLE r DATE UPJ 2z)22.