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TR-10226A
Glenn Goldsmith, President so Town Hall Annex �� 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski ageSouthold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 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 dare 60'OF PPHA46iWTS5 '/Z constructed When project complete, call for compliance inspection; * I Glenn Goldsmith,President ®F S0(/ Town Hall Annex A. Nicholas Krupski,Vice President) ®� ®�® 54375 Route 25 AL P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly G � Telephone(631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10226A Date of Receipt of Application: September 13, 2022 Applicant: Charles Salice & Camille Passaro SCTM#: 1000-87-5-25 Project Location: 9326 Main Bayview Road, Southold Date of ResolutionlIssuance: October 19, 2022 Date of Expiration: October 19, 2024 Reviewed by: Elizabeth Peeples, Trustee Project Description: Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to not less than 12" in height by hand, as needed. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Ural Talgat, Architect, received on April 15, 2022, and stamped approved on October 19, 2022 in accordance with Permit#10176; and the site plan prepared by Ural Talgat, Architect, received on September 13, 2022, and stamped approved on October 19, 2022. § 275-5 Permit procedures. (i) Cutting of common reed (Phragmites australis) to within 12 inches of the soil surface landward of the wetland boundary. This does not include mowing to ground level. Special Conditions: Do not disturb native vegetation during the hand cutting of Common Reed (Phragmites australis), including but not limited to; Eastern Red Cedar (Juniperus virginiana), Northern Bayberry (Myrica pensylvanica), Marsh Elder (Iva frutescens), and Groundsel Bush (Baccharis halimfolia). The approved operations must be commenced within two (2) years from the date of the resolution. The permittee is required to provide the Trustees with before and after photos of the area within this time period before any further maintenance is conducted. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. 4ZIL 44__X Glenn Goldsmith, President Board of Trustees gUFFO(�j, `Glenn voidsmith,President ����� �Gy� Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski W ,? P.O.Box 1179 Liz Gillooly �y ® o!`� Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: n +bD9 Completed in field by: a%74c+k Pe,"�A Ural Talgat on behalf of CHARLES SALICE & CAMILLE PASSARO requests a Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to not less than 12" in height by hand, as needed. Located: 9326 Main Bayview Road, Southold. SCTM#: 1000-87-5-25 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: V Wetland 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. Goldsmith N. Kru ski E. Sepenoski L. Gillooly VE. Peeples LIMIT O 50' NON-FERT I L I ZAT I ON PROVIDE 6" THICK T SOIL (SAND LOAM EDGE OF I ^ I MIX) ON TOP OF FILL F M DREDGE NON-D TURBANGE E3UFFER SPOILS FOR PLANTING OF1AWN PR IDE NEW 2`HT x 8'DIA LEAGHIN6 POOL APPROVEM (D -A) TYPICAL, TIE LEAGHIN6 POOLS TO ALL ACHING POOLS W 6" PVG DRAINAGE PIE AND i /% s BOARD TEAS EDGE OF WETLANDS AS /'�'-I'--_ , , / 12 A �� r. IE LEAGHIN6 POOLS INTO FRENCH DRAINS / FLAGGED BY Dr. RON p 1,200 CUBIC YARDS, \�0 -110, O ABRAMS OF DRU _ O•. PROPOSED NEW FILL 14" i�/; EXISTING RESIDENCE TO !y �QT ®WN 0 TH® ASSOCIATES ON APRIL 6, / Y ./ Y FROM DREDGE SPOILS , , / / O 2021 i\/ PROPOSED CONTOURS !/x i i/'i � REMAIN WITH NEW INTERIOR ®^�� SHOWN IN ONE FOOT ' ' /� //%! '!/ RENOVATIONS I`! �� ra .' / /./ / D / / / i/ ' INTERVALS ELEVATION 'i/,' '/' ','i/,'/% III, PROPOSED NEW ENTRY 2S O TO ELEVATION 7 // DEC< AND STAIRS \ O O / / �/ / / /•/ '� EXISTING Note: Volume of //// ' / / ' / / / % ��" brown fill to reconcile DRIVEWAY ,111, — with approx 1,200 ,r i i yi cycle spoil mixed with 6 1 1 1 r I I , 4 / 4! u Q peat or loam li iii i t i I I r l r l/ , p �O O J I I, I I I + + 11 1 1 Ek/S \ 38 Q� EDGE OF 11i+�++++ ++1++`\� I+ +` I` I1 + +, up CONGRereNWgC 111, CLEARING \\ \ ` ` `�+��`\ EXISTING C 2 STORY FFAME „ HOUSE ON PILES p / EXISTING STAIRS `�` `+`�`� \4\ t\\:� jG O O III, AND LANDING VII, + + , + , DECEIVE .� TIDAL WETLANDS PROVIDE NEW 12" WIDE 12" DEEP `�\��`�`���`� �. `�Xy�`�c� �P / APR 9 � 2 / �� GRAVEL FRENCH DRAIN W/ 6" \` , ` , ` ` , �� `.� �:\` \ O i J L Ay DIA PERORATED PVG DRAINAGE \Ij �� III, PIPE TIED TO DRYWELLS UNDER �\` `�\`\` .�`���` �v FILL AREA `�' ,/ (P Southold Town EXIST I B r T steel EXISTING SANITARY SYSTEM PROVIDE NEW 2' HT x 8'DIA LEAGHIN6 POOL (DN-A) TYPICAL, TIE LEAGHIN6 EXISTING �< POOL POOLS TO ALL LEAGHIN6 POOLS W 6" PITCH EXISTING GRADE DOWN AWAY I1, PVG DRAINAGE PIE AND TIE LEAGHIN6 FROM RESIDENCE AND RETAINING WALL, EDGE OF WETLANDS AS POOLS INTO FRENCH DRAINS + Q j+ + + + ' ` `��` ��� � DIRECT PITCH DOWN TO NEW FRENCH FLAGGED BY Dr. RON j+ +� ++ ++ + +i \�` `.`.�� EXISTING ,��. c�� DRAIN AT NEW FILA AREA ABRAMS OF DRU PROVIDE 6" THIGK TOP501L \+. + I I I + I `� v�` `�`.\. `.� DECK ASSOCIATES ON APRIL 6, D LOAM MIX) ON TOP OF I I I 1 I I `` `�`� •�� �'' ,\II, 2021 FILL OM DREDGE SPOILS PROVIDE NEW 12 " WIDE 12" DEEP GRAVEL FRENCH i I I I `�\`� `` `u (�'� /,•- Y III' FOR P NTING OF LAWN I I 1 I I I `�` l/�/ / x `.�• DRAIN W/ 6" DIA PERORATED FV- DRAINAGE PIPE li i i i I r i i �\ AT PERIMETER OF FILL AREA, TIE TO DRYWELLS 1�IM17 OF ®' ON6FRTIlel TION ; , 1 1 1 1 UNDER FILL AREA ,II1, II I 1 I I I I I \\ ` ��� `�`�`�`, Y� NON-�ISTUR5 NGE 5UFF it I I 1 I I I 1 ` ` , ; ' ; DRAINAGE CALCULATIONS 1,200 CUBIC YARDS, \`� +II, PROPOSED NEW FIL , ; ; i \ .� � , ; , ;; ,',i STORMWATER CALCULATIONS FOR A 2" RAINFALL FROM DREDGE SPOI li i i i i i \� \�� `� ' ' PROPOSED GONTOU s AREA UNDER FILL FROM DREDGE SPOILS (DW-A) all, SHOWN IN ONE FO T DRY WELL AREA x RAINFALL x RUNOFF FACTOR 11 r, INTERVALS ELEVAT N I ' ' ' ' ' + + \, i - �i ��i ' ' d (DN-A) 6,500 SF x (2/12FT) x 0.15 = 238 GU. FT. 0 TO ELEVATION TIDAL WETLANDS Note: Volume of brown fill to + ` ` ` + ` ` ` i / ' / i ' // USE: (4) 8' DIAMETER x 2' HIGH POOL 2:1 510 e \ `+ `+`+ `+ `+`� `+ DW- / /i� f' reconcile with approx 1,200 cyds \ , , , / , (4) 8' X 2' STORM DRAIN RING = 338 GU. FT. spoil mixed with eat or loam \' +' ,` \' \` +' \` �'��� PROVIDED REQUIRED 8,c{00 Sf \Il, p p 338 GU. FT. > 258 GU. FT. 1,200 Gy = 52,4 O Gf PROVIDE NEW 12" WIDE 12" DEEP GRAVEL FRENCH DRAIN W/ 6" �� . `�++ `� ' ' / ,C, ,/, ,'moi PROVIDE NEW 12" WIDE 12" DEEP GRAVEL FRENCH DRAIN W/ CUI71Ulatl P. DIA PERORATED PVG DRAINAGE +.,� + + + + ` ` i/ �� 6" DIA PERORATED FVG DRAINAGE PIPE AT PERIMETER OF 1,y. `� 5 ; / ,' �/ ;,i (I) -1,150 Sf = ,-150 Cf + 585 8,555 GFILL AREA, TIE TO DRYWELLS UNDER FILL AREAf 8335 PIPE TIED TO DRYWELLS UNDER �'�)+ � `� � �6+� �;/ ,';� /'`,•/ // (2) 6,580 5f = 80 Gf + 5 0 = 7,120 Gf 15,45 Cf FILL AREAa.s +\ +\ �\ i// i /j 1,200 CUBIC, YARDS, PROPOSED NEW FILL FROM ,+. / , , ,/� , , , DREDGE SPOILS PROPOSED CONTOURS SHOWN IN ONE (3) 5,500 Sf = 5,50 f + 28 = 6,028 Gf 21,4 5 Gf AREA EXTENDED OVER THE 50 FT `'�' ` ` ` ` ` / i //,' ' FOOT INTERVALS ELEVATION O TO ELEVATION '7 BUFFER, PROVIDE NEW PLANTINGS OF ` .�:�' ` + •/ , ,4 0 (4) 4,450 sf = 4,450 Gf + 507 = 4,Q57 Gf 26 40 Gf \ +:. + \ \ / , , , , / , /i O PROVIDE 6" THICK TOPSOIL (SAND LOAM MIX) ON TOP (5) 5,450 Sf = 5,450 Gf + 507 = 5,a{57 Cf 5 ,5cf7 Gf NATIVE SPECIES "PANIGUM `�. V ".v;. `\`�y� '/ ,/ / ,: /�/ ;,/ 5'� OF FILL FROM DREDGE SPOILS FOR PLANTING OF LAWN PASSARO SALICE VIROATUM", ONE GAL POTS, PLANTED ` ` + 4 \-/-// /-////// i �p + r + (6) 2,450 5f = 2,450 Gf + 4cf0 = 2,a40 cf 3,537 Gf AT 36" ON CENTER, 375 SF / / �! �' (7) 1,770 sf = 1,770 Gf + 235 = 2,005 Gf 5342 cf �`'`Y`� `�` /' :�/ RESIDENCE , � �. � ���� Note: volume of SITE PLAN TOTAL = 31,650 cf / = 35,542 Gf brown fill to reconcileSOUTHOLD, NEW YORK EDGE OF CLEARING ` �:.- / / / // ENLARGMENT DATE:June 1,2021 ,II ,`. - , ; with approx 1,200 DREDGE SPOIL REVISED DATE:January 13,2022 III' EDGE OF WETLANDS AS J;j cyds spoil mixed with RE-USE PLAN tII FLAGGED BY Dr. RON ��O y peat or loam U AL TALGAT ABRAMS OF D •• RU y1 SCALE:1110 =1•-0" ARCHITECT ASSOCIATES ON APRIL 6, 4367th STREET C 2021 0 10 20 30 40 50 GREENPORNEW YORK 11944 V .� (6311)477963 l� T I N/O/F 5OUTHV I EW CUSTOM HOMES TWO Inc. / X40•\ N/O/F �RFAq O / LEFFERT5 P. EDSON N/O/F s a, / MARY KIRSCH 3s00. / "0, N/O/F ' �R"�� R. L. HAMMEL EDGE OF WETLANDS / A5 FLAGGED BY Dr. RON ABRAMS OF DRU A550C I RTES ON ' y APRIL 6, 2021 ' G EDGE OF WETLANDS AREA OF MAINTENANCE - HAND CUTTING OF PHRAGMITES AUSTRALIS TIDAL AS FLAGGED BY Dr. DOWN TO WITHIN 12 INCHES OF THE SOIL SURFACE HATCHED AREA WETLAND5 RON ABRAMS OF DRU 5�3, /' ASSOCIATES ON °°� LIMIT OF 50' NON-FERTILIZATION �y� ' APRIL 6, 202 / NON-DISTURBANCE BUFFER / / EDGE OF CLEARING � , EDGE OF CLEARING AREA OF MAINTENANCE - HAND CUTTING OF PHRAGMITES AUSTRALIS AREA OF MAINTENANCE - HAND CUTTING OF PHRAGMITES AUSTRALIS ??s° ��; ��;� DOWN TO WITHIN 12 INCHES OF THE SOIL SURFACE (HATCHED AREA) DOWN TO WITHIN 12 INCHES OF THE SOIL SURFACE (HATCHED ARE y EXISTING DRIVEWAY EDGE OF WETLANDS 4, '�s AREA OF MAINTENANCE - HAND CUTTING OF PHRAGMITES AUSTRALIS AS FLAGGED BY Dr. RON ABRAM5 OF DOWN TO WITHIN 12 INCHES OF THE SOIL SURFACE (HATCHED AREA) q� quo"" - DRU ASSOCIATES ON c EXISTIN6 CONCRETE WALL APRIL 6, 2021 Qty EX15TINO RE51PENCE APPROVED ')Y EXISTING DECK AND POOLc BOAPD OF �r2UJTEES AREA OF MAINTENANCE - HAND CUTTING OF PHRAGMITES AUSTRALIS TOWN OF SOUTHOLD DOWN TO WITHIN 12 INCHES OF THE SOIL SURFACE (HATCHED AREA) DATE OMM Ia + N/O/F EDGE OF CLEARING A T A SOUTHYIEW CUSTOM ANDIN G LIMIT OF 50' NON-FERTILIZATION HOMES TWO Inc. WATER NON-D I5TURBANCE BUFFER W� TIDAL -- -^ SCTM# ��� 1000-87-05-25 WETLANDS OVERGROWN PATH EW RD AREA OF MAINTENANCE - HAND CUTTING OF PHRAGMITES AUSTRALIS ADDRESS Sou HOILD N WI ORK 11971 DOWN TO WITHIN 12 INCHES OF THE SOIL SURFACE (HATCHED AREA) OWNER: CHARLES V. SALICE CAMILLE PASSARO PROPOSED NEW RAMP FOUR FOOT WIDE PATH OUTSIDE WETLAND SITE: 148,418.19 SQ. FT. = 3.407 ACRES AND FLOAT EDGE OF WETLANDS AS FLAGGED BY Dr. RON ZONING: AC ABRAMS OF DRU ASSOCIATES ON APRIL 6, 2021 SURVEYOR: Nathan Taft Corwin In UPLAND PO Box 16 20' RIGHT OF WAY 1586 Main Road Jamesport, New York 11947 PROPOSED NEW CATWALK WITH RAMP AND FLOAT LICENSE # 50467 DATED: AUGUST 9, 2020 AREA OF MAINTENANCE - HAND CUTTING OF PHRAGMITES AUSTRALIS Revised April 13, 2021, locate wetlands DOWN TO WITHIN 12 INCHES OF THE SOIL SURFACE (HATCHED AREA) SURVEYOR: Heideker Land Surveying IN-WATER r EDGE OF WETLAND5 AS FLAGGED BY Dr. RON ABRAMS OF DRU �h DREDGED ASSOCIATES ON APRIL 6, 2021P Av% S PAN R 0 A Ln �V. � CANAL APPARENT HIGH WATER MARK 17 - E= TIDAL �0� WETLANDS ��- AREA OF MAINTENANCE - HAND CUTTING OF PHRAGMITES AUSTRALIS DOWN TO WITHIN 12 INCHES OF THE SOIL SURFACE (HATCHED AREA) 1 SOUTHOLD, NEW YORK 0 7E" P L A01 ` DATE: September 7, 2022 ti 4 N/O/F SCALE: 1" = 50'-0" 9• R. L. HAMMEL r `Y N 78-4477, -_ /• ^� U RAL TALGAT , 3 202 lb 0 50 150 350 I 2 ARCHITECT COREY CREEK Southold Town tis2. 436 7th STREET Boardo►Trustees GREENPORT, NEW YORK 11944 (631)477-8963 SURVEY OF PROPERTY Jsp� 0p, T, SITUATED AT �S.00, wgrFR�� SOUTHOLD s. TOWN OF SOUTHOLD �4 �# SUFFOLK COUNTY, NEW YORK CI !VQ �Na mow, A S.C. TAX No. 1000-87-05-25 SCALE 1 "=50' •' `• FEBRUARY 189 2000 \; ' MAY 9, 2000 LOCATED WETLANDS s �` '`e3' •�, r "' MAY 25, 2000 REVISED SITE PLAN JJ �,�, \•. r :: JUNE 29, 2000 LATH FOR N.Y.S.D.E.C. INSPECTION / SEPTEMBER 16, 2000 ADDED WETLANDS ' * �'9 \•`' DECEMBER 6, 2000 REVISED PLOT PLAN DECEMBER 14, 2000 REVISED BUFFER JANUARY 6, 2001 SET LATH FOR N.Y.S.D.E.C. INSPECTION / . APRIL 23, 2001 REVISED MAP JULY 19, 2001 ADDED TEST HOLE No. 2 °RnEw �z.• •,' SEPTEMBER 17, 2001 REVISED SITE PLAN • ' ' NOVEMBER 6, 2001 ADDED SETBACKS TO R.O.W.'S DECEMBER 6, 2001 REVISED PROPOSED DRAINAGE RINGS OCTOBER 5, 2004 REVISED PROPOSED POOL & HOUSE G4C NOVEMBER 21, 2005 PILE & GIRDER LOCATION •' FEBRUARY 3, 2006 ADDED POOL HOUSE JULY 28, 2006 FINAL SURVEY NOVEMBER 3, 2006 UPDATE FINAL SURVEY AUGUST 9, 2020 UPDATE SURVEY • ' APRIL 13, 2021 LOCATE WETLANDS °�° •:.•, : AREA = 148,418.19 sq. ft. (TO TIE LINE) 3.407 ac. o� S.C.D.H.S. No. R10-99-0212 y °�?` 4v CER TIFIED TO: IIS °A °� B1 810 CHARLES V. SALICE oo v' CAMILLE PASSARO i ,z- _0 Q��`ah� FIDELITY NATIONAL TITLE INSURANCE COMPANY 1114+ , 84 B5 I Not. '\/ •per Cb1,,�,0 0y/ \ m/ •fe3• FO EvoE� • •o/ �g •6,/ 04,00 / / O Q1 ..4. /�O � .• 2 y1 'b\ 'i% ' � ASO STp'P�- ,ti'Y °� Wim8�.ry°•^ 2pp Q�o Q Or 17 23 i i 000 0 SCK �S+ k A / Oft( ,HOOD O 01qi 25 W25 fin. ;/ '/, �ypGO• ,��.0 / �`C,�T . W29 W14 O W13 W35 W75 / i w37 1 / Woo we , woo wa , li li W7 W41 I i , 42 we ' / , WS , vY / 4v. W43 , W4 W44 / UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF wa ' wuSEC71ON 7209 OF THE NEW YORK STATE PQQ� EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED i TO BE A VALID TRUE COPY. 45 ONLY TO THE PERSON FOR WHOM THE SURVEY CERTIFICATIONS INDICATED HEREON SHALL RUN IS PREPARED, AND ON HIS BEHALF TO THE Cp 2022 LENDING INSTITUTION LISTED HEREON, AND Cf TITLE COMPANY, GOVERNMENTAL AGENCY AND yh/ TO THE ASSIGNEES OF THE LENDING INSII— ' / TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. Southold Town of Trustees THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF \e J, \ ANY, NOT SHOWN ARE NOT GUARANTEED. 4, \ / SPREPARED IN ACCORDANCE WITH THE MINIMUM 8 O STANDARDS FOR TITLE SURVEYS AS ESTABLISHED Nathan Taft Corwin BY THE L.I.A.L.S. AND APPROVED AND ADOPTED ti^ p� FOR SUCH USE BY THE NEW YORK STATE LAND 14 y1 TITLE ASSOCIATION. N 78'44'30" ty — —_ _ � Land Surveyor 114.24' \ Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. s?'� Title Surveys — Subdivisions — Site Plans — Construction Layout CREEK COREY ?�`�,?9° PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 N.Y.S. Lic. No. 50467 Jamesport, New York 11947 Jamesport, New York 11947 40-183A Salice-Passaro Residence Southold Photo 4 November 2020 eon;. S -400 1-i- WO ti 1! ~ t Ar, '. 4 x .. k 4M x� T • • x f F Y F ii ��' �v � ��� to :.t', #� � �d' � , 'i �,�-`fKr � .w ► !�j � t y4, T Wj ILA IL F '� _* � '.'f��y lLLyr,,,. - 4 it►`1 �f ' ` e LlI �f - { s - s ,. �nVol Aw,. M-, 7 -0, a,q,w,, 2 s an 1 1-3 W�121a •i'-- — - 4 .�, r.� j Tl3y � � � d Fqo .. a 2� t 's. 1 �°wN�D y •„�A� ' �,Y � w ' a � �y.b?';.'c �- -+.� y c--Z'd c e y I I � z e s �2tw la' ocoeas ��'dd d10YZ0 17 )F d 2 2TN<7 ,£ t`. I to'�1NE COVE NiBW NOD 21. 9 m, .4 i yt sa 'Bt + d 21 2 Sao r ,t asN�cTo PD To fD 28 L.D.43 MM( ♦N.B {4 L.. ,, a 9 b t ;:,� Q`.:: zs' -_:;t, a�' '®. �• - r—y Gr.� _ Iqok<t �`fit o A4 , ,21 - "®y �'xn�,,,�* s CIXdIIY DF BIIFFOLX 2 aAY ,, ».�� rovmwsWmaw dE 2� r � a a ` ` • � ` R, R , L "•%^ .. —� " . _ •••E COUNTY O SUFFOLK N Nui�ce n - ,3<.rF, to secrioFi Xct R-1 N pity 7F © ox S e:Agency W EeRrre v ae ,wo. sWao�o %� 087 w ' 't Bn,oXff,tVVFalnonoF nE sDFFax cnNry rwi•va 6,'wcM%Eo 4 vmHou/YdNTBlXA6sV1O=— p v m n xa NaYBrvTAtxMrcF X,O%.Y ••xa__.__ rtya2K OFFICE LOCATION: so MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 a� Telephone: 631 765-1938 COUNTI,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: October 7, 2022 Re: LWRP Coastal Consistency Review for CHARLES SALICE & CAMILLE PASSARO SCTM# 1000-87-5-25 Ural Talgat on behalf of CHARLES SALICE & CAMILLE PASSARO requests a Ten (10) Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to not less than 12" in height by hand, as needed. Located: 9326 Main Bayview Road, Southold. SCTM#: 1000-87-5-25 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 proposal is CONSISTENT with LWRP Policies and with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Honorable Lori Hulse, Attorney w � Glenn Goldsmith,President Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President P.O.Box 1179 Eric 5epenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit mendment/Transfer/Exte ion eceived Application: l3 ZZ Received Fee: $ 100.00_ Completed Application: .I Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: —_f,00rdination:(date sent): EC E ' V e G V LWRP Consistency Assessment Form Sent: HFSEP YCAC Referral Sent: Date of Inspection: 1 3 2022 Receipt of CAC Report: echnical Review: Public Hearing Held: SouWdTon Resolution: Ofm Owner(s)Legal Name of Property (as shown on Deed): Charles Salice and Camille Passaro Mailing Address: _ 9326 Main Bayview Road, Southold, NY 11971 Phone Number: (Passaro) 212-725-9086 Salice 323-333-3404 Suffolk County Tax Map Number: 1000 - 87-05-25 Property Location: 9326 Main Bayview Road to Corey Creek, Southold _- Utility Pole#83 _ (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Ural Talgat Mailing Address: 436 7th Street, Greenport, NY 11944 Phone Number: (631) 477-8963 _ Email: Ural59&hotmail.com J) Board of Trustees Applin' -,Lon GENERAL DATA Land Area(in square feet): 148,418.19 Area Zoning: AC Previous use of property: ResidentialNacant _ Intended use of property: ._ Residential Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes X No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X_No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date Permit No. 5980 8/18/04 Permit No. 5427 10/26/01 Board of Southold Town Trustees Permit No. 10176 6/15/22 Board of Appeals Town of Southold Applic No. 5032 10/29/02 NYS DEC _ Permit No. 1-4738-02451/00001 3/18//04 +/00003 8/15/22 Suff Count Dept of Health Services R10-99-0212 1/18/08 No prior permits/approvals-for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: _ Project Description(use attachments if necessary): Request an Administrative Permit for a 10 Year Maintenance Permit to hand cut the phragmites to not less than 12" in height on an as needed basis. Board of Trustees ApplicAon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Request an Administrative Permit for a 10 Year Maintenance'Permit to hand cut the phragmites to not less than 12" in height on an as needed basis. Area of wetlands on lot: +/- 90,000 square feet Percent coverage of lot: 6.5 % Closest distance between nearest existing structure and upland edge of wetlands: (32_ —feet Closest distance between nearest proposed structure and upland edge of wetlands: _ feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: . feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Hand cut 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/a 617.20 Appentli_v B Short Environmental A.ssessnrent Forni Instructions for Completing 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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Passqro Salice Residence Project Location(describe,and attach'a location map): 9326 Main Bayview Road, Southold, NY Brief Description of Proposed Action: Requests an Administrative Permit for a 10 Year Maintenance Permit to hand cut the phragmites to not less than 12" in height on an as needed basis Name of Applicant or Sponsor: Telephone: (PaS$aro) 212-� (Salece) 323-33 Charles Salice and Camille Passqro E-Mail: 4 04 Address: Camillepas@gmail.com (Passaro) 9326 Main Bayview Road City/PO: State: Zip Code: Southold NY 11971 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 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 IV from any other governmental Agency? O YES If Yes,list agency(s)name and permit or approval: Board of Southold Town`frustees, (_ LI 3.a.Total acreage of the site of the proposed action? acres b_Total acreage to be physically disturbed? 0.5 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 3.4 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 ❑Other(specify): r ❑Parkland i Paye it of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? �" ❑ j —1 b.Consistent with the adopted comprehensive plan? ❑ 0 , IEl 6. Is the proposed action consistent with the predominant character of the existing built or natural NO 1 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: Corey Creek - 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES q F1 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? ❑T a 9:D06§the pfeposed hdtibn tb9 bt r4r oxwed the 9tato ensrky Code r6quirement,7 — NO 'YES i itild prappsd ation willed requirptnBnts,de�grl4 design futures anis tcchttologies; 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: Exl❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ a 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO I YES Places? ❑ b_Is the proposed action located in an archeological sensitive area? - ❑ ❑ B.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES ' wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? F%1Z If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: El 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: (Shoreline ❑Forest ❑Agricultural/grasslands NEarly mid-successional [] Wetland ❑Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ® ❑ 16.Is the project site located in the 100 year flood plain? — 9 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? ❑NO DYES ® ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ONO DYES Page 2 of 4 13.Drics tic propiried wian lndt:er--,,in5trz;z;t=q 3r.2t:ttr ecliv"tics Mai resLit in the ot staler t!r.-)tl rr liquids(e!;.mt,-r-tion p:,nd,waste Faze,a•-,Limn)"? I i"N'M explairl Purputic-,Ind size.; 14.Hai[tie siw ufth-i purposed action or an adjoi-fi-ag,-:Opersy bean lilt: a-,.-.,e cc NO 1 YES X Has the site of the prapoFed actLineir s x ad,;0ining p-mpert}beer.the subject of tea-sediatfw;(urg"ing or NO-- compIrted)for lwzardous waste? Kf Ytm,dd'.wrihe: Fx1 N- FAND ACCURATE TO THE ims-r op.,�tv I AFFIR I JNI;0P-M- -ATIl0N PROVIDED Aii FVI�JS TR(,I'- KNOWLEDGE, Apphwayspoasor Carl dle Passaro and Charles Salice Ckstr.. I-/12--Z-- Part 2-impart A-Ac*Nineqt, "ll-be.Lead Agency is respDasibie for the cx)mplefion of Part 2. AaswcraIl ofihefiAlnwing qutscins in Paix2 toting,the information--ontained in Part I.3rd other matc6als whiti ititul.'jv tfvt pr6ect sponsor or the rvvievvcr fengpon-,e--hr--m mvt;ar&,bIr.zonsidcri-q-die scille,end conttlx'of t6L action's" No.or Mockrsdc small to large impact impact may may occur occur Will t!-,pn-!pzised;=6on tTm-fi:it Materivi conflict with an adi-jr—ed Imid are phin or zc-ninE gulatfonS? Lo Will n the list ar intensity a,iu�,e-ofbvid? 2. fie pmposcdazd in tesak in-,i r-liang, El ❑ 1. Wq-1 the llwpa�,d acli�sn ofthez.xi%t lily caln 0 ❑ 4. Will die piopaed action haves an iwvoon the envIr*nmental chasa&icrixtiz;that Lnim-ed I�k establishment of Critical F-i*ininmental area(CEA 7? 5. Will IIx resat in an adverse zhange i'l the exi'ting it of tvaffiic or aflbr -t existing in fr.—t-ucram for i nass,traw;i 1,hik;rpd lir w;-Ilkw4k, ❑ 6. Will tilt pnope-sed setit-i miuse in inzrzase in the_use oFettergy and it fail,lflivle"i7. 1-qlc rcmoraMv availab:z zneqy cortservWwri tr rentnva'uIv.enegry appor-mai-fit,01 El Will LhC:3-MPIMCd 3CIjU.11 iMfISCE 3Paw ic.,priviar voitr7 supplies? b.pub Fc.-'Privatu kvz;ewater cm;f:rncnt utifiues? El 1 0 18. V.iii the pro"edaction impair the his4nric, 9-- WiVI the msvkt in an adverse change to fiaPiral fescu,dme%ie-F-:wtalm-i&i. air quzlity,11kim and launat? Page 3 of 4 No,or Moderate 1 small to large impact impact may may occur occur 10. W ill the proposed action result in an increase in the potential for erosion,flooding or drainage problems? _ ❑ ❑ f 11. Will the proposed action create a hazard to environmental resources or human health? ❑ El -- Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every ' question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail, identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact-should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. i Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Mage 4 of 4 Board of TruateGs Application AFFIDAVIT Charles Salice and Camille Passaro BEING DULY SWORN DEPOSES AND AFFIRMS THAT HEISHE IS THE APPLICANT FOR THE ABONT DESCRIBED PE&'%,IIT(.S)AND TUAT ALL STATEMENTS CONNTAIINED HEREIN ARE TRUE TO THE REST OF HISMIZ KNOWLEDGE AND RELIEF',ANNI)THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICA'"FION AND ASIMAY BE APPROVED BY THE SOUTHOLD TOWN 130ARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF'SOOTHOLD AND THE BOARD OF TRUSTEES HARINMESS AND FREE FRON-1 AN V AND ALL DAINLAGES AND CLAIMS-MUSING UNDER OR BY VIRTITF.OF SAID PER IF GRANTED. IN COMPLE"FING THIS APPLICATION,I HEREBY AUTHORIZE, THE I-RUSTIMS,THEIR AGENT(S)OR REPRESEN17ATI-VES,INCLUDING THE CON'SERVATION ADVISORY COL CIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREXIISES LN, CON UNCTION WITH TIMS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER Al",THORIM,THE BOARD OF TRUSTE 'TO ENTER ONTO MY PROPE IM AND AS REQUMED TO INSURE COMPLIANCE WITH ANY CONDITION OF-4ATY VVETLAND OR COASTAL EROSION PERMIT ISSUEA)RV THE BOARD OF TRUSTEES DURIING THA TERM-1 OF THr PERMIT. -Z? siggvfltur�of Propem, 0-waer Signawre of Property Owner Charles Saline Camille Passalro SWORN TO MV0[l h ME THIS DAY OF Public EVE L.GATMCHWAMBORN NOTARY PUBLIC.STATE OF NEW YORK Registration No.OIGA6274028 Qualified in Suffolk County Commission Expires Dec.24,20 Board of Txusteea Applicatioa AUTHORIZATION (Wherc the applicant is not the ov-%mcr) Charles Salice and Camille Passaro owners of the property identified ez SM-14 1000. 87-05-25 in the town of -qn]IffUlf eA New York,hereby authOdZe,-, Ural Talgat to act as my agent and handle all nemman,%vork invoNed widi the application process for permits)from the Sou*.old Town Board of Trustvcs for this property. Property Ownefs Signature Property Ownurl g Signature Charles Salice Camille Passaro SWOR-N. 10 BE FORE ME TRI A DAY OF 20 CZ 4C) u EVE L.GATZ-SCHWAMBORN `140TARY PUBLIC.STATE OF NEW YORK Registration No.OIGA6274028 Qualified in Suffolk County Commission Expires Dec.24,20� APPLICANUAGENV EPI SENTXf I'4, TRANSAC'MNAL IDISCG URE FORM T1r-Tt€$.rer�,Sutrttrntd's i'; o(`�`�.i4,e63ts flirts ra�i:trE n the rrnrt a't+�v ��- r� t;tnv�y�'1`lte ctr�ta t�Zi•r:t't�qn s7mvi�infas rTtiSiStsl�vh�h n 1.rtc L .:�t�x;�`!._..�---,creaIlicl���(gLfit:�L ��l�r it ss+she u:,: s�c rr •`"A-r1'.f3�'t�`�i *r�. YCItjq NAME, Passaro,Cry`mild (@ frki a ttttre,fust aamr9 alsiddie irsltiaf,Unbrs.JV.m*poring is:tnc ns=of sotxteaztec eL��otltea eotlfl{,such ay a�ans�y-1 t' #tta:ii�st�tip off: peen's or sp 's rt n a.) NAME OF APPLICATION: (Cue&all tk t apply.} x Tairicv + _. Building _ Variesrcu Trrtst ~x 4'ricn of Coal Erosion Approvzl of pLat M*;h ing E.c r.pti,m from pJ2.t or official ma, Ptatr rttz� (7dLer of"o,her,,n €ho tissty-) - ITe you permvn rt`tg(orthmugh xo"a coop asyrap ,sralinR.pj=t,ar clsild)hasra a M?ation-dip With s }•0 -cc or en V1 ym of the.To%vn of soLthold "RcG�ii�sti�.cscisrttes dy hto�id.rr�rri�ge,a �r�ui�ss i¢:: r '`E3c�ir,-rs iratezu rrr rs�Erusic�s including m P=n,-zsttil%An which the a"id owner-hip of(oremplo) t by)a c otperstinrt in which tlx:.tov;u efYicer orempto3 s r.i!r::se;-s- YES .. tY1 x lf3,Oar a c�xYred"YF r.complete tlx ha o€tFis fvm artaaf3La and sign wtr-rc ind igd, Nrt eofparsoncmployedbyttteTAmnofSN-thWd____- iidtorposit oft?=rcMn _ I rbil**the ralacirrrrAip between yonmif(tltc applit at6� rtLir tm entn#i e)mad tine to fl off1wr or cm;. E.tircr check t"c,3ppr,r,-.ria4 11r A)t`itoiigh t}7 r describe is itr. pru-AJ d. 'site tmv n a fricet or ctuployce or hiscts lxsr Spouse,sibling pareat,or ch;tai is(cimck all thst app!Y): )the nun ser of prreanter dum n of ftstV=Of tf tla MIc slocls.of ill-,a "Caut (Ixl=tt•,n apptica.*tt L&a caarporationk _B)th-.lc-gA or 6=41cisl owner of any in,.-rest in a nntrcurpotat u eattity(c.wo dw sppik=is not a es~rretaf�nt; C)aa officer.6mztor,partra.r,or erne oftit applicant;or _M dw at:ti applicant. DESCRUMON OF IRPLATIONSH P submfttiod this day of 0?/";) _ 20 0 a Print Wme Gamr:?te:f?ct`vwa- FoTm"f l APPLICANTIAGE,NTIREPRESENTAMT, 'OWNSACTIONAL DISCLOSUPW FORM I il-tt lie Vz r sss YOUKNAM- em",rju r--=. uwuy-m m—gjs*7.;.3 UK, pc='s or mrfrw i'a i=--) 1 Ah OF AP*.f CATION; (Ch-,k 2B tkg x T&% -poding vfwLv= Txzka x Chan;of Zme Coazt-i E�ui= ApF=-,A OfVlal kbtfibg Exorypt.liw f-ar,pld or off:441 LwWka tw blaud.ut-stiZV,I Of t�a ='t itwm,.L imrmnr t mmw a ta-lita-'s. fur na towaaffic-ff or ewploy= c vm apmr�J- atmmhip =61 by la ewpvratim. fiv--timl olffica cz talpItyycz 0a-z n---aaa 514 CA( charv. YES —— 110 x tf y--u culplem t4 C'MA f--m th-�u--of N-r-ccsi art-13y.-d ty tlin-Ta%u cf SOUI-'M Tatle ca T,056n Qfi!ia if-tr-ea CC 3 cn h,ffi e t--wka nLllp bvm=yu w,-df(r1:pp I jc=- re-,--i&vc)sad t!:0*,I yt�o WmXT w=;t-ay 0-, Eitha dw kc w a;-,K W f I Im A)d mto:llt D)v.Wo r 4,--,cntn ht 15-m&P a cit f�ov i fia i I'm 0 cw—r vvmw�'m ca Ins cT f zT T,zus-_si b&g.pm<M or dstd i,;,'&XdCtl I lb a W� —A)Ga o wm of gmm.r Vi m 5r b d thl,&lum 0 1 dve curp-xfte k of d=apA- (U,4am th=qVill".. ILI a —8)&A I tgal ar b=rLciid uxar of art im-ner,im a-w!-mEPOTV0 Uttv(ut mt z liviva is flat g,v Q ovk ,dreirer.pm-m Grmo�tt or liz apvl;z�l� �- R)*4 rcttrA aw.I=& DvSMjPTM- �I OF PELATIONSMP Him sali- 1!nm TS I C) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Torn ol-S outhold'S CMk off-ithics 11rohibil'i Conflicts of inlcrcst tin aht tart oftpmi ornicti,at-o Tai.f t L- --�:irlio k.1 --L this corm is W Drovidc i6jrniation which can Iilen the to,--n of vos-sihie eonflicL,of inurest and auvw it to take whatcver action Is 1-,C.ce"ary jcL)avoid�allle. YOUR NAME: Talgat, Ural (Last name,first name,4iiddle 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.) X Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you persi-mal ly(ttj-through your company,SP-OLIS-Ie.SibliP-. [33CCII!,or child-j lint-o-a rcL]-.iolrl.,.hip i%-ills any officer or of the Town of'St-lothold? "RJajonz41Iip"include.\by bloo'd,nizirr;agc.or husine.-SnAcrcst,4-13u=irless inic-es'l-meani a bu'.iiness, including,i pzirtnk-rsllip.in INhich the to orfior or cniploy-ec has cVc;la p.,mkd ocilot-einplo.yment a cotpori0on in which the town offllce,or employee owns niol-e than i90 or*the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town.officer or employee.Either check the appropriate line A)through D)and/or describe in the space pro-4ded. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): the owner of greater than 5%of I iw shares of the corporate stock of(he ipli qml (when the applicant is a corpor;nion); the legal or beneficial owner of any interest in a non-coporamentire_' when lbc applicant is not a corporation); an officer,director,partner,or employee of the applicant,or the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 1'-4-day�pf 20 Print Name-I Jual Talgat-- Form TS I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its stt=iufumt beneficial aid adverse effects upon the coastal area(whicl3 includes all of Southold ToNN.,n). 3. I£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 anslyer must be explau,-ed in detail, lisfing both supporting and non- supportin(gy facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall] not be w dertaken. 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# 87 - 05 - 25 PROJECT NAME Passaro Salice Residence The Application has been submitted to(check appropriate response): Administrative Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees El 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant, loan,subsidy) (c) Permit,approval, license,certification: Nature and extent of action: Request an Administrative Permit for a 10 Year Maintenance Permit to hand cut the phragmites to not less than 12"in height on an as needed basis. Location of action: 9326 Main Bayview Road, Southold, NY Site acreage: 14 Present land use:---Residential Present zoning classification: AC 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Charles Salice and Camille Passero (b) Mailing address:. 9326 Main Bayview Road, Southold, NY 11971 (c) Telephone number: Area Code( )--(Passaro)212-725-9086 (Salice)323-333-3404 (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes D No L� If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LMW Section III—'Policies; Page 2 for evaluation criteria. ❑Yes ❑ No Not Applicable 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 0 No R Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual duality and .protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No B 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 LWIt? Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No 1� Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No R1 Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies, Pages 22 through 32 for evaluation criteria. Yes X Yes No Not Applicable This project adheres to the guidance from NYS DEC and US Army Corps and minimizes to the maximum extent practicable the potential impacts on the ecology o t e si 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. ❑ 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 LW" Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 9 Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. {(�� F-1 Yes'--- No 0 Not Applicable Attach additional sheets if necessary WOREING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section In—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No UINot 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 LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LVVW Section In—Policies; Pages 62 through 65 for evaluation criteria. ❑ No Not Applicable F-1 Yes Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section HI—Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No ® Not Applicable PREPARED BY Ural Talgat I'1II,E Architect DATE Ural Talgat RA, RLA Architect and Landscape Architect 436 7th Street Greenport NY, 11944 September 7, 2022 Board of Town Trustees Town of Southold Town Hall Annex Building 54375 Main Road ' Southold, NY 11971 [VE Re: Salice/Passaro Residence SEP 13 2022 9326 Main Payview Road Southold, NY 11971 T fo SCTM# 1000-87-05-25 Som rLmum Board rustees Dear Board Members, This is an Administrative Wetland Permit request for a 10 year maintenance permit to hand cut the phragmites to not less than 12" in height on an as needed basis. For your review, with this request are the following: 1. Check for$100.00 2. Administrative Wetlands Application 3. Short Foam Environmental (EAF) 4. Owners'Affidavit 5. Owners'Authorization/Consent 6. Transactional Disclosure Forms-.Owners and Agent 7 LWRP 8. Photos 9. Site Plan 10. Survey If we can provide any additional information or answer any questions, please do not hesitate to call. Sincerely, Ural Talgat, RA