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Home My WebLink AboutTR-10263 Creative En-virorim, ental i1pDesiff".. n- Route 25, P.O. Box 160 Peconic, NY 11958 631-734-7923 creativeenvdesign@yahoo.com Board of Trustees October 19, 2023 Town of Southold I am requesting an amendment to Southold town Trustee permit# 10263. The amendment is to include: Additional masonry retaining wall, approx. 56' long by height from 1'-3 '/2 ` from grade. For erosion control. iji ' OCT 1 9 2023 David Cichanow' z -------- 1 617.20 Appendix B Short Environmental Assessment Form Instructions for CompletinIz 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 item's 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 A—(C—,V'r . ' F6—'bl IaC-NG6 C09WnUc 0iwwft" enrrpt.. l6W Name of Action or Project: ll�S I 2C-�t DC--i Lie Project Location(describe,and attach a location map): 70(a W'%6G t m'b t a-"C- CA IZt- is.! Po rt jV r Brief Description of Proposed Action: 1�►, t7,-+-�o-��L e'Wl asoN� �>cTtk�N��U4 i,� a-tt_ A�� 5b' Lona 1�T _ 1 ' 3 mow, 9'F-"'DE . b� �0 -o"-rrz L . Name of ApplicantorSponsor: Telephone: .3 i_7 3 Lt_ r� 7,-3 1 l�1A CLC'�tdL. LcwiL2 E-Mai I:C9C'prl`,nf.,GNVbg7 /l Address: City/PO: State: Zip Code: &0 Ai V � //?ra 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinan e, 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. 1 P9 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 131", td( /D e f' Art �-e��.✓��NoN,Jv2 isD�c�o nl � � 3.a.Total acreage of the site of the proposed action? esi acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 10 -S 65 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural (non-agriculture) [—]Industrial ❑Commercial residential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ X ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 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 © ❑ b.Are public transportation service(s)available at or near the site of the proposed action? ❑x ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ® ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: © ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ® ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ® ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.is the proposed action located in an archeological sensitive area? ® ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ® ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: J]Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban (!57 o &) 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? x❑ ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? AO YES If Yes, ❑ a.Will storm water discharges flow to adjacent properties? NO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ®NO AYES ?L(1 M J 054 1 W-- Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: FT/�k�nr41444—9/q,�f✓*0 hew f� ' / Iv�� vyl d n 144 J® A 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spo sor name: 1 1 �t�,nt3 w�C.Ze-J Date: / 1 a'?i i Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 1 No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ® ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: - a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ / architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. EI 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. EICheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or 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 Page 4 of 4 Board of Trustees Applicat L PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: J C 35- - STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public T 14 ,UTICE HEARIiIG 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: JOHN NASTASI SUBJECT OF PUBLIC HEARING: For an Amendment to Wetland Permit #10263 to construct an approximately 56' long by height ranging from 1' to 3 %` from grade masonry retaining wall adjacent to in-ground swimming pool. Located: 706 Wiggins Lane, Greenport. SCTM# 1000- 35-4-18 TIME & DATE OF PUBLIC HEARING: Wednesday, December 13, 2023 — at or about 5:30P.M. If you have an interest in this project, you are invited toview 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 8 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 including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form.should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area(which includes.all of Southold Town). 1 If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's . website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#� _- r� PROJECT NAME /Y A-STA-S / } E-2-IDL-ye-i The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 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 ction: , � .� J Co el 4wo L eao w v,Aj 6Lope-b La,wnu P Location of action: (� �� /�`� �- ► Y Site acreage: Present land use: )0001r/ � Present zoning classification: — ey ) 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code( ) (d) Application number, if any: Nle Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes LTJ No❑ If yes, which state or federal agency. 1 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. ❑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 ❑ No 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 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 Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No /K Not applicable 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 ❑ NoX 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 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 1� Not Applicable Attach additional sheets if necessary WORKING 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 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 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 LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No PFd Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable Q PREPARED BY �A-V� TITLE DATE i Creative lip D eseg n Route 25, P.O. Box 160 Peconic, NY 11958 631-734-7923 creative envdesign@yahoo.com Southold Town Trustees September 11, 2023 54375 Route 25 Southold, NY 11971 Re: Nastasi Permit#10263 Our permit states the removal of 2 white oak trees 2" caliber and 1:1 replacement. Since our permit was approved, we have a new dead tree which needs to be removed and replaced, pictures were shown to Glenn Goldsmith. Please acknowledge that 1 additional dead tree is to be removed and 1 additional 2" caliber White Oak to be planted. Thank you, ® ECCE ISE David Cichanowic , es. SEP 1 1 2023 Creative Environmental Design ` 631-734-7923 Southold Town Board of Trustees OK 66 q/o 1/Z3 .r t '.��..-��i •4 �. t r ✓. ..: ,. t U W 1 1 1 1 1 , 1 1 1 1 1 1 1 .. 1 ' 1 • 1 1 1 1 1 1 1 1 1 r GULL PON[) R ' /..x �\ PROP05ED AMENDED RETAING WALL ADJACENT TO IN GROUND GUNITE POOL - -- ♦�, ELEVATION i 1 ♦ - - r \` IMW. , RETAINING ANTE WALL , _ I 1 r ,` WALL / , 1 r LAvviJ FILL , � 1 I 1 5:0% 5ETBACK ♦ � 1 ' , `'" 1f IZE5IDENCE 11 I {_ Ow STEP 1 +1123' 1 1 1 , 1 , 1 � PROP05ED RETAINING WALL AUTO COVER VAULT OUTLINED IN RED 15.7 1 pit I -5E'tbACK V /\ #13623' \ \ \\ 706M -,GIN5 LANE PORT NY I , % \ 15CTN# Landscape , 1 181000-35-4- 12 23Revision #• Scale. Landscape Plan ■ 10 by: David Cichanowicz I OCT 19 2023 Date . 10/19/2023 1s astasimCreative Desi n Glenn Goldsmith,Presidentfwd- f COGy Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski C. ? P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples �Ol �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: V Creative Environmental Design on behalf of JOHN NASTASI requests an Amendment to Wetland Permit#10263 to construct an approximately 56' long by height ranging from 1' to 3 '/' from grade masonry retaining wall adjacent to in-ground swimming pool. Located: 706 Wiggins Lane, Greenport. SCTM# 1000-35-4-18 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: 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. Krupski E. Sepenoski L. Gillooly E. Peeples i 1 Glenn Goldsmith,President ®v so 7, 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 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 '/z constructed When project complete, call for compliance inspection; 5CTW 1000-35-4-18 70ro WCCAW....5 LANE GREENFORT, NY N •� .ON cn c: \ 1 0 ' ' ' ��f TE TRt Com► � — ' ' Cly TOTAL 51TE AREA: 259242 5F _0 ` e Exi5TINc 2 5TORY FRAMED HOU5E 1,975 5Fco N � PROPOSED ELEVAT 0 ED TERRACE & 5TAIR 1,465 5F FROP05ED IN—GROUND POOL 515 5F O PROP05ED LOT COVERAGE: 39955 5F (15,70/o) ->% •�= GRAVEL c 2 NEW WHITE OAK TREES 2/2,1151 ( W CALIPER PLANTED A5 PER TRU5TEE5 REQUE5T e e 0 \ a to CC5 ' e ` e POOL GA _ 1 149 0 1 1 i ' 1 5 )9099 TO REAR YARD � N � N APPROV A I ED BY ' e BOAR[ OF .`RUSTEES , Pw e TOWN OF SOUTHOLD ' DATE No � /4 M _ w_ _�_2oi___..� CL Cn 1 - c AUTO COVER VAULT 1 1 EXI5TING MA5oNRY WALK\� J Z _\I/_ _1V_ 111_ 5090„ \ \\ \ 11L LIL LIL 1 /\ _dr_ _dl_ \ TREE TO BE RE VEP , �, ciST, GRAVEL DRIVEWAY 79 / GARDEN-11- r — r W / BLOCK CURB \ / \ \ coSIL SIL sIL ,II_ 1r — % _,I/_ _,II_ _VI_ POOL EQUIP \r 2022 e T�, e Southold Town 15 099 Board of Trustees f ` P EWE N F F0%, N 0 c O •> O M � D w. VIIW'46MW) _h 0 J BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10263 DATE: NOVEMBER 16,2022 ISSUED TO: JOHN NASTASI GINS LANE, GREENPORT PROPERTY ADDRESS: 706 WIG 5 SCTM# 1000-35-4-18 OR AUTHORIZATION S ''`` f Pursuant-to the provisions of Chapter 275 of the Town Code of the Town of Southold and in -®r accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 16, 2022, and in consideration of application fee in the sum of$250.00 paid by John Nastasi and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the g following: Wetland Permit to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. I a ool for backwash; in-ground swimming pool; install pool enclosure fencing; instal pdrywell and install a pool equipment area; install two (2) new white oak trees 2"caliper, fora 1:1 tree replacement; and as depicted on the site plan prepared by Creative Environmental Design, received on November 9,2022 and stamped approved on November 16,2022. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year first above written. ,_�egjf F01 Gyp R ma Ago'' CA ................................ ................. TERMS AND CONDITIONS The Permittee John Nastasi residing at 706 Wiggins Lane GreenportNew York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the;work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President ®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 Fax(631) 765-6641 C®UNTI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 22, 2022 David Cichanowicz Creative Environmental Design P.O. Box 160 Peconic, NY 11958 RE: JOHN NASTASI 706 WIGGINS LANE, GREENPORT SCTM# 1000-35-4-18 Dear Mr. Cichanowicz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2022 regarding the above matter: WHEREAS, Creative Environmental Design, on behalf of JOHN NASTASI 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 September 22, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 16, 2022, at which time all interested persons were given an opportunity to be heard, and, n,niuEo` %e, hs Boar' G, wCJ have viewed a. arcsia ;l,avia� a�iwis N.c iScS ii vviI� vaia u11 IUU ii 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOHN NASTASI to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. in-ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area; install two (2) new white oak trees 2 caliper, for a 1:1 tree replacement; and as depicted on the site plan prepared by Creative Environmental Design, received on November 9, 2022 and stamped approved on November 16, 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 Verymy yours, Glenn Goldsmith President, Board of Trustees . GG/dd 1 Y ' Vis. .r• _ ,� 77 IL �I i �. � .. a .4 •�. { ; � * •' i ��. � op 41 AWL �A. s •�� w-' ` s. .,�a. 1 / 9/20 2'2 9 . 2 3 •aAL . tr� �• t' + All Y s a Ail fill iii` 'F 411 Ap too- .,. Kir,,•: 1 - 11 / 9 /'2022 ".23 ,� 1 4 at ob .. 04* .w �� ..d► e jf f r r! RJ AO / / -owe f., r �- - ,,,.� ' a• )00* y,r / Glenn --Idsmith, President ,�°�" �oGy Town Trustees A Nicholas Krupski, Vice-President y 54375 Route 25 Eric Sepenoski o P.O. Box 1179 Liz Gillooly Southold, NY 11971 Elizabeth Peeples °�' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JOHN NASTASI c/o CREATIVE ENVIRONMENTAL DESIGN Please be advised that your application dated September 22, 2022 has been reviewed by this Board at the regular meeting of November 16, 2022 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) % Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: . ll 3a�2y TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees l F Glenn Goldsmith,President �� OG Town Hall Annex A.Nicholas Krupski,Vice President �� y< 54375 Route 25 0 Eric Sepenoski M , P.O.Box 1179 Liz Gillooly �y • o�` Southold,NY 11971 Elizabeth Peeples �� ' Telephone(631)765-1892 ` Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Daterrime: 9,✓g/ "Zi— Completed in field by: f. Creative Environmental Design on behalf of JOHN NASTASI requests a Wetland Permit to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. in- ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area. Located: 706 Wiggins Lane, Greenport. SCTM# 1000-35-4-18 Type of area to be impacted: >e*Saltwater Wetland Freshwater Wetland Sound ,eBay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: 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. Krupski E. Sepenoski v L. Gillooly ✓ E. Peeples 9/14/22, 11:08 AM *iggins Ln-Google Maps Go gle Maps 706 Wiggins Ln 4' Nrepery OIOZI Marx iednologies,New Verk C4S,Map data®2022 l00 tl 706 Wiggins Ln Building O O Ct. , O Directions Save Nearby Sendto Share plaice 1 706 Wiggins Ln,Greenport,NY 11944 Photos https://www.google.com/maps/place/706+Wiggins+Ln,+Greenport,+NY+11944/@41.1163249,-72.3519403,298m/data=!3m 1 11 e3!4m5!3m4!1 sOx89e89... 1/1 �>b s "et eec w eto ' a pD T (�p� `2 i,.i pyo_-20 M•l° �� V•. t >ryl Ivry' J y u]xito 1 ks �°a r,•y ,.°x1P`s rp.P�.' 'ti �`d' � b y7,. y3 ,uWo, 1iJi'•'". 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Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971. Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: December 11, 2023 Re: LWRP Coastal Consistency Review for JOHN NASTASI SCTM# 1000-35-4-18 Creative Environmental Design on behalf of JOHN NASTASI requests an Amendment to Wetland Permit#10263 to construct an approximately 56' long by height ranging from 1' to 3 1/2` from grade masonry retaining wall adjacent to in-ground swimming pool. Located: 706 Wiggins Lane, Greenport. SCTM# 1000-35-4-18 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the 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 ' fF04,* John G.Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary W P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., December 6, 2023, the following recommendation was made: Moved by Shannon Wright, seconded by Maggie Merrill, it was RESOLVED to SUPPORT the application of JOHN NASTASI to Amend Wetland Permit #10263 for additional masonry retaining wall approx. 56' long by height from 1'-3 '/Z' from grade, for erosion control. Located: 706 Wiggins Lane, Greenport. SCTM#35-4-18 The CAC Supports the application with a native planting plan for additional erosion control, and the installation of a pool enclosure fence as soon as possible. At the time of the inspection, the pool did not have a fence, which is a safety issue. Inspected by: John Stein, John Chandler, Inga Van Eysden, Shannon Wright Vote of Council: Ayes: All Motion Carried OFFICE LOCATION: o��rjF $U(/ryOl MAILING ADDRESS: Town Hall Annex '` P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Southold,NY 11971 �p� Telephone: 631 765-1938 olyCOU ,� 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: November 10, 2022 Re: LWRP Coastal Consistency Review for JOHN NASTASI SCTM# 1000-35-4-18 Creative Environmental Design on behalf of JOHN NASTASI requests a Wetland Permit to install a 1,465sq.ft, elevated terrace with stairs to ground; install a 519sq.ft. in-ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area. Located: 706 Wiggins Lane, Greenport. SCTM# 1000-35-4-18 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 Iv .. � s John G.Stein,Chairperson y Town Hall,53095 Main Rd. Lauren Standish,Secretary 5 P.O.Box 1179 Southold,NY 11971 y?JOl �' 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 Thurs., November 10, 2022 the following recommendation was made: Moved by John Stein, seconded by John Chandler, it was RESOLVED to NOT SUPPORT the application of JOHN NASTASI for the proposed elevated terrace and stair and in-ground swimming pool on the bulkheaded waterside backyard of residence. Located: 706 Wiggins Lane, Greenport. SCTM#35-4-18 Inspected by: John Stein, John Chandler, Inga Van Eysden The CAC does Not Support the application because the application was incomplete. A complete review requires an updated survey and a certified engineered architecture plan. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President 01 Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President P.O.Box 1179 Eric.%epenoski Southold,New York 11971 Liz Gillooly CA Telephone (631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 coy N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application X -Wetland Permit Application V rr= Administrative Permit Amendment/Transfer/Exten Received Application: �bzz_ SEP 2 2 2022 Received Fee: $ completed Application: WTivvn Incomplete:, Boary,of Trustee SEQRA Classification: Type I Type 11 Unlisted eget C. Lead Agency Determination Date: Coordination:(date sent): VSAC LWRP Consistency Assessment Form Sent:Referral Sent: /0 17,6ate of Inspection: /I Receipt of CAC Report: Technical Review: __ 4Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed)--..-) Mailing Address: 1 L15 f-AkE 1, GKajaQ_e=-C N-4 _f Phone Number: _(o221 f�j :7 q 2,12 (Afios a, Suffolk County Tax Map Number: 1000- Property Location- 7f� tD tgf(_4(�5 L�Z. 64�2y&n [I qq4 (If necessary, provide LILCO Pole #, distance to cross streets, and location) AGENT (If applicable): /ID 0VJjAg —rty'�� ()JU 1Z_ of"* Mailing Address.: �,060 t &�DPJIO,I Kk/ 16�5_8 Phone Number: - 7 01 Z22 Email.: CV-hr-W&CA St a 0 COAA, 16 jgjZ& Board of Trustees Appli<,' ion GIEAIERAL DATA Land Area(in square feet): 2 Area Zoning: Previous use of property: Intended use of property: ��1y�91-�=� FAHIL-VI Covenants and Restrictions on property? Yes —� No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the 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 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 No Does the structure (s) on property have a valid Certificate of Occupancy? ,t'7 Yes No Prior permits/approvals for site improvements: Aggncy Date PAAICO No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_ No Yes If yes, provide explanation: Project Description(use attachments if necessary): "PAD 2D5 t � W QEV6E�= -reF-eA6E Ad�!-D f2k�E-(i�(�� APUD ��` �-�-� .I� �c r��, � Edi C��.��2e1-�L• Board of Trustees Applict ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: _% (PA6ft,er_, Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No k 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: 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): 61 Z20 Appendix B Short Environmental Assessment Form Instructions far Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 l -Project and Sponsor Information -NJ't 9 G 0 l 40q � Name of Action or Project: &A;.' -FA�5 i r Project Location (describe,and attach a location map): Brief Description of Proposed Action: A"05�)(W-1 M `MT-K � S i ill 12 (t S;� AND N pnp(-- C�5 1 J 676> CW) l Name of Applicant or Sponsor: Telephone: bw 7] ('.� 'L> �(S7rU l C�� E-Mail:cka4iv eilvd Q" Address: _ y6 to, ° -Ar) P0 . I�o City/PO: State: Zip Code: 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 M D may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s) Qname and permit or approval: ❑ OJ1�,WDr -P�1 . - 'DWrg -ftvj"- 3.a.Total acreage of the site of the proposed action? i 4-V acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ,Residential(suburban) ❑Forest ❑Agriculture RAquatic ❑Other(specify):._ ❑Parkland aatx— Page 1 of 4 I 5. Is the proposed action, NO YES . N/A a. A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ;❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO 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 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? . 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- 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: Pa ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: . �. ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? � ❑ b. Is the proposed action located in an archeological sensitive area? 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? --a - b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: /EL-1 Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburbans D�,117 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ' ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ®NO DYES ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ©NO ❑YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the'impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE 1S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicanl ponsor _ T Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning F-1 0- 2. 2. Will the proposed action result in a change in the use or intensity of use of land? F] (� 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ El existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? El 7. Will the proposed action impact existing: a.public/private water supplies? E]: b.public/private wastewater treatment utilities? F7 8. Will the proposed action impair the character or quality of important historic,archaeological, El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, EJ IJ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 1-1 11. Will the proposed action create a hazard to environmental resources or human health? 1:1 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. 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 Page 4 of 4 Board of Trustees Applic, Ion AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signat a of Property Owner Sig t e of Property Owner SWORN TO BEFORE ME THIS_ ^DAY OF Seo-e r�c< , 20, PENNY LOUISE MAFFETONE NOTARY PUBLIC,STATE OF NEW YORK Notary P417c C Registration No.01 MA6402379 Qualified in Suffolk County Commission Expires December 30 2023 Board of Trustees Appli, tion AUTHORIZATION (Where the applicant is not the owner) I/We, b)o�\t-1 � _ a owners of the property identified as SCTM# 1000- �� _y - in the town of Grp-,WT0r�- ,New York, hereby authorizes a� v�f� r ��e) ��7tC��ceIs Q,Vf—j &4 V e 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. Property Owner's Signature Pro Owner's Signature SWORN TO BEFORE ME THIS �►2> DAY OF aM ENOTARy UISE MAFFETONE r f C,STATE OF NEW YORK NOtary PUbI n No.01MA6402379 in Suffolk County ires December 30 2023 APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOStW FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The numose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: CI (Last name,first name,.piddle 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 you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check 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 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 Submitte is 204 Signature Print Namt. L2�. Form TS 1 l APPLICANT/A.GENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Prohibits conflicts of interest on thel2grt oftown officers and employees Thepurpose of this form is toRrovide inforinaiion which can alert the town of possible conflicts ofinteme t and-allow itto tdke�whatever action-is necessary to avoid same. / --I- YOUR YOUR NAME: /�/ ,4 S "S t -: /e) (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate,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,(orthrough your-company,spouse,sibling,parent,,or child):have-a relationship with.any officer or employee of the Town of Southold? "Relationship"includes by blood,ntarriage,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.3%of.the shares. YES NO If you answered"YES",complete the balance of is 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 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 tN shares of the corpgrate.stock of the applimit (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 thi a of 20 S inature Print Name J Form TS I hoard of Trustees Application AFFIDAVIT /�'thYVlr I,l-,c 1 r aC4 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES-DURING THE TERM OF THE PERMIT. &(gr6tdre of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS JrD DAY OF Sze FJf�rj- ,20 � PENNY LOUISE M_AFFETONE NotaryP c NOTARY PUBLIC,STATE OF NEIN YORK Registration No.01 MA6402379 Qualified in Suffolk County Commission Expires December 30 2023 — I c Board of Trustees Application i AUTHORIZATION (Where the applicant is not the owner) I/We,G N fl rMM t (7 1 e aL a owners of the property identified as SCTivi# 1000- w,� �' 7 in the town of f E f A: New York,hereby authorizesina,�^�j(` a.l�Ql� r i V)eS cg l to act as my agent and handle all I necessary work involved with the application proces's for permit(s)from the Southold Town Board of Trustees for this property. pe Owner's Signature Property Owner's Signature I I SWORN TO BEFORE IN/M THIS DAY OF Seo 4 _,rn .. r ,20 PENNY LOUISE MAFFETONE P,0 NOTARY PUBLIC,STATE OF NEW YORK Otary Pu li Registration No.01 MA6402M Qualified in Suffolk County j Commission,Expires December 30 2023 4 I I t Z f k - { I 1 A 1 1 a APPLICANT/AGENT/REPI2rSENTATIVE TRANSACTIONAL DISCLOSURE FORM Tltc Totvn of Srndhold s Code of Ethics nmhibits conflicts of interest on the mrti of town officers and emalovecs_'Ihe Pu se o tis r_ ' to provide i ruination which cv,alert the toren of ssthle enn isPeof mteresi and allow it to tale wh�tater action is nececcary to avnid same, i Annrnav(e �t°�u u ; YOURNAME i (Last name,first name,ipiddle initial,unless you u aopplying in the name of someone else or other entity,such as a company.lrso,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee i Changeorzone Coastal Erosion I Approval of plat Mooring I Exemption from plat or official map Planning Other (lf"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship ttidi any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business intermL"Business intcresV means a business, including a partnership,in which the town officer or employee has even i partialownership of(or employment by)a corporation in which the town officer or employee owns more titan 590 orthe shahs. YES NO 1 ifydu 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 bettvicenyourself(the applicantlagenNreprescntative)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 grcatcr than 5%of the shares of the corporate stock of d 1f applic;nt (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 ofliccr,director,partner,or employee of the applicant;or D)the actual applicant i t DESCRIPTION OF RELATIONSHIP i i ^thi, ,Submittay offb ZO�;SignatuPrintN Form TS I i I I I I I Board of Trustees Applicz. in PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NANTF ,�, CC-TW- NAME: 14611r6LCCei7-/ 3-5-, y- a4: ay STATE OF NEW YORK - COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of . 20 Notary Public Glenn Goldsmith,President �y"� SAFF04Town Hall Annex A.Nicholas Krupski,Vice Presidents Gy'� 54375 Route 25 Eric Sepenoskio P.O.Box 1179 Liz Gilloolyo ` Southold,NY 11971 Elizabeth Peeples 'y- plA� Telephone(631)765-1892 .� Fax(631)765-6641 BOARD OF TOWN TRUSTEES , TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JOHN NASTASI COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE THIS FORM ON EIGHTH DAY OR LATER I,bpf:t C`:"e_ MW'0►v►c ,residing at/dbaC,re" .j e � �� ern e u ham q Q being duly sworn, depose and say: fl That on the 3 day of Wblum ,jam , 20A , I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,November 16,2022. Dated: j (signature) Sworn to before me this day of No\1.20 PENNY LOUISE MAFFETONE NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 MA6402379 Qualified in Suffolk County Notary P lic Commission Expires December 30 2023 'Board of Trustees Applica :)n PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: �So6tj N ASA-(X.S'1 NAME: ADDRESS: PRLXL- +�k�ie„� �NI.ERS 1I0� Gut1 �ti� LtJ , C�fe�N�ork, 1J � 1�ko STATE OF NEW YORK COUNTY OF SUFFOLK C�eak�va e,,jv�,rowmr-okcO, �e�i�t�J �i1LC i Cho eaot�i , residing at �lC i e , �G. �oX WOO LCt)k '1C, , �J , being duly sworn, deposes and says that on the day of I�OV� �_� ,20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town(off Southold; that said Notices were mailed at the United States Post Office located at Z-4S C cL t,3\c L.t.1 , PeW N,%t— IG5bZ, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signa ure Sworn to before me this Day of N CN , 6 a , 20 a� PENNY LOUISE MAFFETONE NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIMA6402379 NotaryP tic Qualified in Suffolk County Commission Expires December 30 2023 i i I • A Signatur ■ Complete items 1,2,and 3. El Agent r ■ Print your name and address on the reverse X ❑Addressee jso that we can return the card to you. ■ Attach this card to the back of the mailpiece, Received by(Printed Name) C. D e ofDelivery II � ��,,. Lysv,� S�vE�US �C 7 �-�-•- r or on t%front if space permits. 1 1. Article_ essed to: D. Is delivery address different from item 17 13 Yes f If YES,enter delivery address below: ❑ No �j�8ecv�C7Ck , NY \�9LkL� 4 III 111111 IIII III 11111 III I1 II II II II 1 II 1 II I II III 3. Service Type ❑Priority Mail Expresso Adult Signature 13 Registered Maj]TM ❑y./Adult Signature Restricted Delivery ❑Registered Mail Restricted np Certified Mail® Delivery '9590 9402 4554 8278 4361 41 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery erchandise /S. nature ConfirmationT"" ❑Collect on Delivery Restricted DelWr W. g x` `� " rc 2. Article Number(Transfer from service labial) ^Insured Mal: ; ` ❑Signature Confirmation \ /► Insured Mail Restricted Delivery Restricted Delivery �' x CH C.c � 7212 34'601 02.23:16�410� 324.2 I°ver$500l �� 4k PS Form 3811,July 2015 PSN 7530-02-000-9053 , Domestic Return Receipt %•�n' ~' COMPLETE THIS SECTION ON DELIVERY, ._k Signature 7- 90 ■ Complete items 1,;2,and 3. _ p� �� Agent • m ;m c�� *�( (NC liu ❑Addressee �i �i g u.2 ■ Print your name-and address on the reverse . .� � C. Dat of Delivery i t•.• ° �• � °"� so that we can return the card to you. g c/eeived by(Printed Name) _mow o m m g m f \'ti /�-�-� LLS_ S, -=- m� Q m ■ Attach this card to the back of the mailpiece, o m o= . ?z :S f'C� U m m y or on the front if space permits. ❑Yes Q�'f m y N a D. Is delivery address different from item 1? i I- cn 1. Article Addressed to: If YES,enter delivery address below: ❑NO kn ¢a ; I w CCW ~ U) tcn o ;v 9E2E 2'Ch9 E020 09hE 2'I2Z � 1 3Service Type El Priority Mail Express® l II 1111111 IIII III 11111 III I111111111111, IIIIIIIIIIII 111111 IIIII Adult Sgnature 11 Registered Ma IT"' Adult Signature Restricted Delivery ❑Registered Mail Restricted) I Certified Mail® Delivery 1 1 9590 9402 4554 8278 4361 58 Certified Mail Restricted Delivery ❑Return Receipt for . Merchandise ❑Collect on Delivery )k Signature ConfirmationT" [ICollect on Delivery Restricted Delivery ❑Signature Confirmation 2. Article Number(Transfer from serv'co-label)-�Insured Mail Restricted Delivery Insured Mail Restricted Delivery 1 7012 3462 2223 6410 3259 _tover$50o) Domestic Return Receipt 1: PS Form 381 2015 2015 PSN 7530-02-000-9053 �. Postal Postal CERTIFIED MAIL. RECEIPT YMAIL WRIECEIPT (Domestic Mail Only, . Insurance Coverage . o'. 0. • i D' e Insurance Cbverage Ln ru MI Provided) is +: m nrlatirtY>'i M p `II / Certified Fee M 4bj e Z Ceylged Fee l �"y 3 P mark • 1 ,p , M Return Receipt Fee + +• ++-+ m . _ Posttnar (Endorsement Required) ! ++ �hJ re 0 Return Receipt Fee _ pSl .( � L7� c p (Endorsement Required) Q.u�{^+ 7 r_ dj rs C3 Restridted Delivery Fee +! .+_+! n U4 G "- C VjI p Restricted Delivery Fee p (Endorsement Requireekkd) p (Endorsement Required)Total Postage&Fets�+ i1 ' ,�� f Total Postage&Feso es - ( 6`i k<, +� M entTI M 0� N 4� c�1V..F_ !1J Vax_s------------------- r_9 t ru Street,Apt.No.; //��'�� \_ Q ^, M or PO Box No. l �4J -��_ _1�--_1��d �--^-_ p !ti ------ZIP+ I`- or ttY SBox eNo. ZIP+4 d __ -�2-------- City,State,ZIP+4 � i , NUT-ILL Ulm H I LAKING 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: JOHN NASTASI SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. in-ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area. Located : 706 Wiggins Lane, Greenport. SCTM# 1000-35-4-18 . TIME & DATE OF PUBLIC HEARING: Wednesday, November 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 8 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. *F--ccept minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Lazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be _evaluated as to its significant beneficial and:adverse effects upon,thecoastatureaLwluch,includes.all of.Soutliold.Town. 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. 'Thus, each ansWer mustbe:exnli&W in,detail,.Ming both supporting land noii- sunporting 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# L - PROJECT NAME.— The AME _The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. IM, Board of Trustees 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) F11- (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: 1��S�� .i �'Z�V��r Tt✓P-26-k1'.� -,l�t�� S��c�- 60 VIE gm Location of action: � �, �n d Rx Site acreage: . 0,& ZS 242- Present land use: cis ID iELt -,&,==- Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:. (b) Mailing address: (c) Telephone number: Area Code( ) (d) Application number, ifady:. Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes �] No❑ If yes, which state or federal agency? rt;-p OG ,No'�Up-)G�))CT1b-d 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. ❑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 M 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�5 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 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 �NotApplicable 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. 0 ❑. Yes No Noir applicable 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 LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® 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. ❑ YeSEI No 0 Not Applicable Attach additional sheets if necessary WORKING COAST POLJL*CLES 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. F1 I Yes ❑ No W 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 LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ElYes E] No [2 Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands.in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY TITLE T` DATE t i Creative Environmental Design P.O. Box 16o Peconic, NY 11958 Phone: 631-734-7923 Email: creativeenvdesign(&yahoo.com David Cichanowicz, Owner Dated: _S-e `�- Southold Town Trustees PO Box 1179 Southold, NY 11971 Re: Nastasi Residence 705 Wiggins Lane Greenport, NY 11944 Proposed work Enclosed please find an application, fee and drawings for the above referenced property. The property is bulkheaded and seeking a letter of No Jurisdiction for the proposed work from the NYSDEC, which is pending. If you have any questions, please contact me. Sincerely, David Cichanowicz, Pre ne Creative Environmental Design E C E I V E FSEP2 2 2022 Southold Town Board ofTrustees Glenn Goldsmith, President _r_ SOTown Hall Annex 54375 Route 25 A. Nicholas Krupski, Vice President CIO P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �� ® �® Fax(631) 765-6641 100 W, 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 '/2 constructed When project complete, call for compliance inspection; ' ~ may,, `r'�i°F'•' ..:J" .Raq'd'9'° _ ' '-3°'� - .7y °�,"°r tPa'_ .. �:a q"d,�•,d`gY,. - °rt°ri°'v:;,1. a�ge8'rl'*°; '�: ',.*.,^i•''� s'9..'`+.:. r o 't��a = Y�r~'i _ yi!l11.' �qF�;c.., i��\. �- '��•: _n°y,$s,"" •'��l' �i _ BOARD OF SOUTHOLD TOWN TRUSTEES s SOUTHOLD, NEW YORK PERMIT NO. 10263 DATE: NOVEMBER 16,2022 ' ISSUED TO: JOHN NASTASI PROPERTY ADDRESS: 706 WIGGINS LANE.GREENPORT lj SCTM# 1000-35-4-18 e•�•L. ,a AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in s 4m , accordance with the Resolution of the Board of Trustees adopted at the meeting held on November I6, 2022, and in consideration of application fee in the sum of$250.00 paid by John Nastasi and subject to the Terms and '& Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. 'F in-ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area; install two (2) new white oak trees 2" caliper, for a 1:1 tree "? W replacement; and as depicted on the site plan prepared by Creative Environmental Design, 50 received on November 9,2022 and stamped approved on November 16,2022. _ n. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these rt"• .� Y' ' presents to be subscribed by a majority of the said Board as of the day and year first above written. gUFFQ( �.. coo �- , 0 �� , 5 �=` � �` - �� _- -� \'� m,°,,• "_°�;qtr. °� gP".'lC•"`n" 4 :.".. �'d ".� ` �,�...,�w d "_""'.'>,.a'! �50e" :kd ee' ;q 9�e,a•.�, _ d 1••8" 1,' ..J � _ ygg/d •••, ..1 -d_o�„Q• sr �,.•- �•�'°°�: ..w::'`.,mi:�` .'��,.a'^!`'1..:_>e�j.�"`s,�s'• «�dSe6vR�«•' ..:_i.;!' '-rF°si,.a�. t''`^ .. .!.•s-.,'.°i... :.�° ','.�e:,.. - TERMS AND CONDITIONS The Permittee John Nastasi residing at 706 Wiggins Lane Greenport, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the.work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President 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 ® a® Fax(631) 765-6641 C®UNV BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 22, 2022 David Cichanowicz Creative Environmental Design P.O. Box 160 Peconic, NY 11958 RE: JOHN NASTASI 706 WIGGINS LANE, GREENPORT SCTM# 1000-35-4-18 Dear Mr. Cichanowicz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2022 regarding the above matter: WHEREAS, Creative Environmental Design, on behalf of JOHN NASTASI 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 September 22, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 16, 2022, at which time all interested persons were given an opportunity to be heard, and, VflV HEREAS, the Board melt lbers have persol la fly viewe 1 al ld are fall liliar with Liie prell liJu--0 III 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JOHN NASTASI to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. in-ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area; install two (2) new white oak trees 2" caliper, for a 1:1 tree replacement; and as depicted on the site plan prepared by Creative Environmental Design, received on November 9, 2022 and stamped approved on November 16, 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 my yours, 3 Glenn Goldsmith President, Board of Trustees . GG/dd 1 5gW1000-35-4-18 706 WC-19W,,.�5 Lj4N- -F- GREENFORT, NY c: N • Cm .0 (n 1 O Q1 ' !�(—FE TR(CD► CU 41 ' TOTAL 51 TE AREA: 259242 5pF -0 "60\ EXISTING 2 DTORY SRA \ \\ MED HOU5E 1,975 5 F �- FROP05EL-) E N�� " ELEVATED TERRACE & 5TAIR c: FROP05ED IN-GROUND POOL 515 5►� O PROP05FD LOT COVERAGE. 3,955 111 (15.7%) � •�_ GRAVEL c: 2 NEW WHITE OAK TREE5 2/2.5" CALIPER PLANTED A5 PER TRU5TEE5 REQUE5T v C� e c: C6 e e POOL GA 14' 099 \ 1 \\ r 50909, " TO REAR YARD 1 APPROVED BY BOARD OF 1 RUSTEES Pw e TOWN OF SOUTHOLD . . \ c: DATE �p /4 010, 1 AUTO COVER VAULT _ \ 1 \ \ \ DCI5TWG MA50WY WALK Z \ r 50, 01, \\ _m_ _i- _di_ SIL SIL TREE TO BE RE VEP \ \\ \ ___EX15T[v -___ ,/\ _d,_ _.I,_ _,I,_ GRAVEL DRIVEWAY \ \\ \\ \ SIL �1 AMEN-IL 11L , 7 \ /, , , \ _, W / BLOCK CURB \ J.IL SIL _11L s',L /''t coL \LLL/L \LLI/L L /L 11 \JvW _0_ _di_ _d,_ POOL EQUIP D POOL NOV - 9 2022 GA —�.,,. \, e TREE T / , Southold Town Board of Trustees 15, 019 PFENCE cv \ FOQL F N 1MVFo — — — — — — — — — — — — — — — — — — — — — — — — — — — — \ — — — — — — — — — — — — — — — — — — — — N c: O > Cll CO OC 0 T-. s ».,1. - 111 •�'+. �•.r t••rtF/"� ... Kms'` � 6 �1 `F R �- r r '� � r• ,: `J• � `. �- jr .�.. �., y � •moi _ .4 � � .'.,+R �' -.i •Y•i� fill 4 R ZA PON! r r t A r > t 11 % 9 /2 0122 9 "-21 � . •, fid' -�T► .. r ' r F. J , •�;,. 5 ,,k�cn ,. A,.. "G_'i-'_-may .� �. '�. IL t' T F 1t :� a1tw#`w 4 p1� f. F 4w•. . dipt 4 � 11 / 9 /2022 �94t r � r Ow 4 John Nastasi ., ...706 Wiggins Lane,Greenport SCTM#: 1000-35-4-18 11/9/22 i lob low. F AW v Glenn Goldsmith, President =moo Gam` Town Trustees A Nicholas Krupski, Vice-PresidentH x 54375 Route 25 Eric Sepenoski o ® g P.O. Box 1179 Liz Gillooly Southold, NY 11971 Elizabeth Peeples Ol ' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JOHN NASTASI c/o CREATIVE ENVIRONMENTAL DESIGN Please.be advised that your application dated September 22, 2022 has been reviewed by this Board at the regular meeting of November 16, 2022 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) %Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 30.Zv TOTAL FEES DUE: $ 50.00- BY: 0.00 BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President �� y�e 54375 Route 25 Eric Sepenoski y ,? P.O.Box 1179 Liz Gillooly �y Southold,NY 11971 Elizabeth Peeples � �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: qA✓g/ "wz- Completed in field by: r AW,,'nwr' Creative Environmental Design,on behalf of JOHN NASTASI requests a Wetland Permit to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. in- ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area. Located: 706 Wiggins Lane, Greenport. SCTM# 1000-35-4-18 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: 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.: S��,tee ,,�—�' ,/�-�. /.•/ � �,. ,..-�- o� Z �i,��r ,�;kr Present Were: G. Goldsmith '� N. Krupski / E. Sepenoski L. Gillooly ✓ E. Peeples 1000-35-4-18 706 WC-ogW..�5 LM- - —E NY C N -� + O 1 Cu - ._ co Fr:YTcA� L 51TE AREA: 25,242 51= z� c:.� TING 2 STORY FRAMED HOUSE 19975 5>= cu FROP05EL-) ELEVATED TERRACE & 5TAIR 1 FROPOH-0 IN—GROUND POOL 5155F O FROP05EP LOT COVERAGE: 3,955 5F (15,70/ •�= GRAVEL c: 2 NEW WHITE OAK TREE5 212.5" CALIPER, PLANTED A5 PER ONo" TRU5TEE5 REQUE5T ' co + to C L. ' U ' POOL GA ` '00 149 099 - 1 ' 1 1 5 ' 1 f .. I ' TO REAR YARD ` I - 1 DW1 • - 1 1 � AUTO COVER VAULT \ U) EXISTING NtA50NRY WALK cu J Z 1L1L1L50, 01, -ill -- '7 /\ \ SIL 1L SIL 1L r TK�± TO BE RE VED Exisr v „ �, r - GRAVEL DRIVEWAY 7 � � _ LIL_ . W 113LOCK CLR[3 %% � _ l i J Jt- 1- 1/- 00 11L I LIL SIL L IL POOL EQUIP E c E U U E lit I il - N 0 V 9 2022 Southold Town T159099Board of Trustees FME N F P � N — — - — — — — — — — — — — — — — — — — — — — — — — — — - — — — — — — - - CJ N C O cn . . O � Glenn Goldsmith,President Y�� COG Q Town Hall Annex A.Nicholas Krupski;Vice President �� y< 54375 Route 25 Eric Sepenoski y P.O.Box 1179 Liz Gillooly �A • p�41� Southold,NY 11971 Elizabeth Peeples � �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: Creative Environmental Design'on behalf of JOHN NASTASI requests a Wetland Permit to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. in- ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area. Located: 706 Wiggins Lane, Greenport. SCTM# 1000-35-4-18 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: 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. Krupski E. Sepenoski L. Gillooly E. Peeples eclw 35-4---lb - 70ro WC4CAW...�!5 L_M_ _E GW.ENF'01Zr, w C N � O 1 Cu ' �TE TR(C�► _ ._ Co TOTAL 51TE AREA: 25,242 5F \\\ Exi5TINc, 25TORY FRAMED HOUSE 19975 5F FROP05ED ELEVATED TERRACE & 5TAIR 19465 5Fc: FROP05M IN-GROUND POOL 5155F • • O - FROP05M LOT COvERAGE: 3,955 5F (157%) -� • GRAVEL c v - , ._ .................. 0 - cu CIO (D - 1 - ' c: L. , , POOL GA E1 / 1 5D9099 ' , 5TAIR DOWN ,'" TO REAR YARD 0 ` , , ' N ' III �I \ • O 1 cu aD 0. U) � ill 1 AUTO COVER VAULTU) 1 \ \ \ _0 \ \ \\ \ EX5TWG MASOMZY WALK 150 ��( \ At- 50, 01, dr_ 500 � 1, \VN 1 \ \\ \ _dr_ _dr_ _dr_ SIL 11L LIL S,L1ILL , GRAVEL DRIVEWAY _/_ _r- _Vr_ s1L GARDEN-W / 5LOCK CURS L �\LI.L/L � • _11L _111_ '� W 11 V\L co L \LLL/L \LLL/LLf/L W i _,Ir_ _d,_ POOL EQUIP U r � � 11L LIL 11L 11L POOL GA 1 15' 0" Fa FENCE N F P F = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � � � � o N SEP 2 2 21022 � r Southold Town O Board of Trustees U) ■^♦. 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O2 ,. - _ Real FEuperry lax S—i-Agency W E�+�E+w+�6raunaa Bwrrni r m sounc N _—•—— —— —— �— --- w 30n t'.wa l.ahaRrvN 13'Ilw4 W.� ' NZ L1. ow A 035 SC $ u• l OFFICE LOCATION: � , MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) �� Tele hone: 631765-1938 Southold, NY 11971 44 P 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: November 10, 2022 Re: LWRP Coastal Consistency Review for JOHN NASTASI SCTM# 1000-35-4-18 Creative Environmental Design on behalf of JOHN NASTASI requests a Wetland Permit to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. in-ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area. Located: 706 Wiggins Lane, Greenport. SCTM# 1000-35-4-18 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 John G.Stein,Chairperson �' Town Hall,53095 Main Rd. Lauren Standish,Secretary t P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Thurs., November 10, 2022 the following recommendation was made: Moved by John Stein, seconded by John Chandler, it was RESOLVED to NOT SUPPORT the application of JOHN NASTASI for the proposed elevated terrace and stair and in-ground swimming pool on the bulkheaded waterside backyard of residence. Located: 706 Wiggins Lane, Greenport. SCTM#35-4-18 Inspected by: John Stein, John Chandler, Inga Van Eysden The CAC does Not Support the application because the application was incomplete. A complete review requires an updated survey and a certified engineered architecture plan. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President `�q sot�Ja Town Hall Annex A. Nicholas Krupski,Vice President 4!C; 54375 Route 25 P.O.Box 1179 Eric S'epenoski Southold,New York 11971 Liz Gillooly CIA Telephone (631) 765-1892 Elizabeth Peeples � �4 Fax(631) 765-6641 NVi BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application X Wetland Permit Application Administrative Permit _ - Amendment/Transfer/Extens}�n rReceived aeceived Application: T•u' .. 6EP 2 2 Fee: $ a ,002 22ompleted Application: Z'2 oWoldTown, I Incomplete: Board of Trustee SEQRA Classification: Type I Type I1 Unlisted eg true - c. Lead Agency Determination Date: Coordination:(date sent): �LWRP Consistency Assessment Form Sent: yACReferralSent: /0 ZZ/ ate of Inspection: 11 Receipt of CAC Report:. Technical Review: Public Hearing Held: �'/ •�i?/ Resolution: Owner(s) Legal Name of Property (as shown on Deed): AZ—:;'T�( Mailing Address: �� LV(G61 S ( Ark - ( 1 gglf Phone Number: (o 1 �2�24 – j�?,!2 ("tQJT Suffolk County Tax Map Number: 1000 - Property Location: uas:(' -)qf) (If necessary, provide LILCO Pole #, distance to cross streets, and location) AGENT (If applicable): I D ej0, hi V '� Mailing Address: �' >L I(D POP 74 10") 11'758 Phone Number: l 51 - 7b4' –J oil L/' Email: V&SIQ11 Board of Trustees Applin, ion GEl'+IERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: 4,:L G 4= SAW IL� J Intended use of property: 5/0,�L-t�7 rAH JL-�,-lIP Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? _ _Yes No If"Yes", be advised this application will be reviewed by the 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 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 No Does the structure (s) on property have a valid Certificate of Occupancy? "r Yes No Prior permits/approvals for site improvements: Aggncy Date F9 15- 1 i q6/2- No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? _No Yes If yes, provide explanation: Project Description(use attachments if necessary): y Cr2 ° l�l�-r� ,�_��r��.� � Fid C�.��2��1�L• Board of Trustees Applic ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: — Area of wetlands on lot: square feet Percent coverage of lot: ^,Z% Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No k 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: 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): HvUkcr DLLr- u�rLALJ25I--ri D, de- I&JA4MS 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 1 -Project and Sponsor Information 'N�J'IDCACk4p�© t(JZ 1 q T IP,S ( ( 1 Pct 1 I N Name of Action or Project: 1 Project Location(describe,and attach a location map): —7L-� � Wt6 /NJ J_ Brief Description of Proposed Action: Mb lith ��t- l J Name of Applicant or Sponsor: Telephone: E-Mail: �v Address: Po , r too City/PO: State: Zip Code: N C, ► I�sg 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 from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: ��1 00- targ v �� salG`t -��►N� ❑ 3.a.Total acreage of the site of the proposed action? i '�-V acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? t acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban El Rural (non-agriculture) ❑Industrial ❑Commercial ,Residential(suburban) ❑Forest ❑Agriculture [Aquatic ❑Other(specify) Park land (3av _ �� Page 1 of 4 5. Is the proposed action, NO YES . N/A a.A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO 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 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? 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:: ..M ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: a ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Q , ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? V ❑ b. Is the proposed action located in an archeological sensitive area? ❑, 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: /ffl Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban U_1,(_ U07 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? X 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ a. Will storm water discharges flow to adjacent properties? ®NO YES b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ©NO AYES � r Page 2 of 4 I , 18. Does the proposed action include construction or other'activifies that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: _ !,( / /V1/)�, .( �� fir; 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: _ w ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: (� I AFFIRM THAT THE INFORMATION PROVIDED ABOVE 1S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicanponsor I ILt Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the F] F-1establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El 1:1affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate F1 ❑ reasonablyavailable energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public/private water supplies? b.public/private wastewater treatment utilities? ❑, 8. Will the proposed action impair the character or quality of important historic,archaeological, E]architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 1 - � No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage El 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? EJ E] 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. UCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or 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 Page 4 of 4 ( Board of Trustees Applin "3.on AFFIDAVIT �O�zi jF1SCiS i BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. . a Signat e of Property Owner Sig t e of Property Owner SWORN TO BEFORE ME THIS t�D DAY OF Sr-�>kerr'�p CC 20la— PENNY LOUISE MAFFETONE NOTARY PUBLIC,STATE OF NEW YORK NotaryPuiflk Registration No.OIMA6402379 Qualified in Suffolk County Commission Expires December 30 2023 Board of Trustees Appli ;tion AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000-iin the town of _GC t-i on 4 ,New York, hereby authorizes -D� N C-In,o.1� 0V (C- to Cto 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. Property Owner's Signature Pro Owner's=Signature SWORN TO BEFORE ME THIS N� DAY OF f ,,20 ,Q �M PENNY LOUISE MAFFETONE NOTARY PUBLIC,STATE OF NEW YORK NOtary Publ Registration No.01MA6402379 Qualified in Suffolk County Commission Expire§ December 30 2023 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employces The VWp se of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same./� YOUR NAME: I�IC (Last name,fust name,ipiddle fnitial,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 X Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally,(or through your:company,spouse,sibling,parent,or ehilO).havc a'relationship.with any officer or employee of the Town of SouthaId? "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 a%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check 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 corpgrate stock of die applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(whemthc applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submftte is 20 , Signature Print Nam \ VI W t C r, Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM lie Town of'Southold's Code of Ethics prohibitsconflicts of interest-on the part of town officers and employees,The puMpse of this form-is to provide inforination which can alert the town of possible conflicts of interest and allow-it•to take whatever action is necessary to avoid same. YOUR NAME: f46 (Last name,first name,.rpiddle initial,wtless you are applyingio 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 =>1 Variance Trustee �X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your-company,spouse,sibling,parunt;,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 of ricer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee,owns more than5%ofdie shares. YES NO If you answered"YES",complete the balance ofis 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 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 tile applicp ,t (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 thi a of 20 S ignature Print Name S Form TS 1 tsoard of Trustees Application AFFIDAVIT I"rvc lirKayl` :z ltIvLC•Ll BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE, IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S).AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN TAE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HE, AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL.INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIlRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES•DURING THE TERM , OF THE PERMIT. *" 1 1 �-(gr6t6r6 of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS 3r° DAY OF PENNY LOUISE MAFFETONE Notary PuRc NOTARY PUBLIC,STATE'OF NEIN YORK Registration No.01 MA6402379 Qualified in Suffolk County Commission Expires December 30 2023 Board of Trustel Application l I AUTHORIZATION (Where the applicant is not the owner) I/We, N W MrA(- t e. eCa.C,I , G owners of the property identified as SCTivi# 1000- (7 in the town of i f& New York,hereby authorizes l_ r-'mt��j 0�Pa1,�ow r CC - i to act as my agent and handle all i necessary work involved with the application proces's for permit(s)from the Southold Town i 4 1 Board of Trustees for this property. t lf� s pe , Owner's Signature Property Owner's Signature SWORN TO BEFORE 1\1M THIS DALF 20 PENNY LOUISE MAFFETONE NOTARY PUBLIC,STATE OF NEW YORK Otary Pu 11 ! Registration No.01 MA6402379 Qualified in Suffolk County Commission,Expires December 30 2023 It t } P I � 4 APPLICANTIAGENUREPRES�L+NTATIVE- TRANSACTIONAL DISCLOWU FORM Tlic Town of Southold s Cade of Fthies prohibits conflicts ofinicrest on the tnrtinflown officers and employees.The purpose o this form i5 to provide infnrinition which can aicrt the town nfpossihle cnnflictslof interest and-flaw it to take whatever nctinn is pccessary to avnid same. 1 YOURNAME• knmavte le-mu' (Last name,first name,diddle 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[hat apply.) TaegrievancC Building Variance Trustee _ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"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 50.o of the shares. YES NO ifydu answered"YES",complete the balance of this form and date and sign vvh crc indicated. Name of person employed by the Town of Southold Title br position of that person Describe the relationship betweenyoursctf(the applicant/agendrepresentntive)a id Ute town ofiiceror employee.Either check the appropriate line A)through D)and/or dcscrjbe in the space proOidcd. The town officer or employee or his or her spouse,sibling,parent,or child is(chl ck all that apply): A)the owner of greater than s%or the shares of the corporate stock of die applicant (when die applicant is corporation); B)the legal or beneficial owner of any interest in a non-corporate entity when d[c applicant is not a corporation); C)an orticer,director,partner,oremployce of tlic applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP I I. L3� Submitted thi day of_ (?V Z0 Signature �— Print Na Form TS I 1 1 i I Board of Trustees Applicz an PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NANTF 9 crTM#- NAME: STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Signature Sworn to before me this Day of . 20 Notary Public NOTICE OF HEARING 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: JOHN NASTASI SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a 1,465sq.ft. elevated terrace with stairs to ground; install a 519sq.ft. in-ground swimming pool; install pool enclosure fencing; install a pool drywell for backwash; and install a pool equipment area. Located : 706 Wiggins Lane, Greenport. SCTM# 1000-35-4-18 ,.---, TIME & DATE OF PUBLIC HEARING : Wednesday, November 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 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Glenn Goldsmith,President � Lkcp Town Hall Annex A.Nicholas Krupski,Vice President ,�� Gy�� 54375 Route 25 Eric Sepenoski o `h P.O.Box 1179 Liz Gillooly oy Southold,NY 11971 Elizabeth Peeples wolf Telephone(631)765-1892 qui Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JOHN NASTASI COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING MgjM�A,C—AftO!Ra1Ai�7 r��A��VG�D.19��ECO � ��E'��1�I►��Nltsf)1�lla►E�IG.��WH��A� �R�L�.��TE I, C'%CNN ct`Nn u3 iCa_ , residing at/dbac' -IMinial being duly sworn, depose and say: That on the13f day of NMem�e(' , 20Z , I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,November 16,2022. Dated: j (signature) Sworn to before me this t`h" day of N014.20 PENNY LOUISE MAFFETONE NOTARY PUBLIC,STATE OF NEW YORK Registration No.01MA6402379 Qualified in Suffolk county Notary P 11C Commission Expires December 30 2023 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: �66j tsI A-DA- ti-S'1 WCQ'3�' q-�6 NAME: ADDRESS: NuLL— Ppo :%VA 1'105 G"t k PONS�ko e kaALt F i STATE OF NEW YORK COUNTY OF SUFFOLK ��er,�k�ve Ct.��11�oN�►euk�c-� �eSi�N residing at �3) Ric- D S , �0). �)oX vy) t�ec�Nic, ; 1J `�l�Cj , being duly sworn, deposes and says that on the day of N OVnrn.ble_<' '20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at Z-45 QeC��1�c 1.�1 r PC-Cb ts't o- O� 11ck�5 b , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RET 7av-- S igna u-'re Sworn to before me this Day of N�� `A ; 20 a� PENNY LOUISE MAFFETONE NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 MA6402379 Notary P lic Qualified in Suffolk County { y Commission Expires December 30 2023 COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE T.HIS SECTION ■ Complete items 1,2,and 3. P. 2ived tur ❑Agent I N Print your name and address on the reverse ❑Addressee so that we can return the card to you. by(Printed Name) C. D e of elivery ■ Attach t is card to the back of the mailpiece, /�t/rvn� -S �—� or on •front if space permits. 1. Articlei' essed'to: D. Is delivery address different'from item 11 ❑Yes f If YES,enter delivery address below: ❑No �OS� =1C3 �oh�► F. r s 'I �-� _ .. -Noy'-��f• �,��.� •�� 3-./Service Type ❑Prlority Mail Express@ 111111 IIII 111111111111111111111111111111111 3f Adult Signature ❑Registered Mail"*Eli ❑Adult Signature Restricted Delivery Registered Mail Restricted) fiedMafl® Delivery WCerti �], i �e dS� [•1� 9590 9402 4554 8278 4361 41 ❑Certified Mail Restricted Delivery ❑Return Receipt for I ❑Collect on Delive merchandise _ i ❑Collect ori Deli4ery Besfrlpted Deli4ery. W P!gnature ConfirmationT" I � 2. Article Nurritier(TransferikoM service label) ❑5lgnature Confirmation Insu�ed Mail i i M. i '' ;` t t `' Restricted Delivery 1 7 012 34'69' U 0 0 3�•6.410'• `3 2 4 2 I�over$ Mail Restricted Delivery P over$500) 1 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt j `gnCOMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION I ti ✓� `� • .-� 1/` _ i -*F ;A Signature �- ❑Agent • ® d d� m9 ,_,m ■ Complete Rams 1�2,and 3. X Q� p Addressee , .^9 L 2 .,�.0 �. ■ Print your name-and address on the reverse v�^ a m Iu .m e° M so that we can return the card to you. g ceived by(Printed Name) C. Dat of Delivery �� •moo o ■ Attach this card to the back of the mailpiece, T — L�y� 1 I S� !. } 0 m o m 9 °?X i11 N or on the front if space permits. ❑Yes I, ■ =m m a Q m 1. Article Addressed to: D. Is delivery address different from item 1? �.,, a. Q9 13 � o I If YES,enter delivery address below: No - w o F i; IU Ps�.I,.L� pp.ks i�r Pd�ltiP�S is SHE GTh9 E000 09hE -2 U. Gu\\ 3..Service Type ❑Priority Mail Express® 1111111111111IIIIIIII III11�I IIII III III IIIII I1I Adult Sgnature [i Registered MWITM Adult Signature Restricted Delivery ❑Registered Mail Restdotedl, Certified Mail® Delivery 1 9590 9402 4554 8278 4361 58 Certified Mall Restricted Delivery ❑Return Receipt for Merchandise ❑Collecton Delivery )k Signature Can"7ationT"' ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation 2. Article Number(transfer from servieelabQQ yinsured Mail Restricted Delivery I(over$SOp)il Restricted Delivery 7 012 3460 0003 6410 '325 9 Domestic Return Receipt } b i I?S Form 3811;;iJuly 2015 P,StJ 7530-02-000-9053 Postal ° • stal ServiceT. ` • RECEIPT r MAILTNIRECEIPT I I• • Coverage • . • Lr I• • • • Provided) = I LO N For delivery . . our website at www.usps.comerU For delivery information visit our - at www.usps.comED o11 rr pd�t .:. Yiil 1041is s, i. a �: -= o G71- Q�t r,�Y s1 5� 4 4. ra Pos a i 958 � ��;.�{" � Powe{'ilI .J- �a61 +i9rS Certified Fee a $n•-{i Oj �� CeOged Fee rt0� �C✓ 1 M Pos ark m SSI i,�lftp� �J� 0 Return Receipt Fee { •�G re Return Receipt Fee a •,' _ Postmark (Endorsement Required) j{] �� Endorsement Re wiredi C3 re Restricted Delivery Fesii_t a 1{J 61- A � Restricted Delivery Fee Q (Endorsement Required) 7. 'I�J�/ + O (Endorsement Required) .D 1 1 $0e Total Postage&F � 11 V1in{� d�¢ I Notal Postage 8 Fees {1�A20 2 m Sent T, 0• Se To E _Mw'—4 ��k fTl c R.1 nj r� Street Apt'No., - r� SheetApE'No.; --- Y-1�\-'':` 'A h�or PO Box No. l7 or PO Box No. City State,ZIP+A City State,ZlPt4 ' ---------- �e ►� ck - -C� rr6 rr. See Reverse for Instructions 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 si rug f cant beneficial>and.-adverse effects-tiyon.the coastal:area�(wluch.includes.all of.Southold.Town- 3.: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. 'Thus, each answer must-be:explained in detailjisthig both sunnorting and non-, supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it,shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# - - � PROJECT NAMES ! / The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. U Board of Trustees 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: FAII Nature and extent of action: �1 RPSSito Y A Location of action: Site acreage: 0'& -2 242- Present land use: (C6�;I r)L-2�,AL--- Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code( ) (d) Application number, if any:_ Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes No If yes, which state or federal agency? I V �-�p C ./UO AU/Zl ))Cr1 L) 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-C:OA—ST-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 LVVRP Section III—Policies; Page 2 for evaluation criteria. Yes No �d 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 1:1 No I? Not Applicable f 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 M�n 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 S through 16 for evaluation criteria ❑ Yes ❑ No 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 FPO 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 No Notapplicable 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 F] 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 FV1 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. (J�� ❑ Ye�(n—�---1 NoM Not Applicable Attach additional sheets if necessary WORKING COAST POL CA-ES 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 W 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 LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 12 Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands.in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑,Yes ❑ No Not Applicable PREPARED BY TITLE P/�T` DATE l d�— Creative Environmental Design P.O. Box 16o Peconic, NY 11958 Phone: 631-734-7923 Email: creativeenvdesignoyahoo.com David Cichanowicz, Owner Dated: Sf D�"P �0 �- Southold Town Trustees PO Box 1179 Southold, NY 11971 Re: Nastasi Residence 705 Wiggins Lane Greenport, NY 11944 Proposed work Enclosed please find an application, fee and drawings for the above referenced property. The property is bulkheaded and seeking a letter of No Jurisdiction for the proposed work from the NYSDEC, which is pending. If you have any questions, please contact me. Sincerely, David Cichanowicz, Pre ne Creative Environmental Design p E C E I V E FSEP2 2 2022 Southold Town Board of Trustoas