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Robyn Romano 2015 Family Trust & Joseph P Romano 2015 Family Trust
f Y. ! \`ji1:. 1�%/' .t"h��'� ��w-•� �'-,1 ��~% �• ,- -''�C�1�� ✓9>�'' .(1i `�^ l,,i•• /•3•w s or5gikep- Neva IsS� BOARD OF SOUTHOLD TOWN TRUSTEES •° ll SOUTHOLD,NEW YORK �. . ' PERMIT NO.9779 DATE: DECEMBER 21,2020 ISSUED TO: ROBYN ROMANO 2015 FAMILY TRUST& JOSEPH P.ROMANO 2015 FAMILY TRUST PROPERTY ADDRESS:. 1415 NORTH PARISH DRIVE,SOUTHOLD SCTM# 1000-71-1-14 AUTHORIZATION = 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 December 21, 2020, and in consideration of application fee in the sum of$250.00 paid by Robyn & Joseph P. Romano 2015 Fam. .t Trusts 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 for the removal of the existing timber retaining walls,steps and platforms landward of the existing bulkhead; proposed work includes construction of three 125 lineal foot vinyl retaining walls, a one 40 lineal foot vinyl retaining wall return,one 30 lineal foot vinyl retaining wall return and a stair : system consisting of 4'x4' cantilevered platform,4'x4'steps,41x7' at grade walkway; 4'x4' cantilevered platform,4'x'4 steps,8'x10' at grade deck with corner bench;41x4' cantilevered platform and 41x4' steps; and as depicted on the site plan prepared by Jeffrey Patanjo,received on November 30,2020,and stamped approved on December 21,2020. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these s presents to be subscribed by a majority of the said Board as of the 21st day of December,2020. Nf' Oy .F Greg Williams-Absent 'fJpl '� �•�O`` ' • ai, I�, � '�.. S ,��. t� ' e �' 1� L� 4�C'�� � ..• I X11 .'..r-- �;' p it" ,� '�`. _•.e„u. �.. -` •.ee9. - -�s. a��' ...E ,e,:. s sa.. <. .. - Glenn Goldsmith,President *QF SDUry. Town Hall Annex Michael J.Domino,Vice ,`O� Olo 54375 Route 25 -President P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631)765-1892 Greg Williams Q, �� Pax(631) 765-6641 BOARD OF UST.EL.EPS'S TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OFTRUSTEES YOU.ARE.REQU1REb TO:C4NtACT.THE OFFICE OF.TME:BOARD .O.F TRUSTEES 7.2`NOURS'PRIOR TO'COMMENCEMENT OF':THE ACTIVITIES CH E .kEb:OEF. "BEL;OVII ... ;:.... INSPECTION SCHEDULE:. . . Pre-construction; tray bale iir'es/silt':bo.& NOt c artain :S A .:day of construction %2'constr00'dd X..;: When .ro'E.et conplete;.'call ffir Gompliance;ilspction i \M� '0 EXISTING WOOD GROIN fl �. EXISTING WOOD &VINYL 40 M BULKHEADo9 ` ` `7 `TIE LINE ALONG APPAREWT'�M 30 HIGH WATER MARK 7/21/18 EXISTING SEASONAL WOOD DOCK PROPOSED PLATFORM AND STEPS EXISTING WOOD GROIN (SEE PLAN FOR DETAILS) PROPOSED 40 LF VINYL RETAINING WALL RETURN •di,�r EXISTING WOOD STEPS AND DECK • 20 a' EXISTING GRADE REMOVE AND DISPOSE OF ALL EXISTING TIMBER 490. 7' RETAINING WALLS, STEPS AND PLATFORMS (TYP.) o ���� t91' REMOVE E)GSTING TIMBER RETAINING WALLS (TYP) 10 EXISTING WIRE FENCE ��� �O PROPOSED 5' TALL VINYL RETAINING WALL EXISTING SAND TO REMAIN ���� o APPROXIMATE M.H.W. EL 3.0f _ WITH SCREW ANCHOR TIEBACK SYSTEMM PROPOSED 125 LF VINYL RETAINING WALL \\ TYPICAL OF 3 TIERS - 125 EACH TIER \ � \\� r � PROPOSED STAIR SYSTEM CONSISTING OF THE FOLLOWING: 0 APPROXIMATE M.LW EL O.Ot _-= N/O/F PLACED 3' SEAWARD OF EXISTING TO BE REMOVED 1. 4'X4' CANTILEVERED PLATFORM THOMAS LEWICK EXISTING BULKHEAD TO REMAIN UNDISTURBED & V. JOAN LENCK PROPOSED 125 LF VINYL RETAINING WALL Z� "`' 2. 4'X4' STEPS IN SAME LOCATION AS EXISTING �, \\ \y 3. 4'X7'AT GRADE WALK PROPOSED 125 LF VINYL RETAINING 4. 4'X4' CANTILEVERED PLATFORM EXISTING STOCKADE FENCE IN SAME LOCATION AS EXISTING / 5. 4STEPS 'X4 6. 8"X10'AT GRADE DECK W. CORNER BENCH 7. 414' CANTILEVERED PLATFORM -10 0 50 100 150 8. 414' STEPS DOSED 30 LF""n RETAINING WALL RETURN I CAL WALL S ECTI O N� � `� � �`� � 'STI !L)11 ' ' �, � FF1, N�/N G REMOVE AND DISPOSE OF ALL EXISTING TIMBER �� N.T.S. Ro�Na `• : '" RETAINING WALLS, STEPS AND PLATFORMS (TVP.) AP .,,)�'E 11 i I POO ..i. ;•;.�. p••''`••:. .. I—'r% EXISTING WOOD DECK AND STAIRS BOARD OF 1 RUSTEES NOV 3 O 2020 i p,� OF SOUTHOLD :. _ _.: _r.? �.. . N - TOW IV BERNARD W. KIERNAN SOJpOt 1I7 / . & CAROLE P. KIERNAN ` I : DATE c` I Board << ,s Q i D6CS�tr,,r5ie- 2l Z42D G i MASONRY RESIDENCE Y.2 STORY nSomnoiavacncC(u6 a p AND GARAGET.tat$NortKpariq Orive ? EXISTING WOOD FENCE N"of. y A r�• 4 aeh sTrc a 6p.. z . 1 b PROPERTY OWNER: 3 �;•�,r 1 g JOSEPH P. ROMANO 2015 FAMILY TRUST ='t 4 ROBYN ROMANO 2015 FAMILY TRUST a 465 MANHASSET WOODS ROAD Ks_ !V MANHASSET, NY 11030 soo� PREPARED BY: JEFFREY PATANJO LOCATION MAP P.O. BOX 582 z�soo• BOHEMIA, NY 11716 N.T.S. 631-484-9332 w JJPATANJO@GMAIL.COM Proposed Permit Plans SCALE: 1"=30' q NOTES: PROPOSED RETAINING WALL PLAN, DATE: O 1. LOT AREA: 21,430 S.F. / 0.49 ACRES DETAILS & LOCATION MAP 92 227 188 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 1415 NORTH PARISH DRIVE 10-27-20 0 NATHAN TAFT CORNWIN III, LAND SURVEYING SOUTHOLD, TOWN OF SOUTHOLD P.O BOX 1931, RIVERHEAD NY 11901 SUFFOLK COUNTY, NY SHEET: SURVEY LATEST DATED JULY 21, 2018 TAX MAP N0. 1000-71-01-14 1 OF 1 TERMS AND CONDITIONS The Permittee Robyn &Joseph P.Romano 2015 Fam. Trusts,residing at 1415 North Parish Drive, Southold,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 QF S0(/rTown Hall Annex . Michael J.Domino ��� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III J�[ #L Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF.TOWN TRUSTEES . .. _ .._.- TOWN OF SOUTHOLD December 28, 2020 Jeffrey.Patanjo P.O. Box 582 Bohemia,.NY 11716 ; RE: ROBYN ROMANO 2015 FAMILY TRUST & JOSEPH P.'ROMANO 2015 FAMILY TRUST 1415.NORTH PARISH DRIVE, SOUTHOLD SCTM#1000-714-14 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting,held on Monday, December 21,' 2020 regarding the.above matter: .WHEREAS, Jeffrey Patanjo on behalf of ROBYN ROMANO. 2015 FAMILY TRUST & JOSEPH P. ROMANO 2015 FAMILY TRUST applied to the Southold Town Trustees for a.permit under the provisions of Chapter 275 of the Southold Town Code,.the- Wetland heWetland Ordinance of the Town of Southold, application dated October 19, 201.8, 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 December 21, 2020, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter. 275 of the . Southold Town Code, WHEREAS, the 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 ROBYN ROMANO 2015 FAMILY TRUST & JOSEPH P. ROMANO 2015 FAMILY TRUST for the removal of the existing timber retaining walls, steps and platforms landward of.the existing. bulkhead; proposed work includes construction of three 125 lineal foot vinyl retaining walls, one 40 lineal foot vinyl retaining wall return; one 30.lineal foot vinyl retaining wall return and a staiir.system.consisting of 4'x4' cantilevered platform, 4'x4' steps'.4'x7' at. . grade walkway; 4'x4' cantilevered platform, 4'X,4 stops", 8'x10at grade deck with corner bench; 4'x4' .cantilevered platform and 4°x4'..steps;,and as depicted on the:site;plan; ,. prepared by Jeffrey. Pafanjo,.,received 'on November'3:0, 2020,. and stamped approved on December:21, 2020. Permitto construct and complete project will expire-two',years-from thb.. 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 truly yours, lenn Golsmith President, Board of Trustees GG/dd S11FFOil Glenn Goldsmith, resident ,�N; oGy_ Town Hall Annex Michael J. Domino CO z 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams �l '�° Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ROMANO TRUSTS c/o JEFFREY PATANJO Please be advised that your application dated - October 19. 2018 has been reviewed by this Board at the regular meeting of December 21, 2020 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/ Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,Prr it �pSVfFO�'�-CO Town Hall Annex Michael J.Domino ��� Gy�� 54375 Route 25 John M. Bredemeyer III y z P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams ® p! Telephone(631)765-1892 Fax(631)765-6641 r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: ` Jeffrey Patanjo on behalf of ROBYN ROMANO 2015 FAMILY TRUST & JOSEPH P. ROMANO 2015 FAMILY TRUST requests a Wetland Permit to remove the two existing retaining walls and associated steps and platforms; construct a 125 lineal foot lower vinyl retaining wall; construct a 125 lineal foot upper vinyl retaining wall; construct a 40 lineal foot long westerly vinyl retaining wall return; construct a 42 lineal foot long easterly vinyl retaining wall return; construct two (2) sets of 4' wide by 11' long steps with cantilevered platform, one on the lower and one on the upper retaining walls; and to construct an 8'x10' un-treated timber platform constructed on-grade between the lower and upper levels. Located: 1415 North Parish Drive, Southold. SCTM# 1000-71-1-14 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice f Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Ite, / ' . I have-read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: 7%jG. / mBredeeyer " M. Domino G. Goldsmith N. Krupski Williams Other S®U?, SURVEY OF PROPERTY 110 SITUATE BAYVIEW TOWN OF SOUTHOLD 6SUFFOLK COUNTY, NEW YORK a`�Ce r.rw S ,• N ����" E S.C. TAX No. 1000-71 —01-14 SCALE 1"=20' MARCH 1; 2013 u MAY 2, 2015 LOCATE FENCE ALONG WEST PROPERTY LINE �,�ar JULY 21, 2018 UPDATE SURVEY o h g o AREA = 21,430 sq. ft. (TO TIE UNE) 0.4.92 CO. / NK2, >�D 130. / S4No LNc wOoo ¢/' m / °L•ar, ry N CERTIFIED TO: 3 i0 JOSEPH P. RAMANO 2015 FAMILY TRUST ROBYN ROMANO 2015 FAMILY TRUST w Nexa0p New A> /wAu INTRACOASTAL ABSTRACT Co., Inc. �'IoppDyJ /°s1v. OLD REPUBLIC NATIONAL TITLE INSUANCE COMPANY O\V v � w o.S�eaa wp0p Ba�N� "0"of "bop 0.)'W &�9 ow'kc r c 2g�,,• YNR ND .B T... c3, •.;...Y•.F'. ._/'�,,.�:. Pop _'� .._ LE •��P�,NOs. A�,•r T.'.3 by `� r-�'1 I z _ .,. a, woosOCT 19 y 9o.a• es '•y .,.rs� \ 'C �' WOOD 2018 ILr sTA o \ ,� �U� os• �STOgy �TLrp= r fit, 4 1 1 � � _s.s• o MASONRYyOUS£¢C n w AR �� � Cr•,,,,..I.1 T,.,,,� � , 7 0 .�oNE AG£ Q'*Ver 2 g �NJ aR /o .� �. S`1rE w� `°.,.-..., s.o• `a�e° ig '� LbNp. rw°Ne lm s Tor : ti:; .: . s. E su,L w wEtLpOw °L3 �r�� � 'uk,•• SLAre, su To GAP 71. IV a S 4'50,, PREPARED IN ACCORDANCE WITH THE MINIMUM .dEb K1RQ (n j SfAN0AR05 FOR TITLE SURVEYS AS ESTABUSHED • •a, . cy F�� BY THE LIALS.AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE L•WO TITLE ASSOCIATION. /j��� _ D,L w1LL�_Y ��g • n. PA S MAt'N N 7' 450- & �1/T� • ` 15.00 ` b jS . • ' Z25.DO, 12) a.a. l N.Y.S. 1 i,.. No. 50467 • W ^ TOUNAUTHORIZEDSURVEY ALIS A VIOLATION TI ADOmON Nathan Taft Corwin III II"-ry /�11 SECTION THIS 7209'6 A N EW YO OF DUCI 72°9 OF THE NEW YORK STATE EDDIES°" AW. Land Surveyor O COPIES OF THIS SURVEY MAP NOT BEARING 7HE LAND SURVEYOR'S INKED SEAL ORSI TO BE SEAL SHALL NOT BE CONSIDERED C BE A VAN°TRUE GO%. CERTIFlCAnONS INDICATED HEREON SHALL RUN SuCCE55pr To:Stanley J. Isaksen,Jr.L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A Inyeyna LS. Is PREPARED,AND ON HIS BEHALF TO THE Title Sume SubdiVisions - Site Plans - construction Layout TITLE COMPANY. rRWAL AGENCY AND Y5- LENOING INSRMION USTED HEREON,AND Fax 631 727-1727 TTO IftIONE CERnF1CATIONS ARE NpDING IN��8� PHONE (631)727-2090 ) OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD,IF James ort, New York 11947 Jamesport,New York 11947 ANY,NOT SHOWN ARE NOT GUARANTEED. P Michael J. Domino, ;ident ��$OFFO(�- Town Hall Annex John M. Bredemeyer III,fvice-President ��O Gym 54375 Route 25 Glenn Goldsmith y = P.O.Box 1179 A.Nicholas Krupski � Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: -2�r � )T_ Completed in field by: V U Jeffrey Patanjo on behalf of ROBYN ROMANO 2015 FAMILY TRUST & JOSEPH P. ROMANO 2015 FAMILY TRUST requests a Wetland Permit to remove the two existing retaining walls and associated steps and platforms; construct a 125 lineal foot lower vinyl retaining wall; construct a 125 lineal foot upper vinyl retaining wall; construct a 40 lineal foot long westerly vinyl retaining wall return; construct a 42 lineal foot long easterly vinyl retaining wall return; construct two (2) sets of 4' wide by 11' long steps with cantilevered platform, one on the lower and one on the upper retaining walls; and to construct an 8'x10' un-treated timber platform constructed on-grade between the lower and upper levels. Located: 1415 North Parish Drive, Southold. SCTM# 1000-71-1-14 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 y/ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland. Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / / Present were: / J. Bredemeyer M. Domino G. Goldsmith N. Krupski �`� G. Williams Other Michael J. Domino sident �Q e Town Hall Annex John M. Bredemeyer II.;,v ice President ��� �yJ, 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski ® Southold,NY 11971 Greg Williams ���?' p! Telephone(631)765-1892.�a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD y� Date/Time: t A� ' Completed in field Jeffrey Patanjo on behalf of ROBYN ROMANO 2015 FAMILY TRUST & JOSEPH P. ROMANO 2015 FAMILY TRUST requests a Wetland Permit to remove the two existing retaining walls and associated steps and platforms;.construct a 125 lineal foot lower vinyl retaining wall; construct a 125 lineal foot upper vinyl retaining wall; construct a 40 lineal foot long westerly vinyl retaining wall return; construct a 42 lineal foot long easterly vinyl retaining wall return; construct two (2) sets of 4' wide by 11' long steps with cantilevered platform, one on the lower and one on the upper retaining walls; and to construct an 8'x10' un-treated timber platform constructed on-grade between the lower and upper levels. Located: 1415 North Parish Drive, Southold. SCTM# 1000-71-1'-14 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching.Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: r holoy I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino VG. Goldsmith N. Krupski ✓G. Williams Other �1/ 1 • / 1 1 � �/11.1 1 1 11 ` - t z f s . rNV 44. A t ..1.i. _. - Y,l,..a�'�k.2 S<r �- Al 1 4 4� It 1 w C 1 ` � '• it ..:.. � 'r'.��.�'�' %r wt;f^;tom"2�r �,�J s� t� �. J.�\.. '� ,i t ► z '`.f--`C, 12/: 5/:2018 - 12 48 obyn&Joscph P.Romano 2015 Family Trust 1415 North Parish Drive,Southold CTM#: 1000-71-1-14 ��2 ,a. < t►+- :":-+w 12/5/18 <' er ��� � '��: ~r .i'�. :nsr ♦ :,..a �fyA "� 'IaaR �.. ,,gv. l.. i J. it Z�� - a _ -' Iii........ � e1C'�Mf�.a ,¢�F• �� "�-'�,,,�-.,v�a�r eY\+ '.�� � - - - t -c .y A. yi4 '1'Kt •KuY q" 'S�ti .TG, 0. Q`�' t�-. �+l~�Y� -� a is ��, �k ."�g*,r� � ■� Fes' ♦t � yrs 7 a l�'� \ ..1��Y ' •' `� © �F\`V Y 0 . e AA** �• —,'Y.a_ ....� *�s-Sex.. �i'. 4 _ "._ 7f�, ..n a. �•: „4i.�f.� .� Y-'S�tt .;•. e... � .. • r _� ..a• a w.� r '��, a' Photo 1 • i .rid • � ;� "' r 43`�q,a.M,a.�,g�,����'�K�-/y,. � ` . t yr .:.1r,-'�.c.•- —,ice � iw'., r,j� .+•', � +t��w� may. w _ a s 4Jcae: J , Photo 2 • d � is �,� � . -�.lr.� , �yy;' r� � ... ,�.• . i6 M �. 1� • Ile Photo 3 a 1 . ' � r7 , F i rt Photo 4 DCS NY 005-Bargain and Sale Decd with Covenant against Grantor's Acts Individual or Corporation(Single Shect)(NYBTU 8002) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD RE USED BY LAWYERS ONLY THIS INDENTURE,made the 3)S)- day of July in the year 2018 BETWEEN SEAN PATRICK FAHEY,residing at 1928 Mandeville Canyon Road,Los Angeles, California 90049 party of(he first part,and Joseph P.Romano as Trustee of the Robyn Romano 2015 Family Trust;and Robyn Romano as Trustee of the Joseph P.Romano 2015 Family Trust residing at 175 Walnut Street,Lynbrook, New York 11563 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of to bu the party of the second part forever. ALL thatcerain plot,piece orparccl of land,with the buildings and improvements Ihereon erected,situate,lying and being in the I Town of Southold,County of Suffolk,State of New York,more fully described at Schedule A attached hereto and made a part hereof. ai BEING AND INTENDED to be the same premises conveyed to the party of the first part by deed dated December 1,2000 and recorded in the Office of the Clerk of the County of Suffolk OIC. on December 13,2000 under deed liber 12090 at page 411. TOGETHER with all right,title and interest,if any,of the party orthe first part of,in and to any streets and roads abutting the above-described premises to the center lines thereof,TOGETHER with the appurtenances and all the estaleand rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of•the first part has not clone or suffered anything whereby the said premises have been incurnbercd in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of Ute Lien Law,covenants that Lite party or the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying Lite cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for tiny other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has fluty executed this deed[lie the day and year first above written. IN PRESENCE OF: _;� ! 6" � AN Scan Patrick ••Patrick Fahey b illiam C.G ggins USE ACKNOWLCDGMENTFORMEELO{VW/TN/NNCIYYORKSTATCONLY.• USCACKNOWLCDGMCM•FORMIICLOWWITHINNCWYORKSTATCONLY. State of New York,County of Suffolk )ss.: State of New York,County of }SS. On the3l day of July in ribs year 2018 On tlhc day of in the car before Ire,the undcrsi ncd,personally appeared before mc,the undersigned, y + WillIarn C.Goggins 8 personally appeared personally known to me or proved to me on the basis of satisfactory personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose nanhe(s)is(are)subscribed to the evidence to be the individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me dint he/sheAhey executed within instrument and aklged to me that he/slhe/they executed the some in his/her/their capacity(ics), and shat by hisfiacknowledged cr/their the same in hisAier/(heir capacily(ies), and that by his/her/their signature(s)on the instrument,the individual(s),or(lie person upon signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted executed the instrument. behalf of which the individual(s)acted,executed the instrument. oANCYKELLY Notary Slate of New York No.01KE4833730 Oualined in Nassau County Commission Expires February 28.2022 ACRNOWLE•DGMCMFFORM FOIt USF.WITHIN NCW YORK STATE ONLY, ACKNOWLEDGMCNTFORM FOR USE OU75IDE IV YORKSTgTCONLY /Nary York SrrdxcriHinx Winrars Arknmvledxuurm Certificnh'/ 10,11 of Stme or Fnr•eixn Generrd Acknou-lerlgrnm+l CrMFctue/ State of New York,County of On the day ofm tile (Cn gdoi,Venue with Slate,Counoy,Province or municipedily) beton;me,the undersigned,personally appeared year On the day of in the year die subscribing witness to the foregoing instrument,with whom I am before me,the undersigned,personally appeared personally ncquainted,who,being by me duly sworn,did depose and personally known to me or proved to me on the basis of satisfactory say that he/she/they reside(s)in evidence to be the individual(s)whose nome(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed (ifdreplace ofresidenceisinacity,iicttrdetile sneerand streetnianber, thesameinhis/her/lheircapacky(ies),that byhisAher/their siggnature(s) Ir any,thereon;that he/she/they know(s) on the instrument,the individual(s),or the person upon behalFof which to be the individual described in and who executed the foregoing m individual(s)suhpaanc: before thcted execute e the signed in therument,and instrument; individual made such a ar instrument;that said subscribing witness was present and saw said execute the same;and that said witness at the same time subscribed (lnsenthecity Or-olherpolitiadsubdivision and dicStrafe or.cottntn,or his/herAheir names)as a witness Ihcreto• other place rhe acknowiedgntenl ivas taker). BARGAIN&SALE DEED WI'rit CW VHNAN1S AOAINxr MIAarOW N ALS TITLE No. DISTRICT SECTION BLOCK LOT TO COUNTY OR TOWN RECORDED AT REQUEST OF Fidelity National Title Insurance Company RETURN By MAIL TO FIDELITY NATIONAL TITLE ( ' 11 Qm V./ (fy)elr), m. Ern V INSURANCE COMPANYr,� ` r laenevtau7 )192M '1�.,114w� R V� bit.—a 14.Fidelity.�N rowaa�" 17 H Alru,brr Nnr tfi.k A,n,6nx1 n,b,1u 1,jjm LLc� LL 0 O O 0 O U W 6 0 Q W Q O LL r a. N S ir WF W .N K I � � tm _" I�Vl..ww'S:"I AVOdad leas. eo 3,.s No,..e3,,.3 �—.,.� s—.�. --. — _.,d.a—,.. —,— ...._..oma. t 301GON am.�worw�uwrr. M.+o....,. ON N011:I33 QlON11N)SS ioxvnL ct H O )IlOjzin$jO AlNf10o y r 1H35Ny33S �� n � � •` u 0 p". e pE _� ilawcL � J, ¢ }R rzS 6c pL 4 o ,y� u g w r S p Cl to ~ w s. ` � ar 9iPtOYro NsiaaL r ?1 bMz zHl °t S r bhM't Ti e c� y i AVG monlnos rLaasra a fil iru N � j Joseph P. Romano 2015 Family Trust Robyn Romano 2015 Family Trust 1415 N. parish Drive Southold, NY 11971 SCTM No.: 1000-71-01-14 REVISED PROJECT DESCRIPTION (10-27-20): The project includes removal of the existing timber retaining walls,steps and platforms landward of the existing bulkhead. Proposed work includes construction of three-125 lineal foot vinyl retaining walls, one 40 lineal foot vinyl retaining wall return,one 30 lineal foot vinyl retaining wall return and a stair system consisting of 4'x'4'cantilevered platform,4'x4'steps,4'x7'at grade walkway.4'x'4' cantilevered platform,4'x4'steps, 8'x10'at grade deck with corner bench. 4'x4'cantilevered platform and 4'x4' steps. Ir E Lit NOV 3 0 2020 LL Southold Town Board of-trustees r' } November 10, 2020 Town of Southold TrusteesI-�t E C � V E Town Hall Annex Building 1, �Dj 54375 Rte. 25 NOV 3 0 2020 P.O. Box 1179 Southold, New York 11971 Southold Town RE: 1415 N. PARISH DRIVE-SOUTHOLD hoard of Trustees SCTM No. 1000-71-1-14 REVISED PLANS Dear Trustees: Attached please find 4 copies of revised plans and project description for the above referenced project. Plans have been revised to include removing and replacing the existing retaining walls in the approximate location as existing as recommended at previous public hearings. Please let us know the next steps for this application process. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly ours, effrey Patanjo P.O. Box 582 Bohemia, NY 11716 January 11, 2019 Town of Southold Trustees Town Hall Annex Building E 0 E V E 54375 Rte. 25 �— P.O. Box 1179 DD Southold, New York 11971 JAN 1 4 M RE: 1415 N. PARISH DRIVE- SOUTHOLD Southold Town SCTM NO. 1000-71-1-14 1 Board of Trustees REVISED PLANS Dear Trustees: Attached please find 4 copies of revised plans which include the proposed 5' wide non- turf buffer. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, a effrey Patanjo P.O. Box 582 Bohemia, NY 11716 OFFICE LOCATION: OF S0Ury0 MAILING ADDRESS: Town Hall Annex �� l0 P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) cra Southold, NY 11971 Q Telephone: 631 765-1938 100UN N,N LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: December 6, 2018 Re: Local Waterfront Coastal Consistency Review for ROBYN ROMANO 2015 FAMILY TRUST & JOSEPH P. ROMANO 2015 FAMILY TRUST SCTM# 1000-71-1-14 A Wetlands Permit 8138 was issued on April 17, 2013. Jeffrey Patanjo on behalf of ROBYN ROMANO 2015 FAMILY TRUST & JOSEPH P. ROMANO 2015 FAMILY TRUST requests a Wetland Permit to remove the two existing retaining walls and associated steps and platforms; construct a 125 lineal foot lower vinyl retaining wall; construct a 125 lineal foot upper vinyl retaining wall; construct a 40 lineal foot long westerly vinyl retaining wall return; construct a 42 lineal foot long easterly vinyl retaining wall return; construct two (2) sets of 4' wide by 11' long steps with cantilevered platform, one on the lower and one on the upper retaining walls; and to construct an 8'x10' un-treated timber platform constructed on- grade between the lower and upper levels. Located: 1415 North Parish Drive, Southold, SCTM# 1000-71-1-14 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided the following is considered: 1. Existing vegetation should be avoided and retained to the greatest extent practical. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney of Q Peter Young,Chairman ti - Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., December 5, 2018 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of ROBYN ROMANO 2015 FAMILY TRUST & JOSEPH P. ROMANO 2015 FAMILY TRUST for the removal of the existing timber retaining walls, steps and platforms landward of the existing bulkhead. Proposed work includes construction of 125 If. lower vinyl retaining wall, 125 If. upper vinyl retaining wall return, one 42 If. vinyl retaining wall return and 4' wide X 11' long steps on both the lower and upper levels. In addition, there will be an 8'X 10' untreated timber platform constructed on grade between the lower and upper levels. Located: 1415 North Parish Drive, Southold. SCTM#71-1-14 Inspected by: Peter Meeker, John Stein Vote of Council: Ayes: All Motion Carried Michael J.Domino,President rt} A*a �r� ` Town Hall Annex 1f,��0— —NN f0 S� 54375 Route 25 John M.Bredemeyer III,Vice-President ,,��,, ,W, P.O:Box 1179 Charles J.Sanders 0 Southold,New York 11971 Glenn Goldsmith �d }{ Telephone(631) 765-1892 A.Nicholas Krupski `'- !' f, Fax(631).765-6641 ' a • z C UN'�, �f BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Am endment/Transfer/Extensa � l9+ Rcceived Application Received Fee: $ 0+00 r--- -- -- — --- , _ Completed Application: IM — Incomplete: SE RA Classification: Type I_ Type II_� Unlisted Qt. OCT 1 9 2018 J Lead Agency Determination: Coordination:(date sent): LWRP Consistency Assessme � orm Sent: CAC Referral Sent: /� rlq, Date of Inspection: I2.S• (— f3u_ ; �� Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: V-0 go IS f4M,l� �ru.SY 1' Legal Name of Property Owner(s): -J-e,s e P h 4+nan o o►s iFom 1151 to 5 T Mailing Address: 6 S AA a,n H a%e.-(- W o n s Phone Number: 9)-7- 6 r .)--o863 Suffolk County Tax Map Number: 1000- Property Location: /y/r i✓ Pa rash pit r vc - Sou-�Gi of Stc LoG �-Fzo� iyt aP - (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): JJ e-arer4 4+',1 a Mailing Address: P • �� 5 d +�O 1171,6 . Phone Number: 9 3 3 a— \`. vx \ j �% Board of Trustees Appli ;ion GENERAL DATA Land Area(in square feet): d Area Zoning: 5' -Previous use of property: �S Intended use of property: �S' Covenants and Restrictions on property? Yes 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? Yes No Prior pernits/approvals for site improvements: Agency' Date N(A 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): 5 e- 4-*4 cc AeeP Joseph P. Romano 2015 Family Trust Robyn Romano 2015 Family Trust 1415 N. parish Drive Southold, NY 11971 SCTM No.: 1000-71-01-14 PROJECT DESCRIPTION: The project includes removal of the existing timber retaining walls, steps and platforms landward of the existing bulkhead. Proposed work includes construction of 125 lineal foot lower vinyl retaining wall, 125 lineal foot upper vinyl retaining wall, one 40 lineal foot vinyl retaining wall return, one 42 lineal foot vinyl retaining wall return and 4'wide x 11' long steps on both the lower& upper levels. In addition, there will be a 8'x 10' un-treated timber platform constructed on grade between the lower and upper levels as shown on proposed plans. Board of Trustees Appli :ion WETLAND/TRUSTEE LANDS APPLICATION DATA . Purpose of the proposed operations: S-e c a+4 u c k G ek Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: so feet Closest distance between nearest proposed structure and upland edge of wetlands: ro feet Does the project involve excavation or filling? ✓ No Yes If yes,how much material will be excavated? i" cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: P feet Proposed slope throughout the area of operations: N Manner in which material will be removed or deposited:„ N 14 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): �1•C�/'C -w i �( �G n o �{�te�� O/l w-C�'�4.it-(,�S O d.. �t�a- wA. "l G lt�s fiha Q► O 1�� I S !u r�c.w a2U� d f' �3✓ ����e�c�l� Short Environmental Assessment Form Part 1 -Project Information 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 Name of Action or Project: Proposed retaining wall at 14.15 North Parish Drive Southold Project Location(describe,and attach a location map): See location map Brief Description of Proposed Action: Construct 125 LF upper and 125 LF lower retaining walls landward of existing bulkhead to replace existing deteriorated timber walls. Name of Applicant or Sponsor: Telephone: 917-682-0863 Joseph P.Romano 2015 Family Trust&Robyn Romano 2015 Family Trust E-Mail: jpromano@jrmcm.com Address: 465 Manhasset Woods Road City/PO: State: Zip Code: Manhasset NY 11030 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 ❑✓ El 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: El ❑ Town of Southold Trustees/NYSDEC 3.a.Total acreage of the site of the proposed action? 0.492 acres b.Total acreage to be physically disturbed? 0.02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.492 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban []Rural(non-agriculture) []Industrial ❑Commercial 0Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic El Other(specify): ❑Parkland Page 1 of 3 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:Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, Elgency: u o our , a e: - - 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: F-1 W1 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? Z ❑ b.Js 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? E]If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: EZI 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: m Shoreline [--]Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban JZ]Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? Tiger salamander,Piping PI... ❑ ❑✓ 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: E]NO ❑YES Page 2 of 3 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: F. ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicants ns e: Joseph P. ano&Robyn.Romano Date: lit 1 1 Signature: PRINT FORM Page 3 of 3 18.Does the proposed as nclude construction or other activities that rest i 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 IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 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 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. 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 E]reasonably available energy conservation or renewable energy opportunities? u 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 1:1problems? 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. F] Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an / environmental impact statement is required. © Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impact . Town of Southold-Board of Trustees I Name of Lead Agency bate Michael J. Domino President Print or Type Nam of Res onsibl }}Of66fice__r--in--��Lead Agency Title of Responsible Officer Signature of Respon ' le Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 EAF Mapper Sump ``T Report Tuesday, September 25, 2018 8:44 PM Disclaimer: The EAF Mapper is a screening tool intended to assist - 13,300?:1;00=23�OO .r—� project sponsors and reviewing agencies in preparing an environmental — assessment form(EAF).Not all questions asked in the EAF are answered by the EAF Mapper.Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to 1:3300-,100' 004, DEC,you may also need to contact local or other data sources in order j to obtain data not provided by the Mapper.Digital data is not a substitute for agency determinations. _.T f 7'11000100I-. 5`©OI07'1:60-',1'6'0:-.'9(00 71r l:600-i'-=110'©;0.�=05�590(0i 000 671;•60._it.6'o--i 00-0'120©0 7I00-1oC:30bd66 -1 Ob70007'1100-100100� o` n-- treal .700r100 1'6002 Y n I ,h r7100=100 44007.160=100-66 o7'1100'-2.00-1002..., 710 -200=1 7100;100-320007100-100:29 000, =T — .71+00 200 G000 Toronto - I «. � 7•IGO-IOQ-3;100--1-7,10 G� � -f - , ;7100;100,-1700�7aOQ-200-.1'003 r TIOd-100 33'000 -1 7.10_0-'100 27.606 i , 7 Hilll�t; cf?achaagr f �, , a1,00-200.1000"' I , I'Ir;•;;+,r.ri_ . :W1raCFi _i� ,_ ,.,. rod- 71A0='1100 2200.0 7100 'I`0(J=180001 �' r"-- 7r 11 +.:ueIrbil _ ° �Baston 7jl'00;20G (-- . 0�071�! 203©00.�`t d ;�0-'I,OQGOi� Clevc�tntl Prc+rldenre 7'160'10�0.3`8000.790Q-300-1060r-- t7.r�i7�OG �_� 'V(,`�.ra' i_, I: r - r I �. nt rtie tJ6 1EtJ. 1� d 6, �7.9G0=30%20.00�7�00,-300 JMtr F}4,. dvG, i" '' r.;;l., iti yev.:Y I ` � �fu,1o(i; r• hina c `Jl c?�g�;�'�fi02� r ,oPitbbicrgh Saurt�� Esri,HEP.E,.Garmin, '700;200;300,5 I /-Z 70©Q 30©.3Q,007, )) irl,=-{ � =7 ,<de�h Esr,u, ,+en`s} tJ1 9:100=8006' Col tJSf;f"a119ritL�irrtsf;IfJCREfv1EtJT 79(7Q 200 300 . i 7900:300=..00 o IM P , 7-.900 200 3003 790Q-300 1(5000.7QUe 1i� tc aIJ�U 4J D001 'cln�iali" ! -I c�t1F`t• , y^ ,j,�, �' I?13,ffZCa ,EsriJapa .,1AETI, I r� =-..Cord f + �e �Wa l t6lna{Hong Kcng},.Esri - = 1�1 Id Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7[Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health,water, Area- Identify] vegetation, &scenic beauty,Agency:Suffolk County, Date:7-12-88 Part 1 /Question 12a [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a [Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15[Threatened or Tiger Salamander, Piping Plover Endangered Animal- Name] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 1 Board of Trustees Application AFFIDAVIT lo-, k P (znl4-n-o -th (4-y% c-0 n 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. Sign roperty O ner Signature o roperty Owner SWORN TO BEFORE ME THIS kh DAY OF ®G"b ec ,20. 18 Notary Public CHRISTI E GON l.ES NOTARY PUBUC,STATE OF NEW YORK Registration No.01606122934 Qualified in Queens County i Commission Ex ices Februa 28 20 °� Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, a S{ P rn u.vt o �o ��.,,., ��✓t c�n O , owners of the property identified as SCTM# 1000- -71 - D ( in the town of 15 ,v U k o ,New York,hereby authorizes �A �cc ✓1\ a 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 O Property Ow is Signature a SWORN TO BEFORE ME THIS DAY OF d CW0 tr _, 20 g Notary Public CHRIS'nNE GONZALES NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 G06122934 Qualified in Queens County Commission Expires February 28.20 APPLICANT/AGENT/REPRESENTATYVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Etiiicsj ohibits conflicts of interest on the nnrt of town-bice--and emnloyees.T1ie nurnose'of this form is to provide information which c•ui alert the town of possible conflict!of interest and allow it to take whntevcr action is necessary to avoid same. YOUR NAME: �C",e VI a n %� -, --j-0 SP k (Last name,first name,axiiddle 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 (]f"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,nlarriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee ias even a partial o4vncaship of(or employment by)a corporarion in which the town officer or employee owns more than 5%o 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 br position of that person Describe the relationship between yourself(the applicant/agenUrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)die owner of greater than 5%of the shares of the corporate stock of the applicant (wile"the applicant is a corporation); B)the legal orbeneficial owner of any interest in a non-corporate entity(when die applicant is not a corporation); G)an otlicer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submftted this. I da of P-0, 20IP, Signature Print Named �C9rYiJ1� Form TS 1 APPLICANT/AGENT/RE-PRESENTATIVE TRANSACTIONAL.DISCLOSURE FORM Thy,Town of Southold's Code of Ethics lgohibits conflicts of interest on the part of town officers and employees.The nu ose'o this farm is to provide inrrinat ion which cin alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. �7 I YOURNAME: _ 20 m tiv1 —0 Lot .,h (Last name,first name,.rptddle initial,unless you are applying to 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,pnrent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,n iage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employ has even a partial ownviship of(or employment by)a corporation in which the town officer or employee owns more than S% f 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/ageiiUrepresentative)and the town officer or employee.Either check the appropriate fine 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%ofthe shares of the corporate stock of the applicont (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 ofticer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this-l'a day of E 20, 'J Signature YYI. Print Name Fka`n:i� iZoMntVc� Form TS 1 APPLICANT/AGENT/RE-PRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The nuruoseof this form is to provide information which can alert the town of possible conflict-,of interest and allow it to take whatever action is neccceary to avoid some T YOUR NAME: _ VA--ha V1 ► C'0 (Last name,first name0piddle initial,unless y6l are applying to 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,nlarriage,or business interest."Tipsiness 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 yuu answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicant/aget)tlrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. i 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 S%of the shares of the corporate stocic of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner;or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this OF da of 20 / Signature_ Print Name e, fmtj_ *—A,�(,p�__. Form TS 1 CJ Postal Postal AVo . CERTIFIED m E3 Domestic Mail Only co Domestic Ma Op For • website delivery11) y Aa i( _ r I t, ; ,. .. �V r7l CettifieMail Fee' MCertified Mail Fe¢ Er $ Q' \, - r� $ \' i E❑xt Ices&Fees(check box,add fee as appropriate) Extra Services&Feesy eckbo dies appropriate) R\e Receipt(hanicoPY) :$ El Return Receipt(hardcop»+ $ 0 ❑Return Receipt `�'- I )3 ElRerym Recelpt(eledtronlc) $ Postmark I r3 [I (electronic).,, $ Postmark M []Certified Mall Restricted Delivery $ He 0 ❑Certified Mall Restricted Delivery $ Here 0 ❑Adult Signature Required $ C3 ❑Adult Signature Required' $ ❑Adult Signature Restricted Delivery$ []Adult Signature Restricted Delivery$ O Postage 0 Postage Total Postage and I 0 IS � Total Postage and r ra $ SCTM#1000-71-1-13 SCTM#1000-71-1-15 ; F-9 Sent To Kiernan, Benard W& Kiernan,Carole P I � sa°rr° rLewick Thomas Liv Trust StreefsndApf.iUo., c/o Matthew Kiernan siiseiaitdapi.�(o.; Lewick Veronica Joan Liv Trust r` 492 W. Main Street 2245 Southwinds Blvd. �riy,sraie,ziP+4� � criy,�raia,z7P+a� :r• Cold Spring Harbor, NY 11724 ;,, Vero Beach, FL 32963TM . Postal CERTIFIED o Postal ■ Domestic Miiil,Only , MAILO RECEIPT I � Domestic Mail 6n1y � � w�•�)''wCr r+. "'L'x ,[i • t[� � ;i [�,�^' r � - •- • • -I • I [ j�- ``�`-'Sw M Certified Mail Fee, ,� 1.) ,lz"'`•a i °-' �x'>J $ M Certified Mail Fee/ ara S@rVICeS&Fees(check boy add fee as appropriate IT' rf}. ❑Return Receipt(hardcopy),,- $ r. $ ' OO ❑Return Receipt(electronic) $ Postmark Extra Services&',e. (check box,add lee as appropriate) j Q ❑Certified Mall Restricted Delivery $ Here ❑Return Recelpt 1 pY) Lr El Adult Signature Required $ O ❑Return Receipt(el nlc) _ Postmark O ❑Certified Mall Restil`d hrgry _ — Here ❑Adult Signature Restricted Delivery$ ❑Adult Signature Required $ 0 Postage r` E]Adult Signature Restricted Postage Total Postage and (� 1 r-9SCTM#1000-71-1-26 0 $ - 1 $ ra Total Postage am SCTM#1000-71-1-27 sent To Lucas, Evelyn Hr-q $ Dounis, Harry C:] sY6eiehdApf.Na. 1600 N Parish Drive a sent TO Zaharakis Yvonne airy;"si�ta,zia+4� PO Box 1735 EP siieaiartdhA f-ffc Southold, NY 11971 146-20 23rd Avenue ,,, �rryrata,ziP+a Whitestone, NY 11357 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Y¢ .. Name: t 7%: 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 there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at -that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this Day of , 20 r i Notary Public i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-71-1-15 Kiernan, Benard W& Kiernan, Carole P SCTM#1000-71-1-13 SCTM#1000-71-1-27 SCTM Thomas Liv Trust Dounis, Harry c/o Matthew Kiernan Lewick Veronica Joan Liv Trust Zaharakis,Yvonne 492 W. Main Street 2245 Southwinds Blvd. 146-20 23rd Avenue Cold Spring Harbor, NY 11724 Vero Beach, FL 32963 Whitestone, NY 11357 SCTM#1000-71-1-26 T Lucas, Evelyn H 1600 N Parish Drive PO Box 1735 Southold, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK Jeffrey Patanjo , residing at P.O. Box 582,Bohemia,NY 11716 being duly sworn,deposes and says that on the 3 day of December , 20 18 ,deponent mailed a true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at 15,04"Ia. , that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Sworn to before me this 3 Day of. December 920 18 ft 1 4� (q MARILYN S.HICKS Not -y Public NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 H16365489 Qualified in Suffolk County Commission Expires October 10,2021 Michael J.Domino,President �p$�f fOL'��o Town Hall Annex John M.Bredemeyer III,Vice-President ��� Gy 54375 Route 25 GIenn Goldsmith y z P.O.Box 1179 A.Nicholas Krupski . Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 SOI �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ------------------------- ------------------------------------- In the Matter of the Application of ROBYN ROMANO 2015 FAMILY TRUST&JOSEPH P.ROMANO 2015 FAMILY TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLICHEARING DATE I, Jeffrey Patanjo ,residing at/dba PO Box 582,Bohemia,NY 11716 being duly sworn, depose and say: That on the 3 day of December , 2018 , I personally posted the property known as 1415 North Parish Drive, Southold. SCTM# 1000-71-1-14 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday,December 12,2018. Dated: -I;k -3- ) ( g t re) Sworn to before me this 3 day of Dec. 2018 F. MARILYN S.HICKS C IC,STATE OF NEW YORK on No.01HI63WS9 Notary ublic d in Suffolk County Expirds October 10,2021 y December 6, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 1415 N. PARISH DRIVE-SOUTHOLD SCTM No. 1000-71-1-14 AFFIDAVITS Dear Trustees: Attached please find proof of mailing and posting affidavits for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, -k4 J ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 NUTILI: Ulm Ht: ARING 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: ROBYN ROMANO 2015 FAMILY TRUST & JOSEPH P. ROMANO 2015 FAMILY TRUST SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove the two existing retaining walls and associated steps and platforms; construct a 125 lineal foot lower vinyl retaining wall; construct a 125 lineal foot upper vinyl retaining wall; construct a 40 lineal foot long westerly vinyl retaining wall return; construct a 42 lineal foot long easterly vinyl retaining wall return; construct two (2) sets of 4' wide by 11 ' long steps with cantilevered platform, one on the lower and one on the upper retaining walls; and to construct an 8'x10' un- treated timber platform constructed on-grade between the lower and upper levels. Located: 1415 North Parish Drive, Southold. SCTM# 1000-71-1 -14 TIME & DATE OF PUBLIC HEARING : Wednesday, December 12, 2018 — 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 for inspection prior 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 J Town of Southold tMZP 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 sigAificant beneficial and adverse effects upon the coastal area(which includes all of Southold Towri). 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# -7/ / - t`l PROJECT NAME P-t'(154 (}(LIy'�e- 50��GLm 1 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 action: 96.e A"'titkAek N Location of action:, I l S lJ• Pat 1 s ti Oa . Site acreage: Present land use: S Present zoning classification: �5- 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: I4�!h 14,4*a o abs s F,i m d y *cc,,.-r 5o s cp h P.A1n*'7o ao 15-F-em (b) Mailing address: y 65- AA h A 4:rse- f 1,t�oo�s 2cP . AA AcsSc (c) Telephone number: Area Code( ) q 1-7- (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes WrNo❑ If yes,which state or federal agency?_ )QI s 9 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 (��.i�cf �s PcPI•unu .cK Q.�s-Fins ��c�[eta.t�dl . rLtg,n+ny w.�.�. 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 LJ Not Applicable 1 frl.ta� h�5 ✓tD 2F�tCt oi► �'llSfoflC D( 4'r�ll4eo�o4tc..-1 (��durcel . 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 ErYes.❑ No ❑ Not Applicable (b)ayf will PtovtWe a &t orc- .utsoc ija re-f'a„n j'nc wall �+�•� ,w-ll n hive 'tK eff!='.F an vte,J1 4✓alrf� Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LNWP Section III—Policies Pages 8 through.16 for evaluation criteria ErYes ❑ No Not Applicable 1pr-)-ee fe0e 14eel K, 4,4«turf.-&"A �M�e.L �ahna .1•�ll -fie', P62 t?e I rt 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 u Not Applicable P(og,ec-E A"i no eFFzc-f . Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable a j ee.4 A&z S No e�-f?c t^ Attach additional sheets if necessary Policy 7. Protect and improve air,quality in.the Town of Southold. See LWRP Section III — PoIicies Pages 32 through 34 for evaluation criteria. ❑ Yes No[?J Not Applicable I l i Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. W . See LRP Section III—Policies; Pages 34 through 38 for evaluation criteria, 1:1 Yes ❑ No aUs.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. DYe�] No❑ Not Applicable Pfol;ee--4 eo�tl•adeee-fS -�o i.�4-�'</1.S �✓„r n/1ICOte,a GiC • 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 [3fit 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. 1:1 Yes F] 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. ElYes ❑ ev� No Eq 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 E Not Applicable PREPARED BY PA "Cw n TITLE ,4 „fi DATE !o -�s- S October 16, 2018 Town of Southold Trustees tm:a Town Hall Annex Building 54375 Rte. 25 t P.O. Box 1179 OCT 1 9 2018 Southold, New York 11971 .5oufhofd Tri svn RE: 1415 N. PARISH DRIVE-SOUTHOLD ^ rd of 7rus4- s SCTM No. 1000-71-1-14 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, J ffrey Patanjo P.O. Box 582 Bohemia, NY 11716