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r.- Karen A.Hoeg '/� Latham Partner 69 Twome [//� khoeeg27@suff x2aykhoeg@suffolklaw.com SHEA, KELLEY, DUBIN & QUARTARARO, LLP 33 West Second St. P.O.Box 9398 Riverhead,NY 1]901 April 8, 2025 D C E 11/1 2 BY HAND DELIVERY AN 1 1 Glenn Goldsmith, President Southold Town Board of Trustees, Town of Southold Board of Trustees Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold,NY 11971 Re Freshwater Wetland Permit Application—Proposed Modifications Douglas P. Robalino Living Trust& Diane E. Robalino Living Trust, 1695 Bay Avenue,East Marion,NY, SCTM# 1000-31-9-21.1 Dear President Goldsmith and Members of the Board of Trustees: This firm represents the Living Trusts of Douglas and Diane Robalino (the "Applicants") in connection with the above referenced 2024 application. The matter was last before the Trustees of March 20, 2024 and we last corresponded with the Board on October 23, 2024. In the Field Inspection Report dated May 7, 2024, the Trustees listed "non-turf buffers" wherever possible and to address drainage with native planting. Over the past few months, the Applicant has been working with Marshall Paetzel to develop a landscape design which we believe addresses the Trustees' comments. In this regard, enclosed please find three (3) sets of the Revegetation Plan as prepared by Marshall Paetzel Landscape Architecture dated April 3, 2025. The landscape plan proposes removal of the masonry wall in disrepair and replacement with two tiers of 30" masonry walls proposed with 36" between the walls planted with native grasses. All debris, including tires and trash,will be removed from the non-disturbance buffer by hand and native seed mix will be placed in areas of exposed soil. A 1978 sf vegetated non turf buffer is proposed on the garage side of the house and a concrete pad at the rear of the house will be removed and replaced with pervious gravel. a f J April 8, 2025 Page 2 of 2 Applicants reiterate their request for issuance of a permit so that a Certificate of Occupancy can issue. Should the Board have any questions,please contact the undersigned. Very truly yours, 4en KH:dp Encls. -D � � � � � � APR 1 1 2025 Southold Town Board of Trustees AUTHORIZATION (Where the applicant is not the owner) I/We, Douglas Robalino and Diane Robalino owners of the property identified as SCTM# 1000- 31-9-21.1 in the town of Southold .New York,hereby authorizes Twomey, Latham, Shea.,_ Kelley, Dubin & Quartararo, LLP to act as any agent and handle all necessary work involved with the application process for permit(s)from the Southold Town and of Trustees for this property. Douglas P. Robalino Living Tr t Diane E. Robalino Living Trust xl� By- ,,, By: J"I'L1,5�____ Property Owner's Signature Property Owfier's Signature Douglas P. Robalino, Trustee Diane E. Robalino, Trustee SWORN To BEFORF,MF,THIS DAY OF 20 25 7-- --2,z Z Notary Public SUSAN M CURRY wormy PuBuc,sTATE OF NEw YORIL Re&tmdon No.OICU6017899 M yC: MYDRIL] F6017899 1C.STATE m No.0 1 Qudified in Namsmmp, my Commission ExpiM mC card of Trustees Applicati PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: l7 �� Gem 31 , g- .S 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 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: DOUGLAS P. ROBALINO LIVING TRUST & DIANE E. ROBALINO LIVING TRUST SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the as-built 1,628sq.ft. one-story dwelling with attached 186sq.ft. east side deck with steps and 405sq.ft. west side deck with steps; as-built 181sq.ft. PVC pergola; as-built 345sq.ft. west side concrete patio; 526sq.ft. of as built concrete walkways; 827sq.ft. of as-built step-stone walks; as-built 598sq.ft. masonry block walk; as-built 1,600sq.ft. brick & asphalt driveway; existing previously permitted 1,380sq.ft. two-story garage; and 10' diameter by 8' deep cesspool with shallow dome; remove the existing seaward masonry wall and replace with two tiers of 30" high masonry walls with 36" between the walls and a drain system, to be planted with native grasses; all debris, including tires and trash to be removed from the bank face by hand and place native seed mix in areas of exposed soil; establish and perpetually maintain a 30' wide Non-Disturbance Buffer along the landward edge of wetlands, and establish and perpetually maintain a 1,978sq.ft. vegetated Non-Turf Buffer on the east side of dwelling wrapping around seaward side of dwelling, and within the area of the retaining walls; remove existing concrete pad seaward of dwelling and install a ±4.6' wide pervious gravel walk. Located: 1695 Bay Avenue, East Marion. SCTM# 1000-31-9-21.1 TIME & DATE OF PUBLIC HEARING: Wednesday, June 11, 2025 — 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 w ROBALINO Ctf N/0/F RESIDENCE o CARLETON A. RAAB 1695 Bay Avenue > >> 1978 SF VEGETATED NON TURF BUFFER EXISTING LANDSCAPE East Marion, New York S 4 3° 19 4 0 265 SF GRAVEL NON-TURF TO REMAIN 221 . 84 BUFFER FOR CIRCULATION T--a- NEWp,Y �Q -- Q 001 X—_X X X X ` -- -- I \ WIRE FENCE' ^ g FENCE TWO TIERS OF 30"MASONRY WALLS FENCE J p \ 0 7 N �' ` \ \\, PROPOSED WITH 36"BETWEEN WALLS O 1 .7'S. 1 .5'W. O Q '; \; PLANTED WITH NATIVE GRASSES 0 � � W maFshall poetzel • zY o M - EXISTING CONCRETE WALL IN DISREPAIR LANDSCAPE A R C H I T E C T U R E 42,9 cn p oo �— N 0 N-D I S T \ TO BE REMOVED AND REPLACED QO _ B NCE E--qw �— � m C o �. rER N - O PO Box 478 Q 30,0 Q REMOVE TIRES/TRASH/DEBRIS BY HAND • a LAWN I{ 5175 Middle Road J �- (NO USE OF MACHINERY)IN NON-DISTURBANCE M O > Z Y }, ` BUFFER.SEED EXPOSED SOIL WITH NATIVE C Mattituck,NY 11952 �J TW 18.0 SEED MIX AFTER REMOVALS. tr U p O) O BW 15.5 \ { phone: (631) 209-2410 w fax: (631)315-5000 O cv > U Q J �--•- �.► O O a f7] p u �' I email: studio@mplastudio.com 'j' 0 2 STORY "� AIR CONDITIONER o1 0 Tw15.5 FRAME GARAGE N � ' UNIT � � BW73.0 �- CV 12 SURVEYOR: • — STEPPING ST NE: WALK O I I Z .. ;\.,\. J Nathan T.Corwin O M — CL 1586 Main Road (d d AMP MASONRY BLOCK i I w m .\ Z Jamesport, NY 11947 POST I I (� , 30' J Office: (631) 727-2090 0 30.0 _ — Q 0' Q Y J 43.4' 14.3' W Z MASONRY 67 J Q i::• [I ' O ,Z \ ,W \ BRICK EDGING V U ._ ! ' Z ti Y ZQ z � \\ r°U p o WOOD DECK I I O Q � v .v c ° w Cn v N OVER CONC. II P 'I rr-- J 0 m t` o• D Q Z . W Z o I \ w D D D p m w ;I 45'\.\DECK. ,. L (�, F- > _ t� o ASPHALT p 6 � 50' HOUSE y D RIVEWAy Da v V. a 1 STORY FRAME HOUSE 10.0' Y\' \ = N � c •' MASONRY v u p OCK WALLij K N 11 �\ �\\\ w • N R \ Y r7 . . . nl � w ® BRI b v o I c� w •' Ck ED V REMOVE CONCRETE O Ld 2 Q I— ' DING D PAD AND REPLACE � (� I J W D . W/PERVIOUS GRAVELMAS I 1 I Li LAM DNRY BLOCK v D oN I I Q z ° P POST D' z ° CELLAR ENTRANCE ~ tn' -1 /� W O TW 18.0 Z L J > U BW 15.5 p O \ Y O 1 _ D \ 'n Q_ L J ' \ Q I NALK IN 28.0, OS' � ' `� Tw15.5 '� \` •, \\ W� MASONRY BRICK EDGING U w �� 20.9 BW13.o ROOK o �o ,� I \ \, Z WATER FALL g o z GONG. vi CHIMNEY \ big w ' N p o 12 Q pR ' 4.4 x 0- qI z Z FENCEQ V)J wLL- 0.6000NC. WALL GRATE: WOOD DECK 00 w=c i z & STEPS .S' 1.3 E. o U� o \ j r 0 N� CONC. i \ SITE DATA: w SCTM#: 1000 31 09 21.1 ERH MASONRY BLOCK WALL ^ Zoning District: R-40 OV EAD WIRES340 .12 '40 C _----- z : . 'z Z \ Lot Area: 22,351 SF (or 0.513 acres) U ; : �� N LINK _ o \ \ L(] TILITy — HAI FENCE CONC. o \ . NOTES: POLE ;n GA WALK :• w. 9.3' � N TE , ` ^' d ev NC'.. \ 1. Base map information based on survey OVERHEAD U ' 9 3, ^ / f'�Q� \ \ prepared by Nathan T. Corwin H D WIRES (� O dated November 25, 2023. �q • s CONC. , WALK N\ \ \ o UTILITY / 2. This drawing is for the purpose of -- - / \ , METER & STEPS POLE obtaining permits only. NOT FOR ' ER LO CONSTRUCTION. UTILITY r ED POLE / \ ` ; 3. Unauthorized alteration of this plan is a GE OF PAVEMENT f, ! violation of NYS Education Law. GUY !—OVER REVISIONS WIRE �.�H . WIRES • 224'. 47 DATE DESCRIPTION g 13 GRATE A \` \ BULKHEAD EXISTING VEGETATION TO REMAIN �—� RAILING 4'-0" S e a I CA M n REINFORCED SOIL NATIVE GRASSES(TYP.) SITE PLAN `� , 002710'N Q� • EMBEDMENT -1> OF NE`N�O 1" SCALE: 1"= 10'-0" GEOSYNTHETIC CAP UNIT W REINFORCEMENT(TYP.) IT _ _ • 8,. SEGMENTAL q W_ L J J RETAINING "' ~ TITLE: REAR DRAIN SYSTEM WALL UNIT Q WHEN REQUIRED O I 12"(MIN.)OF FREE 00 • DRAINING AGGREGATE 1 FINISHED SITE O GRADE • L J L J EMBEDMENT r�� PLAN GENERAL NOTE: APR 1 1 2025 -DRAIN SHOULD BE AT BOTTOM OF WALL WHEN POSSIBLE. -UTILIZE RAISED DRAIN LOCATION WHEN BOTTOM OF WALL 6"(MIN.)COMPACTED DRAINAGE IS NOT POSSIBLE. 6„ GRANULAR BASE -STRAIGHT FACE UNITS ARE SHOWN FOR SIMPLICITY. SOU,1oid Town 0 5 10 4"DIA.(MIN.)DRAIN TILE LEVELING PAD -DETAILS ARE APPLICABLE TO ANY FACE STYLE. BO -d of T"UStE@S (ELEVATION VARIES) 2'-0"� H4=1 r SCALE 1" = 10' ti 2 TYPICAL TIERED SECTION DRAWN BY: MENDO Detail SCALE: 1/2"= 1'-0" D.CHECKED A CHECKED BY: J.PAETZEDATE: . 4.0 L 1 .0 DATE:2025.04.03 REVISED: �,UFFQ� Glenn Goldsmith, President ��� �� Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski P.O.Box 1179 Liz Gillooly ®y ®� Southold,NY 11971 Elizabeth Peeples Telephone Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time:—� - �� - G VCompleted in field by: DOUGLAS P. ROB LINO LIVING TRUST & DIANE E. ROBALINO LIVING TRUST site inspection to further discuss the modifications the Board requested during the March 20, 2024 Public Hearings. Located: 1695 Bay Avenue, East Marion. SCTM# 1000-31-9-21.1 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.: f y Y Present Were: lG. Goldsmith `'/N. Krupski ` E. Sepenoski �-'L. Gillooly E. Peeples cM f St.Q}io.srvt bl.ro Owst t.....5 s4mpip maj • r I�h ' M• .- 4 qg S Stj j*V;rN sivo otwtsL"" S4-re,?p%ht) x r �o�.►n ck blvfl Dw���� str�Pp��.•7 -St M " 41-.,. � I11 op— - .., � .t�`F - �. � �,��Ate.rl•s x'_ •. i+��S.K- - ham' Jo 30%1+M-.r4% CwrL%.% s .f' ?��nvt ��iS �Y,1{♦r.�rv� bt�p ow,elt�v�y ��-r�ep�ry 4 � f -- fill. .r� �•t .fl� -' I Y _.��.- FFQJ Glenn Goldsmith,President Y�0�0 ell - Town Hall Annex A.Nicholas Krupski,Vice President A_ 54375 Route 25 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • 0�� Southold,NY 11971 Elizabeth Peeples rh¢ Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 1Z )WkZe7Y Completed in field by: James DeLucca, R.A., LLC on behalf of DOUGLAS P. ROBALINO LIVING TRUST & DIANE E. ROBALINO LIVING TRUST requests a Wetland Permit for the as-built 1,628sq.ft. one-story dwelling with attached 186sq.ft. east side deck with steps and 405sq.ft. west side deck with steps; as-built 181 sq.ft. PVC pergola; as-built 345sq.ft. west side concrete patio; 526sq.ft. of as built concrete walkways; 827sq.ft. of as-built step-stone walks; as-built 598sq.ft. masonry block walk; as-built 1,600sq.ft. brick & asphalt driveway; existing previously permitted 1,380sq.ft. two-story garage; and 10' diameter by 8' deep cesspool with shallow dome. Located: 1695 Bay Avenue, East Marion. SCTM# 1000-31-9-21.1 Type of area to be impacted: Saltwater Wetland X 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 need ed/Modiific tions/Conditions/Etc.: Alut „z / ati Present Were: y G. Go smith �/N. Kr pski E. Sepenoski L. Gillooly E. Peeples REVVISIONS . _ c1n1vERAL NOT. I 9/30/18 I,v,, I5/25/Iq 1JVC �-- 6n DIAMETER �� 1. All construction shall be in N.Y.S., A.C.I.with Rall einforced �j rI 'csection s of Building Coda of N. 'etvuctural Steel'Manual, 11 1 Iq VD eenar.t• Building code, A.I:m:.C. sit and Steel Joint Instite Specificati4ne. , 2. All construction is to be in accordencs with prevailing codes and standards, when building In other jurisdictions, variat6ons or adjuetments may be required. vasify any such REFLECTIVE aaD REFLECTIVE.WHITE rsgniremesbe with the local code or enforcement officer. r FANTONN Mm7 3. All materials and-methods of construction for this-project I must conform to the requirements of all applicable federal, -I state and local ordinances. 6. All materials for this Project shall be installed-in ` compliance with manufactures specifications and recommandat16Aa. ' • S. The Architect or angine•r assumes n4 responsibility for construction means, methods, techniques, sequences, or procedures, or for safety-preoauticgm and program in connection with work. There are no Nairanties, nor any marchaindibility of fitness for a sMcific use-expressed-or Implied in the use of theme-plans. - 6.- The architects-or engineers c@ztitiyation applies only to this plan. Alteration of this documgnt except by a*licensed professional Architect or Engineer 1s tl•T�gal: 7. Architects or Engineers seal ana siymature only good for H initial use of drawings. Changes alterations or reviaione'to re-use of drawing* without Archftecjs or Engineers approval voids Seal and Signature on sane. V-4 112N 8. Contractor to verify all dim•nsioty (V aroOns anket or engiveer of an conditions, before 0 STROKE construction, and notify the TM OOnstrYCtlOn typo - discrepancies. Do.not mgale drawing9, follow ftennniona y H designation shall be only. ulw,slln,"111^ eIV"or"Ir 9:. All Plumbing is to conform to N.Y.S. •••� e I to Indicate the construction requirements. and Local plumbing Cods e..t clasaMcatlon of the w�1 structure under DESILRNATION FOR STRUCTURAL 10. Electrical work to conform to the Wejonal Elsctrio coca and � W>. M applicable Local Codes. semtion 002 of the BCNY!{ ) COMPONENTS THAT ARE OF � Z '11. All lumbar' to- Doug / 71• TRUSS TYPE CONSTRUCTION g r use 01 and 25e /2. a 12. .nll footings to rent on virgin soil or'coapaoted'per code.. N W O "F" FLOOR FRAMING,INCLUDING > ■ ■ GIRDERS AND BEAMS 13. Soaring capacity of soil shall conform to building code. S eel ■ ■ 28 day tin. Q >. INC16Rn ROOF FRAMING 16. All concrete is ,3,500 •P.S.I. S s FR FLOOR AND ROOF FRAMING 15. All lumber and plywood must be qra% mtaipsa. t`� ca STANDARDS AND CODES 16. All construction must comply with the 2015 INTERNATIONAL 0 RESIDENTIAL CODE FOR ONE-AND TNO-FANILY DWMINGS FOR- O%q V NEW YORE STATE. s ` ,4 W 17. Double sup port etude under all heatless 6'-0" and larger.' 18. Double framing members are required around all openings and below all parallel partitions. 19. SIMPSON CONNECTORS, so noted on the drawings A as required, on all flush structural load carrying conditions and load' Q Path conditions. � v- 20. All interior headera to be ( 2 ) ( 2 x 6 ) except as noted on plan. V 4' 21. All exterior headers to be as note Q - FZ do F 9 on pleas. 22. Smoke and carbon monokid• detectory J W Z I TT I G- detecting devices, electrically operated, are to M 1:,sta11W per code. Q 23: 'All bath rooms without a window mutt vented to exterior, except as noted be provided with a fan on plan, per code. 1 24. BUIconsDINGtruction. PERMIT to required prior to the start Of Uj Z a ~ construction. W LU 25'. The following drawings are only for the J of the existing roof structure wi Pro sed replacement N �O trusses, re-building of the existib lured roof 'v- �I FIRST 2'� _removal and installation of non-b0gr rear wood deck* and the zkg Fes, noted on floor plan.,The remaindera,,ng interior walls es Z. 7.� 2"I z��l 2 z��l is not the rempongibiiity of the At the-existing structure ' chitect., Ek ~ I 1 ,rZ" ITUB 5HOWER pIED E J E :/ i.• A' 2 9 0 INTO SE"IG D JAN 2OZ4 I y I S`(STCM 1 � I D s NED DR-AWU- Soutl1old Tow rl 'ST ®• 02365� ypQ �J esDATE . - F [3oar d of Trustees � 7/1e/2ote PLUMBING sf~cT1oN ®F �dE`� -- AS NOTED "c, XM NO. C AS s3u1.uT vRAwINGs oASgD lob 12_2,CZC37 — REVISIONS 4/17/2018 JV( 4/19/2018 JV[ c 3 32 0 5/25/2018 JV[ ' 9/30/2018 JV[ 5/15/2019 JV[ 10/12/2020 JV[ 4._,. DN. io iv N r 30 e — 58 40— 30 4a 2 2 I ON. q I I o WOOD DECK I LL �O v FD v (2) WDH210410 _ �--- v I WOOD DECK Z M I • 11'-T 4• 19 S• I •q� J . CATHEDRAL R. •I ~ LIVING 7-�� m w>C3i.BEDROOM O Z �, I 12 12 Z O 4 I I jy 0 % ® � DINING ROOM Q Q W I of ¢ m LID W In I za � N I I U N CL g a I p 111111II IIIIII nro°v SKY m DOME I 2�v IIIIIIII V-0• ROOF OVERHANG L___ KITCHEN TYP CD BATH V48 • GG6,.��q1wF��' ! �C�y }26 zgU Z38• oZ a QED 2-3• PANTRY o w26 — g < \7, BEDROOM 3 MIN! BEDROOM #2 #3U� W g // \V & 14' 8-2' 4' 3'-0• 4' 10'•3' 9'3' eI 023 I � FOYER OF � � eco_ - - 3a 4 o - - - - - -304o a - - - - - -40 — .J -- ——————_� REPLACED CONSTRUCTION E c E IJ v 1 EXISTING CONSTRUCTION 32'-0" ——————- TO BE REMOVED DESIGNED S® SMOKE ALARM N J.V.D. PROPOSED CONSTRUCTION DRAWN so AND KEALAMONOXIDEM EXISTING AND PROPOSED FLOOR PLAN JAN 2 q 2024 L.B.2 REMAINING EXISTING DATE i' crn AND SMOKE ALARM _� CONSTRUCTION 1/3/2018 �D FAN VENTED TO EXTERIOR SCALE:�"= 1'-0" _ SCALE 4 Southold Town AS NOTED Board of Trustees S BUhLl 'DRAWI_NG DATEOIOC/�12�2 2 5/25/1 —74V I 10/12 ZO20 Jyo pIZOPosEp REP�AGEMEhiT ROOF --------------- EI,FHI ."rlllllllllllllllllllillill nL STRucruFZF TYP. i P VC)PO5 Em, 19-C)" X zap-o" 'YJ p !7 ELIG PROPO`LE D RIGHT' SIDE ELEVATION PROPOSED REAR ELEVAT ION J E C E W AL J A N 2 9 2024 (�RoPoSEO REPLACEMENT RooF sTRUGT�/RE TYP. PRO POSEr> P VG TRIG a oAR1>S TYP P'Ropo5aty VINYL SIPINc, TYP. C-outho!d Town Board of Trustees ED A z I Z --- ---- ' '9T 02365� OF NEB Ell ivv CN■CN■O C ■ I.S MOTrp JOB NO. AS BUILT DRAWING DATED 10/I2�0 02 D. Ko EALINo �- - -- ■NC■T PROPOSED LEFT SIDE ELEVkTION PROPOSED FRONT ELEVP,,-MC) I . Yq n = ( -0 1. SURVEY OF PROPERTY S . � . 2 5 SITUATE MAIN ROADEAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31 -09-21 . 1 SCALE 1 "= 10, SEPTEMBER 26, 2017 OCTOBER 27, 2017 ADD PROPOSED ADDITIONS APRIL 15, 2018 REVISE PROPOSED DECK MAY 21, 2018 ADD TOPOGRAPHICAL SURVEY JUNE 21 , 2018 ADD NON-DISTURBANCE BUFFER OCTOBER 18, 2018 UPDATE SURVEY AUGUST 9, 2023 UPDATE SURVEY NOVEMBER 25, 2023 UPDATE SURVEY AREA = 22,351 sq. ft. H 0.513 ac. LOT COVERAGE OVER UPLAND LOT AREA (20,042 sq. ft.) DESCRIPTION AREA X LOT COVERAGE HOUSE 1,636 sq. ft. 8.2X GARAGE 690 sq. ft. 3.5X I CONC. BUILDING 69 sq. ft. 0.3X X TUTHILL (2) DECKS 564 sq. ft. 2.8X S PATIJPERGOLA 144 s . ft. 0.7X q 24 RICHT OAY I + N 55*4792091 E TOTAL 3,103 sq. ft I 15.5X PERMITTED LOT COVERAGE = 20X OF UPLAND LAT AREA MONON . MASONRY H 3.0 0 BRICK APRON o EDGE OF PAVEMEW m T!1 m ?• - Iw N� OVERHEAD MIRES 4m 4�6- m a, Iy � G (/' NOTES: x Z -P 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM I V; EXISTING ELEVATIONS ARE SHOWN THUS: xx.x d m EXISTING CONTOUR LINES ARE SHOWN THUS: x- I ° - F.FL.- FIRST FLOOR b x C0 G.FL.- GARAGE FLOOR -i TB - TOP OF BULKHEAD p I O BB - BOTTOM OF BULKHEAD r� z N ITW TOP OF WALL f0 BW - BOTTOM OF ALL� D � co v { � o • a G v Id v G 15.0'� 23.0' v. d v .G• 'd '+1 • v °' v �N o 'd D-00 p z •d •v v. e' i a •40 v v ° d G' 15.0'� I 'dd d.v v °• 5.3' 23.0' r a " N 7.9' MASONRY o STEPPING a 8.1' BLACK WALL m STONE WALK PLASTIC COVER a� GRAVEL c ram• . e 10'DIA• x 8'DEEP w � : .."."�..�,,;.•.,..;,;.'..,p, CESSPOOL�ME ; SHALL o 11.9' n� f 11.3 o � m ' STEPPING 10.2 MASONRY + I STONE WALK- PVC N BLOCK WALL No / PERGOLA N 12.7 7.0' 50 10.0' QI 36.1 HOUSE _ 170 PERGOLA I27.9' - Y W SEWER VENT 1.8' 32.2' : 1 4.9 r 14.0' 17.3' . MASONRY M ,•'�'• BLOCK PATIO I rn P. rn o f CA m m / N _ Z4 9D 1 I moo $ / ; p 5.4 I ~ m + czi �c 1.7' / 16 20.5 / A:woo D. ZOP of / CONC.. Mi wbo I \ \ \ 10.9 CONC. STEPS �Q. WpOD STEPS 37.6' CONC. 404.5 CbNPUND \ `vr +gym +zr o 12 \ 7 4' \ \ I TW C.WALL ' '+ DIS Ep` i / a \ \ \ TWA 6 66.6' IB - i - 10 m \ _ 4 Z O 8 / 9.4' \ \ 10 TW13 IN DISREPAIR 6 y . MI - TOE OF BANK i - � I I � - I �o FLAG i /"IrlP ' LANDWARD LIMIT OF WETLANDS FLAG b / FLAG j I FUG N i JAN 2 9 2024 2bo .121 FLAG _ ._.... ._. p UNAUTHORIZED ALTERATION OR ADDITION 7 TO THIS SURVEY IS A VIOLATION OF S 5 3"0 9'2 5" W �- SECTION 72LA OF THE NEW YORK STATE TIE LINE ALONG APPARENT HIGH WATER MARK ON SEPTEMBER 26, 2017 EDUCATION LAW. 1 COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. MARIONLAKE PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEY'S AS ESTABLISHED Nathan Taft Corwin III BY THE LIALS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND Land Surveyor TITLE ASSOCIATION. OF p, P''; Successor To: Stanle J. Isaksen, Jr. L.S. �. E. y Joseph A. Ingegno L.S. TAFreo �0 Title Surveys - Subdivisions - Site Plans - Construction Layout Fax (631)727-1727 ' L• _ PHONE (631)727-2090 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 °°.•°�pQ� Jamesport, New York 11947 Jamesport, New York 11947 _, '°" •1✓ .'MY.S. Lim. No. 50467 E Mail: NCorwin3®aol.com °��i€Its'• .' 37-237E1 Douglas P. Robalino Living Trust Diane E. Robalino Living Trust 1695 Bay Avenue, East Marion SCTM# 1000-31-9-21.1 x , l If 4104 IF 7 yIt ' ts�rytJ•� �, � {� .i*��� A �` � r a `r..�. ;t . +y� Z r y� - _ " �✓'wp it :�. dL �'..' ``✓..4 ♦�, IL..�►. �] V • s �' .r •+ 'i�r tea .� ( r-r' � � ��'� 4 ` 3 'i!'�'IYC. �`,C. • �" r '`� �. f ,�•.��,�, f i dy 'a,:. ,� t y1��'���-° 'i'�47,r- �� .„•.`+��-7���`�+„'• � s���� � /' •'�'►i ,�� .Fi3y?:.i'. a• � 's fif �� � ..•' �i ♦ J�r].+,�7�'..a .-. AM& •.�y +`. ..�, ��. �♦ v ar J• .� � i1.Z-1_. `�fx f .r: a :`?. x �' '� .R ••:. Aar 13 J • a .Y►'1fr '- .`���� .IP`' *�G j '9 ,A• .ti:lD T.J. ,. ,1 ' 0 a Ol Of,• ti it � � r x'l,I��i';y+ a NA Ent I in •\ i N '� o � �ty a �. • - •- �. ` � "f' F �!►' will WON Air. t l f �i � KKR' �. *k - >R�• +'i•a� ' _ -..- '�. .k 'Y- 'Douglas P. Robalino Living Trust MarionDiane E. Robalino Living Trust 11695 Bay Avenue, East t - '' - rj� J•Y f �. 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' � - - � - t;"fir •. a INIPP if .C?I �. y^ �. �• _ op _,4,t; '�ykt.y` '`Y .:I •_..a `> r�,♦;r � P /,,�j,Ki•rrr � rI� - �iR�,r' ��t ��R kt4ri A +' r 'i'i� 'f"r'•1�1..� � ..±.'T�.'.r'-•`-5 ,fe' ) S f . _ � a.♦ ,. ...r L �� �� �.� �...:,.,x."-�' ;N `�: _s�r �'��,� ,�: *' : J/ 12,/2�0,2•�4 i 16 � , ��• � � r rs>f,�4 9.r� rC :,. +'R•f,+�• �, X/� ,ta � .ir`i � 1� •��' •�'," i lop _ `• �K ok . .z • 2024 air' 'P� ; .�'"4n;• �-,;� . � i I t i iVL i r i JA N 2 9 2024 Sout�i�,ia Town P^?rd of Trustees I "' '`;fir �,�•�' �w 1 N [ E 2024 Sou'h,�Id Town IL w x +.. • '7 f hrli�• ����i�y s ���• ��• x I ''t�.i/+,a��aril. d` +1��, �� is fir, FIN IMF •, � @@ i�•YC It F .� - e sti - aT ? a E: `Ma a� 3 �`�" `o.eeNc w. sEe acc nD oiF i :..✓' .0 Dn 4wE �Mh \ as-°e a .4y Lam Y�- y '.l 6 N f6 4 Y i W\\0�.- •ert 5N @ L e x3\ •w 0.4 �41 a J^t ., ♦ .'� ^z. 8" a �' y •�S ;.J h g e oj� _w.02 •; '•�� ,+ ,Y ,I.tS 110 F �, �` e��t I, Er�t W 2). '�. '2 -T �8 a�. 4 •'i .°s e •y2 YaoA t:vtt @ �,,at e" h ` MAIN r �, a .sz AA— s - - ye .» 'kJ°re!'.. ':shy e 1 „�.•.,. .^,r a^"' a a_s;<...-ty'"� t'e ai , oa i''� iY i°°Pl��, N S�3 ,J m m e '� vi•Y E b '"' ar,3, t°_�_- �'. t ¢ s:a `` +. e °�� 101 ;Y 1. hl.._ v 'ri .ffi is °`ti, � . a ° f2�,a ,x �. ,� .•1\ St �, bit? 'M U fW5 $e q ` w,5\\1 \\9 a M °µ" `a �. ci ... i., �•.� a6� • Q of 2�! i `,� ,sz d, . 6 V kJ iJ>> ,F:e�°cv ti i J a',�wv� yk ,$�e u °tyy�i `,`� :J `a �1! ` •s "I i y♦ '� C, t, i. 9 a, It pAl,vai w,e oa roe 'x 9q fin zMa xN �`.\ esµu, "le ti i s tif oa ry'z ;t uvn cauN,r �,S aNua 6'� �9 a ,. 9 a xe I �y �e���,"- `� M1 •4 � `"♦ i.q 40 mao v >r.. ♦ +u/ M1 a y� •a _ �. JS s iy. 11 all, ,'� pr ,,i a t, i'`$'�\, e',: �•`ti a.,.s. ` '� ^ se i eµ� f�,.,. �1 ea __ w3 ,fi�• .^ s y, � ^. � � roww of sourNoln t + ,. J c,\ _ ... :^ ;.`•�it° J ,J '�'. si a�,_.jS°�+' ;v .a yi�0 J ^v. A�a.,\, ,�\j,!" �_ ,� ,. a WRION LAKE lAp. I i I ^ M1 ° '.v e'.-_• / Y> �, t p.P ` M1� S^Y'"°'few ,Jsegef .:� � a'� �* ���� •���`r �, _-. � �yw s 'yA :t �, ♦ a J" v c�d'�\ � a y�,. �.�� ,n I�, �,q,��x o f� ��`'` ' Hy r, ze, x.3 n s aeia s ^ zw i, a w I +'r 9�,8j{l v>• 3m i8 Y;+<'. n,r x 21. - h �. , fx� 3'� � 22A ,��* ��," a.,ryM1 a e.ir.$ �,, Y�,yI. ��M1����®._,•, .`r 41 MARION LAKE d T d X a x c !° a - I' a � 9 14ouv xa � x, � L- .�, y:.•�. !9 ,. `d'a ,J ;A S` •' . ,. s 3. IE „s I' ix YtN°I °1•�t@� ° y'W. c=`� ` .,fie �....W e, M1 � .',Q l�n. Y � e' `:c� � S -,N" �f,2•'\ �, �` � v^,^__.x .ia �' e I n a•� �" .r .,�•��` Aa`kme— �5,..,.'K.::l• �,t•.•:�,f3z„ , ,� , .v q n C? f .}yyy, iylJy.as p � .: a.. - ,...,,...� ---- _..... ... COUNTY OFSUFFOLK N'/ N NCIFCE _ ,,.,,ro Im D w_� _ �.n, _•__ "�` v =. _ �,w.. �.� Hest P,.I.,tf 1..Seivtce Apcucy uuNrBwrE,n,srawu save Y W _ -.. — E w „ m ,M eourxD2n 031 N �A-- —.—_ „"' J00I.un AnclMMd XY.NU S,Rux mH,\'TN,WPB FD p ,m •• �o 8 I1E L MpC(IY TN(99M5 NYd OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 �g Telephone: 631 765-1938 � �" u i ®9 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: March 20, 2024 Re: LWRP Coastal Consistency Review for DOUGLAS P. ROBALINO LIVING TRUST& DIANE E. ROBALINO LIVING TRUST SCTM# 1000-31-9-21.1 James DeLucca, R.A., LLC on behalf of DOUGLAS P. ROBALINO LIVING TRUST& DIANE E. ROBALINO LIVING TRUST requests a Wetland Permit for the as-built 1,628sq.ft. one-story dwelling with attached 186sq.ft. east side deck with steps and 405sq.ft. west side deck with steps; as-built 181 sq.ft. PVC pergola; as-built 345sq.ft. west side concrete patio; 526sq.ft. of as built concrete walkways; 827sq.ft. of as-built step- stone walks; as-built 598sq.ft. masonry block walk; as-built 1,600sq.ft. brick& asphalt driveway; existing previously permitted 1,380sq.ft. two-story garage; and 10' diameter by 8' deep cesspool with shallow dome. Located: 1695 Bay Avenue, East Marion. SCTM# 1000-31-9-21.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the as-builts are INCONSISTENT with LWRP Policy 6.3 and, therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. In the event the application is approved the following is recommended to meet Policy 6: 1. The installation and upgrade to an I/A OWTTS. 2. The installation of a revegetation plan on the bank/bluff. The removal of tires. 3. A non-disturbance buffer was established by Covenant in 2019 and is shown on the survey. Please verify that portions of the non-disturbance buffer were not cleared of vegetation. Aerial photos suggest that the area seaward of the concrete wall was cleared. 4. Require a vegetated buffer designed to control erosion be installed from the seaward rear of the house. 5. Require that the applicant remove all foreign debris seaward of the concrete retaining wall. 6. Require that drainage on all impervious surfaces is installed. 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 , t F r, 449 Caroline Burghardt,Chairperson Town Hall,53095Main Rd. Lauren Standish,Secretary ft P.O.Box 1179 ► Southold,NY 11971 Telephone(631)765-1889 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., March 13, 2024, the following recommendation was made: Moved by Maggie Merrill, seconded by Inga Van Eysden, it was RESOLVED to NOT SUPPORT the application of DOUGLAS & DIANE ROBALINO LIVING TRUST to re-construct existing residence and install additional site improvements. Existing dwelling, garage and PVC pergola, wood decks, concrete walks, west side concrete patio and step stone walks. Masonry block walk, brick and asphalt driveway, and 10' dia. X 8' deep cesspool with shallow dome. Located: 1695 Bay Ave., East Marion. SCTM#31-9-21.1 Inspected by: Inga Van Eysden, Carol Brown, Maggie Merrill The CAC does Not Support the application as submitted, and recommends an erosion control plan, and the installation of an I/A septic system. The CAC recommends the applicant contact Cornell and obtain a list of appropriate plantings for the area. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President _w`�ur SO Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ,�®Vv ®�® P.O. Box 1179 Eric Sepenoski B Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth PeeplesrE D BOARD OF TOWN TRUSTEES JAN 3c 2024 TOWN OF SOUTHOLD This Section For Office Use Only Vo US of T T rustoos Coastal Erosion Permit Application _ Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: J 91 Received Fee: $ 9 r5 y 4 N5�Z Q1 Completed Application:,A&71 X9 Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec., Lead Agency Determination Date: Coordination:(date sent): LLWRP Consistency Assessment Form Sent: CAC Referral Sent: A I gLjr ool Date of Inspection: 31 1�1-1- Receipt of CAC Report: Technical Review: Public Hearing Held: aA Resolution: Owner(s) Legal Name of Property (as shown on Deed): �oC .01 AY1g=' Ll V)a�E TO d Mailing Address: P '® �" t 2— PiAI n\/ IffW ° tj" I ® Phone Number: Suffolk County Tax Map Number: 1000 - 3 09 2 Property Location: I (L�9 s Boty PCVe 6AQT TV4 f?%, '0N1 4 Nl �� ' i 193L (If necessary, provide LILCO Pole#, distance to cross streets, and locdtion) AGENT (If applicable): I-A MCS \! IDE \—V C.C.P%-' �Z, P\. U-C Mailing Address: 1 2. L\Nft'DA--- L. A WF- E Eas-r-. R 1\f e5Z Vk V'AV, 1 l cicl Phone Number: (&$1) 7 2 7- 16, I I Email: .1 i►1e-Awsy D£t-o cr-kgy Oj?T•a My"\• W'E .3 r/aN `ioard of Trustees Applica,� n GENERAL DATA Land Area (in square feet): 0. 5- G" Area Zoning: , Previous use of property: 1 NCa L-E F LL-� NCa Intended use of property: I lU C, Le 1FA,1�f\1 L'( F,>V-)eL` 1 WCA Covenants and Restrictions on property? Yes v,-' No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes f No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date 09 7'��N vs i�'�s 9 / //0/,9 gOlVI ✓6 &.947P of 1;75 /zd/7 70W/Alt ,604P,D ®r /9 fORF,0Ls 4 /J 1 �Po/9 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓No Yes If yes, provide explanation: Project Description (use attachments if necessary): r ® �'T y c T C9l/S .✓� � '$/l��'�/G slit//TWOV7 -rHO�F 09 ✓��sT�4s 4p0R011A1- , 5,670 X T/,hf,JZSP- /—/S .5 . d,'r- le llc per, OZA 0 = i g /. ` c®NG g ,-tg-ra vvA 1 s ' iuclvp>" -s-BPs 71 F'Tz -1-07-'9L Fd✓rsT r ��9l1U C©ntCz,oATiG 3��/—% .�L( �'TdIE� co�uG . GF9/r�A- 194 1$ = 6-Z6 lt:-rz 5 =gP i ova' wAI F- j �� �� w TL ON",r oard of Trustees Applicai `a WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: LEeAAL 1Z i—= ��CI�✓t'I�� �� �II��NG� Area of wetlands on lot: 21 �J®� square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 5a feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? k cubic yards How much material will be filled? N 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: Al l� 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): AIAS over- 64WAI .��!Y Ff��T' GA j5jCJS71AI6 Wr7'4�91vPs Board of Trustees Applica 'n COASTAL EROSION APPLICATION DATA Purposes of proposed activity: N1 Are wetlands present within 100 feet of the proposed activity? '� No Yes Does the project involve excavation or filling? ✓ No Yes If Yes, how much material will be excavated? /y�/9 (cubic yards) How much material will be filled? /UIA (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) Vo/✓1e i 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 Name of Action or Project: ®001ML-P11.5 R05NI_IN0 Project Location(describe',and attach a location map): 1 f©q S 13Ad A%V So ]E AS"r M P+R i 0" i t�l 9`(. 1 (W-6c Brief,Description of Proposed Action: . (1) RS MOVE EXIS`r1?444 1^M ST14C-7 fre u"VIsTvoN g k2, RF-eUWLV.> 5%Wat~-'E OX►ST►w1cI tZOUMDArte)W UGINCa 1 KIE t3Ui"0'%A4C4 i=00•rfA%mi4l. C-IMSTVW1 5Y rr.V k0R i AS1 S(PC N(AhArA SiiD� �(I1R® Sz"1ZU C; p Rop&G SC7 W C-S-r GtV)VF `(h,RP �le'z'TGt��Cht V>�zK� Name of Applicant or Sponsor: Telephone: (CO-3 1' 7Z7•- 1(at 1 JANl-,ES Flo 1:>V— Lue-6�, �,�^ E-Mail:JAMMSvr?-.LUCC.A Address: G PT'IMV o i t 5—T ( Z Uwc>A LkLi» F P.S`T City/PO: State: Zip Code: -91\1 1sic> ►-4-\(. 1 ( �o 1 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 9 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 finding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site of the proposed action? O, 7 acres b.Total acreage to be physically disturbed? Q, -510 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? /VOA/157 acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial D<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? El X ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? El 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: X ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES M El 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: ❑ X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ lig 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: L1EgL"1*X--7 ❑ Rgtiet 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: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 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: 54NO ❑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: X ❑ 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 1 Applicant/sponsor r e: J AMTa Lucca R- A' Date: Signature: , si 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning El ❑ 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 El ❑ 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, ❑ Elwaterbodies,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-tern, 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 or Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 I lard of Trustees, ,Appli.cat.' =a • x AFFIDAVIT D I AN k Pc)SAW P6 DOLES RoBALA V�t 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. S gnature 6f Property Owner Signatu�of erty Owner SWORN TO BEFORE ME THIS DAY OF 20j-71"4 S AL SUS AN M CURRY Notary Public NOTAWPUBUC.STATE OF NEW YORX Registration No.OICU6017899 Qualified n Nassau co h My Commission Expires Trustees A licat T , yard of pp ► t AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- 31 og — Z I ° d in the town of Sou-F HOLC ,New York, hereby authorizes JNmy co \J, Ds Lu cr—A0 p a 4,- 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. Pr perry Owner's Signature roperty O e 's Signature SWORN TO BEFORE ME THIS DAY OF , 20 J lam- SUSAN M CURRY V.W Notary Public NO?ARY KMUC,STATE OF NEW YOU &gi wWonNo,OICU6017899 QutiiwinNam U aZ�P My Commission Expires. M APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose 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. 1 I c p YOUR NAME : `Ro eA Q ,/� ��+LAS MVLS 0 1 (Last name,first name,middle 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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant; or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 23 day of IWA' 20Z3 Signature � Print Name �� �• ROP a yu 1��1J 3 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 employees.The pu=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: D (Last name,first name,ziiiddle 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 Ii 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 applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of.the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. SUSAN M CURRY NOTARY PUBLIC,STATE OF NEW YORK DESCRIPTION OF RELATIONSHIP Registration No.OICU6017899 Qualified in Nassau Coup �p My Commission Expires A / v Submitted is (� day 9�� R� 20�- Signature i Print Name ` Form TS I APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart of town officers and employees.The purpose 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: J A q\c S �� (Last name,first name,gtiddle 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,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 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 day of Zfl � Signature ✓� a Print Nanigi NtAs S Q! r>F Lu c.c-A Form TS I ' 3oard of Trustees Applica - n PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: nn1�RF.�S: /4-C)C.,C'e-n 31 - 8- 3/4- 3 � . 5 � io 31 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 ilUTILL= U '1= 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: DOUGLAS P. ROBALINO LIVING TRUST & DIANE E. ROBALINO LIVING TRUST SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the as-built 1,628sq.ft. one-story dwelling with attached 186sq.ft. east side deck with steps and 405sq.ft. west side deck with steps; as-built 181sq.ft. PVC pergola; as-built 345sq.ft. west side concrete patio; 526sq.ft. of as built concrete walkways; 827sq.ft. of as-built step-stone walks; as-built 598sq.ft. masonry block walk; as-built 1,600sq.ft. brick & asphalt driveway; existing previously permitted 1,380sq.ft. two-story garage; and 10' diameter by 8' deep cesspool with shallow dome. Located: 1695 Bay Avenue, East Marion. SCTM# 1000-31-9-21.1 TIME & DATE OF PUBLIC HEARING: Wednesday, March 20, 2024 — 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. *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). 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 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# 3 - 09 - 2 f• PROJECT NAME DOU6, LNS 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: 19P_— 60"Srgu j CX�S i 1�L� Re55 �MNeE wrTWo�`T i Re APPROVAL- ©r- 66NPF> otr `Tc->WI,3 Location of action: I �� p'� l�S�' ►�A�\ •Y 1 CI q Site acreage: ®• 51-3 AC-RS�S' Present land use: 1 �-� �A�`^ l L� ���LL%t'-� 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: J P`N``�S �' l"u C (b) Mailing address: L 1 o DR Lk (c) Telephone number: Area Code( ) (v I ` 77 7— 1 l (d) Application number, if any: 1 " / t7 Will the action be directly undertaken,require Rending, or approval by a state or federal agency? Yes ❑ No V-31 If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LY4 P Section III—Policies; Page 2 for evaluation criteria. XYes ❑ 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 0 Not Applicable I Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No X Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria v" 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 xNot 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. ❑ 0 Yes No 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 ❑ 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. ❑ YeO No Not Applicable Attach additional sheets if necessary ttiI Ir r 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 X 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. M 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 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 e •. TITLE_ /t, R 61-11 T'15 G% DATE