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HomeMy WebLinkAboutTR-10619 y Glenn Goldsmith, President so ' Town Hall Annex �y� 54375 Route 25 A. Nicholas Krupski, Vice President P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples � � �� Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 sc day of construction '/z constructed /� When project complete, call for compliance inspection; Glenn Goldsmith,President �SVFFo(�-CO Town Hall Annex A.Nicholas Krupski,Vice President �� �yt 54375 Route 25 Eric Sepenoski y a i P.O.Box 1179 Liz Gillooly ® Southold,NY 11971 Elizabeth Peeples 'd'yy �pl�± Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Jeffrey Patanjo on behalf of Andrew Flinn TO: Please be advised that your application dated June 12, 2024 has been reviewed by this Board at the regular meeting of Auqust 14, 2024 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) % Constructed ($50.00) X Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of.the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below'according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection Fee = $50.00 �C` i TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President -�`�Vr S®�/�� Town Hall Annex A. Nicholas Krupski,Vice President �® �® 54375 Route 25P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Elizabeth Peeples ® Telephone(631) 765-1892 Fax(631) 765-6641 C®UNTV,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 15, 2024 Jeffrey Patanjo PO Box 582 Bohemia, NY 11716 RE: ANDREW FLINN 1500 BAY AVENUE, EAST MARION SCTM# 1000-31-8-12.9 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 14, 2024 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of ANDREW FLINN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 14, 2024, 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 August 14, 2024, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, 2 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 ANDREW FLINN to install a sanitary line from the existing permitted shed to the existing sanitary system, and relocation of existing water service serving the shed; all as depicted on the site plan prepared by Jeffrey Patanjo, received on June 14, 2024, and stamped approved on August 14, 2024. Permit to construct and complete project will expire three years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly urs, 4" Glenn Goldsmith President, Board of Trustees GG/ec -I. ............ BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 10619 DATE: AUGUST 14,2D24 ISSUED TO: ANDREW FLINN PROPERTY ADDRESS: 1500 BAY AVENUE, EAST MARION SCTM# 1000-31-8-12.9 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 14,2024 and in consideration of application fee in the sum of$1,250.00 paid by Konstantinos Zoitas and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: 1 Wetland Permit to install a sanitary line from the existing permitted shed to the existing sanitary system, and relocation of existing water service serving the shed; all as depicted on the site plan prepared by Jeffrey Patanjo, received on June 14, 2024, and stamped approved on August 14,2024. a IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year written above. Slaf F01 Jf U V U R TERMS AND CONDITIONS The Permittee Andrew Flinn, residing at 1500 Bay Avenue East Marion New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: l. 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 36 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. PROPOSED WORK INCLUDES NEW SANITARY SYSTEM VIE_ 1" E , AND ASSOCIATED SERVICES.ALL WORK LANDWARD OF �� f�" V U' THE 100'TRUSTEES JURISDICTION LINE. JUM 1 4 2024 Southold Towrl - z 19oaRtofTrustees PROPOSED WATER SERVICE RELOCATION.ALL WORK ' TO BE DONE AND RESTORE WITHIN ONE DAY WORK PERIOD WITH NO CHANCE10 EROSION DURING WORK. vp WE I N;OG' 1 =_ '+_ ,_- _"S_CREF1?�� T.�• -`.,"" „� `�`�, , �r�.� i �� .,.', ,a+ r •fir ��` �� ,. - ��-,y'`' `L°. ', ' - _ .`j' i7 {� _ ,�, _ z - i,—' '� 'mar � f� �•* �-P1W,9.4MIIE,Iwo .-3- - fit - `�QH.-FLSIt7Raµ a � ge, 002 s i�Snµf`' ` � T 't e � ,Y .,", Y•'s, '.t�� a•� a "'!',' vo f 5-I u3'�i♦3;= s`�i•Y • - it_ d� - _.-� APPROVED 3Y BOARD OF TRUSTEES do - ' ` '° '" '% �; , �a>; z ��� - sr, � TOWN OF- SOUTHOLD DATE AuA L%.s \ .�6.apt Proposed Permit Ptans SCALE: AS NOTED OWNER: PREPARED BY: PROPOSED PLAN DATE: ANDREW FLINN JEFFREY PATANJO 6-6-24 5 ANDOVER COURT P.O. BOX 582 1500 BAY AVENUE GARDEN CITY, NY 11530 BOHEMIA, NY 11716 EAST MARION, TOWN OF SOUTHOLD 631-487-5290 SUFFOLK COUNTY, NY SHEET: JJPATANJO@GMAIL.COM TAX MAP NO. 1000-31-8-12.9 1 OF 1 PROPERTY OF FLINN z z �G 49- Abandonment of the existing sanitary system must be in EASTM�AYRIDN�UE a Q SOUTHOLD W \ m011 conformance with the Department's requirements. SCTM # 1000-31-13-12.9 z xsx- QJ TOTAL LOT AREA = 46,396f Q P c Submit completed form WWM-080 as roof GROUNDWATER MANAGEMENT ZONE III; Z;4 p p TOTAL ALLOWABLE SANITARY FLOW = 600 GPD 14: K Ma�c� EXISTING USE TO REMAIN: ¢O-< 227 3 BEDROOM DWELLINGa U � TOWN ZONING DISTRICT R-40 °5 Q �G ALL NEIGHBORING PROPERTIES VACANT OR SERVICEDW. BY PRIVATE ON SITE SANITARY DISPOSAL FACILITIES o� P QJ AND PUBLIC WATER. THERE IS NO PUBLIC ;��+ SEWER DISTRICT THAT SERVES THIS AREA- �} S SANITARY DESIGN: s PROVIDE (1) 1,000 GAL SEPTIC TANK 12' TOTAL DEPTH OF 8'm LEACHING POOL SANITARY SITE TO PLAN BASED 4.O8 SITE SURVEY o saos�� D � 0� �g �P�\O� E EEV TIONS REED FERENCE NAVD'88 0 24.5' .�.? � Q �� STORMWATER CONTROL AS SHOWN 111� v NO PROPOSED UG GAS NO DRAIN INSTALLED SHED SCREEN � SS F2 PROPOSED WATER LINE, UG ELEC AT SHOWN mop• uG G� �c 3 BED OWLG 23�. 22.4' S PATIO 1 FL 1400sft ®TESTHOLE G�� tP�23.18' 2nd 700sffPOOL1 P FF 26.6.9' 22.7' F23.4' OO N 4 � �Q ��O• r G�CC'O�, dw P 11�SV���� PP II�� IV P H m 5MIN WTo WELL ma's �G � oM' fiQ WATER LINE ��A QJ D.1 6 t 0 SD NON-DISTURBANCE v s� BUFFER JUN 1 4 2024 Ilan 22 7' o tk1 Q� 4� 5y5 1; S�' Southold Town 2� Q� N 22.7' Bo31d OFTmstm H PP cc0v O v m T033. SHED ONLY SITE s PLAN n 22x SCALE 1:40 Waterlines must be inspected by the , w �, PP QJa��G Suffolk.Counig Dept. of Health Services. zz WETLDS AS DELINEATED Call (631)852-5754, 48 hours in w AN o jz ,---By SUFFOLK ENVIRONMENTAL ~- CONSULTANTS 5-17-2019 advance, to schedule inspection(s). o z<0 TEST HOLE :.. 8'MIN. .... . .... .:. ...,. ...,. . ., „ Ja � MCDONALD GEOSCIENCE HOUSE 209' LLmg FF a-24 LOCKING cov>R AT ADE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 3-30-04 2VE 1'MIN. 2'MAX. ~ OF- EL 1Hzr o' HOUSE 22.6'--� 138•t PERMIT FOR APPROVAL OF CONSTRUCTION FORA z OQ 3 Sc SHED 35 5' BROWN CLAYEY SAND w MIN. eo SINGLE FAMILY RESIDENCEAND �W SDR 35 P 2 MIN. 4•s SDR 35 P " laySHED HOUSE LE.19.5' PIPE PITCHED A�.112. m me +e- SHED I.E.20 a�w I.E.las' _i r`- m®o I.E.lay ::� gismo 12' N _ sw PALE BROWN FINE S cnvE DATE,: ,5/18/2023 H. REF_. o.,,- R-23 0480. - sy '< �• ' TO COARSE SAND �' o m m e a e m m o a m Cis gmn o NTH P ame®eesmmo —. APPROVED += am m e a s m mo -'•: TOTAL MAXIMU EDROOMS.,,. 1.000 GALLON CAPAaTY(MBJ.) EL EV.8.3' v�1 ucuro StIRFAa AREA(46.) _�;;__ -;i = =- 3'MIN COLLAR EXPIRES THREE YEARS FROM DATE OF APPROVAL o _1T PRECAST CONaVE .-' ��- - - ••f _ �:-_ - CLEAN SANG AND GRAVEL :.' ,��•,, �����, C,� NO WATER ENCOUNTERED SEPTIC TANK 4000 pal - - _ _:,• '• '- SEPTIC TANK HIGHEST EXPECTED GROUNDWATER 3' 0 m USGS GW MONIT WELL/S95427.1 NTS RaF 5l $ LEACHING POOL SOUTHOLD TRUSTEES No. 1o61g Issued To. Address 150o Bay A%Vef'%uAe- CaST )ltif.or) .THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765.1892 Glenn Goldsmith,President �0�0 COG Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 o Eric Sepenoski W , P.O.Box 1179 Liz Gillooly �y • o!WI Southold,NY 11971 Elizabeth Peeples �01r }� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report -- Date/Time: Completed in field by: _ Jeffrey Patanjo on behalf of ANDREW FLINN requests a Wetland Permit to install a sanitary line from the existing permitted shed to the existing sanitary system, and relocation of existing water service serving the shed. Located: 1500 Bay Avenue, East Marion. SCTM# 1000-31-8-12.9 Type of area to be impacted: Saltwater Wetland -- Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment - Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples nD E I v E PROPOSED WORK INCLUDES NEW SANITARY SYSTEM AND ASSOCIATED SERVICES.ALL WORK LANDWARD OF IP JUN 4 2024 bb, JUN 4 2024: THE 100'TRUSTEES JURISDICTION LINE. To 7,-S"Ouftid Town -j OWt T S s Of Tru tee ARE 44p PROPOSED WATER SERVI�E RELOCATION.ALL WORK TO BE DONE AND RESTOREE WITHIN ONE DAY WORK PERIOD WITH NO CHANCEI 01 EROSION DURING WORK. A W .0 L&BM QWML I 11103fif) 97W 0- 1 5-' A- ox EW Ile 11W Nh Aj -2 0 X, 4� LA- glff-E-E-T A 011A M N PR Pmposed Permit Plans SCALE: — AS NOTED OWNER: PREPARED BY: PROPOSED PLAN DATE: ANDREW FLINN JEFFREY PATANJO 6-6-24 5 ANDOVER COURT P.O. BOX 582 1500 BAY AVENUE GARDEN CITY, NY 11530 BOHEMIA, NY 11716 EAST MARION, TOWN OF SOUTHOLD 631-487-5290 SUFFOLK COUNTY, NY SHEET: JJPATANJO@GMAIL.COM T.4X MAP NO. 1000-31-8-12.9 1 OF 1 PROPERTY OF FLINN O Abandonment of the existing sanitary system must'be in 1EAST AVENUE w 1 Q `� SOUTHOLD W C a R conformance with the Departments requirements. SCIM TOTAL#OT AREA -12.9 p� ,-" Submit completed form W as f GROUNDWATER MANAGEMENT ZONE 111; z agZ� p p TOTAL ALLOWABLE SANITARY FLOW = 600 GPD W t)-rg 4 z 00 EXISTING USE TO REMAIN: Q Z=9 ��� 3 BEDROOM DWFIIJNG m u 22 7' G a p`t`4S�P TOWN ZONING DISTRICT R-40 _ X`� CED G BY PRIVATE OONNSITE SANERARY DISPOSAL FACILITIES ALL m AND PUBLIC_WATER. THERE IS NO PUBLIC • /�j$� SEWER DISTRICT THAT SERVES THIS AREA. Q ��O cenIRARY DESIGN: PROVIDE (1) 1.000 GAL SEPTIC TANK T� Odw ��pQ 12' TOTAL DEPTH OF 8'0 LEACHING POOL V 1 EP V s1vyap��`� ���� MAMA R SITEO PLANDAT BASED 8 SITE SURVEY • )VMSaIMICH �,0 L0' i �RgQ4 0� Q� �P�\O LAST ER 11.21.22 t ELEVATIONS REFERENCE NAVD'88 ��jf0 0 245' �,.2�Q� '9 SH 4)•C STORMWATER CONTROL AS SHOWN NO PROPOSED UG GAS SCREENp�' �`rS Gt� PROPOSED WATER LINE. UG ELEC AT SHOWN NO DRAIOUTDN INSTALLED � RC 2G �c 3 BED DWLG 23 3' 22.4' PATIO 1st FL 1 009 ff y� ®T 23.16' 2F 6, 700aft •t,o�� '+t7Y � GPI ' POOL FF 26.9' ''Pb o xw 223' �`HF� �sb' 23W � � H P �G � �r > �C G WINDOW WELL c' 0 G�P °�G PP L z n9 5' MIN TO PROP `f' ` � �F WATER LINE aM , v &Q NON-DISTURBANCE `� Q o a� / m BUFFER otk� ���P��� �° ��.�,o°� or` JUN 1 4 2024 Jou u U fn mIn Za QJ N 22.7' SODUIUw J w do. ?i oVc PP Board Of Trustees o Q m ��% �2 SHED ONLY SITE PLAN s 1 . . Waterlines must be insaected by the , w 2�T SCALE 1:40 PP QJ��`� Suffolk Gounn Dept. of Health Services. ZZ za WETLANDS AS DELINEATED Call (631)952-5754,48 hours in W o �BY SUFFOLK ENVIRONMENTAL >Z I- CONSULTANTS 5-17-2019 advance, to schedule inspection(s). LL ZQo z TEST HOLE :.. .. . - 8'MIN. MCDONALD GEOSCIENCE HOUSE FF EL 26.9' Liam: FF EL,24' LOCIING COVER AT ME SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Q a 30 oa 1'MN' 2'MAx PERMIT FOR APPROVAL OF CONSTRUCTION FORA ~ � W. EL.19.7 0' HOUSE 5.5' F1EV.24'f EMV.13W* z O SUED 35.5' SIC BROWN CLAYEY SAND w MIN. 4!'0 SINGLE FAMILY RESIDENCEAND �W 2' MIN. 4,#SOR 35 PVC 163' SHED HOUSE LE 19.5' PHPE PITCHED 0 r/12• SHED I.E.20' T m4 'r E.1- m so LE 163' ::� e0o 12 DATE. 5/18/2023 H. REF. No.. R-23-0480 SW PALE BROWN FINE S I.E.19' '� EFFECTIVE TO COARSE SAND l :,`.•;.:- 1.30 m 0 o e m m m i'. DEPTH m e e e a ma __ APPROVED ommeaee®mo :+. go Coma _r_... TOTAL 1 p, om m a e e Como - NIAX MU EDROOMS{. 3(0 M �— ammeeemmo 1.000 GALLON CAPAOTY(MIN-) ::' ELEV.6.3' 27d000ID SURFACE AREA N�+•) = "__ == _ 3' MN COLLAR EXPIRES THREE YEARS FROM DATE OF APPROVAL �'s+' a 1T „•t -: L o m PRECAST CONCRETE LAIN!t: CLEAN SAND AND GRAVEL NO WATER ENCOUNTERED SEPTIC TANK 4DHw wI �=j:• _ -.'- _ - = Y F�- a835`dA '<i; U SEPTIC TANK 8 HIGHEST EXPECTED GROUNDWATER•3' Aid ESS�OaP� _ m < $` NIS USGS GW MONIT ML W5427.1 $ � LEACHING POOL " 'i. [`� ,�f"sf ,�4�"•,,,.3. �\ _�,� `:?Y�' may. �. Y^.. �e "P i x r jdMW I11 Nil X y r R Y` ■re i R� J ► \ � 1 r . w 1 [eDSb eR 'r1tlr .-� Wn�OM SERE SEA.. on SEE BEc IA Wi 2' YI - \,>� +A +i •6'~ .�. _ .0 n.[N wi i. cWE 4 Bsl... 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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 Telephone: 631 765-1938 r LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 12, 2024 Re: LWRP Coastal Consistency Review for ANDREW FLINN SCTM# 1000-31-8-12.9 Jeffrey Patanjo on behalf of ANDREW FLINN requests a Wetland Permit to install a sanitary line from the existing permitted shed to the existing sanitary system, and relocation of existing water service serving the shed. Located: 1500 Bay Avenue, East Marion. SCTM# 1000-31-8-12.9 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Honorable Lori Hulse, Attorney Caroline Burghardt,Chairperson Town Hall,53095Main Rd. Lauren Standish, Secretary P.O.Box 1179 Southold,NY 11971 wy Telephone(631)765-1889 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Thurs., August 8, 2024, the following recommendation was made: Moved by Carol Brown, seconded by Inga Van Eysden, it was RESOVLED to SUPPORT the application of ANDREW FLINN for a proposed sanitary line from the existing permitted shed to the existing sanitary system and location of the existing water service serving the shed. Located: 1500 Bay Ave., East Marion. SCTM#31-8-12.9 Inspected by: Inga Van Eysden, Carol Brown, Nancy May Vote of Council: Ayes: All Motion Carried 1 —e Glenn Goldsmith, President Q '5 Town Hall Annex +;: �_ A. Nicholas Krupski,Vice President R; ?, ��j.. 54375 Route 25P.O.Box 1179 John M.Bredeme er III Y .. Southold,New York 11971 Michael J.Domino (one Tele h 6�, ,• p 31) 765-1892 Greg Williams � �° Fax(631)765-6641 BOARD OF TOWN TRUSTEES ,r TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application E Wetland Permit Application D Administrative Permit Amendment/Transfer/Extension JUN 1 4 2024 Received Application::A: Received Fee: $ ttwld7owo Completed Application: 7 dT Incomplete: SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assess ent rm Sent: CAC Referral Sent: Qr 7 a Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): Andrew Flinn Mailing Address: 5 Andover Ct., Garden City, NY 11530 Phone Number: 516-527-5965 Suffolk County Tax Map Number: 1000- 31-8-12.9 Property Location: 1500 Bay Ave., E. Marion See location map (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): Jeffrey Patanjo Mailing Address: P•O. Box 582 Bohemia, NY 11716 Phone Number: 631487-5290 Email:JJPatanjo@gmail.com Set. RE: ANDREw FLINN 1500 BAY AVE.—EAST MARION SUM No. 1000-31-8-12.9 PROJECT DESCRIPTION Project includes the connection of a proposed sanitary line from the existing permitted shed to the existing sanitary system and relocation of the existing water service serving the shed. f Board of., Trustees Applicat: GENERAL.DATA 46 396 Land Area,(inaquare feet):. ' .:. Area Zoning:. R-40 Previous use of p. p ty:ro er Res - .. Intended use:of ro er Res . -- Covenants:and Restrictions,.on property? . ❑ Yes No ' If«.Yes",.please'provide a.copy: EJ Will this project require a Building Permit as per Code? . Yes. ❑✓ .No If."Yes. be advised this:application be reviewed by ahe.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 Certif cafe of Occupancy? . ✓ Yes No =. Prior permits/approvals for site improvements: Agency Dater Trustees#5957: 07/21/04 Trustees #9456 May.15;.2019 Trustees #6741. October 2017 .,. 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: Pro ect Descri tiori .use attachments if necessary): Se@ WCItten d6scri pt10q.. sloard of .Trustees::Applicat- .-- i WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose:of the proposed operations See:written :description Area of wetlands:on lot;____-__r square feet Percent.coverage of-IIM 120 Closest distance between nearest existing structure and.upland;edge of.wetlands:.. feet 120 Closest distance between nearest proposed structure and.upland edge of.wetlands:...: feet Does the project involve•excavation or f lling?_ ❑� _:No ❑ Yes N/A.. If yes,how much material will"be excavated? cubic yards How much`material will be filled?,.: cubic yards Depth of which material:will'be removed or deposited: feet Proposed slope.throughout the area of operations: Mariner in.which material will,be removed,or.deposited:. N/A Statement of the effect 4f any; on the.wetlands and tidal waters of the-town that may result by. reason..of such proposed operations(use attachments if appropriate): There will:be. effect,on.wetlandsgue to the:projeet due to:its distance from.wetlands: 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: 1500 Bay Ave-East Marion Project Location(describe,and attach a location map): 1500 Bay Ave-East Marion Brief Description of Proposed Action: See attached description Name of Applicant or Sponsor: Telephone: 516-527-5865 Andrew Flinn E-Mail: ajflinnl@gmail.com Address: 5 Andover Court City/PO: State: Zip Code: Garden City NY 11530 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:SCHDS-Approved FoTizi_ 3. a.Total acreage of the site of the proposed action? 0.95 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.95 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ V El- b. Consistent with the adopted comprehensive plan? ❑ ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural 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: 7 ❑ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑ ❑ b. Are public transportation services available at or near the site of the proposed action? ❑ ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑✓ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ ❑✓ 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ ❑✓ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 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: Page 2 of 3 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 by the State or NO YES Federal government as threatened or endangered? Northern Long-eared Bat ❑ W1 16. Is the project site located in the 100-year flood plan? 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? ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ If Yes,briefly describe: 41 ., 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ -19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES 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 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/na e: Andre Flinn Date: d3J12 Signature: Title:Owner PRINT FORM Page 3 of 3 Part 2-Impact Assessment. Ieid Agency is responsible for the completiox 'art 2. Answer all of the fbilowing questions in Part 2 using the imbriRation contained in Part I and other materials subi, I by the project sponsor or p. otherwise available to the reviewer. When answering the questions the reviewer should1be guided by the ooncept"Have my responses been reasonable considering the scale and context of the proposed actlonT' No,or Miderite small to large impact impact may IRBY occur occur Will the proposed action create a material conflict with an adopted land use plan orkoning 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 ofa Critical Environmental Area(CRAP 5. Will the proposed action msult in an adverse change in the existing level of traffic oi affect existing Infrastructure fbr mm trarisit,biking or walkway? 6. Will the proposed action cause an increase in the use ofenergy and it fails to lncorp6,rate _.Masonably available energy conservation or renewable eneqrV opE2rtunities? 7. Will the proposed action impact existing: a.public/private water supplies9 b.public/private wastewater treatment utilities? 8. Will the proposed action Impair the character or quality of important historic,archaeg'logical, arcititectural or aesthetic resources? 9. Will the proposed action mault in an adverse change to natural resources(eg.,ivetla,bds, waterbodies,groundwater.air quality,flom and 1huna)? EJ El 10. Will the proposed action result In an increase in the potWial for erosion,flooding�r drainage problems? Lj Will the proposed action create a hazard to environmental resources or human health? 0 Ell Part 3-Determination of significaum The I.And Agency is responsible for the coralIletion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occue'.or if there ig a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmeAtal impact please complete Part 3. Part 3 should,in sufficient detail,identify the impac4 including any measures or design Oements;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 significarrL Each ootentlat impact should be asmsed coraidering ft s�Wnj,probability of occuning, duration,irrevemibiift,geographic scope and magnitude. Also consider the potential f4 shott-tem,longmterm and cumulative impacts, nformation and analysis above' and any supporting a�(;Mentadon. —ch'e'ck this box if you have determined,based on the i -adverse Impacts and an 0 that the proposed neflon may result in one or mom potentialty large or significant, environmental impwA s%tcmem is mquired. on. information and .�P 0 Check this box if you have determined.based on the analysis abov4.and any supporting documented in any significant adverse environmental impacts. tliat the proposed notion will not result Town of Southold-Board of Trustees Date Name of Lca�Agency P.resident Mint or Type Name of Responsible dK41'1n'iZd_A9e1'1r_y Title of ReOponsible Officer Lead Agericy Signature ofPreparer(if different from Responsible Officer) signature of Responsible Officer In I EAF Mapper Summary Report Monday, November 27, 2023 10:36 PM Disclaimer: The EAF Mapper is a screening tool intended to assist ' ' �' " " project sponsors and reviewing agencies in preparing an environmental 31 8-[ 31 3=tom , a . 31.' -2 ' , ` '' ,"" x'" " 1„ ' assessment form(EAF).Not all questions asked in the EAF are - 31"r -.17"'< j = g'= .:3.'.: answered by the EAF Mapper.Additional information on any EAF ° 3 f 4-11 i 1 44112?8'':i r question can be obtained by consulting the EAF Workbooks. Although �;,K, �y • , ,!`�r:•< %• � d'� '.<,.,,,'" � the EAF Mapper provides the most up-to-date digital data available to � <•, Ns' DEC,you may also need to contact local or other data sources in order <>°; '•,,�.,,;� ��; �.�•�9,✓.=,�•-^ -f�� to obtain data not provided by the Mapper.Digital data is not a substitute for agency determinations. 3': 22 KI ;' tsionjp ,. ✓; I '.. ,.3` ""w'; 'x 5 kr.;em3snj,t;, t' J/jJJ. ''y_ •'^ C.'�6�`r,Ut>rP 3 '.:. ,S.r e u `~'w.'�,•�+.'. ,. �,� - '�Is ftttrx""--� 'e5;., t 3 "y� !�, y`�„ rr�� pp. ��yy+I}},.i :`'[P=^. b,.L.. .r",. e�yr" "t`l`t•'4 I' N,.a3 .. ",'�R' ,' r, �i �, x �•, �,+ �"^�"'1^ `� µ` -�.�`'�."31"'L�•'' �;"; .�. � ,.�e�.r6 �w=,-�9.4•`l;; "+,f;,�- ��'�sx, � St'HEED(;t;armn,UC ,�ttra IftF, �''. t ;Cftiina(N?r-g• ono),. 56bre.4 I�t�4Ct rkl a� " i' �aa'C15sf' zttlli? ''' r'EIs ;t"Cii' 1i71i ' Egli' 1EIEPtty f13F�s' 'Part 1 /Question 7 [Critical Environmental No Ark ea] Part 1 /Question 12a [National or State Yes Register of Historic Places or State Eligible Sites] I Part 1 /Question 12b [Archeological Sites] Yes !Part 1 /Question 13a [Wetlands or Other Yes- Digital mapping information on local and federal wetlands and 1 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 Northern Long-eared Bat ;Endangered Animal-Name] !Part 1 /Question 16[100 Year Flood Plain] No „°'�'°-^"-° �. � '--^°°°"�•�� "-`.,-... .-,,......r !Part 1 /Question 20[Remediation Site] No i . ..... . . . .. j ......................... ...._........................................................................-....................................................................................................... .. ...................................................... Short Environmental Assessment Form - EAF Mapper Summary Report I Board of Trustees Application. AFFIDAVIT Andrew Flinn BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S):AND THAT ALL STATEMENTS CONTAINED HEREIN ARE:TRUE TO.THE BEST OF HIS/HER KNOWLEDGE AND BE, AND THAT ALL.WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION i 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,, SSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS '.. 1. DAY OF ;20 Notary u lie JOHN J McGUIRE NOTARY PUS 9C,STATE Or NEW YORK No.01 MG6315895 Qualited in Queens Con tyy M Commission Ex ices 12101I2026 a Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I,we, Andrew Flinn 31-8-12.9 owners of the property identified as SCTM# 1000- in the town of E. Marion. Jeffrey Patanjo New York,hereby authorizes _ 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. s Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS �:) _DAY OF 120 -. . :Notary is JQHtd JS�TATE OF N£W YORK lypTgRY N � 31 95 ells Gouncyy Qualitsd, lres 1210112026 M Commi$s�or Ex APPLICANT/AGENT/REPRESENT'ATIVE TRANSACTIONAL DISCLOSVRE FORM ,Th6_Town of Southold's Code of Ethics nrohibits..corifliots of interest on.the Hart-of tbwn:off icers and empl fees.-The burpiise of. :this fberit is i' rovide'in rirmation•whi h can alert tf,e_f ivny` ossible,conilic .interest.aod allow it to take whateveractidri is _ `'�eceSsaty.fQavaid s�tiit'e YOUR-NAME:._Elinn,Andrew (Last name;first name,.giiddle initial,unless you are applying`in the name of someone else or otherentity,such as a company.If so,indicate the other person's or'company's name.) NAME OF APPLICATION: (Check al that apply.) Tax grievance Building _ w Variance Trustee ✓ Change ofZone Coastal Erosion Approval ofplat 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,rgarriage,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 or 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 oflicer of employee or his or her spouse,sibling,parent,4 child is(check all that apply): A)the owner.of greater than 5%of the shares of the corporate stock of the.applicant n' (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 .S'/ day of ,"'Q� 202 Signature: Print Name Andrew Ffinen Form TS 1 APPLICANT/AGENT/REPRESENTATIVE. TRANSACTIONAL:DISCLOSURE FORM Ttie_TdwnoESouthald s.Cade:opEthies.orohi5rts conflictsof mterest<onahe hart of town•t+ffieersand-emnlo*ees:The.'urbdse of: : tfih.&nn;is to:provide'inforiiiaiioii:wtiieh-can alertahe Eoiuri ofiiossitile=ean fists tif4fiterkst4riil alioiu if to fak whateye':action=is.' pecessac�/�ta;avoid`wine:: . YOUR NAME:: .::Patanjo, bw (Last:name,firstname;:oiiddle initial,unless you are applying iti.thWitarne of someone else'.or:otherentity,such as,a company:If.so;indicatetl[e othei, . person's or company',s name.) NAME OF APPLICATION: (Check all that apply:)' Tax grievai�oe : Building Variance. Trustee A✓LL Change ofZone , : . Coastal'Erosion Approval:of plat.`. :. Mooring Exemption,from plat or official map. Planning Other (If."Other" name the actiVi .Do you-personally.(or,through your company,spouse,sibling,parent;or child)have a relationship with any officer or employee ofthe.Town of Southold?"Relation"ship includes:by blood,marriage,:orbus'iness ititeresL`Business:interest"means:a business, including a partnership;:in wliich 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:. .x_❑a:..�,. if you answered"YES'.',complete the balance ofthis form and.date and sign where indicated: :Name of person employed by the Town of Southold Title or position of that person Describe the'relationship:between'yourself he 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,oc child:is:(check all that apply):. DA),the owner of greater than'5%of the'shares of the corporate stock of the applicant EL (when the.applicant is a corporation); B)the'legal or beneficial owner.of any interest in a:non-corporate entity:(iwh6a the ` applicant is not a corporation);._q:.�. ; . C) a. an officer,.director,pattiier;or:employee.of the applicant;.or . D)the actual;applicant:.. DESgg PT1ON Of RELATIONSHIP Submitted thih.06L05/20 gig dt me:� ey,Pa PrintNa :.. ....•::�.....- .. Form'TS l: Board of Trustees Applic .on PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: o 'caGen, f �2 �7�r CS 31 - 31 3 c;)-2 3�- -�a 3/ -9'" 19 3i 31-oo- a6 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 120 Notary Public August 14, 2024 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: ANDREw FLINN 1500 BAY AVE—EAST MARION SCTM No. 1000-31-8-12.9 AFFIDAVIT OF POSTING Dear Trustees: Attached please find Affidavit of Posting for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, J rey Patanjo P.O. Box 582 Bohemia, NY 11716 Town Hall Annex Glenn Goldsmith,President ��g11FFOC,��o A.Nicholas Krupski,Vice President �� Gym 54375 Route 25 Eric Sepenoski y z P.O.Box 1179 Pry Liz Gillooly o Southold,NY 11971 Elizabeth Peeples y�j�l �,a0! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD Yj --------------------------------------------------------------- AUG 1 4 2024 In the Matter of the Application of Southold Town ANDREW FLINN BomdafTnis[ s COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING O NO-ZCO—RA ETE HlS.FORM U TI THE POSTING=HAS REMA NED'�` IN=P��CE (�!��A'�1�LEA�:ST��EY�1�►rDA�=YSPR7OR-=T0 THE�P�BLIC �TE�`> �.�-�� D`ATE ���.OMPL�E�T��THIS��ORIG�ON EIGHTH D Y`OR�LA:TE:Il�' I, JeffreW �[� residing at/dba JD a ,&e f 0 hem)r, 11-71 being duly sworn, depose and say: That on the `A day of ��}- , 20 2V I personally posted the property known as by placing the Board 6f Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,August 14,2024. Dated: �d 144 j Zu ,gAle--t 4 Sworn to before me this 114 day of AAAq0 2-Li JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01GE6418131 Qualified in Suffolk County >61tPublic My Commission Expires 06-01-2020 V August 6, 2024 D � Town of Southold Trustees Town Hall Annex Building goutho�d Town 54375 Rte. 25 5oarcd of Trustees - P.O. Box 1179 Southold, New York 11971 RE: ANDREw FLINN 1500 BAY AVE—EAST MARION SCTM No. 1000-31-8-12.9 AFFIDAVIT OF MAILING Dear Trustees: Attached please find Affidavit of Mailing and original return receipts for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, J ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#:&)J`'ei,j F -» 2.9 --- _ - _ NAME: _ __-- __ - ----- ADDRESS: 1000-31-8-12.2 1000-31-8-20 Klein Kenneth Perrone Richard 1000-31-8-23 Klein Bernice Perrone Sally A Siemaszko Halina 6884 Palmar Ct 63 W Court Dr 1460 Bay Ave Boca Raton, FL 33433 Centereach, NY 11720 ' East Marion, NY 11939 1000-31-8-12.10 1000-31-8-21 1000-31-8-27 1000-31-9-8.2 Rann Adam Vandernoth Joseph Murtha Raymond P Reilly WJ Trust Mastromarino Maria Vandernoth Rhona Murtha Karen J 980 Bay Ave 25 Ascan Ave 875 Southern Blvd PO Box 327 East Marion, NY 11939 Forest Hills, NY 11375 East Marion, NY 11939 East Marion, NY 11939 1000-31-8-19 1000-31-8-22 1000-31-9-8.1 Grammatikopoulos George Vandernoth Joseph Leinweber Alexandra N Grams Nick Vandernoth Rhona Singer Benjamin 1230 Bay Ave 875 Southern Blvd 1163 Prospect Ave Apt 1 R East Marion, NY 11939 East Marion, NY 11939 Brooklyn, NY 11218 STATE OF NEW YORK COUNTY OF SUFFOLK IM�� Qr f residing at 0, J�Z �lCar /i k ) 1-7) I , being duly sworn, deposes and says that on the W day of Iqjau-S4- , 20 2L1, 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. n.j k Sign to Sworn to before me this Day of , 20 2 LJ JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01 G E6418131 Qualified in Suffolk County Not IiC My Commission Expires 06-Ot-2025 Postal Postal Service'" -CERTIFIED MAILPRECEIPT CERTIFIED MAILP RECEIPT r1 Domestic Mail Only Donjestic Mail Only ul ru _ . Er 'For delivery information,visit our website at www.usps.CQM11.-,, ^. '. 'l ..: ti :EMS .:: ?„{x ♦:: t: e'y C•,:. .,.�.:s ca Certified Mail Fee rl Certified Mail Fee 0 Extra Services&Fees(check box,edd fee as appropriate) C3 Extra Services&Fees(checkbox add fee as appropriate) ��—"�•^.,,, ❑Return Receipt(hardcopy) $ ❑Return Receipt(hardcopy) $ J`N (') _! •--"'�' -�. i'l.l j Postmark ❑Return Receipt(electronic) $ ! Postmark Q ❑Return Receipt(electronic) $ ,✓"" •. 0 !- }`� �(�`,�.. ❑Certified Mail Restricted Delivery $ Here I 0 []Certified Mail Restricted Delivery' $ T Mere ttx" r ❑Adult Signature Required $ ,�C. Y,% a [-]Adult Signature Required $ Adult Signature Restricted Delivery�$ [:]Adult Signature Restricted Delivery$ GUG �.__ t_ - _ LUG` +fr tL 0 Postage - - 1000-31-8-22� 6 9 �nb' Vandernoth Joseph � 1000-31-9-8.2��i �� � ru Reilly WJ Trust~�"GDA0 ru Vandernoth Rhona N��W �,a/ 1 n' 980 Bay Ave 875 Southern Blvd~"—""� 0 r` East Marion, NY 11939 i-"--"'""- """" East Marion, NY 11939 ------------------- :11 April 201511 Ir1•1• :rr r r, ,rr•r. Postal • Service CERTIFIED o CERTIFIE® oRECEIPT -M Domestic Mail Only Ln I Do estic mail Only o .... ti (✓}) ItL-w- )`" ii I{ £) zha {! ! •Ln t% co J Certified Mall Fee 4✓ µ p r-q Certified Mail Fee ra $ �� �N337y r� $ /CONllr� 1 O Extra Services&Fees(checkbox add fee as appropriate) 1, Q I= Extra Services&Fees(check box,add fee as appropria(e). ❑Return Receipt(hardcepy) $ ❑Return Receipt(hardcopy) $ ✓��� ly rV ❑Retum Receipt(electronic) $ Postmark I U a ❑Return Receipt(electronic) $ f Llto,mar� ❑Certified Mail Restricted Delivery $ ���,Here p:. Q ❑Certified Mail Restricted Delivery $ t" a � ❑Adult Signature Required $ U y [f � ❑Adult Signature Required $❑Adult Signature Restricted Delivery$ � 0 ❑Adult Signature Restricted Delivery$p Postag [p Postage,-p1000-31-8-21 b W'--�' a 1000-31-8-27 ra Vandernoth Joseph Murtha Raymond P "' Vandernoth Rhona L Murtha Karen J ru ru 0 0 875 Southern Blvd i r- PO Box 327 r`- I----------------- East Marion, NY 11939 East Marion, NY 11939 :rr r r, rrr•„ - � :rr r „ rrr•r• - , Postal Postal nj Domestic Wit Only Domestic Man Only Ir Ln x � f.•4� r�ivery • ttpt�,,.� ,y sY E1 rmati6n,visit Our • l� fr�=M•;•;:+`;.�E x I {f,>V`} i":�'a• !jx:s •� �`3 (� ittil• �i � F{' �".: i`� CO 6 U y: 11 L �..:::Y �:.'' i� ,;y r113 4::J it at i _ I.d .°f"t"sb E. r-1 Certified Mail Fee rq Certified Mail Fee r=1 $ rq $ Extra Services&Fees(checkbox,add tee as appropriate) ,.--- Extra Services&Fees(check bar,add fee as appropriate) ruElReturn Receipt(hardcopy) $ `�� El Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ !\J�''��POatR{it ru ❑Return Receipt(electronic) $ stmark ',/ �He�esq ❑Certified Mall Restricted Delivery $ �� `��Q�e��� r ❑Certified Mall Restricted Delivery $ �^/ 'b °`-' / O ❑Adult Signature Required $ )1'' tP 0 ❑Adult Signature Required $ / 'v []Adult Signature Restricted Delivery$ L m I / ` ❑Adult Signature Restricted Delivery$ O Postage ._; Q r— —- - -- - - - - 11} v ti �aoz 9-end -0 1000-31-8-12.10 u p` r s 1 1000-31-8-23 0 a� Rann Adam �. ���'�''� ' ru y ' ru Mastromarino Maria ! Iv Siemaszko Haling yo -N Vq E::' 25 Ascan Ave j"---"-""---"""--- a 1460 Bay Ave r' Forest Hills, NY 11375 I"""""""""-"--""--- r`4 East Marion, NY 11939 ------------------- � _ W TM U.S. Postal Service U.S. Postal Service CERTIFIED MAILP RECEIPT , CERTIFIED MAILPRECEIPT C3 Do;nestic Mail O Er nly Domestic Mail Only M Ir 1:3 For delivery information,visit our website at www.usps.com0. Lrl co !U "'A cD A rq Certified Mall Fee Certified Mail Fee 17=1 r-1 $ M $ r-3 Extra Services&Fe (checkbaxadoi fee asapp Extra Services&Fees(check box,add fee as appropriate) ❑Return Receipt(haredsoopy) $ appropriate) rL1 ❑Return Receipt(h py) $ LU U rU ❑Return Receipt(electronic) $ ---Postmark M Return Receipt(electronic) $ towk. C3 ❑Certified Mall Restricted Delivery $ _3 S MHipi � r ❑Certified Mall Restricted Delivery $ He. L ❑1--3 Adult Signature Required $ I_-3 ❑Adult Signature Required $ [] 10 Adult Signature Restricted Delivery$ [:]Adult Signature Restricted Delivery$ a" C3 j5"st2aA- . - -- - - Postage VV S P- 1000-31-9-8.1 rq 1000-31-8-19 1 0 6' 1-P ' `� LeinweberAle Grammatikopoulos George xandra- ru L ru Singer Benjamin 7/ ru Grams Nick I ru ------- ------ C3 ----------------- 1163ProspectAveAptIR 1230 Bay Ave r----------------- Brooklyn, NY 11218 ------------------ East Marion, NY 11939 _, -02-000-9047 See Reverse for Instructions I PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for lnstructiorgi, PS Form 3800,April 2015 PSN 7530 Postal ServiCeTM . U.S..Postal Service TM CERTIFIED MAIL@,RECEI CERTIFIED MAIL PT PRECEIPT Er Domestic .only Domestic Mail Only C3 117 • Lrl Fo�delivery information,visit our website at www.usps.corrio. I CO U d /'-1 C0 r-q 7rtified Mall Fee Certified Certified Mail Fee r-q $ C-3 C3 Extra &Fees(check box,add fee as appropriate) Extra Services&Fees(check box,add fee as appropriate) 0 Return Receipt(hardcopy) $ I El Return Receipt(hardoopy) $ ru nj Return Receipt(electronic) $ Postmark r3 [3 Return Receipt(electronic) $ Postmark C3 [:I Certified Mall Restricted Delivery $ r3 []Certified Mail Restricted Delivery $ Here Here M [3Adult Signature Re _3 $ C-3 Required $ r E]Adult Signature Required 9-qny -t, 'P E]Adult Signature Restricted Delivery$ E]Adult Signature Restricted Delivery$ C3 C3 1poeage C 1000-31-8-20 IV I'V �Xll I SZ3 r-4 Perrone Richard I'd VA 1000-31-8-12.2 b C 3�j ru Perrone Sally A ru Klein Kenneth ru 3 D 63 W Court Dr ru, Klein Bernice I ----------------- Centereach, NY 11720 6884 Palmar Ct ----------------- - Boca Raton, FL 33433 NOT-ICE 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: ANDREW FLINN SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a sanitary line from the existing permitted shed to the existing sanitary system, and relocation of existing water service serving the shed. Located: 1500 Bay Avenue, East Marion. SCTM# 1000-31-8-12.9 TIME & DATE OF PUBLIC HEARING: Wednesday, August 14, 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 4 Town of Southold LWRP..CONSISTENQ ASSESSMENT:FORM. A. . INSTRUCTIONS All applicants for permits* including.Town:of. Southold:agencies;shall complete this CCAF for proposed.aetions:tliat:are:subject to:t. a Town:of Southold Waterfront Consistency.RovieW Law. ;This assessment is,.intended to..suppleinent other-i0formation 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 locafed within the Coastdl`Erosion Hazard Area: 2. Before answering:.the,questions:in Section C, the preparer of this form.should'review the exempt minor action Gist, policies and.explanations of each:policy,contained in tlie.Town:of Southold local Waterfront Revitalization:Program.. 'A Droposed<_action'::.will:-be.`evaluated as to'>its significant beneficial and adverse effects u on the coastal area. whiclincl des all of.Sou tlold.Town 3. If any questioll in Section C on. :this::form`'is answered "yes" or"no";then.the proposed:actiori will affect::the:achievement:of<the LWRP:policy.standards:and,conditions.c iitained:iri:the.consistency Thus._review.--law.. � each:answer..must.be.:explained in::detail,aisting:both supporting and:non- sunpt>rhnfacts;:.` n. ctonno $e cefidas. onsisteIf Wp i of`cy standards:anii conditions;i-sballpot;be;:undertaken: A copy of the,LWRP:is available:iri the following.places:online:at the Tgwn.of Southold.'.s website(southoldtown.northfork.net),the Board of TrusteesOffice:, the Planning Department, all local:libraries:.and the:Town:Clerk's office: B .:: DESOUPTION`OF:SITE AND PROPOSED ACTION 31 . 8. 1 Z 9 SCTM#.. . .: .. ......... 15g0 Ba Ave East Marion PROJECT:NAME:.:.::.:::... . ,....... .... ::...... The Application.has been submitted,to(check appropriate response): Town Board Planning Board Building Dept. Board*of.Trustees. ✓ 1. Category of Town of Soutlold.agency_action.(check appropriate response): (a) Action undertaken directly.by*Town.agency:(e:g:capital construction.planning activity;agency regulation,landtransaction) ,(b) Financial.assistance(e.g.,grant;loan,subsidy11 (c) Permit;_approval,license;certification: Nature and extent of action:. See written description '. ... . cri tion LOCSt1021 of,action'..:1 500'Ply East.Marion: Site acre . e 101 es, :.<..:...:e.....esentaand"use:. .R. . .. . _ Present zonifi classificatioii::+..R If ari application:for the proposed'action has beeri'$led witfi.the:Town of Southold agency;"'e following:. ` information shall be provided: a Name:of a hcant Andrew;FlinR, (li)'Mailing address:5;Andover Court;Garden City,NY'11530 516 527-58 ( ) p c .Tele hone nucnberArea;Code.: .: : .. 65..:..:: :;-..;.:. : .: . : .. ..: ......:.. :;........::.... " �d) `Application number,:if any: Will tlie:actiori be directl undertaken;re`uire:furidirig;or approval by'a state or federal agency? :. Y q. Yes No Z If yes, which state or federal agency C: Evaluate:tl e:project'to the.followingpolicies by analyzing how the.projecfwiILfurther support:or; not.support the policies. :Provide all proposed Best Management Practices that will:further:each,policy..' P 9 Incom lete.answers will require be retu reed,for:completion: LIEYLL.4.PED.,C AS .;:P:QL CY " Policy,l.; Foster`a pattern of development in the Town of Southold tliat enhances:community character, preserves open space;makes efficienf use of infrastructure,makes beneficial.use of a coastal:location;:'and',. minimizes adverse:effects of develop ment:• See_LWRP.Section,III..="Policies;:Pake 2:for`0aluation criteria. Yes No: NofPP A licable ❑ U: �✓ No"eff, Attach additional sheets if necess 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 o. PP i 1 El Yes ❑ N ❑ Not A 1 cab e. .. No.-effect. . Attach additional sheets if necessary. - Policy 3. ..Enhance.visual quality and.:protect scenic .resources. throughout the Town of Southold. See LWRP Section.In.—Policies.Pages-6 through 7,for evaluation criteria Yes:Fj.�N.9:7. P Not Applicable No 77 Attach.addifional sheets if necessary NATURAL COAST POLICIES.'.' - Policy 4. :Minimize lass of life;structures;and natural resources from flooding and erosion:See LWRP Section`I1L :Policies Pages 8 through 16,for evaluation criteria.., .Yes.lJ No . :Not.Applicable No effect Attach additional sheets.ifnecessary Policy 5. Protect-and.:improve water quality and supply in the Town of.Southold. See LWRP Section III - -Policies Pages:16.through 21'for evaluation criteria.. ✓� Yes No Not Applicable No effecf Attach additional sheets if necessary Policy ,6. . Protect and,restore the quality:and function of the Town of.Southold ecosystems including. Signifcant,Coastal:Fish.and'Wildlife'Habitats.And'.wetlands..'.See LWRP':Section III Policies;.Pages.22 through 32 for,evaluation criteria. ❑✓ Yes. 0 No Not.Applicable No.:effect . >. Attach'additional shee6jf necessary Policy 7.. Protect -and-:air quality.in:the Town of Southold..`See.LWRP Section III.-= Policies Pages M through 34:for evaluation criteria. .Yes . No Not Applicable . ❑.: . No effect' Attacli additional sheets if necess arY Policy. 8. Minimize environmental degradation in Town.'of. Southold from solid waste and:hazardous substances.and.wastes. _See,LWRP Section III—Policies;: ages;34 through 38 for evaluation.criteria. Y. ❑:No ✓❑ Not Applicable . ... ...... .. . . . . N6effect. PUBLIC COAST.POLICIES a.Policy 9: .Provide for public access to and recreational use of,:coastal waters,._public,lands- and:public_ resources of,the Town.of Southold. See.L"P Section.III-Policies; Pages:38.'through.:46 for:evaluation. criteria.: ❑ ::Xe No Not Applicable No effect Attach additional sheets:if necessary WORKING .C.OAST'P.OLICIES Policy'10. Protect Southo'Ws.water-dependent uses and promote.-siting of new water-dependent uses in suitable.locations. See LWRP Section III Policies;Pages.47 through 56.for:evaluation criteria.. Yes:: No ✓ Not Applicable No effect Aitach'additionai:sheets if.necessary Policy. IL Promote sustainable use of living.marine, resources: in :Long Island::Sound; the Peconic Estuary and Town waters. See.I;WRP Section III Policies; Pages 57.through 62 for-`evaluation criteria: Yes .0 No ✓0 Not Applicable No effect Attach additional.sheets if necessary, . Policy.12. 'Protect agricultural lands:In the Town of Southold.-See LWRP.Section M-Policies; Pages 62 through 65 for.evaluation.criteria. 0 Yes 0 No V Not Applicable No.effect Attach additional sheetsif 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: a Not Applicable Yes.❑ No No,.effect PREPARED.BY..Jeffrey Patanjo...... .... . :::, TITLEAgenfi:..... DATE 05/20/24 la , r` 1 June 6, 2024 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 ® � � P.O. Box 1179 U Southold, New York 11971 JUN 14 2024 RE: ANDREw FLINN 1500 BAY AVE—EAST MARION SCTM No. 1000-31-8-12.9 Southold Town Board of Trustees APPLICATION SUBMISSION Dear Trustees: Attached please find plans and application forms as required to obtain permit approval for minor work including a sanitary system upgrade and water service installation. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, pc�- Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716