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TR-10646
ri� "0 � Town Hall Annex Glenn Goldsmith, President ��j'� S4375 Route 25 A. Nicholas Krupski, Vice President P.O. Box 1179 Eric Sepenoski G Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples � �� Fax (631) "r65 6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OF THE ACTIVITIES CHECKED OFF EES 72 HOURS PRIOR TO COMMENCEMENT BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction '/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith, President OF so Town Hall Annex A.Nicholas Krupski,Vice President ®� ®�� 54375 Route 25 P.O. Box 1179 Eric SepenoskiL J Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples • �� Fax(631) 765-6641 ®IyCOU ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 23, 2024 Robert Brown, Architect 205 Bay Avenue Greenport, NY 11944 RE: GARY M. & MARY L. NAPOLITANO 1250 BLUE MARLIN DRIVE, GREENPORT SCTM# 1000-57-1-34 Dear Mr. Brown: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 18, 2024 regarding the above matter: WHEREAS, Robert Brown, Architect on behalf of GARY M. & MARY L. NAPOLITANO . 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 28, 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 18, 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, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of GARY M. & MARY L. NAPOLITANO to construct a partial second-story addition over existing one-story dwelling; with the condition of installing an I/A OWTS septic system; and as depicted on the site plan prepared by Robert Brown, Architect, received October 22, 2024, and stamped approved on October 22, 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 tr ly yours, Glenn Goldsmith President, Board of Trustees GG/dd r"`'i t d0#�y '� - .� n• • „ .��, ! ,,• .a,�¢d•�¢s •y. .t .a..'/..� ,. Y •nl • '°�.0•�nlPi"•r' � 1., .S,S.'£`S4!-'�%iTl,Lu.�'..ffi'.1.*PK3"?.�: 3fi,`,^,J"..,1:tY2F3 *.ITX!#d::.'";5i54R1�YR`:dSA:CC'.�:E •L �: ',•}�7'"' �.' 4 f �� a � t. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10646 DATE: SEPTEMBER 18,2024 -� VA :. t ISSUED TO: GARY M. & MARY L. NAPOLITANO PROPERTY ADDRESS: 1250 BLUE MARLIN DRIVE, SOUTHOLD SCTM# 1000-57-1-34 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 September 18,2024, and in consideration of application fee in the sum of$1,250.00 paid by GARY M.&MARY L. r NAPOLITANO 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 construct a partial second-story addition over existing one-story dwelling; with the condition of installing an I/A OWTS septic system; and as depicted ''Y r- on the site plan prepared by Robert Brown, Architect, received October 22, 2024, and L' 'r s stamped approved on October 22,2024. 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. o�OgUFFco O�,y-�O �^ U. �b $•L ,\\/\.�«.L�.aA4�fIIXY.�Zt�n�17SS^w'T;&`i2S;::7�1'�<r"^a%'aCG512P3t§SGY,u?ftlgd4 ,iTi'a'i,�a4�:5,`r.'�^.i;1Gy�L,�T4TM4'�tt:j�3.ao".rC..Y�3Zi�YffS.u`�Ji9'.L4��S: u:wttdYu6li`TXi sue%`"- - � . •`, - � •r Via,_"°'i1 +� r�`C't l�,•4 �,�. .,4 l,a e�°-'"��; y1x-_ LS{ .di�`.�: B A b' ..,.,�lea ° �..� ;� ° .r ` V TERMS AND CONDITIONS The Permittee Gary M.Napolitano 1250 Blue Marlin Drive Southold New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 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. z w cl PUBLIC VACANT ER DIST 1000-SEC 57-BLK 1-LOT 35 Ioc N/O/F SOUTHOLD SHORES ASSOCIATION W = � 2 SITE PLAN I EXISTING WATER SERVICE TOWN OF SOUTHOLD z TO REMAIN o 121.57' SUFFOLK COUNTY, NEW YORK 0 S 15044'40" E 50.00' S 20 00'00" E � __�__��,-- SCTM: 1000-57-1-34 cr 0 15 30 --7L'—-- / -C -- -- 4' CHAINLINK FENCE Lo V' �� Q >- EXISTING UNDERGROUND !h O/TEST ri CO z ELECTRIC TO REMAIN I O I HOLE/ / m M �1 Lu m w PROPOSED 2S QUICK4 v ` v.,�C---�--ELE—EL` >;TV/✓, 'ONOJ GP~� y I PLUS STANDARD LOW PROFILE INFILTRATORS U a y`___............���BE\LGIAN Bl CK CURB 1 s 5 //////// k - EXISTING m o o a �wti GARAGE I ¢ I m o a 479 SF ASPH _iK. FF.ELEV.=7.6' I �' 1 DR;VE AY / o ti ui w z> o0 'a PROPOSED N CONTOURS ,F Z _ II U 3 J J �•'I J _ o EXISTING 1 STORY ¢a I m DWELLING(4 BED) m 2 LL IIA I I c CRAWL=2556 SF � O v�i w I I I� I I J L ,- a W o N DIST 1000-SEC 57-BLK 1-LOT 34 III 1ST FL=2556 SF , ace Q VENT I 3 �, j I CRAWL ELEV=7.9' N/0/F GARY It MARY NAPOLITANO Q TOTAL AREA=0.431 ACRES 1 I •� FF.ELEV.=9.0' I 15' OR 18.781.19 SF C _.1 E o SEPTI-TECH ; _ a a W ' APPROVED BY - W STAAR 0.75 + Q _ ABANDON z r r, N CONCRETE �� —q p��y EXISTING w 1 o TOTALTANK T pip SANITARY PROPOSED VA 0 c 1 0 I �- BOARD OF TRUSTEES IIA SYSTEM }.�i� CONTROLP\EL 3 ^ - OCT 2 2 2024 J jW] ---Im ) ` o �/ _ Li �` `,T0.W OF-'SOUTHOLD W W > �, � , _ m 10 `t IGIANI OV'�N , w SHUFFLE BOARD COURT J J ' :DATE p � D_ �o a� Southold Town _ I o o T ��i w W o N BaNd OfTnnt= LW € g o 161.13 C.O.AT BEND 4 CHAINLIKK FENCE ALONG LINE �> Ii \ PROPOSEDVA N 15044 '40" W W �, ELECTRIC LINE Z SZ. E 12 PUMP BACK I - C7 z PROPOSEDVA I I Z Q i W J y AIR LINE PUBLI�CWWA'�TER NOTES: N/O/F BERNARD & MARY KIERNA w I DIST 1000-S 57-BLK 1-LOT i. ALL PROPOSED SANITARY LINES TO BE 4.0 r i Z ry Z N E NOTE: NEIGHBORING I w Z d Cu INFILTRATOR IM-1530 2. NO NEIGHB PVC UNLESS SPECIFIED OTHERWISE- NOTE: WELLS WITHIN 150 FT OF ^ S W Z m W SEPTIC TANK TO BE VENTED I w o 3 THIS APPLICATION IS FOR THE SOLE l[; THROUGH THE HOUSE THE PROPERTY.3. NO EXISTING DRYWELLS LOCATED ON A k z w z° PURPOSE OF SANITARY SYSTEM UPGRADE PROPERTY. m o �5_- ONLY.IT IS A BEST-FIT INSTALLATION FOR ALBACORE DR I W A=°o FUTURE EXPANSION. Q Z PROJECT � � w LOCATION � U SYSTEM DESIGN CALCULATIONS LOCATION MAP SEPTIC CALCULATIONS: FLOW=110 GAUDAY X 5 BEDS=550 GAUDAY Ge SEPTTLECH STAAR 0.75 RATED CAPACITY=750 GAUDAY 1>u+`-`',_ � INFILTRATOR CALCULATIONS: $ + Greenpo-rt ' 0 0 FLOW=110 GAUDAY X 5 BEDS=550 GAUDAY Z O z 550 GAUDAY 12.83'(INFILTRATOR WIDTH)13(GAUDAY/SF)=64.8 LF ,R8 _ J= J 64.8 LF REQUIRED EXIST.GRD=6.0(SC GIS MAPPING) - - /Na�a� --c. j?m 75 LF PROVIDED 0.0'-0.7 TOP SOIL PT r'�,-.i Q y O 1 LL U U BUOYANCY CALCULATIONS w 0.7-2.5' BROWN CLAYEY CL Islaod ?ZO Ill 3 SILT F;..�, li&Igh15 ., LL ' HIGHEST EXPECTED c• - .. _ m N o WEIGHT OF CONCRETE STAAR.75 TANK=15,174 LBS EACH WEIGHT OF IM-1530 TANK=501 LBS EACH GROUNDWATER EL 3.5 O WEIGHT OF BUOYANCY KIT=2,412 LBS WEIGHT OF BUOYANCY KIT=2,412 LBS BROWN SILTY F a 2.5-3.0' SAND SM 4" L0 rn (2X8'X1.5'X0.67'X150) (2X8'X1.5'X0.6TX150) o o WATER GROUNDWATER EL3.0 WEIGHT OF SATURATED SOIL ABOVE BUOYANCY KIT=4,303 LBS WEIGHT OF SATURATED SOIL ABOVE BUOYANCY KIT=1,848 LBS ,�• (,�;, , (2X8'X1.5'X1.63'X110) (2X9X1.5'X0.7'X110) WEIGHT OF SOIL ABOVE BUOYANCY KIT ABOVE HIGHEST EXP.=7,560LBS WEIGHT OF SOIL ABOVE BUOYANCY KIT ABOVE HIGHEST EXP.=7,560 LBS ":- - WETBR t/ 4� (2X8'X1.SX3.5'X90) (2%8'X1.5'X3.5'X90) 3.0 GRAVEL.10.0' gp TOTAL=29,449 LBS TOTAL=12,321 LBS SAND 8 GRAVEL 0 BUOYANCY FORCE ON SEPTIC 8 TREATMENT TANK ASSUMING TANK 15 EMPTY AND BUOYANCY FORCE ON SEPTIC 8 TREATMENT TANK ASSUMING TANK IS EMPTY AND Tagil of GROUND WATER IS UP TO HIGHEST EXPECTED GROUNDWATER GROUND WATER IS UP TO HIGHEST EXPECTED GROUNDWATER Southold NOTE:EXCAVATE DOWN TO BORING BY:ROY K.REISSIG,P.E. 10.47X6.21'X2.3'X62.4=9,287LBS 14.63'X5.14'X13TX62.4=6,429LBS - t> GROUNDWATER AND SUITABLE SOIL TAKEN ON:0310112024 @71AM r- 29,449LBS SEPTIC TANK>9,281(3.17 FACTOR) 12,321 LBS SEPTIC TANK>6,429(1.92 FACTOR) /O"i� TEST HOLE DATA -_ - - •. w x 1 N.T.S ti'aa; Nea: z TLOW LEVEL EXIST.RES. W FLOAT CH F.F EL.9.0 �GROUND ELEVATION 7.5 GROUND ELEVATION 7.0 NV. 570 GROUNPDE ELEVATION 9.0 DISTAL HEAD HEIGHT 30' CONTROL I 12'MIN.COVER TOP EL 7.17 ✓'f' c'`' POWER HIGH LEVEL 715 VAC FLOAT SWITCH 6.8' 13.T URIZED P INFILTRATOR 15 AMP (YELLOW) INV.EL 6.5 3.9 11 PRESS 3 ROWS•25'LONG BOT EL 6.5 \ i(1 . IX STAAR 0.75 INV.EL.6. .45 .77 S 6� 2 a, STAAR DISCHARGE PUMP SEPTIC TANK IM•1530 TREATMENT TANK NV EL 5 W = r9 _ U C 2717 REDUCER(TYP) 115 VAC INV.EL 6.05 (BUOYANCY KIT REQUIRED, PRESSURIZED Do PUMP CONTROL PANEL (CLEAR) SEE CALCULATIONS ON (BUOYANCY KIT REQUIRED, Z O W U 2'HEADER(TYP) POWER RETURN PUMP SHEET 1) SEE CALCULATIONS NS ON LL 0 115 VAC 115 VAC O 0 4 20 AMP (BLACK) �''p `� Y FROM OWTS 1?LATERAL RECIRCULATE PUMP - - - - - - V HIGHEST EXPECTED C b/ ( z 115 VAC(RED) BOTTOM ELEV.2.13 = GROUNDWATER EL 3.5' `S 1\���5` z BOTTOM ELEV.120 EXCAVATE DOWN TO NATIVE SAND 1. 2 HEADER DETAIL 3 SINGLE LINE WIRING DIAGRAM / SANITARY SYSTEM PROFILE AND GRAVEL(SEE SOIL BORING) cn 2 N.T.S 2 N.T.S 2 N.T.S z w" o a m NYLON STRAP MINIMUM u 0 a S 10,000 PSI RATING(TYP) a 0 0 0 _rc 10'-5' Alwroli C\ Al 1 I w 18' 18' e I LIFTING STRAP(iYP) LIFTING LUG(TYP) B RISER CONNECTION(TYP) (2)-CONCRETE DFIIDMANIB'WXB'HX8'LWITH A A (2)-#4 REBAR CONTINUOUS FA TANK(STAAR.5) 3. s INFILTRATOR TANK ANTI-BUOYANCY DETAIL{ $}-?- =$�$ # = b b p z 11 r Zw \,.jj N.T.S PLAN VIEW o 0 0 w j rEIVEJ 2 PROVIDE ?Z SECONDARY SAFETY V ZCOVERB(TYP) Z175.6'EXTERIOR LENGTH C o u P 2 2 2024 10 TOP VIEW Q a >= oti yo`3 INLET2 3 04 PVC OR ABS 024.0 ACCESS PORT z °'NAIIDIdTO1MI 8 1 INLET TEE WITH LOCKING LID(3) 0 4 PVC OR ABS fff��� 12 a 0 fool � 72 f^� W •}., s g INLETTEE ^ i �"`S{ •.:'y-S, y�:r;S:.�•.' ;r,.•. INLET 16.9%AIRSPACE OUTLET � w PRESSURE PIPE QUICK4 PLUS STANDARD I N EP, P a 0 BAFFLE NATIVE BACKFILL ESTABLISH VEGETATIVE LE o LOW PROFILE CHAMBER COVER AND GRADE TO DRAIN 7 - " ao a S TOPSOIL v '7 T 0 0 • o n COMPAARTMENT T�l TQow a w,S2� 6 3 2'X 2' J TIE WRAP BAFFLE SLOT 0.2' 0 6 o m 5 FIBERGLASS (TYP) WALL 2'UNDISTURBED 4 SUPPORT(TYP) COMPARTMENT THICKNESS ; 36'TRENCH WIDTH--� SOIL p CENTER SUPPORT J 0 TOTALVOL }TOTALVOL 0 a>-� DETAIL B NOTES: ••• '"• Z JO 2 Y DETAIL A NOTES: 1. FLUSHING MECHANISM WITH VALVE BOX DETAIL SHOWN J H � (LEFT) 3. PVCFE2. TE BOX AS NECESSARY MALEADAPTORWITHAMALETHREADEDCAP PROFILE VIEW NOTES. SECTION A-A o m m 1. OUICK4 STANDARD CHAMBER LEFT AND QUICK4 STANDARD Q m p MULTIPORT ENDCAP(RIGHT)SHOWN r 4. PIPE SIZES PER PLAN 1. ALL DRAWING DIMENSIONS IN INCHES(mm)OR AS NOTED. �w p v+ 2. PRESSURE PIPE SIZE PER DESIGN ORIFICES AT 12 O'CLOCK, 5. INSTALL 90`SWEEP FITTING OR 2-45'BENDS,NO ELBOWS 12 8 MEDIA BAGS 2. EXTERIOR OF ACCESS OPENING LID INCLUDES THE FOLLOWING WARNING IN ENGLISH FRENCH 8 p X W WITH FIRST AND LAST ORIFICE AT 6 O'CLOCK TO DRAIN THE (LARGE)22 CUFT SPANISH:'DANGER D0 NOT ENTER:POISON GASES.' W Z o m PIPE(ADD EROSION PROTECTION SUCH AS PATIO BLOCK) 11 1 AIR HEADER ASSEMBLY 3. TANK MARKINGS WILL INCLUDE:MANUFACTURER NAME,MODEL NUMBER,LIQUID CAPACITY,DATE OF J O u o f' 10 1 INLET PIPING ASSEMBLY MANUFACTURE,MAXIMUM BURIAL DEPTH,INLET,AND OUTLET. m to o 9 1 SPRAY HEADER ASSEMBLY 4. THE TANK MAY BE BACKFILLED WITH SUITABLE NATIVE SOIL SEE INSTALLATION INSTRUCTIONS FOR PRESSURE PIPE DRILL HOLE 8 1 SPRAY HEADER SUPPORT STRUCTURE GUIDANCE.IF THE NATIVE SOIL DOES NOT MEET THE INSTALLATION INSTRUCTIONS GUIDANCE THEN IN w LOCATIONS ON END CAP 7 1 RECIRCULATION PUMP.TSUNAMI 50PN2.25S BACKFILLING WITH SELECT MATERIAL WILL BE REQUIRED. c"ll O 6 1 PUMP BACK PUMP ASSEMBLY,GOULDS LSP03 5. MAXIMUM BURIAL DEPTH IS 48'(1,219mm). 5 1 PUMP BACK STAND ASSEMBLY 6. MINIMUM BURIAL DEPTH IS 6'(152mm). 4 1 SUPPORT STRUCTURE 7. TANK IS FOR NON-TRAFFIC APPLICATIONS. END CAP 8. AIRSPACE IS 16.9%. N 3 1 DISCHARGE PUMP ASSEMBLY,GOULDS LSP03 9. OUTLET TEE IS COMPATIBLE WITH AN EFFLUENT FILTER. DETAIL A INFILTRATOR CHAMBER 2 3 WALL INSERT ASSEMBLY 10. LENGTH TO WIDTH RATIO IS 2.8:1(175.6'LENGTH/61.T WIDTH=2.8). 0 (ANY MODEL) 1 1 1250 GAL.CONCRETE TANK 11. FREE VENT AREA BETWEEN TOP OF BAFFLE WALL AND BOTTOM OF TOP BAFFLE SLOT IS 136.5IW. DETAIL B ITEM QTY. DESCRIPTION 12. BAFFLE WALL THICKNESS IS 0.31'(8mm). s INFILTRATOR UICK 4 PLUS STANDARD LOW PROFILE TYPICAL STARR 0.75 CONCRETE TANK DETAIL ® 2 - COMPARTMENT SEPTIC TANK DETAIL (IM-1530) 2 N.T.S 2 N.T.S 2 N.T.S SOUT HOLD RUSTEES No. I O GH Issued To- Gcw-!a } A -9cipo Vitno Date q /19 /-14 . Address la50 glut- - Karl:,. lbr' .vc, Soult,a ,d .THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD $OUTHOLD, N.Y. 11971 TE L.: 765.1892 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits.Region 1 SUNY Cu)Stony Brook,60 Circle Road,Stony Brook,NY 11790 P:(631)444-03661 F:(631)444-0360 www.dec.ny.gov NO PERMIT NECESSARY-TIDAL WETLANDS ACT October 17, 2024 Gary Napolitano 33 Downey Court Huntington, NY 11743 RE: Application # 1-4738-05026/00001 Facility: 1250 Blue Marlin Dr, Southold SCTM# 1000-57-1-34 Dear Applicant: The Department of Environmental Conservation (DEC) has completed a review of your proposal to install a swimming pool and fence. All proposed work is located greater than 75 feet from the Tidal Wetlands Boundary, as per the plans prepared by Robert I. Brown, last revised 6/17/2024. Based on the information you have submitted, this Department has determined that the project is listed in the Tidal Wetlands Land Use Regulations (6NYCRR Part 661.5 (b) (#26)) as a use not requiring a permit. Therefore, no permit is required under the Tidal Wetlands Act (Article 25) of the Environmental Conservation Law. Be advised, any additional work or modification to the project as described, may require DEC authorization. Please contact this office if any such activities are contemplated. Please note that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies or local municipalities. Also note, there is no fee for this determination. Your check (#1319) has been voided and destroyed. Sincerely, E C E-1 V E DD Mary MacKinnon 0CT 2 2 2024 Permit Administrator Board of Trustees CC: Robert Brown, BMHP, File YOK Department of rare Environmental Conservation COUNTY OF SUFFOLK CG'✓p� EDWARD P. ROMAINE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES GREGSON H. PIGOTT, MD, MPH Commissioner David Warren June 13, 2024 847 11TH STREET Notice#: 2 RONKONKOMA, NY 11779 1250 BLUE MARLIN DR Tax Map: 1000057000100034000 Record ID: R-24-0599 Notice of Incomplete Application David Warren, This office has reviewed your application for the above referenced project. The following will be required prior to any further processing of the application for approval to construct: Submit DEC and town wetlands permits or letters of non-jurisdiction. To avoid delays in the processing/approval of your application, paperwork and documents should be submitted using the online portal. Electronic submission will ensure priority processing. Please note that alterations of surveys/plans must be made by a licensed design professional or surveyor and be properly certified. Photocopies of documents and penciled in corrections are not acceptable. Please do not hesitate to call (631) 852- 5700 with any questions. Regards, Christopher Monahan Public Health Sanitarian CC: d�F E ERIC HANNINEN GARY NAPOLITANO 0CT 2 2 2024 MARY & GARY NAPOLITANO soumuu,sown Board of Trustees Ve- DIVISION OF ENVIRONMENTAL QUALITY-OFFICE OF WASTEWATER MANAGEMENT V? 360 Yaphank Avenue,Suite 2C,Yaphank, NY 11980 ? ` (631)852-5700 1 Fax(631)852-5755 Page 1 of 1 ���rz�- Glenn Goldsmith,President ®}�Q t fF®l COG Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski � P.O.Box 1179 Liz Gillooly Southold,NY 11971 Elizabeth Peeples '�,y�,0 �p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Robert Brown on behalf of Gary and Mary Napolitano TO: Please be advised that your application dated June 28, 2024 has been reviewed by this Board at the regular meeting of September 18, 2024 and your application has been approved pending the completion of the following items checked off below. X Revised Plans for proposed project (showing location of conditioned I/A system) Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) Y2 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 TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Legend 1250 Blue Marlin Dr � � Brick Cove Marina z Y rr x i tfi a s �, . F - r j S11FFN/( �'_ 11 Glenn Goldsmith,President � COGy.` Town Hall Annex A.Nicholas Krupski,Vice President .�� 54375 Route 25 o Eric Sepenoski o ,? P.O.Box 1179 Liz Gillooly �y • ��� Southold,NY 11971 Elizabeth Peeples �Ol '�� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: LG �• �� Robert Brown Architects on behalf of GARY M. & MARY L. NAPOLITANO requests a Wetland Permit to construct a partial second-story addition over existing one-story dwelling. Located: 1250 Blue Marlin Drive, Southold. SCTM# 1000-57-1-34 Type f 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/Et .: (^-(-• c�J4�'o`I Present Were: ✓ G. Goll osmith ZN. Krupoi ✓ E. Sepenoski L. Gillooly Peeples ISSUES/REVISIONS 371-811 SECOND FLOOR ADDITION OVER EX15TING FIR5T FLOOR E - I THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF THE Li ARCHITECT.INFRINGEMENTS WILL BE PROSECUTED 2024 ALL RIGHTS RESERVED Robert I. Brown Architect, P.C. zo5 Bay Ave. Greenport NY inro@ribrownarchitect.com - - 631-477-9752 IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY.ANY AUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITH THE LAW. LOT COVERAGE: ����''/����-• SITE PLAN EXISTING LOT: I8,78I.I SF EXISTING HOUSE: 2,99G.5 5F C,� ,rA EXISTING DECK: 240.0 SF EXISTING CONDITIONS TO REMAIN EXCEPT AS NOTED. EXISTING ASPHALT DRIVEWAY: 7G3.1 5F �� ..,�".t:: } BA5ED ON SURVEY BY: KENNETHI M WOYCHUK LAND SURVEYOR EXISTING BRICK PATIOS: 2,5 SF zr' !'` EXISTING CONCRETE WALK: 1 14..4 SF DATED MAY 2 1 , 2014 EXISTING SHUFFLEBOARD CT.: 39G.3 SF ` EXISTING SPA: 229.4 SF EXISTING POOL: 552.8 5F 5CTM No. 1000-57-1-34 AREA: 18,78 1 . 1 5F = 0.43 A EXISTING TOTAL: 7,591.4 SF 5OUTHOLD TOWN ZONE: R-40 EXISTING COVERAGE: 42.0% PROPOSED ADDITION: SECOND FLOOR ONLY 970.8 SF CLIENT/OWNE PROPOSED COVERAGE: 42.0% (UNCHANGED) GARY AND MARY NAPOLITANO PROJECT TITLE ADDITIONS & RENOVATIONS 125o BLUE MARLIN DRIVE SOUTHOLD NY u97i DRAWING TITLE n7220'24 SITE PLAN �' NOTES SCALE june i7, Zoa4 i' = 20' DRAWING NO. ISSUES/REVISIONS ❑ THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF THE ARCHITECT.INFRINGEMENTS WILL BE PROSECUTED ❑ 2024 ALL RIGHTS RESERVED - ------------- - - - - - Robert I. Brown - Architect, P.C. BayAve. reenport NY ____.______ ,op o@rlbrownarchitect.com 631-477-9752 IT IS A VIOLATION OF THE LAW FOR ANY PERSON, U P UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER ANY ITEM ON THIS DRAWING IN ANYWAY.ANYAUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITH THE LAW. w. a CLIENT/OWNER GARY AND MARY NAPOLITANO PROJECT TITLE FIRST FLOOR PLAN ADDITIONS &RENOVATIONS 125o BLUE MARLIN DRIVE SOUTHOLD NY n97i DRAWING TITLE FIRST FLOOR PLAN tl u. JUN 2 8 2024 iSCALE Soutliald Town June 1'7, 2024 1/41' - 1' Board of Trustees DRAWING NO. ISSUES/REVISIONS r 1 5'-7" THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF THE - - -- ARCHITECT.INFRINGEMENTS WILL - - - -= BE PROSECUTED 2024 ALL RIGHTS RESERVED El El Q - - Robert I. Brown Architect, P.C. Zo5 aX ve. Green port NY info@ribrownarchitect.com 631-477-9752 IT IS A VIOLATION OF THE LAW FOR ANY PERSON, 4'-1 d/2" UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHMECF,TO ALTER ANY ITEM ON THIS DRAWING IN ANYWAY.ANY AUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITH THE LAW. 1 2'-G" nr�`, (• {` .{~� >= CLIENT/OWNE GARY AND MARY NAPOLITANO PROJECT TITLE SECOND FLOOR PLAN ADDITIONS &RENOVATIONS 125o BLUE SOUT'HOLD NY MARLIN 9�� DRAWING TITLE SECOND FLOOR PLAN � SCALE J U N 2 8 2024 ` June 1'7, 2024 1 " = i /4 DRAWING NO. FN Southo;�Down Board of Trustees ISSUES/REVISIONS THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF THE ARCHITECT.INFRINGEMENTS WILL BE PROSECUTED 2024 ALL RIGHTS RESERVED Robert I. Brown Architect, P.C. Z05 Bay Ave. Greenport NY info@ribrownarchitect.com 631-477-9752 IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY.ANY AUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITH THE LAW. J a r CLIENT/OWNER GARY AND MARY NAPOLITANO ROOF PLAN PROJECT TITLE ADDITIONS & RENOVATIONS 12 o BLUE MARLIN DRIVE SOUTHOLD NY ii97i DRAWING TITLE ROOF PLAN J SCALE JUN 2 8 2024 June 1�, 2024 1/4 = i DRAWING NO. Southold Town Board of Trustees ISSUES/REVISIONS r SOUTH ELEVATION THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF THE ARCHITECT.INFRINGEMENTS WILL BE PROSECUTED 2024 ALL RIGHTS RESERVED Robert I. Brown Architect, P.C. 20 Bay Ave. Greenport NY info@rlbrownarchitect.com 631-477-9752 IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY.ANY AUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITH THE LAW. J CLIENT/OWNER GARY AND MARY NAPOLITANO PROJECT TITLE ADDITIONS & RENOVATIONS fin fl el. 9.0' 125o BLUE MARLIN DRIVE SOUTHOLD NY u97i grade/7.0' DRAWING TITLE WEST ELEVATION SOUTH AND WESTj E I V E ELEVATIONS SCALE _J_ J U N 2 8 2024 June r7, zoa4 1/4" = It DRAWING NO. Southold Town Board of TrusteesAb ISSUES/REVISIONS I I fin fl el. 9.0' grade/7.0' EAST ELEVATION THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF THE ARCHITECT.INFRINGEMENTS WILL BE PROSECUTED 2024 ALL RIGHTS RESERVED Robert I. Brown Architect, P.C. 2o5 Bay Ave. Greenport NY info@ribrownarchitect.com 631-477-9752 IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED ARCHITECT,TO ALTER ANY ITEM ON THIS DRAWING IN ANY WAY.ANY AUTHORIZED ALTERATION MUST BE NOTED,SEALED,AND DESCRIBED IN ACCORDANCE WITH THE LAW. KE' CLIENT/OWNER GARY AND MARY NAPOLITANO N top of plate el. I G'-G PROJECT TITLE ADDITIONS & 0 0 RENOVATIONS 1250 BLUE MARLIN DRIVE SOUTHOLD NY n9p fin fl el. 10'-2" fin flfel.fEeO'9.0' DRAWING TITLE rade/bfe 8'-O" gra`hvJlcTp-0'7.0' NORTH AND EAST F uu� 2 8-�� ELEVATIONS CAL SE NORTH ELEVATION 2024 June 17, zoZ4 1,4 = i DRAWING NO. Southold Town Board of TrusteesAb Napolitano Residence 125o Blue Marlin Drive Southold, NY 1000-57.-01-34 June 2024 North property line (looking South at front of house) Southeast corner (Looking Northwest towards house) 11 -A I'm .sts t` s� �y 3 I4 w ti Southwest corner (Looking North at house) Southwest corner (Looking East along bulkhead) was-aa a- + 09bifi Z �'-'-:-TgRA MnTOM eEESEG.NO Oba UNE MALCH �, a.mz p OF1F3: r'J 1• � n (_ � i! � gg��� � IR 1Ncl S '�$ FORPCt NO sEE SkC NSO V�Js7r 6.♦1�``` � -.# , .. 2PO' „•_ :\ _=4`. ''{ j '..ZZ 9 Ixn r is t _. '.,_o ALdpOORE ., f. ✓a � yx .... .. t M1 >o.. F. i f„ 0 0 S�Np SHEtitER j •wiz _.... v ,,... - _Ka. .<�.s .. _ ,e,,,„,_ ... •, COUNTY OF SUFFOLK CO -Tr K 1 +�, ,ao sEcrKn ND E �rb L2J _a u,��a,)fa3.l.asgrD, 05T N —_— W Y... a3, r:�U.-• fm c.s„+n,..M..f..r ro ffwN W a.mir-nv.uwvrama.enm u `cam"-""F` wurHaEo lFQ.Ir % Caroline Burghardt,Chairperson Town Hall,53095Main Rd. Lauren Standish,Secretary 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., September 11, 2024 the following recommendation was made: Moved by John Chandler, seconded by Inga Van Eysden, it was RESOLVED to SUPPORT the application of GARY M. NAPOLITANO & MARY L. NAPOLITANO for a partial second-floor addition over existing first-floor. No change in building footprint. Located: 1250 Blue Marlin Dr., Southold. SCTM#57-1-34 Inspected by: Shannon Wright, Inga Van Eysden, John Chandler The CAC Supports the application and recommends the installation of an I/A septic system. Vote of Council: Ayes: All Motion Carried J S.C.T.M. NO. DISTRICT. 1000 SECTION: 57 BLOCK: 1 LOT(S):34 E MARLIN � BLUE DRIVE C CL 4.6 L 4.3 EDGE OF PAVEMENT EL 5.0 110.00' �L,IL#10 vDi N74015'20' E = EL 5.0 EL. 5.7 D r .c r CP LOT 13 � < = co m a DWOOD WALL < �•,, ;a co BRICK EL 6.8 � EL 7.5 19 8, , 22.5' o EL 7.5 S COVERED 0 2 4.0 o SLATE o 12.4 i : GARAGE 3 O a, `n 10.1 ' ") i G F 7.6 0 GATE N i `V EL 7.5 N 1 STY FRAM E 14.7' 5.0' DWELLING #1250 0 z FFL 9.0 10.'3' LOT 52 LOT 12 1 � CRAWL 7.9 . 1 1.4'M B Q' L4 z o 18.5' S zo tt o g 0 v WOOD DECK `9' 22.2 COVERED 0.3 W z co SPA BRICK PATIO Y m EL 7.2 Z Z LL 16.0 _ INGROUND POOL U = LO ' r 7.0' EL 8.0' D '� �.. EL 7.0 ►-+ Y Z W U � � m m z 0 m EL 6.5 0.5'E TIMBER EL 7.0 v GRAVEL SPLASH AREA BRICK TIMBER v WOOD BULKHEAD PATIO . GRAVEL SPLASH AREA R7JUN E E I V 1.5'N 2.8'E W S 79006'28" WTIE LINEooD 119.45' STEPS 'T T '_ r 'T 2 8 2024 T 'T T -T 'T 'T T -T 'T 'T T 1T 'T 'T T T T T T T T T T T T T T T 1T 1T 1T , P E C 0 N I C p$�01 Id^T,o,.w�,�n,�� DYWY oT1 Wu+W T' T T T T T T T �T �T T T T T T - 1W�W 'T �T T T T � UPDATE 03-06-24 REVISED 06-27-14 REVISED 06-18-14 REVISED 06-10-14 1985 VARIANCE GRANTED 209 PLUS 500 S.F. ADD COVERAGE 05-28-14 18,781.1 S.F. x 20% = 3,756 S.F. + 500 S.F.=4,256 S.F. THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVA71ONS AND OR DATA OBTAINED FROM OTHERS AREA: 18,781.1 SQ.FT. or 0.43 ACRES ELEVA77ON DATUM: NAVD88 UNAUTHORIZED ALTERA 77ON OR AD017701V TO 7HIS SURVEY IS A WOLA.77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA 77ON LAW. COPIES OF 7HIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM 774E SURVEY 1S PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING 1NS7777J77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING 1NS777U770N, GUARANTEES ARE NOT TRANSFERABLE. 774E OFFSETS OR DIMENSIONS SHOWN HEREON FROM 774E PROPERTY LINES TO 774E STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE 774EREFORE 774EY ARE NOT INTENDED TO MONUMENT 7HE PROPERTY LINES OR TO GUIDE 774E EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS -AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 774E PREMISES AT THE 77ME OF SURVEY SURVEY OF: LOT 13 N�4, CERTIFIED TO: GARY NAPOLITANO; MAP OF: .SOUTHOLD SHORES AT ARSHAMOMAQUE �P4 ��N M wo�yA3 MARY NAPOLITANO; FILED: MARCH 2, 2001 No.3853 SITUATED AT: SOUTHOLD r x a TOWN OF: SOUTHOLD 0 o KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW- YORK <�s�, os'o882 J�� Professional Land Surveying and Design P.O. Bog 153 Aquebogue, New York 11931 FILE # 14-44 SCALE: 1 "=20' DATE: MAY 21, 2014 N PHONE (831)298-1588 FAX (631) 298-1588 N.Y S LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: p�R ��-'� �r y Do NAME: 33 .S7-i- 3� 'liS7- E I V E i S E P 6 2024 5outhotd Town Boetd of Trustees STATE OF NEW YORK COUNTY OF,SUFFOLK r residing at fee,(- , being duly sworn, deposes and says that on the�day of , 207� , 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 04) Day of , 20,D ONNIE BUNCH Notary cl State of New York No.01 SU6185050 Qualified in Suffolk County Commission Expires April 14,2ID Notary Public 0 Postal Postal o CERTIFIED MAIL"'RECEIPT CERTIFIED MAIL@ RECEIPT rt1 Domestic Mail Only .0 fU r..3 Domestic Mail Only m ru m , Sib 'z Certified Mail Fee POP -, ;I. F Certified Mall Fee l '" to $ .;;,,8� 0944 C3 �t. Extra Services&Fees(checkbox,add tee as dpprbp ate) n I V r� $ - - (r r� ❑Return Receipt(hardcopy) $ t I i_III-I t I v t a Extra Services$Fees(check edd tee s£ppryb_ata) Q Q ❑Return Receipt(electronic $ i ;i J9 ❑Return Receipt(hardcopy) $ .f I-I I f I i I P % 0 ostmark (electronic❑Certified Mail Restricted Delivery $ �- c r S� 0 Return Receipt ) $ c p Y rEE i' Q Here p ❑Certmed Mail Restricted Delivery ❑Adult Signature Required $ r $: 4li,lill t9G� - O ❑Adult Signature ResMctedDelivery$ 'a W �6 -� ❑AdultSlgnatureRequired $ �6Z02 tyl Is�d - ❑Adult Signature Restricted Delivery$ f1J Postage. .. l• I_I,j CG Postage r- $ Cb ru l:I,? ro ru Total Postage and Fees /7�I 1 . M1 T Total posts a and Fees i jR tic l; $$9.6�, USQS .9 os g rU Sent To n,,,p,) p � $• "-` p r-�r 1 Sent To N Street andApf Nd.;ii/7 Box No� 1�P-NA N ru -- _ 5_oXeR �-�_.. f N - - SveeiendApt'Nd.,drPd Box"Flo:1 --"`---'"-�----"' -- crry,crate;zratd� --------- ---e , ra+ DS•gWf: 11.1..�. "�fL -,1157E crry sr re z -4�---- --- ------ _.. :,. . ,,,.,. � 'RiaL� r � - U.S. Postal Service TM m CERTIFIED MAIL@ RECEIPT fU •• only ru M , ClJt 0 Certified Mail Fee j/ I r-q $ i a O f Edna Services&Fees(checkbox,addles sgp)irgpliate) /�! r1 ❑Return Receipt(hardoopy) C3 ❑Return Receipt(elechonic) $_ ct I I I i fl ark OElCertifietl Mall Restricted Delivery,-$ ❑Adult Signature Required $ C3 []Adult Signature Restricted Delivery$ rU Postage un, rL Total Postage and Fees 53 rU Sent To 0 5DUp� .�1toF�5 IkSS�� �NC. ------------- - -------------- M1 teat andApL No.,or Pd Box Afo. ----------------- City,-$fate ZIF,wa— -----� ...1 A k- ( ------- ----- 6 Ac -ham �cn► ►1530 _I hip Glenn Goldsmith,President �.��$0 Town Hall Annex 5437 A.Nicholas Krupski,Vice President ;�0 {� `' 5 Route 25 P.O.Box 1179 Eric$-epenoski D3 S1 Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ,�9 Fax(631) 765-6641 , �� V D BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Z 8 2024 This Section For Office Use Only Southold Town Coastal Erosion Permit Application Board of Trustees Wetland Permit Application - Administrative Permit Amendment/Transfer/Extension Received Application: Received Fee: $ _ Completed Application: 02� Incomplete: SEQRA Classification: Type I__ Type II . Unlisted, Negative Dec. Positive Dec, Lead Agency Determination Date: --Coordination:(date sent): Nr� LWRP Consistency Asses men For Sent a k8j, CAC Referral Sent: 021 Date of Inspection: !1 dW Receipt of CAC Report::_ _Technical Review: � ' Public Hearing Held:, Resolution: Owner(s) Legal Name of Property (as shown on Deed): ° -I`� ���,' .�'• !'Y3 U Mailing Address: ' Phone Number: Suffolk County Tax Map Number: 1000- Property Location: Z�d w� G 11� '1��-- - �CJ �� fA ` 11 (If necessary,provide LILCO -Pole#, distance to cross streets, and location) AGENT(If applicable):,— Mailing Address:,. Phone Number:. 6034'4-71. - (797i Email: _ �' CI�c�IlLC1J ��*eDtq � t - Board of Trustees Applica_,�= GENERAL DATA Land Area(in square feet):-- .. Area Zoning:,..... _�fo - -.,., . ,. . . . :.._ . . . . . ....._ Previous use of property:- Intended use of property:. Covenants and Restrictions on property? Yes _J�No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes n 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 _OLNo If"Yes", please provide copy of decision. - W' is project 7!ny demolition as per Town Code or as determined by the Building Dept.? Yes o Does the structure(s) on property have a valid Certificate of Occupancy? Yes F No Prior permits/approvals for site improvements: Agency Date i t No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? - No[I Yes If yes, provide explanation: _ Project Description(use attachments if necessary)_. '5—ocov ;. AM01 V I ��04:-nv��f�-A) y - Board of Trustees Applica{-�.;)n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:.. Area of wetlands on lot: _ square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: .feet 2' 1 feet � Closest distance between nearest proposed structure and upland edge of wetlands:_ ... _ ; Does the project involve excavation or filling? LJ No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? 14 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: d� 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): i 61 Z20 Appendix B Short Environmental Assessment Form .Instructions'for,Cont.t)letinp 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. Piirt�I-Project and Sponsor lnforma[ion Name of Action or Project: ct�al ►'� �� l0 ISZD(Z`{ S.F.�. { Project Location(describe,and attach a location map): i 1250 $LtJ'F-- 2 (.I W. 59L T IMPi Brief Description of Proposed Action:; Name of Applicant or Sponsor: Telephone: C 8-Mail: 11✓4 -Address: ; City/PO. - State: Zip Code:' - ? 1.Does the proposed ction only involve the legislative adoption of a plan,local law,ordinance, N_OYES',, administrative rule,or regulation? ❑�i❑ 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. 12. Does the proposed action require a permii;approval or funding from any other governmental Agency?' NO` YES ' .if Yes, list agency(s)name and permit or approval. mac-s�csc`t t7L., � i.,L - ❑ ❑� VeetA�T 3.a.Total acreage of the site of the proposed action? y�Z acres b.Total acreage to be physically disturbed? acres 1i ep p,L.V-a,o c.Total acreage(project site and any contiguous properties)owned tT `r or controlled by the applicant or project sponsor? 14 acres 4. Che Vland us at occur on,adjoining an ... ar the propqsf4 action. Urban Rural(non-agriculture) Industrial Commercial Residential (suburban) Forest [:]Agriculture Aquatic ❑Other(specify):. 5 Parkland I t Page 1 of 4 z x 5. 'Is the proposed action, _ NO YES', N/A, a. A permitted use under the zoning regulations? ! S b.Consistent with the adopted comprehensive plan? `/ LL 6. Is the proposed action consistent with the predominant character of the existing built or natural NO... .'YES landscape? 'IT 2� ,3 7.'I's the site of the proposed action located_ in,or does it adjoin,a state listed Critical Environmental Area? :,NO, ;YES. If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO -YES, b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO, YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? ;NO T YES If No,describe method for providing potable water:, ! ja 11.Will the proposed'action connectto existing wastewater utilities? NO .'YES If No,describe method for providing wastewater treatment:_.. 12. a.Does the site'co iiain 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 ofthe site of the proposed action,or lands adjoining the proposed action,contain :NO, 'HYE 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. ' ntify the typice bitat types thatoc 'n,or are likely tube found on t w roJect site: Check all that apply': HShoreline Forest I 1,%grieultural/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? 16.Is the project sits located in the 100 yddf flood-plain? NO YES 17.Will the proposed action create storm water discharge,either from pointor n sources? NO- If Yes, on-po' a. Will storm water discharges flow to adjacent.properties? O YES b. Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes,briefly describe: r5O �'ES ------------- ( .awl Page 2 of 4 '18. Does the proposed action include construction or other activities'that result in fhe iinpound'ment 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 _.. .__ _.. .. r.... ._ ❑, 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO ES completed)for hazardous waste? If Yes,describe:.. w I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND-ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spons me:,;. !D�w� . Date:. . •,.. . _ Signature:.: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor o,r 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 k 3 T:may may .-occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning D regulations? r 2. Will the proposed action result in a change in the use or intensity of use of land? a: :o i. 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 a !, El, of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway? El ` 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? El 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? FJ 1, 8. Will the proposed action impair the character or quality of important historic,archaeological, a architectural or aesthetic.resources? _- 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? a �, Page 3 of 4 lVo,or Moderate l 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 j problems? a' 1]. 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. f '1 Check this box-if you have determined,based on"'the information"and analysis above,`and any supporting d'ocurbeiitation, ' that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. DCheck 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 be-ad`AgencIy Title of Responsible Officer' Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of Board of Trustees Application AFFIDAVIT 602 Af� � �APQ y I _. BEING DULY SWORN DEPOSE9 AND AFF R1VMS 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. x Signa f Prope Owner Sig f Property O ner SWORN TO BEFORE ME THIS 154*— DAY OF JU-vn-C ,.20 2� r _ Not u is BRITTANY A CONRAD otary Public,State of New York Reg.No.01 C06245154 Qualified in Suffolk County Commission Expires July 18,20�1 i Board of Trustees Applicat�.:i.. AUTHORIZATION, (Where the applicant is not the owner) I/We, Gary and Mary Napolitano owners of the property identified as SCTM# 1000- 57-1-34 in the town of SOUTHOLD ,New York,hereby authorizes Robert I Brown Architect 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. 1 ' Pro pe Owner's Si a Prope wner's Qnature SWORN TO BEFORE ME THIS���"� DAY OF 20 Z" No *blic BRITTANY A CONRAD Notary Public,state of New York Reg.No.01C06245154 Quaed in Suffolk County Commission Expires July 18,20�� 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics arohibits•conflicts of.interest on-the'part ofiown officers and emdlovees.The ramose-of .this form is to provide information which can'alertdhe town of possible conflicts of interest and allow it to take.whatever action is necessary to avoid saam�`e. I YOURNAME: (yAA01JI&MD, A. (Last name,first nam griddle 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 interesP'means a'business, including a partnership,in which the town officer or employee has even a partial ownership of.(or employment by)a corporation in which the town officer or employee owns'more than.50/oof 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): _aA)the owner of greater than 5%of the shares of the corporate stock of the applic@t � (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the 2 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 20 Signature Print Name Form IS 1 2fn Board of Trustees Applica_— PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: AJS .-7- 1 - ,33 S7-a- 35- .S7- ✓ - �� 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 Board of:Trustees Application PROOF OF MAILING OF NOTICE ATTACH C`EtRTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: 00 V, 1 ' 3� NAME: ` - ---- ---- -- - -- - - - -- -- - -- -- - --•1 33 - 35 ' S7- / - �� E 0 E I E D S E P 6 2024 Southold Town BOWTI of Trustees STATE OF NEW YORK COUNTY OF SUFFOLK r 1 VIA residing at �C- fePiL dv' , being duly sworn, deposes and says that on the�_day of , 207� , 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. t Signature Sworn to before me this Day of ��orii , 20 cD' _ CONNIE.D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County WA Commission Expires April 14,2 Notary Public y� PostalU.S. Postal Service"m U.S. CEROMAILO'RECEIPT CERTIFIED © RECEIPT fT1 Domestic Mail Only .� ru Domestic Mail Only m ru r. •Rta ;G i 1 r,�'r ` f a i l " :: ;� £, rr� �s� g . q. 9 . , , ' \:�# t. � �' 70(.�j+I4'���i�:aA I�k.:i �. Certified Mail Fee I`m» = �' , $ M t.u�+ fl41ty Certified Mall Fee 4,�.e �• $ �,. Extra Services&Fees(check box,add fee as dpdrb/idate) � r� +.: Q ° � 4 r ❑Retum Receipt(hardcop� $ �i!-!.!�! I 1 V Y J Extra Serv!ces 8r Fees�(checkboz,add fee s£ppryS_eta) \(Z I r 17 I-q ❑Retum Receipt(hardcoPy) $ a i I_I I t i '\ J❑Return Receipt(electronic) $ ��r a�+j! ' ® ostmark R pt(electronic) $ ,+;C ❑Certified Mail Restricted Delivery $. k- $' Q ❑Return Recel � []Adult Signature Required $ — Q Here P ❑Certified Mail Restricted Delivery $ cc ( S 4I_i.1 it i VLRets I [:]Adult Signature Restricted Delivery$ _ ' W �s 6 C3 El Adult Signature Required $ _ :a„ a.,.6?/1OB _ C3 � '- lO _ ❑Adult Signature Restricted Delivery$ 'p ram— V[� l rU Postage IM M1 $ + .73 C� � Postage Vi e 73 Cb(O rU Total Postage and Fees 7 / 'Mj, M1 $ 97 r-q ,y` r rU TotaI Postage and Fees 19 fly l� i;?4'• $ [c pp� VJ54'S $ l.6, C3 Sent To bfl?-A9V-t (v`fflr-� Sent �j � Sen o - - --------- -- = = __ N Street andApt.?QF iT POBoxNo: p Sl a ---- ---- 5.o --t�' M1----------- M1 -- - �iLHc tree andApYN'o.;orP'Box No. -' ---`-" -- - City,State,ZIP+4® ` p DS ��t PA �� 11(k 1"E►L 1157b City ate,Z%P+4/ 1� - —o�-- ,,. r r r ,, rr,•,. - - Gov tSL`� ivy �l��l l ` = J Postal Service TM . m o RECEIPT ru t� Domestf&mail Only ru m r3 Certified Mail Fee r•9 W c• Extra Services&Fees(checkbon add feeds+ P(h P1� $ '!PA ate). O ❑Return Fiscal t ardcro ❑Return Receipt(electronic) $ 0 tk I ark O ElCertified Mail Restricted Delivery! $ .�,; r- ^`- ❑Adult Signature Required, $ " �i I _, 1-3 ❑Adult Signature Restricted Delivery ru Postage A s'Fy (,0 rU Total Postage and Fees r-1 $. :.,SU rUSent To beetWiia r 0 SDv�tp� .$ltu5 f�SS�� M1 § Apt."No:,"o�PaBoz/Uo..""""' " — - - NL t � '511A FAR ------ C!ry;State,Z%P+4®----------------:---- -'a`-_----�---�---- ------- (,P!R-A4t cry----- - 1153fl < I <r Glenn Goldsmith,President oS11Ffot/( G Town Hall Annex A.Nicholas Krupski,Vice President ,� y 54375 Route 25 Eric Sepenoski y i P.O. Box 1179 Liz Gillooly p ® Southold,NY 11971 Elizabeth Peeples ! 0� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD rE EBOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- 1 7 2024 In the Matter of the Application of i SouthnldTown GARY M. & MARY L. NAPOLITANO gpatdotTrusbms COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING �DOs1VOTrGOMPL�LTEflISFO?t1VI�U�V�IL T=HFPOTINGHASRE°11 �1INED� �INjPL�=ACFORA'TLEASSEI� 1 tDAIPRI`ORr�'OTHIIBLIC HEARING=DA`TX= 'OMPLE ET$HISl�OIONE G. ". A1YQ.I��LATER I, �-IAN SIb-,�SL , residing at/dba Q-06eq-T !17- ggc.. ,AgAkOsZ P C, Zb5 bA-4 AM- GRa- P Po,Ki _ NY lj t�j being duly sworn, depose and say: That on the 45 day of SF_PrF-MR-c-?- , 20t4 , I personally posted the property known as 11-5p 6WF- N^A U IP 4SVC 50U- wa ; Ny by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 18,2024. Dated: (si ure) Sworn to before me thi day of-lepo 20-) CONNIE D.BUNCH Notary Public,State of New York \ No.01 BU6185050 '6 Qualified in Suffolk County b Notary Public Commission Expires April 14,2_0�`'�' , 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: GARY M. & MARY L. NAPOLITANO SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a partial second-story addition over existing one-story dwelling. Located: 1250 Blue Marlin Drive, Southold. SCTM# 1000-57-1-34 TIME & DATE OF PUBLIC HEARING: Wednesday, September 18, 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, Pr6U6§ed'.'action-:will-.be--,evaluated,as! to 'its..,significant beneficial"-and ad -`-' verse.effects'.:uFon'tli'e°coastal'[area(wkucFil'iriclude§1 all.of,S(inithol'd'Tovvn): ' - 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:tie;explained in detail `li"stink both-supportive and 'non- supporting facts: If an action cannot be certified as consistenf with the LWRP policy standards and conditions,k shall.not-bb.dndertaken,: J "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 t local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# /2DO !, ;. J J } PROJECT NAME1. ! AVV(,,-rAgD T,0VeWV,_ IRO A 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 iransaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: AdtjL>46 ��� Location of action:���, Lf�E„�( A.A ,� ��_ Site acreage:, Present land use:, Present zoning classification: 7C., 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:.- (b) Mailing address:_ 5 i (c) Telephone number: _ :� n, — %. *�' ». w-...._ ........ - .---•. .gin. _ .. :. Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes.❑ NX2C If yes, which state or federal agency? i 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. t Incomplete answers will require that the form be returned for completion. DEVELOPED—OAST—POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No Not Applicable Attach additional"sheets if necessary _. Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Polic' s Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No of Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑'No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria ED Yes �:INoZS&ot'Applicable 9 1 f Attach addirional 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 ZjNot Applicable a. 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 evaluatio criteria. ❑ Yes `❑No' Not Applicable S 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 ' I Attach additional sheets if necessary- Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and waste . See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. O�Yes .0 N 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. ❑ YeEl Na . NNot Applicable Attach additional sheets if necessary t• 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 gNot Applicable Attach addifional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Towg ters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria.ClYes ❑ NoNot 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 eval ation criteria. i ❑Yes ❑ N 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 N Not Applicable PREPARED BY /� � TITLE DATE