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HomeMy WebLinkAboutDiSapio, Charles & Perez, Xanne Glenn Goldsmith, President ®f S0 Town Hall Annex 01 A. Nicholas Krupski,Vice President ®� ®V 54375 Route 25 ® P.O. Box 1179 Eric Sepenoski J Southold,New York 11971 Liz Gillooly yr Elizabeth Peeples � � � Telephone(631) 765-1892 a Fax(631) 765-6641 C®llNT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NOTICE OF DISAPPROVAL —ADMINISTRATIVE PERMIT Applicant: Charles DiSapio & Xanne Perez Date of Receipt of Application: September 24, 2024 SCTM#: 1000-115-10-7 Project Location: 5780 New Suffolk Avenue, Mattituck Date of Resolution: October 16, 2024 Reviewed by: Board of Trustees Project Description: For as-built construction of stone steps, small boulder border, and low wooden retaining wall. Findings: The Board of Trustees DENIES the application as submitted. The as- built structures.are too close to the wetlands. Vegetation was cleared which will have an adverse effect on the wetlands of the Town of Southold and cause damage from erosion. The project does not meet the requirements for issuance of an Administrative Permit as set forth in Southold Town Code Chapter 275- 12A. —Adversely affects the wetlands of the Town. The as-built structures must be removed. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. GlenY6=ismit President Board of Trustees SURVEY OF fi''fi�yOPERTY � N SITUATE: 1- A l 1 ITVC1� % i 1 i edge op pavement o ►[w' TOWN: SOUTHOLI� ; 1u111 ��t���� SUFFOLK COUNTY, NY ,` � C c582-541001'a W E SURVEYED 11-17-2022 ' ' i culverts SUFFOLK COUNTY TAX # ' i �! i i i i It S 1000 - 115 - 10 - 7 ' etepe i I I I I I I I ! iill II , IIII II I I , • I O , ' I I , 1 ���' CM'flFl!®'lam: 0 r i m I ce ! 1 ® ' - � 3QI.2q' _ 1-�, I 1 , w =PLSqho O � O T I � '/ ` I r O-:/ 0')7 Zj AWbvjMfncarpar8bed L Stewart Title Yusammce arompaQy L � � o ' 2 Story Frame1 N House ,. 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ME- VATS • i(I5l" \ "•630 ea�e a N OF .NEB C. •'r a) +�. uwl a red atero ton o aemuaa to o e ey beahg a Ia.tl-'fah surveya•e seal Is o /�7 \ q �' ! 1�•r a vbbtbn of necteo York sW-elvlslon 3•or the Nan York Stole Edncallon Lnn,' U •eft 4,411�$ /4ja�9 \ ,i'} 'a+9 aaple.From em orW�o1 aF tnl�,ur..ay�UL /.� �F �.�� 1 naked wen on aig'ual or tie wed swoyors k � � F/�p •ti/ 9•* / S.-- �•1, etanpaa ma awn ee aarlebered eo w.one we •LerWleallao�ted Mreon Slgnlfy that thb O \ s1 �020 survey was prepared h accordance w1 the es- Isthg Leda f F'ractbe For lme Serve o adopted NOTES: O C $ . ay he New Yo k State Aswe,at on of ik fe.s I \ \ ` 4` AND �.P-TI, ys°;r'ep—d 6 \ and an Ms behalf to tIa tlNe comp ny gg n \� tot ageKy aM lardhg W LRvlbn Ilstae ho1eon aid p PIPE FOUND �3$ 1 to aeslgneae aF ha 1aM1 g I,.tttetbn.GertlI \ tloru ae not lranslarmla to ad6tloml WNtulbm AREA = 17,555 S.F. or 0.40 ACRE \ C. EHLERS LAND SURVEYOR '20 I GRAPHIG SG ALE "= 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 - \ RIVERHEAD,N.Y.11901 631-369-8288 REF.-C:%UsersVohnWWopboxW5W5%05-202a update 2022.pro 11-0. SURVEY OF PROPERTYN 51 0 UATE.- MATTI K + I I ge of pavement ew lldlff & v Mnn T®�}�!i' � j�I�Y`lo g�LJ'�tl��U gYYLD��� MY + ®p� IYO SURVEYED 11-11-2022 I i I culverts 132.9a' J 5UFFOLK GOUNTY TAX # Jill 1000 - 115 - 10 - 1 '`°P° i t. "—Nil I_ i Jill JJ TffqW T®: 0 I m I GE I I 1 I //J,,iuY',r\ Q E.! o y� }� ?CMz fib, �!9 AbodiM�rp�t��a��1,,,,,, s� ' N I I s I ' f p m•r St��8d1lS6adllic L ;. I ..'� P ��J - 2 Story `: 1 r N Frame, - , 0 II..1 1 T House N ' i - - •- J LL L @t masonry 0V. stoop + a 3 5 z 13 Frame C po 6 4 Flrepace o ,J canoe — $s pPotlo steps O s � � Sty 0 E VE concrete �� II6a�� � � � ® 1'�- F. IFn. a- `°r�k� 9 0 `�° S E P 2 4 2024 Somn013 Down BoWdofTNstem , t-,g cdl densooa Irna,W�etyo§xal o a a ii7 \ 9 W ➢7 �'}r.( ti?'t�� + wmewn or eeetwn'rzov.�ro-mVwon�,or ena T ,t ,4j6 n York\ 1(,F. }` !/ Nen State Ec4c0[lon Lon.' 9 '�F`Y�t V '''•" 'Only caPie!from the ttig'unl of tM9 9ufvey 8l/C�HOR 4•y N }i t �F and wtn an ong nl a: he lam..eya•, eemyad xa anon ba eoroleered to m wl��e erM.0/ 'Ltlons mdkoted hereon S43W9 that thb \ v 5020 �n ay Hasa e�ed�eac�doMa nak the e.- \ btig Code 1 Praet�e Lmd Swva adopted © by ffb W—York State A—fot! or Zfesskmol NOTES: /� \ / \ , kANU S �meyo�.r� mrtibcotiosha� mee 6/ \ � ob on his beholP to the litre company gave tal agercy and OF th Wtitvtkm Ibted hereotl— p PIPE FOUND 8/ \ ` o he meigneee or the mnd g odatioro eertiti �p�� �+}� LAND � !Ions are�roat Vansfarabla to atldtiorol hstitvtbre AREA = 17,535 5.F. or 0.40 ACRE � \ \ \ 1 ®g7.��1 C. �'irY�l ERS �.�t ND SURVEYOR GRAi='HIG SGAL� i"= 20' \ \ 6 EAST MAIN STREET N.Y.S.LIC.NO.502M AYE,N.Y.11901 631-369-8288 REF.-C:\Use Vbhn\r+op'&oxWM5W-202a mate 2022.pm 1 11�4 Glenn Goldsmith,President sy ono COG Town Hall Annex A.Nicholas Krupski,Vice President c� y< 54375 Route 25 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly oy�® �0��f Southold,NY 11971 Elizabeth Peeples �, 1r �; Telephone(631)765-1892 X a Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: io 2 Completed infield by: CHARLES DiSAP10 &XANNE PEREZ request an Administrative Permit to construct stone steps, small boulder border, and low wooden retaining wall. Located: 5780 New Suffolk Avenue, Mattituck. SCTM# 1000-115-10-7 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 Typq 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.: y ��o G�os� '�'o y✓ 1a S ! C�e*4-c&, vet A2N as. , %�N ozk%vg_ ehy;son•Y_-n,61 Present Were: ✓ G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. 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' Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold,NY 11971 a'�►0.. • ;�0;' LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: October 15, 2024 Re: LWRP Coastal Consistency Review for CHARLES DiSAPIO &XANNE PEREZ SCTM# 1000-115-10-7 CHARLES DiSAPIO &XANNE PEREZ request an Administrative Permit to construct stone steps, small boulder border, and low wooden retaining wall. Located: 5780 New Suffolk Avenue, Mattituck. SCTM# 1000-115-10-7 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 Glenn Goldsmith,President �Q :S �/j� Taws HallAnnex O_ 54876 Haute 26 A Nicholas Krupoki,Vice President P.O.BOX 1179 Eric%penoold Southold,New York 11971 Liz Gillooly Telephone(681)7WI892 Eiizabeth Peeples ,?► :.® ' Fax(681)766.6641 BOARD OF TOWN TRUSTEES TOWN OF SDMHOLD This&%-dM For Offhx Use Off► Coastal Erosion Pamit Application Wetland Permit Application %-Administrative pamit AmendmenVTransferlExtension Received Application: Received Fee:$ Completed Application: Incomplete: SEQRA Classification: Type I '['ype R Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: ® E �j E ' V E _Coordination-(daft sent); LWRP Consistency Assessment Form Sent- CAC Ref rral Sent: Date of Inspection: S E P 2 4 2024 Receipt of CAC Report: _Technical Raview: Public Hearing Hold: southad Town Resolution: Bowd of Trustees Owner(s)Legal Name of Property(as shown on Deed): Charles MM10 and Xanne Perez Mailing Address:825 Leslie Road,Logue,NY 11935 Phone Number: 631-398-3828 Email:cgearltdOgmail corn Suffolk County Tax Map Number: 1000-115-10-7 Property Location•. 780 New Suffok Avenue,Magftid1 ,NY 11952 (If necessary,provide LILCO Pole#,distance to cam streets,and location) AGENT(Ifapplicable): Mail• Address —- - Phone Number: Email: eadwa malc:ont I Board of Trustees Ayplioation GENERAL DATA Land Area(in square feet): 17,535 Area Zoning: R-40 Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions on properly? —aYes ni( lNo If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? LIYes 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? JJYes 0_No If"Yes",please provide copy of decision. L us project=No demolition as per Town Code or as determined by the Building Dept.? Yes Does the structure(s)on property.have a valid Certificate of Occupancy?, Yes_EJ No Prior permits/approvals for site improvements: Agency Date Trustee Permit#10313 02115/2023 ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?R No a Yes If yes,provide explanation: Project Description(use attachments if necessary):Stone.MeM small braider border and low wooden retaining wall SEE AT IMCHMENTS Board of Trustees Application WETLANDJTRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To improve safety of wag ft behind garage by adding stone steps,small boulder border,tow wooden retaining wall&removal beds of poison lvyYlease note.3 trees were removed from previous Trustee Approval behind garage,created uneven ground sudare,ttds Is aim to mmedy Level ground for walking Area of wetlands on lot: Na square feet Percent coverage of lot: n/a % Closest distance between nearest existing structure and upland edge of wetlands: n/a feet Closest distance between nearest proposed structure and upland edge of wetlands: n!a feet Does the project involve excavation or filling? ❑ No ✓ Yes If yes,how much material will be excavated? U cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 0 feet Proposed slope throughout the area of operations:slime to remain Manner in which material will be removed or deposited No material removed Small boulders,stone slabs,wood_ All materials will be properly deposited&contained Statement of the effect,if any,on the wedands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): There will be no effect on wetlands or tidal waters of the town- 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project information. The applicant or project sponsor Is:responsible forthe completion of Part I. Responses become part of the application for approval or funding,are subject to public review,and may be subject to furtherverification. 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 usehl to the lead agency;attach additional pages as necessary to supplement arty item. Part I-Project and Sponsor Information Name of Action or Project: 5780 New Suffolk Stone Steps Project Location(describe,and attach a location map): 5780 New Suffolk Avenue, Matiilludr., NY 11952 Brief Description of Proposed Action: To improve safety of walking behind garage by adding stone steps, small boulder bonier,lour wooden retaining wag for parking&remval of overgrown poison ivy beds Name of Applicant or Sponsor. Telephone:631-398-3828 Charles DiSapfo and Xanne Perez E-Mail:cogearltd@gmaH.com Address: 825 Leslie Road City/PO: State: Zip Code: Cutchogue NY 11935 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 natrativedescription ofthe intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. Ifno,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site of the proposed action? _4O acres b.Total acreage to be physically disturbed? nla,a acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? -40 acres, 4. Che ki If land us"at occur on,adjoining anlLW the pmpgsec�action. Urban ural(non-agriculture) Industrial Commercial EResiderrdal(suburban) Forest agriculture quatic QOther(specify): Wand Page I of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? V b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7, is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES HI If Yes,identify: 8. a.Will the proposed action result in asubstantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or new the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method forprovidingpotable water. W1 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: a 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b.Is the proposed action located in an archeological sensitive area? H- 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ✓ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typi itat types that n,or are likefy to be found on tl�roject site. Check all that apply: Shoreline Forest Agriculturallgrassfands 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 goverment as threatened or endangered? M El 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO TM I If Yes, a Ela.Will storm water discharges flow to adjacent properties? ✓�VO YES b.Will storm water discharges be directed to established conveyance systems fjFan drains)? If Yes,briefly describe: ✓ ® LYES Page 2 of 4 IS.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management thcility? If Yes,describe: Fvf1 ❑ 20.Has the site ofthe proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: a ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/pIsgr n :Charles DiS o and Xanne Perez Dater 2 Signature: A A I Part 2-Impact Assessment. The Tread 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 sponsoror otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur i. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the El El of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level oftraffrc or El affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonablyavailable en conservation or renewable opportunities? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ ❑ S. Will the proposed action impair the character or quality of important historic,archaeological, ❑ ❑ architectural or aesthedc resources? 9. Will the proposed action result in an adverse change to natural resources(e g.,wetlands, ❑ Elwaterbodies,groundwater,air quality,ftom and faunar Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? El 1 a Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT Charles DISaplo BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Cv Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS_s ; DAY OF '8 V' ' CONNIE D.BUNCH Notary.Public Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County G Commission Expires April 14,-2�0 { Hoard of Trustees Appliaatioi AFFIDAVIT Xanr>le Perez BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property O er Signature of Property Owner SWORN TO BEFORE ME THIS o; DAY OF 4Wk Lg,( ,20_52y IIA-,oP 6&/vi CAN Notary Public CONNIE D.BUNCH Notary Public,State of New York No.U1BU6185050 Qualified in Suffolk County Commission Expires April 14,-2� APPLICANT/AGENTAMPRESENTATIn TRANSACTIONAL DISCLOSURE FORM The Tom ofSootmolftCodeof Ethics eeohibi ooNllctsofiaterost nriotartoftownetTcetsanden»atovees TheMM=of dds am is bony*infbrinstfon which alert the fawn afeassibleeormflicro of imrterest and gait ro tsloewhsfemner action is YOUR NAmm D'ISaDio,Charles (Lag neme. tame. ddte>b i.unieatyouareapplyhgindonamed ebeor other entity.aumtm as a wnmpt�y.TPaA,indicdedme other persona or c*mp 's name.) NAM OFAFPLICATION.(Check all that apply.) Taos grievmwe Building Vmisfice Tn changeorzone t7bs"Enosion Approval ofpfat 1Mooring Exemption flan platoroffif map Plane g Other (if"Other",name the activity.) Do you personally(or through your eompasm spouse,dMins pm+ent orddlo have a relationship with my officer or employer of the Town ofSamt cM`Rehttlonshif includes by Mood,nwTbM or budb,e;sa Inurez"Business hmtuar means a busiaere, including a partnership,in which the town officer or anployee has even a pattial ownership of(or employment by)a corporation in which the town off"iceroremptoyee owns mmethan 5%ofthestcoes. YES NO If you onswered`°YES",complete the balance ofthis form and dace and dpwheme fodieated. Name ofpersou employed by tier Town of Soutmotd Tide br position ofthat person 1>mCcibe the rele2iansldp batrreenyoeeseff(the:ppiicemfhirgamtlropaaermtativa)andd�a tosmm v[TecaoraaplogeG F.ithecclmck the appropriate line A)Wrousb D)andfordaulbe in the space prooided. Thatmnofftworempbyworhisorbcrspou,ambling permit,ordmiid is(dredr al;tltetappW. _,A)the ownerof gmatcr*m S96 ofdw,shems ofdw eorpurofastockoftheappiicmt Ja (whm dros� alsacorpor�ionly B)dme legal or I owner ufany intmxt in a nonrcaporate cudty(whendro applicant is not a corporateo* C)an ofFmems;dkeMr,pnow,orenmpfoyeofthe oppliam4 or D)dme actual appluant: DESCRIPMN OF RELATIONSHIP Submitted Pois Z�r day f '— ?A� Signature PrirmtNamIIe s 1 ap�� Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISMOSUIM FORM The Tor.:.of%WbRW'r at Eddo mbibies aonflk is of intmed on the aid oftownmM=md cmdom The mmse of eida fin is oe oao�=�iolbrtaatL_ hi �n a>,.--t the tor::.ot�+ib:e ooatiie1s of in!a+es_t arnt a_now it a tax wh va nation a, nccxstery to avoid same. YouitNAm. Perez.Xame - ---- - ¢,ast am,f1mtname.:puddle initial,arches you use ap*f0gm the name of somome elseorodsereatity.such as awrrgW.ifao6 ind kate6cother pemWs or omnpmy's inane.) NAME OFAPFUCATION:(Chedrallthatappiy.) Tmcgrfavaacc Building Variance 'T=3W Change ofzvm Call"Erosion Approval of plat Mooting Exanpdoo Sam p1morofficW map Piamft Other (if"Othm",name tin activity) Do you peraaaatiy(or dnrangh your campmy.qmm.mbling pment,or ddid)have a elotlmshdp with any officer or employee of the Town of Southold?"Relationship"includes by blood.nmnbaga or business hstmsl."Business bst mr means a budacss, including a pmumblA in which the town offices or aMfoyce has even a partial owns dip of(or employment by)a coVmudon in which the town ofiloerorempkwwowns morethan 3%oftbedmcL YES No Ifyou answered"YES",cmtspiete the balance of this fbrm and date and algawbereindietted. Name ofper m employed by tine Town of Southold Title or position of dum pemn Describe tie relationship betweeayomself(the go )and the town of lm oraMdoyea Either check the apprvpdate line A)lhraughD)aadtordesat'be iathespece provided. The town officer orempl%=or his orhcrgmme,sibliagpwm otchBdIs(dockallfloapply): f1A)the nwaerof reder thm VA oftheshawoftheempmWe stock ofdmIPPUMt _n (whentieapplim disacosporem); B)the legal or beneficial owns of arty kAmmtin a noncmpoaft entity(when the applicent is not a corpmation); C)an officer.d mcm;pmtrner,or employee oftbe appiiaat:or D)the actual appff=L DESCRIPTION OF RELATIONSHIP Subm"fitted thisday of a-6-f 20A=tj Signumm P"Nume e Form TS I i Town of Soutthold LWRP CONSjS CY A&WASAUM FORM A. INSTRUCTIONS 1. All Wheat for permits' including Town of Southold agencies, shall caplet this CCAF for proposed actions#hat are subject to the Town of Southold Wad Consistency Review Law This assessment is intended to meat other won used by a Town of Southold agency in maldng a domination of consistency. *E=ept minor exempt aetim bwItu ing Btdlding Permits and other ministerial permits not loemd wuhk&Coastal Erosion HffAvdArem 2. Before answering the questions in Sectson C,the prepaw of this form should review the exempt minor action lisp policies and explanations-of each policy contained in the Town of Southold Local Watmfront Rovitalization PwgmmL A proposed sdiaar_wdl_be_avaiemed_as to its s&MA beneficial mad adverse effects upon the coastal area(which includes aU of Southold Towel. 3. N any question in Section C on this fim is answered'yes"or"id,then the proposed action will affed the achieves of the LWRP policy standards and conditions contained in the consistency review law 1bus, each answer mast be �lained is AM Maki both sapaortius and nan- pMorthw#tacta. If an action cannot be certified as condstentvdth the LWRP policy standards and conditions,it shall Mg be undertaken. A copy of Ihe LNW is available in the following places:online at the Town of Southold's website.(southoldtown northfork n4 the Board of Trustees Office,the Planning Department all local libraries and the Town Cleric's of B. DESCRIPTION OF SITE AND PROPOSED ACTION SCI'M# 115 _ 10 _ 7 PROJECT NAME 5780 New Suffolk Stone Steps The Application has been submitted to(check appropriate tense): Town Board ❑ Planuhg Boud❑ BullingDepk ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response). (a) Action undertakien diro*by Town WW(e g.capital ❑ c onsiractiM planning sty'agency regulation,landtransacdon) ❑ (b) Financial assistance(e g.Smut loan,subsidy) (c) Permit;approval,license,certification: ❑✓ Nature and extentof action: Regtreng s pencil for stone ggM srrtall trcmlder txtrder,bw wooden refamm�g wall for p@gggg area,level tmren ground R the removal at overgrown poison ivy that is causing Eg2e t and health issues Location of action 5780 New Suffolk Avenue, MattitedS NY 11952 Site acreage: 7535�-ft or 0.40 acres _ Present land use: Residential Present zoning classification: R-40 I If an application for the proposed action has been filed with the Town of Southold agency,the Moving ink mation shall be provided: (a) Name of applicant: (b) Mailing - (c) Telephone mamber• — --- Will the adion be Xmdy undertaken,require handing,or approval by a state or ftlwd agency? Yes ❑ No Wl If yes,which state or federal agency?- C. Evaluate the project to the following policies by anabzIng how the project will further support or not support the policies. Provide all proposed Beat Management Practices that will f wflw each policy. Incomplete answers will require that the form be returned for completion. p PED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open apace,makes efficlent 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 The proposed proied wilt ensure the continued§yke (of the o=jpants of the property and the continued use of the property as a residential parcel. This is commensuate with the Town's g als fi�iHe for preserving the community and the landscape character of Southold,espec kdly in regards to maintaining the residential character of the area Aftach addidwat share if aooeaW Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes❑No ✓❑ Not Applicable 1� Attach additional ehe0ta Ary f _ � - 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 Q✓ Not Applicable Attu nal eta nxeaeary NATURAL COAST POLICIES Policy 4. Mini hike loss of life,structures, and natural resources from flooding and erosion.See LWRP Section III—Policies Pages S through 16 for evaluation criteria ❑ Yes❑No Q Not Applicable Attach additional alieats if teary 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 0 No OMot Applicable m Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies;Pages 22 through 32 for evaluation criteria. ❑Yes E]No Q Not Applicable Attach ndditiond sheets ifnecen" Policy 7. Protect and improve stir quality in the Town of Southold. See LVVRP Section III—Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑Non Not Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and haurdow substances and wastes. See LWRP Section III—Policies;Pages 34 through 38 for evaluadiop criteria. ❑Yes ❑ No Q 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 M—Policies;Pages 38 through 46 for evaluation criteria. ❑ YeE1 NoQNot Applicable Attach additional sheets ifnecessary WORKING COAST POLICIES Policy 18. Protect Southold's water-dependent uses and promote Ming of new wat"opendent uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No ✓❑Not Applicable Attach additional sheet ifweem ry Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters.See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria. El Yes ❑ No 0 Not Applicable ` Attach addWanal shoats Mnecessary Policy 12. Protect agricultural lands in the Town of Southold.See LWRP Section III—Policies;Pages 62 through 65 for evaluation criteria. ❑Yea ❑ No0 Not Applicable Attach additional sheets ifnaaessa y Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section HI—Policies;Pages bS through 68 for evaluation criteria. Yes ❑ No ✓❑ Not Applicable PREPARED BY Charles DiSapio A Xanne Perez TITLE owners DATE Sct* 23,LOZy