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Home My WebLink AboutTR-10862 1 gUfFO(,� � Glenn Goldsmith,A: wuuent ��0 COGy� �T Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski w ;� P.O.Box 1179 Liz Gillooly �y • �� Southold,NY 11971 Elizabeth Peeples �Ol '1a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: v o SCompleted in field by: 1=7,,U_6Vk PcG01 es Leonardo Manno on behalf of CAROLYN KERWICK requests a Wetland Permit to construct a 15'x32' inground pool with a 12" coping; a 423sq.ft. stone pool patio, pool enclosure fencing with gates, a 4'x8' pool equipment area, a pool drywell for backwash, and a 3'x12' outdoor bbq counter area. Located: 1235 Wells Road,' Peconic. SCTM# 1000-75-6-13.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: ✓C:hapt. 275 Chapt. 111. : other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: VC4e,j& Wn ,n. 6u 15`6" -'+ tdhJww& oP we,4-ltmd livic ` ,+ mm+[��j abnmoyaG�r .nook �bt eoo 1 b� DV% East scde of kouSf- CI u}�cr s i�c 1 rad cr1 Ir• d"M.t is e . o w h:alp are. rclai"NNAe lls � n��k ll�wyxr Present Were: ✓G. Gpldsmith ✓ N. Krupski ✓E. Sepenoski ✓ L. Gillooly ✓E. Peeples S.C.T.M. NO. DISTRICT. 1000 SECTION: 75 BLOCK: 6 LOT(S): 13.1 LAND N/F OF U MGUY. DANIELLA CUNHA RAVN LAND N/F OF 110. a ;A PROP. ANDREW ZANESKI OUTDOOR cn BBQICOUNTER co 3'l STO 2'CANTILEVER 2' ILEVEJ OVER CONC. STOOP S jEj�jij 2 STY FRAME 6' IRIN DWELLING #1235 iiiiiiij1L. BLUES TO ARSH DRIVEwAy ... . ioA SILT FENCE ALONG . .... LU .. . . LIMITS OF CLEARING .• .... AND DISTURBANCE Fool o`FEN s,�sQ 12500 S.F. <p ro 0 PR P.GRAD I TIDAL MARSH 6 U N_ r 4 TIDAL WETLAND BOUNDARY TIDAL MARSH 1 C. AS FLAGGED BY SOLE ENWR NMNETAL SERVICES.09119123 2 CV TOWN OF SOUTHOLD LOT COVERAGE COD -DWELLING W1 CANTILEVERS AND BALCONY. 1888 S.F. M SHED: 86 S.F. LIMIT OF MODERATE WAVE ACTION TOTAL EXISTING: 1974 S.F.or 6.9% BOUNDARY PROP.STONE PATIO:423 S.F. PROP.POOL:480 S.F. TIDAL MARSH MHW 0 TOTAL PROPOSED:2877 S.F.or 10.0% N W L NYSDEC LOT COVERAGE LAND N/F OF DWELLING W1 CANTILEVERS AND BALCONY: 1888 S.F. PAUL SCHINELLER SHED: 86 S.F. SO" CONIC.STOOPS: 107 S.F. ELEV. 7.0 TOTAL EXISTING:2081 S.F.or 7.2% OL SANDR DY BRO LOAMWN 6 P.-STONE PATIO:423 S.F. E C E I VIE BROWN P P.POOL:480 S.F. Sm LOAMY SAND tvR L OPOSED:2984 S.F.or 10.4% BROWN M M AY 2 1 2025 SANDEDIUM SP REVISED 04-21-25 GRA&VEL 0 - 6.2' S62 REVISED 01-25-25 Southold Town WATER IN WATER EL 0.8 REVISED 07/24/24 Board of Trustees BROWN UPDATED 06/10/24 MEDIUM SAND REVISED 01/19/24 FEMA MAP#36103CO162H GRAVEL ADD PROP. POOL 01/11/24 EFFECTIVE 09/25/2009 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL OCT. 4,2023 LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS UPLAND BUILDABLE AREA : 28791 S.F. or 0.66 ACRES K.WOl LS AND OR DATA OBTAINED FROM OTHERS AREA:60,105.17 SQ.FT. or 1.38 ACRES ELEVA77ON DATUM.- NAVD88 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE T17LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TU770N, GUARANTEES ARE NOT TRANSFERABLE 7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE S7RUlffURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 771E PREMISES-AT THE 77ME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: CAROLYN KERWICK; MAP OF: FILED: SITUATED AT. PECONIC TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PL C SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design Xf P.O. Box 153 Aquebogue, New York 11931 FILE #223-140 SCALE:j "=40' DATE: OCT. 4, 2023 Y. LISC. NO. 050882 PHONE (631)298-1588 FAX (631) 298-1588 1 - Ai"tp. ,yam ."1♦ .:� �'�n { •t ..i PAY Y� .,� - ♦ G, 1�'a,�� lJl�'�f °3/t"�4�-�i' Vy � f s`:-� F f!'�' r T �� P �* '•. r� �1q�r. +IY Aix WOW I.O �. yy rre ..atif �. °f'i t ,.fa=`.. �t,�-�.."1�Yic"7ir:1,. .:�i��'....w`sP'1✓YLA�f. .e°��.'�if� �.Pk .. ... 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Fax(631)765-6641 �B BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office t6ie Only D E E I V Coastal Erosion Permit Application �+ _Wetland Permit Application �. Administrative Permit MAY 2 1 20?5 Amendment/Trans&r/Extension _ =-Received Application: ! —j Southold Town Received Fee: Board of Trustees Completed Appticatio is 71 l V A Incomplete:...... SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): . =LWRP Consistency Aske anent Form Sent: CAC Referral Sent: P,I _Date of Inspection: X 6 Receipt of CAC Report: _Technical Review: _ Public hearing Meld 3 J5 Resolution: �<er-W kCV Owner(s)Legal Name of Property (as shown on Deed): WS Mailing Address: .1294Wells Road, Peconic NY 11958 Phone Number: 631=96o-81�1�F Suffolk County Tax Map Number: 1000- 75-6-13.1 Property Location: -1-2 -Wells Road, Peconic NY 11958 (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): Leonardo Manno Mailing Address: 1090 Cedar Drive, Southold NY 11971 Phone Number; 631-960-8144 Email: Lmanno@ mexom see Board of Trustees W zcation GENERAL DATA Land Area(in square feet): 60,105.17 sq.ft. Area Zoning:. sidential Previous use of property: residential Intended use of property:.residential Covenants and Restrictions on property? =Yes __ I_;No If"Yes",please provide a copy. Will this project require a Building Pt~rmit as per Town Code? ✓ ,;Yes._allo If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes =No If"Yes",please provide copy of decision. s project any demolition as per Town Code or as determined by the Building Dept:? Yes No Does the structure(s)on property have a valid Certificate of Occupancy?,, Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? Nola Yes If yes,provide explanation: . Pro.ect Description use attachments if necessary)-.. Leonardo Manno on behalf of Robert&Carolyn Melillo requests a weland permit to install a 15x32 inground swimming pool,with pool enclosure,423 sgft stone patio, UIS pool equipment area, 4x4 dry well for pool water waste, 3x121313Q counter installed at grade, along with a nondistubance buffer. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: the purpose is to request a side yard relief in order to install an inground pool, patio, pool equipment, and waste water well, away from the back yard and wetland. In addition there we are proposing a BBQ counter at grade. upland area:28,791 and total area:60,105.17 Area of wetlands on lot: wetland:31,314.17 square feet Percent coverage of lot: 10 % Closest distance between nearest existing structure and upland edge of wetlands: 36.7_feet Closest distance between nearest proposed structure and upland edge of wetlands: 50 feet Does the project involve excavation or filling? ❑ No ��Yes If yes,how much material will be excavated? NA cubic yards How much material will be filled? NA cubic yards Depth of which material will be removed or deposited: 0 feet Proposed slope throughout the area of operations: 18%to flat. Manner in which material will be removed or deposited: All materials escavated for pool will remain on site and grated accordingly. 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): No effect. 6I Z20 Appendix E Short Environmental Assessment Form Instructions for.Completing Part I-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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item,.please answer as thoroughly as..possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project-and Sponsor Information Name of Action-or Project: in-ground pool with partio, and bbq counter Project location(describe,and attach a location map): 1235'Wells Road, Pecoriic NY 11958 Brief Description ofProposed Action: Leonardo Manno on behalf of Robert&Carolyn-Melillo requests a weland permit to install a 15x32 inground swimming pooli with pool enclosure;423 sgft stone patio;4x8 pool equipment area; 4x4 dry well for pool water waste,U12 1313Q counter installed at grade,along with a nondistubance buffer. Name of Applicant or Sponsor: Telephone: 631-960-8144 Leonardo Manno E-mail: Lmanno@me.com Address: .... .. ... ......... ... . 1-090 Cedar Drive City/Po: State: Zip'Code: Southold New York 11971 1.Does the proposed action only involve the legislative adoption of`a plan,local'law,ordinance, NO.... VIES. administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that maybe affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: Southold Building Department, Southold ZBA, NYS DEC 3.a.Total acreage of the site of the proposed action? 1.38 acres b.Total acreage to be physically disturbed? oa .. '.acres c.Total acreage(project site and any contiguous properties)-owned or controlled by the applicant or project sponsor? 1.38 acres 4. Che ka.11 land us at occur on,adjoining an ar the pro action. Urban Rural(non-agriculture) IndustrialCommercial [Residential(suburban) Forest ✓Agriculture Aquatic 00ther(specify): Parkland Page 1 of 4 i S. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? lt/ 6. Is the proposed action consistent with the predominant character of the existing built or natural .NO.... .YES. landscape? 7. is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO_.._ YES, If Yes,identify:.. .. 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? I/ 9.Does the proposed action meet or exceed the state energy code requirements? NO. : 'YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO :..YES If No,describe method for providing potable water: J.E] 11.Will the proposed action connect to existing wastewater utilities? NO .YES If No,describe method for providing wastewater treatment: .NOt i ppllgiple 12. a.Does the site contain it 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? ✓ . ]I 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. ntify the typic bitat types that oc�,-Suburban n,or are likely to be found on t roect site. Check all that apply: Shoreline Forest Agricultural/grasslands }❑Farly mid-successional ✓ Wetland Urban 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'ihreatened or endangered? 16.Is the project site located in the 100 year flood plain? NO J YES Inki17.Will the proposed action create storm water discharge,either from point or non=point sources? NO ... If Yes, a.Will storm water discharges flow to adjacent properties? []NO aES b.Will storm water discharges be directed to established conveyance systems ff an drains)? If Yes,briefly describe: NNO ES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO , YES.. solid waste management facility? If Yes,describe: 20.Has the site of-the proposed action or an adjoining property been the subject ofremediation-(ongoing or NO YES completed)for hazardous waste? If Yes,.describe:.. .. I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Appticant/s n r n Leonardo MannO paw: Z _ .. Signature`. . ._ .2 . Part 2-Impact Assessment. The Lead Agency is responsible forthe completion of Part 2. Answer all ofthe.following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to'large impact impact may may `occur occur 1. Will the proposed action create a material conflictwith an adopted land use plan or zoning regulations? El 11 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? 17 4. Will the proposed action have an impact on the environmental characteristics that caused the f�'i establishment of a Critical Environmental Area(CEA)? El ❑. 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? ❑` ❑ 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 0 7. Will the proposed action impact existing: a.public/private water supplies? ❑ a... b.public/private wastewater treatment utilities? ❑. 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? El El 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? ❑ ❑ Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the.proposed action result in an increase in the potential for erosion,flooding or drainage problems? El 11. Will the proposed action create a hazard to environmental resources or human-health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. 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. nCheck 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 Apl .rDation AFFIDAVIT Ltz K�a r Reh��'D 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. )iganaofperty Owner Signature of Property Owner SWORN TO BEFORE ME THIS �-O ` DAY OF M 20 a j No public CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission,Expires April 14,2�� - Board 'of Trustees Ap .;,,cation AUTHORIZATION (Where the applicant is not the owner) Il�he, Robert & Carolyn Melillo owners of the property identified as SCTM# 1000- 75-6-13.1 in the town of Southold ,New York,hereby authorizes Leonardo Manno _._ to act as my agent and handle all necessary%vork involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. r operty O�mer's St'gndture Property Owner's Signature SWORN TO BEFORE ME THIS 30 DAY OF ,20 votary Public VALERIE Notary public-State SoftNew York NO.4tRU6a3ta03 'Mr Cmm s Qualified ExPi es Apr 4 2026 t Board of Trustees Ap_,�. "nation AUTHORIZATION (Where the applicant is not the owner) I/We, Robert & Carolyn Melillo owners of the property identified as SCTM# 1000- 75-6-13.1 in the town of Southold New York,hereby authorizes Leonardo Manno 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. fr i J r P,opert%-Ot�rner's SYgnaiture Property-Owner's Signature I SWORN TO BEFORE ME THIS DAY OF + , 20�_ Notary Public VALERIE RUSSELL Notary Public-state of New York NO.O1RU6431403 MY ommission xPires Apr 4,2026 Ali PI IC:r't /(.WN—ii..R I`I' 2N"',IHS61OS1IRi:7 C)I2 1 l 9 oNvn ntSoutholtV4 t'ode of rthics nrnhilnte cnritticic ot`inierest on'fhe nstrt 066% trtofht-ek aoif eninlotce: The ntirlitke Of this,form is to provide informs tit)n Wbirh enn alert the tovi n'of nnccilib conitii le of imeresf foul tdlom it to take a Hater er action tc neccsan to nvottl%•ri lie. - - - (fast o ate,litt'n one m(ildle inina4,unlrss�oti,a�c uppl�ing;lo Ilic:nnnc nfomconc,ctsc or tither cntiq,such uc,n roatpany..Ifso,indk,;t thcothcrperson'spreppipany',tuium,)„ I'1'1'-1 OF A rlrl,lC A'ION.(Cllcck ulLthntapply)' lac,ricrance _ Iiuilding1leeinit, 1•arianic I-rusiee'I'citnit _ Chan c elf:"l.,nne Co let:l Erosion \ppru�~�I afl'lat Nloaring Other(:ictirit,%`): J> T'latnning, Uo'}ou-perconalh•(or,if trougli)iiur.rttinp tnv';spoue�;sibling,p:lrcnt,;or•ctiild)havc:,a relationship with anvbfliccr or employee of thco--s n of$outtiold?'"Rcl ttioi sliip",;tncluJcc liy�looJ,.nfarri:ige,or busitickc interest."Ilusiness interest"mcans;a business,,hicluding (,partnership,Ili sq lch thefop'n officer or employee has evell a partial urvnership of(or employmentbb)-a eorpordion in trhieh i toWn"officer or-employee owns more than' 5%.of the skares. YES _ NO If you anssvcred 'ITS",rnrnpletc;titre,Balance:offhis'fcirot:"inJdltcand sign~>vh ere,indicatell, Name of person'cmpl<l}ed Bythe."1`uicn of SgUihtilJ 'ri'tle or�position orthat person, Describe thc.rclalion%hip behrccn)-ourself(the ifpplieant/:it rn tire prose 6taticc),and the town officer or employer. Hither check the appropriate line A).through 1)).and/or describe in the space provided. The town officer or rmployre.or bi>or her apotisc,siblinj,pitrent,or child is(chock all!that upply) \)the owner of greater that SPJo of thesharcc of-tlic corporate stock isf the applirilut(when the applicant is a corporation) _ 11)dhe legal or beneficial orrttcr of tiny interest in to non•rorporaie entity(when.the applicant is not a corporation) fti),sui offteer,director,purtncr,or entplovee:ttf the applicant;or f))file acloul applicant DESC'RIVIJON OF 111-ALA.FlONS1111' lubmitted thi's (illy 411 ,21k Print xalliee LE a �a r 6 p APPLIOANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The:Town otsouflioid's Code-of Ethics prohibits conflicts of interest on.the irarroftown ott'�cersand emolQ ;The nurmse of .this dorm is to prtiyide ififd'rntation'whic6 can elect_t�teyWt:of j�nssltite confli�of int` fig,till'dull"o`w n to tslicwhatev�;f ar f` is necessaryfo avoid same: YOTJRNAME: Leonardo Manno (Last name,firstname,jpiddk initial,unless you are applyingin the name of someone else or other entity,such as a company.If so,indicate the other pemn's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance ✓ Tnistee Change of Zone Coastal Erosion Approval ofplat Mooring Exemption fi+om plat or official map Planning Other (If"Othee--,name the activity.) Do you persowl (or through your.compeny,spouse;sibling,oarent;or ch,ld}haye li reTationship with any officer or employee. of the Town of Southold? "ReWicii ship"includes liy blood;.n.=- .M or busine. inter ast Business inteaesf'means a bus!=4 including a pa to"ip,in which the:town'oflicer or employee has even.a.partial ownership offor employment by).a corporation in which the tovaw of iceror-employee owns.more#=5%of the shares. YES 1� I NO If you answered"YES,complete the balance of this form and date and sign where indicated. Name ofperson employed by the Town of Southold Leonardo Manno Title or position of that person Southold Town Police Officer 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 Iuov ided. The town officer or employee or his or her spouse,sibling,parept,dr child is(check shiner apply): _aA)the owner of greater than 5%ofthe shares of the corporate`stock of,the applicant. JI (when the applicstit is a c orptii�ionr ' B)the legal or beneficial owner of any interest in a non-corpoiate entiiy.(evlie>i the applicant is not a corporation); C)an officer,director,partnei,or employee of theapplicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP self... Submitted this �.� ay of 20 Signature, PrintN Form TS I o�Foc�- Glenn Goldsmith,President �Q CO Town Hall Annex A.Nicholas Krupski,Vice President �� y� 54375'Route 25 Eric Sepenoski z P.O. Box 1179 Liz Gillooly o Southold,NY 11971 Elizabeth Peeples �� ap�'f Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NOTICING ADJACENT PROPERTY OWNERS 7S- 6 - a Above are property tax map numbers (SCTM#'s) listed that you need to notice for the properties that are located on either side of you, across the street from you and fall within your property lines, and possibly other properties that require noticing per Chapter 55 of the Southold Town Code. In order to find the legal mailing addresses to the SCTM#'s please visit the Southold Town website at https:Hsoutholdtownny..qov and go to the Assessors page. Under the Assessor's page click on "Forms and Links." Under that page, click on the "2024 Assessment Roll." This will take time to download as it is a large pdf. Once downloaded when you go into it you will see that the list goes numerically by property tax map numbers (SCTM#'s). Scroll down to find the SCTM#'s listed above. The legal mailing address to each of the neighboring properties can be found directly under the property tax map number on the far-left side of the lists. Please mail each property listed above a completed copy of the Notice to Adjacent Property Owners form and a photocopy of the proposed plan/site plan (construction pages do not need to be mailed). Each neighbor's noticing packet must be mailed by certified return receipt mail through the USPS no less than seven days prior to the Public Hearing date. After all mailings have been submitted to the postmaster, all receipts from the mailings and the completed Proof of Mailing form must be submitted to this office prior to the Public Hearing date. The bright green Notice of Hearing card needs to be;posted in front of your property close enough to the street that public can read it. This sign must be posted and stay posted for no less than seven consecutive days prior to the Public Hearing. After the seven days you can complete the Proof of Posting form which needs to be submitted to this office prior to your hearing. If you put the sign up where there is more than seven days before the hearing, just leave it up through the day of the hearing. You can take it down the next day. I u -IG TICE OF HEARli 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: CAROLYN KERWICK SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 15'x32' inground pool with a 12" coping; a 423sq.ft. stone pool patio, pool enclosure fencing with gates, a 4'x8' pool equipment area, a pool drywell for backwash, and a 3'x12' outdoor bbq counter area. Located: 1235 Wells Road, Peconic. SCTM# 1000-75-6-13.1 TIME & DATE OF PUBLIC HEARING: Wednesday, August 13, 2025 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office -until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 y 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 idormation used by a Town of Southold agency in making a determination of consistency. *E.wept minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A. proposed action.will be evailuated..as. to its..si nif grit bene is acid_ad verse effects:=an the al om i d eh neiudes&of Southold Town),. 3. If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. .Thfus,:each ansWer muse be:SUL1aiaed ifn Beta listufte both au $and aod.G suouorhne-acts: If an action cannot be certified as consistent with the L"policy standards and con, lions,it 'notbe undertaken. A copy of the LWRP is available in the following places:online at the Town of Southold's website(southoldtown.northfork.net),the Board of Trustees(Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTI 75 fi ,,1 S. PROJECT NAME The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ✓❑ Board of Trustees IJ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Leonardo Man.n.o on behalf:of Robert.&Carolyn,Mepllo.requests a weland..permit to install a 15x32 inground swimming pool,.with pool enclosure,423 sgft stone patio,4x8 pool equipment area, 4M dry well for pool water waste,3x12 BBQ counter installed at grade,along with a nondistubance buffer. Location of action: most southern side yard of property Site acreage: 1-38 Present land use: residential Present zoning classification: residential 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'applicantr.Leonardo Manno (b) Mailing address: 1090 Cedar®rive, Southold NY 11971 (c) Telephone number: 631-960-8144 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ® No 0 If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infi astructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. P✓ Yes ❑ No ❑Not Applicable Attach iEtMG nel sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ® Yes® No R1 Not Applicable A—ttach additional sheets if necessary Polity 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 Attacfi additional sheets of necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life,structures,and natural resources from flooding and erosion.See LWRP Section III (—Policies Pages 8 through 16 for evaluation criteria Yes No Not Applicable Attech additional sheets if necessary Policy S. 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 1 No ZMot Applicable c ona necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages,22 through 32 for evaluation criteria. Yes Fho Not Applicable Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 3,2 through 34 for evaluation criteria. �No ✓Q n Yee Not Applicable Attach edahonal shoots if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluatio4i criteria. Yes No 0 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. ® YeD No Not Applicable Attach additional sheets if necessary WORIONG COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section M.�Policies; Pages 47 through 56 for evaluation criteria. ❑yes ,❑ No❑✓ Not Applicable Attachedditionat'sheets ifnecessary 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. ❑Yes ❑ No Not Applicable .. . .. Attach additional sheets if iecessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies;Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No-0 Not Applicable Attach additional sheets if necessai* Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable PREPARED BY ri�(/1G��W.�� 1��D TITLE DATE_,- ��