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Home My WebLink AboutTR-5293 . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0230C Date: July 27,2007 THIS CERTIFIES that the demolition and reconstruction of wood frame house with septic system, ifrequired, deck, and attached two-car garage all with gutters and drvwells At 1580 North Bavview Road, Southold, New York Suffolk County Tax Map # 70-12-34 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 01/31/01 pursuant to which Trustees Permit # 5293 Dated 02/28/01. Was issued, and conforms to all of the requirements and conditions of the applicable proyisions of law. The project for which this certificate is being issued is for the demolition and reconstruction of wood frame house with septic system. ifrequired. deck. and attached two-car garage all with gutters and drvwells. The certificate is issued to Michael Carbone owner of the aforesaid property. r07~ Authorized Signature . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE Date: August 6, 2007 # 0235C THIS CERTIFIES that the existing dock, fixed walkway, hinged ramp and floating dock At 1580 North Bavview Road, Southold, New York Suffolk County Tax Map # 70-12-34 Conforms to the application for a Trustees Permit heretofore filed in this office Dated OS/29/01 pursuant to which Trustees Permit # 698 Dated 07/26/01. Was issued, and conforms to all of the requirements and conditions of the applicable proyisions of law. The project for which this certificate is being issued is for the existing dock. fixed walkway. hinged ramp and floating dock. The certificate is issued to Michael Carbone owner of the aforesaid property. ~~~ Authorized Signature . . Trustee Inspection File Report Name C~~ Address lS-gD ~. 86Vt~ SCTM# 10 -I ~-?,<J-- 1st Insp 2nd Insp 3rdlnsp ~. b~/{<-o~'-<..06 -/~i!~"7 Notes D7~ . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 27,2003 Mr. James E. Fitzgerald, Jr. Proper- T Permit Services P.O. Box 617 Cutchogue, NY 11935 RE: MICHAEL CARBONE 1580 NORTH BAYVIEW RD., SOUTH OLD SCTM#70-12-34 Dear Mr. Fitzgerald: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 26,2003: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit #5293 to demolish the existing wood frame house and construct new wood frame house with septic system, if required, deck, and attached two-car garage, with the condition that a line of hay bales is placed down before demolition and construction and drywells are gutters are installed to contain the roof run-off. This is not an approval from any other agency. Tfyou have any questions, please do not hesitate to contact this office. Sincerely, (}~LJ (J lit,. _~vß.' / . , Albert J. Krupski, Jr. President, Board of Trustees r ~. AJK:lms . . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ju.1y 26, 2001 Mr. James Fitzgerald Proper-T Permit Services POBox 617 Cutchogue, NY 11935 RE: Michael Carbone 1580 North Bayview Road Southold, NY SCTM#70-12-34 Dear Mr. Fitzgerald: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday. July 25,2001. RESOLVED, that the Southold Town Board of Trustees grant an Amendment to Permit #698 to reconstruct the existing dock, fixed walkway 22.5'x4' hinged ramp 10.5' x3' floating dock 16.5'x5' and to Transfer Permit #698 from William Abinson to Michael Carbone However, this permit does not constitute any other permits from other agencies. If you have any questions, please call our office at 765-1892. ~relY I /J ~~. O. /~~ Albert J. Krups¡¿r, Jr. I President, Board of Trustees ~ AJKlcjc CC:DEC Army Corp. Dept. of State . . pY Telepbone (631) 765-1892 Town Hall. 53095 !lain Road P.O. Box 11'79 Southold. New Ycrt 11971 - SOUTHOLD TOWN CONSERVATION ADVISORY COUNCll. At the meeting of the Southold Town Conservation Advisory Council held Tuesday, June 12, 2001, the following recommendation was made: MICHAEL CARBONE 70-12-34 to Amend Permit #698 to reconstruct the existing dock; fixed walkway 22.5'X 4', hinged ramp 1 0.5'X 3', and a floating dock 16.5'X 5'. 1580 North Bayview Rd., South old The CAC did not make an inspection, therefore no recommendation was made. " Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. SaQ3 DATE: .J<.eb. 28, 2001 ISSUED TO ...... MICHAEL CARBONE 1\ut~nrilatinu Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;". and in accordance with the Resolution of The Board adopted at a meeting held on ..l".".1;>.....21".... 2001.., and in consideration of the sum of $ 200.,ºº ... paid by Michael Carbone of New York N. Y. and subject to the ¡ Ter~~" ~~d Conditions listed on the revel'$e side hereof, Wetß~§otØ~,lštT~wndTrudees authorizes and permits the following: ¡, o emõhsh the eXlstmg wood frame house. Constr new wood frame house with septic system if required, and with '. deck and attached two-car garage, with the condition that a line~ of hay bales are placed down during demolition and construction and afrhfnt aî~ohFa¡¡8-ed'im\tt^S 8~~ tß~ifieaflB.wiåP ~Hre8~er to the originating application. bring the existing dock up to Code. IN WITNESS WHEREOF, The said Board of Trustees here· by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. ent Artie FO.ster - Absent Trwsl... . . .... ,".-',-'.'" .. '. ....,. ,'/a .. r.-, ,'vA '-f, '. .. .. .. .. .. II .." '. .. .. .. I. .. . .. ,', " .. .. .. '. a .. .. .. .. .. .. .. "::. TERMS and CONDmONS 1'be Permittee Michael Carbone ~ ~ 1 ~I , , residing at 165 East 32nd St., New York N. y~ as part of the coasideration fOt !he i....."Ce of the Permit docs uøderstaDd and prescribe to the fol- lowing: 1. That the said Boud of Truscee. and !he Town ol Southold.... released from I1J.1 and all damages, Or claims for damages, of suits arising cIirectly or 1ncIirecdy as a result of I1J.1 opet- atioo performed pusuant to this permit, and the aid ~ wi1I, at his or her own exp.nst. defend I1J.1 and all such suits· Injti·ted by thhd parties, and the said r..mittœ a.- fall Jiabllity with respect thereto. to the complete exclusion of the Board of TtuStèeS of the Town ol SouthoW 2. That this Permit is ft!id f<x . period of 24 mas. wbid1 is 0XISide1'ed to be !he estimated time required 10 complete !he wodc invo1~ but sboa1d circumstances warrant, request for an exœnsion may be made to the Board at a Ia1et daœ. 3. That this Permit should be retained indefinirely, or as loog as !he said Petmittee wisha to maintain the structUte or project involved, to provide evidenœ to anyoae coocemed that auth- orization was originally obtained. ~ ~ ~ ~ 4. That the work involved wiI1 be subject to the inspection and apptoval of !he Board or its agents, and non-compliance wi!h the provisioDS of the origi....tlng applkatiOll, may be cause for revocation of this Permit by raolution of the said IIoaId. 5. That there wiI1 be no unreasonable interference wi!h DAvigatioa as a result of the work herein aUthorized. 6. That there shall be no intetference wi!h the right of the pub1k to pass and repass aloog !he beam betwee.b high and low water marks. ~ , ~ ~ ~ ! 7. That if future operations of the Town of Southold rec¡uite !he removal and/or altuadoos in the location of the work herein authorized, or if, in the oplnioa of the Boatd ol Trustees, the work shall cause wueasooable obstt\1Ct1Ol1 to free navigatioo, the said p.nn¡"~ will be requked, upoo due notice, to temOVe or alter this work or project herein stated without eo.pease5 to the Town of Southold. 8. Thor the said Board will be no,tified by the Permittee 01 the compIetloa of the wodc auth- orized. 9. That the Petmitree will obtain aU other petmÏts and conse<1ts that may be required sup- plemental to !his permit which may be subject to revoke upoa foi1we to obtain same. . ",. .. ...,..,.... '," .. " ""0'- .. .. .. ".' .. ..... .. .. .. " .. " .. .. " .. .. .. .. " " .. " .. .. .. .. .. . " ..' '. " .. "" Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 28,2001 Mr. James E. Fitzgerald, Jr. Proper-T Permit Services P.O. Box 617 Cutchogue, NY 11935 RE: MICHAEL CARBONE 1580 North Bayview Rd., Southold SCTM#70-12-34 Dear Mr. Fitzgerald: The following action was taken by the Board of Town Trustees during its regular meeting held on Wednesday, February 21,2001 regarding the above matter: WHEREAS, Proper-T Permit Services on behalf of MICHAEL CARBONE applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of South old, application dated January 31, 2001 and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 21,2001 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 ofthe Southold . . Proper-T Permit Services . POST"OFFICE BOX 617, CUTCHOGUE. NEW YORK 11935-0617 15161734 -5800 February 21, 2001 President Board of Town Trustees Town of South old Town HaIl, 53095 Main Road Southold, New York 11971 F'~C: ') I L ' ,~ ' Re: Michael Carbone. SCTM #1000-70-12-34 Dear Sir: After your 2/14/00 inspections you conunented that the existing dock on the Carbone property appeared questionable. Lauren found the file containing the permit originally issued to Albinson in 1972 and the dock does differ in size 1Ì'Om that which was permitted. Mr. Carbone will submit an application to UÚ'JlUf ,-No.·69I t> allow the existing structure with whatever modifications may be required to have it conform with current regulations and policies. We ask, however, that the Boar_~r I 'ilJl: ._ u.ßptiAd'before it concerning the recon- struction of the dwe\Iing, ifnecessary making approval contingent upon the submission of the ap- plication for amendment of Permit No. 698. a subsidiary of THE PECONIC EASTERN CORPORATION . . Proper-T Permit Services ~ POST_OFFICE BOX 61~ CUTCHOGUE, NEW YORK 11935-0617 (516) 734 -5800 February 21,2001 President Board of Town Trustees Town of South old Town Hall, 53095 Main Road Southold, New York 11971 FEE ;: Re: Michael Carbone. SCTM #1000-70-12-34 Dear Sir: After your 2/14/00 inspections you commented that the existing dock on the Carbone property appeared questionable. Lauren found the file containing the permit originally issued to Albinson in 1972 and the dock does differ in size from that which was permitted. Mr. Carbone will submit an application to amend Permit No. 698 to allow the existing structure with whatever modifications may be required to have it conform with current regulations and policies. We ask, however, that the Board act tonight on the application before it concerning the recon- struction of the dwelling, ifnecessary making approval contingent upon the submission of the ap- plication fur amendment of Permit No. 698. erely, a subsIdiary of THE PECONfC EASTERN CORPORATION . . Telephone (631) 765-1892 Town Hall. 53095 Maiø Road P.O. Box 1179 Southold. New· Ycrt 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, February 15, 2001, the following recommendation was made: Moved by Bill McDermott, seconded by Scott Hilary, it was RESOLVED to TABLE the Wetland Permit Application of MICHAEL CARBONE 70-12- 34 to demolish the existing wood frame house. Construct new wood frame house with new septic system approved by SCDHS if required, and with deck and attached two-car garage. 1580 North Bayview Rd., Southold The CAC Tabled the application because the proposed structure wasn't staked. The CAC questions the dimensions of the existing dock in accordance with the Trustees' Policies. The CAC also questions whether or not there is a Permit for the jet ski float. The CAC recommends a non-turf buffer be placed behind the bulkhead. Vote of Council: Ayes: All Motion Carried . . / /' J.nr. .' THE AREA OF THE PROPOSED PROJECT IS CIRCLED I L , \ " BA Y.........., Parl1ci~~ Poi., / .. HOG NECK BAY ./'./ N 0\,0 . /"" ~....v:.~....0~ cp';::.~~p.¡t; /c,OÙ.... /' /' ,/' / / . .~. ~ -.' LITTLE HOG :<F.CK , ' JESSUP ? NECK ~\, VICINITY MAP Application regarding the property of Michael Carbone, SCTM #1000-70-12-34 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY I t935 James E. Fitzgerald, Jr. 516-734-5800 January 23,2001 . . SOlffHOlJ) BAY (\~ lr I TAX MAP Application regarding the property of Michael Carbone, SCTM #1000-70-12-34 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue. NY I t935 James E. Fitzgerald. Jr. 516-734-5800 January 23,2001 . . Proper-T Permit Services POST OFFICE BOX 617. CUTCHOGUE, NEW YORK 11935-0617 (5161734 -5800 January 30, 2001 President Board of Town Trustees Town of South old Town Hall, 53095 Main Road Southold, New York 11971 JAN 3 I; Re: ADnlication for Permit on Behalf of Michael Carbone. SCTM #1000-70-12-34 Dear Sir: Attached are documents which have been prepared in support of the application for a permit to demolish the existing house and build a new house and associated structures on the property of Michael Carbone in the Town of South old. Proper- T Permit Services represents Mr. Carbone in this matter, and a letter of authorization is part of this submission. If there are any questions, or if additional information is needed, please call me. Sincerely, Enclosures: Application Fee ($150) Letter of Authorization Notarized Statement of Applicant Survey of Property /Project Plan Application Form (3 copies) Short EAF (3 copies) Vicinity Map (3 copies) Tax Map (3 copies) Project Site Photos a subsidiary of THE PECONIC EASTERN CORPORATION Proper- T Permit Services P.O. Box 617, Cutchogue NY 11935 Fax: 631-734-7463 Phone: 631-734-5800 MEMORANDUM DATE: July 31,2001 TO: Lauren Standish - Trustees FROM: Jim Fitzgerald SUBJECT: Carbone, SCTM #1000-70-12-34 It was my understanding that the Trustees' permit for the house demolition and reconstruction would be issued when the dock permit amendment had been approved and we paid the addi- tional $50 owed on the house permit application. Mr. Carbone's check for $50 is enclosed. I believe we still owe you the $40 fee for the dock amendment. That check is also enclosed. , F...··-- . r";, . " AUG - 2 2001 · .. Proper- T Permit Services POST OFFICE BOX 617, CUTCHOGUE. NEW YORK 11935-0617 (631) 734-5800 " May 28. 2001 < l~~· Î. ~~~ \5,l3 President Board of Town Trustees Town of South old Town Hall, 53095 Main Road Southold, New York 11971 .~92 ~ Re: Amendment to Permit of Michael Carbone: SCTM #1000-70-12-34 Dear Sir: Please amend the permit, approved but not yet issued, to include the following project descrip- tion: PROJECT DESCRIPTION: Demolish existing wood ftame house. Construct new wood frame house with new septic system approved by SCDHS ifrequired, and with deck and attached two-car garage. Reconstruct existing dock to fullowing dimensions: fixed walkway 22.5' x 4', hinged ramp 10.5' x 3'. floating dock 16.5' x 5'. <{\'\Q.{\W> - If you need any additional information, please let me know. Enclosure: Amendment ree, $40 clr:J ~ }\o\ ,P \0\ a subsidiary of THE PECONIC EASTERN CORPORATION Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . . Town Hall . 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of __D)lcÌ)OL~_~_____________ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,James E. Fitzgerald, J,r.-residing at 385 Haywaters Drive Cutchogue, NY 11935 being duly sworn, depose and say: That on the 11 th day of June, 2001 , I personally posted the property known as 1580 North Bayview Road, Southold, NY 11971 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public dbarin.!}. Da~e of hearing noted thereon to be he1d\1\UI"S.JUIla .,}t,aool Ct'\ùí ()..Lt 7:00 ~m, Dated: 6/20/01 Swoçn to b~~~.~e this -z.\s<'day of ~ 200 \ ~~~~ IlöNNI£ W. MAZZAF£RRO NOTARY F"JBUC. St-J{' -I ":,-_.. Y- ~ HI"!. SZ-':'6€nnz· s~:_~· Commi"",v!r ¡:_..r.'.D<rt;'\.~'~':::>~~ . CARBONE: ADJACENT PROPERTY OWNERS 1000-70-12-33.2 Chris Lamendola 910 Oakwood Drive Southold, NY 11971 1000-70-12-37 Roger Lamour, Trustee 15 Reed Lane Westbury, NY 11590 1000-70-13-20.12 Arthur & Lois Lamia 1340 Kimberly Lane Southold, NY 11971 . June 10,2001 - .. . ï - 9"0 ~> fJ 0"0 ::1"'0 ~.,., ~ 'E.. :!1f~ ¡:;~'I' i~1' ~§".;; 9..... -i,ä!! ~ 0 p:!?~~~i¡:;; :;î~~~5-n ï:! -i a.:!::!JO ... .."ß '" or" ~ "'C _ m'-< -.. t"" §~~~ §!~I~ ol.H-n ~ oo&;\ôm <P ~ oowCt.:l - NOv. NO go W"""" - .... . ~/ ~ "0 ~ i;t1 ~ ~ ~ r- "" <S> ,,- Ñ 5- ¡W lA "'-1'08: i"'m;j C> ..¡..~3: z _ J'O ~ ~ - ~~ ~ö1 "'-..~ 1/1 ~ - ~ :j ~ "- ~ 5: ~ "0 ~ ~ c ..J;,"" .... - Ç> '1 HI 1- ~ ~~ ~ ~ y...- <;:::.. '-:1. ~ LiI :::I ~ çJ C ~ ~ , Albert J. Krupski, president. James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765·1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applica~ /Wetland Permit Application _ Major ~ _Waiver/Amendment/Changes Received Application: .3 w"'"Received F ee:$ I :5l:> . ,eompleted Application I 3 _Incomplete SEQRA Classification: Type I_Type II_Unlisted_ Coordination:(date sent) vCAC Referral ~ent~~J .....-Date ofInspectlon: I _Receipt ofCAC Report: Lead Agency Determination: -Technical Review: ....-public Hearing He~ _Resolution: Minor C2.)IJ...j Fr. (fl X ;2)' dtx' \( [;'/;;'x ¡/.o'l.;) \ .c..\\:X:t\- j.(. -\;: S, ¥-¡\ -Ç' \oo.-t ¡... ,ð ~ ciY Name of Applicant Michael Carbone Address 165 E. 32nd Street, New York NY 10016 PhoneNumber:( ) 212-481-9587 Suffolk County Tax Map Number: 1000 - 70-12- 34 Property Location: 1580 N0rth Bayview Road, Southold (provide LILCO Pole #, distance to cross streets, and location) AGENT: James E. Fitzgerald. Jr. / Proper-T Permit Services (If applicable) Address: PO Box 617, Cutchogue ¡IT 11935 Phone: 7"\.t-5Rnn · . Board of Trustees Application GENERAL DATA Area Zoning: 22,904 R-40 Land Area (in square feet): Previous use of property: Private residence Intended use of property: Private residence Prior permits/approvals for site improvements: Agency Not known Date _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~1>!~_Yes If yes, provide explanation: PROJECT DESCRIPTION: Demolish existing wood ITame house. Construct new wood ftame house with new septic system approved by SCDHS if required, and with deck and attached two-car garage. · Board of Trustees ApPlica!n WETLANDrrRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Make a new house. Area of wetlands on lot: None square feet Percent coverage oflot: N/A % Closest distance between nearest existing structure and upland edge of wetlands: -0- feet Closest distance between nearest proposed structure and upland edge of wetlands: -0- feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? 50 cubic yards (es t ) How much material will be filled? none cubic yards Depth of which material will be removed or deposited: 2 - 3 feet Proposed slope throughout the area of operations: N / it. - Manner in which material will be removed or deposited: h8c\<1'1np/hull <Ì n"er 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): It is expected that the project will have no significant effect on the wetlands and tidal waters of the Town. 14-16-41 (2I81)-Text 12 I PROJECT I.D. NUMSER . . 817.21 Appendix C Slale Envlronmenlal Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completsd by Applicant or Project sponsor) 1. APPLICANT ISPONSOR 2. PROJECT NAME James E. Fitz erald Jr. Carbone house 3. PROJECT LOCATION: Municipality . . COunty Suffolk 4. PRECISE LOCA T10N (Street address and road Intersections. prominent landmarks. atc.. or provide mapl SEQR 1580 North Bayview Road Southold NY 11971 See attached maps. 5. IS PROPOSED ACTION: IlJ Naw 0 expanSion 0 MOdification/alteration 6. PROJECT DESCRIPTION: Demolish existing wood ftame house. Construct new wood ftarne house with new septic system approved by SCDHS ifrequired, and with deck and attached two-car garage. 7. AMOUNT OF LAND AFFECTED: Initially a DDrox o. 'i acres Ultlma.aly N / A scroo 6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? III Yoo 0 No If No. d..."ba briefly 9. WHAr IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Roolden"al 0 Industrial 0 COmmercial Describe: . o Agriculture o ParklF"",atlOpan apoco o Other Medium-size private waterfront residences. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAU? IX] VII 0 No If yn. lIet agency(l) and permtttapprovall Required: NYSDEC, Southold Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? o Vee IKl No If ylI. lilt agency name and permlUapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DYes GaNO Slgn.ture: action Is In the Coaatal Area. and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . Applicant/sponsor OVER 1 . . PART II-ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? DVe. DNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617 6? may be superseded by another Involved agency. DVe. DNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may De nanOWrFtten. If legible) C1. Existing air Quality, surface or groundwater Quality or quantity, nOise levels, eXisting traffic patterns. solid waste production potential for erOSion, dr.unage or flooding problems? Explain briefly: If yes, coordinate the re'ile..... process and use the FULL EAF. . If No. a negative declaration or disposal, C2. Aesthetic, agricultural, archaeological. historic. or Olher natural or cultural resources; or community or nSlghbornood cnaracter? Explain bnefly: C3. Vegelallon or fauna. fish, shellfish or wildlife species. sIgnificant habitats. or threatened or endangerea soecles? Explain briefly: C4. A community's eXisting plans or goals as officially aooptea. or a cnange In use or intensity of use at lane or Olner natural resources? Explain briefly. C5. Growth, subsequent cevelopment, or related activities likely to be Induced by the proposed actIon? EXPlain onefly. CG. Long term, shon term. cumulative. or other effects not identlflea In C1-C5? ~xplaln briefly. C7. Other impacts (lncludmg changes in use of either Quantity or type 01 energy)? Explain briefly. D. IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? DYes D No If Yes, explain briefly PART III-DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above, determine whether it is substa.ntial, large. Important or otherwise significant. Each effect Should be assessed In connection with its (a) setting (Le. urban or rural); (b) proDability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been Identified and adequately addressed. D o ChecK this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. 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 AND provide on attachments as necessary, the reasons supporting this determination: Name or leðd A-gency Print or hpe Name or ResponSIble Officer 10 lead Agenc~ í,lIe or Re5ponSlble Oitlcer S'gnature 01 Responsible OtTlcer 10 lead Agenn SIgnature or Preparer ¡I! d'rlerent trom remonslQ!e oTtlCen Uðre , . . MJM Plumbing 268 West Street New York, New York 10013 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper- T Permit Services to act in my behalf as my agent in the submission and processing of a permit application to demolish an existing house and build a new house and associated structures and facilities on my property located at 1580 North Bayview Road, Southold, and designated by Suffolk County Tax Map No.1 000-70-12-34, and to furnish, upon request, supplemental in- formation in support of the application. Sincerely, ~ª--- Michael Carbone . . STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County of Suffolk ) State of New York) I, Michael Carbone, being duly sworn, depose and affirm that I am the owner ofthe property located at 1580 North Bayview Road, Southold, New York 11971, and identified by Suffolk County Tax Map No. 1000-70-12-34, and that aU work will be done in the manner set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree to hold the Town of South old and the Town Trustees harmless and free from any and all damages and claims arising under or by virtue of said permit( s), if granted. I hereby authorize the Town Trustees or their agent(s) or representative(s) to enter upon my property to inspect the premises in conjunction with the review of the present application. -wJ.~.................... Michael Carbone Sworn to before me this ....g/~.~. day of ..Þ~s~~)\,º-~/............, 200...0. ..0.. ~...ù~ .J1IÇ~0-L- N~J PUbIiC-\ \ MARTHA M, McKEITHAN Notary Public, State of New York No. 01MC6027890 Qualified in . Bronx County commission ExpIres July 19, 2001 . . MICHAEL CARBONE: ADJACENT PROPERTY OWNERS 1000-70-12-33.2 Chris Lamendola 910 Oakwood Drive Southold, NY 11971 1000-70-12-37 Roger Lamour as Trustee 15 Reed Lane Westbury, NY 11590 1000-70-13-20.12 S. Arthur & Lois G. Lamia 1340 Kimberly Lane Southold, NY 11971 . ' fJÆ.· . . .Y/I!'<'- . ¡{/CJÆ7'-¥ Ø'A2ý¡//ßX/ I I · WIn'- £0/;0 J!!7,e..z. ~S· ;:J?'Z'C)M~ ;I ZCJ. C::¡Q I e-~ 7- z. ,. ~ w'~ð' w:;;¡¡¡,; M,09/~¿;P~_ev7 ~ \ -' ~@-' ~ ~ ~ ~ . ~ " , 01; iii 'I .4-€69~ z; f¿J4 ~,..c; ~ , ~ ~ ~ ~72!!'-P~T"" /A/,;:"~~.FA1£ Ei-.8 ...up,_............... ~~" A7.v7~~ ,¿AIV.,P ~ ~;~.p. q. 66/- :?¿-5-7" . . BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the matter of the Application of Michael Carbone COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, New York 11935, being duly sworn, depose and say: That on the 12th day of February, 2001, I personally posted the property known as 1580 North Bayview Road, Southold, by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure that the poster has re- mained in place for seven days prior to the date of the public hearing, the date of hearing noted thereon to be held on February 21, 2001, at or about 7:00PM. Dated: dff( swor~to bef0fE' ó1 \ 8 day of r-" , 2001 Public LYNDA M BOHN NOTARYNPUBUC, State of New York . O. 01806020932 Quailfled in Suffoik Co 'lIY , Term Expires March 8, 2~Qj