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Home My WebLink AboutTR-5257Albert J. Krupski, President James King, Vice-President Attic 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 November 20. 2003 Mr. Rob Herrmann Eh-Consultants, Inc. 1329 North Sea Road Southampton, NY 11968 SCTM#87-5-23.7&23.8 Madeline Pisciotta 8554 Main Bayview Road Southold, NY Dear Mr. Herrmann: The following action was taken at the Southold Town Board of Trustees Regular Meeting on November 19th, 2003. RESOLVED that the Southold Town Board 0fTmstees grant a One Year Extension to Wetland Permit #5257 to construct a two-story, one family dwelling to be raised on pilings, deck, pervious driveway, two (2) drywells, drinking water well and sanita~ system to be placed on approx. 380 cy of clean sand fill and contained with concrete ret~iming walls (this will be the final one year extension). However, this determination is not a determination from any other agency. If you have any questions please contact our office at 765-1892 Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK: cjc Cc: DEC Building Department EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon@peconic.net www.enconsultants.com ENVIRONMENTAL SERVICES October 23, 2003 PERMIT EXTENSION REQUEST Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971_ Attn.: Lauren Standish Re: Madeline Pisciotta 8554 Main Bayview Road, Southold SCTM #1000-87-5-23.7 & 23.8 Permit #5257 2; Southold Town B~ard of Trustees Dear Board of Trustees: The above referenced permit is due to expire December 27, 2003. As the approved work has not been undertaken, would you kindly extend your permit for a period of one year? The permit fee of $10.00, a copy of the permit and prior one year extension are attached for your reference. Thank you in advance for your attention to this matter. Y~('uly, __, Administrative Asst. Enc. iF-Ii: hl,dl I ~22H0 A~09 Board Of $outhold Town Trustees SOUTHOLD, NEW YORK DATE: ..D...?.emb~.~....~.7' 2 0C ISSUED TO ........... ~_~.D..~I~ E...,.~].~ ~.~ ~'~ '~ .................................................. Pursuant to the provisions of Chapter 6IS of the L~ws of the State of New York, 18931 and Chapter 40~ of the ~ws of the State of New York 1952; and the Southold Town Ordinance en- titled · "REGULATING AND TIlE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC: LANDS and the REMOVAL OF SAND, C~RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:~. and in accordance with the Resolution of The Board adopted at a meeting held on ...~.t....~.~.~... ~0.0.0..., and in consideration of the sum of $..~.~.g..~.g.g ..... paid by En-gonsultants for Madeline Pisciotta of Southampton .. N. Y. and subject to the of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct a two-story, one-family dwelling be raised on pilings; deck; pervious driveway; two (2) drinking water well; and sanitary sytem to be placed on 380 ~v. of c~an sand fill and contained within concrete ~ In accor~l'ance w,th the deta,Jed spec,f,cat,ons as presented ;n '.the originating application. · IN WITNESS WHEREOF, The said Board of Trustees here- by cau'ses its 'Corporate, Seal to-be affijxed, and these IJ~.resents to be subs~rlbe~ by a 'malority of the said Board as of this dats. to .- Albert J. Krupsld, President James King, Vice-President Artie Foster Ken Po]iwoda Peggy A. Dickerson Town Hall 5309§ Route 215 P.O. Box 1179 Southold, New York 11971.0959 Telephone (631) 765-1892 Fax (631) 765-1366 October 17, 2002 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmarm En-Consultants, Inc. 1329 North Sea Rd. Southan~pton, NY 11968 MADELINE PISCIOTTA 8554 Main Bayview Rd., Southold SCTM#87-5-23.7&&23.8 Dear Mr. Heiixiiarm: The following action was taken by the Southold Tox~m Board of Trustees at their Regular Meeting held on Wednesday, October 16, 2002: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit #5257 to construct a two-story, one-family dwelling to be raised on pilings; deck; pervious driveway; txvo (2) drywells; drinking water well; and sanitary system to be placed on approx. 380 cy. of clean sand fill and contained with concrete retaining wails. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert J. Krup'ski, Jr. President, Board of Trustees AJK:lms Albert J. Krupski, President James King, Vice-President Artie Foster Ken Pollwoda PegKv A. Dicke~son October 17, 2002 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 Mr. Robert E. Herrmann Eh-Consultants, Inc. 1329 North Sea Rd. Southamplon, NY 11968 RE: MADELINE PISCIOTTA 8554 Main Bayview Rd., Southold SCTM#87-5-23.7&&23.8 Dear Mt'. Herrmann: The following action was taken by the Southold Town Board o[Trustees al their Regular Meeting held on Wednesday, October 16, 21}02: RESOLVED that tbe Southold Town Board of Trustees grants a One-Year Extension to Wetland Pemfit #5257 to construct a two-story, one-family dwelling to be raised on pilings; deck; pervious driveway; two (2) drywells; drinking water well; and sanitary system to be placed on approx. 380 cy. of clean sand fill and contained with concrete retaining walls. This is not an approval from any other agency. lfyou have any questions, please do not hesitate to contact this office. Sincerely, Albert J. KrulJski, Jr. President, Board of Trustees AJK:lms Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO.. O~.O'~.''~ '7 .. DATE: .?.scembe{..2.7, z0c ISSUED TO ........... M.'~I~.~;~'.]~ ~...? !.P.~:[P T T A ...................................... Pursuant to the provisions of Chapter 615 of the Laws of the Stele of New York, 1893j end Chapter 404 of the ,La. ws of the · State of New York 19~12~ end the Southold Town Ordinance eh- tiffed "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS end the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS~'.~. end in accordance with the Resolution of The Board ndopfed et · meeting held on ...~.t....~.~... 20g.g..., end in consideration of the sum of $....~.~.~..~.g.g .. paid by En-Oonsultants for Madeline Pisciotta o{ ................. ~.?.E~?.~ ..................... N. Y. end s-bl~t to *he Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct a two-story, one-family dwelling to be raised on pilings; deck; pervious driveway; two (2) drywells; drinking water well~ and sanitary sytem to be placed on approx. 380 tv. o£ clean sand fill and contained within concrete rera~rn'r;g wans° . _ _ .__ ._. . all m accordance wdh the detaded specdmahons es presented in ithe o~;g;natin~j application. · . ,.... IN WITNESS WHEREOF, The said Board of Trustees here- by'ca~s, lfs ~'-.orporate Seal to-be affixed, and theset~..r, esents.,, f .- · be subsCribed'by a '.majority of the sald Board .as of dat~.'-° TERMS and CONDITIONS The Petmictee Madeline Pisciotta r~sldlagat 906 Gardiner Drive, West BayShore, NY 11706 N. ¥~ pen of the coaslder~tioa for the issueace of ~be Peanlt does umie~sc~nd ~d p~escgbe to the lowly: L That the said Board of Tru~__~__ and the To~n of Southold axe ~eleased ft~n any and all d.,-ages, ot ~.~,,~ for dsmagers of suits atislng ditecdy m indirectly ss · result of any ope~- ~efend any and all such sults'lnitiated by tblM patties, and the said Pennlttee assumes full with respect thereto, to the complete exduslon of the Boa~ of Tt-ustees of the To~ of 2. That thls Permit Is valld for a pex~od of 24 mo~ wMc~ la consldet~d to he the estimated time required m complete the work involved, b~t should ~ wan-am, request for an e~cension may be made to the Boaxcl at a later dat~ 5. That this Permit should be W~alm~l~ indefinitely, or as long t~ the said Petmlttee wldae$ to maintain the s~ucu~e or project involved, to provide evidence to anyone co~,.e£~cl that sa~h- orization was originally obtained. 4. That &e work involved will be subject to the inspection and approval of the Boexd o~ its agents, and non-compliance with the provisions of the originating application, may he _~,~e for tevocatlon of this Permit by resolution of the said Board. 5. That there will be no unteasouable interference wieh navigation as · result o~ the wot~ hetTin s~thorized. 6. That there shall be no intedetence with the tight of the public to pass and repass along the beach between high and low water maxks. 7. Ths~ if future operations of the Town o[ Soutbold tgqui~ the temovt[ m3d/~ in the location of the wofic herein sudJotize~ or ifs Jn the opinkm o~ tim lk)Ltd of Trustees) work shall cause unreasotzable absmscuon to free navi~ the said Pennlttee will be upon due notice, to remove or alter this work or project hex'eln stated without expen~ to the Town of Southold. S. That the said Board wi~ll be notified by the Permittee ot the c.~pleelon of the work atttb- orlzed. 9. That the Pe£mlttee will obtain aH other permit~ and come. ts ~zat may be required sup. plemental to this permit which may be subject to revo~ upon fsllute to obcain same. 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 December 27, 2000 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmann Eh-Consultants, Inc. 1329 North Sea Road Southampton, NY 11968 Re: MADELINE PISCIOTTA 8554 Main Bayview Rd., Southold SCTM#87-5-23.7&23.8 Dear Mr. Heccmann: The following action was taken by the Board of Town Trustees during its regular meeting held on Wednesday, December 20, 2000 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf ofMADELINE PISCIOTTA applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 4, 2000, 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 December 20, 2000 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 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW TItEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MADELINE PISCIOTTA to construct a two-story, one-family dwelling to be raised on pilings; deck; pervious driveway; two (2) drywells; drinking water well; and sanitary system to be placed on approx. 380 cy. of clean sand fill and contained within concrete retaining walls. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, President, Board o~'Trustees AJK/lms cc' Building Dept. DEC Health Dept. Telephone (631) 765-1892 Tow~ ~1'=11_ 5,'109.5 Main Road P.O. Box 11'79 Sow,.hold. l~/e~ Y~rk 11971 $OUTHOLD TOWN CONSEHVATIO~t' ADVISORY COUNCIL .At the meeting of the Southold Town ConseIvaion Advisory Council held Thursday, December 14. 2000, the tbllowing recommendation was made: Moved by Bill McDermott, seconded by Scott Hilary, it xvas RESOLVED to recommend to tbe Soutbold Town Board of Trustees APPROVAL WITH A STIPUI,ATION of the Wetland Permit Application ofMAI)ELINE PISCIOTTA 87-5-23.7 & 23.8 to construct a two-story, one-family dwelling to be raised on pilings; deck; pervious driveway; two (2) drywells; drinking water well; and sanitary system to be placed on approx. 380 cy. of clean sand fill and contained within concrete retaining walls. 8554 Main Bayview Rd., Southold The CAC recommends Approval with the Stipulation that the applicant complies with the 50' non-disturbance buffer. The CAC questions the structure on pilings and the contained sanitary system. Because of the proposed construction, is there a potential negative impact associated xvith this? Vote ofCouncik Ayes: All Motion Carried EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-maih encon@peconic.net www.enoonsultants.com ENVIRONMENTAL SERVICES November 29, 2000 Albert Krupski, Chairman Board of Trustees Town of Southold 53095 Main Road Southold, NY 11971 DEC- Re: Anthony and Madeline Pisciotta, 8554 Main Bayview Road~ Permit 4934 Dear Mr. Krupski: The captioned permit was issued 25 June 1998 and expired 25 June 2000. Sadly, however, Anthony Pisciotta has passed away and Mrs. Pisciotta has not had the opportunity to follow through with the approved project in any manner. As it appears to be too late to extend the Trustees' permit, please find attached a new application by Madeline Pisciotta for the same project approved by the Board two years ago. Please note that the plan remains unchanged in all regards, and that the Pisciottas' New York State Department of Environmental Conservation and Suffolk County Department of Health Services remain valid and current, copies of which are attached to the application. Should you have any questions or require any additional information, please do not hesitate to contact me directly at your earliest convenience. Respect full3~ yours, Robert E. Herm~ann Coastal Management Specialist Attachments Tel: (631) 727-2090 Fax: (631) 727-17Z7 Joseph A. Ingegno Land Surveyor P.O. Box 1931 Riverhead, N.Y. 11901-0965 Emall: ingegnolendsurveyo~leaccess, net December 20, 2000 Town Trustees Town of $outhold Main Road Southold~ New York 11971 Att: Albe~ Krupski, chairman Re: AnthOny Pisciotta S.C. tax no. 1000-87-05-23.7 & 23.8 Dear Mr. ~ '~h'upski: Eh-Consultants fa.xed to me a letter your office received from Jm me to respond to your office. This letter is the same as the one we respa our answer is still the same. Mr. Bitses claims that some fence posts shown on our survey sh( I have a copy of James Bitses deed which calls out those lines as "theno Fink's land (previous owner) 550 feet more or less". It does not give an distances along that line. I also have a deed and old survey of our client specifically gives the bearings and distances of that line as being the san our survey. According to our client's deed, our survey is correct. A~o, if you look at the location of the fence posts on our survey on our prOperty line and going East, two posts are South of the line and l the line [ believe his claim to this land is incorrect. OFFICES LOCATED AT 1380 Roanoke Avenue Rlverhead, N.Y. 11901 nr-e 2 0 acs Bitses and has asked tded to in June 1998 and aid be the property line. northeasterly along ,, courses or specific s property which as the). ase shoa~ on ~e westerly fence post is wo posts are North of I have enclosed copies of Mr, Bitses 1998 letter and our previou Should you have any questions regarding this matter, please do ] at anytime at the above manber. Very tr~ cdc Enc. response. tot hesitate to contact me June 29, 1998 Town lrastees Town of $outhold Main Road $outhol& NY 11971 Attn: Jil~l Re: A~athony Pisciotta SCTM# 1000-87-05-23.7 & 23.8 Dear To~m Trustees; I have received a copy of the letter sent to your office by James Bitscs. ] fence post shown on our survey should be the property line. I have a coI which calls out those lines as "thence northeasterly along Finks' land (pr, more or less". It does not give any courses or specific distances along th deed and old survey of our client's property which specifically gives the of that line as being the same as they are shown on our sup,'ey. AccordiJ OUI' Suiwey IS Correct. Enclosed is a copy of our client's deed with that boundary line highlight( Should you has'e any additional questions, please do not hesitate to conh Very truly yours, Joseph A. lngegno, P.L.S ?Er 2 0 {e claims that some y.of James Bitses' deed ~',qous owner) 550 feet at line. I also have a ~earings and distances 2 to our client's deed, :t me. SCTM# 1000-87-05-23.7 and 23.8 AL/that certain plot, piece or parcel of land, with the buildings and imprc sitmtte, lying and being at Bayview, Toxvn of Southold, County of Suffolk, particularly bound and described as follows: BEGINNING at the northeasterly comer of the hereinafter described prer comer of land now or formerly of Dawson and the westerly side of land n said point of beginning being South 10 degrees 00 minutes 00 seconds monument on the southerly side of Main Bayview Road at the interse¢ comer of land now or formerly of Dawson and the northwesterly comer of Bitses; RUNNING THENCE from the point of beginning, along land now ol following eight (8) courses and distances: 1. South 49 degrees 00 2. North 83 degrees 42 3. South 77 degrees 44 4. South 58 degrees 30 5. South 86 degrees 00 6. North 04 degrees 00 7. North 64 degrees 47 8. South 18 degrees 56 minutes 00 seconds West, 114.86 feet mtnutes 00 seconds West, 62.59 feet; minutes West, 107.92 feet; minutes West, 70.0 feet; minutes West 80.0 feet; minutes West, 70.0 feet; minutes 00 seconds West, minutes 30 seconds West, 21.00 feet; 23.00 feet to the THENCE along the waters of Corey Creek (boat basin), the following twc North 03 degrees 20 minutes 50 seconds East, 222.68 feet; South 68 degrees 00 minutes 00 seconds East, 210.00 feet to Daxvson; THENCE along the last mentioned land the following three (3) courses I. South 25 degrees 53 minutes 00 seconds West, 10.00 feet; 2. South 64 degrees 07 minutes 00 seconds East, 30.00 feet; 3. South 77 degrees 00 minutes 00 seconds East, 200.00 feet BEGINNING. vements thereon erected, State of New York, more ~ises at the southeasterly ~w or formerly of Bitses, Nest, 230.00 feet from a lion of the northeasterly of land now or tbrmerly formerly of Bitses, the ~aters of Corey Creek; (2) courses and distances: [and now or formerly of tnd distances: :o the point or place of JUNK 16, 1998 zobo-8~-5-23.~. Tel: (831) 727-20g0 Fax: (631) 727-1721 COMHENTS~ NUJ,,tB~:R oF t:,A~l~si Joseph A, Ingegno Land Surveyor P.O. Box tg31 Rlverheed, N.Y. ttgo~-og65 malh Ingegnolandsurveyo~g~leaccess.net oFFICES L OC21TEO AT ~380 Roanoke AVenue Rlverhead, N.Y. 1tg01 FAX COVER COVERt EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon @ peconic.net www. enconsultants.com ENVIRONMENTAL SERVICES September 25, 2002 PERMIT EXTENSION REOUEST Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Atm.: Lauren Standish Re; Madeline Pisciotta 8554 Main Bayview Road, Southold SCTM #1000-87-5-23 & 23.8 Permit #5257 Dear Board of Trustees: The above referenced permit is due to expire December 27, 2002. As the approved work has not been undertaken, would you kindly extend your permit for a period of two years. The permit fee of $10.00 and a copy of the permit are attached for your review. Thank you in advance for your attention to this matter. r Coastal Management Specialist /khs Enc. Albert J. K. rupski. President John Holzapfel. Vice President Jim King Mm-dh 14. Garrell Peter Wenczel Town H~I1 53095 Main Road P.O. Box 1179 Southold. New York 11971 Telephone (516) 765-1892 Fax (516) 765-i823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Off~ce Use Only ~e~$tal Erosion Permit Application land Permit Application Grandfather Permit Application / Waiver/Amend~ent/Chan~s ''ReCeived Appliq 3. : ~'~eceived Fee:$/~o --.~mpleted ApplicaUion Incomplete SEQRA Classification: Type I Type II Unlisted Coordina~ion:(date sen~) ~-CAC Referral Sent:~ --~te of InspecUion: Receipt of CAC Report: Lead Agency Determination:__ _7~Pubchnical Review: lic 14earing Held: Resolution: EC- 4 Name of Applicant Address Madeline Pisciotta 906 Gardiner Drive West Bay Shore, NY 11706 Phone Number:(516) 666-6095 Suffolk County Tax Map Number: 1000 87-5-23.7 & 23.8 Property Location: 8554 Main Bayview Road, Southold (provide LILCO Pole #, disuance to cross'streets, and AGFlqT: En-Consultants, Inc. (If applicable) 1329 North Sea Road Address: Southampton, NY 11968 location) Phone:631-283-6360 FAX%:-6~3~i-Z83-6±6b Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: intended use of property: 61,925.14 vacant residential residential Prior permits/approvals for site improvements: Agency DEC #1-4738-01955/00001 SCDH #R10-98/0077 Soutnold Trustees #4934 Date 7/13/98 1/19/99 6/25/98 No prior permits/approvals for site improvementz. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes if yes, provide explanation: Project Description (use attachments if necessary): Construct a two-story~ one-iamily dwelling to be raised on pilings; deck; pervious driveway; two (2) dr~wells; drinking water well; and sanltar~ system to be placed on approximately 380 cubic yards of clean sand fill and contained within concrete retaining walls, all as depicted on the site plan prepared by Joseph Ingegno, dated March 4, 1998, last revised December 24, 1998. ~ard of Trustees Applica~ WETLAND/TRUST~ LANDS kPPLICATION DATA Purpose of the proposed operations: one-family dwelling. Area of wetlands on lot: 2r850 square feet Percent coverage of lot: ±4.6 % Closest distance between nearest existing s~ruc~ure and upland edge of wetlands: n/a feet Closest distance between nearest proposed structure and upland edge of wetlands: ±79 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? n/a__cubic yards How much material will be filled? ±380 cubic yards for sanitary system. Depth of which material will be removed or deposited:6, inside retaining feet walls for sanitary system. Proposed slope throughout the area of operations: n/a Manner in which material will be removed or deposited: Material to be trucked in from upland source. Statemenu of the effect, if any, on the wetlands and tidal waters cf the town that may result by reason of such proposed operations (use attachments if appropriate): The proDoseG structures will be set back more than 75' from the vegetated tidal wetlands. To minimize any potential impacts of the projectr dry wells will be ~nstalled to contain run-offr an~ a 50' buffer will be maintained adjacent to the wetlano bounGary. PROJECT I.D. NUMBER 61 7.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) SEQR t . APPLICANT/SPONSOR MADEL[NE PISCIOTrA BY I 2. PROJECT NAME I EN-CONSULTANTS, INC. 3. PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK 4. PRECISE LOCATION (Street address and road Interceptor,s. promha~t landmarks, etc.. or provide map) 8554 MAIN BAYVIEW ROAD, SOUTHOLD; SCTM #1000-87-5-23.7 & 23.8 5. IS PROPOSED ACTION: [] New [] Expansion [] Modfficaflon/alteradon 6. DESCRIBE PROJECT BRIEFLY: CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING TO BE RAISED ON PILINGS; DECK; PERVIOUS DRIVEWAY; TWO (2) DRYWELLS; DRINKING WATER WELL; AND SANITARY SYSTEM TO BE PLACED ON APPROXIMATELY 380 CUBIC YARDS OF CLEAN SAND FILL AND CONTAINED WITHIN CONCRETE RETAINING WALLS, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY JOSEPH INGEGNO, DATED MARCH 4, 1998, LAST REVISED DECEMBER 24, 1998. 7. AMOUNT OF LAND AFFECTED: InRialty 1.42 acres Ul~mately 1.42 acres 8. W1LL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? []Yes [] No If No. describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industxia, [] Commercial [] Agriculture [] Park/Forest/Open space [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? 3LC, SCDH DEC PERMIT #1-4738-01955/00001; SCDH #R10-98-0077; COPIES ENCLOSED. []Yes []"O I CERTIFY THAT THE iNFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWI. EDGE Applicant/sponsor name: RO~ T~HERRMANN, COASTAL MGMT SPECIALIST Date: NOV. 27, 2000 Signature: d~' ~1 · If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment NO_I,.E TO AJDJACENT PRO?ERTY OWNER BOD3~ OF TRUSTEESr In -_he matter TOWN OF SOUTMOLD of Madeline Pisciotta sCTM$1000_87-5-23.7 & 23 .8 YOU ARE HEREBY GiV-a/q NOTICE: !. That it is the intention of the ~ndersi~ned to re~uest a ___mit ~~om ~he Board of Trustees to:Construct a two-story, one- family dwelling to be raised on pilings; GecK; perv'lous driveway; two (2) drywells; drinking wster well; and sanitary system to be placed on approximately 380 cubic yards, of clean fill anG contained w~$hin concrete retaining wallsf all as dep.icted on the site plan prepared Dy Joseph Ingegno, dated March 4, 1998. last revised 12/24/98. _~. That the proper-_y whi-~h is the subject Environmental R_v_~ ~=_w is !scared adjacen~ uo your property and is described as follows: 8554 Mazn Bayview Road, Southold 3. That the property which is subject to Environmental Review under Chapters 32,37,or 97 of the Town Code is open to public comment. You may connect the TrusEees Office at 765-1892 or in writing. December 20, 2000 at or abou~ 7 P.M. The above referenced proposal is under review of the Board of Trustees of ~he Town of Southoid and dose no~ reference a_ny other adjacen~ that might have to review same proposal. .OWNERS NA/~: Madeline Pisciotta ~(AILING ADDllESS:906' ~ardiner Drive West Ba~ Shore, N~ 11705 PHONE ~: 516-66~-609b Eno.: Copy oJ sketch or plan showing proposal for your convenience. TEST HOLE DATA 62.59 PROPOSED CONC. Ri PROOF OF MAILING OF NOTICE ATTACH C~RTIFIED MAIL R~C~-IpTS Name: Address: 1~30 Kevin R. Middleton Marie Jones 2393 Union Boulevard, Apt. 3A islip, NY 11751 11 /22 James & Kat~erzne Bitses Lighthouse Road Southold, NY 11971 11//22 County of Suffolk Suffolk County Center Riverhead, NY 11901 STATE OF NEW YORK COUNTY_ OF SUFFOLK doing business En-Consultants, Inc. Robert E. Hmrrmann , ~,~ at 1329 North Sea Road, So,~thamDton. NY 11968 , being duly sworn, deposes and says tha~ on the 22nd day of Noyember , 20Op , deponent mailed a true copy o~ th~ ~%~ce"set forth in the Board of Trustees Application, directed to each of the ~bove named persons at ~he addresses sen opposite there respective names; t. hat t_he addresses se= oDposite the names o~ said persona are the address of said persons as shown on the current assessment roll of t_he Town o~ $outhold; that said Notices were mailed a= t_he United States Post O~fice at Southampton , that ~aid Notices mail.were mailed to each o~ 'said .oersons by~~) Ro]~r~t49..~errmann Sworn to before me ~his ~0.th day of Nov. ember , 20.00 -- ~ Notary Pu~ic Nolmy Puldb,~llt ~ N,.AV y:~ ~ county of Suffolk State of New York EPOSES AND AFFIRMS THAT HE/SHE IS Tkl~ A~P~ICANT FOR T~E ABOVE DESCRIBED PERMIT{S) AND THAT ALL STAT~m~2TTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL woRK WILL BE DONE IN THE MANNER SET FORTH IN 'I'n£S APPLICATION AND AS MAY BE APPRO%~,.D BY THE SO~'£~OLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGPR'~.-~ TO HOLD THE TOWN OF SOUTnOLD AND ~ TOWN TRU$'£~ES HARMLESS AND FREE FROM ANY AND ;~r.?. DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT[S), IF GRA~'-'~. IN COMPLETING THIS APPLICATION, I ~i~S~EB¥ AUTHORIZE THE TRUSTklES, T~.?-Ii~..~.GE!TT(S) OR R~PRESEI~'TATI%'ES(S), 'TO ~F~'n~ OlffO MY PROPEI~TY TO INSPECT THE PP, E~IISES IN CONJUNuT-ON WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS I "~q~ DAY OF ~ jk°~ ~ , ~9 ~P, - LI~A D. GUARIGUA NOTARY PUBLIC, State of New York No. 4899492 Oualffied in Suffolk Countv ~"~/ Commission Expilas Aplil 27,20~'~' ~ard of Trustees Applica~ AUTHORIZATION (where the applicant is not the owner) {print owner of property) {mailing address) do hereby authorize ~ (Agent) Southold Board of Town Trustees on my behalf. Owner' s signature) 7 APPLICANT TRANSACTIONAL UISCLOSURR FORH The Town of Southeld's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert tile bows of possible conflicts of interest and allow it to bake whatever action is necessary to avoid same. YOUR NANKt F / ., . .. 14, (Last name, first Wame, middle initial, unles~ you are applying in the name of someone else or other entity, such as a company. If so, indicate time other person's or company's name.) NATURE OF APPLICATIONs (Check all that apply.) Tax grievance Variance Change of zone Approval of plat , Exemption from plat or official map Other (If "Other," name the activity.) Do you personally (or through your ~ompa.y. npouee, e{blln~. parent, or child) {nave n relatlonslntp witln any officer or employee of tile Town of Soutlnold? 'Relationship" includes by blond, marriage, or business interest. 'Business interest' means a busin~ns, lncludin~ a partnership, in which tile town o[ricer or employee has even a partial ownership or (or employment by) a corporation in which the town o[[icer or employee owns more titan 5% of tile sharen. YES NO ~/ Ir you answered "YES,' complete the balance of this form and ,late and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The parent, A) town officer or employee or his or her spouse, sibling, or child is (check all that apply), the owner of greater than 5% of the shares of the corporate stock of tile applicant (when the applicant is a corporation)l B) the legal or beneficial owner of any interest in a noncorporate'entity (when the applicant is not a corporation)l ~) an officer, director, pa~tner, or ~mpl~yee Of the applicantl or D) tile actual applicant. DESCRIPTION OF RELATIONSHIP U.S. Postal Service CERTIFIED MAIL RECEIPT (DomestIc Mall Only. No InsLlrance Coverage Provided) CJ Total Postage & Fees ru ~ tt~~~~~~K:::7Jj~~~t~(~~~~!;;~:;:~_~@~~5___J~_~i'_____----- Er Street, Apt. No.; or PO Box No Ll _._ lr -,2_~_7u~__U0_'_<i"u_m_73!j/Ct:'-u__LT'L__u~ueu___m_m CJ Clta(e, ZIP+ 4 . I 7 -/ I'- ;,,1. /'oJ,-,,::, 00 <0 rT1 Ul o :r Ul Ul lr o .-'l o o --::HI, Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) $ ,/:- .~-.,-(/ in Q 1" c"y) \\ I Llo Ii). (' ~stmari( ';;'''J Here ~ $ ,;;J.1~ ~~) ~ U.S. Postal ServIce CERTIFIED MAIL RECEIPT (Domestic Mall Only; No Insurance Coverage Provided) I'- o Ul o $ N'- 3~ '-Ii) S'i,-1}.., lei :r Ul Ul lr Postage / / ,- ,9) Postmark Here Certified Fee Return Receipt Fee ~ (Endorsement Required) o RestrictedDeliveryFee o (Endorsement Required) Total Postage & Fees $ oJ. it o ru ru Name (Please Print Clearly) (To be completedby mallerJ.- rT1 _<>!IJm!J'.ful<{'illiftJ!~~umk_iT!~_m _uuu__um_n Street, Apt. No.; or PO Box No. /2 ,!:J_~_ rll'!0!:Lr:::.muu:.~."!:f!__mm_um_m.mu.u__uuu_._m__ Cf~t3.te~-zip~ 117 7 I :1. lr lr o I'- U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mall Only; No Insurance Coverage Provided) :r .-'l Ul o :r Ul Ul lr o .-'l o o IV //n<vJ' ~'-- Postage $ ;:;) Certified Fee CJ 2...( Postmark Return Receipt Fee H,re (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ d.71S o ru ~ Nar ;:e~e Print ~f'Y) (~: i-lt?e~ by mailer) muumuum'/J.mummmuuuuummm_mm_mm_mm_mmmu TI:';f;l~.:'u~~_~:;;O:.ct:'--m{~'2'kt.-u1)e~3-:::::::::- Clt, tate. ZIP.+ 4 C;; , ~ < If ,I) lr lr o I'- . . ANTHONY AND MADELINE PISCIOTTA COREY CREEK, SOUTHOLD Figure 1. Looking southwesl at work .we. Figur/! 2 Looking soulhea.;J al work ,ill!. . . ANTHONY,\"W MADELINE PISCIOTTA COREY CREEK, SOUTUOLD Figure 3. Looking tronheast at work site. Figure 4. Looking north from work sile toward boat ba'-;" north ofsubje<.1 prop"rty. . . ANTHONY AND MADELli'lE PISClOn \ COREY CREEK. SOUTIIOLD , . ~( I L 'I .r. ". t., ~ " 'I Figure 5. Lookin;;,.,,"t""'cst from lIy)rh ,ite t'fll'urd Corcr Cred ami a:li",:cnt tida! w'11aml