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HomeMy WebLinkAboutTR-6136 James F. King, President ~oF sours Town Hall Jill M. Doherty, Vice-President ,`O~ 53095 Route 25 Peggy A. Dickerson P.O. Box 1179 T ~ Southold, New York 11971-0959 Dave Bergen G Q Bob Ghosio, Jr. ~.P` ~ Telephone (631) 766-1592 Fax (631)765-6641 ~y000NT'I,N~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2007 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: LEOBORIO REALTY, LLC 17877 SOUNDVIEW AVE., SOUTHOLD SCTM#51 -1 -4 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., May 16, 2007: WHEREAS, En-Consultants, Inc. on behalf of LEOBORIO REALTY, LLC applied to the Southold Town Trustees for an Amendment to Wetland Permit #6136 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 25, 2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, a • RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #6136 to remove the existing concrete foundation and any other construction disturbance associated with the construction of a new dwelling located beyond Chapter 275 jurisdiction, with the condition of a 25' non-turf buffer adjacent to the crest of the bluff, and aproject-limiting fence and row of staked hay bales erected along the landward limit of the buffer during construction, and as depicted on the site plan prepared by John C. Ehlers last dated June 18, 2007, and, BE IT FUTHER RESOLVED that the Board of Trustees grants aOne-Year Extension to Wetland Permit #6136, as issued on May 18, 2005 and Amended on May 16, 2007. This is not a determination from any other agency. Sincerely, o~ Jame .King, Preside"~'' Board of Trustees JFK:Ims SUR1/EY OF PROPERTY N siTU~TE= SouTHOw TOWN: SOUTHOLD st~o~K couNrr, NY d ~ovrd w E SURVEYED 03-15-200, 04-19-2005, r II-IS-2005, 02-I5-2006, Ob-Ib-2006, 10-03-2006, 10-II-2006, OI-OS-200,, 02-13-200,, 06-18-200, LOrg 4~~~ ~~1•d9 ~ _ _ -5-__ _ _ . SUFFOLK COUNTY TAX # 1000-51-I-4 ~ ~ 1 1 _ i C®tTii~ TO: 6 1 . LaabadoReaUr,iI1.C i ~ ~~'d~i ~ Q~ ~©:vl I P-i~:'..'i Rath Padd g " " "1 - Anaote / Z/ rohaneeJoou PF ' U7 seew.t'nNe Iamnooa camp.oy ~~col^ O Test Hole McDonald Geosclence ~/r 08-26-2005 EL= 61' H 20 a°.e OL stl~ L Pale 1 ~ ML it 3Q slrt 1~" 3.5 w H,o.e ML ~ AO wa ypyp 36' - - - _ a-a.~ 50 Go I Erosion F,„ - - - Hazord Ilne P/L 5W TO r - HP c m bme I'-0.1~1 Devi 6Q e~ . a,,- of ~ ~ - afi ~-rl II s1.625' .~~oP ~ ~ f ~ ' it h ty,(yaF9 bb ~ 1 3 s• eg REAR Ib• crony ' 1 ~ gt~TNb w cLWI ' O 0, 1 «5 REBAR 10' (ver'L7 I $ ~~.LGt ` ~ P \~,K p• DWELUNK~ Wall Detail ~o. e~0°" c I ~ i c ' f'P[Aile VOPW • 6, ~ T 6 1 Dy.~LLIN6 i ' I ~ 48' •3 Dowel ~ 10' I ~ , 1 wen r ~I ~ ~ i 3' jlf l 5M° irjT ~ , 42' ~P. -f1 3~4 ~ ~ H ~ 1 ^ Q Septic and Retaining Wall Design ey O ~ fl z , d c @ ~ z O Joseph Fischetti P.E. N fl ~ sE p .rpt c ~ 6 ~ O o _ - _ _80'_ Yet GLF 9 S Q ~ 3 5P - Pn 9 oX~ELLI~HSU 4. ~ ~ ~ r i ~ e of 111 5 O ~ 30 3 .58 pIn\P / V ~ ~ 3 CAST IRON FRAME6 fl M ~ r NCI 1 ' (O F^ 'l "9sya AN0 coJERS TO 6RA0E cT (0 1~pG / D vn.. ..wy vaa. EL= 62.5' O , ~ fir/ ~;S~J~ ti / `L m,~~ O/ ~ O r,w NMN"Rr fMSfl'G clxMer p / M 6• ~ l . / w•~`i~ ens r ~i ""'°°'Fw lr er +e. , Hell GOY / , / / Z w MH. 3Q0 6.F. r a _ MINIMIM 1000 GALLON N$$$$ 610E ' ~P MONOLITIIIG O~ AREA ' O LP~ P' - SEPtIL TALK o ~JQ~ ~ V PATIO m u~ 3 ~ PATIO O 1 3' MNIMM S~,YtAT10N r ~GmOVS MgMVIOVro 5011 SFAZONAL HIGH 6RQA W !6f / O Septic Detail °fo°'"'°°'°°''^°I°r"' ro~' ca~knll Hl"1 u.on 5one G gavel ry 2 STORY o HOUSE SANITARY CONSTRUCTION NOTES ~ N _ naw of ~ Isys~em the contracotor shall Install steal 3 ~ m FofineGfooelO~ Interlocking sheath along property Ilne ~aNh Z. KQP M~~qq MIGQ Ie In the area of the retain wall k~r to excavation to protect damage to ad)acent~propertl s. ~ Fofinef Iy 5hl^K ~ r 2. During the removal of the unsuitable material / If required the contractor shall use 10 diameter ' "cutting rings" If required to elknlnate cave-In9 x and damage to ad~cent properties. ~00~ 3 After excavation an backfilll 3 y-13°2 ~ °^`0 PI e sand and avel the steel a be removed as required ~ ~ ~ I ~-...0 ~ wel'. 11~ ® 05 hplt fOOdM NOTES ~ 1 ~ r7 1~ ¦ MONUMENT i ~ ; I1 --I i ~ 11 - > I~ 1 N f 1 O PIPE _ ~ rn ! o S 1 , pnt "f PROPERTY LIES IN ZONING DII T ~ 80~ ~ ' 6~0 * J~ ELEVATIONS REFERENCE NG '2 DATUM EXISTING CONCRETE Fg1NDA~ON TO II a-aG~a,e...,., EXISTING SEPTIC TO BE ITH ..nw Tw.. `r~w' ie"ua. GLEAN SAND ACCORDING TO S.G.D.H.S. STANDARDS """'m"~~~°'~ .aR.a a. ,,.a...5 e G..,.a w ~ ° JOHN C. EHLERS LAND SURVEYOR AREA =36,395 SF OR Ob4 ACRES "`°°~~"','~"°'a i~° ~ .aa>.~, 6 EAST MAiN STRSEf N.Y.S. LIC. NO.50202 e...vG NaY G.,a.Yn a GRAPHIC SCALE I"= 50' "'°°1i~^ a'~~-~AeA a"' ~ ~s P- RIVERHEAD, N.Y. 11901 N. ewer n w ul. ropey 369-8288 Fax 369-8287 REF.\ ecru .o.,.-m. a eaa~„a~ ,.~.e. Compaq er~p~os\03~A3-314. i ~ James F. King, President QF ~QV Jill M. Doherty, Vice-President Tye 'Town Hall l~ 53095 Route 25 Peggy A. Dickerson i. P.O. Box 1179 T ~ Southold, New York 11971-0959 Dave Bergen N ~ Bob Ghosio, Jr. x ~ ~O Telephone (631) 765-1892 OI~CQU~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees r Field Inspection/Work session Report Date/Time: 7 I ~ I En-Consultants, Inc. on behalf of LEOBORIO REALTY, LLC requests an Amendment to Permit #6136 to remove the existing concrete foundation and any other construction disturbance associated with the construction of a new dwelling located beyond Chapter 275 jurisdiction, and aOne-Year Extension to Permit #6136, as issued on May 18, 2005. Located: 17877 Soundview Ave., Southold. SCTM#51-1-4 Type of area to be impacted: _Saltwater Wetland -Freshwater Wetland Sound -Bay Distance of proposed work to edge of above: 3 ~ 1 P of Town Code proposed work falls under: ~hapt.275 Chapt. 111 -other Type of Application: ~ Wetland -Coastal Erosion -Amendment Administrative -Emergency-Pre-Submission Violation Info needed: ~ n g r~.r~c.Q C:m~~'~" AJ c i a C~n'~'~ti i,.rrh", ~ol~ ? env ~u.,-h'~ 5 / ~1l 7 . Modifications: ~ I'Y)inin,i~ q~~-~j,~_~~co T° ~~u~ C"lve~ C.k~"~iT/cer wl~,lt bu,ldl~:-,.~f~~r C~..~' ~t~' hntti...A IC~cP ~QS O?l' Sim IGi/la~S n~cSJ Conditions: i/ Present Were~J.King _J.Doherty _P.Dickerson D. Bergen- B. Ghosio, Jr ~jII. Cusack D. Dzenkowski -Mark Terry other Mailed/Faxed to: Date: Environmental Technici Review ~ p u i!C ~ Gt~„~a ~S ~ n'n F Gor S~Mit E(~ohl /I'p rn~yzr ( . ~ /+J - / ~l~cce~r'r"~+e in ~1'~2 -Cttlc~ Gl. 17fd~ ote.~ Y~a» c{.is-h.~~bunca liu{-~y~ l Gud wzv~t o~ 6 1 u-f~ are uC,~- era s 1 cn . Use ati ly, r+~ark non c~:f-Ecutl.ao~ Afto~_ ~°r~4 nn Gkar~~ o~~gUFPO(,~~, ~ o~ Telephone Town Hall (631) 765-1892 ~ 53095 Route 25 O ~ P.O. Box 1179 Southold, New York 11971-0959 ~~l ~ dap! CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed-, May 9 2007, the following recommendation was made: Moved by Peter Young, seconded by James Eckert, it was RESOLVED to SUPPORT the Amendment application of LEOBORIO REALTY, LLC to Amend Permit #6136 to remove the existing concrete foundation and any other construction disturbance associated with the construction of a new dwelling located beyond Chapter 275 jurisdiction. Located: 17877 Soundview Ave., Southold. SCTM#51-1-4 Inspected by: James Eckert, Peter Young The CAC Supports the application with the Condition of a 20' non-turf buffer from the top of the slope. Vote of Council: Ayes: All Motion Carried ~ Town Hall Albert J. Krupeki, President • ~S~ fF~~~ O 53096 Route 25 James King, Vice-President C p.0. Box 1179 Artie Foster x`10 Southold, New York 11971-0969 Ken Poliwoda ~ - Peggy A. Dickerson Z Telephone (631) 766-1892 ~ Fax (831) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN SH AL BE CONS DERED A V OLATION AND POSSEBLEOREVOCATION OF THEO PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1S` day of construction '/z constructed Project complete, compliance inspection. • James F. King, President O~~~F S~UryO Town Hall Jill M. Doherty, Vice-President ~ ~ 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson # ~ Southold, New York 11971-0959 Dave Bergen G Q John Holzapfel ~ i~ Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 2006 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: LEOBORIO REALTY, LLC c/o JOSEPH DISALVO 17877 SOUNDVIEW AVE., SOUTHOLD SCTM#51 -1 -4 Dear Mr. Herrmann: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, March 22, 2006: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit #6136 from Aspsia Israfil & Vivian Lindermayer to Leoborio Realty, LLC c/o Joseph DiSalvo, as issued on May 18, 2005. If you have any questions, please contact our office at (631) 765-1892. Sincerely, o~ Jam F. King President, Board of Trustees JFK:Ims 1319 North Sea Road Southampton, New York 11968 M 631-283-6360 EN-CONSULTANTS, INC. wwwenconsultants.com ENVIRONMENTAL CONSULTING October 24, 2007 James King, Chairman Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 lte: I.eoborio Realty. Wefiaada Permit No. 6136 Dear Mr. King: Pursuant to the Board's requirements discussed during the 16 May 2007 public hearing on the captioned application, please find enclosed (3) copies of a site plan preparod by John C. Ehlers Land Surveyor, 18 June 2007, which has been rovised to depict a 2S-foot nonturf buffer adjacent to the crest of bluff and aproject-limiting fence and row of staked haybales to be erected along the landward limit of this buffer during construction. Should you require any additional information before ffie modified and extended permit can be issued, please let me know. Res ily yours, Robert .Herrmann Coastal Management Specialist L' OC'f 2 6 200? Southold Town 9aard of Trustees OFFICE LOCATION: O~~~F $~(/TyOI MAILING ADDRESS: Town Hall Annex ~ O P.O. Box 1179 54375 State Route 25 l~i * Southold, NY 11971 (aor. Main Rd. & Youngs AveJ y Southold, NY ~ ~ i~ Telephone: 831 786-1958 Faz: 831 766-3138 ~~~OOUNTI N~ LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM - . ~ ;r ~ s I~.. _ To: Jim King, President r Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: May 2, 2007 Re: Request for Wetland Permit for Leoborio Realty, LLC SCTM#51-1-4 LEOBORIO REALTY, LLC requests an Amendment to Permit #6136 to remove the existing concrete foundation and any other construction disturbance associated with the construction of a new dwelling located beyond Chapter 275 jurisdiction. Located: 17877 Soundview Ave., Southold. SCTM#51-1-4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is exempt from review pursuant to Chapter 268-3, Exempt Minor Actions, item AA which states: AA. Removal of a structure greater than 75 Feet from a wetland; [Added 6-6-2006 by L.L. No. 7-2006] Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Albert J. Krupski, Presider ~gVFFO(~CO • Town Hall James King, Vice-President 53095 Route 25 Henry Smith ~ P.O. Box 1179 - Southold, New York 11971-0959 Artie Foster H Ken Poliwoda ~ ~ .1F Telephone (631) 765-1892 'j~Ol ~~pl~ FAx (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT _ ~1~ - i' , APFl 2 5 2001 DATE APRIL 24, 2007 'i - ;nta iw, i..~sc,.~ OWNER LEOBORIO REALTY, LLC PHONE 516-349-8227 ADDRESS C/O 70SEPH DiSALVO, 80 MAIN PARKWAY EAST, PLAINVIEW, NY 11803 AGENT EN-CONSULTANTS, INC. PHONE 631-283-6360 ADDRESS 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 PROPERTY LOCATION 17877 SOUNDVIEW AVENUE, SOUTHOLD TAX MAP NO. 1000-SI-t-4 I/1Ye EN-CONSULTANTS, INC. request an Amendment to Permit # 6136 TO AUTHORIZE THE REMOVAL OF AN EXISTING CONCRETE FOUNDATION AND ANY OTHER CONSTRUCTION DISTURBANCE ASSOCIATED WITH CONSTRUCTION OF A NEW DWELLING LOCATED BEYOND CHAPTER 275 JURISDICTION, ALL AS DEPICTED ON A SURVEY PREPARED JOHN C. EHLERS, LAST DATED 2/13/07. THESE ACTIVITIES WERE PREVIOUSLY EXEMPTED BY A TRUSTEES LETTER OF NON-JURISDICTION DATED MAY 18, 2005. c~'`a ~ signed By: e ROBER RRMANN, COASTAL MGMT. SPECIALIST NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant:LEOBORIO REALTY,LLC scTM#looo- 54-1-14 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board o£ Trustees to: EXTEND & AMEND WETLANDS PERMIT 6136 TO AUTHORIZE THE REMOVAL OF AN EXISTING CONCRETE FOUNDATION AND ANY OTHER CONSTRUCTION DISTURBANCE ASSOCIATED WITH CONSTRUCTION OF A NEW DWELLING LOCATED BEYOND CHAPTER 275 JURISDICTION, ALL AS DEPICTED ON A SURVEY PREPARED JOHN C. EHLERS, LAST DATED 2/13/07. THESE ACTIVITIES WERE PREVIOUSLY EXEMPTED BY A TRUSTEES LETTER OF NON-JURISDICTION DATED MAY 1 S, 2005. 2. That the property which is the subject o£ Environmental Review-is located adjacent to your property and is described as follows: 17877 SOUNDVIEW AVENUE, SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 0£ the Town Code is open to public comment on• MAY 16TH, 2006 Q6:30 P.M. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board o£ Trustees o£ the Town o£ Southold and does not reference any other agency that might have to review same proposal. LEOBORIO REALTY,LLC OWNERS NAME c C/O JOSEPH DiSALVO MAILING ADDRESS: 17$77 SOUNDVIEW AVENUE SOUTHOLD, NY 11971 PHONE 516-349-$227 Enc.: Copy of sketch or plan showing proposal for your convenience. 5 James F. King, President ~~oF souryo Town Hall Jill M. Doherty, Vice-President ~O ~ 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971-0959 Dave Bergen G Bob Ghosio, Jc ~ Telephone (631) 765-1892 OI,yC~~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING11 LL I, `~.d~ v~Et~in , r~t ~ - ~'ovt5~ ~-tn~15 ~ ~ tom[. 1~91~1 ~Pi ~or~Q ~ov-K~u ll~(~~ being duly sworn, depose and say: That on the 1 day of n200 ~ I personally posted the property known as 17fC7'7 Sa.~,..0 v ~r ~ , ~So.,1~..~1,1~ my 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 hearing. Date of hearing noted thereon to be held ort 91 6a.cr 6.30 , Dated: (signature) Sworn to before me this !(o?L day of /~,([y 200' otar ublic Y,'^~H.SIEPNES ST,;~ P;~-~Fu&!:~Slal¢olNenYOA fusmissco No. SO1S371 aaw:umsvoo~c~~ cae~saaE~oas~zy~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: BARBARA JONES & 17665 SOUNDVIEW AVENUE MICHALE McALLISTER SOUTHOLD,NY 11971 GAYLE CRANE & MICHAEL KAPLAN 17815 SOUNDVIEW AVENUE SOUTHOLD, NY 11971 SETH & BARBARA ETCHLER IS LINWOOD DRIVE ROSLYN, NY 11576 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E. HERRMANN d o i n g b u s i n e s s a t -CONSULTANTS, INC 1319 NORTH SEA ROAD SOUTHAMPTON being duly sworn, deposes and says that on the 24th day of APRIL. ,20 07 deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at SOUTHAMPTON that said Notices were mailed to each of said pers s by (certified) ~Y~Ci?~) ma i 1 . ROBERT E.HERRMANN Sworn to before me this 24th COASTAL MANAGEMENT SPECIALIST day of APRIL ,2007 RIIHSIFPIENS ~p.YIYN?lO1SW1 C~WrEpalpl~L~ - Q. ~ . o^ ~ ~ ~ m ~ - p O - Postage s m g u7 ~ Postage $ g O Cedigetl Fee a J 1 p ~ P~ O Cemfled Fee ~ (lam , iJ p Return Receipt Fee V 7 P (EMOrsemeM Requlretl) 0 Here p Retum Receipt Fee 7°* p ~ (EMOreemem Requiretl) t (~t ^en fU Restrictetl Delivery Fee p Restriced De1We a ~ (Endorsement Requiretl) N - ~ ~ (Endorsement Requlred) TofM Postage ~ 1 ~ Sent T° Barbara Jones & Michael McAllister Total Postage p o Sent ° Gayle Crane & Michael Kaplan srreet aotNO.". 17665 Soundview Avenue r - 17816 Soundview Avenue or PO eoz "b. Southold, NY 11971 e~POep~nb. Southold, NY 11971 C/ty, State, ZIP ~ Sbre~ ZIF~ a, r u M1 ~ ~ ~ e e ~i rV e. f1J Postage s • 3y p ceMflea Fee s (n( p 1 ' Aoermark p Realm Receipt Fea (EndorsemeM Required) S i Hued ~ Restricted Delivery Fee ~ ~ _ ~ (Endorsement Required) ~ ~ Total Postage P °p "`T° Seth & Barbara Eichler r" -S`rreer, Apt Nap" 17 Linwood Drive cr PO 6or"°' Rosl n, NY 11576 ay,-srm:aa.: Y . Board of Trustees Appl~tion County of Suffolk State of New York oSe fl. L- ~rSu~~o BEING DULY SWORN DEPOSES AND AFFIl2MS 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/F~R 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 BOARA OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS ANA FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIItTUE OF SAID PERMITS}, IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), Tp ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. _ Signature SWORN TO BEFORE ME THIS S~DAY OF ~CwtYL- ,20 0 6 FRANK A. RACANO NotaryNa 02RA48943N~~ Qualtred in Westchester Courrty~ Otary Public Commission Expires Apri120, 200.J 1319 North Sea Road M Southampton, New York 11968 631-283-6360 EN-CONSULTANTS, INC. www.enconsultants6com ENVIRONMENTAL CONSULTANTS TO WHOM IT MAl' CONCERN: This letter will authorize En-Consultants, Inc. to represent me and act on my behalf with regard to environmental matters and/or permits. 'ignature Prin Signature Print Dated: fo • ~ i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM T w f t ld od of hi orohibi nfli rs of int ~ on th o rt of town officers and emnlovees The nuroose of rhr form r to provide information ~~hich c_ alert the town of oe~mble ~~nflrets of interest and allow rt to take whatever acnon is necessary to avoid same. / n~, ' YOUR NAME: l/` e O O ~ /°~e ~ ~ t^~l1 , (Last name, first name, middle initial, unless you are appl 'gin the name of someone else or other entity, ouch as a company. If so, ihdicate the other person's or company's name) NAME OF APPLICATION: (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 company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relatlonship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5°/. of the shares. YES NO If you answered "YE", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicanNagent/representative) and the town °fficer or employee. Either check the appropriate line A) through D) and/or describe in the apace provided. The town officer or employee or his or hw spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 5°/. of the theca oCthe wrponte stock of the applicant (when the applicant is a wrporation); __B) the legal or beneficial owner of any interest in anon-corporate entity (when the applicant is not a corporation); _C) an officer, director, partner, or employee of the applicant or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP c_ 200 ~ Submitted this J y o Sigrtaturc ~ ~ S/y 1_v~ Print Name ~ • • 1319 North Sea Road Southampton, New York 11968 M 631-283-6360 EN-CONSULTANTS, INC. wwwenconsultantsco3m ENVIRONMENTAL CONSULTING ~ f ~ ~I j ~ ' ~-2~ ~ Apri123, 2007 ~.1 I Mark Terry, LWRP Coordinator I ~ i,! Planning Board Town of Southold P.O. Box 1179 suu4hald ~o~~'. Southold, NY 11971 eosre 1r~stFr~ _ Re: Leoborio Realty, LLC,17877 Soundview Avenue, Southold Deaz Mr. Terry: Attached please find an LWRP Consistency Assessment Form, which is being submitted in association with an application to the Board of Trustees for a Town Wetlands Permit to remove an existing concrete foundation located less than 100 feet from a bluff (and therefore within the Trustees' jurisdiction pursuant to §275-3(C)(5)) but more than 75 feet from the tidal waters and wetlands of Long Island Sound. Therefore, I have indicated that all policies are "Not Applicable" because pursuant to Town Code §268-5(A) and the corresponding definitions of "action" and "minor action" by §286-3, the submission of a LWRP Consistency Assessment Form is not required for this project, as the proposed work entails the "removal of a structure greater than 75 feet from a wetland." Resp tfully yours, Robert E. Herrmann Coastal Management Specialist cc: Lauren Standish, Boazd of Trustees Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I , All applicants for pennits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si pig ficant beneficial and adverse effects upon the coastal area (which includes all of Southold Townl. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both suoportins: and non- supaortin¢ facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places. online at the, Town of Sou~old's website (southoldtown,northfork.net), the Board of Trustees Officer t~eplatt~Iing Departntan a~l local libraries and the Town Clerk's office. t _ B. DESCRIPTION OF SITE AND PROPOSED ACTION i 2''~7 SCTM# sl - 1 _ a _ outholA lug}"~ PROJECT NAME LEOSORIO REALTY, LLC ;^2,r T'astr. < The Application has been submitted to (check appropriate response): Town Board ? Planning Board ? Building Dept. ? Board of Trustees 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: EXTEND & AMEND WETLANDS PERMIT 6136 TO AUTHORIZE THE REMOVAL OF AN EXISTING CONCRETE FOUNDATION AND ANY OTHER CONSTRUCTION DISTURBANCE ASSOCIATED WITH CONSTRUCTION OF A NEW DWELLING LOCATED BEYOND CHAPTER 275 JURISDICTION, ALL AS DEPICTED ON A SURVEY PREPARED JOHN C. EHLERS, LAST DATED 2/13(07. THESE ACTMTIES WERE PREVIOUSLY EXEMPTED BY A TRUSTEES LETTER OF NON-JURISDICTION DATED MAY 18, 2005 • • Location of action: 17877 SOUNDVIEW AVENUE, SOUTHOLD Site acreage: 0.84 ACRES Present land use: RESIDENTIAL Present zoning classification:R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: LEOBORIO REALTY, LLC (b) Mailing address: C/O JOSEPH DiSALVO 80 MAIN PARKWAY EAST, PLAINVIEW, NY 11803 (c) Telephone number: Area Code 516-349-8227 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ? No ® 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 wilt 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 infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWIiP Section III -Policies; Page 2 for evaluation criteria. ?Yes ? No ®NotApplicable Attach additional 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 ®Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III -Policies Pages 6 through 7 for evaluation criteria ? Yes ? No ®Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III -Policies Pages 8 through 16 for evaluation criteria ? Yes ? No ®Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ? Yes ? No ®Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III -Policies; Pages 22 through 32 for evaluation criteria. ? Yes ? No ®Not Applicable • Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria ? Yes ? No ® Not Applicable Attach additional sheets 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 evaluation criteria. ? Yes ? No ®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. ? Yes ? No ® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's~er-de endent uses and promote si~ of new water-deQendent uses in suitable locations. See LWRP Section III -Policies; Pages 47 through 56666 for evaluation criteria. ? Yes ? No ®Not Applicable Attach additional sheets if necessary 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 necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III _ Policies; Pages 62 through 65 for evaluation criteria. ? Yes ? No ®Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III -Policies; Pages 65 through 68 for evaluation criteria. ? Yes ? No ® Not Applicable PREPARED BY TITLECOASTALMGMTSPECIALIST DATEAPtuLU,zaai Amended on 8/1/05 • ~ 1319 North Sea Road Southampton, New York 11968 631-283-6360 EN-CONSULTANTS, INC. wwwenconsultan ~ m ENVIRONMENTAL CONSULTING Aptil 24, 2007 RF.O iL:RT FOR AN PERMIT FXTF.NCiON ~ AMF.NDMF.NT Town of Southold Board of Trustees D ~ ~ ~ Post Office Box 1179 L Southold, New York 11971 Attn.: Lauren Standish APA 2 5 ; lte: Permit #6136 17877 Soundview Avnenue, Southold SostMy lovrn " SCTM#1000-51-1-4 ~ BoarddTrsstees Dear Ms. Standish: Please accept this letter end enclosures as a request to extend and amend the above referenced permit as detailed in the attached application. Enclosed for yow review are: 1. "three (3) Request for an Amendment Applications, (including Notice and Proof of Mailing to adjacent owners). Z. Three (3) LWRP Consistency Assessment Forms. 3. Three (3) copies of Authorization & Disclosure Forms. ~ 4. Three (3) copies of survey. 5. One (1) sd of site photographs. L 6. Application fee of S 100.00 (extension $50.00; wetlands anrendnrent $511.00). I trust this information shall allow you to process ow permit request. Should any additional information be required, please do not hesitate to contact ow office. Sin ly, . Herrmann Coastal Management Specialist /khs Enc. t' - 4.. 1 e*, A 1319 North Sea Road ` w. Southampton, New York 11968 631-283~Bfi EN-CONSULTANTS, INC. wwwe ~ ~'~r~~ ENVIRONMENTAL CONSULTING March 14, 2006 Town of Southold Board of Tmstees Post Office Box 1179 MAR 1 6 2006 Southold, New York 11971 Attn.: Lauren Standish i Re: Permit #6136 i 17877 Soundview Avenue, Southold - Dear Board of Trustees: The above referenced permit was issued to Aspsia Israfil & Vivian Lindermeyer on May 18, 2005. As the property has been sold, please accept this letter as a request to transfer the permit to the new owner of record, Leoborio Realty, LLC whose address is do Joseph DiSalvo, Managing Member, 80 Main Parkway East, Plainview, NY 11803. Enclosed are a Lef~gc , of Assignment signed~by the prior owners, a copy of the permit and transfer fee of _ w~~ s~ ~ Thank you in advance for your attention to this matter. ~ ' ' x y ~ ~ 5 ¢~ki~il 9~ ~ i, jr~sy Smc 1 , ~~`~s f{ , it ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I I x ~ i ~ ~ sgy : d 'fir ~~a ~ y ~ Date 3~~blo~ 04346. F RecelvedFrom 'C~% /~+-t a 8 N ¢ 8 ~ Address F ~ ~ Dollars $ ~H `i 4 Fad For } Y.O '~i o # Gp¢~i~f9i ~ . . 1 m RD AccorvT cASN U m AMT. PAID CHECK BALANCE MONEY OKOEB? DUE CFEOR CAflO _ ~ ~i YF+ iY ASSIGNMENT The undersigned hereby assigns all of the right, title and interest in and to Town of Southold Trustees applications and permits of Vivian Lindermayer and Aspasia Israfil for the property known as 17877 Soundview Avenue, Southold, NY 11971 bearing SCTM # 1000-51-1- 4 to Leoborio Realty LLC. Dated: February 16, 2006 Vivian Lindermayer ?.spa~afil Albert J. Krupski, President • • Town Hall James King, Vice-President o~~gUFFO(~-c 53095 Route 25 Artie Foster ,Z, P.O. Box 1179 Ken Poliwoda ~ J~ Southold, New Pork 11971-0959 Peg~~ A. Dickerson N Z Telephone 1631) 765-1892 ~ Fax 1631) 765-1366 col ~ Sao BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15t day of construction '/z constructed ~ Project complete, compliance inspection. Board Of Southold Town Trustees SOUTHOLD, NEW YORK ,'i A _ Ma 1.£;'...2005 PERMIT NO.. ~O.I 3~o DATE:...._ y ~ ISSUED TO ....._........,ASPS_IA "ISRAFIL & VIVIAN LINDERMAYER ~ ,fix#l~u~rt~~#inn r~ Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Lews of the ` State of New York 1952; and the Southold Town Ordinance en- w ~ , " titled ."REGULATING AND THE PLACING OF OBSTRUCIkOtJS IN AND ON TOWN WATERS AND PUBLIC LANDS end-the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS.F$OM LANDS UNDER TOWN WATERS;". and in accordance with the ' Resolution of The Board adopted at a meeting held on May 18, 2005 and in cons~deretion of the sum of _...._50.00 . ' S 2 _ paid by ~ Aspsia Israfil & Vivian Lindermayer ~j ~ of ._........Southold _ N. Y. and. subject to the _ Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: s' ~ Wetland Permit to construct a set of 4'X129' stairs and platforms from the top of the bluff to the beach, rind as depicted on the plan prepared by En-Consultants, Inc. _ dated April 21, 2005. all in accordance with the detailed specifications as presented in -the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be sulisen'bed by a majority of the said Board as of this data. . o~50FF01,~-~ z ~ ~ ~ Peggy Dickerson ~ ~ ~ - ~.~v~Q _ _ Artie Foster. (absent t+ Trrrt~eet - 3" -E'- - t' i , r ~w I TERMS end CONDRIONS petmitite Aspsia Israfil & Vivian Lindermayer 17877 Soundview Ave., Southold N. Yy~as essidiag u . _ _ dart of the eonsideradon for the Issuaece of the Pemtit does ttpderstaod and pn~seribe w the fol= t. Thu the aid Hoard of Trusters and the Town of Southold ate released from any and all damages, oc halms for damages, of suits adstag. disecdy a indirectly as a tYStslt of any open atloa pedotmrd putwtant ~_thit peemiy woe] the pid 1'gmitae wlll,, at bh tx hec owes m¢wtsq tkEead any and au suds sulls'inidated by third ~atdes, and the aid-lPetmitue assumes full ~y ~vlth eespea thereto. M the-~amptete esdusioa of the Board of Tntstees of the Totva of Southold _ _ 2 That this Perd»c is slid for a period of 24 ~ cos. wWdt fs d0'tuidabd to be the t~dmated time required m complete the wodc iavolvtd, but ihonld dteusustances warrant, request for an eauyuion may be made to the Hoard at a later date. 3. That this Permit :hatld be retained indefinEtrly, or as long at the aid Permittee vvisha , m maintain the stmaure or project involved, to provide evidmoe m aayooe eontttned thu atah- cakadoa was originally obtained. ~ That the wodc involved will be subject to the iospectiaa cad approval of the Board or its agena, cad noa~ompliaaoe with the provisioes of rho otlginadng applicadoa, msy be cause for tevondon of this Permit by resoludoc of the aid Board. 5. Thu there will be no uareasoaable lnterEeteaa with mviguioa as a result of the wade 6etda atidrotized. 6. Thu there shaLL 6e ao interference with the right of the publk to pass and repass along ' i. the beady between high cad low water marks. 7. That if future operations of the Town of Southold regnia the srmoval aad/oc altetatieot is the locadoa o[ for wodc fierela aathtuired, or B, is the opiaioa of the Boats of Tmstees, the. wodc shall ease nnreasooahle obsttvatoa to free naviguien, dse aid Poemitta will be tequieed, . ttpoa tiue nodoe, to remove or alto this wotlc or prnje« haeln stand widsout escpema to the Town' of Sottdwld . i 8. Thaz the said Board will be aod(Ied by the Permlaee of the eompletioa. of the waric oath- i odaed. - 9. That the Pertnittee will atxala aLL other permits a~ ooaseat: that mry Fx required attp• elemental m this permit which may be abject to trwoke upon faihtre ro obnia same. • - r . , Albert J. Krupski, President ~~OF SOUTyO~ Toam Hall James King, Vice-President ,~O l~ 53095 Route 25 Artie Foster .1/. .IL P.O. Box 1179 T T Southold, New York 11971-0959 Ken Poliwoda Peggy A. Dickerson G ~ O t ' i~ ~ 'Celephone ~ 631 i 765-1892 ~l,`COU~ ~ Fax i 631 i 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 18, 2005 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: ASPSIA ISRAFIL &VIVIAN LINDERMAYER 17877 SOUNDVIEW AVE., SOUTHOLD SCTM#51 -1 -4 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wed., May 18, 2005 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of ASPSIA ISRAFIL &VIVIAN LINDERMAYER applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 25, 2005 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 May 18, 2005, 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, I 2 • • 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 wrill not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ASPSIA ISRAFIL & VIVIAN LINDERMAYER to construct a set of 4'X 129' stairs and platforms from the top of the bluff to the beach, and as depicted on the plan prepared by En-Consultants, Inc. dated April 21, 2005. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, ~ Albert J. Krupski, Jr., President Board of Trustees AJK/Ims I Albert J. Krupski, President v~Of soUTyo Towm Hall James King, Vice-President ,~O l~ 53095 Route 25 Artie Foster ~ ~ P.O. Box 1179 Ken Poliwoda Southold, New York 11971-0959 Peggy A. Dickerson • O ~ Telephonei631i765-1592 ~I,fCOU~~,¢ Fax i 631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 18, 2005 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: ASPSIA ISRAFIL & VIVIAN LINDERMAYER 17877 SOUNDVIEW AVE., SOUTHOLD SCTM#51 -1 -4 Dear Mr. Herrmann: The Southold Town Board of Trustees reviewed the survey prepared by John C. Ehlers last dated April 19, 2005 and determined the removal of an existing concrete foundation and construction of asingle-family dwelling to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Towri Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 25' landward from the top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 97 and/or Chapter 37 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. I z However, any activity within 100' of a Wetland line or seaward of the, Coastal Erosion Hazard Area would require permits from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. Krupski, Jr., President Board of Trustees AJK:Ims I • o~~gOFFO( • ~ OG ' Telephone ~ y~ ~ Town Hall (631)765-1892 W ~ ~ 53095 Roure 25 O • yC~, P.O. Box 1179 'f~Ol 1J Southold, New York 11971-0959 CONSERVATION AD~'ISORF COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Counc~~l held Tues., May 10, 2005, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the Wetland Permit application of ASPSIA ISRAFIL & VIVIAN LINDERMAYER to construct a set of 4'X 129' stairs and platforms rrom the top of bluff to beach. Located: 17877 Soundview Ave., Southold. SCTM#51-1-4 The CAC recommends Approval of the application with the Condition no treated lumber is used, a 20' non-turf buffer is installed at the top of the bluff, a re-vegetation plan is submitted for the seaward side of the dwelling, and the landings on the proposed stairs are consistent with the Code. Vote of Council: Ayes: All Motion Carried I • ASPASIA ISRAFIL AND VIVIAN LINDERMAYER, LONG ISLAND SOUND, SOUTHOLD ~ d 1 t ~ ~ ~ r 0 f p ,yes ~ ~ ~ 1 Vie. Figure 1. Looking north from crest of bluff down bluff face and at shoreline of Long Island Sound • ~ y ~ 1 ~ ~ ¢ 9 3 _ ~ ,1 g ~ t ,5 ` *i, ~ i ` pv ` ~ ~ F ~~~3 3 t~ w.c' ~ ~~~'r'i ~ .s~~ '~~a L ap~g~i clli ._1 ~ b ~ ~ ~ , 1 w ~ r f l ~ _ ! ,a ,t r~~ t i; d .3 t rd d ~ s6~ ~ :emu - `~._YY+P.'~e~tt..-.-:d~.~~x.:o. ~t~r.` t.~ 6 Y . 4 ~ 9 yob ~ ~~^~'~Y.L'S T+.N.~G y~ lJ.. - ~7. ~ ~ ~ ya F Figure Loukrngp rioriit en~er cre.~t of tilrrfjr~rrrf location of proposes! stuirg. • ASPASIA ISRAFIL AND VIVIAN LINDERMAYER LONG ISLAND SOUND SOUTHOLD -..r ?.~1 F ~ l4 yr ' ~l n i l f ~ ~ ~ - ~'}I^ I is ~6 ~'Cr ~ * ~ qtr ~ t ~ ~ 4 J,'~Iy ~ A ~ T 'YY' Y ~ ~ y~ r ~ , rr ~ `~5 d ,7,' n ~ ~ ~~y~ : - ''k. ' .'fit ~d~ r~ ~ ~~r'~ d nom, ~ ~'1~~~€"~~~ y i^ ~ .GR 1~ ~ ~ ~kF1-s~ ~ rs~,,~~,~, a rc ;~i a "L+~ 'i'~y'p'~+y ~ ' a c n ~f rv, ~TAS a '=s^ ~',~t:` it' -:~F~ ~'~ir4{~y.,;..,~q,,a :G YN ~ eq~'~T~^~^e 1yX s, . °°+~T > u+~ jrt iE~ l ~ ~3a~ ~ ~~r ~k ~ y Y+ y a `y .3 i~yj~ P P ~ L 6F l~ - r~3a y ~ I~l.i~ Cl YR~ ~ % ~ 1,-r.7 .tt~r~~~{~ ~e ' ~ ~,y ~'+(~Ylyfj~aS °~J ~ ~'~l ~ c~~r~ ~ t~~'' 9~~°+i s,~.-~~ 3C ~'y 5 4c ~ ~A~~ J. t.~ ~ __'K3 ~~H.~ 3f~ ~ Yr - i~ ~ ~ 'fi d /i ~ ~ ura y~~~~~ ~~".i.'+T ~ ~ ~,d'iK y~~~+.s~ `r ''ry ~C ,i ~ T,,Y`,1~ 's`-'~*y -~1 .-~,r ~~.E p.~, ~ ~~,{~r~.a~~ 1 ry „~~¢r` x x>~ ~v ~ ~ ~v `~Y~ ~ :mow ~ r~~~~ c ~ ~ Figure 3. Looking south from crest of bluff over existing fow:lotion to be removed and toward site of proposed dwelling and associated developments. I ,J ~ 111 r ~ . j.. ~~i .~~~~%1""_" lJ~y .T t` ~a,~.y+ ~ ^.ez4. y1 '!!r q.s - l ~ Si~ L` rah, ~ y-,~,"'~' ~ t.,.y y~, " 3~~-'~"~~t ~ ~ y f., ~ rN. JJ t` y~. - _ ~ Figure 4. Looking north from location of proposed lwelling towarl crest of bluff ~anl over existing foundation to be removed ~ - Y ~ \ _ _ \ ' c S f ~ i - f ~ ' a . i '`,i j~ - ' ~ 2 i ~ ~ , j i ~ ~ \ ~ _ ~d_~ f ~ ~ - - - ~ \ -,1 ~ -v _ - 3 1 ~ , ~r s, g i I i i II _ _ a I I ~f -F i , ~ ~ 7- sl F + igr q - l _ - - i i 1, 'I I O ' ~ - Ir I 1~\ , ~~~I C ~i \ \ ~ g ~ \ < a ~ _ J J , ' I I - ~ffdk Nagztran Map 28 _ _ . _ I' a 3000' ~I ;Ire c ~x vIA - 'I _ - ' ' Ir.'o: ! c n P~ ~ 5116.~Gi PkOPEKiY) : ~ ~ so p : ~r D~ o, C ~\5+ ~ W ~ 1~ Ci ' ~C~ I 4 ~ ':S, m m/I pq FNSY O~<. L ° - ~ ~ ~~G" J c , ~ ~ I= /'i } I _ _ _ ~ I C__oe_stal Erosion J ?1 ~I I ~LwaR Hazard line a~OI~~I~OJ ]O IV,MOl j - - I i ~l ~dp6~ ~ t9~ I 't-c _ li nWEILING j _ ~Y '151` E*' FN"~°~~{q~+~ I ~ _ nWELLM it i rw q S 9eP i _ ~ 1~ _l - ~ ~ .-I~ ry III it r~28, ~ - - :rr~ 8 ~ z w 4 ~ ~E~ .}yo 43~ A gmgr ~ r ~ ~ ~ o ~ £ Ili m Z _ ~ ` ~ I and P„n, sNEO ~ I EN-CONSULTANTS INC. ~ ~ ~ I man 1319 NORTH SEA RD. MIS^Z fl, r ~I SOUTHAMPTON, N.Y. 11968 iN 631-283-6360 ;s N I~ 2 p i m Notes: o LO..ro'i - pgnO - I Purgose~ Pedestrian xcezs to beach 2. 17atum: ALW 3. P11 timber to be CCA-treated z sroav ~i q, Stairs to be cornhruc{ed at a mlmmum HOUSE ~I,II N elevation of 2 feet 2bo+e c{ade N ------J i 81i 5. Protect IaaGoN: 17877 ;rourldview Avenue. 8 ~ 5cvthdd, SCfM No. 1000-51-I-4 I f'~Ot'05~D 13LU~~ 51'AI~S ~Op ASf'A51A _..II! 15t?A~II. AND VIVIAN LINr7~pMAY~t? ON 'I _ I,-1__- LONG 151.AND SOUND, SOUTNOLD, - SU~~OLK COUN11', NSW YOpK 5NE~1" 10~ 2 21 / 05 - l vl~l' ~:I 'j t ~ . i I i L ~ i ` 1 I r ~ Y. l _I L. r 1 . ° - EN-CONSULTANTS INC. ICI 1319 NORTH SEA RD. ~I - ~ SQUTHAMPTON, N.Y.11968 ff 631-283-6360 I r t i ~ pt;Op05~t7 f31.U~~ STAIt?5 ~0~ A5pA51A 15~A~11. 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CY~.I~~~ Q~S '~ll'al V 1 S Cl~~~ A~ . ~ 1®lrl®1 53210V bB O 210 35 SbE'95 = `d32f V Q3/~OW3?N 39 Ol NOIl`daNnOd 3132~ON00 9NIlSIX3 WnlF/Q bL, Q/~9N 30N32J33321 SNOIlH/~3~3 ~ OQ - b 10 R~1SIQ 9NINOZ NI 531 J.l?J3d0?d ~J~ / 3dld 0 fill t 00~ 1N3wnNOW ¦ - , , -1 S u f ~ - ~ . - ,,.ooo a~ ,o\.~,o~~zo~~5 T _ 1. 3 O m O. m y N ~ 1 ~~i , O ~ 1~ i 1 d ~ 0 ~ ~ ~ m 1 i Q_ ~ C' aZ m g , o s ~~s _ ~ s. ~ ~ - - r,_ r~ ° s I - °T-_°~-~-~ = i _o - - ~ 'r_ r u0, _ e~ao~a ~ _ - Q°~o~ ~ l ` . , ~ , n c ~ I,•~ ~ O ~ 11 ~ _ I _ - ~ _ - - ~e ~ b~ , _ 1 a ~ r 3 ~ 3t - ~ - r _ 1 'c _ i' , 4 W/ i i i / - / - _ _ _ ~ L _ a - - __O~+ - _ - ~ - g r ~ ~ ~ , - c~ . , - . ~ _ 1 L " 4- ~ - - ~ K \o e~~~ / ~O~ V-I-IS-0001 rwM" W`6 ~ # xdl ,~1Nno~ ~~o~~n5 S `~t~t ~~`p~~\ _ SOOZ-bl-b0 "SOOZ-SI-SO 43J.3/~2~n5 I i - ~ ~ \ nn _ _ ~~0~ _ J.N 'Jl1.Nn0'~ ~10~~n5 a10H1n05 'NMOl a-to+~.nos °~~druis N - - ,~.l~~do~d ~o ,~~~ns i - Albert J. Krupski. Presid O$uff~(~-C ~ ibwn Hall lames King, Vice-Preside filly 53095 Roue 25 ~ P.O. Box l 179 Henry Smi[h ~ ~ Soo.thold, New York 11971-0959 Artie Foster y ~ _ Ken Poliwoda Oy ~ Telephone (631) 765-189? ~Ol ~a0 Fex (631) 765-1366 ~c BOARD OF TOWN TRUSTEES TOl4'N OF SOUTHOLD Office Use Only -Coastal Erosion Permit Application ? Welland Permit Application _ Major Minor W aiver/Amendment/Changes Received Applicatiot~n: , ReceivedFee:$ p2~v ~ =Completed Application ~ r - _ L~ -Incomplete ~ p_, ~ SEQRA Classification: ~r-~ Type IType II Unlisted _Coordination:(date sentt1),, SAC Referral Sent. ~h~~ DS I ,~a[e of Inspection: ~ 1 ~ V S t---- ~ Receipt of CAC Report: - --f- Lead Agency Determination: -Technical Review: ,Pttblic Hearing Held:_) ~O Resolution: Name of ApplicantASPSIA ISRAF[L & VIVIAN LINDERMAYER Address 70-18 FLEET STREET, FOREST H[LLS, NY 11375 Phone Ntunber:7l8-263-3339 Suffolk County Tax Map Number: 1000 - ~1-1-~ Property Location: 17877 SOUNDV[EW AVENUE, SOUTHOLD (provide LILCO Pole distance [o cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) ~C~~' ~p Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 ~d1'~a1 Phone: 631-283-6360 - • Board of Trustees Appli~ion GENERAL DATA Land Area (in square feet): 36,395 Area Zoning: R-40 Previous use of property: RESIDENTIAL. Intended use of property: NO CHANGE. 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 governmendal agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): CONSTRUCT A SET OF 4' X l29' STAIRS AND PLATFORMS FROM TOP OF BLUFF TO BEACH. DETERMINATION OF NON-JURISDICTION [S ALSO REQUESTED PURSUANT 1C0 SECTION 97-12(cx5) FOR THE REMOVAL OF AN EXISTING CONCRETE FOUNDATION AND THE CONSTRUCTION OF A ONE-FAMILY DWELLING AND ASSOCIATED IMPROVEMENTS, ALL OF WHICH ARE LOCATED MORE THAN l00 FEET FROM TIDAL WETLANDS, ALL AS DEPICTED ON THE PROJECT PLAN PREPARED BY EN-CONSULTANTS, INC. DATED APRIL 21, 2005, AND THE SITE PLAN PREPARED BY JOHN C. EHLERS, L.S., DATED APRIL l9, 2005 - • Board of Trustees Hppli~ion WETLAND/TRUSTEE LANDS APPLICATION DELTA Purpose of the proposed operations: PEDESTRIAN ACCESS TO BEACH. Area of wetlands on lot: 0 -square feet Percent coverage of lot: 0 Closest distance between nearest existing structure and upland edge of wetlands: >100 feet Closest distance between nearest proposed structure and upland edge of wetlands: ~-%-60 feet (STAIRS) Does the project involve excavation or filling? K No Yes If yes, how much material will be excavated? 1`1/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N,~A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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): THE PROJECT ENTAILS THE ROUTINE CONSTRUCTION OF A PEDESTRIAN STA[RWAY THAT W[LL PROVIDE ACCESS FROM THE OWNER'S UPLAND TO THE ADJACENT BEACHFRONT. THERE ARE NO VEGETATED TIDAL WETLANDS ON -SITE, AND THE PROJECIf WILL IN NO WAY AFFECT THE TIDAL WATERS OF LONG ISLAND SOUND. - t4-16-4 (2/B71-Tezl t2 PROJECT I.D. NUMBER 677.2 SEQR 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) 7 APPLICANT/SPONSOR' ASPASL4 ISRAFIL K(. VIVIAN 2. PROJECT NAME LINDERMAYER BY EN-CONSIq,T.4NTS. INC. 3 PROJECT LOCATION: Municipality SOUTHOLD county SUFFOLK 4 PRECISE LOCATION (Street atltlrass antl roatl intersections. prominent landmarks, etc, or provide map) 17877 SOUNDVIEW AVENUE, TOWN OF SOUTHOLD, SCTM N1000-SI-I-4; MAP PROVIDED. 5. IS PROPOSED ACTION ® New ? Expansion ? ModiTicstion/alteration 6 DESCRIBE PROJECT BRIEFLY' CONSTRUCT A SET OF a' X 129' STAIRS AND PLATFORMS FROM TOP OF BLUFF TO BEACH. DETERMINATION OF NON-JURISDICTION [S ALSO REQUESTED PURSUANT TO SECTION 97-12(c)(?) FOR THE REMOVAL OF AN EXISTING CONCRETE FOUNDATION AND THE CONSTRUCTION OF AONE-FAMILY DWELLING A1ND ASSOCIATED IMPROVEMENTS, ALL OF WHICH ARE LOCATED MORE THAN 100 FEET FROM TIDAL VJETLANDS, ALL AS DEPICTED ON THE PROJECT PLAN PREPARED BY EN-CONSULTANTS, INC. DATED APRIL 21, 2005, AND THE SITE PLAN PREPARED BY JOHN C. EHLERS, L.S., DATED APRIL 19, 2001 7. AMOUNT OF LAND AFFECTED IniUany 36,391 SQ. FT. acres URimatery 36,39] SQ. FT. acres 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTION57 ®`!es ? No If No, describe brieFly 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT> ®Residentiel ?Intlus[rial ?COmmerCidl ?AgriCUlture ?Park Forest/Open space ?Other Describe: lU. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNd NG, NOW OR ULTIMATELY FROM ANY OTHER GOVI=RNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)n ® Yes ? No If yes. list agency(s) antl permiVapprovals NYSDEC 11 DOES ANV ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ?Ves ®No If yes, list agency name and permiVepproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ?Yes ®No 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF M'V KNOWLEDGE ApplicanVSponsor name ROB T E. HERRMANN, COASTAL MANAGEMENT SPECIALIST DATE APRIL 21, 2005 Signature. If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD in the matter of applicant:ASPASEAISRAFIL&V[V[ANLINDEItMAYER SCTM#1000- SI-I-4 YOU ARE HEREBY GIVEN NOTICE: 1. That it is- the intention of the undersigned to request a Permit from the Board o£ Trustees to: CONSTRUCT A SET OF 4' X l29' STAIRS AND PLATFORMS FROM TOP OF BLUFF' TO BEACH. DETERMINATION OF NON-JURISDICTION [S ALSO REQUESTED PURSUANT TO SECTION 97-12(c)(5) FOR THE REMOVAL OF AN EXESTING CONCRETE FOUNDATION AND THE CONSTRUCTION OF AONE-FAMILY DWELLING AND ASSOCIATED IMPROVEMENTS, ALL OF WHICH ARE LOCATED MORE THAN I00 FEET FROM TIDAL WETLANDS, ALL AS DEPICTED ON THE PROJECT PLAN PREPARED BY EN-CONSULTANTS, INC. DATED APRIL 2l, 2005, AND THE SITE PLAN PREPARED BY IOHN C. EHLERS, L.S., DATED APRIL l9, 2005 2. That the property whi c_h is the subject of Environmental keview-is located adjacent to your property and is described as follows: 17877 SOUNDVIF,W AVENUE, SOUTHOLD That the project which is subject to Environmental ReviEEw under Chapters 32, 37, or 97 of the Town Code is open to public comment on:~Y ISTH,2005 @.7:OOpm You may contact the Trustees Office at 765-189'L or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. ASPASIq ISRAF[L & owNERS NAME: VIVIANLINDERMAYER ~~AILrNG ao~Ress: 70-18 FLEET STREET FOREST HILLS, NY 11375 PHONE # : 718-263-3339 Enc.: Copy of sketch or plan showing proposal for your convenience_ 5 ~ U.S. Postal Services., m CERTIFIED MAILr„ RECEIPT - r` (Domestic Mail Only; No Insurance Coverage Provided) m ~ , p sf itliHn~ i~ o - 968 ~ ~ Post e $ - ~ UtdIL ID: G968 ru ~ ..y p Gedified Fee I " p /PnvMah p Retum Redapt Fee yr / Rere (Entlorsemant Requiretl) V~ / ~ Rasiricteo Delivery Fea ~ ~i' ( .f ~ FF~~FG (Endorsement Fequrtetl) ' m a ~ m r:. n-~.nF o of To Gayle Crane ° _ Micah Kaplan Sirerii. npt. , e, POegrn 17815 Soundview Avenue scats. ~ Southold, NY 1(971 U.S. Postal Service,,., ¦ CERTIFIED MAIL.r., RECEIPT r (Domestic Mail Only; No Insurance Coverage Provided) r m Iv - ° ~ Posses a G.37 Uy17 1'6~.!J9G8 n~ p Cerlifled Fee ° ~~-A O Retum Reciept Fae %//q~", (Endorsement Requiretl) 1.75 Her (T ° ResVltted Delivery Fee m (Entlomemam Raqulred) Cle ~ kFU7 ~l b R Fenc Q ~t v 4L G- Total Postep° ~1 o senrrq Bazbaza Jones & - ° Michael McAllister I` So-eei, ilaEn o<PO~,m, 17665 Soundview Avenue ~ Southold, NY 11971 - J U.S. Postal Service CERTIFIED MAIL,.:. RECEIPT r` (Domestic Mail Only; No Insurance Coverage Provided) w fU ° N Poetaea $ G.37 IT I ~ T p cemnaaFaa p'(~ S, p Realm Reclepl Fee ^ ~ Poe (Endorsement Required) t.7~ ; ~ ~ are 'b ~ (Enao` emeDlfiaqul aa) lark:: m 6~h., a ~ Total Pg91e~ - - C i. i'~ S ° e^) d Seth & Bazbaza Eichler ~ Sheer:-Ave i 15 Linwood Drive cm:,~ a" Roslyn, NY i 15 76 oara or Trustees Appl.ica~ a AUTHORIZATION (where the applicant is not the owner) I, /ifs/~ S,4fh i~~~y ne7 ~ifY~iL.residing at~ ~l~?- JJ.~! (pr nt~~~~owner of property (mailing address) /D~3T l-lr/~5..~~Y l(37~ do hereby authorize (Agent) ~!/V~ (djvS~Gf)77~, ~1~~ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~~-+~CZ~iIGL ~.2A~-4~ -(Owner's signa re Lam- L-~_--- C ow.wi~5 5,~,,.~./..1 8 ~gUFFOL,~C Albert J. Krupski, President Q~. QG Town Hall James King, Vice-President j y~ 53095 Route 25 Artie Foster o P.O. Box 1179 N 2 Southold, Neav f ork 11971.0959 Ken Poliwoda PegLn• A. Dickerson W ~ yif~Q aQ~ Telephone !631r ^,65-1892 1 ~ ~ Fax (631'r 765-'LS96~0~04~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUS"FEES: TOy~'N OF SOUTHOLD In the Alatter of the Application ~ o f COUNTY OF S[_TFFOLK) J STA"fE OF NE~1~' ~"ORK) AFFIDAVIT OF POSTING II-- ~ I. _1~;,+J1/~ 1-11 !Vl"',yi4A ra.,o~;.,S.Rt--_~ - ~yvSti~~'~o i lyl.L -T------ being duly sworn, depose~~~~aud say: > That on the/b day of d"I~ . 20(17, I personally posted the_propeRv known as by placing the Board of Tntstees official poster where tt can easih be seen, and that I base checked to be sure the poster has remained in place for eiuht days prior to the date of the public hearinv. Date of hearing noted thereon to be held ~~~lm/r ~X)~ ~ tji~ ~ ~ Lt 6C1t L 7 )-'L`~'~ 1 Dated: J ~1'I (signature) Sworn to before me this !3~'~dayof/~9~ 300= T -Notarv blic F`~ ` i.ry4~Gt~9alad8A1M tommisaonNa501$11 ppiid'e$Aa10Yq • Soard o£ Trustees Appl~ion County of Suffolk State of New York PAS/ f~ ~ ~ JZ f=}-Fl L- BEING DULY SWORN d r DEPOSES AND AFFIRMS THAT HElSHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/I~R 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 TOWN 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, THEIIt AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. REPU4tIC OF TL"RiCEY ~.~~f~jZ2'~~ P{Z]VIPdtE 'a CE77 OF ISTANBUL ~ Signature CONSU`AT4 6EN8RAL OF THE UNITlD ~iATlS OE AMPRICA SWORN TO BEFORE ME THIS 2J DAY OF _~,4-A/ V 4i? x,20 S Notary [JfiC"°•~ , V~ Consul BEBEJ.ANDERSON Notary Public, State of NewYOrh No.02AN5066527 Oualitied in Kings County CommissionExpiresBebber~D- ~~"~Jb ~ 1~WCfun f~ ~'~y rC7 • • i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Tov^ of Southold' Code of E4hiq° prohibits conflicts of interest on the pat* of town officer° tad emp1ttyees The numose of this forth is to orovide infortnarion which can alett the town of possible conflicts of interest and allow it to [ake whatever action is n ~«arv to avoid sam . YOUR NAME: ~/}~/A" ISfA'P7L ~ (/l~/~rv ~/NOEf~Mmf~~ (Last name, firs[ name, middle initial, unless you aze applying in the name c•f someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official reap O[her (If "O[her'", name the actitiry.) (r~E7LM~lDS Do you personally (or [hrough your company, spouse, sibling, pazent, or child) have a relationship with any officer or employee of the Town of SoutholdT "Relationship" includes by blood, martiage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a cotporation in which the town officer or employce owns more than 5°/, of the shazcs. YES NO If you answered "YE", complete the balance of this form and date and sign where indicated. Name of person employed by the Totvn of Southold Titlc or position of that person ' Describe the relationship between yourself (the applicant/agenthepresenwtive) and the town officer or employee. Either check the appropriate line A) [hrough D) and/or describe in [he space provided. The town officer or employce or his or her spotue, sibling, pazent, or child is (check all that aF•ply): _A) the owner of greater than 5°/. of the shares of the corporate stock of the applicant (when the applicant is a corporation); `B) the legal or btneficial owner of any interest in anon-corporate entity (when the applicant is not a corporation); ^C) an officer, director, pattneq or employee of the applicant or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 'S day of ~ --y ~00 5 Signattuc~~~~~ - - PrintNatne ~P.9~/.~ SS ~F/L k ri4~,~ : Ur 414v. ~,.,d 1319 North Sea Road Southampton. New York 11968 M 631-283-6360 EN-CONSULTANTS, INC. wwwenconsultants6com ENVIRONMENTAL CONSULTANTS April 2Z,'_OOi r Town of Southold i - ' i' ; ~ i ' Board of Trustees ~ L/ f Post Office Box 1179 Southold. New fork ! 1971 ~~I j,'r'r, 7 YJ~ Attn.: Lauren Standish f L.~.._ ._~.J Re: Aspasia lsrafil & Vivian Lindermayer p~., ; . 17877 Soundview Avenue. Southold SCTM #1000-51-1-4 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: L Three (3) Wetland Permit Applications. ( including Notice and Proof of Mailing to adjacent owners). 2. Three (3) Short Environmental Assessment Eorms. 3. Three (3j copies of authorization & disclosure forms. 4. Three (3) work plans. 5. Three (3 }copies of survey. 6. One (I) set of site photographs. 7. Application tee of $250.00 wetlands. 1 trust this information shall allow you to process our permit request. Should aqv additional information be required, please do not hesitate to contact our office. Sinc, reh, Robefr'1. Herrmami Coastal Management Specialist /khs E:nc.