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Home My WebLink AboutTR-6278 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0258C Date October 2. 2007 THIS CERTIFIES that the in-ground swimming pool with at-grade brick work and drywell. brick patio. and deck with steps At 200 Cleaves Point Rd., East Marion Suffolk County Tax Map # 38-2-33 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 12/27/05 pursuant to which Trustees Permit #6278Dated 1/18/06 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for an in-ground swimming pool with at-grade brick work and drvwel1. brick patio. and deck with steps. The certificate is issued to ANTHONY & SUSAN NAPOLITANO owner of the aforesaid property. r~~ Authorized Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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 A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line Ist day of construction ½ constructed Project complete, compliance inspection, Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ~ Pursuant to tl~ provisions of Chapter 616 of the Letws of the State of New York, 1893~ and ~apfer ~ of lhe ~ of ~he SfMe of New Yo& 19~2~ and ~he Soufhold To~n Ordinance en- t~led ~'~RE~U~TIN~ AND ~E-P~CIN~ OF: OBSTRU~S IN AND ON TOWN WATERS AND PUBLIC ~DS REMOVAL OF SAND, ~RAVEL-OR OTHER MATERIA~F~M ~NDS .UNDER TOWN WA~RS;~]. and in aCc~dan~ wli~ 'the Resol~ion of The Board adopted at a meeting held on ~q.~....~., 2~.., and in consideration of the sum of $_..~.~.~.~.~ ....... pald by Anthony & Snsan Napo[I~ano of ........... E.9.P.~...~9.E.~q} N, Y. and subject So She Terms end ~ndlfions listed on the reveme side .~reof, of ~ufhold Town ~rudees aufhorkes and pe.rm1~ the follo~ng: , We~and Pe~it to instil a 12'X 36 in-ground swimming pbol With brick Wo}k at grade, ~2'X 16' brick patio at ~ grade, remove the existing deck s~irs from southeast side of deck, instil a railing, and instil new steps on th~ west end of~e e~sting deck with the condition a d~ell is installed to con.in the pool backwash, and a line of ~s~ked hay bales is plaid down prior to construction, and ~11 ~s depicted on the plan prepared by dated De.tuber 20, 2005. a~ in a~ordance with the defM~d spoliations as ~e~nfed in l~e odglnafing appflcat;~. .' IN WITNESS WHERE'. ~e sai~ Bo~r~ Of Trustees ~u~ ifs ~r~rate Seal to be a~xed, an~ ~ese presen~ to TERMS ,,nd CONDITIONS James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southo]d, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 January 18, 2006 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. Anthony Napolitano 200 Cleaves Point Rd. East Marion, NY 11939 RE: 200 CLEAVES POINT RD., EAST MARION SCTM#38-2-33 Dear Mr. & Mrs. Napolitano: The Board of Town Trustees took the following action during its regular meeting held on January 18, 2006 regarding the above matter: WHEREAS, ANTHONY & SUSAN NAPOLITANO 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 December 27, 2005, 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, a Public Hearing was held by the Town Trustees with respect to said application on January 18, 2006, 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, 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 will 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 ANTHONY & SUSAN NAPOLITANO to install a 12'X 36' in-ground swimming pool with brick work at grade, 22'X 16' brick patio at grade, remove the existing deck stairs from southeast side of deck, install a railing, and install new steps on the west end of the existing deck, with the condition a drywell is installed to contain the pool backwash, and a line of staked hay bales is placed down prior to construction, and all as depicted on the plan prepared by Karen Oxholm dated December 20, 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, JFF. Jlms James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the ( ~ Application Approved (see below) ( ) Application Denied (see below) ( )Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ~-(.O,O0 BY: James F. King, President Board of Trustees ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS iV~s. NAGEMENT OFFICER FREEDOM 'OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 ~ southaldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response to your request, or as an interim response. SECTION I. (Depar, tment or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax ma, p number, and any other pertinent inform~qtioJ3~_~ ,~--~ ~ Printed Name: Address: / :~ Mailing Address (if differ~ent from above): Telephone Number: ~x~:5~) ,-/-~'7- D )~ ( [ ] APPROVED [ ] APPROVED WITH DELAY* [ ] DENIED* Flizabeth ^. Neville Freedom of Information Officer RECEIVED JAN 2 o 2O06 Date $oufho~J Town C~er~ * If delayed or denied see reverse side for explanation. SCOTT A. RUSSELL SUPERVISOR TOWN HALL - 53095 MAIN ROAD Fax. (631}-765-9015 JAMES A. RICHTER, R.A. ENGINEER TOWN OF SOUTHOLD, NEW YORK 11971 TEL(631)-765 -1560 OFFICE OF THE ENGINEER TOWN OF SOUTHOLD James King - President Southold Town Board of Trustees 53095 Main Road Southold, New York 11971 Dear Mr. King: January 13, 2006 Letter from John Edler 130 Cleaves Point Road As per your request, I have reviewed Mr. Edler's letter, dated 01/06/06, which was sent to Mr. Al Krupski, In his letter, Mr. Edler takes exception and voices his objection to the construction of a new swimming pool by his neighbor who is located immediately to the east of his property. Mr. Edler indicates that the permit to install a 12' x 36' in-ground swimming pool will endanger his property and be harmful to the surrounding properties. He goes on to say that this proposed construction "would endanger the current Town protection ordinances in Coastal areas". While his concerns are legitimate, current Town Wetland, Zoning and Building Codes cover most of his objections. These issues are routinely reviewed by Town Trustees and Building Departments and, where necessary, the ZBA. If any objection or concern addressed by Mr. Edler is found to be inconsistent with the Local Waterfront Revitalization Program, building permits will be denied. The issue regarding a rising water table and potential flooding of basements within the Town of Southold is not unique to this location. Mr. Edler has indicated that the water table at his property has risen over four feet since his house was built in 1961. While some of his reasoning with regard to an elevated water table has merit, it is highly unlikely that there has be a change of this magnitude immediately adjacent to the tidal waters of Peconic Bay. The sphere of influence on the water table from the installation of a new swimming pool would be minimal and should not have a significant effect on the elevation of the current water table. If you have any questions concerning this matter, please contact my office. A1 Kmpski, Southold Town Councilman [ / Michael Verity, Principal Building Inspecto~L~ Mark Terry, LWRP Coordinator JAN 13 2006 NAPOLITANO POOL PERMIT HEARING os/ss/o6 WE ARE REQUESTING THAT ~-THE~.~PERMIT NOT BE GRANTED Granting The Permit Would: JAN · Cause irrevocable d~m~ge and devaluation property and the neighbors. I 8 2006 t° our · Endanger the current coastal area's protection ordinances. · Set a precedent for granting additional coastal pe&mits elsewhere, thus compounding the problem. · Create liability issues and uncertainty as to whom would be responsible for damages. Gratitude Owed Napolitanos for their permit application which brought these issues to our attention: · Problem of rising ground water t~hle. · Existence of Town Coastal Protection Ordinances, of which not all are currently enforced. Rising Ground Water T~hle · Hydrogeological dynanmics was changed with the availability of public water in well-septic area, which led to non-use of wells and denuding of six acres of water retaining shrubs and trees. · NEGATIVE IMPACT OF POOL - UNDERGROUND DAM. Existing Coastal Protection Ordinances · Building Lot Pe~.~it · Wetlands Ordinance · Coastal Erosion Hazard Act · Flood Plan · Local Waterfront Revitalization Program Building Lot Permit · Surface land use (20% excluding impermeable construction) Allowable 3,824 sq. ft. · Existing use with pool added 3,555 sq. ft. · Setback rules. Rear yard 5 ft. Wetlands Ordinance · Permit restrictions within 100'of waterline: · No removal of soil. No cutting of vegetation. POOL REQUIRES REMOVAL OF 65 CU.YDS OF SOIL. · Here land use includes water beneath, thus oversight of ground water, septics and removal of water retaining vegetation, shrubs and trees. Violation in August: R~moval of vegetation, shrubs, and trees from west side of house in preparing for proposed pool causing runoff. · Here impeL~e~hility counts as land use and contributing to water runoff. · UNDER THIS ORDINANCE THE LAND USE WITHOUT POOL IS ~?.READY 5723 SQ.FT. WITH POOL 7807 SQ.FT. COVERING 41% OF THE LOT, WHICH IS TWICE WHAT IS ALLOWABLE. See photo A. Coastal Erosion Hazard Act · Permit necessary in areas s,,hject to storm-surge, fetch, tidal rise, severe flooding and erosion. See photo B for 1992 storm-surge erosion damage. · IN A STORM SURGE THE POOL ACTING AS A SLUICEWAY WOULD CHANNEL WATER TO OUR PROPERTY. OBVIOUSLY WE ARE EXTREMELY CONCERNED OVER THE CATASTROPHIC CONSEQUENCES OF ADDING, NORTHEAST OF US, A SIZEABLE M~NM~DE BODY OF WATER FORTY FEET FROM OUR VERANDA, ESPECIALLY ON GROUND E?.~.VATED THREE FEET ABOVE OUR GROUND. Flood Plain · Refers to all land from water's edge to ten foot elevation. Proposed pool is in this plain. Local Waterfront Revitalization Program · Passed November 2004. Ail land East of Greenport is considered COASTAL and divided into 2 "Reaches". We are in Reach 5, which is from Route 25 to Gardiner's Bay. · It compliments and underscores and extends all of the previously mentioned ordinances. · But it reminds me of a story ~out fighting cocks. · Many coastal violations exist according to code. Penalties should be administered. Violations should be corrected. Otherwise offenders will believe they can continue to get away with it. LET US THANK THE NAPOLITANOS FOR RAISING OUR AWARENESS BY THEIR PERMIT REQUEST TO THE MANY ISSUES INVOLVED BUT LET US NOT REWARD THEM BY FORGIVING THEM THEIR OFFENSES AND BY GRANTING THEM THE PERMIT TO BUILD A POOL! Cleaves Point Road, East Marion scale 1"= 100' ~[ rustet To all January 16~ 2006 This correspondence is in regards to the application before the trustees by Anthony and Susan Napolitano of 200 Cleaves Point Road East Marion, New 'fork 11939. On Wednesday January 1 l, 2006 an on site inspection was conducted by six trustees and or assistants to trustees at above location. At that time a suggestion was made to change our submitted Plot Plan, re: move pool five feet toward east side of property to get the pool away from our neighbor on the west side of our property. 1 agreed to this. After the on site mspect~o was over, I realized that this could create an unsafe situation. [ am writing this letter to infbrm you that I would like you to consider my application as submitted originally with no changes. Anthony N apolitano Dec. 14, 2005 Field Inspectiol~ Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., January 11, 2006, 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 A CONDITION of the WetlanO Permit application of ANTHONY & SUSAN NAPOLITANO to install a 12'X 36' in-ground swimming pool. Remove the existing deck stairs from southeast side of deck, install a railing, and install new steps on the west end of the existing deck. Located: 200 Cleaves Point Rd., East Marion. SCTM#38-2-33 The CAC recommends Approval of the application with the Condition the surrounding patio is pervious and provisions for pump-out. Vote of Council: Ayes: All Motion Carried NOTICE TO ADJACENT PROPERTY OWNER ;OARD OF TRUSTEES, TOWN OF SOUTHOLD ~ the matter of applicant: YOU A~ HE.BY G~EN NOTICE: 1. That it is the intention of the undersized to request a Pe~it from the Board of Trustees 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 0700 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: ,,T~q/o. ] ~/705 6 7 g~-. You may contact the Trustees Office at 765-1892 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. MAILINGADDRESS:__,~oO0 c.~L,~'t~U~_~ Pot rOT PHONE #: 6 ,~ / q 7 7 ~ __ Enc: Copy of sketch or plan showing proposal for your convenience. - PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair 46 MAIUNG ADDRESS: P.O. Box 1179 Southold, NY 11971 KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of South old Board of Trustees From: Mark Terry, Senior Environmental Planner ~ L WRP Coordinator Date: January 13, 2006 JAN 1 7 2006 Re: Request for Wetland Permit for Anthony and Susan Napolitano SCTM#1000-38-2-33 ANTHONY & SUSAN NAPOLITANO request a Wetland Permit to install a 12'X 36' in- ground swimming pool. Remove the existing deck stairs from southeast side of deck, install a railing, and install new steps on the west end of the existing deck. Located: 200 Cleaves Point Rd., East Marion. SCTM#38-2-33 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of South old Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the L WRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the L WRP. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action , , -# i .1UI'~;'< Albert J. Krupski, President ~ James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson . Town Hall 53095 Route 25 . P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _ vrfI etland Permit Application _ Administrative Permit Amendment/Transfer/Extension ~eceived Application: I ~ IJ. fJ I 0 ~ ./Received Fee:$~~..1 ~ompleted Application 1;)../ Jr> to ( _Incomplete _ SEQRA Classification: Type I_Type 11--,,- Unlisted_ _ Coordination:( date sent) L WRP Consistency Assessment Form .....cAC Referral Sent: I d-l~') ,~ ~ate of Inspection: t/. f { r Of.. _Receipt ofCAC Repo . _Lead Agency Determination:_ Technical Review: ~blic Hearing Held: J 1" ! (~ Resolution: NameofApplicantA,vTIIOAJ V IJI)PoLfTlltJO y SuSfJtJ N/I f'OLITf}NO ( AddressdOO CL€I]L/€S POIlU' 11..0~ 6-A$./ mfJt€lou PY 1/93? Phone Number:<'31) q 7 7 8' I 99 Suffolk County Tax Map Number: 1000 - S 1}p rJ -3'3 Property Location: N Y -r H /6 , .._--_--Wmvid.eLTT .CO Pole #) distanre1o-croSS-Stree~-andJocation) . AGENT: AJ /4 (If applicableY Address: #' /A Dee 2 7 ::':u5 Phone: c\ ~ r~lD~ ~ Ia\~ / 4Itoard of Trustees APPlicadllb GENERAL DATA Land Area (in square feet): /~ b8"O(!3) /9 / d () ./ Area Zoning: ~*1J Previous use of property: RESlJJti'AJ7111t... Intended use of property: fiJ -L ~ 1tJ:i,vT I ~ L Prior permits/approvals for site improvements: Agency & /;/ / L JJ JA)~ I)Sff(IJ6c/l) 4tl/1//1 #.2 80:2;J.-Z Date p2 //~/o~ , , _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or sus~en by a governmental agency? No Yes - If yes, provide explanation: () p'roject Description (use attachments if necessary): i2 X 26 l/ /N V L 1 ( --- -...-- - -_._-_._~-~------". .--.-..."'..-- ----~_._-~ /JV IPRl>uA.//) S~/~/'?/Nt:- /OtJL. R€/h(JdE ~;q.J7iA.J~ .#S-Cl!. ..sn:;~I?f' ~/f1 $~",rllA'/J.Sr ...5'/#4 t'/ ~~c~.. :r NS7lJit f<Hlll,v~ n:> -eo/}~. IA/S'f;fit N~1cJ S1$I!S Dt; WfU7 ~IW ~~ ~k/S'TI~4 #'~ /.. ~ard of Trustees APPlicadllh WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: R 1i S. I (HI fV 'T I A L- 11\J c..(<..Du N 0 I U J tV \( 1- S LJt (Yl M L l\.l r;... POOL-. I ;l / ')( 3 6 Area of wetlands on lot: N I A Percent coverage oflot: ~ I A- Closest distance between nearest existing structure and upland edge of wetlands: tV f A feet square feet % Closest distance between nearest proposed structure and upland edge of wetlands: tv ( A feet Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated? 6 r cubic yards How much material will be filled? A/ I~ cubic yards / Depth of which material will be removed or deposited;31'5'1"o 8'/ feet Proposed slope throughout the area of operations: F ""191 Manner in which material will be removed or deposited: -rR' t/CK E ~ Aw1V Statemen!~ffue ~if~l:t~jLCU!Y~~!1 the ~~tlan~s ~.~t!ig.i!L~~!~rs _~ftheJ9\v!~J~lit may.resuIL~_______ .______ reason of such proposed operations (use attachments if appropriate): N/fr . 3 -- . . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-~"YI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ___a~ru...J__i.~O:jJ__-:IlapJJ_~1fJl1D COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, esiding at :/0 tJ Cl$~ fa A1T I?.o. hs-r Mt'I~tOtJ ~\( 1/'1j9 being duly sworn, depose and say( That on the It) day of JiIyV ,200', I personally posted the property known as p by placing the Board of Trustees official poster where it can e ily 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 'tlIod., c=1 0. (l, I t, a clY~ - On <<Y1 a6CLct '1 ~oo Pm. Dated:! -/~ -of.o ~ 9- (signa te) ~.- Veronica F. Cidone otary Public, State of New York No: 62-4661406 Qualified In Suffolk County CommfssionExpiresDec.31, C).() () c; U.S. Postal ServiceTM , '" CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS EAST MMIOf.G MY 11939 Postage $ 0.37 Address: ~ ~ -. .. -. ~;j ~ .' 'ii] 11[:}:j lr;J/j~ r11 '.li1~ r;y I, t.--t I/~: ,_, [Ii=-.. ~_.~ rl;.1~; I' [:~ ~ml ~ L~~i~I~:~'~::I';:~:;~."I.~I~irn."'I"""~:f'l~' IT" ru ..D IT" rn l'- <:0 =r IT" Certified Fee 2.30 1.75 pbll/mark ,B\>re Clerk: F~lPO c;) 12/23/05~ .::r- CJ CJ CJ Cert Postage $ 0.37 UNIT IIi: 0944 itied Fee 2.30 eipt Fee Postmark equirod) 1.75 Here J very Fee Clerk: FS21PO equired) -- & Fees L $ 4.42 12/23/05 ] UNIT IIi: 0944 .::r- CJ CJ Return Receipt Fee CJ (Endorsement Required) CJ Restricted Delivery Fee IT" (Endorsement Required) rn CJ Total Postage & Fees $ Return Ree (Endorsement R 4.42 CJ Restricted Deli IT" (Endorsement R rn CJ Total Postage U"J ~ {!/li{JJfJ.fJl~P/.f.(-!:I..f:..---m.....m---.m......m.......~.. ~ o,-r:.~.~~:.,,!~:.~q CU"l1v6~ f7: /f} City, State, ZIP+4 m..___ ......---.---...................................__.m... I t.. /11M/Or/' ~,y. ;/P37 .a.,'" l",f:I'!'JII'IIIIiT'I'-1'T'Y ~:~r.TIr.rnrn:nr'TIIo STATE OF NEW YORK COUNTY OF SUFFOLK AtvT1.Jb N\{ N AC'D llTAtU 0 ,residing at)DD CUAulJ ft RO. f. mAR/V"'> W.\j. 1/919 , , being duly sworn, deposes and says that on the I :J :3 day of 0 ~ C . , 20 OS, 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 South old; that said Notices were mailed at the United States Post Office at G-12&1bvP {} I!.l , that said Notices were mailed to each of said persons by (certified) (registered) mail. ,,,",_ Jl.l( Sworn to before me this -<I 3 Day of \~U1 {H.{2.I-/l, 20 ~ ,) l, I / -1~ )~Lt.LU.., Notary Public IA..L- ".::r- r-g \ CJ Postage $ 0.37 UNIT In: 0944 Certified Fee 2.30 1.75 "Wostmark Here · 'J\NA-~\N'':' -"V:Ai"'-i-HA.. ~,~ ~IL<ci"', h ;..1 \.,,' 1 j".. 11. II' ),;~:_:~ -~-r." '1;:\ N PI j[~' t.C '-' t'.!':: OF N,.~ \. ,,,j'l.J~" ,1~ v' Return Receipt Fee (Endorsement Required) CJ Restricted Delivery Fee IT" (Endorsement Required) rn CJ Cler~:: FS21PO Total Postage & Fees $ U"J --- g senITi( ffNlt/t f(DOli?i iv..~ ...~~~~ .~~~- l'- ;:r~~:t:~O:;'i'lfj)' i/i;R,-~'-'-ii"5-------"- cg~e;t;m' --N:---. .--..i--Di-fl---------~--.----.m--. 4.42 12/23/05 . PROJECT 10 NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR Municipality .s (:) (...I '()f " t.. IAI IV County oS (/ ~,t: (J L.I< 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc - or ~ 00 c.. L',q (,/ ,".s POI AJ{ /( OItP .s.. c.. -rM ::f:I:. I DOt> - 3 g - rJ .. 2..$ provide map {'lJc-r 1f11f1'e1tJA/ NIY. 119.39 5. IS PROPOSED ACTION: D New 6. DESCRIBE PROJECT BRIEFLY: J~JX J.I/ V INY L D Expansion Modification I alteration 1 t.J 6-(2.ou t.J 0 .s.WI (Y\(l'\IAJ& PooL. 7. AMOUNT OF LAND AFFECTED: Initially , $' () acres Ultimately '. ,,",0 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? 0Yes 0 No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) o Residential D Industrial D Commercial DAgriculture 0 Park I Forest I Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) DYes 0 No If yes, list agency name and permit I approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes [{fNO If yes, list agency name and permit I approval: PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name A-N77I{)1I.) Y JJA Po l.lifiiVO / .5"'~IJAI IIfAIlU./rI'1/1/0 Date: SI nature If the action is a Costal Area. and you are a state agency. complete the Coastal Assessment Form before proceeding with this assessment t . . PART II - IMPACT ASSESSMENT To be com lete b Lead A enc A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, RT 617.4? yes, coordinate the review process and use the FULL EAF. Dves DNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. o Ves D No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattem, solid waste production or disposal, j"'"' "" '00"00. d";",,,. oc lIoodl"ll proO.m.' """,.. '"'fly. I 02. j""'" _1b".I. ,'''''''''''''''''. h1,Ioric. '" olh."",wml oc '"""001 ",,,"',.,, " _m".lly oc ",Ighbortoood ",...."." _. '_I C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I I C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of \lse of land or other natural resources? Explain briefly: C5. rwth. ......"'.ldove""moo'. OC ".,"" ._ IIkoly to ~"";.""'d 'y'" propoood"',,' 8<p." ,_ CG. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I C7. Other im acts includin I f D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If es, ex lain briefl : o Ves ONO . E. DH~", 00 :r UKEL Y TO BE. CONTROVERSY RE~TED TO POTENT~L ADVERSE ENVIRONMENT~ IMPACTS' .~ ~. I PART III . DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part Ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. .", 'CnecKlhTs box If you have lreIElmifriea;l>ased on tfieTr"ifOrmatlc>n'aridlinalYslsaboveand anY supporting-documentation, that the proposed actio. ,-- WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date Pnnt or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) 7 ~Board of TrustQes Applica~on County of Suffolk State of New York fl/ /0 L fT7 71JO BEING DULY SWORN DEPOSES AFFIRMS THAT HE/SHE" IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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, THEIR AGENT(S) OR REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~~ {2cl ~ SWORN TO BEFORE ME THIS ().,) DAYOFU~ ,205 (1~~~N~ N~Public "- CYNTHIA M. MANWARING ,\CTARY PUBLIC, STATE OF NEW YORK NO:01 MA61 00507 QUALIFIED IN SUFFOLK COUN1'l., , COMMISSION EXPIRES OCT. 20 O-L - ---".- - -- /3 . . APPLICANT/AGENTnREPRESENtATrvE TRANSACTIONAL DISCLOSURE FORM The Town of Southold' s Code of Ethics prohibits conflicts of interest on the part of tow)l officers and emplovees. The PU1'pOse of this fonn is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. " YOUR 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.) v Building Trustee Coastal Erosion Mooring Planning vi"" " t/' 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? "Relationship" 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. V NO YES If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of South old Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 5% ofthe shares of the corporate stock of the applic\Ult (when the applicant is a corporation); " _B) the legal or beneficial owner of any interest in a non-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 Form TS 1 Submitted this~ 0 day of ?J~'##'#f?200 $ Signature ~ ~ Print Name AI Ai NJl2 '()ur,4A//J Sur,tJN Na,oOl..rr'1/1/0 ~/6";1J7Itq~~~ _ 1'1 Town of Southold . . L WRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of South old 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 includinJ( 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 significant beneficial and adverse effects upon the coastal area (which includes all of South old Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. Iistine: both supportine: and non- supportine: facts. If an action cannot be certified as consistent with the L WRP policy ~tandards and conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all 'local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION' SCTM# / d7!J 0 - -3 g PROJECT NAME /V h; / ~ - .$3 i i f , ! The Application has been submitted to (check appropriate respons.e): , . i Town Board D Planning Board D Building Dept. ~ Board of Truste~~"'D -,-.J DEe 2 8 2005 ""---"~-".', ." 1. Category of Town of South old agency action (check appropriate'response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) D D ...(b}_._...Financial.assistance{e,gLgrant..1oan,..suhs~)_. _ (c) Permit, approval, license, certification: U? Nature and extent of action: -" '" L!:1 /NSrALL /NC,e()VAJ!/ /~ X.56' J'/MYL.. S'hI/,IYI/I1/AJ'? rlXJ~ / 8 . . Locationofaction:c::20D C'-1i14v€.5 Pi>/tVT RJJ. $/}~ /J7"LIt>AJ N,~ 1/9.39 I Site acreage: /9 08'0 oS Ii" pr; / Present land use: RR-S' IlJfJtl-J"'/1 A L Present zoning classification: ,e l.f 0 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: f}A.IJJIOAJY -+..s I/Sfl4J IV/lfDLfTItAJO (b) Mailingaddress: :ltJ/J CLblfj/~S PD/A.-J/ R./J. t:n-n- .fYJ1h€/ov W, V- //'739 I (c) Telephone munber: Area Code fi:!IJ '1778'119 , (d) Application number, if any: IV 0 "-' E. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D No ~ If yes, which state or federal agency? C. Evaluate.the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. DYes D No [0'"Not Applicable / ~ /~I>he:?' 1..$ //V?,/,4L'A-77~N' p,,& /.A~:56 v/;uy~ /#6RoLvo.JO .se.JlflJIIU~ I'LJb'- ON A .5/~ J(JiS/.(I4M'r/AL /'1('/I/I97Z .,/J~~CLL- 45 ##ScLd;~iJ /1$&)1/,[, . Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section flI - P~ies Pages 3 through 6 for evaluation criteria DYes D No [Yj Not Applicable <; ~tjA~ /j/VI A;V.IG'~4IC be IJ~C#~~t'C/ct ~AI~5 77> '7#.If ~"J:La: / Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria DYes D No ~Not A~licable fJ11V4'7"'L /~')C:1~ //Ilt;.{J,C>lt^/./) //J~YL SIAlhI,."tV(,- Po f)L lAJ/( I /oJ err B€ U/S~t..L TO /l t..I iSu Co ~ HL 77> / :r..5 ~ Pc ~r/IJ IV' . Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See L WRP Section III - Policie~es 8 through 16 for evaluation criteria D Yes D No [iJ Not Applicable PtJOI. wJi...L B ( L. ~ t/E-L WrTlj UI ~/N?- r;:/V) 1JE~ 0A-r~~ L~v/t..t- //1/ ,I!1ooL tvll-L 6.€ .B~L~~ ~/S7/A.)? 6.e/l..tJE. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See L WRP Section III - Policies Pages 16 thro~h 21 for evaluation criteria DYes D No 111 Not Applicable ~{~~4if~: ~~~7-:;q~ ilYfr ~~-/; FtiE'r;s Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant coastal~FiS and Wildlife Habitats and wetlands. See L WRP Section III - Policies; Pages 22 through 32 for ~valua . n criteria. D D . /0 Yes . /lB<r:/!5t?7toLV~~ 1rz~%ic;p;t::~~ No Not A.cable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Tow~ of Southold. See L WRP Section III - Policies Pages 32 through 34 for evaluation criteria. DYes D No ~ot Applicable 5t.v//Yl/l1/lLIr ;JDeL WILL Nl>TH~ A^1/AJ/lAc oAJ 1}1i{ 6>LiI)J 17/* Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See L WRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes D No ~ot Applicable D:r<W:;;RJ:~~ ~~~ f:t~~1i :;/tV~~~hJ~ST5- 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. DYeD No ciot Applicable fJlI{:j;mi- ~;;~rg ;.:1 "etl~ Ntf/ Df'1'./I/ 'TD T1tr... Attach additional sheets if necessary II ~_c WORKING COAST POLICI. . Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Se~ WRP Section III - Polides; Pages 47 tbrough 56 for evaluation criteria. DYes D No [3" Not Applicable hJi}! ~t#~U1l!Jl'itfJO~7. ~~r/ll/?- JlRf4/&./L If) /~ Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Tow~?s. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. DYes D No [?' Not Applicable IlftJJlic,- ;)D15 rJOilttJ.dlh:r C.PMlt\fUlc../IH_ C>I<. IUzc~~770IVI;i.. rJ~HIN{..... Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section III - Policies; Pages 62 tbrough 65 for evalron criteria. DfuD~~~~~~ . t fl411l/1Q-;.rr~ 1':!;Z:t, .//~p/fi'7" /Vi.) ~a ,€jClILJultAl- Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L WRP Section III - Policies; ~es 65 through 68 for evaluation criteria. . D Yes D No 5?' Not Applicable 1~~f(3#i,,~;;:'!t..~~.';,;";(fiJI/;;:~"1lcn'Z.~ ND 4fth1;~ C~L JS$U~ NO Furule6 U.5.~ (;)~ "hAlf) l.J/,ItM /Rd.1'6&r & t.~P. N6 J)ISI'ANtL IJ~ 1IfAhr~ oil. ':JSPlJJi.... TH6..IJ/lI}/tU~ IS.rufi.. W/Ll-II6- 1tAA)/)U1/ ~f h tJ I2tMt..l{... 1:J.r fJi'4V//J{J.{L,/ .JJM"~fIJ. ~I)/)I' I~ L1v/L wl11l Nt) St..DPi~.. I .. PREPARED BY~ ~. TITLE CH.I,v.l.L /J It/7"fI 0/1/,/ A/l9f'o t. 1mAI' 0 DATE 1..2 '.).1.,..:;.00.$",,- J;l.