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Home My WebLink AboutTR-62954639 Stillwater Avenue Cutchogue, NY 11935 January 13, 2009 RE: Permit #6295 Southold Board of Town Trustees Town Hall Annex 54375 Main Road P.O. Box I 179 Southold, NY 11971-0959 Dear Southold Board of Town Trustees: I am writing the board for two requests: 1. Please modify our permit "as built" to reflect deck stairs not shown on our submitted plans. I have enclosed a drawing showing the stairs in question. 2. I would like to please request a final inspection for the certificate of occupancy. Thank you. Home 631-734-6430 Cell (Ben) 516-983-0915 Work (Ben) 631-298-1963 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Seuthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 January 21,2009 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. Benjamin Suglia 4639 Stillwater Ave. Cutchogue, NY 11935 RE: 4639 STILLWATER AVE., CUTCHOGUE SCTM#137-3-7 Dear Mr. & Mrs. Suglia: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., January 21,2009: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Permit #6295 to include the deck stairs, as depicted on the plan stamped approved on January 21, 2009. This is not a determination from any other agency. Sincerely, , Ja s~F. King, Presi~nt Board of Trustees JFK:lms I i I / I / James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road 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 # 0394C Date January 23, 2009 THIS CERTIFIES that the wood deck attached to the seaward side of the dwelling, two landward additions to the dwelling, drywells and non-turf buffer At 4639 Stillwater Ave., Cutchogue Suffolk County Tax Map #137-3-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 1/25/06 pursuant to which Trustees Wetland Permit #6295 Dated 2/15/06., and Amended on 1/21/09., 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 a wood deck attached to the seaward side of the dwelling, two landward additions to the dwelling, dry.veils and a non-turf buffer. The certificate is issued to BENJAMIN & JOCELYN SUGLIA owner of the aforesaid property. Authorized Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfe]_ 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 ~PrPre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. 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 1st day of construction ///½ constructed Project complete, compliance inspection. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK DATE: ..~e~p :. ISSUED TO ~ENJAFi~N & JOCELYN SUOL~A J~ursuant to the provisions of Chapter 615 of ~e ~ws of the. Sfa~ of New Yor~, 1893, and ~apIer ~ of fha ~ws of fha ~ State of New Yor~ 19$2: and fha Soufhold To~n Ordinance eh- fffled ?~U~TIN~ AND ~E.P~CIN~ OF IN AND ON TOWN WATERS AND PUBLIC ~DS end'-t~ REMOVAL OF SAND, GRAVEL-O~ OTHER MATERIALS~M ~NDS .UNDER TOWN WA~RS;,.. and in acc~dan~ with 'fha Resol~ion of The Board adopted afa meeting hel~ .2.g.~.~..., and in consideratlon of fha sum of $ ......... Z.~.,.~g... pald by ~e~am~n & 30ce/yn S~[~a of ........... ~ho~ue ................ N.Y. and subject fo fha Terms end ~ndlfions lisfed on ~he revere side .~r~f, of ~uihold Town Tr~ees aufhorlzes and perm1~ the folJowlaq: We~and Pe~Jt to ~nstmct a 14'X 37' wood deck at.chad to the seaward side of ~e e~sfing dwelling; remove 8'X 13' se~[on on seaward side of dwelling within the existing f~tpdnt, ~ns~uct ~o additions to dwelling, one 6'X 16' and one 8'X 13' both on the landward side of~e dwelling and bo~ on ~ncrete block founda~ons ~th ~e ~nditions of a haybale line during constm~ion, d~eJls to ~n~Jn r~f runoff, and the maJntenan~ of the non-tud buffer and all as depi~ed on the plans re~ived March 30, 2006 by ~e Board of Trustees, - with the detai~ sp~cafioas as pre~nfed · ~e odglnafing appfi~fi~. IN WITNESS WHERE., ~e said Board Of Trustees ~re- by ~u~s its ~r~rafe Seal ~o be a~xed, an~ ~ese presen~ fo ~ sub.ed by ~ 'maj~ of +he sald ~rd TERMS and CONDITIONS Benjamin & Jocelyn Suglia ~Jt 4639 Stillwa~er Ave.? Cutcho~ue .... · .... N. Y~ the co~idecuio~ ~o~ the ~ o~ d~e pe_~m;~ does undezmuxl and pmsatl~ co the 1. That the uld Boami of Tms~es and the Town oi S0~thold ~e t~los~d ~rom any sad ~- ~.~t.;~ ~ ~e o~ p~j~ ~lv~ to p~ ~d~ ~ ~ ~ ~ ~ 6. ~e~~~the~~ ~ ~ ~ d ~1~ .. 8, That tho ~aId Board will I~ m°i~fi°d I~f the 1N~mltt~ °t ~ ~lplOtiOai~)~ tl~ W°~t m'd~ od2~d. 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 February 15, 2006 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. Benjamin Suglia 4639 Stillwater Ave. Cutchogue, NY 11935 RE: 4639 STILLWATERAVE., CUTCHOGUE SCTM#137-3-7 Dear Mr. & Mrs. Suglia: The Board of Town Trustees took the following action during its regular meeting held on February 15, 2006 regarding the above matter: WHEREAS, BENJAMIN & JOCELYN SUGLIA 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 January 25, 2006, 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 February 15, 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, 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, RESOLVED, that the Board of Trustees approve the application of BENJAMIN 8, JOCELYN SUGLIA to construct a 14'X 37' wood deck attached to the seaward side of the existing dwelling; remove 8'X 13' section on seaward side of dwelling within the existing footprint, construct two additions to dwelling, one 6'X 16' and one 8'X 13' both on the landward side of the dwelling and both on concrete block foundations with the conditions of a haybale line during construction, drywells to contain roof runoff, and the maintenance of the non-turf buffer And all as depicted on the plans received March 30, 2006 by the Board of Trustees. 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.) This is not a determination from any other agency. Fees:S100.00 Very Truly Yours, President, Board of Trustees JFK/hkc 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 TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I' Please be advised that your application dated / / reviewed by this Board at the regular meeting of .9..//¢- / <2. 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: BY: James F. King, President Board of Trustees 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 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Name of Applicant: Name of Agent: Property Location: SCTM# a Street BriefDescfi[~tion of proposed action: I a._~[ Cat,~_v~ T~aSa of area to be impacted: ltwater Wetland Freshwater Wetland Sound Front Bay Front Distance of proposed work to edge of above: P~C of Town Code proposed work falls under: hapt.97 Chapt. 37 other Type of Application: ~//Wetland __Coastal Erosion __Emergency Info needed:~,~ g,~<ojco_v.,c__~.' ~¥¥0~,-~ v,~co __Amendment __Administrative Modifications: Present Were: ~J.~ng __J.Dohe~y ~.Dickerson ~D. Bergen~J.Holzapfel Other: Mailed/Faxed to: Date: 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., February 8, 2006, the following recommendation was made: Moved by Jack McGreevy, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland, Permit application of BENJAMIN & JOCELYN SUGLIA to construct a 14'X 37' wood deck attached to the seaward side of the existing dwelling; remove 8'X 13' section on seaward side of dwelling within the existing footprint, construct two additions to dwelling, one 6'X 16' and one 8'X 13' both on the landward side of the dwelling and both on concrete block foundations. Located: 4639 Stillwater Ave., Cutchogue. SCTM#137-3-7 The CAC recommends Approval of the application with the Condition dywells and gutters are installed to contain the roof run-off and there is no change to the existing buffer. Vote of Council: Ayes: All Motion Carried PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Choir KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON JOSEPH L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Town of Southold Board of Trustees Mark Terry, Senior Environmental Planner From: LWRP Coordinator Date: February 8, 2006 (REVISED ~" Re; Proposed Wetland Permit Ben amin and Jocelyn Suglia SCTM#1000-137-3-7 BENJAMIN & JOCELYN SUGLIA request a Wetland Permit to construct a 14'X 37' wood deck attached to the seaward side of the existing dwelling; remove 8'X 13' section on seaward side of dwelling within the existing footprint, construct two additions to dwelling, one 6'X 16' and one 8'X 13' both on the landward side of the dwelling and both on concrete block foundations. Located: 4639 Stillwater Ave., Cutchogue. SCTM#137-3-7 The proposed action has been reviewed to Chapter 95, 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 INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The proposed setback from the wetland system is 99 feet[ a minimum separation distance of 100' is required pursuant to Chapter 97. Please require that the applicant amend the application to meet the above policy to the greatest extent possible, Additionally~ if the action is approved and to further Policy 5: Protect and Improve Water Quality in the Town of Southold 1. Require erosion and sediment controls (haybales, silt fencing) to protect the wetland system to the north of the property. 2. Require native disease-resistant and drought-tolerant landscaping to minimize irrigation and fertilizer applications. 3. ReQuire gutters, downspouts and sub-surface drywells to control stormwater runoff. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Albert J. Krupeki, President James King, Vice-President Henry Smith Artie Fester Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Seuthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only __~CwOaStal Erosion Permit Application etland Permit Application f Major Waiver/AmendmentIChanges ,4t. eceived Application://c~ ,.,Received Fee:$ &.~X3r --~-'~mpleted Application / Incomplete SEQRA Classification: Type I Type H Unlisted Coordination:(date sent) ,~L~AC Referral Sent: / ]~5-705. ~t~ate of Inspection: c2.~ Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ..~Public Hearing Held: Resolution: Minor Name of Applicant Address C~n~-c~e=oz_ Nq 11~55 PhoneNumber:(t'~0 Suffolk County Tax Map Number: Property Location: u{(c~ct ~, Iw~e~,' 4¢~ ~ ~- (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~ (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): "?_~ ~ ~o0 Area Zoning: 12.-q0 Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x~. No Yes If yes, provide explanation'." Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSI'EE LANDS APPLICATION DATA Purpose of the proposed operations: -D~c~ Area of wetlands on lot: I D°l(.D square feet Percent coverage of lot: ~, '~ % Closest distance between nearest existing structure and upland edge of wetlands: (~5 feet Closest distance between nearest proposed structure and upland edge of wetlands: ..~'/' feet Does the project involve excavation or filling? X, No Yes If yes, how much material will be excavated? ~J !a cubic yards How much material will be filled? N/~- cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area ofoperations: ffl~. Manner in which material will be removed or deposited: N feet 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): (Endorsement Totel Postage & Fees t~,,~ 1~3S~ IAILING Olm ~IFIED 1VL~II m ~ l ~,~\ ~-S,-,~- (--c.(z ............ [~s~ ~ ~D '. ............................. ...... STATEOF~WYO] . ~ ~ ~ ~ - '- CO~TY OF S~FOLK ._joc~\.lO ~oc[:~ , residing at q63q 5r~ 'll~.f~, ~e ~.~c~c~. ~ ~' , being duly sworn, deposes and says that on the ~ day of_ 2006, deponent mailed a tree copy of the Notice set fo~h. in the Bo~d of Trustees Application, directed to each of~e above nmed persons at the ad~esses set opposite there respective n~es; that the ad~esses set opposite the nines ofshd persons are the ad.ess ofs~d persons ~ shorn on the cu~ent assessment roll of the Toga of Southold; ~at said Notices were mailed at the United States Post . r~ mailed to each of said persons by Office at ~ S~ ~,~ , that s~d Notices we (ce~ified~ (registered) m~il. - ' // Sworn to before me this Day of~'~t / ,20 ~ SUSAN J. NAGY - Nota~ Public State of New York Qualm+ed In Su~olk Goun~ Commission Expires May yV Board of Trustees Application County of Suffolk State of New York DEPOSES AND/AFFIR~ THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(StAND THAT ALL STATEMENTS CONTAINED HEREIN ARE WILL BE DONE IN THE MANNER SET FORTH IN TH/S APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES, THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND TFIE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING ~,~ER OR BY WT~ OF S~, PE~T(S), ~ O~'~TED. IN CO~PLETINO THIS PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE M~ THIS ~ DAY OF_~7/~)~j ,20~ - / ~u~,,~N J. NAGY Notary Public State of New Y~rk No. 4896735 Qualified In Suffolk County Commission Expires May 20~Q.~ 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ...... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, //20*, ~01:~ , residing at L/~gel ~4-~'ll~,. ~-e~ being duly ~wom, depose and say: That,,on the 7 tZday of P--e t~ ,200~, I personally posted the property known as by placin~ thc Board of Trust~cs offic~l 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 ,~_]j~/;. ~t~[},- ]4"~ ~ 'O~ ~) ~ ~L~'~ Dated: Sworn to before me this day of~,~- 200~' ~°mTr55Publie~ / ~ oo~aN J, NAGY Notary PubJlc State of New Ycrh No, 4896735 Qualified In Suffolk County d ~mmission EXpires May 20 _~f~. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEESr TOWN OF SOUTHOLD In the matter of applicant: SCTM#1000-~5~-5-7 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters ~2, 37, or 97 of the Town Code is open to public comment on:]~o+~WL~'~prlYou may contact the Trustees Office at 765-1892 or ~ W£i~iny. 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. OWNERS NAME: --'~.,~.~h,~ -~'~<.o.~,,~. MAILING ADDRESS: ~(=~ ~1 ~;~wa~fi ~- PHONE f: ~bt - ~q-~%o Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS AL USE , residing at I'~G~c~ .S ill 4 r Av~ (~,.t~cJr~*- /q'i ~ Iq ~' , being duly swom, deposes and says that on the 2_'~1 ~ay of Ao?~. o ~ + ,2003 , deponent mailed a true copy of the Notice set forth in the Board o[VTmstees 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 pers~.s as shown on the current _ assessment roll of the Town i3T Southold; that said Notices ~e~e mailed at the United States t'ost Office at C. u4rc~q~.. /vq tiff 3~'-that said Notices w~e m2Jled to each of said persons by (certified) (ia~fl~ mail. Sworn to before me this Day of fiC[~,-[~, 20 Notary Public Monica Cerise I~OTARy PUBLIC, State of New York No. 01CE6059403 ~ualified ia Suffolk Countv ~ ~ ~;ommissioh Expires May 29, 20 I// Adjacent Property Owners 1000--137-3-8.3 Bill and Sue Graft 4835 Stillwater Ave Cutchogue, N.Y. 11935 1000-137-3-9 Eugene Annabel 1055 Ocean Ave Bayshore, N.Y. 11706 1000-137-3-6 Vincent Annabel and others 4300 Stillwater Ave Cutchogue, N.Y. 11935 617.2.1 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART J--PROJECT INFORMATION (To be completed by Applicant cr Project sponsor) SEQ 1. APPLICANT/SPONSOR 2~,PROJ ECT NAME 3. PROJE~ LOCA~ON; ~ 5. IS PROPOSED ACTION: [] Expansion [] Mo¢ificationialteradon 6. OESCRIEEPROJECTBRIEFI.Y:"..3::~,~ ~ ~.¢'~-~ ~v'~c.¢1~ C2~' ~'~ ~? C~---~t,..3~F ,.~._~{~'~ ~--~,~t'~'~c..'~5'' I~1~,~"1t 7. AMOUNT OF ~ND AFFECTED: Initially ~ ~ ~ ~ acres Ultim~elv ~/~ acres B. WILL CROPQSED ACTIQN COMPLY WITH ~ISTING ZONING OR OTHE~ ~[STING ~ND USE ~ No If NO. describe briefly DOES ACTION INVOLVE A Pc-eMIT APPROVAL. OR FUNDING. NOW DR ULTIMATELY FROM ANY OTHE~ GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCALI? [] No If yes. list agency(s) and oerrnitlaOD¢ovats i CERTIFY I If the action is in the Coastal Area, and you are a state agency, the Coastal Assessment Form before proceeding with this a~s, essment OVER I PaRT iii--0ETE~MINATICN O~--$1GNIFiCANCE ~To De comoleted by Agency) Board of Trustees Application County of Suff'olk State of New York DEPOSES KND AFFIRMS TttAT ~S~ IS ~ ~PLIC~T FOR ~ ~O~ DESC~ED PE~T(S) ~ ~T ~n STA~S CO~D ~ ~ ~ TO ~ BEST OF ~S~R ~O~DGE ~ BEL~F, ~ ~T ~n WO~ ~L BE ~ ~ ~ ~ SET FOR~ ~ ~S ~PLICATION ~ AS MAY BE ~PRO~D BY ~ SO--OLD TO~ BO~ OF ~US~ES. ~ ~PLIC~ AG~ES TO HOLD ~ TO~ OF SO--OLD ~ ~ TO~ ~US~S ~ESS ~ ~E ~OM ~ ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY ~ OF S~ PE~T(S), ~ G~ED. ~ CO~LET~G ~S ~PLICATION, I ~BY A~O~ ~ ~US~ES, ~ AGENT(S) OR ~P~S~ATI~S(S), TO E~R O~O ~OPERTY TO ~SPECT ~ P~SES ~ CON~CTION ~ ~OF ~S ~PLICATION / / / ;~ Signature SWORN TO BEVO~ ~ TInS ,3 / r,a¥ Or ,.Si ~( ,20 c ~ Notary Public Monlca Cerise NOTARY PUBLIC, State of New york No. 01CE6059403 (~t alified Ill Suffolk Courtt~ ~ ~ Commission Exp rea May 29, 20 ~ The Town si S~u~hold's cods of Ethics prohibits conflicts st In,eras! on the part of town o~ficers and emploFses. The purpose of this form is to provide information vhich can alert the town o[ possible conflicts of interest and allow it to take aha!ever action is necessary to avoid same. (Las{"~lame, [lr~; name~ midd.le 'initia~', unless -- other entity~ such ps a compasS. If so, Indicate the other personas or company's name.) NATURE O~ AFPb~AT~ONt (check all that apply.} Tax grievance A~p~ai of pls~ Exetption from pla~ o~ oelloial map (If 'other," name the activity.) . .... parent, or child) have a ~elationehip vi~h anT officer or inee£es~# means a buainesa~ including a partnership, in vhich the tovn officer or employee has even a pa£tia! ovnership of {or employmene bt) a corporaeion is which the torn officer or employee ovns more than 5~ of the If you aneeere~ ~TES,# complete ~he balance o~ ~hle ~erm and date and sign vhere indicated. Name of person employed b~ the Town of Southcld Title or position of ~hat person Describe the relationship between yourself (~he applicant) and the ~own officer er employee. Either check the appropriate line A) through D) and/or describe in the apace The town of:~cer or employee or his or her apouse~ sibling, parent, or child is (check all that apply)~ A) the owner cE greater than 5% o~ the shares of the corporate stock o: the applicint (when the applioan~ · is a corporation)~ B) the legal or b&neficial owner ce any tn~eres~ in a noncorporate'entity (~hen the applican~ is no~ a corporation)~ C) an officer~ dtrec~or~ pa~tner~ or employee of appllcantl or __.0) the ~ctual applican~. DESCRIPTION OF RELATIONSI[IP Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for penmits* 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. 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 evalnated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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 suol~ortin~ and non suooortiw, 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 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# IOO~ 13"/ _ 5 -'7 The Application has been submitted to (check appropriate response): Town Board [-~ Planning Board R 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: Site acreage: Present land use: [4o~,e_ q- Present zoning classification: 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: ~5~,~4 (b) Mailing address: t~g~>01 ~f',l~oO~Jrev_f (c) Telephone number: Area Code (roi}) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~ No[~ Ifyes, which state or federal agency? T~'~. 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 LWRP Section III - Policies; Page 2 for evaluation criteria. ~'~Yes [] No ~N. otApplicable~ 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 ?3 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 ~ Xes ~] No [] N,ot Anplicable 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. ~ No 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. 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. V--] Yes~ No ~]'Not Applicable Attach additional sheets if necessary WORKING COAST POLI~S Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent ases in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 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 TITLE DATE~ VINCENT ANNABEL 4300 STILLWATER AVENUE L , 1000437-3-7 ' BENJAMIN sUGLIA _ ' 4639STILLWATERAVENUB Jl~ ./, ~ _ . ~ ~ ~,v I / / 1000-1~1-8-8.8 w~NDS VEG~ATION N ED JOHN CA~¢IA BY J.E. FI~GE~LD. JR. ON 7~29~97 4885 STILLWATER AvENUE ~ ~HOGUE, N~ YORK 1193~ MAB 3 0 ~006 March 29 2006 Board of Tmstees~ The Suglia house project will have two 4x4 drywells on the landward side of the house. Haybales will be on the seaward side of the home and the vegetation on the seaward side wi!! not be disturbed (see photos). I / /