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TR-6386
James F. King, President ~~pF SO(/r~o Town Hall Jill M. Doherty, Vice-President ~O l~ 53095 Route 25 Peggy A. Dickerson P.O.Box 1179 Southold, New York 11971-0959 Dave Bergen • O Telephone (631) 765-1892 Bob Ghosiq Jr. 'Q ~ Fax (031) 765-6641 ~~~OlINT1,~~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 19, 2007 Mr. Peter Drouzas 25-66 12`h St., PH4 Astoria, NY 11102 RE: 54120 COUNTY RD. 48, SOUTHOLD SCTM#52-2-20.1 Dear Mr. Drouzas: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., September 19, 2007: WHEREAS, PETER DROUZAS applied to the Southold Town Trustees for an Amendment to Wetland Permit #6386 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 20, 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, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirement: the installation of an additional drywell to contain all run-off from a 2" rainfall, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, z 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #6386 to include 148.3 cy. of fill along the southwest corner of the property with the condition an additional drywell is installed at the bottom of the hill to contain all run-off from a 2" rainfall, and as depicted on the plans prepared by Zambrano Architectural Design, LLC last revised September 17, 2007. This is not a determination from any other agency. Sincerely, 1~( - ill M. Doherty ice-President, Board of Trustees JMD:Ims Yi ~ w-, .~r er ,i ~V ~ t, ~ ~ i~FSr~ r 1 t 3~., y~ (V A .,rR s t Y + ?~t`~ S ,a r rb` S a~~~ . ~ ~ ~i rl M r -i'. Tt ~ ~ : r t,. _ i ~ ';iy ~ ~t~ ~~t a ~ . / ' ~ J r , _ . l ~,vq+1'~, i .:'y~ 1~_~ 7i t ,.~.~3., i~~ '~:4 t ~ 4; .r~ J 11 ~ 43 ~ t •7i~ ,.'r_ ~ - , - ,y".'~.t ~ ~,5~ t ' j a iii N ~i • ` ~ ~ t t1,p.~2 p,~, r ~ t, per, _ a. 14, ~W r r ~ - ~t~.. rte. ~~t ~R :ilh~ rF 7. Ste' n_.._ y r'~"~' ti- ~ ~~Sa W+~ f~,k~r~. ~ +y ~n r.@~'~ 1 Y" rte,, i S` ~ * r,. fit` .°.41, yr4~%.. y r l~' r vas f, i q ~ , ~ ti~ ~ $ `t~ I'~, f~"ti?. rafY~M^ w li y a ~ ~ ~ y}~~ a'(7~ ~ ~ ~ I~.w!RT' ~ - ~ tip, ~ •r~ ~ ~'n' I ~ w. "~i ~ 'bye: iEl[ 7 't ?i ~ ~ a ~^~`t James F. King; President ~~OF SOVT Jill M. Doherty, Vice-President yQ 'Town Hall l0 53095 Route 25 Peggy A. Dickerson ~ ~ ~ P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 k ~ Bob Ghosio, Jr. ~ • ~O Telephone-(631) 765-1892 °Iy~DUNiV ,0~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees - Field Inspection/Work session Report Date/Time: ~ I ~ I ~ l1 PETER DROUZAS requests an Amendment to Permit #6386 to include 800 cy. of dirt along the front of the property. Located: 54120 County Rd. 48, Southold. SCTM#52-2-20.1 T,~Pe of area to be impacted: Saltwater Wetland -Freshwater Wetland -Sound -Bay Distance of proposed work to edge of above: 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: ~~f_ ~j r~~P eln S ~yC~ f~w'~^~ J , -rte ~l,~n .-,.c-.-~ ~u.~~ c~ C,T - Modifioations: ~ I ~ ~a 7 ~ roe ~r~~J a1 cA ' ' ~i~ ' - a'~ ;Z Conditions: A " ~ 1 ~ ~ ~ ~ Present Were: _~lKing ~J:Doherty Dickerson ~'1~. Bergen ~B. Ghosio, Jr y H. Cusack D. Dzenkowski -Mark Terry other Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician II Review t"P~~ IrUr ~ ~ ? ZAMBRANO ARCHITECTURAL DESIGN, LLC Member of The American Instirute of Architects October 5, 2007 Office of Trustees ~ - - Town of Southold ~i~ ~ Town Hall OCZ c ~rn~ 53095 Main Road, PO Box 1179 l 1L' Southold, NY 11971 _ ~ p Ref: Peter Drouzas Residence Town Southold, Suffolk County Tax #1000-52-2-20.1 Proposed Two Story House - i Family To Whom It May Concern: As per our phone conversation, enclosed please find the requested copy of the revised site plan. If you have any questions regarding this letter please call our office.. Sincerely, ~'~,RED ~C~,>''~., ~ II ~ fJl~ ' , Willy L. Zambrano, RA, AiA 9 ~~p3 '~oF 19$1 MARCUS AVENUE, SUITE Cl l l LAKE SUCCESS, NEW YORK 11 O42 TEL: (516) 616-4804 / 327-0851 FAX: (516) 326-2712 W W W. ZAM BRANOARCHI7ECT5. COM C/~ ZAMBRANO ARCHITECTURAL DESIGN, LLC Membec of The American Institute of Architects September 21, 2007 - - } _ t Office of Trustees ~ ~ C~ I Town of South Hold ~ S[~ c 2~Oi I Town HaII L 53095 Main Road, PO Box 1179 Southold, NY 11971 ~ Re: Peter Drouzas Residence Town Southold, Suffolk County Tax # 1000-52-2-20.1 Proposed Two Story House -1 Family To Whom It May Concern: As requested during the meeting with Mr. Drouzas and the Office of Trustees, we have located a new drywell to pick up storm runoff from the fill areas and swales on the south west part of the site in order to prevent the storm runoff from spreading to the existing fresh wetlands area further south west. I am attaching to this letter the revised site plan. If you have any questions regarding this letter please call our office. ~ ~ ~j- r ~ d, { : = s i t i Wil ambrano, R.A, j - :t Cc: P. Drouzas 1981 MP.RCUS AVENUE, SUITE C111 LAKE SUCCESS, NFW YORK 11042 TEL: (516J 616-4804 / 327-0851 FA%: (516) 326-2712 WWW. ZAMBRANOARCHI7EC75. COM ~ i James F. King, President ~~~F SO(/Tyo Town Hall Jill M. Doherty, Vice-President l~ 53095 Route 25 y ~ P.O. Box 1179 Peggy A. Dickerson T Southold, New York 11971-0959 Dave Bergen G Q John Holzapfel ~O ~ i~ Telephone (631) 765-1892 I,Y~OO~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMEN D IT ~ l~ JUN 2 0 pp p7 jJ Southold Town C' Board of Trustees OWNER ~ 'C~/~"1"t> I PHONE ~I~ ~ ~J2. ~j~ ~~9Z.~~ ADDRESCS~ S- ~ zSr~ / _ AGENT _ 'C ~ • ~d~~`,V`1 PHONE ~S, ~ D "^~SIZ. ~.Q ADDRESS Zs- ~ c„ ~2SI- , Q, l,1 ~~02 PROPERTY LOCATION L ~ D-Zr~/~ TAX MAP NO. ~ ,p_, I/We ~ "V I~ request an Amendment to Permit to 1~C' ~~D ~i C ~ ~ Signed By: ~f y ~ C .S~'~ • D ~~L~p~~ JU! - 5 2067 D PROOF OF MAILING OF NOTI ATTACH CERTIFIED MAIL RECEI ~,ro Name: Address: STATE OF NL~W YORK COUNTY OF SUFFOLK ~~lP ~ ~ (~(iUZGJ _ ,residing at ~ 1~ ~ _ S-~vnq ,_1~1~ 11~9~-!_- - , heir dulyswom,_deposes_and says that on the day of ~ , 200, 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 aze the address of said persons as shown on the current assessment roll of fire Town o£ Southold; that said Notices were mailed at the United States Post Office at A)`~ ~r~ 1049, drat said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this o2 Day of~(Yn.~ , 20 C~ Notary blic p- g MM01101RAt , 4 ~>lhM~:~N~1E: F*.IMh~eq _._..:....fr. III ~ ~ m Pty i ~ GPI g ~ m ! 11 n;il'. i T k;~• • ~3 . -.D ~ Postage $ ~ Postage $ gTn~t o ~~'....'!..""i o cF Cetlllietl Fee ~ Cedllietl Fee , %t ~ ~ ~ Return Receipt Fee _ v P°si rk - SO Relum Receipt Fee ~ p Hera Endorsement Re uire0 ~ (Endorsement Requiretl) h~t'n+ O ( q ) r _ O Restricted Delive Fee O Restricted Delivery Fee ry (Cntlorsemenl Requiretl) , ; (Entlorsemenl Required) ~ ~ CaU! f`- Total Postage & Fees $ ~ M1 Total Postage 8 Fees $ ! t Sent )o Sent TO 1"l~ .G=cr~.~,.~~5 _n Ij1r' S~-v'ur, f~rrralFa-! - - - L ~ Sbeef APf No. `r O Sf'PO Bost N° a O ar PO BOx NO. 73-1~ 1(~s~. O or C7 'CU/ 3y- - M1 Cliy tlieie, Z%F+4 Ciry, Slate. ZIP+4 - M1 - :rr . rr. :rr . rr. o ~ ~ r M1 ~ UI i / i I ~ Ir}~1 7`I I•l ~jr rti •-~4 ~~S T`a4~ i }j ,`sm m m ~ ~ r~r.;. M1 Postage $ M1 Postage $ ..tt ; i{,s, t~ O ~ ~ i Cartilied Fee Certlliatl Fee ~ p Return Receipt Fee Postmark m m--...-.~ ~ Return Receipt Fee { / .•~1 Pos ~ (Endorsement Requiretl) Here ~ (Endorsement Requiretl) `-1~ ~ CUO/ H O Restricletl Delivery Fee j r 4~ t7 ~ Restricted Delivery Fea (Entlorsemenl Requiretl) { ,,,f i L ~~}I! r O (Entlarsement Requiretl) - a`. ~W~^.~ ~ ..VJ j "`J ~ i M1 Total Postage & Fees $ , •k F. M1 Total Postage & Fees $ - r Sent 1'0 _ ~ ~ l Sent o I rn Ind D~a.~zo~d r a - - - - 1 O p S`freet, Apt No.; ~ or PO Box NO. _ v~r r I . M1 S`} ~~0 8 - M1 ~ Ciry, S[ e,'ZlP~4 1 ~ Cit S(afe~ZIP+4 ~ - Sow, IcQ ~ ( - - :rr . rr. r~ ,r. r r m I,~T'KT'1 ' '.ii=~ - i , Rr Postage $ Z•ti.. I~ ~ Certllled Fee T 1 x,~ c ~ ~ Pa ~ Roturn Receipt Fee t - HeFe ~ (Entlorsemenl Requiretl) O Restricted Delivery Fee (Entlosement Required) P ~~'jt ~ O r....,.r.-~ .i! Total Postage & Fees $ Sent ~ - < O SfieeC Apt Nb.; ~ prPO BOx NO. ~ /JAS a ' F` . .....~K.. - James F. King, President ~pF SOUTy Town Hall Jill M. Doherty, Vice-President Ol0 53095 Route 25 Peggy A. Dickerson y P.O.Box 1179 7' ~ Southold, New York 11971-0959 Dave Bergen Bob Ghosio, Jr. 0 ~ Telephone (631) 765-1892 ly~~~~ 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 SOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~c ~G J ,residing at ~ S -(~6 I Z J~tc f' htj ~'~n~ (llO~ being duly sworn, depose and say: That on the.-' b' day of~u-,~e 20(7 i personally ooted the property known as ~'t i Zc~ Cae ~fi'~r i2e>o cQ l,~u`~i^plc~i 1Jex~; `fUl'K. ~c,-SZ ~iccA'-~ Z Lc~ by placing the Board of T stees 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 _ gQcx f.U cry, ~ ~ ' on ' a b t ,ao Dated: z~ ~n~ (sl ature) Sworn to before me this day o~Ydlle 200 i Notary Pub ~ pups ~ , Nsu vwM ~ aNnrrerk h, Pari D~ouzas Attorney At Law ~ 237 Fitst Avenue, Suite 601 Tel: 212-982.437D New York; NY ]0003 Fax: 212-982-7427 E-Fax: 212-202-6403 Paridrou^aaol.com TiL--,..E I c'~ , , 2007 TO: COMPANY: TELEPHONE: FAX NO: ~t~~al~~ Sp,,~~G~~ ~ ~~-h.~t~,- ~~~-'7~s--~Sy~2 (o3i..~t~,.66'FI. FROM: Pari Drouzas D[RECT DIAL NUMBER: 212-98211370 Lr n FAX NUMBER: 212-982-74,2~/J7~ ClienG'Matter Name: ~ ~ S ' t 6 ~ ~ ~ f~CC~ ~OC.C~ h0k-ti e ~3a1~h _J_p W:Q C<>-C. wn~~'c` ~i _ Ck.~- Ut~u ~n-ac-.:~ `~a'~' ~Y' I ~ ~ ~jo~,2_ ,'~-o~~ cQs ~n.l Our Gt~~~'~~ .~~am`S' t -f~ ne,`~ ~ ~~a~s fi(, awe a rte, ~ tr` 1 Y1 c ~-o ~q D u r ~vr~,~C . Thank you. ~ („Cd-e_ ~.Qv_~ V>~ ~inac~,-~ w$~~ ~ti~ ~.1 ~X 9' f Y~ Pari Drouzas ~j l ~ t11~ 'sl ~ Y~7 ~J We are transmitting ~ pages (including this cover sheet). ~~av. If transmission is incomplete, please call (212) 982-4370. i D l JUN 1 8 2007 SoetAgold To+n lewd et lraatas l'd LZ4LZ86ZlZ sezna4 ued dZ£ l0 LO 8L ~nf ~I New-~Fer-k-State Department of Environmental Conservation _ Office of Natural Resources, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 v Phohe: (631) 444-0295 FAX: (631) 44 0297 n r. RECORD OF INSPECTION Project Name: ~ M1-` :.ti ` F,~' t~5-1~,~4- Contractor: Address: ~ 12v C rz ~l 3--/06 2-~ S~- Phone: O - _ `n - u ° S"'t Permit: Yes No ~ Consent Order: Yes__ No Tax _ Permit Case NOV # ~ ECL 25-0401.1 Tidal Wetlands Diagram , ECL 15-0505.1 Protection of Navigable Waters ~X~ `X~ ~i.,, ECL 13-0345.2 Protection of Marine Waters r"`-"-'-"-'"--' ~ J I! 6NYCRR 608.7 Water Quality Certification ~ j ECL 15-2709.2 Wild Scenic Rivers I ~ ~ i uv I ~ ` ECL 24-0701.1 Fresh Water Wetlands _ ECL 17-0503.2 Pollution of Marine Waters ~ '-'"~a~ Project Description: Field Resort L Date: ~ ? Time: _ ? ~ i S' Inspector. f`"7Z~a,-,' r-_, ECO:__ Project Progress: Started Completed Not Started Other i Comments/Observations: ).I„ ~c~,~ ~ ~ arn ~ , k`~ t> (J ~ L Pct Statu~A~ ~'~n~omplian~e cq ~ ~ Non-Compliance:_ Sketch Made: Yeses: No Photos Taken: Yes No Persons interviewed at site: Acknowledgment of Receipt Q~ r~-~3-~ I hereby acknowledge r ejpt of this inspection Signature.: Name: it Address: If project is in non-compliance, contact The Region One Office of Marine Habitat Protection, at (631) 444-0295 to discuss this situation. Contravention of Article 15, 24 and 25 of the ECL is a violation and/or a misdemeanor and is punishable by fines of not more than Five thousand ($5,000), Six thousand ($6,000) and Ten thousand ($10,000) Dollars per violation per day respectively. Note: This record of inspection has been completed pursuant to an inspection of only the activities listed above and is not an indication that there are no additional violations of the ECL at this site. ~R~Y 0~ Q~~P~~N d~ye\\\r~Q~er N ~ °_t pvb\w 51TUATE: ARSHAMOMAQUE TOWrI: 50UTHOLD W SUFFOLK ~,OUNTY, NY f ~ I UPFOLK DEPARTMENT OF 1r!EALTH SE E SURVEYED Ob-18-02 q}v3~ o M!T FOR APPROVAL OF CONSTP.UCTION FO A REVISED I-O5-2005, 03-08-2006 d~ Wd e~ ~ I $INGIE{=AMIi.YRESI'~E~fCEA~!D 04-03-2006 pvbU o - z- SUFFOLK GOUNTY TAX # z I ~ DATE~IS-(~ .S. REF. NO. 10-03'CJ S~ \ 1 ~ 1000-52-2-20.1 ~ L.. APPROVED v ~~p~ T0: ~ 2~ 70TAt. MAXIMU~!1 BEDRQOMS =p p~.~ b`"~ G R• EXPIRES YEAR FROM D PPROV o~ ~ Ymnr` \ v ~itjl !r , O ~ ~ , i ~ - ~Qy '1 W ~ O ~ P ' ~ o5~d F ~ - ' 6 ~ L1 ~ Z PcOP is o ; o 1 a Q ~ - - - - y - ~N- P - -~„s~ ~ . , Q .w ~ S S. ~ Y . 1 w - C ~ h~ B1oP® ' ~ "~y~11 11~ ' V ' N ~ In f~ ~ _ _ _ _ _ _ _ _ Y1- ~ ~~~LjQ/ 1 ~ ~ _ _ F~ pFF 6 ~ ~ o ~ eo' _ ~ 1 _ ~ , . \ ~ - - ~ ~ 1 ~ ~ ~1 ~ - _ _ _N ~ t Vov~'d ~ 2~ ` ~ ~ ~ ~ 3 ° a`~ ~ ~ ~ ~ N ro Q 1 - 0 fl ~ i 1, I I~' 9- ~ ~ 1 Z 6 _ - 1 - ` ~ ' ~'r o /Lor.~ ~ F Ny - - - ~ ~l<~ - - Yify ~ o lest Hole ~S ~ 1~ s - b'~ r oa SEten~K ~IN~ ~ 0 OS-30-02 q~~ , / ` 1 F,- ~ _ 1 p w e p. ~ X~ 11 1 ~ 1 ~ ~ ~ 8 Lwo 4 fl 3 Ct{~yy~ i 1 w SP F,n SN~ ~ ` mew 5e rJ" A~(.~ 1 ~ ado B' ' slit 9.8' c( ~ \ ~1 _J 00 n ~ I 1 ML ~ / ~ 1 - ~.in ~i I SM e-orn saw 1e. g ~ ~lg` ~1 , }i o qa r'c Vi 1!C+C- l /,~or0 PPL' ' _J w u 7~t~? a' 1 . ester O, ' 0~ ~ ~ ~ m x ~ d tr~ y L ~ SP F1ro ~ L I- ~ 11 ~ ~ C pp N g~ m .<J lD fl~ ~ ~1 1~ Vy0 Vm. im d 8 smo R KkT YO - i~~EL~3~~2 Nwo'v :n~ _ F ~ Q XCU~ N~ V i , ~ ~ 9: ~ ~ ' e oaoo NOTES: ~ 5`s - ~ ~ ~ ¦ MONUMENT FOUND , , ye, , \~,e PROPOSED SEPTIG TO BE THR1 WITH 6' DIAMETER GONGRETE RIN65 b' DEEP ~ ~~,e _„`v,a~w,.,. a~ of .r° r ~ 1500 GALLON SEPTIG TANK ~ ~ > a,:, FLOOD ZONES OBTAINED FROM FIRM O D ~ry1 MAP NUMBER 3610360158 G ~ ~ ~ " \Y'~, : , ~ ~ 5' v ~ ~ " ~ far a ~=°ei, DATED OS-04-f948 l'~~r' 00 • ~ ~ ~e•,••••~• DEED REFERENCE L. 11886 cpb31 ~ Q AREA = 42,459 SF OR 0.91 ACRES z r F'YS 502 .~.,~.~~...,,~.N~.+M ww~ v.. PROPERTY ZONE R - 40 J' ~ F~ LANG SJ JOHN C. EHLER SURVEYOR ELEVATIONS REFERENCED TO NGVD'29 ~ rn 0 6 EAST MAIN STREET N.Y.S. LIC. NO.50?A'I GRAPHIC SCALE I"= 30' _ RNERIIEAD N.Y. 11901 369-8288 Fax 369-8287 REF.\\Compagserver\pros\~2a2-202d.Pr° James F. King, President ~~OF SOUTyo 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 John Holzapfel ~ Telephone (631) 765-1892 ~~~0~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YO ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 OURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APP INTMENT FOR APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SH LL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PE MIT. INSPECTION SCHEDULE }~a ~,~es 2S~-~., Fw ~~...A u,.l ~Oo~~-,,, sa(E Pre-construction, hay bale line 1St day of construction- ~hs~cc,4,~, CI,~-1Cr l,~ux (ocu~ho„ c.~eU~e~l '/z constructed II ~ Project complete, compliance inspection. III II! I~~ i I I a a~ ~ Board Of Southold Town Trustees - SOUTHOLD, NEW YORK June 21 2006 • PERMIT NO....~..?g!O....... DATE:............ • DROUZAS REAL ,ESTATE DEVELOPMEN'~...QQRE...,,......_._...., 't - ISSUED TO ....................M........._....................................-......... ,fix#1~nrt~a~inn _ ~ Pursuant to the provisions of Chapter 615 of the Laws of the. State of New York, 1893; and Chapter 404 of the Laws of the • State of New York 1952; and the Southold Town Ordinance en- titled:"REGULATING AND Ti•IE..PLA.CING-OF Q$STRIIC~kONS ; IN AND ON TOWN WATERS ANb PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL-OR OTHER MATERIALS.F.I3.OM LANDS UNDER TOWN WATERS;"- and ib accordance with -the - Resolution of The Board adopted at a meeting held on .._1une,,,21:.,_ 2006 and in consideration of the sum of t 250.00 _ paid by ........_Drouzas.._Real.._ES_C.aCe_. DeYe.7..o8zaent.. Corp................ - , ~ of Long"".Island..City.....-..._.._.._._._..__. N. Y. and. subject #o the Terms end Conditions ,listed on the reverse s{de hereof, of Southold Town Trustees authorizes and permits the following: h ' 'Wetland Permit to construct a single family dwelling with the conditions of the placement of staked hay bales 25' _ from the fresh water wetland and 100' from the salt water wetlands, to designate these areas between the wetlands and any clearing or construction to remain NON-DISTURBANCE BUFFERS, the four comers of the _ ~ house will be staked and inspected after the building envelope has been cleared, all trees over 8" DBH (diameter breast height) not in the building envelope will be preserved, a 4' path may be cleared by hand, with no mach(ne within i 00' of the wetlands, to the salhvater wetland edge, drywalls to contain roof runoff, and all as depictedon the plan surveyed by John Ehlers and revised and approved by the Trustees 6/21/06, all in accordance with the .y detailed specifications as presented in the originating application. _ IN WITNESS WHEREOF, The said $oard of Trustees hare- by causes its Gor~orete Seal to be effized, end these presents fo be subscribed. by a majority of the said Board .es of this daf~e. ~~~FFO~-~o - u~ a Trusteer K. y i TERMS and CCONDJTIONS , T~ Peradttee Drouzas Real Estate Development Corp. Long Island City N. Yy a _ of the coasidetxdoa for the littunce of the Permit does uadastand and praa#te to the foi~ - 1. That the said Hoard of Tmstees and the Tows of Southold uc eeleiiscd from any and damages, or t3alars for .damages, of suits arising: ditecdj or tadiredij k x arsult of any tiper- performod ..pursuaat~a:~is-.~u1.t..t?s~ .~?4 s>~ Ye;alittee ~iiV,_Rt.6ls oc f,er own rzjxnu, - ^ end .nay and all sorb suits`IaidateL by tWrd ~atda, and rite aid-Pemdttce ~swcua full ilabliig aespea thetew, to-tlte~eovuplete eulvdoa of tha 6aard of Ttustea of the Tows of Southold 2. That this i4ttbk lE valid for a Qtilod of :24 mos. ~tthirh k dohttdeted to be the dme'required m complete the work involvod, tut'should dtduirstaaces warnot, requsu: [ as e:tet,sioa ,tnay tx made to the Hoard u a .late slstr 3. That this Perput should be retained indefinieely, or as loog as the Bald Petmitttx wishd ' tu'talnGUn the ttturnue or project involved, [o provide evIdeaa to a~oae oonaraed that auth- tioa was originally obtllaetl. 4. That rho work involved will be eubjea to the in~oa wd approves! PE ~ Board or ' apeatt, and noa~oomplianoe with the provisions of the odgiaatiog appliadoq may 6e nose foe don of this Permit by resoludon of the said Board. 5. Thu there will Fx ao unteasomble EnterEerence with aavigatioa as a result of the wodc 1~da authotixed. 6. That thetrc shall be tw iatufetenoe with the rift of ~ public oo pass and r~ along - ;i. ' tl}e beach betwexn biglt and low water marks. That If future opatxdoas o[ tfu Town of Southold requite tha removal aad/er altentlogs c the locadoa of the wodc herdn swthodzed, or lE, la the opitdoa of the. Hoard of Ttusoeet, the . - shall case tmrcasoaable obstruwoa m free mvigatioa, rho aid Petmitta will 6e required, tlue twtkn, to remove or alter this work or project hecda staoed ~eid?out esi+eases to the Town' . foutiiotd ' e. That the said Board w1ll lte nodfied by the Permittee of the Cpmplt%ion.:bf the woclc twdt- - 9. That the •Perndtoee will akKala aLL txher ptmmits and romeatt t~iat tnaT 6e mquiced sug us rids permit ~i?jdt ony -be subject to revoke npon isiku~e to dxain aeaa i. . James F. King, President ~~Of SOUIy~ Town Hall Jill M. Doherty, Vice-President l~ 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971-0959 Dave Bergen john Holzapfel 0 ~ i~ Telephone (631) 765-1892 ~~CO~~ Fax (631) 76b-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 21, 2006 Drouz s Real Estate Development Corp. 36-26 reenpoint Ave. Long I land City, NY 11101 RE: D OUZAS REAL ESTATE DEVELOPMENT CORP. 5120 COUNTY ROAD 48, SOUTHOLD S TM# 52-2-20.1 Dear N1r. Drouzas: The Bard of Town Trustees took the following action during its regular meeting held on Wedn sday, June 21, 2006 regarding the above matter: WHE EAS, DROUZAS REAL ESTATE DEVELOPMENT CORP. applied to the Southold Town Truste s for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetla d Ordinance of the Town of Southold, application dated May 23, 2006, and WHE EAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recom endations, and, WHE EAS, a Public Hearing was held by the Town Trustees with respect to said application on June ~1, 2006 at which time all interested persons were given an opportunity to be heard, and, WHE EAS, the Board members have personally viewed and are familiar with the premises in quest~n and the surrounding area, and, WHE EAS, the Board has considered all the testimony and documentation submitted conce~i Wing this application, and, WHEfyEAS, the proposal complies with the standards set forth in Chapter 97 of the Southold Town ode, WHE EAS, the Board has determined that the project as proposed will not affect the health, safety nd general welfare of the people of the town, NOW ~fHEREFORE BE IT, i z RESOLVED, that the Board of Trustees approve the application of DROUZAS REAL ESTATE DEVELOPMENT CORP. to construct a single family dwelling with the conditions of the placement of staked hay bales 25' from the fresh water wetland and 100' from the salt water wetlands, to designate these areas between the wetlands and any clearing or construction to remairh NON-DISTURBANCE BUFFERS, the four corners of the house will be staked and inspedted after the building envelope has been cleared, all trees over 8" DBH (diameter breast heights not in the building envelope will be preserved, a 4' path may be cleared by hand, with no machinery within 100' of the wetlands, to the saltwater wetland edge, drywells to contain roof runoff,:. and all as depicted on the plan surveyed by John Ehlers and revised and approved by the Trustees 6/21/06. Permi~ to construct and complete project will expire two years from the date the permit is signed. Fees~ust be paid, if applicable, and permit issued within six months of the date of this notifi tion. Inspe tions are required at a fee of $50.00 per inspection. (See attached schedule.) This i~ not a determination from any other agency. Fees:$150.00 Very l~ruly Yours, o~~ Jam F. King Presi ent, Board of Trustees JFK/h~Cc i James F. King, President ~~Of S~UJyO Town Hall Jill M. Doherty, Vice-President ~ 53095 Route 25 yy P.O. Box 1179 Peggy A. Dickerson ~ "R' Southold, New York 11971-0959 Dave Bergen G John Aolzapfel ~ Telephone (631) 765-1892 ~~CO~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO:~ pa-roUZGS ~ea I ~S-~cr-Fe ~uelo~rmen~ (~o~~. Plea~e be advised that your application dated 5 ~ ~3 ~ o ~ has been reviewed by this Board at the regular meeting of 6 ~ t56 and the follov~ing action was taken: ~S- np.,~.l,stwl~ca (JQw ~lanJ a ~rrevcd S~w:n Io0'{~v. V )Application Approved (see below) No ~~.V,~s~.~e Sc~Nn.v~./~c++~.a , +..spz~+,a -ti- ~.~l~ce,, +~,rpc~i,~ Application Denied (see below) ~-~ld-"-> S`~ cict~c~, Keep -}-lets p3+~r Gh of Mare Application Tabled (see below) If you application is approved as noted above, a permit fee is now due. Make check or move order payable to the Southold Town Trustees. The fee is computed below actor ing to the schedule of rates as set forth in Chapter 97 of the Southold Town Code1 The f~II llowing fee must be paid within 90 days or re-application fees will be necessary. COMII'UTATION OF PERMIT FEES: ~~p pc-e -C~.sir,~-k,,. ~,y~(e I-+ne ~ So ~}~Pec-i~r~. o.~kr ho~cle iocFrt,a~. C kw-e~ ~~I~ q S a~-i,,u t C n S ~-C C~{~.a.-~ TOTA~ FEES DUE: $ ~ ~O BY: ~I James F. King, President Board of Trustees I James F. Ding, President ~~OF ~UIyO Town Hall Jill h1. Doherty, Vice-President ~ 53095 Route 25 Peggy A. Dickerson ~ P.O. Boz 1179 Southold, New York 11971-0959 - Dave Bergen G Q Sohn Holzapfel Telephone (631)765-1892 y ~G`i` Faz (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD II Southold Town Boazd of Trustees Field Inspection/Worksession Report D~te/Time: ~ ~ ~ ~ ~ N~me of Applicant: ~f C~ ~.t 2 G~ ~k ~O-F.~}-r ~w..l- N e of Agent: I "V Pr petty Location: SCTM# & Street 'S IIZ " 2. - ~ o ' I ~ 5 y ~ a o Ck y S o~-t1.° ~ Bx~ef Description of proposed action: ~oi~~ T~ YY,~~e of azea to be impacte `~$altwater Wetland -Freshwater Wetland _SoutidFront _BayFront Di~tance of proposed work to edge of above: Pat of Town Code proposed work falls under: hapt.97 _Chapt. 37 ,other Tye of Application: Wetland _Coastal Erosion ,Amendment -Administrative _Emergency Inf needed: H f®~1. ' 1 a Mo~fications: ~ l ?bk S¢C ~ Con~tions: Pres~nt Were: ?J.King _J.Doherty ~P.Dickerson ~D. Bergen_7.Holzapfel _O er: +~n~h.W ~s ~ Mail~dlFaxed to: ~ Date: ill i ~o~gifFFO(,~~~ ti ~ Telephone ~ Town Hall (631) 765-1892 53095 Route 25 P:O. Box 1179 Southold, New York t 1971-0939 col * ,~ao CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At a meeting of the Southold Town Conservation Advisory Council held Wed., June 14, 2006, the following recommendation was made: M ed by Jack McGreevy, seconded by James Eckert, it was R SOLVED to TABLE the Wetland Permit application of DROU2:AS REAL ESTATE D VELOPMENT CORP. to construct asingle-family dwelling. Lo ted: 54120 County Rd. 48, Southold. SCTM#52-2-20.1 The CAC Tables the application because the project was not staked. V to of Council: Ayes: All Motion Carried I I j i i I • ~ . ~ l r r s. r • y~~ ,cs ,r~--,~. ; ti ti+~l#•+11'~ .t~ 1`h iy y+~ t4 ,r b ~ dT'4i,~f~ `S ~+Dc T~~ _.~.s}-y} `y~ ryti R{~ ~ ~ ~R{..~» ~ _ .r q "cx y ` N" 4'` ~y,~y . ~ - ~ 1 w * r ti w r- tit ti r e.1171 .~`7'C-F . ~ t ti . f 1. ~ ~~(F(i Y( . ~~yp r "t~ ` - 1 r1`t. ~R. ~ { ~ y sy . L J ~N Y~ " ' S' I y ~~AS James F. King, President ~~Of S~Ury~ Town Hall Jill M. Doherty, Vice-President ~ 53095 Route 25 Peggy A. Dickerson # * P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen G John Holzapfel ~ Telephone (631) 765-1592 IiYCOU~ N~ Fax (631) 766-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Flay 8, 2006 r. Peter Drouzas 5-66 12th St., PH 4 storia, NY 11102 ~te: SCTM# 52-2-20.1, SOUTHOLD Gear Mr. Drouzas: nclosed is an application for a Southold Trustees Permit, for construction on the bove referenced property. There is a freshwater wetland area on the above r ferenced property that is within 100' of your proposed construction. This area is i dicated in the 5' circular contour line of the survey, east of the shed on Beverly oad. he deadline for the June hearing is May 31, 2006. Please submit 3 copies of the pplication, 3 copies of the survey, and $250.00 application fee by May 31, 2006 t be on the agenda for June. F~lease contact this office if you have any questions. incerely, eather Cusack nvironmental Technician • . Page 1 of 1 Cusack, Heather From: Cusack, Heather Sent: Friday, May 19, 2006 3:02 PM To: Dzenkowski, Don We have a complaint from Peter Drouzas that 3 houses have pipes that are draining runoff into his property. He is: Peter Drpuzas SCTM# $2-2-20.1 North Road, Southold, just east of Beverly Road. There is a sign on a tree for Drouzas Development Corp. He claim that 3 houses on Beverly Road have pipes that run into his property and take water into the wetland area. PI se check it out.- Thanks-'i 5/19/2006 April 19, 2006 13oaz of Trustees Town of Southold As per our conversation, I am writing to transfer the project name and update the jurisdiction letter as follows to Drouzas Real Estate Development Corp. T~re property information is as follows 1000-52-2-20.1, Should you have any questions pease contact us at 516-204-5713. Tank You, P~ter Drouzas APR L 1 as_~~ izM s+ y s rv-~ t < l o r^~ 15:.. ~ uIL.tFN 4 rli~~rq an~~ IJCT %o SJ F6' r v q o_ ca .f-, n 9`-. b - c, _ _ ~ Alfaert S. Kxu ski,V President ~ wo ~FF~ C~~. - r P ,}a~. ~ 1~ D~ ~y Tows. Halt } 3am¢s .K[ng, Vire Ycasident iw.t` .y y 5311!35 Aaul.e ,3stie Yoster ~ ~ ~ P.CJ. ~px Y 17~ i:{er: Palsv+oda ~ Se~uthoid, Neer XO'^le. 7.13'?-095P Yr.~'y A. 1~ickeran ~',f, ~ ~ SDI ~ t~-lFaxt83tS 7f;511s6fi B6JA,i+~.ll U]E''iC'O'N1V'X'FtU5'Y`J~E;; Tg4VV Ur SOL'THl7GD February 28, 2Ci03 P.Rr. Matt D. !vans Suffolk Environmental Consulting, {nr„ P.Q. Box 21)03 Brid~ehampfon, h~Y ?2932-2003 RE' MA7J._~4FERRQ MIDaLE RD.,54t1THOLD SCTlUH#52-2-24.1 C?ear Mr. Ivans: tie So!lthold 1-own Foard of Trustees reviewed the sur.~ey dated June 1r3, 2002 and last revisEd I~ecembcr 6, ?002 and determined the proposed single-tami9y dwelling and deck tp be out of the Wetland jurisdiction under Chapter 97 of the l own Wetland Cade and Chapter 37 of the Town Code. Th~;refore, in accordance with the currsnt Tidal Wetlands Code (Chapter 97? and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please t;e advised, however, that no crnstruction, sedimentation, or disturbance of arty kind may tak? place I seaward o the tidal wetlands jurisdictional boundary ar seaward of the coastal erasion I hazard area as indicated above, w'sthout a permit. It is your responsibility to ensure that ail necessary precautions are taken to prevent any sedimentation or other alteration pr disturbance to the ground surface or vegetattan within Tidal Wetlands jurisdiction and Coasta! Erosion Hazard Area, vvhich may resu;t from your project. Such precautions may include maintaining adequate work area behveen the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary terica, barrier, or hay bate berm. However, any activity within 200' of a 4VeGand line or seaward of thc: Coastal Erosion i-laz.ard I;rQa would require permits frpm this office,. .'his determination is not a determination from any other agency. I I n5 ,:~~5 rr; ui~_~HN + c~u~_,tu ar _ N ~ .c~_ 17i.w r~ h'U_~' r.~~ .,_r, 2 tf you have any further questions, please do not hesitate to call. Sincerely, / fem. a, n. Albert J. 'rCrupski, Jr. President, Board of Trustees AJK:Irrts } ~ ~ * ~t ~ S* F V ~fi ~i -!F5_ ~i:i rj t r ~ aer ~n ;~ypy^ Y. `jf~x, y ; R F ~j, # ~ ~ a4r ~ ~ ~ ~ . ,nr, ,3 y, _ r 'j n f } i ~ ~ F 1 1 ti. V 'k ~~ti, a a " r4~ p,x } =lam • . ' - Oct. 13 2005 Field Insp~n F 'Y t `~N ~ C • - 1 w !j 4 ti? V- r, K...,, s w.. r-~ y~..~r` .n a y ~.iJMF; ~ + ~}'i~ r Sr _ _ ~ ..r, ~ ~ M :i i '?Y~'• M1~~ rN ~ - 1&~ i f 4 E ~ •y r ~ rs~ 1 +iY 4 +y~"' ~~1*, d .,14,E ~1 r~. t .~y~ ~ 1 ,.6r 9 ,.,'1,..i~"" ~f?~f.~ ~ R~,•w.~S°~'''r~l,,,~~+° ~,'y. R '1;» w a s v f ~i~ „atl / ..r 1Aµ" !-•j.~~'"Q~ ~ q"'r f. '~}i y 7~ yk~ t - _ ~ ~ (z~"' i. y ~ ~'!~i!~~ fiii-!'~ t~ ~ , ,$4 ez 4. ~ a., d. ~ ~ :~~~r o 1~'1' ~ j~ ~ ~ l ~t~ ~ +v< ~ W ,;u~ t 351; I~ .4 i+>;1 Y`~~'r ~~~~Fl1'tl ~ ^j[}';~ '~.rr; _ ~ ~~'~y~ ~ -L~'r ~'1~~r~'~t ~ ~ ~R~~~wi*S ~ , ...w ~ ; 3 ~ p~s ~~+~,zx,tY. ~ ' ; 4'~~ S~~ '1'::, ~ '~7 ~r i'.'.' ~wK';• x ~ ~ ,}rr ~ h ~ 1' ,,fib ~ n ti r~^r yam; ~t `4~} S;"r' ~ ~ ' `I r Y. 1~ " w q ~{,7i1 ~y~'~.~t ~ ~'At~l ~ "7~R w,J d,a 4pz ~~~3b"„` d•~+'ji~i ~ !y~(•~}~114f1.4~jil~ e 1 ~4'"~,'.~' 1'.,'~.~a,~~ < j~, y, ~'.yr ; T N r,' lid - M •-4 t u a ' ° ' ,r~ r.~?; . 'f~Y lf~~~ j"" ~ III Ir C ~ d ~ 7 Lt ~ ~ rye,?~ ' ^ LyyyyyCr ~ ~ ,u ~ f. ~fi~ '~,1~:. ~ re a~~ik#-"" .y w'tl,d~~ t ~y';d .~,,G,w. 1M, A'a., r r'-•.' "4 ~ y. 'r r ~ t y9~' 11 jig( ~ ~ I ~ r '~"f~~ef. fi'S ~IJ t ~ ~.~ri ti• ~ :,.c,oi'J t ~ v,6;t~ ~'x~a ,i~ ; ,.~kf,~~~ ty5 qW ,1 ?,i+ ~#~k d ti b ~ i rJ~ " ~#,~1„'•s ~ `~'"ki ~1..~ a is ~ ~ y+{j~'~. ~Y Nt + ~ M ~ ~#Oi` ads ~ +~•y ~ 1'4 ~4na y ~ "~k "'.~ta4H+M` - S~' K e~ '6 y '4 '1:.`r'Yb!~+.2 ~ LY'~~1~~~ qq'+r" •s f~'„ ~,i ~ : a ,fy~t 1,I Jam,,,. 3 Iitp ~ ~ ; y i .`ti• ?~il ~ T'i~' I&,a L ? f Y • . ~ ' « 3 ? 4 f~ ~ >.~a 7ti`- 7+. L~: ~ Yx + ~r k M ~ ,~F a« t ,f y- ,~'"_:31~ f ~ ~ r a "'1` ~ ` r ? Y . yR.a r i ~Jr ~e~'~ L 4 ~ Y y ~ ~ ~ .,ice ° ,+~-.~xy, ~k ",lf~ „ ~ SF t s h' `r r 1 E.:j ~iw ~t,pt• _ ~ S i.y~f. kL a d) ~g f~y. ~"3..3A 'J g, ~ i ~ ti ! ~ ~~yy>.~~,..d~.S,~ r} i '/~'~,...~r, +n 0.~ 71';~y~' r , «~y- 'C l~, r~ - ' ~ w ~x x,~~ k~ YT `~,,.yY~•~~ - ~ 1 1• ;~~y _ u,.,,,,X/,~ r v a ~ ~ +?r ~n^ r' Y ' r ~ ~A J°`., sb3l~ ~ JI,) ~a P"_ o~lT ~ ~p~. 'Ci." fi. rr'W ~ Y ~L~. a. a ~ " y. per: k ~ ~ ~ 7 rx` . rn ~~,xt,,,,~,.,^T ice/ '41.: °r ' x. 1~"~p. +~~R rte` 1 r~ K ~ . ' ~ a ~x,~r per" ~A`a~' "'1'' ,{~y rk,., Y~ ~ ~ .-py~ ~y t f~ .,4 ~ 1~~. S *:N'~~~4 711 y'k' ~ y 7~i, ~ ~7*^" ~h . Y~_ y~ , .+iaw fit.. lT..x+ ~y~~T ;yiy r~'•.. ~R.~ 4.~~I'^~ ."'~y~~ ~4 ~ rl~ ..Y 7?S 1~:,' L?i r + ? '.v3~'" ~ Z~ y~lC ~ ~Ca1 ~ ~ II I I I I 1 I I i _ Albert J. Krupaki, President ~~Of S~Ul~rO Town Hall James King, Vice-President ,~O l~ 53095 Route 25 Artie Foster Jf. ~ P.O. Box 1179 Ken Poliwoda T Southold, New York 11971-0959 Peggy A. Dickerson ~ • O ~ Telephone (631)765-1892 I,YC,oU~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Qctober 24, 2005 rouzas Real Development Corp. 36-26 Greenpoint Ave. ong Island City, NY11101 l~e: MIDDLE ROAD, SOUTHOLD SCTM# 52-2-20.1 T~eaz Ms. Drouzas: his letter will serve as permission to clear a path no wider than 4' from County Road 48 t the edge of the wetlands on Ashamomoque Pond, on the east side of the property. The s rvey and the October 13 site inspection by the Boazd of Trustees indicated some eshwater wetland azeas to the southwest of the property. 1#lease contact this office with any questions. ~ery Truly Yours, ~lbert J. Krupski, President oazd of Trustees .~JK/hkc j _ _ ~I i OCT 13 '05 15:47 FR ~RN + CIGCIR 212 982 2856 TO 7656641 P.01i01 PARI DROUZAS ATrOAN6Y AT LAW 237 First Avenue, Suite 601 ~ Now Yorlc, NY 10003 ~ 212-982370 ~ Fax 212-98Z-2856 October 13; 2005 TO: COMPANX: TELEPHONE: FAX NO: Lauren Southold Board of Town Trustees 63t-765-1892 631-765-6641 FROM: Pari lhouzas DIRECT' DIAL NUMBER: 212-982-4370 FAX NUMBER: 212-982-2856 Client/Mat~er Name: exenrtsFS: MIDDLE ROAD,. TOWN OF SUUTIiOLD OWNER:I)ROUZAS, Lauren, ' ; Thank y u for arranging the inspection for our property this morning. The inspector told my father that the Board o Trustees would send him a letter authorizing the clearance of a 4-foot wide path down the property fez a follow up inspection. My parents checked into' a ittachine to use for the clearance and they couldn't find a machine that is 4 feet. The machines tend to be wider than 4 feet. Please allow for a wider clearance than 4 feet in tt~e authorization letter to us. Thank ybu. , Pari We are transmitting. . pAB~ (including this cover sheet). If transmission u incomplete, Please call (212) 982-4370. _ TOTRL PRGE.01 _ _ SEP 27 '05 16 30 ~ILMRN + CIOCIR 212 982 2856 6317656641 P.01i02 X:k T% 57K1715 ~T 'p` P6 OF 27 '05 35:07 PfYiE-01 GILMPN + GIOCIR 'N~FROM MD?E MIWSEC PG3 CMD11 STfiT3B pATF' TIME EC-~5 03'20" BB6 162 dt 03 0927 1503 633 765 ~ PART DROUZAs ATTOiutR4 AT LAW 137 Fvae Avmne ~ Ntw Y 10003 ? 73-2717 ~ F 217.9EZ-2166 ~P' 27, 2005 C011gAANY: TE7~PHOPlE: FAX lYfl: ~O' - - ~ 631-7656641 of Town 17rnreees Dept. of Bvildiuge n]Rgt`T DLRi. NQbJQ~Rs 212.473-2717 ~ZtOM: Peri FAIC ~p~R: 217r98Z 1856 Tower W ptaex see Eee Deed. swvaY and ffis DEC fa the aUove paopetp'. T11e new owner ffi ofNovemba 13, is Dro:aes ltral Astuto Devefoparenr Calp• KmdtS+~e eu to aew owner. you. Draaaie . . q+e aro tran6~ ~n~ thoL C07Q'sMet). 1T ee~aminboa is Pte' ~ l~]Z) 4T3 2777. ~L~}5~ s~ C t,~ d t onf o F SLl R~?~( , : ~ (tr~GC L~, fct rv a Nva+^`~- :J.~strHC~~ '~S ~~'-Q- bel7tr.d 0. a S -,Q~ ~roPcF~- ~ S~-la~tt~ ~ ~ w.~ta,.~o . Q (~'Y/r` r- ~,Ll~~,~ ~37a e? Rn'Ro3't~ISB' n,~ ~ ~ ~ ~B ~ Y r-~~ DROUZAS REAL DEVELOPMENT CORP . ' 36-26 Greenpoint Avenue ~ Long Island City, NY 11101 ? ZIB-- ~.,m - 1 , September 29, 2005 ` ~ ~ ~ ~ ' OC i 2005 Southold Town Board of ~ 1 Trustees 1 r _ Town Hall LLL---------------~"" 53095 Route 25 PO Box 1179 Southold, NY 11971-0959 Re: Middle Road, Southold, SCTM: 1000-52-2-20.1 Dear Members of the Board, We are the owners of the above referenced property located in Southold. I am enclosing a copy of the survey, a $50 check and requesting that you inspect the property for the purpose of giving us the permission to clean and fill the lot. We are expecting to clean and fill the lot in the azea from the street (Route 25A) to approximately 120 feet towazds the lake. ' With this letter we hereby give you permission to enter onto the lot and inspect it for the above-mentioned purpose. Kindly notify me if you need additional information or documents. ~ a ~ Very truly your ~ ' ~ B ~1t~~ Y Pari Drouzas __.,,1,,,~mgrlt COrp. lL ' Date ry v~~ s O Received From ~ Q4 29 8 9 F-m Adtlress } to 'a z O 2 ~ For ~ ~ r Doiisrs $ - 03 c AMi i'~ OF - m ACCOUNT U to CASH AMT PAfD ,+e .~~(~~///y~/~ ~ , DUE MONEY ppOEP? EAIANCE CHECK \EVC~~~__~7 CgE~ii CAq~ _ _ ~ '-:d5-]:5~04:FR~MRN + CIOCIR 212 982 2856 T~6317659502 P.01/06 SEP m.7- ~ ~ s PARY DROUZAS „ ATTO ` Y AT LAW 237 First'P.venue ~ New York, NY 10003 ~ 212-473-2717 ~ Fax 212-982-2856 September 27, 2005 TO: COMPANY: TELEPHONE: FAX NO: _ Board of Town Tzustees Dept. of Buildings 631-765-6641 FROM: Pari Drouzas DIRECT DIAL NUMBER: 212-473-2717 FAX NUMBER: 212-982-2856 Cliem/Maaer ame; MIDDLE ltOwb, TOWN OF 501777[OLD Enclosed p e see the Deed, survey and the DEC for the above property. The new owner as of November 13, 2003 is Drduzas Real Estate Development Coip.;,Kindly issue all permits to new owner. Thank you.'. Pari Drouzas We are transmitting pages (including this cover sheet). If transmission is incomplete, please call (212) 473-2717. SEP 27 "l;i i5~GJ4 FR~MRN + CIOCIR x'12 382 2856 T~63176595fd2 P.H2/06 t 11111111 IIII IIIII IIIII 111 IIIII IIIII IIIII 11111 IIII IIII 1111111 IIII 11111 IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RBCORAZNG PAGE Type of netrvment: DEEDS/DDD Recorded: 12/12/2003 Number o Pages: 4 At: 10:31:19 AM TRANSFS TAX NUb;~BER: 03-19864 LIBBR: D00012289 PAGE: 551 NICHOLAS MAZ2AF8RR0 DROIIZAS PIEAL 85TATE DEVELOPMENT CORP District¢ Section: Block: Lot: looo os2.oo 02.00 oao.ool EXAMINED AND CHARGED AS FOL:,OWS Deed Amovlat: $375,000.00 Received ',the Following Fees For Above Iust*~~~*+t exempt exempt Page/Filling $12.00 xio Handling 55.00 NO COE $5.00 NO NY3 SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $50.00 NO TP-584 $5.00 NO Cert.Copies $0.00 NO RPT $30.00 NO SCTM $0.00 NO Traasfexl tax $1,500.00 NO Comm.Pres $6,000.00 NO Fees Paid $7,627.00 TRANSFERITAX NOMBER: 03-19864 THIS PAGE IS A PART OF THS INSTRVMEN'P THIS IS NOT A BILL fidward P.Romaine .County Clerk, Suffolk County SEP 27 '0S 1504 FR~MRN + CIOCIR 212 li8? 2856 T~6317659502 P.03/06 Form 8001--Axyav, and Sale DaeJ, ..i,h Covenant apinu G:a+ar§ •bt?dad:~~? naSotCorpgraden. (aiag4 steel) CONSULT YOUR LAWYER BEFORE SIGNING TH{S INSTROYENT--THIS INSTRUIYIENT SHOULD BE USED BY LAWYERS ONLY. THIS INDF_IVTURE, made the 13t1i day of November, Two Thousand Three BETWEEN NICHOLAS NIAZZAFERRO and BRIGITTE DE'VLIN MAZZAFERRO, husband and wife, residing at 156 Hillside Road, Farmingdale, Haw York 11935, part} of the fast part, and DR(~UZAS REAL ESTATE DEVELOPMENT CORP., whose address is 36-26 Greeapoint Avenue, Long Island City, New York 1110? , party of file second part, WI ESSETH, that the party of the first part, in consideration of Ten Dollars and other valuable o coderation paid by the parry of the second part, does hereby grant and release unto the party of e second part, the heirs or successors and assigns of the party of the second part forever, l AL that certain plot, piece or parcel of land, with the buildings and improvements thereon ere, situate, lying and being at Middle Road, Town of Southold; County of Suffolk, State of ew York, being bounded a'nd' desciibed as follows: " BEC~IN.'tiITNG at a point at the intersection of the easterly side of Middle Road and 136.0 feet west) from a Private Road; RUIhiNING THENCE from said point of beginning South 09 degrees 00 minutes 22 seconds Easia 312.65 feet to the average shoreline of Arshatnomoque Pond; TH~NCE South 49 degrees 02 minutes 22 seconds West, 82.29 feet; TH>~NCE North 31 degrees 16 minutes 00 seconds West, 316.10 feet; TH~NCE along theme-~le~side of Middle Road North 62 degrees 26 minutes 00 sewnds Eas 200.00 feet to a point or place of BEGINNING. dBEG AND INTENDED TO BE the same premises conveyed to the parry of the first part by from Bernard Kirsch, dated June 20, 1003, and recorded oa July 16, 2003, in the Office of a Suffolk County Clerk in Liber 12261, Page 322. _ _ . SEP 27 "d5 1504 FR~RN + CIOCIR 212 982 2856 6317659502 P.04/06 • TOGETHER with all right, title and interest, if any, o$'the parry of the first part in and to any. " streets and roads abutting the above described premises to the center litres thereof; TOGETHER with the appurtenances aad all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted uato the party of the second part,'the heirs or successors and assigns of the parry of the second part forever. ANI? the party of the first part covenants that the parry of the fast part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AN) party of the first part, in compliance with Section 13 of the Liea Law, covenants that the of the first part will receive the consideration for this conveyance and will hold the. ngh to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the imp~o~ement before using any part of the total of the same for any other purpose. The'word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN 1WITNESS WHEREOF, the party of the first part has duly executed this deed the day and yeah first above written. IN 1#RESENCE OF: NICHOLAS MAZ O LeJT/L6 /~~~~I. TI'E DEVLIN _ _ i SEP 27 '~~5 15~a5 FR~MRN + CIOCIA 212 982 2856 6317659502 P.95i96 STATE OF NEW YORK) COUNTY OF SUFFOLK) On the 13th day of November, 2003, before me, the undersigned, personally appeared Nicholas Mazzaferro and Brigitte Devlin Mauafetro, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their cap~city(ies), and that by his/her/their signalure(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. tart' tblic WILLIAM N. PRICE, JR. Netsry Pubtio, State of New York No. 4644964, Suffolk County~,, Term Expires February 28, 20f~ ~N/ttt/ J S 02/3 7 {o _ 'i'~~ ~ ~ ~~03 _ _ SEP 27 '85 8 FR GILMRN + CIOCIFi 212 982 2856 TO 756641 P.02i82 5U121(~Y OP PRO~RT( owe"` U'te~ SITUATE: AR51iAMOMAQUE ~~GO~• " TOY`Al: 50UT1'IOLD W ~ SUFFOLIG GOUN'TY, NY ~ prrntlstl Ol 3943?13.06-03 f>Vb\ G1 WUCe~ BUFFOLK (.pyNTY TAX II 1000-33-3-30.1 e NClIpAE '~Q~ ~ ~9i~ _-w'...... t 01'a,af GR. '2 rw ~ w _~w - _ P ' 96 ~ 'fir r _w~_ ~ N 9 m `P.. p, deck ~ ` , ^ O'~ x'" i _ '1 a' l h0 • _n. h y_... m S 6 ~w.~,rno" C Syr ~u~ lest HOI9 ,no' *F - - i OS-90-02 - - .b - _ n ~ ~ V ~ ~ ~ ~ 5 , ~ 9.6' ~i~ 6_~, ~ ~ n KI„¢D of OO°, ` y/1Y''• »µl0 el Sou / ~ ~ma ri- F ~V i i .o V ~ Q :b y~.Q'reii~ ~ G EMU^i I 'n 'g,m~, - ~6F - y C J ~ ` _ r % ~ MOMF¢NT POUND ~ R. ~'l.. µa~E( PLOOD ZONCS OBTAI 7 ~ a' • / . _ NCO FROM PIRM J~ f1p i MAP NR'IEER jB10' M50 6 \ ~ IP` PATCD 0504-1998 .'Ly. ~~~WY d pEEp REFERENCE L. IIDBy cpb31 d .ttlV~~f n~~ ARE/.: 43R'.A 9P OR O?T ACRES ' Y~*! JPl T ..r_[~._~4y...»....1: PROPERN ZONE R - 40 ~ EINATIONB RCPERENCED rP N6V0'39 ~O~Oa S V It I ra 70I-IN C. EHI,ERS LAND VE ~ P~' eeASrhuR+STRFBI Ic.n GRA°NIG 5(:AI E I"= 90' eovnnn n,~ u,n~ TOTfiL PRGE. B2 T _ . BV61M5 Iz-pz-v 1~,) I-z> v . b21-9 x)u am qR WT[H _ LNE 1-10-00 9 A \ 9 \ \ LOR PCL. N0. 516-0 0 ~ \ Ip~ll-00 W ~y A~~ \ \ 2a ~p . $EE SFC. N]. 0].T1-01 Y !'f+ d,V ,y3 n T 'x pll-0}ppl.l p6-oz-o ~~,W ~ ` S5'y ~ n ~ 6 ~ >.aucl pe-z9-p u il.pl~w 0 1 r` 2 sw' 4x zH /I~ z_p,_p . H ~ x 5 I ~)al.l m Y + 3 . .s N _ s a ~ + la » 1.5 S a, 6Y01 m. w. ® O. x1.1 ^ .q , R , y a ~~SFE SEL NO. + . O 051-OS-Wl 'o-' S ry,0 lY'~ ^ s ~ ~ s ee 0 :u y' ~ IREYR9E0 FOR PMB <.9alcr T q~ al0 haYEMIWI ~ y 1 a RM1S 6 ~ yp• A nx' 9 +6 « ~ M1°~^ ~ ° ' x11 5°' )29alcr ~g + 5 ~ ~ e ~ x~ 'c+ " b ~ W n"a 'y" q nl~, ~ ,a z 5 ~ a l.ulcr ,p 1.4m1 a uBERTSON 6e1 I ~~j ~'Y 6 0'` a 53.xi n me w ne 5~ I LSLIU _ a 3 6 o e SC O ~ ) ~ i'~ a ' '1 59.1 1.1E1c) ,l. Ij 0 t S'O~\ / F L 5 ~ _ 56 592 ~ Ida [EUESfnr _ l_ m/ - ~ ~ yV99 ~ O'~~ c ~ e.l ~ i~~ dim d ~ 9.? ~ ^a ~s°wi A~ ~ M \ / /~i 55 ~O, / TpOH pF SUITIpLO p ~ 'x! /6'gF 6.Salcl I \ ~ ~ iUXfFHOEF I.wO~ 'S / rv / 9~° ~~Po / 6p.1 60P V C~'-~ ~ / 11 OUCr ~ )9.BalU A b ~ f610alcl ~ ~ H hf~ \ ; \ 31Ja ~y d 1 ~=~~v~ ~ ' I A/ r 5 - ~ - ` ~ L ~w...: . ~ _ r < ~ ~ ~ j- ~ ~ ~ ~ icy ~ w , O - ~ - ~ scH~ . Io ~ ~ ~ p. _ ~ p ~ S ~ A.Q 59.9 ~ - ~v ) ~ ~.p~.~l 4 z5ea I t.1 ~ 'O 10MC1 + ]J % •X (O" \>'B RECONC Law LRUST b. 1~-- I1 S.Salcl ~ I((////J 9j \ e ~ vl \ - v O'a ~ w ~s i n e • a Q m a, g i .r c ~ ' 1.l Y m m Iw O \ 2.6a - e C' Y 13 a 201 ~ s ~ 1.1 c® ~ l31 3 +,H lda ~n ' a~ w 'C m 1j6 d x ]-5 0) on) ENV PCL. W. ~ne~e x FCP P[L NR Q o [ a[ w - SFE Sf[. NO. J \ lA oss~o)[m1.6 056-01-011.11 3 SEE SEL. N]. ~ y0 L51 5 [ s c. w- p56-01-0x1 ~y g 8 oss or oo- 0 5 41i[H ~ ~ ~ LBIE M1iCN ~ ~ LNE $ x >);sao ~ SEE SEC. AUA56 SEE SEC. W. p56 ^ • ~ rvw-h s w u. sin in r rm vnn.r»r .Ire z[x roran n.r.n x oTr[p. s[ au o°.x. No E ~M~~ ~ ®,,.»r. lzv ~ ,I~ .ti~..~..»_ ~ .xE .o~,o.x~ °o A~,S- ncE COUNTY OF SUFFOLK © K ~0~N6 SO 4.° ~.Ix x.x.[x.x~E.l[,a..ox.s.[E~ ed Pro e t T v THOLD - r _....v~.,_ .m R p y ax S~er,Nire Ag cy - a~.xrex.~ a .x. Pox.~x ,xE °.A . _ .,..o,. cw.^.... x.° rs ...orenEO F Lunfr Linter Rlvx ) ass xsz as, rua¢ a ...e...,...a. ..,.d,d e.... :<......e.. p1 u a )ooo _ SURLY O~ Pi~OPERTY SITU,4TE: ~4RSHAMOMAG2UE P bWe wQ~,er N TOWN: SOUTHOL W o SUFFOLK ~iOUNTY~' NY UFFOLK DEPARTMENT Of FlEALTH SERV E SURVEYED O6-i8-o2 2\\1n~ MIT FOR APPP,OVAI OF DONSTP.SICTION FO REVISED I-05-2005, 03-08-2006 dW p e~ 04-03-2006 I p~~j\',~ W + S3NGLE FAMILY RESfDENCE AND SUFFOLK GOUNTY TAX ~ 1000-52-2-20.1 \ ~ ~ OATE~~S-o?~a.S. REF. NO. lO-(7'i-d $ o ~ APPROVED r 2't TOTAL MAXIMUM BEDROOMS ~ Pe0°`~ G R• EXPIRES- YEAR FROM D PROVA R G - _ 14 _ 'JbQ ~aQ~S__ ~ Ll I_~-.-..- \ \ \ 1 O1 P.U ~ , Ip I 1~ i CLd'~~ ~ ~ - ~ i i- 1 1 r yL - _ ' _ _ ` 1 I ~I I _ ~?~O~o' ~ ~ PM i ~ 12 F~~ ._..6~ 1 I 1 ' ~ ~ 1 i / -1 ~ ~ r g ~ o a ' ~ ` ~o g ~ . ~ _ - ~ 1 h~ - ~ 1~ _ ~w ~D in 9 ~ ~ ~ - ' eui~d109 en a,OPe `I ~ t ---8---~ W5 1 ~ ~ ~ 9 o d o e_~ M o ~9 ~ v~ o ye I -a ~fl o ~o p~opFF• A4 I, ~ ~ 1 ~ ~ o ~ - ~ ~o ~ _ pR _ _ ~ ~ I ~ . ` ~ , ~ o aR~ o I- fl,~ CDC ~ $ ~ - W~~~' - - _ _ PRR~f ~ a co ' L 6 ,JF ~ gyp' ~ ~ ~0 1 , ~ I r, ~ i ~ 3 ~ N . 6 0 9 \ ' o ~ ~ ce',a IS ' Q'z6 1 1 1 _ ~ ~ ' _ _ - - _ I 1 _ ~ G~ ` JIN Test Hole ~ O 1 ~pGK UNE FROM NEt~AN05 61 OS-~~-~Z 9~ ~ ~ 100.5E 1 ~ F ~ MMpC ~rtT ` ~ ~ O ~ O ' 4{ Tyti~ 1 11 V I I PN~e 3 3 I , sa s~ ' 5~ I w ~d~ b 1 wean ~ ` ew 5 e 5 I sore NL °f 9 fl 0 Y I no ML a-orN ~ ~ ®a \ 1 Q I - Nw we soal "l . ? 1 ~ 1 on wler ~ I y •.in ~i SM a-oN~ ~ 6d~ ~ / I sue, {{/y~/~~ ~ 1 t C Vbts ~VI ~ ~ G.~°~~~ II ~O QGO N 0. I v ~ 1 J °u Ti my NN N I~ ~I {u l ~ ~^.~0 1 Q ~ w W ~o~ ~ < 6 9 V_ y « weMn x~ J N 9 ~ ~ ~1 II . Q O Y - iu o 6 ~ O~ 1 v 9 `y, i~~ONM~AL ~ ~ o ~ co ~ w K{!.~' ~ 9O ~ Pa'9.~ENy1R 002 ..w ~ : j ~ ~ 3 1, 1 ~i`e~~ S:°d ~d c CO 1 - i~~ _ ~ al se NOTES: 9~ cs.s ~ \ ~~C Y°Jv ~ to°$v ~o MONUME FOUND ~ o ~ -n~ ^O10 ~ . PROPOSED SEPTIG TO BET 6' DEEP ' ~ - 8' DIAMETER GONGRETE RI WITH ~ 1500 GALLON SEPTIG TANK y ~ ~ ~.^'"r- ^+J~~ FLOOD ZONES OBTAINED M FIRM ^ ~ E~0}~+ n m. o• O MAP NUMBER 3610360158 G v ~ ~ DATED OS-04-I'gg8 rp V'fp. ~ ~ ~ ~ j1'k ~ " ~ ~ , GEED REFERENCE L. 11886 c .631 'Ba~~ltl~ Oa * ° 1 * e` AREA = 42,45q SF OR O.q'I ACRES ~ - cTb_ O~ < t~ ! ~ ~`~m • ~ P'ROP'ERTY ZONE R - 40 r.: A.~ SFO LAND SV~~ :,~~".,1•.,,.,,~;w""~.,.~. ,,.,~wro, ELEVATIONS REFERENCED T NGVD'2q ti f _ JOHN C, EHLER SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. N0.50202 GRAPHIC SCALE I" 30' RIVERHEADN.Y.11901 369-8288 Paz 369-8287 REP.\\Compagserverlpros\02\02-202d.pto _ I ~ _ _ MAILING ADDRESS: PLANNING BOARD MEMBERS P.O. Box 1179 JERILYN B. WOODHOUSE ~O~~OF SO(/j~olo Southold, NY 11971 Chair OFFICE LOCATION: KENNETH L. EDWARDS ~ ~ Town Hall Annex MARTIN H. SIDOR G Q 54375 State Route 25 GEORGE D. SOLOMON ~ ~ ~O (cor. Main Rd. & Youngs Ave.) JOSEPH L. TOWNSEND OIy~~ONiY Southold, NY Telephone: 631 766-1938 Fax: 631 ?66-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: James King, President JUN ~ ~ LOCO Members of the Board of Trustees From Mark Terry, Senior Environmental Planner LWRP Coordinator Date: June 16, 2006 Re: Proposed Wetland Permit for DROUZAS REAL ESTATE DEVELOPMENT CORP. SCTM#1000-52-2-20.1 DRO~JZAS REAL ESTATE DEVELOPMENT CORP. requests a Wetland Permit to construct a singld-family dwelling. Located: 54120 County Rd. 48, Southold. SCTM#52-2-20.1 The p oposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Sout ld Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon he information provided on the LWRP Consistency Assessment Form submitted to this department, as we 1 as the records available to me, it is my recommendation that the proposed action is INC NSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with he LWRP. Polic ' 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. 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 roposed residence from a freshwater wetland is less than 100 feet• a minimum separation dista ce of 100' is required pursuant to Chanter 97 Please require that the applicant amend the appli ation to meet the above policy. Pursu ~ nt to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written deter~ination regarding the consistency of the proposed action. ~ ~ ' James F. King, President ~~oE ~Q(/ry0 Town Hall Jill NI. Doherty, Vice-President ,`O l~ 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson # ~ Southold, New York 11971-0959 Dave Bergen G • ~O Telephone (631) 765-1892 John Holzapfel O~~,COU~ NAa Fax (631) 765-6641 ~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application i~ ~'Vetland Permit Application Administrative Permit _AmendmenUTransfer/Extension / Re eived Application:~'-(~,~(_(x, ~Co' feted Application-,s~~f (~lr _Inc mplete ~ MAY 2 3 2006 _SE RA Classification: Type Type II`UnlistedJ _Co rdination:(datewnt) ,/I. RP Consistency Assessment Form ~ ~~QL ~C Referral Sent %ISa e of Inspection: Re eipt of CAC Report: Le d Agency Determination: JTe hnical Review: ~Fu lic Heazing Held:___~~~ Re olution: Name df Applicant ~Yb U ZC(S I`eEtt ES{Zt-~C- ~1LP.~0'~ Cyt~' e0+~~ Addres~ ,36- z6 Cmen~inf- Ava»u:° ~ 1-ergTS~araf Cc ht ~~.17 INO 1 PhoneNumber:Ql~ -72$-40SL SuffolkCounty Tax Map Number: 1000 - SZ -Z - Z pQ • I ~l d 0 y~ Propert~ Location: M I cfc~ ~C 120QG) ~ Sac,t-!'holcQ ~ (provid~ LILCO Pole distance to cross streets, and location) AGEN~ (If appl' able) Address: ~p~ Phone: ~ _ _ ' ~rd of Trustees Applicati~ GENERAI. DATA Land Area (in square feet): '42,~{S~ &Q. 'ff . Area Zoning: R-`}~ 1 Previous use of property: yQCG IT I Intended use of property: ~ i ~ 1'~SitlPX1Ce Prior ~ermits/approvals for site improvements: i -Agency Date N V ~S 1~ 6C ~P,b • 12 ~Zl)0.3 i No prior permits approvals fox site improvements. Has ar~y permit approval ever been revoked or suspen ed by a governmental agency? No Yes If yes, (provide explanation: Projec~Description (use attachments ifnecessary): Si~~ '~q(71i ~Y YLSIC~~C2. ~1 ~rd of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Str,Qle ~AmIIY Yt~Sldertc~. Area of wetlands on lot: 3 f200 square feet a~~x . Percent coverage of lot:_ l 7a5 Closet distance between neazest existing structure and upland edge~fwetlands: lsth feet Closet distance between nearest proposed structure and upland edge ~fwetlands: 156 feet Does the project involve/excavation or filling? No ? Yes If yes,, how much material will be excavated?_ cubic yards * Iri on How much material will be filled? kll ~ cubic yards '~1 t'~,t'y10VP~ Sotl ,~tll t't'rna n ~rernises -fb Icva( darol Groun~C Depthof which material will be removed or deposited:_~ feet ~ cFtlr2 Proposed slope throughout the area of operations: 5rrcEt' Mann~r in which material will be removed or deposited: S~OCK1'10e. a»~ ~rl+ loaner -l'o move soi I -b new loccrh'on Q} ~-hc -~n~ of oro~e~ Staterr~ent of the effect, if any, on the wetlands and tidal waters of the town that may result by reasonjof such proposed operations (use attachments if appropriate): ~o e-FFccf till o~pe~t~!-t'ons ~ ~ Il be c~nduc{e~Q '1 n -~'lx froYr4' half o~f bro and as a ~r~caufi on a ~xtrrrler >H111 be pbce~ 3ofee~ ~m -W~ rmr-of fhe P~Qosed btrudur~ ~ ~oiec+ ~veHancls . • st?.zo • SE(iR ' PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVfRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT / SppP~~ONSO~R t~,' 2. PROJECT NAME ~a4ZQS 1"~~ ~14M1 CO ' 3.PROJECT LOCATION: Municipality '.MI~ld le'r-oGd. S~ac!-ho(c~ County `S~iT9j~ G. PRECISE LOCATION: SVeet Addess and Roatl Intersections. Prominent landmarks etc -or provide map klldd~~ ~0~~, SC-CM# t~ - 52-L- ZQt 1 5. IS PROPO ED ACTION : New ~ Expansion ~ Modifcation /alteration 6. DESCRIBER PROJECT BRIEFLY: $ulld Str>~e-~igml~~f rrsic~ZmC~. 7. AMOUNT F ND AFFECTED: Initially acres Ultlmately acres 8. WILL PRO OSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~es ~ No If no, describe briefly: 9. WH T IS RESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residen[i~l Industrial Commercial ?Agriculture Park/Forest/Open Space Other (describe) 10. DOES A TION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Fe eral State or Local) Yes o If yes, list agency name and permit /approval: 11. DO S Y ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? _1 ~es i~No If yes, list agency name and permit /approval: NyS I]Qy~-'- 121?.mD3 72~II .~i~. ••JJA~~~iS A R LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIIIR~~E MODIFICAlTIO1N? es No I CERTIFY THAT THE INFOR;~M`ATIONr~ 'PlR-O~VIDED ABOVE IS TRUE TOp THE BEST OF MY KNOWLEDGE Applicant / ~ponsor Name ~rt)U24S t`~~ o~ Date: ~12~'u6 Signature / If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT To be tom leted b ead A nc A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PA ,6'17.4 If yes, coordinate the review process and use the FULL EAF. Yes ~.No 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 involvetl agency. Yes ~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 pattern, solid waste production or disposal, potehtial for rerosion, drainage orflooding problems? Explain bdeFly: ~o )t U ~t^ ~`u i S (Crl,k ~tiA F1c.+lt..)h C2. Aes[ edc, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhootl character? Ezplain briefly: N~ - r9re ih area, C3. Veg ration or fauna, ``fsh, shellfish or wildlife species, signifcant habit{ate, or threatened o1r endangered species? Explain brieFly: Yvon P151v~1ao,.u ~U~~a- S~r`a I'L ~'.(~,K ~t° ~c CAP-ck. C4. A co munity's existing plans or goals as officially adopted, or a change in use or intensity of use of land or outer natural resources? Explain brieFly: ~S i A C5. Gro h, subsequent development, or related activities likely to be intluced by the proposed action? Explain briefly: V- C6. Long term, short term, cumulative, or other effects not identified in C1-CS? Explain briefly C7. Othe im acts includin than es in use of either uanti or t pe of Boer ?Explain brieFl D. WILL THE ROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRON ENTAL AREA CEA 1 If es, ax lain brie CC: Yes I, ®No ~k i > ~ ~ C lk ~ t ~St u.11 ~ ~~r~k~~ V 104 " i+ N bV~ E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ez lain: Yes ® No PAR7111 - D ERMINATION OF SIGNIFICANCE (To be completed by Agency) INS7RUC IONS: For each adverse effect ident~ed above, determine whe[herit is substantial,large,importantor otherwise significant. Each effect sho Id be assessed in connection with its (a) setting (i. e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographi scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain suffcient etail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, thed ermination ofsignificance must evaluate the potentialimpact of the proposed action onthe environmental characteristics of the CEA. Che kthis box if you have identified one or more potentially large orsignificant adverse impacts which MAY OCCUr. Then proceed directly to the FUL EAF nd/or prepare a positive declaration. Che k this box if you have determinetl, based on the information and analysis above and any supporting documentation, that the proposed ac[io WIL NOT result in any significant atlversa environmental impacts AND provide, on attachments as necessary, the reasons supporting thi Bete ination.~ o~'~.,oA~ r ~ ~ Z ~ a (P Name of Leatl Agency Date I !Pont o, ype ame o esponsi a icer m ead ~ency Title of Responsible Officer nature o esponsi 1e Officer in Lead Agency Slgnalure of Preparer (I di Brent rom responsible o Icer) c ~ u . , .a . :r ~ . ~ , , ~ a a ~h - ~ z. ti:= G h i~ ~ _ ' ~ ~ ~ r r " _ ~ .4.`:x3x ~ ~ $~~;a°h,+ES s. - u4 "~.s vii + ~s ~eS~ s . x 7 q ~ 0-' ~.3 r 4,. ~ ~ y ~ ~ _ ~i~g u'v a 1~ .h n ~ - 1 - o - - 3 7 _ ~ ~ - ~ ~ _ _ _ ~ ~ _ ! ' et~?i ~ r d ~ ~ lv ~ ~E. O ~ 1. / i r M1 + . 1 7; ~ i~ a O~ ~ / ~ ~ ~~0 ! ! 0 e pp! ~ / ~~"~+'C~(a~' Fes` _t 7ii~ ~f d., ~ ~l 6~-~j/ ~L,+_- ! ~1d ~j , tfi~ l ` j Y+II' Fu`P~'t ~ s ~i y..p: f`- ~ ` u w i+! ~ ~g~,,.~ti,~~ - .L T'~ (y~ fi O t ~ ® ~ ~ - o M1 G.,- . r i jry ' ~ '~~~ir, L~`' ~~/~~'L ~l_/`~~f ~ .k. • James F. King, President ~OF SOUTy Town Hall Jill M. Doherty, Vice-President Ol0 53095 Route 25 Peggy A. Dickerson l~ ~ P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen G C John Bolzapfel ~ ~ Telephone (631) 765-1592 Fax (631) 766-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the ~Vlatter of the Application ~ ~ ' of ~-~-F.__I~j2.]1~_i..e~[t"~_CLt ~6~/~'. ' JUN - S 2006 ' CO TY OF SUFFOLK) ' STAT OF NEW YORK) ~ j AFFIDAVIT OF POSTING I, P~7~~ ~O1-Ot(~~, residing at ~ 6 -a 1e G~Lc~NPo1 ~y'> v~ ~~~'L ~.y 1/I o/ being my sworn, depose and say: That ohs the ,~jT'~day of SuN c , 200, I personally posted the property known as S'j~~. ~ r' o u~72,v ~Lo~,j~R So c-irNm L by pla mg the Board of Trustees official poster where it can easily be seen, and that I have checkd to be sure the poster has remained in place for eight days prior to the date of the public hearin .Date of hearing noted thereon to be held o21 ' on ~ 4 rJCZet 6.30 ~ Dated] 0 6 ~06 ~p~ t~~ Sworn to before me this O(~ da}~ of 3uNC200(o Notar RilldlicRA~Ntfi ptpT ypl)BtIC,$TATEOFPEWYORK No. 01 RA8131850 0 tFIEDWQIlEEN$COIW~Y M~'CA SIONEXPIRESpl1G.22, 2009 _ Board of Trustees Application County of Suffolk State of New York i~'t21r .VroU~`r BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HI?REIN ARE TR TO THE BEST OF HIS/I~R KNOWLEDGE AND BELIEF, AND THAT ALL WORK WI L BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE PROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AG ES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES H ESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING ER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS AP LIGATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR RE RESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE P MISES IN CONNNCTION WITH REVIEW~OF THIS APPLICATION. X~~~~~, Signature SW~RN TO BEFORE ME THIS 2 3 DAY OF Ma ,20~ Cc.c,~ Notary Publ Ne,e~o~ae c..r.a.w. ~arMS. i.M a. 1~. i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM T To of u f Ethic hib' c i in re n the of fficets and a 1 e u se f th' is to provide information which can alert the town of trossible conflicts of interest and allow it to take whatever action is necessa to avoid same. Q~~ ~ j~ YOUR NAME: YO UZL11' rTGtA ~ I~ ~~'O ry/-~ (Last name, first name, tpiddle initial, unless you are apply ng in the nameof ' someone else or other enfity, such as a company. if so, indicate the other person's or company's name J NAME IIOF APPLICATION: (Check all that apply.) Tax gri vance Building Varian Trustee Change of Zone Coastal Erosion Approv I of plat Mooring Exemp on from plat or official map Planning Other (If "Ot r ,name [he activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the wn of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, includi g a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in whic the town officer or employee owns more than 5% of t/he shares. YES I NO V If you ahswered "YES", complete the balance of this form and date and sign where indicated. Name o~person employed by the Town of Southold Title or sition of that person Descri the relationship between yourself (the applicanUagenUrepresenta[ive) and [he town officer or employee. Either check the app~jopriate line A) through D) and/or describe in the space provided. The tot~n officer or employee or his or her spouse, sibling, parent, or child is (check allttiat apply): the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a cotporaton); the legal or beneficial owner of any interest in anon-corporate entity (when the i applicant is not a corporation); an officer, director, partner, or employee of the applicant; or )the actual applicant. DESCRhPT10N OP RELATIONSHIP ~ ? / I ~ Submitted this 23 day of 200 Signature Print Name r I U 2Gi\I' Form'I+S 1 _ _ _ _ .Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for pemmts* including Town of Southold agencies, shall complete this CCAF for proposed actions that aze 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 prepazer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local I Waterfront Revitalization Program. A proposed action will be evaluated as to its si 'fgnr rant beneficial and adverse effects urn the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will !i affect the achievement of the LWRP policy standazds and conditions contained in the consistency review law. Thus each answer must be ex lamed in detail listin both su ortin and non- supporlinE 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 I PROJECT NAME The Application has been submitted to (check appropriate response): Town Boar ? Planning Board ? Building Dept. ? Board of Trustees l . Cate~ory 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 e~tent of action: - ' ~erml~' ~o commence S~nGle family residence . Location of action: Mvklle 12f)QG~ s~otc}.{')~ ~ r Site acreage: • Oq 7 Present land use: VACp n"1' Present zoning classification: Q- 2. If an application for the proposed action has been filed with the Town of Southold agency, the following infotimation shall be provided: (a) Name of applicant: ~t'OUZQS ~}bt'gd ~)o~/7?ent COr'p. (b) Pdailing address: 36 - 2!o t°=rt:~nDo tr*~ 1~e L~Tslahd GI-ly , ~ y u?o ( (c) '~elephone number: Area Code~l0j T Z8 - 4062 (d) application number, if any: Will one 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 suppo the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOP~D COAST POLICY Policy 1. F stet a pattern of development in the Town of Southold that enhances community character, preserves o en space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes verse effects of development. See LWRP Section III -Policies; Page 2 for evaluation criteria. I es ~ No ? Not Applicable ~~S l and -l-uKe a I ix,ccGU"f"~~Ytf -en _ e common al rd Drvkc rye+Pandl' ~ Attach additio 1 sheets if necessary Policy 2. P otect and preserve historic and archaeological resources of the Town of Southold. See LW1ZP Sect on 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 additio al sheets if necessary NATURAL COAST POLICIES Policy 4. ~ inimize 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 ycle Corn 4~e qll o 'ze ss of i 2. G{t4r?t rd ,SnUYC~t i eYbSlDn. Attach additio al sheets if necessary Policy 5. P otect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies P ges 16 through 21 for evaluation criteria Yes No ? Not Applicable Val I e vPCR.U. le ~ v2 a+~- uadA. S 1 own . Attach addition 1 sheets if necessary Policy 6. otect and restore the quality and function of the Town of Southold ecosystems including Significant oastal Fish and Wildlife Habitats and wetlands. See LWRP Section III -Policies; Pages 22 through 32 or evaluation criteria. L~J7'tf ? ~P,S . Yes No Not App~ble • I,U.? w i' I I -F~te all ~a1~.t-1-r pns' to ~vlec~l- ate. ~~Tov~n of Sou~l~ol P~VSV,~ ~ye~-b Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 thlrough 34 for evaluation criteria. Yes ~ No ~ Not Applicable I - - Attach additio al sheets if necessary Policy 8. inimize environmental degradation in Town of Southold from solid waste and hazardous substances~nd wastes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. ? Yes ~ No~ Not Applicable I ' i PUBLIC CQAST POLICIES Policy 4. P II ovide for public access to, and recreational use of, coastal waters, public lands, and public resources ot~the Town of Southold. See LWRP Section III -Policies; Pages 38 through 46 for evaluation criteria. Ye~ No of Applicable I Attach addition 1 sheets if necessary _ _ WORKING COAST POLICIE~ • Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III -Policies; Pages 47 through 56 for evaluation criteria. ? Yes ? No ~ Not Applicable Attach additiot,al sheets if necessary Policy 11. ~ Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary an~l Town waters. See LWRP Section III -Policies; Pages 57 through 62 for evaluation criteria. ? Yes ~ No ~ Not Applicable 4 Attach additio I al sheets if necessary ii Policy 12. rotect agricultural lands in the Town of Southold. See LWRP Section III -Policies; Pages 62 through 5 for evaluation criteria. ? Yes No ~ Not Applicable Attach addition 1 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 I~ I PREPARED BY ?~e~er Jrt~uzaf TITLE ptJ r~flX DATE~3IO6