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Home My WebLink AboutTR-7439A Jill M. Doherty,President ��0� S�UljfrO Town Hall Annex Bob Ghosio,Jr.,Vice-President h� 54375 Main Road P.O.Box 1179 James F. King 41 Southold,New York 11971-0959 Dave Bergen o Q John Bredemeyer ','� �� Telephone(631) 765-1592 �,YCOUN% Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0635C Date: April 15, 2011 THIS CERTIFIES that the installation of a picket fence along the seaward side of the dwelling, for the existing landscaping, and one 4' wide access path to the beach At 17327 Main Road, East Marion, New York Suffolk County Tax Map# 23-1-14.10 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated November 3, 2010 pursuant to which Trustees Administrative Permit#7439A Dated November 17, 2010 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 the installation of a picket fence along the seaward side of the dwelling, for the existing landscaping, and one 4' wide access path to the beach The certificate is issued to STEVEN & OLGA TENEDIOS owner of the aforesaid property. thorized Signaturdl Jill M.Doherty,President gUFFG14,C Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President tiy'� �� P.O. Box 1179 James F. King e3� Southold,NY 11971 m Dave Bergen Telephone(631)765-1892 John Bredemeyer y • Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF I PECTION: _ �r 13 Ch. 275 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 15t day of construction / '/z constructed V Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: �/ 0 • �SUFFOCA Jill M. Doherty.President �pV Cp0 P.O.Box 1179 Bob Ghosio,Jr.,Vice-President 'l� Southold,NY 11971 James F.King y Telephone(631 765-1892 Dave Bergen Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Patricia C. Moore, Esq. on behalf of STEVE & OLGA TENEDIOS requests a Final Inspection of the planting plan. Located: 17327 Main Rd., East Marion. SCTM#23-1-14.10 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: _Wetland _Coastal Erosion _Amendment _Administrative_Emergency_Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: J. Doherty_B. Ghosio J. King _ D. Bergen, J. Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: i S. _ r} :r 401, 4t Y / A 17327 Main Road.East MaYion .CrMa73-I-:4.It) a� :p i ��NS�Rsp1 •`+ ww....� yMS.,z,,"IN'A�i ktix � r ..,;✓' i. iia... '�M!F�N m ,a, g" _.. 4 ,Abow �auo- w ra 04111/2011 09:53 MOORE LAW OFFICES47 17654643 P.0011001 • PATRICIA C. MOORE Attomey at Law 51020 Main Road Southold,New York 11971 Tel:(631)765.4330 Fax:(631)765.4643 April 11, 2011 Board of Town Trustees Town of Southold Main Road APS PO Box 1179 Southold NY 11971 RE: STEVE &OLGA TENEDIOS PREMISES; 17327 MAIN ROAD, EAST MARION SCTM: 1000-23-1-14.10 Dear President Doherty & Board Members: With reference to the above, please be advised that the planting has been completed. We respectfully request that this matter be placed on your inspection scheduled for Wednesday, April 13, 2011. Thank you. e truly yours, 9Gia li. 1tl100 PC t enc! C: Steve Tenedios U • Jill M.Doherty, President ��Of SOTjfID�" Town Hall Annex Bob Ghosio,Jr.,Vice-President �� p 54375 Main Road P.O. Box 1179 James F. King Southold,New York 11971-0959 Dave Bergen G Q John Bredemeyer � a�� Telephone Fax(631) 76576641892 COUP BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 29, 2011 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: STEVE & OLGA TENEDIOS 17327 ROUTE 25, EAST MARION S CTM#: 1000-23-1-14.10 Dear Ms. Moore: The Board of Trustees received your letter dated March 22, 2011. Your attached plant list was not formally approved by the Board; however the plantings on the attached quote are on the suggested plantings list of salt tolerant native species. Sincerely, J M. Doherty, Pres ent Board of Trustees PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631)765-4330 Fax: (631)765-4643 March 22, 2011 Board of Town Trustees Town of Southold Main Road PO Box 1179 Southold NY 11971 RE: STEVE & OLGA TENEDIOS PREMISES: 17327 MAIN ROAD, EAST MARION SCTM: 1000-23-1-14.10 Dear President Doherty & Board Members: Please let this serve to confirm our understanding that the attached proposal was presented to the board and approved. The plantings are salt tolerant and native species in accordance with your request. If this does not correctly set forth our understanding, please advise in writing immediately. Thank you. eV ly yours, atricia C. M ore PCM/bp encls. C: Steve Tenedios 2011-03-08 11 :45 S.T. agement 2129837444 >10 6317654643 P 2/2 10 G.vu s P.O. 96 56, /faw.aopo`C, '1 1/907 63/.722.409S 6ax 722.5566 Tenedios Residence 17327 Main Road East Marion,NY 11939 Proposal 3/4/2011 Oty Description Price Total Tenedios Residence-Reveg of backyard-, 45 Deliver and install 60-3 gallon-Bayberry 20.00 900.00 20 Deliver and install 30-3 gallon-Switch grass 20,00 400.00 Owner Signature Total Total 51,300,00 Signature 0310812011 12:53 MOORE LAN OFFICES 17654643 P.0011002 PATRICIA C.MOORS Attomey at Law h 51020 Main Road Southold,New York 11971 Tel:(631)765-4330 Fax. (631)765-4643 Margaret Rutkowski Betsy Perkins March 8, 2011 Secrotaries Southold Town Trustees P.O.Box 1179 Southold Town Hall Main Road, Southold, NY 11971 By Fax: 765-6641 Re: Steven & Olga Tenedios 17327 Main Road, East Marion SCTM# 23-1-14.1 Administrative permit for a fence Dear President Doherty and Board: It is my understanding that the Board will be making the compliance inspection on March 161h. I have enclosed a proposal and invoice from Case' s Creek landscaping for the additional vegetation which will be planted as the Board requested. The picket fence, the sod, and irrigation was removed within 100 feet Of Spring High Tide this winter, however, the planting can not be completed until Spring. The landscaper has been directed to plant as soon as weather permits. Mr. Tenedios will provide you with a written guaranty that the work will be completed in the Spring. Please provide a compliance certificate for the building department. We are awaiting a C.O. Fcia you. Moore cc: Mr. Tenedios 0310812011 12:54 MOORE LAW OFFICES �A1gRi17654643 P.0021002 2014-03-08 11:45 S.T.Lpanont 2129837444 » 6317654643 P 2/2 MAA - 8 2011 Aa a.sa AWM054 afi ff"? a41.f .AM AN tssaaes Tanedios Residence 17327 Main Road East Marion,NY 11939 Proposal 31411011 MY Cue wan Imo. Tach Teeodios PaMder"-Raves of boolgard. 45 Deliver and 1111111160.3 gallon-Bayberry ?0.00 900.00 20 Deliver and install 30-3 gallon-Switch gnus 30.00 400.00 owneribnaWn Total sl,;lo.00 81�turo 02/22/2011 11:55 FAX 631 765 4643 MOORE LAW OFFICES Q001 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631,) 765 4330 Fax,(631) 765 4643 Margaret Rutkowski Betsy Perkins February 22, 2011 Secretaries Southold Town Trustees P.O.Box 1179 Southold Town Hall Main Road, Southold, NY 11971 By Fax: 765-6641 Re: Steven & Olga Tenedios 17327 Main Road, East Marion SCTM# 23-1-14 . 1 Administrative permit for a fence i Dear President Doherty and Board: My client has advised:methat -4q,has removed the picket fence, the sod and irrigation within,), S00 !fei6' ' bf Spring High Tide as the Board requested. The surveyor' s stakes showing the 100 ' setback remain. Please have someone inspecttheproperty to confirm that this work was completed. Please provide a compliance certificate for the building department . We are awaiting a C.O. Vr y yours, i G � �ricia C. Moore Cc: Mr. Tenedios I L - Lti Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 l) 765-1892 Fax (631) 765-664t BOARD OF TOV~N TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line Ist day of construction ½ constructed Project complete, compliance inspection. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town HallAnnex 54375MainRoad P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765~6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7439A Date of Receipt of Application: November 3, 2010 Applicant: Steven & Olga Tenedios SCTM#: 23-1-14.1 Project Location: 17327 Main Road, East Marion Date of Resolutionllssuance: November 17, 2010 Date of Expiration: November 17, 2012 Reviewed by: Board of Trustees Project Description: To locate a picket fence along the seaward side of the dwelling, and for the existing landscaping, including the removal of bramble and weeds in order to plant natural vegetation; and one 4' wide access path to the beach. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated in the application, received on November 3, 2010. Special Conditions: The removal of all fencing, sod, and irrigation that is within 100' of spring high tide and plant area using native vegetation. inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. oherty I~oard of Trustees JMD:eac SOUTHOLD RUS I~sued '1'~ Date_ Address c~; ' ' THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Patricia C. Moore, Esq. on behalf of STEVEN & OLGA TENEDIOS requests an Administrative Permit to locate a picket fence along the seaward side of the dwelling, and for the existing landscaping, including the removal of bramble and weeds in order to plant natural vegetation. Located: 17327 Main Rd., East Marion. SCTM23-1-14.1 area to be impacted: V~Sound ater Wetland Freshwater Wetland Bay Dista, pce of proposed work to edge of wetland. ~¢,hO~fnTt own Co d e Pro Po s edwork falls under: Chapt.275 Cha p~,1,,¢ other ~yype of Application: ~ Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: ~.King __' J~.Doherty __Jf~Bredemeyer __ B.Ghosio._ D. Dzenkowski __other Form filled out in the field by Bergen__ Mailed/Faxed to: Date: BRINGLOID ACRES AT EAST MARION, NEW YORK COVENANTS AND RESTRICTIONS LAND OWNED BY CHARLES R.' iTAND 1. All of the premises hereinabove described shall be known and designated as residential plots. Z. No structure shall be erected, altered, placed or permitted to remain on any lot other than one detached single-family dwelling not to exceed two storles in height. No dwelling shall be erected, placed or permitted to remain on any lot unless it has an enclosed garage, attached or unattached, for not less than one (1) car, and all such garages and accessory buildings must conform in architectural exterior design with the dwelling. 3. No dwelling, having a ground floor area of the main floor structure of less than one thousand two kundred {1, 200 sq. ft.) square feet, exclusive of one-sto~y open porches and garage, shall be erected, placed or permitted to remain on any lot. 4. No dwelling shall be erected or placed within sixty-five (65~) f~et of any front lot line, except that the front lot line setback requirement shall be side street lines and side lot lines shat1 be such as to conform' with the then effective zoning ordinance of the town of Southoldo 5. No animals livestock or poultry of any kind shall be raised, bred or maintained on any lot, except for dogs, cats, or other household pets, provided they are not raised, bred, or maintained for any commerical purpose. 6. No lot shall be used or maintained as a dumping ground for rubbish, trash, or garbage. All rubbish, trash or garbage shall be kept in closed sanitary containers, which containers shall be kept out of the public view and in the rear of the premises. 7. No building, wall pier or any other structure shall be erected, altered, or moved onto any lot, nor shall any preliminary grading to any portion of any 10t be done, without the prior written approval of the Declarant, his heirs, and asslgns.:'No mobtle homes will be ~pproved. 8. No fence, wall or hedge of over four (4) feet in height shall be permitted within (10) ten feet of a side line nor within fifty (50) feet of any street line or water front. eo · 9. No clothesline, or other such clothes drying implements, shall be rn,~intained other than in the rear yard area o£the premises. 10. No more than fifty (50) per-cen~ of the existing trees on a lot may be ren]oved without the prior written approval of the Declarant] his heirs a],d assigns. 11. No major external construction on any structure on the premises sl,'~l! be perrnitted on Sundays. 12. If any lot owner, his heirs Or assigns, shall violate or attempt to violate any of the covenants herein, it shall be lawful for any other person or persons o%vnlng any real property situated in said subdivision to prosecut~ any proceedings at law, or in equity against the persons violating or attempting to violate any such covenant to prevent him or them from so ~in~, or to ~ cover damaaes or o~er relief for such 1 B. Invalidatiom of any of these covenants by judgment or court order shall in no way affect any of the other provlsions~ which shall remain in full force and effect. 14, These covenants are to run with the land, shall be binding upon al~ partinsand all persons claiming und.er them for a period Of twenty-five (25) years from the date these covenants are recorded, after which tlrne said covenants shall be aufoma{ically extended for successive periods of ten (10} years, unless an instrument is recbrded in the Suf£oLk County Clerk's Office signed by the then owners o£ a majority of the lots designated on the s&id map, agreeing to th ange said covenants in whole or in part. James F. ¥~ing, 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 April 22, 2009 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mark Schwartz, AIA P.O. Box 933 Cutchogue, NY 11935 RE: STEVEN TENEDIOS 17327 MAIN RD., EAST MARION SCTM#23~1-14.1 Dear Mr. Schwartz: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., April 22, 2009: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Permit #6973 to reduce the house footprint and shift the house location 36' to the south, and as depicted on the site plan prepared by Mark K. Schwartz, AIA last dated March 19, 2009. This is not a determination from any other agency. Sincerely, Jam F~. ~ing, Presl~ Board of Trustees" JFK:lms 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 Southald, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 December 16, 2009 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Ms. Patdcia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: STEVEN & OLGA TENEDIOS 17327 MAIN ROAD, EAST MARION SCTM# 23-1-14.10 Dear Ms. Moore: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, December 16, 2009: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #6973 to construct a 20'x40' in-ground swimming pool, patio on grade, pool house and detached two-story framed garage, and as depicted on the revised site plan prepared by Mark K. Schwartz, AIA, last dated November 18, 2009, and received on November 19, 2009. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, King President, Board of Trustees JFK:eac NOIJ.~f'~Ol^ 40 SNOIIIQNO::) 1lie People of the Slate of New York vs. MIDDLE [NmAL ~ER$ON DESCRIBED ABO~ I$ SUMMONEO TO ~,N~ E,~ &T TOWN JUS'I1CE COURT, 630~6 ROUTE 25, $O(J'fNOLD, NY 11971 EAJRVE'T' OF LOT 6 '~IAP OF: E~IONN~LOID ~'r' TH~ ~EA" FILED ~T 22, ICI"//5 FILE No. 6'/11 51TUATE, EAST MARION TOI~N, 5C)UTHOLI2 .SUFFOLK COUNTY', NY E~.YEYED': .JULY q, 2OO8 FOUNDATION LOC,ATION= JJL¥ ID, 200q UP'DATE: HAY 2-/, 2010, J)NE 14, 2OIO JULY 15, 2OIO, AI.~-_~J~T lO, 2OIO, NOv'. ~, 2010 E:~JF:FOLK C,OUNT'r' TAX # lO00- 2~ - I - 14J EA,q=FOLK COUNTY /;)EPT. OF HEALTH PEP. # P..IO - O~ - OIO~' STEV~ TEIq~D~O$ O[,GA SOUTH BAY A~ S'~{~.A. C3', ~lc. LA'W]~ 'Jtl'J~'LE ~qSURA~C~ COR~ORA'/~ON LOT I I LON® N60 o9o,25,,E /SLANg) SOUND 245.26' LOT NOTES: AP.~A = -/-/,2~,4 ~ 01~ I.-/-/ FLOOD ZoNE FI~OH FFI'4A FLOOD' iNE:R.~.ANC, F f:~ATE HAP NO. ~10~:~64H P~VI~ E~EPT. 25, 200q JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 ®F~,APHIC, ~5,ALt= I"= .YX2' RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.CRDocuments and Settings\OwnerLMy Documents'A4y Dropbox\08\08\08-168 upddate 10-28-2010 for lot coverage.pro OF: LOT 6 "HAP OF BRIONN~LOID i~,y. THE E, EA" PILED ~T 22, I~I-/~ FILE No. 6'/11 51TUATE: EAST MARION TOHN, ~¢~I'HOLD E~t=t=OLK COUNTY', NY E,L~VEYED: .JULY. c~, 2OO5 FCA)NDATION LOCATION: JULY. 1~3, 2OOq UF~DATIE: HAY' 2-/, 2OIO, ~ 14, 2OIO JULY' 15, 2OIO, ALI~I.~T IO, 2010, NOV. 3, 2010 OLOA $OUT~ BAY AB:3TRACT, LON® N60 '50'25,,~ EJD 4 15LAND 50UND 245.2~' LOT AREA = 7-/,254 5F O~ 1.7-/ AC, t~tE5 FLOOD ZONE FROM FEMA FLOOD INSUP. ANCE RATE HAP NO. ~::,IO~;.O0(::,4H REVI'~EE) 5,EPT. 25, 200cl JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 R1VERttEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.C:kDocuments and Settings\Owner'~ly DoeumentsLMy Dropbox\08\08\08-168 upddate 10-28-2010 for lot coverage.pro Permit No.: 7439A Date of Receipt of Application: November 3, 2010 Applicant: Steven & Oiga Tenedios SCTM#: 23-1-14.1 Project Location: 17327 Main Road, East Marion Date of Resolution/Issuance: November 17, 2010 Date of Expiration: November 17, 2012 Reviewed by: Board of Trustees Project Description: To locate a picket fence along the seaward side of the dwelling, and for the existing landscaping, including the removal of bramble and weeds in order to plant natural vegetation. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated in the application, received on November 3, 2010. Special Conditions: The removal of all fencing, sod, and irrigation that is within 100' of spring high tide and plant area using native vegetation. ~'~.~u~ ~- [ Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jill M. Doherty, President Board of Trustees JMD:eac Town of Southold Board of Trustees Application Office Use Only Coastal Erosion Permit Application. ~etland Permit Application ~z~Administrafive Permit ~ --Amendment~Fransfer/Extensi°n~ Received Application: I ~.'~ I0 L--Completed AppliCation I I'~ ~1~ ~ __Incomplete __SEQRA Classification: Type I Type II Unlisted __Coordination:(date sent). __LWRP Consistency Assessment Form __CAC Referral Sent: ~,.~Dateoflnspection: IIi roil3 __Receipt of CAC Report: __Lead Agency Determination: _/Technical Review: Hearing Held: } ] ~Iq ~ i0 __Resolution: ' ' (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: ~- t~O Previous use of property: Intended use of property: ~ Xr$~-~/~o ~c~ ,,~,~'c.~. ~ .~ /W--~,ot-~ I Covenants and Restrictions: ~/Yes No If"Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~ No Yes If yes, provide explanation: Project Description (use attachments if necessary):. Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area ofwetlands on lot: Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: t~;g ~ feet Closest distance between nearest proposed st~cture and upland Does the project involve excavation or filling? .)(~ No Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? t~ cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: feet Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason &such proposed operations (use attachments if appropriate): PROJECT (D NUMEER PART 1 · PROJECT INFORMATION 1. APPLICANT I SPONSOR 3.PROJECT LOCATION: Municipality ~-~-~'-~ 617,20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) I 2. PROJECT NAME 173;3-7 SEQR 4. PRECISE LOCATION: Street Addess and Road tntersecitona. Prominenl landmark~ ate * or provide map 5. IS PROPOSED ACTION: [] New [~pams,on r'~Mod~catioo/al~ration $. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially ,~. _~ acres Ultimately /' ~ acres 8. WILL PROPOSED ACTION COMPLY WITH EXlSTIHG ZONING OR OTHER RESTRICTIONS? [~Yes [] NO If no, describo briefly: WHAT IS PRESENT LANO USE IN VICINITY OF PROJECT? (Choose as ~nyas apply.) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [~Yes [~No If yes, list agency name and permit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? r~Ye$ []No If yes, list agency name and permit / approval: OF PROPOSED ACT,ON ,,',,LL E×,ST, PERM,T, ApPROVaL REQUIRE MODIFICATION? CERTI~J:~rT~THE INP~RMATION PROVIDED ASOVE IS TRUE TO THE BEST OF MY KNOWLEDGE I sl~.~,l.,-e. I "-~"'" "- - ~ /o.- 2-?' / ~ If the action la 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 completed by Lead A~lenCy) * A. OOES ACTION EXCEEd) ANY TYPE I THRESHOLD IN 6 NYC~ PART 617.47 ff Yes, cemdinate the re~,ew pre~e~s end use tbe FULL EAF. r'-] Yes J~lNo B. WILLACTION m:U~:IVECOORDINAI'ED REVIEWAS PROVIDED FOR UNUSTEDACTION$1N 6 NYCRR. PART617.6?. ifNo, anegatlve C. COULD AC*~ON RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answem may be hendvaif~en, if legllge) C1~ F-~d~ng Idr quail, sulfate or groendwa~- qua~y or quenlity, ~$e levels, e.ds~ng baf~ paifem, so#d w~te pmducil~ ~ d~l, potentbd for erosk)n, dndnage or flooding preblems? Exp~dn brief, y: CS. O, vwth, subsequent ~,,~,,L o~ ,-e;~;.,;G actl~ s likely to be Induced by the proposed actk)n? ~%~e._~ briefly: 0. WtU. THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRmC_,AL EI'raRONMENTAL AF~_A (CF_A}? ! F- 18 T; 1~ OR IS THISRE UKELY TO BE~ CONTROVERSy RELATED TO*POTEN11N. ADVERSE ENVl RC'f, ,'M,~%'TAL IMPACTS? If ~ -~ '.-~-;i~. PART m - ~,-, r.~f~TlON OF SGNIFICN~CE (To be compk~ted by Agen(:y) INSTRUOTIONS: For each adverse effect idenl~md above, determine wflelher it is substantial, large, Important. orothenvise slgn~manL Each effect should be assessed in connecaon with its (a) seWng Ce. u(oan or rural): (b) proba~lily of oc(:urrlng; (~) duraf~ (d) ~ (e) geograph~ s(:opa; and (f) magnitude. If necessa~, add affachmenta or reference aupparting materlab. Ensure f~t ex~danations con, lin mdfictent detail to show that eli rekwant adverse Impacts have been k~tlilied end adequately adding, ed. ffque~tlofl d of part ii was checked ye~. the,determination of Mgnlficarme mustevaluate the poten~allmpa~t ofthe Im31x)sed ac~n on the environmentalcl'mmcte~lic$ of ~e C~A FAF and/or prepare a posiflve.~. WILL NOT result In any s~nt adve~e envb'onmef~d Impacts AND pm~de, ce a~acl~-nef~ as necessap/, the reasons suppo~ tl~ detennlcat~a. . Beard of Trustees Name of Lead AGency Date Jill M. Doherty President Print or Type Name of Respensilfle Officer in Lead Agency Title of Responsible Officer Signature of Responsible OliVer in Lead Agency Signature of Preparer (ff different from responsible officer) Trustees Applicati( County of Suffolk State of New York "~-t4rcco**. C IQ~::)ee_.. BEING DULY SWORN DEPOSES AND AFFI~S THAT HE/SHE 1S THE APPLICANT FOR THE ABOVE DESCRIBED PE~IT(S) AND THAT ALL STATEMENTS CONTA~ED HE~IN A~ TRUE TO THE BEST OF HISSER KNOWLEDGE AND BELIEF, AND THAT ALL WO~ WILL BE DONE ~ THE ~ER SET FORTH ~ THIS APPLICATION AND AS ~Y BE APPROVED BY THE SOUTHOLD TO~ BOA~ OF TRUSTEES. THE APPLICANT AG~ES TO HOLD THE TO~ OF SOUTHOLD AND THE TO~ TRUSTEES HARMLESS AND F~E FROM ANY AND ALL DAMAGES AND CLAIMS ARIS~G ~DER OR BY VIRTUE OF SAID PE~IT(S), IF G~NTED. IN COMPLETING THIS APPLICATION, I HE.BY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR ~P~SENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT ~E P~MISES ~ CONJ~CTION WI~~ APPLIC:TION. Signature SWORN TO BEFORE ME THIS (~c~ DAY OF 0 C~ ,20. ] 0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics t>rohibits conflicts of interest on the van of town officers and emolovees, The oumose of this form is to nrovide information which can alert the town of vosslble conflicts &interest and allow it to take whatever action is necessary to avoid ~ame. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval &plat Mooring Exemption from plat or official map Planning Other (lf"Othar', name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee &the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means s business, including a parmership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shams. YES NO ~, If you answered "YES", complete the balance of this form and date and sign where indicated. Name &parson employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative) and the town officer or employee. Either check the appropriate llne A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporat~ entity (when the applicant is not a corporation); __.C) an officer, director, parmer, or employee &the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 October 27, 2010 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: STEVE TENEDIOS PREMISES: 17327 MAIN ROAD, EAST MARION (PICKET FENCE/LA~-DSCAPING) SCTM # 1000-23-1-14.1 Dear President Doherty & Board members: With reference to the above, enclosed please find an application for an administrative permit for a picket fence and the landscaping. My check is representing the also enclosed in the amount of $100.00 filing fee. -~ _ ___ Thank you. Very truly yours, Patricia C. Moore PCM/bp Enclosures c: Mr. & Mrs. Tenedios (via email, cover letter only) ~t::P..VE¥ Oi= LOT 8 "MAP OF BRIONN~LOID BY THE ..~EA" FLIED ~T 22, ICl-lC FILE No. ¢2'fll 51TUATE: E_A~T MARION TOINN: 50UTHOI_D 5t)t::~OL~: OOUNTY, N'F ~A.~.VEY,ED: JULY ~1, 2008~ FOUNDATION LOCATION: JULY, I~,, 200<;I UPDATE: MAY' 2'"/, 2010, JUNE 14, 2010 JULY 15, 2010, AUCMC3T I0, 2010, NOV. 3, 2010 LON® N60 °50,25 E:,UFFOLI~ COUNTY TAX # I000 - 2E, - I - 14.1 E~=FOLF-, COUNTY, [)EPT. OF: HEALTH F~.EF. # RIO - 0¢ - OlO~' OL~A TB.NF_.,DIOS SO0'I~ BAY AB S'~,~AC3', ~NSgEA, NC'~ 5 NOTES: At~EA = -F/~.¢4 5F OR I.T'/ ACRE5 FLOOD ZONE FROM FEMA FLOOD IN~NOE ~ HAP ~. ~IO~O~4H ~ISEP 5E~. 25, 20~ JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 ®P. APHIC, .~._.,ALtE r'= RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.C:'~Documents and Settings\Owner'uMy DocumentsWly Dropbox\08\08\08-168 upddate 10-28-2010 for lot coverage.pro PATRICIA C. MOORE A~torney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Betsy Perkins Secretaries December 10, 2010 Southold Town Trustees P.O.Box 1179 Southold Town Hall Main Road, Southold, NY 11971 Re: Steven & Olga Tenedios 17327 Main Road, East Marion SCTM# 23-1-14.1 Dear President Doherty and Board: My client applied for an "Administrative permit" for a fence. Chapter 275 allows fences as close as 50 feet from wetlands. The fence is absolutely necessary because Mr. Tenedios and his family have found trespassers from the public beach on his porch and in his back yard. In order to comply with your ~special condition", Mr. Tenedios had John Ehlers stake the distance of 100' from Spring High Tide. As you can see from the photographs enclosed, if my client relocates the fence to 100' he is left with a narrow @ 5-6 foot path between his stairs and his yard. Only the portion of the fence around his house is closer than 100' from the Spring High Tide. This is not safe for emergency vehicles and equipment. The existing fence maintains a clear path around the rear of the house and once the garage is constructed, the west side of the house will be the main unobstructed access for emergency vehicles. My client will remove the sod and irrigation seaward of the 100' He is also willing to increase the planting beds from the existing fence to the 100' (stake in photograph). The planting beds would increase the vegetative non-turf buffer (environmental benefit per Storm Water Runoff educational bulletin) but not interfere with access of emergency vehicles. The house and accessory structures are all more than 100' from the Spring High Tide, the fence is landward of the CEH Line, he only asks for a few feet of encroachment into the 100' setback which will maintain a safe area for emergency access. The Board's permit condition creates a dangerous condition for both the Tenedios Family and emergency personnel. We ask you to reconsider this condition, allow the fence to remain as built, condition that additional natural vegetation be planted. This a matter of fire and emergency safety. on cc: Mr. Tenedios Lori Hulse, Town Attorney Very -tr~our s <_~atricia C. Moore