The URL can be used to link to this page

Home My WebLink AboutTR-8079 CC# C13-18963 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that 1 have compared the annexed with the original DECLARATION recorded in my office on 05/06/2013 under Liber D00012728 and Page 647 and, that the same is a true copy thereof,and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 05/06/2013 SUFFOLK COUNTY CLERK JUDITH A.PASCALE RDE EDVG MAL U AY 2013 outhold Town T Ste r DECLARATION OF COVENANTS AND RESTRICTIONS DECLARATION made this It day of April, 2013, by JACK CIPRIANO, residing at 19 Hawthorne Ave., Central Islip, New York 11722, as owner, hereinafter referred to as the "Declarant". WITNESSETH: WHEREAS, the Declarant has title to certain land situate, lying and being at 8150 Main Bayview Road, Southold,Town of Southold, Suffolk County, New York, SCTM 1000- 87-5-23.6 said land being more particularly described in Schedule "A" which is attached hereto; and WHEREAS,the Property is situated in or adjacent to lands activities upon which are regulated by the Town of Southold Board of Trustees pursuant to Chapter 275 of the Town Code of the Town of Southold, as may be amended,and various activities conducted,upon the property are subject to the jurisdiction, regulation and approval or disapproval of the Trustees prior to being conducted; WHEREAS, the Declarant has applied to the Town of Southold.Board of Trustees for a wetland permit for construction of a single-family dwelling with covered porch, deck, drainage, sanitary and water line as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveyor, last dated April 5, 2007 and stamped approved on February 20, 2013. WHEREAS,the Town of Southold Board of Trustees, as conditions for the issuance of such Wetland Permit, required certain covenants and restrictions be placed on the property as shown on the aforesaid plans. NOW, THEREFORE, this Declarant witnesseth; That Declarant,forthe purpose of carrying out the intentions expressed above does hereby make known, admit, publish, covenant and agree that the said property herein described shall hereafter be subject to the following covenants which shall run with the land and shall be binding on all purchasers and holders of said premises, their heirs, successors, and assigns, to wit: 1. Establish and subsequently maintain a 60' wide non disturbance buffer from the edge of the creek landward; and a line of staked haybales be installed prior to construction as depicted on the survey prepared by Kenneth M.Woychuk, Land Surveyor,last dated April 5, 2007 and stamped approved on February 20, 2013. 2. These covenants and restrictions can be modified only at the request of the then owner of the premises with the approval of the Town of Southold Board of Trustees after a duly noticed public meeting. Adjoining property owners shall be entitled to notice of such public meeting by publication or as otherwise deemed sufficient by the Board of Trustees but their consent to such modification shall not be required. 3: It is the responsibility of any party having any right, title or interest in the Property to consult Chapter 275 of the Town Code of the Town of Southold, as may be amended, and to obtain from the Town of Southold Board of Trustees review and such approvals as may be required by Chapter 275 for activities regulated therein on the Property, 4. Declarant grants the continuing right in perpetuity to the Town of Southold or any of its designated representatives to enforce the conditions and restrictions of the covenants. THE FOREGOING covenants and restrictions shall bind the Declarant, its heirs, successors and assigns, and any and all person or persons who shall succeed to the ownership of said premises of any part thereof by transfer or otherwise. IN WITNESS WHEREOF,the beclarant has duly executed this Declaration the day and year first above written. Jack Cipriano MARGARITA M.WARREN STATE OF NEW YORK Notary o1628N01WA2714 , SS: ouslified in suffoik County COUNTY OF My commission Expires Nov.13,2016 -s, April On the J,3 day of-Febrtry 2013, before me, the undersigned, personally appeared Jack Cipriano 'personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument Notary Public SCHEDULE A ALL that certain plot,piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Bayview,Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the southerly side of Main Bayview Road where the easterly line of land now or formerly of Turner intersects the same, said point of beginning being the northwest corner of the premises herein described; running thence along the southerly side of Main Bayview Road, south 64 degrees 07 minutes Fast 185.0 feet to land of now or formerly of Russell Hillman; thence along said last mentioned land south 25 degrees 53 minutes west 200.0 feet to a boat basin; thence running along the northerly line of said boat basin, 125.0 feet to a point,thence running along the westerly line of said boat basin in a southerly direction 50.0 feet to land now or formerly of Turner; thence along said last mentioned land the following two courses and distances: 1)North 64 degrees 07 minutes West 70.0 feet;and 2)North 25 degrees 53 minutes Fast 250.0 feet to the southerly line of Main Bayview Road and the point or place of beginning. Number of pages RECORDED 2013 May 06 14:415:55 AM JUDITH A. PASCALI This document will be public suCLERK OF p FF>n.l, couHTY record.Please remove all L D00012728 Social Security Numbers P'647 prior to recording. Deed/Mortgage instrument Deed/Mortgage Tax Stamp .Recording/Filing Stamps 3 ,FEES Page/Filing,Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Tota( Notation Spec./Assit. or EA-52 17(County) Sub Total Spec,/Add. EA-5217(State) TOT,MTG.TAX R.P.T.S.A. �L6 N Dual Town Dual County Held for Appointment Comm,of Ed, 5. 00 Transfer Tax Affidavit ° + Mansion Tax ,'_C, Ifl#ied Co �'t The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other - Grand Total �J"'-D If NO,see appropriate tax clause on page# of this instrument. 4 Dist. l0 2975823 10(00 �I08®700 0500 023006 5 Community Preservation Fund Real Property PTS Consideration Amount$ Tax Service Agency 03-MAY-1 CPF Tax Due $ Verification Improved. 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land PATRICIA C.MOORE ESQ, TD 51020 MAIN ROAD SOUTHOLD NY 11971 TD r TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY.11901 Co.Name www.suffolkcountyny.gov/clerk rtle# g Suffolk Counq Recording & Endorsement Page This page forms part of the attached DECLARATION OF COVENANTS AND RESTRICTIONS made by. (SPECIFY TYPE OF INSTRUMENT) JACK CIPRIANO The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Tf?-1kyN OF SOT TTit1T.rS IntheVILLAGE or HAMLET of SOT TT_ROT T) BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over 11111111 IIII VIII VIII VIII 11111 1111 11111 11111 1111 1111 • IIIIICIIIIII�I[Illllllllll SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded:, 05/06/2013 Number of Pages: 4 At: 10:05:55 AM Receipt Number 13-0053271 LIBER: D00012728 PAGE: .647 District: Section: Block: Lot:. 1000 087.00 05.00' 023.006 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt.. Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15..00 NO TP-584 $0.00 NO Notation $0-.00 NO Cert.Copies $5.20 NO RPT $60.00 NO Fees Paid $125.20 THIS PAGE IS A PART OF THE INSTRUMENT- THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County James F. King, President Bob Ghosio; Ir., Vice-preSident Dave Bergen John Bredemcyer Michael J. Domino Town Hall, 53095 Main Rd. ' P.O. Box 1179 Southbld, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE c/Pre-construction, hay bale line 1st day of construction ½ constructed \/ Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8079 DATE: FEBRUARY 20~ 2013 ISSUED TO: JACK CIPRIANO PROPERTY ADDRESS: 8150 MAIN BAYVIEW ROAD~ SOUTHOLD SCTM# 87-5-23.6 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 20, 2013, and in consideration of application fee in the sum of $250.00 paid by Jack & Cheryl P. Cipriano and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the construction of a single-family dwelling with covered porch, deck, drainage, sanitary and water line; with the conditions to establish and subsequently maintain a 60' wide Non-Disturbance buffer from the edge of the creek landward; and a line of staked hay bales be installed prior to construction; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveyor, last dated April 5, 2007 and stamped approved on February 20, 2013. 1N WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS 10. The Permittee Jack Cipriano, residing at 8150 Main Bayview Road, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Tmstees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 February 20,2013 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JACK CIPRIANO 8150 MAIN BAYVlEW ROAD, SOUTHOLD SCTM# 87-5-23.6 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 20, 2013 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of JACK CIPRIANO applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 28, 2013, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 20, 2013; at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JACK CIPRAINO for the construction of a single-family dwelling with covered porch, deck, drainage, sanitary and water line; with the conditions to establish and subsequently maintain a 60' wide Non-Disturbance buffer from the edge of the creek landward; and a line of staked hay bales be installed prior to construction; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveyor, last dated April 5, 2007 and stamped approved on February 20, 2013. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $100.00 Ve~truly yours, James F. King President, Board of Trustees JFKJamn February 20, 2013 To Whom it May Concern, I am conveying my concerns about the building construction proposed just South of "The Cove" condominiums on Bay view Ave in Southold. Corey Creek is one of the cleaner creeks in Southold. Southold has building ordinances requiring "green buffer zones" on the shoreline. These buffer zones protect the integrity of the creek, as well as reduce flooding and damage from storms such as Hurricane Sandy. "The Cove" suffered almost no water damage in part due to these buffer zones. Unfortunately Southold has NOT enforced their own building ordinances and several neighboring structures exist nearby where grass runs right to the water. I encourage Southold to enforce their ordinance with regards to the buffer zone and also to insure that septic systems in the new home are built to code. Finally I would like to encourage the builders to landscape in a way that reduces the need for fertilizers and pesticides that can run off into the creek. Again my major priority is to preserve the quality of water in Corey Creek. Sincerely, Charles Peck Neighbor ECEIVE Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box l 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Tues., February 12, 2013 the following recommendation was made: Moved by Doug Hardy, seconded by William McDermott, it was RESOLVED to SUPPORT the Wetland Permit application of JACK ClPRIANO to construct a single-family dwelling with covered porch, deck, drainage, sanitary and water line. Located: 8150 Main Bayview Rd., Southold. SCTM#87-5-23.6 Inspected by: Peter Young The CAC Supports the application with the Condition the location of hay bale line is designated on the site plan, as well as a creek protection plan during construction. Vote of Council: Ayes: All Motion Carried ~; FFB i 5 2013 PO Box 1179 Sout6old. NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Patricia C. Moore, Esq. on behalf of JACK CIPRIANO requests a Wetland Permit for the construction of a single-family dwelling with covered porch, deck, drainage, sanitary and water line. Located: 8150 Main Bayview Road, Southold. SCTM# 87-5-23.6 Type of area to be impacted: t--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: ~'Vetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Present Were: J. King B. Ghosio __ J. Bredemeyer.__ Michael Domino Form filled out in the field by D. Bergen, D. Dzenkowski other Mailed/Faxed to: Date: COUi+~'~f OF SUFFOLK OFFICE LOCATION: Town Hail Annex 54375 State Route 25 - (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: February 13, 2013 Re: Requests a Wetland Permit for JACK CIPRIANO SCTM#1000-87-5-23.6 A 60' non disturbance buffer is proposed. It is recommended that the definition and activities allowed within the non-disturbance buffer is included within the permit (if issued). The structure is located entirely within FEMA Flood Zone X. Patricia C. Moore, Esq. on behalf of JACK ClPRIANO requests a Wetland Permit for the construction of a single-family dwelling with covered porch, deck, drainage, sanitary and water line. Located: 8150 Main Bayview Road, Southold. SCTM# 87-5-23.6 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD wOaStal Erosion Permit Application etland Permit Application __Amendment/Tran~fer/E/~tension ~eceived Application:~LZ~ ~/~,eceived Fce:$ 0 t~/'~. /51~ i ~Completed Applica~i~ ! !?_~7 Incomplete SEQRA Classification: Type 1 Type II Unlisfed Coordination:(date sent) ~LWRP Consistency Ass~stsn'~ent Form ~AC Referral Sent: '7, ]!,~!3 t ~Date of Inspection: '7,!'! g]l-~ Receipt of CAC Report: __Lead Agency Determination: Technical Review: v/Public Hearing Held: ~ [ ~-O t I ~ Resolution: t ' - Office Use Only Administrative Permit Name of Applicant Address ~~ ~ ~ Phone Number:( Suffolk CountyTax MapNumber: 1000- ~ 7- ~-'- oq-::~- Property Location: ~'1 ~-~'~O /L'~F-~ ~ ~'V~ *~ (provide LILCO Pole ~, distance to cross s~eets, ~d location) (If applicable) Address: _~-~ N.Y. lift71 Phone: ~d of Trustees Applicatio~ Land Area (in square feet): Area Zoning: ~ - Previous use of property: Intended use of property: ,-~ ~ ~(~ Covenants and Restrictions on property? lf"Yes", please provide a copy. GENERAL DATA Yes x/ No Will this project require a Building Permit as per Town Code? 5~ Yes No lf"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review. Does this project require a variance from the Zoning Board of Appeals? __Yes X No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure (s) on property have a valid Certificate of Occupancy? __ Yes __ 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? 'X, No Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose o£ the proposed operations: Area of wetlands on lot: ~_o/o~c~ square feet Percent coverage of lot: 2- O % Closest distance between nearest existing structure and upland edge of wetlands: ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~z] feet Does the project involve excavation or filling? No Y, Yes If yes, how much material will be excavated? How much material will be filled? -rES.I:> cubic yards cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1.APPLICANT/SPONSOR 617.20 ~l APPENDIX ~U STATE ENVIRONMENTAL ALITY EW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME ~. County ~' ~::~ [~ (~ SEQR 3.PROJECT LOCATION~, Municipality -~.~ C.~-~{--'~'I, 0 lb- 4, PRECISE LOCATION: Street Addess and Road InterseclJons, Prominent landmarks etc -or provide mad 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: ~'¢. 7 AMOUNT OF LAND AFFECTED: initially ,,.~ acres , ~ Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~]Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) E~Residential r~lndustrial [~]Commercial [---]Agriculture []Park/Forest/OpenSpace r-]other (descdbe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local) ~% -'~ [~]Yos []No If yes, list agency name and permit / approvak 11/ DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Yes E~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant Date: 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 completed by Lead A~lenc),) A. ODES AC~TION EXCEED ANy TYPE I THRESHOLD IN 6 NYCRR, PART 6t 7.4? If yes, coordleste Ihe review p~'ocess and use the FULL EAF. I-I 171.o B. WILL ~CTION RECEIVE COORDINATED REVIEW AS PROVlOEO FOR UNLISTED ACTIONS IN 6 NYCRP~ PART 617.67 If No, a negative dec~araEtm may be aupersede~ by another invelvnd agency. F--~ Yes ~"]No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (A~swers may be handw~tte~, if legible) C1. F-.~sfJng air quality, surface or groundwater quality of quantity, noise levels, existing traffic pattern, solid waste production or disposa(. potential ~or emstou drainage or itonding problems9 Explain bfleli¥: C2. Ar. au .=u~. agricultural, archaeological, historic, or other natural er c~Jitufa resoumes' or ~:~mmu ' ~ riel hborh ~:~rd~l . nity g odd character? . fl briefly: C3. Vegetatle~ or fauna~sh, sheit~sh or wildlife species, s g~lii~a~i I~bitaL~'L~ {hreate,,~,,~,,-'L ...... ~ ....... - c4. A community's existing plans or goals as offidally adopted, or a change in use or in{ensity of use of land or oth~ natural resources? Explain Ixtefly: · C7 D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLIsHMenT OF A CRITIC.a ENVIRONMENTAL AREA (CEA~? (If yes, explain bdefl~: , I-1 r71.o E. IS TI~ERE, OR IS THERE LIKELy TQ BE~ CONTROVERSy RELATED TO POTEhqIRL ADVERSE ENVIRONMENTAL IMPACTS? If ye~ PART III - ~t: I e.I~NIINATION OF E;C~:-'~CANCE (To be completed bY ~ncy) INSTRUCTIONS: F~eachadversee~ectidenti~edab~ve~de~erminewhetheritissubsta~a~arge~imperle~$~n~L Each effect should be assessed in connection wi~ its ia) seffing (i.e. geographic sc~oe; and (0 m~gnitucle, urban or rural); (b) probab~r~y of occu~fing; (c) duratk~; (d) ir revemibif~'~. (e) If necessary, add attachments or reference supporting matedale. Ensure lhat explanations centain ~ sufficient detail to show Ihat all relevant adverse Impacts have been identified and adequacy addm~tsed. ,, · If ClUeStlon d of part a was checked C~eck th~ ~ Ifyco have detemticed, based en the ir, formation and a~elysis el~ve encl a~y auppo~leg doc~mentaffon, Ihat the p~ed WILL NOT result I~ a~¥ slgnlficarit a~orse environmen~a! impacts ANO provide, On affachme~s as necessary, de~em~thatle~, the masons oup~ng Board of Truslees Name of Lea/~.ge~cy ~ Prin~ or Type Name of Responsible Officer in J_ead Agency Si~[ure of Responsible O~ficer in Lead Ag~cy Dale President Titte of Responsible Officer Signalure of Preparer (if di[ferenl from responsible officer) PATRICIA C. MOORE, ATI'ORNE~ LAW 51020 Main Road Southold, NY 11971 (631) 765-4330 emaih pcmoore@mooreattys.com To · LETTER Subject FEB t9 2013 Southold Town SIGNED [] Please reply [] No reply necessary Bob Ghoxio..h'. ?icc I'lcsidcnl J)a~c I~c~Bcn Michael .I. I)olnino Ioul) Itall. ~3095 Mlin Rd. P O Box I I 79 I clcphonc (63 I ) 765-1892 Fa× {631 } 765 6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF IRUSItz :S TOWN OF SOUTHOLD In the Matter of the Application of ,lACK CIPRIANO COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING . residing at/dba WDo being duly sworn, dcpose . That on th,~ day or ~ . ~01-~, ~ p~r~o,~aUy po~t~d the prov~rty ~nown a~ by placing the Board of Trustees official poster where it can easily be sccnOand that I have checked to be sure thc poster has remained in place for eight days prior to the date of thc public hearing. Date of hearing notcd thereon to be held Wednesda% February 20~ 2013. Dated: BETSY A. PERKINS Notary Public, State of New York No. 01PE6130636 Qualified in Suffolk County....~,~ Commission Expires July 18~d PATRICIA C. MOORE, ATTORNE~ LAW 51020 Main Road '~ Southold, NY 11971 To LETTER (631) 765-4330 email: pcmoore@mooreattys.com Board of Truste~ Subject SIGNED [] Please reply [] No reply necessary BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of JACK CIPRIANO Applicant's Land Identified as 1000-87-5-23.6 COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF MAILING I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On th day of February, 2013 I personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to the neighbors on the attached list. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. , / (;;nYat ~ / Sworn to before me this day of February, 2013 (Notary Public) MARGARET C, RUTKOWSK1 Notary Pub;ic, State of New York No, 49~2528 Qualified in Suffolk Coun~ Commission Expires June 3, PLEASE list, on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. CIPRIANO NEIGHBOR LIST SCTM: 1000-87-5-23.6 Russell Hillman 8340 Main Bayview Road Southold NY 11971 sctm: 1000-87-5-23.2 Suffolk County 330 Center Drive Riverhead NY 11901 sctm: 1000-87-5-23.9 The Board of Directors The Cove at Southold, Inc. 305 Meadow Ct. Unit %35 Southold NY 11971 .ECEIVE FEB 1 5 2013 Southold Town Board of Trustees RECEIPT RECEIPT 7104 2438 8090 0000 0549 7104 2438 8090 0000 0556 FROM: FROM: Moore Law Office Moore LaW Office RE cipriano trustees RE c~prlano trustees RECEIPT 7104 2438 8090 0000 0532 FROM: Moore Law Office RE cipriano trustees SEND TO: sEND TO: Russell Hillman Suffolk County 8340 Main 8ayview Road 330 Center Southold NY 11971 Riverhead NY 1190~ FEES: FEES: o 46 Postage 0 46 postage 2 95 Certified Fee 2 95 Cert~ied Fee 2 35 Return Receipt 2 35 Return Receigt Restricte¢~. L RestriOe(~ TOTAL '"i "'~-'-'<~ TOTAL ' '%5.76 P~ST'~ ~ OR DADA~ ¢ ' pO~K__.~,. OR O~E SEND TO: The Board of Directors The Cove at Southold Inc 305 Meadow Ct Unit #35 Southold NY 11971 FEES: Postage 0 46 Certified Fee 2 95 Return Receipt 2 35 P~3~TMARK OR D~E NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be hel.d by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Ma~n Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: SUBJECT OF PUBLIC HEARING: For the construction of a single-family dwelling with covered porch, deck, drainage, sanitary and water line. TIME & DATE OF PUBLIC HEARI_NG: If you have an interest in this project, you are invited to vi.ew the Town file(s) which are available for inspection prior to the day of the heanng during normal business days between the hours of 8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Board of Trustees Application County of Suffolk State of New York ',Z~/~ ¢_-~¢-. ~,'~) f' 'x Oc~rh ~ BEING DULY SWORN DEPOSES AND AFFIRIglSI" THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. 1N COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS Notary Publi~ BETS',' A. pERKINS NO~aP] Public 9tgte of New YOfR No. 0~ r:,~ ,,.u~.38 Oualified in Sutfuik Counta/h ~ ~ ~mm~ion ~pires July ~8,~ ¢% Jack Cipriano January l4,2013 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 Dear Ms. Moore: I, Jack Cipriano, as owner of property known as 8150 Main Bayview Road, Southold, (sctm: 1000-87-5-23.6) hereby authorize you to act as our agent regarding any and all applications with the Town of Southold Planning Board, Building Department, Board of Trustees, and NSY DEC and any other agencies. Very truly yours, Jack Cipriano Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of pi~operty) residing at '~ ~ 3 C5 ~o[ ~ ~ (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalfi ~ner~ si~:natur~)' APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the oart of town 0fflears and emolovees. The om'ooze of this form is to orovide information which can alert the town of ~ossible conflicts of ~ntere~ and allow it to take whatever action is nc toa id c. (Last name, first'name, ~aiddl¢ initial, unless you are applying in thc 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 grmvanc~ Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of {or employment by) a corporation in which the town officer or employee owns more than 5% of the shtues. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title Or position of that person Describe the relationship between yourself (thc applicant/agent/representative) and the town offizer or employee. Either check the appropriate line A) through D) and/or describe in the space providod. Thc town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) thc oyvner of greater than 5% of thc shares of the corporate stock of the applicgnt (when thc applicant is a corporation); B) the legal or 'beneficial owner of any interest in a non-corporate entity (when thc applicant is not a coq~omtion); __C) an officer, director, partner, or employee of the applicant; or __D) the aclual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 e Town of Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM ! PROPERTY LOCATION: S.C.T.M. ~. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING; DRAINAGE AND EROSION CONTROL PLAN ~ District section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION I'I'ISM # / WORKASSESSMENT [ Yes No a. What is the Total Area of the Project Parcels? (Include Tofal Area of all Parcels Iocafad within I Will this Project Retain NI Sfam~Water Run-Off the Scope of Work for Proposed Construction) /?/~'~t ~T_~ Generated by a Two (2') Inch Rainfall on Site? b. What is the Total Arua of Laed Cieadng (s~=./A=~s) (This item will include all run-off created by sifa clearing and/or construction activities as well as all -- and/or Ground Disturbance for the proposed ~?~;~ ~t~ Site Improvements and the penmanent creation of construction activity? impervious surfaces.) (S.F* / AC~S) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE B]UT~ I'RO.~[CT DESCP.[Y~[ON (r~:,~.~ ~dd~,=ar p,;,~ ;.,N,~d~) Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and //1Al~ Slopes Controlling Surface Water Flow. U /~'~>~//;~'~ c/-~_ ~t~-~ 3 Does the Site Plan and/or Survey descrthe the erosion and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Peded. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural r~ Existing Grade Involving rnore than 200 Cubic Yards of Matedal within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand~L~ (5.000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required for all Construction ac6vit~es in¥o;vlng soil Beach? are pert of alarger comm~ planthatwalultimatelydisturb oneor more acres of land;disturbances of one ($) ~r more acres; including disturbances of less than one acre that 7Will there be Site preparation on Existing Grade Slopes r""'l STATE OF NEW YORK, That I ....'~g3:~,&i.~i,.~.~nt~¥.~).~...... being duly swbm, deposes and says that he/she is the applicant tbr Permit, And that he/she is the ............ ...~.~...~.... ............................................................. Owner and/or representative of the Ovmer or Ovmers, and is duly authorized to perform or bare performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and beliefi and that the work will be performed in the manner set forth in the application filed herewith, Sworn to pqfore m~this; .~ FnRM. n~/4n ,~'NI ~a~y Public. State of NewYol~ No. 01PE6130636 Qualified in Suffolk Courl~ , Commission Expires July I~x'~ [ ~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM~ A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listinfl both supporting and non- suoDortim, 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 ACTIO PROJECT NAME ~ c~ ~. F r ~ c~-m o The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board ~'~ Building Dept. [] BoardofTrustees [] JAN 2 8 2013 $outhold Town O,~a,'d ~[ ~ ud~ Category of Town of Sonthold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Location of action: Site acreage: 6JOe Present land use: V/~ ~ ti//& ~' Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: ~,.~ CIE-- Ct f3 F' ,'a. aa o (b) Mailing address: / c~ /L/OAM..ff46.~_ /47~ V A/7, //7; (c) Telephone number: Area Code ( ) c~3c/- (d) Application number, if any:. Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ No ~-] If yes, which state or federal agency?. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes [] No [-~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~ Y~s [--] No [] Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~-] Yes ~ No [~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [-~ Yes [~ No [] Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No )~ Not Appli~e Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. r~ Yes ~-] No ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes ~-~ No ~'~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yes~ No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Sec LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes [] No ~f~,Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island jSound, the Peconie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate usc and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [~ Yes ~ No ~ Not Applicable PREPARED BYe' ~-~'~ TITLE DATE /-,~- arr u¥cu PI BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE ! (f 861.00 CONDOMINIUM COMMON AREA LAND N/F OE "THE COVE AT SOUTHOLD" 10.8' DWELLINGS S.C.T.M.¢ DIST:IO00 SEC:87 BLK:5 LOT:23.6 W/PUBLIC WATER //R10-05-0198 UNy~71 MAIN BA YVIEW ROAD (68' .................................... EXISTING WATER MAIN NYf/~/72 185.00' EL 16.6 SET 10 'MIN 14 .lO 59.c~ EL(12.0) GF( 04-02--06 PROPOSED LIMITS OF CLEARING COVERED PORCH )POSED 2 NELLING CRAWL(9.0) 2~ ELO0.5 59.9' DWELLINGS W/PUBLIC WATER 150' LAND N/F OF JANICE HILLMAN SHYLES EL 2.2 Subject ProperS. ELD/. 16.6 BROWN 3ANDY LOAM 0.6' BROWN OAMY SAND 17' DWELLINGS W/PUBLIC WATEF 6 Jack Cipriano Main Bayview Rood Southold, NY 11971 I% TOTAL LOT AREA: 40,500 SQ. FT. OR 0.93 ACRES UPLAND LOT AREA: 38,610 SO.FT. OR 0.89 ACRES ALLOWABLE IMPERVIOUS SURFACE 5,791 S,F. OR 15~, LOT COVERAGE: PROPOSED HOUSE 2,608 s,r, OR 6 75~ PROPOSED DECK ~ STEPS 210 S.F. OR PROPOSED FRONT & REAR STEPS 59 SF. OR 0.15~ TOTAl PROPOSED LOT COVERAGE 2,877 S.F or 7,4% DRAINAGE CALCULATIONS: BLDG. FOOTPRINT = 2,608 x 0.166=452.9 < ~2) 8'DIA x 5' DEEP CHANGE HOUSE 04-05-07 REVISED 11 28-05 2,608 SO.FT. 433cf REQUIRED DRYWELL=441 cf PROVIDED NON COASTAL BARRIER BOUNDARY IDENTIFIED 11-16-90 N64°OT' OO"~f 70.00' CONDOMINIUM% ~ COMMON AREA LAND N/F OF "THE COVE AT SOUTNOLD" NEATED PIER VEGETATED TIDAL WEqtAND LINE IS WITH TOP OF BANK NOTE SILT SCREENING WITH HAY BALES ARE REQUIRED ALONG APPROVED LIMITS OF CLEARING ?O' SEPEBATION FOUNDATION EL(f5.0) FINISH :~ ~ EL(7. C NVGD 1929 su.v~Y or: DESCRIBED PROPERTY MAP OF' RLFD SITLIAflFD AT 8AY VIEW TO',~ or: SOUTHOLD SUFFOLK COUNTY, NEW YORK PILE#25 92 SCALE: 1"=20' OA~E:AUG. 12, 2005 CERTIFIED TO: JACK CIPRIANO; P.O. Box 3, Mattdtuck, New York 11952