Loading...
HomeMy WebLinkAboutTR-8206 James F. King, President ~~gUFFO(kc Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President P.O. Box 1179 Dave Bergen ~ ~ Southold, NY 11971 W John Bredemeyer Telephone (631) 765-1892 Michael J. Domino '~Ol ~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES T2 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1St day of construction '/2 constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT N0.8206 DATE: JUNE 19, 2013 ISSUED TO: RICHARD ANTONIELLO PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 I I AUTHORIZATION Pursuant to the provisions of Chapter 275 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 June 19.2013, and inconsideration of application fee in the sum of $500.00 paid by Richard & Cheri Antoniello or authorized waiver of Town Board 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 to re-vegetate the buffer area using 60-6' Eastern Red Cedars, 60-24" Bay Berry, and 5,000 dune grass plugs; with the conditions that the proposed plantings are to completed within four (4) months; sprinkler system is to be capped off after one growing season; and a compliance inspection is to be performed in November of 2013, and as depicted on the site plan prepared Richard Petrowski, received on June 19, 2013, and stamped approved on June 19, 2013. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal [o be affixed, and these presents to be subscribed by a majority of the said Board as of this date. ~o~sut:FO~~.c TERMS AND CONDITIONS The Permittee Richard Antoniello residing at 2404 Camp Mineola Road Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: l . 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 Trustees of the Town of Southold. 2. 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. 3. 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. 4. 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. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. 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. 7. 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. 8. 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. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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 ~aOf S~U)yO Town Hall Annex Bob Ghosio, Jr., Vice-President ,~O 54375 Main Road P.O. Box 1179 Dave Bergen ~ ~ Southold, New York 11971-0959 John Bredemeyer G ~ Michael J. Domino ~ ~O Telephone (631) 765-1892 IyC,OU~' ~i Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2013 Mr. Richard Petrowski PO Box 1483 Mattituck, NY 11952 RE: RICHARD ANTONIELLO 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 722-9-7.20 Dear Mr. Petrowski: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 19, 2013 regarding the above matter: WHEREAS, Richard Petrowski on behalf of RICHARD ANTONIELLO 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 April 1, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.1 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the proposed plantings are to completed within four (4) months; sprinkler system is to be capped off after one growing season; and a compliance inspection is to be performed in November of 2013; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 19, 2013, at which time all interested persons were given an opportunity to be heard, and, z • • 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 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 Watertront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of RICHARD ANTONIELLO to re-vegetate the buffer area using 60-6' Eastern Red Cedars, 60-24" Bay Berry, and 5,000 dune grass plugs; with the conditions that the proposed plantings are to completed within four (4) months; sprinkler system is to be capped off after one growing season; and a compliance inspection is to be performed in November of 2013, and as depicted on the site plan prepared Richard Petrowski, received on June 19, 2013, and stamped approved on June 19, 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: $ 50.00 Very truly yours, James F. King President, Board of Trustees JFK/amn ~~~~~suFFOC~.cPG James F. King, President y ~ Town Hall Armex Bob Ghosio, Jr., Vice-President Q ~ 54375 Route 25, P.O. Box 1179 ' Dave Bergen .f~ ~ Q~'~ Southold, NY 11971 John Bredemeyer Oj ~ .xa Telephone (631) 765-1892 Michael J. Domino Fax (63l) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: I,°i~,inar~l PPamw ~ ~i~cha~-d ~-~-Fn~i'~ ila Please be advised that your application dated 3 has been reviewed by this Board of the regular meeting of 3 .and your application has been approved pehding the completion the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 s~ Day of Construction ($50.00) Yz Constructed ($50.00) Final Inspection Fee ($50.00). Dock Fees ($3.00 per sq. ff.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed. below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon. completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ SD.1~b BY: James F. King, President Board of Trustees Richard Antoniello Q - ~ 2404 Camp Mineola Road, F : ~T`~4 i~ e SCTM4122-9-7.20 ~ .a r .~~~i' ,1~ ~ h , , ; K st. a Y , i r ~ ' f~. ~...i If'=~ wR f ~ a~1. ASR'. i!\~r.~~; S:~ ~~.i ..4i ~~i~i.~ fR,'~ S` ~kr d4 ~ :El~~ ~~~~r " .T 1'' `~Ir Ifr /j _Ij. r ~y,~.! ~ ~ i 5 ~1 ~ r, \ 11a „t~~~1.. 5 J %~-RL". ny 7 ~ i~llf _ ~wv~ r 1{ ' ' _ `4 ~ ~ p ~ ` ~ i .N ,l A ~~j ""~~~P'~11 rt;+, p ~ t y ~r, ,~i 'r, ~~IA''~}i.~i r 1 l~.t. .1 i~rif :~1~ .rr B+ ~ , ,P,~. ~'1~~' •1 :t~d•l+ y.1 r+~~ t J~1 ~~'ti~i~'.~k: I~ 1~ `r``P'~{~1 ~ ~l.i, %t ,}:i~ i i1. ~t~•~~'~~ ~ fir Y~If'(~~, t; }i; IQ~`r. V~;,~ tf ~ j t1'i. r 'q1 ;qt~ ~f .~1'~S d i it ~ i. I~ F(' r ~r 1 elr ~(~s li i r f- :1. r~~(}]^"~;' r,1. .p. 1 ~ d°~. 1': ~ ' f/~ '.ti ~ ~ 1~:~' r.."~. ~+i } 1 1 1 r' ~~i '.1 ~p!'jti~ ° 7l`~ ~~~".~a~.. ~"~~y,~,7~,t 1j'~"'~..~I+'~t, `d~ ' ~+4'c~ ~ :rd°t ~~°`j" j~•,R~i' !~il. ,r~.. ry. ~~i~';1'. ~~tf~ ~I L... P ''~~~k1 t~~' ~ ~ c'~1 !a`'+'? ~11~' ' f! ~~,~r. ; l!.1, ~~t :1,, d!r' ; ~1lE ~1_1'4j~{ i, 1~ '~~Y~+`i~ , d~r f.:,. ~ i" , 'F.~ f~ ,~~1 ~ P h a ~J - i ,1 ` , ~ dr ~ t; !f 7s r ~ ~ ~ ~ r ~ttd 1~ a u~ + Y "~J " ~:I:1 N 1 '1 d 1 ~ , v~~ a ~ i M A J I ~q ~ F~ . ~4.1 , r:!. t l ~ I rr 1 , ~ , , r i ~ 1. ~ v . ri: •1~ ~l ft I (r.d..i'rr r v . 111 r e i • r !.1 i' X1.1 w i1. ~ `i r a ~ ~ r r 1 ` ~ 4 f' ( l p' r ` ~M!I~ 1 a~, "J~ly '..etif~ 1~~ Y ~1 f 1.~ ?r ~~•^"il r'~ ~~/t *,l}t ~ rri „L=-VY~c+<~Y7 ! _ Iw ,y ti~` .{r, J` "z~I r"' . , Vii.,. ,x, ~.~!~,~F.,J r~~~ , ~'~C lly-u.~CrT VX1y.+F'~'k ~f -1~X!' 3~. 4F.. f•.'~ :.y~ .}~`',y,.1,Y ?i, ~ ~1'' ~ , i~'}~~v13`S~l ,~,y, ~f~.~ ?t s 1ry1 ,5 f ~ 't .',/yam a .~~7 r ~ • r ~t ~ '7~ ~ ~ t ` 7 ' ~ Y y ~ 2 ~~,'~~~r w ~~6^j 4J~~`~.~M~ ~~y.? bl "~F. /t ~i J 'w ; + ~ f+ 'Tac t ~ y~i~. r - _,~'aj~•r 'r'iX',:.i.~: ,n,_ ~~".ldr+'_,' ~ ~ - y. +i+ ~ ~,a t .•r ~~y r~~.' ^..a-~~ y~C+yJj r. ,l `4~'- '~,~7' „ ' ,r,.1, 4!. tj. .y1t. 1 .:cr r lr 'L r. 'r f ~,i?'' r y r ~ ~ r Richard Antaniello ~a r ~ ; f~ ~ Ir; ;,•J~ j~ ~ ~ ~ 2404 Camp Mineola Road, i i ~i ~ T i ~ ~ j ~ ~ jC~ J~!`~~,~ r t~ ~~f~c5~ '~,v l/ ~ ,1 •'~V ,•r~Y%~pr~,,(; ~aC~,~ly .I rr ~1, "J? ~'~.~1~~~ ~ + `'q 1 ~ ~ ~y, ~°r r r,,.` °.t~~ /r ~ ~ ~kY ~ Uii } ~r 1F t e f~ y` ,~~r ~~f. ~j ~ ~ j f ~ ~1 ~ ' ~{A ~~~rl~`f1~ ~i 1 PI r'~,' ~Ic 11I i ~1 1~ ~ + ~'t•~', i'r jy~•~ J 1 ~ 7 ~ f~ F r n °L ~ M ~ 1 i 7711, 11 (Y. '1 1 I~ ~ (f~i , ~i I } ~ ~ 1 ~ ~ ° ~ ~°r ~ ~ f ~ I fr, ~ ~ ~ \i~t+ li 1'~ ° ~ }I^ { r 1 r i II ` f r~~ ( ~ ~ ~ , fl~+ ~ ~k ~ ~ / '+7b1 ° ~ ~ ~~t ~ ! 1~ ~ ~ ; ~ 1 + dam III, ~ r' ~ , y ~ ~ ~")a , 4 •,1 r ' ~ ~ ~ + ~ ~t ~ ~ 9'~ yk' ~ + `f ~ I°~~ i~, ~ r I i r~ q'~ U °t ' 7, I ~ ,(,t~F '°1i lr, •1, ~I'~~;i 1 N ~ 1 i+ d 1 L ° rrr ~ k ° ~i ~ ~ 1 ~•t• t ~Y'~"~. • ~ • i ' ~ ? . / F - f ~ f i gUfFO(,Y James F. king, President Cp_ P.O. Box 1179 Bob Ghosio, .I r.. Vice-President Z Southold. NY 11971 Dave Bergen ~ ~ Telephone (631 765-1892 .lohn Bredemeyer ~ Fax (631)765-6641 Michael J. Domino ~ 't' yyol ~ ~aor Southold Town Board of Trustees Field InspectionNVork Session Report Date/Time: //i aJ/3 !7%0~ Richard Petrowski on behalf of RICHARD ANTONIELLO requests a Wetland Permit to re-vegetate the buffer area using 60-6' Eastern Red Cedars, 60-24"Bay Berry, and 5,000 dune grass plugs. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 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: C2~ijT~ /~oN,/> /~~i~n~ ~~~~-'/r /~r9~ f~G9.~ 7/i?G-s Conditions: Present Were: King Ghosio ~D. Bergen, '-J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by J Mailed/Faxed to: Date: ~o~gpFFO(,~co ~t Peter Young, Chairman ~ ~ Town Ball. 53095 Main Rd. Lauren Standish, Secretary ~ ~ P.O. Box 1179 'F Southold, NY 11971 '~dyOj ~.~0~' Teiepnone(63I)>es-is9z Fax (631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 8, 2013 the following recommendation was made: RICH AMTONIELLO to re-vegetate buffer area with wetland permitted materials. Located: 2404 Camp Mineola Rd. Ext., Mattituck. SCTM#122-9-7.20 SUPPORT -with no comment Proposed by John Stein, seconded by William McDermott. All in favor r i James F. King, President ~~~~F~C P.O. Box 1179 Bob Ghosio, Jr., Vice-President ~ ~ Southold NY 11971 Dave Bergen ~ ? Telephone (631 765-1892 John Bredemeyer ~ ~ Fax (631) 765-6641 Michael J. Domino 4~1 * ~adr Southold Town Board of Trustees Field Inspection/Work Session Report Datelfime:~~y ~Z ~ /fir „3 S Richard Petrowski on behalf of RICHARD ANTONIELLO to re-vegetate the buffer area using 60-6' Eastern Red Cedars, 60-24"Bay Berry, and 5,000 dune grass plugs. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 Type of area to be impacte,~ -Saltwater Welland Freshwater Wetland -Sound -Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 1~~11 -other Type of Application: iV1/etland -Coastal Erosion -Amendment _Administrative_Emergency -Pre-Submission Violation Info needed: 7 Modifications: ~ PRA N X K 5 Y5 TE M Conditions: No /tF.-~rzgq~n/(r oQ ~itG 30 1 w-c~ n%S7v/~//t,~cr s'v Ftfitelu~'if~a i"y igpu,rre.~ ro ,r0" drJf'BrL oe/ Sw .src~ Present Were: ?J. Kin _B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT N0.6620 DATE: MAY 16.2007 ISSUED TO: DAVID SHAMOON PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD. EXT.. MATTITUCK SGTM# 122-9-7.20 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Towu Code of the Town of Soudrold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on Mav 16.2007. and in consideration of application fee in the sum of $250.00 paid by David Shamoon 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 to construct asingle-family dwelling, deck, driveway, and sanitary system with the condition that the dwelling and deck be on pilings, installation of gutters and drywells to contain roof raooff, no till except for the sanitary system, no additional and/or nor further expansion to dwelling will be permitted, a pervious driveway, and a line of staked hay bales to be installed prior to construction, and as depicted on the survey prepared by Nathan Taft Corwin III, last revised July 12, 2007, and received on August 20, 2007. IN 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. ts~ Pet{Qy Dickerson -Absent SURVEY OF PROPERTY p SITUATED AT ~D~T T ~ R O /~.n _ MATTITUCK 1` 1 v Cl _ p i V ~,1 TOWN OG SOUTHOLD I' SUFFOLK COUNTY, NEW YORK ~ ppf [ Af~~{.~ S.C. TAX N0. 1000-122-09-].20 LRO55-SEC)ION Of PROPOSED CONC. RETAINING WALL fOR L- SGLE Y=30' SEttILM5aY5~EM W4LL I ~3uL~u~oD~ ~._i / mi avwi At m p~.w°~Ew~`x.an~ <a:: ~ ~ an.n, z ApFA = IO.p16.90 ap~ll. ""?~.Rmm 083] oc DAVID SHANOON O fIDELILY NATIONAL LI1LE INSURANCE COMPANY OE NEW YORK ~ F i ~i-~ PRpPO5C0- SCPTIC SY3EEN DETAIL- ~ r'1°•" S--~1 ,rte Y 1-.--1 I- .~-11 ?1 NN ~q;. wcxxw.rmLS_Ie1 ®1,...... .;~y.~;R~ "'r,'...""_^.'~'os.~°...":". u. .•S.iGGY. :'C.°.... •.'wFS.~i.'°'=.S'.^d=°P~.:.C,: °'~u LOT COV£RAf.F DAT.1 ~ wws q al ~.~,~~,sws"~Eievirmr^~" ..rsziasx:~~ro.,.~.._..~xrr~.. ti" , = r' <R.~ ~ xnAAE, • •'s ^ OLKRIPIpM x/xc AM/. lof CO'NAc %ICPOSEO MUY 1,110 p pROPO5E0 COCK 4 n iD)u ~.IDR w. n. W°ras I. F~v.noxz AR[ REfERExcm To x.c.v.x. Iszs pAiw xrsnxc LuvAnoxs ApL sxowx ixus: u ixlmwo c9xz91w uxLS ARE sx9wx Txus,-- -s a 4, s z. ARe. or wLrwos . nz n pPUxo ADbuxT Apu = x8.9ss ap. n. ~ Tk'S%' NOL6 DATA R W rW00 Zql [ 1`0. B) 3" iL00D MRURJCL PAtt WP Ne L36101 b] G 4` a~ rNi (/ksl N01[ Ottl T X40" MR <n kxY I AO! Ai I].IXpn) A fl[p}IC SYSiEY Si •,3xOWNr1NUS: 0 ,x.R,Ex Lx..x,xx .99. / .~~9 ~ J wDP9eE9 ~.~INx PW~ , U sm ao~m rAxx ~ ~6h~ a , Y s. TME~cArKKl or wfus Ax9 cFSSnpw.s sx9wx Iprzw bL rpax Nm aG Y p x;~ ~ r4 u Yn ~ ~Z~ N w=w.. dSEpVA)pN9 .W0I0R MTA ORLANEU rgpl OMEpE. ~ p(. ~ ~ k{p =sn.mro :rpwu~p ~e00a `siiui ~eLOrrc px nu TpucxfD Ix rpou ol`~`a4 ,gym,}, ~ e,P ~ I . ~I s~ #F ,d K~ 1 f i 4q yC q* i 11 YY _ o n J' / KI~ N ~ ~~v°~ ~ I m~ l~ ~ y I / 'o. I 1 1 y ® 1!. 1 _ - e P .9 wwuoel~xs x~inNww~us V S 4~P 651r+` x i I I ~ ~~""Omw.s~'~x"$xx O i f-•' 1 I - =wo. xx a o- ~ 1 a 1 ~ I :'/I ~ C~s 2 w~ KKRwxx.R. Mvecn ~ w d° i p I I a' ToxN ~ 1 ~ ~ as v ~R~ ~ x 1. p ERR§j 1 ~!~IrV 1 1 Y\a I ~ ~tE~xEky .o ~ ~ ~ ,,G A O j6N[. II ~ `~lM~- ~W 01wa11.Fi~ Oy' *uuo ~Oz e 1-,e. APPROVED BY m , t:~ r ~N•:•` o° I . I~wD Y:s. N.. w. m.e, BOARD OF TRUSTEES ~ ~ / A 1O 1 ~ TOWN OF SOUTHOLD ` , ~ Fu ° I;,-~'.~ Nlathan Taft COfWIn IN GATE H~aY 07 ti. v ~ _ { ~ p Land Surveyor ~S, n/c Y ~/~/~~1 R n 130.00 . _ ~ / ~J.9iG4Ayi~r x` 5 84'50'50" W I I m. s.-n-aeewl.. w, w..- e..l,w- ?sj r.. kms ]'LF I ~~e~ PMLME (L]Iltt)-3MY fe.~(e~'n Z!-1m1-49 •NO mKes ~mAxo wxveas Wspxra, xnzvm"m' x..l~.a rl....n1WI 0 ~~a0a:A80 pixels ~ ~ 3/28/ 13 L: L4 PM _ _ A ~ ~ w r. ~ ~ ~ = r a; b q`y~~ i - ~ . ~ i"79S y. ~ ' `i x k { y ~ Q„. l ~ v°.- ~ a a ip I. v,..;.., i ~w _ . rt ~ T. ~ "~•=~c ~s M - ~ ~ ~ _ - y „ . ~ '::.iH A.... .+AAwr~.i= S it .r.. _y~~ s ,h.r - ~ ~ hu{~ti ~!mail-attaclimentgoogleuse rcontentcom/attachment;'u!U;7ui OrQYyIiHRs4L&sadet=13Fi450:h91440&Sads=tldKN53PwZU7AXQzE9NFLuLk1U Page 1 of 1 0 640460 pixels ~ ~ 3/28j 1 ~ 1 14 PM - J'G wl e' yt" a~ v Y ry Jt. eM ~ _ s-. t:.. T+ t. - ~ air, ?i ~M.~ ' Z'ti ~r ~ ~ r # ~ ~',..W ,ti - .~,,.s ~~r` - ~ r t ~ ~ hops ;!mall-attachment.googleusercontent.com/attachment/ul0/?ui 41_&sadet=1364501676979&sads=-JEXag2U3wQBN_-aYxntBLhssKc&sadssc=l Page 1 of 1 J ~ 4^ v~ ~ ° 6~C~u -W - »o~r~ ~ Q p je'3 • yy e.. YW ~ a~ P J O°° ~IM~ IYp OY ~ y y• • a ~ ) ~ ' `O O . . III f Y 5 T / 4 n.l / ~aVi - I ~ 4' = 1~L~~-r I ~ 1~ 1""~, ' a a Y I ~ p) . a • • da. 3v ! a, i ° a I ~ + • ~ II rP e % • a r ! qa ~ < ~ of a % \ 0 O ° ° ~ v I ~ ~ / ° " a s 0 3S. m I i v / 1 , e I 4~ 06W ~ ~ Y,~ IP Y ~ I a..m~ d I 'x J I ~ i it ~ r ±;,a ' ~ I p 4 s rm--------- ~---------------ve J ~ -z _ _ _ Rrlvmp~q '8rws/vM~9' + 77I Yom- - - Pn -O ~ ~ cdwrvoc e~sFaK p ~ wm. cnnno OFFICE LOCATION: ~~OF SO(/ryO MAILING ADDRESS: Town Hall Annex ,`0 ~ P.O. Box 1179 54375 State Route 25 y y Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) T T Southold, NY 11971 H Q Telephone: 631 765-1935 • ~O Fsx:631765-3136 ~y00UNi'1,~` LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM ~ECEIi/E D To: Jim King, President MAY 1 3 2013 Town of Southold Board of Trustees From: Mark Terry, Principal Planner outlroM awn LWRP Coordinator Date: May 13, 2013 Re: Proposed Wetland Permit for RICHARD ANTONIELLO SCTM#1000-122-9-7.20 Richard Petrowski on behalf of RICHARD ANTONIELLO requests a Wetland Permit to re-vegetate the buffer area using 60-6' Eastern Red Cedars, 60-24"Bay Berry, and 5,000 dune grass plugs. Located:. 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 It is my recommendation that the proposed actions are INCONSISTENT with LWRP Policy 6.1 (below) and therefore, INCONSISTENT with the LWRP. 6.1 Protecf and restore ecological quality throughout the Town of Southold. B. Protect and restore ecological quality by adhering to the following measures. The proposed restoration plan does not accomplish the restoration of the wetland. The spacing and placement of the eastern red cedars and bayberry establish a landscaped buffer rather than attempt to replace the vegetation removed from the wetland. It is recommended that the plants be grouped and spaced throughout the wetland area to achieve a more effective restoration. 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 K Jamee F. King, Presiden ~ ~l/j ~ Tows Matt Anaeat Bob Ghosio, dr., Vice-President ~ 64876 Maier Raad Bergen P.O. Bas 1179 Southold, New York 11971-0969 John Bredemeyer Michael J. Domino / ~ Telephone (BSl) 786-1892 Faz (BSl) 766.8841 BOARD OF TOWN T&U$TEEB TOWN OF 30UTHOLD OB~e Use Only Coastal Erosion Permit Application D D Wetland Permit Application Administrative Pemut Amwdmentll'rassfer tension ~Reeeived Application: / 3 APR - 1 2013 Received Fee:S ~Campleted Application Incomplete _SEQRA Ciassificatioa: Type I_Type II_Unlisted_ Coorditration:(date earl) LWRP Consistency t Form T//3 CAC Referral Sent: d(e [I Date of Inspxtion: C-Receipt of CAC R Lead Agonay Determination: Technical Review: ~Pablic Hearing Hel Resolutions Name of Applicant K / ~ n ~ Mailing AddressV_ `I~8 ~ o 3 y SoH~'L~o~~ N / 11 PhoneNttmber:(~ ~ 1,~~ ~S~ f357$ Suffolk County Tax Map Number: 1000 - / 2 Z ' O S ~ 7. z ' Property Location: ?~o f Cifrrs~ ~itiliocf}- ~sxT (provide LILnnCO (Pole distance to cross streets, and location) AGENT: K i e l~ ti • ~ ~r o,,a i k (If applicable) Address: ~G `~bll I yg3 /Ita~~~TNtk 1~'( ~~952 Phone: ~ 31 SyL D ~I~l~ ~rd of Trustees Application GENERAL DATA r Land Area (in squaze feet): y O~ Y / ~ Area Zoning: ~[.~s~„v~,?,,,,-~ Previous use of property: Intended use of property: ~GS~~~i ~ K'"L Covenants and Restrictions on property? Yes ~ No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes / No If "Yes", be advised this application will be, reviewed by the Building Dept. prior to a Boazd of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes If "Yes", please provide copy of decision. Will this project require an olition as per Town Code or as determined by the Building Dept ? Yes No Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: g Y ~u is s>i ~vr %Ysvl ~ 3te~ ZBO S No prior permits/approvals for site improvements. Has any permiUapproval ever been revoked or suspended by a governmental agency? ? No Yes If yes, provide explanation: Project Description (use attachments if necessary): f~y`~ ,,1.~ lf2L w~ ~ ~Qo_~. , ~ -~.~~.t~,. ~ ~ fix' ti S~FQ B~d of Trustees Application. / WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of.the proposed operation/s~:T,~~sis-w'<. ~~®icr~G ago Area of wetlands on lot: _ _ squaze feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: 7L'' feet Closest distance between nearest proposed structure and upland edge of wetlands: •3S feet Does the project involve excavation or filling? No ? Yes If yes, how much material will be excavated? cubic yards How much material will be filled? o~ cubic yards Depth of which material will be removed or deposited: 6 _€eet~ Proposed slope throughout the azea of operations: 1. / s?~ '~"~~°h'~~ ~a5 Manner, in which material will be removed or deposited: ls.o.r ~ S~ra/~wY«~~i wL No ~tirl~ cla~c.? ~..e r ~aG ~u-ar .nJP S ife?~ 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)://// ~o ~~A?C' .lsf/cLl/l~t~ ~itiid dif~C.. /r?~e~ B~ of Trustees Applicatioa• ? COASTAL EROSION APPLICATION DATA Purposes of proposed activity: eis-.cam /~+•c.4cr.r~ ~~~C Q.ii w Glii ~ ,F~r ~~o-ri~cr~ ~.~tGf?~.~...~ ~~^~.,.n'.),f s Are wetlands present within 100 feet of the proposed activity? No ? Yes Does the project involve excavation or filling? _ No t/ Yes If Yes, how much material will be excavated? ~ (cubic yards) How much material will be filled? y (cubic yards) Manner in which material will be removed or deposited: S,M.II ,ti,a~l~;~e Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments ifnecessary) ~/osr~ i~ ~~e lr.~c0 ~v .cam daf~~t ~i t- a/G~~.c.t~ ~ .~y(pc~k Y~iCG /as.i! e~?~wP~r ~~¢ei'C7' ~it~ ufi Gs ~xc cwt ~5 i-7~oi~-~ Tic y ~•.G~-~-~~ , /.B-LG ~f s~.~e .rile c ~ .~il.~,~i ~ ~1sar,7~W-~ cJ~/•~ve .+a~ci.~ /`!~is .v~..~ wa.S a~.w..s.~f~..~4~ .c.L S ~i..?9 ~S~lf~ d Y PROJECT ID NUMBER • 817.20 . APPENDIX C ~QR 5TATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM iw LINLJSTED ACTIONS ONy PART 1 -PROJECT INFORMATION (To be completed by App4cant M FYa)ect SporLSOr) 1. APPLICANT/SPONSOR 2 PROJECT NAME 9.PRO.IE~CfyLOCATIOIk O?7' ~ C~'~r~/JliatJt ~ ~ S~7' MuriGpalky Min7i ~,L /i f S ''Z-. Counly 4. PRECISE LOCATK'kt Steel Adders and Reed kliuseciorls. Pmnterd Yndnrrics elc -ar provide map i - B. IS PROPOSED ACTION: ~ Maw ~EapanNm ~Mod~im/aeemtlon B. DESCRIBE PROJECT BRIEFLY: 1iv61~i .-~w.~ivcr~ ~~j,.,~,~ ~1~-?~~Piti~ 7. AAIOl1NT OF LAND AFFECTED: I sues Utlmmsly sass GOB i 8.11NLL PR ACTION COMPLY WIlFi EXISTING 20Ne1G OR OTHER RESTRICTIONS? I i~ B no, aesabe bristly: i 9. IS PRESENT LAND USE tN VICINTIY OF PROJECT4 (Choose ~ marry os appy.) I ~ blduebial ~ Conxnerciel ?Apriaalae ~ Park / Forpt / Opan Space ~Olher (deeuibe) 10. DOES ACTION INVOLVE A PERMR MPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FedarN, Stars or Loeal) . 1i.1+(es ~No If yes. Mat'apancy name end pertna /approval:. 11. DOES ANYECi OF THE ACTION HAVE A CURRENTLY VALID PERMR OR APPROVAL? Yes Byes. Twt agency rleme aM partnk /approval: 1 AS A LT OF PROPOSED ACTION WILL EXISTINGi PERMIT/ APPROVAL REQUIRE MODIFICATION? ss No I RTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE I AppMcant / Spmaa I ~fe: tore N the actbn is a Costal Area, and you are a state agency, compote the Coastal Aasessmsllt Forth before prticaeding wHh this assessment PART II - IMPACT ASSESSMENT o be tom feted b Lead A enc A. DOES ACTION F~CCEED ANY TYPE t THRESHOLD IN 6 NYCRR, PART 617:47 dyes, caord'mate the review prooeas and use the FULL EAF. Yes ©No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.87 If No, a negative - dedaretion may be superseded by another involved agency. Ves No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwdden, ff legible) C1. Existing ak qualNy, surface or groundwater qualdy or quantity, noise levels, ex7sNng traffic patiem, slid waste prodrrcllon or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agdcullurel, arohaedogksl, historic, or other natural or culturel resources; or communfly w neighborhood cterede(! Elrylain briefly: C3. Vegetation a fauna, fish, shetifish or wfldtite spades, significeM habitats, or flrreelened or endangered spades? Explain brleM: C4. A community's ezistlng pkrrs or goals as odreially adopted, or a rJrange M use or intensity of use M land or otlrer neWrel resources? Explain brlelly: C5. Growth, subsequent devek>pment, or related activities likely to be induced by dre proposed adicn7 Explain briefly: C6. Long term, short term, cumulative, ar other effects not identified in C7-C57 Explain briefly: C7. Other im ads indudi than sin use of either uantit or of enc 7 lain briell : ~ _ _ - _ D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 It sex sin briefl Ves Q No E. IS THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTUU. ADVERSE ENVIRONMENTAL IMPACTS? If in: Yes ~ No PART IU -DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreachadversetdfedidentifiedabove,detemlinewhetherdissubslantial,large,importantorotilerwisesign'fiicant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rureq; (b) probability d ocalning; (c) duration; (d) irteversrb'd'dy; (e) geographic scope; and (f) magnitude. ff necessary, add attachments or reference supporting materiels. Ensure that explanations contain suffideM dated to show that ell relevant adverse impede have been identfed and adequately addressed. If questan d of part ii was checked yea, the detemdnation ofsignificance mustevaluate the potential impact tithe proposed action an the environmental charecterisficsofthe CEA. Check drb bozffyou have identifed one or more potentially large orsigniflceMatlverae knpaclswNdt MAYowlr. Then proceed directlyto the FU FJ1F and/or prepare a positive decaredon. Check tlds boz ff you have derermkred, based on tine infarrnatbn and anatysis above and any supporig doamenlatlon, that the proposed WILL NOT resod in any slgMficeM adverse environmental impacts AND provWe, on adatltmerds as necessary, the reasons supporting dr determination. Board of Trustees © J~,(/ / Z / 3 Name of Lead Agency Date l~/fK/ES ~ ,~/AJIr President o -~n(M' oar Type ame of Responsible~rin cad A9t enq Title of Responsible Officer nature of Respons ble a envy Signature of Preparer (If different m responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: {~aa~ RvlYlunZictq ay63 Camp M.~eo~2 Ext /lAat~~'~...k 1~1'' I1~.1'2 ~.J; ~~;an T~.~QhJ t'o gox I?yy Matf~ ~~-~k NY 114S.Z iQ.,tl,o^Y Rn~u nz;af'a b Vasfe~ 17l .SG4'rJ~GI~ to S$3 St.on~J Nln:~ne Z„c I~ak I`Io4 /Y~¢F+~~4c1C NS' IIgS2 STATE OF NEW YORK COUNTY OF SUFFOLK ~el-~>wsk; ,residing at 2YS E (.eQ~o„ A~~ M.+h'tH<k N V ,being duly sworn, deposes and says that on the 1 s* day of ~ 20 ~ 3 ,deponent mailed a true copy of the Notice set forth in the Board of rustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at M a t~','tw •K ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this /~j Dayof~20 /3 ~ CFIRIBTYIEYMORE -O/ ~ , ~ NogrY P~ubA~t~ ~ d~ '~k cwomiF.xp~~~ 24 ~`j ~ 1 - ~ ~ ~ - - 0 ~ 1. ~ ~ 1 m m ~ ~ Postage $ 10.46 T U ~ I ~ Postage $ 80.46 Ck ~ Certlfled Fee 83.10 1. K2~ ; ~ Oafllhed FBB 63.10 -yL. ~ ~ C PO8b18~ Retum Receipt Fee Here ~ ~ Retum Receipt Fee Here ~ (Entloraemant Requlretl) 52. ~ (Entlorsemant Requiretl) sZ•~ _ O I ~ Restdotetl delivery Fee ~ O ReatMed DelNary Fee ~ (EndorsemeniRequlred) ~.QD ~IV7 ;~vY 10 (EntlorsemeM Requlretl) 'jQ.~ ~ Total Postage 8 Fees $ 86.11 ~ lQ total Postage 8 Fees $ 86.11 Si/ZOl fL ~ anto~ +l } rTa~J~~~i4m T~,~'ano r9 ~ Stieei,' - . NS.; X- - - ' O orPO Bart No.-~ y y , d O arPOBaxNp Vaster qr PO a°x - Crty, Srete. ZIRN Sc~~fclnl Y 1os83 Maw+:+~~K NY nqs~ - :.r . rr. - ,w. ~ ~ s o , a ~ } I m 4 ~ Postage $ 46 ,r u ~ Postage $ 80.46 ~ P~' ' ced~nad Fae 83 10 , ~ ; \ <,5 y -0 cemnea Fee 83.10 r ~ Retum Receipt Fee ~ ~ L Poebna O Y) r` Y9';`. (Endorsement Required) ~c.J~ , Here ~ O Retum Receipt Fee ~ ~ v O I ~ 1 ~ (Entloraement Required) ~z~ O Resttlctetl Delivery Fee ~ ip O Restdcted t~llvary Fee (Endorsement Requiretl) 80.00 ~p r , ~ 3. O (Endorsement Required) f0.00 ~ I ~ Total Postage 8 Feea $ 86.11 ~ Total Posage 8 Fees $ 86.11 S 1 ,s p4 tU - enr TO To r r-R ~qw~ A/) 1414 A ~~r0 /1 1 Air t ` ra Street, apt No; ~ 35reei. Ap-r. ~ or PO BOx NO. ~~~V3 CQM r/ICa~Q ^d EYi• ~ aPO BOx NO. ~Q O ~yU r - - -----P--M---------- a _ i c,ry, sraQ zrP+l ..c k -----•-N 119 S r -rnr'sroa:; ~ ....c k.........--~ ~ l q ~ 1-.....----... 2 _ 1 7 • ~~gpFiO(,~r • James F. King, President ~ Town Hall, 53095 Main Rd. Bob Ghosio, Jr. ,Vice-President ~ ~ P.O. Box 1179 Dave Bergen ~ Southold, NY 11971 John Bredemeyer ~ ~y~ Telephone (631) 765-1892 Michael J. Domino 1 # 1~_ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of RICHARD ANTONIELLO COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POST/NG REMA/NS /N PLACE FOR EIGHT DAYS I, ~~~e.~ '(t'Fio~..>rk,' ,residing at/dba 23J E L¢p~a, /LtaFf~~4 ti ~ i~le~~e~+~., o I~,lx~u.e being duly sworn, depose and say: That on the day of /"'O-[ , 2013, I personally posted the property known as aye4 ~'a.,p M;,c.l. Ext' /Iga1%I:/..ck IJY by placing the Board of Trustees 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 Wednesday. Mav 15.2013. Dated: /G (signature) Sworn to before me this day of f1~Y 20 t.3 / GIW8TY8EYMORE . ~-~1 Nogry pubNe,~ d~ York Notary P lic Ollellhd b SulfoMc County c~m~aw, ~ n~a oe, ~j NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. . OWNER(S~ OF RECORD: l' ?~.~rd ~n~on~~I~o SUBJECT OF PUBLIC HEARING: To re-vegetate the buffer area using 60-6' Eastern Red Cedars, 60-24"Bay Berry, and 5,000 dune grass plugs. TIME & DATE OF PUBLIC H EARI NG: ~,~y, lYIQy IS, ao~3 - S'3oH'YI • If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection rior to the day of the hearing during normal business days between the hours ofp$ a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 j 765-1892 B~ of Trustees Application • County of Suffolk State of New York `~lC~ (`~~G BEING DULY SWORN DEDE-~S~S AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature P party Owner SWORN TO BEFORE ME THIS DAY OF ,20 1--' ~'L~~w Notary Public ELAINH T. VII.LANO Nohryry Publb, 8t~pp M hew yorlc No: 01VPD029280, l9uttolk County „ I ,j (;~F»mi~,R!pn Eu-,his ,~aF'.~. 9. ~d o! ?rustess 7lpplicatioa. ADTHORiZATION (wheae the applicant is not the owns) +~-~.~G(~ .residing at ~,r ~r~~ N~ ~/4 (print owner of property) mailing address) do hereby authorize (Age) i t ~ a ~e}~uw' S k~ to 8pply for permit(s) from the Southold of Town Tmstoes on my behalf. . • ! APPLICANTlAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM r ~ tt•' --flidts of interest on the art of town officers and rm mo whroh ca s(e- the tov,- of oossibk cen_FlrMS of mtere_sr and allow tt to take whMever action is ,M.Yna..v avoid same. /J YOURNAME`~ "~G' ~ ' ~r~ ~?-fo/! / G~LC'7 (Last name, firsr rwme, griddle 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 t~ren$e of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Other', name [he activity.) Do you personally (or through your company, spouse, sitiling, parent, or child) have a relationship with any otTicer or employee of the Town of Southold? "Relationship" includes by blood, tgarriage, 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 employce owns more than 5% of the shares. YES NO \J/\ 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 (the applicanUagenUrepresenta[ive) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) owner of Ss/o of the shares of the corporate stock of the applicant ( ican[ is a corporetion); _B) eficial owner of any interest in anon-corporate entity (when the licant is not a tation); C) an officer, director, partner, or employee of the applicant; or . _D) the actual applicant. DESCRIPTION OF RELATIONSHIP -T Submitted this ( day of 20~ 3 Signature' ~ Prin[Na e _~iGI)/ ~N~_-!P!GLO " Form TS I _ Town of Southold Erosion, Sedimentation AStorm-Water Run-off ASSESSMENT FORM 'S . PROPERTY LocATtoN: s.C.T.M. s: Txle FOLL0ININO d?eTtoNS w?T 1~gU11~ TNH J61MMItgiION OF A AT @RE1810N PLAN alai ~t Tom A SCOPE OF WORE -PROPOSED CONSTRUCTION ITEM # /WORE ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? ~y (Include Total Area of all Parcels krcated wiMkt ~ Will this Project Retain All Storm-Water Run-OIF the Scope of Work for Proposed Construcdon) f ~ Generated by a Two (2") Inch Rainfall on Site? . ~b. What k the Total Area tN Lend C ~`:/A°M) f ~ ~n will include all nswB aae0ed by t»te leadlg clearing arlNor construction actlvitles as weA as aq and/or Ground Disturbance for the proposed ~ Site Improvements and the permanent aeadon of construction acdWyl impervious surfaces.) (S.F.l Aces) PROVIDE BRIEF PROJECT DESCRIPTION (Pew,Na AdAtlwiwwl Pasaa «Neeard) 2 Does the Site Plan and/or Survey Show All Proposed ? Drainage SWclures Indicating Size & LocationT This Item shall Include all Proposed Grade Changes and /J~~ ~Q~~ ~`TLA~OS Slopes Controlling Surface Water Flow. K 3 Dces the Site Plan and/or Survey describe the erasion ~YiFci~ A~P~.f- Lt/iT.s~ and sediment control practices that wdl be used to tx>tltrol ske erosbn alM storm waYr ~strierges. Tads !A/6TGnJatlJ) item must be maintained throughout the Entire Construction Period. /y1/~'rt~~~- ~ ,4 Will this Project Require any Land Filling, Grading or yJ Excavation where [here is a change to the Natural a L. Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 Wdl this Appliggon Require Land Disturbing AcaWtles ? Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? s Is there a Natural Water Course Running through the ? Site? Is this Project within the Trustees jurisdiction Ganerel DEC SWPPP RequlremanLS: Of wilhim One Hundred (100') feet Of a Wedamd Of Submission of a SWPPP a requked for aN Constmdion adivides invoving soil Beach? disturbances of one (t) a more acres; indudirg disuroances of less than one acre that 7 WIII there be Site prepara0on on Existing Grade Slopes ? are pen of a larger cgmmon plan that will ultimately disturb one or more aces of land; which Exceed Fifteen (15) feet Of Vertlcal Rise to indudirg ConsWd'an activities involving soil d'atumances of leas than one (t) acre where One Hundred (100') of Horizontal Distance? the DEC has determined Met a SPDES pemut a requlred for stone water discharges. (SWPPP'a Stull meet Itre Mlnlmum Requlremanb or tlu SPDES Oenaral Parmlt $ Will Driveways, Parking Areas Or Other Impervious ? Tor Sbrm Water DisrJurges eom ConaWetlon actlWry-ParmN N0. OP-0.10-001.) SulfaCee be Sloped to Direct SWmHWater Run-Olf t. The SWPPP staN be prepared prbr b Ma wbmidel of the NOI. The NOI abed be into andlor in the direction of a Town rigmof--way? submkled to Me Depenmanl pea b Me caanerxxmeM o/ mmtrudion ecdvlly. 2. The SWPPP shall describe the erosion end sediment contrd precbces tint where 9 Will this Project Require the Placement Of Malarial, requlred, pwt<onabuctlon scam ware management prerLcea Mat wR 6e used anaor Removal of Vegetation and/w the Corlstrucdon of any aromwMd b reOwe the polulaNe pltam waMr dladrareaa end m aawre Item Within the Town RigM-0FWay a Road SFqukkr - ~ . compMnca vMh the lama and mndROru o11Ms prmR M addXbn, the SWPPP ahal Areal IThN lrm wu Nm lewl,eda tlw 1roMatlm aomawry Apraia) idantlly poteMbl sourees d polutbn whbh nlay reasoneby be expected b anecl Me quality M storm water dheharges. NOTE: II Arry Antiwar to Ouaatlona One Mrough Nlm b Anawwd web • Clwek Mark 3. AN SWPPPa Mat require Me poslaanstnxibn arorm welerm~nagement puWCe In a aox and the tombuctlgn alto dlaturMnca b tralwwn O,000.SF.81 Ace b arµ component aha0 be prepared by a queli0ed Design Professbnal Lbensed In New York a Sbrm-Water, Oredlrg, Dnlmtta 6 Erwbn Control Plan h RWUkad by the Town of thm is knowledgeable h ttre pdndples and predbes M Storm Water Manapertunt. Soutlrold and Nust be Submkbd roc RaNaw Pdar ro bauand of Ary euMYry ParmR (NOTE: A Dark Meek andlor Answer fa each OuesOOn'w Regaieed bra Cmiplem AppluaoM S1'A1'E OF NEW YORK, COUNTY OF SS ,~lPr~ ~¢NTryNIG CGt9 That I . being duly swum, deposes and says that he/she is the applicant for Permit, (Name of Indvldual sgning Dowmeng And that he/she is the ..........Q~rfl.~.'.~ (Owner, Canbadar, Agent, Corporate Orficer, etc.) Owner and/or- representative of the lhvtter or Owners, and is duly authorized to petfotm or have perfornted the said work and to make and file this application; that all statements contained in this application aze true to dte be,,syy~~t of h~'is"" lutowlsxlge and bteGet; d ~ that the work will be performed in the manner set forth in the application filed herewith. S D ~ ~j~ ;<u1~ Sworn to before me chic t' . .........(..a.... DP I vocu~ Public: C-LAINE'fi: Wk~1N0... Si nature c(A licnnl FORM - 06/10 No. 01VI8029229, Suffolk Cou I`,pMmleg!r~n FxDirBS Aug. 9; Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for. proposed actions that are subject to the Town of 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 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 Townl. 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listine both suooortinQ and non- supaortine facts. If an action cannot be certified as consistent with the LWRP policy standazds 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 Boazd of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION PROJECT NAME ayvt,/ ~sl~ir/G9t.,A- /1J~l%TxG.~ /`J y//IS Z The Application has been submitted to (check appropriate response): Town Board ? Planning Board ? Building Dept. ? Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ? constriction, planning activity, agency regulation,-land transaction) ? (b} Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: o /Qe - (/e~~f~lTe _ !'`~~-~-vim /.1•~-~~ ~ - Location of action: ~t'~ L`.~r.~ /~/•~l~e.r¢- .e,) r~~.0~y~,,,~C~ i"L° l LS site acreage: y~ ss / • Ptesa?t land ux: ~.GSi.~c..-JS.~ Preamt zoning classification: ~s~oG..~ 2. If an application. for the proposed action has been Sled with the Town of Southold agency, Use following information shall be provided: (a) Name of applicant: (c) Telephone member. Area Code G3 / - X2 -gS'7 (d) Application number, if any: Will the a~tio(n~~b~~e directly undertaken, vecPrire funding,.or approval by a state or federal ageacy7 Yes ? NoyGT- If yes, which state or federal agenc}~1 C. Evahrate the project to the following policies by +m~g how the project will [orther support or not support the policies Provide all proposed Best Managemeat PncHcea that wID fnrtlrer each policy. Incomplete answers will require that the form be returned for wmpletion. DEVELOPED COAST POLICY Polity i. F6ster a pattern of development in the Town of Southold that enhances community character, preaerva open apace, makes eft nee of hrfrastractare, makes beneficial use of a coastal location, and minimizes adverse effeMs of development. See LR'RP Section III - Polides; Page 2 for evaluation criteria. ? Yea ? No of Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and ardureological resources of the Town of Southold. See LWRP Section III = Polidea Pages 3 through 6 for evaluation criteria ? Yes ? No Not Applicable Attach additional sheefl if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LW1tP Section III -Policies Pages 6 through 7 for evaluation criteria ? Yes ?'No ?~NotApplicable Attach additional sheets if necessary NATURAL COA5T POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LW1iP Section III - Policies~Pag~es 8 through 16 for evaluation criteria ? Yes ? No'L' Not Applicable Attach additional sheets if necessary Policy 5. Protect and unprove water quality and supply in the Town of ~tiuthold. See LWRP Section III -Policies Pages 16 through 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 t~'ildlifc fIabitats and ~cctlands. Sec L~VRP Sectii~n III -Politics; Pages 22 through 32 for evaluation criteria. ? ? Yes No Not Applicable 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. ? 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 wa~st~es./See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. ? Yes ? No,~l 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. ? Ye~ No ~ Not Applicable Attach additional sheets if necessary WORKIIVG COAST POLL Po1iry 18. Protect Soathobi'a water•dependent uses and promote siting of new wadrot saes m saitabk locations. See LWRP Section III- Polkies; Pages 47 through 56 for evaloation criteria. ? Yes ? No~Not Applicable Attach additional sheets ifneceasery . Policy 11. Promote sustainable ~ of living marine resources in Long Island Sound, the Pawnic Estuary and Town waters. See LWRP Section III- Peltciea; Pages 57 through 62 for evahuttion criteria. ? Yea ? No u NOt Applicable ` Attach additional sheets if aecossary Policy 12. Protect agricultural .lands. in the Town of Southold. See LWRP Section III -Policies; Pages 62 through 65 for evaluation criteria. ? Yea ? No Not Applicable Attach additioml sheds if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III -Policies; Pages 65 through 68 for evabiaNon criteria. ? Yes ? No ~ Not Applicable PREPARED BY ~i c a ~ ~ o r k : TITLE AQ t ~ DATE ~ 13 SIiKVEY OF PROPERTY s~T(IATE ~ MA'PT[TUCK TOWN OF SOUTHOID r/ SUFFOLK COUNTY, NEW YORK S.C. TAX Na. 1000-122-09-7.20 LOT COVERAGE DATA V1 SCALE I"=30' (ovEa uP~wo ADJACfrvr AaEA Ao.o95 eq. n.7 W J JULY 24 2004 DESCRIPTION AREA x LOT COVERAGE -n roaocRMNCU suRVE. ' O E REP a~urofECS ti Pvrv E%ISTINC HOUSE I,I36 sq. ft. 3.1X ' w^KE or coxmrnax N z wOEn o osiO rtR LxE EI o s [ sP[crax E%ISTING DECK 561 sq. ft. LIX JO 0 6 E O4E0 Ei. dC ORIVC /A Y GYUGE n S O6 fN5E0 EO K'OL sfD D rx[ Ls Ec o cE Onr[O 6~xs/oe TOTAL EXISTING I,J99 aq. IL 65X i0C ROOfi OC E Er 0 EVES R V(1 5, SEr 0 slE SPELtlOx r E p[O o EO o sE sET d swF LsPECngx pROp09E0 GARAGE 360 sq. IL 0.9X _ EP SUExp Lx ExNRGNNfNr4 SOLnxG G ET1ER O6/I°/OJ O NCC~O R~ER :0, 3ZO~l MSEO CPOSEO OflYdkELL LOCATOxS w s e ArosE PROPOSED sEPnc sSrfY PROPOSED POOL Stl aq. /s, tax u_ 9 xnr I uxiozo oo`sµuOCilsr>N suwLV r .ilea? 9R. I sumac TOTAL E%IST. k PROPO. 26)t ft. 6.JX n rv..nw V~~UiN'R Si u, E'PROG PoOL kPROPGNUf[ fOR SITE IXSPECnOx Rq AREA = OO,pI] 50. /t. NOTE: ApEA OF WETUNDS = )61 aq. /t. 0.93) ac. UPUHD ADJACENT AREA = 10,055 sq. fl. ,r~A L' tiOTFS l _ I. EIE NATIONS 4RE REPERENCED i0 N.G.V.O. 1919 DATVY O [~ERT/FIF,p T0. RICHARD ANTONIELLO CHERI ANTONIELLO WELLS FARGO BANK, NA 1^n1 FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ~ ~ E 1 V E D SEP?C SY4EN ilE MEASURENENLS ryryti APR - 1 2013 'I HOUSE HOUSE CORNER ~ CORNER ~B SEPrIC TANK JD. ~I COVER t LEACHING POOL 83' AB' <OVCa 2 \ LC4CHWG POOL )9' al' COVER } LEACHING POOL J)• 30~ ~ ~COV[R a LEACHING POOL p5' A6~ ' LOVER 5 ~LCACHING POOL covER 6 91~ ~ 56~ TEST HOLE DATA I iEACNiIVC vooL dl. r ra<rIFN F ou Yav I I, coos aT r: aDPmJ ICOVCR J I 83' S0~ £ (E9 MOLE DUL BY M OIXt°'EJ _ - ~ Yf X. ~s yy /t ~1 a ml x wow' wro 'IOOh V~ V a t to y A' ~ j ra x un owwc cur n `_`L ~ \ G'0~~ M iww Wwrwm sw sc C y JS CY lXP 2^ o"s cV R ~O~OS ApcW ~ D p.. ` b a ro. w .~,X.x ro Yd. no s e 5 WI. aAya I~ JEa ~S d ~ a `ZO ~ b ,0. GJe O pZ ~aOZ ~al`T ~O. Yw d bA ie ,W. Dc 0 F+~' fy L ~ f. f ~ xxIMPV6G) KIEMMM OR I611M CO ~ ^ M M9 911RhY K X xL4Mx OE PPS H ;GTd )3M d ME NEw rCPN 5)XR ~ Eplf lNlll W. J2N ~ ~ CM6 f MK SLIMr wl NOi EMML GF'PS S 3 ~ ~ EI~e05~sE05Y.~L zdwEi I~ ff oxYC o ERm ~ / ~ _ O, P~ o~ POSF-f • y O To x R v!uo mmrc wPr. / Of, G,`J e0ot ~ y ~ xau 8 ~ a al~iv ro iI~~ESrErs~ox con Rilno° i Me sm r - F, F DLO Dy mlE C°AFO~'~o+L~wxixrR~°.r,Ei crk Iwo ~ v~ ~ X~oa@ rvcv ~ FR m~ ~ ar°MEluwlrm- N' z ~Im 33 N~ O ~ ~ wed f NN lUlld, fIRRIG.rpNS ME MI LIYYSEFAMLE. L ~ T<G1 Pub ~W ?\22 ME En6rtXC[ aF Rlcxrs a<wa $ ~ Q = t.4, ANO/M FASfYEN19 OF RECORD. II _ - MIY, XOT SXOWN ARC HOi DULMXYEED. 2 WEiLWO BOVNDARY AS PER .Y a w`I H('`YI jF SOViNOLD TOwX rRV5TEE5 ~ f I~ _ ~ a` %uc ,x ~ Je k i JfRr,~R JS ] ? PpfyMLO IX .r000Rd1CE wDM Mf YIHIY04 ~ ~ Q ~ RypRIgS fd 1111E SUm'EY$ 45 ESIIHNdEO AJq ~ • FdMSYCMI YSE Rf ME NEW YpM SEAH2 ~W10 YN ^ ~ NO$OC _ 6 1 ~ 1111£aSmLYMMI. ~~J ~Y°2. cor`ry'F~r i ~c~ ~ 3 ~ WI. ~s G°po ~ c Bi~f W ~ ~!f cT~ / ~ NYS. Lic. No. 50A6J SOS i °5,Sf N 9''(~', r e e Nathan Taft Corwin III - Land Surveyor 130.00 s~ 4' VAC4N} i4 rj0 RjQ~ W ~ ~~~~3 Succeeser Te: SIORIey J. IwNUn. Jr. ES. i ~Gi N/O 5 84 ~ yXtty Jmepn A m9NNO Ls. 9M J/F ~ t`I'~S Tills Sumya - 3oMYxuimv - FYO %ana - Cwelrvctpn Loyvul rG'"9Np ~V PHONE (631 )]D-1090 Gov (6L ))2J-IJD 9999 OFEIELS LOGIEO Ai LLVlN6 MORE55 1506 Yem RoM P0. Be. 16 Jamesp tl, New YOh 1190 JampPCrl. NeW YaM 119c) ~ APPROVED BY BOARD OF TRUSTEES ~ JUN 1 9 2013 TOWN OF SOUTHOLD , DATE , a ~ ~ I.3 _ I ~ ~ ~h 1 / i9 JP O~ / ~ /f ~ ~ O tpt ~~d ~ ~ ~ r O ~ ~ e ~ ' E~~p / * ~ 9 / ~ o / ~ ~ Q A e f ~ ~Ff ; IIf I rµ J 8 M~/ / ?5~ i ~ 24~ BAY BERRY ~I Nr ~~y ~5 ~ * 9 _ r- (80 70 BE PLAN TEO ' ~ v ~~Q\ p ~ 6F,~ E3 9 # ~ E%ISTING TO REMAIN ~ B c ~ ~O ~ ~P~ A ~ # 9 ~ - DONNE GRASS PLUCS / / Q~p lb B • 9 (5,000 TO BE PLANTED ~ / : ~ i ~ ~ g! # 9 / ~A ~ a ^GFO~ g ~ Luc ' ~ ~ 8 YVE RAND gtJUNDwRr Ac ccq ~/g ~ ~ / :i i+iOLd 'ON^l f4Uti ~F r - I / * 6 ~ ~ ' ~ r` 1 • R ELM / ` r \ 1 1 ~j~ \ 2 STORv Z d~WNC 3 !r ,t" t 'YSC, a~ ~ tictF l s° q, yC ¢ ° \ 1 f .y I v ~ \ ;may p~v \ '}9 is ° J ~n J` u l ~`j °UJyy9S, J ` C ( _ J-~-_t O __~,1~ 13G~00 i --`4'50'50' W r~ 1 I I~~ti~:rn Kcd (.der f37t born _'a R~~n [Srrcn LANDSCAPE PLAN FOR S. N,~ ` h,gh 2404 CAMP MNEOLA ROAD, MATTITUCK PREPARED BY REFLECTNO NATUFIE LAPD9CAPNCi i lhip P..nd .\ppnn `~h'~