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TR-8342A
0 James F. King, President gUFfO(~ Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President ~OPy P.O. Box 1179 Dave Bergen ° Southold, NY 11971 W John Bredemeyer Telephone (631) 765-1892 Michael J. Domino G1 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 10 day of construction _ %constructed Project complete, compliance inspection James F. King, President o~~oF souryo Town Hall Annex Bob Ghosio; Jr., Vice-President h 6 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G Q ~j • ~O Telephone (631) 765-1892 Michael J. Domino 2 119 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8342A Date of Receipt of Application: October 18, 2013 Applicant: Ron A. Melamud SCTM#: 17-5-3.2 Project Location: 18603 Main Road, East Marion Date of ResolutionlIssuance: December 11, 2013 Date of Expiration: December 11, 2015 Reviewed by: Board of Trustees Project Description: To replace the decking surface and railings on the existing decks around the pool and house, approximately 2,500 square feet of decking in total; and replace the existing 3' high fencing in-kind; with the condition that there be no further expansion of decking structures, and if there is a reason for decking expansion a Coastal Erosion permit will be required. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Susan M. Melamud, P.E., received on October 28, 2013, and stamped approved on December 11, 2013. Special Conditions: No further expansion of decking structures, and if there is .a reason for decking expansion a Coastal Erosion permit will be required. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. James F. King, President Board of Trustees BUFFO(,( James F. King, President p~ C P.O. Box 1179 Bob Ghosio, Jr., Vice-President j Southold, NY 11971 Dave Bergen Telephone (631 765-1892 John Bredemeyer Fax (631) 765-6641 Michael J. Domino 4, # ~ao~ Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: RON AND SUSAN MELAMUD request an Administrative Permit to replace the decking surface and railings on the existing decks around the pool and house, approximately 2,500 square feet of decking in total; and replace the existing 3' high fencing in-kind. Located: 18603 Main Road, East Marion. SCTM# 17-5-3.2 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound -Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 -other Type of Application: _ Wetland -Coastal Erosion -Amendment _Administrative_Emergency-Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: J. King _B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: OCT 1 8 211 1;, { LE y ~L wF a° v -aV ~ i ~ h 3 b e ~ a s box y` Aw, r, i t 3 n r 8tt ~y ° s m lGu •'1 NIA a?" w~. 1 4.Z 'Y~ a_ -yy ~diF Y t !1[ ~ I M )AuK K ~ ~ i W e f ~ i'dg ~ 'b' P T I ~ x ~en z4~ a n r 40 MM~ 6 'TIl3~ t ~ §i~W~ vmm- f , Aw. ~a E=` 41- . e, tot F 3 -3 r I 3Ene~N ~ cg's € 3 ~ ~ 4 t7r AT~ 30 a fi 40 kl. K; ' r x .~s.`.~E7a 1 *°+~4s7~ w +k `R~ 5. S F F a i o blill F~j s r e h y n rs l.. k " ~ Yiw~+ ~ . ~}3. Z'h§~~ x }-_0.,' - ~ . _ d.__ Lc w. • 1 ....-.ww~..Gi~ .t,.''~'',i. Oct 15 2013 7:26PM Real Estate & Rrchitectur 201-985-1584 P•1 • D E. II V E' Ron A and Susan M Melamud 66 Constitution Way OCT 1 5 2013 Jersey City, NJ 07305 Tel. (201) 985-3870 +c October 15, 2013 Bwrd „i,iL RE: Letter from Board of Town Trustees 18603 Main Road, East Marion, NY To Whom It May Concern: We are in receipt of your letter dated October 11, informing us that someone has reported the delivery of lumber to our house ~Q the Serer Southold Board address, and stew permit our concern that work is being or will be performed Please be informed that the lumber that was delivered is intended to be used for replacing the surface of the deck around our pool and back of our home, which was severely damaged by Hurricane Sandy. Only the surface will be replaced; the structure will remain intact, and no expansion will occur. the pool and its deck, we received a Letter of No Back in the year 2000, when we constructed as not within 75 feet of Jurisdiction from the Board of Trustees, since the structure w a wetland boundary. We understand that this limit has since increased to 100 feet. However, neither the pool nor the back of the house is located within 100 feet of a wetland boundary, as indicated by Board of thus be concluded that the planned work does the site plan that we su submittein 2000. It n d back not require any permit We were also informed by the NYSDEC that the replacement of our deck falls within the "NPN' or "No Permit Needed" category. We thank you for your concern, but plan to proceed with our project without the need for a permit from your department. We will nevertheless implement best cols a dumps es and avoid any impacts from our work on the environs. All debris will be p carted offsite to an approved facility. Since y, Ron A. M amud Ron Melamud 18603 Route 25, East Marion SCTM# 17-5-3.2 10/9/13 IM, . m I A46& MENT r I1V Chu s r r~i.. ,'r ~ r,~i",~ ~ "~.e ~,1!Y y~~~ ~ f, a ~ y~ ~~F: ~ 1 ~ y.-" ~~.v .t - rs ' i•If r ~ fE a ~ s ~ l~';lfJ Ron Melamud 18603 Route 25, East Marion CTM# 17-5-3.2 ~J 10/9/13 41 'irr, , ' y,. ! . ~1,.. • as.. ~ vif i ~4Y s. A JF, -'i~waf+[.le jf„' vk.. 4 =y` 4 ,,i.3+':.. Y Ti!_'F•Fr it i ` ~1• Aml~ • ` A 14 y. - I< t James F. King, President ~rJF so~ly Town Hall Annex 54375 Main Road Bob Ghosio, Jr., Vice-President P.O. Box 1179 Dave Bergen # Southold, New York 11971-0959 John Bredemeyer G Q Michael J. Domino Telephone (631) 765-1592 Fax(631)765-6641 1y 00UNVI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 11, 2013 Mr. Ron A. Melamud 66 Constitution Way Jersey City, NJ 07305 RE: RON A. MELAMUD 18603 ROUTE 25, EAST MARION SCTM#: 17-5-3.2 Dear Mr. Melamud: It has come to the attention of the Board of Trustees that an accumulation of new lumber has been placed at the above referenced property for possible repair or construction of a structure. Please be advised that any activity within 100' of the wetland boundary requires a permit from this office. Failure to obtain a permit for conducting operations within Trustee jurisdiction shall be subject to a fine. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, )^Id- CzJ James F. King President, Board of Trustees JFK:amn ~~S~ffo(~-CD Albert J. Krupski, President Town Hall hy~ G 53095 Main Road James King, Vice-President c P.O. Box 1179 Henry Smith rn 2 Southold, New York 11971 Artie Foster p _ Ken Poliwoda y Telephone (516) 765.1882 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON-JURISDICTION DATE: January 11, 2000 AGENT: APPLICANT: Ron & Susan Melamud ADDRESS: ADDRESS: 18603 Main Rd., East Marion PHONE: PHONE: 201-825-8117 RE: SCTM# 1000-17-5-3.2 The Southold Town Board of Trustees reviewed the survey dated and received in our office on January 11, 2000 and determined that your proposal to Install an in-ground swimming pool, in accordance with survey dated January Z000, to be out of the Trustee Wetland Jurisdiction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. ~Sji~nc~erely,1 Q Albert J. Krupski, Jr. President, Board of Trustees AJK/ Sent By: Real Estate 8 Architeco1 Ser; 201825 3208; May-T 9:31AM; Page 2 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL 0 TOW DEC PERMIT NUMBER EFFECTIVE DATE 1-4735.02537/00001 February 24, 2000 FACILITY/PROGRAM NUMBER(S) n 7 EXPIRATION OATECS) under the EMIP01Bantat Conservation Law February 25, 2DO3 I TYPE OF PERMIT 0 Now ? R rmwal ? Nodificeti on L) Permit to Construct ? Pormit to operate I ? Article 15, Title 5: Protection 13 6WYCRA 605: Water Quality ? Article 27, Title 7: 6NYCRR of Waters Cettificati on 360: Solid Waste Management 1,1 Artiste 15, Title I5: Water ? Article 17, Titles 7, 5: SPOES ? Artiste 27, Title 9) 6MYCRR Supply 313: Hazardous Waste Manageaent ? Artiale 19: Air Pollution ? Article 15, Title 15: Water Control r1 Article 34: Coastal Erosion Transport Management ? Article 23, Title 27: Mined ? Article 15, Title 15: Long Lend Reclamation ? Article 36; Floodplain 13(and Yells Management ? Article 24: Freshwater Wetlands L1 Article 15, Title 27: Wild, ? Articles 1, 3, 17, 19, 27, 37: Scenic And Recreational Rivers ¦ Articlc 25: Tidal uatlands 6NYCRR 3202 Radiation CeMrel PERMIT ISSUED TO TELEPHONE NUMBER Ron A. t Swan H. Melaind 201 875-8117 ADDRESS OF PERMITTEE 15 Aldbury Drive upper Saddle River. NJ 07455 CONTACT PERSDN FOR PERMITTED WORK TELEPHONE NUMBER MAKE AND ADDRESS OF PROJECT/FACILITY Mclaaud property, 15603 Main Rob LOCATION OF PROJECT/FACILIIT ' East Marion COUNTY TOM WATERCOURSE NYTN COOIlD1YAtE5 Suffolk Southold L island Sound DESCRIPTION OP AUTQORIZ3ED ACTIVITY: Construct swiAeling pool with deck. All work Is to be done in accordance with the attached pions stamped NYSDEC approved. By acceptance of this permit, the parmittee agrees that the permit to contingent upon strict Compliance With the ECL, all applicable rejulations, the General Conditions specified (sea page 2 a 3) and any Special Conditions instudad ow part of this permit. PERMIT ADMINISTRATOR: ADDRESS George W. ila rth (CAF) Building 40, SONY, Roan 121, Ste" eraak, NY 11700-2356 AUT 12ED SCKAY DATE V I ,r,Ti`7-'rae^~F_-']Yr~- Pagc I of 4 February 29, 2000 Sent By: Real Estate 8 4rchitecal Ser; 201825 3208; May-10 9.32AM; Page 3/5 NEW YORK STA FPARTMENTOF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Rom A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages, and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the terms and conditions of the permit. Rom B: Permiltee's Contractors to Comply with Permit The permittee is responsible for Informing Its Independent contractors, employees, agents and assigns of their responsibility to comply with this permit Including all special conditions while acting as the pemtittee's agent with respect to fit permitted activities, and such persons span be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Peralltes Responsible for Obtaining Other Required Permits The permittee Is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others In order to perform the permitted work nor does it authorize the Impairment of any rights, tine, or interest in real or personal property held or vested in a person not a party to the permit GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facing, including relevard records, is subject to inspection at reasonable hours and Intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAIDA 409(3). The permittee shall provide a person to accompany'iFie Department's representative during an inspection to the permit area when requested by the Department A Copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or t'aelnty. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, Issuance or this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or.filkidlfineations The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must Include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES). Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Regiori 1, SUNY Bldg 440, Stony Brook, NY 11790-2356 General Condition 4; Permit ModMcatlons, Suspsn*Ione and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit The grounds for modification, suspension or revocation include: a) the scope of the permitted activity is exceeded ors violation of any condition of the permit or provisions of the ECL and pertinent regulations Is found; b) the permit was obtained by misrepresentation or tallure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. DEC DERMr NUMBER PAGE OF _ 4 1-4738-02537100001 AAEBMR.rn..r. em Sent By: Real Estate & Architeal Ser• 201825 3209; May 9:32AM; Page 4/5 N ARK STATE DEPARTMENT Or ENVIRONMENTAL CANS ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLES), 24, 25, 34 AND BNYCRR PART 60B (TIDAL WETLANDS) 1. If future operations by the State of New York require an alteration In the position of the structure or work herein authorized, or If, In the opinion of Ito Department of Environmental Conservation N shall cause unreasonable obstruction to the free nav gation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction Of the natural. resources of the State, the owner may be ordered by the Department to remove or alter the structure work obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure. fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No Gaim shall be made against the State of Now York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. AN necessary precautions shall be taken to precludacordamfnalkn of any Wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 6_ Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving largo refuse piles, ridges across the bed of a waterway.pr floodplaln or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway: 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit the project hereby authorized has not been completed, the applicant shelf, without expense to the State, and to such extent and In such time and manner as the Department of Environmental Conservation may require, rernove all or any.portlon of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. B. K granted under GNYCRR Part 606, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303. 306 and 307 of the Clean Water Act of 1977 (PL 96-217) provided that all of the conditions listed herein are met. 9. At Wag 48 hours prior to commencement of the project, the permiftee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be In strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application., Such approved plans were prepared by Ron A._$ Susan M. Melamud anon January 20002000 nccPERMn-NUMBER PAGE_J- OF 4 1_4736-02537100001 Sent By: peal Estate & Arehlte l Bar,; 201825 3208; May-1 9:33AM; Pa a 515 NE K STATE DL~TMENT OF ENVIRONMENTAL CONSER N g SPECIAL CONDITIONS 1. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is pemvtted in tidal wetlands and or protected buffer areas. 2. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary: 3. There shall be no draining of swimming pool water directly or indirectly into tidal wetlands or protected buffer areas. DEC PERMIT NUMBER - PAGE OF _A__ 1.4738-02537/00001 FRANK A. KUJAWSKI, JR.,' President TELEPHONE ALBERT J. KRUPSKI, 1R., Vice-President rr 1556) 765.5892 JOHN Y. BREDEMEYER, TH JOHN L. BEDNOSK), JR. HENRY P. SMITH BOARD OF TOWN TRUSTEES 1-7- i TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 Match 2, 1989 Mr. Robert Celentano 110 Vineyard Place Port Jefferson, N.Y. 11777 Dear Mr. Celantano: The following action was taken by the Board of Town Trustees during their regular meeting held on February 28, 1989 as follows: WHEREAS the Town Trustees have conducted an on site inspection of the subject property. RESOLVED that the Town Trustees approve the request made by Robert Celentano for a waiver to construct a single family dwelling on property located on Main Road, East Marion, N.Y., identified on Suffolk County Tax Map as 1000-17-5-1/2, Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Very truly yours, ~A ~ Frank A. Kujawski, Jr. President `J` Board of Town Trustees FAK:jas "ce: Bldg. Dept. Board of Appeals file X19 J1~ 26 e/lov se/ oily', dG'yILS End// ~ %,J// IV fjow /In ! WC- 7 40> Asir w/! ALBERT KRUPSKI: If the dredging is done conservatively, it C, wouldn't have any impact, but if somebody-ran "amuck", a different way, there would be alot of devastation. Even with the C.A.C. comments, I'm sure they're going to have the. same comments, that I don't think their comments or our comments are going to have any control over whoever is going to do the dredging. JOHN BREDEMEYER: In minor terms, in what kind of permit we write to protect the fringing areas, maybe that's the way. I would look down the road, I would try to protect some those fringing areas. I don't have a problem with the assessment. FRANK KUJAWSKI: We could write that into the permit. i JOAN BREDEMEYER: Or we could conditional negative declarate, we could CND if we have a long form. ALBERT KRUPSKI: Or if we could Communicate--with the contractor, let them know about our concerns. JOHN BREDEMEYER: I don't think its substantial, and I can't see the Association having a problem with it, they weren't large areas that they would be saving. NOTION to assess as a negative declaration subject to C.A.C. comments and agreement, John Bredemeyer, second Albert Krupski, Vote of the Board: Ayes, All. 4. Donald Cocks for Zahra Benz t construct catwalk, ramp and floating dock at property located at 575 Westview Drive, Mattituck. MOTION to assess as a negative declaration subject to C.A.C. comments and agreement, Frank Kujawski, second Albert Krupski, Vote of the Board: Ayes, All. VII. WAIVERS: 1. Kevin Boergessen to construct inground pool on property located on Private Road No. 10, Southold MOTION to grant a waiver, Frank Kujawski second John Bredemeyer, Vote of the Board: Ayes, All. 2. Arnold Blair to construct sin le family dwelling on property located on Pine Place, East Marion. MOTION to grant a waiver, Frank Kujawski second John Bredemeyer, Vote of the Board: Ayes, All. _ 3. Robert Celentano to construct a single family dwelling on property located on Main Road, East Marion. MOTION to grant a waiver, Frank Kujawski second John Bredemeyer, Vote of the Board: Ayes, All. .c 4. Ward Associates for W. Hamilt n to construct addition to single family dwelling on Rambler Road, Southold. I I .,(TIE LSMIE) .vn - r nq i49Ng t9 CF. L-'eysv,sofs, yp va9 .Fl..aflO ZONE.v9(~•..j9). 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PPE nvl iaBLE r9:;u gosrv P AFlr ~lq ,E a stet[ OEP.Pr•rr,E COASTAL EROSION HAZARD AREA MAP _ wy,]ln+:r r4 Na,r.? I.rv Eeaku L'Araa Lfe, Lle:;S CP Ue .~.eu 16-L TOWN OF SOUTHOLD me.1 roc , e. r n r , _ _ cm L arE oRP Ra,c .•~:u --ALE 2400 r ro.e rRr. SUFFOLK COUNTY , NEW YORK ~e 744 - f t y a r y4 s"~~5 E Ko. s f~ t 1 € T f A c S X4„0 e m P. e r -a a t; A ~a d - PN 6 f S 6 y mm { 7 F r . E ~aNX~r. tic i a 40, "1 i` 9z s^d' 6~NTiW Y f ~F ~ 1 F 4 f y,. } lr} A a ,'(iA$Tnc ENVaq! n./~L Erl 5 1110 a~ COASTAL EROSION HAZARD AREA MAP - - TOWN OF SOUTHOLD SUFFOLK COUNTY NEW YORK S 0 Albert J. Krupski, President ~~oF souryo Town Hall James King, Vice-President 53095 Route 26 Artie Foster .If. P.O. Box 1179 Ken Poliwoda 'R T Southold, New York 11971-0969 Peggy A. Dickerson Telephone (631) 765-1692 Fax (631) 786-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit #6231 C Date: November 16, 2005 SCTM#17-5-3.2 Name of Applicant/Agent: Susan Melamud Name of Permittee: Susan Melamud Address of Permittee: 66 Constitution Way, Jersey City, NJ 07305 Property Located: 18603 Main Rd., East Marion DESCRIPTION OF ACTIVITY: Coastal Erosion Permit to enclose the outdoor alcove and convert into living space, with no change to the existing footprint, no new foundations and no excavation, and as depicted on the plot plan dated August 28, 2005 and site plan prepared by Susan Melamud dated October 5, 2005. Permit to construct and complete project will expire two years from the date the permit is signed. SPECIAL CONDITIONS: (apply if marked) - Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. _ A relocation agreement is attached hereto and is a necessary special condition of this permit. _ A maintenance agreement is attached with application and is a necessary special condition of this permit. dua"o Albert J. Krupski, Jr. President, Board of Trustees • 0 James King, Vice-President 53095 Route 25 Albert J. Krupski, President *kl'tlamulm, Town Hall Artie Foster P.O. Boa 1179 Ken Poliwoda Southold, New York 11971-0959 Peggy A. Dickerson Telephone(631)765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6231A Date of Receipt of Application: October 7, 2005 Applicant: Susan Melamud SCTM#: 17-5-3.2 Project Location: 18603 Main Rd., East Marion Date of Resolution/Issuance: November 16, 2005 Date of Expiration: November 16, 2007 Reviewed by: Board of Trustees Project Description: To enclose the outdoor alcove and convert into living space, with no change to the existing footprint, no new foundations and no excavation. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated on the plot plan dated August 28, 2005 and site plan prepared by Susan Melamud dated October 5, 2005. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This si~is'~not adetermination from any other agency. lbw$ / - , Albert J. Krupski, Jr., President Board of Trustees .p~ 'y •~wr~>9PrY.. i ..w.~+IPw+Mry :mx Ian 7745 \ ~I I ~~.a> C 3 i / (spiv) e 1! _ wn Yx4r e+ar ~•aa Me T~ l i.rsero IF v- ~s- AY~IIS pl»S »mp o'J UVSgpp uol Punos PUWI suo-I o.. c ~Y MR b Mim ivai/~ vra' mount.-urea i n,~:nr _ .cvw A9 4_. _.:JJV u w n 2 7.1 ~~4 O LU SC c 2 .I 1M ! ~tS 6 ; 2.71m Ll t.Wct ~f Exhlbit B: Town of Southold Tax Map for 1OM17.5-3.2 F / 'yt 7.1 2 1 9 c • ° $7 12 1.litlU lI ~ % n ~A a. u t M.1 / O 14 4 rc' ~ 9~ a / • JL4 171 Lt 1.11. I~~~~~ Coaaftl Emslon Hazard Line (Approi 2 9 14,ic) n i MU 6UAU 4 J ~ N / N O LL 4 LC f- i i r Exhibit A1: Portion of Sheet #17 of NYSDEC Coastal Erosion Maps+ • lee Pro F P1 a T., C r taJ Fi ~ra tJna E a s» r r,. _ E t 1 r s. r. k fil IiZ yyp ~ ~ ~ 5sa YVaH ~ rwt i B we" is e` t "MuR ^3 "IF `Kr. rye ; a aW r E ry m 01 y yd r. r ! y s- Z31 3~ kern Y r • Exhibit A2: Aerial Maps Depicting Property and Approximate Location of Coastal Erosion Hazard Line I y t~f k ~ c - w t - - is ~ _ - I ml. 'f~.S K W11RlI..r. bPMMSt b.~ M n .u om n WnaMy: IuaYYY Sae N9nOrNl - VYY.r: 4el MObe..W ~ IWIMU R..tl v _ NWneu WeA W9w MMeWtl Oelr~ 1rrn.NM , e F Y: N1 Long Island sound SiIT Igelioa Me0 - MIT - l = Low We MeK N1.4 Wei Mark Lm1d lYYU1W5 r y~jy1'/ --ONU.ry Mi{Y WeM ALK / p I _ NItO Wercr MerY hr Miew 9.NkY00 MeP=1M1_ _ - - ~ ~ / / N ^ i y Smk: 1'-33" F 3I ~ d ~ ~ f.Wly(~Mn ~ ZoMV9 _ _ _ 41` - ~ryaW}rlvwY.rM~IOrY' ?1I \ IOUrs CYY V eul41rv1 prnwy ~ _ ~ • V 1 l Flaad ]nee A-B - t " ! _ _ f- Mean \ nme: AS m.meM.d SMMa.ww. nyreeawl m.IkeMriw.. 4U mow' Sn: © rMlwrnM r.sr 5, ' OIiMI-uu YUiM hhNleYiu ~ ~ rMew~s SrMrrM I P f~ W a t r s O L A L lY~l ~ ~ ~ 's g y ;W 4-M -0. mom u 47 1} V .yZ} t 4 , ] 4q W^ • S III x k ~ ' r ! ~ Y APPEALS HARD MEMBERS • ~guFPO(,~c • Southold Town Hall Gerard P. Goehringer, Chairman 53095 Main Road James Dinizio, Jr. P.O. Box 1179 Lydia A. Tortora - Southold, New York 11971 Lora S. Collins d p! ZBA Fax (631) 765-9064 George Horning Cpl # ~a Telephone (631) 765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATION MEETING OF MAY 10, 2000 Appl. No. 4796 - RONALD AND SUSAN MELAMUD 1000-17-5-3.2 STREET & LOCATION: 18603 Main Road, East Marion DATE OF PUBLIC HEARING: April 6, 2000 FINDINGS OF FACT PROPERTY FACTS/QESCRIPTION: The applicants' property is located at the northerly end of a private right- of-way which extends off the Main Road in East Marton. The lot consists of approximately 3.8 acres (inclusive of the beach and wetland areas), improved with a one-story dwelling, and referred to as Lot 3 on the Minor Subdivision Map of Stephenson Beach, Inc. To the north is the L.I. Sound, to the south and west are lands of the Orient-East Marion Park District, to the east is land of now or formerly Stephenson. BASIS OF APPLICATION: Building Department's February 11, 2000 Notice of Disapproval regarding applicants' request to build an above-ground swimming pod with a deck area. The reason stated in the disapproval is that proposed accessory swimming pod and deck is not permitted pursuant to Article III, Section 100-33 as located within the side yard of the subject lot, The Code requires accessory buildings and structures or other accessory uses shall be located In the required rear yard. AREA VARIANCE RELIEF REO IESTED: Applicants have submitted a map dated January 2000 showing a proposed pool and deck at the northeast corner of the existing dwelling at a distance 30+- ft. north of the seawall, and 90 feet from the edge of the southerly property line, The pool is also proposed at 210+= from the easterly property line and a minimum of 150 feet from the ordinary highwater mark. The pool and deck areas are "open to the sky." ADDITIONAL INFORMATION AND EVIDENCE CONSIDERED: The Board has reviewed the existing and proposed lot coverage estimates calculated by the Building Department and those provided by the applicants' survey prepared by Joseph A. Ingegno dated February 18, 2000. The Board finds that the existing dwelling and lot coverage is 21.3% (2,133 sq. ft.) and that the proposed 22 x 15 ft. dwelling addition would add 330 sq. ft., and the 10 x 10 ft, deck addition would add 100 sq. ft. for a total of 430 sq. ft. or proposed lot coverage of 23.92% (2,392 sq. ft.). REASONS FOR BOARD ACTION, DESCRIBED BELOW: Based on the testimony and record before the Board and personal inspection, the Board makes the following findings: 1. Grant of the area variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The property is large, 3.8 acres and isolated because It Is situated next to the East Marion Park District on the south and on the west, and approximately 1000 feet from the nearest improved property on the east The pool will be integrated into the existing dwelling and will be shielded from view from the Main Road to the south, and will be set back approximately 159 feet from the easterly side yard property line. Page 2 - May 10, 2000 ZBA Appl. No. 47%- R. Melamud Parcel 1000-17.5-3.2 at East Marion 2. The benefit sought by applicant cannot be achieved by some method, feasible for appellant to pursue other than an area variance because the side yard location provides the lowest floor plain elevation, minimizing the distances to the tidal wetlands, and cannot be placed on the east side of the property because of an existing sanitary system. 3. The requested area variance is not substantial because placement of the aboveground pool in the side yard location is the most environmentally sound location on a large 3.8 acre tract that contains no reasonable alternatives. 4. The proposed variance will not have an adverse effect or impact on the physical or environmental conditions In the neighborhood or district because of the factors stated above as well as the conditions contained hereto. In considering this application, the Board deems this action to be the minimum necessary and adequate to enable the applicants to enjoy the benefit of a pool, while preserving and protecting the character of the neighborhood and the health, safety, welfare of the community. RESOLUTION/ACTION: On motion by Member Tortora, seconded by Member Dinizio, it was RESOLVED, to GRANT the variance, as applied for, subject to the following CONDITIONS: 1. The lowest part of the pool shall extend no deeper than two (2) feet below grade, and there shall be no sub-grade structures or piping (except as required by the State D.E.C. permit). 2. The pool shall not be filled or water replaced from well water on the property. The pool shall be filled from water drawn from outside of the property and emptied into the existing dry wells located on the west side of the property. 3. No PNekly Pear Cactus shall be disturbed from this project and any other vegetation which is disturbed shall be carefully replanted in an undisturbed area. 4. The Board reserves the right to review appropriate screening before a certificate of occupancy is issued, with adequate notice to the Board (by applicant and/or by the building department). VOTE OF THE BOARD: AYES: MEMBERS GOEHRINGER (Chair Din , T , an lins, (Member s Resolution was a (4- RECEIVED AND FILED BY THE SOUTHOLD TOWN CLERK ~ GERARD P. GOEHRINGER CHAIRMAN DATE SI17I~ HQUR ~spl1 For Filing about May 16, 2000 Town Clerk. Town of Southold • FORM NO. 4 • TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20973 Date AUGUST 25, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 18603 ROUTE 25 EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 17 Block 5 Lot 3.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 3, 1990 pursuant to which Building Permit No. 19312-2 dated AUGUST 17, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED WOOD DECKS AS APPLIED FOR The certificate is issued to ROBERT & CAROLYN CEUNTANO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-50-05- AUG. 14, 1992 UNDERWRITERS CERTIFICATE NO. 9-243883 - JULY 23, 1992 PLUMBERS CERTIFICATION DATED AUG. 20. 1992 - PETER P. PARISI Bui g Inspecto ` Rev. 1/81 I J =:1 © - 1-9 ED - - - - - I-i _I ~I~ I I I~ h m II eufr ii II 11= - i I~. I t it i II44 it ~13 ~ . ~w'!o~ - ii - RwbT [.LF?kYl ~ ' a!Y ~ I ~ i py6W?tl rQfm 46 mwmi ~ ~1MI qVU +C~fVf T1 .gpuu ILIY9rQF//IdllJII OCCUPANCY OR 9~ k ~fIFGtl£a OCCUMKY USE IS UNIAWFUL ~asmNN>ae dO1PfA1NkONW11F1r MOUT CEA FICXTE q0®M0~1%1FM OF OCCUPANCY AU nI f,A ,.wt r.u ..ni . •,Mw lJx~snu I f I I I ~ ' vac FI- - I .I FI~• IFS=. r L I 1 °f l III I-- jw, 72y==*! _ - - - ' Illy f 17 ?uaPfY4-atr.llV 1 WiN W.!y..M I ~ _ ~ ~ M MH•lnMl a~.•ns. s'. Z' a Y I 3 .~"'.~'..»r.~-~~~~~~Y°~... w..,n, Y,.; I,...l. 'NI II,,y,I •Ill~ r-- 5~ iIM'LW14MY \ y : I -~IY _IO / ~O® ~ f I I I I I I III L. I I ~ ~ -Ag I . VD4~{q. rml{.TYOVn 'K ' _ 4tbY _ DRY,'. _ j > l WSW- _ WD.DaL re. ni. DDDDOft .w M FL ? Wwatl n M WY LTN w Mv~ / / ~ \ ~ D 14 I . \4 YALN .Oi. ae MKm ! •C ..II YICD..-IM ?MDOVDL OI -~_1 eVODD M'~R~114 1 ::vV - - WIO~MWIMOfILY r / P7/` -_i\y f~-~: e, ff. ~ - :Y•' ~ ~i. .14',t ~ ~'wDD~'~°Dd:. ~+H L~D11H111~ 'DDACQR +ir.LL. a.s.s 1~:tid' ~ < l W \ JL 60 PP9W9f:O_`'.,piG SIYDtEH - ~_.-x vrTYi~_ -~-_u wc, Loi« Dno 4OF F-I ~ 4 -'VW CELtW~At Sri :~-381 40 v_ i~ dam Tow IV • FORM NO. 4 . TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29766 Date: 10/09/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 18603 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 17 Block 5 Lot 3.2 Subdivision Filed Map No. _ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 2003 pursuant to which Building Permit No. 29207-Z dated MARCH 11, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY INGROUND SWIMMING POOL & DECK AS APPLIED FOR & AS PER CONDITIONS OF THE ZBA #4796. The certificate is issued to RON A & SUSAN M MELAMUD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF WRAITH APPROVAL N/A ELECTRICAL CERTIFICATE No. 1169773 10/06/03 PLUMBERS CERTIFICATION DATED N/A Au orized nature Rev. 1/81 I ~gOFFO(,~c Town Hall Albert J. Krupski, President 53095 Main Road James King, Vice-President c P.O. Box 1179 Henry Smith CA = Southold, New York 11971 W Artie Foster Ken Poliwoda Oy~l O~~ Telephone (516) 766-1882 Q! .*a Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON-JURISDICTION DATE: January 11, 2000 AGENT: APPLICANT: Ron & Susan Melamud ADDRESS: ADDRESS: 18603 Main Rd„ East Marion PHONE: PHONE: 201-825-8117 RE: SCTM# 1000-17-5-3.2 The Southold Town Board of Trustees reviewed the survey dated and received in our office on January 11, 2000and determined that your proposal to Install an in-ground swimming pool, in accordance with survey dated January 2000, to be out of the Trustee Wetland Jurisdiction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, Albert J. 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UriYl-Y.vMIWYprt MtlM OFF~ct Ron A. and Susan M. Melamud 18603 Main Road East Marion, NY 11939 (201) 988-4449 November 15, 2013 Town of Southold Board of Trustees PO Box 0959 Southold, NY 11971-0959 RE: 18603 Main Road, East Marion, NY 11939 Administrative Permit To Whom It May Concern: In response to the Board's question concerning our application for an administrative permit, as relayed to me by the Board's attorney, Ms. Lori Hulse, please be informed that the square foot area of the deck replacement along the back and front of the house amounts to less than 25% of the area of the house, as currently configured, not including the deck around the swimming pool. We trust that this satisfies the Trustees request and facilitates the issuance of the permit that the Trustees believe is required for the replacement of the surface of the deck, which was damaged by Superstorm Sandy. Very truly yours, Susan M. Melamud p ECF.P_' D D NOV 1 5 2013 Cu \ OFFICE LOCATION: O~~QF soolyQ! MAILING ADDRESS: Town Hall Annex ti O P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) CA C Telephone: 631 765-1938 Southold, NY 11971 • i~ Fax: 631 765-3136 coulm, LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM D E Q I ~tA i ]7L [N'0 V 1 3 2013 To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: November 12, 2013 Re: LWRP Coastal Consistency Review for RON AND SUSAN MELAMUD SCTM#1000-17-5-3.2 RON AND SUSAN MELAMUD request an Administrative Permit to replace the decking surface and railings on the existing decks around the pool and house, approximately 2,500 square feet of decking in total; and replace the existing 3' high fencing in-kind. Located: 18603 Main Road, East Marion. SCTM# 17-5-3.2 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 INCONSISTENT with LWRP Policy 4.1 (below) and therefore, INCONSISTENT with the LWRP. 4.1 Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to minimize losses of human life and structures from flooding and erosion hazards are suggested: A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. 1. Avoid development other than water-dependent uses in coastal hazard areas. Locate new development which is not water-dependent as far away from coastal hazard areas as practical. a. No development is permitted in natural protective feature areas, except as specifically allowed under the relevant portions of 6 NYCRR 505.8. The location of the deck is within the Coastal Erosion Hazard Area (CEHA) is located on a primary dune. Major additions/development is prohibited on a primary dune pursuant § 111-13 unless specifically provided for by Chapter 111, COASTAL EROSION HAZARD AREAS. In primary dune areas non-major additions to existing structures are allowed on primary dunes pursuant to a coastal erosion management permit and subject to permit conditions concerning the location, design and potential impacts of the structure on the primary dune. A major addition is defined as an addition to a principal building resulting in a twenty- five-percent or greater increase in the building footprint of the principal building, other than an erosion protection structure or a pier, dock or wharf. The increase will be calculated as the proposed livable floor area, including any additions to the principal building constructed as of the enactment date of this chapter, divided by the livable floor area of the existing principal building. [Amended 1-29-2013 by L.L. No. 1-2013] The structures were not constructed pursuant to a Coastal Erosion Management Permit. Further, the applicant has not verified if the structure qualifies as a non-major addition (equal to less than 25% of the building footprint) in this ecologically sensitive area. m.~ Figure 1. Subject parcel and decks (2010). 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 Oct 25 2013 5:01PM Real Estate & Rrchitectur 201-985-1584 p.l Ron A and Susan M Melamud 66 Constitution Way Jersey City, NJ 07305 Tel. (201) 985-3870 October 25, 2013 RE: Application for Administrative Permit from Southold Board of Trustees 18603 Main Road, East Marion, NY To Whom It May Concern: We are herein faxing the information requested by phone today. This includes a sketch that depicts the approximate location of the existing 16'x24' patio at grade, which was in place when we purchased the house in 1998, and is included in our application for an administrative permit at the Trustees' request. The sketch also shows the railing that we will be placing around the entire perimeter of the new deck surface, surrounding both the back and front of the house and the pool, to replace the existing railing, which was loose and damaged. We trust that this completes our application and we look forward to receiving our permit. Sincerely, E C E IVM E Grl-- - D Susan /M~,md nA. Melamud OCT 2 8 20[/7 James F. King, President S0 • Town Hall Annex 54375 Main Road Bob Ghosio, Jr., Vice-President h P.O. Box 1179 Dave Bergen #I Southold, New York 11971-0959 John Bredemeyer Telephone (631) 765-1892 Michael J. Domino l,~CO+ Fax (631) 765.6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application/ Wetland Permit Application ? Administrative Permit / _AmendmenUTransfer k ion ~xeceived Application: ceived Fee:$ 1- ID ^ e e S _Completed Application ! P~! ' _Incomplete _SEQRA Classification: Type I Type 11-Unlisted- OCT 1 8 2013 oordination:(date sent) _LWRP Consistency Assessment Form 3 CAC Referral Sent:- ols i ZDate of lnspection:~ l 1/nom " Receipt of CAC Report: _Lead Agency Determination: Technical RevieW. -_Public Hearing Held: J 13 Resolution: Name of Applicant Ron m p iQ h 1 ~d l ~Mailing Address -k)4&&-" J Pil ~~l y AJ T Phone Number: (t) cS' 3 8'I a Suffolk County Tax Map Number: 1000- Property Location: M043 m r 20c a G N 30 fe+ lh)-04 of s4e 6osoA' d zS~ 'Pmr ta- W-vrWrejAA DMA (provide LILCO Pole distance to cr ss streets, and locati n) AGENT: S L 3'k n ft l M-e-l a..,.rtd 1 1D is (If applicable) Address: k o 6~105b jV4)-~, ~{~Gx~ WIA t 0 S o~ 3 05 Phone: ~O I ~I ~S" ~g 76 rd of Trustees Appliaatio~ p GENERAL DATA f Land Area (in square feet): 0 S N`e S = /6 ~1 71n 4 Area Zoning: P.tA-L Previous use of property: r e S t Ae,.,.tD Intended use of property: re_5 ( 80.0-ems Covenants and Restrictions on property? Yes _X-No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes __k_No If "Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ___,V No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or ps determined by the Building Dept.? Yes No (Zer).oval cq Cie,dc Sur 0-1l Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date t4VSDi_C.. So +d BP. 9~ 7000 « 11 &~l Tra 54.u,S No prior permits/approvals for site improvements. - I Gu)k r a IS Has any permit/approval ever been revoked or suspended by a governmental agent 2-q X If yes, provide explanation: _ - n C i n9 Project Description (use attachments if necessary): RAn f d a_ ew I nA SO 4AC-P,. h oL)Se- Ae-& aroort A601 and r~blacQ a4 t 41 v1A 9 -A «vta , t vt yt n -TO-W 5q_- Z,ifo o . Bo Is of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operationsf Cz4DO -r4 Area of wetlands on lot: 8 square feet percent coverage of lot: 'C 2-010 Closest distance between nearest existing structure and upland ~ ~ N~ SVIS, edge of wetlands: 108 feet _ Q 5 It e" ~1e~ y Q YJAV' t- ~r,At~ • _ hD Closest distance between nearest proposed structure and upland (j~[o ?~P h oSeo~^ ~ 0 r' edge of wetlands:_ 109 feet 1 y~ ~ p,t5 rrP~l~ 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? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part i based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1- Project and Sponsor Information ! -444 " l~ ~Gvi,G.v~ IAf.Grr .4' Name of Action or Project. Q S I 1(G D rnt4t. IV1 ~a'r GdISF D?l~r N Project Location (describe, and attach a location map): Brief Description of Proposed Action: 25ofl S~- 49+,t 6>4o Name of A~plicant or Sponsor: Telephone: ISO n R YY~ e 1 amt E-Mail: ybr yt fgA S CO- [qofMet t C" I Address: 6 6 cmxs -t 5 City/PO: L 6_6&ex Stater Z;pi iq~ 7 turT ''(I , t~ 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinan, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that / may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: ? 3.a. Total acreage of the site of the proposed action? 12. '45 acres b. Total acreage to be physically disturbed? O acres c. Total acreagd(project site and any contiguous properties) owned or controlled by the applicant or project sponsor? S85 acres 4. Check all land uses at occur on, adjoining and near the proposed action. []Urban Rural(non-agriculture) []Industrial []Commercial PoResidential(suburban) []Forest Agriculture Aquatic []Other (specify): []Parkland Page 1 of 4 0 • 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ? ? b. Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? NO YES If Yes, identify: ® ? 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES 12 EL b. Are public transportation service(s) available at or near the site of the proposed action? ® ? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements, describe design features and technologies: ? ? 10. Will the proposed action connect to an existing public/private water supply? NO YES 1 If No, describe method for providing potable water: ? 11. Will the proposed action connect to existing wastewater utilities? NO YES If No, describe method for providing wastewater treatment: JO ? 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ? b. Is the proposed action located in an archeological sensitive area? ? ITTI 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain NO YES wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? ? ? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. rdfy the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: oroline ?Forest ?Agricultural/grasslands ?Earlymid-successional etland ? Urban ? Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ® ? 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? NO YES If Yes, ? a. Will storm water discharges flow to adjacent properties? ? NO ?YES b. Will storm water discharges be directed to established conveyance systems runoff and storm drains)? If Yes, briefly describe: NO ?YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: IX ? 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes, describe: 5a ? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES completed) for hazardous waste? If Yes, describe: K I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE ApplicanUsponso ame: ,e .!7'1 Date: Io-/I?-2.Or3 Signature• Z// A Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of thgfollowing questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" No, or Moderate small to large impact impact may may occur occur I . Will the proposed action create a material conflict with an adopted land use plan or zoning © ? regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ? ? 3. Will the proposed action impair the character or quality of the existing community? ? ? 4. Will the proposed action have an impact on the environmental characteristics that caused the © ? establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or © ? affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public / private water supplies? b. public / private wastewater treatment utilities? ? ? 8. Will the proposed action impair the character or quality of important historic, archaeological, ? ? architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, ? waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage ? problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees ~D U / z ,,o /3 Name of Lead Agency - Date i e mio,f F. I*A) 6Y President Print or Type Name of Responsib a Officer in Lead Agency Title of Responsible Officer Signature of Responsible O ' er in Lead Agency Signature ofPreparer(if different from Responsible Officer) PRINT Page 4 of 4 Ell Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATOW S.GT.M. a: THE FOLLOWING ACTIONS MAY 2U1RE THE SUBMISSION OF A 'b4[ STORM-WATER. GRADING, AND EROSION CONTROL PLAN muiar w mw- -mw- -mr- CERTIFIED BY A DEMON ritUFUSIONAL N THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCnON ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain AN Storm-Water Run-Off (Include Total Area of at Parcels located within Generated by a Two (21 Inch Rainfall on Site? the Scope of Wont fO Proposed Construction) ? (This item will include all runoff created by -ste (s.F.rAaea) -ILL1 b N~ ^ . What Is the Trial Area of Land Clearing clearing antllor construction activities as wep as all and/or Ground Disturbance for the Proposed 0 Site Improvements and the permanent creation of construction activity! (S.F. I Acm) Impervious surfaces. 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DFSCRDbTION (Praru.AiduarrdPpa nrk ,edaOl Drainage Structures Indicating Size 8 Location? This I pp p Item shall include all Proposed Grade Changes and Ti 2p CLG n q d t c Qe 5 a-rid Slopes Controlling Surface Water Flow. I~ w ) O Does the Site Plan and/or Survey describe the erosion -~2 x 9MV r~-fp~Q Wa~'F-- _ and sediment control practices that will be.ased to N (~~l ,~j pcontrol sne erosion and storm water discharges. This e T n kngAA) Item must be maintained throughout the Entire r Construction Period. N "Q"~ t ~Tt d' 4 Will this Project Require any Land Filling, Grading or Excavation where i r, yM fWLh 011146 TC a q, Existing Grade there is a change to the Natural ? Vade Involving more than 200 Cubic Yards of Material within any Parcel? tj Will this Application Require Land Disturbing Activ,'es ? ` Encompassing an Area in Excess of Five Thousand x (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 x General DEC SWPPP Reouiroments; or within One Hundred (100') feet of a Weiland or submission of a SWPPP is required for all Construction activities iwoMng soil Beach? dhturbahas of one (1) a more acre,; bduding disturbances of less than are ace tut 7 Will there be Site Fpreparation ifteen feet of to Existing Grade Slopes are pat of a larger cormm pan gut wt ultimately disturb one or mare aces of land; which Exceed Fifteen (15) (15) I nclucling Construction sclivides Involving disturbances of less than one (1) sore where on t Rise M the DEC has aemnri ed met a SPDES Permit Is reghared for storm wear discharges. One Hundred (100') of Horizontal Distance? (8WPPPL Snap anaM Me Mkrbusn Raquksavants of On SPOES ttwmW Paint 8 Will Driveways. Parking Areas or other Impervious ` . for Storm Water DYdhepss hors Construction me" -Park No. OP-0.10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1. The SWPPP shad be peWed ON to the sub M of the NO. The Not shall be Into andfor In the direction of a Town right-(-way? automated to to Depabord ptarb to comnahoaneM of construction activity. 2 The SI PPP shall .descrbe be erosion and sed4nerht control pactbes and where 9 Will this Project Require the Placement of Material, - ` , o**W. posl~riumm storm water management Pack" that will be uses andror Removal of Vegetation and/or the Consbvdlorh of arty caubwled b Mduce to paarorrW in star water discharges and to eswre Item Within the Town Right-f--Way, or Road Shoulder ? aarpYrnawMtlobmwahdooMNmsoftepams.Inaddkbn.MSWPPPshsl Area?pwarrwMNarhnchgatMkwarlardGkswaAwwmq Identify pobndel sauws of pollution which my reasonably be expected to affect the quiyofabm watedbcharges NOTE: tAny Ar t*Oueatco Omduwgh Mmis AnsweWwtha Chock Mrk S.AISWPPPStlotnghielMpoebanebaiionabmwaWffwogmmtpadke baBoxmdtwmmkucOonsMdskwbmmkbNwaen%CDOSF.alAmbaa,, aoinisor rd shalbe PraPaW byapr N Daipn Professional Licensed in New Yak aSbnsNalr,OrWing.Drab V&&odon Control Plan Is Raqukad bytrarowne tatIslmwNSdgxhlsinlhelial as endpradioesofStx Watwmwmgrnat SoulhoW OW Must be Submitted for RrA w Prior to Nsueha of AnySupdtq Pamir. (tOM ACIrQ Mark (4) sedrar~f N0*110 aWaplMrAPOiaYOhl - STATE OF NEW YORK, No. 01 BU6186050 COUNTY OF SS Qualified in Suffolk County Commission Expires April 14,2-0/( 11W I, -LAA- eT[a...l 7.5...' ~i? n being duly sworn, deposes and says that he/she is the applicant for Permit, (iftne of krdivIdualeigrip ) . And that he/she is the Qk 2. (owner. Canbxbr, Agent, coq,cae-mar. etc) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have 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 belief, and that the work will be performed in the manner set forth in the application filed herewith. Sworn to beforee this; . day of 20.1 20.1~ .v`....... ~ L lilt . Notary Public ° (Signature of Appian!) FORM - 06/10 So9 of Trustees Application • County of Suffolk State of New York RDA A rylt~la mid BEING DULY SWORN DEPOSES 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 W=gna S A LICATION. r roperty Own er SWORN TO BEFORE ME THIS h6-A'% DAY OF C44,20ja Notary Public CONNIE D. BUNCH Notary Public, State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14, 2_-_ Bo Is of Trustees Application • AUTHORIZATION (where the applicant is !no/t the owner) , L I, (On H `a, yYl ~LO~ residing at Ire b W Srh 4)a- y (print owner of property) (mailing address) _I(lj(Sp y (a` pJT C)-j do hereby authorize (Agent) to apply for permit(s) from the my oard of Tow Trustees on my behalf. ees fi e) APPLICANT/AGENUREPRESENI'ATIVE TRANSACTIONAL DISCLOSURE. FORM The Town of S molds Code of Ethics Whibits conflicts of interest on the part of town officers and emWovees. The pumose~f this fb rs to provide information which can alert the town of possible conflicts of interest and anew it to take whatever actmn_is nm to avoid same. YOUR NAME: M'P & M ui4 :IC-Oh (Last name, first name, 4ud a initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee_ Change of Zone Coastal Erosion Approval 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 shares. YES NO X_ 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 applicantlagent/representative) 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) the owner of greater than 5% of the shares of the corporate stock of the applicant - (when the applicant is a corporation); _B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); _ _C) an officer, director, partner, or employee of the applicant or _D) the actual applicant. DESCRIPTION OF RELATIONS141P Submitted thi day of 2nd Signature Print Name n / a -nt J / 41 pop Form TS I 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 Town). 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, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME &03 MO.kn "VDa~ 'bA SOVkU4e, 1Y.fJ 4 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 ? 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: see o- &cked Project Description (use attachments if necessary): Aug d'Sapa ~o ( d t S&lv,c? ttv~u.'tc, l v~ K~ h ~O-~ e4 n~, Location of action: 3 m 4 j rt MA Site acreage: ~g"~ •Q. o Present land use: l~ i ~C/ Present zoning classification: - n O 2. 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: V-Oh rA-r--1 G m Ltct (b) Mailing address: 03 K1 fx, v, C f?lA/i u,, , N ) I C13 5 ~ -LO (c) Telephone number: Area Code S~ b 7 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ? No V 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 I ~fl 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 ? Yes ? No (Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III -Policies Pages 6 through 7 for evaluation criteria F] Yes ? No PNot 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 El 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 tgNot 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 evaluati n criteria. Yes No Not Apple • 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 344 for evaluation criteria. Yes ? No I ki 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. ? Yeso No XNot Applicable Attach additional sheets if necessary WORKING COAST POLICIESO Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Seee/ LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. F1 Yes No ) /Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and TowFNo rs.See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes ? No t 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 eval ation criteria. ? Yes ? No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III -Policies; ges 65 through 68 for evaluation criteria. ? Yes ? No Not Applicable PREPARED BY ~,1rrn~ TLE DATE ~~-Ig 13 r F C~l 0,•~. - 0 ~ltl ~+IM~f J I .+»ul A T'~ '1n sJ - _ - 11 - s ~ ra ~«•^~m.k~MMSk SUFFOLK CO. HEALTH DES HS NO s r LaG ATdD JULY 211. , t~ • - _ 61T.52 IAA¢C 016H wPY¢¢ (TIE L1140 ~ .:7 ~•x:y(µs m erA rFMCNT OF IN' T r I I THE WATER SUPPLY AND SEW>GE DISPOSAL _ _ Ham, WA~BC SYSTEMS FOR THIS RESIDENCE WILL IV o CONFORM TO THE STANDARDS OF THE to I~ /C.'wz}.,., i~ppx Z f rN, , I SUFFOLK CO DEPT. OF HEALTH SERVICES li ~~I r.I-oOL IDN61 I{I Ili Ii~,~irl I i 151 APPLICANT 7 Iv' i rK a 3 3e HEALTH u.f 6 N lu ] t9 N 5.71.E .qe7 AFL 4 SUFFOLK COUNTY DEPT. OVAL OF ON WA-IL SERVICES - FOR APPROF 4.. f^^`- p~ _ _ 4' f~` 45 EASE We Hr CONSTRUCTION ONLY apge A-6.fiL.11~ s ?0-WI:_L~ DATE: aQ N. S. REF. NO - ~ APPROVED' Sr950 - WELL I "r-E OF MEADOW - - / {<~F~ j I -SUFFOLK CO. TAX MAP DESIG~/AYION: I ,{E - ~ H.S 5 V o- 1 01sT. SECT BLOCK pci. i. t ~¢o• D~ ' e. Hfonlcnw~_'r\~ 5a '.AIL )R.LUIS''.L rr7[.: y4__ 'N L - y` ^ A k3.85 ACQE° I OWNS ADDRESS 1i- ,IF P4 IL ~V TIE ~~1 f ,t G 1 SCatE 100'- 1" \ I C - I $ O 6. f_=T.,~Pwnwn cocv- i +y'L e'-.:536 ' 4f ADIN3. P-AN J 1 I DEED: L. p. 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