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HomeMy WebLinkAboutTR-8372 John M. Bredemeyer III,President o��rF S0(/rTown Hall Annex Michael J.Domino,Vice-President l P.O.O Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q �► ® �O Telephone(631) 765-1892 Charles J.Sanders O Fax(631) 765-6641 NTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1301C Date: November 14, 2016 THIS CERTIFIES that the construction of an 8'x38' second-story deck above an existing first floor deck,• construct a 10'x12' first floor addition 5'x7' steps and a 6'x44' two-story addition onto existing dwelling,• construct an 18'x35'pool with pool equipment area on landward side of dwelling; construct=a 25'x28' garage; and install gutters to leaders to dMyells to contain roof runoff, with the condition to establish and subsequently maintain a 20' wide landscaped buffer landward of wetland boundary and the addition of a d_rD well on seaward side of house connected to gutters and leaders; At 755 Lupton Point Road,Mattituck Suffolk County Tax Map#1000-115-11-4.1 Conforms to the application for a Trustees Permit heretofore filed in this ' : office Dated August 23,2013 pursuant tomhich Trustees Wetland Permit#8372 Dated February 19, 2016,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of an 8'x38' second-story deck above an existing first floor deck, construct a 10'x12' first floor addition,5'x7' steps, and a 6'x44' two-story addition onto existing_dwelling,• construct an 18'x35' pool with pool equipment area on landward side of dwelling; construct a 25'x28' garage; and install gutters to leaders to drywells to contain roof runoff,• with the condition to establish and subsequently maintain a 20' wide landscaped buffer landward of wetland boundary and the addition of a drywell on seaward side of house connected to gutters and leaders. The certificate is issued to CAROLYN R.AMEEN owner of the aforesaid property. 'O.A. 't", o Authorized Signature f CC# : C17-2242 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A._PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 01/18/2017 under Liber D00012896 and Page 944 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 01/18/2017 SUFFOLK COUNTY CLERK —-'-i=C a 7'�a_a ca�2 [� JUDITH A.PASCALE SEAL, SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 01/18/2017 Number of Pages: 6 At: 02 :56:01 PM Receipt Number : 17-0009709 LIBER: D00012896 PAGE: 944 District: Section: Block: Lot: 100-0 115 .-00 11 . 00 004 .001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30 .00 NO Handling $20 .00 NO COE $5 .00 NO NYS SRCHG $15.00 NO TP-584 $0 .00 NO Notation $0 . 00 NO Cert.Copies $7 .50 NO RPT $200.00 NO Fees Paid $277.50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County F-il F2_1 RECORDED Number of pages 2017 an 18 02:56:ul _PM •JUDITH A. PASCALE CLERK OF � This document will be public =UFFOLk` GOl_IhaT4'L D00012896 record. Please remove all P 944 .Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County), Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX a� �1 �� Dual Town Dual County R.P.T.S.A. W � Held for Appointment Comm. of Ed. 5. 00 Transfer Tax Affidavit gw, � Mansion Tax /1'(fertified Copy The property covered by this mortgage is or will be improved by a one or two 43- urcharge 15. 00 s� family dwelling only. Sub Total �/ �- YES or NO Other Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. i000 iz5oo zioo 0040015 Community Preservation Fund 3314272 ' Real Proper "P T S Consideration Amount $ Tax Servic R LPA A III�tIIIlt�III I�I III II I� Agency 18-JAN47 CPF Tax Due $ Verificatio Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address ^- RECORD & RETURN TO: Vacant Land 17s5- TD 5 �---� TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkc6untyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached �� �-- made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in r SUFFOLK COUNTY,NEW YORK.ll �d Z TO In the TOWN ofG � O In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10/08kk _ (over) 9 ` DECLARATION OF COVENANTS f �,,�,A�, THIS DECLARATION made this A day of 20L, by rQ) {/l &Le,_0 O� �a residing at '2 �14eA 7"/l �� • - ?GCG/� . hereinafter referred to as "DECLARANT(S) " : W I T N E S S E T H WHEREAS, DECLARANT(S) is/are the owner/(s) of certain real property located on ��j� �( /✓�U� � t"7L?ck Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section A5_1 Block _, Lots [ which is more particularly bounded and described as set forth in Schedule "All annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter .275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the 'Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a J®CV1cleGfp �`. "non-turf buffer" adjacent to and landward of NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as T follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained "non-turf buffer" as defined by Chapter 275 of the Town Code, to wit: "A designated area where turf grass, pesticides and fertilizers are not permitted." and as depicted on the �#- All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being on Lupton's Point in Mattituck, Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the northerly side of a 20 foot dght er formed byf way lstant 72the intersection of said northerly feet easterly as red along the northerly side of said right of way from the corn side of right of way with the easterly side of Marratooka Road; . RUNNING THENCE along the land now or formerly of t of way;North 4 degrees 03 minutes 40 seconds West, 208.48 feet to the southerly side of a 15 foot g THENCE along the southerly side of said right of Y h water ugha monument Northine of Deep Hole C eek78 degrees 47 minutes 10 seconds East 110.79 feet to the mean g THENCE southeasterly along Deep Hole Creek measuredpn former) of tie line i a bearing South 49 degrees 00 minutes 57 seconds East, 44.78 feet to land now Y THENCE along said land now or formerly of s)West, 9 the follo24 wing et;two.(2) courses and distances. (1) South 28 degrees 44 minutes 00 second (2) South 10 degrees 14 minutes 50 seconds East, 100.00 feet to the northerly side of the said 20 foot right of way; THENCE along the northerly side of said 20 foot right of way the following two (2) courses and distance (1) South 79 degrees 45 minutes 10 seconds West, 95.24 feet; (2) Thence North 73 degrees 28 minutes 50 seconds-West, 4.76 feet to the point or place of BEGINNING. TOS ETHER WITH a right of way ov r the 20 foot wide private road to an from of said 20 it el sr ereby road conveyed to Marratooka Road, and t and from Deep Hole Creek at the e wher it adjoins Deep Hole Creek on a easterly end of Lupton's oint. BEING ND INTENDED TO BE the sa a premises conveyed to th party of the first part b deed dated April 9, 2 13 recorded May 13, 2013 in iber 12729 page 472. As a result o"this conveyance, title to the operty will be held by Car lyn R. Ameen as to a fi (50%) percent inter�t and Deaneal Carltony Forb s as to a fifty (50 heeewit rce t interest in the premise , subject to the terms of a Agreement between the p ies o TOGETHER with al ight, title'and interest, if an of theteartlines thereof the of; T GETHER with the rt in and to any streets nd roads abutting the ab ve described premises to t center appurtenances and all t e estate and rights a nthofthefi ante Y unto the parst pity of the s art in an t cond part;r the heirs or TO HAVE AND TO HOL he premises he g successors and assigns of a party of the second part forever. onin the nartv of the first part ovenants that the party of4e first part has not do%e or suffered anything Y la :Z 0/.0 GIBS oLnf 11h & e VeW ,l s e y Exhibit "A" �r 12 attached; and ((( These covenants shall run with the land and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public - hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this ' TT day of i , 20 O IS SIGNATURE OWNER'S SIGNATURE STATE OF NEW YORK ) COUNTY OF J ss: - On the / day of in the year 20/7 before me the � /fund rsi ed ,--;i--Not Public n and for said State, personally appeared 6,itrr6Q� personally known to me or proved to me on the • basis of satisfactory evidence to be the individual (s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that "he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the in 'vidual (s) acted, executed the instrument. Notary Public JOIN A.MAKI NOTARY PUBLIC,STATE OF NEW YORK Registration No.OIMA6164838 Qualified in Suffolk County Commission Expires April 3Q,2019 2 BOARD OF SOUTHOLD TOWN TRUSTEES l SOUTHOLD,NEW YORK ]PERMIT NO.L372 DATE: FEBRUARY 19,2014 ISSUED TO: CAROLYN R.AMEEN PROPERTY ADDRESS: 755 LUPTON POINT ROAD,MATTITUCK SCTM# 115-11-4.1 1� AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 19,2014,and inconsideration of application fee in the sum of$250.00 paid by Glenn E.Just 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 an 8108'se.cond-story deck above an existing first floor deck;construct a 101x12' first floor addition,5'x7' steps,and a 6'x44' two-story 7� addition onto existing dwelling; construct an 181,x35' pool with pool equipment area on landward side of dwelling; construct a 251x28' garage; and install gutters to leaders to drywells to contain roof runoff;with the condition to establish and subsequently ` maintain a 20'wide landscaped buffer landward of wetland boundary;and the addition of a drywell on seaward side of house connected to gutters and leaders; and as depicted on the survey prepared by John T. Metzger,Land Surveyor,last dated February 25,2014 and stamped approved on March 25,2014. is IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, 4 and these presents to be subscribed by a majority of the said Board as of this date. 1 _ FOLt Jok' ,/ f LOT COVERAGE SURVEY OF PROPERTY OHOUSSEG- '1007. tL N SEC - Age AT MATTITUCK -- ••BRICK- 360•q.tl. , s"E°- j3 Esq.( TOWN OF SOUTHOLD loser 37D 1862%¢t1 MAR 2 4 2014 PROPOSED SUFFOLK COUNTY, N.Y. HOUSE- 1370 agJI. -HDECKOUSE 1000-115-11-4.1- 366�q.lt. 1000-115-11-4.1 �:� BRICK - 360 c,11, SCALE. 1'=30' POOL - 630•g.(1. GARAGE- 700 sq.11.•, MARCH 12, 2013 3646 i ft. , 3646122370-164JY. AUG 14, 2013 (PROPOSED ADOTNS.) AUG. 28, 2013 (ADDTNS) d OCTOBER 22 2013 To og�aphy) APPROVED BY Nov.a,zas ILor c0v�T JAN.9,2014(SEPTIC SYSTEAU �'BQARD OF TRUSTEES FEB.23,2a4 h•a•lue.1 •y. TC1ll�'.O SOUTFlOtD ' ���' )ATE- -3 25 14, ` '✓� c°UNTY Oi. F 11Q �- "E o• sR ' RIGHT OF WAY N? '47 CCL F' ,7�e 9P� •"J]At,_Q,(//�p oo 04(1' PROP.2nd. 7a �ad0 411 2STY. qp OVER E% 044 IST dC��9 Z f UN\40, W PROP. qq,, •. �� D ry JO g gij,VH Z o ADDITION 26.3' �. ..Lq , Q-,+' ��s• T2 2STY. 2'R ,a�.` R k lei• ,s. � / •^' Gj A d 15.2' + E°A R• a 1�b PROP. 1 STY. w � AODMON 000 a RAIN RUNOFF CONTAINMENT ' c DWEWNG: 1,528 Sq. Ft. T { 1,528 x 0.17 x 1 = 260 Cu.Ft. n N Z `•a Provida'S DWa. 6'0x 6'Deep Z• 8 m O,O Conn cted by Cutters k Leaders N tT B 20' a OP— A� ° < p� 9.GARAGE (D t'A.DRIVEWAY Tm., i c� rn O p4 O C 9d r \ys ,W Dv EM OF PAMUiNT PTOPTpolNT FOA N13 Dew 'I✓ 1 RIGHT OF WAY 20 CERTIFIED TO: 4E OF Newt CAROLYN R. AMEENELEVATIONS AND CONTOU S4�E CED FIRST AMERICAN TITLE INSURANCE COMPANY r \, TITLE # SP 29126-S TO N.G.V.D. DATUM. �0,� 1 FLOOD ZONE FROM'FIRM M� U 36103C0482H SEPTEMBER 25, 2009 Mn AREA=22,570 SO. FT. <'C' Ab 493"e TO TIE UNE . 5 100% OF LOT CLEARED N.Y.S. LIC. NO. 49618 ANY ALIERA77ON OR ADD17ION TO THIS SURVEY IS A VIOLA71ON CONIC YORS P.C. OF SEC77ON 72090E THE NEW YORK STATE EDUCATION-W. (631) 765-5020 FAX (63f) 765-1797 EXCEPT AS PER SECTION 7209-SUBDIWSION 2.ALL CER7IFICA77ONS P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF 1230 TRAVELER STREET SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF 7HE SURVEYOR SOU77IOLD, N.Y 11971 13-129 WHOSE SIGNATURE APPEARS HEREON 6/27/14 John, Ed Hanus came into the office Friday morning to point out that his neighbor,Ameen at 755 Lutpon Pt. Rd. has removed his hay bale line and silt fencing and has re-located the silt fencing onto Mr. Hanus' property. I told Mr. Hanus that we normally do not get involved with property line issues, however Ameen has not reinstalled the hay bale line and the construction has supposedly commenced. Andy said he was going to take a ride down there sometime today(Friday)to at least get him to put up the hay bales again. Mr. Hanus has supplied us with photos of the silt fencing relocation. Mr. Hanus also continued to state that his neighbor planted trees to block his view. I told Mr. Hanus there is nothing we can do about obstruction of view. Ameen planted a couple of bushes in an established lawn area which doesn't normally require a permit from this office. In addition, Hanus mentioned that an on-grade brick patio was reconstructed without any permits a few months ago, however Andy said that he wouldn't address that issue because it was likely that it was constructed before the Trustees went onto the property for the current permit and probably saw it,and nothing was addressed at the time. Andy wanted me to supply you with this information since you were the one who had been previously involved with these parties. Mr. Hanus was looking to meet with you to explain these items to you, but I mentioned that the Bay Constables have a heavy workload'and that they may not be able to do so, but I would deliver the message! In case you need to contact Mr. Hanus, his number is 298-4708 or cell-655- 2369. pE C EIE JUN 2 8 2014 Southold Town Board f Trustees John M.Bredemeyer III,President �o�X\®f SOUr/y®lam Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G @� Telephone(631) 765-1892 Charles J.SandersCOU Fax(631) 765-6641 NV BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: I I Iq Ale, Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed . , . ; " � � � : �P tP !Lb aTn s C �n� ler 7 ao l� Lem Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF"COMPLIANCE: +, Al Xi w r• a a � t moi. •+�si�,` i. rr _.�L]I^ � a t Y �t` �•`f �' yy. x+51., > Ir z, I_n sjcL11-ed n LAJ ► mow - � � E � C� � � ° l„ JUN 2 8 2014 Sou;nA iown Bok f Trustees a. jk Y + 2 �,r. aiv 1 EI i Dto JUN 2 8 2014 Sou,h id Town Boardf Trustees 4 I N< in 1165� l le rv'r c Qala O ��. . uo 4-0 b f SURVEY OF PROPERTY C�*44 a Q Ls°�ry of AT MATTITUCK 0 TOWN OF SOUTFat'OLD 4 Co u -� ���, �.eekeva4wr SUFFOLK COUNTY,• N. Y.ba�,�vw. a,-F o r -�•-e. 1000--11511'-4.1 < 1 --30 —1 e�e va SCALE.• ca- f I s below `�� A,d•o /l d ee, ) MARCH 12 2013 ' � v�,�,.�. ��r 0.s 'G �-ti•Q�:� AUG 28 440?AApDlt orRiOPOSEO ADDTNS.) � Ce' ss pod( ,n-fib �¢•��o - '+';�3�r�qxv .yf�,l 4trin�r�J Yui'1T wi,LL:e:•.-w..aC�54�.6Fn6�k ,ztC�,_.,�,'',.•;:...:..�` 'i ?er::� mss.,./• s �$ CESSPOOL IS ONLY 1S' FROM FLOOD ZONE LIN04, ,,h AND ONLY 45 FROM MEAN HIGH'WATER xti��� � •�(� ��,.�,✓� oP Ir • J�sS .��`s�-:�t�i-.+-� `�, '�b,si .�:=��`s�,^, '�;,^� 'i''�;�e``�+. *s ,;�'.�•srny�`„`L�rs \ �A' Y_ � r I y° ��e�� �'.J..�:eT:�.:� a....�'1+�.`%»-da.'4' ?`''I,s..S+��'',�vya'$a.:s1J�<'w'F-�,,'.,.'•+'�;;x�Li:s.r}a^mss +f7#•..�.Na ',-uv#..�o+= W-r r \\ � • � � �, X10.79 •` '�' OF WAY N78`47 `'� '�F sr 15� RIGNT ;0% he 1 `E� �t cQ° 0,�{,.e hay b `. � � v�. � / �,`�� °NF / � -. �, • a eA Y.- C,� .� $i �' b4/'/'��r ` '�►� \. .e /1� b FLp�SNF AD a�)adv a�vr►-�-o $Y Z O 2STY. . d PROP. 2n + SNF 40,E lav S h a v �w \, "^�g,�4'f- FLR;QErK(8•) ry� PROP. VER EXISTNG ��• �� �O� W ADDITION \. �,•. Yn�n2 0 � % J sf G r'een l•r.� IC wk'Ora r8ec 26..' ��\ r • ,( can't' 2 . �icQ[i s� �h( S �i^t G/c' f U 0 (1��0o u l I jn '"era P o -••:tq�• ry6?� \��x• ,O� • (e s f�j e•��2 �,p i,ed �,. 2STY J �4aa j •/ _n 0-� ��'••�, ,� LLL l C[ f LAY✓Y�( USS✓' ? MY 0 i John M. Bredemeyer 111, President o�OgUFFO1 r10 Town Hall, 53095 Main Rd. Michael J. Domino, Vice-President �� 4 P.O. Box 1179 James F. King in Southold,NY 11971 Charles J. Sandersy Telephone(631)765-1892 Dave Bergen 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 1St day of construction % constructed V/ Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK I PERMIT NO. 8372 DATE: FEBRUARY 19.2014 i ISSUED TO: CAROLYN R. AMEEN I PROPERTY ADDRESS: 755 LUPTON POINT ROAD, MATTITUCK i SCTM# 115-11-4.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 19,2014,and in consideration of application fee in the sum of$250.00 paid by Glenn E.Just and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: I Wetland Permit to construct an 8'x38' second-story deck above an existing first floor deck; construct a 10'x12' first floor addition, 5'x7' steps, and a 6'x44' two-story addition onto existing dwelling; construct an 18'x35' pool with pool equipment area on landward side of dwelling; construct a 25'x28' garage; and install gutters to leaders to drywells to contain roof runoff, with the condition to establish and subsequently maintain a 20' wide landscaped buffer landward of wetland boundary; and the addition of a drywell on seaward side of house connected to gutters and leaders; and as depicted on the survey prepared by John T. Metzger, Land Surveyor, last dated February 25, 2014 and stamped approved on March 25,2014. 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. j O�pgOFFO(,�.co / Z40 0 x cm, sol � Sao mew 11MW 0 TERMS AND CONDITIONS The Permittee Carolyn R. Ameen, residing at 755 Lupton Point Road, Mattituck,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. 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 Pennittee 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. 11. 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, title,or interest in real or personal property held or vested in a person not a party to the permit. John M. Bredemeyer IIl, Preside ��OF SO�jyo • Town Hall Annex Michael J.Domino,Vice-President �� �p 54375 Main Road .IL P.O.Box 1179 James F.King,Trustee 7' Southold,New York 11971-0959 Dave Bergen,Trustee G Q Charles J. Sanders,Trustee '�� • �� Telephone(631)765-1892 COUNTI Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 19, 2014 Mr. Glenn E. Just J.M.O. Environmental Consulting PO Box 447 Quogue, NY 11959-0447 RE: CAROLYN R. AMEEN 755 LUPTON POINT ROAD, MATTITUCK SCTM# 115-11-4.1 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 19, 2014 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting on behalf of CAROLYN R. AMEEN 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 August 23, 2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 19, 2014, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of CAROLYN R. AMEEN to construct an 8'x38' second-story deck above an existing first floor deck; construct a 10'x12' first floor addition, 5'x7' steps, and a 6'x44' two-story addition onto existing dwelling; construct an 18'x35' pool with pool equipment area on landward side of dwelling; construct a 25'x28' garage; and install gutters to leaders to drywells to contain roof runoff; with the condition to establish and subsequently maintain a 20' wide landscaped buffer landward of wetland boundary; and the addition of a drywell on seaward side of house connected to gutters and leaders; and as depicted on the survey prepared by John T. Metzger, Land Surveyor, last dated February 25, 2014 and stamped approved on March 25, 2014. 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: $0.00 Very truly yours, John M. Brederneyer IIT President, Board of Trustees JMB/amn • r John M. Bredemeyer III, President gUffO(,t-CO Town Hall Annex Michael J. Domino, Vice-Presidentl Gy 54375 Route 25, P.O. Box 1179 M James F. King y = Southold,NY 11971 Charles J. SandersG �► Telephone(631)765-1892 Dave Bergen y�Ol �a0� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: T, M D . V I b1. DI ee11 Please be advised that your application dated q 23 3 has been reviewed by this Board at the regular meeting of 2 and your application has been approved pending the completion of fhe following items checked off below. ?O/ wide Ict_nds(aped bt,A�pec- landward Revised Plans for proposed project 6� wetland- boundary I ad dt'- )byl n-4� guTaers, leaders + dgwell an Seaw6Wd Pre-Construction Hay Bale Line Inspection Fee ($50.00) SI de o F Meuse_ 1st Day of Construction ($50.00) Constructed ($50.00) V Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 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: $ , DO BY: John M. Bredemeyer III, President Board of Trustees ma�'le� 3rZo/14 .2i Cin JET /y /3 Dear Mr. King, I'm writing this letter to you because you have something which is very rare in town hall, common sense. This letter is regarding the proposed additions to 755 Lupton point Road, Mattituck. When this house was built it was common to install two cesspools. The first for the solids and the second for the liquid. Where it says concrete cover on the plan is probably the first pool. It looks to be about 50' +or-from the water. The second would be even closer. The bottom of these must be flushed out by moon tides, storms and hurricanes. A bad situation. If the B of T's oks this addition, I suggest that they require the pools to be placed between the house and the road. Common sense? Thank you for your time. ID ta D Lf18 2013 SZO7aid iowo 'OPP is 4 rs %2 RE, gwpw All At Lu 4 _ .. Carolyn R.Ameen 755 Lupton Point Road,Mattituck #115-11-4.1 2/12/14 I pl II its, � 6 • II io rolyn R.Ame n :01 AL 55 Lupton Point Road,Mattituck "�.` CTM#115-11-4.1 q /12/14 i ALL L 't am I Y It 4' I � f AV John Bredemeyer, President 0091,t V9 Town Hall Annex Michael J. Domino, Vice-President tea° 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders y • Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: 2,, /y —/ J.M.O. Environmental Consulting on behalf of CAROLYN R. AMEEN requests a Wetland Permit to construct an 8'x38' second-story deck above an existing first floor deck; construct a 10'x12' first floor addition, 5'x7' steps, and a 6'x44' two-story addition onto existing dwelling; construct an 18'x35' pool with pool equipment area on landward side of dwelling; construct a 25'x28' garage; and install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code. Located: 755 Lupton Point Road, Mattituck. SCTM# 115-11-4.1 Typ 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: �lLicL I�l� l�� fes ✓` Present Were: �J. Bredemeyer /M. Domino J. King C. Sanders Bay Constable Other Form filled out in the field by A4, Mailed/Faxed to: Date: �gllFFOLy James F. King,President P.O-Box 1179 Bob Ghosio.Jr.,Vice-President Z2 Southold.NY 11971 Dave Bergen Felephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael.I.Domino Southold Town Board of Trustees Field Inspection[Work Session Report Date/Time: J.M.O. Environmental Consulting on behalf of CAROLYN R. AMEEN requests a Wetland Permit to construct an 8'x38' second-story deck above an existing first floor deck; construct a 10'x12' first floor addition, 5'x7' steps, and a 6'x44' two- story addition onto existing dwelling; construct an 18'x35' pool with pool equipment area on landward side of dwelling; construct a 25'x28' garage; and install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code. Located: 755 Lupton Point Road, Mattituck. SCTM# 115-11-4.1 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: a .,1 -lid� M av n 00 '' Arneen-755 Lupton Point ' o.d1 : 1 I' MIA r HiQ_ �, - -••�_ t .>r+r ' t . J fi .117HR LW7 !L, LVlJ AUG. 14, 2013 (PROPOSED ADDTNS) CEIV � � D D AUG 2 3 2013 ut o!d oran OF SUFFOLK COUNTY 110.79 s9 10"E s GHT OF WAY N78'47 �Q�Fq `hF F „jya pp N 2STY. PROP. 2nd. 4 FLR DECK rya Zee 4Ne �aL +r a PROP.DMON y �2} OVER EXISTN �• t� ey �s 41kS O � •4,y S+ r Z 26.3" c 2STY J �� x �• 15.2" . to m A e.o I P PROP. `. FE pow � 1 STY. d �0 ADD ON �i� ``� Ln Ln -n CL m m = m o D 20' 25.0' X-- C ,v A\l in NPROP. < p - GA 00 pRAYEL DRIWW,Ay 9 DN � m 0 o ---{� 741E O G 01 a --i 720" P � 95. 4 -_ ..ea•d5 "W �� %O ''�+ uwa®v.m � • ta..Y' .p� ,�rM ^ rvq � • SY 'moo v M-�� � ILI Y A Y F \ • ur.a,ro +w+ -- u____ � _ - __— �' __,__ __ __ � — �.�•�•-.••+., 115 Office Location: ©F $o Mailing Address: Town Annex/First Floor,Capital One Bank 53095 Main Road 54375 Main Road(at Youngs Avenue) # P.O. Box 1179 Southold,NY 11971 o Southold,NY 11971-0959 http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631)765-1809 Fax(631)765-9064 January 24, 2014 Glenn E. Just P.O. Box 447 Quogue,NY 11959-0447 RE: ZBA Application#6711—tameerl Dear Mr. Just: Transmitted for your records is a copy of the Board's January 23, 2014 Findings, Deliberations and Determination, the original of which was filed with the Town Clerk regarding the above variance application. Before commencing any construction activities, a building permit is necessary. Please be sore to submit an application along with a copy of this determination to the Building Department. If you have any questions,please call the office. SincereI Vicki Toth Encl. Cc: Building Dept. 0 • Office Location: *Of$Q�jyolo Mailing Address: Town Annex/First Floor,Capital One Bank 53095 Main Road 54375 Main Road(at Youngs Avenue) P.O. Box 1179 Southold,NY 11971 • O Southold,NY 11971-0959 i http://southoldtown.northfork.net BOARD OF APPEALS TOWN OF SOUTHOLD Tel. (631) 765-1809 Fax(631)765-9064 FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF JANUARY 23,2014 ZBA FILE 6711 NAME OF APPLICANT: Carolyn R.Ameen SCTM#1000-115-11-4.1 PROPERTY LOCATION: 755 Lupton Point Road(adj.to Deep Hole Creek)Mattituck,NY SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type R category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 t o 23, and the Suffolk County Department of Planning issued its reply dated December 30, 2013 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated December 23, 2013. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, itis our recommendation that the proposed action is INCONSISTENT with LWRP policy standards and therefore is INCONSISTENT with the LWRP. Based upon the mitigating conditions imposed in this decision, the Board finds the application CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: Subject property is improved with a two story frame dwelling with attached porch and patio. It is located in the R-40 zone district and is non-conforming with 22,570 sq. ft. It has 95.24 feet of frontage on Lupton Point Road (20' Right of Way), 208.48 feet along the western property line, 110.79 feet along the northern property line, 44.78 feet on Deep Hole Creek and 198.24 feet along the eastern property line as shown on the survey dated March 12, 2013, last updated November 21, 2013 prepared by John T. Metzger,LLS. BASIS OF APPLICATION: Request for Variance from Article XXII Section 280-116B and the Building Inspector's October 10, 2013 Notice of Disapproval based on an application for building permit for additions and alterations to existing single family dwelling,at; 1) less than the code required bulkhead setback of 75 feet. RELIEF REQUESTED: The applicant requests a variance for additions and alterations to the existing home, including a second floor deck that is proposed at 63.4 feet from the bulkhead where the code required a 75 foot bulkhead setback. ADDITIONAL INFORMATION: During the hearing the applicant's agent was asked to provide information on the condition of the septic system and its location. On January 10, 2014 the ZBA received the requested information. Page 2 of 3—January 23,2014 • ZBAN6711—Ameen SCTM#1000-115-I I-0.1 FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on January 9, 2014 at which time written and oral evidence were presented. Based upon all testimony,documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law 4267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The Lupton Point Rd., area consists of approximately 22 described lots which predate zoning. The subject dwelling on the property has been in existence since prior to zoning with no evidence of adverse impacts. 2. Town Law 4267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The present home has been in existence prior to zoning and is located within the 75 foot bulkhead setback. 3. Town Law 4267-b(3)(b)(3). The variance granted herein is not mathematically substantial, representing 15% relief from the code. However, the proposed second floor deck is proposed above an existing deck and will maintain the same setback that presently exists. 4. Town Law 4267-b(3)(b)(4) No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code and shall comply with the determination made by the LWRP Coordinator. 5. Town Law 4267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law 4267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of additions and alterations while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Weisman (Chairperson), seconded by Member Schneider,and duly carried,to GRANT, the variance as applied for, and shown on the plans prepared by Charles Thomas, Architect, pages 1-5, dated 7/13/2013and the survey dated March 12, 2013, last updated November 21, 2013 prepared by John T. Metzger,LLS. Subject to the following conditions; CONDITIONS: 1. Proposed second story deck shall remain open to the sky. 2. A perpetual 20 foot wide landscaped buffer shall be installed landward of the tidal wetland line as shown on the survey. That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the survey, site plan andlor architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application andpublic hearing before the Zoning Board of Appeals. Page 3 of 3—January 23,2014 ZBA46711—Ameen SCTM#1000-115-11-4.1 Any deviation from the variance(s) granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. Vote of the Board.• Ayes:Members Weisman(Chairperson), Schneider, Dantes, Horning. Absent:Member Goehringer. This Resolution was duly adopted(4-0). Leslie Kanes Weisman,Ch&.* Approved for filing /a /2014 James F.King, President pF S0 Town Hall Annex Bob Ghosio,Jr.,Vice-President � y� 54375 Main Road y P.O.Box 1179 Dave Bergen T 4 Southold,New York 11971-0959 John Bredemeyer CIO ac Michael J. Domino Telephone(631) 765-1892 �y�oU '�,p�� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD D D To: Southold Town Building Department AUG 2 6 2013 Re: Verification of Building Department Permit Requirements BLDG.DEPT. TOWN OF SOUTHOLD SCTM#: 11 5_11 — L�. ' n Property Owner Name: Lo Y1ZlTV1 I© , ttlY1 e P 4. Date Sent to Bldg. Dept.: yll 2_& (z The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES / NO ✓� Will the proposed project require a Building Permit? Wil a proposed project require a variance determination from e Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of R er Date OFFICE LOCATION: OO F SO(/TyOI MAILING ADDRESS: Town Hall Annex Q P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G Q Telephone: 631 765-1935 i� Fax: 631765-3136 couff I,Ncti� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD 44- MEMORANDUM - 7 2013 - -� ' SEP D 1 To: Jim King, President soumo,d iowwn Town of Southold Board of Trustees ar f Tr a From: Mark Terry, Principal Planner LWRP Coordinator Date: September 13, 2013 Re: LWRP Coastal Consistency Review for CAROLYN R. AMEEN SCTM# 1000-115-11-4.1 J.M.O. Environmental Consulting on behalf of CAROLYN R. AMEEN requests a Wetland Permit to construct an 8'x38' second-story deck above an existing first floor deck; construct a 10'x12' first floor addition, 5'x7' steps, and a 6'x44' two-story addition onto existing dwelling; construct an 18'x35' pool with pool equipment area on landward side of dwelling; construct a 25'x28' garage; and install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code. Located: 755 Lupton Point Road, Mattituck. SCTM# 115-11-4.1 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 actions are CONSISTENT with the LWRP provided that the Board: 1. Clarify the setback to the wetland. 2. Considers the establishment of a vegetated buffer landward of the wetland line. 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 ��gpFFO(,�C4 • ~ O� Peter Young,Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary T P.O. Box 1179 Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 11, 2013 the following recommendation was made: Moved by John Stein, seconded by Doug Hardy, it was RESOLVED to SUPPORT the application of CAROLYN AMEEN to construct an 8'X 38' second story deck above an existing first floor deck, a 10'X 12' first floor addition, 5'X 7' steps, 6'X 44' two story addition 18'X 35' pool, pool equipment, 25'X 28' garage and drywells. Located: 755 Lupton Point Rd., Mattituck. SCTM#115-11-4.1 Inspected by: John Stein, Doug Hardy Vote of Council: Ayes: All Motion Carried f � M J. M.0. Environmental Consulting Services DE:_0 � 9E September 2, 2013 I SEP - 6 2013 Soathold Town Mr. James King, President Board of Town Trustees Town of Southold Town Hall Annex 54375 Main Road, Southold, NY 11971 Re: Application for Carolyn R. Ameen 755 Lupton Point Road, Mattituck S.C.T.M.No. 1000-115-11-4.1 Dear Mr. King: Enclosed please find are four copies of the updated survey for this project. It has been revised to depict the dimensions of the proposals as well data for the rain runoff containment. I have also enclosed copies of the building plans. Should you or any member of the Board have any questions or comments regarding this matter please feel free to contact me at any time. Mo pect�ul , Glenn . Just Phone (631) 653-0607 • Fax (631) 653-3348 121 Jessup Ave • 2nd Floor • P.O. Box 447 Quogue, New York 11959-0447 James F.King,President �►�OF SOUr� Town Hall Annex Bob Ghosio,Jr.,Vice-President `O 6 64375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer Michael J.Domino Telephone(631)766-1892 ��oU1t<Y, Fax(631)765-6641 j. i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit / _AmendmentflYans /Ex ion rAUG V erved Application: Z3 3 rued Fee:$�Pleted Application oplete2 3 20?3_SEQRA Classification: Type IAType II_UnlistedCoordination(datesent) /WRPConsistency As t Form ✓Date ofhmspection– � Becei t of CAC Report: —Lead Agency Determination: Technical Review:� Public Hearing Held: Resolution: rll Nameof Applicant Carolyn R. Ameen r 755 Lupton Point Road Mailing Address �. Mattituck,NY 11952 phone Number:( ) 839-8099 i . Suffolk County Tax Map Number: 1000- 115-11 -4 .1 Property Location: 755 Lupton Point Road, Mattituck I (provide LILCO Pole#,distance to cross streets, and location) . AGENT: Glenn E. Just–JMO Environmental Consulting (If applicable) Address: P.O. Box 447 Quogue,NY 11959-0447 Phone:653-0607 i �I ard of Trustees Applicatio0 GENERAL DATA Land Area(in square feet): 22,570 Area Zoning: 1 family anvil Previous use of property. Single y dwelling Intended use ofPe1'h'�ro Single family dwelling P 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? x Yes 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 —xNo If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes x No Does the structure(s)on property have a valid Certificate of Occupancy?__Z_Yes No Prior permits/approvals for site improvements: Unknown Agency Date i No prior permits/approvals for site improvements. ., Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes,provide explanation: Project Description(use attachments if necessary): Please see attached l Cantrell, Elizabeth From: gjust10215@aol.com Sent: Wednesday, August 28, 2013 10:55 AM To: Cantrell, Elizabeth Subject: Ameen-Mattituck Liz- Here is the project description. Applicant proposes to construct a 8'x38'second story deck above an existing first floor deck, a 10'x12'first floor addition, a 5'x7' steps, a 6'x44' two story addition, a 6'x32'two story addition, a 18'x35' pool, pool equipment, a 25'x28'garage and dry wells. t Applicant proposto construct additions to an e isting single family dwelling, bond story deck over an exist first story -deck, pool and garage. Bed of Truateeo Application • WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Additions to single family dwelling I i I I-- Area of wetlands on lot: 350 s9uare feet Percent coverage of lot: % i Closest distance between nearest existing structure and upland �. edge of wetlands: 55 feet i Closest distance between nearest proposed stricture and upland edge of wetlands: 66 feet Does the project involve excavation or filling? No x Yes i If yes,how much material will be excavated? 18 5 cubic yards for pool j How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: V-10 ' feet Proposed slope throughout the area of operations: 1 :1 Manner in which material will be removed or deposited: Eackhoe 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): The project as proposed should have no negative impacts upon the wetlands or waters of Southold Town i l • 617.20 • Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Carolyn R.Ameen Proposed additions to a single family dwelling 3. PROJECT LOCATION: Municipality Mattituck County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) 755 Lupton Point Road Location map and survey enclosed 5. PROPOSED ACTION IS: E] New FZ] Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Please see attached 7. AMOUNT OF LAND AFFECTED: initially 0.01 acres Ultimately 201 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑ Yes ❑ No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? R1 Residential F-1 Industrial Commercial Agriculture E] Park/ForesVOpen Space Other Describe: Single family dwellings 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,STATE OR LOCAL)? nYes No If Yes,list agency(s)name and permiUapprovals: Southold Town Trustees&N.Y.S.D.E.C. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes 2✓ No If Yes,list agency(s)name and permit/approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes 21 No I CERTIFY THAT THE ORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant1sponsor name: Gle E. si 99 agent Dom: _& i3 Signature: If the acti n is in 0 Coastal Area, and you are a state agency, complete the Coas ssment Form before proceeding with this assessment OVER 1 Reset Applicant propose to construct additions to ane sting single family dwelling,propose story deck over an exist first story deck, pool and garage. PART If- IMPACT ASSESSMENT o be Completed by Lead A en .A, DOES ACTION EXCEED ANY TYPE t THRESHOLD IN 6 NYCRIL PART 61TA? If M.coonfinate the review process and use the FULL FAF. 0 Yes Q No B. MJACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNUSTED ACTIONS IN 6 NYCRR,PART 617.6? If He,a negagve drxlarafion may be superseded by another kw*rved agency. C.COIAD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED VNTH THE FOLLOWING:(Anawets may be handwritten,If legible) . Cl. E dsVAV air quatty,surface or gmurdwater qually or quannk.nolse levels,eHsfing traffic patern,sem waste producton or disposa(, etdial for erosion,drainage or tootling problems? F)plain Wily, (x. Aesdwft aodcutwK atfiaealoplme tistxk orotw natwW or eulpxal resburoes:or a dwtader?Erplabn . CS. Vegetation or fauna,Oak 'or -;pedes.;i9dBce d habRafs,or tlrertenedarendangeued spades?Flair ,bdefly. C4. A oommim edsikhg plans a goals as offidaAY adopted.a achatrgetn use or enstty of use of or other natural resources?Explain briety: C6. Growth,Subsequent devebprtMn4 or related adivilies likely la a induced by the proposed agian7 Flatn brtelly. C6. Long term,starterm,cumulative,w other etects not identifiedin C1-05? Explain brreay: C7:Other ads nd Chan in use of ether uanitt ort of ane sin brat :_.-. .. . .. ._.. O.VVILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA T bre . . . aYes M No . E IS TF16RE, MIS THERE UKELY TO RELATED TO POTENTIAL AL IAP H . Yes ©No eseaptaft PART Ip-OETERIMMAT1MOFSIGNIFICANCE(TobeoormkoedbyAgarko INSTRUanONS: Fare"adverseeleadideaffiMW)OV ,dewmiitlewhedreritIgW66Wogal,laige,WWottaRtor wlae6lgNficenf Eacfi eNed should be attsessed M odrrteetidn WNII ifs(a)nelklg(Le taban or IYWQ (b)WObWft of 000ulTkW(o)nllW&M(rQ imeverdAW.(e) t7ao81 ep11k 8x016;add M m>Iprtikde. If kyr add aftdmmft or referenos supporfing maWrkta. 13teta dW apls;regM aogtakt. . .. wQfobrkd;WbshowtWdrokvmdadvemkipactshavebow Wertifiedandadeauialelyaddleased. Nqueollmdofpsatluasdredaad yes lhedefxrrllne�ond tdf�rroortwstevalgatetlrepoteatlelkryredcflhepropoaedadbnonNiearWimtaltelital0108dwoff CEA. Ctwdrgis(wxlfyouha"M ril Moneorm mpowftvyfargeorsWmmtadvotsekrpadswfidiMAYoodre Thetitaoeaaddkeubylogw MU EAF ardkr prepare a posEve dedauatotL Chad*Ilk box Kyou4ave defe a*wd,based on In InIb mafion and analysts shove and any stppWM doaanetfiadon,that Me proposed ft WILL NOT resuft determinator. In any d9rnitcent adverse em*WMenW knpacts AND provide, otl attadrnents as race/nary, the reasons supporMV ltd Board of Trustees l /, /� / Name of L d Agencyy7',r/Jr �.+�/ eGT.�'[�'`� Date /tel President Print or rp q eName of bis O r in Lead Agency Title of Responsible Officer >- gpf F01 .lames P. King, President � � Town Hall. 53095 Main Rd. Bob Ghosio,Jr. _Vice-President ,�,. .Z P.O. Boz 1179 Dave Bergen �Z` Southold.NY 11971 John Bredemc er fele hone(631)765-1892 Michael J.Domino �'� Pax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of CAROLYN R. AMEEN COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I,Glenn E. Just , residing at /dba 121 Jessap Avenue Quogue, NY being duly sworn, depose and say: That on thelv#&y ofSe(_-10"t1b�, 2013 I personally posted the property known as Ameen, 755 Lupton Point Rpad, Mattiturk 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 ate of the public hearing. Date of hearing noted thereon to be held Wednesdav, Se to ber 20 Dated: -71 (signature) Sworn to before me this $'"qday ofSc f 20 / Notary Public PATRICIA M. MC CHESNEY Notary Public.State of New Yorke No.01 MC4667610 Qualified in Suffolk Coun Commission Expires Sep.30,ty -1..7 i' PROOF OF MAILING OF NOTICE j ATTACH CERTIFIED MAIL RECEIPTS j is Name: Address: Mr. Edward A. Hanus 635 Lupton Point Road, Mattituck,NY 11952 i Suffolk County 330 Center Drive, Riverhead, NY 11901 -0 a.5� i! Kreiling Family 2007 Irv. Trust P.O. Box 757, Mattituck, NY 11952 i; Mr, Michael G. Mitchell, P.O. Box 870 , Mattituck, NY 11952-0870 ! ' i I�. I STATE OF NEW YORK COUNTY OF SUFFOLK Glenn E. Just residingat 121 Jessup AvemLY- Qu ngue,NY ,being duly sworn,deposes and says that on the _day ots' 20_L&deponent mailed a true copy of the Notice set forth in the Board bf Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names;that the addresses set opposite the names of said perms are the address of said persons as shown on the current assessment roll of the Town of Southold;that said Notices werxbailed at the nited totes Post Office at Manorvi l le, NY that said Noti ere ed to ch o said ons by CERTIFIED MAIL/RETURN RECEIPT. �Q l ,i Sworn to before me this 2- Day Day ofST bti 20J_L_ 1. Notary Public L GINA A.LOCKE i. No.01 L06057960 Notary Public,Stets of New Yak OuaMW In Suffolk Canty My commission EXPIres 04/3"-!-- 0120 j i U.S. Postal Servicet. U.S. Postal Servim. CERTIFIED M p RECEIPT CERTIFIED MAIL,,, _a (Domestic Mail Only;No Insurance Coverage Provided) r� (Domestic Mail Only;No Insurance Coverage Provided) CO � ,mac USE N ®I ndy' 110 t - E I �.E Q Postage a S 09 4 , Postage $ $0.46M1 4 11 M1 0949 ra ce ansa Fee �N 53.10 G 61 � ra Certified Fee $3.10 p ( Postmarky p C Realm Receipt Fee jre p Rehm Receipt Fee ?9 O C3 (Eml Return mlpt Required) $t.� +y,.�,: p (EndoBemem Required) $2. 11' Her 2 Fw O Restdcled Delhrery Fes 50.�,%^ r., lV M1 (Endoreement Required) (Endorsement Required) GTotal Postage&Fees $ C4 6.11 09/03/203' p Toms Postage a Fees $ 11 091 Y co ti To c E.s 1� - nJ ITO � ✓ w -1 Kreilina Famil-y---2- - Tr_ust----_-- ---- Suffolk- nty_-� ---_-J 0 ii6eer,Api rdo.i- C scree'" ".W---------- :. ----------'---"s -- M1 or P09ox Ivo. P.O. Box 757 t` or PO amrNo, 330 cent rive ti`s ------------------------------------------------------------------- ----------- P a cysqrhead, NY1 „L�yti iEuck, NY 11952-0757 P�Form :rr August 2006 F.,,,,3800.Augustr PostalSee Reverse fur stal CERTIFIED c • RECEIPT CERTIFIED• • • RECEIPT M1 p (Domestic . p •.mestic Mail Only; ra g � ,tea gg Ln MF T ( tQ A ti M T�@I( 490 I N Postage $ $0.46 949 9 M1 Postage a $0.,6': 0949 r . a cerWW Fee $3.10 / 01 9' ra Cemrred Pee 53.1x9 01 C3 •n gp})tderk'` p % Postnierk � C3 Realm Receipt Fee $� 55 7 Here p (Endmsemeeturn m•ce WF•• 'n� Here C3 (EMorsement Required). G. p Required) $2. ReseiCted Delivery Fee ,1 Renu, Delivery Fee (✓ O (Enmreemem Requlr&Q $4.G0 , - p (Eneorsemem Required) $0.00 Total Postage&Fees $ $6.11 ID-/03,12013 eC,'� Cp Total Postage a Fees $ $6.11 L or. Edward A'---Hanus- .--V�LLn `.---- o s Ap Michael G�--Mi-tc"-�l---------------------- Sseecapcivo., M1 orPORoxNn. P.O. box 870 i r` o POBox Ja 636 Lupton---Paint---I�aa-------------- ------ .......................... --------------------------I CIV State,ZIP+4 - Matti tu k Mattituck NY 11 PS Form 3800.August rr6 PS Form 3800 rr i i �51SFF0(,F John Bredemeyer, President Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of CAROLYN R. AMEEN COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING n TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, t�y\ F.—3_LLS residing at/dba 1a 1 ��e being dul om, depose and say: That on the to djvo�fSP.pa An ,' , 2013, I personally st d the prope known as _JLUp40pj �o1V-d-- �C, & r�61 .W f by placing the Bdaard"of Trustees official poster where it can easily be geen, and that I have checked to be sure the poster has remained in place for eighays p 'or to the date of the public hearing. Date of hearing noted thereon to be held Wednesd Se ember 18 2013. Dated:2 H (m (signa ) Sworn to before me this I I oda_ of Peb 2014 GINA A.LOCKE '7 y No.01 L06057960 Notary Public,State of New York Qualified in Suffolk County MY Commission Expires 04/30/205 NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a P ublic hearingwill 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: CO3-('01yn g. Qmcer) SUBJECT OF PUBLIC HEARING: Construct an 8'x38' second-story deck above an existing first floor deck; construct a 10'x12' first floor addition, 5'x7' steps, and a 6'x44' two-story addition onto existing dwelling; construct an 18'x35' pool with pool equipment area on landward side of dwelling; construct a 25'x28' garage, and install gutters to leaders to drywells to contain roof runoff, and in accordance with Chapter 236 of the Town Code. TIME & DATE OF PUBLIC HEARING: 30A GJed��esdo�.y/, Se� 1 , 3 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 ofp8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 &d of Trustees Application* i County of Suffolk State of New York 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 WITH REVIEW OF THIS APPLICATION. PAO&Signa of Property Owner zz SWORN TO BEFORE ME THIS_D��DAY OF 20 �J I I . No) ry Public N CHRISTYN MORE NO"Public„Stale of New York QU&Ubd k SUftIk Coounty �3 Commission Expires August 06,2lL i t i I i Ord of Trustees Applioatiols I AUTHORIZATION (where the applicant is not the owner) I, 1.C1yal yy1 �y�-e�1�1 residing at 755 W��onS � (print owner of property) (mailing address) r JMO Environmental Consulting do hereby authorize (Agent) I to apply for permit(s)from the Southold Board of Town Trustees on my behalf. '(Ownels signature) A . State cf CHRISTY SIVIVIM .... F? &SCtOr'E ..,�� I tire€x reya �� r� /j gra ar i,as Notary WMt,Slate 1111" this c av W "7��,/ Ny�t� No,013E813159u ,t p<oc::mac. as O CuwW in Sddk UIn',Y oC h7y commission expires _- Commisalon ExpiresAu9 ust 06f;0ta �nar�* rY se__ C I i I: i 3 i Environmental Consulting Services To whom it may concern: Please be advised that we have authorized the firm of J.M.O. Environmental Consulting Services to act as our agent on our behalf in applying for certain approvals through your agency and others involved with this project. J.M.O. Consulting Services has been retained to coordinate all approvals necessary through your and other involved agencies, as well as our architect, engineer and contractors. We request that all communications, correspondences, notices, approvals and calls be addressed directly to the offices of J.M.O. Environmental Consulting Services. Signature J9116Y� Dated �1 &W Y�County of_.1 Stele of : t nt was aolcno ttN tregong 7o me Or has Neta y pulblilic state of NoYork #is dib L Na.o1SM31594 Mduoed aa ldentihta n puallfled in Su(fdk County My a commission Expires August 05.20-,.; Notery Pjanature Phone (631) 653-0607 a Fax (631) 653-3348 121 Jessup Ave a 2nd Floor a P.O. Box 447 Quogue, New York 11959-0447 APPLICANT/AGENT/REPRMNTATM TRANSACTIONAL DISCLOSURE FORM The Tom of lel s Code Of EU nroi'bits lIfiicts of interest on the Dart of town am and=MM The oomm this fM=is to MWdc s=a—=--:,moiCh trem ab:.tha towo of pW tele conflicts of hnW and allow k to tate wha6ev_er-echaars y to avoid same, YOURNAME: Just, Glenn,]? (last Name,first nsmo,ipiddlo initial,unless you are apply is the tame of someone else or other amity,such as a company.If so.indicate the.other person's or company's time.) i NAME OF APPLICATION: (Cho&all that apply.) Tax grievance Building Variance Trustee x . Change of Zone - Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning '. Other (lf"Other',name the activity.) Do you personally(or throughyour company,spouse,siblin&parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relstionship"includes by blood,marriage.or business interest"Business imeresf'Meana a busiresa, . including a parhership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation I;. in which the town officer or employee owns more than 5%of the shares. - YES NO x I Ifyou answered"YES",complete the balance of this form and date and sign where indicated. I j �i Name of person employed by the Town of Southold - - Title or position of that person - Describe the relationship between yourself(the applicmUagem/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(chock all that apply): A)the owner of greater thin 5%of the shares of the corporate stock ofthe appliceM (when the applicant is a corporation): B)the legal orbereficial owner of any interest in a non-cow entity(whew the applicant is not a corpoistion); _C)an officer,director,partneror employe:of the applicar or . _D)the actual applicant. I! - DESCRIPTION OF RELATIONSHIP - ' . I' i is Submitted this 200 Srgnatwe Form IS I r PrintName I i a . . APPLICANT/AGENTAWRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The T M of Soutbold's Code of Ethics nm:'t.;ts conflicts of'iterest on the m,e of Oownoffims a�Semeloveea-The damse of . this form—l,to provide i Ra—scion which con aiert the town Fog and allow R ro tah wimicya action is - necessuv to avoid am. YOUR NAME: (Last name,fust nana,gdddk initial.unless you are applying In the name of I someone dse or other on*,such as a company.If s%indiemp the.other person's or company's nate.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Varionm Trustee Change of Zone Coastal Erosion ' Approval of plat Mooring Exemption from plat or official map Mooing Oder (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? "Reladonship"includes by blood,marriage,or business intent"Business mm mr 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. I' YES NO ifyou answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold - I' Tide or position of that person i Describe the relationship between yourself(the applinaM/agetlnepn setstive)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the spas provided. . The town officer or employee or his or her spouse,sibling,parent,or child is(cheek all that apply): ' A)the owner of greater than 5%of the shares of the corporate stock ofthe applicant (wbein the applicant is a corporation); - B)the legal or beneficial owns of any interest in a none xmrm entity(when dic applicant is not a cerporatiou); I. _Ly an officer.directorpartner,or employee of the applicant,or _D)the actual apphicarn. i DESCRIPTION OF RELATIONSHIP I ` I� Submitted ' day f 200 SignatureOCU �� Form TS l of 3�d r lr"""COUfdY CNRISfl WG 0f RE W� ��� Nolery Pudic,State atNewYtxk � ?o iiia nb.01SE0131584 Wa dBY Of 20 O ieliikd in S Mdr County IB 3 006"w Expir a Aiq*05,2t= MY rs twamwq Sion Town of Southold rK Erosion, Sedimentation & Morin-Water Run-off ASSESSMENT FORM PROPEM LWAIM a.C.T.N.A THIS FOLLOWING ACTION$MAY REGUIM TM GUWAMWN OF A 1000-115-11 -4 .1 STORN-NA ANoutoslo Wwr vilor -ems- Tor cmrr�my A�rmwmwmumAL IN THE WIN VIEW VW — SCOPE OF WORK - PROPOSM CONSTRUCnON PPEM If / WORKASSESSW2 Yea No R. What is the Total Area of the Project Paraele? I WE this Project Retain AN Slotm-Weer Run-Of the ludeSeo Total alkrea or as Pmeed leWsd withintion) 2 2 r S 7 0 Generated by a Two(2')Inch Reir"on SW? — the Scope of WOdt far Proposed Carthtu;tlorr) (&F./Aon) (Tit Poem will indude all runoff Created by Bios b. What Is the Total Area of Land ClearingO clearing andlor conehuclion activities as well as all anNot Ground Disturbance for the proposed Site Inprovwmts and the permanent aeaYce of PROVIDEconstruction neW (B.F./A000) Impervious UffbcoL) BNEN N7t0]F.CI'DESCRIPTION p++erNa.aaaax+Pm..x.aq Z � eth She Plan andlor Sunray brow AN Proposed Drainage Structures Indica ring Slee a Location?This losm shag Include all Proposed Grade Changes and Slopes Controlling Surface WSW Flow. 3 Does the Site Plan and/or survey describe the erosion OW sediment control practices thea will be used to U Please see attached control site erosion and storm water discharges. This i Item must be maintained throughout the Entire Construction Period. 4 WG this Project Require any Land Filling,Grading or Excavation%hart there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? ❑ �.. 5 WIN this Application Require Land Disturbing Activities ❑ Encompassing an Area in Excess of Five Thousandi' (5,000 S.F.)Square Feet of Surface? DL 6 Is there a Natural Water Course Running through the Site? Is the Project wNdn the Tnutass(urfedkaon taarmrat DOC WJPPP Remaammde: or within One Hundred(10()1 feet of a Wetland or Submaalon of s SWPPP Is required i«at Consauason saWN"kwdveq ad Beach? d Portman ager «mora smm; trrkdwg disturb w nvx& of lou the 7 Will where be Site preparation on Existing Grade Slopes ❑ Copan oreMavwmWAdes Ipion nvolving sol dafinettet afrosrose wmaWM; wghlch Exceed Fifteen(15)feet of Vertical Rim to tnWdkhg CofsbuWorh saNNea Ywdrkq Baa Glean ami one(1)soe when One Hundred(1W)of HorbwM Distance? the DEC hm dslematd Mata SPM pemat b ngWad fcrstam vadardNdergea I SWPPPY atoll m mdw mMbmm wqukenwrrb of the SPOES General Per ); Wird Driveways,Pwklrg Areas Dir aft hnpervbue ❑ fortpl, Wats DbdwsphanamhWoetlonwgft.pamltNm GP4.1oam.) Surlaeesbe SlopedMDlred SemfWaer13 1.The 8WPPP aha be pmpertl Prinr to the mtrriRa atlro N0L The Na Btu/be into andkr In the direction of a Town dgM. way? marMedMMDWarbrhmht pn«btlt aanamncwm«aoaNsuamfrarSWy. i . 2.The 8WPPP aM desabet womb andasdmntareaml psaNssndwhos 9 WG the Project Require the Pecernerd of Material, regyked.PosFmnantsnstn wlbrmanso mnN PrmWam thtvGbeusederW« Removal mvegoM$onand/orthe Conshco erarry Ik/r constructed to ma"the pokxena In skim waterdaoheraeaarfdbaeaxe Rein Within the Town RWof-Wayar Road Shoulder wnVIama wGh to tams ow malars oftlds Panna In WNW,ars SWPPP afW Area?ma nanMrxha FxerdetlxhhabepnNpleaegap,m.) I Idn9fy porn dial aaxces d polusonwhkh may renewably be expsoled t aaectthe quslyefaenwMardladrgm. NOTE: sMy Aaaamb drmaona OMWmrah New N AnawwWwM a CheakNak a.MSVVPPPaswtqurestpoamnYu $ m~m nsgmfwspawc. kra9m ass at mfhmuatloffwma.6rho,sw.amf lash as.aallo.w.se. anpameaheabogepwWbyagWNMD$WMPM%00 pl GpmmWirNmYork eamrmayaer,ending,Dntneaaa Srston Cmhwa Plan to Reg Wad byasTmner I'.. Met tknowladgsehleinsop& Wes and paaMdSlamwater managemerd film"" dandMudbeSubmaadforReviewPdWWft OtArWOUNSOPom% pOrs: Aaml xes N)ritlbr,4rwokraatl,owem�xRrgaetlba0arohw ApptdwQ !f 1! S1ATE OF NEW YORK, l COUNTY OF...-, I ..COAL..........SS 11rat I,.C S�wn,of..... ..... .........._...being duly sworn,depose and says that IxJstce is the applicant for Permit, two.a Thadar dPafo bpammge..I Andthat he/she is the ...._..,.. 7�i ._................................_..._............................._..»......_....._......._.»...._..»....._..... (ow mr,Canbadoa Agem O peat on nr,smj Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this appficadon are hue to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; y ............... .`. a of .....V .�5 .............. 20..... Notary Public: � `• �M » _..........._........................ .."`�............._.......... ........................ ....._..................... FORM - owl0 tlntonpNUWio,§tato of Newl/uodt t$gaatYea�°P'�) No.01 M04667610 Ot.alified in Suffolk County Commission Expires Sep.30, 4AI 0 0 Project description for Carolyn R. Ameen 755 Lupton Point Road, Mattituck S.C.T.M.No. 1000-115-11-4.1 Applicant proposes to construct an 8'x38' second story deck above an existing first floor deck, a 10'x12' first floor addition, 5'x7' steps, a 6'x44' two story addition, a 6'x32' two story addition, a 18'x35' pool, pool equipment, a 25'x28' garage and dry wells 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 Waterlmnt 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 pnparer 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 nosed action will be evaluated. as to its significant beneficial and adverse effects unon the coastal area(winch 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. hating both supporting and non- suppontiae facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be ugdertaken. i A copy of the LWRP is available in the following places: o website(southoldtown northfork.net), the Board of Trustee , the Planning D all local libraries and the Town Clerk's office. AUG 2 3 2013 B. DESCRIPTION OF SITE AND PROPOSED ACTION ! u, old .ovm SCI M# 115 13 _ 4 . 1 T ees L. PROJECTNAME_ Proposed additions to a single family dwelling, pool and garage The Application has been submitted to(check appropriate response): Town Board ElPlanning Board ElBuildingDept ❑ Board of Trustee ❑ i 1. Category of Town of Southold agency action(check appropriate response): f (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,plug activity,agcy regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: © ff Nature and extent of action: 1 Please see attached Applicant proposes to construct additions to an existing single family dwelling, Sond story deck over an exist first story deck, pool and garage. i. Location of action: 755 Lupton Point Road, Mattituck Site acreage: 22.570 sq. ft. Ptesentlanduse: Single family dwelling i Present Zoning classification: • I 2. If an application.for the proposed action has been Sled with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: Carolyn R. Ameen (b) Mailingaddress:— 755 Lupton Point Road I Mattituck, NY 11952 (c) Telephone number:Area Code( ) 631 -890-8099 i Unknown (d) Application number,if any: i Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes x❑ No❑ If yes,which state or federal agency?___L-.Y.S.o.F.C. I I i 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 -NlYea ❑ No ❑ Not Applicable I The proposed additions, pool and garage should not negatively impeC4, the character of the commune y Tt is 7t that this project is consistent with this policy _ 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 f Yes ❑ No 11 Not Applicable The proposed project should not have any imoactc upon any histories or archaeological resources of the Town. It is felt that this project is consistent with this policy 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 ® Yea ❑ No ❑ Not Applicable The project will have no impacts uponthe visual quality or scenic resources of the Town. It is felt that this project is consisten�- with this policy 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 1 9-Yea ❑ No ❑ Not Applicable Thu prnnnQeH nrn3ect will not narnce the P�oQjnn nr flnnrling of natural resources or structures- Tt- is 1 that thig project is consistent with this policy Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of Southold.See LWRP Section M f -Policies Pages 16 through 21 for evaluation criteria Yes ❑ No ❑Not Applicable The project will have no impact upon the quality or quantity of potable water in the mown_ Tt is fel that Chic rnject is consistent. with this policy 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"nation criteria. 69 ❑ ❑ • Yes No Not Applicable The project will notnegatively impactthe q2 lity or function of any of the Town' s ecosystems, wetlands or areas of` Significant Coastal Fish and Wildlife Habitats. It is felt that this project is consistent with this policy i' 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 The projPnt will havp no negative imnantg upon air Quality- Tt is felt that this project is consistent with this policy 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 I I The project does not involve the use of or the disposal of solid waste or hazardous substances and wastes. It is felt that this project is consistent with this policy 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. (( Yed----] No n Not Applicable The project will not deny access to or the public use of, or the recreational use of, coastal waters, public lands and Public resources of the Town. It is felt that this project is consistent with this policy Attach additional sheets if necessary WORMING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. 9 Yes ❑ No ❑ Not Applicable i The project will have no impacts upon Southold' s water-dependent uses or the siting of new water-dependent uses It is felt that this project is consistent with this policy Attach additional sheets if necessary i Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters.See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. � ( I L71 Yes ❑ No❑ Not Applicable Th n 1- will-hAup nn impar-f- npnn f-he cnhcfa i nahl e n f f. living marine resources in Deep Hole Creek Town waters or the Peconic Estuary. It is feitt that this project is consistent with this policy Attach additional sheets if necessary j Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III-Policies; Pages 62 through 65 forevaluation criteria. ❑Yes ❑ No B Not Applicable The project , does not involve agricultural lands. It is felt that this policy is not applicable to this project Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III-Policies; Pages 65 through 68 for evaluation criteria. I ❑Yes ❑ No W Not Applicable The project does involve the development of energy or I'. mineral resources _ It is felt that this policy is not applicable to this applicatmon PREPARED By Glenn E. .Just TITLE Agent DATEk- Lor COVERAGE EXISTINIS SURVEY OF PROPERTY HOME - 1007 F'L � = AT MATTITUCK1SHED 83666 q.N TOWN OF, 70 , 83% SOUTHOLD 2 4 2014PROPOSED SUFFOLK COUNTY, N. Y.ROUSE - 1570 sVt.DECK - 388 1000-115-11-4.1BRICK - �I POOL - 630 s*11. SCALK 1 s=30' Trustees GARAGE - 700 Wt., . - MARCH 12, 2013 3646=50 8 �16d% AUG 14, 2013 (PROPOSED ADDTNS) AUG. 28, 2013 (ADDTNS) d OCTOBER 22 2013 TT graphY) APPROVED BY NOV. 26 =3 EOT co B4AR� OF TRUSTEES JAN. s, Pm4 (SEPTIC SY37EW FEB. 25, 2014 Invldonsl TOWN OF SOUTHOLD \ �G ATE COUNTY OF SU 11K 9' Y N7 47'1�E , 15' RIGHT OF WA I \\ '• \ \\ ? 0cb �F \ PROP. 2nd: a f2p� FUR DECK (8') 0, 2STY. �` OVER EXISTNG 1,�9 d� VNf <4'rC Nl• d Ol aq GC} jOq�3,� W PROP\ � •.4� 4"ql. 10 .tq ZOa "tll. -0:i ADDITION `�6`• \` � 26.3' 2STY. y v 15.2' 16 PROP. \\ fE Z 1 STY. \\ •0.0, Q vA ADDITION D RAIN RUNOFF CONTAINMENT: q g9 m 8 Dw 1 DWELLING: 1,528 5q. Ft. 1,528 x 0.17 x 1 = 260 Cu.Ft. D e Provide 3: DWs. 6'Ox 6' Deep Z m Connected by Gutters & Leaders N 8 O 20' •0 �tinln OP. in PME m m \\ c GARAGE GRAVEL DRIVEWAY � mr i m m cb v 720• '� C EDGE OF PAVEMENT pills, ROAD' 20 N, 'I DE RIGHT OF WAY 4.650~N� CERTIFIED TO: �Eof NEWyc CAROLYN R. 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