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TR-8474
„, ... el,' SOloz- John M. Bredemeyer III,President ®� . ”" - O Town Hall Annex Michael J. Domino Vice-President �, ~ ® 54375 Main Road ' ce- resen &Z32113 P.O.Box 1179 James F. King,Trustee ; . VWS4 Southold, New York 11971-0959 Dave Bergen, Trustee `4,. ,�� ® " " `�o Telephone (631) 765-1892 Charles J. Sanders, Trustee ireouNTY,wro' Fax(631 ) 765-6641 ... esi BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1157C Date: August19, 2015 THIS CERTIFIES that the Wetland Permit for the existing two-story(2,250 sq.ft.) residence with three attached(180sq.ft.) covered porches to remain; existing glass enclosed structure attached to residence to be removed and replaced with a new wood framed(118sq.ft) structure with gutters to leaders to a drywell; existing(790sq.ft.) decks attached to waterside of residence to remain and reconstruct in-place as required a+/-13' area adjacent to the new construction; existing driveway, parking areas, and 4' wide walkway to remain; reconstruct in- place existing 4'x24' stairs and walkway connected to deck at top of bank leading to a 4'x9' platform and 4'x8' stairs; deck at bottom of bank to be reconstructed to 100 sq.ft; existing 4'x43' elevated wood walkway leading from elevated deck to 3'x12' adjustable ramp and 6'x20' floating dock are to be reconstructed in-place; and a line of hay bales with silt fencing to be installed prior to construction along top of bank At 4515 Stillwater Avenue, Cutchogue Suffolk County Tax Map#137-3-4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 18, 2014 pursuant to which Trustees Wetland Permit#8474 Dated July 23, 2014,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 Wetland Permit for the existing two-story(2,250 sq.ft.) residence with three attached (180sq.ft.) covered porches to remain; existing glass enclosed structure attached to residence to be removed and replaced with a new wood framed(118sq.ft) structure with gutters to leaders to a drywell; existing(790sq.ft.) decks attached to waterside of residence to remain and reconstruct in-place as required a+/-13' area adjacent to the new construction; existing driveway, parking areas, and 4' wide walkway to remain; reconstruct in-place existing 4'x24' stairs and walkway connected to deck at top of bank leading to a 4'x9' platform and 4'x8' stairs; deck at bottom of bank to be reconstructed to 100 sq.ft; existing 4'x43' elevated wood walkway leading from elevated deck to 3'x12' adjustable ramp and 6'x20' floating dock are to be reconstructed in- place; and a line of hay bales with silt fencing to be installed prior to construction along top of bank. The certificate is issued to ROBERT PELLEGRINI owner of the aforesaid property. Authorized Signatur:; I ,. 1 ' 1 icpFF01,�- - Town Hall,53095 Main Rd. John M. Bredemeyer I[f,President �,�'� co:� , �0�' �V. P.O.Box 1179 Michael J. Domino,Vice President ,� .� y : Southold,NY 11971 James F.King 1 y x Dave Bergen `.WO „;1 Telephone(631)765-1892 . *0 �7 Fax Fax(631)765-6641 Charles J.Sanders - s [ F BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: v (IS 1J 2(3 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, silt fence 1st day of construction '/ constructed Project complete, compliance inspection. INSPECTED BY: n, 11 �5 ec.._ i COMMENTS: s r Il 5 4 s-I-- ,,-,5 -L. 1 --- 07 ,. t-, /.a,IU CERTIFICATE OF COMPLIANCE: 69 6— • John M. Bredemeyer III, President ,e guFFOL't Town Hall,53095 Main Rd. ) Michael J. Domino, Vice-President 4,'ls�o�. c49V% P.O. Box 1179 OV James F. King ` L, Southold,NY 11971 ` Charles J. Sanders 4, �' Telephone(631)765-1892 Dave Bergen ' 01 •'`' 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 JPre-construction, hay bale line 1st day of construction '/ constructed Project complete, compliance inspection ,,,,,, , , i v 4 , t sv 4 , "'/--TN'—*--, „.,,i 1,,,y/ "... :7%44:, .,,,::*7 --•OA _ .,_.::, _.___ .n�.d.. :,::'' ::'.}* %; BOARD OF SOUTHOLD TOWN TRUSTEES ; �~ r a < ` SOUTHOLD, NEW YORK , , � h .1 �� PERMIT NO. 8474 DATE: JULY 23, 2014 , ISSUED TO: ROBERT PELLEGRINI .°"` :;', r —---'\ ( : I,' .,�.. ...-7 PROPERTY ADDRESS: 4515 STILLWATER AVENUE, CUTCHOGUE ) _ 1 :� ' SCTM# 137-3-4 ' • ;8` '. V AUTHORIZATION ' I ,—; .., , ,' )----,_ ) i 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 July 23,2014,and in '' consideration of application fee in the sum of$250.00 paid by Samuels&Steelman Architects and subject to ; the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and 1 i permits the following: i �9 .� Wetland Permit for the existing two-story(2,250sq.ft.) residence with three attached (180sq.ft.)covered porches to remain; existing glass enclosed structure attached to residence to I '�" 1' ' . be removed and replaced with a new wood framed(118sq.ft.)structure with gutters to leaders - to a drywell; existing(790sq.ft.)decks attached to waterside of residence to remain and (7.� reconstruct in-place as required a+/-13' area adjacent to the new construction; existing j . t / ' driveway,parking areas,and 4' wide walkway to remain; reconstruct in-place existing 4'x24' -c- stairs and walkway connected to deck at top of bank leading to a 4'x9' platform and 4'x8' I stairs; deck at bottom of bank to be reconstructed to 100sq.ft.; existing 4'x43' elevated wood g;, I. walkway leading from elevated deck to 3'x12' adjustable ramp and 6'x20' floating dock are to '� be reconstructed in-place; and a line of hay bales with silt fencing to be installed prior to "' '- construction along top of bank; and as depicted on the site plan prepared by Samuels& `` F Steelman Architects,last dated July 24,2014,and stamped approved on July 29,2014. re,; ! . ; IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, 1 ^ and these presents to be subscribed by a majority of the said Board as of this date. �� ,,,"",' -__ John M. Bredemeyer, III-Absent //\\\,,: • ,�'�guFFO��- / l ,,' c\ ,., ,_,._ ‘-,-;;(-1,/,,IL, I am ____ii _ , s .r a •, ..,, ( -...... G ...., ., _ _ ____ , _ __ crl,,,,,,,, _ .. _ /r 1\ L1 ` . - \1k /7 \ II \ � /It\ • TERMS AND CONDITIONS The Permittee, Robert Pellegrini, residingat 4515 Stillwater Avenue,Cutchogue,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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. 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 III,President ,."$*�F SOL, 1, - Town Hall Annex Michael J. Domino,Vice-President �� ,`O l0 ; 54375 Main Road P.O. Box 1179 James F. King,Trustee ill • Southold,New York 11971-0959 Dave Bergen,Trustee COQ ob Telephone(631) 765-1892 Charles J.Sanders,Trustee Oly�,�Ulgel Fax(631) 765-6641 .•egg BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 23, 2014 Mr. Ural Talgat Samuels & Steelman Architects 25235 Main Road Cutchogue, NY 11935 RE: ROBERT PELLEGRINI 4515 STILLWATER AVENUE, CUTCHOGUE SCTM# 137-3-4 Dear Mr. Talgat: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 23, 2014 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of ROBERT PELLEGRINI 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 June 18, 2014, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit on structures; the existing deck at bottom of bank to be downsized to 100sq.ft.; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 23, 2014, at which time all interested persons were given an opportunity to be heard, and, 2110 • WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of ROBERT PELLEGRINI for the existing two-story (2,250sq.ft.) residence with three attached (180sq.ft.) covered porches to remain; existing glass enclosed structure attached to residence to be removed and replaced with a new wood framed (118sq.ft.) structure with gutters to leaders to a drywell; existing (790sq.ft.) decks attached to waterside of residence to remain and reconstruct in-place as required a +/-13' area adjacent to the new construction; existing driveway, parking areas, and 4' wide walkway to remain; reconstruct in-place existing 4'x24' stairs and walkway connected to deck at top of bank leading to a 4'x9' platform and 4'x8' stairs; deck at bottom of bank to be reconstructed to 100sq.ft.; existing 4'x43' elevated wood walkway leading from elevated deck to 3'x12' adjustable ramp and 6'x20' floating dock are to be reconstructed in-place; and a line of hay bales with silt fencing to be installed prior to construction along top of bank; and as depicted on the site plan prepared by Samuels & Steelman Architects, last dated July 24, 2014, and stamped approved on July 29, 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: $808.00 Very truly yours, 7//t;_ej,,,,,c) Michael J. Domino Vice-President, Board of Trustees S John M. Bredemeyer Ill, President ,. S���Q��,`= Town Hall Annex Co Michael J. Domino, Vice-President oy 54375 Route 25,P.O. Box 1179 James F. King ; t Southold,NY 11971 Charles J. Sanders07-��,�'1 Telephone(631)765-1892 Dave Bergen . * �ai''' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Samuels & Steelman Architects for Robert Pellegrini Please be advised that your application dated 6/18/14 has been reviewed by this Board at the regular meeting of 7/23/14 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project XX Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) 1/2 Constructed ($50.00) XX Final Inspection Fee ($50.00) XX 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: Pre-Construction Fee- $50.00 Final Inspection Fee- $50.00 Dock Fees (seaward of AHW): 4'x20' fixed dock= 80sq.ft. x $3.00/sq.ft.= $240.00 3'x12' ramp= 36sq.ft. x $3.00/sq.ft.= $108.00 6'x20' float= 120sq.ft. x $3.00/sq.ft.= $360.00 TOTAL FEES DUE: $ 808.00 BY: Michael J. Domino, Vice-President Board of Trustees Robert Pellegrini 11 4515 Stillwater Avenue,Cutchogue SCTM#137-3-4 7/16/14 ': �1, ti }r i V / 1 "k`/r F r - --..... + . , N - mssi a 1 v•. • % 44*7. , .fir ,.y- YI . - tito'------1 f, >> ^"-. --,----" . t r • iBFi _ ,e� 'V' • it ,y-r _ k `; y-� . � _ \, , S`4. t ....... Fr ,..,. fif‘t .,• .,' Robert Pellegrini 515 Stillwater Avenue,Cutchogue _ SCTM#137-3-4 ....,:'-:-.- --',. /16/14 !----i-.:1-41--,.7., \ obk,gie - ..,..... , . ..,. _ , . - :404A Vire .-"1 ' F..., r....;0.X • 7-:.-..•,..... ."''.* '4,-,..,--,,-- -.., iNglw- .„,„,,, ,, . illearre- .1. - :::.'• . ,-1.' 41,111. "",..'...' ,04. % _ . 40 P ,--40r--- .... _ - .... . ..,--... FP ... , _ 2 4'414t6Ats• :1060:- / - - ..... -., ...— -•,..,-- se. •410.- . ...,•30.,.......T...., 4, -- - •r` ap- ..,-- ... • . - , _.,---- it .4.liiit Or _ ...... - _ . - 'ik, A''''* e.•,, bAt." '!..' 1,::4' ...,1 110**00111M, ,. )4Whitt ...... . ifiri' 41' - h. 6 , Vii 7� r rliiiig� wi s �y s, z , d$ y`. -• ♦ Y r- • 'liar 'r .? - 999777 jop V{ F c ti y tit _r , - I • , 'a —' 04,4,4 41, . t} =wme. tnRrpfi, r11-11/1-," r MIN it _ _ .. /'• ' --�rJv ws:- ei, 1IOW 11101010 / -� z ot. 4k '► a qr ' � ,A , R ,, ty4. , ;fi e ar, 4911.4.110"."'� rr a ' a. 4 - • V f °SF /r d t , ^ti Robert Pellegrini G x ° f ,1 '6 °' ,; • Ault 4 " '515 Stillwater Avenue,Cutchogue a { CTM#137-3-4 ' ``' " �"� .�� .�,�, ,e , r /16/14 � `",� , v f � ' _: <t'tik.Yl * John Bredemeyer, President ,s"$uFFat�-;; Town Hall Annex Michael J. Domino, Vice-President 4 os\-` 54375 Route 25 James F. King v + i P.O. Box 1179 Charles J. Sanders c ",� Southold, NY 11971 Dave Bergen °yo! ,� a°�' 1 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 7 1 6 it t Samuels & Steelman Architects on behalf of ROBERT PELLEGRINI requests a Wetland Permit for the existing two-story (2,250sq.ft.) residence with three attached (180sq.ft.) covered porches to remain; existing glass enclosed structure attached to residence to be removed and replaced with a new wood framed (118sq.ft.) structure with gutters to leaders to a drywell; existing (790sq.ft.) decks attached to waterside of residence to remain and reconstruct in-place as required a +/-13' area adjacent to the new construction; existing driveway, parking areas, and 4' wide walkway to remain; reconstruct in-place existing 4'x24' stairs and walkway connected to deck at top of bank leading to a 4'x9' platform and 4'x8' stairs; reconstruct in-place existing 12'x16' elevated deck at bottom of bank; existing 4'x43' elevated wood walkway leading from elevated deck to 3'x12' adjustable ramp and 6'x20' floating dock are to be reconstructed in-place; and a line of hay bales with silt fencing to be installed prior to construction along top of bank. Located: 4515 Stillwater Avenue, Cutchogue. SCTM# 137-3-4 Type 9f 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 Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: (' r /` /� /� �.{. , I ►'1 wee :c o-, �ao�/ Cd mss s�cX-cam✓ 4"'r co'F-•.n/ � MoLdifications: ; f)Th �� k, S r � � � e�:dan (�� /� Tn x Iry S4 • Conditions: Present Were: J. Bredemeyer <A01. Domino riKing Sanders Bergen Bay Constable Other Form filled out in the field by r) , Mailed/Faxed to: Date: , ft ft '` - F1f ,la y , Y 4, Iry l ��isC`f y, . y e m. a — e. ",a.> t`� Q a hu ?r: PELLEGRINI RESIDENCE, 4515 STILLWATER AVE 4/22/14, 2:14 pm, View Southwest L 3 , `i a ry PELLEGRINI RESIDENCE, 4515 STILLWATER AVE 4/22/14, 2:14 pm, View Northeast V4111 ` R n I : • s 4,0•?laws. ‘....0., t.._ ,7_ 4 ,, laz i,* 4*Ott fr ( t; i/,ltipvt.14.1 ,s. :6�� �° � ?� � ��afa , rte' 104 A , ,�' 1 tit. k 4 .:-'1,11; - .: �� Fn, 111* c,. 3 ..- ,,-:: ., '" . `t,,_` .. a r. "' i � y z z f r j4*°r fig ' " n PELLEGRINI RESIDENCE 4515 STILLWATER AVE 4/22/14, 2:14 pm, View North �, . .. ,j • • ---'" 1 ,, f ,rP� . - - • .. t p Y `� ", ' xaxw ..n' "C.' PELLEGRINI RESIDENCE, 4515 STILLWATER AVE 4/22/14, 2:14 pm, View South it ;, ,,' - ' ,,, a " `e d' ..,•1" tr,�-r', • a r R ' '...----4,. y�li `l J.,. orf-,,,,....., 015 -- .•'% p•''r ,` ?e* r..:.,,. V `,A . , 1 l ir J X. 'ry 4 t 'X, - $ t _ , ..,,1,,i' ,.".. 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' Ro. a 4011101A.\ �N O 11\10114, y 10° illi . 9grill1/41•40 N Ew.,.— —�— "' — 1]t '-"' O _ ....�"' --=_ ""_ __"__ 2-----4===- „ '^ NOTICE 9"""�• COUNTY OF SUFFOLK © x *w.�e. aouaaorn sscnoNNO c,, — ""` _ _ _ _ _ Real Property Tax Service Agency ... Hw,._ — ww.� —- �,r__.__ a ,��� E. .. ..„c.wrRe.n..e.Rr„ew E timed 137 O....�. a so.. rarN• I wu w _-�-- • wr.owu -rw-- arrNs wnww zc y.9P 'G V uerwciP. tem PROPERTY MAP . 0 ..,, 0 ili g SOU 7 OFFICE LOCATION: /i $� y, - MAILING ADDRESS: Town Hall Annex /f°AO 4 P.O. Box 1179 54375 State Route 25 ; % Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 ...:P. Q %t Telephone: 631 765-1938 -\ $ Fax: 631765-3136 `%._MOUNT( ... i•S LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM F - +i LTo: John Bredemeyer, President AUL 2 1 2014 Town of Southold Board of Trustees From: Mark Terry, Principal Planner 61 LWRP Coordinate . ,_..... Date: July 21, 2014 Re: Proposed Wetland Permit for ROBERT PELLEGRINI SCTM# 1000-137-3-4 Samuels & Steelman Architects on behalf of ROBERT PELLEGRINI requests a Wetland Permit for the existing two-story (2,250sq.ft.) residence with three attached (180sq.ft.) covered porches to remain; existing glass enclosed structure attached to residence to be removed and replaced with a new wood framed (118sq.ft.) structure with gutters to leaders to a drywell; existing (790sq.ft.) decks attached to waterside of residence to remain and reconstruct in-place as required a +/-13' area adjacent to the new construction; existing driveway, parking areas, and 4'wide walkway to remain; reconstruct in-place existing 4'x24' stairs and walkway connected to deck at top of bank leading to a 4'x9' platform and 4'x8' stairs; reconstruct in-place existing 12'x16' elevated deck at bottom of bank; existing 4'x43' elevated wood walkway leading from elevated deck to 3'x12' adjustable ramp and 6'x20'floating dock are to be reconstructed in-place; and a line of hay bales with silt fencing to be installed prior to construction along top of bank. Located: 4515 Stillwater Avenue, Cutchogue. SCTM# 137-3-4 It is recommended that the Board clarify the regulated feature. Setbacks are proposed from the approximate high water mark, however, a top of bank is also shown on the survey. It is my recommendation that the proposed actions are INCONSISTENT with LWRP Policy 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. • • The below structures described were not constructed pursuant Board of Trustee review or a Chapter 275 Wetland Permit. In 1984 the Board of Trustees issued a "grandfather" permit (1892)for a stair and 68' long dock structure. The steps and dock are not in compliance with the 1984 permit. The steps are configured differently and are attached to a deck. The dock is also now 76' long; 8' longer than the permitted structure (with estimated original float dimensions of 6'x20'). 275-11 Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: Pursuant to Chapter 275 Wetlands and Shorelines, the proposal to re-construct the 192 square foot deck seaward of the bottom of the bank is not a permissible action. If the deck is determined to be a platform associated with stairs it may not be larger than 100 square feet. If it is determined not to be associated with stairs it must be landward of the top of bluff. Further, I could not locate Chapter 275 Wetland Permits for the glass enclosed structure etc... Construction plans for the steps and dock have not been provided and should be submitted for review. 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 • r,�r' • gpFFOL,p'- -1a; Peter Young,Chairman i Town Hall,53095 Main Rd. Lauren Standish, Secretary * ' P.O.Box 1179 ►` Southold,NY 11971'$p �0�,►� Telephone(631)765-1892 ' 1 * 4,11 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Thurs., July 17, 2014 the following recommendation was made: Moved by Jack McGreevy, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of ROBERT PELLEGRINI to remove and replace existing glass enclosed structure attached to the existing dwelling with a new wood framed structure; install new drywell north of existing dwelling for rainwater run-off from new wood framed structure; reconstruct decks, in place, as required in areas adjacent to the new construction of the existing glass enclosed structure; reconstruct existing stairs, walkway and platform leading to existing deck at bottom of the bank; reconstruct existing elevated deck at bottom of bank; reconstruct existing elevated wood structure walkway leading from elevated deck to adjustable ramp, as required; reconstruct existing adjustable ramp and floating dock, in place, as required. Located: 4515 Stillwater Ave., Cutchogue. SCTM#137-3-4 Inspected by: Peter Young The CAC Supports the application, however, questions whether the large deck (12'X 16') at the bottom of the bank is intrusive to stability of the bank and whether replacement is warranted in managing our coastal resources. Vote of Council: Ayes: All D E C Motion Carried '-1 JUL 1 8 2014 I • James F. King,Presidento".*�����OF SQ(jjy' Town Hall Annex a • 54375 Main Road Bob Ghosio,Jr.,Vice-President , ,`O l0 P.O.Box 1179 Dave Bergen � �` Southold,New York 11971-0959 John Bredemeyer o Telephone(631) 765-1892 Michael J.Domino t44 I�� Fax(631) 765-6641 "-- BOARD OF TOWN TRUSTEES [ I TOWN OF SOUTHOLD Ju 19 2014 LJ To: Southold Town Building Department L,UG. DEPT. Re: Verification of Building Department Permit Requirements T'' cir sour"o D SCTM#: 1 3 7 - 3 - / Property Owner Name: Robe-i- Pe l e (',`n i Date Sent to Bldg. Dept.: 6//01/ 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? V Will the proposed project require a variance determination on from. the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of Reviewer��~ Date • 4110 1, cst 800 John M. Bredemeyer III,President o'' Town Hall Annex Michael J.Domino,Vice-President ,k 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 ix k Dave Bergen,Trustee , Charles J.Sanders,Trustee \, .;=%,, bTelephone(631)765-1892 ; k 01'1` Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLDD ', ___ - 1- .r Office Use Only �1 LAM1 8Co2014_i 1/__Wetlanastald PermitErosion ApplicationPermitApplication Administrative Permit / Amendment/Transfer/Extension V Received Application: 4P1 / 4 B dr i l' , . V Received Fee:$��v, M� Completed Application_&A _ _Incomplete___ _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ,, LWRP Consistency Assessment Form 11 )y it CAC Referral Sent: mmm A- ,Date of Inspection:_ _7 /b//� _Receipt of CAC Report: Lead Agency Determination: ,,,,Technical Review: Public Hearing Held: 77;:z I Resolution: Name of Applicant ROBERT PELLEGRINI Mailing Address 4515 STILLWATER AVENUE,CUTCHOGUE,NY 11935 Phone Number:( ) 631-734-6346 Suffolk County Tax Map Number: 1000- 137-03-4 Property Location: 4515 STILLWATER AVENUE, CUTCHOGUE,NY 11935 275 feet Northwest to Track Avenue (provide LILCO Pole#,distance to cross streets, and location) AGENT: Jf / 41r!'_i _`► ____ (rAteAi C__Z - (If applicable) ,�/ Address: .S l? / ifi� -��'f _-� - -D--------- _Ca_ /Arid1,-4 Phone: 7 -f--- .0pirki,),5 • • Board of Trustees Application GENERAL DATA Land Area(in square feet): 31,964 S.F. Area Zoning: R-40 Previous use of property: Residence - Single Family Intended use of property: Residence - Single Family 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 X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): EXISTING GLASS ENCLOSED STRUCTURE TO BE REMOVED AND /� `' REPLACED WITH A NEW WOOD FRAMED STRUCTURE, ( s �j(' >c (( / EXISTING WOOD STAIRS AND DECKING TO FLOATING DOCK TO BE REPAIRED r ' fi()n EXISTING, TWO STORY (2,250 5F) RESIDENCE WITH THREE ATTACHED (180 5F) COVERED PORCHES TO REMAIN. EXISTING, GLASS ENCLOSED STRUCTURE, ATTACHED TO THE EXISTING MAIN RESIDENCE, TO BE REMOVED AND REPLACED WITH A NEW WOOD FRAMED (115 SF) STRUCTURE. C ,11 EXISTING, DRIVEWAY AND PARKING, AREAS TO REMAIN. EXISTING, WALKWAY FROM DRIVEWAY TO RESIDENCE TO REMAIN. NEW (5 FT WIDE, 4 FT DEEP) UNDERGROUND DRYWELL, TO BE INSTALLED NORTH OF THE EXISTING, RESIDENCE, WITH UNDERGROUND PIPING, FROM NEW GUTTERS AND DOWNSPOUTS, FOR RAINWATER ROOF RUNOFF, FROM NEW WOOD FRAMED STRUCTURE. • PROVIDE (2 FT WIDE x 10 FT LONG') (TEMPORARY EROSION CONTROL MEASURE) HAY BALES 4 SILT FENCE, DURING, CONSTRUCTION, AT TOP OF BANK, BETWEEN TOP OF BANK AND NEV CONSTRUCTION AT RESIDENCE. EXISTING (1410 5F) DECKS ATTACHED TO THE WATER SIDE OF THE MAIN RESIDENCE TO REMAIN - RECONSTRUCT DECKS, IN PLACE, A5 REQUIRED, (+/- 15 FT) IN AREAS ADJACENT TO THE NEW CONSTRUCTION OF THE EXISTING &LASS ENCLOSED STRUCTURE. EXISTING (4 FT WIDE, 24 FT LONG') STAIRS AND WALKWAY, AND (4 FT WIDE, q FT LONG') PLATFORM, AND (4 FT WIDE, S FT LONG') STAIRS, WATER SIDE OF THE MAIN RESIDENCE, FROM EXISTING DECK ATTACHED TO RESIDENCE, LEADING TO EXISTING DECK AT THE BOTTOM OF THE BANK TO BE RECONSTRUCTED, IN PLACE, AS REQUIRED. EXISTING, (12 FT x 16 FT) ELEVATED DECK, AT THE BOTTOM OF THE BANK, TO BE RECONSTRUCTED, IN MI5. P64,4eE- EXISTING, (4 FT WIDE, 43 FT LONG) ELEVATED WOOD STRUCTURE WALKWAY LEADING, FROM ELEVATED DECK TO ADJUSTABLE RAMP TO BE RECONSTRUCTED, IN PLACE, AS REQUIRED. EXISTING (3 FT WIDE, 12 FT LONG) ADJUSTABLE RAMP AND (6 FT WIDE, X 20 FT LONG) FLOATING, DOCK TO BE RECONSTRUCTED, IN PLACE, A5 REQUIRED. • Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: EXISTING GLASS ENCLOSED STRUCTURE TO BE REMOVED AND REPLACED WITH A NEW WOOD FRAMED STRUCTURE, EXISTING WOOD STAIRS AND DECKING TO FLOATINCLDQCK TO BE REPAIRED Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 Closest distance between nearest existing structure and upland edge of wetlands: 58.83' feet Closest distance between nearest proposed structure and upland edge of wetlands: 58.83' feet Does the project involve excavation or filling? X 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: 1-5% 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): None • 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -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 ROBERT PELLEGRINI Name of Action or Project: PELLEGRINI RESIDENCE Project Location(describe,and attach a location map): 4515 STILLWATER AVENUE, CUTCHOGUE,NY 11935 Brief Description of Proposed Action: EXISTING GLASS ENCLOSED STRUCTURE TO BE REMOVED AND REPLACED WITH A NEW WOOD FRAMED STRUCTURE,EXISTING WOOD STAIRS AND DECKING TO FLOATING DOCK TO BE REPAIRED Name of Applicant or Sponsor: Telephone: 631 734 6346 ROBERT PELLEGRINI E-Mail: Address: 4515 STILLWATER AVENUE City/PO: State: Zip Code: CUTCHOGUE NY 11935 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that l 3l 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: Southold Town Building Permit, [ I I 3.a.Total acreage of the site of the proposed action? 0.733 acres b.Total acreage to be physically disturbed? 0_Q02z acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.733 acres 4. Check all land uses that occur on,adjoining and near the proposed action. Urban Rural(non-agriculture) D Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic DOther(specify): DParkland Page 1 of 4 EXISTING TWO STORY (2,250 SF) RESIDENCE WITH THREE ATTACHED (150 5F) COVERED PORCHES TO REMAIN. EXISTING GLASS ENCLOSED STRUCTURE, ATTACHED TO THE EXISTING, MAIN RESIDENCE, TO BE REMOVED AND REPLACED WITH A NEW WOOD FRAMED (II8 5F) STRUCTURE. 011 EXISTING DRIVEWAY AND PARKING AREAS TO REMAIN. EXISTING WALKWAY FROM DRIVEWAY TO RESIDENCE TO REMAIN. NEW (5 FT WIDE, 4 FT DEEP) UNDERGROUND DRYWELL, TO BE INSTALLED NORTH OF THE EXISTING RESIDENCE, WITH UNDERGROUND PIPING FROM NEW GUTTERS AND DOWNSPOUTS, FOR RAINWATER ROOF RUNOFF, FROM NEW WOOD FRAMED STRUCTURE. • PROVIDE (2 FT WIDE x 10 FT LONG) (TEMPORARY EROSION CONTROL MEASURE) HAY BALES 4 SILT FENCE, DURING CONSTRUCTION, AT TOP OF BANK, BETWEEN TOP OF BANK AND NEW CONSTRUCTION AT RESIDENCE. EXISTING CIAO SF) DECKS ATTACHED TO THE WATER SIDE OF THE MAIN RESIDENCE TO REMAIN - RECONSTRUCT DECKS, IN PLACE, A5 REQUIRED, (+/- 15 FT) IN AREAS ADJACENT TO THE NEW CONSTRUCTION OF THE EXISTING GLASS ENCLOSED STRUCTURE. EXISTING (4 FT WIDE, 24 FT LONG) STAIRS AND WALKWAY, AND (4 FT WIDE, Q FT LONG) PLATFORM, AND (4 FT WIDE, 8 FT LONG) STAIRS, WATER SIDE OF THE MAIN RESIDENCE, FROM EXISTING DECK ATTACHED TO RESIDENCE, LEADING TO EXISTING DECK AT THE BOTTOM OF THE BANK TO BE RECONSTRUCTED, IN PLACE, AS REQUIRED. • EXISTING, (12 FT x 16 FT) ELEVATED DECK, AT THE BOTTOM OF THE BANK, TO BE RECONSTRUCTED, IN ato. �C EXISTING (4 FT WIDE, 43 FT LONG) ELEVATED WOOD STRUCTURE WALKWAY LEADING FROM ELEVATED DECK TO ADJUSTABLE RAMP TO BE RECONSTRUCTED, IN PLACE, AS REQUIRED. EXISTING (3 FT WIDE, 12 FT LONG) ADJUSTABLE RAMP AND (6 FT WIDE, X 20 FT LONG) FLOATING DOCK TO BE RECONSTRUCTED, IN PLACE, AS REQUIRED. • • 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? X (� 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? D D..... 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: S. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES El b.Are public transportation service(s)available at or near the site of the proposed action? EJ El c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? (j 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: El El 10. Will the proposed action connect to an existing public/private water supply? NO YES 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: ON SITE SEPTIC SYSTEM... F 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO (YES L..1, Places? C 1. b. Is the proposed action located in an archeological sensitive area? 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? D If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®Shoreline ❑Forest ❑Agricultural/grasslands El Early mid-successional ❑ Wetland 0 Urban [2Suburban 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? El El 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, �( [5(a.Will storm water discharges flow to adjacent properties? ®NO DYES I 1 b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ®YES Storm water from roof runoff wiThbe piped into undergrounds on site, dryweiIs Page 2 of 4 • s 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: 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: I" I 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: 11' l E I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor ame To Samuels Date: 5/22/2104 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 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? I 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 171 8. Will the proposed action impair the character or quality of important historic,archaeological, 121/ [—` architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, tJ m waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 0 • 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? Igi ❑ 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. LCheck 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. 1 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 "7///// ‘ Name of Lead ency Date ( Q J___ ry m ,yi-,o President t/• Print o Type Name of Responsi Ie Office r p Officer in Lead Agency Title 4Responsible Officer Signature of Responsib e Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 I • .,'a, 4- Town of Southold ( e y Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM �j� �---_,�}. ,, PROPERTY LOCATION: S.C.T.M.tr: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A -%;`''rt `P', '' STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN ," District Sxf o –Ma— t CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT YesNo a. What is the Total Area of the Project Parcels? 31,964 S.F. 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within 0.733 AC. Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all run-off created by site bE:i. What is the Total Area of Land Clearing 118 S.F.ss) clearing and/or construction activities as well as all X and/or Ground Disturbance for the proposed00027AC. Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F./Acres) Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Prmnde Addlemel Pager"Needed) 2 Does the Site tunPlae Indic SurveySiShow caAll ion?This Drainage Structures Indicating Size&Location?This X Item shall include all Proposed Grade Changes and EXISTING GLASS ENCLOSED STRUCTURE Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion TO BE REMOVED AND REPLACED WITH and sediment control practices that will be used to X Ej control site erosion and storm water discharges. This A NEW WOOD FRAMED STRUCTURE, item must be maintained throughout the Entire Construction Period. EXISTING WOOD STAIRS AND DECKING 4 Will this Project Require any Land Filling,Grading or TO FLOATING DOCK TO BE REPAIRED Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards Q X of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities 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 General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or "— Submission of a SWPPP is required for all Construction activities Involving soil Beach? disturbances of one(1)or more acres; Including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to X including Construction activities Involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off X 1.The SWPPP shall be prepared prior to the submittal of the NOT.The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. , 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any X constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit,In addition,the SWPPP shall Area?(This Item will NOT Include tat Installation of Driveway Aprons.) Identify potential sources of pollution which may reasonably be expected to effect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice ins Box and the construction site disturbance Is between 5,000 S.F.&1 Acre In area, component shall be prepared by a qualified Design Professional Licensed In New York a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Chedc Mark(.►)and/or Answer for eech Question Is Required for a Complete Application) STATE OF NEW YORK, COUNTY OF 0 ..... ..W.7"—.............. SS 'That I, ROBERT PELLEGRINI being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the OWNER (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have peiformed the said work and to make and file this application;that all statements contained in this application are r o ,e best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed h: -with. Sworn to before me this; n/� nA 30 day f f" . ,20.J. /4/� .moi Notary Public. .............. (Signature pp`ant) ...... (Signature of Applicant) FORM - 06/10 • °i '' 7:,,q1,6"' y5a*,$34d4;L;l 1;; . No.4908712 ttatated in Suffolk Co7.1i1+F Noltitthan Ficpime clef. i P j • • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: gobesd AhfQ --Jc fl) (Pnk) L L/3O §h } it e c victitgetaiot 24S L Ge h Gam G ii C yvi `-608— S-4I1 wcd-.ems dzd-Store STATE OF NEW YORK COUNTY OF SUFFOLK ,� plc e' g 9i3QG�IL ( � , residin at , , being duly sworn, deposes and says that on the day of �) , 20 J , deponent mailed a true copy of the Notice set forth in the Board of Trustees Applidation, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll •f the Town of Southold; that said Notices were mailed at the United States Post Office at • r ..A.s , that said Notices were mailed to each of said persons by CERTIFIED • I I:. TURN RECEIPT. . .� 12.11" lv 4 Sworn toefgre me thi 20 Day of‘j , t-4 4' -`) Notary Public CONSTANCE LI$OW1 NOTARY PUBLIC-STATE OP NEW YORK No. 01L16110900 Qualt(AdIn Suffolk County My tonrenidton Ex Use June 01. 2016 • • U.S. Postal Service U.S. Postal Service CERTIFIED MAIL, RECEIPT CERTIFIED MAILt�,, RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) co (Domestic Mail Only;No Insurance Coverage Provided) —0 For delivery information visit our website at www.usps.comc, 0 For delivery information visit our website at www.usps.com,; '� $1.40 0935 ra Postage $ $1.40 0935 Postage $ rq r-4 Certified Fee $3.30 Certified Fee $3.30 04 .,. t1J Postmark Planark r.p 0 Return Receipt Fee y/ Here �\ Retum Receipt Fee z.70 �re �. 0 (Endorsement Required) $2.70 aru ci (Endorsement Required) , {�} Restricted Delivery Fee ��� I _8 Restricted Delivery Fee ��� J 0 (Endorsement Required) 0 (Endorsement Required) Total Postage&Fees $ #7.40 % -� Total Postage&Fees $ �'7•� Sent eert P.Annabel ecce L Plimpton 0 Sent 0 Sent o ra oann Prince ra 5 Beech St. I= Stree Ptd. ; City, NY 11530 0 re�o$tillWater Ave. r` orP � StorP City,.qty eyt tit,'ue, NY 11935 City,State,ZIP+4 PS Form X3800.August 2006 See Reverse for Instructions PS Form 3800 August 2006 Sec Rcv eree tot Inch erti,,r. U.S. Postal Service, ' CERTIFIED MAIL,,, RECEIPT `o r` (Domestic Mail Only;No Insurance Coverage Provided) 0 For delivery information visit our website at www.usps.comi, ra Postage $ $1.40 0935; r1 Certified Fee $3.30 04 Z ruPo�ark 0 Return Receipt Fee / were (S CI (Endorsement Required) $2.70 r Restricted Delivery Fee �' 0 $0.$0.00(Endorsement Required) • `-Ug J/ t` .-1:1 Total Postage&Fees $ $7.40 t'•\\\:Lp,,r .• ra Walter& Deborah Wilm 0 Sent To ra 4605 Stillwater Ave. F2 !=t41.6ho gue, NY 11935 City,State,ZIP+4 PS Form 3Rf7O A rje,!'1116 tiee Rescue tot Instructions • • John Bredemeyer, President "guFFot" Town Hall Annex Michael J. Domino, Vice-President ;';�o`° coe:s. 54375 Route 25 James F. King P.O. Box 1179 Dave Bergen o 47,,; Southold, NY 11971 Charles J. Sanders 'y'��i , , �a°��'' 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 ROBERT PELLEGRINI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, 1,11-Ca- �c G3 , residing at/dba f tal (3 _ 40- 9 io4-/ 77 being duly sworn, depose and say: That on the Si day of)0 , 20 , I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, July 23,2014. Dated: --N / "J / .Ii (signature) Sworn to before me is day ofjUit 20 •1V h t Notary Public NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. • For the existing two-story (2,250sq.ft.) residence with three attached (180sq.ft.) covered porches to remain; existing glass enclosed structure attached to residence OWNER(SIOF RECORD: to be removed and replaced with a new wood framed (118sq.ft.) structure with gutters to leaders to a drywell; • 010 er+ Petkerwm existing (790sq.ft.) decks attached to waterside of residence to remain and reconstruct in-place as required SUBJECT OF PUBLIC HEARING- a +/-13' arpea adjacent to tahnedn4- r wicpeonwstarulkcwtioany;t0remaindnvewaY reconstruct in-place existing 4'x24' stairs and walkway connected to deck at top of bank leading to a 4'x9' platform and 4'x8' stairs; reconstruct in- place existing 12'x16' elevated deck at bottom of bank; exing 4'x43' elevated wood walkway heading from elevated deck to 3'x12' adjustable ramp and 6'x20floating dock are to be reconstructed in-place, and a tine of hay bales with silt fencing to be installed prior to construction along top of bank. TIME & DATE OF PUBLIC HEARING: kka,Aes.c6,y, 57A ly 073 &+ or co3o,..cf Sis 30 PM If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 • Board of Trustees Application County of Suffolk State of New York ROBERT PELLEGRINI 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 WIT ' 1W OF THIS APPLICATION. ,//A& .4 Si_ ature of Property Owner SWORN TO BEFORE ME ' • S DAY OF _ ,20 r Notary Public us.itatitt 4410011404.04601 " A M Riami._ V -6K w� ,140.1 ., 44. �`.x t l ` f,g 7/) i0)411� • • Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) ROBERT PELLEGRINI 4515 STILLWATER AVENUE residing at _ (print owner of property) (mailing address) CUTCHOGUE,NY 11935do hereby authorize (Agent) Tom Samuels to apply for permit(s) from the Southold B. • o ' own Trustees on my behalf. (•wne s s'_ attire) • . APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: ROBERT PELLEGRINI (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X 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 applicant/agent/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 shams 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.RELATIONSHIP Submitted thisll day of 6" i' 200/ Signature /.t.: Print Name t' • ER_ _'_ __ i ► Form TS 1 P EXISTING TWO STORY (2,250 SF) RESIDENCE WITH THREE ATTACHED (I60 5F) COVERED PORCHES TO REMAIN. EXISTING GLASS ENCLOSED STRUCTURE, ATTACHED TO THE EXISTING MAIN RESIDENCE, TO BE REMOVED AND REPLACED WITH A NEW WOOD FRAMED (I I6 SF) STRUCTURE. 7(1-. 011 EXISTING DRIVEWAY AND PARKING AREAS TO REMAIN. EXISTING WALKWAY FROM DRIVEWAY TO RESIDENCE TO REMAIN. NEW (6 FT WIDE, 4 FT DEEP) UNDERGROUND DRYWELL, TO BE INSTALLED NORTH OF THE EXISTING RESIDENCE, WITH UNDERGROUND PIPING FROM NEW &UTTERS AND DOWNSPOUTS, FOR RAINWATER ROOF RUNOFF, FROM NEW WOOD FRAMED STRUCTURE. • PROVIDE (2 FT WIDE x 10 FT LONG) (TEMPORARY EROSION CONTROL MEASURE) HAY BALES 4 SILT FENCE, DURING CONSTRUCTION, AT TOP OF BANK, BETWEEN TOP OF BANK AND NEW CONSTRUCTION AT RESIDENCE. EXISTING (7410 SF) DECKS ATTACHED TO THE WATER SIDE OF THE MAIN RESIDENCE TO REMAIN - RECONSTRUCT DECKS, IN PLACE, A5 REQUIRED, (+/- 15 FT) IN AREAS ADJACENT TO THE NEW CONSTRUCTION OF THE EXISTING GLASS ENCLOSED STRUCTURE. EXISTING (4 FT WIDE, 24 FT LONG) STAIRS AND WALKWAY, AND (4 FT WIDE, q FT LONG) PLATFORM, AND (4 FT WIDE, 6 FT LONG) STAIRS, WATER SIDE OF THE MAIN RESIDENCE, FROM EXISTING DECK ATTACHED TO RESIDENCE, LEADING TO EXISTING DECK AT THE BOTTOM OF THE BANK TO BE RECONSTRUCTED, IN PLACE, AS REQUIRED. EXISTING, (12 FT x 16 PT) ELEVATED DECK, AT THE BOTTOM OF THE BANK, TO BE RECONSTRUCTED, IN Are. �C EXISTING (4 FT WIDE, 45 FT LONE) ELEVATED WOOD STRUCTURE WALKWAY LEADING FROM ELEVATED DECK TO ADJUSTABLE RAMP TO BE RECONSTRUCTED, IN PLACE, AS REQUIRED. EXISTING (5 FT WIDE, 12 FT LONG) ADJUSTABLE RAMP AND (6 FT WIDE, X 20 FT LONG) FLOATING DOCK TO BE RECONSTRUCTED, IN PLACE, AS REQUIRED. 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 evaluatedas 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 supportive 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# 137 _ 03 .. 4 PROJECT NAME PELLEGRINI RESIDENCE The Application has been submitted to(check appropriate response): �-- Town Board 11 Planning Board❑ Building Dept. fl Board of Trustees EX 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) C (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Q Nature and extent of action: A� P ri i4 EXISTING GLASS ENCLOSED STRUCTURE TO BE REMOVED AND REPLACED ----''— K/6)4- I ( I WITH A NEW WOOD FRAMED STRUCTURE,EXISTING WOOD STAIRS AND DECKING TO FLOATING DOCK TO BE REPAIRED 1111 1111 Location of action: 4515 STILLWATER AVENUE,CUTCHOGUE,NY 11935 Site acreage: 31,964 S.F. 0.733 AC. Present land use: RESIDENTIAL Present zoning classification: R-40 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: ROWERT PELLEGRINI (b) Mailing address: 4515 STILLWATER AVENUE, CUTCHOGUE,NY 11935 (c) Telephone number: Area Code( ) 631-734-6346 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes [1 No t1 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 n No ❑X 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 13-Ci Not Applicable • There are no historic or archeological structures on property. 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 X Yes No ❑ Not Applicable Building structure replacement is in keeping in style and scale of neighboring structures. Repair of the existing deck structure is in keeping in style and scale of neighboring structures. 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 C No a Not Applicable Attach additional sheets if necessary Policy S. 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 X❑Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. I Yes No Not Applicable No development will take place in the"protected"or"natural indiginous environment". 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. n Yes fl No Not Applicable The development will not add pollutants into the air. 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. El Yes Yes LI No l Not Applicable Demolition of the existing glass structure 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. 1 YeLl No 0 Not Applicable No public land involved. Littoral access unimpeded. Attach additional sheets if necessary • WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. Yes No ] Not Applicable There are no public or commercial activities or uses on site. Historically this property and neighboring properties are residential in use and will remain residential. Attach additional sheets if necessary 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. 1'1 Yes No ❑ Not Applicable This project will protect and preserve the living marine resources by maintaining all rainwater discharge and sanitary flow from the residence on site by approved SCDHS sanitary system and drywells for rainwater runoff. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 forevaluation criteria. Yes Li No I 1 Not Applicable There are no agricultural lands on site. 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. Yes No © Not Applicable The construction will be using equipment approved by the Federal government for energy usage. The residence will meet Federal standards for conserving energy "energy Star Program"and will use"NY State Energy Conservation and Construction Code"for construction of the residence. PREPARED BY Tom Samuels. TITLE Architect DATE 5/22/2014 \ \ \ \\ . SITE DATA REvIn)jsu101yN2S4::(4),z2014: 0-137-034 190 TER AVENUE sCTM # wq. -35 A STILL my 11 v 451- PROPERTY: CUTCHO CALCULATIONS FACTOR ROBERT0SLI I I fp,....Eiv:Li AL.TE EyGRRiAl iNv9I3E5N u E DRAINAGE N\ 6\ v. E6_ x RUNOFFLL = 161' 6 Cu. FT. : OWNER 451 unGUE, N OF NEW ROOF DxW RAINFALL x REA FOOL _-3 AC. CU - = 0.ii A L AREA (2/12 31,964 )1^IEL ii A SF x pq x _ ,6cf 0,..,. U.1 s OTA . TABLE31,c, DRY 41 HIGH POOL 1 1 FT. DIAMETER RING - I =D ii- 1 DIA.-i AIN R HIRJ.-FT. lE. a...,• - SITE: AREA LOT COVERAGEL. (DA ,I ) a , DR USE: ' ei 5TORrl (I) 4' X IniroED 1 6 CU. NG: R-4 Q RoV - > ZONING:SITE AREA T ...,pRcEbN4TAsf6E 6 1 '-' ,% p FT ZONE EXISTING s EXISTING- 7.0-- 16di CU. • • YOUNG, LAND Z la ,, A y TURES 50 sf ,,,,, , . YOUN ,.=NUim 0 1111 Z s DRIVE"P‘ -MUG 2,2 12. YOUNG (I1 DER Av' p T N 41991 CI 5 _ 0.5-T% SURVEYOR: n0 OS-RA NY • " 9 el US : cTION sf SURV 4- HEAD, ..., 199 a EXISTING HO _TRu 118 .55% cON 0 RIVERHEAD, 2‘ D: JUNE RE a sf 2.55% DATE RE51DENCE F HOUSE' 0 tn=r-, PORCH: - - 17 -77 sf 2% . MA I "s VEI '-' a- 5.5 < 111 EXISTING s 1 DIN Bull-. 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' ".-.-.- -.- • -, -..•F -k . •• •:,:-.ii:4:R.:i]::Hi:a%,•:?,&;...::••••••••:::-::-.:•••••••.-.,.:.•:-.••••••,::: ::...,,::: , .:.::::::.aia.:.:::,-,E:..::::-:,..:.::..:..:.. - '.•: :.1' -••••••••••,,,ignERM:': !:!.!%:,•::•:.:.,:::::-;.;:: :•-•.',R,"-c7,:,..:.:::.:::: .i:: •: :1-2:•,.:,:., ..: .. .•• , • .• • •.. . . •• .k.• . •, . :.... ... , _--- N .:'''•.]::,::.;Ait::i.:]..:.:.::.-itS:N::ttkatZi:,':;t;:R.:];::::giqRkt ;‘::?:::::. ------ ' __.--- _______ 1 C -1•:.1.:.......::..::':...,"-:::::.:;.::,::::.:::..1:::::::::: ::R:lin:H2::•. ::',::::." I 6 .---- ----- / 1 \ la ''''il.:.!..!1.,::.iiiilil..i:'C.•0:' • AO ''':;i'i:';'n'a: irgq.n....,Z:;::.:::".. __-- --7 !\ I ... E PLAN . ......... . 0e-0" i ".„..„...„ S 62.17'001 w ii = 1 1 SCALE: FORMERLY: M. Inolni LAI OR FOR ah hor 16 ' LANr),.NI,N°11-rn 4 l'e- ,.,. ',Natter ' EXISTING IVEIAlAr DR d; "jig - oung Young & Young, Land S - ipu urve ors 400 Ostrander Avenue, Riverhead, New ,York 11901. ounig 510-727-230--3 - ti,. sr ' Alden.W. Young, P.E: & L.S. (1908-1994) Xi 1 Howard W. Young, Land Surveyor Thomas C. Wolpert, Prafessionat Engineer John Sohnurr, Land Surveyor Q 1 liF41 /11 Fz fil 0.35 [_ kp { cep �,� .� o � ,0° o_ Ck• e�4 �3.ts, 1 5�• � �� S�j• 400cil 11 Netbeet�y P \ 6 . 00• e (�° AAA t/lr 17.9 .\ \ \ qS ,R, fMq<O �� V-'. 4.33''{ Bo er �6�aZp�RlF TF'YG \no p3 R ��NGE 17.14^\ Op \9� ,� 990 MqR I4vpi , (\ 'Rp}� 18.02 ; eqN -,..64.4, 5.32 - �u? 81 -56'1- a 590'C ,- 7.59 \\ 4 q i' S s VAPg z `` 111 �Ar 17.• % ''''; 15.68 4.69 • `` i d 'J, o QFC'0 03 0.2 Rte• 6 �. l�q�_ tr,Jr 17.41 .-� �O� V...�� - - e g 16.68 •04,;..,Z L0 ,404/..;06: o. OF �� ,�` 4.46 �� O G g .11•4'9• 101.5 01 5 i_BfiB- g•r G4-a't0' ry . ! i.e. .V1. OpC� 16.02 % ' \S F�p¢G / '"" X15.59 \ 1. ' BP�Q 51 fJNE 17.31 /,� } a.4 '-' / \ x" tiP ° ',9 tZ%tib o.as U! 1. 2 O� /� •,d a�s`�'t' 4' ; ,d 13.88 � 1�.� � t�• s �'0� % n ;a^ N i\' No ' o42 0� E``ad /'' G Ply / / - + 18.0o�: dam EP k� roti ..- 'A ♦$ e\°G �� - '� F N, O Y + 16.49 ./ + t ' - 5.94 s2 /o �N ,,- -- AREA = 31,9fi4 SQ. FT. M J 17. 16.76 F \Is�� 1 . f o� fl 5� i C\y SUBDIVISION MAP FILED IN THE OFFICE OFTHE CLERK OF f{"� s P IO /. / ° (Oe°fpr • SUFFOLK COUNTY ON SEPT. 18, 1930 AS FILE N0. 730 it�1 � e - �, / Ci deb • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) ` + tl • G 12.8 c „o _ •S Ea- vok 3 ', 'N\p,((� • BENCH MARK J326 - ELEVATION 30.974 (RESET 1953) 'litl' L� T * 16.90 Dot*. �N�� / ��\�et CER [1���� & ..7' • WE HEREBY CERTIFY TO ROBERT PELLE I3R1N I THAT THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORI( STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. 1 1 µ 4:/.1-1A,SCrIP1141:81N4,1:,1?%\ `. V ` \ , 1 / , . ,, t i IJOHN SCHNURR, N.X.S. LS: NO. 49517 II. ♦ - to HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893�, ti 495 ' SURVEY FOR ROBERT PEL.LEGRI 1 PI ' PART OF LOT 3 & LOTS 4. TNRU 6. "MAP OF M..S. HAND" - At Cutctlogue., Town of Southold . Suffolk County, New York - County Tax Map D1strct 10o0 section 137 H1ock 03 Lot 4 BOUNDARY SURVEY to- AMENDED NAME - JUNE 22, 1999 MAF PRIPARED -JUNE'17, 1999 �` E , < tai' r = 40 A . LI - MONUMENT SET ill M • • - MONUMENT•POUNb A _ STAKE SET A- ' 4.1(E'FOUND. - - - - - - - .. r.- = SCALE i JOB NO, 99=-.0307 1 . . DWG 990307No. s3Q7