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�pF SO(/rg, Michael J.Domino, President � 010 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Charles J.Sanders CA Southold,New York 11971 Glenn Goldsmith ® a� Telephone(631) 765-1892 A. Nicholas Krupski li�coU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: f� Ch. 275 Ch. 111 INSPECTION SCHEDULE , Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction '/ constructed Project complete, compliance inspection. ,J INSPECTED BY: V , 4) COMMENTS: 62y In,�� e111c _ -r- ,/ Y, �' l rub l.✓�' � ! + -' l� 1(2 / lrdAor 7/_ CERTIFICATE /f rd'�'-C' CERTIFICATE OF COMPLIANCE: /'nlrot John M. Bredemeyer [[t, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen BOARD OF TOWN TRUSTEES . TOWN OF SOUTHOLD Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone(63l) 765-1892 Fax (631) 765-6641 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 lime 1St day of construction '/ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8559 DATE: FEBRUARY 18, 2015 ISSUED TO: TREASURE ISLAND COVE, LLC PROPERTY ADDRESS: 14911 MAIN ROAD, EAST MARION SCTM# 23-1-2.4 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 18, 2015, and in consideration of application fee in the sum of $250.00 paid by Law Office of David Jude Jannuzzi and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the construction of a two-story (768sq.ft. 1st floor & 1,536sq.ft. 2nd floor) dwelling; with a 768sq.ft. first floor exterior covered area; and a first floor 240sq.ft. exterior covered breezeway; construct a 756sq.ft. garage; install a 396sq.ft. sitting area; construct a f528sq.ft. covered terrace; construct a 7,564sq.ft. tennis court; a 480sq.ft. tennis viewing area; install 1,510sq.ft. of walkways; construct a f3,320sq.ft. auto court; and install a septic system and storm water management system; with the condition to establish and subsequently maintain a non -disturbance buffer seaward of wetland boundary flagged by Trustees; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveying, PLLC, last dated February 17, 2015 and stamped approved on February 18, 2015. 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. ���guFFO�kcoG H oy� � O�� TERMS AND CONDITIONS The Permittee Treasure Island Cove LLC residing at 14911 Main Road East Marion, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. 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 longus the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 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 III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee February 18, 2015 Mr. Michael Kimack 321 Riverside Drive Riverhead, NY 11901 QF S0UlyO� y�4UNV BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: TREASURE ISLAND COVE, LLC 14911 MAIN ROAD, EAST MARION SCTM# 23-1-2.4 Dear Mr. Kimack: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 18, 2015 regarding the above matter: WHEREAS, Michael Kimack on behalf of TREASURE ISLAND COVE, LLC 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 November 17, 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 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 December 17, 2014, January 21, 2015 and again on February 18, 2015, 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 0 9 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 approves the application of TREASURE ISLAND COVE, LLC for the construction of a two-story (768sq.ft. 1st floor & 1,536sq.ft. 2nd floor) dwelling; with a 768sq.ft. first floor exterior covered area; and a first floor 240sq.ft. exterior covered breezeway; construct a 756sq.ft. garage; install a 396sq.ft. sitting area; construct a t528sq.ft. covered terrace; construct a 7,564sq.ft. tennis court; a 480sq.ft. tennis viewing area; install 1,510sq.ft. of walkways; construct a t3,320sq.ft. auto court; and install a septic system and storm water management system; with the condition to establish and subsequently maintain a non -disturbance buffer seaward of wetland boundary flagged by Trustees; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveying, PLLC, last dated February 17, 2015 and stamped approved on February 18, 2015. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/amn John Bredemeyer, President SUFFo(,t Michael J. Domino, Vice -President c James F. King Charles J. Sanders o Dave Bergen Date/Time: Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Michael Kimack on behalf of TREASURE ISLAND COVE, LLC requests a Wetland Permit for the construction of a two-story (768sq.ft. 1st floor & 1,536sq.ft. 2nd floor) dwelling; with a 768sq.ft. first floor exterior covered area; and a first floor 240sq.ft. exterior covered breezeway; construct a 756sq.ft. garage; install a 396sq.ft. sitting area; construct a ±528sq.ft. covered terrace; construct a 7,564sq.ft. tennis court; a 480sq.ft. tennis viewing area; install 1,510sq.ft. of walkways; construct a ±3,320sq.ft. auto court; and install a septic system and storm water management system. Located: 14911 Main Road, East Marion. SCTM# 23-1-2.4 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 Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: Treasure Island Cove, LLC 14911 Main Road, East Marion SCTM# 23-1-3.4 12/10/14 • Treasure Island Cove, LLC 14911 Main Road, East Marion SCTM# 23-1-3.4 12/10/14 Jlop y r; - ��. a� x, a r a�SOUTHOL D W77 W TOWN TRUSTEE r � i IAO a E >a t r t e � r y e� i WV �k x 12/10/2014 13:01 Treasure Island Cove, LLC 14911 Main Road, East Marion SCTM# 23-1-3.4 12/10/14 Treasure Island Cove, LLC 14911 Main Road, East Marion SCTM# 23-1-3.4 12/10/14 +fir •Z.7 e1 :«•r _ a _3 .j tree: • � w • John Bredemeyer, President SUFFOIt Michael J. Domino, Vice -President James F. King Charles J. Sanders • Dave Bergen 10 Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Ins pection/Work Session Report Date/Time: I� Michael Kimack on behalf of TREASURE ISLAND COVE, LLC requests a Wetland Permit for the construction of a two-story (768sq.ft. 1 st floor, 1,536sq.ft. 2nd floor) dwelling; with a 768sq.ft. first floor exterior covered area; and a first floor 240sq.ft. exterior covered breezeway; construct a 756sq.ft. garage; install a 396sq.ft. sitting area; construct a t528sq.ft. covered terrace; construct a 7,564sq.ft. tennis court; a 480sq.ft. tennis viewing area; install 1,510sq.ft. of walkways; construct a t3,320sq.ft. auto court; and install a septic system and storm water management system. Located: 14911 Main Road, East Marion. SCTM# 23-1-3.4 y)grpe of area to be impacted: / _ Saltwater Wetland Freshwater Wetland 4ound ✓ Bay Distance of proposed work to edge of wetland Part of Town Code propos d work falls under: 47hapt.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: Modifications: U vlU Conditions. �' �� GI '/4'j-4j�n �� GSM` 'i ' wee hd r r 016 T76 N Present Were: --J. Bredemeyer�' M. Domino �J/ . King C. Sanders D. Bergen Bay Constable Form filled out in the field by ;5rD Mailed/Faxed to: Date: Other 0Town of Southold A-3301 Suffolk County, NY The People of the State of New York vs. LAST NAME DEFENDANT) FIRST NAME MIDDLE INITIAL PAAM STREET ADDRESS APT. NO. 14 011 t2t' V5 CITY STATE ZIP PLATE NO. DATE EXPIRES STATE PLATE TYPE ❑ N.Y. ❑ N.J. ❑ N.Y. ❑ N.J. STATE TYPE OF UCENSE_ DATE EXPIRES SEX DATE OF BIRTH OPERATOR ❑ BUICK p 'I' �' �- ❑ CADILLAC ❑ PONTIAC M014TH D R OWNS VEHICLE OLDS ❑ PLYM f� ❑ 6-1— Q�Y ❑YES ONO PLATE NO. DATE EXPIRES STATE PLATE TYPE ❑ N.Y. ❑ N.J. ❑ N.Y. ❑ N.J. ❑ ❑ PASS ❑ COMM ❑ VEHICLE MAKE ❑ DODGE ❑ BUICK ❑ CHEV ❑ CADILLAC ❑ PONTIAC ❑ FORD ❑ OLDS ❑ PLYM ❑ TOYOTA ❑ VOLKS ❑ BODY ❑ 2 DR ❑ 4 DR ❑ BUS ❑ MCY ❑ S.W. TYPE ❑ TRUCK ❑ TRAILER ❑ VAN ❑ VIN NUMBER THE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS PLACE OF OCCURRENCE p� t'�al t ► +�' 2'S . ►MC.v�oM+. DATE OF OFFENSE AM TIM PM CITY,l ,VILLAGE, OMLET SUFFOLK COUNTY NY i 2 -Ota 1�{ ❑ 2,r2 .p' IN VIOLATION OF SECTION SUED. OF THE ❑VEHICLE AND TRAFFIC LAW OF THE STATE OF NEW YORK f}09HER (SPECIFY) ❑ O.S. ❑ COM BUS❑ HAZ —L71�_T" MAT ❑ SPEEDING OTHER OFFEN MPH IN A MPH ZONE MISDEMEANOR ❑ FACTUAL PART (NOT FOR TVB) THE ABOVE NAMED DEFENDANT OID ON THE STATED DATE, TIME AND PLACE Cif z The Fonpo'ln2' based on (personal knowledge) sworn deposklon(s) of ! i..� dated t• T_0j_%%j DEC2 ) PARKING SCHEDULED FINE $ CONTACT COURT ❑ THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT SOUTHOLD TOWN JUSTICE COURT, 53095 ROUTE 25, SOUTHOLD, NY 11971 DATE OFAWCARANCE(NOT FOR TVB) _ON O� T I AT AI& FALSE STATEMENTS HEREIN ARE PUNISHABLE ASA CLASS A MISDEMEANOR PURSUANT TO SECTION 210A5 OF THE P.LN.Y.S. COMPLAINANT DATE �7 1 Z-011[ BADGE N L COURT COPY IA —. ' ad K _ • _ • .: : - i ,.�; s ,sew.. ,. ,_�;.--t?. - - - �+' .�.•^ - _ ''. « " rt dM "�' .�. gyp-• _ \ -. t ` Y . ' r-ae- • All WN Pr - e y ` f r' ate. •.x. .r r jd 1 Win _ ` •` i JW 5 .411 1 (3) Treasure Island C, aTaken Nov.1 Looking NE ate. •.x. .r r jd 1 Win _ ` •` i JW 5 .411 AML trMMI4W.WL,'- . N 1 0 (5) Treasure Island Cove LLC. Taken Nov. 14.2014 Looking SE Taken nov.14,2014 Llookino NNE ve LLC t Vii•» ,� r,x w Y' bide - � r � 1�. Y�"•w � ;'�ca''i�, F9��j J) n h ...e t�op J f t e", Pwo„ ANI MAO rl bi `�.- _'�'L� �t Litt ��� a nyl4 a � x��fw•� �Kh � ti. � � ��°�., Pi' , �3 x , y ,e a• r_. .� :.�• ..'.. lit,�,,: . y -5e r�^S.Yr t _„� a � `.w' 'qa` '� - � "Ytc• + •:, °.bc. _ - ._.- 's'1F r."M ' w'!y'' Y ,t _ e .y� ,/ rr 1 .mom,,. -„.w.. s > y}i�.�C � �., • F _ t W I _ w!�.i `• , !,� `•� "t b �;� �,..2 � 3.,�t e+.-wr,r t t 1s!' �f"�, '..,E�`• y j: a 1. .”'`.'�9r-.+n.:'+c�y�.a1E�`$-7�� h '` '^`�-�-V+ s�+'�•"Y+' , �1:s..ef'..�.r'1� �� � e`' ... t+• � � 0 John Bredemeyer, President SUFF9jt Michael J. Domino, Vice -President James F. King : Charles J. Sanders '� • Dave Bergen go Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Fi Id Inspection/Work Session Report Date/Time: 'v /5-'� y Michael Kimack on behalf of TREASURE ISLAND COVE, LLC requests a Letter of Non -Jurisdiction for the proposed construction of a two-story dwelling; proposed sanitary system; proposed garage; proposed walkways; proposed tennis court; and proposed driveway. Located: 14911 & 14905 Route 25, East Marion. SCTM# 23-1-2.4 & 2.6 Tyeef, 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 Type of Application: Wetland Coastal Erosion Administrative Emergency Pre -Submission Notice of Hearing card posted on property Storm Water Management Review: Info needed: Modifications: Yes No Chapt.111 other Amendment Violation Not Applicable Yes No Not Applicable ® JjS Conditions: (T� Com( --C.�� �f1 �Y'+ r/Y/ dy Present Were: e-;J�Bredemeyer/M. Dominw J. King C. Sander D. Bergen Bay Constable Other Form filled out in the field by ---j, Mailed/Faxed to: Date: . "' N ----- -"•' '- - -- - =: -- NOTICE COUNTY OF SUFFOLK © x t $WTNOLD SECTION NO —� '" 1�,� Q "•",_ - -- - -- .Ntfunw.fxeu Real Property Tax Service Agency v �23 E tw - u+d.... vt. N..0 • x....o..0 ,. fuf[tt r wt,.,neratavxe wm + N �• ,we..eu ...reo,..� _ m,ry ■ff�r CwMV C�nw NwMa.Mvf1101 M t at'LMMT!!!••• w�aru —wr-- nnw u +[ to tm A to ��^ • nniu Js P �'�1Xp 7000 P0.0PEPTY MAP �l s FEB 1 7 J L� • LAW OFFICE OF DAVID JUDE JANNUZZI 13235 MAIN ROAD tt 2015 !;i P.O. BOX 1672 MATTITUCK, NY 11952 (431) 298-8065 (631) 298-4214 fax Board of Trustees Town of Southold 54375 Main Rd., P.O. Box 1179 Southold, NY 11971 Re: Application of Treasure Island Cove, LLC. LETTER OF INTENT February 14, 2014 WHEREAS Treasure Island Cove LLC and Domeluca, LLC. are the owners of the parcels described by Suffolk County Tax Map numbers 1000-023.00-01.00-002.009 and 1000-023.00-01.00-002.008 and WHEREAS Joseph Berov is the owner of the parcels described by Suffolk County Tax Numbers 1000-023.00-01.00-002.007 and 1000-022.00-03.00-038.000 and WHEREAS a shared driveway had been used prior to each of these entities ownership of the aft -mentioned parcels and WHEREAS the parties desire to continue the shared use of the driveway, the same being determined to be of a mutual interest all parties concerned, NOW the parties execute this Letter of Intent to memorialize their agreement to continue their use of the shared driveway that provides access to the above mentioned lots. The parties shall enter into a more formal and recordable agreement with all due haste; this agreement to outline the mutual covenants and restrictions pertaining to said shared driveway and the responsibilities for maintenance thereof by each of the undersigned. <-k 'VS,/. . 4 1 Joseph Berov Treasure Island Cove, L . By, Pablo Salame, Managing Member PE44 4 & _9_h� ), Domeluca LL . . By, Pablo Salame, Managing Member STATE OF NEW YORK COUNTY OF SUFFOLK On the 15fl' day of February, 2015 before me, the undersigned, personally appeared JOSEPH BEROV, 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(ies), that by his/her/their signature(s) on the instrument, the individual(s) acted, executed the instrument before notary in Suffolk County and State of New York. DAVID J. JANNUZZI Notary Public, State of New York C --Not Public No. 02JA6052585 Qualified in Suffolk County Commission Expires , STATE OF NEW YORK COUNTY OF SUFFOLK On the day of February, 2015 before me, the undersigned, personally appeared DAVID JUDE JANNUZZI, ESQ., 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(ies), that by his/her/their signature(s) on the instrument, the individual(s) acted, executed the instrument before notary in Suffolk County and State of New York. kZz�-Lj otary Public DENIIE A. NAVARRA NOTARY PUBLIC -STATE OF NEW YORK No, 01 NAb 191295 Qualified in Suffolk County My Commission Expires / 201(,f • BOARD OF TRUSTEES TOWN OF SOUTHOLD --------------------------------- In the Matter of the Application of Treasure Island Cove, LLC. before the Board of Trustees, Town of Southold Al FEB 1 1 2015 - `r z � E t ATTORNEY AFFIRMATION Application # DAVID JUDE JANNUZZI, ESQ., an attorney duly admitted to practice law before the Courts of the State of New York, hereby affirms the following to be true under the penalties of perjury: 1. I am the attorney of record for the applicants Treasure Island Cove, LLC. 2. I am submitting this affirmation to update the Board as to our efforts to locate the property owner of the lot that lies to the west of the subject parcel. 3. We recently employed the services of a private investigator to help locate Mr. Joseph Berov. Our investigator was able to provide us with a current phone number — that number containing a 718 area code (this comports to the Brooklyn mailing address that appears on our town's tax rolls). 4. On or about Monday January 26, 2015 I called that number and was able to reach a person who identified herself as Mr. Berov's mother (when I explained the reason for the call, this person replied, "Oh, you want to speak to my son, Joseph Berov") 5. This person promised to give my contact information to her son. I did stress that it was important that I speak with him as soon as possible. She said she understood the urgency. 6. On February 2, 2015, I called the number again and spoke to the same person who had previously received the call. This person seemed surprised that her son did not call back and again promised that she would relay the message (with the relayed urgency). 7. To date, I have not received any call back from Joseph Berov. 8. I will immediately inform the Board of any intervening events. Dated: Mattituck, NY February 5, 2015 DAVID JUDE JANNUZZI, ESQ. 13235 Main Road, P.O. Box 1672 Mattituck, NY 11952 (631)298-8065 01/2012015 15:49 16312984214 WILLIAM GOGGIJ6 PAGE 01/06 Board of Trustees Town of Southold 54375 Main Rd., P.O Southold, NY 11971 LAW OFFICE OF DAVID JURE JANNUZZI 13235 MAIN ROAD P.O. BOX 1672 N1.ATTI'><'umNY 11952 (631) 298-8065 (631) 2984214 fax Box 1179 Re: Application of Treasure Island Co�LLC. Honorable Chairman and Members of the Board, Greetings. This office represents Treasure Island Cove, LLC. January 20, 2015 I am subrnitting herewith my affirmation regarding attempts to contact the Joseph 13erov, the owner of the property located to the west of my client's parcels. if you will recall, there has been a shared driveway in use for some time, although this use had never been formalized. The Planning Board has now recommended that a separate driveway be established; this stands at odds with this Board's desire to have a continued shared use. Additionally, we have submitted a revised survey showing the wetlands perimeter as delineated by the trustees and have submitted detail showing an elevated driveway which was conceptually worked out with town engineer James Richter. I would ask the Board to consider an idea that was one vote away from passing and one that I think would best serve all interests involved. My clients need to break ground on the construction of the house; their internationally known architecture firm, Seattle based Schuchart 1 Dow, has already committed staff on site for this project. The Board is concerned about intrusion into the newly marked wet lands and the neighbor is concerned about drainage, Separating the construction of the home from the issues presented by the entrance to the property allows the construction to begin while leaving open the addressing of the concerns presented by Board w ntted it separated have emand the neighborhas driveway answe d our where it is as the Planning communications (now, and in the past) to even begin a dialogue, 01/2012015 15:49 16312984214 WILLIAM GOGGI6 PAGE 02106 Contrary to the concerns raised by some members Of the Board, bifurcating the application would not be precedent setting; it is indeed the exact exception that is in place, to wit: an environment concern not relating to the principle structure. Thank you for your courtesies in this mutter. Very truly yours, David Jude Jannuzzi, Esq. DJJ:vcg 0112012015 15:49 16312984214 WILLIAM GOGGI;b PAGE 03/06 BOARD OF TRUSTEES TOWN OF SOUTHOLD In the Matter of the Application of Treasure Island Cove, LLC. before the AFFIRMATION A,T�'Oit1�TEX Board of Trustees, Town of Southold DAVID DUDE JA.NNUZZI, ESQ., an attorney duly admitted to practice law before the Courts of the State of New York, hereby affirms the following to be true under the penalties of perjury: 1. I am the attorney of record for the applicants Treasure Island Cove, LLC. 2. Pursuant the discussions that took place at applicant's December 17, 2014 hearing before this board, this office, on December 22, 2014 sent a copy of the attached letter to Joseph Brrov, owner of the property located to the west of the applicant's lot by certified mail, return receipt requested. This address was taken from the current tax card found the Southold Town Tax Assessor's office. 3. To date, we have not received any call back or any other communication from Mr. Berov. 4. This is not the first time an attempt was made to contact Mr. Berov. This office tried to initiate a conversation regarding the entrance to both properties at the time Treasure Island took title to the land back in September, 2013, to no avail. 01/20/2015 15:49 16312984214 WILLIAM GOGGIO PAGE 04106 5. This office will inform the Board immediately if contact is established with Mr. Berov. Dated: Mattituck, ICY January 20, 2015 DAVID NDE JANNUZZI, ESQ. 13235 Main Road, P.O. Box 1672 Mattituck, NY 11952 (631)298-8065 01120/2015 15:49 16312984214 WILLIAM GOGGIO PAGE 05/06 0 .ZAW OFFICE OF DAVID JURE JA,NNUZZI 13235 NL4-IN ROAD P.O. Box 1672 mATTrruCK9 NY 11952 (631) 298-8065 (631) 298-4214 fai December 20, 2014 Joseph Berov 177 Kensington St. Brooklyn, NY 11235 Re: East Marion Properties Dear Mr. Berov, Greetings, This office represents the owners of the property to the east of your lots in East Marion, NY. I would like, to speak witty you at your earliest convenience to discuss the shared driveway and some issues that have come up with the town. Unfortunately, the town has given me a short time frame to get back to them so time is of the essence! I can be ;reached on my cell phone (631) 680-1157 or through the numbers listed above. My email address is d' annuzzi humin on -atrium eom Thank you for your courtesies in this matter. Very truly yours, t i David Jude Jannuzzi, Esq. DJJ:vcg 01/20/2015 15:49 16312214 WILLIAM GOGGIO PAGE 06/06 m r Ln t A L m $0.44 0 35 . Q oeruifcd Fee �.� OFF .. ...., ... O{End=r erne Nsre RaFmuAl oea,�,y Pee Mr Jfr4) Mem To WL - ..._.._.. a crPo sox �. -- .. cxa,K1. N MYz 3 • OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 0 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date Re: December 10, 2014 DEC 10 2014 Proposed Wetland Permit for TREASURE ISLAND COVE, LLC SCTM# 1000-23-1-,2,4 Michael Kimack on behalf of TREASURE ISLAND COVE, LLC requests a Wetland Permit for the construction of a two-story (768sq.ft. 1st floor & 1,536sq.ft. 2nd floor) dwelling; with a 768sq.ft. first floor exterior covered area; and a first floor 240sq.ft. exterior covered breezeway; construct a 756sq.ft. garage; install a 396sq.ft. sitting area; construct a t528sq.ft. covered terrace; construct a 7,564sq.ft. tennis court; a 480sq.ft. tennis viewing area; install 1,510sq.ft. of walkways; construct a t3,320sq.ft. auto court; and install a septic system and storm water management system. Located: 14911 Main Road, East Marion. SCTM# 23-1-Z,4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that: 1. The Board requires a non -disturbance buffer, preserving the existing vegetation landward from the top -of bank 50' in width. 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 g>�FFOC,� Peter Young, Chairman Lauren Standish, Secretary ,Y0101 r► Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., December 10, 2014 the following recommendation was made: Moved by Doug Hardy, seconded by Peter Meeker, it was RESOLVED to SUPPORT the application of TREASURE ISLAND COVE, LLC to construct a two-story residence; exterior covered area; first -floor exterior covered breezeway; garage; sitting area; covered terrace; tennis court and proposed tennis viewing area; proposed walkways; proposed auto court/basketball court; and proposed septic and stormwater management systems. Located: 14911 Main Road, East Marion. SCTM#23-1-2.9 Inspected by: Doug Hardy, Peter Meeker The CAC Supports the application, however, there is a concern with the adequacy of the sanitary system and the site plan does not indicate what materials will be used on the driveway. Vote of Council: Ayes: All Motion Carried 4 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee pF SO!/j�o� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department r Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Re: Verification of Building Department Permit Requirements SCTM#:��-� -� Property Owner Name: Date Sent to Bldg. Dept.: Telephone (631) 765-1892 Fax (631) 765-6641___-___ NOV 18 2014 C, The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: COMMENTS: IT Will the proposed project require a Building Permit? Will the proposed project require a variance determination from t oning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? c Signature of FWViewer Date • John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only astal Erosion Permit Application Wetland Permit Application ___, Administrative Permit Amendment/TrW eceived Application:. ceived Fee:$ Completed Application_Incomplete __ _SEQRA Classification: Type [—Type ll Unlisted oordination:(date sent) ?✓WRP Consistency A e sm t Form _.._.._CAC Referral Sent: 1 ?bate of Inspection: m. 1 �t _Receipt of CAC Report:_ ..,,_,.. _.__.....,.,.,._ Lead Agency Determination: Vechnical Review: _ Public Hearing Held:J Resolution: 10011Y 11V141L Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0969 Telephone (631) 765-1892 Fax (631) 765-6641 Name of Applicant ;Fjr, �,Q11#/VD C O �/� � � Mailing Address,3 CC NY /9 z Phone Number:( ) _. - �— O 61� Suffolk County Tax Map Number: 1000 - Property Location: (provide LILCO Pole #, distance to cross streets, and location) AGENT:__ A//Wrjv (If applicable) Address:--�1�!...V�� AIv ___. TJ Phone: .��` 11%3 Lard of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning:_____,_ Previous use of property:__1�/�/�� Intended use of property:, 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? -.2< _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?,4/X-Yes No Prior permits/approvals for site improvements: No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No. If yes, provide explanation: Yes Project Description (use attachments if necessary): L'eW,Q(JC'Q Al tl.,C /U167 -r1'rU Y ,rl .vo Fr, G.otPi7 &.0-,x,56 .>~� ter. r Aled)Viry IZVo (!S' c0077?5691 SFr• .' P'OPDJ2A IZW*15* VIA5WI*6' AAa5g A1Yh Ad of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Area of wetlands on lot: 15-,?. OB square feet Percent coverage of lot:, 9% Closest distance between nearest existing structure and upland edge of wetlands: &� feet Closest distance between nearest proposed structure and upland edge of wetlands: IOR feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? d6 cubic yards tl— How much material will be filled? ll- cubic yards Depth of which material will be removed or deposited:___, /Q feet Proposed slope throughout the area of operations: �• Zp �/ Manner in which material will be removed or deposited:'�,t�? r -MZ fcy/AIG ,try �,rZo lr�'"�ND Lo•w'60 ,e 1-now,002 �• D �? ,�UCJ�.S' 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 attachm nts if appropriate) /V A er ow &/WIPZ- IA, r ,q�vo r7,t�.Sz L A P1&-A4V Q5 Alf )9i ALL 6PAr7W,�T6 Q .-*7Y ✓,67WW ve- L IA&W , 7v IV� ,�,#s-�,4WAY 0 617.20 Appendix B Short Environmental Assessment Form Instructions for Comnletin • 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 1 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 Name of Action or Project: 1JU COV25 zz C..' caypr O' Project Location (describe, and attach a location ma T P) OAA 16.1v Brief Description of Proposed Action: r? o.V,TX-r/CYro,A/ ACp�IV;Alb J> -7,44P 0' 4729,ee 41-472�� ��rrer c � V�� � ��EN �,s�/G��y's; .rlr�r•V� ��,E.q Name of Applicant or Sponsor: Telephone: G Address: -- 1 _) ;;2! 4 V t!E,r*'.1'/,P Dom/ V� City/PO: State: Zip Code: )I !✓y I . 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 may be affected in the municipality and proceed to Part 2. If no, continue to question 2, y4 a► 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, listagency(s) name and emit p o 1. , A P'Reo"6 0 fp Q 9 J'0 Old ✓�t'� G1J�}�,p /'�NGT..aPi'24✓,Eae7 3.a. Total acreage of the site of the proposed action? cres b. Total acreage to be physically disturbed? 8 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? � acres ............... ....... ............ 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial [:]Commercial XResidential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑ Other (specify): ❑Parkland Page I of 4 . f! &V-- • 0 is ine proposea action, a. A permitted use under the zoning regulations? 7N0� YES N/A � b. Consistent with the adopted comprehensive plan? Q 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? [—] " 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? NO YES If Yes, identi • ... _ _..... ........................ ........... FI 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO _VE S El b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements describe design features and technologies: ............................._._..._._......... _.. .. _. , , ...., . ........` .............. ................... E 10 _. ...... 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: 1��.T.�C i-yjf ...................................... ....................................... ..._.. ................................... {-1 12. a. Does the site contain a structure that is listed on either the Stat. or National Register of Historic NO YES Places? 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? 1C If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres. EL _................. ......._._.._...._........ ....................... ._....... _.......... _.. ...... _ _............ 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 [:]Early mid -successional J4 Wetland ❑ Urban ❑ Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 16. Is the project site located in the 100 year flood plain? _ NO YES _. .... W.,......._........__.__ �._.._____.._ __._.T. _.._.__...._.. ' 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, NO YES a. Will storm water discharges flow to adjacent properties? WNO []YES b. Will storm water discharges be directed to established conveyance systems (runoff and sto m drains)? If Yes, briefly describe: ❑NO EYES 41M) rl-Af& _ Z 4 4 Page 2 of 4 C ....I .......................... ... ... __... _........ ___.__...... _.._............... ...._...............—...._....... __..._...... _.m. ........_....__.._ ........: ...... 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: a 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 ..............m.................................................................................. 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: _ b( F-1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name / /..0 ,�f2 ......... Date: _._._._._!� _ 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 I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" ............... _.......... ....— No, or Moderate small to large impact impact may may _ occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning �❑ F-1regulations? . proposed 2. Will the action result in a change Y of use of e in the use or intensity El 1:1 3. Will the proposed action impair the character or quality of the existing community? El 0 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area (CFA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or infrastructure El 1:1 affect existing for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate I--[ D reasonably available energy conservation or renewable energy opportunities? U 7. Will the proposed action impact existing: Ela. El public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, DF1waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 ......................................._........_� _ _ .., _.,...,... . No, or Moderate small to large impact impact may may ----...__.....---._... occur occur .... 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage ❑ a problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency President Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) IRINT Page 4 of 4 a • John Bredemeyer, President �OgUFF9z4' Town Hall Annex Michael J. Domino, Vice -President �a� °ate 54375 Route 25 James F. King P.O. Box 1179 Dave Bergen o • Southold, NY 11971 Charles J. Sanders y'for ,� �a°� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES I"' t TOWN OF SOUTHOLD --- - --- -- DEC 1 6 2014 BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of _ry TREASURE ISLAND COVE, LLC COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, l`1/e.�%��� //l/��/C, residing at /dba Z/ /1/I/�,�.f%�� being duly sworn, depose and say: That on the 4 day of 0,15-C&4WA7..Ee, 2011, 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, December 17, 2014. Dated: Sworn to before me this day of Z)V,1-20 (�- Notary Public VICKI TOTH Notary Public Stat of New York No.Ol` Q 0696 Commission Expirrees fully County ?n • f PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Iv.y. ,uy 6a/7 2,3-- /-,�..3/2S aaH,� Z vCM, «G / 023s A,WAvR e422 A107r.? 5 AWUJ 1JVA;' ,UYAW c oy� H,417/7v01> /v Y. niaur ,aDfr� v 04, c el - C/O YeiVO/[L O STATE OF NEW YORK COUNTY OF SUFFOLK NQS ,p,el � �,eeup AoP P a 'OeX p. ,64s� ,At&ZZA&X .. Ae~ W , residing at1>ic/ ViC V l�&Y 4 D/ , being duly sworn, deposes and says that on the day ofd, 20/, deponent mailed a true copy of the Notice set forth in the Board of 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 persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at I'D 07;VPZ-,,Q , that said Notices were mailed to each of said persons by CERTIFIED MAHJRETURN RECEIPT. Sworn to before me this Day of o ,co , 20JA--� Notary Public VICKI TOTH Notary Public Statg of New York No. 01`f061S0696 Qualified in Suffolk County Commission Pxoires hahf 98 20 NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: TREASURE ISLAND COVE, LLC • SUBJECT OF PUBLIC HEARING: For the construction of a two-story (768sq.ft. 1St floor & 1,536sq.ft. 2"d floor) dwelling; with a 768sq.ft. first floor exterior covered area; and a first floor 240sq.ft. exterior covered breezeway; construct a 756sq.ft. garage; install a 396sq.ft. sitting area; construct a ±528sq.ft. covered terrace; construct a 7,564sq.ft. tennis court; a 480sq.ft. tennis viewing area; install 1,510sq.ft. of walkways; construct a ±3,320sq.ft. auto court; and install a septic system and storm water management system. TIME &DATE OF PUBLIC HEARING: 40 Wednesday, December 17, 2014 — at or about 5:30P.M. 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 Alrd of Trustees Application County of Suffolk State of New York JT/'ez /1MWO CD C. _ BEING DULY SWORN DEPOSES AND AFFIRMS THAT E/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES, THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Mvegy Wner SWORN TO BEFORE ME THIS DAY OF Notary Public MICHAEL , KIIM_AUK NOTARYPUBUC, STATE OF NEW YORK AeBisMWM Na 02KIS0S6823 Qualified in Nassau Courcy Commission Expires March 11, 2015 J Ad of Trustees Application• AUTHORIZATION (where the applicant is not the owner) lib iT.�it! 1' residingat �/�i/.r2�/. (print owner of property) (mailing address) do hereby authorize_., (Agent) L .1 2t2, 9j � Cl to apply for permit(s) from the of Town Trustees on my behalf. signature) Ei,nn\5'-019 I'nncrot.lttnrnrr, StMlttary Sburi Fnrng ERrctiee')/1:J?tlItl[•Tb[Ltl'1'Nh T10\AL 71'f[.0 I,\SURANCIi IBYLAWYAM%DNLY CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT -THIS INSTRUMENT SHOULD BE U POWER OF ATTORNEY NEW YORK STATUTORY SHORT FOR (a) CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. As the "principal," you give the person whom you choose (your "Agent") authority to spend your money and sell or dispose of your property during your lifetime without telling you. You do not lose your authority to act even though you have given your Agent similar authority. When your Agent exercises this authority, he or she must act according to any instructions you have provided or, where there are no specific instructions, in your best interest: "Important information for the Agent" at the end of this document describes your Agent's responsibilities. Your Agent can act on your behalf only after signing the Power of Attorney before a notary public. You can request information from your Agent at any time. If you are revoking a prior Power of Attorney, you should provide written notice of the revocation to your prior Agent(s) and to any third parties who may have acted upon it, including the financial institutions where your accounts are located. You can revoke or terminate your Power of Attorney at any time for any reason as long as you are of sound mind. If you are no longer of sound mind, a court can remove an Agent for acting improperly. Your Agent cannot make health care decisions for you. You may execute a "Health Care Proxy" to do this. The Iaw governing Powers of Attorney is contained in the New York General Obligations Law, Article 5, Title 15. This law is available at a law library, or online through the New York State Senate or Assembly websites, www.senate.state.ny.us or www.assembly.state.ny.us. II+ THERE IS ANYTHING ABOUT THIS DOCUIVIENT THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASIS A LAWYER OF YOUR OWN CHOOSING TO EXPLAIN IT TO YOU. (b) DESIGNATION OF AGEI T(S): I, PABLO J SALAME residing at 66 Leonard Street, Apt. 9C. New York. NY 10003 , hereby appoint: name and address of principal. DAVID JUDE JANNUZZI ESQ with offices located at 13235 Main Road. Mattituck, NY 1.1952, as my Agent(s) name(s) and address(es) of AGENT(s) If you designate more than one agent above, they must act together unless you initial the statement below. ( ) My Agents may act SEPARATELY. (c) DESIGNATION OF SUCCESSOR AGENT(S): (OPTIONAL) If any Agent designated above is unable or unwilling to serve, I appoint as my successor Aaent(S): name(s) and address(es) of successor Agent(s) Successor Agents designated above must act together unless you initial the statement below. • ( ) My successor Agents may act SEPARATELY. YOU MAY PROVIDE FOR SPECIFIC SUCCESSION RULES IN THIS SECTION. INSERT SPECIFIC SUCCESSION PROVISIONS HERE: (d) This Power of Attorney shall not be affected by my subsequent incapacity unless I have stated otherwise below, under "Modifications". (e) This Power of Attorney does not revoke any Powers of Attorney previously executed by me unless I have stated otherwise below, under "Modifications." If you do not intend to revoke your prior powers of attorney, and if you have granted the same authority in this Power of Attorney as you granted to another Agent in a prior Power of Attorney, each Agent can act separately unless you indicate under "modifications" that the Agents with the same authority are to act together. (f) GRANT OF AUTHORITY: To grant your Agent some or all of the authority below, either (1) Initial the bracket at each authority you grant, or (2) Write or type the letters for each authority you grant on the blank line at (P), and initial the bracket at (P). If you initial. (P), you do not need to initial. the other lines. I grant authority to my Agent(s) with respect to the. following subjects as defined in sections 5-1502A through 5-1502N of the New York General Obligations Law: ( ) (A) real estate transactions; ( ) (7) benefits from governmental programs or civil or { ) (B) chattel and goods transactions; military service; ( ) (C) bond, share, and commodity transactions; ( ) (K) health care billing and payment matters; ( ) (D) banking transactions; records, reports and statements; ( ) (E) business. operating transactions; ( ) (L) retirement benefit transactions;. { ) (F) insurance transactions; ( ) (M) tax matters; ( ) (G) estate transactions: ( } (N) all other matters; ( ) (H) claims and litigation; ( ) (0) full and unqualified authority to my Agent(S) { ) (I) personal and family maintenance. IF YOU to delegate any or all. of the foregoing powers to GRANT YOUR AGENT THIS AUTHORICY, any person or persons whom my Agent(s) select; IT WILL ALLOW THE AGENT TO MAKE (P) EACH of the matters identified by the GIFTS THAT YOU CUSTOMARILY HAVE following letters A, B, D, E, F, M, N MADE TO INDIVIDUALS, INCLUDING THE You need not initial the other lines if you AGENT, AND CHARITABLE initial line (P). ORGANIZATIONS. THE AMOUNT OF ALL SUCH GIFTS IN ANY ONE CALENDAR YEAR CANNOT EXCEED FIVE HUNDRED DOLLARS; (g) MODIFICATIONS: (OPTIONAL) In this section, you may make additional provisions, including language to limit or supplement authority granted to your Agent. However, you cannot use this Modifications section. to grant your Agent authority to make gifts or changes to interests in your property. If you wish to grant your Agent such authority, you MUST complete the Statutory Gifts Rider. (h) CERTAIN GIFT TRANSACTIONS: STATUTORY GIFTS RIDER (OPTIONAL) In order to authorize your Agent to make gifts .in excess of an annual total of $500 for all gifts described in (i) of the grant of authority section. of, this document (under personal and family maintenance), you must initial the statement below and execute a Statutory Gifts Rider at the same time as this instrument. Initialing the statement below by itself does not authorize your Agent to make gifts. The preparation of the Statutory Gifts Rider should be supervised by a lawyer. ( ) (SGR) I grant my Agent authority to make gifts in accordance with theterms and conditions of the Statutory Gifts Rider that supplements this Statutory Power of Attorney. (i) DESIGNATION OF MONITOR(S): (OPTIONAL) IF YOU WISH TO APPOINT MONITOR(S), INITIAL AND FILL IN THE SECTION BELOW: ( ) I wish to designate , Whose address(es) is (are) , as monitor(s). Upon the request of the monitor(s), my Agent(s) must provide the monitor(s) with a copy of the Power of Attorney and a record of all transactions done or made on my behalf. Third parties holding records of such transactions shall provide the records to the monitor(s) upon request. 0) COMPENSATION OF AGENT(S): (OPTIONAL) Your Agent is entitled to be reimbursed from your assets for reasonable expenses incurred on your behalf.. If you also wish your Agent(s) to be compensated from your assets for services rendered on your behalf, initial the statement below. If you wish to define "reasonable compensation", you may do so above, under "NIodifications". ( ) My Agent(s) shall be entitled to reasonable compensation for services rendered. (k) ACCEPTANCE BY THIRD PARTIES: I agree to indemnify the third party for any claims that may arise against the third party because of reliance on this Power of Attorney. I understand that any termination of. this Power of Attorney, whether the result of my revocation of the Power of Attorney or otherwise, is not effective as to a third party until the third party has actual notice or knowledge of the termination. (1) TERMINATION: This Power of Attorney continues until I revoke it or it is terminated by my death or other event described in section 5-151.1 of the General. Obligations Law. Section 5-1511 of the General Obligations Law describes the manner in which you may revoke your Power of Attorney, and the events which terminate the Power of Attorney. (m) SIGNATURE AND ACKNOWLEDGMENT: In Witness Whereof I have hereunto signed my name on S�F� S , 2013. PRINCIPAL signs here: STATE OF NEW YORK, COUNTY OF SUFFOLK/ ss.: On the J I day of� in the year 2013 , before me, the undersigned, personally appeared PABLOJ. SALAME , personally known to me or, proved to me on the basis of satisfactory evidence. to be the individual(s) whose nanze(s) is (are) subscribed to the within instrument and aclatowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) onn the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. Sign Above andAffix x Slamp DENISE PRICE Commissioner of Deeds City of New York No. 5-1117 Certificate Filed irr Richmond Couilty Commission Expirei;� 1, 20 (n) IMPORTANT INFORMATION FOR THE AGENT: When you accept the authority granted under this Power of Attorney, a special legal relationship is created between you and the principal. This relationship imposes on you legal responsibilities that continue until you resign or the Power of Attorney is terminated or revoked. You must: (1) act according to any instructions from the principal, or, where there are no instructions, in the principal's best interest: (2) avoid conflicts that would impair your ability to act in the principal's best interest; (3) keep the principal's property separate and distinct from any assets you own or control, unless otherwise permitted by law; (4) keep a record or all receipts, payments, and transactions conducted for the principal; and (5) disclose your identity as an Agent whenever you act for the principal by writing or printing the principal's name and signing your own name as "Agent" in either of the following manners: (Principal's Name) by (Your Signature) as Agent, or (your signature) as Agent for (Principal's Name). You may not use the principal's assets to benefit yourself or anyone else or make gifts to yourself or anyone else unless the principal has specifically granted you that authority in this document, which is either a.Statutory Gifts Rider attached to a Statutory Short Form Power of Attorney or a Non -Statutory Power of Attorney. If you have that authority, you must act according to any instructions of the principal or, where there are no such instructions, in the principal's best interest. You may resign by giving written notice to the principal and to any co -Agent, successor Agent, monitor if one has been named in this document, or the principal's guardian if one has been appointed. If there is anything about this document or your responsibilities that you do not understand, you should seek legal. advice. Liability of Agent: The meaning of the authority given to you is defined in New York's General Obligations Law, Article 5, Title 15. If it is found that you have violated the law or acted outside the authority granted to you in the Power of Attorney, you may be liable under the law for your violation. (o) AGENT'S SIGNATURE AND ACKNOWLEDGMENT OF APPOINTMENT: It is not required that the principal and the Agent(s) sign at the same time, nor that multiple Agents sign at the same time. Uwe, , have read the foregoing Power of Attorney. I am/we are the person(s) identified therein as Agents) for the principal named therein. I/we acknowledge my/our lei AGENT(s) sign(s) here: => AGENT(s) sign(s) here: =>, SIATE OF % , COUAITY 0 On the ,! day of C&Ox in the year 2 a /3 , before me, the undersigned, personally appeared DAVID JUDE JANNUZZI, ESQ. , personally known to me or proved to me onn the basis of satisfactory evidence to be the individual(s) ti,hose nanne(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they eeecrtted the same in his/Fter/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individttal(s), or the person upon behalf of whirl the individu.al(s) actd, executed the instrttrnent. i � � it�Ni1�. Ul.'AL d, �.►oiaN I ��� ��i�%� my -1 0. 01 PAS 6 ^gym ,ssion Gxill ?der ember 9, AFFIDAVIT OF Et'FFcTIVENESS' [TO BE Comiz ETED BYAGENT(s) UPON DELIVERY OF THIS POWER] STATE OF �'!/ , COUNTYOF �•L 1 C-011 �. J/?IVI&-�2--;� , residing at 1323s ��/ttiu �it 1 ,t-� -1'a/ (each) being duly sworn do(es) depose and say that 1 am (we are) the Agent(s) under the above Power of Artorney and that the Power of Attorney is in fid! force and effect. That (a)1/sve do not have, at the time of the transaction, actual notice of the termination.. or revocation of the Power of attorney, or notice of any facts indicating that the Power of Attorney has been terminated or revoked; (b)1/ive do not have, at the time of the transaction, actual notice that the Power of Attorney has been modifted in any way that would affect the ability of the Agent to authorize or engage in the transaction, or notice of arty facts indicating that the Power of Attoniey has been so modified; and (c) if l/we waslivere named as successorAgent(s), the prior Agent(s) is no longer able or willing to serve. This affidavit ifgiven for the purpose of the Agent e_cecuting a [describe documents that are executed] kno+ving that , will rely upon the representations made herein as inducement to accept such instrument(s) and this Power of attorney as evidence of iny/our authority to act f....... ... ........... AGENT Sworn to and Subscribed before me this 9 day of -fekf, 261 /3 (Notary Sign alnrve and Ajfcc Srunrp) .... - • .. ' DONNA M. PALMER Notary Public, State of New York STATUTORY PONVER OF ATTORNEY r, No. 01 ion Expires Suffolk County v� Commission Expires D..cern�3, (Pnrsnant to General Obligations tens• ¢ 3-1513) Title No. Section Block Lot County or Town TO FIDELITY NATIONAL TITLE _: n INSURANCE COlVIPAhY �.�i; n.ru/r /fir, Fidelity !1j�rrrirrr./, Member Nne ! ark Shirr Lind Tale A.ssudarien LU D C U3 OU U <z tna ;z �0 > W o u REcoRDEDAT REQUEST OF FIDELTTY NATIONAL TITLE INSURANCE COMPANY RETURA 1rY MAI L TD: C] C7 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM YOUR NAME: Ml e AlWdV W A',0'1A04V—e- (Last name, first name,.giiddle 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 _ X Variance Trustee _ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Other", name the activity.) Do you perwnal ly (or through your company, spouse, sibling, parent, or child) have a relationship .with any officer or employee of the 1'own of Southold". "Relationship" includes by blood, ntaniage, or business interest. "Business interest" means a business, including a partnership, in which the town offecr or employee has even a partial ownership of (or employment by) a corporation in which the town offiiccr or employee owns more than 5% of the shares. YES NO X if you answered "YES", complete the balance of this forth 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, of child is (check all that apply): A) the owner of greater than S%o of the shares of the corporate stock of the applicant (when the applicant is a corporation); 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 this_ yl.of 0 20 /¢ Signature,_ Print Name —MVeA, AZ &.1.-YAC/1— Form TS 1 01 Town of Southold Erosion, Sedimentation & Storirn-Water Run-off ASSESSMENT FORM p iP PROPERTY LOCATION: S.C.T.M.III: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A DRAINAGE AND EROSION CONTROL PLAN f / STORM-WATER.GRADING —T 4 BY A DESIGN PROFESSIONAL IN THE STATE OP NEW YORK. s c ac on g oco CERTIFIED SCOPE OF WORK - PROPOSED CONSTRUCTION rrEM # / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project Parcels? "2O 3 Q 4 1 Will this Project Retain All Storm -Water Run -Off (Include Total Area of all Parcels located within the Scope of Work for Proposed Construction) Generated by a Two (2") Inch Rainfall on Site? (s F /Acres) (This Item will include all run-off created by site b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? (S,F. /Acres) impervious surfaces.) Z Doan the SPlan and/or Survey Show All Proposed PROVIDE BRIEF PRO ,)ECT DFSCRIP7'ION (Provide ctures indicating Size &Location? This x Drainage Structures Item shall Include all Proposed Grade Changes and ❑ UCJ?lI�1/ O J`r✓� . ' ',A0/c[ 36r `r Z62Does Slopes Controlling Surface Water Flow. � �►r�, �c�ra� ov v,trj 1p,�r the Site Plan and/or Survey describe the erosion v and sediment control practices that will be used to X per? F ye 2140 f �/., �, �./NGS , = 7.� Q f control site erosion and storm water discharges. This (sA�QAI(,_ item must be maintained throughout the Entire Construction Period. _ "WVT,,Z� ,P�D,ed(�2il�/1' 4 Will this Project Require any Land Filling, Grading or C dV.45P 1;rAWIf Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards i *i i of i �Q je pjpdp0/7/%�� of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand FYI G7�Qii/,�',ET,dW[L CJ'.•OJ'Q, . P,�d��� _ (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 or within One Hundred (100') feet of a Wetland or General DEC SWPPP RoQuIrameMa Submission of a SWPPP Is required for all Construction activities Involving sol Beach? disturbances of one (1) or more acres; Including disturbances of less then one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common pian that will ultimately disturb one or more acres of land; which Exceed Fifteen (IS) feet of Vertical Rise to F]x including Construction activities involving soil disturbances of less than one (1) acre where the DEC has determined that a SPDES permit Is required for stone water discharges. One Hundred (100') of Horizontal Distance? u I 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. 0111-0.10-001.) Surfaces be Sloped to Direct Storm -Water Run -Off ❑ X 1. The SWPPP shall be prepared prior to the submittal of the Not. The Not 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 anyY constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right -of -Way or Road Shoulder n compliance with the terms and conditions of this permit. In addition, the SWPPP shall Identify potential sources of pollution which may reasonably be expected to affect the Area? (This Item will NOT Include the Installation of Driveway Aprons.) quality Of storm water discharges. 3. Ali SWPPPs that require the post -construction storm water management practice NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In a Box and the construction site disturbance is between 5,000 S.F. & i Awe In area, component shah be prepared by a qualified Design Professional Licensed In New York that is knowledgeable in the principles and practices of Storm Water Management. a Storm -Water, Grading, Drainage 6 Erosion Control Plan Is Required by the Town of Southold and Must be Sulmritted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark (j ) and/or Answer for each Question Is Required dor a Complete Application) STATE OF NEW YORK, COUNTY OF...J.Z4.r/–_4 �.�............... SS L&I-A-/? ThatI, ....Ifl�401,4e ...14:.. ........... being duty sworn, deposes and says that he/she is the applicant for Permit, (Name of individual sig;; Ckrcutnent) And that he/she is the .......................... .............................................................. ...................................................... (Owner, Contractor, Agent, Corporate Officer, eta) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to die 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 j�me this; ^� �p� 1.. h day ',�!. ' 20,!.A :........ .............. of . .. .,4.... , Notary Public:...\�.ri%�� .�!�?`�......�.....� `-^ �.�.............. .... .. I� s,... . (Signature of Applicant) FORM - 06/10 Notary Public, State of New York No. 01 BU6185050 Qualified in Suffolk County D) Commission Expires April 14t, 2_�0 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its siwficant beneficial and adverse effects won the coastal area which incl es 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 i Mswer must be explained in detail, listing both supporting and non- sunaortine 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# —,;�3 Z -_ a2. NOV 1 7 2014 PROJECT NAMElf'LAVO �'D I�,� LL C'• The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trusteesrvr la 1. Category of Town of Southold agency action (check appropriateresponse): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) Q (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: CaVJ7X0C710A1 d. --e Nature and extent of action: / •7/i, 16l �''i Z"'��• /'4-70coir, ''�'�``'e/ ,t1,� a : 7'6� Mo*,-; / 4"�, e&Wl a,C' Coc�E.P�,d BG y=1¢D B ,v,X P rz 1 1/�N1' CY'.' 7560.1 �• FT • n ,�UJ�O cT� pflpgr, Site acreage: 1:5,..9'3 Present land use:,�['f Present zoning classification: ZrS��2Z!4=e 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: 7225V _. 4 4rZA&D C Q Y. ZY C (b) Mailing address: /-5,g.3.�E RiOAP (c) Telephone number: Area Code 2 9O - 0 6�6 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes EI No Z 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. jQEVELOPED 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. Ind Yes ❑ No [] Not Applicable �f�f'�Of'i2�17 , f��'D T,�CT /!'�'�F.Q�'�L.T" �,I`l,�:E'Glil/G 2 L OTS.�►/,l� C!N& aM&& U 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 F-1 No 0 Not Applicable 1111 iii Ar 05� 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 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 C1 Yes 1 No � Not AADlicable 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 F-1 n F\7 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. 10-mo�� Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes [-] No [F Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. M Yes F] No EJ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the. Town of Southold. See LWRP Section III — Policies; Pages 38 through 46 for evaluation criteria. R YeJZ No El Not Applicable Attach additional sheets if necessary • WORKING COAST POLICIES Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III— Policies; Pages 47 through 56 for evaluation criteria. 0 Yes ❑ No 'V4' Not Applicable 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. Yes 0 No 0 Not Applicable -7�VQ5AZOP/>. JXV AP4 Y ---X C.T !-v),4V Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. n-- n -- FZ7 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. PREPARED BY-1%!,l��l��� ��G%%%G? TITLE 1Ji/i� DATE L/ ¢ Michael A. Kimack Attorney at Law 321 Riverside Drive Riverhead, New York, 11901 Tel. 516-658-6807 E-mail: mkimack2@verizon.net November 6, 2014 To: Town of Southold Trustees Subject: Request for Non -Jurisdiction letter for Treasure Island Cove, LLC. Main Road (Rt.25) East Marion: Tax Map No. 23-1-29• a •H fa•� NOV - 6 2014` a _ s a We respectfully request the Trustees issue a non jurisdiction letter for the above referenced property. the proposed construction activity will not involve, or disturb, any land on the property that is within the 100 foot buffer zone from the tidal wetlands. The boundary of the 100 foot buffer has been staked in the field and a silt fence has been erected from property line to property line. (see survey attached ) No construction or activity will occur northerly of the silt fence. The septic system is presently shown as the closest structure to the boundary. If need be the system can be relocated a sufficient distance from the boundary to avoid a disturbance. The corner of the building is some 7-8 feet from the boundary which is sufficient space to construct without the need to disturb the boundary. In addition, the land is relatively flat in the area of the proposed construction and slopes away from the wetland boundary. Sincerely yours, Michael A. Kimack . tlr a•i. '•r 'S,• • `''• . J!Q �'a aafr,� ' , f.•. • • �1 4 t oil,.,'• 4 1 fA; cr a4 tv , •;�%•; .•,, a , , i '1 {lair ' � ,r 1 • � •"'� .. �'. '''�•, .. 1 ! ,t9'%1I�lC72_ ��Cl�•Q.f trl/SlQhf'',f •r•. .; •� i ,• s . i ' f�p��tr ala f •Ma- ' � �Otl�,, •• �+• �' `"►'..woa�'e �a w'r• '/i�l?R��ll�'M ±�l`{%�"�>?u���i''' �• , NOR�fMJAAI WHI7,�'FlEx�tlJ' �r ,• '/ti i.. `� , ' %Ji � � ,� , .E'AaT t✓IA4fOrf r ~� t ' •, , ' scale. town J.. , 0 + + a { r GI w Mor}u,tta+sf + •,`� 1 « � 'to,$u oJ.t•Da ef,,,,�6►ra:r/�Jaao-az»,�-� , ! p, ►titatar 1u/�l7,wnd �aE+ur a•Dta�rod0/,• r. r . • p ' dtlai`tare, i'o Insef' Own arda. e f �+f'e�,r !k rount'1+ Na.rJt'Jt Da�ix's . r• I !.�' + 1 Prea�iaCa ar'd'irt xoNt3»%1 C.C'ad•'••Ii�r? �? t or )10 as- `. j u0 Jai to ba fAFrtkar ,ru6dlvldarl• „ �aoag r.0 ggriaa,waitr�uylp,P•G:._, •` r �•• - ' ..1,1 Woo+' .� • Y « � .: 'f •• � -s�• - . • o ` • . 4icpsxnae{ Lrvasi.asu+rver�rra � %' � ao• M % " . araairJborr'', .rv, tr: - 1adati d�rS 1 tea. 1/ 1Ddt:.— Z. ,7 ewmekia; ' �- e► �`E^ t m �. �, 1� � w„" na�am n�i'r,�,�un�areoi me. i. `; - -• ' "'y ut • .' ^. ricSw,rnrq 4q r,nr rbxtaM • �� ,fid' ' .. � 1• q ' •� , •`r t nN ta"14+rearw'nw�,� 1°� p"'+a0 1 trt p .t t wr,uq iw ma mrrrcut y �raeurs *ANO p, tol Rr•,y lNt rqui�jrt C: Cslfi�,ys/l qu aowan tat MQ t11w m Irl m r tBaltl Mh0Y1�"wtAt+g4RWq ', � �� i Jd ' � . ' �.Ioon'r°1Ia m,�luuwwYY ' • { `, � . ,� ,. ., .y 9. t '� 1��•'rr � (, � to , r: ..d, 1 `« sa APPROVED BY Al l ,'J.`«_ Pw+p/' �. •L,I •.;.ir i �:. ��'�%fiQ%� ~ e f111d �r�^��•.�-�"~—',, +• • '•r y'' , . `•ter°tee 4 t . �, � bv:TJ W iY ; i � 9Fy ' r ,T • ' •• • ��, r 1� �`�r ��t�.,3t�e/Gs� r rr''1..'••'' r k dds•71iA+I,L"tea• it 4. No.rQaI4a0iul"atrugtwcae of MW U Miro Oban be amatmtod on Lots 1-to»44•Polur To:. 2. NO oono#*t:G4 rritbin 1.06 Boat' cwthe 'adga of Dada Poach', o#•f tbp � � ::; ; , t I :� ie' s�rs?t►zQ 'd�dGs a.t. any �Cidgi. maadoNa utc.'darir� •�a psrrst'., " • .'rr+ Ito'aaaiitiw luupo561.164 iat.'ahaU be oduatrrrotad or inata3L1od rc#bbin i(* tnat of th '-* li piti,Dma 7�on4 ox Welvpxmd, !Q* Cd @a tidiraodan bard the pond. A al, h;' ,41 �O+twd,7.d4n�� iaolrodi�g �Iboetieox�G >ntL1.dlpg� ohaxt bir built �'�hlxc a a�ri�r oP ic'iul',{0,'f�ab• db. r ;.� •�• . • � �,wa,�r Zdto1.,�a�fiy�LA I tial�•Lela add. �t� :pto w0br 2'gkipl�2','raaN1•t frblh'tlta da?rb2ti awttt 7WC'9WIjf1�DV • •• .i" � r . tiMrA o1 *0 lot -a! bo 1'r r (, 1�1';; ' a�],Y'diadicg�d intoe 8oud,oY 4h td tip adJa.,�d�l-ldnndasrrr. t .. •" . �,, f,�^i�•�."�}�r' .r• „ , '••t,,° '' : '• 7 , ,� ' •w ;•: ' • 'rw "`'1•'41 •1' �, ; ' :, ,r• Y Y • t i4 •�.,�.,w .•••..w•'-r••. ,� •..�,..r w�.w.•�' ••w.l•.•. �..w�w.nil.Mwrl...r. � �: . S. C. T. M. DIST: 1000 SEC: 23 BLK: 1 #R10-14-0082 LOT: 2.9 INTERTIDAL MARSH AREA—/ DAM POND PI MEAN HIGH WATER LINE j ZONE FI S se9•o MAR - 3 2015 I R� ZONE X '�s� ' 3131.39112 DOC r 4 TOP OF BANKf ..._. o M \ keC Q-4 VC • o/ MON. \f - \ JaM e ,1�c.�n � / K LIMITS OF ARTICLE 25JURJSSD� \ OF PROPE'RTY�AS DETERMINED \ p ` BY NYSDEC ON 05/28/14 22 1D 29`D �4 20 18 LAND N/F x _ 16 12 OF F� PPRO LINES 2 ,Q' _ 14 DOMELUCA, LLC 1,500 GAL. 2V : -:. s4.o;< .. :..- PROPOSED I a`...... . rss D...7 's 11:<.... Sr 150' LP SANMARY o .I•;t '3 ;5 / ♦. SYSTEM PROPOSED DWELLING I '-`: i:;: / UNDERGROUND w TYPICAL WATER LINE INSTALLATION W/WELL ............ , .., .s,:, .; `•• .b': Vj UNDER CONSTRUCTION I CATf A?fs •=d-Dt�; 'DEEP' ACCESSORY DVELL[NG PROPOSED' 1.5�CIO - , ; t O / FLOOR ,HIST FLOOR JOIST i BEDROOM 1 `:?,;& .:::io • DWELLING I SINITARY SYSTEM 7.::;•'•: - '/' .+,<AIFiA: ' • ' ! i O W/WELL LP \ r�4� I "''::'`44.0;=:[.`.;. !`, s �•" Y.79.0• ) FINISHED GRAD �y. I 1 'Dwr�' I LAND N/F -J•� w OF r Z 2O. , O REED RUBIN ;� 27.76 \ v � 3/4'(MIN) COPPER NATER LINE 15' W '•� : ' ' /SWELL / LAND N/F OF `;;, \ MICHAEL MENDILLO `SO. W ", _. >• I MON.14 / p f Co10'D 4'DEt \ \ / I D WELL \ ACTIVE 12 / O WELL WELL I \ \ \ i LAND N/F OF %j 'CIO• \ / DOMELUCA, LLC IDSVT �C LAND N/F I \ \ OF ELEV. 20.4 JOHN BABKOW DR BROWN 8 PROPOSED 1 2DRIVEWAY ( OL ANDY LOAM i.4 \� 3 LIWEARFEEr 4.#W 6.r. 4,110 x .116 - 777 C.F. I 5.1 x X ��\ / C. 12 V.F. x 10' DA DRYWELLS - 121 C.F. RRONDED I ScBROWN SAN 10'DIAx4'DEEP DRY p WELL O (NOT IN SERVICF� x= WELL p O DWELLING 5.7 I t�j W/WELL I BROWN REMAWME SOF SP / Exlsrnrc DRnk�vAY LAND N F FINE `r \ \ TO FIRM ZONE `� r. �� T �- - ` OF / I MEDIUM 4 \ �• ' v I 6.3 SAND .law ZOMEY LW x �; x WELL CHARLES CAMPBELL i WrTH GRAVE _ _ ..` . ,�o s8 s o t� 56 O l�mr I ^ ?0. r% 10'0IA&DEEP I �� V �c) v� 1` VA) 79 • . E��) n 3.1 T D, WELLS + NO WATER APPROVAL OF STOP WATER NAGEMENT �� 4q :.-=��3 MON�� + I LAND N/F CONTRO P N -/0 n Cod h t r 6 n' \ �''J `% • : �0w , '' Sg¢� WEnNO MOUNDW AS I OF Date: c� 3 J -E• 4 ""'. , ` 5� • �� + FLAGGED VY TRUSTEES I MAY 10, 20 i !20 MALA RUBIN KENNETH WOYC Approved by: z o �'' 4.1 N �' '•� •� ' ` • 18993• EROSION EDIMENT CONTROLS o TIDAL. WETLAND BOUNDARY AS DELINEATED /��� U.P. , ` ON Shall include but not be limited to: BY EN -CONSULTANTS DEC. 5, 2013 ' // / A ''� z ''�4.5 ed Construction Entrance, Awe" malntaln & / / / /\ stabilization Wire Backed Silt Fencing, �• ! yF� O / / / / RIGHT OF WAY Seeding of exposed and/or inactive soiiS, 4,707.74 sq,ft. LAND N F � • . x 4.6 / / / ��°o - 0.11 acres OF ' N, U.P. DRAINAGE INSPECTIONS ARE REQUIRED JOSEPH BEROV Contact TOS Engineering at 765-1560 before Backfill, OR Provide Engineer's Certification that the drainage has been installed to Code. AS SHOWN ON ftCWL WETLANDS MAPr72� 1 4 DATUM: NGVD 1929 ' FIRM PANEL 0064H THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL AREA: 89,215.14 S.F. or 2.05 ACRES LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS. U.P. UNAUTHORIZED ALTERA77ON OR ADD17ION TO THIS SURVEY IS A UOLA77ON OF S£C77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING 774E LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777L£ COMPANY, GOVERNMENTAL AGENCY AND LENDING 1NS777U77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC71ON OFFENCES, ADD177ONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF. DESCRIBED PROPERTY CERTIFIED TO: TREASURE ISLAND COVE, LLC; MAP OF FILED: I 50 SITUATED AT: EAST MARION ,' C KENNETH M IIOYCHUK LAND SURVEYING, PLLC TOWN OF: SOUTHOLD j ` ; .; • ' E ,' SUFFOLK COUNTY, NEW YORK :I, Professional Land 9ur7eying and Design REVISED 02-17-15 P.O. Boz 153 Aquebogue, New York 11931 REVISED 01-16-15 REVISED 11-14-14 FILE #1,3-144-p SCALE: 1"-50' DATE: AUG. 18, 2013 • . PRONE (631)298-1584 IEAX (631) 296-1Ms REVISED 10-04-14 N. Y.S. LISC.I NO. •,050882 =rintainial the resorb of feint J. Nr;.Nq nA Kenneth K. Weyeh ;� tido• / r ///�°s 5.0 WOOD RAIL FENCE •4• 4. ��/ / / X. TO BE REMOVED X 4.7 x 4.9 s u. R=2898 -005'p 378.73' �O%i'"3tS.p57.3 RO AD /PF,O MAI c.R• 25) CJ GRAPHIC SCALE 0 25 50 100 ( IN FEET ) 1 inch = 50 ft. S. C. T. M. DIST: 1000 SEC: 23 BLK: 1 #R10-14-0082 LOT: 2.9 INTERTIDAL MARSH AREA—/ DAM POND FIRa1 ZONEMEAS/ N HIGHWA�L►NE 7 L 9� 16 00 ZoN `psi ya 1 WOOD \ \ 31,39,12 DOCK \ O �. 4 TOP �`OF BANK± \ M �s c� MON. b6 CK LIMITS OF ARTICLE 25 \ / Y JURISDICTION ON NORTH SIDE U OF PROPERTY AS DETERMINED o EY NYSDEC ON 05/28/14 6 \ /��4 22 �N i0 292 1 'DlAx4 ER 18 LAND N/Fx is 12 OF F PROPOSED _ , WATER UNES 2 .0' 14 DOMELUCA, LLC 44 0 1,soo cAl.a PROPOSED j ::5::.ST L Ng QN. ,SLAB LP , SANITARY 150 �''.i;: iFl. 1. ...:: $F.:;:;; i;t::, / •• DWELLING / SYSTEM PROPOSED UNDERGROUNDj TYPICAL WATER LINE INSTALLATION W/Y✓ELL I �. •A.: UTILITIES UNDER CONSTRUCTION YAIX, a,•. -f: ,::DIS, 'D EP ..CAST 1 ✓••• •.• ". ACCESSORY ' ART VEY 's.` ' )LDG. DWELLING PROPOSED 1.500 GAL I '. A COU! ) • a 6 BEDROOM j L / FLOOR JOIST FLOOR JOIST SANITARY GARAGE O DWELLING SYSTEM !121 SF.:. �S./.. i (11SrHAL ,., .y { t • O W/WELL I LPSe tq Gf 1!•50 ;'4 •. •.:r / �, 24.0'. t +'4. •'•" " 9.0' 3 FINISHED GRADE j fIAxa' EEr I LAND N/F / —� CID OF EL 20. L REED RUBIN / Z :. / 27.76' \ ' '• . ' � � � �� .. g ;t.•• / / 3/4'CMIT COPPER WATE— R LINE -*WELL LAND N/F OF MICHAEL MENDILLO \\\ MON.14 \ / 10-0 WELL \ \ / ACTIVE 12 0 WELL WELL IN LAND N/FOF ` go � DOMELUCA, LLC 10 LAND N/F \ \ OF ELEV, 20.4 JOHN BASKOW DR BROWN a PROPOSED 12' NIDE DRNEWAY OL SANDY LOAM 1 ' 6.4 300 LINEAR FEET 4,180 S.F. 5.1 x I f . 4,acaD x .140 - 777 C.F. 0 12 V.F. x 10' DIA DRYWMLS - /21 C.F. FRONDED BROWN • WELL \\ 6 1010IAX41DEEP I SC LAYEY SANC 3.5' C'LF (NOT IN SERVICf� 5.a DRY WELL -:: W x I O DWELUNW/WELL GPALE • \ '��`� REMAINS X7 I BROWN NS OF / SP EXISITNG DRNEWAEYD// ''a<y> I LAND N/F FINE s 10 BE DEMOLISH I MEDIUM \ FIRM ZONlX, \� Vk `- i OF SAND FIRM TONE BOl1NOMRY UNE x fit\`4;'^ x WELL* CHARLES CAMPBELL .. \ '� x I WITH GRAVE R . 1 O VA&DEEP ?OI .. ._ `'..• • E��i ^ 3.1 � F � DRY WELLS I q ' M x 3IV , C..` . �b ryQ• �.� ., ':sR \ �3 MI LAND N/F NO WATER 17' BY. 15,8¢� WMANO ROUNCNRI' AS I OF / '?0 \� FLAGGED By TRus'm I MAIA RUBIN '�., 4 � MAY 10, 2014 BOARD OF TRUSTEES E. ''� �� I KENNETH WOYCHUK LS �'WN OF SOUTfiOID :F. AiE 189 TIDAL WETLAND BOUNDARY AS DELINEATED U.P.` ON \ BY EN -CONSULTANTS DEC. 5, 2013 • . ` RAF l% / Q wd✓ . / / / /�► �`� 4.5 RIGHT OF WAY \ • / / / /���61, 4,707.74 sq.ft. 4.6 !P,,, 0.11 acres t�nLAND NIF �• •x x �2i / / �po. . ' :. ". _ `':_._ . _ . �► %Ki3M ON TI W MAM%, S � ",D L?" .1�"EO A.QF"2+"S'"�• � ' U.P. . • �I :)IS'iiT^.DAI�"CE E".i": " VnL E3 ,. . � AND YtOEEiih6BRD-.. V �•.\ � do o� FEB 1 8 2015 uMsTu�,Em AND IN NATumL VEGETATION M M."T x s.o 1 HE FOi.I.O"ti ACTTVTIT'�.S IN THE PRESERVED ALGA AIiS LPFZ` :CALLY.Q:,, . . . QAP+L'v'Li O2 CUMNO O:? VF.i�'Tf�'ITC7V. 4 RAIL FENCE `P; LICAn03 W a=IMAIS. EXCAVAIM. G�1D'.,X0. FaLI IG 4z x x / % / / BE REMOVED WOOD LXN. 7�w 1�w�+� i+e�rrne.�. �.,,�S�1p To ��O."l 'tT:Uf"%T�SI. I�: ON, O, ANY STRUCt'UI�SS. AM �J."f ° Lit YIY • 7)DAL WETLANDS Mlr/724551 4 4X7 4.a 6� DATUM: NGVD 1929 - APIi�OPtPA%i�*:0,5'tK2*+,AS3'3OMATEI'�IALS.EQUfi'�".Ni'O':D",I�. R=28gg•00'R �8 3' FIRM PANEL 0064H THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL ---- �' U. �p j,=36.067 7.3 FRD AD AREA: 89,215.14 S.F. Or 2.05 ACRES LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS 6 A,PRO L AND OR DATA OBTAINED FROM OTHERS U.P. P• A�,+ T 5 UNAUTHORIZED AL7ERA77ON OR A00177ON TO THIS SURVEY IS A VIOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCAAON LAW. COPIES OF THIS SURVEY Ii�rlC 1 MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID 7RUE COPY. GUARANTEES INDICATED HEREON SHALL RUN CJ,R• 2 / ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY. GOVERNMENTAL AGENCY ANn iFNnrNn IAlcnninnni Zol REVISED 02-17-15 REVISED 01-16-15 REVISED 11-14-14 REVISED 10-04-14 GRAPHIC SCALE 0 25 5o 100 ( IN FEET ) 1 inch = 50 f1^ 200