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HomeMy WebLinkAboutTR-8497 John M. Bredemeyer III, President ®� �� Town Hall Annex Michael J. Domino,Vice-President 54375 Main Road P.O. Box 1179 James F. King,Trustee va Southold, New York 11971-0959 Dave Bergen,Trustee ® a0 Telephone (631) 765-1892 Charles J. Sanders, Trustee l'YCOONTYFax(631) 765-6641 r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE - # 1158C' Date: August 21, 2015 THIS CERTIFIES that the installation of a 15'00' in-ground swimming pool with a 2' high build-up above ground; and a 4' high pool enclosure fence around perimeter At 2404 Camp Mineola Road, Mattituck Suffolk County Tax Map#122-9-7.20 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 8, 2014 pursuant to which Trustees Wetland Permit#8497 Dated September 17, 2014,was issued and Amended on March 18, 2015 and also Amended on July 22, 2015 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the installation of a 15'x30' in-ground swimming pool with a 2' high build-up aboveground; and a 4' high pool enclosure fence around perimeter. The certificate is issued to CHERI ANTONIELLO owner of the aforesaid property. Authorized Signature r , John M Bredemeyer l[I,President ��$11�F0(�-`, Town Hall,53095 Main Rd. P.O_Box 1179 Michael J. Domino,Vice-President o � Southold,NY 11971 James F. King y x Dave Bergen y ♦ �� Telephone(631)765-1892 �lc � Fax(631)765-6641 Charles J.Sanders � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 114 INSPECTION SCHEDULE Pre-construction, silt fence 1 st day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: 4,9 CERTIFICATE OF COMPLIANCE: John Bredemeyer, President %UFF01 Town Hall Annex Michael J. Domino, Vice-President h°° °may 54375 Route 25 James F. King ti x P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen y�Ot ,� �a Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Fi Id Inspection/Work Session Report Date/Time: Rich Petrowski on behalf of CHERI ANTONIELLO requests an Administrative Amendment to Wetland Permit#8497 to change the location of the proposed 4' high pool fencing. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 T�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: I / Y�-- Present Were:__,J-I�redemeyer �M. Domino */ J. King D. Bergen C. Sanders Bay Constable Other Form filled out in the field by d-` a-e , Mailed/Faxed to: Date: �oF SO John M.Bredemeyer I1I,President ®� _ ®l® Town Hall Annex Michael J.Domino,Vice-President .x 54375 Main Road P.O. Box 1179 James F. King,Trustee G Southold, New York 11971-0959 Dave Bergen, Trustee � • Telephone (631) 765-1892 Charles J. Sanders,Trustee l��'oUNTI,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 22, 2015 Rich Petrowski Reflecting Nature PO Box 1483 Mattituck, NY 11952 RE: CHERI ANTONIELLO , 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 Dear Mr. Petrowski: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, July 22, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#8497 to change the location of the proposed 4' high pool fencing; and as depicted on the revised site plan prepared by Rich Petrowski, received on July 2, 2015, and stamped approved on July 22, 2015. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, dd— John M. Bredemeyer, III President, Board of Trustees JMB:eac �pF $0!/l John M. Bredemeyer III,President ��� ��l® Town Hall Annex Michael J. Domino,Vice-President 54375 Main Road P.O. Box 1179 James F. King,Trustee G Southold, New York 11971-0959 Dave Bergen,Trustee YO Telephone (631) 765-1892 Charles J. Sanders,Trustee ��COU NTY,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 22, 2015 Rich Petrowski Reflecting Nature PO Box 1483 Mattituck, NY 11952 RE: CHERI ANTONIELLO 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 Dear Mr. Petrowski: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, July 22, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#8497 to change the location of the proposed 4' high pool fencing; and as depicted on the revised site plan prepared by Rich Petrowski, received on July 2, 2015, and stamped approved on July 22, 2015. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, John M. Bredemeyer, III President, Board of Trustees JMB:eac John M.Bredemeyer III,President ®f S®(/p�® Town Hall Annex Michael J.Domino,Vice-President '�® �® 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee Telephone(631) 765-1892 Charles J. Sanders,Trustee �`,®U Fax,(631) 765-6641• - BOARD OF TOWN TRUSTEES JUL - 2 2015 TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT 4 DATE ' Z ' S .. T OWNER A,�W(C-11V PHONE CAI -- 5 -j CA %S 3 �-- MAILING ADDRESS K 0 L'1 G4 w. tiln �n�zc;,/� P-40 AGENT `(_4 "4ec"l")PHONE Get YY6 & .?C ADDRESS NOT At' ,A,k N- li pre PROPERTY LOCATION p 1� CAA %jjs 0L4 e-O ey-4-o AAAA-+-% �'J`Jc_— TAX MAP NO. Z® I/We let request an Amendment to Permit# to �.r�t�mac. 1.cS c �., �,-P ✓t 9 Signed Ey: B, ,d of Trustees Applicatior, 1 AUTHORIZATION (where the applicant is not the owner) I, G� �i � �.srt�LLO residing at a H D`l CA- . p (print name of owner of property) (mailing address) do hereby authorize (Agent) e�Qr ?e�,-Owsvl /Kf le-- ;`^p Ue7^re to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee March 18, 2015 • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Cheri Antoniello 440 East 57th Street, Apt. 3B New York, NY 10022 RE: CHERI ANTONIELLO 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 Dear Ms. Antoniello: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 18, 2015: WHEREAS, CHERI ANTONIELLO applied to the Southold Town Trustees for an Amendment to Wetland Permit #8497 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 13, 2015, 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 to be Consistent with the Local Waterfront Revitalization Program policy standards, 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, 0 Is NOW THEREFORE BE IT, RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Permit #8497 to change the location of the proposed pool; and as depicted on the project plan prepared by Chituk Pools Ltd., received on April 1, 2015, and stamped approved on April 1, 2015. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $0.00 This is not a determination from any other agency. Sincerely, John M. Bredemeyer III, President Board of Trustees JMB/amn 11 t V� 'N "R vNNIZA 1, 1 All Poll Aw !4v F1 i.SCTM# 122 3111/15 AN" • rip A..iL/ yAF �,.r A�'At. .fit ,Z 1T,• F�. �- F." �.i��r r g.' "�� d tp f��Wco 4 $g j�AP ! 9 •c�,, x 4' —Vill law i <^ �45Ali I it Af op „ 4 y`4 s `, • v R �. r k i. J - �• x John Bredemeyer, President F414 Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen • 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 InspectionMork Session Report Date/Time: dh d o' // if I / '�/ `3'�) CHERI ANTONIELLO requests an Amendment to Wetland Permit #8497 to change the location of the proposed pool. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 Type of area to be impacted: Saltwater Wetland ''freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No -i�ot Applicable Info needed: Modifications: Conditions: Present Were: Bredemeyer Domino J. King C. Sanders Bergen Bay Constable Other Form filled out in the field by (� / Mailed/Faxed to: Date: 0 • New York State Department of Environmental Conservation _ Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 taboo Phone: (631) 444-0365 Fax: (631) 444-0360 Website: www.dec.ny.Qov Joe Martens Commissioner Ms. Cheri Antoniello 440 E 57th Street Apt. 313 New York NY 10022 Re: Permit ID 1-4738-03533/00002 Antoniello Property 2404 Camp Mineola Road Extension Mattituck SCTM # 1000-122-9-7.2 Expiration Date: 1/11/2020 Dear Permittee: January 12, 2015 JAN 1 3 2,315 In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6 NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply. with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather, and a Notice of Commencement / Completion of Construction. Sincerely, i%ru�ltl-7. Matthew R. Penski Environmental Analyst 1 cc: Habitat -TW File NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03533 PERMIT _ under the Environmental Conservation Law (ECL) Permittee and Facility Information Permit Issued To: CHERI ANTONIELLO 440 E 57 ST APT 3B NEW YORK, NY 10022 (917) 549-5732 Facility: ANTONIELLO PROPERTY 2404 CAMP MINEOLA RD EXTISCTM 1000- 122-9-7.2 MATTITUCK, NY 11952 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 708 NYTM-N: 4539.6 Latitude: 40°58'51.9" Longitude: 72°31'39.4" Project Location: 2404 Camp Mineola Road Extension, Mattituck Authorized Activity: Construct a 15 foot by 30 foot in -ground swimming pool, patio, pool filter and plumbing, and two (2) drywells for pool filter backwash. All work shall be performed in accordance with the plans prepared by Chituk Pools LTD on 11/6/14, and stamped "NYSDEC APPROVED" on 1/12/15. Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-03533/00002 New Permit Effective Date: 1/12/2015 Expiration Date: 1/11/2020 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: JOHN Address: NYSD Authorized Signature: REQION I H DQUARTERS STONY BR OK150 CIRCLE RD BROOK, N 11790 -3409 Administrator Dat4 1 l Zci ) r Page 1 of 6 • 0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC 1D 1-4738-03533 Habitat - TW Environmental Permits Distribution List Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Chituk Pools LTD on 11/6/14, and stamped "NYSDEC APPROVED" on 1/12/15. 2. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 4. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 60 linear feet from the tidal wetland boundary, or as per the NYSDEC-approved plan, prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 5. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. Page 2 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ev Facility DEC ID 1-4738-03533 6. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready -mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 7. No Drywells in or near Wetland Dry wells for pool filter backwash shall be located a minimum of 100 linear feet landward of the tidal wetland boundary. 8. No Pool Discharges to Wetland There shall be no draining of swimming pool water directly or indirectly into wetlands or protected buffer areas. 9. Contain Exposed, Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales / silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 10. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 11. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 12. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 13. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 14. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. Page 3 of 6 0 • NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03533 15. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 16. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 17. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. GENERAL CONDITIONS - Apply to ALL Authorized Permits: I. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Page 4 of 6 0 0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION �► Facility DEC ID 1-4738-03533 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION I HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BROOK, NY 11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page 5 of 6 0 0 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03533 NOTIFICATION• OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 6 of 6 � aG-tt4{ M ycy c�.p twwecsl�t A..v AL # JUCk.- PA } AmOwrft Dow n z w amw � :.{1 'I.n. Io '-- sir+. ,� F. 0a X ,1}� ASP". °F L AND -�5 3 ooevt _^°o rQ� R pr ER lie r o G,; �ry _pi�'t_ lk r y PtQ OWNDAW AS TOWN TRUSTEES / ► t i ►lAR td � � -ry wRA�YC � ... • a .Af .� AL . . AL or � � W 130.00 1 N r S4 50 50 '� JOS' Iro 77, ey j-1-7:777 S, CD Ob R �o -fo e7 11 Ln N. N77 N I Nits )(34 41S Vila L JA14 ss Q VEIL k - CD Y4. It \ 711 0 $a34120 305, • John Bredemeyer, President Fk4 Michael J. Domino, Vice -President James F. King ; Charles J. Sanders Dave Bergen • 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 Date/Time: 2G -r 15 CHERI ANTONIELLO requests a Pre -Submission Inspection for the relocation of the permitted in -ground swimming pool, as per DEC requirements. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 Type o area to be impacted: altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: L--Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency �e-Submission Violation Notice of Hearing card posted on property: Yes Noof Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: 14141 � /CD /" A 6 CI :115-r O m 1 Nom" 7 Conditions: Present Were: J. Bredemeyer -ll. Domino ✓J. King �C. Sanders—D. Bergen Bay Constable Other Form filled out in the field by k a 611, Mailed/Faxed to: Date: • John M. Bredemeyer 111, 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(631) 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 line 1St -day o€ -construction '/ constructed __7 Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8497 ISSUED TO: CHERI ANTONIELLO DATE: SEPTEMBER 17, 2014 PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 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 September 17, 2014, and in consideration of application fee in the sum of $250.00 paid by Richard & Cheri Antoniello and subject the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install a 15'x30' in -ground swimming pool with a 2' high build-up above ground; and a 4' high pool enclosure fence around perimeter; and as depicted on the project plan prepared by Cheri Antoniello, received on August 8, 2014 and stamped approved on September 17, 2014. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee, Cheri Antoniello, residing at 2404 Camp Mineola Road Mattituck New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 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. 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 Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee September 17, 2014 • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Cheri Antoniello 440 East 57t' Street, Apt. 3B New York, NY 10022 RE: CHERI ANTONIELLO 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 Dear Ms. Anontiello: 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, September 17, 2014 regarding the above matter: WHEREAS, CHERI ANTONIELLO applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated August 8, 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 September 17, 2014, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 0 0 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of CHERI ANTONIELLO to install a 15'x30' in -ground swimming pool with a 2' high build-up above ground; and a 4' high pool enclosure fence around perimeter; and as depicted on the project plan prepared by Cheri Antoniello, received on August 8, 2014 and stamped approved on September 17, 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: $50.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/amn John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen TO: 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (63 1) 765-1892 Fax (631) 765-6641 Please be advised that your application dated has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of ili6 fdnowing items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/Z Constructed ($50.00) V/ Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 3(YYeaT-Maintenarrce-Agreemrentl(complete-originai form--enclosed-and-submit to Board of Trustees Office) 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: cj�4 a 7 TOTAL FEES DUE: $ '5D • Dt) /e/riO/�� BY: John M. Bredemeyer III, President Board of Trustees s � j � J +yZiF ~�•r� � � _ j , � t � ' � to � V :rye .:! � '� :rT"� -- I� � i� • �`.� ' dw mob— + y:f � � � .' ' ; rr . y: '°i .iii •x ,� i - 4 v. � jy� ` r }� ` {w �p s ,{ + e� �i K 'r ���=��i � t.+ „� , ,T.Y�<.�. c.s ►. fs _ .. ,.a __ �_....e._.. _.r.�. �. �r'x' 4 .,,tuE'� .. $fdi''",:mr"Si�.'�� ,at'�:. � -. e 0 John Bredemeyer, President SUFFo(,, Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen 0 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 Date/Time:.,.t P /z) / y' CHERI ANTONIELLO requests a Wetland Permit to install a 15'x30' in -ground swimming pool with a 2' high build-up above ground; and a 4' high pool enclosure fence around perimeter. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 Type of area to be impacted: Saltwater Wetland '""'!Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 . Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation other Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No v Not Applicable Info needed: I Modifications: 1 7 '.. r y^p.. ..` r t,, c. [�-I- ,, o9G Conditions: Present Were: VJ. Bredemeyer ',/M. Domino 44King Sanders 4-U. Bergen Bay Constable Form filled out in the field by Mailed/Faxed to: Date: Other BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOL% NEW YORK PERMIT NO. 6620 DATE: MAY 16, 2007 ISSUED TO: DAVID SHAMOON PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD, EXT., MATTITUCK SCTM# 122-9-7.20 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 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 May 16, 2007 and in consideration of application fee in the sum of $250.00 paid by DD13}d Shamoon and subject to the Term and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a single-family dwelling, deck, driveway, and sanitary system with the condition that the dwelling and deck be on pilings, installation of gutters and drywells to contain roof runoff, no fill except for the sanitary system, no additional and/or nor further expansion to dwelling will be permitted, a pervious driveway, and a line of staked hay bales to be installed prior to construction, and as depicted on the survey prepared by Nathan Taft Corwin III, last revised July 12, 20079 and received on August 20, 2007. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Peggy Dickerson — Absent SURVEY OF PROPERTY ' SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 SCALE 1"630' JULY 24, 2004 ANE A a9m NINLD Ta,aN1r111EAL a1AAar ®1BR1N al. ams AvPW Naas ai4a aA�em AS Pa NrTla2c N RI1a arIA1NN 1 ' II1l,ap!yp 1,DON �axua AAR2 �S >�Si IAM OWI lR�� JULY 12. A07 WAND M MI SUFFOX �D 1MIMOML�aM. Cd�IILM. RC LDTFR W14/01 AREA . 40.516.90 aq. ft. 0.937 ac. Cd'KTMIED TO: DAVID SHAMOON FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK KRAUS ROAD CROSS-SECTION OF PROPOSED CONIC. RETAINING WALL FOR SEPTIC SY TEEM WALL �,p�irwm �• wRY a[ J 1 PROPOSED SEPTIC SYSTEM DETAIL rw _ - eerA lulwl r , EUI R lr ae. dROf, walr g 3EP11C TANK Al P"�r"C'S$A+• a,A. RDaR LEACHINpPeDLs tawwP . Nn .'.uT1O'R_i.�aiow"Rw: rwn� •AJIi�r° a•�Na �r"aP� o P.l IRi6C9Fa".. A . ,r w ,m ■Rm RPA .... uaR RNL t wRRs NOTES: I. ELEVATIONS ARE REFERENCED TO N.O.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 2D EKKTMIO CONTOUR LINES ARE SHOWN TRIMS: - - -3------ 10 rMNR s W FF - mPr n 1rIL 2. UUPLAND ADAWANT AREWETLANDS - AE. WI9. 55 40.09. p. H. 3. THIS PROPERTY B IN FLOOD ZONE At EL 9) ERODE MAURANCE RATE MAP NR. 391 2 G '� ^, LOT COWRAOR DATA ry (OVER UPLAND AOMCENT AREA QA45 r1,^ DESCRIPTION AREA S LAT Co4WAD .�• PROPOSED HOUSE 1,210 p. H. 3.0% PROPOSED DECK 490 p. TOTAL YI AL ZONE AE BASE ROOD UEVATIONS DrrrRM1ED AL 4. SEPTIC SYSTEM STRUCTURES SHOWN THUS: / It. PROPOSED EXPANSION PODL / OPROPOSED LEACHING POOL o INIDroIED 9EPIC TANK 6. PROPOSED W SIA. 2' ORP MYWELL 9•/� ^� AT S. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. is � Rlop 7 / S. ANPRIIPIAND SOURCE SHAA BF NECAEAEDEDN ilU` TRUCKED RI FROM �S tPdel / gyp/ b F•0110 � fi� / � \ 4h 1 � L APPROVED BY rL BOARD OF TRUSTEES TOWN OF SOUTHOLD 4 'a DATE b a y/0 7 Q seGte Oma• ) P� --7 AL / -- - -- 4y f�_IF TUFA* O i r / A -rvA N r $ 84'50'50" 11') I I 1 1 1 130.00' TEST HOLE DATA (Tk57 ROIL DUD By EIc�tl6L9_GFffi�NCE ON NAY 11. 7005 AT 12.00PA) • •PDM e {s< - .m, N REN aNwc G,R O IF �Z� 1rNm.a.AmR - RPPM wr A,wm NM ar A�1M INMY R A.aIOM 6 w AtRal �6 aE M.W YON EIAR I \ r � M�1/20� M®'MI EMIR iMO®D RTL .«L NT R[ WImIAA ro E A vVO IRR rarF w�"r A�t rn ni!a o'�p1RR n"'r'R Iw'Rr. Ayy ai RnR te�MwNF'D w Ns AOBILYM'RNR / I NkPAa16 ! I I ' RIR I ' 1 o TIE ROWIIaE a 616116 a wr AIR OS LAail[Mf OI R[OORD. F WAMNIGD. D AR�NIIT RRaN ME NaT 4 q I�� "-- if yS�. v 4. ( 130.00' TEST HOLE DATA (Tk57 ROIL DUD By EIc�tl6L9_GFffi�NCE ON NAY 11. 7005 AT 12.00PA) • •PDM e {s< - .m, N REN aNwc G,R O IF �Z� 1rNm.a.AmR - RPPM wr A,wm NM ar IRIRIRD N N:f.XRNr.[ RNLI M 11111RM M 'NII RU INTI 11112 a1NE!A N M4YMm M 1 — AM 4f—NO MOPitN RoiF IND 'tgOF IfE1PY b� SAFTCSW �, Y LAND N.Y.3. LR. N0. 50467 -- A�1M INMY R A.aIOM 6 w AtRal �6 aE M.W YON EIAR �3b� M�1/20� M®'MI EMIR iMO®D RTL .«L NT R[ WImIAA ro E A vVO IRR rarF w�"r A�t rn ni!a o'�p1RR n"'r'R Iw'Rr. Ayy ai RnR te�MwNF'D w Ns AOBILYM'RNR F�iF IppR RFIaIRw YRm wall NR "�IIPN'R"DOIW[ AN,IMaI. ?� RIR Z TIE ROWIIaE a 616116 a wr AIR OS LAail[Mf OI R[OORD. F WAMNIGD. D AR�NIIT RRaN ME NaT 4 q IRIRIRD N N:f.XRNr.[ RNLI M 11111RM M 'NII RU INTI 11112 a1NE!A N M4YMm M 1 — AM 4f—NO MOPitN RoiF IND 'tgOF IfE1PY b� SAFTCSW �, Y LAND N.Y.3. LR. N0. 50467 -- Nathan Taft Corwin M �3b� Land Surveyor DI, sa,..ye - AAaAaa. - 91e IMI - Lb,Rlrvclb, Lem Ayy ai PH"'(631)727-2090 F0. (631)727-1727 F9 OFFICES IWATI 1 AT "m ADDRESS 322 ROWRIE AWNMF P.O. U. 1231 w~AO, Mw Vwk IIN' Rr,rMOA. M. TRk 11901 -OW BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8206 DATE: JUNE 19.2013 ISSUED TO: RICHARD ANTONIELLO PROPERTY ADDRESS: 2404 CAMP MINEOLA ROAD, MATTITUCK SCTM# 122-9-7.20 AUTHORIZATION Pursuant to the provisions of Chapter 275 the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 19, 2013 and in consideration of application fee in the sum of $500.00 paid by Richard & Cheri Antoniello or authorized waiver of Town Board and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to re -vegetate the buffer area using 60-6' Eastern Red Cedars, 60-24" Bay Berry, and 5,000 dune grass plugs; with the conditions that the proposed plantings are to completed within four (4) months; sprinkler system is to be capped off after one growing season; and a compliance inspection is to be performed in November of 2013, and as depicted on the site plan prepared Richard Petrowski, received on June 19, 2013, and stamped approved on June 19, 2013. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. NOW OR 'ORWW, (0 WIWAM j TIWANO AV—IA Acd 1 040 1-4, EASTrAW RED CEDARS (60 TO BE PLAMMO 24- eAy SERRY f60 TO OF Pl,,%NTEV EMSTWG TO RtMAiN "NNE CRASS PLUGS (5,000 To BE PLANTEO LANDSCAPE PLAN FOR 2404 CAW MMOLA ROAI:� MATTrrucK PFUEPARM BY FEFLECTNG MATXW LAMSCAPNG i 7 rvt.low 1 � a 77 c t.� � t.•. r .�A�Mt� 1�..� � � f�i ick����r�ha �b 'M�� � '�v,:A � •�i t•' +✓ lwk. •�� � li 36XL ,gyp nrN� fi �' gi�tf� 1 ty .54a , .. �I* S Y R : i � !" JL � S� Y � ♦ J� J. i , .. _ , tit � , i .l.y ♦ :5 -eoz x is y,, :R`+'•�., a• t, Oil ,1\6 J t� r` r Richard & Cheri Antoniello 2404 Camp Mineola Road, Mattituck SCTM# 122-9-7.20 7/16/14 i a� 4� F 'TA v. i a� El John Bredemeyer, President �suffik Michael J. Domino, Vice -President tea° James F. King : Charles J. Sanders Dave Bergen • 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 Date/Time:y U L l k 9 y RICHARD & CHERI ANTONIELLO requests a Pre -Submission Inspection for a proposed pool. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay &I-----_ ___. 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 ire -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Info needed: R Modifications: Conditions: Present Were: J. Bredemeyer �M. Domino 4�'J. King �. Sanders &-�D. Bergen Bay Constable Form filled out in the field by Mailed/Faxed to: Date: Other SURVEY OF PROPERTY SMATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-09-7.20 SCALE 1'.30' JULY 24, 2004 As s 1m. mm walwo as trA,r MOMjj[mr,aa Wm ..W i '. ALY 12 is1 ,P,r, W,NA k Aur umtr AREA . 4OA17 p. k. 0.037 00. 1. UMAMM AM 11EPCEO M TO MAUL IOU DATIM CSR?MRD MCHMD ANTON IELLC CHEM ANIONIELI.O WELLS FARQO BANK. NA nasT AMEMCAN Tm.E INSURANCE COMPANY OF NEW YORK Ml STM Tr MOUROICNS 11011Do 1bDIBX CtltTIM9 Moue 1.D39 .4. 0. NOIRE 1bIDIC1 $WM TAM 7N 37' OoCf t PICPODDD a1KME 390 .9. A. 0.811 MCI" FM 9S' 4!' CWAR 2 POOL 7Y 42' COYLLMMM 3 ER4 POOL TY 3D' COY 3 a� >s r�rwaimwe Ds' 4s' com D 1� r 0POOLCHM FM 7 oS' JC A. KRAUS ROAD LOf comm" DATA Bolo ..I,. IOrO2R A — a Rl DEBCNM10N fm X LW MAWAN CtltTIM9 Moue 1.D39 .4. 0. 3.1X E atm DMK Dot .V. 0. IAN TOTAL Comm 1.70 •4. 11. 4.6X PICPODDD a1KME 390 .9. A. 0.811 MAL COST. A MWOM 2,159 .4 R. DAX NIM MU OF WETLANDS . M p. R. UPLAND APIACEW ADM • AO.WO . R. M AY 2 1 2014 h --- / r� f A, d J O !6, h S 84 50'50• YN I 130 kyj � ���� WYJL U6 N6 sow Nathan Taft Corwin ■ Land Ek"eyor arOrlr ioe 0.W A 4 Liu to ftw—ft*, "— sX--o,+.0.. W" Fl (atpv-0090 Fm (631)727-1727 Im9 mm %W PA D. to AIrIPMI 111. M t19A �L N. Y.I. 1107 TEST HOLE DATA (1131 MOLE 0M BY 21o0M a -MI JK ON AMY 11. 2m/ AT 12010.) :y4,+i. rrr Y s g � m..mrmreo6 M %' .> 3 a� >s r�rwaimwe 1� r !6, h S 84 50'50• YN I 130 kyj � ���� WYJL U6 N6 sow Nathan Taft Corwin ■ Land Ek"eyor arOrlr ioe 0.W A 4 Liu to ftw—ft*, "— sX--o,+.0.. W" Fl (atpv-0090 Fm (631)727-1727 Im9 mm %W PA D. to AIrIPMI 111. M t19A �L N. Y.I. 1107 i mwow.a i I .sw,xmum i mos 11 � I BEE BEC MO.,° 13tiU0a ,d --III 'i � ,DIEM Y A sew ,yea 91Y QO 4P _______________ WTpt �__—_—____----------IME >iff Y4.M L! NOTE AN •PR1NeNt O°ExU° CO e -EE EXNif81Nf1°N &.OLKYa Be1WFEN nracanas+uss rn♦ rr 1211 r ��� ro.yu. wrs.ru. r�imw Mta�e�ss NOTICE COUNTY OF SUFFOLK ( Real Property Tax Service Age a--- 1 122 1 Peter Young, Chairman Lauren Standish, Secretary • FFOj,,Cj 0 Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone(631)765-1889 Fax(631)765-1823 At the meeting of the Southold Town Conservation Advisory Council held Wed., March 11, 2015 the following recommendation was made: Moved by Peter Young, seconded by Doug Hardy, it was RESOLVED to SUPPORT the application of CHERI ANTONIELLO to Amend Wetland Permit #8497 to change the location of the proposed pool to be in compliance with the NYSDEC. Located: 2404 Camp Mineola Rd. Ext., Mattituck. SCTM#122-9-7.20 Inspected by: Peter Young Vote of Council: Ayes: All Motion Carried Cantrell, Elizabeth From: Terry, Mark Sent: Thursday, February 26, 2015 8:47 AM To: Cantrell, Elizabeth Subject: RE: LWRP question No, if the pool relocation creates a setback greater than proposed. From: Cantrell, Elizabeth Sent: Thursday, February 26, 2015 8:46 AM To: Terry, Mark Subject: LWRP question Good Morning Mark, Attached is a trustee stamped approved plan for a permitted pool. The DEC is making the applicant (Cheri Antoniello, SCTM# 122-9-7.20) relocate the pool. Your original LWRP report was found consistent. Would you require a new review for this relocation? Please advise. Cferk Tyist Town of Southoff Boardof Trustees 631-765-1892 1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department !� 1 JAN 2 8 2'015 Re: Verification of Building Department Permit Requirements SCTM#:�— Property Owner Name: (+ Date Sent to Bldg. Dept.: 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 protect require a Building Permit. Will theect project ro osed require a variance determination from p p p t Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of eviewer Date 0 3X Z rte_ ��`-y►i� John M. Bredemeyer III, President ��OF SU�lyo Town Hall Annex 54375 Main Road Michael J. Domino, Vice -President +`� lQ P.O. Box 1179 James F. King, Trustee W Southold, New York 11971-0959 Dave Bergen, Trustee G • �O Telephone (631) 765-1892 Charles J. Sanders, TrusteeOI7C�(II� Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department !� 1 JAN 2 8 2'015 Re: Verification of Building Department Permit Requirements SCTM#:�— Property Owner Name: (+ Date Sent to Bldg. Dept.: 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 protect require a Building Permit. Will theect project ro osed require a variance determination from p p p t Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of eviewer Date 0 3X Z rte_ ��`-y►i� i 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 APPLICATION FOR AN AMENDMENT TO A DATE / -q ' I5 • Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 OWNER ANON w LLa PHONE " L • S 4 3,�, MAILING ADDRESS y Y D I; a 5'- 51 S`[ �� $ N V _) QO 2 Z AGENT ADDRESS PHONE PROPERTY LOCATION a q t)q C' -4m p A vvebL* k���l Lk. 119 5 , TAX MAP NO. / 2 2 A -:4,2 O I/We -request an Amendment to Permit #--8—q-14- to �l�tIfE /.0G4-fi6AJ 6F —f -Of Signed By: �---- Board of Trustees Application AUT'`HORIZATION (where the applicant is not the owner) At Ac)g is U o residing at �-} X10 c 5 S- •.. (print owner of property) (mailing address) 3 g b y 3. - 1 0 L Z Z do hereby authorize \C- A Pe �Jw �k k _T— (Agent) �1 apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) A i f e I,. MAR 9 2015 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS,_M j Name:(. pf, \— Address:-�- lVti,.�; �- \'j.' U-\ TuFq -'�j C-) 2' c' 2< t`4 H q 3. l�ti�-�.v._� .l-�N�UVN�+�Y�A L Vr%}SSE2 PL y S+,rzb�c�'s rv\Ie,�. �,. �o I LI A -1--+,+u C� N y k a SS a STATE OF NEW YORK . COUNTY OF SUFFOLK C-4E�Z 1 A& 6.4 l e I L p , residing at .) y o y C1 v\- V M w F a L-A V-0 A-9.4 » I da� a , being duly sworn, deposes and says that on the day of 3 , 20_,y, 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 assessor� southold• that said Notices were mailed at the United States Post Office at a vE `i ^'ithat'sai'd Notices were mailed to each of said persons by CERTIFIED MAWRETURN RECEIPT. Sworn to before 75 this Day of �� G .20 Notary Public a': AMYAR A. HASSID ')TARP PUBLIC, STATE OF NEW YORK OUALIFIED IN NASSAU COUNTY REG. # OIHA6244311 Pi'!y COMP✓l. 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Insurance Coverage . co(Domestic - - Mail Only; . insurance Coverage Ir .• MATTI ra Cr p For delivery IWTTIGK rW IMI i M I Postage a $0.49 0007 Postage a $0.49 0007 M ti 4 Certified Fee $3.30 05 fu Certified Fee $3.30 • 05 O Retum Receipt Fee C(Endorsement Required) $0.00 ' Postmark Here O O Retum Receipt Fee (Endorsement Required) �•�a Poeonerk Hero Rastmem Delivery Fee C3 (Endorsement Required) $0.00 p p Restricted Delivery Fee (Endorsement Required) $0.00 u'1 rq Total Postage & Fees $ $3.79. 03/03/2015 Ln Total Postage & Fees $ $3.79 03/03/2015 O r t o `Pf L s VtA t L�Pr /-N �l.v?n�4 �i( O N 3deef ApCNo.; r ---------- ••------------------------------F. or PO Box No. �� tix Lentt.S --------•-------- No. �V • ,S U X f') U I_ --- ---------------------^- ----------------- ------- .v 1(9 S� Form 3800, ALIC)LIst 2006 See Re ., ZIP►4 _ cic �l See Revei�e Im 11, 1, PostalP, CERTIFIED MAI't'-,,, HECEIPJ in CERTIFIED MAIL,,,, RECEIPT cc c13 (Domestic Mail Only; No Insurance Coverage ProvideM NEW 911- in (Domestic Mail Only; No Insurance Coverage Provide Ln C3 SC �.fi • • G MMIMYWAYA WIFN p5 + U +,� • E Ln • 0 Postage $ $0.49 0007 to7rATI m Postage .. a $0.49 0007 M ti Certified Fee $3.30 05 PoHem stmark � r Certified Fee $3,30 05 C3Return Rer�ipt Fee (Endorsement Requlred) f0 p O (EndoraemeM Req' alrFed�) "' 00 Here* C C3 Restricted Delivery Fee (Endorsement Required) $� O Re (ndorsem ntRteequirFed�) $0.00 Ln r9 Total Postage & Fees � $3.79 03/03/2015 rq p Total PostageL g f3.79 03/03/2015 O toa -------------------------------------: C3 o ' ate., - C - - ---... O r- .... S'treeG o•. / or PO Box No. cy q�� , �p__.-�--�i�i�__j,`j.`i------------ ! ---"--' r .; ._ or POBwcNo. _ _'its_..7 .. --'_- i nit stria: iiP«a' -----� as 3 E City Still Z/P - c L AjV JXq8g, • John Bredemeyer, President �%4fF91x�, Michael J. Domino, Vice -President James F. King } Dave Bergen oy • Charles J. Sanders BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of CHERI ANTONIELLO COUNTY OF SUFFOLK) STATE OF NEW YORK) Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631)765-1892 Fax (631) 765-6641 AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, , residing at /dba +-tti0 f '514` sk ,Arc S ' k l Z being duly s orn, depose and say: Y -k That on the 3 day of MA4zL4 , 201, 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, March 18, 2015. Dated: (signature) Sworn to before me this 12 day of 06 2015 Notary Public Egp,l MEEK Notary public - State of New York N0. 01 ME62nx 'o �h Qualified in Bronx Co t My Commission Expires 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: CHERT ANTONIELLO 0 SUBJECT OF PUBLIC HEARING: An Amendment to Wetland Permit #8497 to change the location of the proposed pool. TIME & DATE OF PUBLIC HEARING: Wednesday, > March 18 2015 — 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 10/9/14 Dear Trustees, I am writing to request a field visit to my property, 2404 Camp Mineola Rd Ext Mattituck NY 11952, to discuss the proposed relocation of the recently permitted pool. The DEC requires the pool to be relocated to meet their setback minimum of 75' from the wetlands. Attached is the plan for proposed relocation. I look forward to discussing this matter further. Sincerely, Cheri Antoniello 917-549-5732 .� 11 OCT - 9 2014 J I i_..... ....... 6 - AL tr V'2 \07 41 J ii Nv A .4 cN. ER C) X0 4, ... . ........ VLAQ 2A WETLAND BOUNDARY AS PER� SOUTHC -rgf� LD VN TRUSTFES FW., SL Vol,, wt PI, 4, -ALL 17 FOUN ON #A 1,4c 4111' AArr vitt s 84*50 50 0 w OW CN <0 w Z ST HOLE ;s: trAcrr/c L6 C) �o ff 4 tr V'2 \07 A .4 ER C) 4, ... . ........ 30. C-) C� To: LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: September 10, 2014 Re: Proposed Wetland Permit for CHERI ANTONIELLO SCTM# 1000-122-9-7.20 CHERI ANTONIELLO requests a Wetland Permit to install a 15'x30' in -ground swimming pool with a 2' high build-up above ground; and a 4' high pool enclosure fence around perimeter. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP. It is recommended that the buffer be fenced -off to insure that the re -planted 50' wide buffer remain undisturbed during the construction of the pool. 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 OFFICE LOCATION: ��0� S�Ur/fiO l0 MAILING ADDRESS: Town Hall Annex ,`O P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 �l Q Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: September 10, 2014 Re: Proposed Wetland Permit for CHERI ANTONIELLO SCTM# 1000-122-9-7.20 CHERI ANTONIELLO requests a Wetland Permit to install a 15'x30' in -ground swimming pool with a 2' high build-up above ground; and a 4' high pool enclosure fence around perimeter. Located: 2404 Camp Mineola Road, Mattituck. SCTM# 122-9-7.20 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP. It is recommended that the buffer be fenced -off to insure that the re -planted 50' wide buffer remain undisturbed during the construction of the pool. 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 Peter Young, Chairman Lauren Standish, Secretary • 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., September 10, 2014 the following recommendation was made: Moved by John Stein, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of CHERI ANTONIELLO to install a 15'X 30' swimming pool and a 4' fence enclosure around perimeter. No patio area. Pool will be in - ground with a 2' build-up above ground. Located: 2404 Camp Mineola Road Ext., Mattituck. SCTM#122-9-7.20 Inspected by: John Stein, Keith McCamy The CAC Supports the application with the Condition a drywell is installed to contain the pool backwash. Vote of Council: Ayes: All Motion Carried EPI _t ij• Y SEP 1 2 2014 i John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: Southold Town Building Department Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Re: Verification of Building Department Permit Requirements SCTM#: Z--2-7• Z I) Property Owner Name:_C-he-n' Date Sent to Bldg. Dept.: (o Telephone (631) 765-1892 Fax (631) 765-6641 AUG 2 6 2014 T01IN C F �Oi�T�!OLD 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 ill the proposed project require a Building Permit? ee he proposed project require a variance determination from oning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of Wiewer 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 ,Coastal Erosion Permit Application Wetland Permit Application `¢ Administrative Permit AmendmenUTransf r/ xtension Ceceived Application:_ �� received Fee:$ eLlbb, Completed Application _Incomplete _SEQRA Classification: Type I Type ll Unlisted Coordination:(date sent) �,, I �,,,� �WRP Consistency Asse sme t Form = VAC Referral Sent:``��jj""��"� _Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: __li'echnical Review: _Public Hearing Held:_–JW —Resolution:--­­ Name esolution: Name of Applicant GHC-2I .J Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 AUG - 8 2014 Mailing Address L4 LIO 645 1- A-,2 6 -1jr-- — N f ov 2 Z Phone Number:( ) 91-F- 5 4 9 3 2. Suffolk County Tax Map Number: 1000 - ),;t, — c( — . 2,0 Property Location: a qoy C'4 Q �.ti o L•4 ►� b C— //Y)'`r t --f-, 4-ruk iv L/ l l °I S '2 - (provide (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Goard of Trustees Applicata• GENERAL DATA Land Area (in square feet): `l 0 -, f) Area Zoning:_ i 02,914-tA L - Previous use of property: 5 m 6 Intended use of property: (2- r .S ) oe /} L. Covenants and Restrictions on property? Yes _�C�No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes x 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 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 -7< No Does the structure (s) on property have a valid Certificate of Occupancy? 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? --y— No If yes, provide explanation: Project Description (use attachments if necessary): �„j I Al fl Yes r'4 F "1-r (�Z d 4-12-E/4 - �tso L +ti LL IQw �� I.tJCl f 0il, 0 v P Ali C 2�dN�. Bard of Trustees Applicatiot WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: f 0 i.w Q -,i L L 4 cam► k" VL. c, ace, L 11A'0 4 ' .�0Ce _QLD c,2110 e 2 ► ✓'1 f r2 - Area of wetlands on lot: 2 square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: J5— feet Closest distance between nearest proposed structure and upland edge of wetlands: j feet Does the project involve excavation or filling? No / Yes If yes, how much material will be excavated? 1" s cubic yards How much material will be filled? NA � U 4-26.4 wi LL 647 FP e o cubic yards Depth of which material will be removed or deposited: -,?, feet Proposed slope throughout the area of operations: AAA l 4V—P, 1, ► 0- 4-r--^"R-"v L--" f Manner in which material will be removed or deposited: � _�<tL t. �-�9-���+� �- �.� � k- ► �o S l-c-�� L o�-nc-r2 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): 111V AJ L�Je+ L4AvQs t�j l , Afot Y:�E- V, 5-v26C.0 • 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 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: �K /h ni L4C-6— Project Location (describe, and attach a location n ap): � — t i Z I �t e, x, e �vr A.0-� ta-- a C—> `i Brief Description of Proposed Action: �V t�— 2CL2C ,a�fl Z / S X 3C t,4— i'^, e2k .A -1C, Name of Applicant or Sponsor: Telephone: G I � . 5-9 1 . ST3 2 Cff�iL I 4A A, 4-6it/t6Z t4-) E -Mail: GKN ,o Address: dllo City/PO: /h �I 4-ff +-J(, State: Ar Zip Code: get S-2 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 Ul may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: 3.a. Total acreage of the site of the proposed action'? acres S Q } b. Total acreage to be physically d isturbed? 5pg '54 Fk c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? f�,$ t'} steres t C E -t_ 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial [Residential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page l of 4 a] 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A M 1:1 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES F-1 r 17, 11 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? 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? NO YES I F] L/_1J El F] 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: ........ . .. ... NO YET r-71 D 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: --- - -- ------- ___ NO YES El 11. Will the proposed action connect to existing wastewater utilities'? If No, describe method for providing wastewater treatment: AIA NO YES 1E] F] 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES M 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: NO YES f ZZ11 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: 0 Shoreline r_1 Forest El Agricultural/grasslands M Early mid -successional 1��M Wetland EJ Urban [,SuburbanV�J 15, Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES 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? If Yes, a. Will storm water discharges flow to adjacent properties? ONO [:]YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: E]NO AYES NO YES 14 Page 2 of 4 • IS. Does the proposed action include construction or other activities that result in the impoundment o1' water or other liquids (e.g. retention pond, waste lagoon, dam)? I f Yes, explain purpose and site: I �% ' wr M• h �.u� c --_- —-11--_ NO YES ❑ small 19, llas the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: _ _ NO YES impact ❑ 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES j`Qj ❑ _ regulations? I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: �tZ I AIS CLLO Datc:, 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?" Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 1. 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'? W 0 3. Will the proposed action impair the character or quality of the existing community? FQ 1 1_14,J El 4. Will the proposed action have an impact on the environmental characteristics that caused the F1establishment of a Critical Environmental Area (CEA)? LTJ 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 incorporateQ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a. public / private water supplies? b. public / private wastewater treatment utilities? S. Will the proposed action impair the character or quality of important historic, archaeological, �]-j LSI ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (o,g., wetlands, F1waterbodies, 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 rVI � EJproblems? 11. Will the proposed action create a hazard to environmental resources or human health? El 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 nviromnental 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 �r 1 LI _Napne of/Ljad Agency Date President Priv or' ype Nat>e-mf Responsible Officer in Lead Agency Title of Responsible Officer re o4WsponsibTe Officer in Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 Ll • 4. Town of Southold Erosion, Sedimentation 8t. Storm -Water Run-off ASSESSMENT FORM `$ PROPERTY LOCATION: s.C.T.M.4: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM -WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN s r c e�wn -Wo-FF- -Uo — CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCnON ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within D Will this Project Retain All Storm -Water Run Off the Scope of Work for Proposed Construction) ✓ Generated by a Two (2") Inch Rainfall on Site? SY, /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 1- and/or Ground Disturbance for the proposed M " Site Improvements and the permanent creation of construction activity? 7 impervious surfaces.) (S.F. r Acres) 2 Does the Site Plan andlor Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) Drainage Structures Indicating Size & Location? This 1( a Item shall include all Proposed Grade Changes and /1_ A/ I t k O f Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion f L _ cJ w L' ' 1 1-1' (DO 0 -f-++ G and sediment control practices that will be used to control site erosion and storm water discharges. This D item must be maintained throughout the Entire Construction Period. w� A— 'a ' EE ,--'C-e 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural M n ' Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? rj Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand �C (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 Requirements: Submission of a SWPPP is required for all Construction activities Involving soil Beach? disturbances of one 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 including Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? El the DEC has determined that a SPDES permit Is required for storm water discharges. (SWPPP's Shall most 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 Q 1. The SWPPP shall be prepared prior to the submittal of the NOI. 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 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 identify potential sources of pollution which may reasonably be expected to affect the Area? (This Item will NOT Include the Inatallauon of Driveway Aprons.) 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-con3tructlon storm water management practice in a Box and the construction site disturbance Is betwean 5,000 S.F. & 7 Acre In area, component shall 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 & Erosion Control Plan is Required by the Town of Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark (j) andlor Answer for each Question Is Required for a Complete Application) STATE OF NEW YORK,\�/ COUNTY O/�F ......!'M .1.1... ............... SS ............................................ That I, Gtt 2�.. l J ! X g. � � ., being duly sworn, deposes and says that lie/she is the applicant for Permit, (Name of individual signing Document) Andthat he/she is the ........... i.CUN��............. .................. ............................... ................................................................... (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in die application filed herewith. Sworn to before me this; da .............�............................ of ....... ..................... , 20.B NotaryPublic:... ............. ...................... I ....... I ....... .............. NANCY C BEATTIE (Signature of Applicant) FORM— OTO `J , uv Ir —1G u1 11ow IVIn N0. 01 BE6247460 Qualified in Suffol Cou ty My Commission Expires I • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: P4vt-- Astn vj, 4 Z. Al t- JIr',r/- TvF�Avo '44-4 LI NC 4 ti STATE OF NEW YORK COUNTY OF SUFFOLK Address: 2 Llo -3 C -t -vo /11 (-Ive—d41 %LP F � C/O 59 PL S/N—'y 0, 13ex /i5s2 C iii 1- ,+z.1, eL Lo residing at Z y a N A , !i -e d k Oft9 c� .� �.. 1(R -5�- z , being duly sworn, deposes and says that on the ;t day of (w 20j_g_, 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 Mt- 3n�-u e,'�-- rj , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN R)CEIPT. T C\\ J Sworn to before me this�- Day of 20 t y Notary Public 14UVWX I URWT ofty Pdit State of NOW YC* pulow kk TOW York County No.01_ 2018" Mycorir�nisstori15 noires 10/21/2017 ri C3 Postal - CERTIFIED MAIL, RECE�PT (Domestic. r.- I Domestic Mail Only; No Insurance Coverage Provideq) itFor delivery information visit CO S v b m0TFkF49C1AL. our website at . cr ru Postage $ $0.49 $ $0.49 0952 Certified Fee $3.30 44 Q 0 Return Receipt Fee (Endorsement Required) r_1 O O $2.70PAWcted P e C3 liveFee (&bora mnt Required) O 0 $0.00 $0.00 •,i " %n OTmw Postage & Fees $ $6.49 WZY2014 O int f----------- M lu r ri C3 O �orPD4BoxAAD.' - b S �-- (Domestic Mail Only; No Insurance Coverage Provided I For delivery information visit our website at www.usps.com • l TJI�.r•'f'1b.� I Certltied Fee $3.34 (r " C3O Return Receipt Fee O (Endorsement Required) $ 70 H / O Restricted DeliveryFee C� �`� O (Endorsement Reqired) $0.00 " y Ln ra Total Postage & Fees $ $6.49 0$/27/2014 O Sent To —V1'`� Gt Ili r�i�-! (JA% C. � S or PO Box No. (�� --------a ---- -k-------! y.�i-a ----------------------- crty, State, �i�a Postal Service - (Domestic. • . CO S v 'ur website at .E � it Postage $ $0.49 0952 fU $3.30 certtfled Fee r_1 O O Return Receipt Fee (Endorsement Required) Postmark H $2.70 O 0 Restricted Delivery Fee (Endorsement Required) $0.00 •,i _ �� F$ $6.49 Ln r -a Total Postage & Fees WZY2014 O int O �orPD4BoxAAD.' - b S �-- (Domestic Mail Only; No Insurance Coverage Provided I For delivery information visit our website at www.usps.com • l TJI�.r•'f'1b.� I Certltied Fee $3.34 (r " C3O Return Receipt Fee O (Endorsement Required) $ 70 H / O Restricted DeliveryFee C� �`� O (Endorsement Reqired) $0.00 " y Ln ra Total Postage & Fees $ $6.49 0$/27/2014 O Sent To —V1'`� Gt Ili r�i�-! (JA% C. � S or PO Box No. (�� --------a ---- -k-------! y.�i-a ----------------------- crty, State, �i�a .�r. MHu MATTITUCK, New York 119523222 3548330952-0099 08/27/2014 (800)275-8777 02:50:31 PM Sales Receipt Receipt Product Sale Unit Final Description Qty Price Price SCARSDALE NY 10583-4912 $0.49 Zone -1 First -Class Mail Letter 0.70 oz. Expected Delivery: Fri 08/29/14 Return Rcpt (Green $2.70 Card) QQ Certified $3.30 USPS Certified Mail #: 70140150000129018982 Issue Postage: $6.49 MATTITUCK NY 11952-2148 $0.49 Zone -0 First -Class Mail Letter 0.70 oz. Expected Delivery: Thu 08/28/14 Return Rcpt (Green $2.70 Card) 6# Certified $3.30 USPS Certified Mail #: 70140150000129018975 Issue Postage: $6.49 MATTITUCK NY 11952-0905 $0.49 Zone -0 First -Class Mail Letter 0.70 oz. Expected Delivery: Thu 08/28/14 Return Rcpt (Green $2.70 Card) ## Certified USPS Certified Mail #: 70140150000129018968 $3.30 • MA' 't .. .w, $0.4c, ,r First-C:c,- 0.70 oz. Expected Delivery: Thu 08/28/14 Return Rcpt (Green $2.70 Card) @# Certified $3.30 USPS Certified Mail #: 70140150000129018951 Issue Postage: $6.49 Total: Paid by: $25.96 AMEX $25.96 Account #: XXXXXXXXXXXX2035 Approval #: 502494 Transaction #: 472 239031915836314735689 H For tracking or inquiries go to USPS.com or call 1-800-222-1811. Order stamps at usps.com/shop or call 1-800-Stamp24. Go to usps.com/clicknship to print shipping labels with postage. For other information call 1 -800 -ASK -USPS. Get your mail when and where you want it with a secure Post Office Box. Sign up for a box online at usps.com/poboxes. ************************************ Bill#:1000101352291 Clerk:04 All sales final on stamps and postage Refunds for guaranteed services only Thank f ..:. i Hess John Bredemeyer, President SUFF014, Town Hall Annex Michael J. Domino, Vice -President ,� cO 54375 Route 25 James F. King P.O. Box 1179 Dave Bergen o Southold, NY 11971 Charles J. Sanders y�'al ,�, �a°y 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 CHERI ANTONIELLO COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, _AmeRk AN6,ne LLL , residing at /dba a y0 H C.k ,p !k kA- 661 } ?-v E4 IyA I -i +u c(L NA 2 being duly sworn, depose and say: v-. That on thea +day of ��" , 201', I personally posted the property known as •4 n u r A -v-\ n n h Gic �- (V\ 4-A � , jc,,L /_,Q 1 lG <;� _-_� 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, September 17, 2014. Dated: y S) a U j%_1 JV'� Sworn to before me this N0Wy Pd^ 8WdNWy0* QuNifledtli NeMi Yd1c Cotu►ty No. 01BRe291844 Uy Commbsio Il Ores 10121/2017 (signature) 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: CHERI ANTONIELLO SUBJECT OF PUBLIC HEARING: Install a 15'x30' in -ground swimming pool with a 2' high build-up above ground; and a 4' high pool enclosure fence around perimeter. TIME &DATE OF PUBLIC HEARING: Wednesday, September 17, 2014 — on 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 • 40 qkrd of Trustees Application County of Suffolk State of New York c.yiog-i A),AdAfM LLD BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Property Owner SWORN TO BEFORE ME THIS-V� DAY OF ,20A Notar Public NANCY C BEATTIE Notary Public - State of New York N0. 01 BE6247460 0ualified in Suffolk County My Commission Expires 2-L? �-�l :7 • APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nmhibits conflicts of interest on the RW of town officers and emolovees. The nurvose of this form is to Rrovide information which can alert the town of Rossibit conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: !�I �✓�N� &�� 1 (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 Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building Trustee 7� Coastal Erosion Mooring Planning 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 interesf' 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 If you answered "YES", complete the balance of this form and date andsign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant the appropriate line A) through D) and/or describe in the The town officer or employee or his or her spouse, A) the owner of greater than 5% of the sl (when the applicant is a corporation); B) the legal or beneficialowner of any' applicant is not a corporation); C) an officer, director, partner, or a plo; D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 ve) and the town officer or employee. Either check parent, or child is (check all that apply): of the corporate stock of the applicant in a non -corporate entity (when the of the applicant; or Submitted this day of 4-" Us, Fr 2001_ Signature Print Name —e -4c -v-- i • Town of Southold A. B. LWRP CONSISTENCY ASSESSMENT FORM INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non - supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the � website (southoldtown.northfork.net), the Board of Trustees Office, the local libraries and the Town Clerk's office. DESCRIPTION OF SITE AND PROPOSED ACTION of Southold's 7 AUG - 8 2014 SCTM# IM_-- - )VZ o - `-( —. 7-C) 1- — - PROJECT NAME _ Aiv 44U- 15' X 30' >I- The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: I V 4f A' LL • Location of action: a? 14 b y C An- M i.v et�L A A0 .C- x 4- M &++� 4-u c k- I q5-2 Site acreage: LI 0 SQ F 1 Present land use: k -S 1 Present zoning classification: P es 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: ( Ne 2 i A wk N eLL d (b) Mailing address: LyLrD i eks-4- S7 T11- 54- Ana3A (c) Telephone number: Area Code O Q l --�- - 5 y Ot - Sl- 3 -2- (d) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No © If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ❑ Yes ❑ No `W 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 M Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III — Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No 3 Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages S through 16 for evaluation criteria ❑ Yes ❑ No 4 Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of ,Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria F] Yes R No 5Not 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. 0 Yes No1ot 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. n Yes [:] No [�. Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No 4 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. F] 4] No 1$ 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. ❑ Yes ❑ No 1� 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 ❑ No © Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No 1� Not Applicable 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 LTJ Not Applicable PREPARED BY C I { e(L L Lo TITLE DATE S' E ±L z{ wrl WTV-1077.1-0 f. R--Mai MA ■, �11 • �n I� W��u 5/19/14 To Whom It May Concern: I would like to request a field inspection to discuss the feasibility of putting in a pool on my property at 2404 Camp Mineola Rd Ext, Mattituck. I am hoping to get it scheduled for the earliest available field inspection day in July. I permit the trustees to meet on my property to discuss the matter above. Please see attached survey for your reference of where I propose to put in said pool. Thanks for your time and consideration. Sincerely, Cheri Antoniello 917-549-5732 MAY 21 2014 o pr st IP 5 4 1 +.y.Vim...,, • � .•� ...... of .ry jaw t �'" ` �► 1 s stoier '�'a Ao Fa. d nom. w»�{ • w . �i N f •� • , 40 •'� 1s d ' " 04 34 20 , W y •y cone.ma h �t,.i •9.uN y.M 1:.a �• ty •L�..�r { 1►� i.•• y••••�,�o E�•t•/�,i . .y M.i .•i •. MV •• • r.. .. «E!/1�9iA1/ AJUTc-wi�z�. � NFWALI' �� Alk �5-1 >,Ny >,r,E —i CDL �5 i�E U/C� ) u Q;" 7.SJ 7/1L Lc".+47I% 1iLx)L J- E C_ .� ...dna .� '## Nip. ALtry Off ' M DL. \�G AUG — 8 2014 ` t p� ��� cl,'`��G' Board O� 5 AL AL 1�� AIL ,�� A� 5V, ED BY lop° B RD OF ,'RUSTEES OWN OF SOUTHOLD .6 ATEIii h4, _OXEST HM Fuc 2A ? '• bp bp WETtANQ BOUNDARY AS PER Sp1}MOLD TOWN TRUSTEES e C� 1 ` �y evnc JAL H Q2 \•! (ja M ' MARL '° .•.; / 011c O NN 14.7' tVlz43 (j �� \j O%y O i1 LL 4 • � . �� '• � .C1 Frw.� •• O (N . 04, AL / oy� mss' / �Jnk►z s17 "' V) AL S �y� �f' / / ��'� � �ts�it3�2►�Sr+4rJ �e�x! � � : - . ":. ,mooFLAG #A �, �� ,.: •:.: .`.. 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