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TR-8729
John M.Bredemeyer III,President ��OF S®!/Ty� Town Hall Annex Michael J.Domino,Vice-President �o l0 54375 Route P.O.Box 11799 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G ® @" Telephone(631) 765-1892 Charles J.Sandersa Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1281C Date: October 19,2016 TRIS CERTIFIES that the removal of the as-built stone circular retaining wall, gunite pond, and 4"pvc drain; as built+/-65' long retaining wall with stone steps to remain;reconstruct+/-23' in diameter stone circular retaining wall further landward than existing; relocate as-built 14' in diameter octagonal shaped gazebo into the center of new stone circular retaining wall; re-vegetate 50' wide cleared area along the landward-edge of vegetated wetlands; and landscape remainder of property,with the__ condition that a low barrier split rail fence be installed along the line between the non-turf buffer and the non-disturbance buffer,• subsequently maintain a vegetated 50' wide non-turf buffer along the entire landward edge of wetlands; from edge of wetlands seaward to be established and subsequently maintained as a non-disturbance buffer area; At 1800 Park Way, Southold Suffolk County Tax Map#1000-70-10-61.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 8,2015 pursuant to which Trustees Wetland Permit#8729 Dated January 20,2016,was issued,and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of the as-built stone circular retaining_wall, ug_nite pond, and 4"pvc drain; as built+/-65' longretaining wall with stone steps to remain; reconstruct+/-23' in diameter stone circular retaining wall further landward than existing;relocate as-built 14' in diameter octagonal shaped gazebo into the center of new stone circular retaining wall, re-vegetate 50' wide cleared area along the landward edge of vegetated wetlands; and landscape remainder of property,with the condition that a low barrier split rail fence be installed along the line between the non-turf buffer and the non-disturbance buffer; subsequently maintain a vegetated 50' wide non-turf buffer along the entire landward edge of wetlands; from edge of wetlands seaward to be established and subsequently maintained as a non-disturbance buffer area. The certificate is issued to NABIL EL-SHERIF&GIOIA TURITTO owners of the aforesaid property. �XT- Authorized Signature CC# : C16-42633 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 10/06/2016 under Liber D00012882 and Page 959 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 10/06/2016 SUFFOLK COUNTY CLERK �i.�aGcxsL Q. �a.dc�J JUDITH A.PASCALE SEAL- I IIIIIII IIII VIII VIII VIII VIII VIII(IIII VIII IIII IIII 111111 VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 10/06/2016 Number of Pages: 8 At: 12 :56 :29 PM Receipt Number : 16-0157641 LIBER: D00012882 PAGE : 959 District: Section: Block: Lot: 1000 070 . 00 10 .00 061 .001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $40 . 00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15 . 00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $20 . 00 NO RPT $200 . 00 NO Fees Paid $300 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 1 Number of pages RECORDED 2016 Oc 4 06 12.56-.29 Fri JUDITH A. PASCALE CLERK OF This document will be public SUFFOLK COUNTY record. Please remove all L D00012882 Social Security Numbers P 959 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Reco ding/Filing Stamps 3 1 - FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. _ ��„„ or EA-52 17 (County) Sub Total `-F' 0Spec./Add. EA-5217 (State) TOT.MTG.TAX- .- Dual Town Dual County R.P.T.S.A. ' Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Mansion Tax Affidavit �� The property covered by this mortgage is Certified Copy 41 or will be improved by a one or two NYS Surcharge 15. 00 [J `,0 family dwelling only. Sub Total —I YES or NO Other Grand Total �() 7 If NO,see appropriate tax clause on page# of this instrument. 0 —K 4Dist. 3246415 1000' 07000 1000 061001 5 Community Preservation Fund Real Property PTs ' I(IIIII IIIII IIIII IIIII IIIII ellll IIIII(III(SII Consideration Amount Tax Service R ABA A CPF Tax Due $ Agency 06-OCT-1 Verification f - - - Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD &,RETURN TO: Vacant Land 610 ew jv17V PW,194011— 4�6 TD TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7JL �Iltflc ® �t� gaff®1r �t�g®�1t 310 Center Drive, Riverhead, IVY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 81 Suffolk �®uutv Recording & Endorsement Pam This page forms part of the attached I _ �t� t a made by: (SPECIFY TYPE OF INSTRUMENT) IT/g/26 0//V 12 AL The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104 10108kk (over) IMPORTANT NOTICE If the document you've-just recorded is your SATISFACTHOW OF MORTGAGE, please be aware of the following: If a portion of your monthly mortgage payment included your,property taxes, *you will now need to contact your local Town'Tax Receiver so that you may be billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 101 and on or before May 3111t. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst, N.Y. 11757 Riverhead, N.Y. 11901 (631) 957-3004 (631) 727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville, N.Y. 11738 Shelter Island, N.Y. 11964 (631) 451-9009 , (631) 749-3338 East Hampton Town Receiver of Taxes - Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton, N.Y. 11937 Smithtown, N.Y.- 11787 (631) 324-2770 : (631) 360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington, N.Y. 11743 Southampton, N.Y. 11968 (631) 351-3217 (631) 283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue , 53095 Main Street Islip, N.Y. 11751 Southold, N.Y. 11971 (631) 224-5580 (631) 765-1803 f Sincerely, Judith A. Pascale Suffolk County Clerk { DECLARATION OF COVENANTS THIS DECLARATION made this Z:�r day of C q"06e, 2016 , by Nabil El- Sherif and Gioia Turitto, residing at 160 east 65th Street, Apt. 26C, New York, N.Y. 10065 hereinafter referred to as "DECLARANT (S) " : W I T N E S S E T H WHEREAS, DECLARANT (S) is/are the owner (s) of certain real property located on 1800 Parkway, Southold , Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 70, Block 10, Lot 61 . 1 which is more particularly bounded and described as set forth in d 2Fz:_ Schedule it annexed hereto, hereinafter referred to as the Property;4*47 771W 90AY4V /AVO A44e MG`D A.3:1'lfv Py,00&oWy A&4#4 ys eVe,W.5AFeZ#R#ir- ,WA70NONel d!� WHEREAS, the Property is situated on' lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a low barrier split rail fence be installed along the line between the non-turf buffer and non-disturbance buffer; subsequently maintain a vegetated 50 ft. wide non-turf buffer along the entire landward edge of wetlands;' from the edge of wetlands seaward to be established and subsequently maintained as a non-disturbance buffer area; and as depicted on the site plan prepared by Michael A. Kimack, received January 11, 2016, and stamped approved on January 20, 2016, see exhibit A attached. Whereas, THEREFORE, the DECLARANT (S) do/does hereby covenant and agree as follows : 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained 50 ft . wide non-turf buffer along the entire the entire- edge of wetlands; from edge of wetlands seaward to be established and subsequently maintained as a non-disturbance buffer area "non-disturbance buffer" as defined by Chapter 275 of the Town Code : to wit: " A vegetated area, as designated by the Board of Trustees, immediately landward of the wetland boundary, shoreline structure, or other line designated by the Trustees where no operations, maintenance, placement of signs or other activities may take place, except that man-made debris may be removed from such area by hand without the permission of the Board of Trustees". An application for a wetland permit may be submitted for the removal of harmful, "invasive" or non-native vegetation; and as depicted on the Landscape plan approved by the Board of Trustees January 20, 2016 and the NYSDEC January 6, 2016. see Exhibit B attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT (S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees . 2 IN WITNESS WHEREOF, the owner (s) has/have duly executed this instrument this qday of CSB , 2016. Nabil cEl Sherif Gioia Turitto STATE OF NEW YORK ) COUNTY OF114��49C1C) ss . On the �_�—day of QC�O,��r� in the year 2016_, before me the undersigned, a Notary Public in and for said State, personally appeared Nabil El Sherif and Gioia Turitto, personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature (s) on the instrument, the individual or the persons on behalf of which the individual (s) acted, executed the instrument. Notary Public MICHAELA.KIMACK NOTARY PUBLIC,STATE OF NEW YORK Registration No.02K15056823 Qualified in Nassau County Commission Expires March 11,2018 3 BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING THIS INDENTURE,made the a I day of Aprtl,2014 between DOROTHY GALLAGHER,residing at 40 Beachwood Lane,Southold,New York 11971 party of the first part,and NABIL Elb-SHERIF and GIOIA TURITTO,as tenants in common,both residing at 160 East 65"Street,Apt 26C,New York,New York 10065 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration,paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being in the SEE SCHEDULE A ATTACHED(DESCRIPTION OF PREMISES) BEING AND INTENDED TO BE the same premises as described in deed made by George Mayer and Mary Mayer,his wife,recorded 1.4.01, Ilber 12094 page 513 TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part,covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: DOROTHY GALLAG i i NYSBA Residential Real Estate Forms on HotDoceJ9/00) Copynght Capsoft°Development i i t • 4 i 1 { State of New York) ss, County of Suffolk On'this fy j day of April, 2014,before,the undersigned,personally appeared DOROTHY GALLAGHER, personally known to me or proved to me on the basis of satisfactory evidence to the be individual(s)whose name(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument. otary P bis BETSY A.PERKINS Notary Public,State of New York No.01PE6130636 Qualified In Suffolk Coungrj,� Commission Expires Juty 78, v r NYSBA Residential Real Estate Forms on HotDocs*(9100) Copynght Capsoft`'Development _Z. Fidelity National Title Insurance Company ;. ' .. ., �,�:�:�: v�ti . ._... :TI3T.,�•1�T0.•11;4=�'�.4'0�93q�.^�,eSitFF.='.�i:':: :_ ... . •. SCHEDULE A-1(Descriptiorr) AMENDED 4/24/14 ALL that certain plot,piece or parcel of land,situate,lying and being in the Town of Southold,County of Suffolk and State of New York, known and designated as Lot Number Eleven(11)as shown on a certain map entitled "Map of Southwood Lot Nos. 1-53,inclusive"made from actual surveys completed October 1, 1953,by Otto W.Van Tuyl and Son,Licensed Land Surveyors,Greenport,New York, and which said map was filed in the Suffolk County Clerk's Office on November 24, 1953, as Map No. 2141, and also that portion of a described parcel being between the southwesterly line of Lot 1 l and the line of Goose Creek,between the southeasterly line of Lot 10 as extended to Goose Creek and the southeasterly line of Lot 11 as extended to Goose Creek,which said descriptive parcel,when taken together are bounded and described as follows: BEGINNING at a point on the westerly side of Park'Way where the same is intersected by the dividing line of Lots 10 and 11,as shown on the above described map; RUNNING THENCE southerly and southeasterly along Park Way and along the arc of a curve bearing to the left, having a radius of 127.28 feet,a length of 90.00 feet to the dividing line of Lots I 1 and 12 and ' land now or formerly of Gallagher; ; THENCE along said land, South 32-degrees 03 minutes 20 seconds West, 219.87 feet to the mean high water mark of Goose Creek; THENCE along said high water mark,North 55 degrees 48 minutes 08 seconds West,40.42 feet; THENCE still along said mean high water mark,North 23 degrees 18 minutes 10 seconds West, 20.61 feet; THENCE still along said mean high water mark,North 55 degrees 48 minutes 08 seconds East, 83.88 feet to the division line between Lots 10 and 11; THENCE along said land,North 39 degrees 30 minutes 00 seconds East, 180.50 feet to the westerly side of Park Way at the point or place of BEGINNING. Together with the right title and interest, if any, of the party of the first part to land now or formerly under Goose Creek, and all accretions. THE POLICYTO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real properly. FOR CONVEYANCING ONLY.Together with all the right,title and interest of theparty of the first part, of in and to the land lying in rhe street in front of and adjoining said premises. 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Bredemeyer III, President C-0 l Town Hall Annex Michael J. Domino, Vice-President � � yam':, 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski "�� ® 6, Southold NY 11971 Charles J. Sanders ti:y�o! ��°91 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: t !: ' / L Y Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction i / % constructed 1� Project complete, compliance inspection. INSPECTED BY: COWTS: �7 CERTIFICATE OF COMPLIANCE: John M. Bredemeyer [[[, President o�os�FFO�,�co Town Hall, 53095 Main Rd. G P.O Box 1179 Michael J. Domino, Vice-President Z:3 y� C=) - ry 1 1071 James F. King C' x SoWhOl `,.� ` Charles J.Sanders Telephone(631)765-1892 Dave Bergen Fax(63 t)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSP`-EGTION SCHEDULE Pre-construction, silt fence 1St day of construction '/ constructed completecom liance ins ection Project comp p P 1,-4-1 7t--�k gg� -.4 m a— 6_44 'Lwu�11 BOARD OF SOUTHOLD TOWN TRUSTEESfl of SOUTHOLD,NEW YORK PERMIT NO. 8729 DATE: JANUARY 20, 2016 ISSUED TO: NABIL EL-SHERIF& GIOIA TURITTO 3 PROPERTY ADDRESS: 1800 PARK WAY, SOUTHOLD SCTM# 1000-70-10-61.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in f2 accordance with the Resolution of the Board of Trustees adopted at the meeting held on January 20,2016,and in consideration of application fee in the gum of$500.00-, aid,by Nabil El-Sherif&Gioia Turitto and subject to X's 4, the Terms and Conditions as stated in theRbsolution',the Southold Town Board of Trustees authorizes and permits the following: , WeilAn"d Permit toremov6 as-b dilt! stone circular retaining WAR' guniW pondand 4" pvc drain; as-built±65' long retaining wall with stone steps to remain, reconstruct±23' in.diameteK,stone circular retaining wall further landward than existing; relocate as int®the center of new stone circular built 14' in diameter octagonalglialiedgAi6,60' retaining wall; re-vegetate 50' wide cleared area along the landward edge of vegetated wetlands; and,landscape,remainder of property,withthe condition that a low barrier split rail fence be installed along-,the line between-,the non-turf buffer and the non- f' disturbance buffer; subsequently maintain,a vegetated 50? wide non-turf buffer along X the entire landward edge of,wetlands; from edge:of wetlands seaward to be established and subsequently maintained as a non-disturbance buffer area; and as-depicted on the site plan prepared by Michael Kimack, received January 11,2016, and stamped tjj approved on January 20, 2016. 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. V J* A TERMS AND CONDITIONS The Permittee Nabil El Sherif&Gioia Turitto residing at 1800 Park Way Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 11. 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. 4 , John M.Bredemeyer III,President �*0f So(/jy® Town Hall Annex Michael J.Domino,Vice-President �® l0 54375 Route 25 J�i Jt P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Kru ski p � ® .,� Telephone (631) 765-1892 Charles J. Sanders ��yCOU(VTY Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 20, 2016 Michael Kimack 321 Riverside Drive Riverhead, NY 11901 RE: NABIL EL-SHERIF & GIOIA TURITTO 1800 PARKWAY, SOUTHOLD SCTM# 1000-70-10-61.1 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 20, 2016 regarding the above matter: WHEREAS, Michael Kimack on behalf of NABIL EL-SHERIF & GIOIA TURITTO 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 December 8, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: with the condition that a low barrier split rail fence be installed along the line between the non-turf buffer and the non- disturbance buffer and re-vegetate and subsequently maintain a 50' wide non-turf buffer along the entire landward edge of wetlands,from edge of wetlands seaward to be established and subsequently maintained as a non-disturbance buffer area; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 20, 2016, at which time all interested persons were given an opportunity to be heard, and 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of NABIL EL-SHERIF & GIOIA TURITTO to remove as-built stone circular retaining wall, gunite pond, and 4" pvc drain; as-built ±65' long retaining wall with stone steps to remain; reconstruct ±23' in diameter stone circular retaining wall further landward than existing; relocate as-built 14' in diameter octagonal shaped gazebo into the center of new stone circular retaining wall; re-vegetate 50' wide cleared area along the landward edge of vegetated wetlands; and landscape remainder of property, with the condition that a low barrier split rail fence be installed along the line between the non-turf buffer and the non-disturbance buffer; subsequently maintain a vegetated 50' wide non-turf buffer along the entire landward edge of wetlands; from edge of wetlands seaward to be established and subsequently maintained as a non-disturbance buffer area; and as depicted on the site plan prepared by Michael Kimack, received January 11, 2016, and stamped approved on January 20, 2016. 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, 9 ,W,N John M. Bredemeyer III President, Board of Trustees JMB/dd John M. Bredemeyer III, President �OSUFF�(,�c Town Hall Annex Michael J. Domino,Vice-President 4 �Gy 54375 Route 25, P.O.Box 1179 James F. King Southold,NY 11971 Charles J. Sanders y • �� Telephone(631)765-1892 Dave Bergen Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 19/0 TO: S`�p.i F G10J'+ ri1P 117-0 Please be advised that your application dated � �� � ���/ has been reviewed by this Board at the regular meeting of -TANVAk20 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Silt Fence Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) cti Final lnspe on Fee ($50.00) ) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: ,=?, o TOTAL FEES DUE: $ 60` BY: John M. Bredemeyer III, President Board of Trustees Li John Bredemeyer, President %'dFF9j/( Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupski y • Southold, NY 11971 Charles J. Sanders �O1 ,p �a° Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionM/ork Session Report Date/Time: 1 Michael Kimac on behalf of NABIL EL-SHERIF & GIOIA TURITTO request a Wetland Permit to remove as-built stone circular retaining wall, gunite pond, and 4" pvc drain; as- built ±65' long retaining wall with stone steps to remain; reconstruct ±23' in diameter stone circular retaining wall further landward than existing; relocate as-built 14' in diameter octagonal shaped gazebo into the center of new stone circular retaining,wall; re-vegetate 50' wide cleared area along the landward edge of vegetated wetlands, and landscape remainder of property. Located: 1800 Park Way, Southold. SCTM# 1000- 70-10-61.1 Type of area'to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland�v�n2 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/Not Applicable Info needed: Modifications: Conditions: Present Were:'- V J. Br emeyer M. Do ino G. Goldsmith N. Krupski Z. Sanders Bay Constable Other Form filled out in the field by `T),,\ I ltnn� Mailed/Faxed to: Date: �ja i ��� a r. + - .Z _• ,1 Ilk 'S► r �+tsl� ,a ' Ow Mwl- t. �., (3 Tturitto/EI Sheriff Taken Sept.23,2015 Looking WNW Apr 3 r • f r firix ..�.r: i. .,'F�'' "S tri k w♦. �r �,,: �..�., �, (4 Turitto/EI Sherif Taken Sept.23,2015 Looking NW A; i•. .r� V t Qf ir WtA � :. • � I ..y �� �a'�T r T � � �t ♦ i �'i; �'� •i ` .fir rT ' l rr v" !� 1i• t '�ti',• t "WELLIIV oS POf3Uc• WA /Ii" j- CONC \� 1 ZZ 1,07'8 Fo�, I Nm 607 XIX-X 0 'NpPIPE o3e y 2 M X_X �� ARBORVITAE z COWARD DEL, EDGE IONIYEA BOF TIOA W WIRE FENCE JIET2S0�, ETgNOg6p0nSU =¢�6. St O8N E0O'R"O ""A, 4 ppp Y co �= 0 4 ;p cl CONCBIOCK CONC MON oob CU �R ! RBINC 01 /NgpO i ol D 1 r °a Io ° ° m � a ° 2 r LOT 1 n ° ° STONEAL r u m (o ° 208 ' ,Z I �`, c WIRE FENCE o a o e CHAIN LINK FENCE ARBORVI� �'�.�..�� � mp D r 2 � :J.U / om 2 m o a LOT tz ° J ' S John Bredemeyer, President �osuFFol,fTown Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King y x P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen y��1 ,� �a°! Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: G , -)-& i Michael Kimack on behalf of NABIL EL-SHERIF & GIOIA TURITTO requests a Pre- Submission Inspection for the as-built location of a proposed gazebo with pond and retaining wall, and clearing of vegetation. Located: 1800 Park Way, Southold. SCTM# 70-10-61.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound v--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 1 Notice of Hearing card posted on property: Yes No V/ Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: I%Bre4demeyeoe. J. King�- Sanders Bergen Bay Constable Other Form filled out in the field by D16 Mailed/Faxed to: Date: Town of Southold - Town of Southold A ' 3307 Suffolk County, NY A 3 3 0 0 Suffolk County, NY The People of the State of New York vs. The People of the State of New York vs. LAB E(DEFENDANT) FIRST NAME MIDDLE INITIAL LAST SNAME -(DEFENDANT) �j•. FIRST NAME MIDDLE INITIAL /) 17--rQ `'f 0 A 0,4N V-L STREET AFDDDDRESS if_ V `'7 APT.NO STREET ADDRESS �7 ,^ APT,NO `Id 0 C. & -S �6c l� /7�/7(�IC��.«7 C!)04-r— CITY STATE ZIP CINSTATEZIP A�Dw Y / V ;nz)+Z'I `^1LLLK- w"L't � L V-1&L4 LICENSE 08 REGISTRATION NUMBER LICENSE OR REGISTRATION NUMBER _ t STATE 'TYPE OF LICENSE. DATE EXPIRES SEX DATE OF BIRTH OPERATOR STATE TYPE OF LICENSE DATE EXPIRES SEX DATE OF BIRTH OPERATOR /�J ,J nom+•� MON DAY OWNS VEHICLE p� •� MONTH DAY R OWNS VEHICLE / `' '{.'GAJ'`�. Q �� OYES ONO l� M ❑YES ❑NO THE OPERATOR OR REGISTERED OWNER OF VEHICLE DESCRIBED BELOW THE OPERATOR OR REGISTERED OWNER OF VEHICLE DESCRIBED BELOW PLATE NO DATE EXPIRES PLATE NO DATE EXPIRES i=___„;-1;,._',_,•,u,. r+:� .I STATE STATE PLATE TYPE PLATE TYPE ❑N Y. ❑N J ❑N Y, ❑N J ❑ El PASS [I COMM 0 _ L"3�_ e1 _�J C^1 _ '•t ❑NY ❑NJ ❑NY ❑NJ ❑ ❑PASS ❑COMM ❑ - ...-^ VEHICLE MAKE ❑ DODGE ” VEHICLE MAKE ❑ DODGE ❑ BUICK ❑ CHEV ❑ CADILLAC ❑ PONTIAC ❑ 1 BUICK ❑ CHEV ❑ CADILLAC ❑ PONTIAC APRFORD 11 OLDS El PLYM El FORD 13 OLDS ❑ PLYM 11 TOYOTA ❑ VOLKS 11ft 13 , TOYOTA ❑ VOLKS ❑ BODY ❑ 2 DR ❑ 4 DR ❑ BUS ❑ MCY ❑ SW BODY ❑ 2 DR ❑ 4 DR ❑ BUS ❑ MCY ❑ SW TYPE ❑ TRUCK 13 TRAILER El VAN 13TYPE ❑ TRUCK ❑ TRAILER ❑ VAN ❑ VIN NUMBER VIN NUMBER THE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS THE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS PLACE OF OCCURRICE Pte, PLA OF OCCUR NCE PCT EL DATE OF OFFE S� AM TIME--PM CITY, N.VI OR HAMLET SUFFOLK COUNTY NY ®E OF OFFENSE AM�OT`E_ O CITY,T LLA{aE O FULpALET SUFFOLK COUNTY NY ff 1 j ��f'}l{`� ❑ U.�]_/ CC r�(Vl8 G�1f IN VIOLATION OF SECTION SUED { OF THE❑VFUHICLE AND TRAFFIC LAW`JJO,/F THE STATE OF NEW YORK IN VIOLATION OF SECTION SUED, OF THE❑VEHICLE AND TRAFFIC LAW OF THE STATE OF NEW YORK P157HER(SPECI 7 � ❑O S ❑COM ❑BUS ❑HAZ }3UYHER(SPE CI�� ❑O S ❑COM ❑BUS ❑HAZ C,./�� DEF VEH MAT !l14��� DEF VEH MAT ❑ SPEEDING OTHER OFFEN ❑ SPEEDING 37-6)5FENSE i MPH IN A MPH ZONE Oir MISDEMEANOR 11 MPH INA MPH ZONE -p% MISDEMEANOR 0" FACTUAL PART(NOT FOR NB) J FACTUAL PART(NOT FOR NB) FACTUAL r�DC � THE ABOVE NAMED DEFENDANT DID ON THE STATED DATE,TIME AND PLACE eo 1 "P - THE ABOVE NAMED DEFgNDANT DID ON THE STATED DATE,TIME AND PLACE �y/�f t j� 4411-1 � 5,1 z W I� (ri7T L(� —V y�se The Fore in �s based on(personal knowletlge) sj of The Foregmng s tl on(pe wleddbc!formation&bel 0th n 1 en a�ttarc/h(etl swornntle�-_�)of .mLi!/�.`'�, L�/Ij��(?L�..`�Y'L_.'_✓Yl/�_ ©���^�j,� dated d4�'a -f�5- dated PARKING SCHEDULED FINE$ CONTACT COURT❑ PARKING SCHEDULED FINE$ CONTACT COURT❑ THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT SOUTHOLD TOWN JUSTICE COURT,53095 ROUTE 25,SOUTHOLD,NY 11971 SOUTHOLD TOWN JUSTICE COURT,53095 ROUTE 25,SOUTHOLD,NY 11971 DATE OF APP�CJARANC�E( AT ON NOT FOR NB) .rDATE OFAPP III RI AT C� ON I/( L 1�1 ^ �t / � A0 /I�i_ 5 P f FALSE STATEMENTS HEREIN ARE PUNISHABLE AS A CLASS A MISDEMEANOR PURSUANT TO SECTION 210 45 OF THE P LN Y S FALSE STATEMENTS HEREIN ARE PUNISHABLE AS A CLASS A MISDEMEANOR PURSUANT TO SECTION 210 45 OF THE P LN Y S COMPLAINANT DATE COMPLAINANT r DATyE,( c� BADGE# BADGE# Ll COURT COPY - t 4 e»a�s,` :°A► � ' 1. 4 �,k t eF� a ,fir � � d ,. .-• 1 � a - i �i�,r - �A� ,., cykr` t. •` z lc''i�! - �1 - ��� � �� �� Fill '. 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M.M + r► hot. '•k r jA � .fZ.•��. � it-. .. r,: '. t. � t y VIM -� Tw s ` • �0�10o @Kew"29 a F _. o � 1 NIJ6 of ik mv —A Alf pal W lop Ono .6© 4r i :1 n F Ln r ` s a A4113 • t •i.. . �`- .---- '4t • _ sY r+ •..a!'� .r'sr�—.. - '" .�'"1M�w' �"',r� r. _'yq+ - - _" - `-. - �j�?,j ---Vi=a• '1:. �1. w L.-+tir. �" 4 Pro OFFICE LOCATION: S® y®� MAILING ADDRESS: Town Hall Annex ® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 ® �p� Telephone: 631 765-1938 ®l�c®UNT`I LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From- Mark Terry, Principal Planner LWRP Coordinator Date, January 14, 2016 Re: Local Waterfront Coastal Consistency Review NABIL EL-SHERIF & GIOIA TURITTO SCTM# 1000-70-10-61.1 Michael Kimack on behalf of NABIL EL-SHERIF & GIOIA TURITTO request a Wetland Permit to remove as-built stone circular retaining wall, gunite pond, and 4" pvc drain; as-built ±65' long retaining wall with stone steps to remain; reconstruct ±23' in diameter stone circular retaining wall further landward than existing; relocate as-built 14' in diameter octagonal shaped gazebo into the center of new stone circular retaining wall; re-vegetate 50' wide cleared area along the landward edge of vegetated wetlands; and landscape remainder of property. Located: 1800 Park Way, Southold. SCTM# 1000-70-10-61.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with the below listed Policy Standards and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction The structures were constructed without a Chapter 275 permit. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. 1 Peter Young,Chairman y -� Town Hall,53095 Main Rd. Lauren Standish,Secretary P O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 13, 2016 the following recommendation was made: Moved by Doug Hardy, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of GIOIA TURITTO & NABIL EL SHERIF to remove existing stone circular retaining wall; remove gunite pond; and drain. Leave as- built retaining wall approx. 65' in length with stone steps. Relocate stone circular retaining wall approx. 23' in dia. with an octagonal shaped gazebo in the center and restore 50' of disturbed land landward of vegetated wetland and landscape remainder of lot 61.1 in accordance with landscape plan. Located: 40 Beachwood Lane & 1800 Park Way, Southold. SCTM#70-10-62.1&61.1 Inspected by: Doug Hardy, Keith McCamy Vote of Council: Ayes: All Motion Carried 'NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION . ..... . ...... ... ..... ......I. ......... I..... . ... ....... In the Matter of the Violation of the New York State Environmental Conservation Law("ECL") Articles 15,and/or 25 and Titles 1 l and/or 23 of Article 71, Part 663 of Title 6 of the Official Compilation of Codes, Rules ORDER ON CONSENT p and Regulations of State of New York FILE NO. R 1- do ("6NYCRR") by: Respondent Gioia Turitto Suffolk County . ..... ....................................................... X WHEREAS,Article 25,Title 4,of the New York State Environmental Conservation Law,(Tidal Wetlands Act) prohibits conducting any regulated activities on or adjacent to any tidal wetland without the requisite permit,or in noncompliance with the requisite permit;and WHEREAS,Article 15,Title 27 of the New York State Environmental Conservation Law,(Wild, Scenic and Recreational Rivers)prohibits conducting any regulated activities within the corridor of rivers so designated, without the requisite permit,or in noncompliance with the requisite permit;and WHEREAS,Article 24 of the New York State Environmental Conservation Law,(Freshwater Wetlands Act) prohibits conducting any regulated activities on or adjacent to regulated freshwater wetlands without the requisite permit,or in noncompliance with the requisite permit;and WHEREAS,the Department of Environmental Conservation(DEC)has documented a violation of said statutes, specifically Section 25 401 1, in that Respondent(s)caused and/or permitted to be caused, Clearing of vegetation and grading of adiacent area construction of a circular stone gazebo foundation 23.5' in diameter and poured concrete pond approximately 24'x 10'in size construction of stone retaining wa11s,and placement of fill,all within or adjacent to a regulated tidal wetland at 40 Beachwood Ln in Southold,on or before 4/12/2015:and ......... ..... .. . .... . .. ... .. ..... ...... . .... .............I....... .. ......... ........... ...., .. .. .. WHEREAS, Respondent(s)has/have affirmatively waived his/her/its/their right to a public hearing in this matter in the manner provided by law and having consented to the entering and issuing of this Order, agrees)to be bound by the terms and conditions contained herein. OCT 0 8 2015 MARINE HABITAT PROTECTION L JAN 1 J 2016 Page 1 L�. - . _,;� .�. IT IS HEREBY ORDERED,pui suam — .ae applicable provisions of the ECL and/or Ri ind Regulations, that: 1. With respect to the aforesaid violation(s),there is hereby imposed upon Respondent(s),a penalty in the sum of Ten Thousand ($10000) Dollars, of which Two Thousand ($2000))Dollars shall be made payable by certified check or money order to the NYS Department of Environmental Conservation upon the signing of this Order,and the remaining Eight Thousand ($8000) Dollars to be suspended provided Respondent(s)strictly adhere(s)to the terms and conditions outlined in this Order, including Schedule A,the compliance schedule attached hereto and made part hereof. 11. For the purpose of insuring compliance with this Order, Respondent(s)shall allow duly-author ized representatives of the DEC access to the Facility and subject property without prior notice at such times as may be necessary in order for DEC to inspect and determine the status of Respondents' compliance with this Order 111. Respondent(s)shall indemnify and hold hannless the Department,the State of New York,and their representatives and employees for all claims,suits,actions,damages and costs of every name and description arising out of or resulting from the fulfillment of attempted fulfillment of this Order by Respondent and its successors(including successors in title)and assigns. IV. Upon completion of all obligations created in this Order,this Order settles only all claims for civil and administrative penalties concerning the above violations against Respondent(s)and its successors(including successors in title)and assigns. V.Nothing contained in this Order shall be construed as barring,diminishing,adjudicating,or in any way affecting any of the , civil,administrative, or criminal rights of the Department or of the Commissioner or his/her designee(including,but not limited to,nor exemplified by,the rights to recover natural resources damages and to exercise any summary abatement powers)or authorities with respect to any party, including Respondent(s). VI.Nothing herein shall be construed as preventing the Department from collecting regulatory fees where applicable VII.This Order shall not become effective until it is executed by the Regional Director on behalf of the Commissioner,and the date of execution by the Regional Director shall be the date of execution of this Order. Vill. In those instances in which the Respondent(s)desire(s)that any of the provisions,terms or conditions of this Order be changed,(s)he/it/they shall make written application,setting forth the grounds for the relief sought,to the Commissioner,c/o Regional Attorney,New York State Department of Environmental Conservation,50 Circle Rd., State University Campus, Stony Brook,New York 11790-2356. IX. Respondent(s)shall strictly adhere to the terms and conditions outlined in this Order and in Parts 1, I1,and/or III of Schedule A,the compliance schedule attached hereto and made a part hereof. X.Any change in this Order shall not be made or become effective, except as specifically set forth by written order of the Commissioner, such written order being made either upon written application of the Respondent(s)or upon the Commissioner's own findings. XI.This Order shall be deemed binding on the Respondent(s), it/his/her/their successors and assigns and all persons, firms and corporations acting under or for it/him/her/them, including,but not Iimited to those who may carry on any or all of the operations now being conducted by Respondent(s),whether at the present location or at any other in this State. X11. The failure to pay any penalty amounts due under the terms and conditions of this Order may result in a 22%surcharge in recovery costs and a potential tax refund offset by the Department of Taxation and Finance. XIII. A dishonored check fee of Twenty($20.00)Dollars will be charged for all checks which are returned for insufficient funds. MARC GERSTMAN Dated: Stony Brook,New York Acting Commissioner ,2015 r_. . .. To: Gioia Tuntto . i B 40 Beachwood Ln y - Southold.NY 11971 Carrie Meek Gallagher NOW: 15AF14 Regional Director `r _k Page 2 CONbkL✓,�T BY RESPONDENT (Individual) Respondent acknowledges the authority and jurisdiction of the Commissioner of Environmental Conservation of the State of New York to issue the foregoing Order,waives public hearing or other proceedings in this matter,accepts the terms and conditions set forth in the Order and consents to nce thereof. Signature: Print Name: p V IL Full Home Address: rVS'- 6500 2 NOTE TO NOTARY: The correct acknowledgment from below MUST be utilized for signing in New York State versus outside New York State. All blanks MUST be completed. ACKNOWLEDGMENT(Signine within New York State) STATE OF NEW YORK ) )ss.: COUNTY 0 On the $ay of in the year 20,/!E- ,before me,the undersigned,personally appeared /'/0-045 ,personally known to me or proved to me"on the basis of satisfactory evidence to be the individual whose name is subscribed to the`within instrument and acknowledged to me that(s)he executed the same in their capacity,and that by their signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. Notary Public,State of New York MICHAELA.KIMACK NOTARY Pt76m STATE OF NEW YOPJC was Na OWS0369V QgWfi* d in Nassau Comq ACKNOWLEDGMENT(Signing outside New York AntO C=mission hvsMwch 11 2019 ss: On the day of , in the year ,before me,the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that(s)he executed the same in their capacity,that by their signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument,and that such individual made such appearance before the undersigned in the *** Notary Public * (Insert the State I&County],District of Columbia,Territory,Possession or Foreign Country the acknowledgment was taken.) ** (Insert the city or other political subdivision and the state or country or other place the acknowledgment was taken.) *** (Signature and office of individual taking acknowledgment) Page 3 SCHEDULE A Compliance Schedule for Article(s) 15 and/or 25 I GENERAL REQUIREMENTS: Immediately, Respondent(s)shall cease and desist from any and all future violations of the New York State Environmental Conservation Law and the rules and regulations enacted pursuant thereto. Respondent (s)shall submit photographs of the completed work, if any,required under this schedule,to the Department within five(5) days of its completion. All submittals to the Department required under this Order shall be made by Respondent(s)as follows: I) One copy to the Legal Affairs Office,Region One,New York State Department of Environmental Conservation, 50 Circle Rd., S.U.N.Y., Stony Brook,New York 11790-2356; -and- 2) One Copy to Marine Habitat Protection, Region One,New York State Department of Environmental Conservation,50 Circle Rd,S.U.N.Y.,Stony Brook,New York 1 1790-2356. II. REMOVAL REQUIREMENTS: he Respondent(s)shall have removed the structures and/or fill r, which are the subject of this Order as follows: '6y JuAe 1 , 216 Removal Specifications: Concrete pond,gazebo foundation, outfall pipe and wood posts shall be removed. Gazebo may be relocated as per approved plans. Page 4 Schedule A (Contd.) Ill. RESTORATION REQUIREMENTS: Within 60 days from the Respondent(s)shall submit to the Department,an approvable* X date of the execution of restoration plan and time schedule for implementation of said plan. this Order, *Approvable in the context of this Order shall mean approvable by the DEC with minimal revision. Minimal revision shall mean that Respondent(s) incorporate(s)the revisions required by the DEC and resubmits the plan for approval within fifteen (15)business days of receipt of the DEC's comments. This plan shall include: Fx-1 Regrading Plantings in disturbed area aSpecifications: Restoration shall -before F—I Other: Upon written approval by the Department,Respondent(s)shall implement the approved restoration plan in accordance with the approved time schedule. Said maintenance shall ensure a success ratio of at least 85% for a 5 year time frame from completion of plantings. No Restoration Required. Page 5 32-0i•3(g/90}101 Aft NEW YORK STATR pEPgRTMENT OF ENVIRONMENTAL CONSERVATION RR Region Number RECEIPT Location Date Received of In the amount of For $ �. D Cash Department Representative heck Number�� Mone Title Money Order ORWIAL I Citibank• ,,. :: '` N�fru=m7a+eua�raa or IT 6 N.A, t snmiwTsi�� q FC# 00839 FA# Ol 0 113640006 042-03 Ck. Sir.# $0.00 ONL PIC DATE 09/18/15 113640006 ". PAY ****TWO THOUSAND DOLLARS**** TO THE ****NEW YORK ST4TE DEPARTMENT ** �DeR OF ENVIRONMENTAL CX2,000.00** ONSERVATION****NAME OF $ _ ADDRM ► MrreR GIOIA TURITTD o , Q NA ewDEON U NCastle s�z�"o .S wnstisr a� -d.0�S0 ,�$'��O _ L� BY ' &"019lZEO S*WTL4lC I John M. Bredemeyer III, President ��®F SOUTyo Town Hall Annex Michael J. Domino,Vice-President h0 l® 54375 Main Road P.O.Box 1179 James F. King, Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Charles J. Sanders,Trustee Telephone(631) 765-1892 �yc®UFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ��oZ To: Southold Town Buildin De II!I 11 ��® g partment I 'L1 Re: Verification of Building Department Permit RequirementsI SCTM#: o —/6/6 41, Property Owner Name: ' NA'bd I' at- 1A_ Date Sent to Bldg. Dept.: ��►9'!� 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 Wilkhe proposed project require a Building Permit? Will the proposed project require a variance determination from t oning Board of Appeals?_,,g� -g�,04_ #4;95;17 Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: S Signature of Rei!16Ar Date John M.Bredemeyer III,President ' ``s Town Hall Annex 54375 Main Road Michael J.Domino,Vice-President ..g,4 ,, P.O.Box 1179 James F.King,Trustee fi 3 Southold,New York 11971-0959 n ` Dave Bergen,Trustee Charles J.Sanders,Trustee Telephone(631) 765-1892 fir Fax(631) 765-6641 •�^i t y7"7 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transferxtension Received Application: 12,f,1-5- /Received Fee: $ ��� t Completed Applicatio: I ✓ 7 ^� 9' _Incomplete: _ _ ���� _SEQRA Classification: IF _mm Type IType II Unlisted DEC _ $ 2015 E` E Coordination:(date sent): �LWRP Consistency Assessment Form: t 1,/CAC Referral Sent: 12-2-3449 So tl�el� ;np,p Date of Inspection: Receipt of CAC Report: ........... —Receipt Agency Determination: Technical Review: Public Hearing Held: bd�70_ 6/�j Resolution: Name of Applicant: _ f %~ �� �,��;2��� 'zcz ' ee/lc Mailing Address: E. 'e "� A/ZW �0,�/L Al Y /0,06� ------Phone Number: Suffolk County Tax Map_Number: 1000 - Property Location �UoS C�v� __, 1_1 Mo e'x W4 l10 - / i /, �aU c� Only 6n LAO.( (provide LILCO Pole#, distance to cross streets, and location) AGENT: f_ �%��1 (If applicable) Address: % '/Il�, , OA 1� , '��� , N)_' •_11/?®_) - Phone: . rd of Trustees Application GENERAL DATA Land Area(in square feet): 1Q, / ; ,9,7Z , _; Area Zoning: Previous use of property: �,/y 7_LlqZ�_ Intended use of property: ___AP116 �J Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes _ No If"Yes",be advised this application will be reviewed by the Building Dept, prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? X 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.? No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any peri-nit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description(use attachments if necessary): MIMI& (�v.§LL� - • � a Gv/✓4t»r"-R CU /2 R,0!5Tl�>�J//�/G W�1'�%��x. �3i=T-l/✓,a>,4/'9 j �� sb�it 1� W 171-V 145 J�299 ®,/11�AJ%Ol EP tai fJG�GII�/lV G _upz IXAC,6,X /�'® rlj�>z l ISz lyl�U/�12.� �I=JC ZVM2 W4 7Z4%�d Z,41V>sG.9�.� Pe 410V =mrd of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ® Area of wetlands on lot: square feet ®o4r 1—d7' '61 Percent coverage of lot: 1 % Closest distance between ne_arest existing structure and upland edge of wetlands: 'ZI _ feet Closest distance between nearest proposed structure and upland edge of wetlands: o _feet Does the project involve excavation or filling? X No Yes If yes,how much material will be excavated? cubic yards How much material will be filled? 42A cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: pf�,�; 106 Manner in which material will be removed or deposited: �j� 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): VLna .A eta 6-r- ,��,4-rl4oy eU / L,c "W.,V/!D i 617.20 Appendix 13 Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification, Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part I 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. Project Location(describe,and.attach a location map): 40 �,�c,", 69,9 4N Po , JWL1 eL Brief Description of Proposed Action:, /���,�, yCl1T/�Y[a Jr-M,;9 QQC61eW 2 R,,&Ti71AA1WG V,'5ke JDOiJD. PeV/0VW 4"'?VC P&4,'Al ArlJV14,7' 12z!�7-,42WrN6 CC141C11P1.0' - 65-11AIZA11/67'• v�l�l'�"vdV�`J ?'S •?L�LOcA 1V-04r CbeCUla4,V.=7;411W&' L'�jir3'CL � gY�20K. ��/�T/J✓/�d�/� 1�/,�"S'�.�7'� 6�{ll T.��¢>d1 O��'�G�J/� Name of Applicant or Sponsor: 0"/ �� E-Mail Address-: l City/PO: State: Zip Code: 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 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:' W 3.a.Total acreage of the site of the proposed action? acres b.'rotal acreage to be physically disturbed? �� acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or prolect sponsor? Q v P9 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) [:]Industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture ED Aquatic ❑Other(specify), ❑Parkland Page 1 of 4 5. Is the proposed Vaction, NO" YES N/A a.A permitted use under the zoning iegulations9 b.Consistent with the adopted comprehensive plan`? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ( - 7. Is the site of the proposed action located in,or does it adjoin,a state listed Ci itical F_nvironmental Area? NO YES If Yes,identify: 3, a.Will the proposed action result in a substantial increase in traffic above present levels? NO `YES b.Are public transportation service(s)available at or near the site of the proposed action? El c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe des'Pn features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: L' - 11.Will the proposed action connect to existing wastewater utilities? N!/O`�11 LYES If No,describe method for providing wastewater treatment:_ /��� _ _ 12 a.Does the site contain a sti uctuie that 's listed on either the State or National Register of Historic NO YES Places? " b.Is the proposed action located in an archeological sensitive area? 13.a.Docs any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? f Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: N _F_ 14. Identify the typical habitat types that occur on,or aie likely to be found on the project site. Check all that apply: Shoreline F-1 Forest ❑Agricultural/grasslands ❑E;arlymid-successional Wetland ❑Urban XSubui ban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? INA 16.Is the project site located in the 100 year flood plain? _ NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ a.Will storm water discharges flow to adjacent properties'? F-1NOYES b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ❑YES Page 2 of 4 18,Does the proposed action include construction or other activities that result in the impoundment of NO YES_ water or other liquids(e.g.retention pond,waste lagoon.dam)? 1 f Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: W __ _ ( ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS"TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: _ [v _ Date; f�����Q�,j Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 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? 3. Will the proposed action impair the character or quality of the existing community? d. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑� affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy o portunities? _ 7. Will the proposed action impact existing: a.public/private water supplies? b.public/pr ivate wastewater treatment utilities? El 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g,,wetlands, ILI (� waterbodies,groundwater,air quality,flora and fauna)? _ ! Page 3 of 4 i No,or Moderate small to large impact impact may ritay occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? EJ l� 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,geogiaphic 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 docrnnentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an _ environmental impact statement is required. �✓Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees _ He game of 1, ad Agency Date Dh _ C _ President --- - ---— Print or Type me of Respon ' h�fficeiW[,ead Agency Title of Responsible Officer Signae f Respons e Offices in Leat Agency Signature of Preparer(if different fiom Responsible Officci) PRINT Page 4 o f'4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS F f Name: - Address: iy,#Al CY w 1(70 !o-�a.J /76 b R,4-el-I WAY, 1'6v� aI.,vy, 0197/ frt��r �1w r'r I, AW&IN AYO' %s30 C'! ; ^l-Y / STATE OF NEW YORK COUNTY OF SUFFOLK /Cypze-L A ,�lJ'7 �/G , residing at 1Z/ VA?,6l" 11Y// 9 d! , being duly sworn, deposes and says that on the day of 0,2 (>,4f2y , 20//x„ 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 P0111-1.401-,D , that said Notices were mailed to each of said persons by CERTIFIED MAIVRETURN RECEIPT. r Sworn to before me this Day of rar 20j_�_ Di V J-(,4 i Notary Pu is TRACEY L. DWYER .NOTARY PUBLIC,STATE OF NEW YORK NO,01DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2-L12 0' 0• ® iI11 .. m m 11-9 D #T 11971' ( : ' if, GAROE ,CI fY SOUTHOL Ln j iLn `� rr i,' 4• J ia35 ....^ar ; `.: •aia.a: 1 ;Ln Certified Mad Fee �1 Certified Mall Fee ;,a $ $3.45 (yp r9 $ $3.45 p , Extra Services&Fees(check box,add fee a app nate) X0971 j i Extra Service s&FeeS(check box,add fee as appropriate) O ❑Return Receipt(hardcopy) $ .1----� VL � ❑Return Receipt(hardcopy) � ❑Return Receipt(electronic) ' $ Postmark � ❑Return Receipt(electronic) $ � R ` � ❑Certified Mal Restnded Delivery $ p� C3 ,❑Certified Mad Restricted Delivery, $ 4,• Here []Adult Signature Required $ 1-�J CI Adult Signature Required $ C 1 ❑Adult Signature Restricted Delivery$ 40�901/�11/201 ® � ❑AdultSignature Restricted Delivery$o Postage50.71 oPosag {�/earN $ ),.0�1 1N $ 1 /201 q r� Total Postage and Fees P JAN OO1 C y I Total Postage and Fees $ $6.96 ! I f1 $ $6.96 Lill Sent To € I Sent o 6t) ra �-Us Street and A t No.,or Poxaor 4— Y__--------- �`--------------- sn ,�Pt����'V --------------- IV i Baty,State, 4® N !3'V I B 1 1 •a � r 0 E II i Cl ®• • i Mrq I EAST(,* DON i TA 11554 Lill u1 Certified Mad Fee $3.45 i Extra Services&Fees(check box,addfee asa pro date) a ❑Return Receipt(hardcopy) $ C3 []Return Receipt(electronic) $ ( �� Postmar 0 ❑Certified Mail Restricted Delivery $ • Here •� E:3 []Adult Signature Required $ 0 AA1 r� i ❑Adult Signature Restricted Delivery$ �Hlv 1 1 L016 M Postage $0.71 -_ 01/11/2016 J Total Postage and Fees $6.96 til $ t r=1 Sent To y���/ Cl Stfe-eta Apt.No.,o Box Ap iA O 1 1• Ilr•t __ , ' i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS i Name: ^ i t n i • I STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 i Notary Public John M. Bredemeyer III, President e1911 Town Hall Annex Michael J. Domino, Vice-President ���� ��� 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupski � �g Southold, NY 11971 Charles J. Sanders ��o� �'� r{' 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 NABIL EL-SHERIF & GIOIA TURITTO COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR NOT LESS THAN SEVEN DA YS residing at/dba /1/ 1/gf�f � 2p, being duly sworn, depose and say: That on the 9 day of vM4VUNny , 2016, I personally posted the property known as 40 Rm cz-)Wap Gy,6/ zPoo PsNe I/;Y s Eto 611W®G/�' 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, January 20, 2016. Dated: �z/✓ (signature) Sworn to before me this 2D+� day of]-Qngq,�O Vo 4otaCar ublic TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,201 ,NUTILL UF HLAKING 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: NABIL EL-SHERIF & GIOIA TURITTO SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove as-built stone circular retaining wall, gunite pond, and 4" pvc drain; as-built ±65' long retaining wall with stone steps to remain; reconstruct ±23' in diameter stone circular retaining wall further landward than existing; relocate as-built 14' in diameter octagonal shaped gazebo into the center of new stone circular retaining wall; re-vegetate 50' wide cleared area along the landward edge of vegetated wetlands; and landscape remainder of property. Located: 1800 Park Way, Southold. SCTM# 1000-70-10-61.1 TIME & DATE OF PUBLIC HEARING : Wednesday, January 20, 2016 — 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 r ....�rd of Trustees Application AFFIDAVIT 61A1-4 TU.LP,r.T7�- BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner SWORN TO BEFORE ME THIS Zjr DAYOF `� , 20/f MICHAMA.MNUCCK NOTARY K)BUq STME OF NEW YORK ReObtration No.02KLW6Vj Qualified in Nassau County Commission Rmim March 11,2018 Notary Public yF. ..i.'.rd of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1, G�oi/� rU,P�Ty'o residing at0 , 00 r/- ' �6C (print name of owner of property) (mailing address) 1l, �QrP,� VY /0D0- _do hereby authorize (Agent) L A /f., to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENU/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart of town officers and employees.'Ile tau ose of this form is to provide information which can alert the town of Ossi ge conflicts onterest and allow itto take whatever action is necessary to avoid same. / YOUR NAME: (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 grievanceBuilding Variance s— Trustee __. Change of Zone Coastal Erosion Approval of plat __. Mooring Exemption from plat or official map ___ __ Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,paucnt,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,tttarriage,or business interest."Business interest"•means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X — If you answered"YES",complete the balance of this fonn and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): ___A)the owner of greater than 5%u or the shares of the corporate stock of the applicant (when the applicant is a corporation); D)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C}an ollicer,director,partner,or employee:of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONS141P Submitted this day_of J e. 29X Signature 4 Print Name A. L C/ 1Z TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORINT A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area{which includes all of Southold Town). 1 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 noir supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME �� � ,��•' �����w/��' >/��ll�/�� �l The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ElBuilding Dept. L50—i Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval,license,certification: r &XIVi IV& Nature and extent of action: /U0i0G',11 • ,�� �� 'il`'v U Jr1J, LL�Z IVW-4 4ppMOX.G,` i^r�fr� v�VZ/, ,r•4� 1�I d,�rL/ /� AA1P 114NWCI��5 /?25/1/71.11V4P/P- ©/: 6161?- / F Location of action: -/O &40)-V"D,0 LSV l�Z- ZP 31&10.1 PI—IV A40 Site acreage:_ 0 Present land use: Present zoning classification: 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: &1&z9 Me)17 0 z P4 RW cZ (b) Mailing address: "� e C (c) Telephone number: Area Code (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No l J 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 POLICE.' 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 I.WRP Section III—Policies; Page 2 for evaluation criteria. ,N01 Yes No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVff P Section III-Policies Pages-3 through 6 for evaluation criteria F-1 Yes ❑ No � Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑ No ❑ Not Applicable Ae auzz 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 X Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes Q No X!--J Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes I❑ No'Not Applicable r 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 N 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. ❑ Yef] No IXI Not Applicable Attach additional sheets if necessary e 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 FV 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�0 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 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 Not Applicable PREPARED BY /j J/)CIE TITLE ��,�i?�f� DATE /Z 2D91jam Michael A. Kimack Attorney at Law 321 Riverside Drive Riverhead,New York, 11768 Tel. 516-658-6807 E-mail: mkimack2@verizon.net May 9, 2015 To: Southold Board of Trustees Subject: Request for pre-submission site visit I respectfully request a pre-submission site visit for Gioia Turitto and Nabil El-Sherif at 1800 Park Way, Southold on your next available scheduled site visit for the purpose of discussing the as—built location of proposed gazebo with pond and retaining wall .Also attached is my check for the $50.00 fee for the pre-submission request. Sincerely yours, � Michael A. Kimack, Agent a � MAY 1! 2015 +` Boar'OfTrustpes ]� !rd of Trustees Applicatiof AFFIDAVIT G/O/,A �U/P/T�� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) 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. TYIE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner SWORN TO BEFORE ME THIS l9 DAY OF '2_ 0 J - Notary Public 1MA LAPERTOSA Notary Public,State of New York No.011-A0017,97 ; fl� My commission Expites Nove�ipe�17 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, Ty /eP77'0residing at�. ... 6�'`hs'f •q ?6G (print naive of o-wner of property) (mailing address) -_ _ do hereby authorize (Agent) --_1 /M/?C/L to apply for permit(s) from the Southold Board of Town Trustees on my behalf, (Owner's signature) -57 VTO L. --.�4 -1•-jl"i'�'�•.�.!`7'�I'L�Iu/>►_..1� �E�� G�'►�` .,-�..,,,, .yy� ! 2°,j�.... I b�b� y'G3t.,.� t�i...l'�j._.....�-`�...---- .7.►.� T-- /�js'TL�GL SPLlr e4lG 10N CE ;4WPA, ''OX Z��'I��GJ,� _. . Sjc..__.. I I uGxis, ci�h. S o vF 1�t, rl✓l� D G, �17PI� ��� �� a a �-s'�,�f��,� ,8y �x>r��G si�o'��✓� l�''�IZrli�llY� � �'•�� �u.�I �v I/a h�.�.�--�r--���.s�. �Tr- - � �Q 460116" � 7`!,�� tn� '''/, t v � J-914 1 SE Com, d •n.- -jam. . f .''Y '•• ["r'y,..a✓""•"..•+u...... � ;,Y.f.o+_r+••� a<•Mn'sw.yti� wi.u-..may .trn:s � n., ,w..-\ .w-.r.Y _.._. ��� _{N' �W+.,.. 1� '� �4�tE � �GiL� �A �'�f;�j � �� M'"(.�•1��".� �` / /; t JG��k..�e?f�tJ �� - � I,�rr...� -- c� I�tm'`��E ,`�;� ..►.J ti�--�-- Vic.. -�-� •� r--t��t /` . t . � f• f .. t•iq2 ails •1 f - - .,�I ►.-„ -� ...,Iv,.L; �eyIrtcI-�-•... 4' ,r�/�.�i�Zi,•�tom._ ' - � `., ,....' . I � - ,/.�. ,. --_.... ---- - - --- l-�`�r� 'c�..�t. ...tt�iS.• I� avt - . _1... -- s._.►�+� 2-A All �. �- / .f /.,fir-��•i'L.t G.�l•--E . l-�U..-�I - i � a t-'�� . � i � '�� a � �i� r'' . / / .� is-�-I�.t� � - --- �G� G�►-.� I� • t - !..`_- / {� . , ,� ,.�..., . L,lop t:-� M 157 JJ ��., -� , �''>c._�.� .5•j” ..1._c !! � rz • '; JAN 1 1 2016 7—r ioal t. APPROVED BY BOARD OF TRUSTEES NYS nIEC TOWN OF SOUTHOLD APPROVED AS PER TERMS AND CONDITI NS OF ( Se"' NO - S DA �Ti�NVA-Pj 2-0 Zo/G� 0 DATE I� 130. Ti�,r� NECK POAD IN SURVEY OF, PROPERTY SITUATED AT PINE NECK TOWN OF SOUTHOLD SUFFOLK COUNTY , NEW YORK S.C. TAX No. 1000-70- 10- 61 . 1 s SCALE 1 " -20' OCTOBER 21 , 1997 FEBRUARY 21 , 1997 REVISED GRADING PLAN & ADDED LOT COVERAGE MARCH 4, 1998 SET LATH FOR D.E.C. MAY 17, 1999 ADDED ADJACENT WELL & CESSPOOL LOCATIONS SEPTEMBER 9, 1999 ADDED ADJACENT WELL LOCATION DECEMBER 15, 1999 REVISED AS PER S.C.D.H.S. NOTICE MAY 23, 2000 REVISED PROPOSED SEPTIC SYSTEM & ADDED WELL RELOCATIONS JULY 18, 2013 UPDATE SURVEY PROPERTY LINE MAY 20, 2015 UPDATE SURVEY TOTAL AREA = 19,770 sq. ft. (TO TIE LINE) 0,454 ac. UPLAND AREA = 13,315 sq. ft. WETLANDS AREA = 6,455 sq. ft. (TO TIE LINE) TEST HOLE DATA (TEST HOLE DUG BY McDONALO GEOSCIENCE ON SEPTEMBER 22, 1997 AT 3:54 PM) EL. 6.0' 0• BROWN SANDY LOAM OL 2 BROWN LOAMY SILT ML tt" VVV 3' °4 NOTES: ° PALE BROWN FINE SW To COURSE SAND 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:5-4 2. LOT NUMBERS SHOWN THUS: LOT 11 REFER TO EL. —1.6' 4 76' "MAP OF SOUTHWOOD" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY 3/ ON NOVEMBER 24, 1953 AS FILE No. 2141 WATER IN PALE BROWN sw z 3. ZONING USE DISTRICT: R-40 FINE TO COURSE SAND 4. FLOOD ZONE INFORMATION TAKEN FROM: ° ? FLOOD INSURANCE RATE MAP No. 36103CO166H ZONE AE: BASE FLOOD ELEVATIONS DETERMINED 14' o / a o 6.3 ZONE X': AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL ° 52o CHANCE FLOOD WITH AVERAGE DEPTHS OF LESS THAN 1 SOOT -- >v OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; 6.5 AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. n 0 tJ 04" , y vG' It m u',` N �O ly r � DD QJ aJ\P r �/ r 4 r v� �9 o CONC. MON. ZONE X* N, (1r ZONE AE (EL. 7) + + .� 0, �O cF 01- c, F° + 0 N7 - 4joti CO CO r�e,� 05 all, ♦��, ?4E:F ��JQ'SS' � 4, ell all, — g�♦ sl 4�2� 1 .L, � o II N♦ 9C�tiF 3 } UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEYIS A VIOLATION OF �I @ �o \ EDUCAOTONZLAW SjOF THE NEW YORK STATE all, 2� ♦ FAsF ), ♦ �ay -� THE LAND COPIES FTHIS SURVEY MAP NOT SURVEYOR'S RING O INKED SEAL OR II ♦ �° p c� EMBOSSED SEAL SHALL NOT BE CONSIDERED Z all, F (,%N Q�� TO BE A VALID TRUE COPY. 4s�9 CERTIFICATIONS INDICATED HEREON SHALL RUN all all, `FOCF` P°CF pV� SyfO e ONLY PERSON PREPARED, ANDOHOOM E SURVEY S WHTHE THE S C) TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND all. All, q�iyC� F�q v TO THE ASSIGNEES OF THE LENDING INSTI- I= 2 8 C �� �P ��v �V TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. O ° QJ THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. II, PPFoIF 2c 02 0�p PREPARED IN ACCORDANCE WITH THE MINIMUM Z op F v� � OSS9'6" BY A THER STANDARDS AND APPROVED AANDSADOPTEDD 4 D all, 1i C�O 01Illss) ' FOR SUCH USE BY THE NEW YORK STATE LAND r �o 9 ' °z TITLE ASSOCIATION. rn all, �m�o�l�<^Pv O zID All, all, p2 V) s o x C5 I r CIO = m all, 0 N W D I ,I m 171 z 60 = ' x 00all, 1-7 II ' L, I, all, N.Y.S. Lic. No. 50467 A7. _ 5 - __ Nathan Taft Corwin III -- ..(5)dPJ ail, �- i' " i Land Surveyor J r D,_C Lu 10 , Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. �F�ac�� ---- :, ; Title Surveys – Subdivisions – Site Plans – Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 08'� 1586 Main Road P.O. Box 16 /,_ Jamesport, New York 11947 Jamesport, New York 11947