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HomeMy WebLinkAboutTR-8726 John M.Bredemeyer III, President ®v S®Uj�®l Town Hall Annex Michael J.Domino,Vice-President ® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 C00- A.Nicholas Krupski ® �p� Telephone(631) 765-1892 Charles J. Sanders ®l�• Fax(631) 765-6641 17 C®UNTI,� . BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1241C Date: July 7, 2016 THIS CERTIFIES that the removal of existing wood decking from around the existing 22'x44' swimming pool; replace decking with a 41'x68' bluestone terrace and extend the south side of the terrace 4' seaward; and squaring off corners of swimming pool; At 1305 West Road, Cutcho ague Suffolk County Tax Map#1000-110-7-1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 21,2015 pursuant to which Trustees Wetland Permit#8726 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 existing wood decking from around the existing 22'x44' swimming pool;replace decking with a 41'x68' bluestone terrace and extend the south side of the terrace 4' seaward; and squaring off corners of swimming pool. The certificate is issued to BENJAMIN CIAMPA owner of the ��) aforesaid property. , Authorized Signature John M. Bredemeyer III, President 4'0UFF�(� 0 ' Town Hall Annex Michael J. Domino, Vice-President �� y�'h, 54375 Route 25 cn Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski ® w ��% Southold, NY 11971 Charles J. Sanders : ZTt�*fr�Y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction / % constructed V Project complete, compliance inspection. INSPECTED BY: COMMENTS: r�j,l� 0,f �1641 CERTIFICATE OF COMPLIANCE: John M Brederneyer III, President ,�� guFFO(,{ Town Hall, 53095 Main Rd Michael J. Domino, Vice President P.O Box 1179 /, _ � • o South:Ad,NY 11971 James F. King �, `, South:Ad, �Y ; �� Telephone(631)765-1892 Charles J.Sanders . 4;fi Ol is •d Fax(63 l)765-6641 Dave Bergen - , ,,,. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • YOU ARE REQUIRED TO.CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. - • INSPECTION SCHEDULE • • Pre-construction, silt fence 1st day of construction • %z constructed inspection ection Project complete, compliance p • / r y r S / } { , +1Fi r:iii Il$ .‘,/,,.....,.:4•; ..,e, d i ,a t 1ir;�l! !t$f r f t j!!i! tr/y '. 4l�'+! �er; ii ,� ;/ �ii,L $esti a� N iii'! `r�5, -s-' - � 1 S "�: °a l �S` �'i."j„,-, "'y+snn'.'."' \��Yt ' � .ry 1', .,.,,„rote,, � / , y.` / � � ,+ �`" Jöi !'4• ,'`�' s .'`fit .. =� .f/tel .m. -.....,,A-4'1,; A-4',; -;r. rrK^.iat '.. , l� $ •.tN+s�ff`. +WPEr+>w%z�iasaxwuvasn'�+waves`+evaaturraauu7au!}oval+ Rw�+W4 ';arNyE�i�'cua7ztr ^` Rrncaff ,t *0v;u4�nYe,}xswrJ�.4.. -- - •' • ttd,/M,f'' � .SFr ' i BOARD OF SOUTHOLD TOWN TRUSTEES a , , f �itt P , SOUTHOLD,NEW YORK , ', .t,mo 4, 01 L PERMIT NO. 8726 DATE: JANUARY 20, 2016 :;: a1Ri`s N .. . '> , ISSUED TO: BENJAMIN.CIAMPA 1 roti , s � PROPERTY ADDRESS: 1305 WEST ROAD, CUTCHOG,UE ss ti. rte; ` ( +, 1, F, ' ,, SCTM# 1000-110-7-1 �4i �`¢, til 1 AUTHORIZATION ., , � 1� Pursuant to the provisions;of Chapter-275 of the TownCode of the Town of Southold and in r ' a accordance with the Resolution of the.B,oard,of Trustees ado ted at the meeting held on January20,2016,and ' - ›: + V in consideration of application fee in the sum of$25000 paid by Benjamin Ciampa`and subject'tolthe'Terms w 16 6•• ' gr.Sl"� 4' 1Fand Conditions as stated in the Resolution,the Southold Town'Boar`d of Trustees authorizes and permits the follofollowing: ' wing: ti't, ' rf .''';r Sx�J r' !i `� • '4 ' 1. � 'i r , ,, ^'i ,' . ', Wetland'Permit to remove the existing wood d'eckuigrfrom`around'the'existing 22'x44' _� � r} ;;:,= jl6at. .- ! �i 't''I ai -•1"'�.t .h �,: 'tJ r q.,, � . 4 swimming pool; replace decking with a 41' '6§;161‘uestoneterrace and extend the south 4( `ti... side of the'terrace 4' seaward;'and,squaripg off,cor,ners of swummng pool; and as • I '''' depicted on the site plan prepared byBurger Construction, Inc. ,dated.December 19, 1r ' r s 2015 and stamped approved on January 20, 2016. K Mr,(,,. r sr , l; , i.•i e, „1; .. x r. • •_' - .• ., ., .� 1. , Lè x c IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, a .. , ,, ,_, Hv--) - and these presents to be subscribed by a majority of the said Board as,of this date. • m. t i y •z . 2 '7°4: A vi t4 ,,( -077,1, ___. .' to A :,.... ,...,L, ::----;,,1 ti:: 7. • ' '."cam\- ncn''''", H rrtFrra,a*AVAVZ v,c - 651 ".4'*!.. rzb' n. •-- .r."w 1—..-- + v,.-rmr4+nfaw+ss. a«ss r,.. 4--.--r.% r.+ 'av„t"7 it t :" :74'..74 .7_ A : fit. • 1/4 /'J.�/1:1...i4.1.:•4.., , �,,,.,',*`4, I`'`,....._'"',•,,,„,),4/„.4t ,„---,4'; --' '� Ipt.•--Ra m.,, 4 .., p� l e ;�1 ,its 4 .' o .4, 11.►!+ ti r ,i.9 qy lZie . ""tt�,�W ii}°i ..$4,i 1 i!2Y i 1-014.v .,,.. t,,4, Y�$u'.i, t M ! F. :y '�' S�3r Fx ,a`� r TERMS AND CONDITIONS The Permittee Benjamin Ciampa, residing at 1305 West Road, Cutchogue,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. 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. 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 peg suit. ) i#t�QF John M.Bredemeyer III, President ���®� yOl Town Hall Annex Michael J. Domino Vice-President I A., r` 4 54375 Route 25 ' 411 .. 41 , P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski `` ® 1O��1�, Telephone(631) 765-1892 Charles J.Sanders Fax(631) 765-6641 ... O'- BOARD OF TOWN TRUSTEES January 20, 2016 TOWN OF SOUTHOLD Eugene Burger Burger Construction P.O. Box 934 Cutchogue, NY 11935 RE: BENJAMIN CIAMPA 1305 WEST ROAD, CUTCHOGUE SCTM# 1000-110-7-1 Dear Mr. Burger: The Board of Town Trustees took the followingaction during its regular meeting held on Wednesday, January 20, 2016 regarding the above matter: WHEREAS, Eugene Burger on behalf of BENJAMIN CIAMPA 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 21, 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 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 January 20, 2016, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of BENJAMIN CIAMPA to remove the existing wood decking from around the existing 22'x44' swimming pool; replace decking with a 41'x68' bluestone terrace and extend the south side of the terrace 4' seaward; and squaring off corners of swimming pool; and as depicted on the site plan prepared by Burger Construction, Inc., dated December 19, 2015 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, girt; ., John M. Bredemeyer III President, Board of Trustees JMB/dd John Bredemeyer, President Town Hall Annex Michael J. Domino, Vice-President ' ° �c-4;, 54375 Route 25 Glenn Goldsmith ;ti P.O. Box 1179 .41 A. Nicholas Krupski y ,,/ Southold, NY 11971 Charles J. Sanders ---4)4 * �a°• Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: i `f' /Z---: //-2— Eugene Burger on behalf of BENJAMIN CIAMPA requests a Wetland Permit to remove the existing wood decking from around the existing 22'x44' swimming pool; replace decking with a 41'x68' bluestone terrace and extend the south side of the terrace 4' seaward; and squaring off corners of swimming pool. Located: 1305 West Road, Cutchogue. SCTM# 1000-110-7-1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland ' Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: V/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: �, cy e `0! Present Were: J. Bre�emeyer V M. D9mino 17G. Goldsmith 1/ N. Krupski C. Sanders Bay Constable Other Form filled out in the field by 71/1- D Mailed/Faxed to: Date: j'� John M. Bredemeyer 111, President �,.' `sUFFO(,,— Town Hall Annex O c Michael J. Domino, Vice-President ,,+'0�4� �Gy 54375 Route 25, P.O. Box 1179 James F. King u, 1 Southold,NY 11971 P ►`+ Telephone(631)765-1892 Charles J.Sanders y ++ p Dave Berge;, _ Fax-4 4 .t"'+ Fax(631)765-6641 BOARD OF TOWN TRUSTEES ` Al TOWN OF SOUTHOLD hal,/,41, 3-6-N TM- t IN cwFMP/4 ® EL16an, vec-E& - TO: , Please be advised that your application dated UEca - 2(( fit`' has been reviewed by this Board at the regular meeting of BAWL) 1 201 20110 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) 1/2 Constructed ($50.00) / Final Inspection Fee-($50.00) " -- . ..___ _ _.. ___ __ _ __ _ __._ ___ ___ .___ . Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. . The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 14X, 910-0 TOTAL FEES DUE: $ `5°`O) 0,04/1 BY: John M. Bredemeyer III, President Board of Trustees -- ' '--- N '`' A - '1 --- - f it Iv T---- , , . i ------- - :-._, . , _7, - ��■■■ ;r■�30WestRd I.li 111111111111iIr4IJk!'1I!L - t i _. 1/14/16 +••:.. ` _ 1\141:4.:,.....4,:::_.:1-41:;bik,.i:..."....:,0sk..,;\734.:1. ih,.\.. _..,,,,,. 5iii it 1 I 111111111 IIIIIIIM 111111111 . tIII 111111111w,,..IIII i111111/ -� [ iT ': : zz, ///7 4 4 i , .j.,-1-.-- --•''.- - - - - - 40004041111PF : ..4441::11::\, ,s ,;.e..:'4'.- --4"--- litilli _ 1 - .T.. ..-• :,,,...-.?.. .... ..,,,_ .7._ :1 r� s T ♦•♦ t ♦ ♦ t t ♦• s ` ♦ • i ♦ $ 4 tt 4 i• • t` s . ♦ ♦ ♦ ♦ • 4 t t • t t t .I • ♦ ♦ � ♦ ♦♦ ♦•t ♦ ♦♦ ••.$1 4.$* � ; t is � • '� �� � ,� �� �• � ♦� t tt tt t fi• t .,k ii t$1. &< .el‘��•. N------ 1 / 14/2016 113:62 P . 1 ; .�Q ‘i ii-j- ,,,,,-- j O i t I es ii iii AM a%: IIIIIIIIIIIIIIII III i' 'III N 1M 'IR IT9, _: '' h, 111011111 11 i VIII WI MUM! IIIIIIIII I IIIIIII� 1111111- Ili Blit Il II' 111 lir!" I 1 IIII 'III Ii / II 11 glll �IIIII 'P P It!' I I f i.l "WI I I� I fi L. - ,it. ,�; il . POOL DECK AND HOUSE LOOKING NORTH TW041I 1111,. ii _i . ___ 1111iI1I _ rMr y:.. 111 1111111111 11111111111 11111117 1—.—r" - II II ti L .• ___„. ..., II -0! ifill ll El ii! i ii iii iii ii 1 ;Jim irii v i ii:,, i IIS ,�. i . �. �� I— I. �tI. .a,. F-- - ' .. firfr. .,..alir III 1,t,;`,,,,•-, ' --_ -. __ -- . , . , -7// , i '% . /, WOOD POOL DECK TO BE REPLACED -L_ _ .., ':.-7, -F. ; L. y►1' !� I. .ilit • a _,r, ,� _ •� „_41._,,u, - _ _ ,„. IV . I'� _ . _ ________ --- —/. 1 6—.... ..” s tea. • 1il11 ..rte'` , ^ - \ ` . ... , Via'' '® :,1 - ' r - - '. -- \ .... N., • POOL DECK LOOKING SOUTH POOL DECK LOOKING SOUTHEAST O ' 1 . AI - - :i t � j , - "rot ' .� 1 k wA,„ `"\) ..,.... gotret F.... "Awl/ , .... „.,- s:ft, *fir I . .... ,,,,,,A. ,-, , ► lif I. ...F POOL DECK LOOKING SOUTHWEST ............c.14# +,,,,, SEE SEC NO 103 TCH 12Z —27 * LINE /+ b FOR FCL.NO 0 4*,'4#6.4:: " N400:01:, vSEE SEC NO "'000oz-osozoz mon"° 1100 4 .v \ . 4D + l'0' 0 + q,6.) 41kNoal5P'6...,> _ - N .! TCAAN OF % - - #40\ to+ 4, d'Art 1 ZO 09. 111k# 'V dip # + * . • #11111‘ EF E[I FORM rq _` NMLe0.5 • 51 5 SA (COUNTY OF 8 1 40,li *4140,a W ` 9 + DEVELOPMENT P 4 � � 14 S / C.�j -TMS. % © �/ �gQ� tkr- Ar s 0 . 4. 101A .S Q51: ` FL\ / 4,04•41,34 SUFFOLK .. DEVELOPMENT NTy 4-'.> p .� `., a / 0 pawn,of sumo. :;"*\ :v. , a �: oFVF.wrFN.Rnxry .. a WO • DEVELOPMENTwaxrs, ��SCH.D.9 62AU) FFF FFaN \ ) �; \ <o oF.NNTMON.M .n V 1 1 i v — ----fie\ \; i • / I ,2/ ^ I• �cLL, h /' Q % FOR P0.NO (.:• \ `� Q T SEE SEC NO I 108-05-02 / u• / '•� 1 `:'J I1\T 1 if // S A� P°e DLYE.oFMEM Na"" 1 .��\ J Q, 4i ; g ' a '� 1 \ J '' J //� ' 7 . (3 Jr. d/ • \ FOR FCL NO • 43 SEE SEC NO 1i5 042 cl a% 49asecraj_mil liri : �� ander 1 /'/ �linagal ���al MECO..17'iwNomusn ey A3 V/ L coxaFRv.*wx EASEMENT) x..470 ou p r x- . l)1 1 ;.mn.N - MATCH ONE SEE SEC N0.117 F 1 TOWN SECTION FNOTICE OfsouTuoLo p — woo Real Property Agency V o ,u.Of NTY T roOFUFFOL001 1000 .."•''''......,,:=1......%.:74:=:,::': FR�FERr � , ,i S I,,, OF SOU" OFFICE LOCATION: l$� €. *O� MAILING ADDRESS: Town Hall Annex ��� ® ; ,P.O. Box 1179 54375 State Route 25 3111Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ca G Q �� Telephone: 631 765-1938 Southold, 1.0 NY 11971 ` �° �® /� P 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 BENJAMIN CIAMPA SCTM# 1000-110-7-1 Eugene Burger on behalf of BENJAMIN CIAMPA requests a Wetland Permit to remove the existing wood decking from around the existing 22'x44' swimming pool; replace decking with a 41'x68' bluestone terrace and extend the south side of the terrace 4' seaward; and squaring Off corners of swimming pool. Located: 1305 West Road, Cutchogue. SCTM# 1000-110-7-1 The proposed action has been reviewed to Chapter 268; Waterfront Consistency Review of the Town'of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action.. L I ,,,,ii If/ '/0,pgu�FQ�,I.ed. Peter Young,Chairman Q V , Town Hall,53095 Main Rd. • Lauren Standish,Secretary � ' P.O.Box 1179 +1�rif Southold,NY 11971 � �i�N. Telephone(631)765-1889 4 41 � 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 Peter Young, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of BENJAMIN CIAMPA to remove wood decking from pool area. Replace decking with a bluestone terrace. Add 4' to the south side of terrace and square off corners of existing pool. Located: 1305 West Rd., Cutchogue. SCTM#110-7-1 Inspected by: Peter Young Vote of Council: Ayes: All Motion Carried • I - John M.Bredemeyer III, President °1 � Ql ; Town Hall Annex Michael J.Domino,Vice-President �� 54375 Main Road 41 1i I P.O.Box 1179 James F.King,Trustee ; Southold,New York 11971-0959 trA Dave Bergen,Trustee G Q ',� Q • Telephone (631) 765-1892 Charles J. Sanders,Trustee li�'COU to Fax(631) 765-6641 III�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application _Administrative Permit _Amendment/Transfer/Extension Itz_Received Application: 12126'(y Received Fee: $ 250,0-0 ` x ,' `° Completed Application: 62.22-15 1 _Incomplete: i x t t .►/ SEQRA Classificati : 1 DEC 2 1 2015 1"::' Type I Type II If Unlisted Coordination:(date sent): �LWRP Consistency Assessment Form: /I 574' Southold Town '" /CAC Referral Sent: f 2i23.1.5' �-.____AQ,zrt!Q;Taste u_ J Date of Inspection: /I/f.ICP _Receipt of CAC Report:_ Lead Agency Determination: 7/ Review: V Public Hearing Held: 1.��/ ' Resolution: Name of Applicant: bto.n3 a ml C i awl pa_ Mailing Address: g y BY'COV-S. cte_ D"ri / Plant oral e 1 t030 Phone Number: 612-1-7I I (0 Gel( if 7 6,03-7172 Suffolk County Tax Map Number: 1000 - 110 , ® 1 — 1 Property Location: I 67 5 \N P_s- - Q Qa‘ Cu+cam Ue_ , N `( 1 d q 35 (provide LILCO Pole#, distance toross streets, and location) AGENT: E u9eine- Bury ' re .' Can sirrucktnvi (If applicable) Address: PC) -Box c13' Cul-e noe / N ( (G Phone: to 3 0 134 5 2.( � (� ird of Trustees Applicati4 - GENERAL DATA Land Area(in square feet): 7 (n 8 0 69- M. Area Zoning: - 0 Previous use of property: Re S r` de Yl -T Intended use of property: k p s I de'i Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes K 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 No Remove old d ec_k_i n9 a pro u nd root Does the structure(s) on property have a valid Certificate of Occupancy? X, Yes No Prior permits/approvals for site improvements: Agency Date Qono} \(!nowoc any No prior permits/approvals for site improvements. Has any permit/approval ever been'revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): RemovO ad dec l Ara re • - . d a b l ue kr_vracE Arid n9 a Ufti SI e_ -1-enr,r ee�� Square, of Com( Y1Prc of 2,xLS-VI n pp 01 Polo j 10 )kv1/4 $ 41 x a J 0-e�toicx. Jc g 411 (15005ps A Bo; of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 1)p g rade_ G I "ren+ Fpo\ c.noo eio 5 ne_ rvice-e -I-o 6e , he ad 10Ine_vre eAcd s\--i -VAP 00)66 ci e r ke,( n ► s ' re 0(1_0' Area of wetlands on lot: 0 square feet p,co n ti C,Pel 5 here"f Percent coverage of lot: 5 Closest distance between nearest existing structure and upland edge of wetlands: 20/ feet per surJey Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? 50 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: M 0,i-et-cock bra a . iry a • vkahe-_ a r c r S ' AA AI r/ uioment Aecess toiI ( tzc VIot �uisii113 (Iues$ side) drive_ lel cut 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): i I 1 InP rn e f nn -I-i A oi w aftrS S i l� anci hay (odes i I\ be ere r nl metice sure -an mate,rr cad c brow 3 lti+ i n S-¢-�,�y (In prn pe riru 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 l 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 l. 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 n�, Eu Bu refer 1 r Icnjaii1rl eiaii Pew Name of Action or Project: S* ne_ r-road 40 replace exi sJJ nq pool Wood deck Project Location(describe,and attach a location map): 1305 Welt+ Drivel ('AA.1-C,hojue, `( Brief Description of Proposed Action: 12ermo'le Wood from pool oxen . Repia.ce- cleck- n fat i a bi S O rrcLce 1 ae('oi 1 n9 ' -I-b 'he Sotx-j S 1 c1e of ter race_. square off Corhe_r.s o eX1311 ng pool . Name of Applicant or Sponsor: Telephone: I5 i (o) 2.1 I Ben jetrnivn Car per- E-Mail: Address: sq Broov__s(!de bri City/PO: State: Zip Code: tan coma N,/ 110a0 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 `-4 n 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: N , - DEC 3.a.Total acreage of the site of the proposed action? 3, y_',acses sc D.07 acres b.Total acreage to be physically disturbed? ' 31"z 8 -asfs SF 0.07 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 67/6gQa SC ('e 55csre5 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) 0 Industrial ❑Commercial Residential (suburban) EForest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES/ N/A a.A permitted use under the zoning regulations? vi b.Consistent with the adopted comprehensive plan? "1�f 6. Is the proposed action consistent with the predominant character of the existing built or natural O YE� landscape? �/��j 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 1 v ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? N ‘irES ri 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? n 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: N i A 0 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: In 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Iiiii 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NI I YES Places? b.Is the proposed action located in an archeological sensitive area? R-7/ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ v l b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? vi ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Ide�ftify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: 1011 Shoreline El Forest El Agricultural/grasslands El Early mid-successional El Wetland ❑Urban 0 Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO/ , YES by the State or Federal government as threatened or endangered? '/I 16.1s 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, V/ a.Will storm water discharges flow to adjacent properties? n NO nYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: nNO nYES 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)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 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: Y) e dJc.4 rqe Y" Date: / 2-/b /i5 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 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? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 l 1 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. r_{ 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 / —lOal1� -/v Name of ead Agency Date JOh Yl 1/c-Olo ,al Or President Print or Type ,'e o Rbs onsible fficer it Lead Agency Title of Responsible Officer 'r Sign e o esp e Officer in L ad Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: - __ M i Ch e I + Co n ne Stade — 1 4 3 5 V�les-f Ref . ad-ch Og ue , N Y 1 I c 35 �-2 Donald B. Rynd .jr and Susan 1\1 ata M 41 River Rd / Ea5 - Norwic i , NY 1173._ 5_12— NA eredi t-h £ Fors berg -- 131 O west RA, Cfcho9ue , I01 I (435 P-d Wctrol end Mcry Ann Mooney ) 2_46 we5- Rc�, Cufc w3 oe, N y / )935 5 Ruth C Moore Po Pox 3o41 CufcJ►o 'e, N y 19350 STATE OF NEW YORK COUNTY OF SUFFOLK Eugene Burp- , residing at ro Box 93i ,c,afriincue Kkj (fla3, ZITS Pi ne Thee.Road) , being duly sworn, deposes and says'Nat on the I I day of jam,a r , 20 I(,, 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 C-L+ehz>gip/ N'f , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. � s Sworn to before me this )2 ' Day ofdirsaulL, 201(p DEB+"�-tarv��VAa[TfER Notary Public,State New York No,01 VA6188177 CommissiondExpir s Ap County 016 Our John M. Bredemeyer Ill, F-resident Town Hall Annex Michael J. Domino, Vice-President tYj <F, 54375 Route 25 Glenn Goldsmith '' P.O.elf; 4 Box 1179 A. Nicholas Krupski y V � Southoid, NY 11971 Charles J. Sanders , 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 BENJAMIN CIAMPA COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR'NOT LESS THAN SEVEN DAYS I, EU tie B a rgep , residing at/dba tu 9Q r corig-trttchoy, PQ bo)( G34 Ci&bccnoqve, l ( t(q--3c being duly sworn, &&pose and say: That on the O t day of J j-' u rg , 2016, I personally posted the property known as 1305 \Ale + `Bocci, Co-( o e1wy llgA5 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: (signature) Sworn to before me this f -day ofjem.P 20/(P 42---L4C---- Notary$ H H.VAN Notary Public, State e y No.01 VA6186177 CommissiondEixxp rI esApnl 28 2016 0 U.S. Postal ServiceTM U.S. Postal ServiceTM CERTIFIED MAIL° RECEIPT iCERTIFIED MAIL° RECEIPT Ln Domestic Mail Only ..D Domestic Mail Only For delivery information,visit our website at wtyw,usps.com°. iit:i For delivery information,visit our website at www.usps.com°. Lf) CUTCI(0 lf'P f� C [I . L USE t .„ EAST W}CN F1 i7C ii L U Postage $ $3.45- ,tr Postage $ $3.45 - Ir i P f 1 I (C4NY �J Postmark t7� a'Return Receipt Fee Hre Return Recel t Fee f 1 1 Here is (Endorsement Required) AAt t� (Endorsement Required) r� O Restricted Delivery Fee ��j'//ag f, J 120 1' Restricted Delivery Fee 1 C3 1�►1 1 2016 p (Endorsement Required) "'^ I6 f� (Endorsement Required) J 1v00 ru $1.42 0 Y1112016 : , ' ru $1.42 �� 11/2016' Total Postage&Fees - r I Total Postage&Fees $ , Sent To $7.67 ��SI cif_��' , .=- Sent To $7.67 Ir1sP ,..... p Street&Apt.FFa; p Street&dpt.----- . q Q IN-D or PO Box No. 14-3 'h 1 th.ca_1 tt � - N or PO Box No. 0 1 R111a Q City,State,ZIP+4 _ �da,, 1 Y r I I Qrw3� City,State,,ZJPP++44 f , V /V [ / t Nor�l tat l 173 Z PS Form 3800,July 2014 See.Reverse for Instructions PS Form 3800,July 2014 See Reverse for Instructions J U.S. Postal Service"' U:S. Postal Service'CERTIFIED MAIL® RECEIPT CERTIFIED' MAIL RECEIPT • Domestic Mail Only `� Domestic Mail Only c0 For delivery information,visit our website at www.usps.comm. Foer3r delivery information,visit our website at.www usps.comm. J CUTC U £tib _ < L ` Ln 1-in CUTCHN E F 1,1931 C J cE LL U l Postage $ $3.45 �! IT' Postage $ $3.45 _ � I �� 1 O Certified Fee Certified Fee X79" 1i En ostmark j • P E:1 Here t Return Receipt Fee �.t.: Postmark 12 (Endorsement Required) .) 4* ' ' i Return Recel t Fee � �I' (Endorsement Required) • y/�t 'i p U 'Y�/, ,Restricted Delivery Feeg /(Endorsement Required) n .Q ut.42 i t/11/201 6 q�.,,Total Postage&Fees $ , - Gs q,) $7.67 �` $7.67 , ��' . - Sent To qn Sent To �/� �-^ ri Yr CCI i��' erecGiQ�`A' rd ^ r4 M I V l L Fars S`treet&apt.No, \AI O Street&Apt No., N 'or PO Box No 12_ () e.S_ Kas3 _ N or PO Box No. 1,3 //,,b W g51-- k octal City,State,Z/P+4 City State, P+4 i'f 0 4` be r A/ /e q 3S— j ., o tie i �! I 3- _ _ PS:Form 3800,July 2014 See Reverse for Instructions PS Form'3800,July 2014 See.Reverse for Instructions U.S. Postal Service"j CERTIFIED MAIL° RECEIPT ru 4Domestic Mail Only For delivery information,visit our website at www.usps.com®. "in .CUTC pl , E1 U:194 • 'A -. u , > " ". E • • postage: $ ' $3.45 _ Certified Fee ' �. � - ' 9 J E/ g.. 0 o c3 1 Return Receipt 0 Here T 0 (Endorsement Required) (® J �1 j Restricted Delivery Fee ��� 4A // !Jt , CI (Endorsement Required) • r ru $1.42 = 01/11/2016� co Total Postage&Fees $ ; Sent To $7.67 GSps_ ra Ldh C • --Q-D re ' 1 1 Street&Ap.No., , N or PO Box No. -p0 Box 4. • - City,State, 113+47 ( h 0` � ,l 1°135- PS °135PS Form 3800,July 2014 See Reverse for Instructions,J I 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: BENJAMIN CIAMPA SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove the existing wood decking from around the existing 22'x44' swimming pool; replace decking with a 41'x68' bluestone terrace and extend the south side of the terrace 4' seaward; and squaring off corners of swimming pool. Located: 1305 West Road, Cutchogue. SCTM# 1000-110-7-1 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 Bow_-:.! of Trustees Application 0 AFFIDAVIT EEvoSFirn i N G,A-meth 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 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. itie- -, - Signature of Property Owner SWORN TO BEFORE ME THIS 1 D DAY OF N c MAL K , 20 l 5.- / ,i 'P 14 ',Al__ o�j y Public ATRIZ E.TALA NotaryI!" blic, State of New York No 01TA6170130 Qualified in Queens County IQ Commission Expires July 02, 20 Bois_=.L of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, teNSPrrntn1 C-tAnnPA- residing at (print name of owner of property) (mailing address) $11- agu)ogs me, be-we. PLAicomE. N%-( i too do hereby authorize (Agent) 5uR& R C-Cit•-)WrCLt.lart to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: CANrAPP. lieNrSicircton.J (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other-,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,rparriage,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. V YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this LSP da of 20Q S_ Signature - Print Name 15 eNalckiiVw—i CtflMPIN Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. - [� YOUR NAME: C1L4 Y e r � Eu IP he (Last name,fat name,middle initial,'unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO _ _ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 19' day f L c.en'►)36,200,5". Signature Print Name uI5 Y-- Form TS I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local 'Waterfront Revitalization Program. A proposed action will be evaluated as to its 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 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 Sin:AND PROPOSED ACTION SCTM# k 1 C3 - - 1 PROJECT NAME StOntienence rep f oP- Word cel bllec The Application has been submitted to (check appropriate response): Town Board _ Planning Board Building Dept. Board of Trustees IA 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: Nature and extent of action: eonOfe- LOOc cd.e_c\n J -Frcm Fonk niror�'I RP ptace (;lam l nc lAi �'1/1 Wue ''(-er(iC�) add f n I 'co e Sou l S e 0 c- 3 crrrcLle. Sc(u a re o N Co r o� Pool• f Location of action: 13 0 5 West- D r\ v t', CA AA-On Site acreage: 6 7, ( 0 69 Present land use: Pe st d e n i ct,Q Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: RPA �rn y r CA (dim (b) Mailing address: $4 e)rn(1 V.S`ae.- ') lye• ?1 an c1prne_ ) 1\\N 1103 (c) Telephone number: Area Code( ) C61(0) 2.1 — 7 I I (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? NJ DEC - 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. n Yes n No [,Not Applicable 3 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 n Yes No Vg Not Applicable l . 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 n Yes n No n Not Applicable e—V3uA l d ( rl i s\--1 vlci k ort Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes n No 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 n Yes No ,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 IH—Policies; Pages 22 through 32 for evaluation criteria. i Yes No Not Applicable ?ro'ec fi 4v be_ \nay loo3ed * s i h- .e nee Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No �j 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 XNot 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. Yep l No 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 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 ❑ NolK 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 ❑ NolX1 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 IX Not Applicable PREPARED BY (;l e,ne �,If�' �' TITLE ti I Ck Y DATE I c 1 06 G�t� 0 O • 1 1 E NcE + C .14:a P • `A1 c \.4,6C-• 65,s OA, 7 • • • • •�Qul �,` s. ' •0•i.91dr••1,d"i. •••6�'1!' i..i'.1 i' i 1 5r1 :-1, %1. ::I'• • !y 11 .1` 'jlr,b' . I•. , '.P, 1,j, ::1.•`:4-r 1_• \ . 1 *0":,\ • . , a ••• ::• 1 ''. . 1 1 \ • ,• pt r\ ti•1 1y ` I Ty . �O' Q r7`p N si�1'~++ '�.. 4. ` tib I Y�'fp� ' 'S• `1.\u.'6 ND 9 10 191 �+f"' - a.• ?�'•'���' tib+° yz ., 1', °4 ' Sy 0. .� ��1°4;' • • B e IB rr t,' .0,:::'1..b.':'''''''''' .. .. a 0 P°°l' ****140 \Ix'. •• °`Tv h 41 • o 0) `•� 1•1? •O94''' 11 ! \ 4' / I 11 i 1 VS.c. os�, ,�°ho, a6°�, 1 f\\ ,i, r 11, �� i4.T,� , I 14,27 1 E. ff�� r.;-: ''', '_..--F. �,�,ry r- C,r-<(•••„,.,... Ns/g•e,• f %• S.143984 HE•'r . Imo: 7 I. !, Im` ,, .` Sjh ,. • ' ' I lirli :„ 1 F' �{l,‘:'11/41 4;y DEC 2 1 2015 I ,..S.,.;,,:••••• :r' ,!: 21? , r' +4 '•.j., Southord• Town �• 3° A1a' ' �'i,•� , I� P ,� LII I .., _____,Ro2�(1ofTrusteeS __ ..._.1 I , Or�\G' i QG� ••v SURVEY FOR TM"'Jr' t l ; / 75—S JAMES N. TRENTALANGE 81 SUSAN C. TRENTALANGEMAR.31,1989 ( JULY 1,1 1986 Z4 1986 AT CUTCHOGUE. I MA . OATEI JAN11.6,8.1986 TOWN OF SOUTHOLD I" 50' SUFFOLK COUNTY, NEW YORK NO. 85-1321 M UNAUTHORIZED ALTERATION OR ADDITION TO'THIS GUARANTEE' "OF NEI SURVEY 5 A VIOLATION Of SECTION 11011,0f THE CHICAG• , • NEW YORK STATE EDUCATIONLAW -• _ • COMPANY __ _ N COPIES OF THIS SURVEY MOT_K[ARING -THE-LAND - NO.B' 6" . _ .,,SI; 4_ _ - _ - - - - • --SUAVE YOWS IHKCD SEAL OR EMBOSSED SEAL SMALL BOUT O_. �; •yl B-. T SGUA ANTICS NOT BE CONDERED INDICATED HEREONTO BE AI SHALL TRUD RUNPY O ONLY 10 * r ' /. HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT• DIE PERSON FOR WHOM THE SURVEY IS IREPAR[0 � 16 II ATUI ANO MENTAL HIS BEHALF TO THE TITLE COMPANY LISTED +'J' II�f COT TAX MAP p/TZQ4S(,SECTIONC114._•SLOCK'AL LOT IIo.L•_PueIC HEREON,AND TO THE ASf ASSIGNEES OF THE LENDING t J -•\ice. IIE 1.1 THERE ARE NO DWELLINGS WITHIN 100 FEET Of Till PROPERTY INSTITUTION GUARANTEES ARC NOT TRANSFERABLE ' OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ',�Z M THE WATER SUPPLY AMD SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS . 4y��/����•••• WILL CON/ORM 1T) THE STANDARDS Of THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCIUR[III DISTANCES sHorrit EOAR(FOR A OPERTYCUHLII . .,goer I Of HEALTH SERVICES, LAND SUa APPLICAHP PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION Of FENCES ADDRESS TEL. i. YOUNG & YOUNG 400 DSTRANDER AVENUE 'V i. NOTE. AREA:67698 S.F. M• MONUMENT '-:••.t, RIVERHEADT NEW YORK ' I. •',.0li ' ALDEN W.YOUNG PROFESSIONAL ENGINEER •! • "It1; AND LAND SURVEYOR N.Y.S.UCENSE NO.12845 7..23- Z3oS NTT[LOCATTJM 01 Wu LIW1,uPnc rANKl+r1B cEuroa>(cP1 ST10WN ncl+(oM I HOWARD W.YOUNG, LAND SURVEYOR ME PROM FIELD OBSERVATIONS MIO OR DATA OBTAINED met OTHERS N Y.S.LICENSE N0.45993 GRAH011 & SONS INC. 1045 • P • • \�� • .lilt �(0 '41•'•j i,,I,IJI• !li i i; i I� �A�1. \% s. a ,,F•11,,I„I1'; ji .13'IY'•Vfi�I;J'•ilr'ipi I' 4;1Ci�� r':1;:�1• "A• rt, . ��{�'�elydQ:ti'1'; ;�;:lO 7fGl`?1,,: I; • ;?�,.�'';,,, \ 1.� ,p 1, t'i. >. t..u„ {,, , 1 I a n,, '.` i f:. ',,t I • i'.. 'I4 1 .11a,• , 1 ^,,' A • Ate.\t, , ; .- t. Ot 1-...A v4 ' •\ 1. • '`,'`e`, / a` �` 0. ` I 't. : c‘.... �`ed0 0 SPS , f •Y07. 6M N' 0 339.I'' `9• q�0� y;i v �', ., t Si O• ), ' 1'., tel.. ''.. t / � 6. - ' ,�w�°�+ q Mt. NN. I•, ,t i Sld ;,bpP b. 01 i7 •' 1 I► \? . . IA a YR.,, '. 04, ' 4►'< iP9;90 ; 4601' ( f; ;0 • • S ..�y��I 4/ 6. S•1145,411NE. • • 4, 66, I , S.14046'19” '••g• _; 04) 6/Gq./1I I. •I • 1 34.84' E.';I Th �+ ' _4 j) ..,.,,_ ii i, rt.4,1 , ,t, , ' :'• '..,,, , 1 P. . : ir ti DEC 2 2015 . , ; a 5.--•-•--r..... ..., " 1 • . . ,' .' ' G• 'y /�alk",'. l a� . i I:1 1'�� ,'V+, G SoutholdTown f V•, V • 'T,I I;i,•,IV/' ;',' F;; Roars!Qf Tr��te�s .___.. • G ;i Gt`• ; ' i qp / SURVEY FOR Ti t Y. �i r ' 5 ?�S JAMES N. TRENTALANGE 81 SUSAN C. TRENTALANGEMAR.31,969 11 AT CUTCHOGUE JULY i JULY I�1986 1986 DATE' JAM.6,1986 . TOWN OF SOUTHOLDSCALE! IN ■ 50' SUFFOLK COUNTY, NEW YORK NO. 65-1321 • N UNAUTHORIZED ALTERATION OR ADDITION TO•1111S, GUARANTEE' "OF Pie SURVEY M A VIOLATION Of SECTION 7205 Of THE CHICAG. ,, , • '. i NEW YORK STATE EDUCATION LAW , COMPANY N COPIES Of THIS SIAIVEY NOT BEARING THE LAND_ NO.8 '8-• .pot W - - -- - _ - -- - - - SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL GOUT OL• �;-VI B`•, NOT BE CONSIDERED TO RE A VALID TRUE COPY Z ,, MGUARANTCEI INDICATED HEREON SHALL RUN ONLY 10 HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT• THE PERSON FOR WHOM THE SURVEY IS PREPARED p AND ON HIf BEHALF TO THE TITLE COMPANY GOVLIIN- ` *. ' 14 NEAREST W STAIN MI.! 14 SOURCE or WATER,IRIVATC_IUBLIC— MENTAL AGENCY AND LENDING INSTITUTION LISTED 'I 3 41 14 SUFI CO TAX MAP DISTZQQSLSECTION Ilk-.RACK.111....LOT 901 , HEREON,AND TO THE ASSIGNEES OF THE LENDING N THERE ARE HO DWELLINGS WITHIN 100 FEET OF THA, PROPERTY INSTITUTION GUARANTIES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT 'I'. • N THE WATER SUPPLY ANO SEWAGE DISPOSAL SYSTEM FOR THIS!RIDEMCE OWNERS ,miliiiiii/�• WILL CON/ORM TO THE STANDARDS OF THE SJf►OLK COUNTY DEPARTMENT N DISTANCES SHOWN HEREON FROM PROPERTY UNES . % O% / OF HEALTH SERVICE,, TO CXIfTINS , �'��TRUCTUR[f ARE►OR A SPECIFIC LAND SUR APPLICANT. PURPOSE AND ARE NOT TO B[ USED TO ESTABLIIH PROPERTY LINES OR FOR THE ERECTION Of FENCES ADDRESS TU. !W, i' YOUNG & YOUNG 400-OSTRANDER AVENUE NOTE! AREA:67698 S.F. U• MONUMENT t i••• I�,w' RIVERHEAD,NEW YORK • •.I.,f% ALDEN W.YOUNO,PROFESSIONAL ENGINEER :t AND LAND SURVEYOR N.Y.S.UCENSE 10,12645 7...2-7_ Z3QS HOWARD W.YOUNG, LAND SURVEYOR N THE LOCATION Of WILLIWI,SEPTIC TANKIST1B CESSPOOL{(CFI SHOWN HUI(OI N.Y.S.LICENSE NO.45893 ME FROM FIELD OIIERYMTIONI MO OR DATA OBTMN(D FROM OTHERS GRANDIS & SONS INC. 1046 U PLUMSTONE Z 1 GONGRETE " �a N 0 FOUNDATION ° GONGRETE ,y' W 0 z Z 19'-4. 19'-7" 1 2'-6" a O I M a I &RADE ° W E'' 0,(7 H H v) X O N W GI_EAN v/ k 1 FILL Pa U n n 1 O M M GOVE ED PO'RGrt i p4 U 1 3' -a8"_ 55' 11" I PROJECT 1 / 87'-1" / ! -4....-... // / / 1 TERRACE SECTION DETAIL / / Y STACKED STONE _ ____/_ _ ilium as- . / ti / ALL FOR PLANTER I I/2'=I' NEW TO �\ f E.GON I Am 110 TERRACE . \ tAy 1 1 1 WOOD .- Al- al- '� DECD IMI1 iII ��� •� EXISTING COVERED •�� \1-- - _-_ ■�■Il � \--- RESIDENCE PGRGf-t •aa _ .\ � PO GOR S (4) NM 0 NEW STAIRS �-� TO PE SQUARED OFF -El \ WITH RAILING NM . •�` .. •� `•�.�,�.. Mil -•-_ _ 711-111:ailla �,�1\ • �`— 7 ■� •" 4' EXTENSION OP°` •~•_' . = I��r SOUTH POOL "••• ,_., SPOOL O .�� TERRACE WALL �.. 12' I '!.ilt 1n>c< . Ms, 1 • I I r. - ••- 1- - --, - - I 757I r- ■■l�IrMilli I I 1 1 TEMPORARY EROSION// I . I /,,., ,/- WTERRAC.E TOANDSAFENGIN�S I \) COVERED POR611 Ial-Wm / �IT�ITe I\ '. • GEN AG \ , /' NEW EDGE of 1 j — \ \ EXISTINS STRUCTURE /• DRIVEWAY ��_ FOOTPRINT /' • /• EXISTING411111---- / /' DRIVEWAY — / . GATGH f5ASIN E PRY STAr.KED STONE / 34'0" HOOK ANY - WALL FOR PLANTER /' PROJECT LOGAT ION: DOWNSPOUTS TO I EXISTING DRYWELL /• DRIVEWAY IO5 WEST RD I / / GUTG1-1OSUE NY . c__; ..r.,/ NEW DRYWi2L /•/• 'I I15 /' J /•/' APPROVED BY /• • BOARD OF TRUSTEES •...• ,TOWN OF SOUTHOLD - '\ EXISTINS EDGE OF /' '\ D EVVAY TO CE MOVED 15AGK /•/. , :DA's JPrNL'A-g./ 2o 2c';/& \ 80'-1" / . /•\'\ •/• ia ' t JIPA" ° 44 '\ /. •\ /• .\ • /. '\ /./• REVISED: .\ /' • .\• •/ 1' a• ` I PATE. •\ �''• if DEG IS 2015 .\ .. s DEC 2 1 2015 ,` '\ �•�• I •\ .,i''' } c _ ,;,; ;:N: 1 _, } DRAWING TITLE: •\ '\ ' '' ITE '\. Ti11 1 \ 1 1 �\ \' •'• ' LOGAT I ON: I X05 WEST ROAD , ' SITE: ' 70 St= I5% LOT GVS SCALE: \ t-t • GUTGOSUE• , \'\ SUI=ffOLK COUNTY, NY I IS5 ZON INS: R-40 I" = Id . ....- \ TAX MAP#: 1000-I 10.-7-I YOUNG & YOUNG. DRAWINS NO. URVEYOR: 400 OSTRANDER AVE. '\• W I GKhtAM \•\• GREEK OWNER: 'ENJAMIN GIRMPA RIVERhEAD, NY \ (�3 I) 727-2 03 .\..'' SITE DIMENSIONS ARE rASED ON ',/ ''I / 89 -SURVEY