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TR-8792A
Glenn Goldsmith,President ®F S0 Town Hall Annex A. Nicholas Krupski,Vice President ® ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® a0 Fax(631) 765-6641 C®U ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2136 C Date: May 30, 2024 THIS CERTIFIES that the removal of rotted platform boards; raking out of sand and repositioning of existing blue stone steppingstones to be a walkway leaving 5' surrounding the deck as sand which is to be raked and left clean; At 725 North Sea Drive, Southold Suffolk County Tax Map#1000-54-4-9 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 22, 2016 pursuant to which Trustees Administrative Permit#8792A Dated May 18,2016,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 removal of rotted platform boards,• rakingout ut of sand and repositioning of existing blue stone stepping stones to be a walkway• leaving 5' surrounding the deck as sand which is to be raked and left clean. The certificate is issued to PINO&IRENA LICUL owners of the aforesaid property. Authorized Signature Glenn Goldsmith, President *®f SOU�� Town Hall Annex ®� ®� 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G � Telephone(631) 765-1892 Elizabeth Peeples mot` ® a® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES � TOWN OF SOUTHOLD DATE OF INSPECTION: May 1 , 222� INSPECTED BY: L1 Z41DV+iA pet pkel% Ch. Ch. 111 I l�fl OWd,5X �6uD6D � ✓ I � . 107- INSPECTION SCHEDULE Pre-construction, haybale line/sil 1st day of construction % constructed Project complete, compliance inspection COMMENTS: Pftier_+ is co milli,A wiijk b YwM *131 12-A Olcaay k issue Cr_V� r'pk b� Connwl'►ance CERTIFICATE OF COMPLIANCE: John M. Bredemeyer III, President ,o.� �o�' tTown Hall Annex Michael J. Domino, Vice-President z9,1 <A 54375 Route 25 Glenn Goldsmith sti P.O. Box 1179 �'� Southold NY 11971 A. Nicholas Krupski y� ;; ,� � , , Charles J. Sanders ‘:.;,_-,021, �`�,=' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction 1/2 constructed /Project complete, compliance inspection //9�®� S®jjh John M. Bredemeyer III, President 1® Q� Town Hall Annex Michael J. Domino Vice-President � 1® : 54375 Route 25 ' t P.O. Box 1179 Glenn Goldsmith tt` ' Southold, New York 11971 A.Nicholas Krupski G Q ` �� : Telephone (631) 765-1892 Charles J. Sanders ��'`►®UI. Fax(631) 765-6641 , 'II0i .• BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8792A Date of Receipt of Application: April 22, 2016 Applicant: Pino & Irena Licul SCTM#: 1000-54-4-9 Project Location: 725 North Sea Drive, Southold Date of Resolution/Issuance: May 18, 2016 Date of Expiration: May 18, 2018 Reviewed by: Board of Trustees Project Description: Remove rotted platform boards; rake out sand and reposition existing blue stone stepping stones to be a walkway; remove the Rosa Rugosa and re-vegetate with Cape American beach grass leaving 5' surrounding the deck as sand which is to be raked and left clean. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Pino Licul, received April 22, 2016, and stamped approved on May 18, 2016. Special Conditions: No necessity for 10-year maintenance. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. John M. Bredemeyer III, President Board of Trustees ,C g. • e LONG ISLAND SOUND SCfiLICE LAND SURVEYING IE. 1 Abeape on IiD[) N 46'23, Las pe s ' 53" E 1p0.0p'ya 110 SOUTH 4th STREET �AR) Lindenhurst, New York I— . agb wNi rNw WWI MJScahce®mislandeurvey.com P831-957-2400 F.831-228-2400 1' SURVEYEDBY"' JOB NO 555-0658 DRAWN BY R5 - I I SURVEY of PROPERTY o I CO SITUATE CIL; I I o I SOUTHOLD,TOWN OFSOUTHOLD OO I SUFFOLK COUNTY,NEW YORK Suffolk Tax Map No.:100o-540o-40o-90 o DATE SURVEYED 09-10-2015 I I SCALE f=30' I i I � , �� I l,.l, 1 1 ,, 111 I _ -i 26'-3' N I®ll Z•' FR RES A'r 1- 725 '''''''t 301.-1 1' , r"IL'. „4zi �. I CLEI�N 5 SAND N.siiiiiij a� 1 F2OTM 0FOC r >9L. A ®% AµEelCAr' BEACu I A. \ 1 �® G? Ss \ I a EXISTIN&> t;Sf \ 'e Fes REP TIC r E1 1 II ! 1 I 'm4 gg I w ., 'f.. o �V I n4 w �5' .._.,,,,,„„ii .., I .IN I ,I` ag I— s r `r ,j ti-, G 1 i a s I� ;4' 3- S P7~ 4�0 I 51:' '4' O )'C I OO I e I O p Li- 6 !r I (� I 0 I I - CO y APR 2 2 2016 €` r � ' ' '� .� ! ICO I 4. II ....-...---,L.-.... 1 r 1 .sr � So thold Town ` b I B L��- _ } •(�• Q}1f13Skn 45 _ .J' .. I t -6751_-00' _ ars _ Ns'''''.' I •oUR __ ,y . �' '• OVEDBY . - - ;M e T * " + S 39°24'00" W 1100.00' ' '' - •' ''e 0 OF 1 RUSTEE$ _ 4,,,NE6y Y NORTHa, a`.. 1S-c . r • SEA DRIVE a� 51, tr ``„y.,l}- *,` • :OFA $�o/P -. • * :�' w ° a 1 '-,' ,-t-ALL ELEVATIONS REFER TO NAVD88'D TUM I REVISIONS•-UPDATES,-ADDRIONS ¢ No a o� Ir��I 201G - DATE DESCRIPTION CHECKED BY Fy�LA song Ck " 2 difFPKFO RY a•ALTERATION 0R 0000..'U0 LICENSED SURVEYORS SEAL ISA VIOLATION OF L WORK PNO ON 1 OF NEw YORK STATE mUGTION LAW(2C ONLY BOVNa4 RVEY NMS MI n1E SURVEYOR 5 EMBOSSE' 1J�� N(0)CERDDGTIONS ON TLS BOUNOARYNSUZRVEY 700 SIGNET 1NAi TXE MAP EA5 PR I:PR N ED,TO E TLE THE CURRENT EXISTNC CODE OF GENCYE AND LTO ,� PJ''•�:1 °µ. : 000 100E N 0RK'',7"- ',7''''''' ''''''''._ AS 0 SOF 0 O 0 LINO SURVEYORS,°NC THE CERnHGnON 5 OM 1FD TO PERSONS FOR WHOM 100E BOVNOPAY SURVEY NAP IS PREPARED,TO THE TITLE COMPANY TO THE 0050 0MEMAL AGENCY ANO TO THE 'y ''�- 'N GnONS HERRN ME NOP TUNSFEAASLE(5)THE LOCATION OF UNDERGROUND NPROVENE OR TITSR1 C 17/ARE NOT ALWAYS KNOWN AND OFTEN NUSr BE ESTMATED IF ANT OR ENCRRECHMENTS AAE NOT COVERED BY THIS SURVEY(B)TIE NS TO UIL DGS,AND SHOWN HERPON FR ON TIE STRUCK) O TNT PROPERLY ONES ARE FOR A ' SETAS PURPOSE. 0 THEREFORE AAE NOT ERFOR INTEND/Jr CU OE TEE RAFOGERECTION IF FENCES RETAINING ST TION POOLS RAMS PLANING ARDS ADDITIONS TO BUILDINGS,ANO PNT OTHER TYPE OF CONSLRUCnON(])PROPERLY CORNEA MONUMENTS WERE NOT SET AS PART OF T.S,:• (B)THIS SURVEY W/5 PEREOR .A SPECTRA FOCUS D Roeonc TOTAL STATION v % fiI. .;i nV aSle' \'/^_ ili \ � l \ -°1 ' . \.,„ 4 is a �3_ - �, .� 9 96 : , )_ \^ • _ ', , _, ._, 60.4' • - ' E y r, WAD DECK - 10. .t.• 1- BW CLEAIsSANb C5 '-fromi °cic) I N, %' rr '`r'"� 1 // AC>-1 89ASS � N 7 i & 13 L E S�N 1; I o .;4,,,,,,,,,,,,:,,,,,„ RIDGE-- �' S"f IISU _ G /.%,.j f.• 24.33' I s,. aAvE�S ]Z�POSi7lbN� , ,� " / G�=3R, 'e.,/,,, " ,...", 'rrrr i •'!' WOOD DEC ' K 64, :1? 44.7' .....,-- , O_ n s_ 1:74,,,,,,,,,,i,:,,,,,,,,,.R z z \® f ` 68' E�, sc 0 I ® 7.10 1_ . ....... . .. _ 5 �, ,r IEL II APR 2 2 2016 , 5.43 i I 1 EL. 5.91' �_. ,__ Southcl�s^�vn ` . � o !! 5E j I CkCONC. 010101- I Po ', IeENA LICLL ONC. -7a5 N , SEP bi t oo co Sau iotD, 1`.y 11 Q7 -i S II 2 22Z 4_ 5E 9, � .�._ „ L-----'--:‘ .WY.« ��, LONG IIS'LAND SOUND LAND SURVEYING I . I o:ws on 11O inc. ,/ Ij N 46°23'53., E 100.00'f 110 SOUTH 4th STREET (A LONG iYATER) Lindenhurst, New York MJScalice@mjslandsurvey.com II p�, HIGH WATER NARK �_ P:631-957-2400 F:631-226-2400 27O' —p�,— N _.-__ _ . ___ _ t� 279 — SURVEYED BY R BI I DRAWN BY R S. JOB NO S15-0658 I I I SURVEY OF PROPERTY a 0 SITUATE co I o SOUTHOLD, TOWN OFSOUTHOLD o i ICAD SUFFOLK COUNTY, NEW YORK czIco Suffolk Tax Map No.: 100o-540o-4.0o-90 = I o DATE SURVEYED:09-10-2015 1 I N SCALE: 1"=30' I a II II I p�, 9.96' vI 4' El- 10. ' 60 DEac I y WOOD in 1 � PR1 STY 26.3' ill_745 CA.1Z._ .12:S. I 122' o'. WOOD DEccK.. 30.1' 7. = 447' F - � I eit• p� i 1 7,iO g. \ I I 5 ' $ I 591' 5%. \ 1 FE I 1GONC. I 8.8' I • 5 9' b K _ 8.5' I ?9 Rh- 8.9' I-.- (� I tti d y b � I co C � •O is.`� 46O I I O b N. o I 1 w r,) v� 0 C.0 i 5ik CO446 I1 I :y j r: !'_r'' 1,--- I Sr I r, . , ,if. LE., i U' LL II )I I l 4 lit___Iii , 6��:00' o.7'N POST rt RAIL 0511Iii, t ' APR 2 2 2016 I S 39°24'00" W 100.00' ��oF NElNr� i Southold Town s�5' �'<P�P�` J SC.� 'pr 605' CL �_ 1?_;iofTn+s .o5_.___� NORTH SEA DRIVE �° 'f" �`' ALL ELEVATIONS REFER TO NAVD88 DATUM REVISIONS UPDATES ADDITIONS C' o 0508$ i0 DATE: DESCRIPTION: CHECKED BY: LAND 5McLA� 2 CHFCKFn RY• (1) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUB-DIVISION 2, OF NEW YORK STATE EDUCATION LAW. (2) ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOS SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND N SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC.THE CERTIFICATION IS UMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE . LENDING INSTITUTION LISTED ON THIS BOUNDARY SURVEY MAP. (4) THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED IF ANY 0 UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. (6) THE OFFSET(OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY UNES ARE FOR A Z SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS. ADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION. (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY. (8) THIS SURVEY WAS PERFORMED WITH A SPECTRA FOCUS 30 ROBOTIC TOTAL STATION John M. Bredemeyer Ill, President ; �pS�FFO(KCD•, Town Hall Annex Michael J. Domino, Vice-President • �o 4 54375 Route 25 Glenn Goldsmith i= : '' z� , P.O. Box 1179 A. Nicholas Krupski o � Southold, NY 11971 Charles J. Sanders y4/0� .= oo s Telephone e(631) -1892 ' * Fax ( ) 7 6 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 561 1 h 6 -0 Completed iii field by: \r 1/t}If PINO & IRENA LICUL request an Administrative Permit to remove rotted platform boards; rake out sand and reposition existing blue stone stepping stones to be a walkway; remove the Rosa Rugosa and re-vegetate with Cape American beach grass leaving 5' surrounding the deck as sand which is to be raked and left clean. Located: 725 North Sea Drive, Southold. SCTM# 1000-54-4-9 CH. 275-1- SETBACKS WETLAND BOUNDARY: Actual Footage or OK=/ Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 111/P r /70;f"411^61%-f-4- Present were: J. Bredemeyer M. Domino V G. Goldsmith N. Krupski C 'Sanders Other Page 1 of 2 John M Bredemeyer Ill, President I �gUFFOUxc, Town Hall Annex Michael J. Domino, Vice-President �o� y 54375 Route 25 Glenn Goldsmith o ���� P.O. Box 1179 A. Nicholas Krupski rft Southold, NY 11971 Charles J Sanders 'y,�j� ' i� Telephone (631) 765-1892 f j Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: PINO & IRENA LICUL request an Administrative Permit to remove rotted platform boards; rake out sand and reposition existing blue stone stepping stones to be a walkway; remove the Rosa Rugosa and re-vegetate with Cape American beach grass leaving 5' surrounding the deck as sand which is to be raked and left clean. Located: 725 North Sea Drive, Southold. SCTM# 1000-54-4-9 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. <_25% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 REap1NT 6iZAss&.s INnil& AeEA r avow tri t r _ O .Y.' , ` , - ....f — "...' •••••. ,„,.....- n_ •, to, '\16..,),114,fhir**.• .n- ow../...,i, •.. ,.... . _ ._ , ,,,40,.. ...zt,f, - .. .. . , ......,,,...._. . /'t 7:1.'47,;1.7. . ' • ! 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', . .- '''' " fr.'0 r. *E ,,,,,, ., , , : --------,-- - -_z_.,' .-- .2 . , 4.: 1#,/'' '. Ill 1,741 i _ . ........_. .... ,mmoini. Jv o� w Al f . ,�11' t e "IQ: • • gema e r cant fi7ne r iC'an beach 6,455. kortr v,,.-W -'1r .a, _ t t. I ...- - e ;. ._... .. w--#;mss- r . 4 • Vic. "` f • :- v `�' 1• • Via: i • i , . ' * Rer►ot I . '1 el SIAS& • q-iq. HD Nog Vio • i�•iANN®F SOUL,',® _ MAILING ADDRESS: OFFICE LOCATION: �i O• l Town Hall Annex �� ® P.O. Box 1179 54375 State Route 25 441 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 `; �Q gA Telephone: 631 765-1938 �yc®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: May 12, 2016 Re: Local Waterfront Revitalization Program Coastal Consistency Review for PINO & IRENA LICUL SCTM# 1000-54-4-9 PINO & IRENA LICUL request an Administrative Permit to remove rotted platform boards; rake out sand and reposition existing blue stone stepping stones to be a walkway; remove the Rosa Rugosa and re-vegetate with Cape American beach grass leaving 5' surrounding the deck as sand which is to be raked and left clean. Located: 725 North Sea Drive, Southold. SCTM# 1000-54-4-9 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 LWRP policies and therefore CONSISTENT with the LWRP provided the following. 1. The applicant identifies how thevegetation will be removed (manually or mechanically). 2. The applicant identifies the spacing and guarantees survival of the planted vegetation for three years. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. John M. Bredemeyer III, President �� ��0 .•" y� Town Hall Annex r h® �',l l0 54375 Route 25 Michael J. Domino,Vice-President , SMIS P.O.Box 1179 Glenn Goldsmith t t • 'k.*� =�f Southold, New York 11971 A.Nicholas Krupski G '` = k A1 Telephone(631) 765-1892 Charles J. Sanders : C®UA,�� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applicatio _Wetland Permit Application Administrative Permit Amendment/Transfer/Extension s-R C / Received ApplicataQn: L 2h(D 2 r`. �- ' +: i 1r V Received Fee:$ a(T } 3 Completed Application t;s ! t _Incomplete I APR 2 2 2016 . 1 _SEQRA Classification:/ Type I Type II '��// Unlisted Coordination:(date sent) {i Southo d Town V LWRP Consistency Assessment Form 5;‘,./e0 Lea Rr• ?rusks_ _ CAC Referral Sent: Date of Inspection: 5+!/+/( _Receipt of CAC Report: _Lead Agency Determination: TechnicalReview:-- - -- - V Public Hearing Held: S8/1e / Resolution: Name of Property Owner(s) ?I N b a � � L IC1 L Address 705 N. S EA £ 1Zi V E s 6cTI/6Lb Phone Number:( ) NO 0Ett 5/1 5o)B 510 38" Suffolk County Tax Map Number: 1000 - 5 y , _y —9 Property Location: 7c 5 N . S E4 D 21 V E SOUR-0th, (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Boa - of Trustees Application GENERAL DATA Land Area(in square feet): Area-Zoning: Previous use of property: - Intended use of property: 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? Yes ./ No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes / No - Does the structure(s) on property have a valid Certificate of Occupancy? / Yes No Prior permits/approvals for site improvements: • Agency Date Pak I741 403i /.9-3-15 > Cod 38197 5/3h)/(' No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓ No -Yes If yes,provide explanation: - Project Description (use attachments if necessary): - eacet alhched i€11-r cool puck( .s Mr. &Mrs. Pino &Irena Licul 725 N. Sea Drive Southold, NY 11971 516-523-5638 (Pino Cell) pino@dconceptsinc.com Board of Trustees Town of Southold 53095 Route 25 PO Box 1179 Southold, NY 11971 April 19, 2016 Re: 725 N. Sea Drive 54.-4-9 Dear Mr. John Bredemeyer, Thank you for coming to our property and meeting with us on March 16, 2016. During our pre-submission inspection we spoke about many things we were planning on doing. At this time we have decided to just apply for a 10 year Maintenance Permit. The previous owners were elderly and were unable to maintain the grounds. Some of the areas are not safe while walking on the property. We are concerned about the safety of our children and guests. If you recall the platform walkway to the left side of the home were loose and the roots of the Rosa Rugosa are so over grown my children already have tripped and fallen. We propose to do the following work: - Remove rotted platform boards. Rake sand and reposition existing blue stone stepping stones as walkway. - Remove the Rosa Rugosa and replant with American Beach Grass leaving 5ft surrounding the deck. Sand would be raked and left clean. In closing,as the warmer weather is approaching we propose at this time to cleanup our property. All other work that we discussed will not be done at this time. Once again thank you for coming out and meeting with us.We look forward in hearing from you soon as we are eager to clean up our property as the summer season approaches. Sincerely, / 0 r Mr. Pino Licul Ba; -1 of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: T Q in hfn a nee f?' P ro pe Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? / No Yes - -- -------If yes;how-much-material-will be-excavated?------ ---cubic-yards— - - - -- -- - — How much material will be filled? cubic yards . Depth of which material will be removed or deposited: _ feet Proposed slope throughout the area of operations: - Manner in which material will be removed or deposited: nil 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): J � 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l -Project and Sponsor Information Name of Action or Project: 11CUt. Project Location(describe,and attach a location map): 7,25 N. Sea / r Ne Soulhal Cl NY. Brief Description of Proposed Action: Hair)4erianee ov.er.rowii p/arrfTnd s on properly. Name of Applicant or Sponsor: Telephone: 51(o- 5.13-5103r aat PIN() 1RENA L(&UL E-Mail: nirib@ddcr►eepfSine. e6�h Address: !" 7,25 N. Sect O IvE City/PO: State: Zip Code: SOUTNca NY Ny 1197/ 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 >d l l may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial [?Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ElOther(specify): _ . _. ..❑Parkland_ __-- Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? x 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: water kortf prcpe I( (Share,Iroe) ❑ RI 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 2 ❑ b.Are public transportation service(s)available at or near the site of the proposed action? F ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? I] 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: c ❑ 10. Will the proposed action connect to an existing public/private water supply? f1/441NO YES If No,describe method for providing potable water: ❑ n 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N�A ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? Ix El b.Is the proposed action located in an archeological sensitive area? x 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? Y` ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland 0 Urban El 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? X n 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, ❑ a.Will storm water discharges flow to adjacent properties? ❑NO nYES kr b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: n NO DYES 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/sponsorname: ((�ha LICu L Date: 1/34/10., Signature: .1'Lam-- WA.tL 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? X 2. Will the proposed action result in a change in the use or intensity of use of land? X 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? X 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 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 X ❑ problems? 1 1. 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. - --- --- -- -- -- - -- nCheck 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. RCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Boa' of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, I Y't?I Q Li C I,ti residing at 72 5 N. & hi f (print name of owner of property) (mailing address) 30UPIO!d , N y do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. -k_ lea _ _ (0 wner's signature) Boa , of Trustees Application AFFIDAVIT /REND L/CUL- 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-PEWS/HT. Si ,ature of Property Owner SWORN TO BEFORE ME THIS fl ?j�l� DAY OF Apr°, I , 20 Ptca Word 2)V \L + \ No4af Pull New Yoh No:0i 56181819 Notary Public Qualified in Suffolk County Commission Expires:02/11/2 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: L./COL a/160 /RENO (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.) M/t iftrr 1t1tThlar' PERM /7— Do rDo 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 NO 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 - day .-. • rI I 20016 Signature 06.4) Print Name Form TSI — -- — — — 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 SITE AND PROPOSED ACTION SCTM# 51/ - y - 9 PROJECT NAME L i C U L The Application has been submitted to (check appropriate response): Town Board U Planning Board❑ Building Dept. Board of Trustees P 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: k Nature and extent of action: Mtg. MA WIEN l NCS' Peek IT Location of action: Site acreage: 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: Pi N b £ i IZ ENa L 1 Cu L (b) Mailing address: .70)5 N. Sea be i vE Sovr-kivij , Ny 11971 * sesr. m MI- (c) Telephone number:Area Code( 63/-7(P j-g WO /5710-5,D 3 57038 (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency?, Yes, No XI If yes,which state or federal agency? 'C.-Evaluate the project-to the following,policies-by-analyzing-how-the-project-will-furtlier support-or----- --- not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See --- LWRP Section IIh--Policies-Pages 3 fhrough 6-for evaluation criteria Yes No E 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 n Not Applicable _ Remove Ro3a Rugosa. which iS &ler gown and tient poorly main fared and replace wink flrntrrcan teach rass v as you. gp 6411i aL ermy and. McCabe 6each. 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 No 2-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 - No X Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including ______Significant CoataL�C'isli_and�Y�Idlife�Habitats an_d_wetlands�ee�,WRE_Section III—Policies;Iages 22 through 32 for evaluation criteria. -) Yes No Noli t A Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. n Yes n No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes_I.No-I 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. YeZ1 No Not Applicable Attach additional sheets if necessary u't 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 HI—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No IR 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 allot 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. _--_---_---- ------___-- _--.__.-- FP 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 7 Not Applicable PREPARED BY Vena L eat( TITLE 6 wn-er DATE 4-(1-/to I l • ti. ;. . • .n�e Sea . a Y I. K¢ * } rN i x i p Y t.� MK � r y� '` fa ✓ 'f dM�' • ' y� ' {V� . vv � �: v 4 • xt z • Park 8dy. • . tai . afro @" 'Z' ;44 of i E s ' t � i .-,- ,,,., - is.- , '.)f ,yam �. t p i'- ,: ata . + a. . d0�cc" F r a 'kmz, �w i - 0 • a z fix. 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RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY. (8) THIS SURVEY WAS PERFORMED WITH A SPECTRA FOCUS 30 ROBOTIC TOTAL STATION I 4>- �-f� %!,, LONG ISLAN SCA- LICE LAND SURVEYING ILII D SOUND Alt,n,INT Point k wr N 46°23'53'• E 110 SOUTH 4th STREET -__ 100.00'f Lindenhurst, New York RATER) MJScalice®mlelandsurvey.com 1---------------------4=4:-.--�� P:691-957-2400 F:631-226-2400 I z9at I I SURVEYED BY R B JOB NO S15,3658 DRAWN BY RS I I I SURVEY OF PROPERTY o SITUATE l. 11. col [a I 01 05o SOUTHOLD,TOWN OFSOUTHOLD oI I coI CS COUNTY,NEW YORK o I I Suffolk Tax Map No.:100o-540o-40o-90 N 1 DATE SURVEYED 09-10-2015 I SCALE 1"=30' I I I I dr I111 I I 1111 I N. I , _ f STy 2&s ric r. FR RISSvSEAk) n"ir- 725 T. s;(,; m/ / 3,,..___j PZTIS :�. as.1pAfiJJ.�1-7 7-, ..gFN. ,,Ij „",,,,,,6,-.f.,,,,, fide VI Slue S-f oe coni ps ,-:" f..' - t ��f. �"rl.��liY 4ry' ��,,--"".;',r" N�.,-✓� \ I fj) riCE1 I /'I -a• q l ES I FEB 292016 1, �` i 4, ...] I eg' m 1 m Southold Town , 85' 1y Boar'of I e' ir \a h I I B.eF— iW el, I � I I 4 ED Ob 0 � ' CO I s CO II PI ' CAI CO C(/ 5j 16* 6D... -5- b ' , I 87l_6, °TM- _. _.-..PM!1 RASES / •03M ——— S 39°24.00" W 100.00' ' ,\c_oFNEWr at dir dr e0,5-‘- J se, -Pi- NORTH SEA DRIVE 4- , w °0 * *ALL ELEVATIONS REFER TO NAVD88'DATUM l REVISIONS-UPDATES...ADDEONS l��F t'0 o5oe$e i°� DATE DESCRIPTION. CHECKED BY yS LAND 5‘9,\� I 12/2/15 SET STAKES DO/RB 2 YHFCKFTI FM (1)UNNRHORIZED ALTERATION OR ADDITION TO THIS SURVEY AAP BEARING A LICENSED LAND SURVEYORS SEAL IS A NOTATION OF SECTION 7200,SUB-OMSION 2,OF NEW YORK STATE EDUCATION LAW(2)ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOS SEAL ARE GENUINE TRUE AND CORRECT COPIES OF WE SURVEYORS ORIGINAL WORK AND OPINION (0)CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT COSTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS,INC.THE CERSRCATION IS UNITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY NAP IS PREPARED,TO THE TIME COMPANY TO THE GOVERNMENTAL AGENCY.AND TO THE LENDING INSITOU11ON USIED ON THIS BOUNDARY SURVEY MAP(4)THE CERTIFICATIONS HERON ARE NOT TRANSFERABLE.(5)THE LOCA0O4 OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN,THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY(B)THE OFFSET(OR DIMENSIONS)SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY USES ME FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO WADE THE ERECTION OF FENCES,RETAINING WAILS.POOLS PATIOS PANTING MEAS AOOMONS TO BUILDINGS,AND ANY OTHER TYPE OF CONSTRUCTION(7)PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THS SURVEY(B)THIS SURVEY WAS PERFORMED WITH A SPECTRA FOCUS 30 ROBOTIC TOTAL STATION John M. Bredemeyer III, President OSUFFO(q`'°' �T Town Hall Annex Michael J. Domino, Vice-President o� �• " �y 54375 Route 25 Glenn Goldsmith P.O. Box 1179 y = Southold, NY 11971 A. Nicholas Krupski �o�• .. _ ,� Charles J. Sanders �L,�j "> o� h Telephone (631) 765-1892 Ol Fax (631) 765-6641 �xxzrrazi�` \ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: PINO & IRENA LICUL request a Pre-Submission Inspection for proposed blue stone gravel to be added in areas around the dwelling; and to discuss other ideas for the property. Located: 725 North Sea Drive, Southold. SCTM# 1000-54-4-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 ' -} gOFFOI ' John M. Bredemeyer Ill, President , N'p xeo Town Hall Annex Michael J Domino, Vice-President �y 54375 Route 25 Glenn Goldsmith ;o z . P.O. Box 1179 A. Nicholas Krupski '4 Southold, NY 11971 Charles J. Sandersy1j�1ao� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: PINO & IRENA LICUL request a Pre-Submission Inspection for proposed blue stone gravel to be added in areas around the dwelling; and to discuss other ideas for the property. Located: 725 North Sea Drive, Southold. SCTM# 1000-54-4-9 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: • Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. 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Sea Drive Southold, NY 11971 516-523-5638 (Pino Cell) pino@dconceptsinc.com Board of Trustees Town of Southold 53095 POBoxRoute 117925 Ds Southold, NY 11971 till i rl FEB 292016 RE: 725 N. Sea Drive # 54.-4-9 Southold Town Board of Trustees Dear Mr.John Bredemeyer, We recently have purchased this home in November 2015 and currently have a permit for interior renovations. (Permit#40319) Over the last few weeks we decided that we would like to do some minor work around the exterior of our home. One of the proposed work would be to create a gravel parking area for our cars and guest. In speaking with your office I understand we could do a pre-Submission inspection. I would prefer to meet with someone at the property so we discuss our ideas and more importantly if the Town of Southold would permit such changes since this is a waterfront property. Enclosed is a$50 fee for the pre-submission Inspection. Please let us know your availability. I could be reached best on my cell phone. Look forward in hearing from your office. Regar s, ino Licul /