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TR-8767
*QF SOUjH Town Hall Annex Michael J.Domino,President O� �l John M.Bredemeyer III,Vice-President O 54375 Route 25 L P.O.Box 1179 Charles J.Sanders N Southold,New York 11971 Glenn Goldsmith ® y0� Telephone(631) 765-1892 A.Nicholas Krupski �lcoO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1367C Date: July 18, 2017 THIS CERTIFIES that the as-built bluff stairs consisting of a 4.7'x3.6' top platform, 15.6'x2.7' stairs 3'x3' upper platform 1.7'x2.7' stairs 4.4'x3.0' upper middle platform 2 8'x13 4' stairs 4.0'x9.7' middle platform 2 8'x15.4' stairs 4.0'x18.9' lower platform with 3.0'x6.3' stairs to beach parallel to bulkhead; with the condition that the stairs to the beach be retractable; At 3925 &3995 Nassau Point Road, Cutchog_ue, Suffolk County Tax Map#1000-111-9-5.1 &5.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 17,2016 pursuant to which Trustees Wetland Permit#8767 Dated April 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 as-built bluff stairs consisting of a 4.7'x3.6' top platform 15.6'x2.7' stairs 3'x3' upper platform 1.7'x2.7' stairs 4.4'x3.0' upper middle platform 2.8'x 134' stairs 4.0'x9.7' middle platform 2.8'x 154' stairs 4.0'x18.9' lower platform with 3.0'x6.3' stairs to beach parallel to bulkhead; with the condition that the stairs to the beach be retractable. The certificate is issued to ANDREA PARKS owner of the afore aid p operty Authorized Signature ®F SOUL Michael J.Domino,President �o� y®�® Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25P.O.Box 1179 Charles J. Sanders v, Southold,New York 11971 Glenn Goldsmith Telephone (631) 765-1892 A.Nicholas Krupski l//''C®U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: _ -4219-Z('7 Ch. 275' Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction / % constructed `° Project complete, compliance inspection. INSPECTED BY: At �� ,ft�•' COMMENTS: �i 1 l a CERTIFICATE OF COMPLIANCE: OS�FFot��o Town Hall Annex John M. Bredemeyer III, President rO G ;, Michael J. Domino, Vice-President `�� y1', 54375 Route 25 Glenn Goldsmith z " P.O. Box 1179 A. Nicholas Krupski J Southold, NY 11971 Charles J. Sanders ":r��ol 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 '/ constructed Project complete, compliance inspection n F v I BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8767 DATE: APRIL 20, 2016 ISSUED TO: ANDREA PARKS PROPERTY ADDRESS: 3925 & 3995 NASSAU POINT RD., CUTCHOGUE SCTM# 1000-111-9-5.1 & 5.2 AUTHORIZATION M_ Pursuant to the provisions of Chapter 275 of the Town Code of the Town pf Southold and in I accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 20,2016,and in consideration of application fee in the sum of$500.00 paid by Andrea Parks and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the as-built bluff stairs consisting of a 4.710.61 top platform, 15.6lx2.71 stairs, 3101 upper platform, 1.7'x2.71 stairs, 4.4'x3.0' upper middle platform, 2.81x13.4' stairs,4.0'x9.71 middlelatform, 2.81x15.4' stairs, 4.0'x18.91 lower p g; platform with 3.0'x6.3' stairs to beach parallel to bulkhead; with the condition that the stairs to the beach be retractable; and as depicted on the site plan prepared by Jeffrey Patanjo dated March 1, 2016, and stamped approved on April 20, 2016. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said BoCd ap of this m2l U"q JW 5r K ";'00, 01=Z�' TERMS AND CONDITIONS The Permittee Andrea Parks residing at 3925 & 3995 Nassau Point 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 permit. John M.Bredemeyer III, President �X\0f ®Ury� Town Hall Annex Michael J. Domino,Vice-President l® 54375 Route 25 jr P.O.Box 1179 Glenn Goldsmith CAP Southold,New York 11971 A.Nicholas Krupski G ® O@ ,c► , Telephone(631) 765-1892 Charles J. Sanders �lifr`,®UNTI,��.v Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 20, 2016 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: ANDREA PARKS 3925 & 3995 NASSAU POINT ROAD, CUTCHOGUE SCTM# 1000-111-9-5.1&5.2 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 20, 2016 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of ANDREA PARKS 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 March 17, 2016, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and that the stairs to the beach be retractable; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 20, 2016, at which time all interested persons were given an opportunity to be heard, and, I 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of ANDREA PARKS for the as-built bluff stairs consisting of a 4.7'x3.6' top platform, 15.6'x2.7' stairs, 3'x3' upper platform, 1.7'x2.7' stairs, 4.4'x3.0' upper middle platform, 2.8'x13.4' stairs, 4.0'x9.7' middle platform, 2.8'x15.4' stairs, 4.0'x18.9' lower platform with 3.0'x6.3' stairs to beach parallel to bulkhead; with the condition that the stairs to the beach be retractable; and as depicted on the site plan prepared by Jeffrey Patanjo dated March 1, 2016, and stamped approved on April 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, �w� 5�� ewAfto�" John M. Bredemeyer III President, Board of Trustees JMB/dd John M. Bredemeyer III, PresidentTown Hall Annex Michael J. Domino, Vice-President h�� - ; yam', 54375 Route 25 James F. King ;~. ?> P.O. Box 1179 Dave Bergen oy ��,y Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: AAfPe0A- PKKS ` O J_6 q PAVA-Al D Please be advised that your application dated MA*Ltt 17, ZOI& has been reviewed by this Board at the regular meeting of A1- N 2-01& and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) W Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 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 fbrth 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: aa TOTAL FEES DUE. $ BY: John M. Bredemeyer III, President Board of Trustees HEIDECKER LAND SURVEYING a , U 1/ \\ 1(�//111/ //�/\/� 4 w \�\� �w F ¢ WOOD HUB 11 STAIRS / MONUMENT 415.00' CONCRETE OND I I ti m S . CHAIN I��FENCE OI \ \ I h \ N 78'36'50" E POST & RAIL FENCE0 V 9S --�, — CB z / `—�— ( CJS"9/2 R=554 07 \ \ O\\\\ \\\ \\\\\\\x\\\IIIIIII00 / o O CB R= 30 55 r '(RASH \ \ �{ IIII�I11111\111\1`\\\1111 m I �- / I EN SURE \ \ \ \ \\��111 III 11 \I 1 F I I GRAVEL`DRIVEWAY \ nco `-O ~ - / %: / \ / / ) g\ \ \ \ \ \ 1111 J � / / CHIM EY 11 1 11 / o O /GARAGE / I y or p \ o DECK I gEGT�01�1 111—BLOCK 9�TAX LOT/5.2 ( Ce l \ \ \ \ 1 \\ ARKS R=55.31 N/F ANDREA � / � / \ / LIBER 127 3-PAGE 818 \ / / o F \o- \ �IIIIIIIIIII111 II IIIIIII FILED MAP N� 1�i6-LOT (22 / GRAVEL PARKING % j I � � \ \ \ \ \ 11111111111111111111111 I I I I I I I I I I I I I II 11 co W I I W U \ \ J \I \ \ O CHAIN LINK FENCE \ \ \\ \ 1 1 1 1 1 1 IIIIIII11111111111 I I I I I I I I I I I a Z W I I w 0 Li / / \ \ QST NE RET I I i CHI NEY / \ I III II I I I I11l I I J F O\ ' R8 58.06 / STONE PS\ STONE(STEPS \ / \ \ �. \ I \ 1 11111111\11111111111111(IIIIIIII(III(IIIIIII � n I m I J W /8 \ \ ST_ORY \\�P TOTAL AREA= TAGE L � / ZCOT ,591SQ" FT. D oR 1 RET WALL / / \\\I\\II\I\I�\��\II�I\I\I\I\I\IlI\lIl\lI\Il\lll\l\l\1\1\11l1l11l1lI1iI11,�11I1lI1lI 11l1rl 11I1 I 1.896 Ac Es m STONE _ 11 r l ILII (IIIIIIIIII II I I I #3995 DECK 2 STORY 1�,I IIIIIII I I I I I I I I I I / J I RESIDENCE / / IIIIIIIIIii1111 IIIIIII I G� G I I (FIRE PIT 1 I I I 111111111 1 1 1 1 Illlllllilllllllllllllllll111111111 I Gl. 0 f PROPANE TANK / // \ I o 1 1 r IIIIIII IIIIIlll11111! 111111 l of o t" 1 \ III 1 0I /III111111111111111 III � , I I I I �SECTtON 111-BLO�K 9l TAX LOT 5.1 I I i BALCONY II ANDREA BARKS I \ L / i / \ \ \ 1 I I 1 1 I 1 1 1 \m11IIlIl i11111111II1II11111111I1111111111 N/F. I rn — LIBER 12703-P GE 818 J \ BILCo o \ 1 1 1 1 1 1 1 \ \ I II(I I I lllllllllll 111111111111 II I II o F1LEQ MAP NO_1565-LOT 23 DooR I t° / / / \ \ m \ I V I I I \ \ I III I I I I I I I I I II!lllllllil) II / I �-- � POINT OF BEGINNING � T / \ \ \ I I �I IIIIlli w\\ %% � �� AIL F06ND I STOCKADE FENCE F C \ \\ o / Z65'� HEDGE � \\ h o ON LINE I 411.00' 1\\�1�\\ 1\\\\� I I W rvoTEs / I / $HED 1. FIELD WORK WAS CONDUCTED FEBRUARY, 2016 BY HEIDECKER LAND SURVEYING, PLLC AND ALL MEASUREMENTS WERE TAKEN ON THE a / S 78'365'50" W GROUND. :11C N WOOD PILE (TYP.) 2. PROPERTY LINES, BEARINGS,AND NORTH ARROW ARE BASED UPON MAP ENTITLED "AMENDED MAP OF NASSAU POINT CLUB PROPERTIES, t�O` [�/ I �lR,� -� '= INC.", DATED /28/1922, PREPARED BY OTrO VAN TUYL, C.E. & SURVEYORS, GREENPORT, N.Y.,AND FILED WITH THE SUFFOLK COUNTY / �'` �� H`�O�0' I CLERK ON 8/16/1922 AS MAP NUMBER 156, 3. SUFFOLK COUNTY TAX ASSESSOR DESIGNATION:TOWN OF SOUTHOLD-SECTION 111, BLOCK 9. ,foe<q.y �` iI 4.THIS SURVEY WAS MADE WITHOUT THE BENEFIT OF A TITLE REPORT AND 15 SUBJECT TO ANY STATE OF FACTS A FULL AND CURRENT T \ I TITLE REPORT MAY REVEAL. .I ® 6_ t TI lot �tls'A R I 1 / 7 / \ 5.ALL EASEMENTS ARE NOT SHOWN. r � I /v O 6. INDICATED UNDERGROUND UTILITIES ARE SHOWN FROM SURFACE EVIDENCE ONLY. UNDERGROUND LINE LOCATIONS ARE APPROXIC) MATE AND / ALL UNDERGROUND UTILITIES ARE NOT SHOWN. PRIOR TO CONSTRUCTION THE CONTRACTOR SHALL CALL "CALL BEFORE YOU DIG"AT(800) 272-4480 AND HAVE ALL UTILITY LOCATIONS MARKED ON THE GROUND. I 7. VERTICAL DATUM IS REFERENCED TO THE NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88)AS DETERMINED BY GPS FIELD 'y 050719 0QI, Lim--• J MEASUREMENTS PERFORMED BY HEIDECKER LAND SURVEYING, PLLC. V- I 8, THIS IS NOT A TITLE SURVEY. SAND v .. / \ 9 THIS IS AN AS-BUILT SURVEY. I I Unauthorlted alteration or addition to this survey Is a violation of section 7209, subdivision 2, of the New York State Educatlon Law. \ Copies of this survey map not bearing the land surveyor's inked emb sed seal shall not be considered to be a valid copy. SURVEY PREPARED FOR: ANDREA NDREA PA RKS 0 5 30 45PROD. N0. f7/Z�� �' 16HLS6 ® ® METERS /JOHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 50719 DATE: TOPOGRAPHIC/BOUNDARY SURVEY 1 OF 1 FEET 42 CROWN STREET FEBRUARY 17, 2016 KINGSTON, NEW YORK 12401ECTION 111-BLOCK 9-LOTS 5.1 & 5.2 Joe 0 30 60 90 12o DRAWN : J.H.M.G.Mc3995 NASSAU POINT ROAD 1 # GRAPHIC SCALE 1" = 30' (845)-901-7629 CHK BY: J # TOWN OF SOUTHOLD CAD FILE: SCALE: 1"= 30' SUFFOLK COUNTY NEW YORK 16HL56FP.DWG 4 / EXISTING STAIRS TO BEACH SEE EXPANDED VIEW FOR DIMENSIONS ' WOOD HUB - / \\ �l\1 STAIRSiu / /FOUND ON LINE i sTaRs mR\CONCRETE MONUMENT 'll Y��m m d\\\\\\k\R�T( �- -TTJ I 1 I I I �s FOUND 415. 0' 11 / 1\\ \\Um1i\\\\\y\\\\\\\,\,\}\y1 / 44 I CHAIN UNK FENCE _ — '`\\\\'1�sl�ssss;111`111\ / 0 N 7 I 836'50" E ��---- Y \"�"y11111111111111 1111111\\\ I posy RgI�FENCE �� �� I 111 1 1 1 \ 1 o I I O � ---� 1 111'\I 111\'1111\\\\\\\\\\\\ (N I "u 07 $ \ \ 1 1111 11\\\\\\\\\\%\\1111111 r/ �.� \ \ \ 111 \ \ , a! 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I I 1 \\ \\ \ \\ 11 1111 IIIIIIIWI � \-J R \\ \ \ \\ ` \Ij�111Y}iIIIIII I1 �, 11 „)11101111 1 1 I I \ `/ °' 111�iiii1inPii 1\n\11uv I I I 1 cRAw\QRIVEwAY \ \ \ \ U 111111111111111 1 1\1111\\\\III I I 1 / \ — I anM EY I � � `\\ \\ \\\ \\ `\ 1111111111111�111111j 1111\\\IIIII Y I - 0\f SE6T10N 111-BLOCK 91TAX LOT/5.2 j GARAGE 9 N�F ANQREA 'ARKS // I RR.5a3s j $ \ ` \ ` 11111111119 pug I I Ir' LIBER 12703-9AGE 818/ 1�_,�/ I g - \`\ \\\\\\ \\\\`\ 11111111\\ r 1)11111111 I 1 1 / FILED MAP N(- 156-LOT 122 / 11111111111111 1111111 I1III111I I l I F+"1 GRAY4L PARKING \ �• \ \ \ II IIIlllll1111111 II)l 1111111 m ; 1 II 111111111111111111/ 11111111 1 1111111111111 11111111111 e \ I II ljll11111111111111111111111111jjlllllllll H"f\1 1 �-'_- i� \\ \ \\ ® -'\ ` \ \ `\ jlllj11111111111 11111 11111111111 o II j 1 \ \ I 11111 11 I I I rtAINLINK ICE ` \\ \\\ �\ \\ `\ pljllljlllllllllljl11111111111'II�IIIIIIIi I j - I I IIII 11 111111 Y I Q I r I I \ RET I �\ I IW�1uI111;iifl'ij�iluul - �_ 1 I 1 W W I l CHI HEY - \- �� 1 11111 (IIII I \ II II 111 (IIII II 1j i I 111 11111111 $ 11,1i Jill 1111 jll"Ili," 11 °— –1 q �------. `\ � 1 1 _ `\ \ 1 \ \ 1,11 111 Inlliiijli Innliil - \ 11 / \ \ \ I B 1 l 1 II II II 111111111111 I I I IP+ 1 R�55.oe , I \ s. I I I I I IIII I N I 3 I '\ \ 1111 Il 1111111 _ ; � / \� I I / / \\ \ \ I / / - \ 1 \� 11 1 11 - 1 IIII IIIl11111 1\\1\Illj�llll ,IIIIIIiII 1 E I I o s\ sroN sTEPs 9 \ \ i \11 II 1 \ \ $ \ I 111 11\1 11111111 111111 1111111 I I I W TOTAL AREA= \ I I I / / ( 1 5foRV \ \ \ / ` `� \ \ I 1 I I /\1j111111 1 II I I I11I IIII III I I I m 1 / f l COTTAGE \\ \ l \ \ 1 1 l / / 1 11 III IIIII I II11 1111111 F�\ / 851,591 SQ. FT. \\ I I I // 1 / 1 1 $ \ 1 I 1 I / / / / /Ili 111111N11111IIM 11111111\\lUlllll- OR\ / / \�\\1\\\\\\\ 1\\\Illj)1 1!11111 l) Y I I I I I I l_ / b / ) ❑ \I j 1 I j j / \�\\\\\\\\\1 111 /111111111 11111 ? 1 1 EI I I/ 1.896 AGUES / / ®1 \ REr w o I I I / I 1 1 /rl 1111! I / I I I 1 ,' / / / 1 I 1 I r / ) u nfl a np nn l rr..� / \ 1 l / \ I / / / �\ STONE _ _-_\\\_ 1 #3x95 \ \ \ / / / f 1 1 I / I'll rllllllffrirrrfl��ilrllfillif 1 1 I I / \\ z STORY REsoET+cE /1 I I I I DECK Illjllllillllljllll111111111 IIII / 4 I I a 1 1 1 1 II IIIIIIIIII II 1111111 1 I I r 1 II 111111111111 I I FI II II 1 0 0 RE 1pir f 1 r 1 l 1111 111 111111111111111 1111111� 1 r � f 1 / I I I `--. l 1 I \ ? 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ELEVATIONS REFER TO N.G.V.D. 1929 DATUM PLAN VIEW DATE: 106 HEWITT BOULEVARD 2• SITE PLAN PREPARED FROM SURVEY PREPARED BY.' 3-1-16 CENTER MORICHES, NY 11934 HEIDECKER LAND SURVEYING, PLLC,631-484-9332 HE CROWN STREET KINGSTON3995 NASSAU POINT ROAD , LL 12401 JPATANJ040PTONLINE.NET CUTCHOGUE, TOWN OF SOUTHOLD " DATE SURVEYED: FEBRUARY 2016 SUFFOLK COUNTY, NY SHEET: TAX MAP N0. 1000-111-9-5.1 & 5.2 1 of 2 r t I I _ O O I I � I = �C / f' � PROJECT X i i I: SVy` _ , : „ LOCATION 3.0' x 3.0' PLATFORM °'}\ r _ '.fit r as r' �f-°s "r';•_ ti „ 4.0' x 18.9' PLATFORM 15.6' x 2.7' STAIRS 2.815.4 ' x STAIRS 4.7' x 3.6' PLATFORM PLATFORM I rr.w , „_• ;a �t,e 1.70' x 2.7' STAIR I ':;; ';. ”;��,\• \ S` VYkI o 4.4' x 3.0' PLA ORM 1 _ja ty {, A� f!t `J,-Jh ,•,l \\>_i 2.8' x 13.4' STAIRS 4.0' x T PLATFORM 3.0' x 6.3' STA RS ' ,v- o$•{„,jry„�t'.4'Sti,M \`� `Fad_r i -Ly `` .Tr` cn O I -_ - f`i'• -! Vii''- �:+� - � ern:L,• '.t':"vsn - '-..'ti- {V-.,�'' t _ `,, -�`;-i,i Si - �- ;§ s,.c`,:"• 3:rr•s�'.r1J1-i "' - _ _ t.r_.,,p_' �tz,, ;,'•, - Y_ �' - � -::t�'� `4"�y .-•h:. .k-_":s'_ i.t '.Y,^� __ 'j`r f' ``"_ .s_ .�__ _,a fTl �'`2r- '" `i� ,J` ��'�-��� _p,�:_„2.�,..�: {{Q'rop,� � �' II,�►• � ._�"�1•� - I r�' .Y4' ".t'�:, ,'f :'�.t=' Y�'� �=..,:_ '"' S_ y,'iI`,l_'w9,.'^•'�1 _ _ / I t"^' w�;ti,z�': ,.. _'.3.u•�}z'}•� -)�.a._ �zA� ems;,�' �y��i - _ - V - ;�`*��;�;titi.F:_" ,•�� .0 s'vt _ "'A;,�N-�`3;,u<< ��� ,x: - :'i,r';�'�t-7i�s.� .�.. _�1� 5,, r.E�6���t` �•��3 EXPANDED STAIRWAY VIEW PROJECT LOCATION MAP N.T.S. N.T.S. MAR 1 7 2016 i bra � �['^', _•'_.__-..nj STAIRWAY PERMIT PLANS SCALE' N.T.S. EXPANDED VIEW & DATE: LOCATION MAP 3-1-16 3995 NASSAU POINT ROAD CUTCHOCUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP N0. 1000-111-9-5.1 & 5.2 2 of 2 John M. Bredemeyer III, President Z"gOFF04 Town Hall Annex Michael J. Domino, Vice-President _°� .. �Gy� 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J Sanders jOd �a0. Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: y�� L 0.130 Completed in field by: IJ, SP Jeffrey Patanjo on behalf of ANDREA PARKS requests a Wetland Permit for the as-built bluff stairs consisting of a 4.7'x3.6' top platform, 15.6'x2.7' stairs, 3'x3' upper platform, 1.7'x2.7' stairs, 4.4'x3.0' upper middle platform, 2.8'x13.4' stairs, 4.0'x9.7' middle platform, 2.8'x15.4' stairs, 4.0'x18.9' lower platform with 3.0'x6.3' stairs to beach parallel to bulkhead. Located: 3925 & 3995 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-5.1&5.2 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 / 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: ltilo�� �Oaz�I�s C.ca.►{�i'z�'�� C T'�vsT Sr►��y .� Mat i� �"(2i':% ✓ Iv�� va�J �Vi� �yJT��i L'aJ� •¢v .�.��'�' ���� �y,:�z /'c�. IJP kI`,��F ZPresent were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presidento�og�FFO(��oG Town Hall Annex Michael J. Domino, Vice-President = y 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders '�,�� oo. Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffrey Patanjo on behalf of ANDREA PARKS requests a Wetland Permit for the as-built bluff stairs consisting of a 4.7'x3.6' top platform, 15.6'x2.7' stairs, 3'x3' upper platform, 1.7'x2.7' stairs, 4.4'x3.0' upper middle platform, 2.8'x13.4' stairs, 4.0'x9.7' middle platform, 2.8'x15.4' stairs, 4.0'x18.9' lower platform with 3.0'x6.3' stairs to beach parallel to bulkhead. Located:,3925 & 3995 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-5.1&5.2 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 r 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. Di Salvo Other Page 2 of 2 ��';'P�ir;.y� I ��,gig •'' .� r,��„�". Cr I� P C. • • 4 — dsmle6rwNOEAvrvallrlox lz rla a 1 r I upul Ly I ax 0181-11100 Ag 110 A"M V, x 3 0 VIP 4 2 Mile l'. IF - 0 l,- 1310 7A( C-11 a ---- 7�L 10 4A(.) 12 0ep QNc) Al. --- ----------- 0-1wn 2 1 '21 46A 0 d 1 17 54, I L MY '3 ZWO72 '0 0 1 A3(.) 7A(c) "Y'N4 91 AIl.A 61 14 2mt14 ., CHID 9 2 -SE-E SEC-N-o Ile 141, 90 Po -29 (21) SECTION NO FOLK K SOUTHOLD NOTICECOUNTY OF SUF Rnxn, eal Property Tax Service Agency y —.1y C—==NY 12 1 121. A 1N rmcl x° IIII P 6 PROPERTY MA 1000 Ili 'E' Ile --l— OFFICE LOCATION: �®f S®(/ryO MAILING ADDRESS: Town Hall Annex '`® l0 P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 ® �pQ Telephone: 631765-1938 ®�yc®UNTY,N LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To- Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date. April 13, 2016 Re: Local Waterfront Revitalization Program Coastal Consistency Review for ANDREA PARKS SCTM#1000-111-9-5.1&5.2 Jeffrey Patanjo on behalf of ANDREA PARKS requests a Wetland Permit for the as-built bluff stairs consisting of a 4.7'x3.6'top platform, 15.6'x2.7' stairs, 3'x3' upper platform, 1.7'x2.7' stairs, 4.4'x3.0' upper middle platform, 2.8'x13.4' stairs, 4.0'x9.7' middle platform, 2.8'x15.4' stairs, 4.0'x18.9' lower platform with 3.0'x6.3' stairs to beach parallel to bulkhead Located: 3925 & 3995 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-5.1&5.2 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 actions is INCONSISTENT with LWRP Policy 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The stair was not constructed with regulatory permits. To stabilize the bluff, require that areas void of vegetation be re-planted with native vegetation. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. J ' Peter Young,ChairmanH Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., April 13, 2016 the following recommendation was made: Moved by Jack McGreevy, seconded by John Stein, it was RESOLVED to SUPPORT the application of ANDREA PARKS for the as-built, existing stairs to beach consisting of 4.7'X 3.6' platform, 15.6'X 2.7' stairs, 3'X 3' platform, 1.7'X 2.7' stairs, 4.4'X 3' platform, 2.8X 13.4' stairs, 4'X 9.7' platform, 2.8'X 15.4' stairs, 4'X 18.9' platform and 3'X 6.3' stairs. All support structures consist of treated lumber and un- treated decking. Located: 3995 Nassau Point Rd., Cutchogue. SCTM#1 11-9-5.1&5.2 Inspected by: Peter Young The CAC Supports the application with the Condition the stairs at the base are retractable/removable. Vote of Council: Ayes: All Motion Carried John M.Bredemeyer III,President Town Hall Annex 54375 Main Road Michael J.Domino,Vice-President P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee Telephone(631)765-1892 Charles J.Sanders,Trustee Wd Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only q ' a. a Erosion Permit Application Wetland✓ Permit Application Administrative Permit XAmendment/Transfer/Extension V-'Received Application: 3,1'7,1& V ReceivedFee:$ -500—XV C—A-S-150i Completed Application- 3110WO _Incomplete SEQRA Classiflcati� Tn: Type Type 11 ,LUnlisted U 'F' MAR 1 7 2016 Coordination:(date sent)_ LWRP Consistency Assessment Form q,It _CAC Referral Sent: ate of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: TOublic.Hearing Held: 4.20,1(0- Resolution: Name of Applicant A nde, Pat v-:s 3 q j, ly - 3 q 9:5� ,j e Mailing Address �S$equ PCPj,-f (2d . A,q I I q 35- Phone Number:( Suffolk County Tax Map Number: 1000- I Property Location: :3 of 9 5 - 3'7 016- 24 (provide LILC(TPole#,distance to cross streets,and location) AGENT: F-F'r C_ j Pa-+,qn,1 0 (If applicable) Address: 10& 14.eW L-t t e1VA 0.en 4-er 100rICJle-S .) tj Phone: ;L Boaz-d of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: 2 e.s . Previous use of property: 72e s Intended use of property: Res Covenants and Restrictions on property? Yes V No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _ Yes X No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No _ If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? P Yes >e No Does the structure(s)on property have a valid Certificate of Occupancy? Yes 4 No Prior permits/approvals for site improvements: Agency Date N y St<Ee— Ca P- o- 1-a- o v 6 Town . � 50 .4.1 I1 Tri,S+eeS -4:1r' 0,045 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): Sire O ACL,c_A ck 3995 Nassau Point Road -CUTCHOGUE SCTM No. 1000-111-9-5.1 &5.2 PROJECT DESCRIPTION Project includes the as-built of existing stairs to beach consisting of 4.7'x3.6' platform, 15.6'x2.7' stairs, 3.0'x3.0' platform, 1.7'x2.7' stairs, 4.4'x3.0' platform, 2.8'x13.4' stairs, 4.0'x9.7' platform, 2.8'15.4' stairs, 4.0'x18.9' platform and 3.0'x6.3' stairs. All support structures consist of treated lumber and un-treated decking. Boa__ 'of Trustees Application �- WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 5 re Area of wetlands on lot: Wsquare feet Percent coverage of lot: N A % Closest distance between nearest existing structure and upland edge of wetlands: ov c4t i oo feet Closest distance between nearest proposed structure and upland edge of wetlands: N A feet h Does the project involve excavation or filling? X No Yes If yes,how much material will be excavated? N LA cubic yards How much material will be filled? W I A cubic yards Depth of which material will be removed or deposited: N ft feet Proposed slope throughout the area of operations: l v n A Manner in which material will be removed or deposited: 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): —rA1 17c 6- rAre Lt on "Ac- �wnrQs by a-h, s Qr o jecA . � l 61720 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: Qar�GS ��'a�rwa-K Project Location(describe,and attach a location map): 34a-S- 3495 /k)ASSau Por1+7- Q� � C'� � � l��vc „��/ l 1� 3s Brief Description of Proposed Action: 3 i Name of Applicant or Sponsor: Telephone: b . a�(� - 079 a7 An et r e-- Pa 4-V S E-Mail: a, 1Par!(.S C" Address: 31aS -3945 J.,sassac, Pont City/PO: State: Zip Code: C,-I-c, e. iJ I I g -6:!r- 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 ® F] 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: 5<1 ❑ Iow•, "C S•9✓41®01k_ 'Tr�5{LAS 3.a.Total acreage of the site of the proposed action? f• a acres b.Total acreage to be physically disturbed? D•670 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? (. S 916 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 ❑Other(specify): ❑Parkland Pagel of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ �j►Z ❑ b.Consistent with the adopted comprehensive plan? EJ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:_ 'QtB®nJL 1&j 0 JJ�n VL ron 5 - Sid F®C 1� L'evn-�-7-11-e s 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ® ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? F-4 ❑ 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: ❑ R 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES _ I If No,describe method for providing wastewater treatment: ® ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 0 b.Is the proposed action located in an archeological sensitive area? ❑ F91- 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? ❑ 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 El Forest ❑Agricultural/grass lands ❑Early mid-successional ❑ Wetland ❑Urban %Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑ 16.is the project site located in the 100 year flood plain? NO YES X 17.W ill 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 YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: [:]NO ❑YES Page 2 of 4 r 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: R ❑ I AFFIRM THAT THE]INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE n Applicant/sponsor name: V7, Ya,V-s Date: /to Signature: Illy Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" r No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ 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)? S. 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? El 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? El 7. Will the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? El El 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? El 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 1:1problems? Q1 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. N s EICheck 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 vironmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any suppoi ting documentation, that the proposed action will not result in any significant adverse environment l 11.1`acts. Town of Southold-Board of Trustees Name of ad A ency Date A B 144 Q President Print or Type Nof spons' fficer;► Lead Agency Title of Responsible Officer Signator o esponsibl ficer in Lead A cy Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Bo" " of Trustees Application County of Suffolk State of New York An k c� Qa r LLS BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROAERTY TO INSPECT THE P PREMISES IN CONJUNCTION WITH REVIEW OFA IS APPLICATION. SignTfroperty Owner SWORN TO BEFORE ME THIS DAY OF CLA U, ,20J�Q Notary Public Loriann rataniio� Notary-Public Sta ofTVew York Qualified in Su ik County No:01 PA6150861 Commission Expires 08/07/20 Bose.r .� I o£ Trustees Application AUTHORIZATION (where the applicant is not the owner) I, residing at (print owner of property) (mailing address) Aa SSav Q®,n+ 2d, Cafe,4ojjve do hereby authorize —leArrc (Agent) to apply for permit(s)from the Southold Board own Trustees on my behalf. j (Owner' afore} P 1 f I APPLICANT/AGENT/REPRESENTATIVE ) TRANSACTIONAL DISCLOSURE FORM I, The'Town'of Southold's Code of Ethics prohibits conflicts ounterest on the part•of town officers and emnlovees.The ouroose of I this fdrm is to provido information whiob can alert the town of oossible.confticts of interest and allow it to takcw atever.action is 111 gecessla to avoid same. A YOUR NAME: �ct r•tL 5 , Ay►ek r e,,-.— (Last ,(Last name,fust name,jpiddle 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 offeer or employee of the Town of Southold? "Relationship"includes by blood,rgarriage,or business interes0Hf u"siness interest"-means o business, including a partnership,in which the town officer or employee has even a partial•ownGiship-of(or-employment by)a corporation in which the town officer or employee owns more than 5%of the shams. R YES NO J� F If you answered"YES",complete the balance of this form and slate and sign where indicated. F Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant(ageut/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): f 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,partnei,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this flay of ITMCA 206 k Signature Print Name +►cEG t w Ph r 1G S Form TS l y 1 -1 Postal Servjice`n`,,, ® ® n ©. ® w , © ■ EC El ■ m ®° PROMestic Mail Only fTl M N2.1.19 1IL91 .1 ED U �G E� �IYI (}`1-93..19 rflt, Ii C� °c rq "Mi,'��tlY�1 7�i� �'� , � e� E:, 5LJJ-cam3 �� c0 Certrfted Mail FeeLill � Certified Mall Fee $� 45 p`c ° M $ $3.41 v X1934 J 1��,�tr� Q-' $ - -- �� 'ti7 m EMra Servlces&Fees(check box,add fee _pro ate) 77 0 Extra Servlces&Fees(check box,add fee aypprrfate) /� ❑Return Receipt(hardcopy) $ I [-]Return Receipt(hardcopy) $ Pit 1 I44 0 ❑Return Receipt(electronic) $ $�y(_I a('( P- [:3 [:1 Return Receipt(electronic) $ 1 � �� A❑p PttfpEf ❑Certfied Mail Restricted Delivery $ _ .,tom F1Ptl f�Jl efB El Certified Mail Restricted Delivery $ + 8 —' p ❑Adult Signature Required $ �j O []Adult Signature Required $--- ❑Adult Signature Restricted Delivery$ �'�e°tri r �� E3 ❑Adult Signature Restricted Delivery$ �' yQ O Postage (-- Postage $1--1.49 $ $11.49 49 APR-6 2016 O -� .A $ p "� Total Postage and Fees �y 4/I16/20 16 G� _p Total Postage and F �s 1 _1 b C3 r-a $ s.94 LI $ $3.941 Sent To Lr) Sent Ta rl la�� 5 ED -------------------------------------------------- Street and A t No,o PO Box No. r-� P O Street and Apt Nd,or PO Boto --------------------------------- ------t------------------ ------------------------------------------- N — ---------- City,State,Z/P+4® Crty,State,ZIP+4°D :ee a ee • t e 1 MAIL 13 ■ ■ ®• tic all only Er �s MM o . o CUTCH0GLff 111935` OGUf:jfY1 ° c0 Certified Mad Fee t � L L a , $3.45 ® Certified Mad Fee $r-U ) r`Q` .9` m $ $3.41 1 0934 M Extra Services&Fees(check box,add fee t$gtfiate V f Extra Services&Feessn 7 ' ❑Return Receipt(hardcopy) $ BUMP it I �gt� (check box,add fee�t�Qt�p to '• rl— ,9p 2 rv, ❑Return Receipt(hardcopy) $ WIN- ) t" �H ❑Return Receipt(electronic) $ /9,p tmark �6Sr Certified Mall Restricted Delivery $ "� Return Receipt(electronic) $ 1. lU /` Postmark ❑Adult Signature Required $ 16 v O ❑Certified Mad Restncted Delivery $_ fl 1111 ",X; V O ❑Adult Signature Required $ �3'`',-� Here E]Adult Signature Restricted Delivery$ - '' ala---x Li j 9 Z 0 Postage o_ CL(0 ❑Adult Signature ResMcted Delivery$ 0 '�'j �- $ g $i 1.49 'SpyS. Postage $i I.49 �l6 Total Postage and Fees 1-+ �- d `n $ I ' (J•�j/�I I . �� 0 $ $3.94 '- - p $Total Postage and F 6.94 -, �S.' C� Ln t) Sent To \' ,,, Sent To �((.�y` 'stn' Vy1{� O St�e3ef andApt.No,or PO Box No � -'--`a i t-!'l� �.. Street and Apt No.,or PO Box IJo. --------'-----""---""'---------------------- Ctry,State,ZIP+4�-------------------------- ' CityState,ZiP+4m-------------------------------------------------------------------- e •e - _I - I PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: �}t� ? f � + 7- LLZ dST • w¢f ATE OF NEWYORK ... . ..� :a.r__. ._. .. _.. ..�_.._- ` ; . -. COUNTY OF SUFFOLK - residing at being duly sworn;deposes and says that on the day of , 20___, deponent mailed a•true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. • 1 Sworn to before me this Day of , 20 j -Notary John M. Bredemeyer III, Pre it )wn Hall Annex Michael J. Domino, Vice-President �� �� 54375 Route 25 Glenn Goldsmith y ,; P.O. Box 1179 A. Nicholas Krupski ;may �� Southold, NY 11971 Charles J. Sanders Telephone� f� 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 ANDREA PARKS 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, �_ residing at/dba being duly sworn, depose and say: That on the �3 day of "�"'t'� , 20'1-[0, I personally posted the property known as jqG�J fi 339'95 /'(/Gf� aat 4L414-&/- 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,April 20,2016. Dated: /94ture) Sworn to before me this 13 day of tL 20/U UI,(a4,11- Notary Public Loriann Pataniio Notary Public State ofNew York Qualified in Suffolk County No:01 PA6150661 Commission Expires 08107/201 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 60- nf1 aJC C X745 AJOSSOV PO tt7� ,�cE 7015 0640 0007 3281 0369 7015 0640 0007 3281 0376 7015 0640 0007 3281 0383 7015 1660 0000 0995 0348 STATE OF NEW YORK COUNTY OF SUFFOLK p �� `T�� o7 b , residing at J , being duly sworn,deposes and says that on the CD day of , 2Q/ !, 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 at6rkld IINWW 5 that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this `0 Day of 20_/ -- ------------------- otary P�tic-- - ---------- ---------------------------------- ------ ------- --- Lodann Pataniioew York Notary Public State ofly Qua1No 01PA61508C61 my Commission Expires 08107120-1� ' � A April 12, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: ANDREA PARKS 3925-3995-NASSAU POINT ROAD -CUTCHOGUE MAILINGS Dear Trustees: Attached please find original affidavit's for mailing and posting as required for permit applications. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, effrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 , NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: ANDREA PARKS SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the as-built bluff stairs consisting of a 4.7'x3.6' top platform, 15°6'x2.7' stairs, 3'x3' upper platform, 1.7'x2.7' stairs, 4.4'x3.0' upper middle platform, 2.8'x13.4' stairs, 4.0'x9.7' middle platform, 2.8'x15.4' stairs, 4.0'x18.9' lower platform with 3.0'x6.3' stairs to beach parallel to bulkhead. Located: 3925 & 3995 Nassau Point Road, Cutchogue. SCTM# 1000- 111-9-5.1&5.2 TIME & DATE OF PUBLIC HEARING : Wednesday, April 20, 2016 — at or about 5:30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 r �QgU Town of Southold Erosion, Sedimentation & Storltii-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#.- THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 41, loop it t 1 q S.i ll S.z STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN s ct- se on -ffocTc- —t— CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within 6 9)s91 r I•$R6 Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (S.F./Acres) (This Item will include all run-off created by site ❑ b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed (3S m•o0 3 Site Improvements and the permanent creation of construction activity? impervious surfaces.) (s.F.raal>3s7 PROVIDE BRIEF PROJECT' DESCRIPTION (Provide Addldanal Pages as Needed) 2 Does the StPian and/or Survey Show All Proposed Drainage Structures Indicating Size&Location?This Item shall Include all Proposed Grade Changes and F] Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion 5 tae 4.-t7+e%c i e,& and sediment control practices that will be used to El control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period, 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards F-1 c of Material within any Parcel? a 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand F-1 7/1 , (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction — General DEC SWPPP Requirements- or within One Hundred(100')feet of a Wetland or Submission of a SWPPP Is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; including disturbances of less then one acre that 7 Will there he Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to ❑ Including Construction activities Involving soil disturbances of less then one(1)acre where One Hundred(100')of Horizontal Distance? 2L the DEC has determined that a SPDES permit Is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-0.10.001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the Not.The Not shell be Into and/or to the direction of a Town fight-of-way? F-1 submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shell describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,postconstruc0on storm water management practices that vdll be used and/or Removal of Vegetation and/or the Construction of any ❑ constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?(This item will NOT Include the Installation of Driveway Aprons.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questlons One through Nine Is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice In a Box and the construction site disturbance Is between 5,000 S.F.8,1 Acre in area, component shall be prepared by a qualified Design Professional Licensed In New York a storm-water,Grading,Drainage&Erosion Control Plan Is Required by the Town of that is knowledgeable In the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark(#)and/or Answer for each Question isRequired for acomplete Appircadon) STATE OF NEW YORK, COUNTY OF...........................................SS d D I That I,....�`'a rew. �` °i"f r-S .............being duly sworn,deposes and says that he/she is the applicant for Permit, ........................................... (Name or ind{vldual signing Docdmenl) Andthat he/she is the ..........................................©w!!a 2... ... .............................................................. (Owner,Contractor,Agent,Corporate Officer,elc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the besti s knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ''� �pp,�,, ..............1.x.3............... .day of. ..co-L ..t .......... .20/0 Notary Public: ..... ...... �....................... ... ........................... . . .... . . .... . .. ............. ( lure of Applicant) FORM - 06/10 Lodann Patanlo Notary6Pubk 8 01WdW Yolk Qualified in lk C6unty No:01 150861 Commission Expires 08/07/20► 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 probosed action will be evaluated. as to its significant ;beneficial and adverse effects upon the coastal_ar&;a-(which includes,all of-Southold Townl. 1 If any question in Section C on this form is answered "yes"or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,.each_�answer mush be..Mhdned•in-detail, listing both supporting,and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and r 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# III q - $.15.;L- PROJECT NAME Fa,r V S Sia ",rw The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I. 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: Location of action:—18 9 a s- 3 9 g r IJ e. 5 s a PoI n Site acreage: • 6q 6 Present land use: Re-S' Present zoning classification: 12 e S 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: A n x f oeA - ?A r 1L5 (b) Mailing address: 3 R a s - 3 9 Q T- 1,4 o- f s a.u Pot n r Qo.-4 � +64tog� , 0 Li t123s (c) Telephone number:Area Code( ). 6 3! - . oZ-76 -a 4 a-7 (d) Application number,if any: A i' Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No® If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. ©Yes ❑ No [:] Not Applicable PfD1tc.J, a1(ow5 acccss to Hca c.� Doa► St 3f-[v1 w�+h �ocwl PR��er-t�e5 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes 0 No 9 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No © Not Applicable 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 0 Not Applicable k 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 ©Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ 157,11 Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ,❑ No lel Not Applicable A a u Attach additional sheets if necessary n 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 2 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. © YeEO No❑ Not Applicable f r®Jtc-} o llow c {mr uCCC$S -+o tkeA" 4s nvte, ase o.F ProPp�'•��. 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 El Not Applicable Attach additional sheets if necessary Policy. 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable ` iP d c Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ERNot Applicable PREPARED BY �_ �°��a �� a TITLE A q e n'F DATE 3 '-7—1 6 s ' March 15, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 3995 NASSAU POINT RD. -CUTCHOGUE SCTM No. 1000-111-9-5.1 &5.2 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one original and three (3) copies of the proposed plans, application, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, P, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 MAR 1 7 2016 � 9 i C�