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HomeMy WebLinkAboutTR-8716 Glenn Goldsmith,President ��QF s® Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ® '� ® P.O. Box 1179 Eric Sepenoski 1 Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �� Fax(631) 765-6641 C®UNT1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 28, 2024 Finnegan Law, P.C. PO Box 1452 Mattituck, NY 11952 RE: LAUREN TAURO & RONALD LOFRESE 1320 LITTLE PECONIC BAY ROAD, CUTCHOGUE SCTM# 1000-111-14-19 Dear Mr. Finnegan: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, April 17, 2024: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8716 from Thomas Macari to Lauren Tauro & Ronald Lofrese, as issued on December 16, 2015. If you have any questions, please do not hesitate to contact this office. Sincer y, Glenn Goldsmith, President Board of Trustees GG/ec S Q �, ' Glenn Goldsmith,President-'- �0�. OGy - Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 o Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples ! '�� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of.Trustees Field Inspection Report Date/Time: S Z'1 Completed in field by: N`KtiPsN Martin Finnegan, Esq. on behalf of LAUREN TAURO & RONALD LOFRESE requests a Transfer of Weltand Permit#8716 from Thomas Macari to Lauren Tauro & Ronald Lofrese, as issued on December 16, 2015. Located: 1320 Little Peconic Bay Road, Cutchogue. SCTM# 1000-111-14-19 Typei6f area to be impacted: .//Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No y/ Not Applicable Info needed/Modifications/Conditions/Etc.: OK 4r, �ldMst�v' Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples 1 f _ FINNEGAN LAw, P.C. 13250 MAIN ROAD P.O. BOX 1452 MATTITUCK, NEW YORK 11952 (631) 315-6070 MARTIN D. FINNEGAN, ESQ. MFINNEGANQNORTHFORK.LAW Via USPS Regular Mail E g F-71 � 1f March 22, 2024 Li I Town of Southold 1� AAA 2 8 2024 Board of Trustees 54375 Route 25 Post Office Box 1179 BoRrd Of Trustees Southold, NY 11971 Attn: Glenn Goldsmith, President Re: Transfer of Wetlands Permits Premises: 1320 Little Peconic Bay Road, Cutchogue, NY 11935 SCTM #1000-111.00-14.00-019.000 Permits #10032, #9955, #8669A & #8716 Dear Trustee Goldsmith: Please consider this letter a request to transfer the above-referenced permits from Jerry Ioveno, Christine Ioveno, and Thomas Macari to Lauren Tauro and Ronald Lofrese, as they are the new owners of the subject parcel effective March 22nd, 2024. I have enclosed a copy of the executed deed for your records, along with an executed Affidavit, Owner's Authorization, Owner's Transactional Disclosure Form, Agent's Transactional Disclosure Form, and a personal check payable to the Town of Southold in the amount of$400.00 for the required transfer fees. Kindly advise our office if you require y�hing further to process this request. Very ly yours, Martin innegan MDF/as Encl. cc: Lauren Tauro and Ronald Lofrese 1 Ord of Trustees Applicati' AFFIDAVIT LAUREN,TAURO AND'RONALD LOFRESE BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Pro, erty Owner Si to r perty wner �UREN TAUR RONA D O ES SWORN TO BEFORE ME THIS 22nd DAY OF March a 2024 otary hbfic MARTIN D.FINNEGAN Notary Public-State of New York No.01 F16056707 aualifiied in Suffolk county Commission Expires March 26,20�� rd of Trustees Applicatii AUTHORIZATION (Where the applicant is not the owner) I/We, LAUREN TAURO AND RONALD LOFRESE owners of the property identified as SCTM# 1000- 111.00-14.00-019.000 in the town of Southold ,New York,hereby authorizes MARTIN D. FINNEGAN, ESQ. to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. VR rty Owner Signature Prop wn r' Signa re EN TAURD RONAL L R S SWORN TO BEFORE ME THIS 22nd DAY OF March 2024 �ryPublic MARTIN D.FINNEGAN Notary Public-State of New York No.01 F16056707 Qualified in Suffolk county Commission Expires March 26,20 D APPLICANT/AGENT/REA-PRESENTA.TIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of l-thics prohibits conflicts of interest on the part of town officers and em to ees.The PWOSe of this for is to rovidc inforinalion wlyich can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: LAUREN TAURO AND RONALD LOFRESE. (Last name,first name,ipiddle 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 Trustee Variance Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,ularriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or"position of that person Describe the relationship between yourself(the applicant/agenVrepresentative)and the town officer or employee.Either check the appropriate line A)through D)an(/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 anyinterest 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 2024 Submitte*this2nd oMar hSignaturePrintNam FMAEOL E E Form TS 1 I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The,Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnloyees.'file oumose of this form is to pfovide information which can alert the town of oossiblc conflicts of interest and at low it to take whatever action is necessary to avoid same. YOURNAME: MARTIN D. FINNEGAN _ (Last name,first name,itiddle 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 _ X Change of Zone \ Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,nlarriage,or business interest_"Business interest"•means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X. If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applican officer t/agenVrepresentative)and the town ocer 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 2024 Submitted thi 2nd da .�-March He Signature Print Name A IN 41NEGAN For n TS 1 y BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS (INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION:THIS AGREEMENT SHOULD BE PI41"PARED BY AN ATTORNEY AND REVICwED BY AITORNICYS FOK SELLL"K AND PURCHASER BEFORE SI0Y1N(i THIS INDENTURE,niade the ,,S, day of /Y)y. c.G 2024 between JERRY V.IOVENO and CHRISTINE R,IOVENO,his wife, residing at 10 Long Pond Rd.,Armonk,NY 10504 party of the first part,and LAUREN TAURO and RONALI)LOFRF,SE, residing at 328 W. 19°i Street,Apt GC,New York,NY 10011 party of the second part, IVITNES>YETH,that tie part),of the first part,in consideration of Ten Dollars and other lawful consideration,lawful money of the United States,paid by the party orthe second part,does hereby grant and release unto the party of die second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being at Nassau Point,Town of Southold,County of Suffolk and State of New York. SEE"SCHEDULE`A'AI-I'ACHETa HERETO AND.MARL•°A PART HEREOF Being and intended to be the same premises described in a deed made by Thomas L.Macari and recorded January 5,2021,in 1.iber 13085,at page 430. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part,covenants that the party of the first part has not done or suffered anything whereby the said promises have been encumbered in tuty way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvcrnent and will apply the same first to the payment of the cost of the improvement before using any part of the total of the sane for any other purpose. The word"party"shall be construed as if it read "parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. JE IRY S•. VENO 'Ri �� M� C IS'1'1Nia R.IOVk:NO NYSOA Resideatiul Real Esttdn Forms on Hotlhcs"(9100) Copyright Capcoh°Dmlopment FIDELITY NATIONAL TITLE INSURANCE COMPANY TITLE NO.7404-017609 SCHEDULE A-1 (Description of the Land) For Tax Map ID(s): 1000-111-0044.00-019.000 AMENDED 21212024 ALL that certain plot,piece or parcel of land,situate,lying and being at Nassau Point,Town of Southold,County of Suffolk and State of New York,known and designated as part of Lot 233,all of Lot 234 and part of Lot 235 as shown on a certain map entitled,"Amended Map A'of Nassau Point"and filed in the Suffolk County Clerk's Office on August 16,1922 as Map No. 156,said lot and parts of lots,when taken together,are bounded and described as follows: BEGINNING at a point on the southeasterly sided of Little Peconic Bay Road distant 436+/-feet westerly and southerly from the comer formed by the intersection of the southerly side of Little Peconic Bay Road with the westerly side of Wunneweta Road,said point of beginning also being where the division line between Lot 24 and Lot 233 Intersects the southeasterly side of Little Peconic Bay Road: RUNNING THENCE from said point of beginning along land now or formerly of Ericke Shalette and Stephen Markle,the following two(2)courses and distances: 1.South 34 degrees 41 minutes 00 seconds East,127.14 feet; 2. South 03 degrees 33 minutes 30 seconds West,72.60 feet to a point on Wunneweta Pond; THENCE along the high water mark of Wunneweta Pond(at the face of a bulkhead)the following two(2)courses and distances: 1.South 72 degrees 08 minutes 57 seconds West,53.90 feet; 2.South 35 degrees 56 minutes 53 seconds West,51.30 feet to a point; THENCE along land now or formerly of Rescinti,North 15 degrees 54 minutes 00 seconds West,128'feet to a point on the southeasterly side of Little Peconic Bay Road; i-HENCE along the southeasterly side of Little Peconic Bay Road along the following two(2)tie lines for irregular curves: 1.North 25 degrees 48 minutes 29 seconds East,50.74 feet; 2.North 21 degrees 54 minutes 20 seconds East,71.63 feet to the point or place of BEGINNING. THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY: Together with all the right,title and interest of the party of the first pert,of in and to the land lying in the street In front of and adjoining said premises. END OF SCHEDULE A GommgmeM for Tile la worce PdMoO: 02.02.2/®00;2311M .SeMdub Mt OOWiption W-FT-FRVH.01030:431004.SPS.1.24.7404-017000 STATE OF NEW YORK ) ss.: COUNTY OF On the /F day of/M'*46� ,in the year 2024,before me,the undersigned personally appeared Jerry V.Ioveno and Christine R.Ioveno,personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity,that by their signatures on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument. • DG��urrJ 146TAAY PUBLIC Lonn9JNEKwrlr:'; Notory pu6go.Snwe-New Yark No.4e2e373 Qu eloE,tpir ItA'W in W.folk County Cnmmiao Nov.M1, molts DEED District 1000 Title No. Section 111.00 Block 14.00 IOVENO Lot 019.000 County or Town SUFFOLK To TAURO&LOFRESE Return By Mail To: Martin Finnegan,Esq. Finnegan Law,P.C. 13250 Main Road P.O.Box 1672 Mattituck,NY 11952 Reserve This Space For Use Of Recording Office 1 1 NYSnA Residential Real Estate Forms on liotDucso(9l00) Copyright Capsotl"Development -2- Glenn Goldsmith,President �rjf so(/T Town Hall Annex Michael J. Domino,Vice-President �Q� y�1 54375 Route 25 P.O.Box 1179 John 1VI. rem-demeyer IlI — — --- Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1101C Date: March 11, 2020 THIS CERTIFIES that the construction of a 106 linear foot vi�yl_retainirig•wall.with one i2' long-vinyl return; 8or strucfa 100 linear foot low sill bulkhead placed`AVtl e,Mean Low Water Liiie;:and to install and subsequently maintain a.10' wide non-furf`liuffer along the 177 • landward edge of the•retaining wall; - At 1320 Little Peoonic Bay Blvd.,Cutchogge Suffolk County Tax Map#1000-11144-19 Conforms to the application for a-TrastemPermit heretofore filed in this office Dated September 25,2015 pursuant to which Trustees Wetland Permit#871-6 Dated December 16, 2015,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 fdr construction of a 106 linear foot-vinyl retaining-wall with,one 12 long vinyl return; construct a 100 linear foot low sill.bulkhead placed at the Mean Low•Water Line; and to install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the retaining wall. - -The certifieate is issued to Thomas Maeari owner of•, the aforesaid property. Authorized Signature HP LaserJet 400 H401 PCL 6 (Copy 6) LANDRECORDSCO2 RECEIPT Suffolk County Clerk JUDITH A. PASCALE County Clerk Receipt Number 20-0136097 Payor Name WILLIAM C GOGGINS ESQ ----------------------------------- DESCRIPTION TRANS AMOUNT ----------------------------------- -Type of Instrument: DECLARATION Page/Filing $75.00 Handling $20.00 COE $5.00 NYS SRCHG $15.00 TP-584 $0.00 Notation $0.00 Cert.Copies $0.00 UL RPT $200.00 t00 b Fees Paid $315.00 LIBER D00013069 PAGE 917 DATE: 09/03/2020 TIME: 10:25:17 AM Ub ----------------------------------- 1�t RECEI T TOTAL $315.00 CHECK PAMT PAID $315.00 �dQ� TOTAL AMOUNT PAID $315.00 CHECK REFUND $0.00 ----------------------------------- COMMENTS mail ULU 5 Number of pages This document will be public record.Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Mortgage Amt. Page/Filing Fee 1.Basic Tax Handling 20. 00 2. Additional Tax SubTotal TP-584 Spec./Assit. Notation or EA-52 17(County) SubTotal Spec./Add. TOT.MTG.TAX EA-5217(state) Dual Town Dual County R.P.T.S.A. Held forAppointment Comm.of Ed. S. 00 TransferTax Affidavit • . Mansion Tax yfQD�� The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES orNO Other Grand Total If NO, see appropriate tax clause on page N of this instrument. 4 Dist. 1000 Section 111 14 Lot 19 5 Community Preservation Fund Block Real Property Consideration Amount$ Tax Service Agency CPF Tax Due $ Verification Improved Satisfactions/Discharges Releases List Pro erty owners Mailing Address 6 RICORD&RETURNpf0: Vacant Land Goggins & Associates TD William C. Goggins P.O. Box 65, 13235 Main Road TD Mattitucht, New York 11952 TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title q 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Covenants made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in Thomas L. Macari SUFFOLK COUNTY,NEW YORK. TO In theTOWN of Southold Town of Southold, Board of Trusteesln the VILLAGE Cutchogue or HAMLET of BOXES 6THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over DECLARATION OF COVENANTS THIS DECLARATION made this 27th day of August, 2020, by Thomas L.Macari,residing at 1320 Little Peconic Bay Road,Cutchogue,New York. 11935,hereinafter referred to as"DECLARANT(S)": WITNESSETH: WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located at 1320 Little Peconic Bay Road, Cutchogue, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 111.00,Block 14.00,Lot 019.000 which is more particularly bounded and described as set forth in Schedule "A"annexed hereto,hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities;and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required Declarant to install and maintain a 10' wide non-turf buffer along the landward edge of the retaining wall, as depicted on the revised plan prepared by Jeffrey Patanjo stamped approved on December 16,2015; and WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW,THEREFORE, the DECLARANT(S)do/does hereby covenant and agree as follows: 1. Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained a 10' wide "non-turf buffer"along the landward edge of the retaining wall as defined by Chapter 275 of the Town Code,to wit: "A designated area where turf grass, pesticides and fertilizers are not permitted." and as depicted on the revised plan prepared by Jeffrey Patanjo received and stamped approved on December 16, 2015, A copy of the permit no. 8716 is attached hereto and made a part hereof as Exhibit A. A copy of the aforesaid plan is attached hereto and made a part hereof as Exhibit B;and t r 2.These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this 27'h day of August;2020.. .. I THOMPL.MACARI STATE OF NEW YORK) )SS: COUNTY OF SUFFOLK) On the 771t day of August, in the year 2020 before me,the undersigned, personally appeared THOMAS L.MACARI personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose names(s)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s)or the person upon behalf of which the individual(s)acted, executed the instrument.' NOTARY PUBLI WILLIAM C.GOGGINS NOTARY PUBLIC,STATE OF NEW yob{ WILLIAM C.GOGGINS RcgisuntionNo.4963689 Attorney at Law Suffolk County 13235 Mein Road,P.O.Box 65 t ommission Expires March I2,ap?' Mattituck,New York 11952 Phone;.(631)2984818 Fax: (631)2984214 Email: gogginslawc@gmail.com A . ^ 1 { 1 I too G `C ♦S i 'f9• N_ ♦ ♦♦ 73 v� �' h IIID C11 sv yy„ •4li I 5°59 rux amo le Oi611C BUN10 _ r m—r.cru ` ! 101 V NEL ICAC•4L v } f m11 0I mus 6 HTKN w 1 W Im J`. Im Li NEL LD1-4L Blow RIPMLLLLamc VM TD BE FUMx WN[ _ ZA Q��tO - .APPROM 6Y 80AM OFl dUSTEES y U TOWN OFSOUTHOLD I Ps�ro FOR MOCKS wcm LATE DRRFi11�'�1/i1�0�, L !6170 MN TICK) CUICIME.NT 119.15 iA 4�—slI FPEoMED Br: III =J JUSM FATA'00 DEC 1 fi 2015 106 NE-W MIT P^, CENTER B02CNES,NY 11914 671-484-9777 • --'' JPXVv 4p 10UNENCf RETAINING HALL PERUIT PLANS smL NOTES r'la 1,PORTIONS OF SITE PIAN FROM SURVEY PREPARED SY: PROPOSED PLAN DATE.P.0 KENNETH M.WOYCHUK WD SURVEYING.PLLC DATE SURVEYED.JUNE 1,2015 A>m urru ravr¢e.r"AD 4lIC/06VL 70•11 or S9U7HDL0 2.LOT AREA='16.749 SF/0 38 ACRES g".LK CD"Irr.xr saLT !AZ NAP No.l-DD-ITh/4-19 1, _ ... l x Number of pages 5 : fd2OU •4015 Jul 40 O1r55:44 PH Jt611H R.PAWIXE This documeR[will be public �COM retard.Please remove all L=012a24 F 513 Social Security Numbers D1D 14-31076 prior to recording. Dead J Mortgage Itunurnent Dad/MortpeTu Sump ReemdiiS I Bring S..ps 3 FEES Page/Finns Fee = Mongago AML 112rAug Z 0a 1.BasiCTat 2.Addifioru1 Tu TP-587 �. SabToW _ Nowkn -_ SP-JA- or EA-5217(Cmmry)_ sobToW- Spec./Add. _ EA-S_17(Sum) TOT.M O.TAXOwl y R RTS.A. ' _ Held' a—Dtd Coortty ., - FlddkrA Cmm of FA S. DO TrarduTa# .100. -cam/ Affidavit • Manion Tu 11 _ Certified,Copy _ The pmpmy covered by this mortgage is • er will be(mp oved by a one or two NYSSurchne 15. 00 hmi{ydwelling only, SubToW �O� aper YES or NO Grand Total--9(00— Ir No.se:appropriate ms elatne on Page� orchis� L aro S 4 1 Di aa0 55018830 t,000 uioo 14ac o3900o 5 Corona dtT PnMeraation Fend r�Y UD=W sfderntion Amount; 7 ii- Tas Sernee Agewy Verif=ion CPF ax Due S Y M8.dd Improved 6 SatisfaM%-fDixhatgetAleltams List Propmy Owncas MAA Add. RECORD&RETURN TO: vet t,,.n krrtuam C.60cc,.r5.ZSM- jp tt] P.O.Boy&S mnrranur,uy Ilss,�, TO m Mad to:JucM A.Pascale,Sullotic County Clerk 7 Title C !It[orination 310 Center Drive,Fftverfnead,MY 11901 Ca Narw &9cJe* !a Aer Wn / Tide/ STNS i�/i4yr e Suffolk Counly Recording & Endorsement Page Thispageform panaftheauaehed BAtGn)al Rua S'ke 19"_4 madcby. (SPECIFY TYPE OF 1NSTR1 mwn /!7n cera Bream v The pnmtiies Mein is fiftow in SUFFOLK C011,\f.NEW YORK ' TO Ind*TOWNof 1oww m _ ` �rfaMac /17�e,4Br Inthe VILLAGE or HAMLET of- �iJTLgyii� BOXES 6 THRU 8 M=BE TYPED OR MM ED IN BLACK INK ONLY MDR TO RECORDING OR FH1\1G. i PM cp 513 SIAiE�IIl01 K'r3fCf0.}I6IAY[iNE BARGAIN AND SALE DEED WTTH COVENANT AGSI'GRAB'S ACTS(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8087 CUMMTtm AGLEWW"" M&AMOyANATTOw EYA1maEVLVWBYATFCWM SFMSB MAA �p ?LM0 Mt1E Dae SKWM TH1S/NDEMMA&.delle d7rldayor J"'WC . 2015 bdwrm , MAMA IL BROWN.m urvMug tenant by the entirety. residing at 305 West Lod Ate.,Apt IM,New Ymd4 NY 10W party of the first part,m d THOMASL.MACARI rsddlti8 at 31270 Main Boal,CmrhuBe4 NY 11925 Patty or dM- sed pan, 11777ffSSETH,ihii'the 1mq orthe first pur,is or-Ten Doors and other tawfsl mmidaa6a%lawfitl awaeyorme United Stela,Feld"patty of the secmd pat,doe hereby V2!d m 43 reteise tnw the jpaty of the taroid part,the bsirs etrsticexssms utd aaigmof the pury of the woadput forever, •. AU the,crtaer pb,pjam orPancel or had with the bgWW and impov'eam"b"=aencd. ' sitoae,lylviand hand at Qdchogoq Tawe or Southold.C M6 orsallbik and sme orNew Yort SEE SCHEDULE-A,ATTACHED HERM AND MADE A PART HMIEOF Beimad inimdad to be dm same premises as detcttbed indeed dated 10/511962 In LRW 9251 Page 206. 70GE1TfE t with all riBlu,title and into irony.orik paty ortbe fart part n and to N9 sneers and roads , dnminE the above dumbed pranires to the eealer lines thasof. , 7DGE17IER with the appatmunets and all the MM and tights ortha pang or the first pat in and to said padw% TVHAYEANDToHOLD shepmtisesbminWanted ude the pattyorthesemadMd.the hensor sucassms and assigpdof the pony orthe==M part forever. AND the party orthe ruse pan,mmutrts got the Parry orthe rust Patnd ddu arsulrccd mthftq whereby dw said vemises haver been enarmbercd in a y way wbdcver,excels es AND the patty of the rart put.in complie_WM Swtioii 13 crew I2m Law.mvmams tim the parry orthe fmt}art vnU mmi n:the misidaitiou for this txmoymce and will hold the d&to receive sorb $ masidarion as■trtat tu.d to be ajOkd rurt rotor the coif ortbe iinprov®c.i end will apply the sun riot to the pwmmt orthe cm arthe*mvemmc berate vft any*orthe brat ortm same for any other purpose. The wont-jj y'siull be aomwed as iri,rad'pardee whmew the:sense ofthis iadentum so TNuirm DY I may 1pHE me.the mm orthe rust pat nes duly erseodtd 61,deal the day Sad year first above mitten. ` ka " MARCM K BROWN errsoAae+>�rdEaerr®owmod'tsaW �`vs't�`�`°o`•�"a STATE OF NEW YORK ) )SL: COUNIYOF mu mat ) Onibe15"dayor MPJ ,intheyesr2015,bermemgthe uodwj cdMsooa H, d Muria K.Bnmu,persma4 known to me ai proved to me on the basis orsaddbewy ertdasee to be rite iodviQml whose once is sabscr3ed to tbewilYot catrureeoi aad ttJmowh ro me tluashe esaYood the am is ber cai 2RW.that by 1asi8mhoe on the bmuu=4 the iadivrdm%or the person 0n bckLfof wbM(be Mvideal atsed,extoad dre ros=e= rV1.IMiV._ , NOTARY PUW VAR"MLYAN ROTARYPOMJ=ATE OF XEW YORK M0.014AGNelsa MAURED IN NEW YORK COUMY W CDUMSMMEIPOIESIa m=19 DM) Title Ne. Section 111.00 Block 14.00 BROWN Lot 019.000 CmmtyorTown SUFFOLK To MACARI Return By Mall To; 1Yd&m C Cogdw,Esq. P.O.Bos 65 Matdtack.NY 11952 Rtservc This Space For Use OfReeprding Office uvsaasoamrJarerser®mwtm•nool cgijiykt:'rm'tecltper 9 �SteW =,fir,: fide irwrance company SCHEDULE A—DESCRIPTION Title No.: STIS-24064 PARCEL A: ALL that certain plot,piece or parcel of land,situate,lying and being at Nassau Point,Town of Southold, County of Suffolk and State of New York,bounded and described as follows. BEGINNING at a co csete monument on the southeasterly side of Link Peronic Bay Road at the northeasterly corner of Lot 234 as shown on map entitled,"Amended Map A of Nassau Point,"filed in the Suffolk County Clerk's Office on 8/1611922 as Map No.156 and; RUNNING THENCE South 34 degrees 41 minutes East through Lot 233 a distance of 127.14 feet to Lot 232; THENCE South 3 degrees 33 minutes 30 seconds West along Lot 232 a distance of 86.76 feet and passing throug)t a rmncrcte rnonumcrit to'dii ordinary high water marls of Wunneweta Pond; RUNNING THENCE westerly along the ordinary high water mark of Wutmeweta Pond to a point which is distant the following two coorses mud distances from the point or beginning above described; (1)South 21 degrees 54 munites 20 seconds West 7153 feet. (2)South 15 degssa 54 minutes East 161.10 feet; THENCE North 15 degees 54 minutes West 15 feet to an iron pipe;the tie line course and distance from the Ian mentioned concrete monument and said iron pipe being South 59 degrees 12 minutes 40 seconds West.63.68 reel; THENCE continuing North 15 degrees 54 minutes West 146.0 feet to the southeasterly side of Little Peconic Bay Road; RUNNING THENCE northmsterfy along the southeasterly side of little Peco6c Bay Road on a curve beating to the left on the motwment set at the point or place of BEGINNING as measured by a tie line course and distance North 21 degrw 54 minutes 2D seconds East 7154 feet. PAR B: ALL that Uact,piece or pareel of land,situate,lying and being at Nassau Paint in the Town of Southold, County of Suffolk and State of New York,boundctl and described as follows: BEGINNING at a point on the irregularly curved southeaskrly line of little Peconic Buy Road,at the westerly corner of land or Holman and the northerly comer or the pretenses herein described;from said point of beginning; RUNNING along said land of Holman being duatgh Lot 234 as shown on"Amended Map A of Nassau Point;filed in the Suffolk County Clerk's Office on Map No.156,South 15 degrees 54 minutes 00 seconds East a divaxe or 161 feet more or less to ordinary Wall water mark of Wannewem Pond; 1 THENCE southwcae ly along said high water mark 44 feet more or less; THENCE through Lot 235 as shown on said trap on a fine parallel to and 35.76 feet westerly from the Westerly boundary of said land of Holman North 15 degrees 54 minutes 00 seconds West a distance of 150 feet mote or less to said southeasterly line of Little Peconic Bay Road; THENCE northeasterly along said southeasterly line of 52 feet more or less to the point of BEGINNING. OVERALL DESCRIMON- ALL that certain plot,pieceor parcel of land,situate,lying and being at Nassau Point,Town of Southold, County of Suffolk and State of New York and being bounded and described as follows: BEGINNING at a point where the nonhwestedy comer of premises intersects with the easterly side of Utte Pe conic Bay Road; w RUNNING THENCE along the easterly side of Little Panne Bay Road the following two(2)coot= and'd-tsionces: 1.North 27 degrees 37 minutes 00 seconds East 51.95 fed; 2 North 21 degrees 54 minutes 20 seconds Fast,71-53 feel; THENCE South 34 degrees 41 minutes East.127-14 feet; THENCE South 3 degrees 33 minutes 30 seconds West.86.76 feet to the ordinary high water mark of Wunneweta Pond; 'THENCE mthwestedy along said high watermark to a point which is distant 161.00 feet from the southeasterly side of We Peconic Bay Road;(a tie line course of South 59 degrees 12 minutes 40 seconds Wal,63.68 feet and said tie line course being distant North 15 degrees 54 minutes West 15.00 feat from said high watermark); THENCE continuing southwesterly,a distance of 44 feet,more or less,(aiie line of South 38 degrees 27 minutes 80 seconds West,44.01 fed) THENCE North 15 degrees 54 minutes West,148.97 fed to The easterly side of Little Perone Bay Road and the point or place of BEGINNING. 2 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Monday, February 24, 2020 12:17 PM To: gogginslaw@gmail.com Subject: Thomas Macari; SCTM# 1000-111-14-19; Permit#8716 Dear Mr. Goggins, The office of the Board of Trustees is in receipt of your letter dated February 18, 2020 requesting a final inspection for the above mentioned wetland permit. The office will move forward with the request for a final inspection. In the meantime, please be advised that this permit requires covenants & restrictions regarding the conditioned 10 foot wide non-turf buffer be added to the deed. As there is no copy of this recording on file in our office, at your earliest convenience, please complete the required covenants& restrictions and submit a complete copy in order for the Certificate of Compliance to be issued. As always, if you would like to use the Town's template for the covenants & restrictions I would be happy to email it to you at your request. If you have any questions, please do not hesitate to email me or call the office. Sincerely, 5*kai �iuit�cee2 Senior Clerk Typist Town of Southold Board of Trustees 631-765-1892 •M. 1 Glenn Goldsmith, President--- �rjf SU[/TTown Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A. Nicholas Krupski G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 coUM�I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: INSPECTED BY:� /�� Ch.,275 Ch. 111 , r , INSPECTION SCHEDULE Pre-cortstruation; haybaI6 linefsilt-boom/silt curtain 1St day of construction Y2 constructed Project complete, compliance inspection 'COMMENTS: , /�/• L �p� f//�A' //J� /J �� �(J CERTIFICATE OF COMPLIANCE: GOGGINS & ASSOCIATES ATTORNEYS AT LAW 13235 Main Road, P.O. Box 65 Mattituck, New York 11952 Phone (631) 298-4818 William C.Goggins,Esq. Fax(631) 298-4214 gogginslaw@gmail.com Donald Mates,Esq. February 18, 2020 Of Counsel Philip J.Branigan,Esq. Of Counsel Southold Town Board of Trustees 53095 Main Road, P.O. Box. 1179 Southold, New York. 11971 Re: Thomas Macari Premises: 1320 Little Peconic Bay Road, Cutchogue, New York SCTM No.: 1000-111.000-14.00-009.000 Permit No. 8716 dated December 16, 2015 Dear Sir/Madam: We request a certificate of compliance for the above referenced property. Enclosed please find a check in the amount of$50.00. Thank you. Vemy yours WILLIAM C. G GINS WCG/dmp fjD E C E � VE DD RD 2 4 1041 Southold Jown Board of Trustees t , John M. Bredemeyer 111, President ,,o'�gOFMLA-0.N Town Hall, 53095 Main Rd. Michael J Domino, Vice-PresidentI - OG�� P.O Box 1179 o �.r James F. King W Southold,gold,NY 11971 Charles J Sanders ;yk ���� Telephone(631)765-1892 •O Dave Bergen Ol ��� ' 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, silt fence 1st day of construction t/2 constructed V: ins ection Protect complete, compliance p ! '''/-tom ti`AF ],,., ., `,,,,,..„„r.,I . ,...,..,...tr.,,,,,` a`- .�qt ff f f ♦./ i�y1 I/A'9 �' IVi3F°)A ✓ yil/ PA3 ', —,%, 11 t.' --4,; 1 --,E `ikt ;r•... °Ws °Pr y-- � �y ,t_ --. ° j S��r:- �� jA�'l �tf C *,'�\`'�-',--�i.,..y/1„,�„. 1 „yt .rig,... �t;,•.•' ",r„‹^�-F a a-'.-- ”"-- :! t i �`"u'`f�. I "F/ �' ` •R • it is ,a ..,q r; /� ,y { \I i \i p, , A .- - a„q'... ``@@//,,r3r r .. ,4 IV(K�\,�}i,1 `-,14 \ P A j _ j� 3 ( Ih1 4..1. i �..a f , w•rf d. ��lr -, _s_j .ice,6."+ i _.: a, :tr ,.�5� '. -En,,. 1(r.. ,Y1,,,,, a4,:�ts ,,M.:...,.�{iu,.f•;!:,:;axf,i9.=:>'... _..n.Jret.ssv..', S.i:a. ,tas! q,*?. t,u.a,.,, �.,• v . , gym y4 err P y j ,w,f `- - — —' -- — ----- .�rSe;�.c'sis..<_..t't'z'=.. „' ;__ ..l'�t_,_ _ — ,.. .w w. .:1 ��L 44Fj . I 4.ti ki‘iiii BOARD Off' SOUTHOI,D TOWN TRUSTEES t1::1 ,'t , SOUTHOLD,NEW YORK t� • �. ','� PERMIT NO. 8716 DATE: DECEMBER 16, 2015 e tom.✓" r y/�i,j"�- � i/iii 4 ISSUED TO: THOMAS MACARI , tn,:4' ' I PROPERTY ADDRESS: 1320 LITTLE PECONIC BAY ROAD, CUTCHOGUE i °"a''FY , '5; SCTM# 1000-111-14-19 y:,t,,E... no.! wt.:'': `' AUTHORIZATION i S ys f ..., Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in F '. 1J accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 16,2015, i A •,, ,, tits .>t _. �,, and in consideration of application fee in the sum of$250.00 paid by Thomas Macari and subject to the Terms r, s-..-E and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the 1.1� A r ,,` ., following: ,,� Wetland Permit to construct a 106 linear foot vinyl retaining wall with one 12' long i `. vinyl return; construct a 100 linear foot low sill bulkhead placed at the Mean Low 1-; Water Line; and to install and subsequently maintain a 10' wide non-turf buffer along'' rt 4 A the landward edge of the retaining wall; and as depicted on the revised plan prepared g.. . •� K by Jeffrey Patanjo received on December 16, 2015; and stamped approved on F--.,041. ( on't' December 16,2015. to t ii ' IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, d ,.... fi' and these presents to be subscribed by a majority of the said Board as of this date. 0 K` htN,....:, ? A 4. ....., J... o ..,,,, . (c;fJ) James F. King — Absent 4 ® S Pry /1 }', 7.: a� ''. � 1 P to k �.,s` y_ r2,;.fir < s I: ' , 0_'1. ,i...404,6 ' �''h° • '•1;;Ir 47`4",:tazpr i 2,712. v4vT.atzo , .. z; Lm. m,zovi A.no RCba u-tv?ii., ,,,,iii-:-.4, -te.fi,,r, ._,..- t{.am,.:/ w• ,i.in Ni4'-:•'}:.H."v,..wsfxily,,,,, ozwl,w"'..nmzv6f5�7..— .`. ... ", } � . r•, - , , � r ♦ .�. i ' r ai�r 4,:,7-415 .',..,‘,....5;41?, y ;; rt V:-; i''?'t•- jr ` : " wMi4. `, tyr„ 0 � m ,, l , , 1 c ' .N,:r .* ' \ +`j ? ` w1''5 S,R;% ': kt t✓ 'i `tea8 ' a .,..,::,, 111 'A, A,70,_.„.4>, ,Y6,,,,,:431.,,\ em ,..ji�y '1«, . ,- --211 -- —:-. ts_—.� ' 1;."-.,- .,----,—.2. 0,, ` 0t`iN�- ? YY , --,--r---.;;; c,0,,i .`"r,R i,Y } yA,A♦�iti,, Sl`,• AI9 on -hot Yi) � . i t.ip. +4 • f . -"A,� 1 :t. ;•r.rf', _n rA ,�• ii. TERMS AND CONDITIONS The Permittee Thomas Macari, residing at 1320 Little Peconic Bay Rd., 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. 4 / ( 1%.___i \ ,I 1 A I \ 'PP I \ \ O A \t J `s 0 `1 ,., 44 I .,.. N.V.'7 o,, A - • <<" N .---: \ . Flay \ / w 11,, J y��oo W .:LIPIP ` . H r'o • o / � iN - ops NO 1 0 z 4 Dl ' lir rn W I /1920 A -N I\ EXISTING RSSIDENC6 WO / + i 1 213 A6, W �S\ \1P--L S 6339 g1 A•4:' w 0\ A S 40?3 • 1 S $3'9136, Z+ EXISTING BOTTOM OF BANK / pp, EXISTING TOP OF BANK / MEET EXISTING BULKHEAD yo \ i� / 1/11* EXISTING BULKHEAD `) `r0 /.. //y Ar 2 �' . rlr ��tp EXIST. FIXED PIER TO REMAIN •\ 2I ?'' i PROPOSED 106 LF VINYL RETAINING WALL �\ \ y ' VEGETATED WETLAND GRASSES AS DELINEATED • BY JEFFREY PATANJO ON SEPT. 6, 2015 365`b$1 � /' •//y yI LIMIT OF GRASS IS BETWEEN MHW & MLW LINES S bb• I� y 10' � WIDE NON-TURF BUFFER LIMIT LS. y y PROPOSED 100 LF VINYL LOW-SILL BULKHEAD PROPOSED 12' LONG VINYL 4 . y TO BE PLACED AT MLW UNE , RETAINING WALL RETURN 4. r PAPP /E i:� ��Y �Z .1.0ARD 'ikUSTEES ,w 1��\1� ‘. `TOWN UTHOLD i �' � PREPARED FOR: THOMAS MACARI 'I_ DATE ,..• 36230 MAIN ROAD ,, �,' �+r�"i.��/�?1(o1a..0�� , 15) CUTCHOGUE, NY 11935 ' " OP . ,:,9,-,,,,':[.. E '-• j 1. PREPARED BY: ,;S JEFFREY PATANJO Y:, ---_.-__ -_ DEC 1 6 2015 1106 HEWITT BLVD. >,,,t ;:;:•. - CENTER MORICHES, NY 11934 631-484-9332 ; outhold Town JPATANJO@OPTONLINE.NET fiord afjustees RETAINING WALL PERMIT PLANS SCALE: NOTES: 1"=30' 1 . PORTIONS ,OF SITE PLAN FROM SURVEY PREPARED BY: PROPOSED PLAN DATE: KENNETH M. WOYCHUK LAND SURVEYING, PLLC 11-1-15 DATE SURVEYED: JUNE 1 , 2015 1320 LITTLE PECONIC BAY ROAD 12-10-15 CUTCHOGUE, TOWN OF SOUTHOLD , 2. LOT AREA = 16,749 SF / 0.38 ACRES SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-111-14-19 1 OF 2 Gto4: - ',:1111-4'11---0'12r',':r• `�'':' _,,,a a Q rl;r J rr t fJl'4,✓ 'a;, r . ,0. .x(/11 r 7 "• - wltlr( _ r Y, j.'/",�j)r„ p `"i"if•� o --_Fleewroodad, , „ `.sN' ri1i'r, l,iJ,„'i m�� ,t .�'•` '('r ff l r 1 "F�,,, N' . 1 JIr1ui'I Crreeli r A,.;,.1,? �i,,f1%'i, A ` 1�Nili r 'a, :` , . 4't; , f'a,,, PROJECT ,he 1;q „ ,. _�„ �.- LOCATION y �, q t, 3, r 9iy - %,,r�,,IM1 Kri r1,;7'T'S'", £ a Pr; '7 ;;y. a V /,,rf, ."if,{k r'i7 ti{%41,,,..,4,,1 ,7A `o, ' a, arc 1 of / ,.;� �7,-,11,6'':' t;11A4'"�r ./.,,,71fi''l,•'l 'mc , ' .to t '' �� oe -f- !!'.W;',e:'?;r;i,r,, ;i ,„,.,r`1,,,'/ri'..), , P., ,i, 9 fora Men _ v q �. 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ALL WORK WILL BE PERFORMED FROM UPLAND AT ALL TIMES. PROPOSED AR TIMBER TOP CAP PROPOSED 14' LONG 10' BUTT PROPOSED 3'X6' /PROPOSED TREATED TIMBER PILE, 6' O.C. REAR WALE PROPOSED 6'x6" CCA TOP & BOTTOM WALE PROPOSED 12' LONG C-LOC r ��- 9000 VINYL SHEETING EXIST. GRADE) ik 4'± TO M.H.W & WETLANDS PROPOSED 3'X6' ' REAR WALE ' PROPOSED FIR TIMBER TOP CAP PROPOSED 4%6" CCA TOP WALE MPRO>1IW1IE ILH.W.EL 251 & a - INK LANDWARD L ILIT OF WIII7WDS PROPOSED 8' TIP CCA , ' ' LAY-LOG PILE " ' ' ._ a . Z.' PROPOSED 8' TIP CCA PILE, 6' w APPR01OYAlE 11J-9 FL 0.01, O.C. 8' LENGTH. BOLTED TO LAY-LOG WITH 3/4' GALVANIZED THRU-BOLTS. ..41... PROPOSED 16' LONG 1' DIA. GALV. TIE ROD, 6' O.C. PROPOSED 4' LONG 10' BUTT '0 CCA TREATED TIMBER PILE, 6' -4` O.C. ' .i.m,, PROPOSED 4' LONG CLOC 9000 VINYL SHEETING TYPICAL SECTION A-A N.T.S. , ' D • ' r 1 f DEC 1 6 2015 I"J f RETAINING WALL PERMIT PLANS SCALE: N.T.S. 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WOYCHUK LAND SURVEYING, PLLC DATE SURVEYED: JUNE 1 , 2015 1320 LITTLE PECONIC BAY ROAD CUTCHOGUE, TOWN OF SOUTHOLD 2. LOT AREA = 16,749 SF / 0.38 ACRES SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-111-14-19 1 OF 2 vwtt ??rsrr''�"Z.rr, �,: yJrr". .r �a j - _ !r..b�` l'i'AP011/7;. •p ,.,a, _ .. (��a,bl�'hl�'(luf�tt:" h711 oav o3'`., f•,,,,ta�, rf .to ,�=Y.-s sn ,y 1 'h, }% ' ' � .m �lf� , rn�,�� . 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VINYL SHEETING TO BE INSTALLED BY VIRBATION METHODS. 2. ALL EFFORTS TO PROTECT EXISTING WETLAND GRASSES SHALL BE TAKEN. 3. THERE SHALL BE NO PROPOSED FILL BROUGHT ONTO PROPERTY. 4. ALL WORK WILL BE PERFORMED FROM UPLAND AT ALL TIMES. PROPOSED FIR TIMBER TOP CAP PROPOSED 14' LONG 10" BUTT PROPOSED 3X6" ,/CCA TREATED TIMBER PILE. 6' O.C. REAR WALE PROPOSED 6x6" CCA TOP & BOTTOM WALE EXIST. GRADE PROPOSED 12' LONG C-LOC 9000 VINYL SHEETING 4't TO M.H.W & WETLANDS • Ak. AAFROXWATE U.H.W.EL 25k & a YAx LNLW RD Mir OF NEMO PROPOSED 8• TIP CCA i ' LAY-LOG PILE PROPOSED 3 TIP CCA PILE, 6' O.C. 8' LENGTH. BOLTED TO APPROXYIATE 111.1,El..0.0iLAY-LOG WITH 3/4 GALVANIZED THRU-BOLTS. PROPOSED 16' LONG 1" DIA. 'GALV. TIE ROD. 6' O.C. C E E , TYPICAL SECTION A-A ' J e N.T.S. SEP 2 5 2015 outhol. awn ' BDard of TnLtgs RETAINING WALL PERMIT PLANS SCALE: N.T.S. PROPOSED SECTION & DATE: • LOCATION MAP 8-7-15 1320 LITTLE PECONIC BAY ROAD CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-111-14-19 2 OF 2 John M. Bredemeyer III,President �i ‘,0S®(/�/y® Town Hall Annex Michael J. Domino,Vice President � Z.? -4" 54375 Main Road � , • P.O: Box 1179 452 James F.King,Trustee t Southold,New York 11971-0959 ch co, vlie.Dave Bergen,Trustee G S � Charles J.Sanders,Trustee �� 0 -- a®��� Telephone(631) 765-1892 C®U' Fax Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 16, 2015 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: THOMAS MACARI 1320 LITTLE PECONIC BAY ROAD, CUTCHOGUE SCTM# 1000-111-14-19 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 16, 2015 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of THOMAS MACARI applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinanceof the Town of Southold, application dated September 25, 2015, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 18, 2015, and on December 16, 2015, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 , ,, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of THOMAS MACARI to construct a 106 linear foot vinyl retaining wall with one 12' long vinyl return; construct a 100 linear foot low sill bulkhead placed at the Mean Low Water Line; and to install and subsequently maintain a 10' wide non-turf buffer along the landward edge of the retaining wall; and as depicted on the revised plan prepared by Jeffrey Patanjo received on December 16, 2015; and stamped approved on December 16, 2015. 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, 69094A— .: _r , . r' John M. Bredemeyer III President, Board of Trustees JMB/dd i John M. Bredemeyer Ill, President 'i,,----- Town Hall Annex o(f-c;` Michael J. Domino, Vice-President ,'��O *-• Michael 54375 Route 25, P.O.Box 1179 Southold,NY 11971 James F. King � y :.; =. x � ti • Telephone(631)765-1892 Charles J. Sanders -WO $71���71 P Dave Bergen ' Fax Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD mit-cfrizt TEWieq PATA-1J,1-0 TO: Please be advised that your application dated ,Sa7-6 QS;(;)-05- has been reviewed by this Board'at the regular meeting of /4r and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project }" = 243 > Pre-Construction Silt Fence Inspection Fee ($50.00) 1st Day of Construction ($50.00) %2 Constructed ($50.00) , V Final .00 Fee Inspection $50 p ( ) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth-in Chapter 275 of the Southold Town Code. The following.fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 5-1), BY: John M. Bredemeyer Ill, President Board of Trustees John Bredemeyer, President ,,•,''ofFat`- Town Hall Annex Michael J. Domino, Vice-President ,'���`� �c°may•} 54375 Route 25 James F. King y ; P.O. Box 1179 Charles J. Sanders ' 47$ Southold, NY 11971 Dave Bergen y41 ,� ��°!1'� Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: �� ,,, 91 2-0/ r //-• Jeffrey Patanjo on behalf of THOMAS MACARI requests a Wetland Permit to construct a 106 linear foot vinyl retaining wall with a 12' return; and install a 10' wide non-turf buffer along the landward edge of the retaining wall. Located: 1320 Little Peconic Bay Road, Cutchogue. SCTM# 1000-111-14-19 Type of area to be impacted: /Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of,Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission, Violation Notice of Hearing card posted on property: es No Not Applicable - Storm Water Management Review: Yes No Not Applicable Info needed: • Modifications: Conditions; aK. � i Present Were. J. Bredemeyer M. Domino J. King, vb. Sanders Bay Constable Other Form filled out in the field,by Mailed/Faxed to: Date: • John Bredemeyer, President ,,••'•$00 Town Hall Annex Michael J. Domino, Vice-President. ° °. �°OGy; 54375 Route 25 James F. King ?P. x ; P.O Box 1179 Charles J. Sanders Southold, NY 11971 Dave Bergen , , �a°!'' Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 14 (Gd Jeffrey Patanjo on behalf of THOMAS MACARI requests a Wetland Permit to construct a 106 linear foot vinyl retaining wall with a 12' return; and install a 10' wide non-turf buffer along the landward edge of the retaining wall. Located: 1320 Little Peconic Bay Road, Cutchogue. SCTM# 1000-111-14-19 Type,of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: 1, Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: - Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable ' Info needed: �L C�cr `rc�l , s o 41 n e m y (.3 4411-c k� Modifications: Lc c s-,' I c„,, 1�j 4s- • 4-( �,C�/c L d` r c:) off re) c._ Conditions: / b w 5 IG1 AfiAl flevz Present Were: -d!Bredemeyer-v M. Domino !. King "D. Bergen C. Sanders Bay Constable / Other Form filled out in the field by � �-u c;; Mailed/Faxed to: Date: John Bredenieyer, President „.orifFot Town Hall Annex Michael J. Domino, Vice-President '���� �°Gy; 54375 Route 25 James F. King y P.O. Box 1179 Charles J. Sanders Southold, NY 11971 Dave Bergen yo! * -a°��' Telephone (631) 765-1892 ”" Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: l � �J () Jeffrey Patanjo on behalf of THOMAS MACARI requests a Wetland Permit to construct a 106 linear foot vinyl retaining wall with a 12' return; and install a 10' wide non-turf ' buffer along the landward edge of the retaining wall. Located: 1320 Little Peconic Bay Road, Cutchogue. SCTM# 111-14-19 Type of area to be impacted: /' Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type Of Application: Wetland Coastal Erosion Amendment Administrative Emergency -Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: I`1v S1-., fc,ci / r-ff Modifications: •,f✓ev.iL �� C'6�1/L: /1 p,o-t1jJ - Conditions: Present Were: l Bredemeyer 1GI: Domino JrKing 1D. Bergen C. Sanders Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: • ...... ,416..... 10 . . y f 'iik ...,,. , ,, ,, ... • •r .. .. ,..... , ... , ,.., .,,. ,,...... „, .. . . 4___.it- 1s....,j L -; ars _ - ^ '.... ___ ...s._ . x • d ybDei 4 -+ t , - 11,' - A •, _...r . "11441111#f'.— -;---':.: ”'':"--:::'.."---':'.' - _rr In','''',,,... '''-,.:,'•-.''''I"' -. ''': '''1, 1, ' ; -. , --? w• ,.,, � � e kms`:. 4'.fes 1 N/[ m� � .mow *. ,M1 4 • • v �- `ms's. _ < R ,. , s ;, .y 7 41' is ;.i..�. ;,,'" a' tt,I.,:!•?,,,,,... .r- homas Macari t - .. 1320 Little Peconic Bay Road,Cutchogue <i - •CTM#: 1000-111-14-19 10/14/15,�yy� ' .. .,: •,ram gm.' ,rf•. a ;a ., . •. - - a 41 - �` , �,, 10/ 14/2015 12 . 29 5 - September 24, 2015 NYS Dept. of Environmental Conservation ----, • ECIV SUNY @ Stony Brook EE 50 Circle Road Stony Brook, New York 11790-2356 _ 17!) I SEP 2 5 2015 r Attention: Duty Analyst Southold Town RE; 1320 LITTLE PECONIC t'AY ROAD, CUTCHOGUE, NY Board of Nam SCTM No. 1000-111-14-19 APPLICATION FOR PERMIT Dear Sir/Madame: We hereby submit four (4) copies of the proposed plans, applications, 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 or e-mail atjpatanjo@optonline.net. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 cc: Town of Southold Mr. Thomas Macari ii _,DINT APPLICATION FORM For Permits/Determinations to undertake activities affecting streams,waterways, waterbodies,wetlands,coastal areas and sources of water withdrawal. US Army Corps of New York You must separately apply for and obtain separate Permits/Determinations from Engineers(USACE) State each involved agency prior to proceeding with work.Please read all instructions. - APPLICATIONS TO 9 1. NYS Department of Environmental Conservation 2. US Army Corps of Engineers 3. NYS Office of 4. NYS Depart- General Services ment of State Check all permits that apply: Check all permits that apply: ❑Stream Disturbance 0 Coastal Erosion 0 Section 404 Clean Water Act Check all permits that " Check if this apply: applies: ❑Excavation and Fill In Management 0 Section 10 Rivers and Harbors 0 Wild Scenic and ❑State Owned Lands 0 Coastal Navigable Waters Under Water Consistency ❑Docks, Moorings or Recreational Rivers Nationwide Permit(s)-Identify ❑Utility Concurrence Platforms 0 Water Withdrawal Number(s): Easement ❑Dams and Impoundment 0 Long Island Well (pipelines, Structures 0 Aquatic Vegetation Control 3 conduits, ❑401 Water Qualitycables,etc.) ❑Aquatic Insect Control Certification Preconstruction Notification- ❑Docks,' ❑ Fish Control Moorings or 0 Incidental Take of Endan- ❑,...,,YTiFreshwaterFr/ Wetlands ❑ Y / �N Platforms L� daI Wetlands gered/Threatened Species 0 I am sending this ' 0 I am sending �� ❑ I am sending this application application to this this application I/I am sending this application to this agency. to this agency. pp agency. to this agency. 5. Name of Applicant(use full name) Applicant must be: 6. Name of Facility or Property Owner(if different than i II ElOwner Applicant) -----:-----7—,,, } Ism �� ` -T{►o.r►AS AA d,�a(t. ❑operator �)�, ti, lin U� t Mailing Address 0 Lessee Mailing Address--11 f b ji ] ry (check all that apply) - SEP 2 2015 i .36 2-30 /04;n 2va0r- Post Office City Taxpayer ID(If applicant Post Office City l is NOT an individual): L___ Saiithoiri T,�kyn C,,-tC-tim ,,e State N��`� Zip Code I I q 3 - State — Zipg5p l TrusteeL_ Telephone(daytime) Email Telephone(daytime) Email 6,3i- 1613 .343'i -F{,cmeMAcafLG.jM4.I.Lav, 7. Contact/Agent Name 8. Project/Facility Name Property Tax Map Section/Block/Lot Number !coo- III - I-j - 11 Company Name Project Location-Provide directions and distances to roads,bridges and bodies of waters: / T�F-Fre` Pa-�a�,jo sem �oca+row r�n�.� Mailing Address I Street Address,if applicable Post Office City State Zip Code NY Job Newt-t-telvet • l 3a-o L1.-t--}Ic eeconic841 (fid ev-re.(40y✓e 1(435 Post Office City Town/Village/City County Pen-l-er MorirJIeS Sm.., -t-heldi- 5w-fi.CIL State Zip Code Name of USGS Quadrangle Map Stream/Water Body Name nJY 1193V SC„ thold- wvn116WE?a Ponee Telephone(daytime) 6 Sv)- 1401-q 33.1- Location Coordinates: Enter NYTMS in kilometers,OR Latitude/Longitude Email NYTM-E NYTM-N Latitude Longitude JPa- "anJaepot;flIrne•rJe-I' 111°00' 0a-* IV-P.20W - _ •q�.w_,.r ';•— - �r- +',�-�,�+.zau..:'-;ys;a-n.4".T.sa'xa•,_x�t.:,-'ir�c�•s„ .,.:rh.+;�'�'`:_�wE__'�_-'' ��.,M_-�T«r-^: �^.Wzaenr' .'� 'Ni`.i�TI7i,:=:u-i-1”" 0 ti"_,'; T:y. ' Y• .... VR Y.�.--• -.;,�- c'^•�u__ 4 ' - - ' f"S_ � r'� -x r; ,,w is .-� ._si.'r. � 3�;��^ _ '�--w , �n �;�'-"�» �- � a.7,z`. �I.P,;, 4•ya.- 13u=ii .,c r-�. �F 'F%sP'I¢ ✓ �,•Cn '7- cam`` -, "- �'.1L A-•.1 °7 t'a r 1 ITMe- -.4- J J- -Ii1 r�1 i Imo' 3-1 I ; I y.=;- t-4 ,s 'f v r'�aa' ~ t �6 � ����,F.rte.: r& T.,,• c 1 �� �'"�-T,� ���d��`;-��Y���'�.--^s � _ri'e�;'�`sw-� � ���. 'g,-e�•.:wa`�,� .•5.a,.,.�,,,zt.�-'v.- .,.: �,�,� �#:tt .r�-M1`�.rcd!`.4�?_�� a.. �r;.-. JOINT APPLICATION FORM 02/13 This is a 2 Page Application Application Form Page 1 of 2 Both Pages Must be Completed JC_ APPLICATION FORM-PAGE 2 OF 2 Submit tnis completed page as part of your Application. 9. Project Description and Purpose: Provide a complete narrative description of the proposed work and its purpose.Attach additional page(s)if necessary.Include: description of current site conditions and how the site will be modified by the proposed project;structures and fill materials to beInstalled; type and quantity of materials to be used (i.e., square ft of coverage and cubic yds of fill material and/or structures below ordinary/mean high water)area of excavation or dredging,volumes of material to be removed and location of dredged material disposal or use; work methods and type of equipment to be used; pollution control methods and mitigation activities proposed to compensate for resource impacts;and where applicable,the phasing of activities. ATTACH PLANS ON SEPARATE PAGES 'r -1-AI, !CC Lf 10 Lei.vitL, re'r4seus Al r.✓ca.t( 4'1(411 12 LF c'et.0EN 44 ,V / C)415fINy e-r,eta ee- bung - Ptove4e /,` A.,.,- "c".--,,4 h,, (ce4 si tee,,azr,Q. S SCG o f Rz'rG AAA 11 wk,r i . h f L _iL -r-1::' 42e ,e t i-/4"9 E1 faro e is4n60 (,v wrio.j Proposed Use: rgi Private 0 Public OCommercial ProposedEstimated Start Date: (1- I- 1 S Completion Date: i I - /r--/S- Has Work Begun on Project? ❑Yes 'No If Yes,explain. [•� ;,� C L r 'I • 1j 1 1-------1,t ) — • Will Project Occupy Federal,State or Municipal Land? 0 Yes ®'No If Yes,please specify. , ;- ? SEP 2 5 2015 1' ' - i L 10. List Previous Permit/Application Numbers(if any)and Dates: t_ Soutnol 1 :,:pit r..r 1..t _ Boat(1 of lnietees 11. Will this project require additional Federal,State,or Local Permits including zoning changes? gYes 0 No If yes,please list: -7-.9 i....,A.A ra f' S {(1,0(.,- Trv5f €S 12. Signatures.If applicant is not the owner,both must sign the application. I hereby affirm that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits,actions,damages and costs of every name and description resulting from said project. In addition,Federal Law,18 U.S.C.,Section 1001 provides for a fine of not more than$10,000 or imprisonment for not more than 5 years,or both where an applicant knowingly and willingly falsifies, „-als,or covers up a material fact;or knowingly makes or uses a false,fictitious or fraudulent statement. - f . > ' �h f'Aa�e...n M)c)\\\ccs/1‹ 3 -z-1s Signet A.plicant Printed Name Title Date iiwrv�.S tike,es-a% o t),,v.l ( Of_23.5 Signature of wn# / 4 Printed Name Title Date Aiag Je f(rc.,/ PA-tan1-v /4 .e/1-1- R• 1S. /S - t Printed Nude `J Tittd Date .r '7 J -iii F7 401iiL r- 5�: -Wit "`7t{..kr;?5r 0`-{��`- dd 3rd 'h �.�.../tl4.� I C i7, 7)1I`i R- ,.. 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F, Y 7__ ',1;'f t,q' r_ r a ' dAT 'A-"'-f` `- -�' a:�'r; ' .1 r:, 4R.S fi_,r, Y'WI �^ 0 r, 4 y(T ' '•.de2-5rj: 7L'�y '.. .F V� i. 7 ild-r te ,-, .....*.,.A4g.s "F}, 3,, r� f1. i-1 'r - +-•�1 i 1 Y P' t r -r I , `:?``4-:�� i ‘4.,', q--,, ,, M -fir. nr..,-x k.i ;, - e Vc. ZI16.EiTe IV '+�e�x' �3{f ,Y :-6.ga y 1 t.L 1 "�i.,,( I,IgA);- 4r F.M c-h ar , —_'.. „ , , '� J, �t (r�^,.,r�r: �k r ��,�.y 5ry r rr:,�k z � ',7•-._--4'----,;V-7,19��.�''s-u " s-x`�`- ��7'�`�. ;�P�<Y�`r�',�e.+-P,�,,,�y�y,.ti4� �`K� ..t;,_,�?-1 R'"l t 1t,rT.e t� ..�1 5 fJ'- y` (,4,:- �-l"k.:N- i.�'C':i"c r4 5P ,Y �`t 3: , *�. �i`s_g:041Y, 'c"; 5f`r'`{-''X4.4'`v rgj�,., 2,.i`A' e�"-,t:a> ;4'w f s 4_ r 3. v '.S L, .t r Y' ''- F'sh1`S 01 �;f4...u.r_61?_ -1 • . c��.t;=+a - • pF ;& „�.r,• ,g!l 5,.= T7aad ,M - <art', �`, .TM-�a..�A� -�i,.., > ��,.�.���f^���.� 7��� .as� c: ��'�-�,..Aa".._ *"_5"AWOW' '12,3�`�-,}.,-Wg'x�� ��ft�'ey�^`-led. i JOINT APPLICATION FORM 02/13 Application Form Page 2 of 2 New York State _ Department of Environmental Conservation MIFF PERMISSION TO INSPECT PROPERTY By signing this permission form for submission with an application for a permit(s)to the Department of Environmental Conservation("DEC"),the signer consents to inspection by DEC staff of the project site or facility for which a permit is sought and,to the extent necessary, areas adjacent to the project site or facility. This consent allows DEC staff to enter upon and pass through such property in order to inspect the project site or facility,without prior notice,between the hours of 7:00 a.m.and 7:00 p.m.,Monday through Friday. If DEC staff should wish to conduct an inspection at any other times, DEC staff will so notify the applicant and will obtain a separate consent for such an inspection. Inspections may take place as part of the application review prior to a decision to grant or deny the permit(s)sought. By signing this consent form,the signer agrees that this consent remains in effect as long as the application is pending, and is effective regardless of whether the signer,applicant or an agent is present at the time of the inspection. In the eyent that the project site or facility is posted with any form of"posted"or"keep out"notices, fenged itrwitifc"an.urilockd gate,this permission authorizes DEC staff to disregard such notice r-u Backed gates-a-gatesie7 of inspection. 4" „ SEP 2 5 2015 The signer further agrees that during an inspection,DEC s ff may,among other things, • take measurements, may analyze physical characteristics of the sit including;btjnot-limited-to soils and vegetation(taking samples for analysis),and may make d swings andc0gtggiraphs. Failure to grant consent for an inspection is grounds for,and may result in, denial of the permit(s)sought by the application. Permission is granted for inspection of property located at the following address(es): 13a.o LI-f--h te_ PcCone c ( e.t.1 ed. • Cc.140 vc�j ,.)K 11935— By signing this form, I affirm under penalty of perjury that lam authorized to give consent to entry by DEC staff as described above. I derstand that false statements made herein are punishable as a Class A misdemeanor pursuant\, ction 210.45 of the Penal Law.* —Tl,omacS Print Name and Title Signature Date *The signer of this form must be an individual or authorized representative of a legal entity that: • owns fee title and is in possession of the property identified above; • maintains possessory interest in the property through a lease,rental agreement or other legally binding agreement;or • is provided permission to act on behalf of an individual or legal entity possessing fee title or other possessory interest in the property for the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12/08 617.20 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 finding,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: I Sao tiktic Peao"I c- gal ak • i2� a�.vrv9 �i+11 Project Location(describe,and attach a location map): Sce Cotsc't-to4 Ma[' Brief Description of Proposed Action: 1,,, -rats ,oj,, 2c-yet i.�c'7 .w 1l ,v1& I - LF d-e'CU( tilos -00 S T t N7 e f 9 ele Q 6.4 lG (, tau - = i; . SEP 25 2015 Name of Applicant or Sponsor: Telephone: g I 7 q E-Mail: iv 41016 Auc•ftr. ^fl1orny ttifSfaSei.met . Address: 3` P31, AA - I2oada City/PO: State: Zip Code: 143,5- 1. 4361.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 0 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: ❑ CI 4sd,cc So..)+Ito lrl- 'ff 1.eeS 3.a.Total acreage of the site of the proposed action? 0.343 acres b.Total acreage to be physically disturbed? to'.e 6 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.3$ acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban 0 Rural(non-agriculture) 0 Industrial 0 Commercial EdResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ['Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ © 0 b.Consistent with the adopted comprehensive plan? ❑ X❑ 0 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ El 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: El' El 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 0 ❑ 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? ® ❑ 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: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: © E 11.Will the proposed action connect to existing wastewater utilities? { "- —"-- ' -� �~�' , ; NO YES _ e If No,describe method for providing wastewater treatment: I t ! SEP 2 5 2015 0 12. a.Does the site contain a structure that is listed on either the Sta.e or National Register of Historic ? NO YES Places? �e�Ci;�i i i r.i1 ❑ b.Is the proposed action located in an archeological sensitive arm------ �a;ci of rrusiees 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? 1=1 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: 4-rvt. �3`if5�f ms's; 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®Shoreline 0 Forest 0 Agricultural/grasslands ❑Early mid-successional gr Wetland 0 Urban EiSuburban 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? © E 16.Is the project site located in the 100 year flood plain? NO YES n xl 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? 0 NO EYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? -r,;_,,:,;: ;IQIf Yes,briefly describe: ONO EYES a 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: El ❑ 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: C ❑ 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: 2 ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE �J`� i —TT. AAacar(., Dat'. —Th Applicant/sponsor n e: -�'-• , ;, Signature: L w°. ,>, _— ` t; 11 ij . Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of t e SEP 2 Ab�,mg 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 guideTby ilie`concept;"HAve my-`' x responses been reasonable considering the scale and context of the proposed action?" __ ..___±-ard of frusiees_ 7 -mow res -..,. y . .. ..,,. i i w;;;.:�,, No,or Moderate P.F-.�.y�'c- 1 ,s - "� �'3,, ,a -c ,V.*W rra rh'. - w'., z�i - r"A'._�., - ➢`-°"`�+-h. at?"`i- 3. ate, 't•s Sr t �jat�.a-� ` s small to large ?.1 4v, 7*A`' a w s `- -,4 " `172:4 4.10-i'sx �` L "ate 4r. V.�l'x'.'.y uy,,csd-X •'"4 fl .' �a7 � �s f � q �t s £aC; xr <• a ctit Y_ - . Y,,`�T�'t'xr '' 15 WuK*y` �s �" t��rs t * *.,iris `t3'`V r�'C7-3 f�c y ,70 .£ `� , LIT' impact impact ` �' , 470-�i`u do rA'7 T J t'n 'f5f.ls g^TRK.,c S`r,��� RM 4W451;q� xt`-' s.��'<.���`� �tr �..�,.Pr`}ye, �pzr��.F�ti£o-'�iy�-a7�"� �hrais'f'Y � ��s"�c��'ix9.c t� may may tJ,'�s't- '^'1�,� s� �` �� , i-ov-✓, h 4'r s y�k,� .#.s..`�",'s'�" ') s ,.• y r ,•< w as , Z,..r r ,, +ci"t , ,i,, qtr 5 —',,,,. ,t `.,i, occur Occur ,-,' j,? � •i -'.5'' 41'' . ,,� `-tip,W W 1`M""Veb.-"�.miag_' ,< 4..=a ,i,? ' \-4 '"'k•-._ 1. Will the proposed action create a material conflict with an adopted land use plan or zoning El Elregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 ce, :71-'_�4.• >�a"t -� •.F.'r�•:` �i`-x. Z � e.m:�� ry- '' Y-� q7� ,,+y,4.�L.� ,�.,'�.,. -"'1,F.-iFsw � No or Moderate t e � 1f ,f �'• _ g -; �•�x�� . k � � � :� „ � w.�a tV. �� ti- .g� s�y • :r ' 'uy= ''� small to large S ^'1•w Z ' a fi fr2 � fi + 4 ,msx. y,hst,77 �. � .fes . impact impact � ? �7 �S-� � , ��n , �. �� � dt3-4-� xra"� � � '� �✓; xw �,� � �ks may may p J.,„, s ;�-1,5 "r,,,,,, 4 V � wr� a � a r. �cur � % � n uA L �r . - ck ' Occur r °f na 7*SA'y� -6./.40,41,,- , � .#�-�fAzm:� .. � oc 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ El problems? 11. Will the proposed action create a hazard to environmental resources or human health? El El Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. C1, + ET !t 4;9 r. i i ' Q t 1 i + y t 2' SEP 2 5 2015 :`_J . -..,_ #Poard of Trustees ElCheck 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. 0 Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. 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( � s .�.,aNzae a� ]t p am & m \11, a6eer)'1 1e2 w zoAa) 6 �6`s �\ L�rZj-yn` .t>co"M�°`t �v 4a x y,0. f 04,: T s+ \ \ 65Wc1' [ _2',_-_,c, 111116 __T-3Aif •�"4•• FA 50 t` 09 afl ' � F' _ - ®, 1in(ct, 549 . ,s mo =.;\ v - ®` 6 A` „.., „'. i ,, i 1te5I �1c ttA(cy \6=�e -\ 3 N^ 91WT) `I 72 • o+''y . 9{" 5 ' @• m OJ: td,5 A(c) 0%40; :17,1 10A( T'O 29A(ct ft e 3 tic° Jd § s' yys wig. �`. a'' "4>� ) T Q' J09' 0^ g 1 A(c) '// �• hn 501 n'@,1,1, qd \. m - to'• III 4;1 aie F v F .'$j .fie ( g v. C dl 0. -367 O4'S6-�d � ' I 29 • 4, 1.34(cw v 074 1 32401 y�'Q@ C \ 1a a s 1 4A(c) E. 29 I?ya10 e 4i pR 1? t2-ONc) RO 4 m m zsn(q • +,��`� a,.yYETA .. /` w _ t1 FOR PCl NO PoryQ ` 2.4 :; =e ._->,, . \� .f40 SEE SEC NO a 36 8 -- S`.H p 1801-011 ,� s. �¢ Y s 1 PL'9p MATCH Z ONE / A Pi s•,= - $r_ \ F 6 x,m 40q �: oe�A 5 • ,>, SECTION NO x SOUTHOLD w — -- dew -- -- :1 NOTICE ,sZ'aam,�,. COUNTY OF SUFFOLK © E t°` �F _ �,,,�,., — Real Property Tax Service Agency r 11 111 E me_w.o..� —�— s...�sww (21) �� O oww -- -- eeunry eev,eSCALE rnwemeaa Nrt,so, M DISTRICT NO O sn...muw - wi°0"�'� o..ew --T-- "ne"`vO�sw--•-- mn[[necxcv hr MX A � P 1000 PROPERM1 � .....amnw--wx-- rI - w v W An,Nsc a vmmvexaEwnm, rea D r�u.elw of,oF SO0 � OFFICE LOCATION: ®4 e MAILING ADDRESS: Town Hall Annex ® : P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) • co Telephone: 631 765-1938 Southold, NY 11971 COMO ,0 oi 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: October 20, 2015 Re: LWRP Coastal Consistency Review for THOMAS MACARI SCTM# 1000-111-14-19 Jeffrey Patanjo on behalf of THOMAS MACARI requests a Wetland Permit to construct a 106 linear foot vinyl retaining wall with a 12' return; and install a 10' wide non-turf buffer along the landward edge of the retaining wall. Located: 1320 Little Peconic Bay Road, Cutchogue. SCTM# 1000-111- 14-19 The proposed actions have 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 below Policy Standard and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney 0114,g1iFOt4 -- 0°0 edt Peter Young,Chairman h Town Hall,53095 Main Rd. Lauren Standish,Secretary �. m F.O.Box 1179 1� Southold,NY 11971 t# �•tfMTelephone(631)765-1889 T,�.a' Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 14, 2015 the following recommendation was made: Moved by John Stein, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of THOMAS MACARI to construct a 106 If. vinyl retaining wall and 12 If. return along existing eroded bank and provide a 10' non-turf buffer. Located: 1320 Little Peconic Bay Rd., Cutchogue. SCTM#111-14-19 Inspected by: John Stein, Keith McCamy Vote of Council: Ayes: All Motion Carried f _t John M.Bredemeyer III,President 'if.- 4.Q� '5� +If+' ,= Town Hall Annex Michael J.Domino,Vice-President „gyp'}, ` eQ 54375 Main Road P.O.Box 1179 James F.King,Trustee ` ' . ``ti' Southold,New York 11971-0959 Dave Bergen,Trustee t, '., - 4 ' ' Charles J.Sanders,Trustee "' ,,k,),.. Telephone(631)765-1892 p Fax(681)765-6641 ''''''''.!.-.4i4'..0.�j�y;Nd F BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension ._ -i , =a . _ \ Received Application: 't,25 S 17ReceivedFee:$ 2S0,0O Ir '� V Completed Application_ t 7-S'15 ii _ ' _incomplete_ _- _ _ SEP 2 5 2015 R _SEQRA Classification: i Type 1 Type 11 Unlisted ' t .. , f - __ Coordination:(date sent) i " 10•� !�' Sauthcfa Tann ` V LWRP Consistency Ascssme��Form 1..,. ,.. _swat!;�1sp?c _ .. _Si CAC Referral Sent: " r Date of Inspection: it", I'1t 6-- Receipt -Receipt of CAC Report: . r Lead Agency Determination: - _Technical Review: Public Hearing Held:' Or/ice 146//5_ Resolution: Name of Applicant --rh Dn.'a 3 AA Ac.-A( i. Mailing Address 3bd30 AA01%r, Qoa.& . CIL Ve ho/„e, N y 11435- Phone Number:( ) 6'31 • —79 3-3 9 3'1 Suffolk County Tax Map Number: 1000- 111 - Pi 19 , Property Location: 13 P-c, L -H-I-c- Pc eon I c_ 13a4 ad_. Q'ze h°u c, Nil Ste I,.G4-1-1®A /Y1ai ' (provide LILCO Pole#,distance to cross streets,and location) AGENT: �e re1 Pa+a n j v (If applicable) Address: ln6 New t1 (3luA, Oerv+eit A Oflc‘es, til`- ' 119.31-1 Phone: 6 3/ • £ g `! '9 3343-- - GP' X01 rd of Trustees Application GENERAL DATA Land Area(in square feet): 1 6, 7 9°l Area Zoning: R e 5 Previous use of property: R e 5 i al 2v-h L Intended use of property: Re se den{'aL Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _ Yes k 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? ?l Yes No Prior permits/approvals for site improvements: Agency Date HA No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? u No Yes If yes,provide explanation: Project Description(use attachments if necessary): om-sTry e-r /06. 4r vlNy L Qt-rq,i,v/Ay. L.,All an & (a`LF j.f-l-ur,J •e >l1 si�N '2(Pdc L- Lan14, ervvi e /o ' /✓MN - Ti.r F b,. Fd2 , Bc l of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Ccw 5"rr ti c-r' l D& LF v c N`C L rcxat,vw) rc-1- c tio,►y tixeSA'vy eVrtteck bu.- I( . ec?vie c_ to` Now--rami-( b 44e( Area of wetlands on lot: /co o (AD r) square feet Percent coverage of lot: O Closest distance between nearest existing structure and upland edge of wetlands: 3 feet Closest distance between nearest proposed structure and upland edge of wetlands: 3 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: 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): 't It Pr,eekv`r70,i. wFll he -rAgen t® ()(i' t2c-+ .4ds 511eeTiN7 to ?e cerive1 b/ vlh/a"1"1D1's 4nCS2 Al( wePAX- 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or finding,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: 3ao C.---1-Ic PGea"( a.e 12c,4 n.(4'.9 LA)a11 • Project Location(describe,and attach a location map): See Lack-rton mete Brief Description of Proposed Action: I,t, t&II lc 6, Lf VtNiL R-G-t-4INCN9 w�.Ll as via I P- LF 12-e'Cid y .e)(! Sr,.n'h 4f-oelCc besA14. d Name of Applicant or Sponsor: Telephone: 31 7 3 - 3 4 T�o.nu5 AuL4d L E-Mail:'f harnasNl4Ca�i(d9me1l.eavt Address: 3 P 3a Nt Ai n �aaeQ City/PO: State: Zip Code: C� t-�koyvc N `f I035 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 0 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: ❑ El s - To ro aF SD. +LoltR. Tr ' 1.e.es 3.a.Total acreage of the site of the proposed action? 0-35 acres b.Total acreage to be physically disturbed? v•d 6 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.3c acres 4. Check all land uses that occur on,adjoining and near the proposed action. El Urban 0 Rural(non-agriculture) ❑Industrial 0 Commercial Residential(suburban) ❑Forest DAgriculture 0 Aquatic ['Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ © ❑ b.Consistent with the adopted comprehensive plan? ❑ 0 0 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ El 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: El ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 0 ❑ 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? ® 0 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: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: © 0 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12 ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? El ❑ b.Is the proposed action located in an archeological sensitive area? IE ❑ 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? 1=1 CI b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? 1Z ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: IVO rIOA 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®Shoreline 0 Forest 0 Agricultural/grasslands ❑Early rnid-successional igr Wetland 0 Urban EISuburban 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 n 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ® 0 a.Will storm water discharges flow to adjacent properties? ❑NO DYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? z ,eze-a4 :;a v°: If Yes,briefly describe: ❑NO DYES p ' '�` Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impounduu m 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: © El 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: C 0 I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGEi Applicant/sponsor n e: Th o rn c s ....cc. Date: ,Z3_ 1 .., Signature: c/'r h 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 c 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?' 11 ";:-.7,"'N,' t . ...,•.- r�.,�:- x rte- rct—rrAg ' , x s a �, c r ,r anti.-:rt - _ No,or Moderate �,t Www u�-x z� � �'ik ,m` t41 , �? N7r� --�- w small to large -e °' t ` J, �.- ate."'b '`r.,rs - .- �.nft i' i� '-"tgg- jel'�Z t�.i .x �.,5 -c „ , .,.. .- c�� x K _ t r .? _ � �� ' impact impact 4"t Y a ''„ �` n y,,, �"A . ,f,.. `e'i- ' , ' u . x>'.` `fq v 4-,..'"k.-v may may rzsai. ..� a ,��,� e�r� -'t ua'a i> �Rid ' -,dna ,. ti �Qi9.o' 7a�i` _ 1 �1^ .M a r „,,,..71e---,-- ,e4,—,,,.4. '” n• ,,,,, occur OCCUC *..._ro-x+ rr .�:sem:--_.:�, J.. '_t. ,4i:s _ r,fs ,r?. m 1. Will the proposed action create a material conflict with an adopted land use plan or zoning111regulations? 171- 2. Will the proposed action result in a change in the use or intensity of use of land? 12 0 3. Will the proposed action impair the character or quality of the existing community? 121 III 4. Will the proposed action have an impact on the environmental characteristics that caused the121 E] establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or12 ❑ 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: I-1 u a.public/private water supplies? b.public/private wastewater treatment utilities? 17 El 8. Will the proposed action impair the character or quality of important historic,archaeological, EV Ill 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 * „ . ` :«,� :z s�4 4 � W; r<< 1` No or Moderate .r�sF ,i` 1} � K m nY' �3 L gv:f; A'Fy'" '`tx3 ,.�' ,vii !'e5' :,J- �y 1wX�y t ,ii;, •t -d',.,��.a �"ii},�ror'rc� +.ti r,.'_` ' � 'tioit � �� riar� r ,-}�y'k-�-. �-�-�?k� .� .�,.�{ � stt-. small to large �s'r cs� k ` '' l 5 s3, ''� Y6-'a.- a'j� .'T,,,,�,,'' y Cade aixy'��S^ -Y-` 4i t'y 3,. r r 1- r W, t t -i h r"e,�=-•r : �cU Y `'z � impact impact t �:�''`- � t ]?��r a 'Srs'L'c'�" �'�'Sa.�r iC'�it-..r r^• a+Y„u..f���c.� 'i'" �� �` P P . ' 4v,; i r 4 ��0. a,*r'fts, �r .r,�`- r`k 04.4— dtv' e.x. ^�-. rr, r ��,�L . may :' � tr�f IL*V,r 'r r`�Z1.z. 4--t-Y ,�',t.a'r 4 5yc* , Y 5? �-1 , may y c ',-,r .--, i-Atc s�q. �F...�Ak-v'T ` t 1.,o.F" 't y Y�' 'rY ,a �s ,40-4.,/...*:,._,.�.. t4� z, ,A: -� -„ r-1,. :-� .. ' occur occur `:` .4.rat, < z ?;i,,,.4 1:-,- _.-/..„7--, -,1,6`s1,, a ai-v z 1"l'4,.a,.srr�s?s� �'.,, 6�`� 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainageID ❑ problems? i 11. Will the proposed action create a hazard to environmental resources or human health? U El Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. k A 0 Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. lv- /d vc1Q c fro - 13 '/.- Name of Lpa4 Agen Date 10-CI • Print or Type ame of Responsib Officer in Lead Agency Title of Responsible Officer 1 I ,\. <' L '� Sign. o 'esponsible',�dicer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 r PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 1ecAntAn 5 moxyland Sk bx \---\-‘1,\\s 107 \_ev i a 5 13 1- .i5 3.1- 4 5 JAY Mk,./ 0 b\3 b� `Pt tb,,. 1237 Gu,' chc ue. i G5 3 STATE OF NEW YORK COUNTY OF SUFFOLK LJ 3 i U , residing at )0 co A ct/d i I v c1- awl \1 i 1(Q1'?4 , being duly sworn, deposes and says that on the 9 day of ;-'k)( , 20 IS , 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 Q�YIiffr YVIDY1ChZS , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. , 'ROI , 9 Sworn to before me this 9 Day of OFO1 , 20 15 &I.Oklii..c.411/-6nd Notary Public Loriann Pala* Notary Public State of New York Qualified in Suffolk County No:-01 PA6150861 Commission Expires 08/07/20v) +... , '.. Jai' x+ iF U.S..PostalASe'rviceTM`• LES. Postal Services"` V' • . CERTIFIED MAIL® RECEIPT ' 4 CERTIFIED MAIL® RECEIPT r rLl Domestic Mail Only 1 Dpm"estic Mail Only A For delivery,information,;visit our'weosite at,wwwusps corn®' l N '• For delivery information,:visit our website at www:tlsps corn®.., CUTC/OGUE►;cNyi 1=133I U (3. f'= rn0FF0A m .1 tt L d A r. 3 _ -, IS) Certified Mail Fee 4 IS) Certified Mail Fee -,-4 $ $3.45 * p(y ,a $ Extra Services&Fees(check box,add tee ds`?pJI ate) C Extra Services&Fees(check box,add fee as appropriate) 0 ❑Return Receipt(hardcopy) $ 80.00 fs O .A ❑Return Receipt(hardcopy) $ �y y� 0 ❑Return Receipt(electronic) $ Lj`_ pOS k •T CI ❑Return Receipt(electronic) $ e.e" F_takft O 0 Certified Mall Restricted Delivery $ 8�ry on cn H�r 0 t7 0 Certified Mail Restricted Delivery $ 1. .Her- �A ❑Adult Signature Required $�V �„ 0 ❑Adult Signature Required $ A. C ' 0 Adult Signature Restricted Delivery$ �1LI•(�V ,` ['Adult Signature Restricted Delivery$ 1t- O/t +G+ NPostage $0 49 �, 4!!tf �, ) m Postage T,9 , -C r'9 Total Postage and Fees 1 r9 Total Postage and Fees (0r $ $6.74 $ Cr N inr9 1-9 SP 1 Sent To Sent To t + CI Street andApt.No,or PO Box o. f O Street and Apt.NO.,dr PO Box No. N r- bty,State,Z1P+4® City,State,ZIP+4® PS Form 3800;April 2015•PSN 7530 02000.9047 ' See Reverse for.Instructions PS Form 3800,April 2015 PSN 7530-02.000-9047' See,Reverse for Instructions LES. Postal erviceTM RTIFIED'MAIL° RECEIPT CE a (Domestic Mail Orgy,". „l , , ; ,. ,, ,, . ,. For delivery'information,visit our'website at www.UspscOfnm'. ,REWf YOR .;= ; NY 10013 { I U( ( • 1.17 Certified Mall Fee ra $ 83:45 t��t(r'�� 0934 rq Extra Services&Fees(check box,add fee} tdptiate) 77 ❑Return Receipt(hardcopy) $ $0.00 Q ❑Return Receipt(electronic) $ 80A.00 t�\'C a ();.?)\\,,,, imi ['Certified Mall Restricted Delivery $ $0 00 V (Fere k I� ❑Adult Signature Required $ $U1,00 V 1, 0 �� 0 Adult Signature Restricted Delivery$ 7u•�� \ I s O Postage V m $ $0.49 r'ks Total Postage and Fees 09/201-o �'\- 8674 S in Sent To ri ii 6 0 Street and Apt r Nor,or P•B.x No - N City,State,ZIP+45 PS Form 3800,April 2015,PSN 7530-02'000 9047 i See Reverse for Instructions John Bredemeyer, President ,,•,,,,, c; Town Hall Annex r� Michael J. Domino, Vice-President °° V- 54375 Route 25 James F King ; '. P.O Box 1179 Dave Bergen *-o Southold, NY 11971 Charles J. Sanders 'yor ya°;.�'' 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 THOMAS MACARI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, c.,e ej Po+ .ryu , residing at/dba OGD D B)VC/ Cen-9Or irDY1Orle6 N / I G g 3 being duly sworn, depose and say: That on the I I day of ®G73'l9t°r. , 2015, I personally posted the property known as 1320 Lithe Peeoip tri 1 2d 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, October 21, 2015. Dated: (si ati/V14 Sworn to before me this 11 day of 00--20 (5 AUCLVIA4_, C v Notary Public Lthidnn Patan Notary Public State ofNewYork Qualified in Suffolk County No:01 PA6150861 Commission Expires 08107/29j NUTILL Utm HLARING 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: THOMAS MACARI SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a 106 linear foot vinyl retaining wall with a 12' return; and install a 10' wide non-turf buffer along the landward edge of the retaining wall. Located: 1320 Little Peconic Bay Road, Cutchogue. SCTM# 111 -14-19 TIME & DATE OF PUBLIC HEARING : Wednesday, October 21, 2015 — at or about 5:30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 of Trustees Application County of Suffolk State.of New York M 4 s /✓ c., e BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. , ' \ Signature of Property Owner SWORN TO BEFORE ME THIS 0 DAY OFA ,20 Notary Public (J Loriann Patauto Notary Public •f New York Qualifiedin S • County No:01PA61 I '•1 Commission Expires 08/07/20 B4'.1 ;1 of Trustees Application AUTHORIZATION (where the applicant is not the owner) I Th o MAs k residing at 3(Pa 3 o nil a t V ad . (print owner of property) (mailing address) k lye / .s 1 1 19 b3--- do hereby authorize Ti (Agent) PA-rel.n a to apply for permit(s)from the Southol Board of Town Trustees on my behalf. 1r (Owner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code ofEthics prohibits conflicts ofinterest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town Ofpossible conflicts of interest and allow it to take whatever nation is necessary to avoid same. 1 YOUR NAME: PA.A. c a r LI Th S (Last name,fust name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) • NAME OF APPLICATION: (Check all that apply.) • Tax grievance Building Variance Trustee Change of Zone, Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business intereste'means ii business, including a partnership,in which the town officer or employee has even a partial owncrship•of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X - • If you answered"YES",complete the balance of this form and date and sign where indicated. l• Name of person employed by the Town of Southold • Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP • Submitted this 73 . day of 5 -t 201117 Signature Print Name -rh o M A 5 �c�«-f c. Form TS I T, ,`„,,,su „.l_ _ Towno _ of Southold i wa ii Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM � PROPERTY LOCATION: S.C.T.M.e: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A me 106 I v o o I(I t y 1 of STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN iJiatiTcf— Telfloil oc Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT YesNo a. What is the Total Area of the Project Parcels? I Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within "i ?ij g1 O.3 a Generated by a Two(21 Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This Item will include all run-off created by site b. What is the Total Area of Land Clearing (s.F,f Acres) clearing and/or construction activities as well as all —. . I: and/or Ground Disturbance for the proposed 2b o p/ o. Site Improvements and the permanent creation of construction activity? 0 6 impervious surfaces.) (S.F.Mores) PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) 2 Does the Site tunPlae Indicating SurSi Show All Proposed Drainage Structures Size&Location?This Item shall include all Proposed Grade Changes and ... ... 0 e0A,s• eye.-r /Ob Lf- Ul.v yL 2ci-q,,,,v Slopes Controlling Surface Water Flow. •l 3 Does the Site Plan and/or Survey describe the erosion LO A 1 ( or i1 Q I a_ LF r''eTv(Ai tit 1 oi/q and sediment control practices that will be used to X / control site erosion and storm water discharges. This 12-X t S t r N!� a/'p dC 60 b 4,,n it , item must be maintained throughout the Entire ,J 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 — X x of Material within any Parcel? il 5 Will this Application Require Land Disturbing Activities 1 Encompassing an Area in Excess of Five Thousand ❑ )( (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 than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to ❑ Including Construction activities Involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? x 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 7( 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shell be Into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. . 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants In storm water discharges end 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?(rots Item sill 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 Answerlo Questions One through Nine Is Answered with a Check Mark 3.All SWPPPs that require the post-constrection storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.81 Acre in area, component shall be prepared by a qualified Design Professional Licensed In New York aStorm-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 0)andfar Answer for each Question is Required fora Complete Application) , STATE OF NEW YORK, COUNTY OF SS That I, 11'-in~5 AA ti GA..r L being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Docdmant) And that he/she is the o w n t r . (Owner,Contractor,Agent,Corporate Officer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are hue to tl e best of his 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; ... 028 day of.... ' b 20/5 . Notary Public: MC�.lL 4"W .....}S.l ,ti+� .................... . (Signature of Applicant) FORM - 06/'10 �0 . , c• 711 ` Ow Yolk . in . ounty --r q 'I: 1 : 1 Commission Wieff 08/07/20/8 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_beexplained 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# I '1 - - 19 PROJECT NAME ) 3ao ,-t+le Peemn,L �� � �� (Ie-iA�N«- �« Il The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: eoNs-rrvc-r I t96 t,F vl.v (_ (a t iAvAna- 1 Z LF (Le-I-vrvJ 0-104, -uxlSfNG( ef'a�eIZ bI..f- . Pro,.lJc ID ' w t d a ,✓®- -- —r-� r r b�`/��e r • Location of action: 13 a -t-ti-e Pe 0041 c 6 ai i 1, et,-re-k ivue Site acreage: e9 .3' Present land use: fZc s ce cn+h a,L Present zoning classification: e es • 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: -1—h o m e 5 r c. (b) Mailing address: 3 6 3 3 t> AAa t h (2 d - ..sue ,, `1 I l 3 5— (c) (c) Telephone number:Area Code( ) S 3 / - 713- 3¶3 `( (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 111 No❑ If yes,which state or federal agency? '-'`t s Ec_ 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. 0 Yes ❑ No ❑ Not Applicable frojec-4- a 1,2 k vcsjall,7 apptu (,,�lc /tTq,...r.•-y t-' - !1 wLiee1 S Le..Sts1c,i-r wt-rh -lo fro/Je(-tl.S 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 111 Yes ❑ No F1 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 n Yes n No ❑ Not Applicable Pr9jec-t provides tit S..all. 1pe€4.11A1 S'jr. r St,frau,.Ay 9r. p tics - 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 2 Yes n No ❑ Not Applicable ert, k Prty,1"ec1-6 ALTA 4S-+ 1.6. o►f `et. GQ v� -re 2r-os/.T • 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 El Yes ❑ No ❑Not Applicable eccj - 1 /,'tjrptiCS t.. r� //vca �t �� bK Plt�Jev� f�.•�q -P/msto/7 ar1e.0 se AP,irtC.4D 10.E wr[r p� P't...J t'C.r.tt.vt..1y vJAA! 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. ❑ n 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 E Not Applicable Attach additional sheets if necessary • Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No [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. Yell No❑ Not Applicable froJcc al o.,.,5 6P/1._ Pre,••f"tc-f!®., f P,o ct4.7 einLQ L. Se o c.'FcrS • 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 IIIPolicies;Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. • ❑Yes ❑ No E Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No 2 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 El. Not Applicable PREPARED BY PA-re,rid v TITLE A e DATE ci - /s'-i September 24, 2015 . Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 1320 LITTLE PECONIC BAY RD.—CUTCHOGUE SCTM No. 1000-111-14-19 APPLICATION FOR PERMIT Dear Sir/Madam: 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: - effrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934