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HomeMy WebLinkAboutTR-8830 Michael J.Domino,President QF S0Ury0 Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Q Telephone(631)765-1892 Greg WilliamsO Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2019 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JACK CIPRIANO 8150 MAIN BAYVIEW ROAD, SOUTHOLD SCTM# 1000-87-5-23.6 Dear Mrs. Moore: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, March 20, 2019: RESOLVED that the Southold Town Board of Trustees grants the Last One-Year Extension to Wetland Permit#8830, as issued on June 22, 2016. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees- MJD:dd i I J t r Patricia C. Moore Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 January 30, 2019 Board of Trustees i�° `� Town of Southold 4 r ` PO Box 1179 Ego Southold,New York 11971 c��.J ugK)iQ } 5; Bohr c,1!,pu^t os Re: Cipriano Permit# 8830 Dear President Domino and Board, Please let this serve as a request to extend permit#8830 (copy enclosed) for property located at 8150 Main Bayview Road, Southold (SCTM# 1000-87-5-23.6) for an additional two years. My client's check is enclosed in the amount of$50.00 for said fee Thank you and please do not hesitate to call should you have any questions. Very t ruls, ricia C. Moore PCM/ss Encls. i Michael J Domino, Presid( O�QS4W � Town Hall Annex John M. Bredemeyer III, Vice-President �� � � 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 CIO s,s; -Z A.Nicholas Krupski y Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Patricia Moore, Esq. on behalf of JACK CIPRIANO requests the Last One-Year Extension to Wetland Permit#8830, as issued on June 22, 2016. Located: 8150 Main Bayview Road, Southold. SCTM# 1000-87-5-23.6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Michael J.Domino,President o��fjF SU�jyol Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith � Southold,New York 11971 A.Nicholas Krupski �O� Telephone(631) 765-1892 Greg Williams co Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20, 2018 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JACK CIPRIANO 8150 MAIN BAYVIEW ROAD, SOUTHOLD SCTM# 1000-87-5-23.6 Dear Mrs. Moore: The following action was taken by the Southold Town Board of Trustees at their regular Meeting held on Wednesday, June 20, 2018: RESOLVED that the Southold Town Board of Trustees grants the One-Year Extension to Wetland Permit#8830, as issued on June 22, 2016. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD:dd Uj,�ol Michael J.Domino, President o��rjF SOTown Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �p� Telephone(631) 765-1892 Greg Williams O��`OU '� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20, 2018 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JACK CIPRIANO 8150 MAIN BAYVIEW ROAD, SOUTHOLD SCTM# 1000-87-5-23.6 Dear Mrs. Moore: The following action was taken by the Southold Town Board of Trustees at their regular Meeting held on Wednesday, June 20, 2018: RESOLVED that the Southold Town Board of Trustees grants the One-Year Extension to Wetland Permit#8830, as issued on June 22, 2016. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD:dd r;4 CC#: C13-18963 ,pg l , COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 05/06/2013 under Liber D00012728 and Page 647 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 05/06/2013 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 05/06/2013 Number of ,Pages: 4 At: 10:05:55 AM Receipt Number 13-0053271 LIBER: D00012728 PAGE: 647 District: Section: Block: Lot: 1000 087 .-00 05.00 023.006 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0 .00 NO Cert.Copies $5.20 NO RPT $60.00 NO Fees Paid $125 .20 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County L1 1 Number of pages RECC+RDED 2013 Mag 06 Wt Gg;55 AM JUDITH A. PASCALE This document will be public CLERK OF SUFFOLK COU14T%1 record.Please remove all L D00012728 Social Security Numbers P 647 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-5217(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX R.P.T.S.A• Dual Town Dual County _ Held for Appointment Comm.of Ed. S. 00 Transfer Tax Affidavit • e Mansion Tax • The property covered by this mortgage is Certified Co or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total Other YES or NO _ Grand Total If NO,see appropriate tax clause on page;€ of this instrument. 4 Dist 10 2475823 1000 08700 0500 023006 5 Community Preservation Fund Real Property PTS II��II�IIIIII�III �IIII�II�II�IIIIIIIII��I Consideration Amount$ Tax Service R SMI A Agency 03-MAY-1 CPF Tax Due ' $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETUAN TO: Vacant Land PATRICIA C.MOORE ESQ. TO 51020 MAIN ROAD SOUTHOLD NY 11971 TD f 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# 8 SuffolklCo-unty Recording & Endorsement Page This page forms pan:of the attached DECLARATION OF COVENANTS AND RESTRICTIONS made by: (SPECIFYTYPE OF INSTRUMENT) _JACK CIPRIANO The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO IntheTOWNof. SOTTTHOT.D TOWN OF SOTPTHOLD In the VILLAGE or HAMLET of.SOTITAOT p BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over DECLARATION OF COVENANTS AND RESTRICTIONS r DECLARATION made this l day of April, 2013, by JACK CIPRIANO, residing at 19 Hawthorne Ave., Central Islip, New York 11722, as owner, hereinafter referred to as the "Declarant". WITNESSETH: WHEREAS, the Declarant has title to certain land situate, lying and being at 8150 Main Bayview Road, Southold, Town of Southold, Suffolk County, New York, SCTM 1000- 87-5-23.6 said land being more particularly described in Schedule "A" which is attached hereto; and WHEREAS, the Property is situated in or adjacent to lands activities upon which are regulated by the Town of Southold Board of Trustees pursuant to Chapter 275 of the Town Code of the Town of Southold, as may be amended,and various activities conducted upon the property are subject to the jurisdiction, regulation and approval or disapproval of the Trustees prior to being conducted; WHEREAS, the Declarant has applied to the Town of Southold Board of Trustees for a wetland permit for construction of a single-family dwelling with covered porch, deck, drainage, sanitary and water line as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveyor, last dated April 5,2007 and stamped approved on February 20, 2013. WHEREAS,the Town of Southold Board of Trustees, as conditions for the issuance of such Wetland Permit, required certain covenants and restrictions be placed on the property as shown on the aforesaid plans. NOW, THEREFORE, this Declarant witnesseth: That Declarant,for the purpose of carrying out the intentions expressed above does hereby make known, admit, publish, covenant and agree that the said property herein described shall hereafter be subject to the following covenants which shall run with the land and shall be binding on all purchasers and holders of said premises, their heirs, successors, and assigns, to wit: 1. Establish and subsequently maintain a 60'wide non disturbance buffer from the edge of the creek landward; and a line of staked haybales be installed prior to construction as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveyor, last dated April 5, 2007 and stamped approved on February 20, 2013. 2. These covenants and restrictions can be modified only at the request of the then owner of the premises with the approval of the Town of Southold Board of Trustees after a duly noticed public meeting. Adjoining property owners shall be entitled to notice of such public meeting by publication or as otherwise deemed sufficient by the Board of Trustees but their consent to such modification shall not be required. 3. It is the responsibility of any party having any right, title or interest in the Property to consult Chapter 275 of the Town Code of the Town of Southold, as may be amended, and to obtain from the Town of Southold Board of Trustees review and such approvals as may be required by Chapter 275 for activities regulated therein on the Property. 4. Declarant grants the continuing right in perpetuity to the Town of Southold or any of its designated representatives to enforce the conditions and restrictions of the covenants. THE FOREGOING covenants and restrictions shall bind the Declarant, its heirs, successors and assigns, and any and all person or persons who shall succeed to the ownership of said premises of any part thereof by transfer or otherwise. IN WITNESS WHEREOF,the Declarant has duly executed this Declaration the day and year first above written. ll �® �;, .'moi '�/�_--_-J�ackCipriano MARGARITA M.WARREN STATE OF NEW YORK Notary No 101WA627ate 21New��r � 48 SS: oualified in Suffolk County COUNTY OF my commission Expires Nov.13,2016 Apr; On the /3 day of f-eb�y 2013, before me, the undersigned, personally appeared Jack Cipriano personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument Notary Public SCHEDULE A ALL that certain plot,piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Bayview,Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the southerly side of Main Bayview Road where the easterly line of land now or formerly of Turner intersects the same, said point of beginning being the northwest corner of the premises herein described; running thence along the southerly side of Main Bayview Road, south 64 degrees 07 minutes East 185.0 feet to land of now or formerly of Russell Hillman; thence along said last mentioned land south 25 degrees 53 minutes west 200.0 feet to a boat basin;thence running along the northerly line of said boat basin, 125.0 feet'to a point;thence running along the westerly line of said boat basin in a southerly direction 50.0 feet to land now or formerly of Turner; thence along said last mentioned land the following two courses and distances: 1)North 64 degrees 07 minutes West 70.0 feet; and 2)North 25 degrees 53 minutes East 250.0 feet to the southerly line of Main Bayview Road and the point or place of beginning. s c ' PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 www.mooreqtjys.co s.com email: pcmooregmooreatt, spm May 4, 2018 Board of Trustees Town of Southold PO Box 1179 IM Southold NY 11971 hand delivered RE: CIPRIANO; PERMIT# 8830 Dear President Domino and Board: Please let this serve as a request to extend permit#8830 (copy enclosed) for property located at 8150 Main Bayview Road, Southold, (sctm:1000-87-5-23.6) for an additional two years. M check is enclosed in the amount of$50.00 for said fee. Thank you and please do not hesitate to call should you have any questions. Very t 1 yours, P ricia C. Moo 4ro��—�..'- PCM/bp encls. QS Michael J.Domino,Presidet, n O� �FFQ��C�G s \ Town Hall Annex John M. Bredemeyer III,Vice-President �� y� 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 ZZ A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: f� f!3 Completed in field by: y _D Patricia Moore, Esq. on behalf of JACK CIPRIANO requests a One-Year Extension to Wetland Permit #8830, as issued on June 22, 2016. Located: 8150 Main Bayview Road, Southold. SCTM# 1000-87-5-23.6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice f Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal,Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino +l' G. Goldsmith 1�N. Krupski G. Williams Other UFFOL John M Bredemeyer Ill, President -r��0 �o�`; Town Hall Annex Michael J. Domino, Vice-President .11 f Y � 54375 Route 25 Glenn Goldsmith o ' s,'`, P.O. Box 1179 A Nicholas Krupski rho r Southold, NY 11971 Charles J. Sanders ` 4/0/ Telephone (631) 765-1892 _ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction '/ constructed Project complete, compliance inspection • . "yi .: 'x�+c` ;! eRi{i'1.-.- ,�kr— �i'v.tee .. ..�ti ti'0 f y$.l. . f.. \i i lii. :1;... ,bzerr,,,1 +i- ��. •F`Ni+i ris ''v r.. R 1�I A �t 1 1 f �. •1 g\ �� 1 „4 \ J •.,s•. ..." f ` .,� 1 14 ..\ • 1 '•x(3 1 .S o i-- i: { 1ST.:__ca"i `.,. 4Ct="-1..5L. :SS`.AgSSarssszsAve�Si k,: z. y;.r �itiiz,, £L;gyrxx-a°:SmLi2CGXQb.d=w,,<7 � "w..-'t9 'yL:t3 . a,,,:. .) i f, , 4. 4 ;�; ; BOARD ®I+ S©IT'I'I�OI,D TOWN TRUSTEE . � �'" ` ` SOUTHOLD, NEW YORK . .1 e r ;,� -' PERMIT NO. 8830 DATE: JUNE 22, 2016 --'' i el -I ISSUED TO: JACK CIPRIANO , ,` > i ' ",� , tr? s PROPERTY ADDRESS: 8150 MAIN BAYVIEW ROAD, SOUTHOLD • } , „m'`' SCTM# 1000-87-5-23.6 '- 04 AUTHORIZATION ++ ..-. „, ' I 1.40t:, r ,�`' • t•� 1 . � q. Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in "4 ` accordance.With the Resolution of the Board of Trustees adopted at the meeting held on June 22, 2016, and in - �``. consideration of application fee in the sum of$250.00 paid by Jack Cipriano and subject to the`Terms and �°, ,, ., Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the ,r.r i following: . 7•;.," z' Wetland Permit to construct an approximately 2,800sq.ft. two-story, single-family -mow, �i_ a dwelling with covered porch on landward side; a 210sq:ft. deck with steps'to'grade pe /z: attached to seaward side of dwelling; install 50sq.ft:of front'and'rear steps; install a( °a ;- sanitarysystem on the landward side of dwelling; install a public water line; and install r ?) 1 utters to leaders�to d ' , ells to contain storm-water runoff; with`the condition toO. �: 4 �t establish and perpetually anaintain a 60'`wide non-disturbance buffer from the edge of ! ' the creek •landward; and a's depicted,on the survey prepared by Kenneth M.Woychuk, \1;! Land Surveyor, last dated April 5,2007, and stamped approved on June 22,.2016. E 4g . , IN WITNESS WHEREOF,the said Board of Trustees hereby eau its Corpor Seal to be affixed, � ' �r4 1 ,IPV4 and these presents to be subscribed by a majority of the said Bo. d o thi date , . 1:I. iiv' 7-- oil - �} ;; , ;�,r��� i Ff4t �_" , / / X0, �. :0,1 ISL. o a , ,,, .,„,.... ..,..„1,,,,„,,,.,,,, ..„ ' 7, .._' ,„:-,,,......2 : :,.,:ik, , : .,,., .kil$ ,, . ;.------„.... ,,.. , '1.--0,,,......„: "! c ,.. .. . ., . .„, _ ,,,,,,, , ..,, ,,, _ __,...-.- .;,1,.. 0 ---_-/Rt ,,*, -111),..,•• --__.......„..., ,,,so , . . , ,,,, ,..,,a, , ______c, ...„ ---... t -, , , . . , .. , . . ,,,.....„ r, . t,� 1 J 4. ,.`{. _ -�f erirtvw•. ,0 'k M. _ WA.”....).“,,S.. �.'i 2 ., M Y" > w 194, NA*V'X#JY .V MN S. 2i..L' '.54�'A..,5 Y..;�A • ` 1 i *4.�, \tee,, mem 01 ., �r fit` -'i 4,, k4i . „- tk,✓+ 1 i yrs\ . °C' + i+:;+ x'i4 Z. .. -•`.J.r #. 4L \i1. ++�r i�R: .,{e+ r 1.!., :2 ,.., r ;st r r,1r r Sia �� 4,, :.' r. ar' n- TERMS AND CONDITIONS The Permittee Jack Cipriano, residing at 8150 Main Bayview Road, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Pennit 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. John M.Bredemeyer III,President ,S®(/T�® Town Hall Annex Michael J.Domino,Vice-President �1�, � l® ; 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 N , A.Nicholas Krupski f ��/��� Telephone(631) 765-1892 Charles J.Sanders Fax 0 o' Fax(631) 765-6641 � i ost • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 22, 2016 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JACK CIPRIANO 8150 MAIN BAYVIEW ROAD, SOUTHOLD SCTM# 1000-87-5-23.6 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 22, 2016 regarding the above matter: WHEREAS, Patricia C. Moore, Esq., on behalf of JACK CIPRIANO applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 14, 2016, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, • WHEREAS, the LWRP Coordinator 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 June 22, 2016, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JACK CIPRIANO to construct an approximately 2,800sq.ft. two-story, single-family dwelling with covered porch on landward side; a 210sq.ft. deck with steps to grade attached to seaward side of dwelling; install 50sq.ft. of front and rear steps; install a sanitary system on the landward side of dwelling; install a public water line; and install gutters to leaders to drywells to contain storm-water runoff; with the condition to establish and perpetually maintain a 60' wide non-disturbance buffer from the edge of the creek landward; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveyor, last dated April 5, 2007, and stamped approved on June 22, 2016. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, .ate John M. Bredemeyer III President, Board of Trustees JMB/dd -- APPROVED BY . ' „ - -'-'BOARD OF 1RUSTEES ;; I!� ��4�t;[i�,d�.i� DWELLINGS S.C.T.M.# DIST:1000 SEC:87 BLK:5 LOT:23.6 -, „'- i W/PUBLIC WATER EDGE OF PA,. .i1, -,IJP, 22 " _ _ #R10-05-0198 N� 1 (G y A •' ••Lr PAVEMENT- TOWN MAINTAINED I" - j , ' /I, CL 17.57 II'I, _ ... :W., • w..- _ .�. _ CL 1873 ' MAY 21 2008 - , ` • - - - - -• •- ._ .-_.-,• EXISTING WATER MAIN _ _• - •_ 1 VT _ - Iar; - . EDGE OF PAVEMENT - ;, NYTIP71 NYT9'72 16 T ^ II; _ .. 16 GUY • S ii 4°07't 0"E I EL 16.6 185.00' A 861.00' 14 I • 7o:z's UW• Viz_ I C:) Ent1111 14 QSTA t`- SET a 04 a2-06 I• 41110dr 14 0 CZ ?fs o O FaI 10'MIN lin ,p, ____, -2,- , /0.6' { +E ¢ I WOOD C�2 a-{ APR 1 4 2016EL(bib12.0) STEPS IEL(14., :r, T 8- ........_ 5g 9' COVERED :•D PORCH ' s__ iiA r 1 59.9' Srt,l,',..'1IPwn- _a . x I _10 CARA 12 71___ " GF(10.5) „m{ DWELLINGS 1. � o "OPOSED p 2 ST- r EL W/PUBLIC WATER x o DRY u a WELLING FFL(16.• 150' CONDOMINIUM z o WELL CRAWL 9.0 COMMON AREA 1x F CRAWL( ) 1 LAND N/F N a :.5) Allk . .2' / OF / 1111 .OD �.�� EL(10.5 "THE COVE AT SOUTHOLD" / -. '' o DE !III 10 o STAKES SET A 16.5omS'.' LAND N/F D4-02-06 g OF x 8 Cr JANICE HILLMAN SHYLES PROPOSED p �E �A LIMITS OF CLEARING OD M47,4579-/L-3- Cor Allib6*.- up -lea' L-/M66 � S jRM 8 G^ 110 6 ELEV. 16.6 20M�poOMLgpy �I I�IM��r��r>li��Y► ,�T1il11,,�`'Iitki i^'� 14110110111110111110 WW1 - ME W _ r- � -' . -\� BROWN 60' NON DISTUR:• BUFFER SI SANDY LOAM 0 s. O g 1AS7AL 7ARRIER BOUNDARY ��'\� \ LOA SAND x FtR/y 2 \IDEM IFIEI\11.7../. x'90\ \ \o\ \ \ PALE 1.6' ^o FjRM•COAo k \ \ \ \ \ g\ \ L\ \\\ �\ mBROWNow M Zi 44-8 \ \ C \ \ \ \ \ \*. ,,.. .. \t%\ \ ` TO DWARD LIMIT • TIDAL W tS D LINE IS COARSE / AS DELINEATED 11-•-OS } VEGEiANYMOTED n WffH 7DAL 0PNOF BANK SAND /� \ \ : C. .:OWMATL • SE SLOG CES.INS \ \ \ 1\ \ /\ \ 6 \ \ \ 1 TO In dlIM1�_ • f1�\ \ /� _ _ -11714/ L 2.5 �\ EL 2.2 WATER 14.4' - x M/ \ \ \ \ \ \ \ \ \ \ WATER IN PALE / BROWN MEDIUM \ \ \ ./• \\ \ \ N64°07'00"Y \ \ \ 125.00'(DEED)\ \\ \ \ co TO \ , / 115.00'(ACTUAL') SAND SE r /\ \ \ \ , \ \ \ \ \ \ \ \ \ \ \ \ 06-20-05 17• 70:00 AIA / "Ci �/1 e�rfn\ Cly�/ 1 �--DWELLINGS /\ \ \ \ \ ^� �\ \ \ \ \ \ \ \ \ \ B AR OF ILe.UJIk'rJ COREY CREEK W/PUBLIC WATER` 1\ \ \ \ \ \ \ \ . '�\ \ N \ \ \ \ \ \ '►`CIVksoN1,l ' 6 1 \ \ \ \ \ \ 1 \ \\ \ \ \ \ \ \ \ \ \ :1 1 \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ . QQ - ' I \ 4° \'0 \� \ \70.\' \ \ \ \ \ \ \ L CI LOCKING \ N N N N N \\‘' � \ \ COYER 70 GRADE .� _.EL(1 3O)FINISH GRADE I ` ,10'SEPERATION -1'14171-2 WJ( g 6'COVENtailB COVER Subject Property: Jack CiprianoI .. I ERT1�� ,I Flil ' - • Main Bayview Road CONDOMINIUM\ \ \ \ \ \ r0 -5.7:N 371 JUN/INVERTTsa•1 INVERT (12.515) Southold, NY 11971 COMMON AREA 2 FOUN�DA7ION e' n� POOL R L SAME LAND N/F �a;1 6 sAnm a OF SUN CRA "THE COVE AT SOUTHOLD" 00- • USE 4"DIA.APPROVED SEWER PIPE WOO GAL, PRECAST S.T. TOTAL LOT AREA: 40,500 SQ.FT. OR 0.93 ACRES > EL(7. UPLAND LOT AREA: 38,610 SQ.FT. OR 0.89 ACRES { :A.°?. 1, ALLOWABLE IMPERVIOUS SURFACE 5,791 S.F. OR 157 NOTE: GROUND WATER EL 2.2 GROUND WATER EL 2.2 SILT SCREENING WITH HAY BALES ARE REQUIRED ALONG APPROVED LIMITS OF CLEARING LOT COVERAGE: AS PER NEW YORK GUIDELINES FOR URBAN EROSION AND SEDIMENT CONTROL. NVGD 1929 PROPOSED HOUSE 2,608 S.F OR 6 75% ELEVAAON DATUM.. PROPOSED DECK & 51E715 210 S.F. OR 0.5% UNAUTHORIZED ALTERATION OR ADDITION 70 THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY PROPOSED FRONT & REAR STEPS 59 S.F. OR 0.15% MAP NOT BEARING 771E LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN TOTAL PROPOSED LOT COVERAGE = 2,877 S F OR 7.4% ONLY IV THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS{BEHALF 7O THE TITLE COWAN); GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON,AND TO 771E ASSIGNEES OF 771E LENDING INSRTU710N,GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHORN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE DRAINAGE CA 1 C U LAT!0 N S. NOT UNTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS, EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE AME OF SURVEY BLDG. FOOTPRINT = 2,608 SQ.FT. SURVEY OF. DESCRIBED PROPERTY CERTIFIED TO. JACK CIPRIANO; 2,608 x 0.166=432.9 < 433cf REQUIRED MAP OF: (2) 8'DIA x 5' DEEP DRYWELL=441cf- PROVIDED FlLED SITUATED AT: BAY VIEW \ \ \ \ TOWN OF SOUTHOLD KENNETH_M. ,roYCRux L.S. COASTAL BARRIER BOUNDARY - \ \ \ \ SUFFOLK COUNTY, NEW YORK Land Surveying and Design CHANGE HOUSE 04-05-07 IDENTIFIED 11-16-90"Y, - '- �` P.O. Box 3, llattitaok, New York 11952 REVIDED 11-28-05 \ \ \ \ '/^'+^" AA .. _ FILE#25-92 SCALE:1"=20' DA Al�1G. 12, 2005 Phone (891) 298-1 fi88 Fax (631) E98-ifiBB N.Y.S.LIC NO 50227 maintaining Ow wear& &beet 1.Ieaawq John M Bredemeyer Ill, President \,0 Town Koos Town Hall Annex Michael J. Domino, Vice-President :'te ?',• y<-. 54375 Route 25 Glenn Goldsmith o , 4. m P.O Box 1179 A. Nicholas Krupski r:y"® ^. ,, Southold, NY, 11971 Charles J. Sanders `4o1 , �� r Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD %tad 6,t9110 • TO: TAck CifgIA-WO c/a -r P ro©eee Please be advised that your application dated APZI L Ott 2J( has been reviewed by this Board at the regular meeting of TuAJL 22, 2o/( ' and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) '/Z Constructed ($50.00) I(/ Final Inspection Fee ($50.00) we Do per It// c4 s &d F." KNQ. Q US Dock Fees ($3.00 per sq. ft.) 1016 670' Aro,v_Q,57-o , �� @. QL Sr✓ 5 The Permittee is required to provide evidence that the non-turf buffer condition 1V NorthkE of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a ecat notice covenant and deed restriction to the deed of the subject parcel. Such evidence AM6E, shall be provided within ninety (90) calendar days of issuance of this permit. *u Wim roo Permit fees are now due. Please make check or money order payable to Town of S Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. {i WOW" The following fee must be paid within 90 days or re-application fees will be necessary. le0-106— You will receive your permit upon completion of the above. CJif OA/ COMPUTATION OF PERMIT FEES: X386 TOTAL FEES DUE: $ 56.0-6 71 II f b I BY: John M. Bredemeyer III, President Board of Trustees John M. Bredemeyer Ill, President �pS� FO(q o` Town Hall Annex Michael J Domino, Vice-President ��� � ��� 54375 Route 25 Glenn Goldsmith oma. P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 414 .- .) Telephone (631) 765-1892 �1 NO;✓ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: / 4) -o Z Completed in field by: 71,4' Patricia C. Moore, Esq. on behalf of JACK CIPRIANO requests a Wetland Permit to construct an approximately 2,800sq.ft. two-story, single-family dwelling with covered porch on landward side; a 210sq.ft. deck with steps to grade attached to seaward side of dwelling; install 50sq.ft. of front and rear steps; install a sanitary system on the landward side of dwelling; install a public water line; and install gutters to leaders to drywells to contain,storm-water runoff. Located: 8150 Main Bayview Road, Southold. SCTM# 1000-87-5-23.6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or =q Setback Waiver Required 1. Residence: 100 feet _ a 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet �n 2. Driveway: 100 feet c,(/_ /Von 3. Sanitary leaching pool (cesspool) 100 feet: Div 4. Swimming pool and related structures: 100 feet trsO .eveL�``n� r- I O Public Notice of Hearing Card Posted: Y / N ��sc�--�j�.47. Ch. 275 Ch. 111 SEQRA Type: I II Unlist �— Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: OVC-1 L' Ng,/ Present were: J. Bredemeyer /Domino (G. Goldsmith `- N. Krupski • C. Sanders Other Page 1 of 2 John M. Bredemeyer Ill, President , pSU����Y ) Town Hall Annex , 1 54375 Route 25 Michael J Domino, Vice-President � �'" Glenn Goldsmith o P.O. Box 1179 � ' ` Southold, NY 11971 A Nicholas Krupski � . Charles J. Sanders 'yyj Telephone (631) 765-1892 0./ Fax 631 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Patricia C. Moore, Esq. on behalf of JACK CIPRIANO requests a Wetland Permit to construct an approximately 2,800sq.ft. two-story, single-family dwelling with covered porch on landward side; a 210sq.ft. deck with steps to grade attached to seaward side of dwelling; install 50sq.ft. of front and rear steps; install a sanitary system on the landward side of dwelling; install a public water line; and install gutters to leaders to drywells to contain storm-water runoff. Located: 8150 Main Bayview Road, Southold. SCTM# 1000-87-5-23.6 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 5525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 -r„ ti- John M. Bredemeyer Ill, President pS�FF04 < , , . , Town Hall Annex Michael J. Domino, Vice-President _r ,s�� ��y ;, 54375 Route 25 Glenn Goldsmith oma` t P.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders y o� Telephone (631) 765-1892 �o� „f '�< Fax(631) 765-6641 • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 7 /7/ 2.e /C Completed in field by: wt / n - Patricia C. Moore, Esq. on behalf of JACK CIPRIANO requests a Wetland Permit to construct an approximately 2,800sq.ft. two-story, single-family dwelling with covered porch on landward side; a 210sq.ft. deck with steps to grade attached to seaward side of dwelling; install 50sq.ft. of front and rear steps; install a sanitary system on the landward side of dwelling; install a public water line; and install gutters to leaders to drywells to contain storm-water runoff. Located: 8150 Main Bayview Road, Southold. SCTM# 1000-87-5-23.6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=i Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: ' 4. Swimming pool and related structures: 100 feet Publip Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey s 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Q _ . -KifCis i-,) 616 Ytt9tA:d--&-/.. Present were: . Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer Ill, President OFFOUrTown Hall Annex Michael J. Domino, Vice-President ��� & o�y�n 54375 Route 25 Glenn Goldsmith ,` m z r P.O. Box 1179 A Nicholas Krupski ' Southold, NY 11971 Charles J. Sanders �44 = o� Telephone (631) 765-1892 , . ��' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • Date/Time: Completed in Work Session by: Patricia C. Moore, Esq. on behalf of JACK CIPRIANO requests a Wetland Permit to construct an approximately 2,800sq.ft. two-story, single-family dwelling with covered porch on landward side; a 210sq.ft. deck with steps to grade attached to seaward side of dwelling; install 50sq.ft. of front and rear steps; install a sanitary system on the landward side of dwelling; install a public water line; and install gutters to leaders to drywells to contain storm-water runoff. Located: 8150 Main Bayview Road, Southold. SCTM# 1000-87-5-23.6 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic c wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands {in the vicinity: , I. Otherwise adversely affect the health, safety and general,welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. 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BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK ,) _, , PERMIT N0. 8079 DATE: FEBRUARY 20,2013 , '4, ::--( ISSUED TO: JACK CIPRIANO 0•i, .. PROPERTY ADDRESS: 8150 MAIN BAYVIEW ROAD,SOUTHOLD ,? :` i SCTM# 87-5-23.6 (:::: AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in 1.-,y- r accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 20,2013,and in consideration of application fee in the sum of$250.00 paid by Jack&Cheryl P.Cipriano and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits 1 the following: ( I ,---',; :9`;`'' - "-. Wetland Permit for the construction of a single-family dwelling with covered porch,deck,drainage, sanitary and water line; with the conditions to establish and j 1 y subsequently maintain a 60' wide Non-Disturbance buffer from the edge of the creek 1 ' .;. landward; and a line of staked hay bales be installed prior to construction; and as �,, , depicted on the survey prepared by Kenneth M.Woychuk,Land Surveyor,last dated `c April 5,2007 and stamped approved on February 20, 2013. 1)- 1 V IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, , ,'I '-,- '( • r and these presents to be subscribed by a majority of the said Board as of this date. 4 ..., ., ,:, ,,,,,,,,,,,, ...... lie/ cif,��® 4,®�� ' ( / i i ...... 8 1 - l .. N......7.......:/... TERMS AND CONDITIONS The Permittee Jack Cipriano,residing at 8150 Main Bayview Road,Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Pennittee 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. . 0. ,, .,MARV fir 71 7xV:kitlwit ,AF R: . w N 321,902 *0, ..,(''' .N. .- z..._ 2...4,,,,#111 6 , RD 792 - R 2 3 2 1., Au; Eir...' ..... , sr . 4 1,6 : '"'. A . n-• Sle,U7-1_,;„81 .,., it \N . 4 236 k _____—**-- 1 FONITS \5 SEE SEC 087 ,aammor,IARaAl o'`. "::---' ° - MIL, '27 ''; ' 224 THE COVE AT SOUTHOL\D :18 O9A • , :B3.,., „. 3 3'0' 1. ..allik' q•if 149/"E,* '49'44k TOWN OF SOUTHOLD //".. 1.11,.....IA. f,1;A'('CL . I C a' '22inir- ' ' ' ._''''1 2.''''' ‘rolitit• cp144*N 71.S''' la / / ' : a 'N CC•11 ^ / „ o &M ' JOja,(24 `I, 331 , ,., . ... .0 e( V 13 0 W t.21, 116,17.0.111111129111141fto:Z6,10 voir• 4'At'.. 0 ) 01.22. ____ - ,... , „ „, „ .• ( ). I ce a 21 0 + . , a 22 Is ,,,c, .0i,,..„...00 r -„, `-'• .1 ,,,.,„ 3 2AM SOUTHOLD ,,,,., ai ts ..,' , . •...0 3' 1... .. „, , PARK , FD 28 L D 43 DISTRICT , /""I J ,„,,-- ____ --,...---- - •-i 141111111111110111116\ ------ ------... ----... -- k ecre . 1 wmamE /A --- N .,, 1.• , ::5',,p It,. , , , . __ _....._,___... ,,, ___. ---- . r__,.....„,..„...„,_........../ L ----i--.- .., -.).. ..., s, ------ /'//// tr ____. .--S rt, itil ii. .F.022. r , - ---- . ic,„,„0 ,f,/ CY -.......„ "s•-, \ .73 .\.\ t 1.s.c_OA(y SO ci. lea ,-,".- / / sm .---`,.. a ____ ...,—, i 'I' 8 • —___ ....... ,.. ......, . , 8 ---__ I: .........- ',..., ------ ---- --- .....___ -----___ , 4505 /4./ .-...._. - ......... ...,.... COUNTY OF SUFFOLK -- _ .. -- y, -- ... --- , ------_ TOWN OF SOUTHOLD/et/ S. / / ....___ - ---- --- Ho..-- / .------- ------„— i --. HOG ,'. NECK BAY a, --....... --.-_ 1 14 31B,182 112 IS :II i I I SECTION NO I 0 , sal— w000wc......... ——o V.V.OWNOnielausE.P.U.PROPERTICS NOTICE ,,,,,i. COUNTY OF SUFFOLK © 0,, .. ....' SOUTHOLD . sw...Low. °.' .-..' —"Z-— so................ (21) ....,. O.W..T.'S fe.......-.1 [MEP WAD IMIKRBANCE ALVERATION SALE OR t Real Property Tax Service Agency 87 r V1LLAGE OF I 1 maira C4.7 County Center raneemead IV YlISOI me . ..... m MFFOLN...11,1.1.1.4P 15 PRONSITE0 .. 4 WALE ita if, . .. .. waTlipyr wtirrEZERWS6-71 OF T. ,..A. 2pp p zap en ./,‘.2 iv 0151PICT NO 1000 PROPRTY MAP ''nn''''.....',r,........''." " ' .. , . 3,;-.. ,‘'.7-N? CC#: C13-18963 4.;,ol ''':'T, ..}'i.M?. COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 05/06/2013 under Liber D00012728 and Page 647 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 05/06/2013 . SUFFOLK COUNTY CLERK (/c2i.,_GL[:Z7L Q T R.Q�Q_Q_p_J CC�� JUDITH A.PASCALE SEAL 11111111111111111 1110 11111 11111 11111 11111 11111 liii II 111111111111111D liii 1111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 05/06/2013 Number of Pages: 4 At: 10:05:55 AM Receipt Number : 13-0053271 LIBER: D00012728 PAGE: 647 District: Section: Block: Lot: 1000 087. 00 05.00 023.006 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20:00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $5.20 NO RPT $60.00 NO Fees Paid $125.20 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 11 2 Number of pages RECORDED 2013 May 06 10:05:55 RN JUDITH R. PRICKLE CLERK OF This document will be public SUFFOLK COUNTS' record.Please remove all L 000012723 Social Security Numbers P 647 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page J Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit Notation or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX ( A fi1� cr7 ijp; ,; Dual Town Dual County — R.P.T.S.A. K7elt7 Held for Appointment Comm.of Ed. 5. 00 w 'p'' `� Transfer Tax Affidavit **12•_., _t.n +. Mansion Tax Certified Co ' ' �" The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other _ Grand Total ic). 'd-T) If NO,see appropriate tax clause on page# of this instrument. CLQ 4 ,Dist. 10 2475823 1000 08700 0500 023006 5 Community Preservation Fund exl Property PTS 111111111111111 Consideration Amount$ T Tax Service R SMI A Agency 03-MAY-1 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land PATRICIA C.MOORE ESQ. TD 51020 MAIN ROAD SOUTHOLD NY 11971 TD 7 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# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DECLARATION OF COVENANTS AND RESTRICTIONS made by: (SPECIFY TYPE OF INSTRUMENT) JACK CIPRIANO The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of SOUTHOLD TOWN OF SOUTHOLD In the VILLAGE or HAMLET of SOUTROL D BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) DECLARATION OF COVENANTS AND RESTRICTIONS DECLARATION made this lday of April, 2013, by JACK CIPRIANO, residing at 19 Hawthorne Ave., Central Islip, New York 11722, as owner, hereinafter referred to a the "Declarant". WITNESSETH: WHEREAS, the Declarant has title to certain land situate, lying and being at 8150 Main Bayview Road, Southold, Town of Southold, Suffolk County, New York, SCTM 1000- 87-5-23.6 said land being more particularly described in Schedule "A" which is attached hereto; and WHEREAS,the Property is situated in or adjacent to lands activities upon which are regulated by the Town of Southold Board of Trustees pursuant to Chapter 275 of the Town Code of the Town of Southold, as may be amended,and various activities conducted upon the property are subject to the jurisdiction, regulation and approval or disapproval of the Trustees prior to being conducted; WHEREAS, the Declarant has applied to the Town of Southold Board of Trustees for a wetland permit for construction of a single-family dwelling with covered porch, deck, drainage, sanitary and water line as depicted on the-survey prepared by Kenneth M. Woychuk, Land Surveyor, last dated April 5, 2007 and stamped approved on February 20, 2013. WHEREAS,the Town of Southold Board of Trustees, as conditions for the issuance of such Wetland Permit, required certain covenants and restrictions be placed on the property as shown on the aforesaid plans. NOW, THEREFORE, this Declarant witnesseth: That Declarant, for the purpose of carrying out the intentions expressed above does hereby make known, admit, publish, covenant and agree that the said property herein described shall hereafter be subject to the following covenants which shall run with the land and shall be binding on all purchasers and holders of said premises, their heirs, successors, and assigns, to wit: 1. Establish and subsequently maintain a 60'wide non disturbance buffer from the edge of the creek landward; and a line of staked haybales be installed prior to construction as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveyor, last dated April 5,2007 and stamped approved on February 20, 2013. 2. These covenants and restrictions can be modified only at the request of the then owner of the premises with the approval of the Town of Southold Board of Trustees after a duly noticed public meeting. Adjoining property owners shall be entitled to notice of such public meeting by publication or as otherwise deemed sufficient by the Board of Trustees but their consent to such modification shall not be required. 3. It is the responsibility of any party having any right, title or interest in the Property to consult Chapter 275 of the Town Code of the Town of Southold, as may be amended, and to obtain from the Town of Southold Board of Trustees review and such approvals as may be required by Chapter 275 for activities regulated therein on the Property. 4. Declarant grants the continuing right in perpetuity to the Town of Southold or any of its designated representatives to enforce the conditions and restrictions of the covenants. THE FOREGOING covenants and restrictions shall bind the Declarant, its heirs, successors and assigns, and any and all person or persons who shall succeed to the ownership of said premises of any part thereof by transfer or otherwise. IN WITNESS WHEREOF,the Declarant has duly executed this Declaration the day and year first above written. - i T - ' if ti Jack Cipriano MARGARITA M.WARREN Notary Public-State of New York STATE OF NEW YORK No.01WA62721 SS: Qualified In Suffolk Co unty COUNTY OF My Commission Expires Nov.13,2016 j WOW— Apr; ft o rApr;I On the /g day of Febrtrary 2013, before me, the undersigned, appeared Jack Cipriano g personally p personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity and that by his signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument Notary ublic SCHEDULE A ALL that certain plot,piece or parcel of land with the buildings and improvements thereon erected, situate, lying and being at Bayview,Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the southerly side of Main Bayview Road where the easterly line of land now or formerly of Turner intersects the same, said point of beginning being the northwest corner of the premises herein described; running thence along the southerly side of Main Bayview Road, south 64 degrees 07 minutes East 185.0 feet to land of now or formerly of Russell Hillman; thence along said last mentioned land south 25 degrees 53 minutes west 200.0 feet to a boat basin;thence running along the northerly line of said boat basin, 125.0 feet to a point; thence running along the westerly line of said boat basin in a southerly direction 50.0 feet to land now or formerly of Turner; thence along said last mentioned land the following two courses and distances: 1)North 64 degrees 07 minutes West 70.0 feet;and 2)North 25 degrees 53 minutes East 250.0 feet to the southerly line of Main Bayview Road and the point or place of beginning. ,• ;r''` , j, PATRICIA C. MOORE C. Attorney at Law ihn 4..A' _ ., 51020 Main Road .. A 5'1,10 in ;ars.:� ���'�'<,;;�`::�.,���� Southold New York 11971 K.,.. yf 4i�` � rTel: (631) 765-4330 E _,r Fax: (631) 765-4643 www.mooreattys.com - - MEMORANDUM ' b) EQEVE TO: Trustees _ FROM: Betsy Perkins LA 11 JUL " 1 2016 - 1 DATE: July 1, 2016 Southold Town • Board of Trustees SUBJECT: Cipriano Trustees permit -- ._ attached please find my client's check in the amount of$50.00 representing the final inspection fee. Thank you. Ir t!' ,"*.o f SO(jry- OFFICE LOCATION: �•'� ® MAILING ADDRESS: Town Hall Annex ��� �® l®air_• P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 ••• 4 �� Telephone: 631 765-1938 � .r l�couNuI � LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: May 13, 2016 Re: Local Waterfront Revitalization Program Coastal Consistency Review for JACK CIPRIANO SCTM# 1000-87-5-23.6 Patricia C. Moore, Esq. on behalf of JACK CIPRIANO requests a Wetland Permit to construct an approximately 2,800sq.ft. two-story, single-family dwelling with covered porch on landward side; a 210sq.ft. deck with steps to grade attached to seaward side of dwelling; install 50sq.ft. of front and rear steps; install a sanitary system on the landward side of dwelling; install a public water line; and install gutters to leaders to drywells to contain storm-water runoff. Located: 8150 Main Bayview Road, Southold. SCTM# 1000-87-5-23.6 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP provided the following is required for further Policies 5 and 6. 1. Require that the 60' wide non-disturbance buffer is recorded in a Covenant and Restriction. Maintenance activities and access to the water should be outlined. 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: Stephen Kiely, Assistant Town Attorney if INF ofFoor o. ta Peter Young,Chairman y Town Hall,53095 Main Rd Lauren Standish,Secretaryu, P.O.Box 1179 Southold,NY 11971 7f� �i�:„ Telephone(631)765-1889 = 1 `�` �� Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 11, 2016 the following recommendation was made:, Moved by Peter Meeker, seconded by Keith McCamy, it was RESOLVED to NOT SUPPORT the application of JACK CIPRIANO to construct a single- family dwelling, approx. 2,800 sf. with covered porch, 210 sf. of deck and steps, 50 sf. of front and rear steps, with drainage, sanitary and water line. Located: 8150 Main Bayview Rd., Southold. SCTM#87-5-23.6 Inspected by: Peter Meeker, Keith McCamy The CAC does Not Support the application because the project was not staked or posted. The proposed structures and the wetlands boundary line should be properly staked in order for the CAC to provide a recommendation. Vote of Council: Ayes: All Motion Carried John M. Bredemeyer III, President 0f ' S S°UT4/ Town Hall Annex t'`` O ` 54375 Main Road Michael J. Domino, Vice-President � .9��''.v; O • s 51r Y�; ;',. �va • P.O. Box 1179 James F. Kin Trustee +% "J".� King, ,� • % Southold,New York 11971-0959 Dave Bergen,Trustee c/2. 'f � 1 • 'f' i0 � Telephone(631)765-1892 Charles J.Sanders,Trustee OIyCOU ' I '�to Fax(631) 765-6641 ff� -a MIA iii&/ 12ECEOVE 1 \i BOARD OF TOWN TRUSTEES 1 TOWN OF SOUTHOLD APR 1 5 2016 To: Southold Town Building Department Re: Verification of Building Department Permit Requirements BUILDING DEFT. TOWN OF SOUTHOLD SCTM#: g7-5- 23,(0 Property Owner Name: JA-c_I� GtPZ�A-No Date Sent to Bldg. Dept.: If'I5-46. • The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YiEy NO I the proposed project require a Building Permit? Will t proposed project require a variance determination from t oning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: • eZe44,-: Signature of Re wer Date 1110. SOO ,,,,,,z-z-„,,,,,SUS John M.Bredemeyer III,President '~, �1��, Town Hall Annex Michael J.Domino,Vice President ,. p -4. 54375 Main Road _ �z < �� q� 4. 1 zl`.:, ' *`:;C SO r' P.O.Box 1179 James F.King,Trustee ' , w.;i4r * p Southold,New York 11971-0959 Dave Bergen,Trustee , „'' , • 4 Telephone(631) 765-1892 Charles J.Sanders,Trustee \i, r'�S©U�.;,�\ {$Jjj' Fax(631) 765-6641 , `-<-zz -- BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only i _Coastal Erosion Permit Application y, Wetland Permit Application ' Administrative Permit / _Amendment/Trans,er/Extension V Received Application: T,i��/tv �7ReceivedFee:$ ZS®i� F:, ., , tCompleted Application:_ °�,)54(p , : .... I, -:..- Incomplete: � , SEQRA Classificatti6n . li ;;` :, ' Type I Type II ✓ Unlisted + APR 1 4 2016 1'" p i Coordination:(date sent): ` LWRP Consistency As essment Form: 5'6460/(o L ...- ____._ __wa v' CAC Referral Sent: lh 27,/6 S°1i��', -°'i7 ' Date of Inspection: 6.1Itl(o �- -; —`' =_;'-_- - _ _ . _Receipt of CAC Report: ' _Lead Agency Determination: /Technical Review: ' Public Hearing Held: ' '1 '!O Resolution: Name of Applicant:_-- C: G c pnCA/y1 c- - - --- Mailing Address: t c( -1-4 Gl,lthlfur10 c A—& e 2 CT O \v'cx Q_(c r N.y. [ t 7 ,..p.......?-1(ElPhone Number: 6 3 (9.3 y _ O ( (o Suffolk County Tax Map Number: 1000- . S_-- 0.3 Co Property Location: 51 5 0, - _Aka i f Yr t"--g-4.` Pond (provide LILCO Pole#, distance to cross streets, and location) AGENT: __ , 7P ,Com& C , o _.. (If applicable) nn Address: _ ..6---E 02 0 . . M C Yl ,Rood - V , Dino 1 6. . W.__ 119 / i . Phone: _ 712-5' 33 O �90jtIt Boa of Trustees Application r GENERAL DATA Land Area(in square feet): `I ()r ,c1)C7 Area Zoning: k- 40 Previous use of property: J O r Q Y t Intended use of property: i nci (c `G7k.(Yl(.11, e L 1 c 9 I 9 Covenants and Restrictions on property? Yes ' ( No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s) on property have a valid Certificate of Occupancy? Yes X No 6/(Xe_CIA/C0 Prior permits/approvals for site improvements: Agency Date (e.- ‘kortcLe.a ) -1) C._ )--Lri3s---635-oy000/ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): Cipriano Construction of a single family dwelling, approximatley 2,800 square feet, with covered porch, 210 square feet of deck& steps, 50 square feet of front&rear steps, with drainage, sanitary and water line Board,' Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed,operations: h Ue A.��S .o- Area of wetlands on lot: loy ooc-' square feet Percent coverage of lot: 2. Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: c feet Does the project involve excavation or filling? No x Yes rvci cd11-010 If yes,how much material will be excavated? cubic yards How much material will be filled? `TES ' cubic yards Depth of which material will be removed or deposited: 1 BD feet Proposed slope throughout the area of operations: cc4cLit Manner in which material will be removed or deposited: racikiL el() ( F nn e r — ho v C min5 IW Ct-� 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): ND n-e— 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. , Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l -Project and Sponsor Information 1 trt _ ! Name of Action or Project: , Gide- C1 pr tO/1'l 0 _ Project'Location(describe,and attach a location map): iSo n .. Rd ) Sn.o\Mag Brief Description of Proposed Action: S t A Ci (r d c cl Y-e s t 0,e-v..`-P-t 6-c 1 out 1 e pard , d k dc- �v✓w ) & > Gam-✓ I &v�c�� cx v✓1 ay, .1 Name of'Applicant or Sponsor: Telephone: (A CIC, Ci I Irk.Cv1/1 o E-Mail: - + Address: i 9 j V-1-116r n-e City/PO: = . - State: ' Zip Code: 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance,- ',NO YES , , administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that 1 - _II may be affected in the municipality and proceed to Part 2. If no,continue to question 2. f 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO ,YES;' If Yes,list agency(s)name and permit or approval: `3:a.Total acreage of the site of the proposed action? _r,c acres b.Total acreage to be physically disturbed? ._. _ acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? , S acres 4. Check-all land uses tha ccur on,adjoining and near the proposed action. -__ - ' 0 Urban ural(non-agriculture) ❑Industrial 0 Commercial ❑Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify)., _ .- _ ❑Parkland Page 1 of 4 5. "Is the pioposed action, NO YES :N/A a.A permitted use under the zoning regulations? .171 , b.Consistent with the adopted comprehensive plan? 0 U i 6. Is the proposed action consistent with the predominant character of the existing built or natural - NO YES landscape? l l,' i1 ,/� 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.:_. . _.-_`_ _ _ - - _ - - - - _-. 8. a.Will the proposed action result in a substantial increase in traffic above present levels? ,NO YES ' b.Are public transportation service(s)available at or near the site of the proposed action? {� (�(j t� l a, c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? V ' 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:. i 10. Will the proposed action connect to an existing public/private water supply? NQ__ YES If No,describe method for providing potable water: _ l' l , 11.Will the proposed action connect to existing wastewater utilities? NO_ YES , If No,describe method for providing wastewater treatment. d,.JCiry J J 0 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES ,' Places? ,J �f1 b.Is the proposed action located in an archeological sensitive area? - n , 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? '11 ,F , b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? n' ` If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: 0,,Sh.oreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional LI Wetland 0 Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed -NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO , YES - 11 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO.. :YES If Yes, .(�'� a.Will storm water discharges flow to adjacent properties? [�]NO EYES I-----1 1 1-71 ' b.Will storm water discharges be directed to established conveyance systems(runo and storm drains)? If Yes,briefly describe: [NO OYES i '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: T _".,_.( j:f ., _4) __ - L - 19.Has the site of the proposed action or an adjoining property been the location of an active or closed .NO ` YES [ solid waste management facility? If Yes,describe: ____ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(on -going or NO' YES completed)for hazardous waste? �� If Yes,describe: .- . - _ • `; I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE • Applicant/sponsor name: _ G, fee i� C�0 Q _ Date:. _ -'-tem-=/6, .-_ . Signature: .- �e,•-' _ _-_ --�. _. Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of thafollowing questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate" small to large impact ' impact may I may occur occur_ _ I. Will the proposed action create a material conflict with an adopted land use plan or zoning I regulations? I .! 2. Will the proposed action result in a change in the use or intensity of use of land? 1 1 ` 3. Will the proposed action impair the character or quality of the existing community? l i 4. Will the proposed action have an impact on the environmental characteristics that caused the I 1 F 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? 1 1 `7. Will the proposed action impact existing: - , - 1-1 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, ,I = I waterbodies,groundwater,air quality,flora and fauna)? !." Page 3 of 4 f No,or Moderate f small to large impact impact may may occur occur ' 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage I problems? t I- j 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. n Check this boz if you have determined,based on the information and analysis above,and any supporting documentation, I 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 envir nme tal impacts. Town of Southold-Board of Trustees Name of Lead A ency Date D /'1_ ���[� Cts President - Print or Type Name of Respon• : Off r in Lead Agency Title of Responsible Officer __ Sig ure of Responsi.: Officer in Lead gency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 BOARD OF TRUSTEES )t TOWN OF SOUTHOLD: NEW YORK x In the Matter of the Application of AFFIDAVIT OF JACK CIPRIANO MAILING Applicant's Land Identified as 1000-87-5-23.6 D E -"° E -- I ' MAY 262.016 COUNTY OF SUFFOLK) STATE OF NEW YORK) I G,ml ;la �_. s I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On the NI day of May, 2016 I personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to the neighbors on the-attached list. Attached hereto is the white receipt r•st-marked by the , outhold Post Office on said date. �� Be sy Perkins (Signature) . Sworn to before me this OC day of May 2016 —7776e4-87-tuexe9.7(. 2a (Notary Public) MARGARET C. RUTKOWSKI Notary F nlic. State of New York No. 4 2528 Qualified in Se f June 3nty,° /9 Commission Exp PLEASE list, on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. 1 c J . CIPRIANO NEIGHBOR LIST SCTM: 1000-87-5-23.6 Russell Hillman Richard E.Norklun 8340 Main Bayview Road 55075 Rte 25 Unit 43 Southold NY 11971 Southold NY 11971 sctm: 1000-87-5-23.2 sctm: 1000-78-9-34.1 Suffolk County 330 Center Drive John&Mary Sue Richardson Riverhead NY 11901 59 W. 71st Street sctm: 1000-87-5-23.9 New York NY 10023 sctm: 1000-78-9-80 Joseph&Jeanine Burke Edward&Jeanne Johnsen 11356 E. Autumn Sage Drive 1529 Walnut Ave Scottsdale AZ 85255 Merrick NY 11566 sctm: 1000-87.1-1-33 sctm: 1000-87.1-1-27 Gail Chellel Mario & Christine Tomiatti PO Box 100 500 Meadow Court Unit 26 Southold NY 11971 Southold NY 11971 sctm: 1000-87.1-1-32 sctm: 1000-87.1-1-26 Andrew T. LaGrega Living Ttust Burke Family Trust 385 Essex St 16 Quay Street Lynnfield MA 09140 Centerport NY 11721 sctm: 1000-87.1-1-31 sctm: 1000-87.1-1-25 Carol E. Burke 400 Meadow Court Unit 30 Robert& Christina Harper Southold NY 11971 55 Hilton Ave. sctm: 1000-87.1-1-30 Garden City NY 11530 sctm: 1000-87.1-1-24 Kathleen H. McCabe 400 Meadow Court Unit 29 \. Southold NY 11971 Joan E. Ahisen sctm: 1000-87.1-1-29 600 Meadow Court Unit 23 Southold NY 11971 Lynnore Schwarz sctm: 1000-87.1-1-23 300 E. 56t''Apt 8G New York NY 10022 sctm: 1000-87.1-1-28 Francis &Alice Manzella Joseph&Janet Tymeck 600 Meadow Court Unit 22 68 Sandy Hill Road Southold NY 11971 Oyster Bay NY 11771 sctm: 1000-87.1-1-22 sctm: 1000-87.1-1-13 Andrew T. LaGrega Living Trust Joseph&Helen Parrella 385 Essex St 120 Maple Hill Rd Lynnfield MA 09140 Huntington NY 11743 sctm: 1000-87.1-1-21 sctm: 1000-87.1-1-12 William&Joanne Johnson Karapitis Living Trust 8451 SW 82nd Loop 10 Garden Street Ocala FL 34481 Port Jefferson Sta.,NY 11776 sctm: 1000-87.1-1-11 sctm: 1000-87.1-1-20 Susan Q. Kerr Barry&Donna Gilbert 755 Meadow Ct Unit 19 54 Verleye Ave. Southold NY 11971 East Northport NY 11731 sctm: 1000-87.1-1-19 sctm: 1000-87.1-1-10 Charles&Rani Beck Peter J. Kulla Rev. Trust 755 Meadow Court Unit#18 Edit R. Kulla Rev.Trust Southold NY 11971 7316 Wax Myrtle Way sctm: 1000-87.1-1-18 Sarasota FL 34241 sctm: 1000-87.1-1-9 Linda E. Mann 649 E. 14th Street Elizabeth Schloss New York NY 10009 PO Box 421 sctm: 1000-87.1-1-17 Southold NY 11971 sctm: 1000-87.1-1-8 Timothy Tattam Katherine Evans Carol A. Solinger 25 E. 86th Street 455 Meadow Court Unit 7B New York NY 10028 Southold NY 11971 sctm: 1000-87.1-1-16 sctm: 1000-87.1-1-9 Anthony&Francis Coppola 655 Meadow Court Unit 15 Dorothy A. Grella Southold NY 11971 9 Legends Cir sctm: 100-87.1-1-15 Melville NY 11747 sctm: 1000-87.1-1-6 Herzog Family LP 25 Stone Hill Dr S Manhasset NY 11030 Anna Rochler Grella sctm: 1000-87.1-1-14 12 Candlewood Path Dix Hills NY 11746 sctm: 1000-87.1-1-5 Kurt Larsen Rev. Liv. Tr. Julia Larsen Rev. Liv. Trust 60 Abinet Ct Selden NY 11784 sctm: 1000-87.1-1-4 Eileen Fox Irrev. Trust 305 Meadow Court Unit 3A Southold NY 11971 sctm: 1000-87.1-1-3 Roula Theofanis 490 High Cliffe Ln Tarrytown NY 10591 sctm: 1000-87.1-1-2 Douglas Berlent Elizabeth Caplan Berlent 324 W. 23rd Street#3B New York NY 10011 sctm: 1000-87.1-1-1 + + - I i RECEIPT RECEIPT - RECEIPT i RECe RECEIPT 214 7901 5002 8200 0082 04 '214 7901 5002 8200 0083 41 I:214 7901 5002 8200 0082 11 'r'214 7901 5002 8200 0083 34 i'214 7901 5002 8200 0082 28 FROM. FROM. FROM: - FROM i FROM. t 1 oore Law Office ,1 oore Law Office Moore Law Office i oore Law Office 1 Moore Law Office .1-E cipriano trustees - I-E cipnano trustees -RE cipnano trustees .i RE cipnano trustees 1 E cipnano trustees I I • ! ! I. SEND TO SEND TO: I, SEND TO: I SEND TO: I SEND TO ;1-ussell Hillman 'I-ichard E Norklun ,Suffolk County i ohn&Mary Sue Richardson 11 oseph&Jeanine Burke '1:340 Main Bayview Road .•5075 Rte 25 Unit 43 i 330 Center Drive 1 9 W 71st Street 111356 E Autumn Sage Drive ..outhold NY 11971 s outhold NY 11971 Riverhead NY 11901 i New York NY 10023 I cottsdale AZ 85255 I i 1 FEES' FEES ! FEES. 1 FEES. j FEES: Postage 0 465 I•ostage 0 465 Postage 0 465 I Postage 0.465 Postage 0 465 Certified Fee 3- . ' 3 30 ertrfied Fee—,�1 -•3.30 Certified Fee�33 3 30 Cerlrtied F�e��,,o- 0 !Certified F=-,R N Y 30 Retum Repelpt [2�j 0 I-etum Receipt''' l T�„/70 Returnjeceipt( 1 in.270 x'efu Iz�e�ipt ��I,Ot ;Return-ec�eJi 7i2 0 ' ® .v y✓ r estncted `�"\°� \+ Restr)cted� C,s`, i•est igte ..' r R�str teaj/yp��,- \\.-.1 .'RestnctFad Z'k O l`� 1 / lP •'y• 6�` '�, �� \ \� TOTAL A., $6 465 TOTAL $6.465 • TOtAL $.6).65 I T :1 $� 4 1 rroltiN $6\406 ', z T c9r ! (A—I a..\ .,'ii I$ ()V' ,L1114 I !" `i 'SQ ,. ..1�II ((�� LVL POS 'RK OR pA,-T6 -•,• POSTMARK OR DAT ' PO TMARK OR DA E , i PO TMARK OR DA E`. "Pt>rTN� KuR DA EYi e E MAY V 3 ! ,�`� `t ® y�ccJBe� 's - . 4 - �`$$ r \ \Z.'-liQeiSLDCI ,1_ -,,,,-----s-,%, i. ,, -1-3.7e.,c'/ '' - -',,.;..'2.,_ R g_ 1 - - -. 1.0 J, i Y ii1 RECEIPT RECEIPT RECEIPT RECEIPT RECEIPT `?214 7901 5002 8200 0083 27 214 7901 5002 8200 0082 35 i 214 7901 5002 8200 0083 10 214 7901 5002 8200 0082 42214 7901 5002 8200 0083 03 FROM' FROM i FROM FROM .FROM: ;1 ooreLaw Office s oore Law Office 'Moore Law Office Moore Law Office _I1 oore Law Office I•E cipnano trustees E cipriano trustees RE cipnano trustees RE cipriano trustees 'IRE cipnano trustees I 1 I SEND TO. SEND TO. i SEND TO SEND TO. SEND TO: ail Chellel Mario&Christine Tomiatti t Andrew T LaGrega Living t dward&Jeanne Johnsen i g Trust 1:urke Family Trust ( 529 Walnut Ave - 0 Box 100 1 00 Meadow Court Unit 26 .385 Essex St 6 Quay Street 'I emck NY 11566 outhold NY 11971 I Southold NY 11971 1 Lynnfield MA 09140 enterport NY 11721 i I FEES: FEES' ; FEES. I FEES: FEES. ostage - 0 465 Postage 0 465 ;Postage 0 465 'I•ostage ``,, a 0 465 i•ostage „....---,:iv 0 465 g e E g - r 3 30 i ertified Fee „.. �3 30 entified Fee 3 30 i Certified Ffe TAN( 3 30 !Certified Fee 3 30i ertfied;F e , ,r- `t f ! _ i-etum'p i t ''''..17,p ��t �2�0 alum'- -I�t '�'��y 2,70 .Return Rec�pt�-�,� ?70, i Return Recoil)._ �! '���70 lite p r. \`'I'etufJlReD I � /� jr r' ; 17' 'I•e itcePes;cre ,. - l _ este a Restretedf✓ �. Restncted �1 ---jl 7, '''‘-' ' �i T I- ®$ X46 Tr ' '65 1- �L$; X66 ;vat1 TOT L $6.: i OAL7, 6+34 5' P' AK.K'OR DA IE''1 °.' MARK 9 DA E 1 PO.) MA K,OR DA Et I PO ARK OR ATE > TMAtt ORD i RECEIPT RECEIPT RECEIPT L 'I:214790150028200008297 1:214 7901 5002 8200 0082 66 RECEIPT I RECEIPT 1214 7901 5002 8200 0082 59 214 7901 5002 8200 0082 80 -214 7901 5002 8200 0082 73 ' FROM: FROM* ' FROM. ' FROM FROM i oore Law Office Moore Law Office Moore Law Office 'Moore Law Office I oore Law Office RE cipnano trustees RE cipnano trustees RE cipriano trustees RE apriano trustees I-E cipnano trustees ISE SEND TO: ND TO: SEND TO. SEND TO: I SEND T0. Carol E Burke I-obert&Christina Harper ' Kathleen H McCabe 'Joan E Ahisen I ynnore Schwarz 1 ".5 Hilton Ave 400 Meadow Court Unit 29 1400 Meadow Court Unit 30 1 600 Meadow Court Unit 23 00 E 56th Apt 8G Southold NY 11971 Garden City NY 11530 ,Southold NY 11971 Southold NY 11971 il ew York NY 10022 i 1 1 FEES: 1 FEES FEES* , FEES: ' FEES. Postage 0 465 Posta e 0 465 Postage 0.465 �'" 0 g Postage .. ''""" 0 465 'i•ostage, 0'465 a� d 'Certified Fe A,q Certified Fee„-----------_,.3 30 Certified Fee } ! i ®B ` p � Certified FeQ---�, 3 30 1 Certified Fe M9 y ,3'30. i n 1\ t-alum R c iqj r27 I Return Receiptp N y 2'70 e Return Receip 0 y,:t. Receipt) Return e�ccil�ip�� 0 1-etum cei r � .'Restncted �'�, 'Restncted �`�' f�� '1,y. �� E 9 ��' -� Restnotelly'1� T�T 465,'' TO,�,L $6.4�5�� RTOe1 b rT �e�/ a TOT/ $6%65 P.4 , ' � PO ARDOR DATE �� P° ARK>OR DAT co I.. P• MARK C�R,° E. i TMARK OOADA I p .--' Ft AT ?, 1 K i RECEIPT , RECEIPT I RECEIPT RECEIF` RECEIPT 214 7901 5002 8200 0083 58 14 7901 5002 8200 0085 25 1214 7901 5002 8200 0083 65 214 7901 5002 8200 0085 18 214 7901 5002 8200 0083 72 FROM. 1 FROM FROM FROM: FROM: I oore Law Office oore Law OfficeI oore Law Office oore Law Office oore Law Office E cipnano trustees ,RE cipriano trustees -E cipriano trustees E clpnano trustees I•E clpnano trustees P I I I SEND TO: SEND TO: � SEND TO: SEND TO SEND TO rands&Alice Manzella I oseph&Janet Tymeck I• drew T LaGrega Living Trust ,oseph&Helen Parrella arapitis Living Trust C85 Essex St 20 Maple Hill Rd j 0 Garden Street 1.00 Meadow Court Unit 22 IA Sandy Hill Road i Lynnfield MA 09140 untington NY 11743 ort Jefferson Sta NY 11776 ; outhold NY 11971 I'v yster Bay NY 11771 FEES: FEES: ' FEES` _ FEES: FEES. Postage 0 465 '•ostage 0 465 ostage 0 465 ,Postage 0 465 •ostage A-,-•:-.:„----0,4:65 Certified Fee 3 30 ertrfied ee 3 30 ;Certified Fee 3 30 Certified Fee -3 30 ertfied ee 9 1 3130 �1.. i_ 0 �- -etum Receip Y - 70 etym�RecB1P�'' • 70 etum Receipt X70 Return Receipt 72 70, etun�+Rece p 2' rry I•estOctec�j `��c es�nctyc \��` I Restricted/ u i Restricted s `estnded tom\- / �/ \ �� �0 ,,, -' /^ TO,T�L $6.465 = TAL • $6,. » r TOTAL $6 465 `,` TOT/�L�` k?,-465.,', �, • TOT L Q$6.465 1 `l'k 0 n 115111 TMAR ^O DA E j PQ TMA1RK OR D T I I P T ARK OR,DAT 'r Pa •• MARK OR DATE P+ MARK'OR DAT' K K ; �- ,`� .., „,: co / r`` RECEIPT RECEIPT RECEIPT RECEIPT I RECEIPT 114 7901 5002 8200 0085 01 1214 7901 5002 8200 0083 89 14 7901 5002 8200 0084 95 !214 7901 5002 8200 0083 96 t;214 7901 5002 8200 0084 88 FROM FROM i FROM. ! FROM: 1 FROM: .oore Law Office oore Law Office ;oore Law Office ' oore Law Office j oore Law Office •E ci nano trustees !•E clpnano trustees i•E cipriano trustees `E clpnano trustees •E clpnano trustees P i 1 1 i SEND TO. ; SEND TO SEND TO. SEND TO: SEND TO. I' illiam&Joanne Johnson il•usan Q Kerr arry&Donna Gilbert harles&Rani peck eter J Kulla Rev Trust ' SW 82nd Loop ✓55 Meadow Ct Unit 19 .4 Verleye Ave '55 MeadowCourt Unit#18 I dit R Kulla Rev Trust I , y �,�cala FL 34481 outhold NY 11971 ast Northport NY 11731 /316 Wax Myrtle Way outhold NY 11971 arasota FL 34241 I FEES: ` FEES. FEES � FEES: FEES I osta e 0 465 ostage /,'ib•—^0465 I•°stage 0465 ;•ostage ., 0465 I•ostage 0465 g eel �i 1 � 8 1 ertified Fee 3 30 ertifie 11 3 30 j i ertified Fee ,, 300 ertified F e'er �/ '' eta/lltet �� r •Y I-etum p3bl g ' etuRi eta/lilt I 2.70 I-etum Re et 70 P 70 alum R P p�y .}.�. I•estr to i-esnc "i,' I-estn -.®� G� =Sttt �� jl•estri,�� 1 T w� L ,-$.•6.465. To s• $ •,:._ L AL et$6.(16 To !' $6 ., �.J c� i ' "� cc��{{�� P MARK<OR DA Ef= MARIZ=OR DA E� }: MARK a TE STMAIZK OR DAT P()^ MARK�O�2�[�AT rt+la,t rj Si ® ®� ,`:�,_ qyC� 111 (i s:; r��jeS9 J i ! ` RECEIPT RECEIPT RECEIPT I RECEIPT RECEIPT - :I214 7901 5002 8200 0084 02 214 7901 5002 8200 0084 71 ':214 7901 5002 8200 008419 9214 7901 5002 8200 0084 64 :214 7901 5002 8200 0084 26 FROM. ` FROM: I FROM: FROM: •• FROM. I oore Law Office Jloore Law Office I oore Law Office Moore Law Office !I oore Law Office ' r•E cipriano trustees RE clpnano trustees P. E clpnano trustees RE clpnano trustees I-E aprlano trustees SEND TO: SEND TO: SEND TO: SEND TO ' SEND TO: l inda E Mann Elizabeth Schloss ' moth Tattam Carol A Sanger ,• thony&Francis Coppola 1.49 E.14th Street 'O Box 421 i atherme Evans 455 Meadow Court Unit 7B 1.55 Meadow Court Unit 15 j ew York NY 10009 Southold NY 11971 f 5 E 86th Street Southold NY 11971 outhold NY 11971 New York NY 10028 t` FEES: FEES. FEES FEES: FEES` •ostag r '�';�465 Postage �� "0465 ,•ostage 0465 ;Postage 0 465 •°stagy -0465 ,Cert/l,f,iecl� ��3 30 .3ertified F e"o� . .: 0 ;Certified Fee.. -- 3 30 !Certifies•FH y ' 3 30 Certified Fe 1 19 3 30 •e 7.n� deceipt 2 7Q `Return cel 2/ •alum RejceFtN Y 1 jy 2 70 !Rat yyy��i a n=• - y - 0 ,I•etum.�eceipt n 70 .01 RyGled `�g a'C Sestr estr�c Bd,00// �9� Re.it: I- s��ric/ted 6.4 5'ft T0f I°B�. `' T/ $6465 ' ,4 AL •65 uiAL, 'w6.466 J 44 ANN ORp T P S MA K,OR DA P©TMARK(O �D ;fit i TMAF2PD•T 91, TMARK OR DAT • Ud 1 ' ` RECEIPT , RECEIPT RECEIPT RECEI-Fri 214 7901 5002 8200 0084 57 ;214 7901 5002 8200 0084 33 214 7901 5002 8200 0084 40 214 7901 5002 8200 0085 32 ! RECEIPT I214 7901 5002 8200 0085 49 • FROM: FROM FROM • FROM FROM: I oore Law Office "' oore Law Office I' oore Law Office oore Law Office i oore Law Office ! E cipnano trustees •E cipnano trustees 'E cipnano trustees ' E cipnano trustees 1 j. ; ('E cipnano trustees SEND TO. SEND TO SEND TO. SEND TO. ISEND TO: Dorothy A Grella ! erzog Family LP !• na Rochler Grella urt Larsen Rev Liv Tr ileen Fox!Hes/Trust is Legends Cir " i•5 Stone Hill Dr S 2 Candlewood Path uha Larsen Rev Liv Trust :05 Meadow Court Unit 3A I elville NY 11747 I anhasset NY 11030 I'ix Hills NY 11746 0 Abinet Ct ' outhold NY 11971 1 elden NY 11784 �' FEES. ; FEES FEES. FEES: 1 FEES. •il•ostage 0465 I'ostage 0465 ;1'ostage 0465 ostage - — 0465 1I•o 465 •1 ertified F -3 30 1 ertfied 3 30 II edified Fee 3 30 ertified Fee ,...-- 3 30 stage 0 ��ap fl� �- �� 1 efif ed Fee 3 30 ®�°-- c-.`• Mtl S 2 70 h etum R cei X270. etum Receipt 70 f _"—� +I etu e�e• y� � etu �� ( oh r f p ��1 �{3' 11•-tam Receipt Y 2 70 ,fest tc�e i•e: Il'estn \. 7,., estricted .O �� • t� f �I'estncted) �' i T4-+`L•'- k0.5 r6 AL_ $ . - C TQ4 $6 4 5: TO 'A``L $6 465 cc0 /.-,4✓i''��65 r � I( q { TOTAL $6 465 : :: , ( MARK [�i P® \� E - PO ARK OR ).-.1 P STMARK`A D T'; 1 \k., ,P.:: :, RECEIPT _ 1 RECEIPT 214 7901 5002 8200 0085 56 0'14 7901 5002 8200 0085 63 ' FROM. FROM. ' oore Law Office t oore Law Office - - `E cipriano trustees E cipnano trustees i I SEND TO* 1 SEND TO. 1-oula Theofanis I ouglas Berlent Ir 90 High Cliffe Ln i!hzabeth Caplan Berlent "arrytown NY 10591 1'24 W 23rd Street#313 ew York NY 10011 { FEES: fi FEES. I-ostage 0 465 `ostage 0 465 i', ertrfied F '3 30 ertified Fee 3 30 ,1-eturry eceipt' .---2 70 etum Receipt - 2 70 , trf ci• "° f-. •estricte 1i I I TOTAL( $6 46`5 / L�$6,465 ••PQQS MARK O�RLDA4 EQ POSTMARK©RSD t Tp) 11111111111111111111111.-,.11111 3. Service Type MOORE LAW OFFICE . ` 51020 MAIN ROAD ®Certified Mail® 0 Restricted Delivery SOUTHOLD NY 11971 i 2 Article Number - 9214 7901 5002 8200 0082 66 COMPLETETHIS°SECTION ON DELIVERY, .L'. ' „, A Signature 7 , 7 III„IIIIII._ IIIII_ . (IIIIIIII_. _ , IIIIIIIII) 0 � � IIIII B. Re eived by(Printed Name) C u. -of Delffery = 4 7901 5002 8200 0082 66 D Is delivery address different from item 1= ❑ 1, cle Addressed To If YES,enter delivery address below. 0'm k %/ ;,\.,,,, HLEEN H. MCCABE - - ''��O MEADOW COURT UNIT 29 -- .OU THOLD NY 11971 I III 1111111111111111111110111111111 I PS Form 3811 Facsimile,April 2015 9290 9901 5002 8 aDastiaUt°d�a Rim�pt ' I ° MOORS LAW OFFICE - 51020 MAIN ROAD ®Certified Mail® 0 Restricted Delivery SOUTHOLD NY 11971 2 Article Number 9214 7901 5002 8200 0084 40 ,COMPLETETHIS SECTION ON DELIVERY , Y_ A. Si ria g �� n0 :1, 'L Agent III I III liii IIIIII�IIIIIIIIIII II II r Addressee I B Received by(Printed Name) C Dat Deli ery 9214 7901 5002 8200 0084 40 I S /,(1612/1 1• Article Addressed To: D. Is delivery addressdifferent from item 19 If YES,enter delivery address below' No ANNA ROCHLER GRELLA 12 CANDLEWOOD PATH DIX HILLS NY 11746 IIIuIII IIIIIIII liii IIIII[IIIHI II I PSForm 38,1;1 F,acsimde,April 2015. 9 2 9 0 9 9 01 5 0 0 2 8�dsti914�#, Rept MOORE L AIV OFFICE ! ®Certified Mail® 0 Restricted Delivery I .. 51020 MAIN ROAD SOUTHOLD NY 11971 2. Article Number } s 9214 7901 5002 8200 0084 71 COMPLETE THIS SECTION"ON DELIVERYS ,4' ' A. Signature ' � 1.I III i .t•�,Agen_sse II q llIIIIIII IIIIII I ' . B. Received by(Printed Name) a Da sf Deli •I 9 214 7 9 f!115002 8 2 D 0 0084 71 !t r •41' Article Addressed To. ' D. Is delivery address different fro '=''.`1 1i fi❑Ys :i � If YES,enter deliveryaddress bELIZABETH S C H L O S S 4:( 11 1tiaat,4,- PO BOX 421 ®$ " SOUTHOLD NY 11971 - _ IIIIIIIIIIIIIIII (IIIIIIliullilli i_ PS Form 3811 Facsimile,April 2015 9290 9 9 01 5002 8 6b4st RAA RdcApt IIIIIIi111I11iIliiII.I,ih.. .1+ — -- 3. Service Type " M O O R E LAW OFFICE ®Certified Mail® ❑Restricted Delivery 51020 MAIN ROAD SOUTHOLD NY 11971 2 Article Number - 9214 7901 5002 8200 0083 89 COMPLETE•THIS"SECTION ON DELIVERY t k A n0-0 ® g ' 11111 11111111111 ��y�JIIIIIIIIIIIIIIIIIIII '/ AVWX./. � ❑Addres B Received by(Printed Name) 1, Date1 214 7901 5002 8200 0083 89 I1 ,any 1 of Article Addressed To. D. Is delivery address different from i-m 9 0 Yes 0 If YES,enter delivery address belie .• No .?� SUSAN Q. KERR 755 MEADOW CT UNIT 19 SOUTHOLD NY 11971 { III II 1111111110111 Iiiiiuiiiiiuiiiiu PS Form 3811 Facsimile,April 2015 9290 9901 5002 8 aIst,Adiara dapt Certified Mail® ;❑Restricted Delivery 15-10 CI, P1i t N RD A D"" 1 ,I: - ? % .0 Vii'H'0LD NY 11971 2. Article Number d`. 9214 7901 5002 8200 0083 41 COMPLETE THIS SECTION ON:DELIVERW"" f A. Si.nature I II I II I I El Agent Ik ,I.IIII_II .:IIlllltl,I�II :�I �=` IIIII IIII X 4i ' ❑Addressee B Received ft nnted Name) C. Date of Delivery 9;:''�'°r 9 1; 5002 8,2-O0.. 0,0 ea 41 1-, Article Addressed To D Is delivery address different from item 1 2 0 Yes If YES,enter delivery address below. ❑ No -RICHARD E. NORKLUN - 550'75 RTE 25 UNIT 43 • I SOUTHOLD NY 119' 1 } III II II IIIIIIIII! IIU I II I1I III III I lI PS Form 3811 Facsimile,April 2015 9290-9901 5002 8 aCA-14stiOdliiii4 RIt"e7(St_J M O O R E LAW OFFICE ®Certified Mad® ❑Restricted Delivery 51020 MAINS ;ROAD ; ' ' ' • H SOUTHOLD NY 11971 2 Article Number 19214 7901 5002 8200 0082 80 COMPLETE THIS;SECTION'ON DELIVERY' A. Sture ❑Agent II , II I I II I III v III IIIIII III IIIIIIIIIIIIIII II I X ,�]a ❑Addressee • B.lceived by(Printed N o Ft k Hme) Date of elive 9 21;4;r79 01_s D D s: 2 Lf U1-00,82 8 0 (ovr D. Is deliv r address different from item 19 0 Yes 1. Article Addressed To If YES,enter delivery address below. ❑ No =" JOAN :E•-`AHISEN 600 MEADOW COURT UNIT 23 SOUTHOLD NY 11971 I I fl I IIIIIIII liii 111111 IIII IIII PS Form 3811 Facsimile,April 2015 9290 9901 5002 8 adlicisticaat5a Raapt '`_- '� t,S� ,- ,iiiiiiiimiimmiiiIYI iiiii 1 `� •, - --•----- ---- 3. Service Type - - j :,11p,P: gLAW OFFICE If ®Certified Mail® 0 Restricted Delivery 1;100g0 MAIN ROAD ry t. O'UTHOLD NY 11971 ' -= " ' . ' ' ` ` • :':1;'- 2. Article Number - t� 9214 7901 5002 8200 0083 10 COMPLETE THIS`SECTION,ON'DELIVERY 1. A Signatu��. AgenAddt IIIIIIIIIIIIJJIIJiIIIIIIII � �!G� ���2�2���'� IJ ressee B Received by(P ntteed_Name) � C. Date of Delivery 9 214 7901 '5 0 0 2 8200 0083 10 ti/4/C4 0 /A-le(/y(e 1 Article Addressed To D Is delivery address different from item 19 0 Yes If YES,enter delivery address below: 0 No j, MARIO & CHRISTINE TOMIATTI 500 MEADOW COURT UNIT 26 ' I SOUTHOLD NY 11971 1 • i. IIIIIIIUIU.IIIIII IIIIUIIIIIIIIIUII � _ I PS Form 3811 Facsimile,April 2015 `9290 9 9 CSF 5 0 0 2 8 aDastiaritfai Rapt I MOORE LAW OFFICE 0 Certified Mail® 0 Restricted Delivery 51'020 MAIN !ROAD: ; • ‘ i , • • i i SOUTHOLD NY' 11971 2. Article Number - 92.14 7901 5002 8200 0085 49 ' 'COMPLETE THIS SECTION•ON'DELIVERY A Sig ture I I I I II I I II I IIII I IIIIIIIIIIIIIIIII 1 n ❑Agent X y Ill Addressee ! B. Re&e"rVedby(PrintedName) CDateof elro 9214 7901 5002 8200 0085 49 1/.�`en �e�D, 1 Article Addressed To Is delivery,,address different from item 19 El ti.11._If YES;enter delivery address below: 0 No EILEEN FOX IRREV. TRUST j 1-%,C..kC- ', 305 MEADOW COURT UNIT 3A SOUTHOLD NY 11971 IIII IIl IIIIIIIII liii IIIIIIIIIiII PS Form 3811 Facsimile,April 2015 9-290 9901 5002 8 abfilestighwr;FUA Reipt MOORE LAW OFFICE ®Certified Mail® 0 Restricted Delivery ! 51020 MAINp ROAD •t , , 1 - 11 . H , i 1 ,1 ili iii11 SOUTHOLD NY `11971 2. Article Number - I I 9214 7901 5002 8200 0082 04 COMP-L'EfE THIS SECTION ON DECI•VERY ' A Signatyi ❑Agent i� 17II I IIII I IIII IIIIIIIIIIIIIIIIIII I II I III J/ V ❑Addressee . eceived by(P nte.Name) C Date of Delivery 92-1,4:' 7901 5002 8200 0082 04 VIA._ `"" 1 Article Addressed To: D. Is delivery address different from item 17 El Yes Article: Addressed YES,enter delivery address below: 0 No RUSSELL HILLMAN 8340 MAIN BAYVIEW ROAD SOUTHOLD NY 11971 lIIIIIU I 1111111 IIIIIIIIIiIIIIiIN j PS Form 3811 Facsimile,April 2015 9290 9901 5002 8 addi#astiatid3a Rapt IIIIIIIYiIYllllllllll'Yi.:-Y1111; 3. Service Type - M O O R E LAW OFFICE ®Certified Mail® ❑Restricted Delivery j 51020 MAIN ROAD' SOUTHOLD NY 11971 2 Article Number 9214 7901 5002 8200 0085 63 „COMPLETE THIS SECTION ON'DELIVERY"t' A Sign- . Agent [RR 11111 IlIfflhllillUlHill III / ❑Addie ee B. Rec- ':'J. •nn-d Nam - ' Uateo Delive 92i),�" 7901 5002 8280 0.085 63 D Is delivery address different from item 17 0 Yes 1 Article Addressed To If YES,enter delivery address below 0 No DOUGLAS BERLENT ELIZABETH CAPLAN BERLENT • 3 4 W. 23RD STREET #3B NEW YORK NY 10011 11111111 IulilIlI (IIII(IIIIIIIII 11111 JPS Form 3811,Facsimile,April 2015 :9290, 9 9 JL 5 U 02 8 4wAstipl ,A Rhu,pt • 1 M O O R E L'A1'•WI,C E ®Certified Mail® ❑ Restricted Delivery 5!1020 MAIV'ROAD SOUTHOLD N Y 11971 2. Article Number - 9214 7901 5002 8200 0085 32 COMPLETE THIS SECTION,ON DELIVERY gaitL( eI1I IIlIUI1iiiit1llIllh1I111F1IIlII111 ❑Addressee B Rece a by(Print dName) C Date ofDelivery 9 214 7901 5002 8200, 0085 32 1 D Is delivery address different from item 19 0 Yes 1. Article Addressed To If YES,enter delivery address below. ❑ No KURT LARSEN REV• L I V• TR. - 'JULIA LARSEN REV• LIV- TRUST 60-• gBINET CT SELDEN NY 11784 111111 I IlIIIIII lllIIIF1II1I1JtiII: j b PS Form 381,1 Facsimile,April 2015 '71.,214.9901 5002 8 ge atiPl 45,Re4lpt T HO-ORE L A W O F F I CE ®Certified Mail® 0 Restricted Delivery 01020 MAIN ROAD - S'OUTHOLD NY 11971 2 Article Number - 9214 7901 0.112 8200 0082.35 COMPLETE THIS•SECTION ON•.DELIVER,Y A •nature ❑ liii Agent IIII II 1111111 11111111 �) IIII 111111 1 � v � ❑Addressee :Aft.-•vedVititetd Aj nA D teofelC. v 9214 7901 5002 8200 0082 35 1 Article Addressed To D Is delivery address different frofn item 19 0 Yes If YES,enter delivery address below. 0 No GAIL CHELLEL PO BOX 100 SOUTHOLD NY 11971 III I II IPii1IIIIliIIIiIIIIII PS Form 3811 Facsimile,April 2015 9 2 9 0 9 9 01 `` 0 0 2 8 aSt��f�E�aa Rpt - __.itiliiUUiUnuIi-'•- `UuiUIII - -- 3. Service Type • - ' MOORE LAW OFFICE ®Certified Mail® 0 Restricted Delivery I ' 51020 MAIN ,ROAD . • SOUTHOLD N Y 11971 2. Article Number ' - 9214 7901 5002 8200 0084 95 'COMPLETE.T.HIS SECTION.ON DELIVERY ' t . . ', y, II I I I I I II IIIIII IIIII IIIIIIIIII IIII�II I III ' , A Signature X a""'"`? � ❑Agent 0 Addressee Received by(Printed Name) C. Date of Delivery 9E14- 7901 5002 8200 0 0'-8 4 95 ve'y 6.4 /4tr� 1 Article Addressed To ' D Is delivery address different from item 19 0 Yes w If YES,enter delivery address below. ❑ No BARRY 8 DONNA G I L B E R T 514 VERLEYE AVE. - EAST NORTHPORT NY 11731 • IiIIt IIIUllhtII tIIIUIIIIIIIIIUI 9290 . 9901 5002 8 PS Form 381,11 Facsimile,April 2015 -: � rB�sti�l �Re��ipt 7' M'0'0 R E L,P'r�+� `F'I C E' Ln Certified Mail® 0 Restricted Delivery :; •'x"74?1„, • •rr„}2 `x1971 2 Article Number - A.ii(-(• : •ray / 'I ( E' 9214 7901 5002 8200 0082 28 1 , •`COMPLETE THIS SECTION ON;DELIVERY ... A Si naturef_Th 3` �� 111111111111lllll�r : i Ad.ressee IllIIIIIIIIII B e i ,rine” ame) c �Of2De� ry9214 7901, 5002 8200 0[I'S'2 28 ,� � I 1 'Article Addressed To 0 s delive address different from item 19;Aga- If ❑YIf YES,enter delivery address below oJOSEPH & JEANINE BURKE ' 11356 E. AUTUMN SAGE DRIVE , SCOTTSDALE AZ 85255 • IIHIUIIIHhIIIIII IIII IIIIIIIIIII III • ,•PSiForm 381:1 Facsimile;April 2015 ; : ,: ; 929,p, 9901 517D 2 8 agiast,aaaa Raapt u—vclvlcc Iypc- -- - - —r'— ' MOORE LAW OFFICE ®Certified Mail® ❑Restricted Delivery- 51020 MAIN ROAD ' SOUTHOLD NY 11971 2 Article Number - 1 9214 7901 5002 8200 0084 88 k . "COMPLrETE.•THIS SECTION ON''DELIVERY . III A Signature ❑Agent /✓ IIIII IIII IIII I IIIII IllhIIII1IllUhI I � :/'/ , ❑Addressee B ivsy(`r ed Ntio ame) y C to ,very 9214 7901 5002 8200 0084 88 ` 1 Article Addressed To D I delivery address different from item 19 Yes If YES,enter delivery address below. ❑ No PETER J• KULLA REV• TRUST EDIT R. KULLA REV-TRUST 7316 WAX MYRTLE WAY SARASOTA FL 34241 IIIIII IU liii IIIIII, IIIIIIII •_ - li PS Form 3811;Facsimile,April 2015 • ' , , .," . d 9 0_1 9 01 ,51.102. 8 6b stt�PR� it .Fi �tpt„1 ' IIS n 1111111111111111111Yci1111Y — 3 Service Type 1 1 MOORE LAW OFFICE ®Certified Mail® 0 Restricted Delivery ', 51020 MAIN ROAD SOUTHOLD NY 11971 2. Article Number 9214 7901 5002 8200 0085 25 'COMPLETE THIS,SECTION.ONNDELIVERY= ,.,' •FA � 1 ! • III A Signat g / - ►. Agent1111A1111111111111111111111)11 1 X (ZP(;Cr■ gens v 5 25 ,- B Received by(PrI(ited Name) C. 9a of rehv-ry 9214 7901S02. 8200 00 t ?'de�ddressed To:1-' D Is delivery address different from item 1? ❑ - 7/771,99955 , . If YES,enter delivery address below. 0 No – S E P H & JANET T Y M E C K 68 SANDY HILL ROAD ' 1 OYSTER BAY NY 11771 I . 1111111111inilligmlimEli,,,,,,,',i,,.. nu� , , _ . • . . . .. '- � --9290 9901 .5002 B�Bg4stiPl9L�ttu FlOpt i I PS Forth 3811 Facsimile,April 2015 u�..-., - ,— rviee type MOORE LAW OFFICE IN Certified Mail® 0 Restricted Delivery- 51020 MAIN ROAD SOUTHOLD NY 11971 2 Article Number - I 9214 7901 5002 8200 0084 64 COMPLETE THIS SECTION ON,DELIVERY ` ;,'• A. Mature, �' -- ti ❑Agent 11111111 11111111111 11111111 1111111 1111111 X 0.0,- l I P� .,❑Addressee B ecei d�by(PnntedNa e) C Dat fD v 9214 7901 5002 8200 0084 64 _ �e �y/e�\�o� �„D 1 �� 1. Article Addressed To: D. Is delivery add res fferent from item 1? 0 Yes If YES,enter deli address below: 0 No CAROL A. S O L I N G E R •+ 455 MEADOW COURT UNIT 7B SOUTHOLD NY 11971 I i lIhIhl ulUhhhhh PS Form 3811 Facsimile,April 2015 929 0 9901 5002 8 a Pri3st IP Fililh A Rkelpt MOORE LAW OFFICE I--: ®Certified Mail® 0 Restricted Delivery 51020 MAIN ROAD SOUTHOLD NY 11971 2 Article Number - I _ • 9214 7901 5002 8200 0082 11 CxOMPLETE THIS'SEC.TIONON'DELIVERY A=._•nature • r 7A ggen�D I III ,,iiiilinsII I 1111 B Received by(Pn tted Name) -ofpeli ery" 9214 7901 5002 8200 0082 11 1 Article Addressed To: D Is delivery address differe, `'2 item 1? 0 eS. If YES,enter delivery a..-- -below' 0 N,o SUFFOLK COUNTY Ce ..1A1( 2 2016 330 CENTER DRIVE RIVERHEAD NY 11901 • - M . „ .. . . .. . . . . /III 11111 UIhhhlIllIIIIIhIIlIIIIU P'S Form 3811 Facsimile,April 2.01'5 ' ' 9290 9901 5002 8 austoaa Rat5pt Ilu11n 1Ju111JI111111111111111 _ — -, 3. Service Type M 0 OLA W OFFICE ®Certified Mail® 0 Restricted Delivery 51020 MAIN ROAD , ?;._ • ' ''"'-'-§061W SOUTHOLD NY 11971 t,, 2. ArticfeNumber - • - . .. • '` , ' - • 9214 7901 5002 8200 0085 01 ' COMPCETE'T,HIS SECTION±ON DELI.I/.ERY_ A Signaturei. J ' 1111 I II 11111 III I II I III I II l I I l II 1I 11 I.I 0 Addressee eived by ted Name) C Date of Delivery 921Y ' ?'`l 01 ;5002..,--8E00, 0085 •01 c€%( c €'off i Y;µms .r ' 1 D Is delivery address,different from it: It- Yes fct . Article Addressed To. _ If YES,enter delivery address be.� / ❑No // c iLLi'Am=& JOANNE JOHNSON ��� MAX 21 2016 U*'tt51 SW 82ND LOOP ' 4° CAL FL 34481 • - - . sIIIIII IIOhIII iiiiiiiiiiiiiui PS'Form 3811'Fac'simile.',April 2015: •' ',>,. ' - .,i,,,02.9.,,,.0 t q q 01 5002 8) stiPIG5,r�RQc 1pt -- -� 'G�. .:�:»ilbt+— _�..r ti�Hw:a.�...,_ , _ �—_11111111111111111111111111111111 ----` -y — --— -- 3. Service TypeMOORE f 51020 LAINAW OROIif� �f�lj'«1'°lltll'll"lflil{f'l�'ll '(I��f fftli,IV i�® ❑Restricted Delivery SOUTHOLD NY 11971 2 Article Number 9214 7901 5002 8200 0083 27 •COMPLETE,THIS•SECTION ON^DEL IVERY •%- , A Signature ❑Agent II I I I II II I III I II II �IIIIIIIIIIIIIIII III 0 Addressee B. slued b nntect•Name) C. Date of Delivery 9 214 7901 5002 8200 0083 27 D Is delivery address different from item 1 9 0 Yes 1 Article Addressed To If YES,enter delivery address below. ❑No EDWARD & J E A N N E J 0 H N S E N 1529 WALNUT AVE MERRICK NY 11566 - IIIIIIIIl 1111111 liii IIIIflhIIII I •0S Form 3811;Facsimile,April 2015, , , ; 9 P,',1 0 71901 5 0 02 8 ad]d�sti�hk ,a R'bea(pt IIIIIIIIIIYI11111111111111111111 , 3 Service Type M O O R E LAW OFFICE ®Certified Mail® 0 Restricted Delivery 51020 MAIN ROAD SOUTHOLD NY 11971 2. Article Number 9214 7901 5002 8200 0083 03 • COMPLETE,THIS SECTION ONDELIVERY • A. Sig re • I ❑• Agent �_ I IIII IIII II �IIIIIIIIII I IIII III i • ❑Addressee - B Received by(Printed Name) C Date of Delivery 9214.-7401 5002 8.200 0!33 03 D. Is delivery address different from item 1? ❑Yes 1• Article Addressed To If YES,enter delivery address below 0 No BURKE FAMILY TRUST 16 QUAY STREET CENTERPORT NY 11721 II I II I I IIIIIII LiiJtIij1'11I PS Form'3811 Facsimile,April 2015 9290 ' 9 9 01 aa c` 8 aRgstOkrA RQ2pt John M. Bredemeyer III, President ,0 ®�UfFOt� Town Hall Annex Michael J. Domino, Vice-President 4' . > a ,: �� 54375 Route 25 Glenn Goldsmith V1,3 a ''' v P.O. Box 1179 A. Nicholas Krupski 4)eP �• Southold, NY 11971 Ci ' ^� r,. Charles J. Sanders `' al '� :.' Telephone (631) 765-1892 `T Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of JACK CIPRIANO COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE CK I, (C W-A C 1 l Com. , residing at/dba ` 1i \ � \\ being duly sworn, depose an.#ay: That on them d y of r\ , 20119, I pers94.11y posted the property known as la 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, May 18,2016. Dated: 5` signature) Sworn to before me this a(- - day C -day o a l 20 . // ICI otary Pul BETSY A. PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk County I Commission Expires July 18(,w1 NOTILL OF tING HLA : ING 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: JACK CIPRIANO SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct an approximately 2,800sq.ft. two-story, single- family dwelling with covered porch on landward side; a 210sq.ft. deck with steps to grade attached to seaward side of dwelling; install 50sq.ft. of front and rear steps; install a sanitary system on the landward side of dwelling; install a public water line; and install gutters to leaders to drywells to contain storm-water runoff. Located: 8150 Main Bayview Road, Southold. SCTM# 1000-87-5-23.6 TIME & DATE OF PUBLIC HEARING : Wednesday, May 18, 2016 — at or about 5:30P.M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Boai_�of Trustees Application - County of Suffolk State of New York JACK CIPRIANO 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. Tim 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. acava Jack Cipriano Sworn to before me this g day of4(:( ` , 2016 I otary Pu — r — 40 BETSY A.PERKINS Notary Public,State of New York No.01 PE6130636 Qualified in Suffolk Counpf) Commission Expires July 18, Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) JACK CIPRIANO, as owner of premises 8150 Main Bayview Road, Southold, New York(sctm: 1000-87-5-23.6)residing at 19 Hawthorne Ave., Central Islip, New York do hereby authorize my attorney, Patricia C. Moore,to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. p eke CeQu V (Owner's signature) .....c. APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of Town officers and employees. The purpose of this form is to provide information,which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: CIPRIANO,JACK AND MOORE,PATRICIA (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company. If so,indicate the other person or company name.) NATURE OF APPLICATION•(Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity: Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X Do you personally,(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the Town officer or employee has even a partial ownership of(or employment by) a corporation in which the Town officer or employee owns more than 5%of the shares. YES NO_X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: - Title or position of that person: Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship 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 3/ day of /1i.Gciti1-, 1,219 I& Signature: (7 ,'" Jack Cipriano atricia C.Moore 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 exemptactions 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 f which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 8 j - 5 - C23, 4,3 PROJECT NAME C— p a.-►�. c� The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees IN 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: Gam.Sd- c ary) 9_ neAJ s-0(9 d1W-aL k ,L' '-i u f [-O oder g�� A t J , Location of action: 0 so -ma( J ur Dee C� Site acreage: U . - 0 �1 Present land use: Vice,t et.4_t Present zoning classification: /Q;j/O 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 CIC_ Cc r c Ct./Yl c) (b) Mailing address: /1 /-f ajw ®yyne_ l ex/kilt-ea 11, it? ivy' /(7 (c) Telephone number:Area Code( ) v?3 c-/ - 0 /(c (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes No If yes,which state or federal agency? C. Evaluate the project to the followingpolicies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. n Yes n No n Not Applicable Va 9,cwt/--- /©f- * he de w io pPci 17 V%' (c%/1 G.C- Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 131. 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 ❑ No n Not Applicable . Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes No Not Applicable ffc�05 FS dak06,cd 2L?,te Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No 0 Not Applicable C-40—,Sim froom C't • (rt t 1 m c.G� Q -&C.3 (Ye)e_o arke 14- 4,4216,/,'. (//2,1,V 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. ❑ ❑ IA Yes No )( Not Applicab; Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. n Yes n No l ] 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 x- 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. nn YeJ No Not Applicable Ava.A Attach additional sheets if necessary , WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No KI,Not Applicable II 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 IT 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 K. 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 vi Not Applicable PREPARED BY( TITLE I .r- DATE er—/.