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Home My WebLink AboutTR-8913 Michael J.Domino,President *QF SU(/lTown Hall Annex John M.Bredemeyer I11,Vice-President ,`O� Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams i0 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 14, 2019 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: FRANCINE LUQUE 580 WIGGINS LANE, GREENPORT SCTM#: .1000-35-4-28.30 Dear Mr. Patanjo: The following.action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 14, 2019: , RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8913 for the as-built location of the existing 6'x40'floating dock; with the addition of a 4'x6' platform and 3'x14' ramp; and as depicted on the site plan prepared by Jeffrey Patanjo, dated June 26, 2019, and stamped approved on August 14, 2019. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. J If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD:dd Michael J.Domino,President �Qv SO&J. Town Hall Annex John M.Bredemeyer III,Vice-President ,`QOl0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith J [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 cDUNT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1366C -AMENDED Date: August 14, 2019 THIS CERTIFIES that the removal and replacement of 176 linear feet of existingtimber mber bulkhead a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18"higher than existing;with the condition that a 10' wide area of permeable patio pavers be installed along landward edge-of bulkhead in patio area; for the as-built location of the existing 6'x40'floating dock,• with the addition of a 4'x6' platform and 3'x14' ramp; and to install and perpetually maintain a 10' wide non-turf buffer landward of the bulkhead; At 580 Wiggins Lane,Greenport Suffolk County Tax Map#1000-35-4-28.30 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 30,2016 pursuant to which Trustees Wetland Permit#8913 Dated November 16,2016,and Amended on August 14,2019 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal and replacement of 176 linear feet of existing timber bulkhead a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18"higher than existing; with the condition that a 10' wide area of permeable patio pavers be installed along landward edge of bulkhead in patio area; for the as-built location of the existing 6'x40'floating dock;with the addition of a 4'x6' platform and 3'x14' ramp; and to install and perpetually maintain a 10' wide non-turf buffer landward of the bulkhead. The certificate is issued to FRANCRNE LUQUE owner of the aforesaid property. Authorized Signature June 26, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 nE I V EP.O. Box 1179Southold, New York 11971i 1019 RE: 580 WIGGINS LANE-GREENPORT, NYSCTM NO. 1000- �5=`f—Zg.30 ld Town ADMINISTRATIVE REVISION rd of Trutees Dear Trustees: Attached please find four (4) copies of as-built plans, photos and check in the amount of $50 as required for an administrative amendment to the above referenced project. The permit number in reference is#8913, dated November 16, 2016 which included new bulkhead installation. The permit drawings have been changed to reflect the as-built location of the floating dock. The original floating dock and ramp were to remain in their original location but during construction it was determined they needed to be relocated as shown. A 4' x 6' platform was added, a new 3' wide x 14' long aluminum ramp was added and the existing 6' x 400' floating dock was relocated closer to the bulkhead as shown. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or email at JJPatanjo@gmail.com. Very truly yours, 0� @? — Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 LVLtdE �4Rc� it S ,SNE -,.'� :-==��--- --• --=-- = •-- - -= - - --- .. . .�-_--LL _ •- ��% W GGIN 1\I X50' WIDE) LS PROJECT WATER N_87'_E _ - = _ LOCATION 10NUMENT ° — FOUND _ — — — — METER 112.78' MH pf,99 \ (115.00') MONUMENT FOUND 3 ' � z GRASS V14 _ `L �• a. � J En h' a 't ! , ^o J' I \ l 560_ggins Ln, L., i! R `� ''�� i E ILP ' Greenport,NN11944 ` 'p`1 f� j' w I L/S JUL t 2019 OAC L/S -� tr Sadvng co Cxtery oVERHAN _ e _ Southold Town APPROVED �Y l "� 2 STORY `-- Bar of Trustees RESIDENCE ` . • ' �, 1 '' BOARD OF TRUSTEES a N F FL=9.T GARAGE AC TOWN_OF SOUTHOLD inAVER ----- DATE ,q1/6' gr l0, 20lg ,' F FL=9.0' DECK L/S :) L STEPS N.T.S. ` v STEPS _ w W NOTE REMOVE EXISTING BULKHEAD PROPOSED RR TIMBER TOP CAP _ STRUCTURE IN f15 ENTIRETY ° AND INSTALL NEW BULKHEID PROPOSED 3'X9' ,^ IN THE EXACT SAME POSMON REAR WALE PROPOSED 18' BUR I• AS EXISRNC WRH RAISED HEIGHT CCA TREATED TIMBER BER PPILIL E,g' ti I OF 1B'ABOVE EKISRNO TOP CAP. O.C. GRASS Q / GRASS PROPOSED 8'x0'CCA ,ntv p CONSTRUCTED 8 LF BULKHEAD RETURN Z - o w MIDDLE d BOTTOM CONSTRUCTED 176 LF VINYL BULKHEAD � AavROI�wE � a v (IN SAME ALIGNMENT AS EXIST.) CONSTRUCTED PAVERS TO BE PERMEABLE WITHIN PROPOSED e•TIP ora \ ° 10' OF PROPOSED BULKHEAD IN BUFFER LIMITS TAY-Loc PILE i PRMMLgE ULW D.Oft ecn EXISTING BULKHEAD G .` a W PROPOSED B'TIP CCA PILE,9' TO BE REMOVED IN N wOOi7eN Rq l�C ° o.c.B'LWITH ENGTH.BOLTED To trs ENTIRETY.Pg co, cuAYLv�NizEDTllrili BOLTS cRvnN •Dw� aocALROD. i ,O�j t^�� '•�, GRASS _ 2 \ \ ��`�i �••�• of z PROPOSED 14' LONG CLOG �Rq wl 9800 VINYL SHEEnNG \ —AS-BUILT LOCATION OF 4'X6PLATFORM, 3'X14' RAMP �''e. J TYPICAL SECTION AND RELOCATED 6'X40' FLOATING DOCK .. @ a . m' o EXISTING FLOATING DOCK AND RAMP LOCATION m PROPERTY OWNER: N.T.S. 14� LINE OF 10' WIDE NON-TURF BUFFER a 0 FRANCINE LUQUE IPA MHW k MLW ALONG FACE OF BULKHEAD >>B'�3, 31 580 WIGGINS LANE NOTES- �Dt?A Lu GREENPORT, NY 11944 AS—BUILT DOCK PLANS SCALE: 1. ELEVATIONS REFER TO N.A.V.D. 1988 DATUM ` �Y AS NOTED 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: CA EXISTING PLAN, SECTION JOHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 50719 X19\ ��L I PREPARED. BY: & LOCATION MAP DATE: 42 CROWN STREET ro JEFFREY PATANJO 9-18-16 KINGSTON, NEW YORK 12401 P.O. BOX 582 580 WIGGINGS LANE 6-26-19 26 1 (845)-901-7629 \ f BOHEMIA, NY 11716 GREENPORT, TOWN OF SOUTHOLD PLAN jheidecker@heideckerls.com ` � 631-484-9332 SUFFOLK COUNTY, NY SHEET: LATEST DATED SEPTEMBER 12, 2016 SCALE: 1"=30' JJPATANJO@GMAIL.COM TAX MAP N0. 1000-35-4-28.3 1 OF 1 Michael J. Domino, Presiu`' QVffO( P , NS KCO ' Town Hall Annex John M. Bredemeyer III,Vice-P'_ _,lent O G, 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 W Z A.Nicholas Krupski Southold,NY 11971 Greg Williams � p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: I • Completed in field by: Jeffrey Patanjo on behalf of FRANCINE LUQUE requests an Administrative Amendment to Wetland Permit#8913 for the as-built location of the existing 6'x40'floating dock; with the addition of a 4'x6' platform and 3'x14' ramp. Located: 580 Wiggins Lane, Greenport. SCTM#: 1000-35-4-28.30 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3: Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of earing 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 G. Goldsmith N. Krupski G. Williams Other � .,v..,`� �a' � -� Y t }��.✓"s �\! � :3 �`' � �l -• _'�,.V L6 fad yYr � �� .,:-Y i NNE ,'t r �. � j�' �e1sY' � ... �L:y�� _�. 5� .:�, ❑ � ,,�3y��, sxi �.c b � � ji, ya+l,1 `�� G�� ` .• �',�� 4: ,. .� ,� __ .11 Y% '�„ � .'.�- �;,. tR�.,; „� ��1� s r w Y t ri 4 Photo 1 r Photo 2 Photo 3 Photo 4 r� std, ��,. � Lw. l � I •.�� . E �,�+�� f�y'ir��,f ""�vi.e "� A�.;� �.•�\ � �,� � 4r � � �ytin ° x= ��y� ��'�-+'✓¢x:�N� �� rw w 4= � '� !' .d'• k\,�Er,�� u�,o �?" ��`�pyp��yy�r„ '�''' k6 �it r ��.�� =4� �� a1` `y jx�k'"'f- �- � 4L$^`,,. 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Y/�v4 V:�� ,.� �'�iS/•: , 'SF - e ' 4 - 1. 1 r s �J � 1 r, ° 10 20 30 I METERS HEIOECKER LANG SURVEYFEETING ' 'V 0 20 40 60 80 GRAPHIC SCALE 1" = 20' WIGGiNS LANE (So'WIDE) L/s MONUMENT - 6 FOUND —6 wo1ER'— "7'37'42" E �cT�_ (115 00') MONUMENT r METER 4%+� 112�8'� `w) O O MH FOUND w 3DO IIOfE$ I.FElD x9w WAc cou--S�, \ z Zeli6 w NEIOECKM VND._GP R GRASS \ N tltDUNR tlFASURENEMS PERE TAKEN ON ME h� 7= N 2 PROPERTY IVES PRE FMEO UPON DEED FRED WIM ME So—COUNTY CEERIt IN h O N \ OF S ID81 M-F BSN IDP ESX T lVP ONO S \ I I Or SECDON TWD-FO M ACRES Ar maxis CLOWW. ON SIL SEi9r%AS EUP NDNSGR I6W „O I 3 MARMIS AND NORM MRON RETTR TO Ind v \g, L/S \ \ I Ib R1E NORM PJJENCAN OADM OF 198](NAD OO 7 2 C' T I 87 u ZONE)AS DETERMINED BY GPS FIVD 1 MEMURENENTS PERFORMED BY HEiIOECNMAC X00. 2 fig. ' SE4Tv""'0. TAX_M". L/Vy Qe DESIGNATIGtt TONN OF saUMMD-SECTION �c,w OVERHANG / 1 35.BIDCK 4 om 4 C E / l 5 MIS SURVEY WAS WDE YAIHOIR ME BENEFIT OF A TIE REPORT ANO IS SUBJECT / a ,9580 CHIMNEY TO ANY STATE OF FACTS A FUW AND F FL=8 3' / 2 STORY F FL=9 7' wRRENr RRE REPORT NAY REVEAL w B Au EASENENFS NAY NDr w S_ RESIDENCE o ~ / 7 urmERCNIDm urBJIRs ARE NOT SHDAN / ut / GARAGE PRIOR 1D canSRaJGNDN ME cpNDNDFDR AVER AO sHAEE P",•CNE DEroxE r0u DIG'AT(eo0) 272--0 AND HANE—011FF IDCAnONs NN w CN ME GROOM 1 B VERTIu DATA IS JTEFTRENCED TD THE _of INruwEaµe)�is OLS w+m Dr—Fl_B / 9 0 DECK STORAGE CONTAINERS / L/S Cryj UND SU eRYEWIG EPpF"RNFD fh•100ECNfli d\ L/S W \ SI STEPS I ON SEPTEMBER&ZOIB \ $TEP$ l DISTRICT 1000—SECTION 035.00 � � — — —g•� ) o BLOCK 04.00—TAX LOT 028.030 0 \ GRASS aF- FILED MAP N0, 4605—LOT 22 - 27,094 SQ. FT. tv/ 2. 0 622 AH ACRES —yGY U EACK TTOTAL AREA= v x \ \ 36,606 SQ. FT �o MAG NAIL �5•\ \ \ OR Z am SET = UB/TACK \ \ 0.840 ACRES ` GRASS LP STfp\�c`'� \ ¢ tiA".1 � NWOOD f�Ok \ R fT \ A W ,02578^wg7• pAs ( \ HUB\ \ SET ° w PILE(TYP) gU(kHfAO D ` \ \ ( iN f��'3A�Y \ \ PAVERS \\ \�. HUB/TA K �— \ DOCK �3Z�- \ \ \\s\ \ SET GRASS 401$Wk'4TfR ATfR VL"f 9/ "f 9 g/7g .q 7WOp �Q afGRAVEL y g" ,T m 44-11`c 79. 'q/v [Acy fA \ LIBER 10817-PAGE 85 1 6:;, a o z \ (LANDS UNDERWATER) AREA= PILE(TYP) `199, 9,512 SO FT. MAG NAIL OR X794 g8J\ 0218 ACRES SET I JOHN GEN ECKEA,A MCENSEO THE ME. CJ.D v YOfl N THE STATE OF NEW RK YO (MENvl (L¢fNSE TW50719),00 XEREY CERRFY TMTRaS NPP WAS PREPARE.N ALCOROIWCE 1. SEP 3 0 2016 \ ME Mn-CODE OF PRPLIICE FOR IJNO SURVEYS ADOFTED BY ME NEW YORK S74E \ ASSOCIARON Of FROFESSONAL LEND SUMEYORS THIS CERMIGPON EXTENDS ONLY I TO ME_m1 MANED DEW,AND IS NOT ` TRPNSFERAeIE. Soutbold Town f 1 FRANCINE WOUErdolTiu—RleeA -I ATE FRANC'INE L UQ UE Pk6HLN74 unwNnaee�taatan cr JOHN GERD HODECKEA NY STATE IAN.SURVEYOR DC S 50719 �11TEMI <s cRDxn sMEEr ER 12,201 TOPOGRAPHIC/BOUNDARY SURVEY JH OF N0 einxwn Z,el ue New Tal. S."E-1-bw e��..of MNG91G,1 NEW Yo..12— WN BY N RSECTION 35-BLOCK 4-TJUC LOT 28 3 ,roewT NIMy'ap cot U-9 1Hc 580 WIGGINS LANE BY J H TOwIQ OFSOUTHOLD caD FlLE EE 1•-2D' SUFFOLK COUNTY NEW YORK r6nu7w9r. Y• �pF Michael J.Domino,President �®� y®�® Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders v, 4a- Southold,New York 11971 Glenn Goldsmith a a� Telephone (631) 765-1892 A.Nicholas Krupski )01 Telephone Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: j�1.7 JCh. 275• Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction / % constructed V Project complete, compliance inspection. INSPECTED BY: COMM NTS: CERTIFICATE OF COMPLIANCE: a 4 'of Sot Michael J.Domino,President �0� y® Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders COOSouthold, New York 11971 Glenn Goldsmith ® a0 Telephone(631) 765-1892 A.Nicholas Krupski ��10OU0� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: _- �, 1 � ?-� C? JCh. 275- Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction / Y2 constructed !� Project complete, compliance inspection. INSPECTED BY: COMM NTS: CERTIFICATE OF COMPLIANCE: Michael J.Domino,President �o� 0. Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders y �r Southold,New York 11971 Glenn Goldsmith ® �\�@ Telephone(631) 765-1892 A.Nicholas Krupski ��COWN Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1366C Date: July 18, 2017 TRIS CERTIFIES that the removal and replacement of 176 linear feet of existingter bulkhead a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18"higher than existing; with the condition that a 10' wide area of permeable patio pavers be installed along landward edge of bulkhead in patio area; and to install and perpetually maintain a 10' wide non-turf buffer landward of the bulkhead; At 580 Wiggins Lane, Greenport Suffolk County Tax Map#1000-35-4-28.30 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 30,2016 pursuant to which Trustees Wetland Permit#8913 Dated November 16,2016,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal and replacement of 176 linear feet of existing timber bulkhead a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18"higher than existing;with the condition that a 10' wide area of permeable natio pavers be installed along landward edge of bulkhead in patio area; and to install and perpetually maintain a 10' wide non-turf buffer landward of the bulkhead. The certificate is issued to FRANCM LUQ UE owner of the aforesaid property. Authorized Signature JENNIFER B. GOULD RECEDED Attorney at Law 53740 Main Road JUL 11,2017 P.O. 988 Southold,New York 11971 JOWN ATTORNEY'S OFFICE Telephone Number: 631-765-8375 Fax Number: 631-765-8036 Email: lawjbg@gmail.com July 10, 2017 Southold Town Attorney's Office PO Box 1179 Southold,NY 11971 Attention: Mary RE: Declaration of Covenants- Francine Luque f/n/a Francine Prato Premises: 580 Wiggins St., Greenport, NY 11944 SCTM# 1000-035.00-04.00-028.030 Dear Mary: Enclosed is a certified copy of the Declaration of Covenant dated April 27, 2017 and recorded June 28, 2017 in liber 12918 page 546. If you have any questions, please do not hesitate to contact me. Very truly yours, ennifer B. Gould Enclosure CC# : C17-26896 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 06/28/2017 under Liber D00012918 and Page 546 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 06/28/2017 SUFFOLK COUNTY CLERK <�;7- a. 1101- � JUDITH A.PASCALE SEAL • A IIIVIII IIII VIII VIII VIII VIII VIII VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 06/28/2017 Number of Pages : 9 At: 10 : 00 : 45 AM Receipt Number : 17-0108938 LIBER: D00012918 PAGE : 546 District: Section: Block: Lot: 1000 035 . 00 04 . 00 028 . 030 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $45 . 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 $11 .25 NO RPT $200 . 00 NO Fees Paid $296.25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County , Number of pages This document Will !be public record. Please remove,all Social Security Numbers prior to recording. Deed/Mortgage instrument Deed Mortgage Tax Stamp Recording Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. Handling 20. 00 1. Basic Tax ` 2. Additional Tax TP-584 SubTotal Notation Spec./Assit. or EA-52 17 (County) SubTotal -S Spec. /Add. EA-5217(St-ate) TOT. MTG.TAX R.P.T.S.A. Dual Town Dual County Held forAppointment TransferTax Affidavit Mansion Tax The property covered by this mortgage is or will be improved by a one or two 15. 00 fam,ily dwelling only. Other Sub Total YES orNO ~...~ ..~. - page # of this instrumeq. 4 1 Dist, 10007 3393284 1000 03500 0400 028030 5 Community Preservation Fund Tax Service (R DGR A 111111111111111111111111111111111111111111111 Agency % 09-MAY-1 CPF Tax Due $ Verification # Improved Satisfactions/Discharge Releases List Property Owners Mailing Address Jennifer B. Gould, Esq. PO Box 988 TD Southold, NY 11971 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company information 310 Center Drive, Riverhead, NY 11901 Co.Name Fidelity National Title Insuranc;Services LLC www.suffolkcountyny.gov/clerk Title# -- 8 Suffolk County- Recording ,& Endorsement Page This page forms part of the attached DECLARATION OF COVENANTS made by: (SPECIFY TYPE OFINSTRUMENT) . ."".C"v= c Lu"vE r -The premises herein is situated in . SUFFOLK COUNTY, NEW YORK. ' TO |ntheTOVVNof 8OUTHOLD BOARD OFTRUSTEES TOWN OFSOUTHOLD |nthe VILLAGE orHAMLET of GREENPORT BOXES 8THRU8 MUST 8ETYPED ORPRINTED |NBLACK INK ONLY PRIOR TORECORDING OKFILING. IMPORTANT NOTICE If the document you've just recorded is your SATISFACTION OF MORTGAGE, please be aware of the following: If a portion of your monthly mortgage payment included your property taxes, *you will now need to contact your local Town T ax Receiver so that you may be billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 10,n and on or before May 315,. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst, N.Y. 11757 Riverhead,N.Y. 11901 (631) 957-3004 (631)727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville, N.Y. 11738 Shelter Island, N.Y. 11964 (631)451-9009 (631) 749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton,N.Y. 11937 Smithtown,N.Y. 11787 (631) 324-2770 (631)360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington, N.Y. 11743 Southampton, N.Y. 11968 (631)351-3217 (631) 702-2470 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip, N.Y. 11751 Southold, N.Y. 11971 (631) 224-5580 (631) 765-1803 Sincerely, Judith A. Pascale Suffolk County Clerk dw 2/99 12-0104.06/06kd DECLARATION OF COVENANTS THIS DECLARATION made this 27th day of April, 2017, by FRANCINE E . LUQUE formerly known as FRANCINE PRATO, surviving tenant by the entirety of SALVATORE PRATO, deceased 11/16/2009, late of Suffolk County, New York, residing at 580 Wiggins Lane, Greenport, New York 11944, hereinafter referred to as the Declarant . WITNESSETH: WHEREAS, Declarant is the owner of certain real property located at 580 Wiggins Lane, Greenport, Town of Southold, County of Suffolk, State, of New York, described in the he Suffolk County Tax Map as District 1000 Section 035 . 00 Block 04 : 00 Lot 028 . 030 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the 'granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 10' wide "non-turf buffer" be installed adjacent to and landward of the bulkhead; NOW THEREFORE, the DECLARANT does hereby covenant and agree as follows : 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained a 10' wide "non-turf buffer" as defined by Chapter 275 of the Town Code; and as depicted on the revised site plan prepared by Jeffrey Pantanjo, last dated November 28, 2016, and stamped approved on December 5, 2016, see Exhibit A attached; and as set forth in Board of Southold 'Town Trustees Permit No . 8913, dated November 16, 2016, see Exhibit B attached; and as set forth in Board of Southold Town „ Trustees letter and resolution dated November 16, 2016, see Exhibit C attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT, her heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees . IN WITNESS WHEREOF, the owner has duly executed this instrument this 27th day of April, 2017 . FRANCINE E. LUQUE 2 State of New York, County of Suffolk ss . : On the 27th day of April in the year 2017, before me, the undersigned, personally appeared Francine E. Luque, personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature (s) on the instrument, the individual (s) , or the persons upon behalf of which the individual (s) acted, executed the instrument. ary Public f5env t l G old JENNIFER B.GOLD Notary Public, State of New York No.02G05024640-Suffolk County Conirnission Expires March 14,20 fig'- 3 SCHEDULE `A' ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being east of the Village of Greenport, in the Town of Southold, County of Suffolk, State of New York, known and designated as Lot 22 on a certain map entitled "Map of Section Two Fordham Acres at Greenport, Town of Southold, Suffolk County, N . Y. " surveyed January 20, 1965 by Van Tuyl & Son, licensed land surveyor, and filed in the Office of, the Clerk of the County of Suffolk on the 6th day of April, 1966, as Map No. 4605 . 4 GINS LANE WIG PROJECT LOCATION N_8737'4Y E _ — — _ �1'- ;-'k .. - . _ ,•[. f'•} IONUNENT — _ �`� —• � N FOUND 11278 Ui I 'DUNE m -O„' .` •, _�,' Q...� CRASS APPROVED .. / �A BOARQ OF 1 RUST Ln ` :' =^ ': D ' TOWN OF SOUTH o� ' ',4A7 :4 �� DEC - DATE _ ._ _ 2 2016 t� D,—n Y o.EwiwO I T�� i�EDH�S,ZO[ x6 •neo �%.�'F - •�' �4 , r RnB J "j Board of Thniep; Southold Town FL RESSwEN 1 ,�`~'- '`I ',4%•, _� 97* CAQAGE Ac AtER 4 �e9O ys °E`" `s PROJECT LOCATION MAP 5,�P5 N T.S. ��z[��•. wrt,wrv+c om,wc zwarrn G:J = rawcr�z�'�•u° a�iAYe• emwsm rc Laoro'Durr Au nano nun M&r � � �� cRAss 1 � �rrp4�'ims mz�nra'ID,az�pa °'6 y r( 1 ' � �� - I I PAOPoSm 6•a!'mA PROPOSED 6 U•BW(HEAO RETURN we PROPOSED 176 LF VWhL BIAKNEAD m (RI SW ALMWENT AS DIST) 2 4zy PROPOSED PAVERS TO BE PERMEABLE KDW'N a u.��e•»cu 10'OF PROPOSED BU11 END IN BUFFER UNITSOu-- PPTC7m W-—PiL 0 0 DI Pp1J.SL PI .w} . OG D'IO14TL eRlm 19 ITS DlM1I<IY. A,�0 L4' p4 "" m' CWYVN� 13/4Ip EIS 75'78 ar K'as - 4rn•IG I"POvosKm tme•Icxot tole ` �� Azr cRAss • I `J6 CqA ` = N S'' § IV mo CU4 1 D,STM FLOATING DOCK AND RQAM 71 ` 5 TO REMNN IN SWE lOC1110N TYPICAL SECTION UNE OF 10'%ME NON-T1R,F tRUTER `B¢yF a rv, 3 m PROPERTY OWNER: N.T.S. URN 4 taw ALONG FACE OF BUUOIEAD 'D ' FRANCINE LUOUE PROPOSED 30 U Bln1WEAD..RERSLV J673. r• 560 WIGGINS (ANE GREENPORT, NY 11944 BULKHEAD PERMIT PLANS SCALE: ! t 1.ELEVATIONS REFER TO NA.VD. 198B OATUM . "'4q, - AS NOTED 2 PORTIONS OF PLAN FROMSURVEY PREPARED BY, C 1 PROPOSED PLAN, SECTION JOHN GERD HEIDECKER NY,STATE LAND SURVEYOR LIC 8 50719 (Fy<OQ "A,� I i PREPARED DY: & LOCATION MAP DAT`-' 42 CR07FN STREET ^I JEFFREY PATANJO 9-1 z-16B KINGSTON,NEW YORK 12401 106 HEWITT BOULEVARD - 580 WIGGI= LANE (B45)-901-76ZS PLAN ��• CENTER MORICHES, NY 11934 GREENAORT, TOWN OF SOUTHOLD Lheidecker0lhe;deckerls com .� 1 631-484-9332 SUFFOLK COUNTY, A7 ` LATEST DATED SEPTEMBER 12.2016 SCALE: 1"=30' 1 1 JPATANJO®OPTONUNE.NET SHEET• r I TAX MAP NO. 1000-35-4-28.3 , of 1 ' � 1 I t t I - I t i ' %- .;yt'tiii• ��%j'•- _ -;"t� ,�.yqo'. ;�i`�•' ':f,i- �. "j i.'�.:�� y--' y f/• :S ��r-�'a �.�. F`� � is-.,� •a-'-q<� r _::r. � 'Ff.�4i': �• ' •.r�^-l••• :'.rta ',Tr •' �._�._ Szs��, � � i ln }n^„2•rec�rvxrrr�+�s+tcao^m^it?aq�rnw�eenv-ime��.�zct�m+�v2verna�^.�+em��ntAss�a:.c�msr+r*^.�*s�varr�.rr�.,.:r.-M;m�m•<•r�s�:;;rtF:ten,*yr,�r;r�tr'ct��Yxesxao�mv�Xe^'A^rrun, ',�,i lI BOARD OF SOUTHOT,D TOWN TRUSTEES 'F a SOUTHOLD, NEW YORK f PERMIT NO. 8913 DATE: NOVEMBER 16,2016 ISSUED TO: FRANCINE LUOUE ` PROPERTY ADDRESS: 580 WIGGINS LANE, GREENPORT SCTM# 1000-35-4-28.30 AUTHORIZATION i Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in g accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 16, 2016, and in consideration of application fee in the sum of$250.00 paid by Francine Luque and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the `r + following. :- Wetland Permit to remove and replace 176 linear feet of existing timber bulkhead,a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18" : higher than existing;with the condition that a 10'wide area of permeable patio pavers be 1 installed along landward edge of bulkhead in patio area; and to install and perpetually maintain a 10' wide non-turf buffer landward of the bulkhead; and as depicted on the revised 1 site plan prepared by Jeffrey Patanjo,dated November 28,2016,and stamped approved on December 5,2016. ! - f jIN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, _ I and these presents to be subscribed by a majority of the said Board a of this date. 1 ` coo _E x t' ' b ;_+ e� UL5T4d0�LLu7di�3Me:mtKxraisaraa.�ra�afY�17Z't°—�'rnr+vear��p•�y �y av_ _-�>:na-—_ttr,a.on.wrr.•.�mr.::i7ltRYuSl�r•'_�_ -_— - —. � S w�� F a''� -`r r. 2�- .Wiz' �}+; �� .•S�' ;,�1! / QF S�U� Town Hall Annex John M.Bredemeyer III,President ,`o`�� o 54375 Route 25 Michael J.Domino,Vice-President Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krups1d ® O Telephone(631)765-1892 - Charles J_SandersFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November,16, 2016 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: FRANCINE LUQUE 580 WIGGINS LANE, GREENPORT SCTM#'1000-35-4-28.30 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16; 2016.regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of FRANCINE-LUQUE, applied to the Southold Town Trusteevfor a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the-Town of Southold, application dated September$0, 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 November 16, 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, ?1 ar 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 FRANCINE LUQUE to remove and replace 176 linear feet of existing timber bulkhead, a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18" higher than existing; with the condition that a 10' wide area of permeable patio pavers be . installed along landward edge of bulkhead in patio area; and to install and perpetually maintain a 10' wide non-turf buffer landward of the bulkhead; and as depicted on the revised site plan prepared by Jeffrey Patanjo, dated November 28, 2016, and stamped approved on December 5, 2016. Permit to coinstruct 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: None Very truly yours, John M. Bredemeyer Ill President, Board of Trustees JMB/dd Y John M.Bredemeyer III,President �*rjf $�(/fiyO Town Hall Annex Michael J:Domino,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G 0 Telephone(631) 765-1892 Charles J.Sanders 'O Y Fax(631) 765-6641 ly�4UNT`1,�� 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/silt boom/silt curtain 1 st day of construction Y2 constructed Project complete, compliance inspection �Zges� M 1 BOARD OF SOUTHOLD TOWNTRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8913 DATE: NOVEMBER 16, 2016 ISSUED TO: FRANCINE LUQUE PROPERTY ADDRESS: 580 WIGGINS LANE, GREENPORT SCTM# 1000-35-4-28.30 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 16. 2016, and in consideration of application fee in the sum of$250.00 paid by Francine Luque and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove and replace 176 linear feet of existing timber bulkhead,a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18" higher than existing; with the condition that a 10'wide area of permeable patio pavers be installed along landward edge of bulkhead in patio area; and to install and perpetually maintain a 10' wide non-turf buffer landward of the bulkhead; and as depicted on the revised site plan prepared by Jeffrey Patanjo,dated November 28,2016, and stamped approved on December 5,2016. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board s date. 0 his Ego %;55 W X10 I.. ........ TERMS AND CONDITIOrNa The Permittee Francine Luque residing at 580 Wiggins Lane GreenportNew 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 Penmittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes frill 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 Pennittee 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 ��0� SOTown Hall Annex Michael J.Domino,Vice-President �O lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G ® Q Telephone(631) 765-1892 Charles J.Sanders Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 16, 2016 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: FRANCINE LUQUE r 580 WIGGINS LANE, GREENPORT SCTM# 1000-35-4-28.30 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2016 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of FRANCINE LUQUE, 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 September 30, 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 November 16, 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 bf 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 FRANCINE LUQUE to remove and replace 176 linear feet of existing timber bulkhead, a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18" higher than existing; with the condition that a 10' wide area of permeable patio pavers be installed along landward edge of bulkhead in patio area; and to install and perpetually maintain a 10' wide non-turf buffer landward of the bulkhead; and as depicted on the revised site plan prepared by Jeffrey Patanjo, dated November 28, 2016, and stamped approved on December 5, 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: None Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd Town Hall Annex John M Bredemeyer III, Resident 0` Michael J. Domino, Vice-President :�r <' 54375 Route 25 Glenn Goldsmith o r ? P.O. Box 1179 A. Nicholas Krupski oy Southold, NY 11971 Charles J_ Sanders `'; ora° Telephone (631) 765-1892 =r Fax (631) 765-6641 BOARD OF TOWN TRUSTEES ffpfrl6 TOWN OF SOUTHOLD TO: Please be advised that your application dated �E?r 30 ' `' has been reviewed by this Board at the regular meeting of 1/0VEo&e1V__ A and your application has been approved pending the completion of the following items checked off below. QATI0 pOSlGAI Revised Plans for proposed project— Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) / '/ Constructed ($50.00) V Final Inspection Fee ($50.00) . / Dock Fees ($3.00 per sq. ft.) V The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ` BY: John M. Bredemeyer iii, President Board of Trustees GINvuTS IRAN IG PROJECT WATER NLOCATION_ 87'37'42" E _ — �L' _j" �, iONUMENT _ METES 112. 5.�7 4 `.�`99 SU c FOUND — — (115.00') MONUMENT a ' ! r y'. `= -, 't FOUND +, 053 Cp 4r!' N z GRASS I • < fi80, -. APPROVED LP WT99Lr!z�n.: Grcenport.NV•11944_ BR/Gk WALK " _ t,i BOARD OF 1 RUST m L/S :. JO" OF SOUTH r"' h','f" ;:8. ,: +' x¢_ 2 :_..;Yw' E.' , s '. DEC 2 2016 DATE OVERHANG — #580 'Tn Z STORY F FL=8 3' RESIDENCE I {-,. �," ¢ Southold Town w FFL=9.7 ElI 'e of Tru eeS GARAGE AC ;g• ,', . N AVER , F FL= O' DECK L/S � ' L/S PROJECT LOCATI0N MAP STEPS N.T.S. 2 - STEPS W lW,: NOTE REMOVE EXISTING BULKHEAD PROPOSED FIR TIMBER TOP CAP c Tv� _•' AND INSTALL NEW BULKHEAD PROPOSED 3X8' '•v' IN THE EXACT SAME POSITION REAR WAIF PROPOSED TRREATED TIMBER PILE, BS' a3' I AS EXISTING WITH RAISED HEIGHT O.C. y GRASS i OF 18'ABOVE COSTING TOP CAP. 4 PROPOSED 8'x8'CCA TDP,MIDDLE&BOTTOM WALE �N p PROPOSED 8 LF BULKHEAD RETURN Z 4MMM r PROPOSED 176 LF VINYL BULKHEAD m (IN SAME ALIGNMENT AS EXIST.) a - 2 •.\ PROPOSED PAVERS TO BE PERMEABLE WRHIIN GRASS LP S>Fps 10' OF PROPOSED BULKHEAD IN BUFFER LIMITS LAY-LOG PROPOSED�TIP CCA �M EL Oft �Z 28 GRA�� \ •. ReT a W PROPOSED 8-TIP COA PHS,8' EXISTING BE W DINN LAY-LOG WITH 3/4'TED TO ITS ENTIRETY. I \ O25'�8„' g>• pAVeRs ` u00T GALVANIZED THRU-130US \/\' w BulkyeAD \ �'• O I PROPOSEEDeODIV LONG I”Du.GALV. •37 GR �•• <n �- OGk '�•.` GRASS PROPOSED 14'LONG CLEC 9900 VINYL SHEETING EXISTING FLOATING DOCK AND RAMP TO REMAIN IN SAME LOCATION goo GRAVEL m I a TYPICAL SECTION LINE OF 10' WIDE NON-TURF BUFFER "e�cKy 0 R y I ; m PROPERTY OWNER: N.T.S. MFW do MLW ALONG FACE OF BULKHEAD cl z FRANCINE CLIQUE »6 3 a�\ PROPOSED 30 LF BULKHEAD RETURN 3 �Te 580 WIGGINS LANE NOTES:ELEVATIONS REFER TO N.A.V.D. 1988 DATUM ` �Qpb s GREENPORT, NY 11944 BULKHEAD PERMIT PLANS SCALE: 1. AS NOTED 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: C I PROPOSED PLAN, SECTION JOHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 50719 (79\ � ^I PREPARED BY: & LOCATION MAP DATE: 42 CROWN STREET 1, JEFFREY PATANJO 9-18-16 KINGSTON, NEW YORK 12401 106 HEWITT BOULEVARD 580 WIGGINGS LANE 11-28-16 (845)-901-7629 PLAN L CENTER MORICHES, NY 11934 CREENPORT, TOWN OF SOUTHOLD jheidecker@heideckerls com I 631-484-9332 SUFFOLK COUNTY, NY � SHEET: LATEST DATED SEPTEMBER 12, 2016 SCALE: 1 =30 I I JPATANJO@OPTONLINE.NET TAX MAP N0. 1000-56-4-28.5 1 of 1 i 0 10 20 30 II I METERS FEET HEIDECKER LAND SURVEYING 0 20 40 60 80 GRAPHIC SCALE 1" = 20' WIGGINS LAME > z (50' WIDE) L/S \ MONUMENT6 - FOUND 6' W 0TER 6' 04 —, "7.37'42" E METER 112-78' as; O O (115.00') MONUMENT MH MH FOUND W Of (VOTES _ W O N 1. FIELD WORK WAS CONDUCTED SEPTEMBER, 7 r Z 2016 BY HEIDECKER LAND SURVEYING, PLLC J 0 GRASS \ N GAND ALL ROUND.MEASUREMENTS WERE TAKEN ON THECL 2. PROPERTY LINES ARE BASED UPON DEED CV in FILED WITH THE SUFFOLK COUNTY CLERK IN h o N Q \ LIBER 10817—PAGE 85 & MAP ENTITLED 'MAP 00 0 LP s \ I OF SECTION TWO—FORDHAM ACRES AT GREENPORT-, FILED WITH THE SUFFOLK 2 e Ck \ COUNTY CLERK ON APRIL 6, 1966 AS MAP gO 40 R/ WALK NUMBER 4605.. t�(0 \ \ (P. I 3. BEARINGS AND NORTH ARROW REFER TO �Q V 8 L/S THE NORTH AMERICAN DATUM OF 1983 (NAD C. 2 \ U TE / 83 U ZONE) AS DETERMINED BY GPS FIELD MEASUREMENTS PERFORMED BY HEIDECKER —O Q = �8, AC \ LAND SURVEYING, PL-C "O� hQ— L/S �,• ` 4 SUFFOLK COUNTY TAX ASSESSOR !L Q `$ DESIGNATION:TOWN OF SOUTHOLD—SECTION /��4Q. OVERHANG L 35, BLOCK 4. m�(� C C ETE I 5 THIS SURVEY WAS MADE WITHOUT THE BENEFIT OF A TITLE REPORT AND IS SUBJECT " #580 CHIMNEY \ TO ANY STATE OF FACTS A FULL AND F FL=8.3' a 2 STORY CURRENT TITLE REPORT MAY REVEAL W Ld RESIDENCE 6 ALL EASEMENTS MAY NOT BE SHOWN. p F FL=9 7' I 7. UNDERGROUND UTILITIES ARE NOT SHOWN. GARAGE ❑ ' PRIOR TO CONSTRUCTION THE CONTRACTOR AVER SHALL CALL'CALL BEFORE YOU DIG'AT(800) 272-4480 AND HAVE ALL UTILITY LOCATIONS MARKED ON THE GROUND. 8 VERTICAL DATUM IS REFERENCED TO THEI NORTH AMERICAN VERTICAL DATUM OF 1988 F FL=9.0' (NAVD 88) AS DETERMINED BY GPS FIELD STORAGE CONTAINERS DECK L/S a MEASUREMENTS PERFORMED BY HEIDECKER LAND SURVEYING, PLLC �\ O J L/S 4. 9. HIGH & LOW WATER LINE WERE OBSERVED — -- STEPS / ON SEPTEMBER B. 2016. 4� \ STEPS \ W ' O�0O Q O \ \ U3 r')co DISTRICT 1000-SECTION 035.00 — — —8,\ sLt�Qttl = z 0 BLOCK 04.00-TAX LOT 028.030 `� a \ GRASS �� 0 0 FILED MAP N0. 4605—LOT 22 \ �a � - of 27,094 SQ. FT. \ \ o 0 OR HUB/TACK 0.622 ACRES SET 6, TOTAL AREA= o a \ _ 36,606 SQ. FT. W r;0 MAG NAIL 's \ OR z o m SET 2 UB/TACK 0.840 ACRES -,SET �4 GRASS LP STFPS� N`'0 Rfr \ HUB/ K 9 W N wq( \ \4u� SET 8 ly 6 QRS \ \ 00 PILE (TYP.) <kyFgQ 4 \ �— \\ \ a of \ o �� 2 f�E� GRq�� \ \ \ \ \ � 34. \ PA9ERS \�, HUB/TA K �- op '32� \ \s _ SET GRASS 404, hgTf GRq�f( 4 \ \ 3 RFT ¢�6 z w R 411v" ® \ w _ S ® '2S \ y• q rFR UN /8 8/76 �iq/y lwppo GRAVEL 3 r /7 EC "4 C Al U a 6 e�F�� 7.9. q�t1 e �kyFga wO REr w W�2. DIDc T o O LIBER 10817—PAGE 85 >3, o' z O (LANDS UNDERWATER) PILE (TYP.) X499• w AREA= Of 9,512 SQ. FT. MAG NAIL OR SET 0- OR 0.218 ACRES O CERTIFICATION ; E I V E 1 JOHN GERD HEIDECKER,A LICENSED LAND SURVEYOR IN THE STATE OF NEW YORK (O I (LICENSE NO 50719), DO HEREBY CERTIFY THAT THIS MAP WAS PREPARED IN ACCORDANCE WITH SEP 3 0 2016 ` v THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE O ASSOCIATION OF PROFESSIONAL LAND SURVEYORS THIS CERTIFICATION EXTENDS ONLY TO THE PARTIES NAMED BELOW AND IS NOT TRANSFERABLE. Southold Town 1. FRANCINE LUOUE Boar,S11 Trustm �J ROVEY PRFPMED FaR ATE FRANC'INE L �J Q aJ E PR6HLS74 Unauthorized alteration or JOHN GERD HEIDECKER N Y. STATE LAND SURVEYOR LIC. # 50719 DATE- SHEET N0. addition to this survey is a TOPOGRAPHIC/BOUNDARY SURVEY violation of section 7209, 42 CROWN STREET SEPTEMBER 12, 20161 OF 1 subdivision 2, of the New York SECTION 35-BLOCK 4-TAX LOT 28.3 —JO B State Education Law Copies of KINGSTON, NEW YORK 12401 DRAWN BY. M.R. m this survey op not bearing the 580 WIGGINS LANE 1 land surveyors inked or (845)-901-7629 CHK BY. J H. embossed seal eal shall not be Iheidecker®hetdeckeris.com TOWN OF SOUTHOLD CAD FILE: 16 considered to be a valid COPY sc"!E 1"= 2a' SUFFOLK COUNTY NEW YORK t6HLs74FP•DWc rrm� John M Bredemeyer III, Pre: t �osUFF04 Town Hall Annex Michael J Domino, Vice-Presiaent 4�,�0 ��y 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 4, _ �ao�. Telephone (631) 765-1892 orf` Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: G1 0 V l I"D& NOk Completed in field by: c'y k\Au �J E, �c� vt Jeffrey Patanjo on behalf of FRANCINE LUQUE requests a Wetland Permit to remove and replace 176 linear feet of existing timber bulkhead, a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18" higher than existing. Located: 580 Wiggins Lane, Greenport. SCTM# 1000-35-4-28.30 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 of Hearing Card Posted: Y / N Ch. 275 V//" Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment V Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N VWetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: \ Present were: y J Bredemeyer M. Domino / G.-Goldsmith ✓N. Krupski � , C. Sanders Other Page 1 of 2 1 i John M. Bredemeyer III, Pre;- pit �Og�FF04ea, Town Hall Annex Michael J. Domino, Vice-President �o Vy 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders y • o�� Telephone (631) 765-1892 ��l Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffrey Patanjo on behalf of FRANCINE LUQUE requests a Wetland Permit to remove and replace 176 linear feet of existing timber bulkhead, a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18" higher than existing. Located: 580 Wiggins Lane, Greenport. SCTM# 1000-35-4-28.30 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 !1 H n w � ' ' Muhl •w'.., �.' Francine Luque " Wiggins Lane,Greenport CTM#: 1000-35-4-28.30 11/9/16 iwto }Ss�l r i • P , , E ` P , • " rR�" i Francine Luque 4580 Wiggins Lane,Greenport SCTM#: 1000-35-4-28.30 11/9/16 ': .. ` ( •1 of ;*,• Vii, s .. - '�, .•,, .._ _ - ,! •ter � 7,. �F Vol P= "Y Francine Luque S80 Wiggins Lane,Greenport SCTM#: 1000-35-4-28.30 11/9/16 J r � 1 l�r w ilk A a 5veo I m as m 3 O NiwAn JOKLNnoo B31ION 0�. " --41— ou —o-9Z. -Nno, °j ns'eocN moN os do NMOL qqq vc, a r�. t 01 ot 4. 6 9 j-97NI GNOd .4, ,14 io 77ns Vz, (-)vo vk Lnos moL 011 < 0MR f"A '0 dt Om Is Ly o-, -owo 4t. K dll� oe ——————— ——————————————————z--————————————————— nNn ON 035 335 November 30, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 580 WIGGINS LANE-GREENPORT, NY SCTM No.,1000-1+e2-03- REVISED - ?-939REVISED PLANS Dear Trustees: Attached please find four (4) copies of revised plans based on comments during the public hearing. Plans have been revised to include a 10' wide non-turf buffer and permeable pavers within that limit. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or email at jpatanjo@optonline.net. Very truly yours, G Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 D E FIVE D EC - 2 2016 L—Iouthol TTown _Board pf Trustees r . OFFICE LOCATION: S®Ujy®l MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) G Q Telephone: 631 765-1938 Southold,NY 11971 ® a0 p ® Fax: 631 765-3136 lylbou LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President NOV 1 4 2016 Town of Southold Board of Trustees Zt—Wild asvn From: Mark Terry, LWRP Coordinator ar 1,crus ze Date: November 14, 2016 Re. LWRP Coastal Consistency Review for FRANCINE LUQUE SCTM# 1000-35-4-28.30 Jeffrey Patanjo on behalf of FRANCINE LUQUE requests a Wetland Permit to remove and replace 176 linear feet of existing timber bulkhead, a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18" higher than existing. Located: 580 Wiggins Lane, Greenport. SCTM# 1000-35-4-28.30 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 action is CONSISTENT with the below listed Policy Standards and therefore is CONSISTENT with the LWRP provided: 1. The proposed non-turf buffer is vegetated with native, drought tolerant, beneficial plants to further Policy 6. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Peter Young,Chairman Q Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., November 9, 2016 the following recommendation was made: Moved by John Stein, seconded by Peter Meeker, it was RESOLVED to SUPPORT the application of FRANCINE LUQUE to remove and replace 176 If. of existing timber bulkhead with new vinyl in same location and raised height of 18" along with 30 If. and 8 If. vinyl bulkhead returns. Located: 580 Wiggins Lane, Greenport. SCTM#35-4-28.30 Inspected by: John Stein, Peter Meeker The CAC Supports the application with the Condition the bulkhead is constructed no higher than the neighboring bulkheads and a 10' non-turf buffer is installed along the landward side. Vote of Council: Ayes: All Motion Carried Q�F � John M.Bredemeyer III,President - ��•�-'`--•-.'�,- Town Hall Annex , Michael J.Domino,Vice-Presiddnt � Q' 64376 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0969 Dave Bergen,Trustee Telephone(631)766-1892 Charles J.Sanders,Trustee Fax(631)766-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Zoastal Erosion Permit Application , E E I V E Wetland Permit Application Administrative Permit / Amendment/Trans er/Extension I V Received Application: 30,10 SEP 3 0 2016 .,[_Received Fee:$200(Jl� V Completed Application_ /0,74-V _Incomplete__ Southold Tonn _SEQRA Classifica on: Board ofTrustees Type I Type 11 Unlisted Coordination:(date sent) LWRP Consistency Assessment Form CAC Referral Sent: 101 X t 1(D Date of Inspection: I I t f1i I R _Receipt of CAC Report: _Lead Agency Determination: Technical Review: ITPublic Hearing Held: I l 1 Resolution: Name of Applicant �r4 n c 1✓a e- ✓ e Mailing Address ►g q 1 n S Ga h e J e-cn dor 1-, fJY 119 y y Phone Number:( Suffolk County Tax Map Number: 1000 - 35- `I'-'L%•30 ; Property Location: :54--e- l.oe-_+ton rn e,.p (provide LILCO Pole#, distance to cross streets,and location) AGENT: T��c PG.�'a r► ; (If applicable) Address: 1V6 c.a�-rt 61V d.-, C,r,,'►+e C AIS®r t e ke-S Phone: b_5j 'q$q '4 33�k_ 5ef`V �- aqV C � —bard of Trustees Applicatioa-m- GENERAL DATA Land Area(in square feet): 9,o q y Area Zoning: Re-S . Previous use of property: ;Z os Intended use of property: Covenants and Restrictions on property? Yes ✓ No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes ✓No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes "o`* No G If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s)on property have a valid Certificate of Occupancy? Yes ✓ No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? '%�N o Yes If yes,provide explanation: Project Description(use attachments if necessary): 9-eMvve 4,14 t2 R I ACe 176Y mf tol S-PAg -t"t.,. bt!/L toU6Ae4ce New vt.uy L oh $A/nG Jcuativ,.j et t4 ftc Ls-e . het1hf of- 18 wttk 3o Actyrds ,rd of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 2a.nftxc.a»rR R e4u 196"-F -ekc Sront -*.ii 16c2 w444 wewytyq(, t4 Same- A0C4-t.41*..r ,anQ A&ISeeQ _ hc.�yh-� 41041 W14A '3a LG awcQ, $� veAll G hIA11,44"le /k.--ur,Js• Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: /n o feet Closest distance between nearest proposed structure and upland edge of wetlands: too feet Does the project involve excavation or filling? Vol'" No Yes - If yes,how much material will be excavated? N A cubic yards How much material will be filled? *4 cubic yards Depth of which material will be removed or deposited: M .4 feet Proposed slope throughout the area of operations: ' 3 7o Manner in which material will be removed or deposited: Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): �'hG�rc wj#, he & ppil-five. eFAsc4 -,n Necir ,✓��"�k4&.S' Gewc -te +ke- /b dwc f Ion 04 due, -ro 4m s t o f l�n c�uL �•a G l® t mq Town of Southold Erosion, Sedimentation t& Storlliim-Water Run-off ASSESSMENT FORM �o PROPERTY LOCATION: S.C.T.M.d: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Ol J&Vv 3 r Ll a q-,3 STORM-WATER;GRADING,DRAINAGE AND EROSION VONTROL PLAN s r ctec on –BolT' TCERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within 0?–Nf y p,6pV- Generated by a Two(7)Inch Rainfall on Site? the Scope of Work for Proposed Construction) (s.F,I cores) (This item will include all run-off created by site b. What Is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed 3$�D O � Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F.IAares) PROVIDE BRIEF PROJEUr DESCRIPTION (Provide Addldonal Pages as Needed) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&Location?This Item shall Include all Proposed Grade Changes and !?eM®tk 6At QeA/Ice laber>? or- r9+6�. Slopes Controlling Surface Water Flow. n $ Does the Site Plan and/or Survey describe the erosion by(.lAedt,dr wid 4 AOAJ V&-V!11, and sediment control practices that will be used to control site erosion and storm water discharges. This d LF &-,i� f>L F pp 6 a item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or P ^,Q Excavation where there is a change to the Natural G- "'4 Existing Grade involving more than 200 Cubic Yards of Material within any Parcel? 5 WIII this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand ✓ (5,000 S.F.)Square Feet of Ground Surface? — x 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction — General DEC SWPPP Reauirethents: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; Including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres or land; which Exceed Fifteen(15)feet of Vertical Rise to — Including Construction activities Involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit Is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-00.001.) Surfaces be Sloped to Direct Storm-Water Run-Off [--J 1.The SWPPP shall be prepared prior to the submittal of the Not.The N01 shall be Into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Mateflal, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any F-1 — constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permIL In addition,the SWPPP shall Area?(This Item Will NOT Include the Installation of Driveway Aprons.) ' Identify potential sources of pollution which may reasonably be expected to effect the quality of storm water discharges. NOTE: If Any Answer to questions One through Nine Is Answered with a Check Mark i 3.All SWPPPs that require the post-constructlon storm water management practice In a Box and the construction site disturbance Is between 5,000 S.F.&1 Acre In area, component shall be prepared by a qualified Design Professional Licensed In New York a Storm-Water,Grading,Drainage&Erosion Control Plan Is Required by the Town of that Is knowledgeable In the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark(4)and/or Answer for each Question is Required for a Complete Application) STATE OF NEW YORK, COUNTY OF...........................................SS I That I,.;.C4 A A►4 .L .... PCr..........................being duly sworn,deposes and says that he/she is the applicant for Pemnit, ................... (Name of individual signi Docdment) And that he/she is the .........................OW.!! .. ... . . (Owner,Contractor,Agent,Corporate Olficer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are hue to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application fled herewith. Sworn to before me this; ................�5.... .day of..... .. ,201.�'J Notary Public: ...... . ........ ..,..,..... - ....... ...... . (Signature of Appll nl FORM - 06/10 MMW York In W 11P, t Collllniasion F.>tpilie� Tl2d l&` - r Short Environmental Assessment Form Part I -Project Information 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 1-Project and Sponsor Information Name of Action or Project: �t'O DSC . 1gJ(�L�Ie.•Et� (� �C�C��MG�-�- �J�-$J t.t'a `Y15 LsL�?e 'wi`CGvti o/`�" Project Location(describe,and attach a location map): Brief Description of Proposed Action: /4-m" uv �,�l�,c� 2ac�s�'�n� ��C,lLhelclQ �� S4rnc LoGy�c Cwi Si 54inj + 17& Lf o f b✓UChtk� �t,t� ;�a �¢ st �� i-F bvue-AeA& to--A%UAJ cc l�Huta fix► s-t�nc� Name of Applicant or Sponsor: Telephone. 31,q-7-7 f r'a o ei n c- LV v C E-Mail:-F P�f l-co h 4e•n G4' Address: 1> '17e City/PO: State: Zip Code: !`{en ®r-1' N 4 !! O 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 1`1\1 sbkc- I I'own PF So.1h..19- Tru 3.a. Total acreage of the site of the proposed action? V. b at a— acres b. Total acreage to be physically disturbed? ®. O$d acres c. Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0•G a4- acres 4. Check all land uses that occur on,adjoining and near the proposed action. ®Urban ®Rural(non-agriculture) ®Industrial []Commercial Residential(suburban) ❑Forest ®Agriculture ®Aquatic ❑Other(specify): ®Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ® Rr ❑ b. Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 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 E21 0 b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ®' 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: El Rr 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment. 200* ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ ❑ b. Is the proposed action located in an archeological sensitive area? ® ❑ 13. a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO I YES wetlands or other waterbodies regulated by a federal,state or local agency? ® ❑ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? El Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Ide�ttify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline ❑Forest ❑Agncultural/grasslands []Early mid-successional ❑ Wetland ❑Urban OSSuburban 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? ® 21 16.Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ®NO ®YES ET 1:1 b. Will storm water discharges be directed to established conveyance systems runoff and storm drains)? If Yes,briefly describe: LJNO ®YES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe- 20.Has the site of the proposed.action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: 210 I AFFIRM THAT TIME INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/s r name: c iee L olf_d C Pw 4 C!L Date: Signature: I I PRINT F®RfUI Page 3 of 3 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. ❑ 1-1 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: F] 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? F-1 F]If Yes,describe: it I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following _questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: El ` a.public/private water supplies? b.public/private wastewater treatment utilities? El 1:1 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, El 1:1 waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 I No,or Moderate small to large impact impact may may occur occur 10 Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should, in sufficient detail, identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. F] 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 environment ' pa I Town of Southold-Board of Trustees /, 74 / Name of Lead A ency Date Jia �eA OA O President Print or Type Name of Responsible O (icer to Lead Agency Title of Responsible Officer ture of Res�e Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 EAF Mapper Summaryi,',;�port ntfunday, September 19, 2016 8:36 PM Disclaimer: The EAF Mapper Is a screening tool Intended to assist 35 06.E-100;2b600, r ti, 1v r project sponsors and reviewing agencies in preparing an environmental 5 00--WO-280'12 res 1 3500-500-10000--, assessment form(EAF).Not all questions asked in the EAF are S Z. r answered by the EAF Mapper.Additional information on any EAF I { - 3500-500-4000'1 �X � =3500-5004 F1000 question can be obtained b consulting the EAF Workbooks. Although 350,0„�J0-2 8041 0 '', �� f=� ,, q Y gI y 1 the EAF Mapper provides the most up-to-date digital data available to ry 00-4.00-2Sn 3n, ` ' -�t `4"Y �.� DEC,you may also need to contact local or other data sources in order ' f 'S, 35,00-500-11 0'070 ''� to obtain data not provided b the Mapper,Digital data is not a P Y PP g � +r substitute for agency determinations, rx X35.00--100-28033 3500 500-30054 f �1 �'` 35'00-500--1290`0 ,• I - ti '' •�.r,''.r � 5` ;,--�`-` 15 °' OtErerra hlontroa9 ,+r, f 3500-4fj4-2802835 4+�ifJi 186 0 3500-500=13000I r 3500-W0-28026'X.-.L, } r 3500 00 28027 L=' '” ,3500--100-28007%, 3500-500-1•IfJ00 4 Toronto .1� Roch3slor Borlon -.--3500-400-280 29�Y" 1 4'ti 3500-400-2 02 n! 1 r, IIcv'c,rlr A9hani,.•..r `t 1 3500;504,'15000 3500-400-28Q42% ` -;.35:(1 400 28003 S - ^Gfer Waal` s 1 ��` ., 'rcwlstaneb `� y —._ '35GG i 24i J•i fi ft@S -t4-9"%)§&S I'xci i,,,I .,,J+�; +'`.-;b.'j !yp�,k+ 3540:00-'13002�~--- __ `^-• Intsrmap;'inQ�rra�tt Fy,C,ctip';f;ll3CP°.td�aEs�i; _n•,-,' I Kew Pitlaiur�` ;Sources, r!, ` Ja an,�� T_II F'ri l�if sa �GC'c4 ),''FF- " -'• CdumUuo'i CELs.4ir>P�ca�15�8,Intcrma M1 • an ,f:`SGv�r 8 P+ '•jl ali d} :{aPmyl�dis3Q`�`�; S,b, S�,�{a +, in+aem�tPCcsp' NRC.AN,, 3500-300-12003\ �anttibut ts(Ja#afi(tHJs�?, +,mdrt�?�ily,�p,�,0 rcirtni�ti' - I N J n,METl,Es ri Chins,; � � � Part 1 /Question 7 [Critical Environmental No Area] Part 1 /Question 12a [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] 'Yes Part 1 /Question 13a [Wetlands or Other 'Yes- Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook, Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Site] No i i I i I Short Environmental Assessment Form - EAF Mapper Summary Report 1 C )� ® e D ■ 1 ®s e e o ■ m 1-0 e g. e= • I I D e- - e • . ru its Cr Certified Mall Fee� �~'' `'�' � '=-- $3.30dS f t� Certified Mall Fee ' " t g $ 30 C 1193't E#ra Services&Fees(check box,add tee a r- to 1..�5 7 O ❑Return Receipt(hardcopy) $ f� ) Extra S@rvlCeS&Fees(checkbaw add fae TP ¢date)f 7 1 (1 i ru ❑Return Receipt(hardcopy) $ i i I 1111 � ❑Return Receipt(electronic) $ -J 1 p � � ❑Return Receipt(electronic) $ r ❑Certified Mail Restricted Delivery $ /IOtV ark I El Certified Mall Restricted Delivery $E=lPostma Q ❑Adult Signature Required $ - _ - e � ❑Adult Signature Restricted Delivery$ j � I)_ ❑AduIt Signature Required ❑ ult $ - '�AdSignature Restricted Delivery$ R7 0 Post ®� 1` � Postage m $f l.47 w�� C� 4 Postage e� r%.. $ �! r-q $ $11.47 � a Total Postage and F I t 707 f 2016O i Total Postage and Fees v J{ $ ,e77 $ $3.77 Ln Ln Sent To .� Sent To X M VV�S�JM'f-O(Yl L' �Jk1� TyI� r3Street and Apt No.,or PO BoxlUo.-------""_"---" ____________________ O StreetandApt N----_P_-Box No.--------"""'"'""-'-'-------��--x' ._ 1N--�9��-� S I ``— �.ip__►'x'11�,s„ C . 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PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: age a9 35- q 410 STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn,deposes and says that on the day of , 20___, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by. CERTIFIED MAEURETURN RECEIPT. i Sworn to before me this Day of ,20 i Notary Public i i f I , r. e Er i. Lr) frm Ln KEE= I'M, F'4 T :JdYi ii�94� ' ' C 1795)TEW, w 1:17.8'2�r.' 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COUNTY OF SUFFOLK 7015 1730 0000 0894 5398 J b , residing at !o b A w 9tL- ow em N\4 1 , being duly sworn, deposes and says that on the day of NDY?,M6PX , 20 k, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessmeroll of the Town of Southold; that said Notices were mailed at the United States Post Office at�)1) that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 11 Sworn to before me this Day of NuV6M1�,�, 2010 i i Notary Public i Lonann Patanlo Notary-Public State of New York Qualified in Suffolk County NO:04PA6150861 Commission E*m 08/07/20 John M. Bredemeyer 111, President qo�� ooG Town Hall Annex Michael J. Domino, Vice-President yl 54375 Route 25 4 c Glenn Goldsmith n r P.O. Box 1179 A. Nicholas Krupskiy ® �g Southold, NY 11971 Charles J. Sanders ��o� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of FRANCINE LUQUE 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 I, )f O , residing at/dba C Y�Dn CSU being duly sworn, depose and say: That on the S day of v elms ' 201 to, I personally posted the property known as ,56o W,oxAvn% i_ , L by placing the Board oMUstees 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, November 16,2016. Dated: i� 144 1 14 (sign r Sworn to before me this 5 day of NDV 20 1 b Notary Public Loriann Patanl1o� Notary Public State ofT ew York Qualified in Suffolk County No:01 PA6150861 Commission Expires 0810714,0 November 7, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 580 WIGGINS LANE -GREENPORT, NY SCTM No. 1000-71-02-03 AFFIDAVITS Dear Trustees: Attached please find original copies of or posting and mailing affidavits as requested. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, E C EC, VE 9 NOV 1 5 2016 L'' f Jeffrey Patanjo 106 Hewitt Blvd. Southold Town 1 Center Moriches, NY 11934 „Board of Trujt& - NUTILL Uim Ht: AKING 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: FRANCINE LUQUE SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove and replace 176 linear feet of existing timber bulkhead, a 30 linear foot return and an 8 linear foot return with new vinyl bulkhead and returns in-place and 18" higher than existing. Located: 580 Wiggins Lane, Greenport. SCTM# 1000-35-4-28.30 TIME & DATE OF PUBLIC HEARING : Wednesday, November 16, 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 _ 'ird of Trustees Application' - County pplication _"County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRNTS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. ,THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. r, ignature of Pr p r Owner SWORN TO BEFORE ME THIS DAY OF �h(J ,20LLD Lon'snn Patant�'oo Notary Public Stat fNew'�or� QuafitieMS Commissopsres Notary Public Mrd of Trustees Application - AUTHORIZATION (where the applicant is not the owner) I, f-mneme. Ley�e residing at 5-60 (print owner of property) (mailing address) b M O do hereby authorize (Agent) Pa-to.n to apply for permit(s)from the Southold Board of Town Trustees on my behalf. N ( wner'ssignature) F i { APPLICANT/AGENT/REPRESENTATIVE + TRANSACTIONAL DISCLOSURE FORM The Town of Soufliold's Code of Ethics prohibits conflicts ofanterest on the part of town officers and emalovees.The purpose of t this farm is t 'rovide inforinatian which can aiert the town ofPossible conflicts of rhten t and allow it to take-whatever action is necessary to avoid same. I YOUR NAME: 4 V J V C f uwg C!t n . (Last name,first name,V fiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring ' Exemption from plat or official map Planning Other of"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."•-Business interest"meags a business, including a partnership,in which the town officer or employee has even a partial owngiship-OF(or employment by)a corporation in which the town officer or employee owns more than 501(of th shares. YES NO i If you answered"YES",complete the balance of this form and date and sign where indicated. j l Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. R The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): r A)the owner of greater than 5%of the shares of the corporate stock of the applicmt (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 Submitte �day of 5 200/6 S ignature��N�%�-- �•e-- PrintName ;r�tene��fa 6v�i uC Form TS 1 y APPLICANT/AGEN'T/REPRESENTA TnT ' TRANSACTIONAL DISCLOSE FORINT I I The Town of Soul hol I's Code of Ethics prohibits conflicts of interest on the tract of town officers and em lovees The Ewe of i this farm is to provide information which can alert the town of passible conflicts of interest and allow it to talc whatever achgn�s neoess t cid ane. .� YOUR NAME: 45 ,1—TirLst 4Me PC name,.titial, Less you are applying is the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION; (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (1f"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business.interest"-means a business, including a partnership,in which the town offiaxor employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee awns more than 5°/�c shares. YES NO if you answered"YES",complete the balance of this form and date and sign where indicated i Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlageat/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the appliOnt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day 201, Signature Print Name a Fast�a Form TS 1 J Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town-of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant ;beneficial and adverse effects upon the coastal area,(which'includes,all of Southold Town). 1 If any question in Section C on this form is answered "yes"or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus_, each answer-�must be explained in-detail, listing both sunpor ing and non- sua�orting facts. If an action cannot be--c- fied 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# 3 S - ,I - a%' -30 PROJECT NAME, 6-90 w GAJ,n S k4m e - G f e zn(2oa.-+- The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate-response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,'planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Ell Nature and extent of action: Remove- &,+k 4lace 176 L.F eF 4AIC rin baL46heaA wvee 4�t4jywgb 1h &0%&_ "tbe-d heiyh11 D k a4p— 6 LV LC v4 L �6uL46AGI.d- A;tLs lei s - Location of action: '�$O u1 qg nS kA?C, r c c Site acreage: O.6 Presentland use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: r (a) Name of applicant: r et n C-4 AC- v v 5- (b) Mailing address: s b W (c) Telephone number:Area Code( 6 3 (d) Application number,if any: \ Al/or 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? N`1.S �- C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development•in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LVW Section III-Policies;Page 2 for evaluation criteria. ZrYes ❑ No ❑ Not Applicable �/'o � ('oV�O�S (� e/ S✓�1� �, lwln 6✓a.�G4�ridl Gti.ilS eS�l'ki'[" .wt+�•, J,oe a( -t,.m i►+.vn. e-t' o.vt6Z awl c�� F ��s•(.- VS t o� i s -I'l o� -� c•h✓e a Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LMW Section III--Policies Pages 3 through 6 for evaluation criteria 1-1Yes1:1IJ No 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 ErYes ❑ No ❑ Not Applicable Prva«� (�l'•,.�iP,cs �»t �Is,.u.1�pP�wl�na w� f-cr F��f 6✓c.'tGk�. Q 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 Eyes ❑ No ❑ Not Applicable E ` ro�tck prep ��c2G5 F,ri s t�.b�l��.�.-r+'®. `rte $x�s�'i n ti GwK v2 �-r►.� - I ^ 4� u Pty Gr•S ban I 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 ErYes ❑ No ❑Not Applicable PIr01ec, Pnyt-ec LS4N,�S-r F,'ry� c-rogccK 4. Cast ®r 1-arLd —a 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. ❑ ❑ a Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No[Not Applicable L Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous E substances and waasteyW s. See LRP Section III-Policies; Pages 34 through 38 for evaluation criteria. El Yes ❑ No L_1 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. WED No❑ Not Applicable PrejeaA Pr DdiRes Fnn- 64n410,O& atLes.( ID0'77 ay tihJP Gs tiro ff 4CI tVl-ftes Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 2 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 9 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 - Not Applicable PREPARED BY TITLE A J e-1 DATE 9 �9•/� September 29, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 DE (3 E � E P.O. Box 1179 - 4 Southold, New York 11971 SEP 3 0 2016 RE: 580 WIGGINs LANE -GREENPORT, NY SCTM No. 1000-71-02-03 Southold Town I APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 0 10 20 30 METERS FEET HEIDECKER LAND SURVEYING 0 20 40 60 80 GRAPHIC SCALE 1" = 20' m 00 \ M WIGGINS LANE (50' WIDE) z L/S MONUMENT 6'_ ___ \ \ 6' WATER- —6' 13 FOUND 0 N�7*37'42" E _ _ (115.00') METER ` ' 112-78' U U MONUMENT >_ '\_ MH MH FOUND � W \ o NOTES \7' N — 1. FIELD WORK WAS CONDUCTED SEPTEMBER, \ z o GRASS \ N 2016 BY HEIDECKER LAND SURVEYING, PLLC AND ALL MEASUREMENTS WERE TAKEN ON THE N GROUND. (C 7 2 O co41)0 2. PROPERTY LINES ARE BASED UPON DEED N40, Q � N FILED WITH THE SUFFOLK COUNTY CLERK IN O LIBER 10817—PAGE 85 & MAP ENTITLED "MAP p CIO LP \ \ OF SECTION TWO—FORDHAM ACRES AT \ GREENPORT", FILED WITH THE SUFFOLK a�_ / elf/Ck COUNTY CLERK ON APRIL 6, 1966 AS MAP p 40 WALK NUMBER 4605.. .(.) 3. BEARINGS AND NORTH ARROW REFER TO / Q �) LAS I �p THE NORTH AMERICAN DATUM OF 1983 (NAD 0C) _ \ CJ TE 83 LI ZONE) AS DETERMINED BY GPS FIELD MEASUREMENTS PERFORMED BY HEIDECKER O Q ��/ \8.�AC \ LAND SURVEYING, PLLC. �Q p L/S I 4. SUFFOLK COUNTY TAX ASSESSOR p 1 I DESIGNATION: TOWN OF SOUTHOLD—SECTION <c/ OVERHANG / 35, BLOCK 4. Q�I< CONCRETE 5. THIS SURVEY WAS MADE WITHOUT THE BENEFIT OF A TITLE REPORT AND IS SUBJECT // / / / // / #580 CHIMNEY 11 TO ANY STATE OF FACTS A FULL AND / CURRENT TITLE REPORT MAY REVEAL. w / F FL=8.3' W \ RESIDENCE / 6. ALL EASEMENTS MAY NOT BE SHOWN. / p / F FL=9.7' j ❑ I 7. UNDERGROUND UTILITIES ARE NOT SHOWN. (~j1 / GARAGE / PRIOR TO CONSTRUCTION THE CONTRACTOR AVERS / / A SHALL CALL "CALL BEFORE YOU DIG" AT (800) 272-4480 AND HAVE ALL UTILITY LOCATIONS MARKED ON THE GROUND. 8. VERTICAL DATUM IS REFERENCED TO THE / I NORTH AMERICAN VERTICAL DATUM OF 1988 i F FL j.0' DECK NAVD 88 AS DETERMINED BY GPS FIELD / \ L S a ( ) STORAGE CONTAINERS \ / MEASUREMENTS PERFORMED BY HEIDECKER � LAND SURVEYING, PLLC. �\ O L/S 9. HIGH & LOW WATER LINE WERE OBSERVED I STEPS I ON SEPTEMBER 8, 2016. STEPS \ �Q \ cwD / 00 a o DISTRICT 1000-SECTION 035.00 , \ —g\ ) = z ro 00o BLOCK 04.00-TAX LOT 028.030 Q \ GRASS C)a o FILED MAP NO. 4605-LOT 22 \ -, _ -ALLI X AREA= \ i'< 27,094 SQ. FT. cv \ - 0 0 OR •/ HUB/TACK , 0.622 ACRES SET TOTAL AREA= 0 36,606 SQ. FT. w Ln o MAG NAIL co �s\ \ OR z om SET = UB/TACK \ 0.840 ACRES L SET � G \4 GRASS LP STE \ -,8 � ^l �0 2S \2 8 Pq a HUB/TA w 18 � � MFRS \ � / SET ►� " PILE (TYP.) e�,4kyF1`\ L \ \ \ \ ( LO s �� 332 e�, �Rq V\ \ \ \� \ \ —a'- 0 cr 3�. ,� \ PAVERS HUB/TACK Dock '32� ` \ \ \ \6,\ \ SET GRASS 4 0 y wq TF GRq VF` \ \ RFT 6 z gTFR C/N -9 X81-76 /we wD GRAVELOpD8N E C EV PIEX76FI, F4FV,, ,9, cqN kHFAD RFT w w_2, m SEP 3 0 2016 LIBER 10817-PAGE 85 1)6 >3, o, 0 (LANDS UNDERWATER) Q i PILE (TYP.) X7.99' w Southold Town I AREA= r Paard (Truss u._1 9,512 SQ. FT. MAG NAIL (194.98 OR>� 0.218 ACRES SET of Ne CERTIFICATIOND 0� JOHN GERD HEIDECKER, A LICENSED LAND , SURVEYOR IN THE STATE OF NEW YORK (0 I (LICENSE NO. 50719), DO HEREBY CERTIFY THAT r ® m Q' ' to THIS MAP WAS PREPARED IN ACCORDANCE WITH n THE EXISTING CODE OF PRACTICE FOR LAND 1 SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. THIS CERTIFICATION EXTENDS ONLY TO THE PARTIES NAMED BELOW AND IS NOT c TRANSFERABLE. Q` 1. FRANCINE LUOUE �1'V SURVEY PREPARED FOR: //�� j �,T�{ T j ' 1`JIL 1 tl' CI tl' �i L IV T P PROJ. NO. ATE: Z Z 16HLS74 Unauthorized alteration or J GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. 50719 addition to this survey is a # DATE: TOPOGRAPHIC/BOUNDARY SURVEY SHEET NO. violation of section 7209, 4 CROWN STREET SEPTEMBER 12, 201 1 OF 1 Subdivision t of the New York SECTION 35—BLOCK 4—TAX LOT 28.3 State Education Law. Copiee of KINGSTON, NEW YORK 12401 DRAWN BY: M.R. JOB # this survey map not bearing the (g45)-901-7629 #580 WIGGINS LANE 1 land surveyor's inked or CHK BY: J.H. TOWN OF SOUTHOLD CAD FILE: embossed seal shall not be jheidecker®heideckerls.com consideredto be a valid copy. SCALE: 1"= 20' SUFFOLK COUNTY NEW YORK 16HLS74FP DWG