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TR-8849
t _ John M Bredemeyer 111, President =}o�0 �oG}.: Town Hall Annex Michael J Domino, Vice-President ~ L yam'? 54375 Route 25 Glenn Goldsmith _ ` P_O. Box 1179 A. Nicholas Krupski �� o�;, Southold, NY 11971 Charles J Sanders = 01 �a;-'� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AMD POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1" day of construction 'h constructed 7Project complete, compliance inspection :!�•fC�'Y�'„r -...�d .G \ 1ti:OFdy•- ".,'C 1''.i9. .,y _f• 1,::^ �J•A:'�.. -v;»., i� 11 S Ii •. .. �••trl ' .�''t J n:. p.P... ;e:e'r'�p w. .t4 r �v f' _ .�z� i� •�C� :�atrj� e• i;1;• <q�jj far •�' a�•• t _ !�,{<'`-�l '�''*`. •,l""�� _.,,'Fa„�t*� !`"� ��"� W ��• �,;_ ii;�':"�1. �''; =. •ir'� ;fit-tii.% - '.�W Cil t� y22S:'2L”�+.'.!!ai&t4Sr1^.SRxSr• l':�2t13 �'i'&'urX^':.X:ea•^�S3`.4<. C^Ta�;i:.°c>.41d�,�!i„'r �cri:�:::.4.�:'�,.:Sf9d�, 2„°Xt�,cnr.•. '�4C.",t�'".-yLS�tS.L??s"'S"tS2's1.L:_1 .4¢�a*5:�''S:Ti�;f]h�.!Y�@'.i" �Jd?+ ��'?: BOARD OF SOUTHOLD TOWN TRUSTEES ~, W YORK SOUTHOLD,NEW DATE: JULY 20, 2016 n PERMIT N0. 8849 � �• ISSUED TO: Z&S CONTRACTING INC. c/o THOMAS SHILLO PROPERTY ADDRESS: THE GLOAMING, FISHERS ISLAND, ` SCTM# 1000-10-10-2 ; 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 July 20,2016, and in consideration of a lication fee in the sum of$250.0 ' aid,b y Z&S-Coniractiri Inc: and'sub ect'to the Terms pp • P Y $' j• I� ••� and Conditions as stated in the Resolution, the Southold Town`Board of Trustees"authorizes,and,permits the following: Wetlaia`d Permit'to`demolisli existing single-family dwelling'aiid"detached'garage; `J construct new 2,764sq.ft. single-`fimily'dwellinig'with,attached garage•and'602sq.ft. � '- _' covered porch;»abandon existing and install a new associated sanitary system landward ` „•y , a;.•?' a,•,: j .,� :i.i,- ' .t 7'- '•;• Ji•j la= .•,t , .. .�� of dwelling; construct a 417sq.ft. bpen terrace with''stdik 6n`grade; construct a 204sq.ft. plunge pool with retaining wall on seaward side; and install a rain garden; and as depicted on the site plan,prepared_by,CME Associates.Engineering,:Land Surveying & Architecture, PLLC.9 revised June 16>2016> and,stamped aPProved oJuly.20,2,016. 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;thesaid Boar s ofthis. •� �;�- : ��FO� . . .�� ` . _-" =�. ,fit y� -;:'F"/ A'3,r "{y"',/, �\ �' ". .w�yi� `�.+ • A'r -\ "x° ' V ` ..'moi \� 3 •c� v\.� ;* r,t i� •x `•-..e...' `•�"",i ��``�a'S"xPbS'''!INT._..:-•.-•.'Fj�%'��r. °'.,fit^•'xs:*a' :' a;.... �5 -yr xr� t p�� ''• ir}�, 4 V �r� , A < TERMS AND CONDITIONS The Permittee Z&S Contracting Inc c/o Thomas Shillo residing at The Gloaming,Fishers Island,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Pennittee will obtain all other permits and consents that may be required supplemental to this pennit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. John M.Bredemeyer III,President O��QF S®(, 01 Town Hall Annex Michael J.Domino,Vice-President h O 54375 Route 25 Gq P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® �� Telephone(631) 765-1892 Charles J.Sanders ��'�C®UNTV, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 20, 2016 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: Z&S CONTRACTING INC. c/o THOMAS SHILLO THE GLOAMING, FISHERS ISLAND SCTM# 1000-10-10-2 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 20, 2016 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting Services on behalf of Z&S CONTRACTING INC. c/o THOMAS SHILLO 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 February 18, 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 July 20, 2016, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the-Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that 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 US CONTRACTING INC. c/o THOMAS SHILLO to demolish existing single-family dwelling and detached garage; construct new 2,764sq.ft. single-family dwelling with attached garage and 602sq.ft. covered porch; abandon existing and install a new associated sanitary system landward of dwelling; construct a 417sq.ft. open terrace with stone on grade; construct a 204sq.ft. plunge pool with retaining wall on seaward side; and install a rain garden; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying & Architecture, PLLC., revised June 16, 2016, and stamped approved on July 20, 2016. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd � DRAINAGE CALCULATIONS I SILT FENCE ROOF AREA = 2,766 SF I WOVEN WIRE FENCE (MIN. 14 ( / DRIVEWAY AREA = 2,420 SF - \ GAUGE W/ MAX. 6" MESH I i o REQUIRED = 5,186 SF X 1.0 X 2/12 865 CF > SPACING) (D i co 0 N o 0 0o RAIN GARDEN AREA = 530 SFX 0.5 DEPTH = 265 CF I 1p MAX. 1 1 = '*r co, ~ °' r CENTER () U I TO CEN 36" MIN. LENGTH \ •� U -a DRYWELLS cQr TER FENCE POSTS �\ C 600 CF / 50.27 CF/VF = 11.93 VF \ 0 I U - 0) DRIVEN MIN. 16" W � I �� \ \ �-� V � � 2 c USE THREE(3) - 8'0 X 4' DEEP DRY WELLS. � _y INTO GROUND c I '\ a' O RS U SOIL CLASSIFICATIONS SINGLE FAMILY RESIDENCE �r r I \ w Q a 0 w MUNICIPAL WATER cz c a; RpE - RIVERHEAD AND PLYMOUTH VERY BOULDERY t �� / Q M c .? ON SITE SEPTIC SYSTEM - - , �� � o - SOILS - 15-35% SLOPES �_ r / 0 J SINGLE FAMILY RESIDENCE - POLE r HEIGHT I / O C a) N TER MUNICIPAL WATER #441 'r\\\\�j\\ OF16IL MIN. D �.� ' / (n •�' E °� r ON SITE SEPTIC .SYSTEM r� cf) > ov � N POLE /\�\ \ \\/ r�i6 // Q cow co co N00 -_ aao OF F aVEMENT �--' X111 6., MIN. SITE w �, M EDGE PROVIDE / 'I'7• °�� 2 'a DISTRIBUTION BOX PROVIDE LEA PROVIDE 2 'cP AMI I�G (SEE DETAIL) J_ - PERSPECTIVE VIEW �� U � RAIN GARDEN (SEE DETAIL) N E CHING POOLS G�"� '`` --'-` M.S. WOVEN WIRE FENCE (MIN, 14 POLE o (SEE DETAIL) o ONCRE�TE #439 \ (FOUND) PROVIDE 1/2 GAUGE W/ MAX. 6" MESH aPPRoxIrAAr� LOCATION Wr K \ CONCRETE SPACING) WITH FILTER CLOTH z PROVIDE 1" WATEP\ SERVICE 6�Q^ WASHOUT PIT 1 CONSTRUCTION ENTRANCE _ S S0'2 (SEE DETAIL) (SEE DETAIL) J ��2.10� 16` P DCr 36" MIN. FENCE POST UNDISTURBED oN s'. 20 \r/ Rod FLOW, GROUND N:1 165..54 - PROVIDE 1,000 . x c,, w GALLON COMPACTED SOIL TRIPLE . N i 22 O SEPTIC TANK \/\j F- » WHITE_".:=F TEMPORARY / EMBED FILTER CLOTH // �/ //"'� w LOCATION MAP SCALE 1 =400 1 \ � (SEE DETAIL) N/F \\ \ \ \ PRC: ,STOCKPILE ' ` o - '` r A MIN. OF 6" IN GROUND \ \'\\� io 0 �� ``. • _ ' AREA I I wEEPINc . 4= PAUL F. TOMBARI r. ' PORCH Q w ILLOW \.. VACANT LANDCL PROPOSED I \ SECTION VIEW STONE DRIVE P;�t��8..w•1° ... LIT %:.-`-,-= _.', '� � NOTES _� �•� AND-PARKING- > � �: \ A. �XISTIN w CONSTRUCTION SPECIFICATIONS ^-,, 'f: HOUSE a/ 1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE \ SILt= 5 24 � r I 1. WOVEN WIRE FENCE TO BE FASTENED SECURELY TO FENCE POSTS WITH INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE WIRE TIES OR STAPLES, POSTS SHALL BE STEEL EITHER "T" OR "U" TYPE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR 4' ' r PLAN �� -CK /� \� „ \ OR HARDWOOD. EXCEEDS THE SCOPE OF THE ENGAGEMENT. PROVIDE 2. FILTER CLOTH TO BE FASTENED SECURELY TO WOVEN WIRE FENCE WITH off Sc F o +� NEW WATER w ," ��x GARDE J - I TIES SPACED EVERY 24" AT TOP AND MID SECTION, FENCE SHALL BE 2. IT IS U VIOLATION OF THE STATE EDUCATION LAW FOR ANY O PERSON UNLESS ACTING UNDER THE DIRECTION OFA I n �� SERVICE _ \ \ i i I \ Q WOVEN WIRE, 6" MAXIMUM MESH OPENING. LICENSED 5'-0"� x\ �\ \ - � \\ •� .� ' � / 1 ;' • � � / I `b LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. �` 'BlO1A`rCHEAD�i� < �- �� --�''aPIE ' / 3. WHEN TWO SECTIONS OF FILTER CLOTH ADJOIN EACH OTHER THEY `� - i�. ' Q SHALL BE OVER-LAPPED BY SIX INCHES AND FOLDED, FILTER CLOTH 3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND \\ I , -- NCS -rE y O / SHALL BE EITHER FILTER X, MIRAFI 10OX, STABILNKA T140N, OR APPROVED SURVEYORS SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL Li Li OO O ❑ i �� �\ �• `\ WAN Q��w'G�`h - - // l' (FOUND) °� EQUIVALENT. ARE THE PRODUCT OF THE LAND SURVEYOR. O❑ 1:117:1 ❑ �� `� ��. �� Q`OwO �0�V` J ' 4. PREFABRICATED UNITS SHALL BE GEOFAB, ENVIROFENCE, OR APPROVED ❑❑ �O ❑❑ `� \ Q \ �AF, �Oxir,1AT Q 0�0^��,�' �. / 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND ❑❑ �� 0 \ o, LOCA ,N Q'ry•�C� O \.._, �- 500 GAL N k' O� c� / EQUIVALENT. GEODETIC SURVEY TRIANGULATION STATION "PROS" ❑❑ ED ❑D o ` \ STONE TANK ❑❑ OO El `� `� ,'. \ \ i 'P / // i^�� 5. MAINTENANCE SHALL BE PERFORMED AS NEEDED AND MATERIAL D O0 H 1111 � \ /s`' / APPROXIMATE 5. SITE IS IN THE TOWN OF SOUTHOLD COUNTY OF SUFFOLK TAX \� �\ \ GRAVEL DRIVE p� / / REMOVED WHEN "BULGES" DEVELOP IN THE SILT FENCE. 00 0 0 0 El❑ �\ �\ a \\ o� HIGH WATER MAP 1000, SECTION 10, BLOCK 10, LOT 02. ❑O O E= = ❑❑ N/F \`� \� APPROxTk1ATE _ - Q Q� �lv JANE CHEMERYNSI I DIANE �\ `\ r ! '�°` ' x RAMP 6. TOTAL AREA = 0.47f ACRES. Locnrro L 6'-6" -I BLOMQUIS \ 1000DRYWEOL O / / 1 v , v / 1 ---�-� � � � � �. 7. SITE IS LOCATED IN ZONING DISTRICT R-80. & JIMMY PRZYBO_ROWSKI 1� \\ 20 GP ~ `�^i N ��• z SINGLE FAMILY RESIDENCE \ 1 / DR 8. PERCENT OF LOT COVERAGE- PROPOSED 19.6% -I } LEACHING POOL DETAIL "/ `� ,''1 GR�E� FIXED / PILE ) In J NOT TO SCALE MUNICIPAL W1 TER ��\ `� \ \\ y,; J , // � DOCKS _ ON SITE SEPTIC SYSTEM BUILDING �\ \ �J vX�S ,// ' / - I- O SETBACK .\ `\ R,. \\ `� Sse1 rc1�ETE ��WOOD �� / / / w � r=n z Z LINE (TYP.) �� \\ \ �� PAD- STEMS � / / rad FLOATIN 2 p v ' Q `\ STEPS DOCK EL W O PROVIDE AND MAINTAIN` ` �` �� I SECTIONS PROPOSED ROOF LEADER p � __I Z CONTINUOUS UNE OF SILT FENCE Cp ��� �`.1 �� N _ o,/ �/� / RESIDENCE J Q (n AND ESTABLISH AS LIMITS OF \ �� ` \ I 1 I _--'' /� SURVEY CLOSING ,LfNE RAM W n- I > LL1 Q W Ln CLEARING, GRADING, AND GROUND DISTURBANCEPILE PROPOSED RETAININ ! N 34'09'56" E W C cc _ `� ��, \ - WALL-HEIGHT VARIES 64.55' O RFL WYE G I- V) / OVERFLOW W O 0' 8 -6 � `\ L� `� i / 3'-4.5'f HIGH � � W KNOCKOUT INLET AND ��� �� 63.00' APPROXIMATE 4" PVC CUT GG v _ OUTLET OPENINGS `� \ > 66't HIGH WATER / TO LENGTH OIVERN. 6DRYOWELLIL O�R ►PPROVLD a 1 \ �\ N85•1 g'OO"E 1 d.Q BAY , � � BLOCKS AND CATCH PROVIDE 3 INNER BA 1 -/-BASIN NGRATE TO GRADE OEQUAL WARD OF TRUSTEES DRY WELLS ` BENCHMARK: DRILL HOLE FILTER FABRIC TOWN OF SOUTHOID LIMITS OF WEST HARBOR RIBS INSIDE-� (SEE DETAIL) \` \ EL-10.O 1 NGVD FLOOD ZONE AE 9 PER 90'BEND o O O O O DA ' \� FIRM MAP \ NQS s" SDR 35 PVC o O o o �'vL� 20 ZQ1 o _ 36103CO019H \ SLOPE AS REQUIRED ' o OO OO OO O + - + THERE IS NO COASTAL EROSION p @ @o 0 0 0 o a .-� 1" STONE OR po p HAZARD LINE IN THIS SECTION OF SCREENED GRAVEL �+ THE INNER BAY OF WEST HARBOR r e' 1' \ STORMWATER DRYWELL DETAIL to' NOT TO SCALE CAST CONCRETE COVERS \ \' M 0 PLAN LEGEND o Y o COVER LOCKING CASTING _ _ PROPERTY LINE Z m Q TO GRADE TO GRADE-\ IF DROP 'T ABUTTERS LINE 0_ w EDGE OF PAVEMENT _ w `� � EDGE OF GRAVEL ------------------- IS USED FINISHED GRADE 0 } Z CHIMNEY ��� 4" MINIMUM TOPSOIL & SEED. EXISTING CONTOUR --- 20 --- 4 x 4 12.6/12.6 GA. WIR MESH STRAW BALE BINDER ��oQ PROVIDE DEGRADABLE PROPOSED CONTOUR 16 > ui Lu x 20" T6 x 6 6/6 GA WIRE MESH PLASTIC LINING WIRE �� EROSION CONTROL MATTING STONE WALL Q 20 6" NATIVE MATERIAL FOR STABILIZATION AS REQ'D RETAINING WALL ^ ^ ^ ^ ^ W `O `E min. min. OPTIONAL � o 0 ( ) so- FENCE ,\ w cv s D, T• •' • -9 � w 1 TREE LINE o \° INLET Q 3" VENT�a 3" VENT OUTLET OUTLET SECTION B-B / `r�F G� Q 3 MAX. OVERHEAD WIRES 0//w M o WOOD OR NOT TO SCALE QG� > NOW OR FORMERLY I LIQUID LEVEL v 9. �- -s'F N F y METAL STAKES UTILITY POLE -�- N d 4" OUTLET d 2 PER BALE o� t)� PERMEABLE SOIL MIXTURE ,.' :• '•'•''. .•';; 18" MIN. OR TO SUITABLE Z I CONTINUOUS HOT BAFFLE ( ) �I�It� 40% SAND, 20-30% TOPSOIL, FREE DRAINING MATERIAL BOUNDARY POINT j o ASPHALT SEAL LINED WITH _ _ Fll �A' & 30-40% COMPOST MERESTONE ! ° `o I 4" SCHEDULE #40 a 1/8" PVC I - -_ -_- TER F SEE PLANS `t INLET BAFFLE 60' GAS10' MIN. v �I AeRI Q 1 . 1 DEFLECTOR R' B �(a) �({ B 0 o(N a. RAIN GARDEN __j �I (� (� CONSTRUCTION ENTRANCE NOT TO SCALE cn co r I 3 VARIES I N NOT TO SCALE NOTE: 0 0 4 5 -8 I F-- 1(��I 00 °_0 I 1.) CONTRACTOR MAY INCLUDE NATIVE $�Q MATERIAL FROM EXCAVATION IN THE o0 o CROSS SECTION I(`�I '(lel PERMEABLE SOIL MIXTURE. MATERIAL MUST BE EXCAVATED, MIXED WITH LOAM & COMPOST co I I I TO FORM A HOMOGENEOUS BLEND, AND REPLACED TO GRADE. a Lu LOCKING CASTING FzGo, E. I FFDD!, wTO GRADE PROPOSED GRADE 2.) PERMEABLE SOIL MIXTURE SHALL NOT BE COMPACTED AND THE ENTIRE WATER QUALITY1000 GALLON PLASTIC STRAW BALE BASIN SHALL BE PROTECTED FROM HEAVY EQUIPMENT TRAFFIC THROUGHOUT CONSTRUCTION. o o c0-n Q w w 2 COMPARTMENT LINING PLAN (TYP) ENDCAP TYPE JUN 2 1 2016 I m o o 5 NOT TO SCALE LEVELING DEVICES 3.) THE CONTRACTOR SHALL BE LIABLE FOR THE REPLACEMENT OF THE PERMEABLE SOIL I F MIXTURE IF E&S CONTROLS ARE NOT INSTALLED & MAINTAINED AS INDICATED. DATE: 01/11 /2016 SEPTIC TANK CONCRETE WASHOUT PIT MIN. 4' D SOuzo.:�1CW� NOT TO SCALE x 4.) SEED WITH RAIN GARDEN GRASS MIX (ERNMX-180-1) AS SUPPLIED BYERNST INLET ) a fTr s e SCALE: 1 " = 20' NOTES: 2" MIN. ABOVE CONSERVATION SEEDS INC. (800-873-3321 OR APPROVED EQUAL. 1. DIMENSIONS SHOWN ARE FOR TYPICAL RESIDENTIAL OUTLET INVERT 2" MIN. CONSTRUCTION, LARGER PROJECTS OR PROJECTS REQUIRING o AL PLANTING AND SEEDING FOR RAIN GARDEN AREAS: PUMPS MUST BE SIZED ACCORDINGLY (7 GALLONS/TRUCK, TYPIC QUALITY CONTROL CERTIFICATION 50 GALLONS/PUMP, PLUS MIN. 1' FREEBOARD), PROJECT: #2008810 GROUP REVIEWED DATE 1.) SEED MIX - NEW ENGLAND COASTAL SALT TOLERANT GRASS MIX, NEW ENGLAND 2. CAPTURE MATERIAL AND LIQUIDS MUST BE REMOVED FROM BAFFLE REQUIRED WETLAND PLANTS, INC. PROJECT MANAGER PIT AND PROPERLY DISPOSED OF WHEN THE PIT REACHES IF INLET PITCH EXCEEDS 2.) MEDIUM SHRUB - BAYBERRY, MYRICA (MORELLA) PENSYLVANICA SURVEY 75% OF ITS CAPACITY. 1/2" PER FOOT 3.) MEDIUM SHRUB - SWEET PEPPERBUSH CLETHRA ALNIFOLIA 20 10 0 20 SHEET ENVIRONMENTAL 3. INSPECT PIT PRIOR TO EACH USE TO ENSURE CONTAINMENT 4.) LOW GROUNDCOVER - BEARBERRY ARCTOSTAPHYLOS UVA-URSI CIVIL OF WASH WATER. TYPICAL DISTRIBUTION BOX 5.) MEDIUM GROUNDCOVER - SWEET FERN COMPTONIA PEREGRINA GRAPHIC SCALE IN FEET 1 OF 1 STRUCTURAL NOT TO SCALE ARCHITECTURAL r_ `T John M. Bredemeyer ILI, President :?o�� coo - Town Hall Annex Michael J_ Domino, Vice-President :`�z y< : 54375 Route 25 Glenn Goldsmith o _ P_O. Box 1179 A. Nicholas Krupski �y :"'� Southold, NY 11971 Charles J. Sanders ?rol ��°; " Telephone (631) 765-1892 —u Fax (631) 765-6641 BOARD OF TOWN TRUSTEES -n TOWN OF SOUTHOLD 0 To: Zf'S C0WrAAC1_1�INa,� �� g1ao, FNvc�r�wi iJTA� Please be advised that your application dated � 18j20169 has been reviewed by this Board at the regular meeting of �:Iq 20-12201& and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) 1/ Constructed ($50'.00) VF Final Inspection Fee ($50.00) Dock Fees ($3.00 per'sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of,issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set 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 John M Bredemeyer III, President ¢6SOFFQtk� ,; Town Hall Annex ' o G �� Michael J. Domino, Vice-President - � - ,�,�� y,, ; 54375 Route 25 Glenn Goldsmith o ` ' P.O. Box 1179 A. Nicholas KrupskiA Southold, NY 11971, Charles J. Sanders ��,�j� , oo� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: -7/// Completed in field by: Q J.M.O. Environmental Consulting on behalf of Z&S CONTRACTING INC., c/o THOMAS SHILLO requests;a Wetland Permit-to demolish existing single-family dwelling,and detached garage; construct new 2,764sq.ft.'single-family dwelling with attached garage and'602sq.ft. covered porch; abandon existing and install a new associated sanitary system landward of dwelling; construct a 417sq.ft. open terrace with stone on grade; construct a 204sq.ft. plunge pool with retaining wall on seaward side; and install a rain garden. Located: The Gloaming, Fishers Island. SCTM# 1000-10-10-2 = CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. ,Swimming Pool and related structures: 50 feet 6. Landscaping or and 50 feet , 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence:'100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_,5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: ok Present were: J. Bredemeyer M. Domino G. Goldsmith N..Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presidento��gOFFO(G 1. 2 Town Hall Annex Michael J. Domino, Vice-President s y� 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sandersti o�Q Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: J.M.O. Environmental Consulting on behalf of Z&S CONTRACTING INC., c/o THOMAS SHILLO requests a Wetland Permit to demolish existing single-family dwelling and detached garage; construct new 2,764sq.ft. single-family dwelling with attached garage and 602sq.ft. covered porch; abandon existing and install a new associated sanitary system landward of dwelling; construct a 417sq.ft. open terrace with stone on-grade; construct a 204sq.ft. plunge pool with retaining wall on seaward side; and install a rain garden. Located: The Gloaming, Fishers Island. SCTM#,1000-10-10-2 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation.tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel-or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at 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. 1525% 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 — — — — — — — — T 0 PLATE ---- - - — 17' – 6 1l2„ FILL __ -__ -- � SECOND FLOOR NEW SLOPE 1:3 —PORCH TO PLATE — ____— .� — — — ---- - 9 F4 IE EXISTING SLOPE --- _ -=-- _ - FIRST FLOOR NEW REINF. CONC. - - _--- ---- -- - -- - - - RETAINING WALL POOL EXISTING GRAVEL DRIVEWAY BASEMENT —8' — 3., PIRATE'S COVE FOOTINGS @ LEAST 3'-6" BELOW GRADE WATER p ECEIE DD JUN 2 1 2016 A�&,TARCHITECTS SITE CROSS SECTIONardgfTTattegarn SHILLO 262 t�as2xuigtail,Stxeet 2n8 Floor Bacton,M1 82108 SCALE: 1" = 10'-0" 617-451-5740 t0 ambitects.com 6/15/16 John M.Bredemeyer III,President ®��®¢ So �®l Town Hall Annex Michael J. Domino,Vice-President ® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith 0110 Southold,New York 11971 A. Nicholas Krupski Telephone(631) 765-1892 Charles J.Sanders "f�`e®U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 23, 2016 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959 Re: US CONTRACTING INC. c/o THOMAS SHILLO THE GLOAMING, FISHERS ISLAND SCTM: 1000-10-10-2 Dear Mr. Just: Southold Town Trustees inspected the aforementioned site on May 5, 2016 and found that there is insufficient information to make a determination on your pending wetland permit application. Accordingly, at our May 18, 2016 meeting the application was postponed. The following information is required from the owner's licensed design professional architect or engineer: 1) Provide a cross-section elevation plan through the house, on grade patio, swimming pool and any and all proposed retaining structures to a depth below all footings at a scale of 1"=10' to 1"=20'. 2) Provide a description of the suitability of soils to support the on-grade patio, swimming pool and retaining structures with a report from the Suffolk County Soil &Water Conservation District and/or a licensed engineer with knowledge of site specific soil conditions. 3) Kindly provide a detailed work plan with a written discussion how the removal and or stabilization of the large tree adjacent to the proposed pool and stabilization of soils on all slopes not retained by any engineered retaining wall will be accomplished. Thank you for your cooperation in this matter. Sincerely, 19W4-- 4111, John M. Bredemeyer III, President Board of Trustees JMB/dd cc: Southold Town Zoning Board of Appeals Southold Town Building Department tabeth gjustl02l5@aol.com Monday,April 04, 2016 11:20 AM Cantrell, Elizabeth Shillo- Fishers Island I staked for the Trustees inspection; I just sent you two photos of the staking. I I i I I I I 1 I I E ! ' RM Oil orMf1 •a� a Vft� 711 k Au OK s 5/ 5/2016 1,4 :<--34 ' ♦ '.pow .. Z&S Contracting Inc.c/o Thomas Shillo The Gloaming,Fishers Island SCTM#: 1000-10-10-2 /5/16 `40 . y ja pr 12 a t+ t s .. ' * ;— .� •sem_' ,. .. '. � '.a. ';f +�' ' _ � s _ t s 91 912M0 HC1/ ®; 1 sr ,, ; Cantrell, Elizabeth From: gjustl02l5@aol.com Sent: Monday, April 04, 2016 11:19 AM To: Cantrell, Elizabeth Subject: Fwd: Shillo -----Original Message----- From: Richard Strouse <rstrouse(cD-cmeengineering.com> To: gjust10215 <g6ust10215(ci)-aol.com> Sent: Mon, Apr 4, 2016 8:55 am Subject: Shillo Looking fro the street. r ti `v Dick Strouse Sent from my iPhone 1 Cantrell, Elizabeth From: gjustl02l5@aol.com Sent: Monday,April 04, 2016 11:16 AM To: Cantrell, Elizabeth Subject: Fwd: Shillo -----Original Message----- From: Richard Strouse <rstrouse(cD-cmeengineering.com> To: gjust10215 <giust10215(a)_aol.com> Sent: Mon, Apr 4, 2016 8:54 am Subject: Shillo Glenn: A couple of pictures of what we staked. r f . '.y„ka •:r w` Dick Strouse Sent from my Whone John M Bredemeyer III, President �6AQS11FFUtkC Town Hall Annex Michael J. Domino, Vice-President 4'=0� ���� 54375 Route 25 Glenn Goldsmith o P.O Box 1179 A Nicholas Krupski o ® Southold, NY 11971 Charles J. Sanders y�j0 ao� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ��/� Completed in field by: Wt J.M.O. Environmental Consulting on behalf of Z&S CONTRACTING INC., c/o THOMAS SHILLO requests a Wetland Permit to demolish existing single-family dwelling and detached garage; construct new 2,764sq.ft. single-family dwelling with attached garage and 602sq.ft. covered porch; abandon existing and install a new associated sanitary system landward of dwelling; construct a 417sq.ft. open terrace with stone on grade; construct a 204sq.ft. plunge pool with retaining wall on seaward side; and install a rain garden. Located: The Gloaming, Fishers Island. SCTM# 1000-10-10-2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet p 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet s 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 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: /* v r �✓i✓a�v,�n�flYc Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski _;;�C. Sanders Other Page 1 of 2 J� John M Bredemeyer III, President � Town Hall Annex Michael J Domino, Vice-President �o� �Gy�q 54375 Route 25 Glenn Goldsmithy z� P.O. Box 1179 A. Nicholas Krupski o ^� Southold, NY 11971 Charles J. Sanders y o� Telephone (631) 765-1892 �Ol ' G Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: J.M.O. Environmental Consulting on behalf of Z&S CONTRACTING INC., c/o THOMAS SHILLO requests a Wetland Permit to demolish existing single-family dwelling and detached garage; construct new 2,764sq.ft. single-family dwelling with attached garage and 602sq.ft. covered porch; abandon existing and install a new associated sanitary system landward of dwelling; construct a 417sq.ft. open terrace with stone on grade; construct a 204sq.ft. plunge pool with retaining wall on seaward side; and install a rain garden. Located: The Gloaming, Fishers Island. SCTM# 1000-10-10-2 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at 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 a, r �Y ,-14 m a. I .M 'L_. 1: M. wVw • -�._.r, a�.;_w� � ,... : .r ,,.. -,:- '4 - `='�'i�'�^'4,- �•A� "` -!�':li-��'`�..cT'^ �S z�.,3�,'!S�' -��+9�'. 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N r 21 1 Jem.000 Environmental -Consulting Services June 20, 2016 Mr. John M. Bredemeyer III, President Board of Town Trustees Town of Southold ® E_ I V E DD Town Hall Annex 54375 Main Road JUN 2 1 ,2016- -P.O. ,2016- -P.O. Box 1179 Soutold _Southold, NY 1197f rd of f-T rain rusteg Re: Z & S Contracting Inc. c/o Thomas Shillo The Gloaming, Fisher Island S.C.T.M.No. 1000-1040-21 Dear Mr. Bredemeyer: I am currently writing you in response to your letter of May 23, 2016 (copy enclosed) regarding this application. Please be advise that the project has been revised to include a proposed retaining wall seaward of the proposed pool. The proposed retaining wall- would run along the edge of the existing gravel drive at the toe of the slope. The plan is to backfill the wall with sand and gravely soils on a 3:1 slope and then vegetate the slope. Using these types of material for the backfill would leave the area landward of the wall "well drained". The tree located in this area would be cut down but t he stump shall remain so that there'will be no disturbance to the soil: Phone (631) 653-0607 ® Fax (631) 653-3348 121 Jessup Ave ® 2nd Floor ® P.O. Box 447 Quogue; New York 11959-04471 . For your review we have enclose revised plans for the project which have been prepared by CME Associates (6/16/16) as well as copies of the requested cross section of the project which were prepared by AR & T architects. Please fee free to contact me at any time with any questions or comments that you have regarding these revisions. r Most e > ectfully, leen E. Just so Town Hall Annex John M.Bredemeyer 111,President 54375 Route 25 Michael J.Domino,Vice-President CIS P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Charles J.Sanders Fax(631)765-664140UNTi I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 23, 2016 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959 Re: Z&S CONTRACTING INC. c/o THOMAS SHILLO THE GLOAMING, FISHERS ISLAND SCTM: 1000-10-10-2 Dear Mr. Just: Southold Town Trustees inspected the aforementioned site,on May 5, 2016 and found that there is insufficient information to make a determination on your pending wetland permit application. Accordingly, at our May 18, 2016 meeting the application was postponed. The following informatiorils required from the owner's licensed design professional architect or engineer: 1) Provide a cross-section elevation plan through the house, on grade patio, swimming pool and any and all proposed retaining structures to a depth below all footings at a scale of I"=10' to 1"=20 2) Provide a description of the suitability of soils to support the on-grade patio, swimming pool and retaining structures with a report from the Suffolk County Soil &Water Conservation District and/or a licensed engineer with knowledge of site specific soil conditions. 1 3) Kindly provide a detailed work plan with a written discussion how the removal and or stabilization of the large tree adjacent to the proposed pool and stabilization of soils on all slopes not retained by any engineered retaining wall will be accomplished. Thank you for your cooperation in this matter. Sincerely, John M. Bredemeyer III, President Board of Trustees JMB/dd cc: Southold Town Zoning Board of Appeals Southold Town Building Department f, -{r_ r,it• j John M. Bredemeyer III,President �%OF SO(/ryo {� ''Town Hall Annex O l 54375 Main Road Michael J_ Domino,Vice-PresidentO �vv P.O_ Box 1179 James F. King,Trustee 'PC Southold,New York 11971-0959 Dave Bergen,Trustee Gr Q ® �O Telephone(631) 765-1892 Charles J.Sanders,Trustee �D�yCOU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES ® TOWN OF SOUTHOLD DD To: Southold Town Building Department ► AR 12 2016 Re: Verification of Building Department Permit Requirements lRtJII.DING DEPT. S t�-`A _�' TOWN OF SO O>LD SCTM#: Property Owner Name: ' Date Sent to Bldg. Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Wil the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Signature of fewer Date + 1 J.M.09 Environmental Consulting Services March 16, 2016 J Mr. John Bredemeyer, President Board of Town Trustees Town of Southold Town Hall Annex, 54375 Main Road P.O. Box 0959 Southold, N.Y. 11971 Re: Application for Thomas Shillo, The Gloaming, Fishers Island S.C.T.M.No. 1000-10-10-02 Dear Mr. Bredemeyer: In response to comments from Mr. Michael Verity at the Town's Building Department I have enclosed for your review copies of the revised plans for this project. Should you or any member of the Board have any questions or comments pertaining to this matter please feel free to contact me at any time. :spec4 11y, ust E. MAR 1 8 2016 Si r.4,11c3 i'(c:^,n Phone (631) 653-0607 • Fax (631) 653-3348 121 Jessup Ave • 2nd Floor • P.O. Box 447 Ouogue, New York 11959-0447 r OFFICE LOCATION: ®� ®� ®� MAILING ADDRESS: Town Hall Annex °® ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631765-1938 Southold, NY 11971 P c®U�r►,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 14, 2016 Re: Local Waterfront Coastal Consistency Review for US CONTRACTING INC., c/o THOMAS SHILLO SCTM# 1000-10-10-2 J.M.O. Environmental Consulting on behalf of Z&S CONTRACTING INC., c/o THOMAS SHILLO requests a Wetland Permit to demolish existing single-family dwelling and detached garage; construct new 2,764sq.ft. single-family dwelling with attached garage and 602sq.ft. covered porch; abandon existing and install a new associated sanitary system landward of dwelling; construct a 417sq.ft.'open terrace with stone on grade; construct a 204sq.ft. plunge pool with retaining wall on seaward side; and,install a rain garden. Located: The Gloaming, Fishers,Island. SCTM# 1000-10- 10-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP provided the following: 1. Require that the setback is established from the regulated natural feature to the structure/pool and not the property line. 2. Clarify the front yard setback and why the structure is proposed to be located more seaward than the existing house., 3. Clarify what drywell would be used for pool de-watering. 4. Is the dock structure shown on the survey correct? 5. Will the existing gravel drive remain? 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 y Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 i 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., March 16, 2016 the following recommendation was made: THOMAS SHILLO, US CONTRACTING to demolish an existing single-family dwelling and detached garage; construct a new single-family dwelling and attached garage, associated sanitary system, covered porch, open terrace; plunge-pool with retaining wall on seaward side and rain garden. Located: The Gloaming, Fishers Island. SCTM#10-10-2 The CAC did not make an inspection, therefore no recommendation was made. John M. Bredemeyer III,President AN%OF SOUlyo Town Hall Annex Michael J. Domino,Vice-President �� l0 54375 Main Road P.O_Box 1179 James F. King,Trustee JW Southold, New York 11971-0959 Dave Bergen,Trustee G Telephone(631) 765-1892 Charles J.Sanders,Trustee Fax(631 7 yCoU�`I, D V Lia _ D - BOARD OF TOWN TRUSTEES FED 2 3 2016 TOWN OF SOUTHOLD To: Southold Town Building Department IBUII,MGDEm TOWN OF SOUTHOLD Re: Verification of Building Department Permit Requirements SCTM#: 6—f . , Z VS CO ;-A`%o IO& 1 AYE -- 1 )RAS SOI 1 LO Property Owner Name. Date Sent to Bldg. Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: zo ® � Signature of FVviewer Date John jV1. Bredemeyer III'.President 'y wljKl' Town Hall Annex Michael J.Domino,Vice-Prdsident 54375 Main Road P.O. Box 1179 James F. King,Trustee lK Southold,New York 11971-0959 Dave Bergen,Trustee AS_tz, 1,"l Telephone(631) 765-1892 - Charles J.Sanders,Trustee F�ix(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLI) offlee Use Only Erosion Permit Application _Aoastal Ero. Wetland Permit Application Administrative Permit Z --AnieiidniciitiTratisfer/T;xtensioii /—Rcccived,Application: 241/to F E 8 18 2016 I Y--Received I`cc:$ 260XVV- , I Conipleted Application:—ZaSdu —incomplete: -__ —SEQRA Classificatloo: flurd af Trustees---------J Type l_Type ll /Unlisted __I_ Coordination:(date sent): 32 "L 4 LWRP Consistency Assessment Form: V" CAC Referral Sent: Date of Inspection: —Receipt of CAC Report: ...... --Lead Agency Determination: RcdN6': Public Hearing"Held: 3' __ _,_y "_ 1 �" J� Resolution: 2iS CO3VT2A-C7-11J6— /A/C, Name of Applicant: Thomas Shillo MailingAddross: P.O. 'Rox 161 Fishers island, MY 06390-0161 Phone Number: '7R8-7857 Suffolk County Tax Map Number 1000- 10-10-02 Prop6tj-�Location: The Gloaming, Fishers island (provide LILCO Pole#, distance to cross streets, and location) AGENT: Glenn T?. Just — JMO 'Environmental Consulting (If applic,ble) Address: P.O. Box 447 Ouoque, NY 11959-0A47 Phone: 6-5-1-060,7 Board of Trustees Application GENERAL DATA Land Area (in square feet): 21344 .39 Area-Zoning: R-80 Previous use of property: _sing1_e___faUd ly d_ae11ix�g Intended use of property: single family dgelling Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? _X _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 x No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? X Yes No Does the structure(s)on property have a valid Certificate of Occupancy? x Yes No Prior permits/approvals for site improvements: Agency Date Toan Trustees-nock N.Y.S.D.F.C.-Dock No prior permits/app rovals for site improvements. Has any permiUapproval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description(use attachments if necessary): Please see attached Project Description Applicant: Thomas-Shillo Location: The Gloaming, Fishers Island Applicant proposes to demolish an existing single family dwelling -and detached garage. To construct-a new single family dwelling and attached garage (2,764 s'q. ft.), associated sanitary system, covered porch (wood framed and decking) (602 sq. ft.),.open terrace (stone on grade) (417 sq. ft.) Plunge-pool with retaining wall on seaward side (204 sq. ft.) and rain garden. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposcof the proposed operations: Construction of a new single family residence Area of.wetlands on lot: 0 _square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 40 . feet Closest distance between nearest proposed structure and upland edge of wetlands: 37, feet Does the project involve excavation or filling? No X Yes If yes, how much material.xvill'be excavated?`1 0 cubic yards How much material will be filled? 10 --cubic yards Depth of which material will be removed or deposited: 6 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Rackhoe 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): As proposed the project should have no negative impacts upon, the wetlands and 'tidal caters of the toomo v 617.20 Appendix B ,Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Proposed new single family dwelling Project Location(describe,and attach a location map): The Gloaming Fishers Island,Location map enclosed Brief Description of Proposed Action: Applicant proposes to demolish an existing single family dwelling and detached garage and construct a new single family dwelling,associated sanitary system,garage,covered porch,decking,open terrace(stone on grade).Plunge-pool,retaining wall.dry wells for roof runoff and rain garden. Name of Applicant or Sponsor: Telephone: 631-788-7857 Thomas Shillo E-Mail: Address: P.O.'Box 161 City/PO: State: Zip Code: Fishers Island NY 06390-0161 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 W1 EJ 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: N.Y.S.D.E.C.,Southold Town Trustees&S.C.D.H.S. 3.a.Total acreage of the site of the proposed action? 0.49 acres b.Total acreage to be physically disturbed? 0,C-qA_acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.49 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban m Rural(non-agriculture) [-]Industrial ❑Commercial ®Residential(suburban) ❑Forest '❑Agriculture ❑Aquatic []Other(specify): ❑Parkland Page 1 of 4 5, Is the proposed action, NO YES' N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b.Consistent with the adopted comprehensive plan? IZI ❑ 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:Fishers Island Sound ❑ 1-71 8. a.Will the proposed action result in a substantial increase in traffic above present levels? -NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑. ✓❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ 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 h wetlands or other waterbodies regulated by a federal,'state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Dryad's Basm(Qedar Beach . k) 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®Shoreline El Forest ❑Agricultural/grasslands El Early mid-successional ® Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? P/1 ❑ 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 nori-point sources? NO, YES If Yes, � ❑ a.Will storm water discharges flow to adjacent properties? ❑NO DYES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: NO ❑YES Page 2.of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: 0 ❑ I AFFIRM THAT THE INFO TION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: en[r E t as age 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 E]regulations? QJ 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 F]establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? El 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy,opportunities? Lp 7. Will the proposed action impact existing: ❑ a.public/private,water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, F]waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage -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. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ti 1 Check this box if you have-determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required., Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. -2> ' -rrvs 3„p) j 6 Name of ad Agency Date ) e*- _ ), P4 Print or Type NUo— SignV6TRes0onsibIe60I)ffc6r-in f Responsible Officer in Lead Agency Title of Responsible Officer Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT - Page 4 of 4 I I f J.M.0. Environmental Consulting Services p E C E I V EDD June 29. 2016 JUL - 5 2016 Southold Town Mr. John M. Bredemeyer III, President —Board of Tr Board of Town Trustees - - - Town of Southold Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Z&S Contracting Inc. c/o Thomas Shillo The Gloaming, Fishers Island S.C.T.M.No. 1000-10-10-2 Dear Mr. Bredemeyer: As requested enclosed please find the certified mailing receipts, "green cards", Affidavit of Mailing and the Affidavit of Posting for this project. Sincere Gle . Just Phone (631) 653-0607 • Fax (631) 653-3348 121 Jessup Ave • 2nd Floor . P.O. Box 447 Quogue, New York 11959-0447 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: John B. Glendon 4835 Davenport qt, Nw Jeanine Glendon Washington, OC 20016 Thomas Foyle 22 Durham Road Madison, CT 06443 Paul Tombari P.O. , Rox 357 Fishers Tsland, NY 06330-0357 Diane Rloomquist 24 Alice Lane Ors Rloomquist Amston, CT 06231 - STATE 6231 -STATE OF NEW YORK COUNTY OF SUFFOLK residing at '70-e-sSek t.✓eYl aa ,1t.nc9q'Ae:0-Qe 64 I , being duly sworn,deposes and says that on the &tfj--day of poecrpj , 20j$,, 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 Cc/"((W 0-1 that said Notices wer mailed to each of said persons by CERTIFIED MAIL/RE URN RECEIPT. Sworn to before me-this Day of V) r- 1 PTRIOA M.MC CHI:SISIM n n Notary Public,S:ate,of NMN Yak`: NQ.01 MC4667610 ClUalified in Suffolk County --------�totary Fubtic ------__--CommissiQa )(Pires Sep._ ,-' 0 - - ----- ----------- _ — U.S. Postal Service'" U.S. Postal Service M CEflTIFf D�MAIL& RECEIPT CERTIFIED MAILO RECEIPT ra Domestic,Mail • Q1 Domestic Mail Only 117 Lr) Ln IR• ru ru ANSTOO,T Q rl- &AV NADI�CW)C Er yam, i Certified Mall Fee nj Er Certified Mall Fee 1b. 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I;L'oN �S /�1 '�r>�g w/6 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes If YES,enter delivery address below:- ❑No Diane Rloomquist Ors ploomquist 24 Alice Lane Amston, CT 06231 3.II III I II I I I III II II II I III II III III El Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiITM ❑Adult Signature Restricted Delivery ❑Registered Mad Restricted Certdied Mad® Delivery 9590 9402 1253 5246 0551 47 Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number ransfer from service label ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation" ) ❑Insured Mail Q Signature Confirmation fg-� qj �� ? 0 Insured Mail Restricted Delivery Restricted Delivery CJ V�� 7 -( J (over$500) PS Form 381 1,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X �lrl Yt i Address e so that we can return the card to you. g, Received by(Printed Nam fy C.° te of D R& ■ Attach this card to the back of the mailpiece, t S f`.� �O 6,zI Ic or on the front if space permits. L 1. Article Addressed to: _ D. is delivery address different fr it s If YES,enter delivery address 1 c 65 3N0 Paul Tombari P.O. Pox 357 Fishers Islane, MY 06390-0357 3. Service Type [I Priority Mail Express@ 0 Adult II I III I I III I I III I VIII III II I I III III I II I II ult Signature Restricted Delivery C]RRegistereddMall Restricted rtired MauO Delivery 13CertifiedMail Restrictd Delivery ❑Return Receipt for 9590 9402 1253 5246 0551 30 ❑collect,on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation"' 2. Article Number(Transfer from service lab el) ❑insured Mad [1 signature Confirmation gl b Elur Insd Mad Restricted Delivery Restricted Delivery ''��� �(/�f`/�'�/��/�l'► � (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ; E�E�7EEL(rElcrl�Er�EE�7iEr�'rd�EE�iEE�iEE�cIEr7EE(r7E7111101111 „`.�.. j.M.®. 2 nvironmental Consulting Service: CX 43' 121 Jessup Ave • P.O.Box 447 Quogue, NewYork 11959-0447 7015 0640 0004 5292 7606 -�, CD O John - . G enc�on Jeanin lendon 4335 Da nport St, NW ' Washing o , DC 20016 F: _ o a a 'v, >;0 z9 #x o,Mm s � zM a 1 ' m m J.M.O. Environmental Consulting ServicesIII lift 121 Jessup Ave . P.O.Box 447 III21 7a, Quogue, New York 11959-0447 , - III 0 w 7. d '7015 0640 0004 5292 7590 , 40> Z ^" 0;Ra'XMM0 CO v ' � Thomas Foyle , kdNusn am �'.oad C .V�•1="�1�+.f.r °Y�!'�_� r-l0. � •N Y9?f9.},f�`-1.�9�"i'L`�'8 £' 'yl . RETURN t;R jam¢. SENDER,+ DR • t i NOT DELIVERABLE AS ADDRES`_71=E7. RD U re AB m 4a v�4 S'C' :jayy.'syy.St zi9i 0 4 f4 a' '{ 9 5 Q a4 7 " baY7341IE=77�� fSElt(}7f4E (7,,�ifj1 74 '}t�'}iiliYi@ �}�!}7717 }} ..._ 0652 Ell I ®';Complete item's"1;.2;'and:3: A.Signature ❑Agent ■ Print your name•and.address on the reverse )(. ❑Addressee ! - so,that"we can return the card to you._".:` FFIcelby(Printed Name) _ C.;Date'of Delivery { I K,Attach this,card to the back of the.'mailpiece, } or'the front-if space permits. 1..Article Addressed;to:." address different from iterrt:I? ❑Yes ter delivery.address below: ❑No. } Nhoraas Foyle 4t _ 22•-.Durham'•Road' Madi'sori;_ CT 06'4,43,' s ` Y 3.,,S6rvippType ❑Priority Mail Express® ❑Adult SignatureRestrictedDeliveryail 13 Adult Sinature `.' )1RegisteredMalRestrlcted; i4 Certified MallO Delivery 9590.9402 1`253'5246; 551 54 ❑Certified Mail Restricted Delivery .❑Return Receipt for ; ,. ❑Collect onDefive Merchandise', ; ❑:Collect on Deliverryy Restricted Delivery ❑Signature Confirm 2.'Article Numtier(Transfer fromseivice/abet] _ '. ❑Insured Mal•-' ❑Signature Confirmation " a+' ;s' 'Restricted Deliveryi ! ^* y G7 insured Mail Restricted Delivery,(Over MO) r, PS For°m-381 y;July 2015 F?SfV'7530-02 000-9053 q Domestic Return Receipt j r";,-,;�a.rm�.' _. » ,� -"r .. '"e'° a'�n�.'•.�.:','., •'r`al^""'�+c"'.."".aW ........._.._-,�....•r,.:.-».-,. ..- �._.-. ..,-.-.::x.._c:...-..,.�.:..a:,.-m��.,, S, 90'9Z - ® ® A Signature `:®'1 Corrtplete items 1,2,andA. ' U'Agent,;, I " d",Print your name`and'address.on:tne reverse„ p'Addressee`) so that we can'return the card to you. A Attach this card"toahe bacK`of"the mailpieae; B. Received by'(Printed;Name); C.,'Pate of Delivervi { ;`. or on the'frontlf.sp'ace,per_mits: Article Addressed toi -"- ,D:,Is delivery address different from item 7?, D Yes= IjfyES;enter"deiiveryaddress--below:•"' [,-No John R.' Glendon Jeanine rleriftfi g 4"8`25 davenport :St = qt,r'.' Washington, DC '20,0.15 3,'Se' Type; ❑Priority Mail Express®, { 1191111 l6111�1!11111�111{I Il ll111�llf 111 li! ' Adul4Signat4e:. ❑Registered MaiIT"r Adult Signature Restricted Delivery,, d Registered Mail Restricted Certified Mails" ;,. Delivery 9590 9402 1253 5246`,0551 s23 ❑,Certified Mail Restricted Delivery ❑Return Receipt for I' ' 12513 , - " ❑Collect on Delivery . Merchandise n Delivery Restricted Delivery ❑Collect o ❑Signature Confirmation"' , z 2. Article Number(Transfer from seNiCe label)' ❑"Insured Mail,; , El Signature Confirmation i ❑insured Mail Restricted Delivery Restricted Delivery (over$500) t PS Form 3811,July 2015 PSN 7530-02=000=9653 ;'`' <^° '.,V Domestic"Return Receipt �' John M. Brederneyer III, President Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn GoldsmithP.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES:TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of Z&S CONTRACTING,INC., c/oTHOMAS 811ILLO COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR NOT LESS THAN SEVEN DAYS residing at/dba Zcs 44*/ AIV 41,?ft') being duly sworn,depose and say: That on the day of 1&m-h 2014-,1 personally posted the property known as by placing the Board of Trustees dMicial poster'where itcann-easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public heating. Date of hearing noted thereon to be held Wednesday;March 23,2016. Dated: 31d (signature) SWQrn to before me this qrdayof#4"201� TN o t a 4ry-P u$N� jy 5-1 01 A5 iluTlt... t: Ht: AK111t3 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: Z&S CONTRACTING INC., c/o THOMAS SHILLO SUBJECT OF PUBLIC HEARING : For a Wetland Permit to demolish existing single-family dwelling and detached garage; construct new 2,764sq.ft. single-family dwelling with attached garage and 602sq.ft. covered porch; abandon existing and install a new associated sanitary system landward of dwelling; construct a 417sq.ft. open terrace with stone on grade; construct a 204sq.ft. plunge pool with retaining wall on seaward side; and install a rain garden. Located: The Gloaming, Fishers Island. SCTM## 1000-10-10-2 TIME & DATE OF PUBLIC HEARING : Wednesday, March 231 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 R a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1692 API'LICANT/AGENT/REPRESENTATIVE TRANSAC'T'IONAL DISCLOSURE FORD 1 heTown of Southold's Code,of Ethics nrohibits conflicts of interest on the i2art of town olficers and_emnlovee+s D!! numoce of this form is to provide information which can alert the town of ossible conflicts of interest and allow it to take whatever action is i necessary to avoid same. YOUR NAME: ,. _- (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance ____ __�, Building Variance _ Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map ! Planning Other (If"Other',name tite 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 officer or employee has even a partial O%vllcrsltip of(or employment by)a corporation in which lire town of7icer or employee owns more than Mio of the shares. YES —--- NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that persan!_ Describe the relationship between yourself(the applicantiagentfrepresentative)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 U►e shares of the corporate stock of 111capplicant (when the applicant is a corporation); [3)the legal or beneficial owner of any interest in a non-corporate entity(when file 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 1� ay Signature s �✓ Print Name'' Form TS 1 Board of Trustees Application AUTHORMATION (where the applicant is not tite owner) 1, 744 4w4fid)AS17 �rne-.--- -- - ---- - -- ---------- residing fit �o�s fDX_l +! o� (print name of owncr ofproperty) (mailing address) CAW- hx,- rr -=VI411.0 N v D4oqFU --- do hcrcby atitho ize - - (Agent) to apply for permit(s) from the �/'►9 O �/lvirvn►ti,ty,�� �lSa/S��iq Southold Board of Town Tnistet:s on my behalf (Owner's:' nature) r �bl�Elpds22ot�63 Board of Trustees Application AFFIDAVIT ZkS 4)44 % _ _ 7� .�iaC•//hy/y�f' �/� �hi � 13I�'.SING ING DULY SWORN DEPOSES AND AFFIRMS TTIA'I'IILl+SHE ISTIMAPPLICANTFOR THEABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CON'T'AINED HEREIN ARIA:TRUE'TO THE BEST OF HIS/TIER IUy0WLEDGE AND BELIEF, AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTTIOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLT)THE TOWN OF SOUTHOLD AND THE BOARD OTS TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERIIIT(S), 11 GRAN'T'ED. IN COMPLETING THIS APPLICATION, I HEREBY AUTI-IORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTA'T'IVES, INCLUDINGTHF, CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO NJY PROPERTY TO INSPECT'1'TIF, PREMISES IN CONJUNCTION WITH ]'TITS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AU'T'HORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE CONTPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COAS'T'AL EROSION PERM IT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERIVI OF THE PERMIT. ~ , � lc�cK7` Ssgtiiature,c roperty Owii / ?� zo i SWORN TO BEFORE ME THIS DAY OF Mary I'tlbhC APPLICANTJAGENT/RI;I'I2r5ENTATI W. ' TRANSAC'I'IONAL DISCLOSURE FORM I 1'it To►vi_ imo r itlj!t�Cotte o aoxnhice sI tftl e�u�l c s.'fhe nr�nse�S 1 t is lin) is la ruvitic infnrnx 1'un to i ch can a c t t tc tw>n o pt ssihlc roti is s�(�ntcn gt tied dl-k-LI n ta1;c tv)atercr ar, It is necc,gM to nvaicl sa1L. YOUR NAA�r:: Zv-S 4�n�nw��r .,�;c.. � _,/'��S�%/��, yrs:�.►�r (Last name,first name,)piddle'Ntial,unless yt+•aro applying in tltc name of someone else or other entity,such as a company.if so,indicate the o+hcr person's or company's runic.) NAME OF APP61CMIO 1. (check all that apply.) lits grievance _ ----- Building -- Varianco. __ 11rustee Chang.,:of Zane _-- _ _. Coastal Erosion Approval of plat _ hiaoring v_ Exemption front Alin or official amp ! u_ Planning Other (if"Otho',imme the activity•)— — -•--_�.-- --- — -•-----•---- -- - Do yon Imsonally(or dirooph your company,spolow,sibling,p;tcnl,or child)have a relationship with any officer or employee of lhe'1'otivn+uf Southol►I? "Rehtiionship"includes by Wood,imuriage.or business interest -Business interest"means a busines's including 11 partnership,in thiel+the um+t aBiccr of elliploycc Ira%evcu it partial am netship of(ur employment by)a corlwration in which the lawn(1t)icct or employee owns Inow 111;11%50%of tile,sham'. yrs — NU --. if you answered"YES",complete the balance orthis fora)and date and sign svltere indicated. Nuntc of person ctnploycd try tl)a'i'own of Soutliuld_____.--______ ._—___. - 'Iitte of position ofthat peison_---- ------• - -- Desvribe the relationship heh%ecn)ovmelf(the applicanUai?entlrepresentative.)and the town officer or cn)ployee.Either check- file heckfile appropriate line A)throtrgb D)nndror describe in the spate provided. 'Ilse town officer or employee or his or tier spouse,sibling,parent,or child is(check till Thal apply): A)the owner of greater till")5%(If rte sh:ucs of the corporate stock of 11W;tpphcimt _ -- (Atlien the applicant Nit torpormtkurt); the legot or beneficial owner of any interest in a non•rurpnratr,entity(whet►IIIC -- applicant is not a corporation): _-- G)an officer,director,p;+rincr,or cn)plIyee of the applicant:or —D)tiro actual applicant. utiscitiPTION or• RELKI-IONSHIP r - Submitted thisy, aof Signalun•_`���2� ..� Print Name all FoI n)TS i aAx U' a" �ad rSY�oZoZ�'27 • 1 JGM000 Environmental Consulting Services To whom it may concern: Please he advised that me have authorized the firm of J.M.O. Environmental Consulting Services to act as our agent on our behalf in applying for certain approvals through your agency and others involved with this project. J.M.O. Consulting Services has been retained to coordinate all approvals necessary through your and other involved agencies, as well as our architect, engineer and contractors. We request that all communications, correspondences, notices, approvals and calls be addressed directly to the offices of J.M.O. Environmental Consulting Services. Signature Dated z�Is Phone (631) 653-0607 ® Fax (631) 653-•3348 121 Jessup Ave Q 2nd Floor m P.O. Box 447 QUogue, New York 1 i 959-0447 Town of Southold LWRP CONSISTENCY ASSESSMENT FORT A. INS TR UC'I 16 S L All applicants for'pemhits* including ToNvn of Southold agencies, shall coniplete this C,CAF for proposed actions that are subject to the To-NN;n of Southold Waterfront Consistency Review Lav#. This assessirient is intended to supplement other infortnation used by a Town of Southold agency in rnald ig-a detlerminathon of consistency. -Except r}linor exeinj)t actions in cl1dd1'I?q Building Pennits and other miniisterial'nermits r7ot 1pcated within the C.oasml Erosions Ha 7rd 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�f Southold Local Waterfront Revitalization Program. A_ proposed action will 3?e evaluated as to its si;nircant ?eIll'•flClgl jin LhLdveise effect's t._iO) t11e coasial area(,xhich Includes atll gf`,Southoki'I'oLN°n . 3. if any question In Section C Can this lori.l is answered, "yes" or "no", then the proposed action .will affect the achievement of the U ,TP policy standards acid conditions contained in'the consistenev review law. Tbtvi, each alnsIN ei- nhtut be explaitled ill detail tistilly hobs sul)norting and non- snpint-tingfacts. If aii'action caiuhot be certified as consistent with the LWRP policy stsndartls cued conditions,it shall not be undert%ken. A copy of the LWRP is available in the folloNving plaices: online at the To«n of Southold's zvebsitc(southoltito«Yr.northfork.iiet), the Board of Trustees,0,Mee, the Planning Department. all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PRiJI'OSlall ACTION SC'RMH 1000-10-10-02 - PROJECTNr IE Demo, of existing dwelling and construction of a nea one The application has been sttl mitted,to (chcck,appropriate response): `I awn Board ❑ Planning Board❑ Building Delft. ❑ Boap•d of`"rusfees LX J 1. Category of Tovin of Southold agency action-kcheck appropriate response): (a) Action'undertaken directly by Tomm agency(e.g, capital ❑ construction,planning activity,agency regulation, land transaction) (b) Financial assistance(e.g.grant, loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: Please see attached Location of action:__ 11�eL S T s 1 and--------------- Site.acrcargc:. 0.4 7 Presentlanduse-_Rxisting single family dwelling Present zoning classification: -R_R() 2. If an application for the proposed action has been filed with the ToNAn of Southold agency, the follo-Mng information shall be provided: (a) Narne of applicant: ThomaS Shillo (b) Mailing address' P.O. -Rox 161 ------'Fishers Ts,land,—N.Y. 06390.-0161 (C) Telephone J)wiiber:.,Vca Code 788-7857 (d) Application nwiiber,if am Will the action be dir ictly undertA-en,require Einding, or approval by zkstate or federal agency Yes El NO FJ If Yes., which state or fedcral C. Evaluate theVI-0ject to the following policies by analyzing how the project will"further support or not support the policies. Provide all proposed BestManagement Practices that will further each policy. Incomplete answers will require that the form he returned for completion. DEVELOPED COAST POLICY Policy I. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, mz'h-es efficient use of infrastructure, makes benefici a"l use of a coastal location, arid minlinizes adverse,effects of deyelopment. 3'ee 1;�Y�P Sectioan III—Policies; Page 2 for evaluation criteria. Yes No F-I Not Applicable ----The--s-i-t-e--i-s—eu-r-'r-ap-t--i-r—cl,eve-l-oped-4 ---Pr-cpoaa-L--.shc)-uld—hav-e—no.--nega-ti-v-e—itpacts--upon—t-he--charaicter--.-- of the community Alt ach,additTonal sliects il xr-2cessaq,- Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold, See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Yes ❑ No ❑ MI)i Applicable i The project shall have no impact upon any historic or archaeological resources it is felt t.ht t is n-ro1er-i' is consistent with this policy- A ttacli additional sheets if necessary v Enhance ylgunl quaLt� and protect seenic resources th_roughout the Town of Southold. Se L7VW SectionHI—Folieies -Pwges 6 through! for evalua:ioo cri_eria I_.._-! Yes ❑ i4o Not App licabI¢ i The project %%7i 11 have no impacts un g ane nor impact the visual cruality of the_T_o'rTn Tt i s rr�l-t hof ,Attach additional sheets if accessary l —,VA—UR—AL CO.ALST POLICIES Policy 4. tIVRusmiye loss cot hfe, structures, and nail`urai resovirces f j rim 3gt icitOi e anti erosion. See LW Section III—Policies Pages 8 through 16 for eiraiva;ion criteria x ❑ Yes ❑ N® ❑ 'Noe Applicable ` The proij1- nQ-t— pratar9 erns_ii nn c,f ad rPnt proper-t shal_7.. llP nQ l nuc of mari no nr -,:o=l anr?_�,ah..i-.t=6 �nA {,1-,a�-o •riil�—b' - , no Loss of pubZiv recreationaisf�1hath_ia pro]ect is consistent ;,vi-ch this policy i Attach additional sucets if necID -aro a Policy Proteet and improve--vilter d % Ii?' and SZi3 '3' in the Town o1 Southryl r See LQ F Seption a ' —Policies-Wages 16 through 21 for ev--Ina,ton criteria f - x V es 0 IN, EIINet-Agplicahle The p, of ect •a' l! have no ne!aati ve impacts upon the duality of or i;ha 4T1?apt'i t-y o7F nr)tphl -- , '-pr _ Ti- i -; fal t tbpt this s prolect is consistent faith thi. 0Q1 j I - i Arzach additional sheets if oecessas Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant C:ms al Fish and WHdiife Habst3£s and wetlatuds. sea L-"VRF Section M—Policies, Pages'92 through 32 for evaluation erireili2'. The -project shall have no negative impacts upon the quality or `unction of a.nv e7et i ands _ ecoS Coastal Fish and Wildlife Habitats ;t is felt that this project is consistent with this policy .4--tach additional Aieets if necessary T'oklC"y 1. Ps_^i3?r'egf e:R& �.� ���s?, _ fi= uo=a-th31,.:.< See HIT"TRP Section M po_k_es . Pagas 52 LF-hrough 3 +aur-Iralmvae,Ion ' J The pro]ect Shall have no i +,,L+acz aeon air quality. it is felt l _ that this project -is cons=sent raitR this HCl iC j% t " 1 Atiadh additzolle-I sheeEx if neeesbar.v ?.o T Ae -Af1Umbm.n.e 'een t• e-� -d a'h iC�.VE i n rrt. im � ~ Le.'Zi1'u� -flm,A. SOU42 'r-gate r-xnd ��'i:Gr`4L-UGus F-.9.tS�^�+CYS fr' .r-. SLE._ C? L?, t�J c�'�.�-._ P C= :? o � _ -g,� The project does not invol,,e the ?sc- sol-id waste ohazardous sDS}-ances and 7;asLc5. 1-- ZS feltsol-id2 L chat this oroject is Consisc=nz with this Dol1CY .uafuey }. 'ymvi'e 2-0-4 Yu3�ic a- e s r.G3 aa- C, ase af, 302-vLc:+s rratia_u; p L`-I-L, lam-TR and puklk -_'il.G.'T:7v2 o_ Gi=.kr"Oi `urt.=?>f.a�� U�«^.'t�d2= $ - '^v`�s'.w G�c`�. ! U �ba'r.'et�S.�1:'].G` for e'S°`dFFr`1eYSe:., u i YeE The project will ha-ve no imaacE upon oublic access to, and the recreational use c` coastal 'h7aLers F public lands or the public resources o--.c -the nv:•ii?, It _S -EGI- that -Ehis /� project is consismen L. W1i_h 4''!is 5olicv tpac i additimas if mccess?.. 'l' �j tr n 7 2 ' '¢ za,;^^ 7 :oQ -i YMi �e f...� ry- —Fa l7�^-n i i-PdUmy 10. j�iC��vL dyt2i?�u�? ;C 5 z�u 0?'-f? =s=:D,- uses a��.. �usSD JEe �a� of n,�J ,ai r.deper_,dant ..Z� c�1 M-UR le loeaeons. See:L WRP Section TKI = s,-age -4,7 th4 ough 56 fdkf °d lua—oaa cAter10R, i The project will have no impact upon Southold` s eater-dependent uses of or the =illtin? -- water-dependent uses in suitable locatinns t is felt that thi's prof ec-c Is corsistent with t l2.is policy .tMC3.addidonai sheets if necassa t: @96'j: u. _£'gad�`e � � a=w8use tis w_2' is �n =��' � i$sari?4?v 'sa �'v?e H& `.Fd �eL`a �s ? w�i3r'�iti �4+ Hama r � T w `See a r rim+y y c,U r B l a. �:E�"e^s' _ag'e� 51 .i::�°x'.�s"-L''��fuz'e$`a'l1's-ila5.1 4 alte=>'a�'. {&s^Sa u.'L•'� �� �F+t�1nt la e�'3. � w�tfi ,.� �c" X50 3 Yes D To L �1 L,rd3E't�g;6i�a�i�e The project 'swill have no i ---1.-rr1i-` n, Of f living marine reso11rcGS . rn -p- a consistent with this policy Attach additional sheets ifnecessary Qrlly r ! 3 +tN�. 3 vEE£a a y- - — -,- II` E, ^-oH ?G; Pcp�ngn,=czKn:L-a. Y ' "'rd, 162 ihMUR9,t 3 for 57ni7—_'LI RYes 0 � The project do2S not int i'Z1.v^ s q—i r"1 -11?^" 1 anri^ i 4•- i - that this policy. is not anpllcab-e to this project � i mch add:l.ons sheets if necessal- ' I ' PWRGy 13- Primate ai JJ0=uotiuue ..a-d dL-,u'��; ent d-4rZg, r.z..F.Mey iaC�'ai S`'r..sCt!om kms.u— 'po:lacircsi Fag�'ss.65 Ffz_,.rokz -6%-fi:' YY The nroi_cact does not involve the use of or development of energy or mineral re.sour--eS it is felt that this licy is not applicable to this project PF-2FARDI-D 11,�_Gj2 n �t1�L - - Tj&"�`"-=art Dn,AT, ' it `