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TR-8930
Glenn Goldsmith,President so(/ry Town Hall Annex A. Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25 John M. Bredeme er III P.O. Box 1179 York Y � � Southold, New York 11971 Michael J.Domino y G Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 �y�OUNTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1793C Date: February 4, 2021 ` THIS CERTIFIES that the clearingof f an approximate 9,650sq.ft. area located between 50' and 100' from the top of bluff for the purposes of constructing_a dwelling, in-ground swimming_pool and gppurtenances which will be located more than 100' from the top of bluff; with the condition that no-clearing is done within 50' from the top of the bluff pursuant to this permit; At 1975 Soundview Avenue, Mattituck Suffolk County Tax Map #1000=94-1=11 Conforms to the application for a Trustees Permit heretofore filed"in this office Dated November 14, 2016 pursuant to which Trustees Wetland Permit#8930 Dated December 14, 2016,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for clearingof an approximate 9,650sq.ft. area located between 50' and 100' from the top of bluff for the purposes of constructing'a dwelling in-ground swimming pool and appurtenances which will be located more than 100' from the top of bluff with the condition that no clearing is done within 50' from the top of the bluff pursuant to this permit. The certificate is issued to 1975 Soundview LLC owner of the aforesaid property. Aw '�'Czv� h e 1 a ure Glenn Goldsmith�"_President rjf S 0 Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 P.O.Box 1179 John M.Bredemeyer IIIc Southold,New York 11971 A.Nicholas Krupski G QTelephone(631) 765-1892 Greg WilliamsFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: /4 121 MPECTED'BY:' C_ 0', Ch. 111 INSPECTION SCHEDULE Pre-corfgtriUction�hayhate`.,Iinolailtbc' ilt curtain _1't day of construction Y2 constructed v0/_ Project complete, compliance inspection '- ,qP MMENTS' OK J, L C_1 e0, TN ca 11 C'Cco'c oo"c<e JM f T'^j CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President '*V so(/ry Town Hall Annex Michael J.Domino,Vice-President �O ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III 1L Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� i0 Fax(631)765-6641 BOARD'OF TOWN TRUSTEES July 16, 2020 TOWN OF SOUTHOLD Samuels & Steelman Architects 25235 Main Road Cutchogue, NY 11935 Attn: Thomas-C. Samuels _ RE: 1975 SO.UNRVIEW LLC _ 1975 SOUNDVIEW AVENUE, MATTITUCK .SCTm#: ..1000-94-1-11 Dear Mr. Samuels: The following action was taken_by the-,Sputhold 9Town,-Board.of Trustees at their Regular , Meeting held on Wednesday, July 15, 2020: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8930 for the reconfiguration of approximate 9650sq.ft. Area that is to be cleared in order,to fit with the new design of a house and swimming pool, with all construction to be located beyond the Trustee jurisdiction; and as depicted on the site plan prepared by Samuels & Steelman Architects last dated March 5, 2020, and stamped approved.on July 15, 2020. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Glenn Goldsmith President, Board of Trustees GG/dd S A M U E L S & S T E E L M A N March 9, 2020 J �r� Board of Town Trustees f MAR -° 9 2020 Town Hall Annex �__ Southold, NY 11971 Re: 1975 SOUNDVIEW LLC 1975 Soundviewe Avenue, Mattituck SCTM# 1000-94-1-11 Wetlands Permit#8930 Dear Trustees, I hereby request an ADMINISTRATIVE AMENDMENT to the above referenced permit, which is to clear site area between the 100 foot limit of Trustee's jurisdiction, and the 50 foot setback from top of bluff. The amount of cleared area within Trustees jurisdiction remains the same: approximately 9,650 sq. ft., but the configuration of that cleared area has altered, to fit with the new design of a house and swimming pool, with all construction to be located beyond,the Trustees jurisdiction. Attached find the following documentation for your use in regards to this application: 1. Seven (7) SITE PLANS 2. Previous Board action regarding transfer of permit 3. Owner's Authorization 4. Check for$50. Please review the enclosed, and let me know of any further requirements. If complete, please ' place on AGENDA for your April Public Hearing, and notify us of any required posting. Respectfully submitted, Tom Samuels ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407 1 g 3 1 AUTRORI ` ION (Wiiere;she applicant.i-ftot the pwoer) i -tWners'of the,property-ideniffied as-SCTi#-1006- 1 _- ars en atdlk t'—r'/" e, 133 - 1 New York,hereby_$itthorizEs .. _ IS 44 M Gatti;�� twIact as rad;agent'and all neceessary work involved with-the appiication,process,for p its)firom,the Southold Town 'i i' Board of Trustees-ior this property. i �'ro�;zty't3�wn�r's'Si�nati�-�. � i Fro�e�y'�.�rne'r's Si�;natur� ( ,j SWORN T©-BEFORE ME THIS� ...s`k�'` DAY.O M-O,<-c kN JAKE,KIEVY tart'Public,St�te':of NeViYork No.,02LES373423 r _ Qtial flea(n New York Cou1 taryti �?:c Gommisston ms4rH,09;nty 2 a i i t 7 _ 9 • t i i \ i I AUMORIZATION (Whore the applican't is not!.he owner) a Wei PWn=of the property identified,as.SCT,/I# 1600- � in the town of (tI •�t 't ' .., New-York,hereby authorizes ww, 1 k0'aef- My agont Axid hane+I'e all, i i neces4xy WorlditvolVed with,the,pplkc tion,procm for:p6rrn'it(s)froT1 ,the,-Southbld Tow e a Board of Trustees for this property_ - i �i _ Pte. ,veer' Si ure 1'i*Tty ownck's:Signature, WN'TO BEFORE ME THIS DiEi,Y"£?l; 20_ __.. i i !$AMA-LOEWENSTERN 'tORYPUSUC.`STATE OF-NEW YORK ` ft 01LC83306% �. Noiary Publie Qv:With RcFe Y(ACC y- Evan a -q` - 3 a a f SWPPP OTES AND DETAILS, APP OV D BY I AiA BOARD OF 1 USTEES STABILIZED CONSTRUCTION ENTRANCE oMMxWREID PZ TOWN F S JTHOLD NOTES: EXISTING ,-O„ EXISTING SCTM # 1000-94-1-11 DATE 1. Stone size -use 2 inch stone, or reclaimed or recycled GROUND PAVEMENT PROPERTY: 1975 Soundview Avenue concrete equivalent. ADDRESS Mattituck, NY 11952 , r S•/ RDINARY HIGH WATER 2. Length -not less than 50 feet(except on a single residence „; MARK BY DEED OWNER: 1975 SOUNDVIEW LLC lot where 30 foot minimum length would apply). . ' .�~ N54.26'54"E c/o Franklin, Weinrib, Rudell & assa o 488 Madison Avenue, 22nd floor 3. Thickness -not less than six(6) inches. FILTER MOUNTABLE BERM a/ New York, NY 10022 but not less than the full 2" STONE OR CLOTH (OPTIONAL) 4. Width -twelve (12)foot minimum, o� b RECYCLED CONCRETE PROFILE h/ 340.84' SITE: 161,246 sf = 3.70 ac width at points where ingress or egress occurs.Twenty-four (24) foot i ZONING: R-80 single entrance to site. a 5. Geotextile -will be placed over the entire area prior toUj so' MIH GOMMERGIAL / LONG ISLAND SOUND placing of stone. 30' MIN REIDENTIAL . p g / /lop SURVEYOR: Wallace T. Bryan 273 Snedecor Avenue > 6. Surface water-all surface water flowing or diverted toward rBOTTOM OF BLUFF Bayport NY 11705 Z construction entrances shall be piped beneath the entrance. / if piping is impractical, a mountable berm with 5:1 slopes p N61-5g,,4 LICENSE # 49273 will be permitted. 10-� "f EAN HIGH WATER LINE DATED 9/ 492 - _ / LU (, 7. Maintenance -the entrance shall be maintained in a Z -____- ON ffilift D condition which will prevent tracking or flowing of sediment LINE / A I M1 onto public rights-of-way, all sediment spilled, dropped, , " �: ` ': WCl) < ---- -' NE washed or tracked onto public rights-of-way must be } removed immediately. - '.:. X O •---__ -1 �-� 332 8. When washing is required, it shall be done on an areaz `__ � __20_- XISTINGLM stabilized with stone and which drains into an a roved , ^'` / -___ -_ Long Island pp NEIGHBORING sediment trapping device. 40-- Sound W 12.' MIN. OR MATCH . ' w � - \\-- - 10 WOOD ��oe SITE � BULKHEAD 9. Periodic inspection and needed maintenance shall be ADJACENT ROAD WI DTH -30__ provided after each rain. __ __ Uj PLAN so- ---_ -� _ � -�� ���'� °a o° STABILIZED CONSTRUCTION ENTRANCE 40--- / Q 1 NO SCALE _ . ,,,__.- \ ---_ _. . ----_ � .,` � • 20 LLI 10' MIN. 60 _ -- - - / TOP OF EXISTING GRADE 30 o �., I=j > CAST IRON FRAME AND COVER 62_ TO GRADE (AS REQUIRED) % / TRAFFIC SLAB (SEE 62 �� LIMITS OF CLEARING \ �� 40PI �a�,I AND LAND - N o �eaG LU :3 PLANS FOR LOCATIONS) I `_ _ -ApP I 0 F+1 SETBACK LINE � r O LIMITS OF CLEARING ARD / --R�x�l"1ATE-�GATION I o DISTURBANCE FROM TOP OF BLUFF �� / \\ `0 a<c1ea U) +/-43,000 SF -- 5o a r LAND DISTURBANCE - G�ST_`�L�R=pN I �\ �- +/-43,000 SF LINA _ PRbPOSED CLEARING LOOATED BE�"WEEN 50' SETBACK AND QC) DRAI NAGE I - - SE AGK LINES +/-61,650 SF ® ® ® ® ® ® ® ® ® 8A51 N FOR / � � at 1 uck �D,�� o Q cfl t!1 ® ® ® ® ® ® ® EK SIZES SEE PROPOSED SILT FENCE i `�- - - - �� so let do, z DURING CONSTRUCTION d O 5' min ® ® ® ® ® ® ® ® - SITE PLANS SEE DETAIL g Z Q > ® ® ® ® ® ® ED ® ® } BACKFILL SP1 I 1 // \ \\62 ILI TEST HOLE 117 z w ® ® ® ® ® ® ® ® ® lL MATERIAL � MINIMUM 4 FT. HIGH WA!).L, �/ / d O p ® ® ® ® ® ® ® ® ® TO BE • I FOR POOL ENCLOSURE) -� NO SCALE INFINITY EDGE AT POOL f� LIMITS OF CLEARING BY K. WOYCHUK LS ® ® ® ® ® ® ® ® ® ZR GLEAN �RISDIGTON LINE 15' '1' 51'-5' I / AND LAND - SAND AND -&2 _ - _ / TEST HOLE DATA 5 / 28 / 16 ELEV. + 62.3 -..• 68_7• z GRAVEL POOL BACK--�2 - _`0 1 / D I STURBANGE GROUND WATER WASH DRYWELLI / -- 63`I'" / ?S• +/-4'5,000 SF - \ / x 1 O I. - f- /',Q m SFTBgcD 0.7 FT. SANDY LOAM OL REGRADING - - - _ - '-- AS SHOWN U7 L LANDSCAPED A u I TRU /'-- / 06 Z PERMANENT STORM WATER RUNOFF CONTROL MEASURE x 40 REA _ _55��RISDI�r_N_N 20, U b FLRE' n SWIMMING /,'TERRACE b - 62 2 STORM DRAINAGE RING TYPICAL /DFY oL w� - - 2.6 FT. BROWN CLAYEY SAND SC r N Q• M ET AC REAR YARD ELEV, z ON +" ' + x REAR YARD �- PROPOSED GILT FENCE GRADE - B +66 4 �� - 62 , NO SCALE / SIDE YARD CLE TERRACE * I - IDE YARD DURING CONSTRUCTION _j Y OUT ivoRow \ o `ON GRADE \ - . �� SEE DETAIL y a > k L 3 PALE BROWN MEDIUM Lu _j ( z W a I �! ,�_-�:• SP1 W L 1 ' i5O' :,s`�7 L Q ZLLi LL ED i=ROPos ; EW TO A ,...... \ CO RSE SAND SP 17 T F . ' rt A U PROPOSED NEW SEPTIC SYSTEM FOR ,� ��,��• C „ _ R SIREN I \ ' kr-K.� d j_` � M � WIRE FENCE W/ 7 BEDROOM RESIDENCE AND POOL HOUSE ` r''`s 65.61+ 65.61 ! ` .- ry FIRST l 1N FI:R ELE�/+b 1.5- W °; / PROPOSED NEW UNDERGROUND COMMENTS: NO WATER ENCOUNTERED a N o FILTER CLOTH - 2000 GAL SEPTI G TANK (ST) / LP - - AREA AR ` U r PARKING i 1 '' GARAGE 5 AB E r 66.0 REGRADING / DRYWELLS FOR STORMWATER W• N = T es suRFAc ( I. ` 5 As sHowN RUNOFF FROM BUILDING SEE Q �. _ OLEANOU7 • EXP ------- - '� +b4.0� `1 BASEM TSG � . . .„ r. _ E FILTER CLOTH MIN. 6" SURFACE 2) 10 FT x 8 FT LEACHING POOL (LP) / 3.0 /� DETAIL 2 BE OW GRADE \ DRAINAGE _ L \ EFLOW (I) 10 FT x 8 FT FUTURE EXPANSION (EXP) I up / / DR/'''®I \ y C,5.61+ 46.0 +64: _/ SIDE YARD N 0 F AGE CALCULATIONS 10 FRONT YARD / / / GLEAN OUT min x ��� / Tonal Lisa, Minakyon Nisan AREA OF RESIDENCE (DW-A) STAGING / / 6 Luquer Rd, Manhasset, NY 11030 DRY WELL AREA x RAINFALL x RUNOFF FACTOR AND PR 2375 Soundview Ave (DW-A) 2,505 5F x (2/12 FT.) x 1.0 = 384 GU. FT. TEMPORARY STORM WATER RUNOFF CONTROL MEASURE TIEST HOLE 1000-94.-1-21 USE: (3) 8' DIAMETER x 4' HIGH POOL EL +62.3 e- sr7ey x „/ ~`.5ti, x `. WASHOUT AREA / DWELLING WITH WELL (5) 8' X 4' STORM DRAIN RING 506.'1 GU. FT. ..,.* PARKING AREA c, EROSION &� SEDIMENT CONTROL DETAIL ty \ :. - PROVIDED REQUIRED F �: N PROPOSED NEW UNDERGROUND ,., GRAVEL SURFACE I d DRYWELL W I TH METAL INLET GRATE / AS SHOWN '' "L 4�� '`"` 3 NO SCALE REGRADING °f / 506.7 GU. FT. 384 GU. FT. ,:.: C. FOR 5TORMWATER RUNOFF FROM 60' '$. A s OYNN j AREA OF RESIDENCE (DW-B) ��` DRIVEWAY SURFACE NPIGAL / -- 3� _ ' I DRY WELL AREA x RAINFALL x RUNOFF FACTOR N/0/F �\ PROPOSED NEW UNDERGROUND (DW-B) I A54 5F x (2/12 FT.) x 1.0 = 506 GU. FT. b ` F - / ELECTRIC,GAN,FROM UTILITY 3, I / PROPOSED NEW UNDERGROUND DRYWELL WITH USE: (2) 8' DIAMETER x 4' HIGH POOL ,-:7 v Sachs Richard B .� \� POLE ON ROAD TO RESIDENCE /DRIVEWAY I METAL INLET GRATE FOR STORMWATER8' Xe F`' PO Box 1261 o / GRAVEL / (2) P�4V5DTODRM DRAIN RIMS = 5551.8 GU. FT. Mattituck, NY 1 1952 6 Z PROPOSED SILT FENCE SURFACE / / RUNOFF FROM DRIVEWAY SURFACE TYPICAL REGUIRED 1 155 Soundview Ave 3 D `\ DURINS 3 UGTION % / --6A! _� 00' as r 33'7.8 CU. FT. > 306 GU. FT. 1000-94.-1 -10 0 � X o \ sPt � �� � PROJECT NO: ,10 a TRUSTEE'S 4 NYSDE AREA OF POOL HOUSE DW-C VACANT / i m G FRESHWATER JURISDICTION LINE ( ) 1911 1 DRY WELL AREA x RAINFALL x RUNOFF FACTOR /� PREFAB YARD BASIN (4'x4') PIPED TO DRYWELL "D" DRAWN BY: N 60 D / LIMITS OF CLEARING AND LAND (DN-0) 374 SF x (2/12 FT.) x I.O = 62.4 GU. FT. D15TURBANGE +/-43,000 5F /: PROPOSED NEW o / /„� , , USE: (I) 8 DIAMETER x 4 HIGH POOL UT UNDERGROUND , o (I) 8' X 4' STORM DRAIN RING = 168.61 GU. FT. ,� , j' : - �� LL v�eLER LINE , / N CHECKED BY: 900.0f 60 ,:- , \5&�^ LOGCT�ON . .�! _� PROVIDED REQUIRED 1,2clO ft TO PUB L - S50.22'4� W __ !. ___ _ 352.67' ACT. 35`2' DEED �� I68.a GU. FT. > 62.4 GU. FT. WATER LINE � `� -.._..-..-�._.._.._..-.._.._.._.._.. ��...... - - - .. - _-_-_64 -_ ,�`_� DATE: POLE _i / i 145 EDGE OF PAVEMENT / �. ., OLE DRIVEWAYD -D 3/5/2020 / / /� 46 POLE DRY WELL AREA x RAINFALL x RUNOFF' FACTOR SCALE: / POLE (DW-D) 5,225 Sr- x (2/12 FT.) x 0.7 = 610 GU. FT. 1: - 30, - 0„ S 0 U N D V I E W 150' WIDE RIGHT OF WAY / AV E N E USE: (4) 8' DIAMETER x 4' HIGH POOL (4) 8' X 4' STORM DRAIN RING = 6'75.6 CU. FT. SHEET TITLE: PROVIDED REQU I RED so EDGE OF PAVEMENT 62 --_ 6-15.6 GU. FT. > 610 GU. FT. 64 PROPOSED NEW WF SIT E UNDERGROUND DRYWELL NEW FRAME FOR �. yyF p� FOR STOIRMWATER RUNOFF ELECTRIC METER PLAN FROM DRIVEWAY SURFACE WF TYPICAL 57ABILIZED CONSTRUCTION �. POND ENTRANCE SEE DETAIL 1 SP1 MAR 9 2020 SHEET NO: I THE NYS FRESHWATER WETLAND BOUNDARY AS DELINEATED ,�, (FLAGGED) BY R. MARSH ON 7/20/05 - N/O/F I. •� Krupski Eugene P, Krupski Maryann = PL 2230 Soundview Ave, Mattituck, NY 11952 SCALE: 1 " = 30' -0" 2230 Soundview Ave 1000-100.-2-3.2 SCHEMATIC D E S I G N #5 DWELLING WITH WELL Glenn Goldsmith; 1 ,sident Town Hall Annex Michael J. Domino, Vi4e=�resident „� Gym 54375 Route 25 John M. Bredemeyer III o '` P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11,971 Greg Williams �,�0 ol� Telephone 637656-1892 Fax (63 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time.' AASA2W WS.S Completed infield by: Samuels & Steelman Architects on behalf of 1975 SOUNDVIEW LLC.-request an Administrative Amendment to Wetland Permit #8930 for the reconfiguration of-approximate 9650sq.ft. area that is to be cleared in order to fit with the new design of a house and swimming pool, with all construction to be located beyond the Trustee jurisdiction. Located: 1975 Soundview Avenue, Mattituck. SCTM#: 1000-94-1711 CH. 275-3 - SETBACKS WETLAND BOUNDARY:' Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: 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: C�eocT\a ;S SA;1� 50�� t�OM tno o� ��u0 I have read & acknowledged the foregoing Trustees-comments: Agent/Owner: Present were: J. Bredemeyer M. Domino ✓ G. Goldsmith N. Krupski G. Williams Other ' r Michael J.Domino,President QF SOUlTown Hall Annex John M.Bredemeyer III,Vice-President ,`O� O01 0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 16, 2019 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: 1975 SOUNDVIEW LLC 1975 SOUNDVIEW AVENUE, MATTITUCK SCTM# 1000-94-1-11 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 16, 2019: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8930 from Jujax Partners, LLC to 1975 Soundview LLC, as issued on December 14, 2016. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd Michael J.Domino,President BOE SO(/jy Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �O �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 16, 2019 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: JUJAX PARTNERS, LLC 1975 SOUNDVIEW AVENUE, MATTITUCK SCTM# 1000-94-1-11 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 16, 2019: RESOLVED that the Southold Town Board of Trustees grants the Last One-Year Extension to Wetland Permit#8930, as issued on December 14, 2016. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD:dd Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Jake Levy owners of the property identified as SCTM# 1000- 94-1-11 in the town of Southold .New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. L ^. �-/ N/A perty Ow r' gnature Property Owner's Signature A e Levy SWORN TO BEFORE ME THIS DAY OF j0- Q' , 20 / Notary Public MARK A. LOEWENSTERN NOTARY PUBLIC,STATE OF NEW YORK No.01 L06330614 Qualified in New York County Commission Expires 9/21/20 Board of Trustees Application AUTHOPJZATION (Where the applicant is not the owner) I/We, Tara Levy , owners of the property identified as SCTM# 1000- 94-1-11 in the town of Southold New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A Property Owner's Signature Property Owner's Signature Tara Levy Q� d� J SWORN TO BEFORE ME THIS DAY OF , 20 l L �/ /P4& Notary Public MARK A. LOEWENSTERN NOTARY PUBLIC,STATE OF NEW YORK No 01LO6330614 Qualified in New York County- Commission oun� Commission Expires 9!21/20 Board of Trustees Application AFFIDAVIT Jake Levy BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. (\6k 1. N/A Ugnature of P y Owner Signature of Property Owner J ee Levy 1 SWORN TO BEFORE ME THIS �_DAY OF OC� 20 Notary4flp 77 Public MARK A.LOEWENSTERN NOTARY PUBLIC,STATE OF NEW YORK No 01LO6330614 Qualified in New York Coun Commission Expires 9/21/20 Board of Trustees Application AFFIDAVIT Tara Levy BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. I/OL/�a ` N/A Signature of Property Owner Signature of Property Owner Tara Levy SWORN TO BEFORE ME THIS DAY OF DG ( 20 Notary Public MARK A.LOEWENSTERN NOTARY PUBLIC,STATE OF NEW YORK No.01 L06330614 Qualified in New York County Commission Expires 9/21/202 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Cod of Ethics nrahibits conflicts of interest on the part of town officers and employees,The purpose of this form is to provide information which can alert the tovvn ofpossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Levy, Jake (Last name,first name,iriddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning _ Other (If"Other",name the activity.) _ Do you personally(or through-your company,spouse,sibling)parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or empioycc has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more thin 5%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 person__ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 51,'/d of the shires of the corporate stock of the applicant (when the applicant is a corporation); ____B)the legal or beneficial ov ner 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 of 0cA*6Lr 20lot Signature— i;nature Print Nam Jake Le Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tile Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town bflicers and employees.The put op se of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Levy, Tara (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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.*Business interest"means a business, including a partnership,in which the town oflicer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of tfnc shares. YES NO X _ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); 13)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is nota corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thi qday of Ulfia�sr� 20 1� Signature Print Name Tara Lev Form TS 1 ra -w I I i 1 Bargain and Sate O&A with Cmrenant against Grantor's Acts-hadi ital or Cmpomtion (single sheep ` This document lras twu prepared on a Computer-generated form Containing test and punctuation identical to Blumberg's standanl form 8002. J CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRU,VIENr-THIS INSTRUiVIENr SHOULD BE USED ' BY LA WYrRS ONLY 1 This Indenture, made this 7 day of October,two thousand and nineteen A � Between MAX PARTNERS LLC residing at:69 Wooster Street,Apt.5,New York,New York 10012 I ,r i hereinafter referred to as party of the first part and, 1975 Soundview LLC residing at: clo New I ('.C. `188 Maa:6e.. Aye. aa�a Fir. `/oalr.) Ny loo?a. t I i party of the second part, { Witnesseth, that the party of the first P ty part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release to the party of the second part;the heirs or successors and assigns of the party of the second part forever, i All that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in See Schedule attached hereto and made a part hereof Being and intended to be the same premises conveyed to the grantor by deed dated September 2, 2015 by Gerald A. Weber and recorded with the Suffolk County Clerk on September 15,2015 in Liber 12832 and page 278. j i Premises commonly known as:1975 Soundview Avenue,Mattituck,New York 11952 SCTMM 1000-094.00-01.00-011.000 Together with all right,title and interest,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;Together with the appurtenances and all the estate and right of the party of the first part in and to said premises; To have and to hold the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. And the party of the first part covenants that the party of the first part has not done or { suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. i And the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of improvement and will apply the same first to the payment of J the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. 1 i I - i 1 In witness whereof,the party of the first part has duly executed this deed the day and year first above written. In presence of. JUJI PAR LLC JI 1 )B :Jalnes M.O'Shea,as Authorized �I State of New York County of Suffolk;ss.: On the —4 day of October in the year 2019, before me, the undersigned, personally appeared James M. O'Shea, personally known to me or proved to me on the basis of 1 satisfactory evidence to be the individuals whose names are subscribed to the within I instrument and acknowledged to me that he executed the same in his capacity,and that by his signatures on the instrument; the individuals,or the persons upon behalf of which the individual acted,executed the instrument. Notary Public 1 Kenneth B,Zahrer NOt©ry Rublto, NOW York Suffolk No.o12a451761, Evires Feb,2A 2M f i 1 i i Bargain and Sale Deed With Covenant against Grantor's Acts G --`----- DISTRICT.1000 SECTION:094.00 { MAX PARTNERS LLC BLOCK 01.00 To j LOT: 011.000 1 COUNTY OF SUFFOLK 1975 Soundview LLC PRE,WSES:1975 Soundview Ave. Mattituck,NY 11952 i i 1 _ r ~• e rt ` �AE3STRAt�Ts, NCORPOR,gTEC^^ R®aldontl©t Comm®rci3iTrtla Insurance afnco 1 sa.4 i t arageNfor i Mrst American Title Insurance Company SCHEDULE A DESCRIPTION Title Number,663.S-14895 Page: 1 I ALL that certain plot,piece or parcel of land,situate,lying and being In the Town of Southold, County of Suffolk and State of New York described as follows: at Mattituck,being more particularly bounded and BEGINNING at a point on the northerly line of Soundview Avenue,900 feet,more or less,easterly from the westerly side of said Soundview Avenue and the southeasterly comer of land of Mattituck Shores Association; RUNNING THENCE North 20 degrees 24 minutes 40 seconds West,500 feet more or less to the t ordinary high water marts of Long Island Sound; { THENCE North 54 degrees 26 minutes 54 seconds East,340.84 feet along said ordinary high 1 water mark of Long Island Sound; THENCE South 20 degrees 53 minutes 53 seconds East,473 feet more or less to the northerly line of Soundview Avenue; - f THENCE South 50 degrees 22 minutes 43 seconds West,352 feet more or less(deed 352.67 feet actual)along the northerly line of Soundview Avenue,the point or place of BEGINNING. l I 1 I ; i i {i 1 1 i ; I I r 1 I i I 1 I 6 Michael J. Domino, Presidet' �QSCQ I r Town Hall Annex John M. Bredemeyer III, Vice-Pre:','.,,' t 4��� Gy�; -54375 Route 25 Glenn Goldsmith P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams � �� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 10/k/19 2: 5 Completed in field by: . G,l js,,A En-Consultants on behalf of JUJAX PARTNERS, LLC requests the Last One-Year Extension to Wetland Permit#8930, as issued on December 14, 2016. Located: 1975 Soundview Avenue, Mattituck. SCTM#: 1000-94-1-11 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 V/ 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: J�ca� a1,� -Tocv.�o,cr� I have read & acknowledged the foregoing'Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G.'Goldsmith N. Krupski G. Williams Other 'i Michael J.Domino,President �,��,Q� soy% Town Hall Annex John M.-Bredemeyer III,Vice-President �.� ,i'x "',.A,` � 54375 Route 25 P.O.Box 1179 Glenn Goldsmithii Southold New York 11971 ;'y. .:. A.Nicholas Krupskic '�q Telephone (631) 765-1892 Greg Williams Fax Fax (631) 765-6641 i F� BOARD OF TOWN TRUSTEES 2019 TOWN OF SOUTHOLD i __R0- Board c i APPLICATION FOR A TRANSFER OF A WETLAND PERMIT t and COASTAL EROSION MANAGEMENT PERMIT DATE October 8,2019 y OWNER 1975 Soundview LLC PHONE 212-675-5480 c/o Jake&Tara Levy MAILING ADDRESS 32 North End Avenue,#11 K, New York NY 10282 i , AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton, NY 11968 - 1 PROPERTY LOCATION 1975 Soundview LLC TAX MAP NO. 1000-194-1-11 I/We En-Consultants for 1975 Soundview LLC request a Transfer of Permit#8930 from JuJax Partners LLC to 1975 Soundview LLC. i , Signed By: Robert . Herrmann, Coastal Management Specialist Board of Trustees Application AFFIDAVIT Jake Levy BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESEN'T'ATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING TIME TERM OF THE PERMIT. 1%, N/A gnature of P e ty Owner Signature of Property Owner J e Levy SWORN TO BEFORE ME THIS _DAY OF aC1 20 Notary PbliMARK A.LOEWENSTERN Yuc NOTARY PUBLIC,STATE OF NEW YORK No 01LO6330614 Qualified in New York County Commission Expires 9l21l20 • Board of Trustees Application AFFIDAVIT Tara Levy BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. N/A Signature of Property Owner Signature of Property Owner Tara Levy SWORN TO BEFORE ME THIS � DAY OF �(� -. 20 l Notary Public MARK A.LOEWENSTERN NOTARY PUBLIC.STATE OF NEW YORK No.01L06330614 Qualified in New York county Commission Expires 9121120 0 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Jake Levy , owners of the property identified as SCTM# 1000- 94-1-11 in the town of Southold .New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. ^. )�'—/ N/A perty Ow r' ignature Property Owner's Signature Ae Levy /l I SWORN TO BEFORE ME THIS DAY OF 20 / Notary Public MARK A.LOEWENSTERN NOTARY PUBLIC,STATE OF NEW YORK No 01L06330614 Qualified in New York County Commission Expires 9/21/2003 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Tara Levy , owners of the property identified as SCTM# 1000- 94-1-11 in the town of Southold .New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A Property Owner's Signature VProperty Owner's Signature Tara Levy SWORN TO BEFORE ME THIS DAY OF Q0�d� ,20 t Notary Public MARK A.LOEWENSTERN NOTARY PUBLIC,STATE OF NEW YORK No 01L06330614 Qualified in New York coup Commission Expires 9/21/20 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM 7he'1 own of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees:The purpose of this form is to provide information which can alert the to of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME Levy,Jake (Last name,first name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X Iryou answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person _ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shards of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is nota corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this It _day of Acr 20u° Signature Print NamdU Jake Le Form IS I APPLICANU/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the put of town officers and employees The nuro-se of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever actio is necessary to avoid same. YOURNAME: Levy,Tara (Last name,first name,diddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance - Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO 1 f you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or,position of that`person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A}the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(wheft 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 thi day of OlAg r 20..1'01 Signat r Print Name Tara Le Form TS 1 EN-CONSULTANTS October 8, 2019 i!s"Yt{ ;{sem •' s!— :�, l , Town of Southold Board of Trustees OCT 2019 lr Post Office Box 1179 Southold, New York 11971 Attn.: Elizabeth Cantrell Re: Wetland Permit#8930 1975 Soundview Avenue, Southold SCTM#1000-94-1-11 Dear Ms. Cantrell: On or about September 9, 2019, we submitted an application for renewal of the above referenced permit, which we expect it to be handled during the Trustees meeting on October 16, 2019. As per our email correspondence we now also need to request a transfer of the permit since the property was just recently sold. Thus,please transfer the permit to the new owner and renew it for a period of one year. Attached are the Application for Permit For a Transfer of a Wetland Permit and other supporting documentation. Sinc.xely, Robert . Herrmann Coastal Management Specialist Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 wwwenconsultants.com environmental consulting i EN-CONSULTANTS PERMIT TRANSFER REQUEST October 8, 2019 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Elizabeth Cantrell Re: Wetland Permit#8930 1975 Soundview Avenue, Southold SCTM#1000-94-1-11 Dear Board of Trustees: Please accept this letter as a request to transfer the above referenced permits from JuJax Partners LLC to the current owner, 1975 Soundview LLC, whose address is c/o Jake &Tara Levy, 325 North End Avenue, 11K, New York, NY 10282. An application for Transfer of Permit, copy of Permit#8930, and transfer fee of$50 are attached, along with a copy of the deed and Operating Agreement of 1975 Soundview LLC. i rrmann Coastal Management Specialist /khs Enc. i 1319 North Sea Road I Southampton,New York 11968 p 631283 6360 f 631283.6136 www.enconsultants.com environmental consulting a. EN-CONSULTANTS September 5,2019 PERMIT EXTENSION REQUEST Town of Southold """'j Board of Trustees t! Uj Post Office Box 1179 t SEP g Southold,New York 11971 2019 10—LA Wf1,c5 Re: JuJax Partners, LLC — ;f T. siees 1975 Soundview Avenue, Southold, SCTM#1000-94-11 Permit#8930 Dear Board of Trustees: The above referenced permit is due to expire December 14,2019. As the approved work has not been completed,please accept this letter as a request for a one year extension. The permit fee of $50.00 and a copy of the permit are attached. Thank you in advance for your attention to this matter. Your 'ruly, Robert .Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsuitants.com environmental consulting Michael J.Domino,President ®F S®(/�y Town Hall Annex ® John M.Bredemeyer III,Vice-President h0 l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams • �® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 14, 2018 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: JUJAX PARTNERS, LLC 1975 SOUNDVIEW AVENUE, MATTITUCK SCTM# 1000-94-1-11 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 14, 2018: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#8930, as issued on December 14, 2016. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, � � � Michael J. Domino President, Board of Trustees MJD:dd y EN-CONSULTANTS 0 E Q1., 2018 4- OCT `--' l Sou`hntrf ioun October 3, 2018 Qopid of '131 tin PERMIT EXTENSION REOLT_FST Town of Southold Board of Trustees Post Office Box 1179 Southold,New York 11971 Re: Jujax Partners, LLC 19755 Soundview Avenue, Southold SCTM#1000-94-11 Permit#8468 Dear Board of Trustees: The above referenced permit is due to expire December 14, 2018. As the approved work has not been completed,please accept this letter as a request for a one year extension. The permit fee of $50.00 and a copy of the permit are attached. Thank you in advance for your attention to this matter. Yours y, Robert .Herrmann Coastal Management Specialist lkhs Enc. 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631283 6136 www.enconsultants.com environmental consulting Michael J. Domino, Presid O�pS�FFQ��-`O i, Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams 'y p� Telephone(631)765-1892 ��� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: N® t-. �, �-bl d' Completed in field by: En-Consultants on behalf of JUJAX PARTNERS, LLC requests a One-Year Extension to Wetland Permit #8930, as issued on December 14, 2016. Located: 19755 Soundview Avenue, Southold. SCTM# 1000-94-1-11 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): -100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool)-100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: 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 t John M.Bredemeyer III,President �*rj� $0(/jiyO 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 Q Telephone(631) 765-1892 Charles J.SandersFax(631) 765-6641 ���OUNT`l,Nc� 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 1St day of construction % constructed Project complete, compliance inspection TERMS AND CONDITIONS The Permittee Ju'ax Partners LLC 1975 Soundview Avenue Mattituck 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. b. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. John M.Bredemeyer III,President *0f SOUTjyO 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 Q Telephone(631) 765-1892 Charles J.Sanders 'O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 14, 2016 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE:` ' JUJAX PARTNERS LLC 1975 SOUNDVIEW AVENUE, MATTITUCK SCTM# 1000-94-1-11 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 14, 2016 regardind'the above matter: WHEREAS, En-Consultants, on behalf of JUJAX PARTNERS LLC 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 November 14, 2016, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 14, 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 JUJAX PARTNERS LLC to clear an approximately 9,650sq.ft. area located between 50' and 100' from the top of bluff for the purposes of constructing a dwelling, in-ground swimming pool and appurtenances which will be located more than 100' from the top of bluff; with the condition that no clearing is done within 50' from the top of the bluff pursuant to this permit; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveying, PLLC last dated November 4, 2016 and stamped approved on December 14, 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 John M. Bredemeyer III, Preslt ��Si1FF0( o• Y Town Hall Annex Michael J. Domino, Vice-Pres'icrent ,SSS � 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders �� app Telephone (631) 765-1892 Fax (631) 765-6641 zu x BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1 ;DS Completed in field by: C,. En-Consultants on behalf of JUJAX PARTNERS LLC requests a Wetland Permit to clear an approximately 9,650sq.ft. area located between 50' and 100' from the top of bluff for the purposes of constructing a dwelling, in-ground swimming pool and appurtenances which will be located more than 1 00' from the top of bluff. Located: 1975 Soundview Avenue, Mattituck. SCTM# 1000-94-1-11 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 'r5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch: 275 Ch. 111 SEQRA Type: 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: Present were: 111/J. Bredemeyer `� M. Domino V G. Goldsmith N. Krupski , C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presi._ ��Q"AfF04 Town Hall Annex Michael J. Domino, Vice-Pres'id'entGym, i 54375 Route 25 Glenn Goldsmith a '` P.O. Box 1179 A. Nicholas Krupski o A Southold, NY 11971 Charles J. Sanders ti,, � � Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: En-Consultants on behalf of JUJAX PARTNERS LLC requests a Wetland'Permit to clear an approximately 9,650sq.ft. area located between 50' and 100' from the top of bluff for the purposes of constructing a dwelling, in-ground swimming pool and appurtenances which will be located more than 100' from the top of bluff. Located: 1975 Soundview Avenue, Mattituck. SCTM# 1000-94-1-11 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: I Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E.-Cantrell D. Di Salvo Other Page 2 of 2 RYWELL S.C.T.M.# DISTRICT 1000 SECTION 94 BLOCK 1 LOT 11 TYPICAL ORECAS CROSS SECTION CONC. PRECAST COMPONENTS) TYPICAL SILT 6'SLAB FOR NON-TRAFFIC BEARING SCREEN SECTION 8'sue FOR TRAFFIC BEARING HEAVY DUTY APPROVED INLET PIPE CAST IRON FRAME AND APPROVED OUTLET PIPE GEOTEXTILE FABRICMIN.4'DIA COVER TO OWE TO EXPANSIQN RINGS PITCHED 1/8�1' MIN. 4 DIA SUPPORT POSTS PITCHED 1/8%1' LOT COVERAGE.- WOOD OR METAL (BASED ON LOT AREA LANDWARD OF COASTAL EROSION HAZARD UNE 94,5511 S.F.) FLOW DIRECTION L3' MIN. ❑ ❑PROPOSED HOUSE, GARAGE& POOLHOOLA: 1,061 S.F. ❑ ❑ ❑ EXCAVATED AND SWIMMING POOL• 1000 S.F. BACKFlLLED TRENCH RAISED MASONRY PATIO: 3,725 S.F.REAR PATIO; N/AExISTING ORouND TOTAL COVERAGE: 15,204 S.F, or 16.1% r N1NTIpAIRIAL TO BE D GRAVEL ISLAND - r toNG 332.62 r rµ>{w EL 3.�.• - SIE LINEw000 gULKNFA� I- 61 N "59'14 ..._.'r —' TW 10.9 8.4'E TOE OF 6�UFF 0 � 10 Cit cc 20 30 40 50 BE CRES'( OF62 �. r _N NPS o`NE I.JC y O ERp510 PROPOSED CLEARING -'CpPSZpI LOCATED BETWEEN 50' SETBACK co AND 100' SETBACK LINES 62 ' 9,650 S.F.t MON. 62 ONG PROPOSED Top O g- 5£tgACK) TOTAL PROPOSED r �� BE S CE (5O' TOP AREA OF DISTURBANCE NG SCE/NgygA 0 N4 0{ RBp 43,000 S.F. t ME PRO�£O UMME m GRA�NG ANO DWELLINGS ANG, �.� \ O W/WELL WATER 0O U10 _ of _...> (-)' PERFORATED � 150'—► V` PERFORATED PERIMETER 0 ' —DRAIN PIPE ALONG ALL 62 ' 0 PATIOS & PERGOLAS TO BE EL(62.5) -5 PROPOSED SOIL j CONNECTED TO DRY WELLS. STOCK PILE AREA / 2 PSD SON y PAT{0 ^ LAN OF�F I RAI( W NISAN MINAKYAN / - .. :; :::::::::::•: LISA TANAL ..... 0 Ry :: GROUFtD'. ce) \ ::.25.Or. RAI PA�j 2..0 PO ' 40 :•:::::;: '� :•1p.:.:::�.::.... ................ .................n ......o NRY Pq7on {O o RAISCq 2 1 ATI I E 62.5 P o(�::•:�:::•;:z::::;•: ... � LANDN F I :::::r::::::::.::.2 ...............................:..::.....................:.::. GO- ` 1 �'...................:::::::::::'...........'.....'::..... ::' ::::: ' pE IRON PIN OF IRON PIN I 20:0: :':5: ::.;...: :;:::•:::':':'::':::•::'::'::.':;'::•::•::'::•::':::::::'::'::.';:•::: :'::......::::....'::':::::• � � RICHARD SACHS I of ::?PROPbSEO:.:?:?:t: ','. :? ;: ': :?":::;............................. ::..... . :: : , 15.4:'::':::'::::•:::.. fRM••::'::::::' ..................:::•:::::::::::.. ,,::::::...;.:::::::::::..::a 1 LL{rIG.::'::':...... '::':::::::: i o -.t- I :•::::•0) ;:: o:::.. :.:r:.:::':.:r..:.... . . 20QOL:" VACANT SE............... • ''' O'DIx1O'DEE150' : � APPROVED B DRY WELL :.: m : ;5.... (INCLUDING POOL 4 ::: : E :'.: I o "'ACNED:: / WASTE WATER) `� BOARD OF TRUST S EL( 2.5) .:. :.o L•;.,•- An'nj'.GA G I / GF( /� `� 0':. CONCRETE WASH 01F•T AREA TOWN OF SOUTH f` �L 2. LD I a MIN �S.T t0 :.'>;:;> : : `•; r,'A ► IN BED OF PROPOSED DRIVEWAY. ` No SANITARY IRON PIN L P. MIN .:o':;:`.:::!:::?:;?:::; . �'y' ' y :::: . I 1 IN THIS AREA DA �gp W 8' EL 62.3 ,.o :.:. GZ•,. PROPOSED I Z LLJ EX 1 7 BEDROOM SYSTEM I L P. 2,000 GAL. S.T. w ;:,:::.: ��• / /j/1 ; (2) 1O'DIAx8'DEEP L.P. 20.0'> ELEV. 62.3 I? .S.O10 D c 10 OL 0.7' I� 2.5) ° ;.. .i.:. SANDY LOAM ~ I EL( `PROPOSED o WELL Q V�41 I , BROWN I I i STAGING AREA. gyp, SC LAYEY SAND 2.6 I a �1 GUTTER DRAIN PALE .��pQQb 62 c3�`�•��>r�l : '.:CL'65• i / / Si o�v ��20)05 O 1 RY WE QO ��/ St\ BROWN 1 ` 1D0'OIAx9'MEDIUM COARSE of �- yy pP`1 �j ;'; CL 65.9;....TO ' •,• ••;....:'.:• .. / I SAND 1 \ Q, IRON PIN z 13.7' �\ 64 syoo2� � .. ;� •• X501 .. / .� pFtF� .-� �--� ,—� ,,�'--� r r ��v �.� � �'�_ \��'' r�', r NOV 1 4 2016 NO WATER �N Up 145 ( �„�' i — 17' 6p V DWELLING i �',� may, •• ' � 475't .- 05-28-16 CU60.90 �\ '� �� :authc!dTrnvn ' K. WOYCHUK LS `� PROPOSED CONSTRUCTION ENTRANCE ��' -/ { I / ZONED R-80 / FRONT YARD: 60' MIN / SIDE YARD: 20' MIN (45' TOTAL) / REAR: 75' MIN / 20% MAX LOT COVERAGE Q / DRAINAGE CALCULATIONS: AREA LANDWARD OF COASTAL EROSION HAZARD LINE: 94,551 S.F. or 2.17 ACRES NGVD 1929 _ AREA: 14�,024 S.F. or 3.3 ACRES t ELEVATION DATUM: w A) DWELLING FOOTPRINT., 7,918 S.F. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SEC77N 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY r' I POOL HOUSE. 393 S.F. MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN w GARAGE: 750 S.F. ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON W 9,061 x 0.166=1504cf REQUIRED LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. 22 V.F. OF 10' DIA. DRYWELLS REQ. NTHE OT DIMENSIONS SHOW HEREON FROM 7HE PROPERTY LINES LA SPECIF'IC PURPOSE AND USE THEREFORE � THE PROPERTY LINES OR TO THE REC77ON OF FENCES, ADDInONASTRUCTURES OR AND OTHER IMPROVEMENTS. ENDEDTOEASEMENTS POOL PATIO & PERGOLA: 4,693 S.F. AND/OR S BSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY REAR PATIO: 225 S.F FRONT PERGOLA: 450 S.F. SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: STEVEN EHRENKRANZ; 5,368 x 0.166=891cf REQUIRED 14 V.F. OF 10' DIA. DRYWELLS REQ. MAP OF: 40 V.F. OF 10'DIA DRY WELLS PROVIDED FILED: B) DRIVEWAY-3,600 SQ.FT. SITUATED AT: MATTITUCK 3,600 x 0.166=598cf REQUIRED TOWN OF: S UTHOLD (1) 10'DIA x 9' DEEP DRYWELL= 615cf PROVIDED KENNETH M WOYCHUK LAND SURVEYING, PLLC C) PROVIDE 4'DIAx4'DEEP MIN. DRYWELL FOR SWIMMING POOL WASTE WATER. SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design REVISED 11-04-16 (UTILIZE ADDITIONAL STORAGE CAPACITY OF 10-DIA. DRY WELL.) P.O. Boz 153 Aquebogue, New York 11931 FILE # 15-183 SCALE: 1"=40' DATE: NOV. 16, 2015 !* � PHONE (631)298-1688 FAX (631) 298-1588 REVISED 07-28-16 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Tloycbuk New York State Department of Environmental Conservation Ak , Division of Environmental Permits Rm 121,Building 40-SUNY Stony Brook,New York 11790-2356 Telephone(631)444-0365 Facsimile (631)444-0360 Denise M.Sheelmn Commissioner LETTER OF M N-JURISDICTIOI�t March 31, 2006 Mr. Gerald Weber NYSDEC# 14738-03463100001 73 Water Way Weber Property Northville NY 11901 1975 Soundcview Avenue Mattituck NY SCTM#1000-94-1-11 Dear Mr.Weber: Based on the information you submitted,the New York State Department of Environmental Conservation has made the following determination. The portion of the referenced property landward of the top of the bluff, as shown on the survey prepared by Wallace T. Bryan last revised on 2/21/06, is beyond the jurisdiction of Article 25(Tidal Wetlands). The portion of the referenced property greater than 100 feet from the NYS freshwater wetland boundary delineated by R Marsh on 7/20105, as shown on the survey prepared by Wallace T. Bryan last revised on 2/2X/06,is beyond the jurisdiction of Article 24 Freshwater Wetlands. Therefore,in accordance with the current Tidal Wetlands Land Use Regulations (6 NYCRR Part 661) and the current Freshwater Wetlands Permit Requirements Regulations (6 NYCRR]Part 663) no permit is required. Please be advised,however,that no construction,sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or within 100 feet of the freshwater wetland boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface.or.Vegetation within Tidal.W etlands or Freshwater Wetlands jurisdiction which may rdsult froiii your pro,�ect: -Suchjprecaautions may include maintaining an adequate work area between the tidal wetland jurisdictional boundary and your project(i.e. a 15'to 20'wide construction area) or erecting a temporary fence,barrier,or hay bale berm. Please be further advised that this letter does not relieve you the respotfsibility of obtaining any necessary permits or approvals from other agencies. erx- ly yours, \ C• Jr� John A. i CC: rlh Land Planning Services,Inc. Deputy Regional Permit Administrator Bureau of Habitat Marine Habitat Protection file l'd OL9969£ 99 deo:�O 9 zz unr lI��, John M.Bredemeyer III,President ® dg SO � Town Hall Annex 54375 Main Road Michael J.Domino,Vice-President Svc P.O.Box 1179 James F.King,Trustee CA Southold,New York 11971-0959 Dave Bergen,Trustee � ® Telephone(631) 765-1892 Charles J.Sanders,Trustee 100u m,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 3, 2015 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: GERALD A. WEBER 1975 SOUNDVIEW AVENUE, MATTITUCK SCTM#94-1-11 Dear Mr. Herrmann: The Southold Town Board of Trustees reviewed the survey prepared by Wallace T. Bryan, last dated July 1, 2015, and determined that the proposed dwelling with sanitary system and driveway, proposed limits of clearing, grading, and ground disturbance located landward of the demarcated project limiting fencing and staked hay bales which are to be installed 100' landward from the top of the bluff is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Regarding the natural pond located on the south side of Soundview Avenue, any proposed project, clearing, grading or ground disturbance on the subject property would be exempt from the Board of Trustees'jurisdiction; and as per the current Wetlands Code, Chapter 275-4(A)(1)(m)— EXCEPTIONS: Operations landward of a public road whereby the public road is located between the water body that is the source of Trustee jurisdiction and the operations. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, or within 100' landward from the 2 top of the bluff, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, John M. Bredemeyer, III, President Board of Trustees JMB:eac BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson 1 f� ��� � 53095 Main Road-P.O.Box 1179 Southold,NY 11971-0959 Eric Dantes xa Office Location: Gerard P.Goehringer Town Annex/First Floor;C apita9.One Bank George Horning %� 4��? 54375 Main Road(at Youngs Avenue) Kenneth Schneider � �`®� �a �+ Southold,NY 11971 http://southoldtown.northfork.net ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809-Fax(631)765-9064 FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF NOVEMBER 19,2015 ZBA FILE: #6891 NAME OF APPLICANT:JuJax Partners,LLC SCTM#1000-94-1-11 PROPERTY LOCATION: 1975 Sound View Avenue(adj.to Long Island Sound),Mattituck SEORA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions; without further steps under SEQRA. -SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 to 23, and the Suffolk County Department of Planning issued its reply dated October 9, 2015 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP_DETERMINATION: The relief, permit, or interpretation requested in this application is listed under the Minor Actions exempt list and is not subject to review under Chapter 268. PROPERTY FACTS/DESCRIPTION: The property is a conforming 3.7 acre parcel located in the R-80 zone district. The parcel is a water front parcel with 340.84 feet of bluff frontage on the Long Island Sound. The property runs 352.67 feet along Sound View Avenue. The property runs 473 feet on the East side and 500 feet on the West side. The property is a wooded parcel and is not improved. All is shown on a survey by Wallace T. Brown L.L.S. dated 5/3/05 and last revised 7/l/15. BASIS_OF APPLICATION: Request for variance from Article H Section 280-9A&B and the Building Inspector's Notice of Disapproval dated September 8,2015 based on a building permit application for lot recognitioil-at; 1) subject parcel is not a recognized lot. RELIEF REQUESTED: The applicant requests that the Board of Appeals determine that the subject property Iocated at 1975 Soundview Avenue, S.C.T.M. 1000-94-1-I1, should be recognized by the Town of Southold as a legally existing lot. BACKGROUND INFORMATION: The above 3.7 acre lot was part of a 40 acre tract which dates back to Rupert P_ Burns and Mary F. Burns to Frank and Tekla Krupski conveyance from 1919 (Liber 974 page 26). The farm that included the subject parcel extended from Main Road to Long Island Sound, The above lot was split off from the larger parcel when Soundview Avenue was laid out in 1933. In as late as 1959, the deed which included this parcel continued to describe the parcels as two parcels (a 40 acre tract and a 20 acre tract). The 3.7 itcre parcel in question did not show up as a described parcel in any deed prior to 1983. The first deed with the described 3.7 acre parcel was conveyed from Joseph P. Krupski and Catherine M. Krupski dated August 21, 1996 (Liber 11789 page Page 2 of 2—January 19,2015 - ZBA46891—JuJax Partners,LLC SCTM41000-94-1-11 893)to Catherine M.Krupski. Thereafter the lot was sold to Gerald A. Weber on September 18,2002. The parcel has continued to be described as a 3.7 acre parcel north of Soundview Avenue and south of the Long Island Sound. FINDINGS OF FACT/DETERMINATION: The Zoning Board of Appeals held a public hearing on this application on November 5,2015 at which time written and oral evidence were presented. Based upon all testimony,documentation,personal inspection of the prop.crty- and surrounding neighborhood,and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: I. This parcel was created in 1933 when it was split off of a larger parcel. The parcel was split when the Town of Southold created Soundview Avenue. The highway superintendent Harold Price laid out the road with the consent of the Town Board of Southold and the owner of the property. This lot has rdnia hfell as it is today since 1933. Moreover the lot is a conforming 3.7 acres in a two acre zoning district'(k80 zone). The lot was created prior to zoning or any subdivision regulations. 2. The Town Code Article II Section 280-9 "Lot recognition"when it was adopted did not anticipate how the definition affected conforming pre-existing lots. 3. The lot is a conforming size for the zone district it is located in. --RESOLUTION OF THE BOARD: In considering all of the above factors, motion was offered by Mplatlaee Dantes, seconded by Member Horning,and duly carried,to Determine that the subiect lot known as SCTM#1000-94-1-1I (1975 Soundview Avenue Mattitlld. NY) is a recognized lot. Vote of the Board.- Ayes. Members Weisman (Chairperson), Horning, Dantes, Schneider, Goelri°ngur. This Res It iop=was•duly adupta:d (5-0). '!L. L Leslie Kanes`Weisman, Chairperson Approved for filing �f /a /2015 fi 1 1 k 4 `{cam �•T 4 p�.r Ti..... - .. i' sh iz ir 144, 115 r sf's�' ,�y I � �.�7 t �� �. AI r f, r r �- ° '�' �� ��"•,"f'r �. jr__ I / / I I// /' / / ' / '1!""L"' �.-% �� :'."" �V:n �;f,:a,•'!�"'�.l ,Ep >r�3't�wE�l. �:'�' .. .a.i'Y, � l,�r. aid► .. a € _ ;�:. a `-,�L 5 C; 'a '.1•,il+►. .,• i Ai 24-A iri + r �' 1 J� K /+ x'', t �i F't c tkti' : «A � .Lr1'f'+'>>w� ,Y`j�l �:l�� d D)'' a'6, IN £ i � � � k fit" ` �1 �....\ � <. � �.... -_ r �'aa �• l >t�+� i,y• - 77 fe AMC U. mp .Y,1 �..el �1',�.. - j,4� ✓!) y �� ►a .rL,� Ll ti:l a ,�~aa��• 1s' i i r .a r=.r n`a� �. Sc'� `�\�'I �.,.4k�4 �.+-,� �f� ' "L, •y r,�..� d y 4 , s 7 f " � SEE SEC NO W SEE SEC W OB2 x,.nemW // WTCH I3NE WTCII UNE W xx.s NN / FaB�xO 7 / FOR PARCEL NO. 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SEE SEC.NO 100-02008.9 IAA ]2 rc 1 Nq d }i--- ,00-02-0Ot ,00-0]-0OR 100.02-0092 H-2-0 eb, a 1.4A v ,A(c WTCH --_—__i —___i----- —__—_�_--__— _--zT..___ _--�L__— __—_�---_ `^ —� _--- --l1NE P9 SEE SEG.NO.100 SEE SEC.NO.100 OP '""'_ ------ —.^-- +—" - --^-- NOTICE COUNTY OF SUFFOLK © K °°2°°9 c.xxncN a. 10 ��ucFOF SOUTHOID SECTION NO EO Real Property Tax 094 1 5 OFFICE LOCATION: ®S`��®F S® y0l MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) cis � Southold, NY 11971 ® �p� Telephone: 631 765-1938 ® Fax: 631 765-3136 couffm LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM D C E Q !' E DEC P 9 2016 To: John Bredemeyer, President Town of Southold Board of Trustees Southold Tovan From: Mark Terry, LWRP Coordinator BoardTu stees Date: December 9, 2016 Re: LWRP Coastal Consistency Review for JUJAX PARTNERS LLC SCTM# 1000-94-1-11 En-Consultants on behalf of JUJAX PARTNERS LLC requests a Wetland Permit to clear an approximately 9,650sq.ft. area located between 50' and 100' from the top of bluff for the purposes of constructing a dwelling, in-ground swimming pool and appurtenances which will be located more than 1 00' from the top of bluff. Located: 1975 Soundview Avenue, Mattituck. SCTM# 1000-94-1-11 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 Policy Standards and therefore is CONSISTENT with the LWRP provided that: 1. The Board establishes a 50' wide non-turf, vegetated buffer landward of the top-of-bluff line. Require that the buffer be shown on a survey. 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 H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 �► �' Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., December 7, 2016 the following recommendation was made: Moved by Greg Williams, seconded by John Stein, it was RESOLVED to SUPPORT the application of JUJAX PARTNERS LLC to clear an approx. 9,650 sq. area located between 50' and 100' from top of bluff with construction of a dwelling and appurtenances located more than 100' from top of bluff and outside of Ch. 275 jurisdiction. Located: 1975 Soundview Ave., Mattituck. SCTM#94-1-11 Inspected by: Greg Williams, Peter Young, John Stein, Keith McCamy Vote of Council: Ayes: All Motion Carried FO�,�� John M.Bredemeyer III,President d� Town Hall Annex Michael J.Domino,Vice-President54375 Main Road ti P.O. Box 1179 James F.King,Trustee d Southold,New York 11971-0959 Dave Bergen,Trustee Telephone(631) 765-1892 Charles J. Sanders,Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application _Wetland Permit Application Administrative Permit _Amendment/Tran fer,/F�tension ZReceived Application: � �,r(( Received Fee: 1.50,00 _ Completed Application A151-I& –` � Incomplete p E Gt" E V E SEQRA Classificat' n: —'_ Type I Type II V Unlisted '1 Coordination: (date sent) j NOV 1 4 2016 ELWRP Consistency Assessme t Form f CAC Referral Sent: IhZ2c/� Date of Inspection: 12<6d& So!tliold Tmm - _Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: < < Resolution: Name of Applicant JuJax Partners LLC c/o Steven Ehrenkranz,Managing Member Address 69 Wooster Street,F15,New York,NY 10012-4351 Phone Number: M 414-5966 Suffolk County Tax Map Number: 1000 - 94-1-11 Property Location: 1975 Soundview Avenue,Mattituck (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road,Southampton,NY 11968 Phone:631-283-6360 3oard of Trustees Applicai a GENERAL DATA Land Area(in square feet): 142,024 Area Zoning: R-80 Previous use of property: Vacant-residential Intended use of property: Single-family dwelling Covenants and Restrictions: Yes X No If"Yes", please provide 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 X Yes No If"Yes", please provide copy of decision. Copy attached. ZBA File#6891 Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s)on property have a valid Certificate of Occupancy Yes NSA 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? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Clear an approximately 9,650 square-foot area within Chapter 275 jurisdiction located between 50 and 100 feet from the top of bluff, as depicted on the site plan prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated November 4,2016. (Construction of proposed dwelling and appurtenances are located more than 100 feet from the top of bluff and as such have already been determined to be located outside Chapter 275 jurisdiction pursuant to Board of Trustees jurisdictional determination dated August 3,2015). I ird of Trustees Applicatio_ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To clear a portion of the property located within Chapter 275 jurisdiction(between 50 and 100 feet from the top of bluff)in connection with the proposed clearing and development of the property with a dwelling and appurtenances to be located more than 100 feet from the top of bluff and outside Chapter 275 jurisdiction. Area of wetlands on lot: -0- square feet Percent coverage of lot: -0- oio Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: > 100 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Vegetation will be removed from the portion of the property located landward of a project limiting fence installed no closer than 50 feet from the top of bluff. 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): The portion of the proposed project situated within Chapter 275 jurisdiction is limited to the clearing of an approximately 9,650 square-foot area of vegetation located between 50 and 100 feet from the top of bluff. As such,there will be no disturbance of the site any closer than 235 feet from the nearest limit of tidal wetlands,as defined by the mean high water line of Long Island Sound. And all proposed construction associated with the development of the property will be situated more than 100 feet from the top of bluff and as such has already been determined to be located outside Chapter 275 jurisdiction pursuant to a Board of Trustees jurisdictional determination dated August 3,2015: The installation of a drainage system of drywells associated with the dwelling located outside Chapter 275 jurisdiction and the maintenance of existing vegetation within 50 feet of the top of bluff will ensure that the project has no adverse impacts on the adjacent bluff,beach,or tidal waters of Long Island Sound. ' r 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1.Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I 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 I-Project and Sponsor Information Name of Action or Project: JuJax Partners LLC Project Location(describe,and attach a location map): 1975 Soundview Avenue,Mattituck,Town of Southold,Suffolk County,NY, SCTM# 1000-94-1-11;property is located on north side of Soundview Avenue,location map attached. Brief Description of Proposed Action- Clear an approximately 9,650 square-foot area within Chapter 275 jurisdiction located between 50 and 100 feet from the top of bluff,as depicted on the site plan prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated November 4,2016. (Construction of proposed dwelling and appurtenances are located more than 100 feet from the top of bluff and as such have already been determined to be located outside Chapter 275 jurisdiction pursuant to Board of Trustees jurisdictional determination dated August 3,2015). Name of Applicant or Sponsor: Telephone: 917-414-5966 JuJax Partners LLC E-Mail: s.ehrenkranz@yahoo.com Address: c/o Steven Ehrenkranz,Managing Member,69 Wooster Street,F15 City/PO: State: Zip Code: New York NY 10012-4351 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. X 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: NYS DEC,SCDHS X 3.a. Total acreage of the site of the proposed action? 142,024 sf b.Total acreage to be physically disturbed? 43,000 sf c Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 142,024 sf 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 4 1 t F 5.Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan9 X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 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: X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 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: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: Installation of a new well is proposed. X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: A new Suffolk County Department X of Health compliant sanitary system is proposed. 12.a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? X 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply ® Shoreline ❑Forest ❑Agricultural/grasslands ❑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? X 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 of 4 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: X 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: X 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: X I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Robert E/emnann,Coastal Management Specialist Date: November 9,2016 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 I and other materials submitted by the project sponsor or otherwise available to the reviewer.When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 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: / a. public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 1 1 No,or Moderate small to large impact impact may may 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 I 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. I ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, /environmental hatthe proposed action may result in one or more potentially large or significant adverse impacts and an impact statement is required. Check this box if you have determined,based on the information Ind analysis above,and any supporting documentation, hat the oposed action will not result in any significant adverse environmental impacts 2� J ,ZA, Name o ad Agency bate r;3 Print or T pe ame of Rkponobip Of icer in tead Agency ! Title of Responsible Officer Signatu a ponsi f icer in Lead A nc Signature of Preparer(if different from Responsible Officer) I Page 4 of 4 I i NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: JuJax Partners,LLC SCTM#1000-94-1-11 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Clear an approximately 9,650 square-foot area within Chapter 275 jurisdiction located between 50 and 100 feet from the top of bluff,as depicted on the site plan prepared by Kenneth M.Woychuk Land Surveying, PLLC,last dated November 4,2016. (Construction of proposed dwellmg and appurtenances are located more than 100 feet from the top of bluff and as such have already been determined to be located outside Chapter 275 jurisdiction pursuant to Board of Trustees jurisdictional determination dated August 3,2015). 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1975 Soundview Avenue,Mattituck 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wednesday,December 14,2016 @ 5:00 p.m. You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. JuJax Partners LLC c/o Steven Ehrenkranz,Managing Member PROPERTY OWNERS NAME: 69 Wooster Street,F15 MAILING ADDRESS: New York,NY 10012-4351 PHONE #: 917-414-5966 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road,Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. i ROOF OF MAILING OF NOTICI ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Lisa Tanal&Nisan Minakyan 6 Luquer Road Manhasset,NY 11030 Richard Sachs 88 Central Park W,Apt.4-S New York,NY 10023 Eugene&Maryann Krupski 2230 Soundview Avenue Mattituck,NY 11952 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being duly sworn, deposes and says that on the 28th day of November ,20 16 , 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 their 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 Southampton , that said Notices were Mai d to each of said persons by (certified)(per mail. Robert E.Herr Coastal Managment Specialist Sworn to before me this 28th November KIM H . STEPHENS day of ,2016 NOTARY PUBLIC STATE OF NEW YORK COMMISSION N0 . 5015931 QUALIFIED IN SUFFOLK COUNTY 1Notary blic EXPIRES AUGUST 2 . 24_L7 .1 i �J Postal. _ _' J CERTIFIED MAILPRECEIP ■ fU •. • T(%W) r. • r9 (� oma" mulu WC I Certified Mail Fee M'' L p-Ln s ! Ln Certified Mall Fee Ln Extra Services&Fees (check box,add fee as appropnate) >- - ���®` Ln Extra Services&Fees(checkbox,add lee as appropnate) -= ❑ Return Receipt(hardcopy) $ 7d -`"'LW I ❑Return Receipt(hardcopy) $ :�� , ❑ Return Receipt(electronic) $ Postmark C ❑Certified Mall Restricted Delivery $ Here /�� C3 ❑Return Receipt(electronic) $ }g aO []Adult Signature Requlied $ Ord�-A��g `�O ❑AdulmSgnaed tlureReq RestrictedDelivery $ `�Here"°�aF-� E]Adult Signature Restricted Delivery$ h r!V"Y El Adult Signature Restricted Delivery$ p Postage p Postage \' 1-1 Total Post T -- - - - - O p rp Sent To Lisa Tanal&Nisa Minakyan -0 s Richard Sachs a 6 Luquer Road o C3 Sf�eef ane S 88 Central Park W,Apt. 4-S --------------- r` Manhasset,NY 11030 l____., r` _ New York,NY 10023 ary,stars c --------------- Postal ■ , 13 . /■ s. pnlyd Er a Er Certified Mall Fee Ln $ I to Extra Services&Fees(checkbox,all Me as appropriate) ❑Return Receipt(hardcopy) $ ❑Retum Receipt(electronic) f $ r. d ❑Certified Mall Restricted Delivery $ ,f YG,R7A'r® 0 []Adult Signature Required $ .r []Adult Signature Restricted Delivery$ p Postage 1 Er Total Post �r�1 ' O $ Euguene&Maryann Krupski -0 Sent To F_q __________ 2230 Soundview Avenue ----- C3 Srreetand - ----------- Mattituck,NY 11952 iState NUTILL' U 'lm HLA N 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: JUJAX PARTNERS LLC SUBJECT OF PUBLIC HEARING : For a Wetland Permit to clear an approximately 9,650sq.ft. area located between 50' and 100' from the top of bluff for the purposes of constructing a dwelling, in-ground swimming pool and appurtenances which will be located more than 100' from the top of bluff. Located: 1975 Soundview Avenue, Mattituck. SCTM# 1000-94-1-11 TIME & DATE OF PUBLIC HEARING : Wednesday, December 14, 2016 — at or about S :OOP. 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 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) Steven Ehrenkranz, Managing Member I, JuJax Partners LLC residing at 69 Wooster St., FL 5 (print owner of property) (mailing address) New York, NY 10012-4351 do hereby authorize (Agent) En-Consultants to apply for permit(s)from the Southold Board of Town Trustees on my behalf. *�V� CAA-� is signature) Steven Ehrenkranz, Managing Member JuJax Partners LLC John M. Bredemeyer III, 1s sident opo ooG;w Town Hall Annex Michael J. Domino, Vice-President �� y� 54375 Route 25 Glenn Goldsmith ti ? P.O. Box 1179 A. Nicholas Krupski �y �� Southold, NY 11971 Charles J. Sanders '�4� �a�=' 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 JUJAX PARTNERS LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING -TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE Robert E. Herrmann En-Consultants residing at/dba 1319 North Sda Road, Southampton, NY 11968 being duly sworn, depose and say: 4- That on the 6 day of December , 2016 , I personally posted the property known as 1975 Soundview Aenue, Mattituck; SCTM #1000-94-1-11 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, December 14, 2016. Dated: (signature) Sworn to before me this 14thday of Dec.2016 J"4 otary b is KIM H . STEPHENS NOTARY PUBLIC STATE OF NEW YORK 'COMMISSION NO . 5015931 QUALIFIED IN SUFFOLK COUNTY EXPIRES AUGUST 2 , 20_0 Board of Trustees Application County of Suffolk State of New York Steven Ehrenkranz, Managing Member JuJax Partners LLC BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER 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. L (/ lSignature SWORN TO BEFORE ME THIS 2. DAY OF ,20 IS Public STEPHEN T. CARUSO NOTARY PUBLIC OF NEW JERSEY ID#50020479 My Commission Expires 8/412020 J APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the parr of town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is ncecessary to avoid same. �-6,ei Kw ✓t Z YOUR NAME: auLi�l (*A+L/ PI.C (Last name,fust name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO _X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant,or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 4ayof 200 T Signature Print Name Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same YOUR NAME. Herrmann j Rn}wr_t� (Last name,first name,middle initial,unless you are applying to the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person_ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thi f I day of \(• 204 L6 Signature Print Name - E. Henmmi Form TS 1 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Q� 1000 94 1 11 STORM-WATER,GRADING,DRAINAGE AMP EROSION CONTROL PLAN 1D sfr T Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM#/WORK ASSESSMENT Yes No a.What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within 142,(S.F./Acres))024 sf Generated by a Two(2")Inch Rainfall on Site? X ❑ the Scope of work for Proposed Construction) (This item will include all run-off created by site b,What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed 43,000 sf Site improvements and the permanent creation of construction activity? (S F/Acres) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed ❑ PROVIDE BRIEF PROJECT DESCRIPTION(Provide Additional Pages as Needed)) Drainage structures Indicating Size&Location?This item shall include all proposed Grade Changes and Clear an approximately 9,650 square-foot area within Chapter Slopes Controlling Surface Water Flow, 275 jurisdiction located between 50 and 100 feet from the top of 3 Does the Site Plan and/or Survey describe the erosion ❑ bluff,as depicted on the site plan prepared by Kenneth M. and sediment control practices that will be used to Woychuk Land Surveying,PLLC,last dated November 4,2016. control site erosion and storm water discharger.This Item must be maintained throughout the Entire (Construction of proposed dwelling and appurtenances are Construction Period. located more than 100 feet from the top of bluff and as such 4 Will this Project Require any Land Fillip,Gradin or ❑ Excavation where fhere is a change to a Natura have already been determined to be located outside Chapter 275 Existing Grade involving more than 200 Cubic Yards jurisdiction pursuant to Board of Trustees jurisdictional of Material within any Parcel? determination dated August 3,2015). 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site?Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100)feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach7 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 F are part of a larger common plan that will ultimately disturb one or more acres of lands, 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_ IQ SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit O Will Driveways,Parking Areas or other impervious or Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1:11 The SWPPP shall be prepared prior to the submittal of the NOI The NOI shall be into and/or in the direction of a Town right-of- submitted to the Department prior to the commencement of construction activity. 2 The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ❑ required,post-construction storm water management practices that will he used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit In addition,the SWPPP shall Area?(This item w�ii NOT include the installation of Driveway Apmns.) identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges NOTE-If Any Answer to Questions One through Nine is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S F &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 theprinciples and radices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit S P g ([VOTE:A Check Mark(X)and/or Answer for each Question is Required for a Completed Application) STATE OF NEW YORK, COUNTY OF -Suffolk------------------------SS That I, Robert E.Herrmann being duty sworn,deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the -Agent-for-the-Owner - - ---- ------------------ ----------------------------------------------------------------------------------------------------- (Owner,Contractor,Agent,Corporate Officer,etc Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed.in the manners set forth in the application filed herewith. Sworn to before me this; 9th �o November 2016 Notary P ''-- ----- - --------------9 K (};--STE-P-41 E N S------------ ------ ---- - - ------- -- - (signature of Applicant) FORM - 06/10 STATE OF NEW YORK COMMISSION N0 , 5015931 QUALIFIED IN SUFFOLK COU TY EXPIRES AUGUST 2 , 201_ ' 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 si nificant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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, listine both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 94 - 1 - 11 PROJECT NAME Ju7ax Partners LLC The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 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) El (c) Permit, approval, license, certification: Nature and extent of action: Clear an approximately 9,650 square-foot area within Chapter 275 jurisdiction located between 50 and 100 feet from the top of bluff, as depicted on the site plan prepared by Kenneth M.Woychuk Land Surveying,PLLC,last dated November 4,2016. (Construction of proposed dwelling and appurtenances are located more than 100 feet from the top of bluff and as such have already been determined to be located outside Chapter 275 jurisdiction pursuant to Board of Trustees jurisdictional determination dated August 3,2015). Location of action: 1975 Soundview Avenue,Mattituck Site acreage: 142,024 sf Present land use: Vacant-residential. 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: (a) Name of applicant: JuJax Partners LLC (b) Mailing address: c/o Steven Ehrenkranz,Managing Member 69 Wooster Street,F15,New York,NY 10012-4351 (c) Telephone number: Area Code 917-414-5966 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No® If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ❑Yes1:1 No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III- Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III- Policies Pages 6 through 7 for evaluation criteria ®Yes ❑ No ❑ Not Applicable The project will be consistent with Policy 3,as all structures will be located more than 100 feet from the top of bluff and all associated clearing will occur at least 50 feet from the top of bluff and 235 feet from the surface waters of Long Island Sound. Therefore,a visual buffer greater than 200 feet wide will remain between the surface waters of Long Island Sound and the portion of the property to be developed. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III- Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable The project will be consistent with Policy 4 in that all proposed site disturbance will occur outside the Coastal Erosion Hazard Area; more than 50 feet from the top of bluff;and more than 235 feet from Long Island Sound. And all proposed construction will occur more than 100 feet from the top of bluff and outside Chapter 111 and 275 jurisdiction. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ®Yes ❑ No ❑ Not Applicable The portion of the proposed project situated within Chapter 275 jurisdiction is limited to the clearing of an approximately 9,650 square-foot area of vegetation located between 50 and 100 feet from the top of bluff. As such,there will be no disturbance of the site any closer than 235 feet from the nearest tidal wetlands as defined by the mean high water mark of Long Island Sound;and the approximately 235'wide area of naturally existing beach, bluff,and vegetation beach located between the surface waters of Long Island Sound and the area of property to be developed will remain undisturbed. The preservation of this area;the installation of a drainage system of drywells for the proposed construction located more than 100 feet from the top of bluff and outside Chapter 275 jurisdiction;and the location of an associated septic system more than 300 feet from surface waters will ensure that the project protects water quality and has no advserse impacts on the adjacent bluff,beach,or tidal waters of Long Island Sound. Therefore,the proposed project will be consistent with Policies 5 and 6. 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. ®Yes ❑ No ❑ Not Applicable J The portion of the proposed project situated within Chapter 275 jurisdiction is limited to the clearing of an approximately 9,650 square-foot area of vegetation located between 50 and 100 feet from the top of bluff. As such,there will be no disturbance of the site any closer than 235 feet from the nearest tidal wetlands as defined by the mean high water mark of Long Island Sound;and the approximately 235'wide area of naturally existing beach, bluff,and vegetation beach located between the surface waters of Long Island Sound and the area of property to be developed will remain undisturbed. The preservation of this area;the installation of a drainage system of drywells for the proposed construction located more than 100 feet from the top of bluff and outside Chapter 275 jurisdiction;and the location of an associated septic system more than 300 feet from surface waters will ensure that the project protects water quality and has no advserse impacts on the adjacent bluff,beach,or tidal waters of Long Island Sound. 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 Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes ❑ No® Not Applicable 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 ® 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. ElYes 1:1No ® 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 TITLEcoastal Mgmt. specialist DATE 11/9/2016 Robert E. ann Amended on 811105 AHERNE r AININEW EN-CONSULTANTS November 11,2016 Town of Southold nVit' ; Board of Trustees I.1 (- � 54375 Main Road Post Office Box,1179 NOV 1 4 2016 Southold,New York 11971 t Re: JuJax Partners,LLC Srnilhold Town 1975 Soundview Avenue,Mattituck $Gs;t� 1 Trustfl SCTM#1000-94-1-11 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland Permit Applications including: a) Short Environmental Assessment Form; b) Authorization Forms; c) Applicant/Agent/Representative Transactional Disclosure Forms. 2. Site Plan prepared by Kenneth M. Woychuck Land Surveying,PLLC, last dated November 4, 2006. 3. One(1)set of site photographs. 4. Copy Limited Liabability Company Agreement of JuJax Partners,LLC 5. Copy of NYS DEC Letter of Non-Jurisdiction#1-473 8-03464/00001. 6. Copy of Board of Trustees August 3,2015 letter of exemption. 7. Copy of Zoning Board of Appeals November 19,2015 Determination-ZBA File#6891 8. Application fee of$250.00. 9. Three(3)LWRP Consistency Assessment Forms including: a) Site Plan(as referenced above). I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sincerely, Robert E.Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting YaFFO�,��0 John M.Bredemeyer III,President Town Hall Annex Michael J.Domino,Vice-President q 54375 Main Road ti P.O. Box 1179 James F.King,Trustee d Southold, New York 11971-0959 _e 'a e /r e y�0 ���` Telephone(631) 765-1892 nJD T stee Fax(631)765-6641 NOV 1 4 2016 BOARD OF TOWN TRUSTEES 5otitoldTown t TOWN OF SOUTHOLD Bo�rdQf Trusteed WETLAND or WETLAND-COASTAL EROSION APPLICATION CHECKLIST Completed Application - Original plus three (3) copies containing all of the following: ® Detailed project description (pgs. 2, 6, & '16) including dimensions or square footage of all proposed or existing structures. See § 275-6. ® Short Environmental Assessment Form through pg. 3 (Part 2 - for office use only). ® Authorization Form to be completed and notarized by current property owner. ® Agent Authorization (where applicant is not the owner) to be completed by current property owner. ® Applicant/Agent/Representative Transactional Disclosure Form to be completed by homeowner and any agent/representative. ® LWRP Consistency Assessment Form. ® Survey of property in its current state. See § 275-6. ® Project Plan must be to scale, with dimensions and a side elevation view. See § 275-6. ® Photographs current photos of'subject area. See § 275-6. ® Application Fee for a Wetland Permit is $250.00. Application fee for a Wetland Permit & a Coastal Erosion Permit is $500.00. Check made payable to: Town of Southold. The applicant is responsible for staking/marking out the proposed project prior to the date of the Board of Trustee Field Inspection. Upon receipt of a completed application to this office, the project will be reviewed by the Building Department. If the project requires a Zoning Board of Appeals variance, the application will be held until a determination is made by the ZBA.