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TR-8944
Michael J.Domino,President �OO� SO Town Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 South Glenn Goldsmith old,New York 11971 A. Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 �ye4UNly,� BOARD OF`TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1550C ' Date:January 13, 2019 THIS CERTIFIES that the construction of a timber or concrete wall located approximately 35' landward from top crest of bluff construct a concrete or stone wall located approximately 75' landward from top crest of bluff re-grade existing fill and topsoil in order to create a level area in-between the proposed walls,• all disturbed areas to be lawn/sod after final grading-, install a fire pit in-between the two walls,• and for the installation of safety-rail'fencing aloe the he edge of most seaward wall, At 580 Lloyds Lane,Mattituck Suffolk County Tax Map#1000-99-3-4.2 Conforms to the application for a Trustees Permit heretofore filed in this, office,Dated December 7,2016 pursuant to which Trustees Wetland Permit#8944 Dated January 18, 2017,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a timber or concrete wall located approximately 35' landward from top crest of bluff construct a concrete or stone wall located approximately 75' landward from top crest of bluff,re-grade existing fill and topsoil in order to create a level area in-between the proposed walls; all disturbed areas to be lawn/sod after finalrg ading, install a fire pit in-between the two walls; and for the installation of safety-rail fencing aloe the he edge of most seaward wall. The certificate is issued to J&Wendy Mocco owners of the aforesaid property. Authorized Signature Michael J. Domino,President q SOUJyO Town Hall Annex John M.Bredemeyer III,Vice-President �O lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Telephone(631) 765-1892 Greg Williams Ol COMM Fax(631) 765-6641 � ,Nct� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 1 / 1 Aq l Ch. 275 Ch. 111 INSPECTION SCHEDULE I Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed � Project complete, compliance inspection. INSPECTED BY: COMMENTS: Dk' 11n rj �cvc�� walj 3l '17ti Plates ion w 11 W C I CERTIFICATE OF COMPLIANCE: I Michael J.Domino,President ��OF S0(/ry� Town Hall Annex John M.Bredemeyer III,Vice-President h0 11 0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • aQ Telephone(631) 765-1892 Greg Williams 'O Fax(631) 765-6641 00UNTN,Nc� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2018 J &Wendy Mocco 300 East 62nd Street, Apt. 1904 New York, NY 10065 RE: 580 LLOYDS LANE, MATTITUCK SCTM# 1000-99-3-4.2 Dear J &Wendy Mocco: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, May 16, 2018: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8944 from Vishnudat Seodat to J & Wendy Mocco, as issued on January 18, 2017. 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, 6� Michael J. Domino, President Board of Trustees MJD/dd Michael J.Domino,Pre ito�g�FFD(,��oG Town Hall Annex John M. Bredemeyer III,Vice=rresident b�� yam,` 54375 Route 25 Glenn Goldsmith � z P.O.Box 1179 A.Nicholas Krupski Q Southold,NY 11971 Greg Williams y 4; Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ✓l-3✓i S' 5: Completed infield by: J & WENDY MOCCO request a Transfer of Wetland Permit#8944 from Vishnudat Seodat to J & Wendy Mocco, as issued on January 18, 2017. Located: 580 Lloyds Lane, Mattituck. SCTM# 1000- 99-3-4.2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 / Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment ✓ Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino V G. Goldsmith N. Krupski G. Williams Other Page 1 of 2 Michael J. Domino,Pri it ®�QSUFF��kCQG Town Hall Annex John M. Bredemeyer III,Vice-rresident b�� ��,, 54375 Route 25 Glenn Goldsmith W P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: J & WENDY MOCCO request a Transfer of Wetland Permit#8944 from Vishnudat Seodat to J & Wendy Mocco, as issued on January 18, 2017. Located: 580 Lloyds Lane, Mattituck. SCTM# 1000- 99-3-4.2 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT - MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 1 i DR. J MOCCO MRS. WENDY MOCCO 300 East 62nd St., Apt. 7904, New York, NY 10065 + wmocco@outfook.com , April 2, 2018 D E ( I V E Board of Town Trustees Town of Southold APR - 5 2018 PO Box 1179 Southold, New York 11971 SouthoidTown oa f Tru e Re: 580 Lloyds Lane, Mattituck - Permit Transfer Request Dear Board Members: We are the new owners of 580 Lloyds Lane in Mattituck and we are requesting the transfer of Town of Southold Permit No. 8944 from the prior owner, Vishnudat Seodat, to our names as follows: J Mocco and Wendy Mocco. In connection with the transfer, we have enclosed a check for$50 made payable to the Town of Southold. Following confirmation of the permit transfer at your next Board Meeting,we kindly request that a copy of the Trustee Resolution be sent to us at the following address: 300 East 62nd Street, Apt. 1904, New York, NY 10065. By this letter,we hereby grant you permission to enter our property for a visual inspection of the subject area for purposes of granting the requested permit transfer. Thank you, in advance, for your assistance in this matter. Should you need any additional information, please do not hesitate to contact us at wmocco@outlook.com or 917-453-4792. Kind regards, Jocco Wendy Mocco 1 i (/r John M.Bredemeyer III,President ���f SUTown Hall Annex/y0 Michael J.Domino,Vice-President �� l® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Telephone(631) 765-1892 Charles J.SandersO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction constructed in ection Project complete, compliance i sp V-111A Ryl r%IFI C10TTr1rT rlF�Wb TAL IM& Ire BOARD "r 3 U I ny(JUID T"C"VIV7N it RVS I EES SOUTHOLD, NEW YORK PERMIT NO. 8944 DATE: JANUARY 18, 2017 W ISSUED TO: VISHNUDAT SEODAT PROPERTY ADDRESS: 580 LLOYDS LANE. MATTITUCK I SCTM# 1000-99-3-4.2 AUTHORIZATION M , Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in e I accordance with the Resolution of the Board of Trustees adopted at the meeting held on January 18, 2017, and in consideration of application fee in the sum of$250.00 paid by Vishnudat Seodat and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: A- Wetland Permit to construct a timber or concrete wall located approximately 35' landward from top crest of bluff; construct a concrete or stone wall located approximately 75' landward from top crest of bluff, re-grade existing fall and topsoil in order to create a level area in- between the proposed walls; all d!sturbed areas to be lawn/sod after final grading; install a fire pit in-between the two walls; and for the installation of safety-rail fencing along the edge of 11 most seaward wall; and as depicted on the site plan prepared by Creative Environmental Design, dated December 5,2016, and stamped approved on January 18,2017. Of t IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, R and these presents to be subscribed by a majority of the said Board as of this date. 1IFF S&Ssaf F9 Z 1-r- Ere Charles J. Sanderd-/' 1 42 IT e+ 1NR TERMS AND CONDITIONS The Permittee Vishnudat Seodat, residing at 580 Lloyds Lane 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. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the 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. Michael J. Domino, President ��O�pS�FFOIKeoGy Town Hall Annex John M. Bredemeyer, III, Vice-President 54375 Route 25 Charles J. Sanders H ,a P.O. Box 1179 Glenn Goldsmith �y • �� Southold, NY 11971 A. Nicholas Krupski 'dol , , dao Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 18, 2017 David Cichanowicz Creative Environmental Design P.O. Box 160 Peconic, NY 11958 RE: VISHNUDAT SEODAT 580 LLOYDS LANE, MATTITUCK SCTM# 1000-99-3-4.2 Dear Mr. Cichanowicz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 18, 2017, regarding the above matter: WHEREAS, Creative Environmental Design, on behalf of VISHNUDAT SEODAT 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 December 7, 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 January 18, 2017, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, a 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 VISHNUDAT SEODAT to construct a timber or concrete wall located approximately 35' landward from top crest of bluff; construct a concrete or stone wall located approximately 75' landward from top crest of bluff; re-grade existing fill and topsoil in order to create a level area in-between the proposed walls; all disturbed areas to be lawn/sod after final grading; install a fire pit in-between the two walls; and for the installation of safety-rail fencing along the edge of most seaward wall; and as depicted on the site plan prepared by Creative Environmental Design, dated December 5, 2016, and stamped approved on January 18, 2017. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, 7,4_e J_z Michael J. Domino, President, Board of Trustees MJD/dd �f SO[/r Town Hall Annex John M. Bredemeyer I1I,President �� Michael J.Domino,Vice-President 'lam l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 CO2 PAC A. Nicholas Krupski ® Telephone(631) 765-1892 Charles J.SandersFax(631) 765-6641 �yc4llIVT`I,� BOARD OF TOWN TRUSTEES �d L TOWN OF SOUTHOLD TO: V I S t4-NUPAT S8-0QA-7_ �O CP-&A--nJg- 6_#V1"A1 t Please,be advised that your application dated Pgr- 7 7-01(o has been reviewed by this Board at the regular meeting of T )'X, 17 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project 'Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) Y2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ BY: John M. Bredemeyer III, President Board of Trustees CONCRETE WALL OR TIMBER WALL COA5TAL ER05ION LINE SAFETY I, NCE -`_ FE `'I'TOP OF BLUFF ` - OP05ED <� ' ST ass , EWALL `' I ' ��5�� r \ / - /\ I ° ° Fg' Rs _ � 1 i , /\ \ - qRs Il \ e /Rc/ /pc�� FoRsY 1 °�Fo Niq o 4 RSY 1 F` s e s ' I I 1 � I \\ / /\ 'i '�1 O ,, �i I� `'`�✓/P� �p' RF Bq re Byre ''Al�C/Rc/� I I 11 S�; �'I ���RF ✓�,s�RF 'fie r, � etre ��e '� 11 1 I , � 'i ' '� �Re COT w eta eta eta �� Z1 '1 I-•� I III I ✓/•/,P�._ , / 1 1 1 �� I Iii "�✓/P���//P� g '� �/ � ' ' .�c�, •4CI Q'4 ✓ sc� stFr �Rc/� �iP ✓ F 1 1 I I I �4i "`I'P / � I I P B �' O 1 I I I I EP L SAI I 1 I I CO r + I I O` Ll • ��/• rA Fr/� `Y r/ I 1 1 I 1 ,Q^ Y✓ 'l9 ✓ A' P II �' ' (' ✓(�,i gt/rte COT, "` i.figcyV�. i 1 r `' iPFR Ij� A I I , I � c N� e�are � I n , r N APPRO j� I I VED BY l''I � 4k% � i TOWN OF SOUTHOLD 4 PROF q EO fi' BOARD OF TRUSTEES ,-'I ,' ;' III � s,�RF Re aFgRe Ra o I I DAN c /Rc/N9 o L/RAN/q /R% k' (, eF c/N/q q c c/N,q c ' JGu/PFR �V/PFR✓ � QP�/Nq kz;Pc/y/ I i ; PROF'05ED FII F'IT r �II ''I 1 t i4 DoT�' R e� e c �cry NOT TO SCALE ELEVATION DETAIL q� C �� �I q4' `�s CO e °�, qPs l SAFETY _ Sw w'4' F S IL-- - t/ I _ s ° oR C q STONE WALL FENCE �2 75r Fg(' D 7/ » so � �•FoR .FOR � I 30 8 Sy I 'bRsy, --- PROP05ED GRADE 6 �� SAFETY -- CONCRETE WALL FENCE ---_ --____ OR TIMBER WALL CONCRETE FOOTINGS LEVEL LINE 36 - - TO aro" BELOW GRADE 5CALED ELEVATION DETAIL i T Q� I CONCRETE FOOTING5 STONE WALL � j SAFETY �./ �� � TO BELOW GRADE �' EXISTING GRADE FENCE CONCRETE FOOTINGS 5 PROPOSED GRADE 36"/CONTE WALL 39 TO 3G BELOW GRADE _ GR TIER WALL / CONCRETE FOOTINGS LEVEL LINE 36" NEW NON TURF TO 36"6FlOW GRADE F1.ANl1NG5 T CONCRETE FOOTINGS 7� �' ►. To 36"eEww GRADE Revision #: Scale: I �`� L� r' Landscape Plan : 12-5- 16 Landscape Design b : Dave Cichanowicz�11� I p p g Y � I DEC - 72016 I A Southold ■ Date : 12/6/2016 1 = 10' —BoViLruTwn sa -- i Seodot 5CTM # 1000-'t0�7::9-03-42 Creative Environmental Design SURVEY OF LOT 2 NAP OF HONEYSUCKLE HILLS ru Ne FIT'. mm OB —Iv,Iva+ SITUATED AT �9 MATTITUCK TOWN OF THOL SUFFOLK COUNTYOU NEW YORK 9 S.C.TAX Ne 1000-00-03-6,2 SCALE 12'. ]I,1001 LIOGiEFO BIIU`.w h SR RE-DAR a.ET MRO PR- Dum NMCN CCD HOUSE N"UCR 3a,300a ATDUE rtOP001��=1W zU-.APIaw x0 0+4NNW LaunON9 MAR.]I IAG+[0 NIONCUT WE IDSA-]3,01091 Rq.11 CERTIFIED TD. , Y SUIIOU(COUNTY NATIONAL BANK ' i i J AMERICAN DREAM Ml.E G SETTLEMENT 9EIMCM moi/ i/ iii 61 .% '''i I�/i'♦ iii'i� '�/i'ii i� No Em -( 1.C%19iIN0 9BOI ELEVATIONS SHOWN TNU9+Iva ARC REFERENCED f0 N.O.V 0.1818 DATUM 333TING CONTOURS SHTMN THUS, M1000 ZONE IT MOOD REFERENCED TO N.O.V.D.1939 DATUM i.T MOOD INSURANCE RATE MAR M, 30103COia]0 lzI _ 30E K ARLA9 DEROI.IM TO BE OV 9]00_YEM ROOOWVN I 91i T '✓u .'�� ,.fil/ �to �"'_��:. _ oa, ' S DEC A. 7 2016 ff 5 ,.a.,y; J OVN6E So!,tholdTown ,A Bo-a rif Trustees L� 0 r " =p'm Joseph A. Inge( Land Surveyor NON- `na.r u¢nr am..rrm ew w..r,n llm+ Ne�.eA x,.rn Nnl .r' John M. Bredemeyer III, Pres FF014, Town Hall Annex Michael J. Domino,-Vice-Presiaent �� �Gyl 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J: Sanders Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I Date/Time: �lig ? 9:00 Completed in field by: G. GolJ�m I�'�l Creative Environmental Design on behalf of VISHNUDAT SEODAT requests a Wetland Permit to construct a timber or concrete wall located approximately 35' landward from top crest of bluff; construct a concrete or stone wall located approximately 75' landward from top crest of bluff; re-grade existing fill and topsoil in order to create a level area in-between the proposed walls; all disturbed areas to be lawn/sod after final grading;-install a fire pit in-between the two walls; and for the installation of safety-rail fencing along the edge'of most seaward wall. Located: 580 Lloyds Lane, Mattituck. SCTM# 1000-99-3-4.2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or ON /,,b J�1. Residence: 100 feet lc-o '(k, 1-"&�coee 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet ; �1 4. Septic Tank: 75 feet I e-sc-rip iron 5. Swimming Pool and related structures: 50 feet i 6. Landscaping or gardening: 50 feet ® k@CkeeCE-�'�p u�? 7. Placement of C&D material: 100 feet V / 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:' [ II Unlisted Action Type of Application: Pre-Submission Administrative Amendment V" 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/ap`plication completeness/comments/standards: M�.� .�('ev►o�9S l� ;ca �hc, t,�l� �.��� Ccs},�� �nvi ion�,�s��o�� D�5'i�►� ®�1 0. ���— ��6�►�SSeon Ie-,%I4 - , ac)d ke.*IgL-1 oy Qsaposaj ,/aids. Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 John M:Bredemeyer III, Pre, hto�pS� k�oG Town Hall Annex Michael J. Domino, Vice-Presiaent y 54375 Route 25 Glenn Goldsmith o �` P.O. Box 1179 A. Nicholas Krupski o Southold,'NY 11971 Charles J. Sanders 4, dao Telephone 92 Fax ) 765 6-18 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Creative Environmental Design on behalf of VISHNUDAT SEODAT requests a Wetland Permit to construct a timber or concrete wall located approximately 35' landward from top crest of bluff; construct a concrete or stone wall located approximately,75' landward from top crest of bluff; re-grade existing fill arid topsoil in order to create a level area in-between the proposed walls; all disturbed areas to be lawn/sod after final grading; install a fire pit in-between the two walls; and for the installation of safety-rail fencing along the edge of most seaward wall. Located: 580 Lloyds Lane, Mattituck. SCTIVI# 1000-99-3-4.2 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the.Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public.Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 Ly► .?F� A•�e ry z � � ` Y F f 77 ; f h� 7 r6 e� 15, d pp 0 13 %4 4 BNC) le 'Ile 14 14_ NATTITUCK FARII DISTRICT ZIA C 1B MA I 191 172N.) is STATE O�Nmyow)� to p U2 2 (4) 16 30Na) I 6N.) ,Z.2f, FOR PCL NOS SEE SEG I SEESEC No Fae Z3 --Z————— L,�r —— MATCH——— MATCH -- UNE' sfEYcxO,a '' SEE SEC NO IM Ml RD CR NOTICE COUNTY OF SUFFOLK (D K 1. mxf OfSOUTHOLD SECTION NO E y Real Property Tax Service Agency m 09 A P 1000 1R.1 ZM. E (21) �EE ICU ��' John M Bredemeyer III, Presir, 605 Ch, q, Town Hall Annex Michael J. Domino, Vice-Presiaent Y�o, oy� 54375 Route 25 Glenn Goldsmith N x P O. Box 1179 A. Nicholas Krupski K o Southold, NY 11971 Charles J. Sanders 4A o� Telephone (631) 765-1892 �lAll Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: H /9 /16 -:o6 Completed in field by: Creative Environmental Design on behalf of VISHNUDAT SEODAT requests a Pre-Submission Inspection for the proposed ground disturbance/earth moving and landscaping seaward of the existing pool. Located: 580 Lloyds Lane, Mattituck. SCTM# 1000-99-3-4.2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice/of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 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: Pian �o in5�o�1i 2 'C-j00n1s15 W0.11S 40 cc&_aJe_ V10A 2 ,-ovn) " Present were: ✓ J. Bredemeyer ✓ M. Domino ✓ G. Goldsmith ✓ N. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, PresicgpFFO(K Town Hall Annex Michael J. Domino, Vice-Presidento Gy 54375 Route.25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 'y,K o�, Telephone (631) 765-1892 Ol �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Creative Environmental Design on behalf of VISHNUDAT SEODAT requests a Pre-Submission Inspection for the proposed ground disturbance/earth moving and landscaping seaward of the existing pool. Located: 580 Lloyds Lane, Mattituck. SCTM# 1000-99-3-4.2 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the freshwater recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife &vegetation or the natural habitat thereof: E: Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to'cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective,values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N.,Krupski -C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 I OFFICE LOCATION: ®��®f S® MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor:Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 ® a Fax: 631765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: January 17, 2017 Re: LWRP Coastal Consistency Review for VISHNUDAT SEODAT SCTM# 1000-99-3-4.2 Creative Environmental Design on behalf of VISHNUDAT SEODAT requests a Wetland Permit to construct a timber or concrete wall located approximately 35' landward from top crest of bluff; construct a concrete or stone wall located approximately 75' landward from top crest of bluff; re- grade existing fill and topsoil in order to create a level area in-between the proposed walls; all disturbed areas to be lawn/sod after final grading; install a fire pit in-between the two walls; and for the installation of safety-rail fencing-along the edge of most seaward wall. Located: 580 Lloyds Lane, Mattituck. SCTM# 1000-99-3-4.2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the below listed Policy Standards and therefore is CONSISTENT with the LWRP provided that: 1. The proposed action is reviewed by a certified engineer. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. ���SpFFQC,��d Peter Young,Chairman y Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 �► Southold,NY 11971 N. 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., January 11, 2017 the following recommendation was made: Moved by Greg Williams, seconded by John Stein, it was RESOLVED to SUPPORT the application of DR. VISHNU SEODAT to construct a timber or concrete wall, approx. 35' back from edge of bluff. Build a concrete or stone wall approx. 75' back from edge of bluff. Regrade existing fill and topsoil in order to create a more level area between proposed walls. Installation of fire pit south of first wall. Installation of safety rail fence along edge of first wall, and all disturbed areas to be grass after final grading. Located: 580 Lloyd's Lane, Mattituck. SCTM#99-3-4.2 Inspected by: Peter Young, Peter Meeker Vote of Council: Ayes: All Motion Carried Town Hall Anne r so John M.Bredemeyer I11,President � � x Michael J.Domino,Vice-President 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee Charles J.Sanders,Trustee Telephone(631)766-1892 `� Telephone I, �� Fax(631)765-6641 BOARD OF TONIN TRUSTEES TOWN OF SOU`CHOLD Office Use Only _/Coastal Erasion Permit Application `Wetland Permit Application _ Administrative Permit ___Amendment/Transfer/EiC erasion .Received Application: I2,?•/(� VV Received Fee:$ D, ___Completed Application: 1� Incomplete: IL SEQRA Classifscation: Type I Type II Unlisted DEC — 7 2016 Coordination-(date sent): i �- 7 € LWRP Consistency Assessment Foran: a Southold Town CAC Referral Sent: f Z2-2,14P f _ 0,l 8 fd-Qf Trusteed Date of � T Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Narne of Applicant: _ _ fie- �t���,A,. Mailing Address: 5'6 Q LI i5 [Ae w1i4V,�te1 Phone Number: 631 - 335 - 2207 Suffolk County Tax Map Number: 1000- Property 000-Property Location:, _ -,:!)&W, (provide LILCO Pole##, distance_to cross streets, and location) AGENT: ,J_&l l�L U,d,�,,&_no(,,910 - (If applicable) Creative Environmental Design Address: ®�®x I6� /� ly 9 V Phone: k3l - e -DqaL �51� Board of Trustees App:�s.i:ation GENERAL DATA Land Area(in square feet): Area Zoning: -- Previous use of property: `, ��ta l __ Intended use of property: ��,ec k Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes ANo If"Yes", be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ' / No If"Yes", please provide copy of decision. Will this project require a y demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s)on property have a valid Certificate of Occupancy? V Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ZNo Yes If yes,provide explanation: Project Description(use attachments if necessary):_ Creative EnvirOnmentafDesign P.O. 0 160 Pec®nic, 5VT 11958 631734-7923 631 734-7924fax, creativeenWesi nyah00.00M Seodat Residence 99-3-4.2 Proposed plan: Build a timber or concrete wall, approx. 35' back from edge of bluff. Build a concrete or stone wall aprrox. 75' back from edge of bluff. Regrade existing fill and topsoil in order to creat a more level area between proposed walls. Installation of fire pit south of first wall. Installation of safety rail fence along edge of first wall. All disturbed areas to be grass after final grading. Board of Trustees App'.L.L%�ation WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations; '�lA`,�� - C^_�Ce; L0415- V6vk-c C—cc 1'r V. it V�I Lok _ r -ea'l-L e4 Area of wetlands on lot: square feet Percent coverage of lot: D % Closest distance between nearest existing structure and upland edge of wetlands: l cf7 feet -�© �r f o.V \,oka f f Closest distance between nearest proposed structure and upland edge of wetlands: 4o' feet 4v 4-olp a P Does the project involve excavation or filling? No V' Yes If yes, how much material will be excavated? cubic yards Str;lou+�--q V% 5t$�- How much material will be filled? J DD cubic yards Depth of which material will be removed or deposited: .. .o � _feet Proposed slope throughout the area of operations: y %a !o' L-- Manner in which material will be removed or deposited: --�'y6LV\ 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): 617.20 Append&B Short EnvirornmentaiAssessirrent Form Instructions for Com12ieting b 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, V 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 Aetion'or Project "Project Location(describe,and attach a location map): Proposed plan: -- - - - -- - - Build a timber or concrete wall, approx. 35' back from edge of bluff. Build a,concrete or stone wall aprrox. 75'-back from edge of bluff. Regrade existing fill and topsoil in order to creat a more level area between proposed walls. Installation of fire pit south of first wall. Installation of--safety rail fence-along edge of first-wall. All disturbed areas to be grass after final grading.rerephone: �1 `73L4_ Address: Creative EnvirgypenW Design .. City"/Po: PC Box 16U State: Zip Code: Peconic,IY it 1958 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 F ; may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑, 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action, ®Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial Ukesidential(suburban) OForest ❑Agriculture ❑Aquatic ❑Other(specify) QParkland i Page I of 4 '5. Is the proposed action, - -._ - — - - _ - -- - - - NO " YES N/A a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? ❑ 12 "❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ; ❑ 'E ' 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: Lj 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES J71 -❑ b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available oil or near site of the proposed action? VP❑ 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: (" - - - - LTJ- ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: _ _ __ ____ ;❑ 11.Will the proposed action connect to existing wastewater utilities? NO_ YES If No,describe method for providing wastewater treatment: _�1 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic INO YES Places? b.Is the proposed action located in an archeological sensitive area?13,a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres- 14. 11tify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: EJ 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? (� / _LJ .❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? •NO , -YES ' If Yes, j� i a.Will storm water discharges flow to adjacent properties? _,�NO ❑YES 1N 1 ❑ i b.Will storm water discharges be directed to established conveyance systems(runoff and,cen4n drains)? IFYes,briefly_describe:_ __ —_ _ __-__ _[]NO_'. __'ES_—___ Page 2 of 4 18. Does the proposed action include construction or other activiiies tliat result in the imp6-6-ndment of 'NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO _YES solid waste management facility? If Yes,describe: _ _ _.,. . . ._-____ _ _ ❑= 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or----,,NO " 'YES- completed)for hazardous waste? ol If Yes,describe::, - _ _--- ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/ nam Date:-- Signature:i 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- ' Modersite small to large impact impact may may occur occur 1. Will the proposed actioncreaie a material conflict with an adopted land use plan or zoning o a 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. W ill the proposed action have an impact on the environmental characteristics that caused the F]establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit,biking or walkway? i ,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? El❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? F1' F-1 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? El Page 3 of 4 r I - - = : - . ; - -- -- -- - - - - --- -- - --- -- -- - -No,or Moderate. small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible far the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. n Check this box if you have determined,based on the information aril analysis above,and any-supporting docutuentation; that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town or Southold-Board of Trustees Name of Lead Agency - President Print or Type Naine of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 John M. Bredemeyer III, , ,j ;�o\ G �` sident Town Hall Annex Michael J. Domino, Vice-President �� y1�, 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupski oy �� ' Southold, NY 11971 Charles J. Sanders dol -�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 VISHNUDAT SEODAT COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, a i \\ �r� i�`f , residing at/dba Creative Environmental Design PO Box 160 Peconic,NY 11958 being duly sworn, depose and say: That on the I D day of'5anIL4-y , 201'7, I personally posted the property known as 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, January 18,2017. Dated: (s'gnature) Sworn to before me this day of�ii/) 20 i'7 Notary Public CONNIE D. 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T _:; C-3 ❑ r ❑Adult Signature Restricted Delivery$ []Adult Signature Required f []Adult Signature Restricted Delivery$ - Postage $0.47 -..,�! / E7 Postage o �� $ tlirr►�r1017 $0.47 "D Total Postage and Fees $ ui r1'0J20�7 $ $� .47 Total Postage and F s 6.47 � � Sent To 1i- � __ , D ` .,�n, ,� - I in Sent To r3Street and Apt.No.,or PO Box No' - ---- r`- City, e ------------------------------------------------- ---- fi ----eaAjlpY lNok., -=--------------------------------------------- t� �' � Y- ---------------------------------------------- Ste l fa ` ------ --IS�`'t--""'----------------`---------------- Crty,State,ZIP+4.` :•e 1 r• •e•1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn,deposes and says that on the day of . 20__, deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named Persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK__ ` CuLU C - - , residin aty-& 1�O `L r\V i,1951 ,being duly sworn, deposes and says that on the day of 4 raj , 20 1'7_, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons-are-the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at LIC-- , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. lie 0y Sworn to before me this Day o U f\_ 20n___ IN- i Notary Public CONNIE D. BUNCH Notary Public,State of New York No.01 BU6165050 Qualified in Suffolk County Commission Expires April 14,216�0 ,NUTILt: Uim Ht: AR- ING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: VISHNUDAT SEODAT SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a timber or concrete wall located approximately 35' landward from top crest of bluff; construct a concrete or stone wall located approximately 75' landward from top crest of bluff; re-grade existing fill and topsoil in order to create a level area in-between the proposed walls; all disturbed areas to be lawn/sod after final grading; install a fire pit in-between the two walls; and for the installation of safety-rail fencing along the edge of most seaward wall. Located: 580 Lloyds Lane, Mattituck. SCTM# 1000-99-3-4.2 TIME & DATE OF PUBLIC HEARING : Wednesday, January 16, 2017 — at or about 5:30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 APPS,ICANT/AGENT/REPRE'SJENTATIIVE TRANSACTIONAL DISCLOSURE FOR The Town of Southold's-Code of Ethics prohibits conflicts of interest on the part or town officers and employees.The orposc of this form is to arovidc inforination which can alert the town of possible conflicts of interest and allow it to tale whatever action is necessary to avoid same. YOUR NAME: �— (Last name,first name,giiddle initial,unless you are applying m the name of someone else or outer 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? "Rclationship"includes by blood,marriage,or business interest."Busyness interestmeans a business, including a partnership,iii which the town gftieer 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 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 thc applicant (when the applicant is a corporation); I3)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 llic applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted tl Signature Print Name Form TS l 4 1 From:EEFP 631 722 4426 '^-/05/2016 15:28 #772 P.001/001 Creative Environmental 6317347924 P.1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The To-.vn of 5gothpid's Code of Folies prohibits conflicts of interest on the part of town officers and e;Vl_ovecs.'Itis purpose of t tie fornr;ti to 1ravide information which can alert the town of misible conflicts of Interest and allow it to take whatever action is recessary to avoid same. YOUR NAME: (Last name,first�ddle initial,unless you are applying in the name of someonr else or outer entity,such as a company.ff so,indicate the other person's or company's name.) s i NAME OF APPLICATION: (Check all that apply.) 1 Tax grievance Building Variance Trustee ChangeofZane Coastal Erosion _ Approval of plat Mooring Exemption from plat or official map Planning _ Other (If"Other",name the activity.) Y Do yell.personally(or through your company.spouse,sibling,parmit,or child)have a relationsWp with any officer or employee ofthe'rown of Southold? "Relationship='includes by bkwd,ntarriage,or business interest."Business intem-r-means a business, including a partnership,it)which thu town oftir:er or employee Itv even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%` oft/he shares. j YES NO v ' t Iryoa answered"YEV,complete the balance of this form and bate and sign where indicated. Name o f person employed by the Town of Southold _ r Title or position or that person_ _^ Describe the relationship between yourself(the applicantlagent/representative)and the town officer orctnployee.Either chest: the appropriate line A)through D)and/or describe in the space provided. h c JU town officer or employee or his or her spouse,sibling,parent,orehiId is(check all ilia apply): A)the owner of greater than i%of the shares of the corporate stack of the applicant (when the applicant is a con wration); 8)the legator benefictat owner of any interest in a tmn-corpomteentity(whin the applicant is not a corporation), } C)an ofticcr,director,partncr,,or employes of the applicant:or D)the accost applicant. MccrtaMT4ON_OF-RELATJONSF11P 5 Z• k x Submitted this 5 d a of 2011 fr. signature. �'I r OW Print Name `7y r,,nur. 4-A2M - Form TS l g - y r F a Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial-and adverse effects-upon the coastal area(which-includes"altof Southold Town)'. 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus; each answer must be explaiuM in detail, listing boti supporting and non- suuporting 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# q _- b - - PROJECT NAME. QV-• (Z 4,jy\t,c. The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) Permit,approval,license,certification: - Proposed plan Build a timber or concrete wall, approx. 35' back from edge of bluff. 1L Build a concrete or stone wall- aprrox. 751-back from edge of bluff. Regrade existing fill and topsoil in order to creat a more level area between proposed walls. Installation of fire pit south of first wall. Installation of safety rail fence along edge of first wall. _ All disturbed areas to be grass after final grading. 1 Location of action: 5- LlpyAS 1.,m& , M/,, ,'4Lrcb Site acreagq: -6 Present land use:—& Present zoning classification: R-4-0 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: (b) Mailing address: t tc-> L&uIS \–,,.V)e (c) Telephone number:Area Code 50x7 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? No If yes, which state or federal agency? Yes.❑ 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 force be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in a Town of Southold that enhances community character, preserves open space, makes efficient use of in Tastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LVVRP Section III–Policies; Page 2 for evaluation criteria. Yes No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L Section III–Policies Pages 3 through 6 for evaluation criteria Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary f 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 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Iffinimize loss of life, structures, and natural resources from flooding and erosion. See LWRP a Section II Policies Pages g through 16 for evaluation criteria Yes ❑ No El Not Applicable e-DVLA tM�A ``ZP— act Cs -�-n Dy u Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section M —PolMeses Pages 16 through 21 for evaluation criteria ol E Yes ❑ No EJ Not Applicable Attach additional sheets-if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal ]dish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 thro gh 32 for evaluation criteria. 7 ❑ ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — PoIicies Pages 32 through 34 for evaluation criteria. [3/Yes ❑Non, Not Applicable Attach additional sheets if necessary Policy S.� Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wn:Applicable ee LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes F] No 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. WE] No UNot Applicable Attach additional sheets if necessary WORIUNG COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitabl locations. See LVVIIP Section III—Policies; Pages 47 through 56 for evaluations 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 Es tu and 'Towyn waters. See LVVRP Section III--Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No ❑ Nat 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 eva:Not tion criteria. 0 'Yes ❑ No Applicable Attach additional sheets if necessary Policy 13. Promote a propriate use and development of energy and mineral resources. See LWRP Section III--Policies; ages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY 9 A, TITLE PW-S, kevA- Lr--bDATE19,5- 1b From:EEFP 631 722 4426 10/28/2016 10:49 0919 P.003/003 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1, is kw Uz's4 T S*8-&.h A7` residing at SEC' t C 0 ,7a s ��J r✓ (print owner of property) (mailing address) mAi 12�01Ck N 19�a do hereby authorize David Cichanowicz, Pres. (Agent) I Creative Environmental Design to apply for permit(s) fiom the I i 3 Southold Board of Tomm Trustees on my behalf. i i a (owner's signature) F PAV&—, Sit-to m_s roC,-- d J �� 196— 9Gd1� 4&- 4�_01 Ado,') 1'0r6 ry: E C E V E s. OCT 2 8 2016 Y i ' r Southold Town BRM0_ f Tr;Lstm From:EEFP 631 722 4426 10/28/2016 10:48 #919 P.002/003 Board of Trustees Application County of'Suffolk State of New York v 15 H()y h)n i 5 I-d h r-T _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 a 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 TARS APPLICATION. ure SWORN TO BEFORE ME THIS �'�V DAY OF EVELYNJHOBSON I NotaryPublfo,Stateof NewYork NO-01H06062514 Quaf ified in SuffA County Commission knirmAugusf OS,21i21L f Notaij, Public a% OrT EE E U VE { r OCT 2 8 2016 Southold Town t �F