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HomeMy WebLinkAboutTR-8935 Michael J. Domino,President so jy0Town Hall Annex John.M. Bredemeyer III,Vice-President �� lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 ANC A. Nicholas Kru ski G p � � Q Telephone (631) 765-1892 Greg WilliamsOILY Fax(631) 765-6641 �— Comm BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1442C Date: January 17, 2018 THIS CERTIFIES that the as-built 1,714sq.ft. wood deck attached to seaward side of dwelling; as-built 61.9sq.ft. hot tub on a 345.8sa.ft. patio, and 3' wide stone walkway from deck to bulkhead, install a proposed 16'x32' in-ground swimming pool, install a proposed 1,454.5sq.ft. bluestone patio with 215sq.ft. pergola, install approximately 730 linear feet of 8' high deer fencing and 252 linear feet of 4' high wood picket fencing with gate; and for a proposed bluestone fire-pit area landward of top of bluff; with the condition that a Trustee will flagthe he top of the bank; that the non-native plants be removed; to establish and perpetually maintain a non-turf buffer area from the landward edge of the bulkhead to the top of bluff, as delineated by the Board of Trustees; At 308 Park Avenue, Mattituck Suffolk County Tax Map #1000-123-7-7.3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 27, 2016 pursuant to which Trustees Wetland Permit#8935 Dated December 14, 2016,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the as-built 1,714sq.ft. wood deck attached to seaward side of dwelling; as-built 61.9sq.ft. hot tub on a 345.8sq.ft. patio, and 3' wide stone walkway from deck to bulkhead, install a proposed 16'x32' in-ground swimming pool; install a proposed 1 454.5sq.ft. bluestone patio with 215sq.ft. pergola; install approximately 730 linear feet of 8' high deer fencing and 252 linear feet of 4' high wood picket fencing with gate; and for a proposed bluestone fire-pit area landward of top of bluff, with the condition that a Trustee will flagthe he top of the bank, that the non- native plants be removed,• to establish and perpetually maintain a non-turf buffer area from the landward edge of the bulkhead to the top of bluff, as delineated by the Board of Trustees The certificate is issued to MARC & DEIRDRE SOKOL owners of the aforesaid property. Authorized Signature Michael J. Domino,President 0� SOUjy� Town Hall Annex John M.Bredemeyer III,Vice-President ~O l0 54375 Route 25 l�[ P.O. Box 1179 Charles J.Sanders v, �r Southold, New York 11971 Glenn Goldsmith • �0 Telephone (631) 765-1892 A. Nicholas Krupski lif'10OU0� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ✓ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: CC# : C18-4882 ,o COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 02/06/2018 under Liber D00012949 and Page 127 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 02/06/2018 SUFFOLK C/O�UNTY1 CLERK JUDITH A.PASCALE SEAL 1 11111111 ilii 111111111111111111i1111111H1111111111111 1111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 02/06/2018 Number of Pages : 8 At: 12 : 33 : 40 PM Receipt Number : 18-0023460 LIBER: D00012949 PAGE : 121 District: Section: Block: Lot: 1000 123 . 00 07 . 00 007 . 003 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $40 . 00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15 . 00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $20 . 00 NO RPT $200 .00 NO Fees Paid $300 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County, F1-1 2 RECORDED Number of pages ++18 Feb 06 112.3 3:4 0 FTI TUCiTH H. PASCALE +_LERt-- OF This document will be public SUFFiiL}: ;_OU11TY record. Please remove all L r'0001 94' Social Security Numbers F i" 17 prior to recording. . Deed/Mortgage Instrument Deed Mortgage Tax Stamp! Recording/ Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. J or EA-52 17 (County) Sub Total �D Spec. /Add. EA-5217(State) TOT. MTG.TAX R.P.T.S.A. Dual Town Dual County p�Ob. C� �g� Held forAppointment Comm. of Ed. S. 00 . i Transfer Tax Affidavit . Mansion Tax Ce_rtified'CThe property covered by this mortgage is gpy{X� O or will be improved by a one or twoNYS Surcharge 15. 00 L Lb family dwelling only. Sub Total "`f YES or NO Other. Grand Total `f(�V If NO, see appropriate tax clause on page # of this instrument. 4 Dist. 3571871 1000 12300 0700 007003 5 Community Preservation Fund Real Prope PTS WII�I��I�I� Consideration Amount$ O Tax Service R LPA A Agency 06-FEB48 CPF Tax Due $ O Verificatio --- -- Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Michael A. Kimack, Esq. P.O. Box 1047 TD Southold, N.Y. 11971 TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co. Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached DECLARATION OF COVENANT made by: (SPECIFY TYPE OF INSTRUMENT) Mark Sokol and Deirdre Sokol The premises herein is situated in SUFFOLK COUNTY, NEW.YORK. TO In the TOWN of Southold Board of Trustees, Town of Southold In the VILLAGE or HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over DECLARATION OF COVENANTS THIS DECLARATION'- made tHi-s,- day of) 2018, by MARC and DEIRDRE SOKOL, residing at 308 Park Avenue, Mattituck, N.Y. 11952 hereinafter referred to as "DECLAPANT (S) " : W I T N E S S E T H WHEREAS, DECLARANT (S) is/are the owner (s) of certain real property located on 308 Park Avenue, Village of Mattituck, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Sect'-on 123 Block 7, Lot 7 . 3 which is more particularly bounded and described as set foxtn in Schedule "A"' annexed hereto, her q}x�after referred to as the Prcoert.-y; WHEREAS, the property is situated or. lands W 1: t h i he - jurisdiction of the Board of Trustees of the Town cf Southo-Ild (hereinafter the "Trustees") pursuant to Chapter 2715 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the -prbp6rty may thus be subject to the regulan'Lon and approval'- of the Trustees prior to being conducted; WHEREAS, the DECLARANT (S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the T..-)wn of Southold to undertake certain regulated activities; and WHEREAS, as a, condition of the granting of a Wetlands Permit to undertake such regulated activities, the. Tru.3tee-s required that a variable wicith non-turf buffer along the 1-andward edge of water' s edge be established and subsequently maintained as depicted on the survey i prepared by Nathan Taft Corwin 111, land Surveyor, last dated January 31, 2017, and stamped approved on February 1, 2017 . (see exhibit B attached) and as depicted on the revised landscape plan prepared by Derek N. Bosson dated January 5, 2017 and stamped approved on February 1, 2017 (see exhibit C ) , and authorized by the Trustees under Permit No. 8935, dated December 14, 2016 ( see Exhibit D ) . NOW, THEREFORE, the DECLARANT (S) do/does hereby covenant and agree as follows : 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained variable ft. non-turf buffer along the landward edge of water' s edge as defined by Chapter 275 of the Town Code: to wit: A vegetated area, as designated by the Board of Trustees, immediately landward of the wetland boundary, shoreline structure, or other line designated by the Trustees where no operations, maintenance, placement of signs or other activities may take place, except that man-made debris may be removed from such area by hand. without the permission of the Board of Trustees" . An application for a wetland permit may be submitted for the removal of harmful, "invasive" or non-native vegetation; and as depicted on the revised landscape plan by Derek N. Bosson, last dated January 5, 2017, and stamped approved February 1, 2017, see Exhibit C attached; and 2) These covenants shall .run with the land and shall be binding on the DECLARANT (S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees . IN WITNESS WHEREOF, the owner (s) has/have duly executed this instrument this 4% day of � :: 2018 . OTl DEIRDRE SOKOL STATE OF NP&� ) COUNTY OF s s . On the day of in the year 2018, before me the undersigned, a Notary Public in and for said State, personally appeared MARC and DFIRDRE SOKOL, personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signatures) on the instrument, the individual or the persons on behalf of which the individuals) acted, executed the instrument. Notary Public Notary Public State of Florida ;Amanda Upchurch AAy.Commlasion GG 183922 A...� re&.11/29/2021 Fidelity Natio.n:al'Title Insurance Company TITLE N0:F14-7404.93522-SUFF SCHEDULE A 1-(Description) Amended 02/20/14 ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, in the Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a point on the southerly side of Park Avenue distant 792.00 feet westerly from the-intersection of the westerly side of Marratooka Road with the southerly side of Park Avenue; RUNNING THENCE South l 1 degrees 25 minutes 00 seconds East, 600.15 feet to a point; THENCE South 05 degrees 59 minutes 35 seconds East,20.47 feet to the tie line along apparent high water mark of Great Peconic Bay; THENCE the following three (3) courses and distances along the tie line of apparent high water mark of Great Peconic Bay: I. South 88.degrees 01 minutes 49 seconds West, 80.99 feet; 2. North 79 degrees 53 minutes 19 seconds West, 110.20 feet; 3. North 85 degrees 18 minutes 09 seconds West,95.27 feet to land now or formerly of Jay P, Wickham; THENCE-along last mentioned land, North 11 degrees 25 minutes 00 seconds West, 242.77 feet to land now or formerly of Morris and Eisenst.ein; THENCE along land now or formerly of Hanlon, North 78 degrees 35 minutes 00 seconds East, 255.97 feet; THENCE North I 1 degrees 25 minutes 00 seconds West,300.00 feet to the southerly side of Park Avenue; THENCE along the southerly side of Park Avenue, North 85 degrees 31 minutes 00 seconds East, 20.14 feet to the point or place of BEGINNING. I I THE POLICY TO BE ISSUED under this commitment will insure the title to such buildings and Improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY: Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. SCHEDULE A-1(Description) Rev.(03/0.4). . N 85'31'00" E ,: .•,�:� ,.,PARK AVENUE 20.14 711.00 TO yARRAr00KA ROAD Z r8 N N SURVEY OF PROPERTY f aR04 SITUATE MATTITUCK aj TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 4 S.C. TAX No. 1000-123-07-7.3 SCALE I"=30' FEBRUARY 11, 2014 1 JUNE 17, 2015 STAKE PROPERTY LINES .wpm s JUNE 15, 2010 UPDATE SURVEY .oap TOB JANUARY 31. 20 7 ADOPDRYWELLS ! W AREA 84,979 If. •: (m n[uxo) 1.951 cc. I APPh .VED BY ,... `\ BOARD CF(RUSTEES h CERT/FlED T0: TOWN Oi SOUTHOLQ I MARC S. SOKOI DA FEAt✓Aq 1,2017/ rya mR DEIRDRE SOKOL 1 1' a y\ FIDELITY NATIONAL TITLE INSU LL NOTES. • 1.ELEVATIONS ARE REFERENCED TO N.A.V.D.1988 DATUM /•' \, EXISTING ELEVATIONS ARE SHOWN THUS:AAP '1 EXISTING CONTOUR LINES ARE SHOWN THUS:----rs---- � w o N( . FEB -1 1011 'OR t IUNY e1Se 255.97'ro,p ,eA ' 4 r � 4 Egollp �" Ito N 78.3500" G�o 'Por .pA "ur •O �.f o O E EIV D o ( / s� 1 a[+' �, FE8-1 2017 A 'r' _. •,{�I1 - mow.o!m � �__- I I I� _ - 1 il�i3j,, • I near. .r,c� ' C3,�,� a.t y4/°mo. M cw°'vquon 1 s7GRr rRAME NGU3E A GSC p � � '�� my rrcixr rare •a,r T ;a-a � V _ ��\ a mcunr w. vz �]9 ' ,� rare r m ' ��� p .ur \ A �F ���•[� � �� 6> * ,--•,- -m IA] nTe cortnr ma rawm riormx>awu wa IL y .�avmwr'°'"`/ wo V {, J;y !••r3h "rY Na00 LGN/Srp! IDW[RIp1RraN—INMa'a NO /„� -- - Na-- -- � I I I I�uROMx mn�P10irlOor°/Ma 1DOY10iw[owA I --------- --- \ I A110/W�4[�Or[MS [COI— ` ,Oppfw+ -- •— ` ^ ��\ �u I_I — — -- \♦ 1 .�e�SI'a .1NY.Nor aawN Ar[NOT Wa. .. . -- ________-_ — -- N+ I r m sma a,. a �i ) N.rs w.30,87 I BU AUA MR BJIRt/ °°'""°""`°"sNathan Taft Corwin 111. (Ju101o ucxls TO omni) u - N 85' 18'09" W 95.37' N 79-5e„�,a o Land Surveyor ' 9` N/ ".. -- �' o� 110.20' S 88'0194W 80. 9 J AeaMm- rXFr GR°Nmm 1GREAT P.ECONICBAY PIgMC(431)717-2010 Fm(831)717-1727 OfiXT3 IAGTiD AT 11111.0 AOORE55 IS8/Ma®RedPA.8m I8 J..W.t Nn Yah 1 11,7 Jm pgt 11n Yah IIN7 � JAN - 5 2011 { Southold Town l_—B.4�N fo Tnt�'r?� ._� 1 �DDFJ� SOUTFIOLD'(pLS('C� SINE. \ O(iov0►�t�i ar.T G nAKING 6fl)5 1 � �s(t03 1 fvxE P.(�nPd o n )LAMING NON`i%YZF RANTING �mL NAT �FY-FHMIALf�Wi SUFFFF, f isnw.S'or(F, WALKWAY l 'fj,)4-TIW., LAO SueF pt{+tNT►*� $x,�1HG.FIKF P S` 'ANF- — OF-A fF:i ED 131 %wr"-bvx)WE CFrawati F _ Wm OF 804-TYffS WEE. `r0 f? F M0 $ AS »fp iaY .a �'`'r . \�,_ SthZJ.GY4Q Nkt'N!W,Cctt1�111J . c.�' 'r t ` EXIs(1N4 mARto-ES i j 42--t40,W 1i:;IZN BtiYBOZIN '6'0r- 26 LID :i° 4YVUN. Z�AW' rl K6ANT WO 61,4W�S 6u�K BD Igor- Cp,y_AoF_eVbN BEA-$GZ&,5 1 PPR VED BY ('l<k `(X� �A�M low � � TRUSTEES SC TAK 06:�)'623-07-7.3 TOWN O. OUTHOLD DATE �, ; BOARD OF SOUTHOL:D TOWN TRUSTEES SO'UTH�)LD, NEW YORK wt PERMIT NO. 8935 DATE: DECEMBER 14, 2016 F f, ISSUED TO: MARC & DEI.RDRE SUKOL PROPERTY ADDRESS: 308 PARK.. ',VENUE, MATTITUCK I SCTM# 1000-123-7-7.3 ,, r AUTHQRIZATION }` Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 14, 2016, _ ,t and in consideration of application fee in the sum()f$250.00 paid by.Marc &Deirdre Sokol and subject to.the 1 , Terms and Conditions as stated in the Resolution, he Southold Town Board of Trustees authorizes and permits . �:� 1 the following: L I ` Wetland Permit for the as-built 1,714sq.ft.�yood deck attached to seaward side of dwelling; as- built 61.9sq:ft. hot tub on a 345.8sq.ft. patio, and 3' wide stone walkway from deck to bulkhead; install a proposed 16102' in-grouind swimming pool; install a proposed 1,454.5sq.ft. �``: bluestone patio with 215sq.ft. pergola; install approximately 730 linear feet of 8' high deer fencing and 252 linear feet of 4' high wood picket fencing with gate; and for a proposed bluestone fire-pit area landward of top of bhuff; with the condition that a Trustee will flag the I E- top of the bank; that the non-native plants b!e removed; to establish and perpetually maintain a T% non-turf buffer.area from the Ia.ndward edg?:of the bulkhead to the top of.bluff, as delineated : by the Board of Trustees; and as depicted on the survey prepared by Nathan Taft Corwin, III, Land Surveyor, last dated January 317 2017,1 and stamped approved on February 1, 2017; and „t . ty as depicted.on the revised landscape plan prepared by Derek N. Bosson dated January 5,2017, ;. and stamped approved on February 1,2017.1 'L I 1 IN WITNESS WHEREOF, the said Board of Trustees hereby caus s its Corporate Seal to be affixed, ` f' and these presents to be subscribed by a majority of the said Boa d s of this d ' a IL (/j John M.Bredemeyer III,President ��QF SOTown Hall Annex/yo Michael J.Domino,Vice-President ,`O l0 54375 Route 25 JG P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Charles J.Sanders O Y 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 1 st day of construction / Y2 constructed V Project'complete, compliance inspection TERMS AND CONDITIONS The Permittee Marc&Deirdre Sokol,residingat t 308 Park 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. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. John M.Bredemeyer III,President *®f s®��jyo Town Hall Annex l 54375 Route 25 Michael J.Domino,Vice-President L 0 ,per P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G ® Telephone(631) 765-1892 Charles J.Sanders Fax(631) 765-6641 �ycou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 14, 2016 Michael Kimack P.O. Box 1047 Southold, NY 11971 RE: MARC & DEIRDRE SOKOL 308 PARK AVENUE, MATTITUCK �SCTM# 19,00;123-7-7.3 :111 A .,.r . ,;, .L s Dear Mr`'KiMkk: - The Board-of Town Trustees took the following action during its regular meeting,held-on Wednesday, December 14, 2016 regarding the above matter: ' ' _';G" WHEREAS, Michael Kimack on behalf of MARC & DEIRDRE SOKOL applied to the Southold Town Trustees-for-a permit-under-the-provisions_of Chapter 275 of the Southold Town Code, the Wbtlarid-OrdinSAc"e of this Town•of•Southold, application dated September 27, 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 proposed structures and patios be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the as-built structures be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program policy 6.3 to the greatest extent possible through the imposition of the ' following Best Management Practice requirements: the issuance of a permit for the structures; and the installation of a non-turf buffer; 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 for the mitigating factors and based upon the Best Management Practice requirement imposed,above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of MARC & DEIRDRE SOKOL for the as-built 1,714sq.ft. wood deck attached to seaward side of dwelling; as-built 61.9sq.ft. hot tub on a 345.8sq.ft. patio, and 3' wide stone walkway from deck to bulkhead; install a proposed 16'x32' in-ground swimming pool; install a proposed 1,454.5sq.ft. bluestone patio with 215sq.ft. pergola; install approximately 730 linear feet of 8' high deer fencing and 252 linear feet of 4' high wood picket fencing with gate; and for a proposed bluestone fire-pit area landward of top of bluff; with the condition that a Trustee will flag the top of the bank; that the non-native plants be removed; to establish and perpetually maintain a non-turf buffer area from the landward edge of the bulkhead to the top of bluff, as delineated by the Board of Trustees; and as depicted on the survey prepared by Nathan Taft Corwin, III, Land Surveyor, last dated January 31, 2017, and stamped approved on February 1, 2017; and as depicted on the revised landscape plan prepared by Derek N. Bosson dated January 5, 2017, and stamped approved on February 1, 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, John M. Bredemeyer III President, Board of Trustees JMB/dd John M. Bredemeyer III, President O��OF SU(/jyol Town Hall Annex Michael J.Domino,Vice-President O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski ® Telephone(631) 765-1892 Charles J.Sandersy00UFax(631) 765-6641 � id�`(,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: WAS P�m 1 ag-SOKOL C/o AX iC4i4e_., Kt ftLAQ,,,1 Please be advised that your application dated s 27 20160 has been reviewed by this Board at the regular meeting of PL 1q_1 2-0l 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) 1 st Day of Construction ($50.00) '/2 Constructed ($50.00) V/ 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: too TOTAL FEES DUE: $ 500 BY: John M. Bredemeyer III, President Board of Trustees _ 1 n E �l V E 1.DFj 1 11 AN - 52017 ° Southold Town �Bgrd of Trusju _1 1 FEVrsfJ>-','rANLAZY 15,10170 1 Abbf.D 50UTA600-rHxS�� L,INi; OF TOPOP UfF • � 1 S 1=x�5i ft-u� r1 GCAL.F -36 ° &f�rP. ..� 'fj'1-` I � `duo pl paa rlwj � . o T©p P91pal r#&e? j3v 5 �V 1'1Vt'; �F,I�►ai�i� (!FI U ME OF toad{TVA 8WE9, op dg: MOf E L9.;,, NkftN .0 tom! P.1 cFC)A� LUES SND PAM 144 PtGs Z.°x- VE® BY- - BOARD 7 RUSTEES -=' SC fA)( ��' -t 23-07-'�.3 :.j TOWN OF OUTNOLQ �° DATE v� rt r 1 5°3NUE 1 '00" E 4. •..`e .d ..�:' .; ��K ANTE N 8 . . . . 20.1 • '1 •EDGE OF PAVEMENT •, i e d POLE #5 .FOUND .— GONG. MON. 792.00' TO MARRATOOKA ROAD FOUND792.00' N n Z ) e 0 • m m n • N Ur p d• �, SURVEY OF PROPERTY To m m WOOD STAKE SI T UA TE z \ 'NOOO BW ° MATTITUCK N TOWN OF SOUTHOLD � ) SUFFOLK COUNTY, NEW YORK Z,� m S.C. TAX No. 1000- 123-07-7.3 ) �j}Aa4 I SCALE 1 "=30' FEBRUARY 1 1 , 2014 JUNE 17, 2015 STAKE PROPERTY LINES 1 WOOD STA"E JUNE 15, 2016 UPDATE SURVEY sE OCTOBER 3, 2016 UPDATE JANUARY 31, 2017 ADD DRYWELLS • UgIU 5A POLE AREA = 84,979 sq. ft. (TO TIE LINES) 1 .951 ac. CE APPROVED BY P FEN •N ' I FENCE ) `Z BOARD OF I RUSTEES p6W 1 TOWN OF SOUTHOLD z. 1� CER TIFIED TO: }" MARC S. SOKOL DATE FinopVV, � C 4Q' -C WOOD STAKE DEIRDRE SOKOL 1 17 �I FIDELITY NATIONAL TITLE I SUR CE ERVI S L WOOD STAK ) p. d I m ° 1 NOTES: • 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM 6•e I EXISTING ELEVATIONS ARE SHOWN THUS: 15.0 3 I EXISTING CONTOUR LINES ARE SHOWN THUS: —— ——15—— —— ) F.FL - FIRST FLOOR 1 WOOD srAKE G.FL. - GARAGE FLOOR TB - TOP OF BULKHEAD SET BB - BOTTOM OF BULKHEAD STAKE TIN - TOP OF WALL WOOD I BW - BOTTOM OF WALL U4 • Irk► 4 ..._ 1 '•T I' j e N/0/F RIS • . FEB — 1 2Q17 , MELVYN MENSTEIN S � .•• i gR,Y9 2-55 EI • 7 UT1LTfY 50 T 8C MFOUND y f' POLE L.� o ._ _... . o p 0 r0 LnA A N e OE RO `vinHEDW 0 01 r m 5' » E rrr' FENGE °3 0o r� rr OrD p�1 y � ER Pa e Ut p`'d 0�POUSH y1D� P05T -n-4 O T 2.604• I ° t r= O!z rn o pROPOSED t , ,_ .• t. �' �` o r � Z • I DRNEb Ip`Y tI d•• P 1 e. �' o WOOD STAKE O �,Y o ° • •, • }'... d •. a•. .•c �•`. a `1 b~ =11 N ppr 1' t'n L d, •' •• `.•! d r'� STONE O <'• 1t bt-1 'Tl � . �O NSCO b POLE p FEB - 1 2017 __, ~� BJUESTONE O O •• .d �� WALK x� G A. DRYWELL . . -�• rI .-S1O��F �� — ZIL m 'y ��y. •. d I P�y�p, O _ y� Outhoid Town rn b • • Board of Trustpes gE ROOF OVER I ` • •' BLUESTONE STOOP _ £ S.. v I & STEPS _ PROP. WOOD PIGLET FENGE M-z p '. it ° P I 22.5' •' 4*!' 22.6 (7� PROP.GONG.PAD 1 j . d d• 40.3' q (Q' X C11) FOR SET I < •• w U4NITS WOOD STAKE R GOND. AIR GONG.UNITS O • A xrG WOOD STAKE i ° '' ; 1 STORY FRAME HOUSE & GARAGE ? o l I • . s X= UNAUTHORIZED ALTERATION OR ADDITION O ; • 4 13,3' ROP05ED \ TO THIS SURVEY IS A VIOLATION OF i0 {IOT TUB X1B2 \ � �1 SECTION 7209 OF THE NEW YORK STATE PRO}? ►^IOOD PIGKET FENGE l J 15.5' 8.3 �DRYWELL \ �j 40.3' �' EDUCATION LAW. r p 15 1 o f o 6 \\ COPIES OF THIS SURVEY MAP NOT BEARING CTI d - _ _o _ o 4 0 m ]Ct m - in �\ ��10 m17.66.8 PRO SE9Y THE LAND SURVEYOR'S INKED SEAL OR 10.0 100 -L" TO BE A VALID TRUE COPY. BE CONSIDERED I.O10.3 \� A \ r{ o B1•UESTONE PATIO 14.2' X f F EMBOSSED SEAL SHALL NOT 5 ' PROPO ED PR �D ENG CI =J T�ttq N 32,0' BLUESTONE PATIO 19.1 QED ��/�HE EES CERTIFICATIONS INDICATED HEREON SHALL RUN N :�•:`pROP05ED`::;::;': i� / X O p5T 51DC O ONLY TO THE PERSON FOR WHOM THE SURVEY a PROPOSED IS PREPARED, AND ON HIS BEHALF TO THE pL.:_: ;...... I ONE TITLE COMPANY, GOVERNMENTAL AGENCY AND rn 19.9 X1s.s y�pOD DEGK STEPS . \ X X I I LENDING INSTITUTION LISTED HEREON, AND S�tl 6G.0' 18.5 O X I I TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. 17 Z 43 6' CO— A WELL — I Z p DRYWELL ht. —I—I — m— —— —— —— — —— —X I THE EXISTENCE OF RIGHTS OF WAY 16. D p n cc188 AND/OR EASEMENTS OF RECORD, IF oD 51 X 0 I I; x,8.5 I ANY, NOT SHOWN ARE NOT GUARANTEED. WO \��x _ u? L \ I _ - -- -- G \ 'wooSET sTF�KE Q _ D PROPOSED ;-� POLI` \\ I 18.5 $Lt1E5T0L ` _\ \19.6 B(ISTING PREPARED IN ACCORDANCE WITH THE MINIMUM 14.3 FIRE WOOD WALK STANDARDS FOR TITLE SURVEYS AS ESTABLISHED 14— _ 10 —— -- 17.6 BY THE L.I.A.L.S. AND APPROVED AND ADOPTED - --'�-"— —Tap-GE SLOPES ——__ , — FOR SUCH.USE�8Y THE-NEW YORK STATE LAND 17— 15.2 _— —— — — \` TITLE SSOCIATION. NED ---11-- _- - --- - -- --- -- -- - - E_ _-- --- XS �\�� 18.3 SEDT�OaD 13.7fIif `• r —9 WOOD BULKHEAD I 7B ——— — — — — _ _ --— 1 12 TB TB 9,0 woo° TFI — TIP — —— Te ss �•— O 1 N BLKH. I STEPS WOOD BULKHEAD EXISTING CO 1.1'E. WOOD STAIRS J I 1 f?o r �(WOOD BULKHEAD I N.Y.S. Lic. No. 50467 — ——_ — I BEACH AREA FOR BATHING t WOOD BULKHEAD — — — — _ & BOATING PURPOSES — coo (DEEDED RIGHTS TO OTHERS) BLKH' Nathan Taft Corwin 2 '101N. N 85°18'09" W _ ' cn "IGH Wq�R MARK ry 95.371 A a 79•C ;N FE RUARY 11, 2014 HIGH WATER - _ _ Land Surveyor �V J APPARENT — Q 3 19,, W MARK — - - -- - -- -- — N Ue ZO Ut 110.20' S 88°01 '49" W tc o J W Title Surveys — Subdivisions — Site Plans Construction Layout80.99,G�EATPEC®NTC z PHONE (631)727-2090 Fax (631)727-1727 Ay rri OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 John M. Bredemeyer III, Presic„ fioS��FOtK�o� '..,. Town Hall Annex Michael J. Domino, Vice-President �� 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 . A Nicholas Krupski o A� Southold, NY 11971 Charles J. Sanders ti N- Telephone (631) 765-1892 x Y Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1-Nb Completed in field by: �• G®l�lsr.� Michael Kimack on behalf of MARC & DEIRDRE SOKOL requests a Wetland Permit for the as-built 1,714sq.ft. wood deck attached to seaward side of dwelling; as-built 61.9sq.ft. hot tub on a 345.8sq.ft. patio, and 3' wide stone walkway from deck to bulkhead; install a proposed'16'x32' in- ground swimming pool; in a proposed 1,454.5sq.ft. bluestone patio with'215sq.ft. pergola; install approximately 730 linear feet of 8'-high deer fencing and 252 linear feet of 4''high wood picket fencing, with gate; and for a proposed bluestone fire-pit area landward of top of bluff. Located: 308 Park, Avenue, Mattituck. SCTM# 1000-123-7-7.3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or,OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1'. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: 1 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/application completeness/comments/standards: �L Rccrn 40,12 p-C i;1y4 w�•fit-, S$roo;a� �c�.rar� Pool anj Aec�. Present were: ✓ J. Bredemeyer M. Domino `� G. Goldsmith �. Krupski C. Sanders Other Page 1 of 2 John M Bred'emeyer III PresidOgUFFO(,� Town Hall Annex Michael J. Domino, Vice-Presid'en $o� �Gy aj - 54375 Route 25 Glenn Goldsmith o ` P.O. Box 1179 . A Nicholas Krupskio Southold; NY 11971 Charles J. Sanders yy ao� Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Michael Kimack on behalf of MARC & DEIRDRE SOKOL requests a Wetland Permit for the as-built 1,714sq.ft. wood deck attached to seaward side of dwelling; as-built 61.9sq.ft. hot tub on a 345.8sq.ft. patio, and Twide stone walkway from deck to bulkhead; install a proposed 16'x32' in- ground swimming pool; install a proposed 1;454.5sq.ft. bluestone patio with 215sq.ft. pergola; install approximately 730 linear feet of 8' high deer fencing and 252 linear feet of 4' high wood picket fencing with gate; and for a proposed bluestone fire-pit area landward of top of bluff. Located: 308' Park Avenue, Mattituck. SCTM# 1000-123-7-7.3, 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 I 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 ! < ff y !�' ^. ./ 4_ '.tip �. !. p. �. •"arir.t "-� '' 'fit Y''� ;r., ��. •,11 f.`y,l�,'l 1 e ' r�j�� rs ,f ° ,��: � ♦�� � r, dp Ar j a•F AL Ir .+.. � `c y<.�s' _ - •� �'-�.:�,` -tI � y'••- '.� '�, f+r�+.�M�i,, -'-T L'a.: � .. T ° .i"i= � '.• I !• ,moi!%� ,� `��. \. - { I F"� ra.Y� S _:9i✓ ' — ." � 4. .. y If - �`�f � r�, '�• R' +� 1'c ! ..�t, 1 ° � �X: R !</,, `.it's". 'c �* ` f. /� -sl _. � "�, ,'*4y� fr.' � If,xL � .L�° sL '✓ a.\� 1�.'� ��`. y�yl. .'. w- '� / +� / rte. � �• ° l' r 4! J/. i Iv :- �'... 7J ' � l ��� . ;,f , � �`-'y. y .• ^.M, `r, , ; ,,. 4 JA �12/ 6/2 01 6 •124: 5.2r-'- ,•_ _ 4 1 1C. :z �,il'J�-.� �+� � i� � �."`* �� � :" .Tom--• ------. ,e , ..++ �_ - , _ , — - , ` - 12/ 6/2 01~6 12 , 52 ..A ` &Deirdre Sokol 1:Park � ., ' � 1000-123-7-7.3Avenue, �. i s Ali `• ►'. , -s - _�•4, i 1 �.�,�1 ��. •.: '� tii. :.»,�+rw - . z ,- ��--� v John M. Bredemeyer III, Presid oOSUFF0i't Town Hall Annex Michael J. Domino, Vice-Presiders �,� y 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 Date/Time: d i ���6 12',se, Completed infield by: G. Michael Kimack on behalf of MARC & DEIRDRE SOKOL requests a Wetland Permit for the as-built 1,714sqft wood deck attached to seaward side of dwelling; as-built 61.9sq.ft. hot-tub on a , 345.8sq.ft. patio, and 3' wide stone walkway from deck to bulkhead; install a proposed 16'x32' in- ground swimming pool; install a proposed 1,454.5sq.ft. bluestone patio with 215sq.ft. pergola; install approximately 730 linear feet of 8' high deer fencing and 252 linear feet of 4' high wood picket fencing with gate; and for a proposed bluestone fire-pit area landward of top of bluff. Located: 308 Park Avenue, Mattituck. SCTM# 1000-123-7-7.3 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: G�,cGGk an J ®� S�ne �cx"� �a v✓� � k'�C� P; by Present were: `� J. Bredemeyery1 M. Domino ✓G. Goldsmith v""N. Krupski ^� C. Sanders Other Page 1 of 2 ZZ-- John M Bredemeyer III, Presid �Og�fFOt C Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupski o Southold NY 11971 Charles J. Sandersy�jo ao� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Michael Kimack on behalf of MARC & DEIRDRE SOKOL requests a Wetland Permit for the as-built 1,714sq.ft. wood deck attached to seaward side of dwelling; as-built 61.9sq.ft. hot tub on a 345.8sq.ft. patio, and 3' wide stone walkway from deck to bulkhead; install a proposed 16'x32' in- ground swimming pool; install a proposed 1,454.5sq.ft. bluestone patio with 215sq.ft. pergola; install approximately 730 linear feet of 8' high deer fencing and 252 linear feet of 4' high wood picket fencing with gate; and for a proposed bluestone fire-pit area landward of top of bluff. Located: 308 Park Avenue, Mattituck. SCTM# 1000-123-7-7.3 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: L'WRP: 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 i Page 2 of 2 REYTmom I I I 61 1,-C), 11'-0" 32'-0" 10'-0" 12'-0• 4'-0„ -\ r 'J SKIMMER SKD.SMEA SKIMMERCC` ii J r 1• " I]''_O_OCI_-_a?' 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THIN SEF AND UMRETE SPECTRAL EPDXY GROUT(TO MARBLFDUST 21 SUPPLY,INR.SLL.AND ELECTRICALLY WIRE 0)PENTAIR INTELLICHLOR SALT. RETURN LINES WITH(2)VJ•NR H0,MMER EQUALIZER. SELECTION) CHLORINEGENEMTORKWWf PC100P.TVERCENTER KLY}1LTTO RUN SYSTEM AT STARTUP AND FOR 2B DAYS AFTER SPA IS RUNNING B INSTAWITH VALVE BOX IO ONTO OF PMR FUTURE REPAIRS TO SYSTEM 14 SPA ER USE HOOKUP TO WATER FILLWITH PNC WATER INJTALOPf WITH � WITH VALVEBO%TO LOCATE PIPE FOR fUNRF REPAIRS WATERIWEHOOK UP TOOVTDDEHOSE BIB(TO BEINSfALIED) 22 POOL CONTRA ROCOREVIEW f OOLON POOR SOIL ARCHITECT/ A ENGINEER!>D NOT CONSTRUCT POOL ON POOR SOIL O ~T 9(2 SET TE Y MAIN DRAINS ME A PJC WATER STOPSTd TOGETHER WfRI IS INSTALL 100 SURGE WIRING.LOAD CENTER 07 110 ATi 3D SYSTEMS (2) (!)WATERWAY I2'J(12'FAAME AND GRAM KRTERS AND 0)GEPLLIFLO UM WIREPA FILTIM(6)IONSYSIGHT(0 23 AROUNDCONTRACTORPOOL AND IS SPA AND D ALL E TO WORKING TEMPORARY FENCING HEATERS(p AND 3)IDATA CABLES SPA LER(6)PCX)LPS GR U AROUND POACTOR SPA ANDALL WORKMG IREDUNSTORUNSYSTFM 10 STOPS SIUTRETURNSON DEEPEND OFPWLWRH WC WATER PPA LIGHT,AND SPA. MYADINSTALL !SPA SI EPUMPS GROUND POOL CONTRACTOR SHALL ALSO SUPPLY REQUIRED UNDERWRfRERf STOPS AND D)JANDY NEVERLLIBE VALVE POOL STALL.AND P OGRA AND INSTALL 0I INT RFA CONTROL OL SUPPLY CERTIFICATE, MRALLANDPROGRAMALSTAND ARDINTERFACEEW POR CONTROL DRAWN MHlMS It OVERFLOW DRAIN TIUFD INTO DRYWELL VIA AUTOMATIC FILL. USEPANEL PAN%.CONDUIT F INSTALLED AND BASEMENT OFN ALLWIFHOUfE , SCALE- 114--l.0' USE USE WC CONDUR FOR POOL AND SPA LIGHTS WITH ALL WINNG � JOB temM pL- 4� NG 22,iBi6 �.- SHEET NUMBER. A-1 N 85°31PARKA E s •:° A . VENUE 10011 20.14' DGE OF PAVEMENT pO1 E t5 co4c MON. ROAD —� 792.00'70 MARRATOOKP FOUND PIPE m r � r � Z ° Z m N Ln_ m 0 0' SURVEY OF PROPERTY R SITUATE o. MATTITUCK ss0 TOWN OF SOUTHOLD OZO SUFFOLK COUNTY, NEW YORK S.C.TAX No. 1000-123-07-7.3 SCALE 1"=30' FEBRUARY 11,2014 AREA=84,979 sq,ft. (TOTIELAt 951 ac. UTRtfY • ` PDLE�sa �Py of O N FENCE PlASTK� m O FENCE p8w < CERTIFIEDTO: MARC S.SOKOL DEIDRE SOKOL FIDELITY NATIONAL TITLE INSURANCE SERVICES LLC 0 f 0 0 0 0 & EN N05TE1N PSE SB 255.97 F01111111111 u4D m %PE O p 00 [] A Z o R' f O o -n n g ""GEROw =TU m Y ° 35,p01,E Tp o� N 7 H /-PMP r T` Z Y POST O 0 26'4 O O ENCE 7f i T a o � �0 E L A O om SEP 2 7 2016 o m p O O ,,. TY OIL&STONEDRNE.NPY OOT POLE05C Y C BELGIAN OLOC o outhoid Town UTE o N WALK BELGIAN BLOT-KCURB N T 0g Z OOF OVER r SUTE STOOP &STEPS a 15 3' 22 S' 226 40.3' 3I AIR COND. a UNITS = = gUNAUTHORIZED ALTERATION OR ADDITION 1 STORY FRAME HOUSE&GARAGE AO�t TOTHI5 SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Q = EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING 40T 151' THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CON51DERED TO BE A VALID TRUE COPY. 10.0' CERTIFICATIONS INDICATED HEREON SHALL RUN ON YTOTHPREPARED PERSON FOR WHOMTHETHE EY wry ; 15 PREPARE DANUON HISERN BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND '' r,,:- ..ti. LENDING INSTITUTION LISTED HEREON,AND " NSTI 4 . TO THE.CERTIFICAES TIONS I THE LENDING ANSF TUITION.CERTIFICATIONS ARE NOT TRANSFERABLE. - 0 WELL THE EXISTENCE OF RIGHTS OF WAY T AND/OR EASEMENTS OF RECORD,IF ANY,NOT SHOWN ARE NOT GUARANTEED. UG POLE £ PREPARED IN ACCORDANCE THE MINIMUM g STANDARDS FOR TITLE SURVEYSEYS AS ESTABLISHED O BY THE L.I.A.L.S.AND APPROVED AND ADOPTED 4 FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION Ly'". 0.4 0 411 BLKH 1J µ000 BULKHEAD WOOD BULKHEAD OL. B OOD B— STEPS 0A N WOOD W. f -3 LKS STEPS 8 .l 11•E D BULKHEAD G N.Y.S.LIE.No.50467 0 BEACH AREA FOR BATHING OOD BULKHEAD &BOATING PURPOSES c (DEEDED RIGHTS TO OTHERS) BLKH 1.0'W Nathan Taft Corwin III 90 Z � TIE LINE gLOf,IG Land Surveyor N 85°18'09"W a 95.37' ON FEBRUggy 1�1��4ENT HIGH WgTER MARK ' HIGNWq�R MARK O � N 79°53'19"W w 110.2 ' S 88°01'49"W L � 0 4 m 7itleSurveys .Subdivisions — Site Plans — Construction you 80.99' PHONE(631)727-2090 Fax(631)727-1727 GREAT PECON/C BAY OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O.Box 16 Jamesport,New York 11947 Jamesport,New York 11947 34-013 • w 0 0 � i• r� to Goosle earth feet 200 meters 180 Marc&Deirdre Sokol 308 Park Avenue,Mattituck SCTm#: 1000-123-7-7.3 11/9/16 ArgAw " - j i t % . I i Marc&Deirdre Sokol 08 Park Avenue,Mattituck CTM4: 1000-123-7-7.3 11/9/16 F All IMP Twl _ ',,;yam�''"•?6 .�+r. _ ' . , �A�� � .:.�r - '���,._ !-�•t•r ,r�>sk�w�!i'#�r�0�fatly�'AI�d�� ^' _ - - _ .. _ "'- C:� .r;� ^!' ,c. _ .. r''L,' tis .� q :r�'�. - - -��- •�' - a .. .-, r tiGT q 40 ti ���, c. ,� ��� •�� syr t/^.,_, ., �' '�-�_ ' . _- .� `- - -_ ,`" _ - -- � ~r. +a• .*, a'r' ."t.�.r .ate� � /• �' Ir I�{i / �, � - .:F ``• a.e '�1..�r„ _ _ ��� r w� 'r• \ cam. NIZ 3 x a,;/ ►�, ���,`,, �1'. x� � •aye�. �+n � Pii- AW ply l ffi Qrn O o wp ..# F ) 1 [d " d " � e � �J 11,E 1• b p "- a 1 1 • v e <n A � �� A 1 •SAY• , , i MH 6 u1l 1 p0. tic STONE�R d 1 , %00% �1,OC^4URH t �9 u, • • A �9b SLATE . � � d ' g�GWy gIOCK CURB WALK in a • • , • .' ROOF �p4 OO] Ao SLATE OP STEPS So , A s- 15.3 N •d j' • 1 ro 22.6 i u 22.5 PROP.GONG PAD 1 d (9' GONG. • • •d. • 4b 0.3• AIR UNITS(3) AIR COND. n O SEr U14 x g e A A -0 wpoo7� °A a Q P ; 1 STORY FRAME HOUSE & GARAGE a �� O Q 0={Z 1@4x� 7a CC ` Z 43 x t�—1 O i ROP ED (Q 0 v, 0—(3 e d e J <.' a • d 40.3• rJ � 15.5• 8.3JHOT TUB a Op 11� 15.1 t 9.8 O` tJ Q L-------- _ Ifo 't�2,o7.66.8 I O' — 10.0' it ,p 10.0' 19 10.3' 6 TONE PATIO x r< Z4 2' �pPOSED x� x STONE PATIO/S is i x kv 0 pROP05ED �- h � .POOL• - x is s PROP K 5TEP5 A - x O ni xD% -� C rn -p rn I I WELL—.*ir , WpOO 51AKE 0 Vc' t71 Vx-LZ`2 `A I I� � x1B.� 0 ym x f101 x I I FAG O j& r POLEul d t!J in j j] H. ^I I TOP OF SLOPE �¢ u w a 1 1.3F. m 1 I 15.1 Q m r, cam PROPOSED MOOD PICKET FENCE 13.7 x I TH V ON WOOD BULKHEAD I 1H B 07 BLKH. I wSTEPS w•{i0u J 1.,•E- I t1) gfswP4xlritl� � I Y.. .,. ._.-. '— -- -`- :..�str:8'-ss`a*ate.- sas- ., � _ ., __ -s• -._ k"m ,4�`�-'� ���� JJlB �' .+'• r t + ' ^d`f •- � gam. i we.. (1)Sokol Residence Taken June 17,2016 Looking WNW TEN In n� _. _. In .A --tT, (2)Sokol Residence Taken June 17,2016 Looking NNW M _ oil OR i (3)Sokol Residence Taken June 17,2016 Looking West f>* 77 (4)Sokol Residence Taken June 17,2016 Looking SW �•1i a • I L F_t 4 a I . ., ,�./ y ••,� � � aye. 4� � ,�; ��. � -. 1 . 'rte j l - 1�� �l'r.,��� �� . .. �♦* - 4lo► i d P J ��T^_ � �__lp}-fes' �-• +r ' �� , .� .. Rp- Mfg C:N - t t Alla.•-? ,�.. ��.3 f\�V��I'�1'.1'� ' ���`..ff��di��.•`�NV�M '�I��,'���A��II�', ��lij'i�'��' �� �L1 '.�.� � , . 1 . ';;!�its ,S ',V rr � ,`.�.f„��' � .. � •: � Y I . ��4• n�J s :11.'x. ••1f � ✓� - 1 • � y .� 1 1 � At 7f fo r 't 411 z 'L 00, L .•,r . -r x 1 �'�&rjq� mow,- � .t ��,c i •r ,� ,,,` ..r . 1 ++r t{ �� f . 4�1. K• a �.. .�"�• � - �,.:�.tit 1 _ _� � � } ^+1..F. -_�' ♦�&• •moi � f- 1 . •R. � rrs y Y �i FOR-1 SEE SEC NO tZm.) 11 FOR PCL.NO r 7 SEE SEC N So�OLD 70M OF 122-05� AG al� Z2 2 I-- U2 35 A.) 45 1 47 413 8,3 "011 4 25 53 7) 221 -2 1 11 123 Ik O A6 BPI', 62, es SECTION NO wpwN of COUNTY OF SUFFOLK K SOUTNOI NOTICE 123 �a®r Real Property Tax Service Agency Y —E M L EwtwuA PROP G ——————- P E N D ----3 U UW;I C0150��-72- )7 33 n, 4 OFFICE LOCATION: ®ur�®�® 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 . CO � Fax: 631765-3136 U ' LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To:, John Bredemeyer, President �c�5 e" Town of Southold Board of Trustees G ( n 'Hol) I T From: Mark Terry, LWRP Coordinator de- i Date: November 15, 2016 Re: LWRP Coastal Consistency Review for MARC & DEIRDRE SOKOL SCTM# 1000-123-7-7.3 Michael Kimack on behalf of MARC & DEIRDRE SOKOL requests a Wetland Permit for the as-built 1,714sq.ft. wood deck attached to seaward side of dwelling; as-built 61.9sq.ft. hot tub on a 345.8sq.ft. patio, and 3' wide stone walkway from deck to bulkhead; install a proposed 16'x32' in- ground swimming pool; install a proposed 1,454.5sq.ft. bluestone patio with 215sq.ft. pergola, install approximately 730 linear feet of 8' high deer fencing and'252 linear feet of 4' high wood picket fencing with gate; and for a proposed bluestone fire-pit area landward of top of bluff. Located: 308 Park Avenue, Mattituck. SCTM# 1000-123-7-7.3 It is my recommendation that the as—built structures are INCONSISTENT with the below listed Policy Standards and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The structures were constructed without a Board of Trustee permit. The proposed structures and patios are recommended as CONSISTENT provided that: 1. The Board requires that the 15' wide non-turf buffer be amended to a vegetated buffer that includes the existing vegetation to provide greater function and value. All buffers should be required to be shown on plans. 2. Verify compliance with Chapter 236 of the Southold Town Code. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. tg+6fFOJ,�C�� Peter Young,Chairman ti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., November 9, 2016 the following recommendation was made: Moved by Greg Williams, seconded by Peter Young, it was RESOLVED to SUPPORT the application of MARC & DEIRDRE SOKOL for the as-built wood deck; proposed pool, bluestone patio with pergola and proposed hot-tub with patio. Approx. 730 If. of 8' deer fence and 252 If. of 4' wood picket fence with 15' gate at driveway entrance, and 3' wide stone walkway from deck to bulkhead. Located: 308 Park Ave., Mattituck. SCTM#123-7-7.3 Inspected by: Peter Young, Greg Williams The CAC Supports the application with the Condition the drainage system for the pool is depicted on the final site plan. Vote of Council: Ayes: All Motion Carried BOARD MEMBERS ;y_ r 4' Southold Town Hall ®� SO(/r/y 53095,Main Road•P.O.Box 1179 Leslie Kanes Weisman,Chairperson O h® l0 Southold,NY 11971-0959 Eric Dantes > [ Office Location: Gerard P.Goehringer Town Annex/First Floor,Capital One Bank George Horning ® �� 54375 Main Road(at Youngs Avenue) Kenneth Schneider CQ(fyr(,� Southold,NY 11971 ` http://southoldtown.northfork.net RECEIVED n ZONING BOARD OF APPEALS _y } TOWN OF SOUTHOLD OCT 2 4� 216 � �x,C� OCT 2 4 2016 l� Tel.(631) 765-1809•Fax(631)765-9064 C.L outhold Town Clerk Souti�oi�iowi� I Board f T INGS,DELIBERATIONS AND DETERMINATION MEETING OF OCTOBER 20,2016 ZBA FILE: Marc and Deirdre Sokol NAME OF APPLICANT: 6992 PROPERTY LOCATION: 308 Park Avenue, Mattituck,NY SCTM 1000-123-7-7.3 SEQRA 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 Sept. 2, 2016, 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: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated Sept. 26 2016. Based upon the information provided on the LWRP Consistency Assessment Form submitted, as well as the records available, it is the LWRP Coordinator's recommendation that the proposed action is CONSISTENT with LWRP policy standards; and therefore is CONSISTENT with the LWRP. PROPERTY FACTS/DESCRIPTION: The applicant's property iss-a 84,979 sq. ft. flag lot parcel in the R- 40 zone. The northerly lot line measures 255.97 feet along an adjacent residential parcel. The easterly lot line lies along a private right of way, owned by the applicant, measuring 20 feet wide and approximately 600 feet long, spanning the distance between Park Ave. and Peconic Bay. The southerly lot line abuts Great Peconic Bay, and the westerly lot line measures 242.77 feet along another residential parcel. Because this waterfront property is also a flag lot accessed by a private right of way, it is characterized as having two front yards. The property is improved with a new single family dwelling, under construction, with a proposed swimming pool, a pergola, and a hot tub as shown on the survey drawn-by Nathan Taft Corwin III, Land Surveyor, last revised October 3, 2016. BASIS OF APPLICATION: Request for Variances from Article III, Section 280-15; Article XXII, Section 280-105C(3), and the Building Inspector's July 8, 2016, Notice of Disapproval based on an application for building permit to construct accessory structures and erect a deer fence, at; 1) proposed C , Page 2, October 20,2016 #6992, Sokol SCTM No. 1000-123-7-7.3 additions located in other than the code required rear yard, 2) proposed deer fence located in other than the code permitted side or rear yards. RELIEF REQUESTED: The applicant requests a variance in order to construct an accessory swimming pool, pergola, and hot tub within non-conforming side yard areas, and a second variance in order to construct deer fencing along a front yard area where it is not permitted by Code. ADDITIONAL INFORMATION: This property was the subject of a two lot subdivision granted by prior ZBA Appeal No. #2017, dated April 10, 1975 and prior owner received variance relief from the Board to install an in-ground swimming pool located in other than the rear yard by Appeal No. 4779 on March 2, 2000, FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on Oct. 6, 2016, at which time written and oral evidence were presented. Based upon all testimony, documentation, personal inspection of the property and surrounding neighborhood, and other evidence, the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law §267-b(3)(b)(1). Grant of the variance for the non-conforming side yard locations of the proposed swimming pool, pergola, and hot tub will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The closest neighbor is west of the applicant's property, with a new house under construction several hundred feet away from the applicant's house. The applicant's property is shielded from view by an established hedgerow surrounding the parcel on all sides except the waterfront. The applicant will extend the hedgerow to add to what already exists along the western lot line. Grant of the variance for deer fencing constructed along a front yard area will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The proposed deer fencing will be located about 300 feet away from Park Avenue, and will be positioned along the inside of the hedgerows that surround the property on the north and west property lines, in order to diminish any visual impact. The majority of the fencing along the water front property line is proposed at 4 feet ,in height; and the proposed fencing along the easterly line is to be located along a private R.O.W. owned by the applicant, that permits deeded beach access by foot only to three other homes. 2. Town Law §267-b(3)(b)(2). The benefit sought by the applicant for the construction of a swimming pool, pergola, and hot tub cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance because Code requires the placement of accessory structures within a rear yard location. The benefit sought by the applicant for the construction of deer fencing in the front yard area cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance because deer fencing in a front yard area is not allowed by code. 3. Town Law X267-b(3)(b)(3). The variance granted herein for construction of a swimming pool, pergola, and hot tub in side yard areas is mathematically substantial, representing 100% relief from the code. However, due to the fact that this property has two front yards, and the location of the driveway and septic system, a rear location for theses accessory structures is not practical. The variance granted herein for construction of deer fencing in a front yard area is mathematically substantial, representing 100% Page 3, October 20,2016 #6992, Sokol SCTM No 1000-123-7-73 relief from the code. However, the fencing will be setback a minimum of 300 feet from Park Ave. The entire length of the deer fencing will be shielded from view by the hedgerow, existing and to be planted, that will surround this property. 4. Town Law &267-b(3)(b)(4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. 5. Town Law §267-b(3)(b)(5). The difficulty has been self-created. The applicant purchased the parcel after the Zoning Code was in effect and it is presumed that the applicant had actual or constructive knowledge of the limitations on the use of the parcel under the Zoning Code in effect prior to or at the time of purchase. 6. Town Law X267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a swimming pool, pergola, and hot tub located in side yard areas, and deer fencing located in a front yard area, while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Horning, seconded by Member Weisman (Chairperson), and duly carried,to GRANT the variances as applied for, and shown on the survey drawn by Nathan Taft Corwin III, Land Surveyor, last revised October 3, 2016 and architectural floor plan sheet No. A-1 as prepared by Mark Schwartz, R.A. dated September 22, 2016 SUBJECT TO THE FOLLOWING CONDITIONS: 1. The location of the pool, pergola, hot tub and deer fence are subject to approval by the Southold Town Board of Trustees. 2. Pool mechanicals shall be placed in a sound deadening enclosure. 3. Drywell for pool de-watering shall be installed and shown on the survey. That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued. Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variance(s) granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. i Page 4, October 20,2016 " #6992, Sokol SCTM No. 1000-123-7-7.3 Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may, upon written request prior to the date of expiration, grant an extension not to exceed three (3) consecutive one (1)year terms. Vote of the Board: Ayes:Members Weisman (Chairperson), Dantes, Horning, Schneider(Member Goehringer not present). This Resolution was duly adopted (4-0). Leslie Kanes Weisman, Chairperson Approved for filing �Gr/ //2016 John M. Bredemeyer III, President '�. Town Ball Annex Michael J.Domino Vice-President g 54375 Main Road ' ?.a s P.O. Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee c ; Charles J. Sanders Trustee ° ` ick Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only � s oastal Erosion Permit Application Wetland Permit Application SEP 2 7 206 ` Administrative Permit _ i / Amendment/Trans r/Extension 1/ Received Application: �Z�� outhoid Town Received Fee: $ AJCBoard of-Trustees Completed Application: __®11 y A Incomplete: ,SEQRA Classificai 'Type I Type 11 'Unlisted Coordination:(date sent): �LWRP Consistency Assessment Form: 7 CAC Referral Sent: VDate of Inspection: 1 t -__ Receipt of CAC Report: Lead Agency Determination: Technical Review: _Public Hearing Held: aC� Resolution: Name of Applicant: �,?C J-Q®Lo L Mailing Address: ?01? ,PARe 14YT47-r1 ak�, M Y Phone Number: Suffolk County Tax Map Number: 1000 - /a 3 _ 7— Property Location:----?0 A y T; rovide LILCO Pole#, distance to cross streets, and location) AGENT: .,�...._.-,.�._�,f�!����____.,�• f`/M�ClG -_..�...._.�...� ' (If applicable) Address _ _ _ .._..-..- Bx_ 7 _ P OU�j�ISL�-r_/V.- YZ1971 ' � Phone: ...> Q 7 (� Board of Trustees Applic, i,on GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions on property? Yes .-X—No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? )<' Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes __X No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date &4_1 Vi- 7Rn4F.GS I'mY 4 Nd- No prior permits/approvals for site improvements, Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: IV Project Description(use attachments if necessary): 7! !p-P YC'/L 117141'PJ c._r� r. .ILU�./7�"oN� WIN ACT60ZA 11, 45-4.3-.AP- Ar- , A/D r rV45 UJ/77V ��7-�6 X9.46 8 AV,. , AP��e 9X, ��� L1N. �� of 4X /X 7?; Board of Trustees Applic, ,on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: �'oJ2 rNZ:- ,,sCiV rOYHl5Av7- DvC aUTO 0,05e 4 e 7-1111 77,5s' ,4f✓D 7-0 ail Area of wetlands on lot: O square feet Percent coverage of lot: O % Closest distance between nearest existing structure and upland edge of wetlands: �lf n feet Closest distance between nearest proposed structure and upland edge of wetlands: 0� feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated?,___ /„ -d cubic yards 1 (,Pei Q1-) How much material will be filled? /0 cubic yards ¢� 00 L) Depth of which material will be removed or deposited: feet f/Pr/ OZ) Proposed slope throughout the area of operations: -< 70 Manner in which material-will be removed or deposited: RAC/LJ-1D,E "04 W 7-0,L a,ll�''—, iY1, 014��� l�N1� �l/��' ZU cle 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 Appendix B Short Environmental Assessment Fornt tnstructions 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 finding,are subject to public review,and may be subject to further verification. Complete Pail 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: Project Location(describe,and attach a location map): 14----------------------- Brief'Description of Proposed ActionAr�U`L WQCYP r/6 //7 AQ IT }:jT,)t �f2 6I D w/�,� l� 8L vt�'citi�����o i� P�.C'Go��/,qs �•�� pL� Pi�?o1�a1 d�0,�",SUB LT F Z� ;fid" V AI vvoop P/C/<erF,--0a!/cse �}1°f'2oD�: 7a el,V. r A' -eU% CJs Name of Applicant or Sponso : `• ` Telephone: tZa Address: a. oX City/PO: State: Zip Code: fa 0 7-�.a�__ ._... �v�!__ -_... ..197 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 FJ 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: ❑ ?aVl/rN G AM O/C APY�F-#4;- ,BUl�OJit/C> r°�/ZiyiJ3' 3.a.'Total acreage of the site of the proposed action? _f•— .�/ acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned / �Jr/ or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and neat the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial Residential(suburban) ❑forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 i 5, Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? _0 b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built of natural NO —YES landscape? ❑ �( 7. Is.the site of the proposed action located in,or does it adjoin,a state listed Ci itical Environmental Area? NO YES lfYes,identify: © ❑ 8. a.Will the proposed action result in a substantial,increase in traffic above present levels? NO YES ❑ b.Are public transportation service(s)available at or near the site of the proposed action? {� ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? �J ❑ 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 tcc�o ogics: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water:— Bell I�i� �� (-1 ❑ 11,Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. it. Does the site contain a structure that is listed on either(lie Stale or National Register of I listoric NO YES Places? ® Elb.Is the proposed action located in an archeological sensitive area?d? ❑ 13.a.Docs any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodics regulated by a federal,state or local agency? El n b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? w❑• 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 CZ Subut ban 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 of endangered? [� 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? _ L.__I_ NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ]NO ❑YES F1 El b.Will storm water discharges be directed to established conveyance systems(runoff and store drains)? If Yes,briefly describe: WNO ❑Yrs Page 2 of 4 I ) 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water o-other liquids(e.g. retention pond,waste lagoon,darn)? If Yes,explain purpose and size: 19.I las the site of the proposed action or an adioining property been the location of an active of closed— NO YES solid waste management facility? I f 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 wasteT If Yes,describe; ® 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: -- Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part 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"I lave my responses been reasonable considering the scale and context of the proposed action T" 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? —w 3. Will the proposed action impair the character or quality of the existing community? a EL 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CF.A)? 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, o 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)? (—J Page 3 of'4 ^' No,or Moderate small to I'l rge impact impact may May Occur occul 10. W i I I the proposed acti on reSU I t i n all i nerease i n t lie poten tial for eros to n,flood i ng or d rai nage problems? [21 El 11. Will the proposed action create a hazard to environmental resources or human health? 121 El Part 3-Determination wfsignificance. The Lead Agency isresponsible for the completion of Part 3. For every question inPart 2that was answered"moderate tolarge impact may 000ur",orifthere iuuneed mexplain why aparticular 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 tnavoid orreduce impacts. Part 3should 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 nkort-tnrm. long-term and cumulative impacts. RCheck this box if VOU have determined,based oil the information and analysis above,and any supporting dOCUIllentatiOn, Vt ,t the proposed-action may result in one or more potentially large or significant adverse impacts and all environmental impact staternent is required. Check this box if you have determined,based on the information and all I sis above,and ally Supporting documentation, that the proposed action will not result in any significant adverse envii on entaViimpacts. Town Of Southold-Board of Trustees Niarne of Lead Agency e President PrintorType anieofi-Repsibl 'corl in Lead Ag yen CY Title of'Responsible Officer . 1 1, 0 espol 11 clIc -er(if different from Responsible Officer) `~ �oSUFFoc,��o�, Town Hall Annex John M. Bredemeyer III, rresident G Michael J:Domino, Vice-President `�� y< 54375 Route 25 s:a Glenn Goldsmith P.O. Box 1179 A. Nicholas KrupskiSouthold, NY 11971 Charles J. Sanders 'ol �aTelephone (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 MARK& DEIRDRE SOKOL 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, /L I CA?A61- residing at/dba Q A$6e /0q7 being duly sworn, depose and say: That on the 2 day of A1011 , 2016, 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,November 16,2016. Dated: !'l�C��zl�� (signature) Sworn to before me this day of Yb✓ 204a Notary Public DIANE DISALVO NOt+4RY PUBLIC-STATE OF NEIN yORN No. O1 D1476593 ®Uolifled In Suffolk County MV Commission Empires April 30, 20 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: it3 l-✓ G�DRGE �OG/l•S�A/ �rr/V.'/cE-zz4rY / o/ �,�,ex A vim/ NY Al.S/ l o `Z3-/-6 CG R/f.•C'/ ®G i2�/G C/YT/ZUS'!' /.J 7 y�/��/Vx'L/�/ a��.� J'715 /a o a z3 3 zxy i 23 7- ` IlF4 V VA/ /1 4VIT 2 7 Z PAIVIZ AW;# '*7'47-17 yv C,/C, /U•Y. Y/44o66_,t) -Y. ulAn/r..�v STATE OF NEW YORK COUNTY OF SUFFOLK W A "A4,4 V, , residing at )P, O. ,*Ox 1047 fO6Z&&-jl; N•Y. !/?7l , being duly sworn, deposes and says that on the _day of Vp l/, , 20L(._, 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�M 07V IW , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. f Sworn to before me this f Day of IfOVej2-0-/&- 19 0/19 i I Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. 01151475593 Qualified in Suffolk County My Commission Expires April 30, 2019 U.S.,Postal Service" F ■ D ■ co■ Domestici CO Only: nj Domestic Only nj m m °NE BYO Yur ( Y 110373 AFLDL P1kKrr lY(C1401 .� L U'=3 rLJ Certified Mall Fee - ru Certified Mall Fee $3.30 C 471 = $ $3.30 _ 0971 Ln $ 03 Ln - 157 Extra Services&Fees(check box,add fee a t)' \ Extra Services$Fees(checkbox,add fee p - r- V J ❑Return Receipt(hardcopy) ❑ Return Receipt(hardcopy) $ . 41ti ,"$ r9 '',)'�'�I'b, , i t ❑Return Receipt(electronic) $ V, Q f 3 ❑Return Receipt(electronic) $ I I Ctn rk 11-3 ❑Certriled Mall Restricted Delivery $ Q I I��'H ❑Certified Mall Restricted Dellve $ �' !�' q PW,!f ry ,�I,�i IPI^ 1 � ❑Adult Signature Required $ tl',131jj�i iC3 El Adult Signature Required $ j'1, Q 'I ,i I,(4t11 �� I I []Adult Signature Restricted Delivery$ P�.•S 'As 1=11J ❑Adult Signature Restricted Delivery$ ,'kI l,�I �' [� Postage i, cc 61'.1,. 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O ox -Al oro. - - ----------------- Crt);State,ZIP+4 --- -- ------------------- I j _ :rr r rr •r•• I PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: J 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 MAIURETURN RECEIPT. i Sworn to before me this Day of , 20 i i i Notary Public ---- ' H A 'KING NUTILL Ulm t 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: MARK & DEIRDRE SOKOL SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the as-built 1,714sq.ft. wood deck attached to seaward side of dwelling; as-built 61.9sq.ft. hot tub on a 345.8sq.ft. patio, and 3' wide stone walkway from deck to bulkhead; install a proposed 16'x32' in-ground swimming pool; install a proposed 1,454.5sq.ft. bluestone patio with 215sq.ft. pergola; install approximately 730 linear feet of 8' high deer fencing and 252 linear feet of 4' high wood picket fencing with gate; and for a proposed bluestone fire-pit area landward of top of bluff. Located: 308 Park Avenue, Mattituck. SCTM# 1000-123-7-7.3 TIME & DATE OF PUBLIC HEARING : Wednesday, November 16, 2016 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Board of Trustees Applic, .oa AFFIDAVIT 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. /bo't - &U Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF A/" . , 20 Notary Public MICHAEL A.KIMACK NOTARY PUBLIC,STATE OF NEW YORK Registration No.02KI5056823 . Qualified in Nassau County : Commission Expires March 11,2019 Board of Trustees Appli - ion AFFIDAVIT 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 CONSERVAI'ION'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, Ze—Signature of ProperWOwner SWORN TO BEFORE ME THIS DAY OF—yLy,4 y , 20f MIC EL A.KIMACK NOTARY PUBWC,STATE OF NEW YORK Registration No.02K15056823 Qualified in Nassau County Commission Expires March 11,2018 Board of Trustees Applic Lon AUTHORIZATION (where the applicant is not the owner) I, _ ...., /✓ f�.,�� �Q�O� residing at��0�, V� (print name of owner of property) (mailing address) P f_572--do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) Board of Trustees Apply :ion AUTHORIZATION (where the applicant is not the owner) residing at (print name of owner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRCSENTATIVE TRANSACTIONAL DISCLOSURE FORM The'Town of&uthold's Code of Ethics.pmhibils conflicts of interest on the part of town ofacenvand empfaXees 'file Purpose of tilis form'oto provide infor£mnion which eat)alert the town of nnss)hle conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name,first name,4iiddle initis al,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 yourcompany,spouse,sibling;parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood„ntarriage,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 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 shaves of the corporate stock of the appiicunl (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)art officer,director,partner,or,employce of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this_�Z da of_�' 2w Signature Print Name C' A lelb Rt e t Form TS 1 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart of town officers and emplovees 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. S. YOUR NAME : tr S'D.L�QL. (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.) 'D e TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit_ Variance )el Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) - Planning 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 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 that 5% of the shares of the Orporate 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 day of H ,201-k Signature S. Print Name CaL r ^1 i J � l , Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and'adverse effects upon.the coastal area.(which includes all of Southold.Town 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 mast be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF'SITE AND PROPOSED ACTION SCTM# PROJECTNAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ BuiIding Dept. Board of Trustees Und 1. Category of Town of Southold agency action(check appropriate"response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g• grant,loan,subsidy) (c) Permit,approval,license,certification: Ful ini Nature and extent of action: iQJ',BP/L� WP L9,0AFM&`/7/ /'Q A0, p�d��)6110 poOL .22- • PQJYFV Al- A—9: pArzo 4,�I. "4JV,9- ��ivC6 P11?6 P 4 AP,Rb/Z.�',� ��= w��� f➢-�,� GtJ d �• ��- 3 6e q Location of action: 604- 44112 .91/.x. D7/,,7"J�f�,/�//�,�Z- Site acreage: X Present land use: 77A 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: ,�� ,��jfj,�� p6je6 L (b) Mailing address: � _ .. ��._ ._ V, � � z (c) Telephone number: Area Code (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No 4J 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 LVVRP Section III—Policies; Page 2 for evaluation criteria. Yes ❑ Ivo ®'Not Applicable w n D __ > B 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 1:1 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 0 No ❑ Not Applicable ono n 6,V164 i✓o Dr IVA&e v� aw �v u •�� 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 AV i� 94/ Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the 'Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria F] Yes ❑ No V1 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 Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ ,� Yes No Not A' pplicable 7-A&6 '012LIJOL" ZZ j-M Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LW RP Section III — Policies Pages 32 through 34 for evaluation criteria. E] 'Yes F] No X Not Applicable Attach additional sheets if necessary Policy S. 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. 1:1 Yes F] No LFRI 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. F-1 YeO Non 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. ]�F"JJ Not Applicable n,Yes ❑ IVo 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. nn Yes �__.1 No M Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. Yes � No 0 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. ElYes ❑ No 10 Not Applicable PREPARED 13Y TITLE�� DATE �/6