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TR-8957
�QF SOUTy Michael J.Domino,President Town Hall Annex�O� Ol0 John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith �l ® yo Telephone(631) 765-1892 A.Nicholas Krupski yC®UN Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed V/ Project complete, compliance inspection .................. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8957 DATE.- FEBRUARY 15 2017 ISSUED TO: JOHN & MARGARET KREPP & RICHARD & DOROTHY ROM PROPERTY ADDRESS: 1235 ISLAND VIEW LANE, GREENPORT SCTM# 1000-57-2-42.8 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in • accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 15,2017 and in consideration of application fee in the sum of$250.00 paid by John&Margaret Krepp&Richard&Dorothy Rom and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove existing 4'x30' with 8'x10' fixed catwalk and platform; and replace with a proposed 4'x28' fixed catwalk with a 10'x12' fixed platform at seaward end for an overall length of 38',and using Thru-Flow decking on the 4'x28' section over the vegetated wetlands; with the condition to use Thru-Flow decking on all surfaces; and as depicted on the revised site plan prepared by Jeffrey Patanjo dated February 21, 2017, and stamped approved on March 3 2017. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. j vdF F91 A. 41, 4V1 TERMS AND CONDITI®NS The Permittee john& Margaret Krepp and Richard&Dorothy Rom residing at 1235 Island View Lane, Greenport;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 Pen-nit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. %Zf SO Michael J. Domino,President ��� 0l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders G Q Southold,New York 11971 Glenn Goldsmith �® ® ^a�0 Telephone(631) 765-1892 A.Nicholas Krupski 117 JVU �`C. Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 15, 2017 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: JOHN & MARGARET KREPP AND RICHARD & DOROTHY ROM 1235 ISLAND VIEW LANE, GREENPORT SCTM# 1000-57-2-42.8 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held_ 'on Wednesday, February 15, 2017 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of JOHN & MARGARET KREPP AND RICHARD & DOROTHY ROM applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 17, 2017, 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 L-WRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 6.3, of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 15, 2017, at which time all interested persons were given an opportunity to be-heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and-the surrounding area, and, 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 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JOHN & MARGARET KREPP AND RICHARD & DOROTHY ROM to remove existing 4'x30' with 8'x10' fixed catwalk and platform; and replace with a proposed 4'x28' fixed catwalk with a 10'x12' fixed platform at seaward end for an overall length of 38', and using Thru- Flow decking on the 4'x28' section over the vegetated wetlands; with the condition to use Thru-Flow decking on all surfaces; and as depicted on the revised site plan prepared by Jeffrey Patanjo dated February 21, 2017, and stamped approved on March 3, 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: $506.00 Very truly yours, o � Michael J. Domino President, Board of Trustees MJD/dd r 4 oS�f U Michael J. Domino, President �o a Town Hall Annex � John M. Bredemeyer, III, Vice-Presidenta� y� 54375 Route 25 Charles J. Sanders y ? P.O. Box 1179 Glenn Goldsmith oy • � � Southold, NY 11971 A. Nicholas Krupski ,�ol , �a Telephone (631) 765-1892 �• zX Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 2,2347 TO: KREPP/ROM c/o JEFF PATANJO Please be advised that your application dated December 13, 2016 has been reviewed by this Board at the regular meeting of February 15 2017 and your application has been approved pending the completion of the following items checked off below. X Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/2 Constructed ($50.00) x Final Inspection Fee ($50.00)— X Dock Fees ($3.00 per sq. ft.) The Permitee 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 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: 4'x8' catwalk = 32 sq. ft.x $3.00 = $ 96.00 10'x12' platform = 120 sq. ft. x $3.00 = 360.00 TOTAL FEES DUE: $506.00 BY: Michael J. Domino, President Board of Trustees 3l � -.-._ .-- _ ,�_.-_ _ -.�...._.- ___-'_- - -_.-.__—_-. -_ - _.._ _._..__' ---_--_----. - -__- --_..-.- - -' _._-'-- � � -✓' v'1..i`.`..[.i.• �.0�S,r.. y`1....rt,.5;`moi-:"' �..���J':•(~i�7x�, i.•. • , 1 PQ: ATE 2Q.4C- STATEMENT OF IWEN-d + r, PP(' - n4E: V lATEQ SUPPLY 5EWAGE 015to5AL- �' I SY57EMS FOtZPHIS [ZE5tDENCC— WtLL CONF CM ' --,•S- TO THE STANCIAt7,p5 OF THE SUFFOLIG CO. oEP-r (QF HEALTH 5C12VIGES. H. S, TZEF' NQ. : 9 0 � S o -E TEST �'' PfZOVFD: -- gG r: APPLICANT Du 3 f LOAMY SAND 4^ f'h`'_ �rr]�rf(il - . . - •.� `'` JA N 1 7 2017,>+A. EI-C. ri i •ji "1 �\ e:C AFCC5 �r`�'.�+'+-7 'r•�'r rt���,r�"n I�.,t';n ...J i��:� `i s." Y� I�•. 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J iK� "}--- r�P y ( � ''� •, , �'�` c� '�= •�' _ -LE\,'.OF TQ p ^;= POUNDATI0 N 10.0 �^ :. c!, 11990 Hoy -30 1990 ol YT '45 "S iu 1 "VE,r�`E s (!�/E"\L'• i I t%,r ,fG f ��v J �+,� �� `-�a•�1C �� —_---- M+:------- ��Fr P�P h V_q 0 1 to I .�/Vi. vC�p ✓ }`�I .P.� ✓- ���� n.'�. .%'i S••' -.i `f .i .. " `_?1': ?:,�ti� P��,J • .� �,1 2� .'a' `�.t'i�'-ib//1�Zf `.ry f� :r, -- _ - -- — — - 1- d � CS 256�f`'�,�;r °p S' N'00- IS,00- �. X00 S _ L W \ EXISTING RETAINING WALL TO REMAIN MEAN HIGH WATER ALONG BULKHEAD FACE Y W y W SOS �, W 41 / /• I oo iT�l .cb• v 1 / C11 N6 04 � °Op• v _y••., L PROPOSED_FLOW—THRU DECKING PROPERTY OWNER: APPROVED ED BY REMOVE AND REPLACE EXISTING PIER , LINE OF EXISTING PIER JOHN & MARGARET KREPP RICHARD & DOROTHY ROM BOARD OF I RUSTEES EXISnNG' VEGETATED WETLANDS AS IDENTIFIED 4 WINDSOR LANE TOWN OF SOUTHOLD J. PATANJO ON DECEMBER 7, 2016 E. NORTHPORT, NY 11731 EXISTING BULKHEAD TO REMAIN UNDISTURBED PREPARED BY: .+- DA JEFFREY PATANJO TE �1/�IQCEE 3 ZOr y MEAN HIGH WATER ALONG BULKHEAD FACE •- r � 106 HEWITT BOULEVARD CENTER MORICHES, NY 11934 631-484-9332 -- -- O JPATANJ0@0PTO NLINE.NET - - _ A1i�//J EC- EI NOTES: PGREENPORT, sed Pier Permit Plans SCALE: 1. LOT AREA: 9,900 S.F. / 0.227 ACRES MAR - 3 2017 DATE: 2. PORTIONS- OF PLAN FROM SURVEY PREPARED BY: PROPOSED PLAN 12_13_16 RODERICK VAN TUYL — GREENPORT, NY 2-21-17 SURVEY LATEST DATED NOVEMBER 30, 1990 Southold Town 35 ISLAND VIEW LANE Board of Trustees TOWN OF SOUTHOLD SUFFOLK COUNTY, NYMAP N0. 1000-57-2-42.8 1 OF 2 t IroSe Menne Service,Inc ® J�, r Madam Supply CoQ nv/a ejry `ti 10 Marine St dceRa q�� PROPOSED FIXED PIER Sal W/ FLOW-THRU DECKIN 8 38.00 O 94s PROPOSED 6"0 CCA POSTS (TYP.) 6 _ „ � I Sage Blvd �a'gv 8lvtl.""- Qr t �....,s.._, it, r ~-� Sage Blvd EXISTING GRADE ' / 7p`A4e Br � Bnc_k Cove Marina EXISTING TIMBER - --- -- --------= =------------ 2 RET. WALL Mand view La 96 ��� _ Thr M.L.W EL. O.Of —P� ,, 12i51s1and V ew Inns 1 0 ------------ ------------ ` Conkh PROJECT LOCATION MAP —4 -- _ N.T.S. TYPICAL SECTION SCALE: H: 1"=20' V: 1"=2' Proposed Pier Permit Plans SCALE: AS NOTED MAR - 3 2017 TYPICAL SECTION & DATE: LOCATION MAP 12-13-16 Southold Town 2-21-17 Board of Trustees 1235 ISLAND VIEW LANE GREENPORT, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX YAP N0. 1000-57-2-42.8 1 2 of 2 ' vfF01 Michael J. Domino,Preside , r�O�O COG Town Hall Annex John M. Bredemeyer III, Vice-President ��� 2 w` ' w- 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Glenn Goldsmith r Southold,NY 11971 A.Nicholas Krupski ��® ®` Telephone(631)765-1892 Fax(631)765-6641 i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: .w 7 , Z'1 511 Completed in field by:; 'mac Jeffrey Patanjo on behalf of JOHN & MARGARET KREPP AND RICHARD & DOROTHY ROM request a Wetland Permit to remove existing 4'x30' with 8'x10' fixed catwalk and platform; and replace with a proposed 4'x28' fixed catwalk with a 10'x12' fixed platform at seaward end for an overall length of 38', and using Thru-Flow decking on the 4'x28' section over the vegetated wetlands. Located: 1235 Island View Lane, Greenport. SCTM# 1000-57-2-42.8 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or 004 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3,. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF:, 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: G.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino /G. Goldsmith N. Krupski s/C. Sanders Other Page 1 of 2 Michael J.Domino,Preside, �` P4\;SpEFDI/( Town Hall Annex 000 John M.Bredemeyer III,Vice-President V_ 54375 Route 25 Charles J. Sanders + o =` P.O.Box 1179 wa � Glenn Goldsmith O Southold,NY 11971 A.Nicholas Krupski ®`r Telephone(631)765-1892 Fax(631)765-6641 r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffrey Patanjo on behalf of JOHN & MARGARET KREPP AND RICHARD & DOROTHY ROM request a Wetland Permit to.remove existing 4'x30' with 8'x10' fixed catwalk and platform; and replace with a proposed 4'x28' fixed catwalk with a 10'x12' fixed platform at seaward end for an overall length of 38', and using Thru-Flow decking on the 4'x28' section over the vegetated wetlands. Located: 1235 Island View Lane, Greenport. SCTM# 1000-57-2-42.8 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 iproposed 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 2 111 a :�,: ,...•.s.. .•4 +ft-sow s ♦r• ., L 114 ,wwa•w+�,. - x, r _ ) rE Y d - _ ' yi•��� '��i ivy_ � � � �..r �' ,"' _ � - � - �whir ewep.SRw«n .� .,�-?a�' Rik" •s� T __ 9 r r 0 i .1 111 OWN • F. rA OX anew LT Q � OL� 0 i a. W 4� 1 1 ~ � I. e- "iIIIC ,Illllltilt � H ¢t Z'- _U ONE ONE 1 ry SEE SEC NO 053 FOR P 1-NO FOR PCL NO 053060x80SEE SEC NO SEE S 7� '30 FOR, SEE 42. C) SoLjt4v jS,ANO SHELF zz COUNTY OF SUFFOLK K oszcumom SECTION NO 57 w February 25, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 MAA — 3 2011 P.O. Box 1179 Southold, New York 11971 Southold Town Board Trustoes RE: 1235 ISLAND VIEW LANE -GREENPORT, NY SCTM No. 1000-67-2-42.8 REVISED PLANS Dear Trustees: Attached, please find four (4) copies of revised plans based on comments issued at the February 15th public hearing. Plans have been revised to include Thru-Flow decking on the entire pier surface. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Je rey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 OFFICE LOCATION: �yOF SO(/ry® _ MAILING ADDRESS: Town Hall Annex '`® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 ® aQ Telephone: 631 765-1938 ® Fax: 631 765-3136 COU01 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: February 13, 2017 Re: LWRP Coastal Consistency Review for JOHN & MARGARET KREPP AND RICHARD & DOROTHY ROM SCTM# 1000-57-2-42.8 Jeffrey Patanjo on behalf of JOHN & MARGARET KREPP AND RICHARD & DOROTHY ROM request a Wetland Permit to remove existing 4'x30' with 8'x10' fixed catwalk and platform; and replace with a proposed 4'x28' fixed catwalk with a 10'x12' fixed platform at seaward end for an overall length of 38', and using Thru-Flow decking on the 4'x28' section over the vegetated wetlands. Located: 1235 Island View Lane, Greenport. SCTM# 1000-57-2-42.8 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is 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 A permit for the exsiting dock structure could not be found. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Peter Young,Chairman -� Town Hall,53095 Main Rd. Lauren Standish,Secretary ft- 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., February 8, 2017 the following recommendation was made: Moved by Keith McCamy, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of JOHN & MARGARET KREPP & RICHARD & DOROTHY ROM for the removal of the existing deteriorated 4'X 30' w/10'X 8' wood pier and replacement with new 4'X 28' w/1 O'X 12' fixed pier in same location as existing. New pier to have flow-thru decking on 4'X 28' section of existing wetlands. Located: 1235 Island View Lane, Greenport. SCTM#57-2-42.8 Inspected by: John Stein, Peter Meeker, Keith McCamy Vote of Council: Ayes: All Motion Carried i John M.Bredemeyer III,President_ ®�� SDUryOf - Town Hall Annex Michael J.Domino,Vice-President 4 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee YQ Telephone(631) 765-1892 Charles J.Sanders,Trustee Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ; Office Use Only = oastal Erosion Permit Application Wetland Permit Application f _Administrative Permit / Amendment/Transfer/Extension V Received Application: 1,17 _ � r (C` Received Fee:$ ZS 60tip !,� Ij `ll L� i{ Completed Application: 1 l { i . Incomplete• _SEQRAClassification: , JAN 1 7 2017 s Type I Type II Unlisted Coordination-(date sent): g �LWRP Consistency As e��ei t Form: Z'3`I L�_Southmld Town i CAC Referral Sent: 7 Board cfTr s e s TDate of Inspection: Zt _Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: 2-16J7_ Resolution: Name of Applicant: J o L,n �AA&.r f CA 41rtjoP -Q„&,. P_6 CA%rX �c dor®�iy R'SW r�� Mailing Address: ulin d so r Lune e. A✓s,r tl►po r-}, ,,J y 117 31 - Phone Number: 31 796 y 0�-7 Suffolk County Tax Map Number: 1000- 57- Property Location: /-113 S 77614 n A View jt n c P{cn pP/'4 Scc toCA-t-ion (provide LILCO Pole#, distance to cross streets, and location) AGENT: T9ceq 9-4,4--a n I a (If applicable) Address: /06 Awu!± 914 Cena'Pr lV erichcs, 04 1193Y Phone: b 31. q S 4.9 3 3 g-- C �1 "Board of Trustees Applicata-,,,a GENERAL DATA Land Area(in square feet): 9, 9 0 0 Area Zoning: es Previous use of property: 44 5_ Intended use of property: R a S. Covenants and Restrictions on property? Yes ✓ No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes - *'�No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓ 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 ✓No Does the structure(s) on property have a valid Certificate of Occupancy? '� Yes No Prior permits/approvals for site improvements: Agency Date ; ✓ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓No Yes If yes,provide explanation: Project Description(use attachments if necessary): See- 4-tt-t-4e,e, CIX 1235 Island View Lane - Greenport SCTM No. 1000-57-2-42.8 PROJECT DESCRIPTION Project includes removal of existing deteriorated 4'x30' w/ 10'x8' fixed pier (200 S.F.) and replacement with new 4'x28' w/ 10'x12' fixed pier (232 S.F.) in same location as existing. New pier to have Flow-Thru decking on 4'x28' section over existing wetlands. t i 'Board of Trustees Applicat�*--.-i WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: _ Se-e a+-r4e tied . Area of wetlands on lot: 1465- square feet Percent coverage of lot: 14 .9 % Closest distance between nearest existing structure and upland 4 edge of wetlands: O feet Closest distance between nearest proposed structure and upland edge of wetlands: O feet Does the project involve excavation or filling? ✓ No Yes If yes, how much material will be excavated? ri A cubic yards How much material will be filled? m14 cubic yards Depth of which material will be removed or deposited: N A feet Proposed slope throughout the area of operations: > Manner in which material will be removed or deposited: N JA 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): wcTl4�dls �,..�11 b� 19rV-eeei'cA_ alt.nw4 a4SU � Town of Southold Erosion,,Sedimentation & Storrin-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: &MT.M.#: THE FOLLOWIkG ACTIONS MAY REQUIRE THE SUBMISSION OF A Ol, Y'➢ /DOG 57 .2 q.2 B STORM-WATER;GRADING;DRAINAGE AND EROSION CONTROL"PLAN st c ebT c<Ti n '7I7-T CERTIFIED BY A DESIGN PROFESSIONAL iN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within � Will this Project Retain All Storm-Water Run-Off the Scope of Work for Proposed Construction) 9 9 001-0 O.as Generated by a Two(2)Inch Rainfall on Site? — (S.F.(Acres) (This item will include all run-off created by site f b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed a S ONO•DO S' Site Improvements and the permanent creation of construction activity? impervious surfaces.) . (S..f Acres) PROVIDE BRIEF PROJECT DFSCRIMON (Provide Addtdonel Pages as Needed) Drainage Does the Site Plan and/or Survey Show All Proposed Drainage Structures indicating Size&Location?This Item shall include all Proposed Grade Changes and S!e 1r''f'ar.4t c�t G/•[ I.y� Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion /` and sediment control practices that will be used to _V control site erosion and storm water discharges. This Item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? rj Will this Application Require Land Disturbing Activifies / Encompassing an Area in Excess of Five Thousand LA ✓ (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees judsdiction General DEC,SWPPP Reauiramientis or within One Hundred(1001)feet of a Welland or 0 Submission of a SWPPP Is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes ® — are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to Including Construction activities Involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious / for Storm Water Discharges from Construction activity-Permit No.613-0.10.001.) Surfaces be Sloped to Direct Storm-Water Run-Off ® p/ 1.The SWPPP shall be prepared prior to the submittal of the NO[.The NOl shall be into and/or in the direction of a Town right-of--way? submftted to the Department prior to the commencement of construction activity. ' 2.The SWPPP shag describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-constrvcUon storm water management practices that will be used and/or ,Removal of Vegetation and/or the Construction of any — constructed to reduce the pollutants In stone water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?('n is Item WW NOT Includa the Instailaeon of DAvoway Aprons.) identify potential sources of pollution which may reasonably be expected to affect the NOTE:.If An Answer to Questions One through Nine Is Answered with a Check Mark 3.AJIquality W storm water discharges. in a Box arid the construction site disturbance between 5,000 S.F.&1 Acre In area, I 3.All SWPPPa that require the post construction stone ester management Nowtractice a gtarm,Wm�Grading,Drainage&Erosion Control Plan Is Required by the Town of component shaft a prepared by i qualified Design of Storm Licensed M Newyork Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit that is knowledgeable In the prtndples and practices of Storm Water Management (NOTE: A Check Aratk(.J)andlor Artsg+erfor each Question is Required for a Complete Application) SPATE OF NEW YORK, ,' COUNTY OF..�r �.I -............SS That I, ...}011,%. 2t. `P ... being duly sworn,deposes and says that he/she is the applicant for Permit, (Name'of Mdividual signing Dacumeni) Andthat he/she is the ......... .............Ow nt.(l., .. .. ....... ............................................................. (Owner,Contractor Agent,Corporate Officer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to i make and file this application;that all statements contained in this application are true to die best of his knowledge and belief;and that the work will be performed in the manner set forth in die application filed herewith. Sworn to before me this; .� ....... ay of 201 .Notary Public: . ....G. ....... .........................I .. 19E �° Na1( el (Slgmauae of Applicant) FORM - 06/10 No. 01NA4995068 Qualified in Suffolk County Commission Expires April 20, 2018 Short Environmental Assessment Form Part I -Project Information Instructions for Completa�� Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information, Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: i 2 3 S T1 l-�d,J VI t.,,, L,Q ti z et e IL- Project Location(describe,and attach a location map): 5-eC 1.C4 rh .., ""_ Brief Description of Proposed Action: Rr ouc arty. ,rold*ec tSfiny Ple2 (`l'x 2ffi° 1 xll') to b4m4L L®cot+144 X1.5 4-AdCT/4y w C'�Iesw�S • ! J Name of Applicant or Sponsor: Telephone: , -19& -q c j,_7 �o AA�r r44 l�I'e E-Mail: K r e P� mH, L'.s�r► Address: City/PO: State: Zip Code: f. nl0 r+fn .r 4- 1031 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: r 4 S O E G I M 41P PP S ) r F So—A-6&10, -rr wr-r-wS 3.a.Total acreage of the site of the proposed action? 0. 9 a-7 acres b.Total acreage to be physically disturbed? o.w 0 3 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor9 v.a?7 acres 4. Check all land uses that occur on,adjoining and near the proposed action. �� ®Urban ®Rural(non-agriculture) ®Industrial []Commercial 2<esidential(suburban) ®Forest ®Agriculture ®Aquatic ®Other(specify): ®Parkland Page I of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ® a b.Consistent with the adopted comprehensive plan? F1 a 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:Name:Peconic Bay and Environs, Reason-Protect public health,water,vegetation,&scenic beauty, Agency.,5uttolK County,Date:7-12-88 El t~j 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES '30 El 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? R 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: Z 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 2 El b.is the proposed action located in an archeological sensitive area? ® Z 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: El 1�r e it-i�c� P•,n� CJttiIC. 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 [�ubtrban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ®NO ®YES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: ONO ❑YES Page 2 of 3 1 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: IOXIZ111 14 Date:�l-7 Signature: PRINT F® Page 3 of 3 18 Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES _ solid waste management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ 3. Will-the proposed action impair the character or quality of the existing community? I I F-1- 4. 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, F1 ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, E� 9 waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or-will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should, in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees D //, Name of Lead Agency Date eI President Print or Type Name of Re ponsible Officer in Lead Agency Title of Responsible Officer Signature of Respo ible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 EAF Mapper Summa►n4p®rt Saturday, December 17,2016 8:17 PM Disclaimer: The EAF Mapper is a screening tool intended to assist _sy i 4 I .•4 ,u___w:.• ,{_ ' protect sponsors and reviewing agencies in preparing an environmental assessment form(EAF).Not all questions asked In the EAF are 1 answered by the EAF Mapper.Additional information on any EAF question can be obtained by consulting the EAF Workbooks Although r y the EAF Mapper provides the most up-to-date digital data available to ` ! I I I I DEC,you may also need to contact local or other data sources In order to obtain data not provided by the Mapper.Digital data Is not a +a' �k II I( I I� substitute for agency determinations. BA011troz9 • s h.,,r:per ., d Ji,".""fy� ',� '"'''l(i�,, ,, It II - L,,, 1 J � Torolyt� �i?y ;., <; .` •13�'IUt4,;r ��rio�liC�la� '. - � ,r'r` .4 ., ,±, +,:,. m, ,1.�',,,,'•;,•.�; ;A.�lozrttp ,, r fi�C:� �t _ ,»� t,j�[lAtt01G �`•" - I'I i, •cj6�^.1oi11 Sour Ces;;Ese.il,l -ERE;',CeLcr ne, UES, x f Inter 9),,IrJ RYEt91ENTj-P;a;RCan,,Esri �` I-r�'',±, ;;;•,r' .` JaFsn,_J49ET1,'Esc.P,C li s l F dn,3 i4�ng1,Esri ,.s,. pitt'cP�ur '. ��c:ur'=`s,ps sri,h E; I4 g s,;'Es�i,,Thgilerd;,,tJfaFmylndis., NG C,. I i.aon,l) y'; Int_rmsp b-i- tlJtsp ritaiEuias and th�.sa15' sa U£, 'Et:1EFIT P'1JRCsn;,Es¢i i Usk ircrninuriBN° ++irrl3ph ! crP4ET1,'Esri'.Chins• eng "til 1 .hr� �iurs 2. Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7[Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health,Water, Area- Identify] vegetation, &scenic beauty,Agency:Suffolk County, Date:7-12-88 Part 1 /Question 12a [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a [Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No , Short Environmental Assessment Form - EAF Mapper Summary Report r Board of Trustees Applicat__A AFFIDAVIT �O�►+ ��� tirc 1�f�PP BEING DULY SWORN DEPOSES ANDA FIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES ± AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. x A 6, x P Signature ' Prope Owner SWORN TO BEFORE ME THIS DAY OF �20 1 Notary Public Christine M. Nardelli Notary Public, State-of New York No. 01NA4995068 Qualified in Suffolk County Commission Expires April 20, 2018 )Board of Trustees Applicata-..A AFFIDAVIT /�fc r7ure2 �v�o } IoM 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 MAYBE 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. X Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF Ja 2 20 i--t AUDREY HOGAN I _ NOTARY PUBLIC OF NEW JERSEY v� `�-� (ivy, +iWon Expiros Oft. 11,2017 Not Public -- 'I oard of Trustees Applicat'-,-: APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits,conflicts of interest on the part of town officers and emalovecs.ne— urnose of t�iis form is to grovide inforinntion which cam aleft the town of possible conflicts of nitarest and,allaw it to take whatever action►s neccssary to avoid same y YOUR NAME: �"��P P Tip h n (Last name,first name,.middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you rsonall (or thro}i h our com ail s Ouse;sililin ,parent,or child have a relationship with any officer or employee Y Pc Y g Y p 3 p. g P � ) of the Town of Southold? "Relationship"includes by blood,marriage,;ot 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 tlie,tbwmoff►ccr or,empioyee owns more than ,5%/-oflhe 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. I, The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): I j A)the owner of greater than 5%of the shares of-the corporate stock of the applicant (when the 6tpticant;is'a corporation); a don-corporate entity(when the B)the•legal'br Jene6cial owner of any interest in applicant is not a corporation); an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP i Submitted this,, day of � A./ 200 Signature Print Name r Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE DORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the 120A of town officers and emnloMm—The.Auruose of this form is to grovide information whish can alert the town of passible contlicts of interest and allow it to take whatever action is necessary to avoid same. ,I1 3 YOUR NAME: �r'ePP , N`a rq a,rc a (Last name,first name,Middle2nih�unless you are applying in the name of F 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 BuildingVariance _ Trustee Change of Zone Coastal Erosion Approval of plat Mooring i Exemption from plat or official map Planning Other (If"Other'',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest:"Business interest"means a business, including apartnership,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%o/fthe 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 t a Describe the relationship between yourself(the applicant/agentfrepresentative)and the town officer or employee.Either check i 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): t A)the owner of greater than$%of the shares of the corporate stock of the applicant (when the applicant is a ccirporadon); ° l3)the legal or beneficm]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 i Submitted is day of 204 Signature Print Name �— Form TS l s APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold'§Code of Ethics prohibits conflicts of interest on the part of town Mfir.Ars and employees The pin ase of this form is to provide information which can alert the town of passible confli of interest and allow rt to take whatever action is necessary to avoid same.j(Las YOUR NAME: o�n ��ame,first name,i}tiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate,the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building ; Trustee Variance Change of Zone Coastal Erosion i Approval of plat Mooring Exemption from plat or official map Planning ! Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,of 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 ares. 1 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 f Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check I the appropriate line A)through D)and/or describe in the space provided. A 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 shales of the corporate stock of the applicant (when the applieant.isa corporation); 8)the legal or-beneficial own of any interest in a non-corporate entity(when the i applicant is not a corporation); P C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP } ------------- iW. Submitted this c� day Signature lJ— Print Name Form TS 1 I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sovdtold's Code of Ethics nrolizbits coniliets a interest on the Wd of town offtc6Ts and emnloYees The'nurnose of 3 this form is to provide information which cast alert the town of possible conflicts of interest and allow it to take whatever action is { necessary to avoid same, i{ YOUR NAME: 2�.>7 �o s•m-� -_ { (Last name,first name,Middle initial,#Iess 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 t Exemption from plat or official map Planning 3 1 Other (If"Other",name the activity.) Do you personally(or through your company,spousc,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,of busmess 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 whicli the town officer or employee owns mors 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 r } Describe the relationship between yourself(the applicantlagent(representative)and the town officer or employee.Either check i the appropriate line A)through D)and/or describe in the space provided. _ The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the appliciint r (when the applicant is a corpoeatio(?, 3 B)the Iegal or`bene#icial owner of any interest in anon-corporate entity(when the applicant is not a corporation), 3 C)an officer,director,partner,or employeq of the applicant,or D)the actual applicant. DESCRIPTION Of RELATIONSHIP Submitted this r day of200 Signature Y,. Print Namem4mV�'1 0 o(11 Form TS I k APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of imeryst on the part of town officers and etripfdyees_The nur n of f this form is to provide information which can alert the town of nossibie confticfs of —A 011—it to take whatever action 1s neecessary to avoid same. YOUR NAME' �� � 1 9 J t-Ff rCv� (Last name,first n e,.txiiddte initial,unless u are applying in the name of i 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 moll Change of Zone Coastal Erosion Approval of plat Mooring i Exemption from plat or official map Planning Other I (If"Other,name the activity.) Do you personalty(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,rgarnage,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 shares. YES NO If you answered"YES",complete the balance ofthis 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 tlian'5%ofthe shares of the corporate stock of the applicant k (when the applicant is a corporMonp, B)the legal or IxneBeial ownerof airy interest in a non-corporate entity(when the applicant is not a corporation); C),an officer,director,partner,or employes of the applicant;or I))the actual applicant. r DESCRIPTION OF RELATIONSHIP i ------------- - i Submitted this 2t's day f P-e C- 200 I6 Signature d Print Name J+ r im y40 Form TS i L_____7015 1730 0001 0903 2' 15 1730 0001 0903 2676 Arove 161 b, boment co ,24,y LtncoLn '-d�19��[� �'� c ox G �n� !�' �'russs a, �s-men , /l V � PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS _7 015 1730 0 0 01 09032591 Name: Address: Jvrl�sl�la��� , 4ol_2-W -C%PPS 7015 1730 0001 0903 2607 IDUV I IV-7 /�l�S � I.LnJaC. V 13 ��UK= �1 LGvtuC0 7015 1730 0001 0903 2614 _ �J 7015 1730 0001 0903 2621 UFF01 Michael J.Domino,Prdsidenty �Q �C® Town Hall Annex John M.Breaemeyer III,Vice-President ��® . `' G��,, 54375 Route 25 Charles J. Sanders r® P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski '�,�® �p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD - --------------------------------------------------------------- In the Matter-of the Application of JOHN & MARGARET KREPP AND RICHARD & DOROTHY ROM 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, �� ,� ���QJl2{C� , residing at/dba C� UYI G�.P S l 6 q-34 being duly sworn, depose and say: That on the _/day of-le b • , 2017, I personally posted the property known as I Q35 1 -,34 aro V I&A Aa 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,February 15,2017. Dated: 2 ) 9 I , -I oj�' (si at re) Sworn to b fore me this -7 day of 20 7 Notary Public Lorian atanl1o� Notary Public State ofl ew York Qualified in Suffolk County No:01 PA6150861 Commission Expires 081071201$ Postal Postal: CERTIFIED o RECEIPT oRECEIPT •. • r (1J Domestip Mail Onk ru M GR A. 1: •� it17, '_ a m NJ I 1-7S rF '• (: ' I t U ip Certified Mall Fee $3• 77 O- Certified Mail Fee �� 0C13ft o $ -,- $0.00 $ 1 *�A 4 Extra Services&Fees(check box,add lee p te) T�'-`�• O ( a$V•rop� ) 7 t Extra Services&Fees check box,add fee v to ❑Return Receipt(hardcopy) $ .s.ti nf1 /'� �• i 7 Return Receipt(hardcopy) $ rl X0.00 ; �S ❑ pt m p>1 0 [I Return Receipt(electronic) - $ �� p0a k9� i ❑Return Receipt(electronic) $ �"-••'1t-r� ❑Certified Mall Restricte d Delivery $ �J i 0 ❑Certified Mail Restricted Delivery $ W-Dt7 `7 r3 ❑Adult Signature Required $ • 0 ❑Adult Signature Required $13I❑AdultSignatureRestrictedDelivery$ 1 I ❑Adult Signature Restricted Delivery$13 Postage $0.49 C3 Postage im 7/20 m $0.49Total Postage and F84 Total Postage and Fes $4 � 1$ �°�N- $ 8 & u7 Sent To ul Sent Torq ^ O - - r=1 0 --- - Sheet andAp(No.,or PO Box No. Stieef and Apl o.,or PO Box Afo. ------------------ -------------------------------------------- Crty,State,ZIP+4• - i ---------------------------------- --------------------------------- 2-000-9047 - -- ' Cary,State,ZIP+4® , :.0 0 00,90, -- - Postal ServiceTm Postal Service CERTIFIED © . ■ CERTIFIED O . ■ P7 r--j DdmpSUCMail Only ru Domestic Mail Only -0 9.11.19 11 _ • • • - • • • v • e • •- ni TY-1. 788 I'.g,' � {+..�� i�� - C HAUPPAUGE � ru M .m i) I t� g � . O Certified Mail Fee 1 C3 Certified Mail Fee $3.35 0934 Q-. I- $3.35 --0934 $ 0 7 O $ i""�'3 3 4 -7.7 C3 Extra Services&Fees(check box,add fee$Ep.pWIe) '`9 J 4 Extra Services&Fees(checkbox,add/ee a ate) ,/ '� �— ,�` �� s ❑Return Receipt(hardcopy) $ ❑Return Receipt(hardcopy) $ 1� r'" S r-1 P (y' ❑Return Receipt(electronic) $ • `� Stmark GY ❑Return Receipt(electronic) $ $(I OID � �pstmark J� , O C3 ❑Certified Mail Restricted Delivery $ (n ere ^, t ❑Certified Mad Restricted Delivery $ []Adult Signature Required $ r Q E]Adult Signature Required $ I i�tw-17� � �• 1' ❑Adult Signature Restricted Delivery$ J� m ❑cage Adult Signature Restricted Delivery$ jl ' M Postage $0.49 M Postage ll..�• 47 • $ [� $ _ � � Total Postage and Fps -, Total Postage and$3sPi4 / '® x3,84 ...... $ $ Ll Sent To17-9 Sent To _/e � M -- 0 Sheaf and Ap(No.,or PO Box No. C -------------------------------------- - w Street andApt No,or PO Box IVo. N • - - Cdy,State.ZIP+4 m--------------------------------------------------------------------- ------------------------- C�ty,State, :rr r rr :rrApril t rrSee Reverse for ln.t�ru.flori. TERMS and CONDITIM Tho Permittee Rita Holobigian ming at 420 Glenn Rd. , Southold N. Yy as part of the consideration for the issuaom of the Pu mit does up etstand and presage to the fol- ld%*: 1. That the said Board of Trustees and the Town of Southmld are released from any sod all damages, cc day au for damttM of salts adsing directly or idditt ctly as a result of any oper- ation performed pursuaat to dila pewmk and the add Persuiftee will, at bis or her owe defend any and all such suits-ioidated by Baird paatks, nod tike said Pennittee supow lull WAVY with respect thereto, to the complete eatclusion of the Basted of TY own of&t Town of Southold 2. That this Permit is valid fors period of 24 moa, which is consideted to be the estimated time required to complete the work lnvolved, but should cutuntstsam warrant, request for an extension may be mace to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Persulaw wishes to maintain the structure or project involved, to provide evidence to anyone ooncesned that aath- otization was originally obtained, 4. That the work involved will be subject to the inspection and approval of the Boatd or In agents, and non-compliance with the provisions of the odginating application,soxy be cause for revocation of this Perini t by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the we& herein atid�. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and law water marks. 7. That if future operations of the Town of SoudxAd regmke the removal and/or akmdm In the location of the work herein aauhothed, or if, in the opinion of the Board of Trustees, the woclt shall cause unreasonable obstruction to free suvkvtion, the said Pennittee will be required, upon due notice, to remove or alter dhis work or project herein stated widow expeoses to the Town of Southold. 8. Thu the said Board will be nodfied by the Permieooe of the completion of the work sudi- orized, 9. That the Permirtee wild obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon falltme to obtain same. I Postal _ Postal CERTIFIED o RECEIPT CERTIFIED , RECEIPT r9 Er Domestic Millbonly DomesticOnlY Ln —0 I'L I [ N • - 7 J( € i • • s !rL. � f ( I ;.m z is F" G C iS A t: t_.._f a ,I fYl °� is L-J Certified Mad Fee 0 Certified Mad Fee $� 3.c, 0934 1 it 01934 C3 $ C3 $ /y 77� Extra Services&Fees(checkbox,add fee a p pp te) 7- I Extra Services&Fees(check box,add fee�•ap:rypfJpto) ����i 1 ❑Return Receipt(hardcopy) $ ••V ✓„'`R ❑Retum Receipt(hardcopy) $ Cir UU�SJJ f ', r ` r ❑Return Receipt(electronic) $ V■rJ�t POsYfrlar`kY°" ❑Return Receipt(electronic) $ �-• �.{ �yy mark 0 ❑Certified Mail,Restdcted Delivery $ �� (��} ;'�:,FIe`re- y E:3 ❑Certified Mail Restricted Delivery $ 4ifl �f1(I j �.(e� � 0 ❑Adult Signature Required $ $0.00� , _ 1 C�� � ❑Adult Signature Required $ A;1sv— to `� ` 27 Adult Signature Restricted Delivery$ +::;` e []Adult Signature Restricted Delivery$ yv �J t m Postage $0.49 m Postage $U.49 J M N $ 02 �.Y r $ !!((17: rq Total Postage and fggis84 X117 - Total Postage and Fggs g4 S' ' a $ Ln Sent To Ln q,, Sent To _! 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Postal SerVice CERTIFIED MAILO RECEIPT ca CERTIFIED MAIL@ RECEIPT ,n 0,01Tiestic moil RI Domestic MailOnly ru IM 77 • „ i - • • _ - ' fYl { '• c i >.2 i. c O Certified Mad Fee .35 3 J€ I� S L• : E3 Certified Mad Fee .y M 0934 ` it $ `r 0934 0 $ - 77 Extra Services&Fees(check box,add fee a;&rpirfe ) \\ 1 19 77 Extra Services&FeeS(check box,add fee aWr a) ❑Return Receipt(hardcopy) $ V VV to ElReturnReceipt(hardcopy) $ \ 9 C3 ❑Retum (electronic)Receipt(electic) • �� — �P.oetmar $ ❑Return Receipt(electronic) $ ostmatk t�(� He ❑Certified Mall Restricted Delivery $ O C ❑ '$Certified Mall Restricted Delivery - 'V 'i1 I C3 ❑Adult Signature Required $ Here in 0 171 Adult Signature Required $ $0-00 V ❑Adult Signature Restricted Delivery$ ( -7 ❑Adult Signature Restricted Delivery-$ C3 Postage ��•49 -CO , C3 Postage $0.49 �� e m 7 M $ 1=012/0783017 J rr-i Total Postage and��gs �G2h7/2017 Total Postage and In.84 LC. i $ '""•84 $ I V Sent To i ' r� u l Sent To /J ,.t '`� /� / O rl �I _--------_ Lam_ �v _ M1 StreetandApt. Vo.,of PO Boz No. -------------- P 0 Street an Apt.No,or PO Box No. Yy 2115;:4rCity,State, -------------------------------------------------------------- --------------------2222----------------'---- -------- M. ------- Cary,State,ZIP+4® - -- :.r i .. •r. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS - Name: 5 7--,-;t 2 STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn,deposes and says that on the day of , 20__, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 i i Notary Public � r February 7, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 1235 ISLAND VIEW LANE -GREENPORT, NY SCTM No. 1000-57-2-42.8 POSTING& MAILING AFFIDAVITS Dear Trustees: Attached, please find original Posting and Mailing Affidavits for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 ilUTICE Oim H 'Lm. ARINC 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: JOHN & MARGARET KREPP AND RICHARD & DOROTHY ROM SUBJECT OF PUBLIC HEARING : For a wetland Permit to remove existing 4'x30' with 8'x10' fixed catwalk and platform; and replace with a proposed 4'x28' fixed catwalk with a 10'x12' fixed platform at seaward end for an overall length of 38', and using Thru-Flow decking on the 4'x28' section over the vegetated wetlands. Located: 1235 Island View Lane, Greenport. SCTM# 1000-57-2-42.8 TIME & DATE OF PUBLIC HEARING : Wednesday, February 15, 2017 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 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,()jhich includes.all of Southold Town 1 If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer. must be&4plained 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# 7 PROJECT NAME NP®sed ybew Lam¢ The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Sc� rnt�v�t�. Location of action: / 933' -Z s 10 n lk V t e uy Gua C C>r-en aosL'`f Site acreage: Present land use: 12C S Present zoning classification: eS . 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: To a n f AA a r1arc} K.rgp -4,46L R►a14 f g IDof o+4i7 R-a,*i (b) Mailing address: N 1 (-7 3/ (c) Telephone number: Area Code O 6 31 • -7 J b - y o a-7 (d) Application number,if any: ti.l.q Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes a No❑ If yes, which state or federal agency?' +J`a s®E C— C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. FvTyes ❑ No ,n Not Applicable Pr®itG4 ProvlAeS Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWR.P Section III—Policies Pages 3 through 6 for evaluation criteria F] Yes El No LJ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑ No ❑ Not Applicable Pro,ec ry,L i A y Pt c/L 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 F-1Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes 1:1E No 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. M ❑ ❑ Yes No Not Applicable Pr®idc4 .9ntcS wd -rlunr,tS '.� ceau of ✓td1l �sr►r� Fl®�► —Tkr � ol.tc,lLt n� an PC o(��SCd2 P��/L , r Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No[g-l�ot Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LW1IP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. a YeO No❑ Not Applicable �rvt¢G� (rcvtk1t',S taCC4S5 owyt-e„t-S h� P�o.,br.�ty� vGs.•J P&e n . Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. I"1 Yes ❑ No❑ Not Applicable Pry I ee. errin-tes Ctv,4 "a./44ne redourccs 1-,21 t2,ry -din. 4( ®,x1170' - �*clCiny dc✓i� Qro.va.®-ts,� Lcyh�- �cc�dS -�'® �-c-l-l�,.wcD.d ��.�� Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 ford evaluation criteria. r-1Yes ❑ No[ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No [9--N- ot Applicable PREPARED BY J P�--A n I TITLE A j c n DATE January 12, 2017 Town of Southold Trustees Town Hall Annex Building JAN 1 7 2017 54375 Rte. 25 a P.O. Box 1179 i a Southold Town Southold, New York 11971 Board tTn3�ees _ ,�_� RE: 1235 ISLAND VIEW LANE -GREENPORT, NY SCTM No. 1000-57-2-42.8 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934