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Home My WebLink AboutTR-9069 Michael J.Domino,President ��rjf SO!/jTown Hall Annex dill John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Telephone(631) 765-1892 Greg Williams 'p Fax(631) 765-6641 OOUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1544C Date:December 20,2018 THIS CERTIFIES that the raising of the foundation of the existing 1 228sq.ft footprint one- story, single-family dwelling with attached garage in order to meet FEMA compliance height; remove existing seaward side deck brick patio and metal ramp; remove existing landward side entry stairs; construct new seaward side 7'x10' deck with stairs to ground; construct new front entry with stairs to mound; and install a 30sq ft mechanical room and A/C platform,• for the as-built 11'5"x11'10"seaward -side deck in lieu of the proposed 7'x10' deck; with the condition of the installation of gutters, leaders and drywells on the dwelling to contain roof runoff and in accordance with Chapter 236 of the Town Code, Storm Water Management,• and to establish and perpetually maintain a 10' wide non-turf buffer along the edge of bulkhead/retaining wall; At 2200 Deep Hole Drive,Mattituck; Suffolk County Tax Map#1000-123-4-5.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 28, 2017, pursuant to which Trustees Wetland Permit#9069 Dated August 16,2017,was issued and Amended on December 12, 2018 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 raising of the foundation of the existing 1,228sq.ft footprint one-story, single-family dwelling with attached garage in order to meet FEMA compliance height;remove existing seaward side deck brick patio and metal ramp; remove existing_landward side entry stairs; construct new seaward side Tx 10' deck with stairs to ground; construct new front entry with stairs to ground; and install a 30sq ft mechanical room and A/C platform, for the as-built 11'5"x11'10"seaward side deck in lieu of the proposed 7'x10' deck,• with the condition of the installation of gutters leaders and drywells on the dwelling to contain roof runoff and in accordance with Chapter 236 of the Town Code, Storm Water Management,• and to establish and perpetually maintain a 10' wide non-turf buffer along the edge of bulkhead/retaining wall. The certificate is issued to THOMAS PALMER IRREVOCALE TRUST&KAREN PALMER IRREVOCABLE TRUST owners of the aforesaid property. a Authorized Signature Michael J.Domino,President *0 SO(/JyO Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O. Box 1179 South Glenn Goldsmith old, New York 11971 A.Nicholas Krupski G N O Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 12.12o%8 v Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: G. �01�a�e�►�` "► COMMENTS: CERTIFICATE OF COMPLIANCE: - r Michael J.Domino,President �0f SOUTy� Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �pQ Telephone(631) 765-1892 Greg Williams Ol,�. Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 12, 2018 Karen &Tom Palmer P.O. Box 218 Cutchogue, NY 11935 RE: 2200 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-5.1 Dear Mr. and Mrs. Palmer: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, December 12, 2018: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9069 for the as-built 11'5"x11'10" seaward side deck in lieu of the proposed 7'x10' deck; and as depicted on the site plan prepared by PKAD Architecture & Design, dated November 2, 2018, and stamped approved on December 12, 2018. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD/dd Michael J. Domino, Pres QS �c i Town Hall Annex John M. Bredemeyer III,Vice-P-KEs dent �� GyJ,� 54375 Route 25 Glenn Goldsmith cz P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams h p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: KAREN & TOM PALMER request an Administrative Amendment to-Wetland Permit#9069 for the as- built 11'5"x11'10" seaward side deck in lieu of the proposed 7'x10' deck.' Located: 2200 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-5.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank:.75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement,of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet -2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet:- 4. Swimming pool and related structures: 100.feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I, II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional, information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith- N. Krupski G. Williams Other F RowAN Permit Expediting Services January 17, 2018 � . ,, r_, , Town of Southold I r= �'= ES. !.0 a'; tit K .I Board of Trustees ;;�� __•�^��' PO Box 1179 Southold,New York 11971 t JAN 19 2018 Attention: Diane DiSalvo Re: Palmer Trustee at 2200 Deep Hole Drive,Mattituck S CTM#:100 0-123-4-5.1 Dear Diane: Enclosed herein please find a certified copy of the filed Declaration of Covenants. Please issue a Certificate of Compliance for the Trustees Permit. Thank you for your assistance. 4wa i een /er T. Paimer M. Kindy 80 Wedgewood Drive,Coram,NY 11727 rowanexpediting@gmail.com 631-603-8688 CC# : C17-51937 aJ u, 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 1211412017 under Liber D00012942 and Page 408 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 12/14/2017 SUFFOLK COUNTY CLERK -'e-i=V Q. vv JUDITH A.PASCALE SEAL I IIIIIII IIII VIII VIII VIII VIII VIII VIII VIII IIII IIII I IIIIII VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 12/14/2017 Number of Pages : 5 At: 02 : 38 : 49 PM Receipt Number : 17-0222616 LIBER: D00012942 PAGE: 408 District: Section: Block: Lot: 1000 123. 00 04 . 00 005 . 001 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25.00 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 $5 .20 NO RPT $200 . 00 NO Fees Paid $270 .20 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County a ` fir Number of pages FIECCP ;�,0 ; [:pec 14 2; ,„4? `N, ,,jr"TTP. A. PASICALE GLERF IF This document will be public 'U'FF?L!' F:+_LIr;T'i' record. Please remove all - L [00012":'J7' 7' Social Security Numbers F 4031 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee "�- Mortgage Amt. 1.Basic tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation f Spec./Assit. or EA-52 17(County) Sub Total ( Spec./Add. EA-5217(State) TOT.MTG.TAX oQ Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax AffK �A avit _+ Mansion Tax The � r,- -;;�-, ,°•� -. � ' ° -� property covered by this mortgage is ified":Copy.,;,;,.; >' ;i r,_,4 •k.. ,.,;' or will be improved by a one or two NYS Surcharge 15. 00 V family dwelling only. Sub Total lJ YES or NO Other Grand Total If NO, see appropriate tax clause on page# of this instrument. 4 1 Dist. 3536660 1000 12300 0400 005001 / e 5 CommunityPreservation Fund Real Propei R T 1111111 I11111111111111111111111111111111 Consideration Amount $ Tax Service R POL A Agency 11-DEC-17 CPF Tax Due $ Verificatioi 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved RECORD&RETURN T Vacant Land lzk� p o Ce.-6tJ -�, t_ � a TD TD TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Ca.Name Safe Harbor Tittle Agency, Ltd. www.suffolkcountyny.gov/clerk Title# B Suffolk County Recording & Endorsement Page This page forms part of the attached made by: (SPECIFY TYPE OF INSTRUMENT) ` ' `,° lmfv. �� e premises herein is situated in 1FFOLK COUNTY,NEW YORK. O In the TOWN of ° � �� In the VILLAGE ' or HAMLET of ( _ 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 this La— day of 0C'7-b S E7J<, 2017, by MARILYN KINDY TRUSTEE for THOMAS?�'PALMER IRREVOCABLE TRUST and TRUSTEE FOR KAREN PALMER IRREVOCABLE TRUST, residing at 1540 SMUGGLERS COVE VERO BEACH, FLORIDA 32963, hereinafter referred to as "DECLARANT (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 2200 DEEP HOLE _DRIVE, MATTITUCK, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 123, Block 04, Lot 05.1 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the `Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation 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 Town 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 Trustees required that a "10' wide non-turf buffer" adjacent to and landward of bulkhead: 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 "10' wide non-turf buffer" as defined by Chapter 275 of the Town Code, to wit: "A designated area where turf grass, pesticides and fertilizers are not permitted." and as depicted on the plot plan last dated September 13, 2017 and stamped approved by Town of Southold Board of Trustees on October 2, 2017, see Exhibit "B" attached; and k , i i 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 ay of 2017. MARIL . KINDY, TR TEE MARIL A. KINDY, TRUS E STATE OF COUNTY OF '11(��j On the � � day of in the year 20k-) , before me the undersigned a otary Public in and for said State, personally appeared � 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 signature (s) on the instrument, the individual or the persons on behalf of which the individual (s) acted, executed the instrument. QvQ 2AV),A\ Notary Pub icl COLE 2o.�G 4 NotaryPulbliic-StateofFlorida '� Commission#GG 120256 =?� oP:' My Comm.Expires1un242021 ' �` F. BordedthraughNahcralActaryAssr. 2 N4 SCHEDULE A At Mattituck, in the Town of Southold, Couiq of Suffolk and-State of New York bounded and described as follows: f BEGINNING at a point-set in t&'southwesterly side of Deep Hole Drive distant 215 5.3 8 feet as measured along Deep Hold Drive from the intersection of the Westerly side of Deep Hold Drive and the southerly side of New Suffolk Avenue, and from said point or place of beginning; RUNNING THENCE along the southwesterly side of Deep Hole Drive southwesterly along the arc of a curve having a radius of 330.0 feet, a length of 4 1.0 feet; THENCE South 38 degrees 53 minutes West 201.74 feet to Deep Hole Creek; THENCE westerly along Deep Hole Creek 46.0 feet to a point; RUNNING THENCE North 39 degrees 03 minutes East 119 feet; THENCE North 30 degrees 13 minutes East 27,49 feet; RUNNING THENCE North 47 degrees 21 minutes East 59.41 feet to the southwesterly side of Deep Hole Drive, the point or place of BEGRgN7NG. ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at 1Vlattituck in the Town of Southold, Suffolk County,,New York, bounded and described as follows; BEGINNING at a point on the southwesterly side of Deep Hole Drive, distant 576.04 feet southeasterly from the southeasterly side of Richard Street, as same is prolonged: THENCE southeasterly along the southwesterly side of Deep Hole Drive along the are of a curve having a radius of 300.00 feet a distance of 41.0 feet-. THENCE south 29 degrees 37 minutes 30 seconds west 200.00 feet to the wood retaining wall (220 feet,more or less,to the High water Line); THENCE northwesterly along the High Water Line 75 feet, more or less. THENCE north. 38 degrees 53 minutes east 205 feet from the retaining wall (225 feet, more or less, from the High water Line) to the southwesterly side of Deep Hole Drive, the point or place of BEGINNING. . I I _ _ � �� c,�!�,t1C i�. II o!RDcoiafElEs ralrii'" - --WETLANDS `_-- 79 8 f. - ( 10'•0'WIDE NON-TURF BUFFER--• i —"'— __ i _ _ -__,_.__."_.,.,._.__ 1.^ IMPERVIOUS AREA'3197 S F OR 15 2°/u `�• ` •?'rCir�,57t�,;j-`�J, '•�y"'• I- ' 2, PROJECT AREA IS RELATIVELY FLATWIDTH ,•r C - 195 OR LESS SLOPE Ila ANY DIRECTION 7. THERE IS NO FILL TO BETAKEN OUT ` A I, q, APPROX 50 YARDS OF FILL TO FILL IN _—————..•�`r EXISTING FOUNDATION E •ReavpuTp9oFII+ELAW FOR ANYPERBaR y 5 REFER TO SHADED AREA FOR NEW �� u1GEaGacrwOurlpEN THE InRccpoxora 0 1 MECH ROOM ADDITION , �!,� UCEN9ED A4prIf1EC1'[NGrt+EER,TO gL1ERa ANY p � SYAYAr1Y11EA1 OY TIES[pRAWIN(i8 IFAN HELI „W" � tll �I 1 - � OfJEt ED THE u7ENNG ARCN(1ECT�1'C�IJUMLER 10 'i 6HALL AiFOI TO IaSMER pFM TIICpt BEN.MT/TIE 1 FOUNDATION NOTE: No alw uTE4Ep Br rouavED EYHIsmE C REMOVE STEP NCNATURE MEIATEOFt,p ALIE.7%1. w THE PROPOSED ANT SpccvcoE TIoNc;`Mu LT9R TpII ' ' (tY �1 pN I1iLONAWW0.••TIIE I'W.3 AND FOUNDATION WILL BE A GFEJEVIPIONENEREUIMC RESMTOF OFORTIP p REMOVE EXISTING DECK I ( L" FULLY CLOSED POURE =4M�CWALIXWTlAi BETWEEN ME I OWNETIANOPHpmPE. 41 MEBEPw+4AN0 \ 1 r( CONCRET FOUNDATION SPENT T"SWALQEMF.SURIECTOFA COMR�➢Ht PETRION ANp I.IAYNOTBE REWEO OR f / WITH FLOOD VENTING. ZAOSORNCMF WrrWK=HEwRIr7E" • .4';'y j `T•...s, Ir r THERE WILL BE NO tlIHO411YDF IM¢OPE KAkPF' LIMIT OF j`Y CHANGING OF GRADE AS A SILT FEN I ILT FENC DISTURBANCE _ =� 5�i PART OF THIS PROJECT. ( I "- " P'LPC 1~' THE INTERIOR SLAB WILL ` ARCHITECTURE G DESIGN ak - - ---'----- LEADS '-•REMOVE EXISTING RAM SILT PEMC, 1a BE AT THE SAME ..n,..n,..... ELEVATION AS THE r< l%I II![Illll•,e1 E b/STUOFADJACENT GRADE •'bX{r„`'•;":A•'^;t` ` -•- --- —,--REMOVE EXISTING BRICK I } `, `•,'.`. ,(1`•"is?x" PATIO _t PRIS N E IS Ia F F ---� : FF E,- 6*PVC GRAIN PIPE `r' +;aY,+ F �./ FROM LEADER TO 'T I ^fRaNE PEGNEr10ET0�� 1•.,�Y \ DRY WELL 'RE------ _ '{•,.':nElwsEp .•R, �. Ir,T 1 ? f `- , 'q"#,`LEER;+�,;,T.I�t `'��'>,'• , OVE EXISTING OUTIDOOR SHOWER C; v\ f '', ,r�,'�• i•�-,;ACOLANDING ANO STEPS It• 1///^^,��/V^� , -__ C{�• _) _ , K•YY'V••• ,,X'..'1,�y`• If1x� -PROPOSED MECHS ROOM OOM ADDITIONy�`nC 1 30SF- ! REMOVE EISTING STEP P+III` I �✓ ✓] I—PROVIDE PLATFORM ! a r LE6ERti:^ FOR CONDENSING' ^ j` .e .,\.%'., ;1. `•1n UNIT. •-, - / ` PROJECT PALMER RESIDENCE o i ; ` `Its•, 1 ' APPROVED BY OAP o s1°sTo� 2050 DEEP HOLE DRIVE MATTITUCK, DATE C, /acroha/ NY 11952 tl Y Ij — DRAINAGE CALCS 00YR1HR3• I PLOT PLAN VOWME=1675SF x3'(2S!-01075CUF p)5'-0'DIAxS-0'HIGHCONCRETE DRY WELL--670! TAJ atm+L' CU F TOTAI DATE: 9/13117 J 6D41913EC (yt \ DRAWING BY PEK CHK BY•PEK a WG LS—, • A-001 00 s - ICAO FILEN A19DC-C d *Ig SO UTy Michael J.Domino, President Town Hall Annex O� �� John M. Bredemeyer III,Vice-President 54375 Route 25 7 P.O. Box 1179 Charles J:Sanders Southold, New York 11971 on Glenn Goldsmith ® yOQ Telephone(631) 765-1892 A.Nicholas Krupski ®liyc+DUpov, Fax(631) 765-6641 -- --- --------- -__�__----------------BOARD-OF TQMW 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 t� Project complete, compliance inspection •~If••!%P•' •tl� rrj✓.- - •'yei•iij e_i`., it.:•'�1111 "'•111 I%+'- -. i:dif%j''• `- •�:'�•j4••�ij°j•'• •.�,\ ry+'.' `-c-.�.:�� rxf'.. ,`•_ `ie rj: '" \,t fj�:--. ._-'..,y x�,. � :;��e d Ixi',r••--.'_�'_"'. \�� x�. ;' �� .•..- .✓"'•.. :Z,�\ / .r' s`�'.• _"'%•d�u� ' its � :'.3'-'`• ^`'I.`, ui�..' :S .. '•'•'' _ •'�"� /� "it � ISS: ```a++oMnr•'Q75^,Verrrn,.nrg n.mqf.•'Y':•'.^S?fCM'n::.n.rST552iy""�l+[rrr'r:„tf.T'!'PS•;r!'•aL55a----- '�tirafiMJ.:------ .'.d'----%':l>�.k.gmrn.Tnr{n:.r.{.;.�.Nr>�j}.:m4ri'2:=ryrrfv.rn�i.3.�R�rr:G'l'Q+_'1riC(rtr.;''�tJt'Y1C<5tialnL'.sCaK(L=.. :i 111 ¢ � i � Itte\�•= •.,,4 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK . PERMIT NO. 9069 DATE: AUGUST 16, 2017 .31ttt,: ISSUED TO: THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER ; .. iw= IRREVOCABLE TRUST ' `ill It PROPERTY ADDRESS: 2200 DEEP HOLE DRIVE, MATTITUCK i, F G, • � E SCTM# 1000-123-4-5.1 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 August 16, 2017, and in consideration of application fee in the sum of$250.00 paid by Palmer Irrevocable Trust and subject to the ,*,<j•,f, � TermSouthold s and Conditions as stated in the Resolution, the Town Board of Trustees authorizes and permits it s the following: Wetland Permit to raise the foundation of the existing 1,228sq.ft footprint one-story,single- family dwelling with attached garage in order to meet FEMA compliance height; remove existing seaward side deck, brick patio and metal ramp; remove existing landward side entry stairs; construct new seaward side 7'x10' deck with stairs to ground; construct new front entry } �= with stairs toground; and install a 30s ft. mechanical room and A/Cplatform; with the Y�{ condition of the installation of gutters,leaders and drywells.on the dwelling to contain roof runoff and in accordance with Chapter 236 of the Town Code,Storm Water Management; and . 1%•+ to establish and perpetually maintain a 10' wide non-turf buffer along the edge of h bulkhead/retaining wall; and as depicted on the revised site plan, prepared by PKAD r +a'+1 Architecture&Design, dated September 13,2017, and stamped approved on October 2,2017. i rrj; r dj IN WITNESS WHEREOF the said Board of Trustees hereby causes its Corporate Seal to be affixed, x s ==: and these presents to be subscribed by a majority of the said Board as of this date. r' R CD arles J. ,Sanderscoo k fin — :i�= -;terr �'•r::ci�.;.r�u',7G"f.>iu'Tw',a':�N:t�• ;,t•:.aSL'e�_35?.,Tii.:,;u�c7.su'taci.iist+.vx:•�.n?.Sdr['G,.ieru'�+i�A:•:<"u�Yw. .J;,�<lx5tu�u..;e:m.U".rlr+isl2Y'c7,'.±Tbil%,;2ttvYi.(7w;nx';bfiW�ir:3iumtiS'Sri)• i;S.t'�R�u'Yui;.t�L5.4Gr.A�YCvtii5;,14.Cm�'«G9z`�`: ��} ;_ 9��j'' ��^-.�'�.�„nr'�•�. �'�„''^...,.:,..�[.^lF�i" �."_.7,!m'�mR�4i'1`r,,,/ l\-°'-.�V^.Y•T.'=7RZSE"�.% �.�. �.my.*fiac^..,..•=''� \.�,, •: -.li,+. t 1 s-;{%:� :t :Y 's.•�S_� dtt ".?s,.4:: �a,!.:.j' ::�,.�:,� - - ".S,6SS ��i.:�•. •.e:.�:,,::w:.•.. "'iii" •SAY, 'rid5.. "dd.- � •°r�.'s TERMS AND CONDITIONS The Permittee Palmer Irrevocable Trust 2200 Deep Hole Drive, 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. PROJECT ISSUE 9/13/17 REVISIONS No. Description Date v. 1 BOARD COMMENTS 9/13/17 WETLANDS LL\ \ y d _ •• 1 10'-0"WIDE NON-TURF BUFFER ' t \, \ IMPERVIOUS AREA: 3197 S.F. OR 15.2% \- ' ' v' „ Z' \'. 2. PROJECT AREA IS RELATIVELY FLAT WIDTH \ ' 1% OR LESS SLOPE IN ANY DIRECTION 3. THERE IS NO FILL TO BE TAKEN OUT 9/13/2017 2:29:55 PM 4. APPROX 50 YARDS OF FILL TO FILL IN -- EXISTING FOUNDATION ' IT IS A VIOLATION OF THE LAW FOR ANY PERSON, 5. REFER TO SHADED AREA FOR NEW ,UNLESS ACTING UNDER THE DIRECTION OF A MECH ROOM ADDITION LICENSED ARCHITECT ENGINEER,TO ALTER IN ANY c`oo WAY ANY ITEM ON THESE DRAWINGS. IF AN ITEM ! t BEARING THE SEAL OF AN ARCH ITECT/ENGINEER IS ALTERED, THE ALTERING ARCHITECT\ENGINEERSHALL AFFX TO AL AND FOUNDATION NOTE: NOTATONIAL ERIED BY" FOLLOW DITEM THEIRBYHSHER E REMOVE STEP "` , SIGNATURE AND THE DATE OF SUCH ALTERATION, THE PROPOSED irk % AND A SPECIFIC DESCRIPTION OF THE ALTERATION `f' (15; ON THE DRAWING. ""THE PLANS AND FOUNDATION WILL BE A SPECIFICATIONS HEREIN ARE INTENDED FOR THE t FULLY CLOSED POURS SUBJECT PROJECT ONLY ASARESULT OF REMOVE EXISTING DECK l' + i CONTRACTUAL NEGOTIATIONS BETWEEN THE ` C O N C RET FOUNDATION OWNER AND PHILIPP E. KAMPF.THESE PLANS AND a SPECIFICATIONS WILL BE THE SUBJECT OF A WITH FLOOD VENTING. COPYRIGHT PETITION AND MAY NOT BE REVISED OR REUSED BY ANYONE WITHOUT THE WRITTEN AUTHORITY OF PHILIPP E. KAMPF. " +_._... •._ __... ....__+_.....� � .., �9 •,r . THERE WILL BE NO LIMIT OF ' -,... .. ....+._ . ...+.. ........._�+ _..__ �.~.._. 4 ,.y'r.� � -,, SILT FENC _ +SILT FENCE �; CHANGING OF GRADE AS A 1000- DISTURBANCE _ _ _ - _ _ _ _ _ =�s PART OF THIS PROJECT. ICTP111 :�AD FENC'`4 ARCHITECTURE DESIGN _ i THE INTERIOR SLAB WILL + ~ t REMOVE EXISTING RAMP +SIFT F �� ; ` B E AT THE SAME LEADER ; _ j PHILIPP E. KAMPF L ', ELEVATION AS THE I' " �'LIQ J .owa 9 M} •: 'y. e �� i♦ � „�T �. �• s • ,�!d'y � �. A 1❑7 CENTER STREET PHgNE: 63 7-943.1 081 T Ole ADJACENT GRADE BAY SHORE. N.Y. 1 1 706 p�sT EMAIL: PHILIPPKAMPF PKAD.NET !+Q y Y I ,rt^' REMOVE EXISTING BRICK ,..�_... , e PATIO p EXISTING F.F. EL: 6.6 PROPOSED FF EL: 9.058' 6" PVC DRAIN PIPE ' EXISTING 1 STOR FROM LEADER TO '*; FRAME RESIDENCE TO DRY WELL BE RAISED LEADER REMOVE EXISTING ' i OUTDOOR SHOWER t ACQ LANDING AND STEPS `'�� . .� PROPOSED MECH. ROOM ADDITION 30 S.F. REMOVE EXISTING STEP PROVIDE PLATFORM ' LEADER FOR CONDENSING UNIT ; PROJECT PALMER RESIDENCE APPROVED BY BOARD OF IRUSTEES a? TOWN OF SOUTHOLD 2050 DEEP HOLE ♦ DATE p p DRIVE MATTITUCK, J NY 11952 ♦ „moi/ ..�� J •� `•�� , crn ., t '— DRAINAGE CALCS: D 100 YR 1 HR RAIN=3" ', �` PLOT PLAN SEP 2 8 2017 VOLUME=1675 S.F. x 3"(.25')=418.75 CU.F. Southold Town (1)8'-0" DIA.x5'-0" HIGH CONCRETE DRY WELL=670 CU.F. TOTAL' ,h _ STAMP AREA: DATE: 9/13/17 " • , , - '1"' ++ala►„ r , '�� .� ', ;. . PROJECT 4ft� NUMBER: 60419DEC DRAWING BY: PEK 7 !; �„1!! f✓ yc� 2�\ a CHK BY: PEK a. 70 3 PLOT PLAN f, ,., ~ LOLO T."='1fl'-0''• � � �- •> �," DWG No: 04 1- a" ++++..,+... ..e... a ..++ •+"+.t..J'd.1_;ti,.i�'".+'1•' ' ✓' .rte .•a #7 / ��" - /p�y t • 1+� �. �`' \`1 J� A-001 .00 r- 1 _1,t.I• r^+L-.•.�. ..- .� .. ...+.....+.. .+. f`�t•ta.a►-i..°.rj r e .r J .'t K,.. f Y. + i ✓ '.,& c.,"°°w......- < ,f' CAD FILE N1CD r 60419DEC L�J Michael J.Domino,President '\'oE SUUjyo Town Hall Annex John M.Bredemeyer III,Vice-President '`� l0 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold, New York 11971 Glenn Goldsmith ® Q Telephone(631) 765-1892 A.Nicholas Krupski O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES - - TOWN_OF SOUTHOLD- - - August 16, 2017 Eileen Rowan 80 Wedgewood Drive Coram, NY 11727 RE: THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER IRREVOCABLE TRUST 2200 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-123-4-5.1 Dear Ms. Rowan: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 16, 2017 regarding the above matter: WHEREAS, Eileen Rowan, on behalf of THOMAS PALMER IRREVOCABLE TRUST & KAREN yPAL1olE}TtRREVO(;ABLETRUST applied o he Southold o-T wn'T�rus-tees-ftr permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 28, 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 LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 16, 2017, 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, ---- ------WHE-REAS,-the-structure-complies-with-the--standards-set-forth-in-Chapter-275-of-the--- --- --- - Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER IRREVOCABLE TRUST to raise the foundation of the existing 1,228sq.ft footprint one-story, single-family dwelling with attached garage in order to meet FEMA compliance height; remove existing seaward side deck, brick patio and metal ramp; remove existing landward side entry stairs; construct new seaward side 7'x10' deck with stairs to ground; construct new front entry with stairs to ground; and install a 30sq.ft. mechanical room, and A/C platform; with the condition of the installation of gutters, leaders and drywells on the dwelling to contain roof runoff and in accordance with Chapter 236 of the Town Code, Storm Water Management; and to establish and perpetually maintain a 10' wide non-turf buffer along the edge of bulkhead/retaining wall; and as depicted on the revised site plan, prepared by PKAD Architecture & Design, dated September 13, 2017, and stamped approved on October 2, 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, Michael J. Domino President, Board of Trustees MJD/dd Michael J.Domino,President lrO SU(/TV/1 Town Hall Annex John M_Bredemeyer III,Vice-President 54375 Route 25 ' P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith a0 Telephone(631) 765-1892 A.Nicholas Krupski �yCOU�� 1 Fax(631) 765-6641 t BOARD OF TOWN TRUSTEES 17 TOWN OF SOUTHOLD TO: p QL IR�ErI.711061-CID Fl RgJV/ Please be advised that your application dated X111Z9 201-7 9 has been reviewed by this Board at the regular meeting of d , ZDV 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) Is'Day of Construction ($50.00) 'Y2 Constructed ($50.00) Final Inspection Fee($50.00) sjv Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) 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. Auch 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 pa a 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: ' �11.t� 631-603-8688 TOTAL FEES DUE. $ � C ROWAN 1 Permit Expediting Services BY: Michael J. Domino, President ESP:2 8 Board of Trustees Eileen Rowan IBuilding Permits 80 Wedgewood Drive Southold 1 Wetland Applications Coram,NY 11727 Jw Variances rowanpermitexpeditinj.com 7 Land Divisions rowanexpediting@gmail.com zf SOU Michael J. Domino, President �o� O1 Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J. SandersP.O. Box 1179 Southold, New York 11971 Glenn Goldsmith ® y� Telephone(631) 765-1892 A.Nicholas KrupskiIyCDUNrI Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: FAU Qe Ir; V._W451-40 Et(. ROWAN TW 29 2Ot 7 Please be advised that your application dated i has been reviewed by this Board at the regular meeting of A1� i "1'7' and your application hasbeenapproved pending the completion of the following items checked off below. lY Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1" Day of Construction ($50.00) '% Constructed ($50.00) Final Inspection Fee($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) V/ The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT-FEES: TOTAL FEES DUE: $ BY: . Michael J. Domino, President Board of Trustees PROJECTISSUE 623117 j(1�.. [I ��JJJf �_ REVISIONS ry-' E \V! L_ > No Deavl m Da[a 1 I}1�1:+�' 1J I JU 2 8 2 0 I7 NLGWNICAL - ROOM ADDITION I � I Southo -_ �' '�,Y:,�„r'=-`' '•"'mow - ;�- - �=�x� _ - =,_f,£�`�°p=� �..; I•,:�-��- �'-:.�,= -��-.�easTt �R�er�..wwonelsctioe =-y, -�, PROPOSED FIRST .r �ewawewurt_ '- I'�"^ �'(•, ...=..`^L:J�� -:-".xl:.=::r..�.::�-.--...».��,,.-.y, 'DISAVIOIATIONOFTHEIAWFORANYPEEEON UNIE59ACTWG UNDER THEDIRECTON OFA - -.LONE Rgu-1 � BFEi2 I{��--""pljp �jl'' - - _ - WIAYANrttERM ON THESE wtAWINGS LiF nN REMY ETERToeFEw MIN E� 8'-0" _,_ BEARING THE SEAL OF AN ARCHITEODENGWEER IS _kel- ALTERED THEALTERWG ARWITECTENGINEER -_ EXISTING FIRST XI 1�1' -� 6HALLAFFTOHIEHER REN THEP SFALANDTHE FLOOR q NOTATON'ALTERED BY FOLLOWED BY HISMER I aL acT,aP PLaco aaveln 'I�•�L- GONATUREANDTHEDATEOFSUCH ALTERATION ,.x;s er'iAnm vEMwEL+Ama+ 8 kra.iFsb��"•:^ 5p 9F COVE LEPER VENT I - 1�_ SP COVERAGE PER VENT---- - ON THE 04 ffIC DE6 THETIONE AND LTERATgN 6PECIFMATIONS HEREIN MEP INTENDED FOR THE CANTRACTUALNEOOTIATgNSBETWEEHTHE �I-�•.��'- #-,-=4b�c�'.Y _ -- • - " ' - 11 +� -, I O-EE ATgNS WILLBETH�SUSJEEE-SAND ,�•"� "S,t"'k^{""f ""+�'1-'1 - 1=11= - _-1 I-� --'.1 '- -1 _I I'-11� —11—I 1=1 =111=11=11=III-III=11=1{--11--11 11- I=11-�I=yl-I.•.",�I��"�IPI��iii:�'I{}"T"!.T1��.i�.v��1�=1��1-`-I'�!- COPYROHTPETITIONANDMAVNOTBEREVISEDOR GRAD5E-9HAl2G' -_I�-I I 1i��I�-=f�I I#�-�uTFI��11--�'I i�--�I _1i��I�Ft¢_H'4°t°oTf�ditl°iMwi�t°°+�R°�^�-_t`-I�rf�I-1'-rI= 1�II�IH-i'=I I L-�-��VLI-1�-��I-'��I-H�II-I-f-f'1>•= I�M't:fis"3�- teAt_x M11}'='`I- iv MTHORRBYYOANG YP ONN6EPWPITEHOKUATMPTHFE' WRITTEN FKAD ARCHITECTURE 6 DESIGN n FRONT ELEVATION 2 LEFT SIDE ELEVATION 1/4"=1.-0,� 114.=1�-0, c�,v.°N°STSN6MKaaPO1lYK+ Fuwvo ensT1+�PPASOc.auYEr RODHANOAL ROOM AD"""__-•__"!.�°-msL`:-moi LiT'Ti-y."�-,^_-�-'�w'•=..::�"_ .myTc_ -- _.:« _ _ �a�•-cS-::�a".�' _ _ _„-i.'v_+p i4`in`_� ''.�,�s'. •+A� �,u"~ _.�.`�"v '.Yw_iSTER¢uNGSffRLOR,� _ _ _ _ +wj"�.. .`^T _ _Ki r:E 'ti`i, -_ Stt1sPYhMOW Wa:RCoRh=; __ �-.�_�•"`,�'.c^"_^.._ _ _ :i-.$.:.,' ^.,-a."-'.°1. _ ..e°"°a`::.'�_a�:-mss;:: ,"..?:F,".'�` i-k' ::..f;•' _ - -_ - - - q '= -u-`•�:- __ ::L� PROJECT 11G';;,�'_•'�*.'. _ _ sS'�° - -__-_=.,,d _ _.::-`-"'_'-= e_ F--�y�z- - _ PALMER RESIDENCE ZZ 2050 DEEP HOLE __ TO aFE.]Mill DRIVE MATTITUCK, 1k? G r aF SNF GGGaR ENT N NY 11952 ,� � / P7^�• �`, 'ti [ 'a ' -sem,^,, 1=1111-11=1-II=1 {4`I I—11=I= 1=II -• I=1 1=1 =1I I- 11=1 'xt"' II-'I I":�i-`il 11=I1=1t 1=L-ilI—III=111=11"�;w 1=III=III—III=(11=.111=f 11=111=1i!=1j�=i�; F..j'v';'13C-III tll=1 =I1=11 I- s rte• i-�T tw:_-1- - " I-!IC III=(11_ � I`7�1 = I- , la�A�- lilI (l=Ua _ Ial�a -1ImJ1l�� 1_ t+=,.,t.a -11 ,1 1=11('- EXTERIOR rimmil ELEVATIONS '-i`.,-"`if(f =�i-1 - 1= i_ I -Ii=!!!-i Ii=1 _I I_91I_I1=!I1=1I=!11_1!1 -II!=1I� II. Ell=iI I I� I ( III- I-,y ,il�Iii-III��(I�,II�I,I^II,�-'I4 ,' I,I-III-,IIIiI IIt ,IF-II, ,I� II,�rI II iII I I-1!! ,!i- i-1 l-� f_ -111 i -111; ---- - STAMP AREA DATE 623117 /�y+,EO ARRC PROJEci /l REAR ELEVATION a RIGHT$IDE ELEVATION ©1B a r, NUMBER 66419DEC DRAWING BY PEK 114"=1'-0" 174"=1'-0" CHK BY PEK � �d DWG No e �Y„O,TTplS T - F� A-400.00 CAD FILE N= 6D419DEC Michael J. Domino, Pres!; l a Q VFF��L � Town Hall Annex John M. Bredemeyer III,Vice-IYr"esident �� `� 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith ( Southold,NY 11971 A.Nicholas Krupski yap! { Telephone(631)765-1892 tr ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD __LL Date/Time: 9/9/0 2 46 Completed infield by: Eileen Rowan on behalf of THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER IRREVOCABLE TRUST request a Wetland Permit to raise the foundation of the existing 1,228sq.ft footprint one-story, single-family dwelling with attached garage in order to meet FEMA compliance height; remove existing seaward side deck, brick patio and metal ramp; remove existing landward side entry stairs; construct new seaward side 7'x10' deck with stairs to ground; construct new front entry with stairs to ground; and install a 30sq.ft. mechanical room, and A/C platform. Located: 2200 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-5.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment 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: Present were: / J. Bredemeyer V/M. Domino V G. Goldsmith 1, N. Krupski ,/ C. Sanders Other Page 1 of 2 Michael J. Domino, PresiaSUFfQ(� � 5 �O Co _ Town Hall Annex John M. Bredemeyer III,Vice-Presfdent �� Gam ' 54375 Route 25 Charles J. Sanders c P.O.Box 1179 Cn Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ® 0l� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Eileen Rowan on behalf of THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER IRREVOCABLE TRUST request a Wetland Permit to raise the foundation of the existing 1,228sq.ft footprint one-story, single-family dwelling with attached garage in order to meet FEMA compliance height; remove existing seaward side deck, brick patio and metal ramp; remove existing landward side entry stairs; construct new seaward side 7'x10' deck with stairs to ground; construct new front entry with stairs to ground; and install a 30sq.ft. mechanical room, and A/C platform. Located: 2200 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-5.1 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 71 r '` t _C* Karen Palmer Irrevocable Trust 2200 Deep Hole Drive,Mattituck 7 TM#: 1000 IL Y4 ♦' �� ' kms: .'f.� \ � ZZ i 4 � � 2017 . 8 . 8 14A . Estimated Cost of Repair Design FRONT �► w Taken By:RobertSmith } t 'Y� iia R. 2 STREET LEFT Taken By:Robert Smith y r ,.E 4 i Estimated Cost of Repair-Design 5 FRONT Date Taken:7/9/2014 Taken By:Robert Smith 6 LEFT , Taken By:Robert Smith 41 t, F eu t dFr, re � jN r h q� • L � i - rtmm z_ jor Estimated Cost of Repair I Taken By: Robert Smith 12 RIGHT Taken By: K R. 91 ��,w�l�w. �•+war, +�* a. T�fin µ Robert Smith a ..sx.�i MATCH LINE 3A MATCH --' - •�. _ _ _ _ - N7at<00 -Z _--- LJN Y - -------__Z7 ---.--- E4 ESEG rvo ns u — - n m 4 FORKI NO FOR PCL NO ,' w p ty p b W SEE SEG rvo SEE SEC NO 11S09-0t3C 2 m$,y ,ae + S• 2' A 14 7 0 I= w 13 3 .I FOR PCL NO 4 a8 eu 2 0 �.�'�;.3 +•gym, az MW \m•' fie t 97A(e) t 4A(c) 9 10 11 t SA(e, cs 13P a �\ SEE SEC No +,.. tN 122-6 M N g 191 9 TOM OF m �� 21 , �HROA�n 300A O 5 r X18 18 +an m 159A 22 299 a °0 SS 1 "a CREEK g q z, 1.zza(o) .2 q w o• rg A '^ r TA" 57 47 S�Z8 29 M PIE .n t, 19 .4P qy 16 18 t•19 C 2 1F'�0 19� e°`p\S 59m m fl3 lP 413 7 8P1r1 �. 6t AP 8•t 9gt 24P10` t '' d 'IPIO . 3 19P11 i DA 2� 25 W j �1P, '111 4'A 34A �1p 9 , 17P141 1 H O```1` ?•s mtt M .n //-/ 0 t �-T pJ1 P9 m q 29P� M / 6 18 381 1t 12.3. qv$ PD t/ r a q as ,p1 12 cgs LD A6 g 16 13 1y5' 171 O . FD 0 W O 14 P S 1fiP� :1H:1 96 124 .� /.. ez11 22n 1EC0141c BpV 1 s s zn9m g .- ze9 oaz S z1 wNTENNN�EµoT�co �ssov7 COUNTY OF SUFFOLK © E wmG SOUTHOLD secnoNNo ---- (" Real Property Tax Service Agency v rve,Nea „ AEeGF 123 V)fa9COUxtttq%e,AP tS wow&Teo coon Cente)R4 NY11991 .. n ..e ,z,AtEIv 121A �- --- now... --•-- °ioeY---"""-- nw wTNour wumxvERwssoN o),>,EA,�w,..�y,� Ew, A iN Imo ---- -- -- --PERtviAa SERNCE—Cv "Ti•yw`y p sTRIcTNo 1909 PROPERTY MAP OFFICE LOCATION: ®��®v S® y® MAILING ADDRESS: Town Hall Annex �® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) =s Southold, NY 11971 �� Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: August 14, 2017 Re: Local Waterfront Revitalization Program Coastal Consistency Review for THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER IRREVOCABLE TRUST SCTM# 1000-123-4-5.1 Eileen Rowan on behalf of THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER IRREVOCABLE TRUST request a Wetland Permit to raise the foundation of the existing 1,228sq.ft footprint one-story, single-family dwelling with attached garage in order to meet FEMA compliance height; remove existing seaward side deck, brick patio and metal ramp; remove existing landward side entry stairs; construct new seaward side 7'x10' deck With.stairs to ground; construct new front entry with stairs to ground; and install a 30sq.ft. mechanical room, and A/C platform. Located: 2200 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-5.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP providing; 1. The Board considers establishing a vegetated non-turf buffer landward of the bulkhead to reduce lawn area and further Policy 6. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. ` r 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., August 9, 2017 the following recommendation was made: Moved by Peter Young, seconded by James Abbott, it was RESOLVED to SUPPORT the application of THOMAS PALMER IRREV. TRUST for a NY Rising Project. Existing single-family dwelling to be raised for FEMA compliance. Also removal of decking and patio, front entry platform 8'X 5' with steps to grade, rear entry platform 10'X 7', mechanical room 30 sf. and AC platform. Located: 2200 (2050) Deep Hole Drive, Mattituck. SCTM#123-4-5.1 Inspected by: Peter Young, James Abbott The CAC Supports the application with the Condition of a 10' non-turf buffer. Vote of Council: Ayes: All Motion Carried O 54375 Mam goad amino, vice-President `.,� '� `� P O Box 1179 �_- ,rte /ing,Trustee � 1, `�` � ;��ittiold- New York L L971-0959 Igen- Trustee Gr Telephone(631)765-L892 /e- anders.Trustee Fax(631) 765-6641 IyC�UtfT`(,N`� BOA�-]D OF TOWN TRUSTEES D L`� Fs� V I� TOWN OF SOUTHOLD d hold.Town Building Department JUL - 5 2017 fication of Building Department Permit Requirements BUILDING DE-PT. TOWN OF SGOTHOLD Property Owner Name: Date Sent to Bldg_ Dept.: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? XZ Will any part of this application be considered as Demolition as 'described under Town Code? COMMENTS: SI gnature of Reviewer Date IP y, 14, 1 .Domino President :{ - Town Hall Annex Michael J. w 54375 Route 25 John M.Bredemeyer III,Vice-President , t` P.O.Box 1179 : . -_ Charles-J.Sanders �,,. ' `:° ? Southold,New York 11971 Glenn Goldsmith e " _ Telephone(631) 765-1892 A.Nicholas Krupski *� Fax(631) 765-6641 ?s �A BOARD OF TOWN TRUSTEES ; TOWN OF SOUTHOLD 'Th6'Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application ` Administrative Permit Amendment/Transfer/Exter}sion I' Received Application: ._ -(- - .�c::Received Fee: $ Z58.0 _ V Completed Application: 7--5-1__1 E E I V E Incomplete:,_ LJ SEQRA Classification: Type I— Type II Unlisted Lead Agency Determination: JUN 2 8 2017 Coordination-(date sent): �� 1-7a �LWRP Consistency Assessment Form Sent: - �CAC Referral Sent: 7.261-7 SoutholdTown y Date of Inspection: 8'��" of Tr e 1 Receipt of CAC Report: Technical Review: "Public Hearing Hel ( j Resolution:,_ _ a i Legal Name of Property Owner(s): THOMAS PALMER IRREV. TRUST ; Mailing Address: PO BOX 643249 izace66, Phone Number: 772-643-7059_ Suffolk County Tax'Map Number: 1000- ___123-4-5.1. Property Location:. 2200 (2050) DEEP HOLE DRIVE,`MATTITUCK NY ; (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): EILEEN ROWAN t Mailing Address:- 80 WEDGEWOOD DRIVE, CORAM NY 11727 - - ' Phone Number.:. 631 603-8688_ '7111 LL Board of Trustees Application GENERAL DATA Land Area(in square feet):_20,620 SF Area Zoning: _ R-40 Previous use of property: RESIDENTIAL SINGLE FAMILY DWELLING Intended use of property: SAME Covenants and Restrictions on property? Yes _ No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. /ill 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 X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): NE�NYORK RISING PRC3 _ _ _vECT_________ _= —EXISTING SINGLE FAMILY DWELLING TO BE RAISED FOR F04A COMPLIANCE ALSO REIVIOV/=L OF DECKING AND PATIO, FRONT ENTRY PLATFORM 8'X 6W-TH STEPS TO GRADE, REAR ENTRY PLATFORM 10'X7'. MECHANICAL ROOM 30 SF AND AC PLATFORf — -----_---_�_-- Boated of 'Trustees ApplicatiOP WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: NEW YORK RISING PROJECT _ EXISTING SINGLE FAMILY DWELLING TO BE RAISED FOR FEMA COMPLIANCE ALSO. REMOVAL OF DECKING AND PATIO, FRONT ENTRY PLATFORM W X 5'VVITH STEPS, REAR ENTRY PLATFORM 10'X T WITH STEPS, AC PLATFORM AND MECHANICAL ROOM 00 SF Area of wetlands on lot: 79 _square feet Percent coverage of lot: _ 152____^_% Closest distance between nearest existing structure and upland edge of wetlands:_ _fid'_ feet DECKING TO BE REMOVED Closest distance between nearest proposed structure and upland edge of wetlands:75' feet EXISTING STRUCTURE TO REMAIN Does the project involve excavation or filling? X No Yes If yes,how much material will be excavated? NIA cubic yards How much material will be filled? N/A cubic yards Depth of whieh material will be reproved or deposited:_ 3 �feet Proposed slope throughout the area of operations: EXISTING 1% NO CHANGES Manner in which material will be removed or deposited: TRUCK AND SHOVEL Statement of the effect,if any, on the Nvetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): NO EFFECT. Board of `trustees Application COASTAL EROSION APPLICATION DATA. Purposes of proposed activity: __TO RAISE DWELLING TO FEMA CON1PLIANCE ALSO TO REM01iE DECKING AND PATIO, FRONT ENTRY PLATFORM WITH STEPS 8'X 5' REAR ENTRY PLATFORM WITH STEPS 10'X T, AC PLATFORM AND MECHANICAL ROOM 30 SF. Are wetlands present within 100 feet of the proposed activity? —No __ _X Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? 0 (cubic yards) How much material will be filled? 50 (cubic yards) Manner in which material will be removed or deposited: TRUCK AND SHOVEL Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from.implementation of the project as proposed,including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) NO IMPACT 0 � -. Short Environmental Assessment Form Part I -Project In orniaateon Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Pari I -Projectand Sponsor Information Name of Action or Project: PALMER @ MATTITUCK Project Location(describe,and attach a location map): 2200(2050)DEEP HOLE DRIVE,MATTITUCK NY 11952 Brief Description of Proposed Action: EXISTING SINGLE FAMILY DWELLING TO BE RAISED FOR FEMA COMPLIANCE. THIS IS A NEW YORK RISING PROJECT. Name of Applicant or Sponsor: Telephone: 772 643-7059 THOMAS A.PALMER IRREV.TRUST,MARILYN KINDY TRUSTEE E-Mail: eekindy@aol.com Address: PO BOX 643249 City/PO: State: Zip Code: VERO BEACH FLORIDA 32964 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 ❑1 El 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_1 ❑ TOWN OF SOUTHOLD,NEW YORK RISING 3.a.Total acreage of the site of the proposed action? .47 acres b.Total acreage to be physically disturbed? , acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .47 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) []Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture []Aquatic; mother(specify): OPEN WATER ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A I! a.A permitted use under the zoning regulations? ❑ 91 ❑ ! b.Consistent with the adopted comprehensive plan? ❑ ❑ a 6. 1s 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 I YES If Yes,identify:DEEP HOLE CREEK AND PECONIC BAY AND ENVIRONS. ❑ 17 S. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES r7l 0— 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? 17] ❑ 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: NIA 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: El Er 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑✓ F-1b.Is the proposed action located in an archeological sensitive area? ElQ 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: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: m Shoreline ❑Forest ❑Agricultural/grass lands El Early mid-successional ❑ Wetland ❑Urban ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑ ❑✓ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either fi•om 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: NO E]YES Page 2 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: R ❑ I AFFIRM THAT TITE INFORMATION PROVIDED ABOVE IS"TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/s ons jour name: MARILYN KINDY Date4dt�.e 7 Signature: PRINT FORM Page 3 of 3 Agency Use Only[If applicable] Project Date: Short E3Jdul2ntad Assessrent Tv3ii I Part 2 -Impact Assessment Part 2 is to be completed by the Lead Agency. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning E]regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the El of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El 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 El available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? 0 E] b.public/private wastewater treatment utilities? EO El 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality, flora and fauna)? 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? PRINT FORM Pagel oft ' Agency Use Only[If applicable] Project: Date: Short Environmental Assessment Form Part 3 Determination of Significance 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. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the pro osed action will of result in any significant adverse environmental impa ts. Name f Lea Agen ate Print or Type Name of espon ible Officer in Lead Agency Title of Responsible Officer Signature of Responsible elcer in Lead Agency Signature ofPreparer(if different from Responsible Officer) PRINT FORM Page 2 oft S A APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSLW-FORM The-Tow n of Southold SgEode of Ethicscsprghibits cdnflicts of interest on the-part of town officers and em�jaj�ee The�uruosc iif i is fo i t' If6vidainrorhitfidn wbicWn alert the'town.of possible conflic `f inteiestan al ow't o take wlr te-ver n is neee.ssary=ia avoid same. YOURNAME: MARILYN KINDY M 8A ` (Last name,first name fiddle initial unless ou are applying in the name of >4� Y someone else or other entity,such as a company.If so,indicate the,other person's or company's name.) i NAME OF APPLICATION: (Check all that apply.) ' Tax grievance Building I Variance Trustee Change ofZone Coastal Erosion _ f Approval of plat Mooring Exemption from plat or official map _ Planning i Other (If"Other,name the activity.) Dc you personally{or thiougl)your company,spoti§c,-sibling,parent,or child)have a relatiotisliiii Nviih any afficcr or employee ofthe Tmvn of Southold? "RelntionAip"includes by blood,njairiage,or business interest.,"Busiaess inteiese;-means n business, including a_partriership;in.which the town officer or employee has-0e6 a partial'ownctship or(or employment by),a corporation in which the tonin-officer or employee offs mora than 5%,o rthe shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. , Name of person employed by the Town of Southold Title or position of that person P; Describe the relationship bclwten yourself(the applicanVal ent/representative)and the town officer or employee.Either check 1 the- ppropcia(e line A)through D)andlor describe'in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): { o A)the owner orgreater than 5%of the shares of the'corporate stork,of the applicAnt f -(when the applicant is a corporation); B) life,legal'or&-neficial 6%6er of any interest in o non-corpgrate entity(when the applicant"is not a corporation), C)an;,affccr,director,,partner,or employee-of the applicant;br D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitte this day of 20'/—) Signature - �, -_ Print Nathe Form TS 1 �� - • o 4 APPLICANT/AGENT/REPRESENTATWE TRANSACTIONAL DISCLOSUR],FORINT ' ThcTOwn afSouthold's-Code of Endes prohib1Kpdnfliets ohntcrest-on the pArt-of town officers and ftloyees Thznumosc of t i" f6m,is'ta ovi e lh 'r`anon which cnn alert the town Qf pos4ible eon 'cm n intete n;Jd ui div't to take v}t te'v loll i necessary j]a iivoid same. {�f 1 YOUR NAME: MARILYN KII�IDY (Last name,first name giiddle 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'.) a` Tax grievance Building Variance Trustee — Change of Zone Coastal Erosion _ Approval of plat Mooring ^i Exemption from plat or official map _ Planning i Other (If'Other'',name the activity.) DQ you personally(or through your-company,spottst:;-slbling,parcut,,or child')have a relationship with any officer or employee of the Town ofSouthold? "ltelatlonshin"includes by blood;Marriage,or business interest."Business interest"-means a business, including rrpnrtncrship;inwhich the W,wn oftiterar.e►nploy, 6 hascv6da partial 9�+ncrship"of(orwnploymcni by,)acorpomtibn in which the town officer orcmployce, owns inore.than,511/6 of the shares. YES NO X If you answered"YES",complete the balance of this,fotm and date and sign where indicated. 1 Name of person employed by the Town of Southold ?- Title or position of that person- ;. { Describe the relationship between yotiiself(the npplicanVagentlrepresentative)and the town officer or employee,Either check ?" the appropriate'line A)through'D)and/or describe in the sq7ace provided, t The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)`the oadner,or- nater than 5%a of the shares of the co" g rporatestockoftlte;ljihitctutt 1 (when the applicant is a corporation); B)}he legal orbeneficiai ownttr of any interest in a non-corporate entity(whoti tha applicant'is nota corporation),= G)an officer,director,partner,or employee-tif the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP ubtnitte s �7- dayo 2 tgnature PrintName ►��q�l �, Il o Form TS 1 a Board of Trustees Application AU'THORIZA'TION (Where the applicant is not the owner) I/We, KAREN PALMER IRREVOCABLE TRUST BY MARILYN KINDY TRUSTEE owners of the property identified as SCTM# 1000- 123-4-5.1 in the town of NIATTITUCK 'New York,hereby authorizes EILEEN ROWAN to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. �Ja �— _�( Property Ow er's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF 20 1 -7 JANET R WATSON Notary Public MY COMMISSION#FF990841 ' EXPIRES June 29,2020 (407)99Y-0153 FW1dallo1aryServke.eom t f Board of Trustees Application AFFIDAVIT MARILYN KINDY 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 WORT{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.'' Signature df PropertyOw Signature of Property Owner SWORN TO BEFORE ME THIS -71h DAY OF VJtJU ,2q17 Notary Public , �"'a;: JANET R WATSON '= MY COMMISSION#FF990841 -.,,af EXPIRES June 29,2020 (407)398-0153 FlorfdallotaryServke.cem Board of Trustees Application AFFIDAVIT MARILYN __._BEING DULY SWORN DEPUSES AND'AFFIkMS THAT]EIE/SH91S'TIIE-APPLICANT FOR THE ABOVE DESCRIBED PERMIT($)AND THAT ALL STATEMENT'S CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORD 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 ANYAND ALL,DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF s GRAN'T'ED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE s 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. f Signature of Ilroperty Owner Signature of Property Owner ^ SWORN TO BEFORE ME THIS DAY OF (l�,Y 20° ; JANET R WATSON MY COMMISSION#FF990841 d EXPIRES June 29,2020 (407)398-0163 FbridallotaryService.cDm Notary Public Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, THOMAS A. PALMER IRREVOCABLE_TRUST BY MARILYN KINDY TRUSTEE" . 7 owners of the property identified as SCTM# 1000-_123-4-5.1 in the town of MATTITUCK New York,hereby authorizes EILEEN ROWAN _ to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS O DAY OF; ,20i_ 0 JANET R WATSON MY COMMISSION#FF990841 Notary Public ^" AW EXPIRES June 29,2020 (407)398-0163 FloridallotaryServlee.eom a . . APPLICANUAGENU/REPRESENTATIVF TRANSACTIONAL DISCLOSURE,-FORM „ he- n eifiSou old'S Code`o Ethic "-"'hibitsconfficts`bf intcreshon t"e 'of w afticers and cai"lo`ees. e�"u-A`se o � { tli►�formis"to+jy'roviilcinforinnlionwf►ich'ctiti'alertihe�,rnvnofpassibleconftiGtsofintcresbitnilullow'ii;-Tvdake�vlinteverfltie on�is; �ece`ssacuto'nvc�dsame: - EILEEN,ROWAN YOUR NAME: = — ---(Li name first name, iddle initial,unless you are-applying in the'name of (L �. someone else or other entity,such as a company.If so,indicate,the.other person's or company's name.) x W NAME OF APPLICATION: (Check all that apply.) ` Tax grievance Building > Variance _ Trustee Change of Zone -_ = " Coastal Erosion Approval of plat - Mooring _ s Exemption from plat or official map_ Planning Other (If"Other',name the activity.) ;Fz Do,g�ou personally"(or ttirbiigl�your camyaa►iy.;sPouse;sibling,parent,yr childj'have a relatio►s}iip with auy ofCcec,or'einplbyec ^' of the'I own,gf Soi+tf►old? "Reiattonshie'includes by blood;glarciage,or 6usmess=iitten.st "13tjsmess igtbrc t; means 1 business, i s iitcluilirig'ti partncrshin,in�vttich ihe,.towh offtcer or.cniplaycc,,t:is euzn n=partial iirpomfion i4 in which thr towh offirec or employee owns mari,tlitnt`S%o,oCthe shares. d' YES NO X t If you answered"YES",complete the balance of this form and date and sign where indicated. - I Name of person employed by'the Town of Southold.- - - - - - - - Title or position of that person bescribe;,the.relationship li h cen yoiiur§elf(the applicant ftg ptlrepresentative)and the.town officer or employee.Either,check x the appropriate'fine A)through D);andlardescritieJn the spaceprovided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): -A);itic ovrner of greater than 5%of the shares bUkd,1c-0r i6t'afe'stock,,®f:dio aPWitilt twhen thc,applict<ntis,a'corporation) F B)ttic legal oc tianefioial, wi er._®f anyinterest"iWn non=,corporiie entltpx(wheii•the " ,zppticaat•ws:itot%m corporatign),, - - __C)' I1;'O�IIGei,'-ci'ir ctor,-partner;;o_r em loyec'of the,ajipiicnnt;=or D)the actual applicant. ' DESCRIPTION OF RELATIONSHIP if Submitted his _ y o 2 g Signatuce -- — Print-Na fi— ( WA.A a Form TS 1 Michael J.Domino,irresident �Q UFF��'0 Town Hall Annex John M.Bredemeyer II1,Vice-President ,{,��® �� 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith O r�`t Southold,NY 11971 A.Nicholas Krupski 4' 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 THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER IRREVOCABLE TRUST 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 residing at/dba zo being duly sworn, depose and say: i That on the day o , 2V;7,-f-personglyffld th pr p rty known as by placing the Board of rust es official poster whe e it can easily be sen, d that I have checked to be sure the poster has remained in place for eight days prior t e date of the public hearing. Date of hearing noted thereon to be held Wednesday,Aulzust 16,2017. Dated: nature) I /S`worn to b ore me this �6 day o0 / tary Publict,// AGNES J.VION York Notary Public,State of New No.01 VI4871102 QualMW in Suffolk Co "k) i cd, CommisSlon Expires Sept.8, • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK residing atrivio be' duly sworn, depose a d says that on the daV�qA&dd 2071, deponent mailed a e copy of the Notice set forth in the o rustees 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 assessme 1 of the Town of Southold; that said Notices were mailed at the United States Post Office at 6 !E14 , that said Notices were ma'led to each of saidersons b CERTIFIED MAIL/RETURN RECEIPT. P y { I Sworn to before me this It 5- Day Day of L us 20 I'� PATRICK PHILLIP NEUMANN Notary Public—State of New York NO.01NE6358239 Qualified in Suffolk County My Commission Expires May 8,2021 I I Notary Public • 123-4-4.1 Scott Colletti &Tammy Colletti 44 Old Field Road,Setauket, NY 11733 123-4-6 Lee G. Peters II &Jill T. Russell 6515 801h Street, Cabin John Maryland 20818 115-14-16 Lewis Montgomery& Effie Montgomery 154 S. Center Avenue, Rockville Centre, New York 11570 115-14-15 Peter Coleman &Sandra Coleman PO Box 364, Mattituck, New York 11952 NOTICE TO ADJACENT PROPERTY OWNER BOARD Of TRUSTEES, TOWN OF SOUTHOLD the-matter ofpapplic oe 6 TF`0��/� a VV YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the under n to request P rmit fr the Board of Trustees to: wwr IL —72. That the property which is the subject of Environmental Review is located 220Dadiacent our ejdk�*srib�C o A9-04:5 /" +7TI ItIc 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Z61 2�11_7 You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: Y MAILING ADDRESS: r PHONE #: 1 Q� AGENT: _ (� L�[ MAILING ADDRESS:'_ PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. f ■ H -m ARI NC -N -QTIL UF 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: THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER IRREVOCABLE TRUST SU BJ ECT OF P U B LI C H EARI NG : For a Wetland Permit to raise the foundation of the existing 1 ,228sq.ft footprint one-story, single-family dwelling with attached garage in order to meet FEMA compliance height; remove existing seaward side deck, brick patio and metal ramp; remove existing landward side entry stairs; construct new seaward side 7'x10' d,eck with stairs to ground; construct new front entry with stairs to ground; and install a 30sq.ft. mechanical room, arid, A/C Platform. Located: 2200 Deep Hole Drive, :Mattituck. SCTM# 1000-123-4-5.1 TIME & DATE OF PUBLIC HEARING : ..Wednesday,, August '16,r: 2017 -=_at or about 5 :30P. M . ]f you ,have an interest ,in this project; you are-invited to view the Town file(s) which are available for 'inspection priorto 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 SOUTH-OLD * (631) 765-1892 Postal • ' - U-S-2 Service' CERTIFIEDNAV RECEIPT . CERTIFIED MAIL Domestic 0 i r� ' 1 L UL a r 'I Kk Ln Certified Mall Fee $3,31 0727 ; Ln Certified Mad Fee $3.35 11127 fC3 $ 5 06 o $ 5 Extra Services&Fees(check bar,add tee ate) 1 �' 1 �y Q,� p Y Extra Services&Fees check box,addie ❑Return Receipt(hardcopy) $ � 4 - 1�) ( ��f�(+ate) — — � ❑Return Receipt(hardcopy) $ M ❑Return Receipt(electronic) $ $0.00 0 Postma 1 0 ❑Return Receipt(electronic) $ $,J•UU Po �k I] []Certified Mall Restricted Delivery $ Here. O ❑Certified Mall Restricted Delivery $ e 0 0 ❑Adu@ Signature Required $ ,`,s A �N C3 fid.. E]Adult Signature Restricted Delivery$ ct� []Adult Signature Required $ ,a rco Q $1.40 I] Post 9e Adult Signature ResMcted Delivery$ J�r o� Postage $1.40 r'q Total Postage and 5� /04� j N Total Postage and eQ.t�� lv 9 T 72 ..D s � i ;.13 S r�^// 1� --- - - - - - --- ---- ------- --------------- I %� C3 r e o. -- --- -- r" or PO 4 -- - - ---- - �-�� i' -- -- ae• t tate, �CERTIFIED - - s RECEIPTMAW N 1 ,. r` Ome,14tip Mail drily NUD rq q �j.= • f {f • •NWEL • ' LCS P gg 6s} 1 LPI Certified Mad Fee $3.35 0727 Zn Certified Mad Fee , ,1 t C3 $2.75 06I o $ $2.75 � 1�,� 06 Extra Services&Fees(checkbox,add ree Y VpA Bate) =11- 6ra Services&Fees(check box,add fee"pcWte) (��I ❑Return Receipt(hardcopy) $ A n N Y ❑Return Receipt(hardcopy) $---$tt—$�- E]Return Receipt(electronic)ED $ $13. 0 1:3 Return Receipt $ Pastmar ❑ ❑Certified Mail Restricted Delivery $ ry� Here r 0 ❑Certified Mall Restricted Delivery $ •L M @, dF]Adult Signature Required $ $0n� r5f,°� O E]Adult Signature Required $ 1 t []Adult Signature Restricted Delivery$ " []Adult Signature Restricted Delivery$ P�U p Postage $1.40 gNN p Postage $1.40 Ie'/04/2017 a �- $ 0 04/ N Total Postage and WS rr, r _!� J r-1 Total Postage and T7S 7?� WS V rll $ " $ O e ---no ApL N r P N C3 To�y Ct (yo Zl 4� VL , ------ --® ^y ' • • :e• .. o •• ••••• •. - , :rr •. a •• •r••r - I 1 ! S- I `l - �� y - i,5 Name: loleea-se- �0 A> c_ UPJ n i Q r,P,,-653)-7Z c S--1937)) 0 r-C C eV{ - QQj'V e- J vI /-� nJ A)a-, ! 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. i Sworn to before me this Day of ,2Q i Notary Public NUTIL I t UF H 't: ARING 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: THOMAS PALMER IRREVOCABLE TRUST & KAREN PALMER IRREVOCABLE TRUST SU BJ ECT OF P U B L I C H EA R I NG : For a Wetland Permit to raise the foundation of the existing 1 ,228sq.ft footprint one-story, single-family dwelling with attached garage in order to meet FEMA compliance height; remove existing seaward side deck, brick patio and metal ramp; remove existing landward side entry stairs; construct new seaward side 7'x10' deck with stairs to ground; construct new front entry with stairs to ground; and install a 30sq.ft. mechanical room, and A/C platform. Located: 2200 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-5.1 TIME & DATE OF PUBLIC HEARING : Wednesday, August 16, 2017 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 r ' Town of Southold I[;VRP-CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS L 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 aotion= will ;lie eyaliia.led,.as -,to_its_Aglffcant beneficial and"adverse effects tiuoii t?ie_coastalsarea which,includes all of,S`outbel&-T—6 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_answei-iniist,be ea�laitied"iii-ilefi l,listiiig both si!ht'Orting-iaoid non- suppbrtink facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,�it-sliall not`be°iuidcrtaken. 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# 123 _ » 4 . _5.1 PROJECT NAME _ _PALMER.@ MATTITUCK 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: NEW YORK RISING PROJECT RAISING OF SINGLE FAMILY DWELLING FOR FEMA COMPLIANCE. x 1 r F Location of action: 2200 (2050) DEEP HOLE DRIVE, MATTITUCK NY Site acreage: .473 ACRES Present land use: RESIDENTIAL Present zoning classification:.—B-40 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:- THOMAS A PALMER IRREV. TRUST, MARILYN KINDY TRUSTEE (b) Mailing address: PO BOX 643249 . V �� (c) Telephone number: Area Code( ) 772643-7059 (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes lj�J' No OH If yes,which state or federal agency`Z N EW YO R K RISING- 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 POLIO'Y 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 LNVRP Section III—Policies; Page 2 for evaluation criteria. Q Yes 0, No Not Applicable Attach additional sheets if necessary- Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LNW Section III—Policies Pages 3 through 6 for evaluation criteria Yes No 0 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 X❑ Yes ❑ No ❑ Not Applicable THE-ELEVATION OF THE,EXISTING DWELLING FOR-FEMA COMPLIANCE,DOES NOT NEGATIVELY IMPACE THE VISUAL QUALITY OF THE AREA THE GROUND DISTURBAN E WILL BE MINIMAL WITH NO DISTURBANCE TO NATURAL VEGETATION 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 S through 16 for evaluation criteria ® Yes .0 No ❑ Not Applicable THE RAISING OF THE EXISTING DWELLING FOR FEMA COMPLIANCE HELPS TO MINIMIZE LOSS OF - STRUCTURES AND LIFE. NO CHANGES PROPOSED TO EXISTING SHORELINE BULKHEAD. Attach additional sheets if necessary T Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section HI —Policies Pages 16 through 21 for evaluation criteria 0 Yes;� 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 HI—Policies; Pages 22 through 32 for evaluation criteria. a a Fa 1 Yes No Not Applicable Attach additional sheets if necessary - Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes Q NoQ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes No ® Not Applicable PUBLIC COAST['POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria.El nn WE] No R Not Applicable Attach additional sheets if necessary - - WORKING COAST POLICIES - Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III•—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No ® Not Applicable ' Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and 'Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑. No 0 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® 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-n Not Applicable i PREPARE11 BY_EILEEN ROWAN TITLE_ AGENT __ _" DATE _ - _