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Home My WebLink AboutTR-9093 Michael J.Domino,President V�\\Of S yO Town Hall Annex John M.Bredemeyer III,Vice-President �� O 54375 Route 25 P.O. Box 1179 Charles J. Sanders Southold, New York 11971 Glenn Goldsmith G Q p Telephone(631) 765-1892 A.Nicholas Krupski O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1434C " Date: December 12, 2017 THIS CERTIFIES that the installation of 88 linear feet of vinyl retaining wall landward of existing bulkhead;-install a 10' x 12' un-treated deck landward of existing bulkhead; and to establish and perpetually maintain a 25' wide non-turf buffer along the landward edge of the bulkhead and along the bluff face; Conforms to th fore filed in this .Q c office Dated July `� G CR' land Permit#9093 Dated So to all of the requirements any [law. The project for which this certifical ear feet of vinyl retaining wall landward of existi Ick landward of existing bulkhead; and to esta n-turf buffer along the landward edge of the bulkhead and along the bluff face. The certificate is issued to BRENDAN & KRISTINA TULLY owners of the aforesaid property. Authorized Signature Michael J.Domino,President ��►� y�lO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 1 [ P.O.Box 1179 Charles J. Sanders N Southold,New York 11971 Glenn Goldsmith • w�� Telephone(631) 765-1892 A. Nicholas Krupski l�'COU �`�,'` Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: l`7 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: C� 6, Vl-ej 's cn �'r k kjf COMMENTS: CERTIFICATE OF COMPLIANCE: � 7 vzaf C Michael J. Domino, President h�� y�lO 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 Ol ® a� Telephone(631) 765-1892 A.Nicholas Krupski �`+®U�� 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 !/ Project complete, compliance inspection TERMS AND CONDI'T'IONS The Permittee Brendan & Kristina Tully, residing at 220 West Shore Drive, Southold,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. 4 ' ' t SOUTHOLD BAY EAN LOW WATER EMOVE AND REPLACE EXIST. WALKWAY do STAIRS AS REQUIRED TO CONSTRUCT PROPOSED RETAINING WALL 3.50 STAIRS PROPOSED '10'x12' UN—TREATED DECK LANDWARD OF EXISTING BULKHEAD (120 SF MAX) PROPOSED 88' UPPER VINYL RET. WALL RELOCATED STAIRS TO END NO HW AT TOE OF BULKHEAD MORE THAN 22' FROM NORTHERLY EXISTING BULKHEAD PROPERTY UNE. Lp 3.5'x8.5' PLATFORM i� 3.5'x6.18' STAIRS / 3.5'x3.5' PLATFORM N p i // 25' NON—TURF BUFFER FROM p / FACE OF BULKHEAD LANDWARD C j % I CONC. PATIO % 1 / WD.DECK i I , EXISTING SCTM 1000-80-05-3.1i - RESIDENCE SCTM 1000-80-05-5.1 - AURIEL—KARPAS-- - - _- LAURA & VINCENT B. MANETTI- 132 ANDOVER ROAD 215-15 67TH AVE. ROSLYN HEIGHTS, NY 11577 \ BAYSIDE, NY 11364 WD. DECK I I GARAGE I w l w l 0') I �i LO N rn I -0-) LO 272.92' -' :APPROVED BY.' R=216 65� , I" BOARD OF I RUSTEE&.1 ; C,gO 04° ` TOWN.OF,SOUT,HOLD V ES S D T E f1C�p 23 1201, T OCT 2 0 2017 D RIVE Southold Town —_ Board Trustees PROPERTY OWNER: KRISTINA & BRENDAN TULLY NOTES: 11 E. 29TH ST. APT. 9C PERMIT PLANS SCALE: 1. ELEVATIONS REFER TO ASSUMED DATUM NEW YORK, NY 10016 1"=20' 2. LOT AREA: 16,571.2 S.F. / 0.40 ACRES PREPARED BY: PROPOSED PLAN DATE: 7-15-17 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: JEFFREY PATANJO 8-7-17 REDDAN SURVEYING`INC. 106 HEWITT BOULEVARD 220 WEST SHORE DRIVE 10-12-17 982 MONTAUK HWY. BAYPORT, NY 11705 CENTER MORICHES, NY 11934 SOUTHOLD, TOWN OF SOUTHOLD SURVEY LATEST DATED JANUARY 4, 2010 631-484-9332 SUFFOLK COUNTY, NY SHEET: JPATANJOQOPTONLINE.NET TAX MAP N0. 1000-80-05-4.1 1 1 OF 2 PROPOSED UN—TREATED TOP CAP PROPOSED 12' LONG 10"0 CCA TREATED TIMBER PILE, 6' O.C. PROPOSED 3"X6" REAR WALE PROPOSED 6"x6" CCA TOP & BOTTOM WALE EXIST. GRADE PROPOSED SCREW ANCHORS PROPOSED PLATFORM PROPOSED 10' LONG C—LOC 9900 VINYL SHEETING 10' ui EXISTING BULKHEAD TO REMAIN UNDISTURBED APPROXIMATE M.H.W. EL 2.5t / / /\\/\\/\\/\\/\\/\\ \\ \ APPROXIMATE M.LW EL O.Ot TYPICAL SECTION N.T.S. 4'-0" if 6'-0' 4'-0' REMOVE AND REPLACE EXISTING HANDRAILS _U • • • 36'f REMOVE AND REPLACE EXISTING STRINGERS TOP OF BULKHEAD • PROPOSED 4X4 CCA SUPPORTS o oe5.5' • BULKHEAD SYSTEM EXISTING SAND BOTTOM [XIIING SAND BOTTOM REMOVE AND REPLACE EXISTING HANDRAILS 3/4" GALVANIZED HARDWARE REMOVE AND REPLACE EXISTING STRINGERS TYPICAL SECTION — LANDING N.T.S. TYPICAL SECTION — STAIRS N.T.S. I PROJECT -"InQr- LOCATION ID E C E Q V E hurt,/) OCT I ; ~e ;I,- ,� ,- 0 2017 411ioy_doln Shores ,.,_,jl `. cti ;.� �✓. ,.A#.- Southold Town Board of Trustees TF as ;� , - ` ' j, •r ;;�' $�^ , �;... oPERMIT PLANS SCALE: fi.-. •i. - _L S ,fir` - r `w`"-y4 �F "q r', 'vJ*',,,. =20' PROPOSED SECTION DATE:' & LOCATION MAP -,5-1 'rcedatBeaChRd- 8-7-17 220 WEST SHORE DRIVE PROJECT LOCATION MAP SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: N.T.S. TAX MAP NO. 1000-80-05-4.1 2 OF 2 D CLa V QI VL HHOLD SOUT ,vlk • JUL 2 6 2017SouE BB - � 09 S 53x00 , 29„ th ld l�uT�BUucx�o BULKHEAD I ADJI1CDiT Bo LOT BOTTOM�OT� 2ae4 am BOTTOM HESaO BULK =� ' + o°F i:� " 1 SURVEY OF as �, P/0 LOT 12 AND 13,14,15 390 ON MAP OF 40 REYDON SHORES, 3M FILED: JULY 1ST, 1931 451.2MW- MAP#631 + .74 40.01 SITUATED AT FEN s 0 SOUTHOLD P/0TOWN OF SOUTHOLD 'BTO O �r LOT LOT 12 Ln SUFFOLK COUNTY, N,Y I'll- SCTM:1000-080.00 05.00- 4.1 0 LOT AREA: 16571.2 SQ. FT. cil OD N 0.4 ACRES + ELEVATIONS ARE ASSUMED DATUM 47.21 + 4&Z 50'ON FIRST FLOOR 2ND STORY + 40.5{ DECK + ,p7 PROPOSED LINE OF 4'-8' te.+a ARBOR VITAE OR SIMILIA COVERED 8'0 ' B.00' WOOD DECK CONCRETE CO 5:80' PATIO a 5.80' v WOOD ECK 19.20' 20.50' a 6.30' A + 25.09 4>m 12.49' r 4 U 19.20' 9 CONCRETE U) 1.35 4.85' 0 6,29' RETAINING X 0 TWO STORY WALL 5.00 D L4 FRAMED ( o td RESIDENCE 1'35' O ASSUMED FIRST FLOOR a 1&W r ELEVATION 5D.00 F PROPOSED ' POOL FILTER 18.00 d & EQUIP. OUTDOOR SHOW -i 23.00' i b45A0 AND PROPOSED_ _ WOOD DECK TO SERVICE3,13, FRONT +47.10 6142 WI SMMING POOL OVERHANG PORCH 2.00' 14.25' L1J TWO CAR GRAVEL RIVE O GARAGE c + +4& ^ � GARAGE FLOOR w ELEVATION 4&20 N 47. In 47.02 ^ 23.15, 25.35' Ln o ,. N maw ^ d- MI LLC) LOT LOT LOT LP LOT ,T� j18� 14 LP V/ cv Ln in + 4200 y ° N oCE a 272.92 PIPE FN o57S 1.0 NE I q SUS 216. 6 �9 OPIPE FND 40. 40. O.L .OSSE �cf A,copy of this document without a �so� S/—/o application of the surveyor's 'Ah embossed seoI should be assumed to '✓/� REVISIONS be an unauthorized copy. E) /qsp D ADD SALT WATER POOL & SHRUBS 1-4-2010 Frank C. Watson pq�En► ADD PROP. POOL & AMENITIES 10-28-2009 AMENDED 08/24/2009 REDDAN SURVEYING INC. 982 MONTAUK HIGHWAY PW„M„M BAYPORT, NEW YORK 11705 NSH'E WILLIAMSTOWN LLC. Phone 631-654-3845 Fax 631-289-1978 mallbox®reddonsurvey.com UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209-2 OF THE NEW YORK STATE EDUCATION LAW, COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A,VALID TRUE COPY. LOCATIONS AND DIMENSIONS SHOWN HEREON ARE FOR INFORMATIONAL PURPOSES ONLY AND ARE NOT TO BE USED TO LOCATE ANY NEW CONSTRUCTION ( FENCES, SHEDS, VAM , Licensed Land Surveyor ADDITIONS, POOLS, ETC...). THIS SURVEYOR WILL NOT BE RESPONSIBLE FOR ANY 07-125 05/03/2007 1'�= 20� NYS License No. 049556 CONSTRUCTION LOCATED BY THIS METHOD. f Michael J.Domino,President ��rif So(fPy� Town Hall Annex John M. Bredemeyer III,Vice-President ,�O l® 54375 Route 25 P.O.Box 1179 Charles J. Sanders jr Southold,New York 11971 Glenn Goldsmith G ® pQ Telephone(631) 765-1892 A.Nicholas Krupski ® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 20, 2017 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: BRENDAN & KRISTINA TULLY 220 WEST SHORE DRIVE, SOUTHOLD SCTM# 1000-80-5-4.1 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 20, 2017 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of BRENDAN & KRISTINA TULLY 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 July 26, 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 for for installation of 88 linear feet of vinyl retaining wall landward of existing bulkhead; and to establish and perpetually maintain a 25' wide non-turf buffer along the landward edge of the bulkhead and along the bluff face be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the proposed application for the installation of a 10'x20' un-treated deck landward of existing bulkhead; be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program policy to the greatest extent possible through the imposition of the following Best Management Practice requirements: reducing the size of proposed un-treated deck to 120 square feet; and, 2 WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 20, 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 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of BRENDAN & KRISTINA TULLY to install 88 linear feet of vinyl retaining wall landward of existing bulkhead; install a 10' x 12' un-treated deck landward of existing bulkhead; and to establish and perpetually maintain a 25' wide non-turf buffer along the landward edge of the bulkhead and along the bluff face; and as depicted on the revised site plan prepared by Jeffrey Patanjo, dated October 12, 2017, and stamped approved on October 23, 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, e Michael J. Domino, President, Board of Trustees MJ D/dd ^ i Michael J. Domino, Prez,uant ,cc Town Hall Annex John M. Bredemeyer, III, Vice-President j 54375 Route 25 Charles J. Sanders :: P.O. Box 1179 Glenn Goldsmith ;f Southold, NY 11971 A. Nicholas Krupski y ® o �' Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD �R�i1+f0/�A! RI5711J�k t VL(t� 0/0 :W PkTk A1!_D TO: ''J Please be advised that your application dated ;Ty 2w" 001-1 has been reviewed by this Board at the regular meeting of ZOd 001-7 and your application has- b- approved pending the completion of the following items checked off below. Y Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) _/ % Constructed ($50.00) V 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) ►! 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: $ 60,6rV 111LOA`l 6 BY: Michael J. Domino, President lal q Board of Trustees r S�FFI�(K Michael J. Domino, Preside O�Q f U COG _ Town Hall Annex John M. Bredemeyer III,Vice-Pre`s dent �� yam, 54375 Route 25 Charles J. Sanders ti a -P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ��?, p! Telephone(631)765-1892�a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 113Completed in field by: Jeffery Patanjo on behalf of BRENDAN & KRISTINA TULLY requests a Wetland Permit to install 88 linear feet of vinyl retaining wall landward of existing bulkhead; install a 10'x20' un-treated deck landward of existing bulkhead; and to establish and perpetually maintain a 25' wide non-turf buffer along the landward edge of the bulkhead and along the bluff face. Located: 220 West Shore Drive, Southold. SCTM# 1000-80-5-4.1 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 110 Unlisted Action , Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 11 A2eied don" s_/7�0_ d Present were: , J. Bredemeyer M. Domino G. Goldsmith, N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino, Presk O�Q COG Town Hall Annex John M. Bredemeyer,III,Vice-President �� yam, 54375 Route 25 Charles J. Sandersy' a P.O.Box 1179 Glenn Goldsmith � Southold,NY 11971 A.Nicholas Krupski y ® p! Telephone(631)765-1892 �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffery Patanjo on behalf of BRENDAN & KRISTINA TULLY requests a Wetland Permit to install 88 linear feet of vinyl retaining wall landward of existing bulkhead; install a 10'x20' un-treated deck landward of existing bulkhead; and to establish and perpetually maintain a 25' wide non-turf buffer along the landward edge of the bulkhead and along the bluff face. Located: 220 West Shore Drive, Southold. SCTM# 1000-80-5-4.1 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: BMs 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 A k 5 7 �v .f Photo 3 Photo 4 October 15, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte, 25 P.O. Box 1179 Southold, New York 11971 RE: 220 WEST SHORE DRIVE, SOUTHOLD, NY SCTM No. 1000-80-05-4.1 REVISED PLAINS Dear Trustees: Attached please find four (4) copies of revised plans based on comments issued during the September public hearing for the above referenced property.. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at jpatanio _optonline.net. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 EC E VE OCT 202017 C, }i„v,n BoacG 0 :ui +, Pe rr v OFFICE LOCATION: ®��®F S® �®1 MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) �a Southold, NY 11971ell- a Telephone: 631765-1938 C® T ,�� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: September 18, 2017 Re: LWRP Coastal Consistency Review for BRENDAN & KRISTINA TULLY SCTM# 1000-80-5-4.1 Jeffery Patanjo on behalf of BRENDAN & KRISTINA TULLY requests a Wetland Permit to install 88 linear feet of vinyl retaining wall landward of existing bulkhead; install a 10'x20' un- treated deck landward of existing bulkhead; and to establish and perpetually maintain a 25' wide non-turf buffer along the landward edge of the bulkhead and along the bluff face. Located: 220 West Shore Drive, Southold. SCTM# 1000-80-5-4.1 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 action to install 88 linear feet of vinyl retaining wall landward of existing bulkhead; and to establish and perpetually maintain a 25' wide non-turf buffer along the landward edge of the bulkhead and along the bluff face is CONSISTENT with the below listed Policy Standards and therefore is CONSISTENT. The proposal to install a 10'x20' un-treated deck landward of existing bulkhead in INCONSISTENT with Policy 4 of LWRP which states: Minimize the loss of life, structures, and natural resources from flooding and erosion. Structures located in FEMA VE (velocity hazard) flood zones are subject to damage and loss during storm events. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. S " Peter Young,Chairman y 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., September 13, 2017 the following recommendation was made: Moved by Keith McCamy, seconded by Greg Williams, it was RESOLVED to NOT SUPPORT the application of BRENDAN & KRISTINA TULLY for the installation of 88 If. of vinyl retaining wall landward of existing bulkhead and installation of 10'X 20' untreated deck landward of existing bulkhead. All work to be performed from upland and provide for a 25' non-turf buffer landward of existing bulkhead upon completion of work. Located: 220 West Shore Dr., Southold. SCTM#80-5-4.1 Inspected by: Peter Meeker, John Stein, Keith McCamy The CAC does Not Support the application because in accordance with Ch. 275-11, Construction and Operation Standards, retaining walls are not permitted unless excessive erosion can be demonstrated. The CAC did not observe excessive erosion on the bluff. Vote of Council: Ayes: All Motion Carried Michael J.Domino,President �f�®� ®�� Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders C o Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1392 A.Nicholas Krupski ��eQU Fax(631) 765-6641 ]BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application V Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: 7 26,i 7 E C E G V Received Fee: $ ?51M D —Completed Application: 9°11.17 Incomplete: J U L 2 6 2017 SEQRA Classification. Type I_ -ell Unlisted Lead Agency Determination: Coordination:(date sent): gs�.! Southold Town �LWRP Consistency Assessment Form Sent: r f Trustees CAC Referral Sent: '3,x-17 —Date of Inspection: •1�>1 Receipt of CAC Report: Technical Review: Public Hearing Held: — Resolution: Legal Name of Property Owner(s): Failing Address: I l 6• 2 9+6 5T ,4 p+ q G rJ Q,,y \1N �� ) o O 16 Phone Number: 0( "7 - y 3 9 - S58 S Suffolk County Tax Map Number: 1000- 8 0 - o S- q . Property Location: 2 2 0 LJ e s-t-' S h o to D 2 . Sse_ L&C-o,tl oo rna- _ (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): P Failing Address: 10 (-, [-7 ew 11-t IS I-y cQ . Ce Y1+e-r 1Y1 on c.he 5,.1J 1q 1 19 3 V Phone Number: & co_J 17 Board of Trustees Applica9, a GENERAL DATA Land Area(in square feet): Area Zoning: �c S• Previous use of property: e s• Intended use of property: fZ 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): Ste. Aek Brendan &Kristina Tully 220 West Shore Dr. Southold, NY 11971 SCTM No.: 1000-80-05-4.1 Project Description Project includes installation 88 LF of vinyl retaining wall landward of existing bulkhead and installation of 10'x20' un-treated deck landward of existing bulkhead. All work to be performed from upland and provide for 25' non-turf buffer landward of existing bulkhead upon completion of work. Board of Trustees Applicai� a WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: see Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: I'D v feet Closest distance between nearest proposed structure and upland edge of wetlands: 2 o o feet Does the project involve excavation or filling? No ✓ Yes If yes,how much material will be excavated? 10 cubic yards Flow much material will be filled? X cubic yards Depth of which material will be removed or deposited: 2 feet Proposed slope throughout the area of operations: 0— Manner —banner in which material will be removed or deposited: A4 �,i _ �k va�-®4— 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): Ali wPA L +,. loe fer4permedt e-xi s-t-ing b„L1Llkee. an SL nb S{�.n�teond'�'ti�lc.J �f A,-> AS W►ll Pen Short Environmental Assessment Form Part 1 -Project Inform adon Instructions for COMIRIeting 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: 220 West Shore Dr-Retaining Wall Project Location(describe,and attach a location map): See location map Brief Description of Proposed Action: Install 88 If of vinyl retaining wall landward of existing bulkhead and new 220 sf un-treated deck landward of existing bulkhead Name of Applicant or Sponsor: Telephone: 917-439-5585 Brendan&Kristina Tully E-Mail: tully77@a me.com Address: 11 E.29th St.Apt 9C City/PO: State: Zip Code: New York NY 10016 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 El 1:1 may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a. Total acreage of the site of the proposed action? 0.40 acres b.Total acreage to be physically disturbed? 0 03 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 40 acres 4. Check all land uses that occur on,adjoining and near the proposed action. Urban ®Rural(non-agriculture) [JIndustrial ®Commercial ®Residential(suburban) ®Forest ®Agriculture ®Aquatic ®Other(specify): ®Parkland Page 1 of 3 5. Is the proposed action, _ NO YES N/A a.A permitted use under the zoning regulations? Cl b. Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? IZI El 7. Is the site of the proposed action located in,or does it adjoin,a state fasted Critical Environmental Area? NO YES If Yes,identify:Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, Agency sunak County, a e: - IE JI 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES 7 El b.Are public transportation service(s)available at or near the site of the proposed action? IZI E c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? IZI El 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? N® YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of.the site of the proposed action,or lands adjoining the proposed action,contain 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? 1®1 If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: IZI 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 [IAgricultural/grasslands ®Early mid-successional ® Wetland ®Urban ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 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 nYES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: NO ®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 properly been the location of an active or closed NO YES solid waste management facility? If Yes,describe: M 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: M I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Brendan Tully,Owner Date: _ Signature: PRINT FORM Page 3 of 3 EAF Mapper Su mmary- apo rt `>aturday, July 15,2017 9:39 PM Disclaimer: The EAF Mapper Is a screening tool intended to assist - R' - - --� project sponsors and reviewing agencies in preparing an environmental assessment form(EAF).Not all questions asked in the EAF are answered by the EAF Mapper.Additional information on any EAF �_ l t j ''• _ tti - i question can be obtained by consulting the EAF Workbooks Although r ! ! "- • _ ! the EAF Mapper provides the most up-to-date digital data available to 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 j' r t'' i substitute for-agency determinations. folonfiezo w f,, `� •,I, ,I�Illi•vdl C I'od`r>slyr .A!tt,t , Bacton ._ I I I "~— ! 4, •-''t r .l y`'. 1 x}YrCh'ICl4'nCdt ----I .I 1 �� 3�Iuc�s ,Es�i,F?ERE,'L?�Lerme.;U5�9,, ;',, - Cte'�ct;a'asl• " ,t Intecma ,'IFPG,}TET1Ell-T-R.NRtin,iE�ri; _ ,i L�V ! -Jsp�nG'idlEfI;Esri''•hins(H r�g.I�en9�:E�ri; I ,.'M Plticbur�ih� Source;h srl, H'EPE, Y TI- j I{cr ;'Thailand 1a1s rri51 dig,h;CC,C, ! ` _•� ! { )�• F,,l-� Ccdumbuc', 'I �G'eLIr»=:�t�s�5,Int�map., I �Z?0017SI:r ttvispc=ntribul'crs' Yi'gthe'CIS ° 'Iht;sr"iEiAENT P. N'RCan, Esri! il.QI _ j L'ss"emmuriiby` !. ickknad 'o u / Tu1ETl,•E�ei' bins"'}icn .1 r{'VW�•.eiI�A�VI) .VtT� � �t 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 1 Agency Use Only[If applicable] Project: Date: Shows-11 Env ron„ientad AssesSment Form, 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 zoningElregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? EA/ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or F-1affect 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: Ela.public/private water supplies? Qf b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, EJwaterbodies,groundwater,air quality,flora and fauna)? 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage Elproblems? 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. DCheck 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 imp ts. 4 L"L-t 0-W�1 ( �—�e — MName of Lead Ag cy Date Print ameResponcy Title of Responsible Officer Signature ofResponsibl fficer in Lead Agency Signature ofPreparer(if different from Responsible Officer) PRINT FORM Page 2 of REYDON SHORES PROPERTY ;I RS ASSOCIATION P.O. Box 1693 Southold, NY . 1971 Southold Town Board of`1 rustees July 18, 2017 Michiael Domino, President P,0, Box 1179 Southold, NY 11371 Rot Tully Far'n>ly Property,220 West Shore Drive, Rvydo•'r Shares,Southold, N.Y. 11971 Dear Mr.Domino, Please be advised.hat I have been contacted by Kr;stinr Tully who has advised that they are in the process of seeking Trustee approval for the installation of a vinyl retaining wall landward of the existing bulkhead located on the bay side of her property in Roydon Shores private community, Southold, N.Y. Mrs.Tully has indicated that she wanted to preemptively provide consent-and approval from Rbydon Shores Property Owners Association(RSPOA)to Southold Trustees prior to their approving of the Tully. Family's application to proceed with the aforementioned updates to the bulkhead. M,-s. Tully has assured me that in addition to necessary permits required,they will be supplying the necessary proof of insurance form their licensed contractor performing the work that will list R500A; Inc.as an additional insured party while having the work performed, Therefore, please allow this letter to confirm that RSPOA has ho objection.to the Tully Fartrily application,which seeks to update the aforementioned bulkhead that is lbcated directly in '= Board of Trustees Application AFFIDAVIT {enAe.,^ Vrt S4-t nc� T t BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE It THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH.IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. 'gna of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS / DAY OF ,20 C 0A 1� tary PubliC GIUSEPPE FIORITO Notary Public-State of New York NO.0IF16347213 Oualified in Oueens County My Commission Expires Aug 29,2020 1 r� Board of Trustees application AUTHORIZATION (Where the applicant is not the owner) I/We, r ei c&,,e% + Kle 1 --r,4-1 rw, I L�? owners of the property identified as SCTM# 1000. 9,0- o S-4• I in the town of S a .New York,hereby authorizes —'Ye�f cj,.A _ �44avn) 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 s Signature PropdAy Owner's Signature SWORN TO BEFORE ME THIS DAY OF 20 o y PublKc GIUSEPPE FIORI:New Notary Public•State of YorkNO.01FI63472Qualified In Queens tyMy Commission Expires A9, 2020 � 'ry I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL(DISCLOSURE FORM I The Town of Southold's Code of Ethics MhU s conflicts of interest on the part of town officers and employees._The Pu ose of is form is to provide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid sam-e�� YOUR NAME: I l I t e vi dL 4 v--,- (Last -,(Last name,fiAst name,ipiddle 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"Othe(',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO i 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 Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than S%of the shares of the corporate stock of the applicant (when the applicant is a corporationX B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of )0— Signature Print Name arc„ &,4 <L"17-. - Form TS 1 / APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South4l rs Code of Ethl, cs orotdki conoids ofYntetest on the but of to otFc and ematovees The numose of *��+•�� "+�inforittatian which can ales the town ofoomible conflicts of bta g and allow din take whatever action is necesssty to avoid same. 1 YOUR NAME: (Lest nertne,first name,�piddle initis!,unless You are apptyiog in the Haute o� 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 Yarianq* Trupe Change of Zone Coastal Erosion Approval of!flat Mooring -Exemption from plat or official map Planning — — OdW (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."Husutess interest'means a business, Includinga.partnership,in which the town officer or employce has even a partial ownershlp of(or employment by)a corporation in which the town officer or employee owns more than 5%of the YES NO if ydu answered"YES",complete the balance of this form and date and sign where indicated. Name of perspn employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agerWrepresentative)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;of child is(check all that apply): A}tate owner of greater than 5%ofthe shares of the corporate stock of the applic*at (when the applicant is a corporation); $) the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,oremployee ofthe applicant;or D)the addml applicant, DESCRIPTION OF RELATIONSHIP Submfited this day of C19 --20-13L Signature 20f 3- Signature Print Name Form T5 ! i f APPLICANT/ADEN T/RE-I'RESENTATM TRANSACTIONAL DISCLOSUU FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Hart oftown officers and employees.The mmose of this form is to provide information which cts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: �Q'f'a V1 e (Last name,first nadle,giidd a initial,unless you ate applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other ,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock ofthe applictint (when the applicant is a corporationX B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 2 day of 20 i A, Signature Print:Nafne Form TS 1 September 14, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 220 WEST SHORE DRIVE, SOUTHOLD, NY SCTM No. 1000-80-05-4.1 AFFIDAVITS Dear Trustees: Attached please find Affidavits of mailing and posting for the above referenced property. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at ine.net. Very truly yours, 0.A Je ey Pat 106 Hewitt Blvd. Center Moriches, NY 11934 p EC E VE SEP 19 2017 Southold Town rTrustees— I Postal s I ■ ® D ■ ■ ■ , O ■ ■ I• Q Only Q I. Only - 11. € I s rq �,�� lF =, ��, , � r=1 Certified Mad Fee BO r'9 Certified Mad Fee S S� ru $ " ru $ Extra Services&Fees(check box,add fee as app I Extra Services&Fees(check box,add fee as appropnate) O ❑Return Receipt(hardcopy) $ O ❑Return Receipt(hardcopy) $ ❑Return Receipt(electronic), $ Il Post C-3 ❑Return Receipt(electronic) $ �P®st O ❑Certified Mall Resin ted Delivery $ '1 u� He O ❑Certified Mail Restricted Delivery $. �9 H C:3 ❑Adult Signature Required $ []Adult Signature Required $ O [:]Adult Signature Restricted Delivery$ E]Adult Signature Restricted Delivery$ ( �� C3 Postage n �� C3 Postage 7 $ �`Itl C-3 Total Postage and Fees C3 Total Postage and Fees — I m I SCTM#1000-80-5-5.1 j $ Manetti Vincent B 1 Lnsent To SCTM#1000-80-5-3.1 sent To rq Manetti Laura ! I Karpas Aurlel Street and Apt No.;or FO Box No. O Sfreefand Opt./Vo.;UFAY96i(W6--"' r`- _ 215-15 67th Avenue r-. 132 Andover Road •----- , ddy,State,ZIP+4® Bayside, NY 11364 Crty'Stafe;ZIP+4®------------------------ Roslyn Heights, NY 11577," ' - i :11 1 I 1 110•1• :11 1 11 111•1 ■ ® _ Postal,Servic I ■ ln'EbMAILORECEIPT ■ ■ .� Ln �GIE RTI Fl ED:mAIV ca Domestic Mail diirlijy Ln /• • rr Er Fordeiiyery s, s I :£'"" '� ;xs t f, Certified Mad Feeru Ir' r=1 Certified Mad Fee / s �- $ B O $ Extra Seryices&Fees(check box,add lee as appropriate) ''�_ ��` Extra Services&Fees(check box,add fee as appropnate) r3 ❑Return Receipt(hardcopy) $ Return�Receiostmark�+iy ❑Return Receipt(hardcopy) $ ^ �b C3 ❑ pt(electronic) $ -i\ 1-3 0 ❑Return Receipt(electronic) $ Postmar O ❑Certified Mall Restricted Delivery $ (I �) Here []Certified Mail Restricted Delivery $ Hg J) ❑Adult Signature Required $ C:3 []Adult Signature Required $ T,{ n O E]Adult Signature Restricted Delivery$ ^ ` []Adult Signature Restncted Delivery$ 'y ] `V Postage' Postage O $ M Total Postage and Fees O $ ------- i--I M Total Postage and Fees _$ $ rq Sent To SCTM#1000-80-2-26 Sent To > SCTM#1000-80-5-9 - Reydon Shores P O A L_..._.._ r-9 Sfroet and A t No.,or-PO Boz No: I _ __ C3 = ----- Reydon Shores P O A I;.. N P StreetandApt.No.,or PO Box No. I I PO BOX 1693 PO Box 1693 Clry State;ziP+"d� -------------- ------------- - I Southold, NY 11971 I Cary Stafe;ZIP+4® Southold, NY 11971 - :11 1 II 111'I tr t1-. /e • it � I i t=l rg ' 'a s,� s•.,.� Certified Mail Fee ru Y16 $ �� r Extra Services&Fees(check_box,add fee as appropriate) Q O ❑Return Receipt(hardcopy) $ Q ❑Return Receipt(electronic) $ Zi POSfFtdrk C' C3 ❑Certified Mail Restricted Delivery $ 4 Hoe � � ❑Adult Signature Required $ may 0— f 'J Q ❑Adult Signature Restricted Delivery$ 1�`, r-9 Postage V.fy0 O $ M Total Postage and Fees — Ln $ ! rq Sent To SCTM#1000-80-2-25 Levor Helen K SPreetendApClVo.;or PoBoxNo"_ " 245E 87th Street Apt. 12E '-------------------- - ary,ware,ZlP+4® New York, NY 10128 I I 1 1 1 111•0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: �Ss 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 PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-80-5-3.1 132 Andover Road Roslyn Karpas Auriel Heights,NY 11577 SCTM#1000-80-2-25 245 E 87th Street Apt. 12E Levor Helen K New York,NY 10128 SCTM#1000-80-5-5.1 215-15 67th Avenue Manetti Vincent B&Maneth Laura Bayside,NY 11364 SCTM#1000-80-2-26 PO Box 1693 Reydon Shores P O A Southold,NY 11971 SCTM#1000-80-5-9 PO Box 1693 Reydon Shores P O A Southold,NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK Jeffrey Patanjo , residing at 106 Hewitt Blvd.,Center Moriches,NY 11934 being duly sworn,deposes and says that on the 9 day of September ,20 17 , 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 fl.;,®G,,,, — ,that said Npftices ere mail to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this Day of September, , 2017 tME SCOTT WAL•TON-State of New YorkSC6332219t Public n Suffolk Countyn Expires Oct 26,2019 Michael J:-Domino,President O�Q COG Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J. Sandersy z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski �,hOl 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 BRENDAN & KRISTINA TULLY COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING i TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE residing at/dba 16 �-�tw•'rT (� . C�•.kms- �� N� �.s� ,,,� � a ��,H being duly sworn, depose and say: That on the day of <-P+ - , 2017, 1 personally posted the property known as 22 + west SIn.« 17,6 . _ So --C(--Ll- 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, September 20, 2017. Dated: Q �17 ( &n re) Sworn to before me this / ~day of 20 e No a ublic JOHNAVIA N SCOTT WALTON Notary Public-State of New York No.01SC6332219 Oualitied in Suffolk County My Commission Expires Oct 26,2019 i ,NUTILL Uim Ht: AKING 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: BRENDAN & KRISTI NA TU LLY SUBJECT OF PUBLIC HEARING : For a Wetland Permit to install 88 linear feet of vinyl retaining wall landward of existing bulkhead; install a 10'x20' un-treated deck landward of existing bulkhead; and to establish and perpetually maintain a 25' wide non-turf buffer along the landward edge of the bulkhead and along the bluff face. Located: 220 West Shore Drive, Southold. SCTM# 1000-80-5-4.1 TIME & DATE OF PUBLIC HEARING : Wednesday, September 20, 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 Devitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED AMON SCTMN PROJECT NAM eS7 SInore VA `I�`� • t� �l` The Application has been submitted to(check appropriate response), / Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Lam" 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: Location of action: '02-C) e ST S 6 or e 0(1 , Site acreage: O• q o Present land use: ?-t S Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: 2 `t�-� S"r• �} -� �-- V/a tj (c) Telephone number: Area Code( ) q q 3q �S- (d) Application number,if any: tv l F} Will tZEI n be directly undertaken,require funding,or approval by a state or federal agency? Yes If yes,which state or federal agency? t-3—L b`b�L C. Evaluate the protect 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 foram be returned for completion. ADI•VELOI'I+;1fD COAST POLICY Policy I. Foster apattern 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 Ell—Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ Not Applicable •f a l4 eeeSs Z®ecr-r a..1 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the 'Town of Southold. See LWRP Section IIIc* Pages 3 through 6 for evaluation criteria F] Yes 1-1No loot Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See ILWRIP Section III—Policies Pages 6 through 9 for evaluation criteria ❑ Yes ❑ NoMot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRIP Section III—Policies Pages S through 16 for evaluation criteria ��Yes F] No ❑ Not Applicable r 7s 1 C G�L r7+-ee- 'S e-6 c.t/Y1's e" j t a--t w cc T AAkecQ- f e'lM 'S2'a lot 1 -a,.- "d.,.'3 Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town off,Southold. See LWR P Section HI —Policies Pages 16 through 21 for evaluation criteria ❑ yes F-1 No L-l of Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the 'gown of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LVVRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ LJ i Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve ane° quality in the Town of Southold. See LWRP Section III – Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ Noof Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVVRP Section III–Policies, Pages 34 through 38 for evaluatiop criteria. ❑ Yes 1:1No [- Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal wagers, public lands, and public resources of the Town of Southold. See A,WRP Section III–Policies; Pages 38 through 46 for evaluation criteria. u YeEFI No❑ Not Applicable Pr o)Ec,'T c4 It ow c 4*r A d d eP ,f- ti r�'f'tti A"A+ 1-oG�'rl a..s Attach additional sheets if necessary WORNING 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 ❑ leo �ot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of Hiving marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWR? Section III—Policies; Pages 57 through 62 for evaluation criteria. F1 Yes ❑ 1No I=i 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 U Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWU Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No E;�Not Applicable 1 PREPARED BY a,�t k TITLE �n� DATE 77 � b � 1 '7 July 21, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 E C &= E,r, Southold, New York 11971 1 D1,D RE: 220 WEST SHORE DRIVE, SOUTHOLD, NY EUL2017 ' SCTM No. 1000-80-05-4.1 ___j APPLICATION FOR PERMIT Southold Town T Dear Sir/Madam: — We hereby submit one original and three (3) copies of the proposed plans, application, check, photographs and required data 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 or e-mail at jpatanio optonline.net. Very truly yours, 1 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934