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HomeMy WebLinkAboutTR-9164 Glenn Goldsmith,President �QF SU(/rTown Hall Annex Michael J.Domino,Vice-President ,`O� O 1 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New Yori 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 oly�UUM`I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1739C Date: August 13, 2020 THIS CERTIFIES that the construction of a one-story,non-habitable 22'x46' (1,180sq ft ' arage with two (2) 6'x9' roof-over corners for two covered entry porches (108sq ft-) for a total footprint of 1 288sq ft in lieu of the previously ti osed-28'x46' garage; with the caridition to establish and perpetually maintain a 50' wide non-disturbance buffer starting at the "limits of tidal wetlands as delineated by Kenneth M. Woychuk Land Surveying, PLLC last dated April 13 2018 and stamped approved on May 16 2018 At 2667 Long Creek Drive, Southold Suffolk County Tag Map #1000-52-9-1.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated Jan 8, 2018 pursuant to which Trustees Wetland Permit#9164 Dated February 14, 2018,was issued and Amended on May 16, 2018 and Amended again on February 13, 2019 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a one-story,non- habitable 22'x46' (1,1 80sqft image with two (2) 6'x9' roof-over corners for two covered entry porches(108sq ft) for a total footprint of 1 288sq ft in lieu of the previously proposed 28'x46' garage,• with the condition to establish and perpetually maintain a 50' wide non-disturbance buffer starting at the"limits of tidal wetlands as delineated by Kenneth M. Woychuk Land . SurveyingPLLC last dated April 13 2018 and stamped approved on May 16, 2018. The certificate is issued to Timothy Casamento &Kleo King owners of oresai 1/W_ Authorized Signature Glenn Goldsmith,President '*0 so(/TyTown Hall Annex Michael J. Domino,Vice-President 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams A Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Y l IN81PEC"T�'D'BY:' k, Hal '7 Ch. 111 ar- INSPECTION SCHEDULE Pre-corfstri�t6tion-i-hayha[6_tin6lsilt,- oofftl-silt curtain 1st day of construction % constructed Project complete, compliance inspection -,POMMEN-TS- CERTIFICATE OF COMPLIANCE: Michael J.Domino,President OA��QF SU(/Tyol Town Hall Annex John M.Bredemeyer III,Vice-President O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Q Telephone(631) 765-1892 Greg Williams 'O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 13, 2019 Thomas J. McCarthy McCarthy Management, Inc. 46520 C.R. 48 Southold, NY 11971 RE: TIMOTHY CASAMENTO & KLEO KING 2667 LONG CREEK DRIVE, SOUTHOLD SCTM# 1000-52-9-1.2 Dear Mr. McCarthy: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 13, 2019: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9164 to construct a one-story, non-habitable 22'x46' (1,180sq.ft.) garage with two (2) 6'x9' roof-over corners for two covered entry porches (108sq.ft.) for a total footprint of 1,288sq.ft. in lieu of the previously proposed 28'x46' garage; and as depicted on the survey of Kenneth M. Woychuk Land Surveying, PLLC, last dated October 10, 2018 and stamped approved on February 13, 2019. 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, A Michael J. Domino President, Board of Trustees MJD:dd S.C.T.M.# DISTRICT 1000 SECTION 52 BLOCK 9 LOT 1 .2 TYPICAL DRYWELL CROSS SECTION (CONC. PRECAST COMPONENTS) #PRE-17-1683 6'SLAB FOR NON-TRAFFIC BEARING 50' MIN. 8'SLAB FOR TRAFFIC BEARING HEAVY DUTY U SUFFICIENT TO KEEP APPROVED INLET PIPE CAST IRON FRAME AND APPROVED OUTLET PIPE SEDIMENT ON SITE MIN. 4"DIA. COVER TO GRADE TO EXPANSION RINGS PITCHED 1/8%1' MIN. 4' DIA. PITCHED 1/8%1' BAIL SILT FENCING AND/OR ® ❑ ❑ ❑ ❑ w\V 0 w Q AiAi' �- a C, ��C, Z Q � . . N ILL. 0 0 ' Li o : CONSTRUCTION ENTRANCE – FOUNDATION OF COMPACTED w x:3/4" STONE BLEND OR N.Y. STATE D.O.T. APPROVED R.C.A. FILL TO 18" (Min.) ABOVE EXISTING GRADE FOR DRAINAGE. 3' MIN. 8' COLLAR BACK FILL MATERIAL TO BE CLEAN SAND AND GRAVEL TYPICAL SILT SCREEN SECTION TOWN OF SOUTHOLD DRAINAGE CALCULATIONS: PROPOSED LOT COVERAGE: GEOTEXTILE FABRIC (BASED ON LOT AREA OF 64,350 SQ.FT. SUPPORT POSTS LANDWARD OF WETLANDS BOUNDARY) A) DWELLING W/COVERED PORCH: 3684 S.F. �— WOOD OR METAL PROPOSED DWELLING W/COVERED PORCH: 3684 S.F. 3684 x 0.166=611.54 < 612 REQUIRED FLOW DIRECTION PROPOSED DETACHED GARAGE: 1288 S.F. (2) 1O'DIA x 5' DEEP DRYWELL-684cf PROVIDED PROPOSED SHED: 144 S.F. EXCAVATED AND TOTAL PROPOSED LOT COVERAGE: 5116 S.F. or 7.9590 B) DRIVEWAY & WALKS =3140 SQ.FT. BACKFILLED TRENCH 3140 x 0.166= 522cf REQ. ExlsnNc GROUND C) GARAGE=1288 S.F. NYSDEC LOT COVERAGE 1288 x 0.166= 214cf REQ. — — — — — — - — — — — — _I=1=U.=1L=L1=1J1��= . II-ll L=L=L1=1=IJ.=J1 (BASED ON LOT AREA OF 64,350 SQ.FT. TOTAL 736cf REQ. LANDWARD OF WETLANDS BOUNDARY) (2) 10'DIA x 6' DEEP DRYWELL= 821cf PROVIDED _III—III—III—III—I I—I i I—III. _I III—I I -III—III-1{I—III—I 1!— PROPOSED DWELLING W/COVERED PORCH: 3684 S.F. -.� . PROPOSED DETACHED GARAGE: 1288 S.F. �'MINIMUM PROPOSED SHED: 144 S.F. D) REAR PATIO - 702 S.F. DRIVEWAY & WALKS: 3140 S.F. 702 x 0.166= 117cf REQ. REAR PATIO W/STEPS: 792 S.F. (1) 8'DfA x 3' DEEP DRYWELL-133cf PROVIDED TOTAL PROPOSED LOT COVERAGE: 9048 S.F. or 14.1% 210��� • °.. ;. VACANT150, 75 31'11f E N • .P TYPICAL CLEAN OUT Q 4 ' £ ` SLATE OR SUITABLE COVE STOPPER END ' OR PLUG .°; U W'. 'o 0 30 ELBOW 60' WYE `"' VACANT NI 150' FLOW-;- PROPOSED 0 89' 12'X12' SHED 40 rN STAKESr P o, 115,1113 y LOT 1 VACANT ° PROPOSEDSOIL 150' 2e ZONE X 9 9, STOCK PILE AREA 61- DRY WELL °J INSTALL TE ALRNGY" �0- JTI ... 1 O'DIAX5'DEESIL �4/ LIMITS OF DISTURBIANCiE pRL PERMANENT FENCE OR �l SMALL STONES DELINEATING 5 (7.5 . '7-1 50' DISTURBANC BUFFER 0/19/1 PRROUND UTUNDER• ° �tJELEV. 6.9 p 40.0 °s OR BROWN � 'I'O �O �'� ° S`'`'`O ..;:.6' ':: `?: ' `; ' OL ANDY LOAM0.9O0 DRY WELL 5pC�•:_.:.6'••::`:;;:::`:;;:;{:OCT 2 5 meB'mx3F'DEEP o o�L,.::...:::.,;.' (7.5) qCLOT 2 W �W. BROWN — , oll SM LOAMY SAND 1.1 SGU: 0!J TC1YkSI � ; rd of Tr•;'ce �� s- DRY WELL �� `,:,:`'':::,?`::;:'::;r`'':'<:;,:,::::::•'; 1 O'DIAX5'DEEP PALE +--P. ,S' \y 5 XPi p( � 7.51_ = - rL $ c� BROWN Appr �® sr�Es -:OU -- �F��i2 �\� MON. SW FINE 4.9' W 7.0) as;o:; : `;;:: of 18/1a - (7.5) \� . 000, L 70 COARSE BOARD OF 1 RUSTEES : :'> .� ' pR S .. a j To.z N RpQpS�M A ( gSAND —WATER o OPO 5 C� Y 1, 82 2 N`:` OpRAG Gp�M`9.0' P 8EpR0 TOWN OF SOUTHOLD o;: NR (7.5) Za'• ,3 00 GAG 5 i Pth MON. WATER IN ELEV 1.0 9 0' ;.28 ro 01 0 dta,X XZ pEE FINE DATE FEBRvyj iT Zotq ROOI� �SEp re 0{5) 5piA �5.�0� SW TO If COARSE FRONT Y R (7 oPERNIOpK PROPOSED 2 W.V. SAND 6.0' µ�N IMPERVIOUS REVISED 10-10-18 0 (2) DRY WE S i'a:i` 0 WALKWAY _ 100x6D P Co REVISED 06-01-18 --- - c� 6 — REVISED 05-24-18 H 0�`pREP AY• oPo,p H�pce REVISED 04-13-18 OF WAs s£o °R pR ELEc p, 6.61 C". 6 g 08-02-17 UPDATE WETLANDS FLAGGING 04-03-18 IN gE0 OF ?ROP 3"W 6•gA N K. WOYCNUK LS ADD 50 BUFFER 03-08-18 5'a553" 5 5 W A� °I E�Ec/CA SET STAKES FOR NYSDEC 01/18/18 / WA%�R$'11- pR;vA�� ° 4 VACANT Nissl�,G ACA -' Yppto5E0 / \ BLUES(0 W, EOt WA C� 6 0 PNp1Cpt15T N CF0O11 WA 16. OFT NV�pSF pR�VE / C.I. LOCKING (7.5) FINISH GRADE �C1 COVER TO GRADE yo / 1'MIN-2'MAX Z UPLAND AREA: 64,350 SOFT. FIRM PANEL #36103C0158H 1/4"-FT• s COVER 0"MI 1�g,��M 6" COVER AREA: 87,939 SO.FT. or 2.02 ACRES ELEVATION DATUM: �_ NAVDSS� 6" �, 6" SLAB- (6.0) INVERTMECORUN) NVERT .- UNAUTHORIZED ALTERATION OR ADD1770N TO THIS SURVEY IS A WOLA77ON OF S£C77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY (6.9) HO (6.25) INVERT INVERT MAP NOT BEARING THE LAND SURVE'YOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN (7.0) GARAGE (35' RUN) (5.75) (5.67) ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 7777E COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSATUAON, GUARANTEES ARE NOT TRANSFERABLE. FOUNDATION 8'0 3 COLLAR THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE WALLMI POOL CLEAN NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD1770AIAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS TANK ,COARSE 1'-8" 2 SAND & AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE AME OF SURVEY GRAVEL3'MIN SURVEY OF: LOT 2 CERTIFIED TO: MCCARTHY MANAGEMENT INC.; MAP OF: MILL CREEK PRESERVE USE 4" DIA. APPROVED SEWER PIPE FILED: JANUARY 28, 2005 No.11216 1000 GAL. PRECAST S.T. (4-0) SITUATED AT:SOUTHOLD TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC UNDERGROUND UTILITY LOCATIONS AS PER MARK-OUT HIGHEST EXPECTED WATER EL 1.0 SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design PROVIDED BY OTHERS. fr � P.O. Box 153 Aquebogue, New York 11931 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL PHONE (831)298-1588 FAX (831) 298-1588 LOCA 71ONS SHOWN ARE FROM FIELD O@SER VA77ONS FILE 1116-179 SCALE: 1"=40' DATE:AUG. 02, 2017 N.Y.S. LISC, NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woycbuk AND OR DATA OBTAINED FROM OTHERS. Michael J. Domino, Pres, O�QSl�FFO(/-COG Town Hall Annex John M. Bredemeyer III,Vice-1'resident 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski %�5 1 Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: t.0 7,14 Completed in field by: 74& t-&- McCarthy Management, Inc. on behalf of TOMOTHY CASAMENTO & KLEO KING requests an Administrative Amendment to Wetland Permit#9164 to construct a one-story, non-habitable 22'x46' (1,1 80sq.ft.) garage with two (2) 6'x9' roof-over corners for two covered entry porches (108sq.ft.) for a total footprint of 1,288sq.ft. in lieu of the previously proposed 28'x46' garage. Located: 2667 Long Creek Drive, Southold. SCTM# 1000-52-9-1.2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 " Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith AN. Krupski v G. Williams Other LLI 2* "9V2' 5- 4`2 W2, Z z LU 0 - 0 16 uj r4----------------------------------------------- ILEI ------------------------------------------ z LLA 1V J), cc U) RED- ---- ------ /Z- 'r L 7E! A U 'Pl�-14•THC POURED LONL SLA9 w6.., ILU ---------------------------r-l- gQcD &A G I I Q/ ------------ 7r 51KE 5Tcj;zA ----------------------------------- [Bi PROJECT NO �71 ------------------------------ L----i DRAWN BY 1803 TLs- SCALE ROOF PLAN- FLOOR PLAN FOUNDATION PLANSHEET TITLE SCALE: 1/4"=1'-0" SCALE 114"=1'-0" SCALE: 1/4"=1'-0" GARAGE PLANS SHEET NO 10 WCARTHY MA MENT;,INC. • 46520 COUNTY ROA 4, = SOUTHOLD, NY 11971 • C DATE JOB N4 , (631) 765-5815 FAX (631) 765-5816 ATTENTION TO [CJIA)fv WE ARE SENDING-YOU ❑ Attached _. E1Under separate cover via the following items: 11 Shop drawings " ❑ Prinfs - ❑'Plans .- ❑-Samples ❑ Specifications. �. ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO., DE8QRI,PT,1QN THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑-For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS />1 19 2018 COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. %'"'rs,,, • CC#: C18-24688 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 0 611112 01 8 under Liber D00012964 and Page 863 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 06/11/2018 SUFFOLK CO�jUNT/Y� CLERK JUDITH A.PASCALE SEAL ]1'2] Number of pages :,018 Jun 11 61:46:01 Pill JUDITH A. PASCALE CLEW;' OF This document will be public L DO 129644 L OC�JI�i_96�3 record.Please remove all P 863 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp I Recording/Filing Stamps FEES _ Page/Filing Fee -- 7,0 -- ------ - ---- -------Mortgage Amt, ---_ ----- - 1.Basic Tax Handling 20• DO 2. Additional Tax TP-584 SubTotal Notation Spec./Asset. or EA 52 17{County} SubTotal Spec./Add. EA-5217(State) TOT MTG.TAX R.P.T.S.A. cQ7,� ��Cl�y Dual Town Dual County Held forAppomtment Comm.of Ed: S. 00 Transfer Tax Affidavit . i Mansion Tax The property covered by this mortgage is CertidCopy :or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total �ZS YESorNO Other Grand Total z' 0,5 If NO,see appropriate tax clause an page# ofthis instrument. 4 Dist. 1000 05200 0900 001002 :002 5 Cam munity-Pr,r,,,--e.N-ailon Fund - - - -- -- -- - - Reai Propcon t Consideration Amount Tax Agencyrvic LPA WI �� CPF Tax Due $ - -- Verificatic 11-JUN-18 -- -- -- _ _-- - 'Improved 5 Saii_�c"sion--Al chwgesIReleases List Property Owners Mailing Address - fECORD&RETURN TO: Vacant Land PATRICIA C.MOORE ESQ. ;51020 MAIN ROAD TD SOUTHOLD NY 11971 TD TD Mail to:Judith A.Pascale,-Suff6I County-Clone--- =I -Title Company Inf01`matlOn 310 Center Drive, Riverhead, NY 11901 co. ame N www.suffolkcountyny.gov/clerk go.NTitle1 g Suffolk-Counfiy-Recor ing -En- orsemef t -Page This page forms part of the attached DECLARATION OF COVENANTS - made by. -- (SPECIFYTYPEOFINSTRUMEI - TIMOTHY CASAMENTO AND KL-EO KING-__. --_= The premises herein is situated in -- SUFFOLK COUNTY,NEW YORK TO In the TOWN of-SOUTHOLD- _ TOWN OF SOUTHOLO,_--"- - -"- - In the VILLAGE or HAMLET of SOUTHOLD BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. —= - =- - - - - --loverl IMPORTANT NOTICE If the document you've Just recorded is your SATISFACTION_OF_MOR TGAGE please be aware of the following: If a portion of your monthly mortgage payment included your property taxes,'you-will-now need to- -contact Tax Receiver so that you may be billed dir ectly-for all future-property faX - statements, Local property taxes are payable twice a year: on or before January 10. and on or before May 31,.. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst,N.Y. 11757 Riverhead,N-Y.11901 (631)957-3004 (631)727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hili Shelter Island Town Hall Farmingville,N.Y.11738 Shelter Island,N.Y. 11964 (631)451-9009 (631)749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton,N.Y.11937 Smithtown,N.Y.11787 (631)324-2770 (631)360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington,N.Y.11743 Southampton,N.Y. 11968 (631)3S1-3217 (631)702-2470 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip,N.Y. 11751 Southold,N.Y. 11971 (631)224-5580 (631)765-1803 Sincerely, Judith A. Pascale Suffolk County Clerk dw 2/99 u-a3o�as�owa 1111111 IIII IIIII Illfl IIIII IIIII IIIII IIIII IIIII IIII 1i11 1111111 IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 06/11/2018 Number of Pages: 4 At: 01:46:01 PM Receipt Number : 18-0106243 LIBER: D00012964 PAGE: 863 District: Section: Block: Lot: 1000 052 .00 09.00 001.002 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 .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. 00 NO RPT $200 .00 NO Fees Paid $265.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County DECLARATION OF-COVENANTS THIS DECLARATION made this S;c day ofJA_%E_ 2018 by TIMOTHY CASAMENTO and KLEO KING, residing at 17 Woodbridge Court,West Babylon, NY 11704 hereinafter,�,e(e*to as "DECLARANT(S)": WITNESSETH : WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located at 2667 Long Creek, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 52 Block 9, Lot 1.2 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 acllvities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake•such regulated activities, the Trustees required a 50' wide Non-disturbance buffer starting at the "limits"of tidal wetlands as delineated by En-Consultants March 28, 2018 ", running lanNMrd; NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows, 1) Upon the substantial completion of the aforementioned permitted a0l0tlesthere shall be established and subsequently maintained a 50' wide Non-dlSbAarlce buffer starting at the "limits" of tidal wetlands as delineated by En-Consultants on March 28, 2018" running landward, as defined by Chapter 275 of the T&Vh Code and as depicted on the survey prepared by Kenneth M. Woychuk Land Surveying, PLLC last dated April 13, 2018, and stamped approved on May 16, 2018. These covenants shall run with the land and shall be binding on the DEdARRANt(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be:mgellfied after a public hearing and upon resolution of the Trustees. -''VIN-WITNEW WHEREOF,the owner(s)has/have duly executed this instrument this' --dak df j -018 f/ Timothy Casa-mento - -_--- Kleo King= -- U ------ - STATE OF NEW YORK 5S: COUNTY OF JJ S On the F1 day ofJUX* in the year 2018, before me the undersigned, a Notary Public in and for said State, personally appeared Timothy Casamento and Kleo King personally ihawn to me or proved to me on the basis of satisfactory evidence to be the individual(s) whcrse 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, execii16-d the instrument. Notary Public KAMM DAWN JORDAN NOTARY PUBLIC-STATE OF NEIN YORK NO.01JO6264239 OUALIFIEU IN NASSAU COUNTY- My COMMISSION EXPIRES 06.25__ SCHEDULE A-t(Description) AMENDED 5!1212017 All that certain plot, piece or parcel of land, lying,situate East of the Village of Southold, in the Town of Southold, County of Suffolk and State of New York,known and designated as Lot 2,as shbwn on the"Map of Mill Creek Prescive" Filed in die Suffolk County Clerk's Office on 01/282005 as Map Number 11216,being bounded and described as follows: BEGINNING at a point on the Northerly side of the 50 foot right of way(Lot 8)at the division tine of I..ot i and 2,said point being the following three courses From the Ntathenst Terminus of Long Creek Drive marked by a concrete monument: I. Along the arc of a curve bearing to the tight having a radius of 100.00 feet and a length of 119.19 feel to a point; 2. Along lie me of a curve bearing to the left having a radius of 50.00 feet and a length of 44.45 Feel to a concrete monument; 3. North 75 degrees 25 minutes 53 seconds East 208.09 feet to the point of BEGINNING; RUNNING THENCE,along the division line of Lot I and 2,the following three courses.- 1. ourses:I. North 14 degrees 34 minutes 07'seconds West 120.00 feet to a point; 2. North 21 degrees 24 minutes 50 seconds East 144.67 feet to a point; 3. ' North M degrees 34 minutes 07 seconds Wes( 110.00 feel to a point and the lands now or Ibrmerly of Benson Shalclt 4 THENCE,along said Inuds of Benson Shalelle,North 75 degrees 31 minutes 17 seconds East 210.00 Feet to n point and the westerly side of a 50 foot wide Right of Way(Lot 8); THENCE,along the a 50 foot wide Right of Way(Lot 8),the following three courses and distances: I. South 14 degrees 34 minutes 07 seconds East 326:75 feel to a concrete monument; 2. Along(lie arc of n curve bearing to the right having a radius of 20.00 feet and a length of 31.42 feel to a concrete monument; 3. South 75 degrees 25 minutes 53 seconds West 275.00 feet to the division line of Lot 1 and 2 and the point and place of BEGINNING; i 1 PROJECT DESCRIPTION KING CASAMENTO RESIDENCE 2667 Long Creek Road, Southold Construct new one story, three bedroom frame Residence with crawl space, of gross interior area of 2,844 sf; with attached covered porch of 519 sf, plus screened portion of 318 sf, with three sets of stairs to grade, each with three treads, covering 49 sf, 28 sf and 27 sf; with attached covered rear porch of 69 sf, with stairs to grade of three treads covering 18 sf; with open rear landing of 24 sf, with stairs to grade covering 21 sf• Totaling footprint of 3,917 sf 'Construct one story, non-habitable Garage of 1,180 sf; ' -with-two covered entry porches totaling 108 sf Totaling footprint-of 1,288 sf; Construct shed of 144 sf; TOTAL FOOTPRINT OF STRUCTURES: 5,349-SF = 8.3% Construct impervious stone terrace at grade of 702 sf; with outdoor kitchen/barbeque equipment (included in square footage); Construct new impervious driveway at grade of 2,495 sf, with drainage provided; with impervious walkways to residence of 340 sf and 305 sf; TOTALAREAOF IMPERVIOUS SURFACES (including buildings): 9,191 SF =-14.3% Provide silt fence around construction area per Town approved details; Construct fence or small stone boundary delineating edge of 50 ft non-disturbance buffer; Provide new topsoil and landscaping, including irrigation using public water; Provide underground connections to power, telephone and water; Provide new sanitary system per SCDHS; Provide leaders/gutters connected to new drywells to contain roof/stormwater runoff; Provide vegetation up to the 50' buffer wilth lawn. 0 E 2 7 2018 t - t 'f McCarthy Management, Inca December 4,2018 i Town-of Southold,Trustee's Dept. P.O.. Box 1179 Southold,NY 11971 RE:Casamento/King-Amendment Permit 9164 2667 Long Creek Drive Southold;NY 11971 SCTM: 1000-52-9=1:2' ADMENDMENT TO PROJECT DESCRIPTION To change dimension of Garage from a 28'X 46 structure to a 22' X 46' structure with two (2) 6' X 9' roof over as indicated on Kenneth Woychul Land Surveying, PLLC revised survey dated 10/10/2018. If you should have any questions,,please do not°.hesitate to call. :?�ere - Ruth Love F 177-- DEC 4 2018 i f 3 - I 46520 Route 48 Tel® 631.765.5815 Southold,NY 11971 Fax,631.765.5816 office@,thomasjmccarthy.com. McCARMY *MNT. INC. 46520 COUNTY R=D48 SOUTHOLD, NY 11971 DATED 1 �j n JOB NO (631) 765-5815 FAX (631) 765-5p&-, ATTENTION ry WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ 777 1 ACT 7 MIR UAW -J III—It of Tri,:cs THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: r\ if enclosures are not as noted,kindly notify us at once. ECGEE McCarthy Management, Inc. OCT 2 5 2018 October 25, 2018 Southold Town Nard of Trustees Town of Southold,Trustee's P.O. Box 1179 Southold, NY 11971 RE:Administrative revisions to Permit#'s 9228 &9164 Casamento/King 2667 Long Creek Drive, Southold, NY 11971 Town of Southold, Board of Trustee's: Please let this letter serve as written request to amend permits#'s 9228 &9164. Attached please find 4 revised original surveys,floor plans and a check for$100.00($50 for each amended permit). If you should have any questions, please do not hesitate to call. incerely, Ruthie Love enc 46520 Route 48 Tel. 631.765.5815 Southold, NY 11971 Fax.631.765.5816 officeg thomasjmccarthy.com McCarthy Management, Inc. LOCT 201 October 25, 2018 Southold Town Board of Trustees Town of Southold,Trustee's P.O. Box 1179 Southold, NY 11971 RE:Administrative revisions to Permit#'s 9228 &9164 Casamento/King 2667 Long Creek Drive, Southold, NY 11971 Town of Southold, Board of Trustee's: Please let this letter serve as written request to amend permits#'s 9228 & 9164. Attached please find 4 revised original surveys, floor plans and a check for$100.00 ($50 for each amended permit). The sides of the garage has changed from 28' to 22'with a "jot in" of 6'. Revised by Kenneth Woychuk Land Surveying, PLLC on 10/10/2018 The house floor plan has changed slightly. Also,the set back to the wetlands has increased from the approved 95' to 96'. Revised by Kenneth Woychuk Land Surveying, PLLC on 10/10/2018 If you should have any questio please do not hesitate to call. inc Ruthie Love enc 46520 Route 48 Tel. 631.765.5815 Southold, NY 11971 Fax.631.765.5816 officeg thomasjmccarthy.com WCARTHY MANA4 LENT, WC. ®'x - �e e' 46520 COUNTY ROAD 48 4 SOUTHOLD, NY 11971 DATE 0 C/T�5 JOB NO (431) 765-5815 FAX (631) 765-5816,--- ATTENTION ------ 9 TO RE " K-e-, WE ARE SENDING YOU ❑,Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ ! • ice,(' ® ' V V RA �y c �d QC / e L tV d (—y THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS 1 na Sauthal�fawn P.�aft1 a IfuS. COPY TO SIGNED• ff enclosures are not as noted,kindly notify us at once. Michael J.Domino,President O��Qf SOU� Town Hall Annex John M.Bredemeyer III,Vice-President O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • �- Telephone (631) 765-1892 Greg WilliamsO Fax(631) 765-6641 �y00UNT`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2018 Thomas J. McCarthy McCarthy Management, Inc. 46520 C.R. 48 Southold, NY 11971 RE: TIMOTHY CASAMENTO & KLEO KING 2667 LONG CREEK DRIVE, SOUTHOLD SCTM# 1000-52-9-1.2 Dear Mr. McCarthy: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 16, 2018: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit #9164 to approve the survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated April 13, 2018 that depicts an updated wetland line delineation in lieu of the originally approved survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated March 8, 2018; and as depicted on the survey of Kenneth M. Woychuk Land Surveying, PLLC, last dated April 13, 2018 and stamped approved on May 16, 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 S.C.T.M.# DISTRICT 1000 SECTION 52 BLOCK 9 LOT 1 .2 TYPICAL DRYWELL CROSS SECTION (CONC. PRECAST COMPONENTS) #PRE-17-1683 d' SLAB FOR NON-TRAFFIC BEARING 50' MIN. 8"SLAB FOR TRAFFIC BEARING USUFFICIENTK CAST Durr APPROVED IRON FRAME AND APPROVED OUTLET PIPE SEDIMENT ON SITE IN. 4"INLET PIPE CAST DIA COVER TO GRADE To EXPANSION RINGS PITCHED 1/8"/t' Ij MIN.PITCHED 118%1' HAY BAIL-'SILT FENCING /OR ® ❑ ❑ ❑ 0 z ❑ ❑ ❑W 0 w a �V V a o ' Ld o CONSTRUCTION ENTRANCE - FOUNDATION OF COMPACTED w x:3/4" STONE BLEND OR N.Y. STATE D.O.T. APPROVED R.C.A. FILL TO 18" (Min.) ABOVE EXISTING GRADE FOR DRAINAGE. 3' MIN. 8' COLLAR BACK FILL MATERIAL TO BE CLEAN SAND AND GRAVEL TYPICAL SILT SCREEN SECTION rowN of sourHOLo DRAINAGE CALCULATIONS: PROPOSED LOT COVERAGE; cEorExnLE FABRIC (BASED ON LOT AREA OF 64,350 SQ.FT. SUPPORT POSTS LANDWARD OF WETLANDS BOUNDARY) A) DWELLING W/COVERED PORCH: 3636 S.F. �- WOOD OR METAL PROPOSED DWELLING W/PORCH: 3636 S.F. 3636 x 0.166-603.57 < 604 REQUIRED FLOW DIRECTION PROPOSED DETACHED GARAGE: 1288 S.F. (2) 1O'DIA x 5' DEEP DRYWELL-6840 PROVIDED PROPOSED SHED: 144 S.F. EXCAVATED AND BACKFILLED TRENCH TOTAL PROPOSED LOT COVERAGE: 5068 S.F. or 7.9% B) DRIVEWAY-1000 SQ.FT. 1000 x 0.166= 166cf REQ. EXISTING GROUND C) GARAGE=1288 S.F. 1288 x 0.166= 214cf REQ. - TOTAL 380cf REQ. 1 1 O'DIA x 5' DEEP DRYWELL=342cf PROVIDED -ll I-ISI I-�1=���I=I�-L �I=IL I-111 I=ISI-II I-I�_ O 11 =I 1=til lil�l 1 1=1 l li s 1 -111 =1 1 =1 I=11 I=1 I 11=I 1 1111: 4. 2'MINIMUM :•. 21666 • , .• \ 4 VACANT 150' N 75°311 1 � t . oP�i 4 TYPICAL CLEAN OUT 1C �,,� / 1 05 SLATE OR STOPPER END �o tio` / SUITABLE COVE � OR PLUG 3. / W 0 30' ELBOW C:) J'' w I _ _.._.. _ 1.u� 60' WYE Ir A VACANT \\ N A, \moo is, 150' FLOW-;- APPROVED BY �; 89,1. 1PROPOSED 2'X12' SHED ��+ x� BOARD OF TRUSTEES r 1 sTAKEs ,. \6 � TO �s, ; 01 ,,7,8 :. WN OF SOUTHOLD _ g ��" � ' VACANT, I' /PROPOSED S DATE \ 150' �A�/ I�1 ZG $ Q NE X� J/i / STOCK PILE AREA ' I o ZO 9S. V INSTALL TEMPORARY A` DRY WELL 4 r ( '�\ SILT FENCE ALONG10'DIAXS'DEE A 3 2 �, LIMITS OF DISTURBANCE / STAKES 01 1 _ _- (7.5 40.5 : pP.UNDER 1 ELEV. 6.9 - DR BROWN + i - -- - / -- - OL ,h '700, �. / , _-- ;.:.: LOT 2 SANDY LOAM W BROWN , SM LOAMY SAND 1.1 npgl.ANO fRESF+WA�N5�U1�� _ _ LIMIT Of EN- _-r C' 1i % .tl / __--- ..;;:;ii>_ -- i /DRY WELL PALE AS y8 2018 t�� 7y �� S' - -- -- 6.9 MARCIi-"--- �� / 5)PRO� (7. -U� _ -__: __- 10'DIAXS'DEEP EL $ \ BROWN '.� L �~ 5 FINE �' o /s A .: STAKE :==_ 7.5 MON. I SW TO � 4.9' I W ! 7. 6 0) 0' ;.?..... - /01/18/18 - c0 7 0 , COARSE i : ; 0 L i Q �/ s:; .::;>:• ;,,. .......... z N ( ) 00- ' 1 SAND Ask 82.2 6 .;>?. R E 5f�g.5�,. ; 3��pGo�MS T. q de th ps, ��' -WATER I ` G BATHR •, ,:>:::;� 7•�-, Z clIk- 12p0 X 2.15' +P' U WATER IN ELEV 1.0 0 P• MON. di FINE OE 1 FINE v SW TO 7 r ` .,..... `1 2'S Off, COARSE W.V. SAND 6.0' RANT YA D �J �, \ o 5 MIN 1n .• / ---- / f DRY WKIL t �/ O �y u' _CL 6 9 10'DIA)r,6 DEEP �� gED REVISED 04-13-18ep' _ UPDATE WETLANDS FLAGGING 04-03-18 ��� 'w4N oUt°BRAY. GUN No CONS R ' ADD 50 BUFFER 03-08-18 c+z psE SRANCE - '� c o+ s. _ 6.9 08-02-17 GON o�pRop 0 �� �` ` iN - �- '� E1 E '� Ct K. WOYCHUK LS SET STAKES FOR NYSDEC 01/18/18 7 +N £c�cATv� ' REVISED 12-10-17 / + VACANT �3 � ' / 3'18. / 150' 0 C.I. LOCKING �G COVER TO GRADE (7.5) FINISH GRADE y0 / 1'MIN-2'MAX Z � FIRM PANEL #36103CO158H 1_• 4--FT' s' COVER 0"MI 1/s ' UPLAND AREA: 64,350 SQ.FT. NAVD88 s" s.. S�BoJER AREA :87,939 SO.FT. or 2.02 ACRES ELEVATION DATUM: �_-�-_ ___-________ NVERT (6•0) INVERT-/ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A WOLA77ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY (8.9) HOUSE (30'RUN) (6,25) INVERT INVERT MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN (7.0) GARAGE (35' RUN) 5.75) (5.67) ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION 8'0 3' COLLAR LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. FOUNDATION POOL CLEAN THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE WALL TANK MI ,COARSE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS'. EASEMENTS V-8" 2 SAND & AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEYGRAVE`` 3'MIN SURVEY OF: LOT 2 CERTIFIED TO: MCCARTHY MANAGEMENT INC.' MAP OF: MILL CREEK PRESERVE USE 4" DIA. APPROVED SEWER PIPE FILED: JANUARY 28, 2005 No.11216 1000 GAL. PRECAST S.T. (4.0) SITUATED AT:SOUTHOLD UNDERGROUND UTILITY LOCATIONS AS PER MARK-OUT TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC PROVIDED BY OTHERS. HIGHEST EXPECTED WATER EL 1.0 SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aqueb8-1588 guF New York 11931 THE WATER SUPPLY,LOCA71ONS SHOWN AREELFROM FIELDLLS OBSERV A77ONSCESSPOOL FILE # 16-179 SCALE: 1"=50' DATE:AUG. 02, 201 7 PHONE (631)298-1588 f Rob FAX (631) Kenneth 8 AND OR DATA OBTAINED FROM OTHERS. N.Y.S. L/SC. N0. 050882 maintaining the records of Robert J. Hennessy & Kenneth N. 1loychuk McCarthy Management, Inc. April 13, 2018 Town of Southold, Trustee's Department P. O. Box 1179 Southold,NY 11971 RE: Amendment to Permit#9164 Dear Board of Trustee's: Please let this letter serve as written request to amend permit#9164. We have updated the tidal wetlands delineation and added to the survey. Delineation date and survey date needs to be revised on the permit. Thank you for your prompt attention in this matter. ncerely, Ruthie Love Office Manager enc `i APR 13 2018 t guard of_i ice',° 46520 Route 48 Tel. 631.765.5815 Southold, NY 11971 Fax.631.765.5816 office@ thomasjmccarthy.com :.T � y _ - A CEO 46520 COUNTY ROAD 48 SOUTHOLD, NY 11971 DATE JOB NO (631) 765.5815 FAX (631) 765-51816 ATTENTION TO au)��W� "/{ RE Ir i WE ARE SENDING-YOU ❑ Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of,letter ❑ Change order ❑ 6PIES 7 WE ® c R-0 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS `r L7 APR I I COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. Michael J.Domino Presi f SVFFD(/- �0 CD �` � Town Halt Annex John M. Bredemeyer III, Vice-Pr8went ��� G��� .` „ 54375 Route 25 Glenn Goldsmith P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: r1f 9 Completed in field by: 1W McCarthy,Management, Inc. on behalf of TIMOTHY CASAMENTO & KLEO KING requests an Administrative Amendment to Wetland Permit#9164 to approve the survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated April 13, 2018 that depicts an updated wetland line delineation in lieu of the originally approved survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated March 8, 2018. Located: 2667 Long Creek Drive, Southold. SCTM# 1000-52-9-1.2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: D� A> 20:�� z zt/� 44-1 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: J. Bredemeyer /M. Domino C/G. Goldsmith d N. Krupski ,/G. Williams Other Page 1 of 2 _ J Michael J.Domino,Presi O�Q C�� i Town Hall Annex John M.Bredemeyer III,Vice-Pr'e§f6ent �� yJ, 54375 Route 25 Glenn Goldsmithy a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES i TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: McCarthy Management, Inc. on behalf of TIMOTHY CASAMENTO & KLEO KING requests an Administrative Amendment to Wetland Permit#9164 to approve the survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated April 13, 2018 that depicts an updated wetland line delineation in lieu of the originally approved survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated March 8, 2018. Located: 2667 Long Creek Drive, Southold. SCTM# 1000-52-9-1.2 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine,the lateral support of other-lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 r' Michael J. Domino,President O��QF SDUryOI Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President Q P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski • Telephone(631) 765-1892 Greg Williamsy00UNT`1, 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 y Project complete, compliance inspection F` BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK` ' PERMIT NO. 9164 DATE: FEBRUARY 14, 2018 ISSUED TO: TIMOTHY CASAMENTO & KLEO KING PROPERTY ADDRESS: 2667 LONG CREEK DRIVE, SOUTHOLD i SCTM# 1000-52-9-1.2 - AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in F accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 14,2018, and in consideration of application fee in the sum of$250.00 paid by Timothy Casamento& Kleo King and subject , to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 28'x46' detached garage,with the condition to establish and perpetually maintain a 50' wide non-disturbance buffer starting at the"limits of tidal wetlands as delineated by R. Fox on May 30,2003" running landward; as depicted on the survey prepared by Kenneth M. Woychuk Land Surveying,PLLC last dated March 8,2018,and stamped approved on March 13,2018. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this. o�OgUFFO��.co C4 K �rr '1�,; \��'. _amu✓, '' _��_ ' _ _ - TERMS AND CONDITIONS The Permittee Timothy Casamento&Kleo King residing at 2667 Long Creek Drive, Southold, 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. Michael J.Domino,President 0f SOUry� Town Hall Annex John M. Bredemeyer III,Vice-President �� 01 0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski • �0 Telephone (631) 765-1892 Greg WilliamsO Fax(631) 765-6641 �y00UNM'1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 14, 2018 Thomas J. McCarthy McCarthy Management, Inc. 46520 C.R. 48 Southold, NY 11971 RE: TIMOTHY CASAMENTO & KLEO KING 2667 LONG CREEK DRIVE, SOUTHOLD SCTM# 1000-52-9-1.2 Dear Mr. McCarthy: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 14, 2018 regarding the above matter: WHEREAS, McCarthy Management, Inc. on behalf of TIMOTHY CASAMENTO & KLEO KING applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 8, 2018, 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 February 14, 2018, at which time all interested persons were given an opportunity to be heard, and, 2 ,1 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 and Chapter 111 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 TIMOTHY CASAMENTO & KLEO KING to construct a 28x46' detached garage, with the condition to establish and perpetually maintain a 50' wide non-disturbance buffer starting at the "limits of tidal wetlands as delineated by R. Fox on May 30, 2003" running landward; as depicted on the survey prepared by Kenneth M. Woychuk Land Surveying, PLLC last dated March 8, 2018, and stamped approved on March 13, 2018. 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, —Xku:�J 40.-. Michael J. Domino President, Board of Trustees MJD/dd Y C C_ FIL JAN - 8 2018 `Y f i i 1T'l lt�; lit IL �� t fi N�—......' y7 � au�o+.o....o. �'.ry�.mit���• `r,' }�' '�'��� aldEa ,, 1. F), JAN - 82018 BGaic!0,`I'UEILIN w nw , �. LEF RON IIIi IF i [H S ca i 1 I ? W N Y x 1J W i- x H ` O � m �-• i- N N N r S.C.T.M.# DISTRICT 1000 SECTION 52 BLOCK 9 LOT 1 .2 TYPICAL DRYWELL CROSS SECTION (CONC. PRECAST COMPONENTS) #PRE-17-1683 6"SLAB FOR NON-TRAFFIC BEARING 50' MIN. 6"SLAB FOR TRAFFIC BEARING HEAVY BUT SUFFICIENT APPROVED INLET PIPE CAST IRON FRAME AND APPROVED OUTLET PIPE SEDIMENT ON SITE MIN. 4" DIA. COVER TO GRADE TO EXXPNNSIOND�RINGS PITCHED 1/8%1' PITCHED 1/a%t' HAY �SILT BFENC NG AIL /OR ® ❑ ❑ ❑ ❑ Z DDD ❑ w W Q z 01 d — o ' . � .. w - o CONSTRUCTION ENTRANCE - FOUNDATION OF COMPACTED w x:3/4" STONE BLEND OR N.Y. STATE D.O.T. APPROVED R.C.A. FILL TO 18" (Min.) ABOVE EXISTING GRADE FOR DRAINAGE. 3' MIN. 8' COLLAR BACK FILL MATERIAL TO BE CLEAN SAND AND GRAVEL TYPICAL SILT SCREEN SECTION TOWN OF SOUTHOLD DRAINAGE CALCULATIONS: PROPOSED LOT COVERAGE: GEOTEXTILE FABRIC (BASED ON LOT AREA OF 72,401 SQ.FT. /- S o0 oR PM TAS LANDWARD OF WETLANDS BOUNDARY) A) DWELLING W/COVERED PORCH: 3636 S.F. PROPOSED DWELLING W�PORCH: 3636 S.F. 3636 x 0.166-603.57 < 604 REQUIRED FLOW DIRECTION PROPOSED DETACHED GARAGE: 1288 S.F. (2) 1O'DIA x 5' DEEP DRYWELL-6840 PROVIDED PROPOSED SHED: 144 S.F. EXCAVATED AND TOTAL PROPOSED LOT COVERAGE: 5068 S.F. or 7.0% B) DRIVEWAY-1000 SQ.FT. BACKFILLED TRENCH 1000 X 0.166= 166Cf REQ. EXISTING GROUND C) CARAGE-1288 S.F. 1288 x 0.166= 214cf REQ. TOTAL 3800 REQ, 1=�_=�_ I I�-)�_�_ (1) 1O'DIA x 5' DEEP DRYWELL=342cf PROVIDED -� - III -�-� 1ll=11 -Ll—ll1=ll1—L11=1L= 1�1�1�1=1�I�1�1�1�1�1�1�1�1: �1 IT-I� llI�I�I�I»�I�I>�I�I>•�I�I�-: f 4' 2'MINIMUM 21004 +'� VACANT150' 4,4 of ��a�°�/ • \\ � ' jp- 4 • , TYPICAL CLEAN OUT SLATE OR --- STOPPER END ' S SUITABLE COVOR PLUG _X 1 / / \ °; .. IV - . W'• O — 1 CD 30' ELBOW 6� I > �•a 60' WYE �' PROPOS VACANT .•4150'IN -�- 10 t HE VV �0' 1; �::• FLO W . . NDA I STAKES \6 ° 1a Ia ..' *. APPRO`�ED BY LOT I ► F'R� Z- �' v VACANT / / °PROPOSED S ' BOARD OF ) RUSTEES 150' ! E X ' / / STOCK PILE AREA \; TOWN OF SOUTHOLD DRY WELL / INSTALL TEMPORARY ��/ 10'DIAXS'DEE .'.. 3` /Q / SILT FENCE ALONG �' (v/ 7 5)_ .� DATE ,eco I 2t� o / 100, LIMITS OF OISTURBANC� •' ES ( r, SET _ (7.5 �Q.5 � f�YK.liw•c ,�/ e�C� 6sP.- N�TR ELEV. 6.9 O P-43; ,• __ GROUND °;;1 DR BROWN If � / / - -- OL 0.9 -- ,h : 9 fN / :_- ;::;r': :;:s> LOT 2 SANDY LOAM BROWN , M LOAMY SAND •w SSEr S / __ _ �.:i;:<.'<- i DRY WELL .`w. PALE Z 01/18/18 pP g.9 �3, / QR/ (7 :_-V T_-__ '_: 10'DIAX5'DEEP EL ' 4 BROWN -- --_ .4i 5 /•. 7.5) / -- _-_ - FINE 4.9' ' SW TO I'i 7.0) (7.5) \\\P��N. L 70 COARSE / �.•�' `; >;ii:<>;:;:::>?:>. zC �N OSEp NIT04 v 0, 1 SAND — I �to r1 / 'L.2 xr; >;' pOSED' 5).:. pRpP SA VAR � 2 L� J I 8 6 R Gf�$' .... �Co gEDROOMg.'i. e th � WATER GA 6A HR�.: :'>; 7 1 'z 3200 GX'2.5' E�' d.P� MON. 1 WATER IN ELEV 1.0 DE v FINE SW TO 75 o \� o �' 215.00 COARSE -S \ Z• W.V. ��� SAND 6.0' CD FRONT YA / `� �1 � 5 O DRY WELL k _/ O v J� 1eDIAX5'DEEP p ' 'CL 9 i AR£A \ GVtTER I �PG\NG PR�C(10N ' ADD 50 BUFFER 03-08-18 CR E W CVAA ORNEWAY. PI , p,140 R,S� --' E C 0 CL 6g 08-02-17 CON pRO 1 , EN f� \ SET STAKES FOR NYSDEC 01/18/18 7 IN °25 R K. WOYCHUK LS _ gE0 Of �53..W � MAIN •�•--j _--'' REVISED 12-10-17 S15 ANG A Wp,`li� ' �•s ''.ELEC/CATV / ' ' , /pRlv,?� of �� VACANT 311.138.0 r 150' 6 0 94S�U£S VIDE t C.I. LOCKING (7.5) FINISH GRADE COVER TO GRADE V N-2'MAX Z / FIRM PANEL #36103CO158H 1/4"—FT. o"MI 1/8"—FT I UPLAND AREA: 72,401 SQ.FT. --_._ s COVER s° covER AREA: 7 939 SQ.FT. or 2.02 ACRES ELEVATION DATUM: NAVD88 s' iv 8 , ----------------------- 6" SLAB (6.0) INVERT—/ NVERT UNAUTHORIZED ALTERATION OR ADD17701V TO THIS SURVEY IS A VIOLATION OF SEC77ON 7209 OF THE NEW YORK STATE£DUCA77ON LAW. COPIES OF THIS SURVEY (6.9) HOUSE (30'RUN) (6.25) INVERT INVERT MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN (7.0) GARAGE (3s' RUN) (5.75) (5.67) ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON 8,0 3' COLLAR LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS7I7U770N, GUARANTEES ARE NOT TRANSFERABLE. FOUNDATION I POOL CLEAN THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE WALL TANK MI ,COARSE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS 1'-8" 2 SAND & AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY GRA VEL 3'MIN SURVEY OF: LOT 2 CERTIFIED TO: MCCARTHY MANAGEMENT INC.; MAP OF: MILL CREEK PRESERVE USE 4" DIA. APPROVED SEWER PIPE FILED: JANUARY 28, 2005 No.11216 1000 GAL. PRECAST S.T. (4.0) SITUATED AT:SOUTHOLD TOWN OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC UNDERGROUND UTILITY LOCATIONS AS PER MARK—OUT HIGHEST EXPECTED WATER EL 1.0 SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design PROVIDED BY OTHERS. / r P.O. Box 153 Aquebogue, New York 11931 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL PHONE (631)298-1588 FAX (831) 298-1588 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS FILE #16-179 SCALE: 1"=50' DATE:AUG. 02, 2017 N.Y.S. L/SC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. eoychuk AND OR DATA OBTAINED FROM 0THERS Michael J. Domino asident ,moo Gy�� ) Town Hall,Annex John M. Bredemeyer, III, Vice-President z 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A Nicholas KrupskiP.O.Southold, NY 11971 Greg Williams Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: --rlrn oTiq CASA#L•rt�TO Please be advised that your application dated g� has been reviewed by this Board at the regular meeting .of 201 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Sh"tA6- 50' No v-DtSTyAbAACO- Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) / '/z Constructed ($50.00) y 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: 08 3 I5� l� TOTAL FEES DUE: $ n�f1y BY: Michael J. Domino, President Board of Trustees S.0 TM NO. DISTRICT 1000 SECTION. 52 BLOCK- 9 LOT S) 12 C.) LOCKING (6.S) FINTSH GRADE_ -- — COVER TO GRADE ?'MIN-7'MAX 7 S ` 114 FT. fi' COVER 5" Sl AR INVEKI—f INV'ERF r — \ iso) (6 04) HOUSE_ (s 58) INVERT -INVERT (6.0) (;ARA(. (s 0B) (s 0) - FOUNDATION '�.FLOW __� _ z' COLLAR WALL BAFFLE MI1V• POOL COARSE - J 2 SAND Rc �i TANK I VMIP GRAVEI USE 4" DIA. APPROVED SE WER PIPE 1000 GAL. PRECAST S T _— (30)-, 30) HIGHE`.T EXPECTFT) WATER FL 1.0 VACANT 150' N X5.31F° — — TYPICAL CLEAN OUT �; f SLATE OR - STOPPER END SUITABLE COVER OR PLUG _ w 30' ELBOW 0' W 6YC F LOW— -- ZOµE pF / I •`� •, VACANT ISO' IO / I 1 K LUT 1 I oFo VACANT 150' / 7pNF Y \�\ 1 x'90 t� � �, dqC /S`��pv �'"` • p UNDER � 1, ELFV 6.9_ o / / // ^off / \ UND OR BROWN h; / /� L.rlT P j 'ANDY LOAM O 9 / BROWN �h Gr -'M LOAMY SAND Q \ , HALE _ G (7 EL 0 5 N r" BROWN .__-— •_ a6 D' c at - F-INE 4.9, Al p �`� MON 1 SW TO n I I'* RO 0 5) PRORO D �O L I 0 COARSE - _ fr :` RF,.@AO M SANITARY ?j nO- 1 SAND 'a - All 6 C pN \ A fk tAo0 CAI_ S T. —WATER - gut ;'ls) �rltnX 'DEEP I.P. MON 1 { WATER IN ELEV 1.0 ` ` '.) to FINE SW 1U A o p r AS! COARSE >` g W v. SAND bi- CL 6 08-02-17 __ 3,W pIN _ - ��%�-- FLEr, 01 / C1 6 K. WUYCHUK LS^ _` f S��n 2 l EX15tiN� WpTFR,�OA �A A"F VACANT 150• N% i pOWpY CL i + UNDERGROUND UTII ITY LOCATIONS AS PFR MARK-OUT PROVIDED BY OTHFRS. REVISFD 08-29-17 y0 / THE WATER SUPPLY, WELLS, DRYWELL S AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS FIRM PANEL #36103C0158H AND OR DATA OBTAINED FROM OTHERS AREA: 87,939 SQ,FT. or 2.02 ACRES ELEVATION DATUM: NAVD88 UNAUTHORIZEU ALTERATION OR ADDITION TO [HIS SURVEY lS A WOLA71ON OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALI NOT BE CONSIDFRFD TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON I-IIS RF_HAI_F TO THE TITLE COMPANY, GOVERNMF_NTAL AGENCY AND I_FNDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INIENULD TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASF_MENT.S ANDIOR SUBSURFACE STRUffURES RECORDED OR UNRECORDED ARE N)T GUARANTFFD UNI ESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY �URVEv OF: LOT 2 CERTIFIED TO: MCGARTHY MANAGEMENT INC.: MAP OF: MILL CREEK PRESERVE -- -- - ------- — - -- [ILEO: JANUARY 28, 2005 No 11216 SrIUATLD AT: SOUTHOLD [OWN OF. SOU1HOLD KENNETH M WOYCHUK LAND SiJRVEYING, PLLC �,UFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 1.1931 PHONE (631)298-1588 FAX (631) 298-1588 FILE 16- 779 SCALE: 1 =50' DAIS AUG. 02, 20171 YS IISC. NO. 0,50882 maintaining the, records of Robert J. Hennessy & Kenneth M. Woychuk Michael J. Domino, Presid:jy O�QSVFFO(�COG Town Hall Annex John M Bredemeyer 111,Vice-Presiuent 54375 Route 25 Glenn Goldsmith N = P O.Box 1179 A.Nicholas Krupski %O • Southold,NY 11971 Greg Williams 'y p! Telephone(631)765-1892 ��l �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: L J Completed in field by: McCarthy Management, Inc. on behalf of TIMOTHY CASAMENTO & KLEO KING request a Wetland Permit to construct a 28'x46' detached garage. Located: 2667 Long Creek Drive, Southold. SCTM# 1000-52-9-1.2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool)- 100 feet 4 Septic Tank: 75 feet 5 Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Page 1 of 2 Michael J. Domino, Presid( O�QCogFFO( COG 4 f Town Hall Annex John M. Bredemeyer III, Vice-Presiaent �� y� 54375 Route 25 Glenn Goldsmith N z P.O.Box 1179 A.Nicholas Krupski 1 • Southold,NY 11971 Greg Williams 'y p! Telephone(631)765-1892 HCl �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time- Completed in Work Session by: McCarthy Management, Inc. on behalf of TIMOTHY CASAMENTO & KLEO KING request a Wetland Permit to construct a 28'x46' detached garage. Located: 2667 Long Creek Drive, Southold. SCTM# 1000-52-9-1.2 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 j ,7IJ rt= nnothy Casaxnento&Kleo King " t , x.2667 Long Creek Drive,Southold x TiV(#: 1000-52-9-1.2 2/7/18 ' e k, , r F S � - s [ -. _ F! -•y,�> t h � ,R ' �t .. tri i �"'� •;;ink I - �, 5 9 � ~ d;k$.ral^` t� n s >F,y," x y..'45r11 #` .��. i• .�t► •r-w /. - �� s[ '.,sti c. / d!�4 - p� � 1 x d w�,�� i.'�'•di-h '�:'.. .•w.,i(� r �' ��,�fy.� r � � Ii •4� 1 >� ,sy_ve'�'.'t- { 4� r�;,` i�.�� �s. _ - t - cs��. ��, PrP;"-' �3��;+ . rw.+3t S�•� �;• s ';ff� ��� �rR �� -h :♦ i` ,..`i�r �•L f 6 .: � �r. .; ?i:s� ?�"�7 P•s :s�• e-. �•°�. - OIYr" _ � j - �= v �"c } c L-_.�,L!=f ;�jy�- /F[�.}�4 s l'-, y.��� '`! -�r, y,.L�'.��.++ - :Ja�.�i +.�•• ._�1f' 'Y/i14 T� .� � o- `.,,�y•' ..✓� �' ��� ♦J��.i -. -J.�`1�.,. /%+i. ,a..� a �% �`. 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SEE 8EC. � 05eOLOH ^ roR aM..xo. — s�SEC Nn ms0 PoAKA,xo. •. stc e[c.No. tEEeEC.xO. xm a 1.4 ossatatt is 056017— msowoc 1.SA ---_ _--- --------_-- _ __--_ ------_�—_---UNE i WYC/I ------�— UNE e O MATCH SEE SEC.NO.056 / - � SEE SEC.NO.OSe . .. ...rWx A .. . ------ --.x-- x.p.� --x-- NOTICE OF SUFFOLK © E ,m w ou o a sounaLO SECTgN NO E m.,_.,.._ µms— .. lx» „ z p—� __•-- °�"'�_—_x—_—_ Real Property Tax Service Agency Y .] Ever . O oru. N-- ��-- -- l:xun+yCmYt RlwMwo�,NY 11Wt M 1Z 032 aU VUIOE OF 052 N 21 N0stx toouru.--tr-- c A� P + F—xo O �... a r t _ ote 1000 PROPER7YMM t+A/•1 —___— -- -- mxesax uicruats WCAIRTHY. MAN EMEIM INC. m ,46520 COUNTY ROAD pro SOUTHOLD, NY ,11971 ,. D :JOB NO (631)765-5815 FAX (631) 765.5816 ATTENTION i n 4To RE , WEIARE SENDING YOU ElAttached E3Under separaWcover via the following items: I i ❑ Shop drawings O' Prints [I Plans ❑;Samples ❑ Specifications I �z; Vl J t ` ❑`1C6py of;letter. E] Change ordert ❑ 'Its t v' COPIESDATE MO. e • V y� -e✓L �o L, THESE ARE TRANSMITTED as checked below: _--- 'YFor approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted- ❑ Submit copies for distribution As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted,kindly notify us at once. _10 r .•. .r.1 .qua-...j OFFICE LOCATION: �OF SO(/ryQ MAILING ADDRESS: Town Hall Annex �� l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) G Q Telephone: 631 765-1938 Southold, NY 11971 • O Q � Fax: 631 765-3136 �y�4UNTl,�� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town•of Southold Board of Trustees From- Mark Terry, LWRP Coordinator Date- February 8, 2017 Re: LWRP Coastal Consistency'Review for TIMOTHY CASAMENTO & KLEO KING SCTM# 1000-52-9-1.2 McCarthy Management, Inc. on behalf of TIMOTHY CASAMENTO & KLEO KING request a Wetland Permit to construct a 28'x46' detached garage Located: 2667 Long Creek Drive, Southold. SCTM# 1000-52-9-1.2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney OgpFFOtIrCOG 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., February 7, 2018 the following recommendation was made: Moved by Caroline Burghardt, seconded by James Abbott, it was RESOLVED to SUPPORT the application of TIMOTHY CASAMENTO & KLEO KING to construct a 28'X 46' detached garage. Located: 2667 Long Creek Dr., Southold. SCTM#52-9-1.2 Inspected by: Caroline Burghardt, James Abbott Vote of Council: Ayes: All Motion Carried J4.3/J MdIn ttOJd M.chaef J Dom'no V+cc PCCStdcnt �\ o' ` " P O Box t 179 Jamcs P King Trustcc S. old Nc­r_York 11971 0959 03,,e Bergen- Tn,stce Telephone (63 L) 765-1892 Charles J Sanders TrusteePax (63 l.) 765-6641 IyCOUM-'t, ' BOARD OF TOWN TRUSTEES TOWN OC'soUTHOLD To- Southold Town Building Department Re_ Verification of Bu [ding Department Pen t Requirements i , JAN �018 SCTM#: 52"q- I,2 BL71LDWG DEPT. Property Owner Mame: CA"Sl�'m�l � tK�n�6— TOWN OE cnUTHOLD Date Sent to Bldg_ Dept-: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Deparfi nent'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? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Date S t re of Reviewer - - i Michael J.Domino,President _ /'.-`. Town Hall Annex ti, +'• ` 54375 Route 25 John M.Bredemeyer III,Vice=President e``,' ;7 P.O.Box 1179 3 Charles J.Sanders �. zyr• , Southold,New York 11971 �. Glenn Goldsmith Telephone(631) 765-1892 - '� Fax(631) 765-6641 A.Nicholas Krupski + `+ 22 HEEJAN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD — 82018This Section For Office Use Onlythold TownT ` Coastal Erosion Permit Application -- Wetland Permit Application -Administrative Permit - Amendment/Transfer/Extensi Received Application:. d8 LReceived Fee: ✓ Completed Application:.:- `� Incomplete:. SEQRA Classification: Type I_ Type II Unlisted ;} Lead Agency Determination: 1 VCoordination:(date sent):: j LWRP Consistency Assessment Form:Sent: CAC Referral Sent:-- b2-iQ9 _ Date of Inspection: Receipt of CAC Report`' Technical Review::__ _ > Public Hearing Held: Resolution: k' Legal Name of Property Owner(s); . Timothy Casamento & Kleo King Mailing Address: 17 Woodbridge Court, West Babyion,.NY..11704 .-. .._ _ a Phone Number: 631-661-1408 Suffolk County Tax Map Number: 1000-52-9-1.2 _ _ ._. ._._. r•: Property Location:_2667 Long qreek Drive Southold NY 11971 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): McCarthy-Management,-Inc...-_ Mailing Address:, 46520 County_Road 48, Southold, NY _11971 . _ 631-765-5815 Phone Number:,_ . _ _ _ ._..-_ ._ _ __ - .._ -_-: --_-_-.__-_ _ - - •. :� �, Board of Trustees Applic Lon GENERAL DATA Land Area(in square feet): 87,939 SF Area Zoning: R-80 Previous use of property: Vacant Land Intended use of property: Single family dwelling with a detached garage and a 12' X 12' shed Covenants and Restrictions on property? X 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. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No N/A 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 fuse attachments.if necessary): To construct a 28' X 46' detached garage as per plans and survey Hoard of Trustees Applic ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To construct a 28' X 46' detached garage as per plans and survey Area of wetlands on lot: 14,500 +/- square feet Percent coverage of lot: 20 % Closest distance between nearest existing structure and upland edge of wetlands: + 100 feet Closest distance between nearest proposed structure and upland edge of wetlands: + 100 feet Does the project involve excavation or filling? No X Yes If yes,how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: 3' - 5' feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: No material will be removed from site and will be regraded. 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): 7here:is;no_enviromental impacts that aren't within keeping of the surrounding area. 617.20 Appendix B Short Environmental Assessment Form Instructions for.Comoletina 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: Casamento - King Project Location(describe,and attach a location map): 2667 Long Creek Drive, Southold, NY 11971 Brief Description of Proposed Action: To construct a 28' X 46' detached garage as per plans and survey Name of Applicant or Sponsor: Telephone: 631.661-1408 Timothy Casamento & Kleo King E-Mail: tpcpe@msn.com Address: 17 Woodbridge Court City/PO: State: Zip Code: West Babylon NY 11704 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 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 IfYes,list agency(s)name and permit or approval,: NYS DEC,Town of Southold Building Department, &Suffolk County Health Department 3.a.Total acreage of.the site of the proposed action? 2.02 acres b.Total acreage to be physically disturbed? acres t c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2.02 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 El Aquatic ❑Other(specify): ❑Parkland Page I of 4 5. is the proposed action, - NO YES N/A ; a.A permitted use under the zoning regulations? I b.Consistent with the adopted comprehensive Ian? 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 7. Is the site of the proposed action-located in,or does it adjoin,a state listed Critical Environmental Are-0 NO YES. If Yes,identify:_,___.__. -- -- -- - — -- - -- — — --- --- 4 ' 8. a.Will the proposed action result in a substantial increase in traffic above present levels?- NO YES i b.Are public transportation service(s)available-at or near the site of the proposed action? FX s c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 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: i 10. Will the proposedaction connect to an existing public/private water supply? NO YES If No,describe method for providing potable water;,.-.�._._.._.-__,_: 11.Will the proposed action connect to existing wastewater utilities? NO YES ' If No,describe method for providing wastewater treatment: Septic systems 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ x L 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? ❑x b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? x ._ i If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:-.. El 14. Identify the typical habitat types that occur on,or are.likely to be found on the project site. Check all that apply: El Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional © Wetland ❑Urban ®Suburban f 5. Does the site of the proposed action contain any species of animal,or associated habitats;Iisted f 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, ❑ ❑`r a. Will storm water discharges flow to.adjacent properties? E]NO YES 11 b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NOx❑YES i Drywells—see attached.survey - Page 2 of 4 1 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 1�1 F_ .I 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: r_--� (�1 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: 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MV i KNOWLEDGE �I Applicant/sponso name:Timothy Casamento&Kleo Ki g Date:a/ Signature: �67 Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I Will the proposed action create n material conflict with an adopted land use plan or zoning regulations? U I L.J 2, Will the proposed action result in a change in the use or intensity of use of land? t � 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 (�l affect existing infrastructure for mass transit,biking or walkway? I I 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate J� reasonably available energy conservation or renewable energy opportunities? L ... 7 Will the proposed action impact existing, a.public/private water supplies? _ b.public/private wastewater treatment utilities? El v 8. Will the proposed action impair the character or quality of important historic,archaeological, n 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)? Page 3 of 4 ` ` ` : � ~~ � No,or Moderate �I small to large impact impact may may 10. Will the roposed action result in an increase in the potential for erosion,flooding or drainage 10 11. Will the roposdd action create a hazard to environmental resources or human health? � Part D'Determination o[significance. The Und Agency is responsible for the completion wfPart 3. For every question inPart 2that was answered"moderate mlarge impact may occur,mif there isuneed mexplain why uparticular element o[the proposed action may o,will not result inusignificant adverse environmental impact,please complete Part 3. Part3ohou|d,inouy5oiontdouai|.idundfytheimpmm^inc|udio8amYmeuoumuordcnigue|emvubthathu*uhoenino|udodhy the project sponsor b,avoid orreduce impacts. Part 3should also explain how the lead agency determined that the impact may or wil I 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 ohvn.tvnn,long-term and cumulative impacts. / e -b-v76 'documentation, Ofie&this bo-X—If-�ou hav'e determined,bis—ed on th 'iiiffiri-nati6n and-analysis a 6 an any supporting that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental i �acts. Town of Southold-Board of Trustees ri LT Title of Riesponsibl'e'Officer Signature of Respons le Officer in Lead Agency Signature of-,Prepa'r'er(If dfff6in't_fi6m'_".Responsible Officir) / ! | .� < ' ^ � ' / Page An[4 ' ^ Board of Trustees Application AFFIDAVIT Timothy Casamento BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. eiature of Property Owner Signature of Property Owner Timothy Casamento SWORN TO BEFORE ME THIS DAY OF _ !_ .......... , 20 V _ HEATHER DAWN JORDAN NOTARY PUBLIC-STATE OF NEW YORK Notary PUbI1C 264 CIUALIFIED IN NASSAU COUNTY MY COMMISSION EXPIRES 06-25- Board of Trustees Application AFF'IDAVI'T' Kleo King BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Ow Signature of Property Owner Y Kleo King 20J HEATHER SWORN TO BEFORE ME THIS �� DAY OF Oil ?l........._. , 20_l.�_ HEATHER DAWN JORDAN NOTARY PUBLIC-STATE OF NEW YORK Notary Public NO 01J06264239 OUALIFIED IN NASSAU COUNT MY COMMISSION EXPIRES 06-25•_-_ Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Timothy Casamento owners of the property identified as SCTM# woo-52-9-1.2 in the town of Southold New York,hereby authorizes Thomas J. McCarthy, McCarthy Management, Inc. _ 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. perty Owner's Signature Property Owner's Signature Timothy Casamento SWORN TO BEFORE ME THIS DAY OF vG —� ' 20 -- HEATHER DAWN JORDAN Notary Public NOTARY PUBLIC-STATE OF NEW YORK NO 01J06264239 QUALIFIED IN NASSAU COUNTY yL t MY COMMISSION EXPIRES 06 /'7 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Kleo King _ ......... �. ._., owners of the property identified as SCTM# 1000-52-9-1.2 in the town of Southold _ _,New York,hereby authorizes Thomas J. McCarthy, McCarthy Management, Inc. _ __,_,-.-_.._..__.-.-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. Pop Owner's Signatur Property Owner's Signature Kleo King �-1 SWORN TO BEFORE ME THIS DAY OF v� R—', 20 r Notary Publlc HEATHER DAWN JORDAN NOTARY PUBLIC-STATE OF NEW YORK NO OIJO6264239 QUALIFIED IN NASSAU COUN MY COMMISSION EXPIRES 06.25 t APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSIURE FORM Thu' own of Southold's rode orlithics li_tohibits conflicts or interest on the non of town officers and emnlo ees ,nic purnpse of this form is to provide information ty_flich can nlert the town of possible connicts of interest and allow it to take whatever action is ¢ necessary to avoid same. YOURNAME: King, Kleo (Last name,first name,{niddle 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 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,spuusc,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 interesf'means a business, including a par4rcrship,in which the town officer or employee has even a partici ownership of(or employment by)a corporation in which the town oflicer or employee owns more than 5%of the shares. YES NO -.X. i If you answered"YES",complete the balance of this form and date and sign where indicated. r 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 share!;of the corporate stock of the applicant i (when the applicaru is a corporation); B)the legal or beneficial owner of any interest in a noir-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�v day of W 20 Signature__�–' ✓ . Print Name Wi W.,- — 9 Form TS I i APPLICANT/AGENT/REPRESEN'TATIW { TRANSACTIONAL DISCLOSURE FORM f i Tho'l-ownof Southold's Code of Ethics ron hibits conflicts of intcresl on-the art of town pfricers and cmploveeL TI)c uumosc this.form is to provide information which can nlert the town of possible conflicts of intcresl and allow it to take whatever nclion is necessary to avoid e. YOUR NAME: Casamento, Timothy (Last name,first name,.gtiddle 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 .._._Approval of plat Mooring _.._ Exemption from plat or official map --------- ____ Planning Other (If"Other",name the activity.) Do you personally(or through your company,sputLw,sibling,parent,or chii(I)have a reintionship with any officer or employee of the Town of Southold? "Relationship"includes by blood,nlarriage,or business interesi."Business interest"means a business, including a partnenshi,P.in which the lawn 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 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 .y. ..,-_- __.-. ._.. . ___- — , Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)nnd/or describe in the space provided. F 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 shams of the corporate stock of the applicant i i (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not n corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 20 Signature Print No e Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM jj fri i& d1ding'oyegs..The:pum 7L.r C. 6ft6".6 a dh f Ethics prohibits !and-,aIlowjfft&,take_-.w"h tion'Which cin'Alewth atever aeon is: YOURNAME. McCarthy,Thomas J. (Lem name,first name,.Oiddle initial,unless you are applying•id the name of someone else or other entity,such as a company..If so,indicak tht,other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Trustee X Variance Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official-map,; Planning Other (If"Other",name the activity.) child) j - v gfifii,T P. 4SodiQ0ations Relationship" b 6npq�ipt0i�� me , own. rp thijg. '4111 omtion (; mpreA613W."Of ilieshares. X, 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 (the app-H` 'th-, ` representative)and the town officer or employee.Either check pan agen � de 1�tMprpp line A)thipythb)�i"riidescribe Oa prov i d. The town officer or employee or his or her spouse,sibling,ing parent,or child is(check all that apply): owner of j&9er than.S%J�f,.%e, icorporate,k §hkvf'lh applicant. ' k9c (When the alipit is a c6rpotatibnX the Idgal Or binqficial:.Own�of any:itite�cst•iii,aiion corporate eritrty!(ivtieii;tlie;, app!"is nor a corboration)- an officer,director,partner,or employee of the applicant;or D)the actual-applicant DESCRIPTION OF RELATIONSHIP Submitted this1(0 M d Signature__ Oat . a iw Print Name.- � 0M Form TS 1 U.S. Postal ServiceTM U.S. Postal ServiceTh, CERTIFIED WIN MAILTM RECEIPTCERTIFIED MAILTM RECEIPT (Domestic Mail Only;No Insurance Coverage PIM rovided) (Domestic Mail Only;No Insurance Coverage Provided) Foelidry in eformation visit our website at,nrww.usps.com® r dFor delivery information visitourwebsite at www.usps.com® F �, 1 '} �� hh E .� (B � V� 1 { � h� i , Cu.Ln7 Al- 71 0971 CO1.11 1 1 11 s C3 Certified Fee t11 C3 6Return Reddpt Fee C3 orsement Postm Required)Return I/(Endorsement Required) $0.00 (End R DeliveryC:1 Restricted i i i �� ': :1 C3 Restricted Delivery Fee r-q (Endorsement Required) rq (Endorsement Required) rq 1i rq 1 i 1 M Total Postage&Fees $ _J 1 11 •. 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':S .tf:, .FT-m.,:;.T. . 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 MAH IRETURN RECEIPT. i Sworn to before me this Day of , 20 I Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Angela Norton 610 Pond Avenue, Southold, NY 11971 52-9-1.3 52-9-1.1 '�+ 52-9-1.5 G 52-9-1.4 Gerard& Robin Murtha 411 E Lake Drive, Montauk, NY 11954 56-1-11.15, r Betty&Travis Rauc 93 S. Howells Point Road, Bellport, NY 11713 52-7-1.1 52-7-1.3 ; STATE OF NEW YORK COUNTY OF•SUFFOLK Ruth Love residing at 46520 County Road 48, Southold NY 11971 being duly sworn, deposes and says that on the 30th day of January ,2Q18,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 Southold oti were mailed to each of said persons by CERTIFIED MAEO&TURN RECEIPT. • � i f Ruth Love,Agent Sworn to bpfore me this Day of 20 THOMAS J.McCARTHY Not Public,State of New York u t r ov-23,4e-- Michael J. Do To*Wh:HAII Annex rRT John M. Bredenneyer III,Vice-Pregidedt 54315 k0ijte 25 Glenn Goldsmith, Cn Cz P..O Box t"10 A.,Nicholas krupiki Southold,NY 11'971 Gfed Williams, Telephone(631"),1,65-1892' Fa*(6,31)765-'6641 VLQAAD OP-TOWN TA" U'*-S'-T'-E' El'S" TOWN OF SOUTNOLD BOA" OF TRUSTEES,. TOWN OF.-S In the Matter of the-.Application of TIMOTHY ijASAWNTO &-RUEO kIN(,' COUNTY OF:SUFFOLK STATE.OF NEW YORK., - AFFIDAVIT OF POSTING rTffo�R'E-,C-UjVP-LE-TED,—AtPTER-7P-OS-TING7REIM-INS'IN"PL-AC-E-'FOR,,AT.�IEAS,T-'SE,fEN DAYS PRIOR-T'O�TIE PUBL'LC:HE,A_'RIIVG DSI TE Joshua Whalleyres46520 County Road 48,Southold,NY 11971 being,duty sW6ib,'depose- and say: That onthe-6th day of February F2018 -personally po8fed theproperty .wowft'ds 2667 Long Creek Drive,Southold, NY 11971 by_placing the Board:of'Mr.-U§t-ee§off cial&§t&'Whdie,it can easily:be.sdefi,and that-.I have checked to be sure the poster has remained'ifi blade for eight,day§prior'to the:date.ofthi ,�&blic hearing, Date of hearing noted thereon to be held Wednesday,F'Obrda". 14,2018. Dated': ('sign Sworn to before ihe.-thi's, u- 20' a'- 19 - THOMAS J.McCARTHY Notary Public,State of New York No.5 S olk County I Com No. - n ir:Aoy,*3.4_9-- Notary L' NUTILOL. Ulm HOL. 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: TIMOTHY CASAMENTO & KLEO KING SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a 28'x46' detached garage. Located : 2667 Long Creek Drive, Southold. SCTM# 1000-52-9- 1 .2 TIME & DATE OF PUBLIC HEARING : Wednesday, February 14, 2018 — 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 i Town of Southold LWRP 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 action; will 1b&--evaluafed; as to'its: significant 'be-1ieficialfadverseeffects=iiiion:the coasfial'area_(wlii61ime'udes.all o£Soutl old Towel 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; a"acli answer'most'be explained:,- detail;"hAilw Liotti suppar iaz and non= 4upportin -facts. If an action cannot be certified as consistent with the LWRP policy standards and conditibns,.it shall'riottie:undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 52 = 9 _ 1.2 PROJECT NAME Casamento -King The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 0 1. Category of Town of Southold agency action(check appropriate'response): n (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: To construct a 28' X 46' detached garage-.as per plans and survey Location of action:. 2667 Lon Creek Drive, Southold,-NY 11971 Site acreage- 2.02 acres -- Present land use,: Vacant 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 o£gg pliMfi&Timothy Casamento & Kleo King (b) Mailing address. 17 Woodbridge Court, West Babylon, NY 11704 (c) Telephone number: Area Code 0311_061-1408 (d) Application number,if any:, Will the action be directly undertaken,require funding;or-approval-by a state or federal agency? M, No 0 �,LN!YS DEC Yes - If yes,which state or federatagency 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. ,I)EVELOPER.00A T-1 ICY.". 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 LV "Section III—Policies; Page 2 for evaluation criteria. F1 Yes FJ' No Q Not Applicable This would have no adverse effect on the rural character of the community and its natural resources. There are-e-xistin-g--resideiittil-di�-viBld-pment in the surrounding area. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria I—] Yes El' No El Not Applicable This-will not have an adverse effect on the historic character of the town. This residential project is not in a historical area of Southold. 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 Q Yes ❑ No ❑ Not Applicable This project will enhance visual quality. Protection to scenic resources will be used as per the LWRP section III pages 6 through 7 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ❑ Not Applicable The proposed garage is 82' away from the wetlands Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes 0 No ❑Not Applicable The proposed construction will not have an impact on the water quality. The site will be supplied with public water. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ a x t 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 [—] No Q 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 0 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 LW-RP Section III—Policies; Pages 38 through 46 for evaluation criteria. x❑ Not Applicable 1:1 Ye� No There are no coastal.waters, public lands, or public resources to provide access to. 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 This parcel is not in Marine I or II zoning district. it is in R-80 zone. 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. f Q Yes ❑1 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. ?. MYes M-l" No 0 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. x❑.Yes ❑,° No ❑ Not Applicable The electric company that will be supplying this parcel,is P .- 'o ers energy eff icien -incentive o -` "promote-appropriate-use-.- reserving mineral sources-will a in accor a ce . PREPARED BY TITLE DATE -!?L Q W1wAR i7 E MANA ME14 e', INC. 46520 COUNTY ROAD 48., SOUTHOLD, NY 11971 t 'Y! 2,gib. ' DAT7 .J"?JOB NO. Jl (631)765-5815 FAX (6 1) 765-5816 ATTENTION ?TF`77� I l'u RE. 04 e4 to Id WE-,ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: 'tib;-` fT - ❑ Shop drawings ❑ Prints ~ ❑ _Plans "❑,-Samples- ❑ Specifications %E]-Copy ofti�letter Change order ❑ `• ty d'�i, - 't�• COPIESDATE NODESCRIPTION, Os (x (�Uow_A1AJto I IT THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted O Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS 11nU C g if r r-:�Ni n)I Ii i JAN - a 2oIR So��';hoici r^wR COPY TO SIGNED: If enclosures are snot as noted, kindly notify us at once.