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HomeMy WebLinkAboutTR-9279 Glenn Goldsmith,President �� � s® j� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice.President ®� ® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 C®UN�,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 18, 2022 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: NICOLE MARTORANA & DAVID ALWORTH 3400 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-115-17-11 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 17, 2022: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #9279 from FHV, LLC to Nicole Martorana & David Alworth, as issued on July 18, 2018. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, .Y - - Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President �$ y�° 54375-Route 25 Eric Sepenoski W ,? P.O.Box 1179 Liz Gillooly �y�• o� � Southold,NY 11971 Elizabeth Peeples ` �� r �� 'r Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report. Date/Time: $AS/22. Completed in field,by: G'• Ge ld s,�,' J En-Consultants on behalf of NICOLE MARTORANA & DAVID ALWORTH requests a Transfer of Wetland Permit#9279 from FHV, LLC to Nicole Martorana & David Alworth, as issued on July 18, 2018. Located: 3400 Deep Hole Drive, Mattituck. SCTM#: 1000-115-17-11 of area to be impacted: Typ Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: ✓ Chapt.275 Chapt..111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency -Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: V✓ G. Goldsmith N. Krupski . E.-Sepenoski L. Gillooly E. Peeples f i i I� I , EN-CONSULTANTS PERMIT TRANSFER REQUEST August 2, 2022 R Town of Southold Board of Trustees D ECEIVL Post Office Box 1179 Southold,New York 11971 Attn.: Elizabeth Cantrell Re: Wetland Permit#9279 and Permit#9323 3400 Deep Hole Drive,Mattituck o" SCTM#1000-115-17-11 Dear Board of Trustees: Please accept this letter as a request to transfer Permit ' 7�9 'rom FHV, LLC and Permit#9323 from Frank Martorana, Mindy Martorana, &Bryan Martorana to the current owners, Nicole Martorana& David Alworth, whose address is 3400 Deep Hole Drive, Mattituck. Two applications for Transfer of Permit, transfer fee of$100, and a copy of the deed are attached. Sincer ly; Robert ernnann Coastal Management Specialist /khs Enc. 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting Michael J.Domino,President `, S0U-�r� Town Hall Annex John M.Bredemeyer III,Vice-President �O l� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G o ( - Greg Williams �D F 1 65 4 AUG - 5 2022 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town oard of Trustees APPLICATION FOR A TRANSFER OF A WETLAND PERMIT and COASTAL EROSION MANAGEMENT PERMIT DATE August 2, 2022 OWNER Nicole Martorana & David Alworth PHONE 516-527-0054 MAILING ADDRESS 3400 Deep Hole Drive Mattituck NY 11952 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton, NY 11968 PROPERTY LOCATION 3400 Deep Hole Drive, Mattituck TAX MAP NO. 1000-115-17-11 I/We En-Consultants for Nicole Martorana& David Alworth request a Transfer of Permit#9279 from FHV, LLC Signed By: Robert E. Herrma , Coastal Management Specialist Board of Trustees App. ation AUTHO12IZATION (Where the applicant is not the owner) I/We Nicole Martorana owners of the property identified as SCTM# 1000- 115-17-11 in the town of Southold New York, hereby authorizes En-Consultants 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 f r this property. N/A ProperkO per's Signhture Property Owner's Signature Nicole M vrtorana 1 SWORN TO BEFORE ME THIS I �' DAY OF , 20 � Notary Public Jacob M.Grier NOTARY PUBLIC,STATE OF NEW YORK Reg'�tration No.O1GRg399126 (Qualified in Suftolk CouMY Commission Expires October 15,20 Board of Trustees App; ' - :ation AUTHORIZATION (Where the applicant is not the owner) I/We, David Alworth owners of the property identified as SCTM# 1000- 115-17-11 in the town of Southold New York, hereby authorizes En-Consultants 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. N/A Prope er's Signature Property Owner's Signature David Alworth SWORN TO BEFORE ME THIS /ph DAY OF , 20 _ Notary Public Jacob M.Grier NOTARY PUBLIC,STATE OF NEW YORK Registration No.01GR6399126 Ouualified In Suffolk County Commission Expires October 15,209� t Board of Trustees App - '3 ation AFFIDAVIT Nicole Martorana 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. N/A i nat e of Pr perty Owner Signature of Property Owner Nico a Martorana SWORN TO BEFORE ME THIS DAY OF ��1 L 20 Notary Public "Jewb M.Grier NOTARY PUBLIC,STATE OF NEW YORK gegWaton No.01GR6399126 ®ue tiwi In Suftk County Cprnenlaslon F�cplres October 15,2D_ -� Board of Trustees App:`` 1>ation AFFIDAVIT David Alworth BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. N/A Sign u f roperty Owner Signature of Property Owner David Alworth SWORN TO BEFORE ME THIS DAY OF ��� � , 20 0 ac Notary Public Jacob M.Grier NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 GR6399126 Qualified in Suffolk County Commissson Expires October 15,2d .3 APPLICANT/AGENT/IBEPR+SEN'I'TINE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Prohibits conflicts of interest on the part of town officers and employees.The purnose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Martorana, Nicole (Last name,fust name,.tpiddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business inieresC means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); 13)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted th' 1� y of 2011 Signature Print Name Nicole M rtorana Form TS 1 r A APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL.DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the12art of town officers and empiovecs.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: David Alworth (Last name,first name,.rytiddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest_`Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 51/n fthe shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)'an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this %y of ''l 20j Signature Print Name D (worth Form TS I LAW OFFICES WICKHAM,BRESSLER&GEASA, P.C. 13015 MAIN ROAD, P.O.BOX 1424 MATTITUCK,LONG ISLAND ERIC J. BRESSLER NEW YORK 11952 WILLIAM WICKHAM(06-02) ABIGAIL A.WICKHAM JANET GEASA 631-298-8353 TELEFAX NO.631-298-8565 awickhamk@wbglawyers.com January 15, 2019 -� ra g � �'� E. ',U Attn: Ms. Elizabeth Cantrell FEB - 7 201 Board of Town Trustees Town of Southold Southold Town Post Office Box 1179 Be2rd of TrW�ste? Southold, New York 11971 Re: Trustees' Permit No. 9279 issued to FHV, LLC Premises: 3400 Deep Hole Drive, Mattituck, New York 11952 SCTM# 1000-115-17-11 Dear Ms. Cantrell: Pursuant to the terms and conditions of the Trustees' wetlands permit referenced above, enclosed is a copy of the Declaration of Covenants and Restrictions which has been recorded in the Suffolk County Clerk's Office in Liber 12980 page 166 on September 26, 2018 against 3400 Deep Hole Drive. Very t ly yours, AAW/dm Abigail A. Wickham encl. 30/shdtrusteesjhv2018 c I IIIIIII IIII VIII VIII VIII VIII IIII Iillllllillllllllll _ IIIIIIIIIIIIIIIIIIIIIIIII �; � �` J� 201 SUFFOLK COUNTY CLERK RECORDS OFFICE S��tha►c;lawn B artl of Tr�+srs RECORDING PAGE Type of Instrument: DECLARATION Recorded: 09/26/2018 Number of Pages : 7 At: 02 :59:23 PM Receipt Number : 18-0180176 LIBER: D00012980 PAGE : 166 District: Section: Block: Lot: 1000 115. 00 17.00 011 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $35 .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 $10 .40 NO RPT $200 . 00 NO Fees Paid $285 . 40 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County RE1_0PC,EP 2'018 SeD 'S 0':59:2-' PCI Numberofpages T IiIi-LTH H. F'G_;i--,LE CLERK 4F UFFIiLI: CliUt:T'r' This document will be public L D20012980 record.Please remove all F' 166 Social Security Numbers prior to recording. - Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. EA-5217(County) Sub Total S-G) orSpec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Count _ R,P.T.S.A. —Dual6�.� Held for Appointment y Comm.of Ed. 5. 00 Transfer Tax t Affidavit + Mansion Tax Certified Copy ID 140 The property covered by this mortgage is CZ7 — or will be improved by a one or two - NYS Surcharge 15. 00family dwelling only. ),, !� Other Sub Total CIO YES or NO ;± )� �`' E LQ C' Grand Total � - � If N0, see appropriate tax clause on �! fiu� FE® „\ page# of this instrument. q®Ig y - 7 L 4 Dist. 3721127 1000 11500 1700 011000 5 Community Preservation Fund 1111111111111111111111111111111111111Sout6o►dTnwn Real Propert RL Wi A Consideration Amount$ ar Tr Tax Service Agency 24-SEP-18 CPF Tax Due $ Verification - Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD Wickham,Bressler&Geasa,P.C. P.O.Box 1424 TD Mattituck,New York 11952 TD Mail to:Judith A. Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Declaration of Covenants made by: (SPECIFY TYPE OF INSTRUMENT) FHV LLC The premises herein is situated in SUFFOLK COUNTY,NEW YORK TO In the TOWN of Southold In the VILLAGE orHAMLETof Mattituck BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over k, FEB ® 7 2019 DECLARATION OF COVENANTS Southold bwn Board f Trustees THIS DECLARATION made this /,/, `'day of September, 2018, by FHV, LLC, a New York limited liability company with offices at 2315 Pine Tree Rd., P.O. Box 1295, Cutchogue, NY 11935, hereinafter referred to as "DECLARANT": WITNESSETH : WHEREAS, DECLARANT is the owner of certain real property located on 3400, Deep Hole Drive, Mattituck,NY 11952, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 115, Block 17, Lot 1 I which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; and 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; and WHEREAS, the DECLARANT heretofore made application to the Trustees for a pennit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities (the "Permitted Activities"); and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that the Declarant establish and maintain a "non-disturbance buffer" thirty(30)feet seaward of the dwelling on the Property. NOW, THEREFORE,the DECLARANT does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities, there shall be established and perpetually maintained a "non-disturbance buffer" as defined by Chapter 275 of the Town Code, to wit: " A vegetated area, as designated by the Board of Trustees, immediately landward of the wetland boundary, shoreline structure, or other line designated by the Trustees where no SCHEDULE "A" To: Declaration of Covenants 3400 Deep Hole Drive, Mattituck,NY S CTM#1000-115.00-017.00-011.000 ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, Suffolk County,New York, bounded and described as follows: BEGINNING at a concrete monument on the easterly side of Deep Hole Drive, said monument being 1475.30 feet southerly from the intersection of New Suffolk Avenue with the easterly line of Deep Hole Drive; RUNNING THENCE from said monument South 79 degrees 00 minutes 00 seconds East along the land now or formerly of Frank and Mindy Martorana and through a concrete monument a distance of 118.74 to the high water line of a dredged canal; THENCE along the high water line of said dredged canal South 13 degrees 38 minutes 10 seconds West, a distance of 100.11 feet to the land now or formerly of Henry S. Huecker; THENCE along said land North 79 degrees 00 minutes 00 seconds West, to a concrete monument a distance of 103.41 feet to the easterly line of Deep Hole Drive; THENCE along the easterly line of Deep Hole Drive North 04 degrees 52 minutes 50 seconds East, a distance of 100.58 feet,to the aforesaid concrete monument at the point of BEGINNING. Elf,"� C-4j � I FEB - 72019 Southold Town Board of Trustees / SCHEDULE "B" ! LRI V) LLC i:.y.,:.,ne.,',I,•iSey :r;i�.N..._.�: ,y_ •jn,';-:o�,�,:---, .. APP'ROVI=f� BY oe ' BOARD-'OF 1RUSTEES 10\NN OF3C�l�ITldCal DATETUU( 0 20lg , - RA - - Q.� c^r,—� , 75.30, 4. ..p � y'Ac✓ "C t. q O t7 -31 _ .%�F• •1'-`L', ,'...' l.- �. ,,11'� II ',.:'._ , ' , .1��� r� l �r Ij '�•I, �L..1 Jf�^ . _ rae9, `•`i _ =-,.."�'. •i�Cnr��';f'' \• �^ �, •• •"r'��L �� iii 4_e tl L'•/ ��� i •�ice-' ,u;'':,r• .il, •;—`,j(ir'` Caim�\_-�1�.�-ti\.�.....�7.' .• 1 'j i� � �i Lill �;. :a :; >':'•: "_. ' ,: . ,36' � ' � � E 2019 4 r•'r/„*cil fyy�����yyyy,,11 1• ,l.••, S , , ,V ,'�1L :mA SOJtL50Id town i a rf.:. ;5•:.•1 . 15:.T�1.i:.G. 1., .. .:.1;" �^r]f ,'•i _ c..r c-;, •_x;; :'Y'' �[' �.: ' )� Boa i;aP.4/1, r ofTrtlste ..TIZ /. s. �*;'~:`�;�r;''•..' ' . ;: „ .f :t"�I.,4 C /iLv�/ �- A n�Knn.Qr ,' .'�S:Si}'':�'S:'i•r.?; - ti,�. _, -F� 9. � .2 '3o f Ci�' oil. 'I ...- f I r,r, r.:. ;_ j ` I"31u. mr£ n•"f 'fir ,t - t' ��.�' "-`•+y.0600017000009d 3c on +rye.n0;nc�vnlz/ ,•.y`I %i.'.;;';.. ` �'�'',, ?fit'!' y--�-- �- �Ja,.ln!,n,r_�pnl(•, '� �' "_-'tl•% s ..,.f ,,i .�'it,r i,"t* _� ,��-7 � h.�r.,�„ r1 _' , c h'`fi'ni ; ",...;."=^ r c : '_JUL 2 7.,&8, ` r'• h'`t -,' Southold Town fP!''_L'./,�:,�.'s'rn,? L1C^/1�� of�L - r` ',r,^,. - .lei ,'.,.:r.�{�„•�,-'•4,a`•,1�: d-.__ "ia1»'3c�2n4�.f'L�a,",'d_c5serLla'•,.rL:r• �....�'.�`y.�.y. :-�:-,'"+� .1—w)- •..'..�11 y ,•u:. ----- - - '- -- — 7�a,�/F, r( C-)( J-( gC� 8,1 -�',ti•• Ct'.ih'j FI'��L��,r, �•S�,F h�ttl�/rau� '7/z �a• �—�L -f,•,hef�l �, �• ' � �tri! , �1 i I Gf ie r.i Fru =�c{c:w �1L 1.1 t _ f a Sr/ � � it-ra 5�.;+.,a n - C!C �U(a-r�-rrrFli yF''xs 1�iry�c n.�.ai.I - :_ti t,,;i/fz/, An by�Irxpb'�cr Pb'C. �rjwcllS r' C4:C* F-c U•,._r ha r r a �8 Lc-c,./-• SCHEDULE C BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9279 DATE: JULY 18,2018 ISSUED TO: FHV,LLC PROPERTY ADDRESS: 3400 DEEP HOLE DRIVE, MATTITUCK N. SCTM# 1000-115-17-11 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 18,2018, and in consideration of application fee in the sum of$500.00 paid by FHV, LLC and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits theme following: Wetland Permit for the existing 36'x24.3' two-story dwelling with existing front 7.01x10.31 step landing; on seaward side of dwelling,an 8'x7.21 frame deck with 4.01 wide by 6.8' long attached stairs; and a 4.0-'x3.2' frame stoop with attached 3.2'x6.7'steps to ground; remove and replace existing wallavay; install an irrigation system; resurface existing driveway; and replace plants shallWest and south sides of dwelling;with the condition that the turf lawn and irrigation system sla 11 be no further than 30' from home,the installation of a French drain at the seaward most end of tile driveway; the installation of gutters to leaders to drywells for the dwelling;-to establish and perpetually maintain as a non-disturbance buffer the area 30'seaward of tile dwelling; and as depicted on the project plan prepared by Gerard Stankewicz, received on July 27,2018,and stamped approved on July 30,2018. 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. coo ICS n� cif FEB 7 2019 1111 E' Southold Town TERMS AND`CONDITIRNS SCHEDULE C — page 2 The Permittee FHV,LLC,3400 Deep Hole Drive Mattituck New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages,of suits arising directly or indirectly as a result of any operation perfonned 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 n9tified 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. �i FEB s 7 2819 Southold Tom Beard of trustees o��OF �Tyol Michael J.Domino,President soTown Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �pQ Telephone(631) 765-1892 Greg Williams COU '� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1505C Date: August 31, 2018 THIS CERTIFIES that the existing 36'x24.3' two-story dwelling with existingfront ront 7 0'x10 3' step landing; on seaward side of dwelling an 8'x7.2' frame deck with 4.0' wide by 6.8' lona attached stairs; and a 4.0'x3.2' frame stoop with attached 3.2'x6.7' steps to ground,,remove and replace existing walkway' install an irrigation system;resurface existing driveway and replace plants on west and south sides of dwelling;with the condition that the turf lawn and irrigation system shall be no further than 30' from home the installation of a French drain at the seaward most end of the driveway;the installation of gutters to leaders to drywells for the dwelling;to establish and perpetually maintain as a non- disturbance buffer the area 30' seaward of the dwelling; At 3400 Deep Hole Drive,Mattituck Suffolk County Tax Map#1000-115-17-11 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 15,2018 pursuant to which Trustees Wetland Permit#9279 Dated July 18,2018,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing 36'x24.3' two-story dwelling with existing front 7 0'x10 3' step landing, on seaward side of dwelling an 8'x7.2' frame deck with 4.0' wide by 6.8' long,attached stairs,• and a 4.0'x3.2' frame stoop with attached 3.2'x6.7' steps to ground;remove and replace existing walkway' install an irrigation system; resurface existing driveway; and replace plants on west and south sides of dwelling,• with the condition that the turf lawn and irrigation system shall be no further than 30' from home the installation of a French drain at the seaward most end of the driveway; the installation of gutters to leaders to dWyells for the dwelling;to establish and perpetually maintain as a non-disturbance buffer the area 30' seaward of the dwelling. The certificate is issued to FHV,LLC owners of the aforesaid property. Authorized gignature 'L CC# : C18-43183 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK J � 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 09/26/2018 under Liber D00012980 and Page 166 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 09/26/2018 SUFFOLK COUNTY CLERK <;7—cLcx L a. JUDITH A.PASCALE SEAL I IIIIIII IIII VIII VIII VIII VIII VIII VIII VIII IIII IIII 111111 VIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 09/26/2018 Number of Pages: 7 At: 02 :59:23 PM Receipt Number : 18-0180176 LIBER: D00012980 PAGE : 166 District: Section: Block: Lot: 1000 115. 00 17 .00 011 .000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $35. 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 $10 . 40 NO RPT $200 .00 NO Fees Paid $285 .40 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County F, 11 21 F:tCi=iC'DEC- 2018 Seo 26 �2:59:21, PM Number of pages _fllr_.-:[TH Aa PASCALE CLERK +�F SUFFOLK COU ITY This document will be public L D00012980 record.Please remove all F' 166 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total NotationSpec./Assit. or EA-5217(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County R.P.T.S.A. Held for Appointment dri Comm.of Ed. 5. 00 Transfer Tax + �• Mansion Tax Affidavit The property covered by this mortgage is Certified Copy -�Z ® or will be Improved by a one or two family dwelling only. NYS Surcharge 15. 00 Sub Total ' YES or NO Other Grand Total •q If N0, see appropriate tax clause on w page# of this instrument. 4 Dist. 3721127 1000 11500 1700 011000 5 Community Preservation Fund Real Propert RTS IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIConsideration Amount $ ATax Service R LWI IIIIII Agency 24-SEP-18 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address . RECORD&RETURN TO: Vacant Land TD Wickham,Bressler& Geasa, P.C. P.O. Box 1424 TD Mattituck,•New York 11952 TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, ,NY 11901 Co.Name www.suffolkcountyny.gov/clerk I Title# 8 Suffolk Coun Recording & Endorsement Page This page forms part of the attached Declaration of Covenants made by: (SPECIFY TYPE OF INSTRUMENT) FHV,LLC The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold In the VILLAGE or HAMLET of Mattituck BOXES 6 THRU 8 MUST BE TYPED 0'R PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over DECLARATION OF COVENANTS THIS DECLARATION made this X/,'�`day of September, 2018, by FHV, LLC, a New York limited liability company with offices at 2315 Pine Tree Rd., P.O. Box 1295, Cutchogue, NY 11935, hereinafter referred to as "DECLARANT": WITNESSETH : WHEREAS, DECLARANT is the owner of certain real property located on 3400, Deep Hole Drive, Mattituck, NY 1 1952, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 115, Block 17, Lot I 1 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; and 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; and WHEREAS, the DECLARANT heretofore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities (tile "Permitted Activities"); and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that the Declarant establish and maintain a "non-disturbance buffer" thirty(30)feet seaward of the dwelling on the Property. NOW, THEREFORE, the DECLARANT does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities, there shall be established and perpetually maintained a "non-disturbance buffer" as defined by Chapter 275 of the Town Code, to wit: " A vegetated area, as designated by the Board of Trustees, immediately landward of the wetland boundary, shoreline structure, or other line designated by the Trustees where no operations, maintenance, placement of signs or other activities may take place, except that rnan- made debris may be removed from such area by hand without the permission of the Board of Trustees". An application for a wetland permit may be submitted for the removal of harmful, "invasive"or non-native vegetation. 2) The non disturbance buffer shall be located thirty (30) feet seaward of the dwelling; as depicted on the project plan prepared by Gerard Stankewicz, received on July 27, 2018 and stamped approved oil July 30, 2018, which is attached as Schedule B hereto. The Trustee's Authorization for a Wetland Permit is attached as Scheme. 3) These covenants shall run with the land and shall be binding on the DECLARANT, its heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrume t this/10—y of September, 2018. F B Charles . alice, Member STATE OF NEW YORK) COUNTY OF SUFFOLK) ss.: On the day y of September, in the year 2018, before me the undersigned, a Notary Public in and for said State, personally appeared Charles V. Salice, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals)whose narne(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, y his/her/thei signature(s) on the instrument, the individual or the persons on behalf of whthe iandlndi vdual(s ) acted, executed the instrument. /C/Zee 49 1111 Notary Public RE/FHV/eepHol eDi/Co venanls ABIGAIL A. WICKHAM Notary Public State of New York No.52-4642871 oualified in Suffolk County Commission Expires Sept. 90,20r2-1 2 SCHEDULE "A" To: Declaration of Covenants 3400 Deep Hole Drive, Mattituck,NY SCTM#1000-115.00-017.00-011.000 ALL that certain plot, piece or parcel of land, situate, lying and being at Mattituck, Town of Southold, Suffolk County, New York, bounded and described as follows: BEGINNING at a concrete monument on the easterly side of Deep Hole Drive, said monument being 1475.30 feet southerly from the intersection of New Suffolk Avenue with the easterly line of Deep Hole Drive; RUNNING THENCE from said monument South 79 degrees 00 minutes 00 seconds East along the land now or formerly of Frank and Mindy Martorana and through a concrete monument a distance of 118.74 to the high water line of a dredged canal; THENCE along the high water line of said dredged canal South 13 degrees 38 minutes 10 seconds West, a distance of 100.11 feet to the land now or formerly of Henry S. Huecker; THENCE along said land North 79 degrees 00 minutes 00 seconds West, to a concrete monument a distance of 103.41 feet to the easterly line of Deep Hole Drive; THENCE along the easterly line of Deep Hole Drive North 04 degrees 52 minutes 50 seconds East, a distance of 100.58 feet, to the aforesaid concrete monument at the point of BEGINNING. SCHEDULE "B" els l FNV, LLC —'---•-- +'n• _'id: fti's,��i: t, J>Y?�—'T= ..••�.•1_,'":""F_4::'•."'�'?^ t'.��:`_-'-'�� D ROM 00 Et y AD''OF 1RUSTEE$• — �],•.._- ,• DATE ' Taw 3o ways f • •�'✓.0'• a+ I .. •�'��'. - �.,.�, �. �t�^tea ,. F • �^;' - x�;_.•! �., �.;cru k oe � • p.. a •��- •z boa, � dD , 4• rir ` ' -�li t:.-'•'\J,.`' `,1. '�'•. .ffff�j ^1 lrf0' ' "'�'.,.c: � ;;;�• in ... 't�. .p•i'-,3i tom',ti j4 - ,:a• �v' - • '. ��'••' ":+,e( i.!•. .j,}:%i�-1,��jj�:�i:i• �.��`. - '•� ''� ;:�.,�1 Y.% ck,e.� "•� .�q�%Y�hd�,, L' .,1 �+.'"•^f'�?+':;�':.,';a5+�.j�.^ !", :i'� - ';c L+t?7f1.•1flr1l�y'rw. -:�ciin •illi(L✓1 3C1•'�1:. •'"L��} s-Q: ^'l��•f' ', '!=.�y ; i�' p `/J /fx1Y'..f /wX.: n n • 1 !!I° :.:, ,':''. w41r`T't'� sb•'^' l' '� :"'...:.•_' P•!°p, �t.p000000a0004d 3e n.i •r�e.i�•OrnrdUhlr� r`' :1y:,;•. -"v't'•,y�'�,•••:7;:..; .� r o ..:•• J� �f�,:4Y�'y,�'�,' •,'; \. ,�,;• .\. ',f l .�-rY I;;,v.••li: ' Y'ON '�•l=ljN� ... r• • Ww ::..: �r"r'F .1 jf,il . ., • sculholpowa .� yi•: .'J..:•,�. ,i i`, f/,(1 y 51905 ,__ wa ..1. _ •����`'��:���'1.�,�if(�^tel i••\', _ ._ . --......-:1..+.el;.:�^�� _ ter.•, _•• ..:.1�^�y�'•L •i'�.1�'.:.1 t_l\,.r-:.A\.�.^:,.4{1i '�—•il��_"1...'_�..:e.+. �r,.>•,.....-�—••''1,•_� ..._.II', -�i'- —� .. �—. _ _ _ _ ��MaM•S�".f'—Cii.11 ::1+:,. •.'"R.11—'�L•�'LY:A:JM=%4`Y..>.".., ."l�I: " L.... ...._ tX�1�r- r i' i ~� 7T 'T`• i lJ I,Fc r?� .\..I:err CXrf MTK 21 !it: I J/b• Sis `�o.,n>t•K-1 ,}= fse59r 11 f - -- =- - - 71 �.�s,�d-•,�-��rNli Yr'xs`f'r�rJ�:cll-con,„��,,1 '---. _. --- •------ f'= n - Y FW I, PL'G Qr�.,,,cfl! �'-r.+:G;-F..•,C 0•,-r f,..'.t �:.(s�`�. rF.. r r_ r,i, f cac rfi.rl %'_ ,.•:�!x)'fi-}'a,dr�wi(j-_-t SCHEDULE C - TERMS AND CONDITIRXS SCHEDULE C — page 2 The Permittee FHV LLC 3400 Deep Hole Drive Mattituck New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: ]• 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 shaII 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. J 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 pennitted 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. s- (111111111[IIf 11 Illll IIIII 11111 IIIII IIIII IIIII II[1[III 111111 IIIII IIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Number of Pages: 4 Recorded: 03/20/2018 Receipt Number : 18-0050327 At,: 10 :19:12 AM TRANSFER TAX NUMBER: 17-25519 LIBER: D00012954 District: PAGE: 453 1000 115 .00 Section: Block: Lot' 17 . 00 011.000 EXAMINED AND CHARGED AS -FOLLOWS Deed Amount: $450,000 . 00 Received the Following Fees For Above Instrument Exempt Page/Filing $20.00 NO HExempt COE andling $20.00 NO EA-CTY $5. 00 NO NYS SRCHG $15. 00 NO $5. 00 NO EA-STATE $125.00 NO TP--584 $5. 00 NO Notation Cert.Copies $0 .00NO RPT $0. 00 NO Transfer tax $200. 00 NO$1, 800. 00 NO Comin.Pres $6,000. 00 NO TRANSFER TAX NUMBER: 17-25519 Fees Paid $8,195.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL i JUDITH A_ PASCALE County Clerk, Suffolk County LJ RECORDED Number of pages � 2019 t'iar 20 10:19:12 AN - JUDITH R. PFCCALE CLERK OF This document will be public SU!"FOLK COUNTY record. Please remove all L D00012954 Social Security Numbers P 453 prior to recording. Dr. 17-25519 Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee ��rr Mortgage Amt. Handling 20. 00 1.Basic Tax r 2. Additional Tax TP-584 — ` Sub Total Notation Spec./Assit. EA-52 17(County) Sub Total s' or EA-5217(State) , a S Spec./Add. �} TOT.MTG.TAX R.P.T.S.A. Gt,U Dual Town Dual County Comm.of Ed. S. 00 Held forAppointment �, Transfer Tax Affidavit + Mansion Tax ,Certified Copy �� The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 Sub Total family dwelling only. Other 'q �csJ YES orNO Grand Total If NO,see appropriate tax clause on page# ofthis instrument((. 4 Dist.lp 18008097 0 5 Commune P 1000 1nn11500 1700 011000 ty reservation Fund Real Property OHA UuuIIIIIIIIIRIII�I CTax Service aAmount$Agency CPF Tae Due Verification $ ittCSC.O 6J Satisfactions/Discharges[Releases ListProppertyOwners Mailing Address Improvedy- 6 RECORD&RETURN TO: Crown Title Corporation Vacant Land 1 Sanford Avenue TUB Baltimore, MD 21228 TD TD Mail to:Judith A.Pascale,Suffolk County Clerk Title Company Information .310 Center Drive, Riverhead, NY 11901 www.suffolkcountynY.gov/cl rk Co-Name Crown True CorporaSon True#96366-17 fs Suffolk County Recording & Endorsement Page This page forms part of the attached Deed by: made (SPECIFY TYPE OFINSTRUMENT) Bank of America,N.A. The premises herein is situated in SUFFOLK COUNTY,NEW YORK. FHV LLC TO In the TOWN of Southold In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over 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 your local Town Tax Receiver so that you may be billed directly for all future property tax statements_ Local property taxes are payable twice a year: on or before January 10.n 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 North Lindenhurst,N.y. 11757 200 Howell Avenue (631)957-3004 Riverhead,N.Y.11901 (631)727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hail Farm(631)451-9,N.Y.11738 Shelter Island,N.Y. 11964 {631)451-9009 (631)749-3338 East Hampton Town Receiver of Taxes 300 Pantigo Place Smithtown Town Receiver of Taxes East Hampton,N.Y. 11937 99 west Main Street (631)324-2770 Smithtown,N.Y.11787 (631)360-7610 Huntington Town Receiver of Taxes 100 Main Street Southampton Town Receiver of Taxes Huntington,N.Y. 11743 116 Hampton Road (631)351-3217 Southampton,N.Y. 11968 (631)702-2470 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue Islip,N.Y. 11751 53095 Main Street (631)224-5580 Southold,N.Y. 11971 (631)765-1803 Sincerely, Q C.E-� Judith A.Pascale dw Suffolk County Clerk 2/99 Ilald_¢/,y FULLCOVENANTAND WARRANTY DEED-INDMOUAL OR CORPORATION t CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY Z;�tq JfnbentUt e, made the 5*6 dayof—FrJunyx ,20T13 �Et�t'CII ' BANK OZ'AMERICA,N.A. 14405 WALTERS ROAD,SUITE 200,HOUSTON,TX 77014 part'of the first part,and FHV LLC P.O.BOX 1295,2315 PINE TREE RD,CUTCHOGUE,NY 11935 Party of the second part, lViftrEOYEtb, that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, Sri that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,lying and being in the County of Suffolk,State of New York SEE"SCHEDULE All ATTACHED HERETO (ADDRESS REFERENCE IS FOR INFORMATIONAL PURPOSES ONLY) The improvements thereon being known as 3400 Deep Hole Drive,Mattituck,NY 11952. BEING all and the same lot of ground which by Referee's Deed in Foreclosure dated August 9,2017 and delivered August 14,2017,and recorded among the Land Records of Suffolk County, New York, in Liber 12940, Page 399, was granted and conveyed by James G.Spiess,Referee unto Bank of America,N.A. Tax Account No.1000-115.00-17.00-011.000 (%OgEtber with all right,title and interest,if any,of the party of the fust part in and to any streets and roads abutting the above-described premises to the center lines thereof; TOGET13ER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. RIO the party of the first pari,in compliance with Section 13 of the Lien Law,covenants that the party Of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. premises in fee simple and has good right to convey the same; that the pIffTYb the party of the first part covenants as follows:that said party of the first part is seized of the said quietly enjoy the said premises;that the said premises are free from incumbrances, except as aforarty of the second part shall esaid; that the party of the first part will execute or procure any further necessary assurance of the Lille to said premises;and that said party of the first part will forever warrant the title to said premises. SCHEDULE A ALL that certain plot;piece or parcel of land,situate,lying and being at Mattituck,Town of Southold,Suffolk County,New York,bounded and described as follows: 13EGINNING at a concrete monument on the easterly side of Deep Hole Drive, said monument being 1475.30 feet southerly from the intersection of New Suffolk Avenue with the easterly line of Deep Hole Drive; RUNNING THENCE from said monument South 79 degrees 00 minutes 00 seconds East along the land now or formerly of Frank and Mindy Martorana and through a concrete monument a distance of 118.74 feet to the high water line of a dredged canal; THENCE along the high water line of said dredged canal South 13 degrees 38 minutes 10 seconds West,a distance of 10 0.11 feet to the land now or formerly of Henry S.Huecker; THENCE along said land North 79 degrees 00 minutes 00 seconds West, to a concrete monument a distance of 103.41 feet to the easterly line of Deep Hole Drive; THENCE along the easterly line of Deep Hole Drive North 04 degrees 52 minutes 50 seconds East a distance of 100.58 feet,to the aforesaid concrete monument at the point of BEGINNING. Containing 11,108 square feet. DEE Power of Attorney dated May 26,2016 and recorded February 4,2017 among the Land Records of Suffolk County,New'York at Liber D00012899,Page 449,appointing Reverse Mortgage Solutions,Inc. as Attorney in Fact for party of the first part herein. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. XTI lituej5v 3 fterea,the party of the first part has drily executed this deed the day and year first above written. IN THE PRESENCE OF: BANK OF AMERICA,N.A. By:Reverse Mortgage S tions, c.as its Attorney-Irt-Fact By: {SEAL} L Ntune- Title: ACKNOWLEDGEMENT FORM FOR USE OUTSIDE NEW YORK STATE ONLY: (Out of State or Foreign Ceneml Aeimmvledgment Certljicate) State of County of——IN",o )Ss.: (Complete Yenue udhh Stare.Counny,Province orMurdcipaliry) On before me,the undersigned,gn ,personally appearedXoc Ma4yW,e the individual(s)whose name(s) personally known to me or proved to me on the basis of satisfactory evidence to b is(are)subscribed to the within instrument and acknowledged to me that he/she/to r/their b executed the same in whose n capacity(ies),and that by his/her/their signature(s)on the instrument,the individual(s),or the person upon behalf of which the individuals) acted,executed the instrument, and that such individual made such appearance before the undersigned in the County of -101 State of i (stgnat a and oJJiee ojindA•Idual r g acbtowledgmentJ VaTrantp�Beeb DISTRICT 1000 WITH FULL COVENANTS SECTION 115.00 BLOCK 17.00 Title No.96366-17RMS LOT 011.000 COUNTY OR TOWN Suffolk RECORDEDATREOUESTOF Bank ofAmerica,N.A. Crown Title Corporation TO REI'URIV BYMAIL TO h'1IV LLC � LFHVLLC5 ee Rd.NY 11935 KAREN MAPLES =Q+ �zNotery Public.State al Texas Comm.Expires 05.01-2021 ti q••AAAA; Notary IO 129408023 rnuu„ { Michael J.Domino,President ��OF SOUTyo Town Hall Annex John M. Bredemeyer III,Vice-President h� l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G • Telephone(631) 765-1892 Greg Williams 'O� 'rUUFax(631) 765-6641 yNTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: R&q/w Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: C7. G611sr" A COMMENTS: ` _ guilt OK C_ "g C CERTIFICATE OF COMPLIANCE: Michael J. Domino, President 0c,,sFF0L/(4.9, Town Hall Annex John M. Bredemeyer, 111, Vice-President 54375 Route 25 Glenn Goldsmith C413 2e P.O. Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1't day of construction % constructed Project complete, compliance inspection; f A vc. ' ,�e/ illi'f 1�N $ �"•t•\! t ! til ,.i•, � , ! t jar � •�_! IIi \i 1 11�� x {.. ``� �S'vJJJ,Ty. tc4�fL..• ���MR'b' '7�k7 'lLQE�T.•'"."�'fi ''7F;'JR7Fb4T'�SbA�..4 � ✓�, vrr `3 AS t ncaml R BOARD OF SOUTHOLD TOWN TRUSTEES r SOUTHOLD, NEW YORK `d PERMIT NO. 9279 DATE: JULY 18, 2018 ISSUED TO: FHV,LLC PROPERTY ADDRESS: 3400 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-115-17-11 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 18, 2018, and in w . consideration of application fee in the sum of $500.00 paid by FHV, LLC and subject to the Terms and +> Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the x following: Wetland Permit for the existing 36'x24.3' two-story dwelling with existing front 7.0'x10.3' step tf' ' landing; on seaward side of dwelling,an 8'x7.2' frame deck with 4.0'wide by 6.8' long attached !• stairs; and a 4.010.2' frame stoop with attached 3.2'x6.7' steps to ground; remove and replace .• existing walkway; install an irrigation system; resurface existing driveway; and replace plants on west and south sides of dwelling;with the condition that the turf lawn and irrigation system shall be no further than 30' from home,the installation of a French drain at the seaward most end of the driveway; the installation of gutters to leaders to drywells for the dwelling; to establish and perpetually maintain as a non-disturbance buffer the area 30' seaward of the J dwelling; and as depicted on the project plan prepared by Gerard Stankewicz, received on July {' 27,2018,and stamped approved on July 30,2018. 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. f �" b � , y ` Ir ..: s8ttaxa�e;-��:_:a::;aacims�,Yaa t��sassaavt::.��.:,�x�m„�w�u, ��avk. ,�• - �; ' j„ ``'' e�;i S •� y, a v v�, ? ;1 L `t — v- �.�:, of :t a �.,,y t �P� ? .;lIN 1e i r�yit 11�•.:;. :.� �t ++ \' ,. � t e \ .5 14•!J � r �ti 1 e 1° k •.t•'- � 14:.....• _ bs4J1,r 5,x,.1 t'..� tiaLe .f t *•..•.. L=• .y„yr, TERMS AND CONDITONS The Permittee FHV, LLC, 3400 Deep Hole Drive,Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. �� UTyo Michael J.Domino,President OF SOTown Hall Annexh0 l0 John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski p Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 18, 2018 Gerard Stankewicz P.O. Box 652 Southold, NY 11971 RE: FHV, LLC 3400 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-115-17-11 Dear Mr. Stankewicz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 18, 2018 regarding the above matter: WHEREAS, Gerard Stankewicz, on behalf of FHV, LLC 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 June 15, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures, the installation of gutters to leaders to drywells; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 18, 2018, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVE the application of FHV, LLC for the existing 36'x24.3' two-story dwelling with existing front 7.0'x10.3' step landing; on seaward side of dwelling, an 8'x7.2' frame deck with 4.0' wide by 6.8' long attached stairs; and a 4.0'x3.2'frame stoop with attached 3.2'x6.7' steps to ground; remove and replace existing walkway; install an irrigation system; resurface existing driveway; and replace plants on west and south sides of dwelling; with the condition that the turf lawn and irrigation system shall be no further than 30' from home, the installation of a French drain at the seaward most end of the driveway; the installation of gutters to leaders to drywells for the dwelling; to establish and perpetually maintain as a non-disturbance buffer the area 30' seaward of the dwelling; and as depicted on the project plan prepared by Gerard Stankewicz, received on July 27, 2018, and stamped approved on July 30, 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, ichael J. Domino President, Board of Trustees MJD/dd Michael J. Domino, rr"eside ",�� �� Town Hall Annex John M. Bredemeyer, III, Vice-President y ,y. 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A Nicholas KrupskiSouthold, NY 11971 Greg Williams ��1 �� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES -7,7- TOWN OF SOUTHOLD TO: FHV, LLC c/o Gerard Stankewicz Please be advised that your application dated June 15, 2018 has been reviewed by this Board at the regular meeting of July 18, 2018 and your application has been approved pending the completion of the following items checked off below. xx Revised Plans for proposed project— Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) % Constructed ($50.00) xx 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) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 ►1��� �� BY: Michael J. Domino, President Board of Trustees SURVEY Of PROpf RTY SITUATF--- . MATTITUCK TOWN : OUTS OLD 5Uf fOLK COUNTY, NY 5URVEYED 10- 18-2017 5 U Ff OLK COUNTY TAX # 1000 - 1 15 - 17 - I I CERTIFIED TO: FHV,LLC CROWN TITLE CORPORATION FIRST AMERICAN TITLE INS.CO. NEW L 4 V NUE LC) N LAND NOW Op' FORME RO,of=. A4ARTOp\AN MIND�','MAP\TORA A NA EDr-, ASPHALT DP\IVEWAr 0 Ln C) LLJ z LLJ F ME 0 5TOOP U C) C) 0L x C\1 4-1 0 243, X LU LU C) C) Ln NAe 0/ Ln 51JEL) 0 5 C) MON UNDER BU-9m 0 01y) It (y) 0)" LAND NOW Op \ F MENP\y 5 1., ORMERLY of=.. D R41NAGE PIPE FOR OIJTLET L:; FF, fi v JUN 1 5 2018 L ii F.E.M.A.FLOOD DONE X FROM F.i.P-M-. PANEL 3G 1--03C0-4-8- 2-H unauthon ed alteration or adon to a survey, NOTES map becii Ing a licensed land surveyors seat is a 09 N-11 b ",lcijoo of 1209, 2, a' the MONUMENT FOUND New York State Education Law JOMN C. LEK5 LAND 5URVEYOR , C. EIY4,, WIRE FENCE CO '0My copies from the original of this survey ..n......Led with an anginal of the land surveyor's ped seal shall be considered to be valid true copies' G EAST MAIN 5TREE-T N.Y.S. LIC. NO, 50202 "Certifications indicated hereon signify that this survey was prepared in accordance with the e— Isorg Cod, of Practice for Land Surveys adopted RIVERHEAD, N.Y. 1 1 901 3G9-8286 fax 3GE)-8267 New YorL State Association of Professional: Area = 1 1,108 Sq. Ft. by If land Surveyors Said certifications shall run only, fat wham the Area = 0.255 Acres to he personw survey is prepared,' Je5urvey@optonline.net ,j and on his ,al, to he title company. governmen- GWHIC SCALE I"= 201 agency and lending institution listed hereon, and to the assignees of the lending institution Certifica- 17-184 tions ate not transferable to additional institutions l RV L ��� � ���.3•fh•' orl.�ua:':9:C''7f••.yr y7Ax4.�y0.f As,-,.. .. i.rr ��.• ��„r;+= s'•t°A�"'+(a c,v W<.f:.::t rfr,a +: 'Y rq• ,.i.,^,, ,...-., •'4;f+,z - +ilr. � s , pslxy y's:"'F4 ���� �:.. s1':ttir�!t.:•I•�1�iS"r"7• 1 .•4•rw ,'�' "'^ • ' .,y,41"•^("JV f^^,.,.•,•fr•S�FAt'\YAI'IS.�W""}a1 t,•�l,'I ds 6t^i� - ., r . 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Vit" , 31., nJrA� .i {.r, ' � :l t7` ,f :d �tpf C•' s,.ir+�.. •,rlwq'. a;.rt. ,As +N• �+d:. .li •'�- 7+. .�j..,' .li.r.b'. ::d'.si�T.'d^��'"'da:.y''S..�,:dw•,M'�'f" 4fS' ,.... 1.8 .v} at' .. ., ra ► ?1� �X6 S (.0CC13 -7/,A'7 "2 P i6'f rye,iJ r � •� ' �'+h or-ZlW c+ i 4 Can lat 2 ul.,-` 'Ir'' �'T�'(!!- ��,,���w C�� __-_. �� -- --- ---••- --"-"'-'_ --'------- �c=t'' ^ .__- , p g �y l / 0 36, Core gut. l o-,I;l JCG/zq r►bT/ 1 C /) jg //j I / Cp^� ,(�er•� ®e��� "� dexpP �c, N°C, �sytirc�l S r `�j;� - ., , l4rr; t C '•r [alA H'=%` �= o �, ejr✓;. e•�1 ..:n1 �vQj Michael J. Domino, Pres o�p$11FF0(��oG �� Town Hall Annex John M. Bredemeyer II1, Vice-President �� V- 54375 Route 25 Glenn Goldsmith C z P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams y ® p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 7/11/19 12.Sn Completed in field by: Co Id Sm Gerard Stankewicz on behalf of FHV, LLC requests a Wetland Permit for the existing 36'x24.3' two- story dwelling with existing front 7.0'x10.3' step landing; on seaward side of dwelling, an 8'x7.2' frame deck with 4.0' wide by 6.8' long attached stairs; and a 4.0'x3.2' frame stoop with attached 3.2'x6.7' 71 steps to ground; remove and replace existing walkway; install an irrigation system; resurface existing driveway; and replace plants on west and south sides of dwelling. Located: 2400 Deep Hole Drive, Mattituck; SCTM# 1000-115-17-11 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 11 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: Q �P--k Se(=k.W0or0\ nS SMall AEG L-1v)J 0� C-le-"V'25 Q 1 �'o cG�nC3y� con CSc�l� in/o,1�'w0.�/ Gu��ets }o le�.�+ecS to ����we lls. D�yw�lls �ard v✓c�c� o� �avS'e, 1 have read & acknowledged the foregoing Trustees comments: Agent/Owner: / A Present were: ✓ J. Bredemeyer .� M. Domino ✓ G. Goldsmith Krupski ,V/G. Williams Other Page 16f 2 .�+.. .i.,�i� ,;vat � � '•�` :T•� .'1117` � _ 'f.J r _ 'f`i�.7r Y� -_„• 'iy�. .... •t� 11 �- r rr 7 t:.. i� ?� �.� sc 'yyr J� '� �•."� • •, • j R y ,r 67/11/18 L r _ s T r Fes+ -� -' �.r� - f�,�y� } .� I - `�,�•.. "ter: . 13 . 09 _ _ Y of " a • T�- - ,^ _ - " s.r 7/ 11120`1-8w 13 : 09 tl y r , 1 P i r f 51 I F i ( � I,yh l�� iy�.. SIF lr _,^tl _ � r r '✓� � \ �r � � I �ira,•, ��`- ,- r�� ,#�+ 1, � . � . I r���i � Y �� J'' ^v"t� r. �.�✓,.. 'ESA I I � 'A"�} ` ..II .l.�`.�� � 1 :,�.: + i"AMg q "4 dei �M j pli y t xc Fli � l♦ '^+�•` � �:. ""� III n = � f , ` t e All a it re t SEE SM NO.M ENPORT T WC) 17.5A4,) 23.WC) 24 U2 j 7m,) 3 io 1 1 4 1(1) 1 5 eO 13 14 7 - .3A( 7 .) &7 10 IA 22 'At-, V ,3 25 29 tWcl n is 311 MN ZI 12 21 1 U'" �RAMOM 333 30 9., 7N,) 19) 3A( 92 TOSOU % 21 25 ,IH-) 7 Is IA(.) 20 5- 20 10 Is 1 13 9 io FOR�m -wQ 11 A, SEE 0 MC W 12at h 13 12 o13 4, ?D W. i l2_ 12 SEE SU WC.0 yl FOR NO. 13 m to 02A(C) SEE MC. T —Z ——— ——————z——————— —.WTCW-——————Z——————— ONE Sm No.M 15 w ea ea Rn t I.X 15 11 13 a t2 HOLE —————- NOME COUNTY OF SUFFOLK @ K 30tMOOLD ECTION NO E Real Property Tax Service Agency y ------- 115 M A Plow PROPERTY MAP gUFFO(,� Michael J. Domino, President �o�� 100 Town Hall Annex- John nnexJohn M. Bredemeyer, III, Vice-President 54375 Route 25 Glenn Goldsmith H a P.O. Box 1179 A Nicholas Krupski y • �� Southold, NY 11971 Greg Williams �Ol , 'ia� Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS DDSCTM#: �I� 07 F14V LLQ JUN 2 5 2018 Property Owner Name: h �I BUILDING DEPT. Date Sent to Bldg. Dept: ( ll TOWN OF SOUTHOLD, The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO ,\ V 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 a Demolition as described under Town Code? COMMENTS: �11CtC_C ermt 14 Axi- �1 hl ISi6rYa ure of Reviewer Date OFFICE LOCATION: �®f s®Ur�®� MAILING ADDRESS: Town Hall Annex °® ® P.O. Box 1179 54375 State Route 25 Southold,'NY 11971 (cor. Main Rd. &Youngs Ave.) ae S � a� Telephone: 631 765-1938 Southold, NY 11971 ® Fax: 631765-3136 C®UO3 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: July 12, 2018 Re: Local Waterfront Coastal Consistency Review for FHV, LLC SCTM# 1000-115-17-11 Gerard Stankewicz on behalf of FHV, LLC requests a Wetland Permit for the existing 36'x24.3' two- story dwelling with existing front 7.0'x10.3' step landing; on seaward side of dwelling, an 8'x7.2' frame deck with 4.0' wide by 6.8' long attached stairs; and a 4.0'x3.2' frame stoop with attached 3.2'x6.7' steps to ground; remove and replace existing walkway; install an irrigation system; resurface existing driveway; and replace plants on west and south sides of dwelling. Located: 2400 Deep Hole Drive, Mattituck; SCTM# 1000-115-17-11 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with the below listed Policy Standards and therefore is INCONSISTENT with LWRP. 6.3. Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The as-built structures were constructed without Southold Town Board of Trustees approval. In the event the action is approved, require that the setbacks to the regulated feature be clarified and verify that the action complies with Chapter 236 Stormwater Management. The establishment of a vegetated, non-turf buffer landward from the wetlands that includes existing vegetation is recommended to further Policy 6. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town;Attorney FO Peter Young,Chairman 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., July 11, 2018 the following recommendation was made: Moved by John Stein, seconded by James Abbott, it was RESOLVED to SUPPORT the application of FHV, LLC to remove concrete sidewalk on roadside, replace w/ bluestone on surface, install irrigation system, resurface existing asphalt driveway, install foundation planting on front (west, roadside) and south side. Located: 3400 Deep Hole Drive, Mattituck. SCTm#115-17-11 Inspected by: John Stein, James Abbott Vote of Council: Ayes: All Motion Carried Michael J.Domino,President �X\oF S;0 Town Hall Annex John M.Bredemeyer 1II,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski • Telephone (631) 765-1892 Greg Williams �COU O Fax(631) 765-6641 � IdT`d,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: Received Fee: $ Completed Application: JUN 1 5 2018 I Incomplete: SEQRA Classification: Type I_ Type II Unlisted Lead Agency Determination: ____, Coordination:(date sent): —/LWRP Consistency 7`6.10 Assessment Form Sent: CAC Referral Sent: 6, 7,19 Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: ` 1 Resolution: f Pro : PV L Legal Name o Property y Owner(s) �. Ic Mailing Address: P 0.6o)4 Phone Number: -�� t PW Suffolk County Tax Map Number: 1000 - Property Location: IMO 14 17 ck o 6fi/LAIW) A), 1I Y S)- (If necessary, provide LILCO Pole#, distance to cross streets,'and location) &M-SS AGENT (If applicable): �«`'�� ra or Mailing Address: cy tls vAoIdi Al Y 717 71 Phone Number: 63117P�- lic� .� c 0 'oard of Trustees Applica,' /)n qq GENERAL DATA Land Area(in square feet): P1 Area Zoning: Ry"�, Previous use of property: ReA="i Intended use of property: gra",4,4d Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes Y No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No k-CM%de 1 o-04 fl-42-IJJl k _ c6trd Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agencyr , Lit) Date 4,1)01p y� d S No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? Y No Yes If yes, provide explanation: Project Description (use attachments if necessary): RIAeue c pem - -r;dAJ oA raudriO, i' eba �f �'20`1 blyeA -oh sup tCCz,1Ea A&,ndi%U G f iz, 4i YVyf�m 1 ``f esvrjr,co r���►����� !� 0-r.4e,11 oir.'�tway o ►n 5 �� V avncldh�� ala %gyp on S)11— 14 " lojt-1 Gerard Stankewicz on behalf of FHV, LLC requests a Wetlands Permit for the existing 36 x 24.3 two story house, with existing front 7/0 x 10/3 step landing, 8/0 x 7/2 frame deck with 4/0 wide x 6/8 attached stairs, and 4/0 x 3/2 frame stoop with attached 3/2 w x 6/7 steps, to install landscape as per plan. Plan includes removing and replacing walkway, installing irrigation system, resurfacing existing asphalt driveway, and replacing plants onwest and south sides of the house. The location is 3400 Deep Hole Drive, Mattituck, SCTM #1000 — 115 — 17— 11. `tioard of Trustees Applica{ n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: o L 4 .6101 draw dI Area of wetlands on lot: Q square feet (A ap 4 c cl e kii G+ Percent coverage of lot: 60 Closest distance between nearest existing structure and upland edge of wetlands: �J feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Cac. clv�) Does the project involve excavation or filling? _No Yes (cc ?,4, � 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: ,33 feet r �X►�r 1z Proposed slope throughout the area of operations: qf l o ► (e� i Manner in which material will be removed or deposited: S k i'd te"ff If► 6'~ G47'►a- 41 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):: /, kom or op 0� ITD +P�U�!'in� RA is la)iW Jh /Q /✓e4� 617.20 ' Appendix B r` Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I 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 Acton or Proj t: taAdS 1(ArotDfithMI Project Location(desc be,and atlach a location map): 31'0 14it 8��lre Brief Description of Proposed Action: sw l,a'ti ;�r1pbo- MAr ace, Name of Applicant or Sponsor: I� Telephone: 6 3)-V(- A` pP V ivt twl ! t►�rff P(m _t4/ E-Mail: I-o a Address: City/PO: � State: L, Zip �e:� a A ) Code: 7l 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 5d ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ® ❑ 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 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 1 of 4 Gerard Stankewicz on behalf of FHV, LLC requests a Wetlands Permit for the existing 36 x 24.3 two story house, with existing front 7/0 x 10/3 step landing, 8/0 x 7/2 frame deck with 4/0 wide x 6/8 attached stairs, and 4/0 x 3/2 frame stoop with attached 3/2 w x 6/7 steps, to install landscape as per plan. Plan includes removing and replacing walkway, installing irrigation system, resurfacing existing asphalt driveway, and replacing plants onwest and south sides,of the house. The location is 3400 Deep Hole Drive, Mattituck, SCTM #1000— 115 — 17 — 11. 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ® ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ® ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑e 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? 1 ❑ 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: 10. Will the proposed action 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: bofj fle� gop ❑ -' El 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ® ❑ b.Is the proposed action located in an archeological sensitive area? ❑ ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? © ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ® ❑ If Yes,identify the wetland or waterbody and extent of alterations p squar feet/oracres: A)ti or PX•s 'Ac/cu. )f? r h"% 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline El Forest ❑Agri cultural/grassIan ds ❑Early mid-successional ❑ Wetland ❑Urban ❑SuburbanAil JU gwi" CM 1i, �r� 15.Does the site of the proposed action contain any species of ani 1,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ® ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ®NO YES ® ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ❑YES D 0t a o Page 2 of 4 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: W 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ® ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ® ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE �jp r Applicant/sponsor name: PQ r� /°o � �/C�✓� �' Date: �f Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ® 1:1regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? © El 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 1:1affect existing infrastructure for mass transit,biking or walkway? El 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate F;7/1 ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: © ❑ a.public/private water supplies? b.public/private wastewater treatment utilities9 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ® 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. F1Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees �/f l ir o Nam of ea gency p Date michae� S, 6omi to President Print or Type ame of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Re6ponsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 - r ! ._,3oard of Trustees Applic{':. ?on AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO - -INSPECT--THE-PREMISES IN-CONJUNCTION-WITH THIS_APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD-OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Sign e of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF `(Y tQ_�_ 520 _ MELISSA R DEBOER dLCC 0^ NOTARY PUBLIC STATE OF NEW YORK Notary Public SUFFOLK COUNTY LIC.#01 DE6349898 COMM. EXP J.p t aAani Solace .--,,'Board of Trustees Applic�_ _on AUTHORIZATION (Where the applicant is not the owner) I/We, av 3,,I;ce- I owners of the property identified as SCTM# 1000- S " /7 in the town of SC ' kd ,New York,hereby authorizes R-ald in f�hlmh p��Pv �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. Property Owner's Signature Property Owner's Signature cat's-4, skcC" SWORN TO BEFORE ME THIS DAY OF CL , 20� Notary Public t. ARY MELISSA R PUBLIC STATE OF NEW BOER SUFFOLK COUNTY YORK LIC.#01DE6349898 COMM. EXP- ,� APPLICANT/AGENT/REPRESENTATWE TRANSACTIONAL DISCLOSURE PORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emplovees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME K1Q4PM2 relyd M, MIJ P a _P0 -SIC. (Last name,first name,middle initial,unless you are appl&ing in the name of someone else or other entity,such as a company.If so,indicate_thb.other person's or-company's name.) - NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) 1-k lwvJA -1 rJ _ Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town ofSouthold? "Relationship"includes by blood;tgan iage,-or business interest."Business interest"•means a business,- including a partnership,in which the town officer or employee has even a partial-ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the' applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATI NSHIP Submitted this / da f cl20i� Signature f Print Name Form TS ] _lr PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: JaA, imr.amt..1 Pei* A710 IPP-P IPP-PPolt 1r,iVe STATE OF NEW YORK COUNTY OF SUFFOLK a`s c l ` b Pf'4oticew 'k , residing at /70S Itl��7,i 1R►� ��, i',�%� IIS' being duly sworn, depose and says that on the day of � , 20 L;�, deponent mailed a true copy of the Notice set forth in the Board of T&stees 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 c�, IU.Y, I l W , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to be ore me this_ fA Day of 20__ff_ o Public EVE L.GATZ-SCHWAMBORN VOTARY PUBLIC.STATE OF NEW YORK Registration No.OIGA6274028 Qualified in Suffolk County Commission Expires Dec.24,20a r } e • • • • I ■ Complete items 1,2,and 3. A. Signature i' ■ Print your name and address on the reverse X E3 Agent so that we can return the card to you. ❑Addressee , t (i B. Received by(Printed Name) C. Date of Delivery j, ■ Attach this card to the back of the mailpiece, I or on the front if space permits. ' I; 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No I I q V 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered Me11TM i` II I IIIIII IIII III I III I II III III III I I@ III IIII III 11 Adult Signature Restricted Delivery ❑Registered Mail Restrictedl' 1' ❑Certified Mail® Delivery 1 u 9590 9402 2196 6193 2152 43 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delive Merchandise ❑Collect on Delivery Resfrlcted Delivery ❑Slgnature ConfinnatlonT^� ! { ❑Signature Confirmation I t 7 010 3090 0002 7775 5570 13 Insured Mail❑ Restricted Delivery j Insured Mall Restricted Delivery f. I r over 3500 - } Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt e c a = : r3 C3 17- r11- ® e0 co ® Ln Ln t ® k:a -o � 4` ,way .'3 § rt 0�r:� ® In u7 t j � �� t[I �' ``+1 ��,-s U `-i ® r- r" Postage $ t`- !ti CZL-Z' ® f11 i'u Certified Fee C3 O Return Receipt Fee Postmark C3 C3 (Endorsement Required) Here ® O C3 ® Restricted Delivery Fee ® r3 r3 (Endorsement Required) o ® D^ D-• ® r-3 0 Total Postage&Fees M m •� ®_ C3 r-9 To ® r-9 rl ---------- 'IA'Ps�� �t i p c3 Street Apt No; r% r%- or PO Box No. tj ' '• A a C3 171L- co • r Ln COP GUP ' M1 A L �� M1. r Poug "`t"i Cf r r Vc ru Certified Fee Q \y IJ`, U°!!I! Jv 1y� Return Receipt Fee r/� Post(n� O (Endorsement Required) i I,1_I!I 8 vHe}V �I Restricted Delivery Fee t u C3 (Endorsement Required) D"' $1 0 Total Postage&Fees 17. Sent To - O Street,Apt.No.; --."""' ---------P { ruv------------------- [ti or PO Box No c�ey stets,z�P+a ------------------------------- • " , r Michael J.Domino,President �QOFF01�-C'O � Town Hall Annex John M.Bredemeyer III,Vice-President �y� G�J,� 54375 Route 25 Glenn Goldsmith y z P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams � Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of FHV,LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE , ,residing at/dba(',✓1��.1 0"<�,f r ��,���., �'°�• C�� , being duly sworn!, depose and say: That on the o day of Jd rl 201 k, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, July 18, 2018. Dated: 71/6/1r (signature) Sworn to before eAhis �eaunui /L day of ,�yl^TE-°�.�,, Dawn Johnson- " lNOLwV %Notary Public,State of NewYork 1.1 21'T I=No,01JO63490§3 e�Qualified in Suffolk County Commission Expires 10%1WO.LP Notary Publi i 061 IVERY ■ Complete Items 1,2,and 3. A. Signature ■ Print your name and address on the reverseE3 Agent i so that we can return the card to you. CI Addressee i ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front If space permits. 1. Article Addressed to:, D. is delivery address different from item 17 U Yes t'r'er-f-ce r �I r Z! -f- 'rte f If YES,enter delivery address below: [3 No f I'v • I ju 3.i II (11 I goo i 6l ll�l���l`�OII�II�6III�III III'��II�I� IIIIII� 13 Service Type ❑RegiseredMxpress® Ip ❑Adult Signature 11 Registered MaiIT^+ ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 1 El Certified Mail® Delivery 9590 9402 2196 6193 2151 75 ❑Certified Mail Restricted Delivery ❑Retum Recelpt for 1:1 Collect on Delivery Merchandise 2- u-s�••--1 ?�„��_�,a.ra.+i�o�,t on-- _.-__-_ ❑Collect on Delivery Restricted Delivery ❑Signature ConfimationT" ❑Insured Mail ❑Signature Confirmation 7 010 3090 0002 7775 5 8 9 4 ❑Insured Mail Restricted Delivery Restricted Delivery i (over 5500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 0 - @ ,�,,,p�,,., a °o agu2l 01 0 ® IrErD• e 0 0 B 0 0 ,n efl I3cx� 1 3 tri t.r') ® f�- f` Postage $ C`- r"- e0 ® Certified Fee o ® ru ru C3 O Return Receipt Fee Postmark a) o r- Cl O (Endorsement Required) Hero w aa)) ® o o m s® C3 C3 a) y 0 a m n� Restricted Delivery Fee a, n o 1 €d CC 1■� p p (Endorsement Required) m N 0 a c c= E Q > Z u'S�2 .@0000 Q' D- a) f m v a m m C3 E3 'Forst Postage&Fees ❑ ❑ ❑ 726"� ea°C��w o= � m m o E�m m� v M _ U S •- Sent To ��// U o' a¢¢o¢�(n(nac O O u` q iii o E s® r-1 r� -;f --------------------------b_�rk 1. ❑❑❑ ❑ ❑❑, 0 ® lj D Street,Apt No., ` I ao rn Z � � or PO Box No --------------''-----------`-Y�---------------------------------------- � r Z > Cdy,State,Z/P+4 C a) •.'-` - C al i �✓ a)Ql tU N 2�E®�'ma) vrnrn aoo 10 C0:2:2 8 _=s ri❑❑❑❑❑❑❑❑ (y7�7) ryy 0-' LL7L-l.0 a 1A",(?/ o oAmy o•e o co Lr) G1^P, C�Ci� E13 (D ai r o MAT,iIjT oW-�Y °U-' c� 'r' o "� I;t CD N Postage $ r L r o 'I Certified Feel u N It L0 f1J 072 p.+�.' ^R co ^ t- Postmark �%N rn Z 0 Return Receipt Fee o II f C +, to +d Y O W Q (Endorsement Required) Here � c M � U Via) v C i r co ll _ a 4 -0 Q fZ 1 t� L Restricted Delivery Fee A��p "t cis+, U V ® � O r0 (Endorsement Required) ". . r N O y is •✓' 7 N _` O Total Postage&Fees $ ® NO ( Cr' -3 m .std EE m �i= v,2 U) � d 0.2 ca - Sent To ' m ® ------ ® � ce) O street,Apt No----------------------- > Cj orPOBoxNoO ® rq ENO ® O 1 Stae,yo; --------------------------------- I t,� y-------------------------------------- E C'+� L UitU) -0 U) Ald.Tf'/ti,ciC f��I• /l �s,� 9e Comp -items i_9- • ignatur E3 Agent ssee , ■ • A. � veryI = ■ Complete items 1,2,and 3, Addressee l ■ Print your name and address on the reverse X ' C. to of Delivery so that we can return the card to you. l q- Received,f� r d Name) C. I e o ■ Attach this card to the back of the mailpiece, jjNVV/ ed I ! or on the front if space permits. ❑ es I D. Is delivery address di ffe ent from item 1 1, Article Addressed to: p if YES,enter delivery address below: E3 No C ?ex f I S.�i :ted 0 Priority Mail Express® 3. Service Type p Registered MaPm I! ❑Adult Signature IIIIIIIIIIIIIIIIIIIIIIIIII���IIIIII��Illllilll 0 Adult atureRestrictedDelivery rY ceiplReatrlate TM, i ❑Certified Mall® ❑Return Receipt for ❑Certified Mail Restricted Delivery Merchandise 9590 9402 2196 6193 2152 05 ❑Collect on Delivery ❑Signature Confirmation' ❑Collect on Delivery Restricted Delivery E3 Signature Confirmation it , f�r a 2 ^^e-` Insured Mail Restricted Delivery 2. ArbcIP Number rTranefar _7�10 3 0 9 7 7 7 5 5 8 87' E3❑�OVe�o�I Restricted Delivery Domestic Return Receipt PS Form 3811,July-2015 PSN 7530-0THIS SECTION ON DELIVERY 2 000-9053 4 SECTION COMPLETE S4COMPLETE-THIS ENDER A. ignature =� ■ Complete items 1,2,and 3. E3 Agent ■ Print your name and address on the reverse X P Addressee so that we can return the card to you. B. Rec ive (Printed N ) C. D e of elivery ■ Attach this card to the back of the mailpiece, f 6 !y or on the front if space permits. 1. Article Addressed to:. D. is delivery address different from item 17 ❑ es nark J �• If YES,enter delivery address below: El No ro ylv er-i'Le." �I/r ZrY� 6` 0,ecy 'Y.2 r du ►5z ii l 11 l!I III III I III I I II I I I III 13 rAdult ice Type ❑Priority Mail Expresso IIOlflll illi III I I Signature Restricted Delivery ❑Reggistered Mail Restrictedf•f,Jied Mail® Deliveryl95909402 2196 6193 2151 75 ied Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑1I Collect on Delivery Restricted Delivery El Signature Confirmation' 2 "-"' —�^'rr'^ :"{ i'nan ❑Insured Mail ❑Signature Confirmation 7 010 3090 0002 7775 589 4 ❑Insuur$Dall Restricted Delivery Restricted Delivery - Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 I! rtm � rIL./ (�j�LID0 OPA Ic/ co Ulf, US C- POs1agd rj eL r r c Certified Fee $01.00 , � �' o' N * I j Po tmark C3 Return Receipt Fee ° i d 11,CIO i I \ Here Q (Endorsement Required) y� �� Restricted Delivery Fee O� E3 (Endorsement Required) �... S D" $1° i 7958 USC,,. O Total Postage&Fees $ 17/1 I jr 21 t1 Q M -, , 1=3Sent To ---------------------------------------------_ ------------------------------------ ED Street,Apt No, tt or PO Box No. ` �- JV�/� 1 sc�k City State,ZIP+4 n'�tt7f f�+(�C) �/' ��7 S2 G�G�rlha :o o /O"•�i o o, l� i�7i' HEARING- 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: FHV, LLC SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the existing 36'x24.3' two-story dwelling with existing front 7.0'x10.3' step landing; on seaward side of dwelling, an 8'x7.2' frame deck with 4.0' wide by 6.8' long attached stairs; and a 4.0'x3.2' frame stoop with attached 3.2'x6.7' steps to ground; remove and replace existing walkway; install an irrigation system; resurface existing driveway; and replace plants on west and south sides of dwelling. Located: 2400 Deep Hole Drive, Mattituck; SCTM# 1000-115-17-11 TIME & DATE OF PUBLIC HEARING : Wednesday, July 18, 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 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant icant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#�� PROJECT NAME "Af ;rfm41?,2- c4hc (,AI -lav' A-1 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit, approval,license,certification: Nature and extent of action: Qd Qt�l1 td`Pi (,�►a,.�.�e VJA ) r kv, 'I 4, Ii ll%[ e # ATL-,0 janA� (4eA W �1Gw i Gerard Stankewicz on behalf of FHV, LLC requests a Wetlands Permit for the existing 36 x 24.3 two story house, with existing front 7/0 x 10/3 step landing, 8/0 x 7/2 frame deck with 4/0 wide x 6/8 attached stairs, and 4/0 x 3/2 frame stoop with attached 3/2 w x 6/7 steps, to install landscape as per plan. Plan includes removing and replacing walkway, installing irrigation system, resurfacing existing asphalt driveway, and replacing plants onwest and south sides of the house. The location is 3400 Deep Hole Drive, Mattituck, SCTM #1000— 115 — 17 — 11. Location of action: C 0 Oeiv Wle- Q o,v MAL& All I Site acreage: Present land use: cg-- Present lLPresent zoning classification: ')AA 4Z, 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: n/� / (a) Name of applicant: Cy,A.j.F. Pro-r► An (b) Mailing address: &x -6 �dAJ)Ay dls�1 �3I / (c) Telephone number: Area Code( } r 7�b - WO (d) Application number,if any: /y 1A - Will the action be directly undertaken,require funding,.or approval by a state or federal agency? --- Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies'by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section M—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ® Not Applicable 'U,I� c"4"u l�X�� C oil rP,ur d C Ana(. ! L7 1jov �Atn�q Qa Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No [0 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No N Not Applicable 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 / \ i I f`Q�tT�'+�� �F-f n, k fl CA1/ln U Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of,SouthoId. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ®Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ ' Yes No )(Not Applicable J 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 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 1:11Vo � 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" Section III—Policies; Pages 38 through 46 for evaluation criteria. � No J Not Applicable F] Ye Attach additional sheets if necessary ,WOREING 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 L> Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No DJ Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No © Not Applicable PREPARED BY �111•�'�,4 �04 P"Ip-j TITLE_ DATE SJ* P