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HomeMy WebLinkAboutTR-9334A Michael J.Domino,President I S�(/Ty Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �O a0 Fax(631) 765-6641 COUNT(,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1546C Date: December 14,2018 THIS CERTIFIES that the installation of an irrigation system in the seaward & side yards of the property; At 675 Hill Road, Southold Suffolk County Tax Map #1000-70-4-28 Conforms to the application for a Trustees Permit heretofore filed in this office dated October 1, 2018 pursuant to which Trustees Administrative Permit#9334A Dated November 14, 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 installation of an irrigation system in the seaward & side yards of the property; The certificate is issued to George&Maria Rig_as owners of the aforesaid property. o Authorized Signature Michael J.Domino, President OF SOUJ�O Town Hall Annex John M.Bredemeyer III,Vice-President h0 lO 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski G Telephone (631) 765-1892 Greg Williams O� c4UN'(`I, Fax(631) 765-6641 y �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: kazt 2,e (,K Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed V Project complete, compliance inspection. INSPECTED BY: COMMENT ' - ��� 144 A CERTIFICATE OF COMPLIANCE: Michael J. Domino, President c0 - Town Hall Annex John M. Bredemeyer, III, Vice-President ��� y� 54375 Route 25 Glenn Goldsmith ` N ,?; P.O. Box 1179 A Nicholas KrupskiSouthold, NY 11971 Greg Williams `���1 ,�„ ���� 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 i Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction / % constructed V When project complete, call for compliance inspection; SCDHS REF #RIO-16-0058 SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. ��L° C 1000-70-04-28 k. FEBB6°wA'R� SCALE. 1'=30 .Z NOVEMBER 77 2015 JAN. 22, 2016(WE7LANO5 FLAGS) 2016(PROP. HSE.) APRIL 18, 2016(REVISION) / MAY 20, 2016(REVISION) /� AUGUST 4, 2016(REVISIONS) o-'fie\, ll / OCT. 12, 2016(PROP. POOL) DECEMBER 27, 2016 (STAKES) 483' ry 6 rPUe��T BSC wA ) FEBRUARY 1 MARCH 24, 20101(PROP. ADDIA ON) AP ROVE SDw �Ef rJ e `0 a,A Ev, SEPTEMBER 25, 2017(FINAL) °•s �„ �o Q� OT or '�;D �.� -BOA'.. OF TRI�,�T ES T�♦♦ ®F �® r1®�® �LDT© �� 5 �� SEPTIC LOBAT70N Etc \ k ; b o sr r7' 47 ATE sok �+�c LPI 30' 505' ®ATS sY h" LP2 SEPTIC SYS7EM (5 BEDROOMS) 1-80 X 5'LIQUID DEPTH PRECAST SEP77C TANK ` �\A2 )� `+ e• o m J23 2-80 LEACHING POOLS 8'DEPTH 3'MIN ABOVE GROUND WATER A� 5@ `\ �4y�'' 7-P'�• 0 ����m� WITH 3'SAND COLLAR(SW) . ryaAtq McDONALD GEOSCIENCE TEST HOLE DATA ae 4 \ 9/28/15 ° °'•� '\ ?�F EL 15 0' BROWN SANDY LOAM OL 2 5BROWN SANDY SILT ML __ ' co`bA�\ 7y : PALE BROWN FINE SAND SP b. •\�\, p EC 05' __ 145' WATER/N PALE BROWN RNE SAND SP oa ATERFzjvcorTER j 14 5'BELDSP'SURFACE- jLj`i i � LANOWARG EGGS OF 7WETLANDS Afu' � =pIp£ DEC/NEA7E0 BY SUFFOLK CK ENNRAVMENTAL MONUMENT t CONSULRNG INC ON 12/10/75 OCT 1 201/ ■ = VX = WETLANDS FLAG ELEVA 77ONS AND CONTOUR LINES ARE REFERENCED FROM NA VD 88 CERTIFIED TO BRIDGE ABSTRACT SG(ltliol`1 lle"'m FLOOD ZONES FROM FIRM J6103CO166H GFH HOMES, LLC LOT NUMBERS REFER TO MAP OF CALVES NECK` TITLE NO BAL x2065 Boar of Trustees KNOLLS" /N THE SUFFOLK COUNTY CLERK'S FILE OFFICE AS F7L£ND 5673 FY LIC. NO. 49618 ANY AL7ERAAON OR ADD/RON TO THIS SURVEYIS A NOLARON PECQI l SUR VE P.C. OF SECRON 7209OF THE NEW YORK STATE EDUCA77ON LAW (631) 765-5020 FAX(631) 765-1797 EXCEPT AS PER SEC77ON 7209—SUBDIWSION 2 ALL CER77FICA77ONS AREA= 20,384 SO FT. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF TO TIE LINE P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET WHOSE SIGNATURE APPEARS HEREON SOUTHOLD, N.Y 11971 15-212 �0�� Ulyolo Michael J.Domino,President 0f SOTown Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 41 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ypQ Telephone(631) 765-1892 Greg WilliamsCOU Fax(631) 765-6641 l I�I►e`er BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9334A Date of Receipt of Application: October 1, 2018 Applicant: George & Maria Rigas SCTM#: 1000-70-4-28 Project Location: 675 Hill Road, Southold Date of Resolution/Issuance: November 14, 2018 Date of Expiration: November 14, 2020 Reviewed by: Board of Trustees Project Description: Install an irrigation system in the seaward & side yards of the property. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by Heidtmann & Sons, Inc., received on October 1, 2018 and stamped approved on November 14, 2018. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Michael J. Domino, President B_oar_d_oLTru e_s _� Michael J. Domino,Pry ~�rt O��SUFFO(,fC Town Hall Annex John M. Bredemeyer III,Vice-'President �� y�,� 54375 Route 25 Glenn Goldsmith ti P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams Az. � p! Telephone(631)765-1892 �� �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed infield by: Heidtmann & Sons, Inc. on behalf of GEORGE & MARIA RIGAS requests an Administrative Permit to install an irrigation system in the seaward & side yards of the property. Located: 675 Hill Road, Southold. SCTM# 1000-70-4-28 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 o Hearing Card Posted: Y / N Ch, 275 Ch. 111 SEQRA Type: 1 , II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for,outside review/consultant/application completeness/comments/standards: _ S ,zd ��- f 2,0 I ha A"La �ow`=edgAed&thee foregoing Trustees coma ents: Agent/Owner: / Present were: J. Bredemeyer V/ M. Domino //G. Goldsmith V N. Krupski G. Williams Other SEE SEG NO063 /y 'HOP r• --- BEE SEG N0063 ' M4TCH LOfE 1 212c) v 1 a c9Q.�G+' ♦♦� �9 WEBT NILL RD T11T Creek A([) vg a O •m1 a `. 2�°° g 233 •, ,x e 9 ♦I'^E. 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COUNTY OF SUFFOLK © solmloLo ,E •�"' ._- �"- --m-- 9-re---»=r-- Real Property Tax Service Agency E m 1 N �' - ru•'m' . ,•• --- m.au. --.-- Oro070 A,W o m t -78X1 Nd ,000 P o,s WB W PROPERTY. wrrvxlaiw MlEAq tt min OFFICE LOCATION: OF SOUjy® MAILING ADDRESS: Town Hall Annex �O lQ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Q Telephone: 631765-1938 • �O LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: November 13, 2018 Re: Local Waterfront Coastal Consistency Review for GEORGE & MARIA RIGAS SCTM# 1000-70-4-28 Heidtmann & Sons, Inc. on behalf of GEORGE & MARIA RIGAS requests an Administrative Permit to install an irrigation system in the seaward & side yards of the property. Located: 675 Hill Road, Southold. SCTM# 1000-70-4-28 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards (Policy 6.3) and therefore is CONSISTENT with LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney +' Michael J.Domino,President Town Hall Annex - '� '�� ' John M.Bredemeyer III,Vice-President ` 'l 54375 Route 25 - P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith n ,' , _ Telephone(631) 765-1892 A.Nicholas Krupski t�l'jC y , Fax(631) 765-6641 ]BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only z Coastal Erosion Permit Application Wetland Permit Application Administrative Permit k Amendment/Transfer/Extension Received A Lica ion: 0-0 9 ' pp Received Fee: $ a0, __.,. E I1 Completed Application: Incomplete: _ SEQRA Classification: Type I_ Type II Unlisted OCT 1 '2018 Lead Agency Determination: Coordination:(date sent)-. LWRP Consistent Assessment Form Sent: . /1� Z' - oar of Tmfpp k Y ,.__ Boar of Trustees.... ,� `CAC Referral Sent: Date of Inspection: µ � Receipt of CAC Report: .Technical Review: �/ Public Hearin Held—� - ' Resolution:, Legal Name of Property Owner(s): Mailing Address:, Phone Number•-_--__C�l`l alb _ Suffolk County Tax Map.Number:, 1.000- Property Location: If necessa provide LILCO Pole ( ry,�p distance to cross streets, andlocation) J u AGENT(If(If applicable): C�,� y� ld� •_J� C_. Mailing Address:.- Phone Number: Board of Trustees Apples "i tion GENERAL DATA Land Area(in square feet):, Area Zoning:_ s Previous use of property: F Intended use of property: - -, J (4,�ary Covenants and Restrictions on property? 9A- Yes No f 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. x Does this project require a variance from the Zoning Board of Appeals? Yes, }L No ` If"Yes",please provide copy of decision. z Will this project require any demolition as per Town Code or as determined by the Building Dept.? .Yes No s Does the structures)on property have a valid Certificate of Occupancy? _Yes No i i Prior permits/approvals for site improvements: 'A enc Date M No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes,provide explanation: Project Description(use attachments if necessary):_ Hoard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: �; i�►��' d✓1 v� �`�iY��t Area of wetlands on lot: Ylpyt-A4ayl,i'CU-, square feet Percent coverage of lot: ��i-`7 �% Closest distance between nearest existing structure and upland edge of wetlands: ti feet - r Closest distance between nearest proposed structure and upland edge of wetlands,.,, N' feet Does the project involve excavation or filling? ___.. . .- No. ,. Yes If yes,how much material will be excavated? -,. --cubic yards How much material will be filled?:._ . ._. _..cubic yards Depth.of which material will be removed or deposited: feet Proposed slope,.throughout the area of operations: Al 7k— Manner in which material will be removed or deposited:; j 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): 4 61Z20 Appendix B t Short Environmental Assessment Form IA-9t,Odd inns'-foi•G+iiti ileteli` Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses i become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor ttiformation EF _N_ e_of Action or Project: 01(orgt, Roza- Project Location(de ribe,an ch a location map): 4 Brief Description of Proposed Action: _. I s`Efittl A'I IO�- � 3 II $ ;Name of Applicant or Sponsor (` 4 Telephone �C t mak-k-4 \JO d� v� E-Mail: ►1�6 ® 't h�jtll Ge�tyl t Address:- ,TJ • V� D� q�v o I City/PO State i1' Zip Code (W C6L6 I T:Does the propose • tion only idvolve'the legislative adoption of a plan,local law,ordinance, "y" ;NO i' YES ? administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources thatEl 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---1' _YES_; �If Yes,list agency(s)name and permit or approval: }' i '3.a.Total acreage of the site of the proposed action? o&=acres b.Total acreage to be physically disturbed? .(�1.� 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—, and near the proposed-action. ❑Urban [I Rural(non-agriculture) ❑Industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify);__ ❑Parkland I i Page 1 of 4 5. Is the proposed action, -YES NO' a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 6. is the pr6pi;sed action onsisterifwith the predominant character of theexistingbuilt or natural 'NO T YES landscape? `7.' i located En,-b- does ii adjoin,if state liited'Criil-c,-a,1-8-n,vir--O-nrfi-entaI Arei!___ YES If Yes,identify:". ' S:'-a.Will-tlie proposed action result in-i substafitial increase in' traffic abovepresentleveli? ... N 1 0 �'YES I i-U'Ell I b.Are public transportation service(s)available at or near the site of the proposed action? Wf Elf, c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? FZ;l -L=L 9.-Does-the pi6o6§6daction meet or exceed the state energy code-requirement's? NO ll[NES If theproposed action will exceed requirements,describe design features and technologiest, �Tj - ublic/private- water 10. Will_tFe_pro1i6s_6d_detk 6h connect to an existingP y NO _YES_J If No,describe method for providing potable water: .,:I r 11.Will the proposed action connect to existing wastewater utilities? -YES-, If No,describe method for providing wastewater treatment:,,. a.Does the site contain a structure that is listedoneither the State or"Natio'nal Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area? flj T 13.a-'-'Does-any..pordo"n of the_site_0f the pr6p­ oi�d action,or lands adjoining-the proposed action,'co"main NO" "OB-, - - . wetlands or other waterbodies;regulated by a federal,state or local agency? T171 2 FI_- b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:_-__ _14-Ad a 't-&-y-,ilhe typicalhabitattypes that occur o'n,__o_r_a_re likely to be found on the project site.-Check all that apply: n" Shoreline El Forest El Agri cu Itu ral/grasslan ds El Early mid-successional, V(Wetland E3 Urban E3 Suburban 15.Does the-site-of the proposed c ionr contain any species of animal,or associated habitats,listed +N0 1 YES by the State or Federal government as threatened or endangered? 4 -6.Is th6-pjoJC6t7jitelocated�in the 100 year ... . ...------ YES ES O� 17.Will the proposed action create storm water- discharge,either from point or non-point sources? NO-' ES, If Yes, �_Y j IM-7 a.Will storm water discharges flow to adjacent properties? ENO []YES I b.Will storm water discharges be directed to established conveyance systems(rqpff and storm drains)? If Yes,briefly describe: V I NO AYES Page 2 of 4 18. 68cs the proposed action_include construction activities ill idresu It i M'-P'OLI 1!NO ;I VIC's, water or,other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size,., !:'19-.Has the site of the proposed action or an adjoining property"been the location of an active or closed ?I 11NO——YESA solid waste management facility? If Yes,describd.' 20.Has the site o f the prop6_sed a-ctio'n'6 r-an adjoiilirig-property bee n-the subject o f re m e d i atio n'(o n'g-oi n 4 NO YES completed)for hazardous waste? A! If Yes,describe,,. Elf", El _ J il 1�I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor nam Date: w _ r j!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, r o Moderate small to large 1 1,impact impact ,may may Eoccur occur action—create--a—m'-at—e-rial-confliet with a-if-adopted landuse-plano_r­zon'_in__g_' regulations? T2. Will the proposed action result ina change in the use or intensity of use of land? lu_ '1!3. Will the proposed action impair the character or quality of the existing community? 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 P affect existing infrastructure for mass transit,biking or walkway? Lo. Will the proposed action cause an increase in the use of energy and,itfails to incorporate reasonably----', available energy conservation or renewable energy opportunities? V , 7. Will the proposed action impactexisting: J a.public/private water supplies? b.public .-private wastewater treatment utilities? EJ z 8. Will the proposed action impair the character or quality of important historic,archaeological, architect J ural-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 1 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage toblems_? 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 F 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 4 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 s cumulative impacts. t i c i i 1 c i, S 1 i 's f } i� i Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an I environmental impact statement is required. , -o- E-31 Check this box-if. ou,,have,determined,,,based-oii,the'information_and.anal sis.abovee,and,an su ortin documentation,_ Y Y Y Pp g that the proposed action will not result in an significant adverse environmental impacts. Town of Southold-Board of Trustees - - --- - Name of Lead Agency Oate _ President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer ' f m gignature'of Responsible Officer'in-'Lead A-enc'y--'- Signature of Preparer(if different from Responsible Officer) . i i -- PRIM'_ Page 4 of 4 '. s r � . Board•of Trustees Applin:='_fou AFFIDAVIT i BEING DULY SWORN DE.P09Es.AN6AFFI , S'THAT-I WSHE IS THE AP?LICANT FOR71IE ABOVE DESCRIBED PERMIT(S)AND THAT T ALL STATEMENTS CONTAINED HEREIN ARE TRITE TO TH BEST OF ITIS/HER KNOWLEDGE AND BELIEF,-AND THAT ALL WORK WILL BEMONE IN THE MANNER SET FORTH IN THIS APPLICATION AND ASMAY 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 ME FROM ANY ANIS 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 PROPER'T'Y TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICA.TIONj INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO ICY PROPERTY AND AS REQUIRED TWNSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT, Signature of Property Owner SWORN TO BEFORE ME,THIS _ _ DAY OF ( � � 201 Notary PubiiC EUGENIATSATSARONIS Notary Public-State of New York N0.01TS6224501 Qualified in Kings County My Commission Expires Jul 6,2022 September 17,2018 GeorgeRigas 675 Hill Rd. Southold,NY 11971 Town of Southold Building Department Southold,N.Y. 11971, To Whom It May Concern: Please allow this letter to be my authorization for HEIDTMA qN& SONS, INC. to be the official agent for all aspects relating to installation of irrigation at 675 Hill Rd. Southold,NY. Thank you Sincerely, George Rigas Subscribe worn before me this day of , 2018 'No Public EUGENIA TSATSARONIS Notary Public-State of New York N0.01TS6224501 Qualified in Kings County My Commission Expires Jul 6,2022 Board of Trustees APP1LW�-.;;.1QxL AUTHORIZATION (where the applicant is not the owner) 1, residing at (print nowner r6p—a�y-j (mailing address) 6 do hereby authorize A j66AAk— (Agent) to apply for permit(s)from the Southold Board of Town Trustdes on my behalf. (Owne?s signature) APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURF,;KORM ie?T-w conflicts stoh die &— JW i$F ,j j&bjd*& YOUR NAME: (Lastname,-flist-hamb,ipiddle initial,unless you are applying.'ifi),tke name of someone else or other entity,such as a company.If so,indicate the,other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.), Dd;y"on on e c'Towfi"o' 711 in �v S Y , Jo E 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 applicgrit (when the applicant is a corporation); j3)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 the actual applicant. Lk Submitted this _ d- of d+VXV'2019 !R - Print NaMet - Form TS 1 Town of Southold LWRP_CONS,ISTENCY AS SES SMENT_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 k =6e=evaluate Waterfront Revitalization Program. A�proposecl`acti'on will` as, Eo-its_si gnificant �f tiM freiaFand0dveise ef1'&ct'' pon tlie:coastal arba,(wliich inclridesrall o�°�ciiit�old T'a�uci�,;' 3- If any question in Section C on this form is answered "yes" or "no", then the proposed action will 3 affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each azrswer}must`tie_es laiiacil; n detail ,.�istan :botlr.su arih anal'non y upoirfit�' ;fals. If an action cannot be certified as consistent with the LWRP policy standards and t conditions,:it shall t�c�C be'rti derial ti: A A copy of the LWRP is available in the following places: online at the Town of Southold's z} 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 s PROJECT NAME ,o ml r &s 4 kW4 . 76wa z 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 '; __.__..tn. -_-__...v-- ,--construction;planning-activity;.agency-regulation;land-transaction)---- F- (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval,license,certification: J_ Nature and extent of action: 4, } Location of action:. )41 Site acreage:, e Present land use: —5N Present zoning classification: 2., If an application for the proposed action ha's been filed'with the Town of Southold agency, the following information shall be provided: (a) Name of applicant-, �L't lkvAGtAA— �� (b) Mailing address,:. (c) Telephone number: Area Code (d) Application number,if any:.-, Will the action berectly undertaken,require funding, or approval by a state or federal agency? Yes No If yes,which state or federal agency? il C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. ,DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. U Yes ; No Not Applicable " Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Poli -es Paces 3 through 6 for evaluation criteria Yes No ZNot Applicable 3 Attaofi additional sheets if necessary - - - -- - Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP ection III—Policies Pages 6 through 7 for evaluation criteria �` Yes�❑ No ❑ 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 Pa s 8 through 16 for evaluation criteria 4 f Yes No Not Applicable } 777 Attach additional sheets if necessary --- } Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III i —Policies Pages 16 throw h 21 for evaluation criteria x JDYes 'l. 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 evaluatio criteria. .01 E] - Yes No Not Applicable i Attach additional sheets if necessary a Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for valuation criteria. F "` Yes i No �— Not Applicable a Attach-additional sheets if necessary - - Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wast See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. O�Yes X='{3 No Not Applicable f - 6 PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. nn No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Se WRP Section III--Policies; Pages 47 through 56 for evaluation criteria. "'Yes i(�,�, No Not Applicable F Attach additional sheets if necessary Y t Policy 11. Promote s stainable use of living marine resources in Long island Sound, the Peconic Estuary and Town w ers. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ;0 Yes ,0 No Not Applicable F -- -- -- _-- - -- - -- --- ---- — 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,evaAation criteria. Yes Q No Not Applicable Attach additional sheets"if necessary Policy 13. Promote a propriate use and development of energy and mineral resources. See LWRP Section III—Policies; ages 65 through 68 for evaluation criteria. y - --No - -- PREPARED BY __-L Vtt TITLE df&4XV DATE d i'