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Home My WebLink AboutTR-9368 Michael J. Domino, President �QF S0(/ry Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� �� 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone (631) 765-1892 Greg Williams �0 �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1666C Date: December 13, 2019 THIS CERTIFIES that the installation of 70 lineal feet of proposed rock revetment along re- storm damaged shoreline Revetment to consist of 4-5 ton lower course and 2-3 ton upper courses placed in an interlocking;pattern placed with an excavator. Upon completion of revetment install approximately 180 cubic yards of clean sand fill from upland sources landward of proposed revetment with an proximate size of 15' long x 50' wide and 8' deep Replace storm damaged storm drain pipe in its' pre- storm location and coordinate with Town of Southold Engineering Dept.requirements. All work to be completed landward of the mean high water line; At 21865 Soundview Avenue, Southold Suffolk County Tax Map#1000-135-1-9 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 23, 2018 pursuant to which Trustees Wetland Permit#9368 and Coastal Erosion Permit#9368C Dated December 12, 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 70 lineal feet of proposed rock revetment alon�'pre=storm dama¢ed-shoreline Revetment to consist of 4-5 ton-lower course, and 2- 3 ton upper courses placed in an interlocking pattern placed with an excavator. Upon completion of revetment install approximately 180 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 15' long x 50' wide and 8' deep. Replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Dept requirements All work to be completed landward of the mean high water line. The certificate is issued to Robert&Eithne Piscioneri owners of the aforesaid property. m , o Authorized Signature Michael J. Domino, President O��q so�ryol Town Hall Annex John M. Bredemeyer III,Vice-President 't O 54375 Route 25 P.O. Box 11 Glenn Goldsmith [ [ Southold,New York 11971 A. Nicholas Krupski G Q � O Telephone(631) 765-1892 Greg Williams OCOU a Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 3 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: —$A, A'eww� COA�IV},E ,,(�XNTS: CERTIFICATE OF COMPLIANCE: F01,� Michael J. Domino, President ti�°�o �0y Town Hall Annex John M. Bredemeyer, III, Vice-Presidents < ?, 54375 Route 25 Glenn Goldsmith N ,? P.O. Box 1179 A Nicholas Krupski y • �� Southold, NY 11971 ° ' Telephone 631 765-1892 Greg Williams ��1 ,� ��;�'' P ( ) r41r �� 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 1St day of construction Y2 constructed When project complete, call for compliance inspection; 4 ,r-"�,,r. ./1 � i? '..(``.;ti,•. i;l"`. J; .iii��s �`7: "i „' ., .. nx:asrrp7u'7d•n,,x!n�mrs�;un?x,j.'nx'7m.+�k5!?9'+Y,eu'':�x+»a�/&�!aaa5+rdf:¢'' :nxca«eP±rmr..amt3�e,aY+r.PSh,xrfm!ne4Cn±r.!:q:n4e:r+nnxmf,,,,,x,n,n,•nernn„wtr,m>rw!mx+y:C:7�✓+r...:�Ym.�x^mr�..�,.:++.�+� i i I—Alft-1 90 i . BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK err j PERMIT NO. 9368 &9368C DATE: DECEMBER 12, 2018 ISSUED TO: ROBERT & EITHNE PISCIONERI .9 PROPERTY ADDRESS: 21865 SOUNDVIEW AVENUE, SOUTHOLD . ' SCTM# 1000-135-1-9 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 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 December 12,2018 and in consideration of application fee in the sum of$500.00 paid by Robert&Eithne Piscionen and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install 70 lineal feet of proposed rock revetment along pre-storm damaged i shoreline. Revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator. Upon completion of revetment install approximately 180 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 15 long x 50 wide and 8 deep. Replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold .w Engineering Dept. requirements. All work to be completed landward of the mean high water i i line; and as depicted on the site plan prepared by Jeffrey Patanjo dated December 6,2018 and ; stamped approved on December 12,2018. ?F'. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, j and these presents to be subscribed by a majority of the said Board as of this date.CA ;c lKi:d. n tiff -, Jll i � • . ±�tau:ssuw,.wwi.::.uL•z„unwicu.e.v„acw+av,s.u.u>n,.vu4.::rmud[avarixi..w:•.Vonrw'• »e nixax..:.u:M„%wi:..o.+u ive:auiiam.:-vuwxu:nwi:�•>::vwiw,:uw:cv,.woexu,:,;,Tx•,,.yAa.,,•;,,...as•wuwuua�wuiw;aauviv.:>iuse,Wir ti, - ,• 'i.. :; _ =:� TERMS AND CONDITIONS The Permittee Robert&Eithne Piscioneri residing at 21865 Soundview Avenue, Southold, New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittce 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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President 0� S�(/ryO Town Hall Annex John M.Bredemeyer III,Vice-President �� 54375 Route 25 Glenn Goldsmith P.O. Box 1179 Southold, New York 11971 A. Nicholas Krupski o_ • Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I (We) ROBERT & EITHNE PISCIONERI The owners of record of property at: 21865 SOUNDVIEW AVENUE, SOUTHOLD SCTM#: 1000-135-1-9 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: Installation of 70 lineal feet of proposed rock revetment along pre-storm damaged shoreline Revetment to consist of 4-5 ton lower course and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator. Upon completion of revetment install approximately 180 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 15' long x 50'wide and 8'deep: as shown on the attached licensed survey and/or site plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50%of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. 2gAe�— —&-c' � P�o C,C_,f, S orn to before me this Notarized signature of owner of record day of December, 2018. ? nz uer s5Ui x3 uoissiwwoC AN CAROLYN TUFANO r resseN ui pa;ner0 Nctary?ubiic—S:a:e cf Neh Vcrw JC9^1l0 CN' NO 01%6000052 Jc a:e:S—oggnd luetoN Qualified in Nassau Ccun CNNj 1 Nn iOadC MY Commissior Expires Jar 29 2022 Notary Public Lp"W"""W__2 W W — This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. EM] x�uo�ss�wwoC�WN'U�Pa;igen0C,N'.�L(i—ciigrd/ue:c,N�;Od'd0 Michael J. Domino,President QF S0(/TTown Hall Annex 0 John M. Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone (631) 765-1892 Greg Williams i0 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT#9368C Applicant/Agent: Jeffrey Patanjo Permittee: Robert & Eithne Piscioneri SCTM#: 1000-135-1-9 Project Location: 21865 Soundview Avenue, Southold Date of Resolution/Issuance: December 12, 2018 Date of Expiration: December 12, 2020 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: Installation of 70 lineal feet of proposed rock revetment along pre-storm damaged shoreline. Revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator. Upon completion of revetment install approximately 180 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 15' long x 50'wide and 8' deep. Replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Dept. requirements. All work to be completed landward of the mean high water line; and as depicted on the site plan prepared by Jeffrey Patanjo dated December 6, 2018 and stamped approved on December 12, 2018 INSPECTIONS: Final Inspection SPECIAL CONDITIONS: None. In accordance with Chapter 111-15 Erosion Protection Structures: xx A maintenance agreement is attached hereto and is a necessary special condition of this permit. BY: Michael J. Domino, Aresident Board of Trustees Michael J. Domino,President QF SUUrTown Hall Annex John M.Bredemeyer III,Vice-President ,`O �� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams %�'� �� Fax(631) 765-6641 OOUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 12, 2018 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: ROBERT & EITHNE PISCIONERI 21865 SOUNDVIEW AVENUE, SOUTHOLD SCTM# 1000-135-1-9 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its Regular meeting held on Wednesday, December 12, 2018 regarding the above matter: WHEREAS, Jeffrey Patanjo, on behalf of ROBERT & EITHNE PISCIONERI 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, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated July 23, 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, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 12, 2018, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 and Chapter 111 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ROBERT & EITHNE PISCIONERI to install 70 lineal feet of proposed rock revetment along pre-storm damaged shoreline. Revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator. Upon completion of revetment install approximately 180 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 15' long x 50' wide and 8' deep. Replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Dept. requirements. All work to be completed landward of the mean high water line; and as depicted on the site plan prepared by Jeffrey Patanjo dated December 6, 2018 and stamped approved on December 12, 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, Michael J. �mino, President, Board of Trustees MJD/dd S.0 T M NO DISTRICT 1000 SECTION 135 BLOCK 1 LOT(S) 9 r� -7 � �., L.t u� SEP 2 4 2018 1! LONG jsLAN so�,cnoid r3wn T` a x x x x x SO UN� xxx xx S7S 003► X x x (� ►► xxxx x J TIE 411VE o xxxxx x �/' Nc Mtiw661yc► x xxxxxxxxx�x x REMAINS OF STORM DAMAGED x x x x x x x x--xx X x x x x x x x x x x x x x x x x STONE ARMOR x x x x x x x x x �x x x x x x x x x x x x x x x �r—x x x x X x x x x x x x x x x x x xO x x x x x x x x x x x x x x x o x x x x x x x x x x x x x - x x xxxxxxxxxxxxxxxxxxx1x R FIELD xxxx'' x x x x xDnlEx BOULDE x MON xxxx IST 1 & 'xxxx --"5'W 7 W `x xx x FIRM ZONE VE(EL 16) FIRM ZONE BOUNDARY COASTAL EROSION — _ REp HAZARD BOUNDARY 'Z• \ TOP STORM C P�CN 508/29/88 11 ROTO 55-581-83 o x \\ 9q�ykAMgGED 12 FIRM ZONE X t!� \\ /VERED` LAND N/F O �C PORCH % OF JOHN PISCIONERI KATHLEEN PISCIONERI ROBERT PISCIONERI LAND N/Fx �\\ p �- 1 SC RACHEL LOEVIN MURPHY z\ a\\ Dp05' 1g 2 DwE O�' JODY LEVIN �x �\ c� #2 A,A t 'g0 ELLEN LEVIN WIEDERLIGHT v� 3 7'W Z\\ p 'p \ O 1 6 0 00011 ti�1 56,1 6 MON \ S'I� 1 / i / \ 0 W M v \\ F PAVEMENT )3 DRAIN EDGE 0 s Zr� S ADD CEHL 09- 18- 18 FIRM PANEL #36103C0158H THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. AREA. 5, 134.31 SQ.FT. or 0. 12 ACRES ELEVATION DATUM _______________ __-__ UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUEiURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF DESCRIBED PROPERTY CERTIFIED T0. ROBERT PISCIONERI; MAP OF EITHNE PISCIONERI; FILED ADVOCATES ABSTRACT, INC.; SITUATED AT SOUTHOLD WESTCOR LAND TITLE INSURANCE COMPANY; TOWN OF SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design Mi P.O. Box 153 Aquebogue, New York 11931 FILE # 18-35 SCALE I "=20' DATE MARCH 29 2018 PHONE (631)298-1588 FAX (631) 298-1588 N YS LISC NO 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk ;a!15 :¢3'✓e _ ,�..,;F..^lru`s:ea Ri,nw r o �N G IS t4 �,qN� N NorTr;i rrk E ew ti S0� C010nr.-of,,.(ns ND • -M.L.W. EXISTING BULKHEAD TO REMAIN PROPOSED 70 LF ROCK REVETMENT ALONG PRE—STORM DAMAGED LINE. SEE TYPICAL SECTION FOR DETAIL. PROPOSED 180 CY OF CLEAN SAND TO S75 PROPOSED BE PLACED LANDWARD OF PROPOSED M.yw\ 6 14, ROCK REVETMENT TO REPLACE SAND J LOST DURING STORMS. (50'X12'X8' APPROXIMATE) EXISTING GABION BASKETS TO BE REMOVED AND DISPOSED OF OFF—SITE v z APPROVED BY PROJECT LOCATION MAP $ ° £Roo \s BOARD OF I RUSTEES N.T.S. z fa CNK o �> TOWN OF SOUTHOLD TE D�M� ra, zolS EXISTING STORM DRAIN PIPE TO BE . REPAIRED AS DIRECTED BY TOWN OF SOUTHOLD ENGINEERING DEPT. \ EXIST. GRADE =III =III=III=III—III III y COASTAL EROSION HAZARD BOUNDARY -III III-III-III III I >� > HEIGHT OF EXISTING SMIK VARIES SHEET 11 PHOTO 55-581-83 III—III —III—III— = � ExEnVEEN l BEACHB' ABOVE GRADE AT N O PROPOSED 180 CY OF aFAN sAND ro III ` r Xkp�> PROPOSED ROCK REAl"TO CONSIST \ `_ BE PLACED LANDWARDROCK REVETMENT OF PROPOSED —REPLACE SAND } n x BOULDERS CON561NG OF LOWOOUItSE� LOST DUR STORMS. �yl '�,I u 4-5 TON AM UPPER COURSES 2-3 TON SSS � \ o � f , =III III A y x i , �W X16 c G V E .> �:� - (—III—III—III-III-- APPRo10MATE w.N.w.EL 2.5t O�`G ` `N G I DEC 1 2 2018 APPROIOYATE M.Lw EL O.o: SSV I=III-III-III==_ Southold Town DISTANCE TO Mxw VANES FROM + fd Of Trustees 5'TO B'To BASE OF RDCK APPLICANT: ROBERT PISCIONERI TYPICAL SECTION A-A EITHNE PISCIONERI N.T.S. NOTES: 248-57 88TH ROAD RETAINING WALL PERMIT PLANS SCALE: BELLEROSE, NY 11426 1"=20' 1. SITE PLAN PREPARED FROM SURVEY PREPARED BY: PREPARED BY: KENNETH M. WOYCHUK LAND SURVEYING, PLLC JEFFREY PATANJO PROPOSED PLAN & SECTION DATE: P.O. BOX 153 AQUEBOGUE, NY 11931 7-5-18 DATE SURVEYED: MARCH 2018 P.O. BOX 582 9-1s-1a BOHEMIA, NY 11716 21865 SOUNDVIEW AVENUE 12-1-18 2. LOT AREA = 5,134.31 S.F. / 0.12 ACRES 631-484-9332 SOUTHOLD, TOWN OF SOUTHOLD 12-6-18 JJPatonjo@gmail.com SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-135-1-9 1 of 1 �'SUFFat,y-�o Michael J Domino, , �,,sident c+'��o Gym," Town Hall Annex John M. Bredemeyer, III, Vice-President H x 54375 Route 25 Glenn Goldsmith o ti P O. Box 1179 A Nicholas Krupski ' yh Southold, NY 11971 Greg Williams 4 ,' ` Telephone (631) 765-1892 Fax (631) 765-6641 12,VA BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO- ROBERT & EITHNE PISCIONERI c/o JEFFREY PATANJO Please be advised that your application dated July 23, 2018 has been reviewed by this Board at the regular meeting of December 12, 2018 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/z Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) xx 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY- Michael J Domino, President Board of Trustees Michael J.Domino, President QF sorry Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� O0 0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631)765-6641 �yC4UNT'1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I (We) ROBERT & EITHNE PISCIONERI The owners of record of property at: 21865 SOUNDVIEW AVENUE, SOUTHOLD SCTM#: 1000-135-1-9 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: Installation of 70 lineal feet of proposed rock revetment along pre-storm damaged shoreline Revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator. Upon completion of revetment install approximately 180 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 15' long x 50'wide and 8' deep: as shown on the attached licensed survey and/or site plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50%of the length of this structure requires approval of the Board of Trustees.We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. Notarized signature of owner of record Sworn to before me this day of December, 2018. Notary Public This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. Michael J. Dor President �QSQFFU(A Town Hall Annex John M. Bredemeyer wl Vice-President �'�� y,,,� 54375 Route 25 Glenn Goldsmith y a P.O.Box 1179 A.Nicholas Krupski %�b Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 11'r Completed in field by: Jeffrey Patanjo on behalf of ROBERT & EITHNE PISCIONERI for a Wetland Permit and a Coastal Erosion Permit to install 70 linear feet of proposed rock revetment along pre-storm damaged shoreline; proposed revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator; upon completion of revetment install approximately 350 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 20' long by 50' wide and 8' deep; replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Department requirements; all work to be completed landward of the Mean High Water line. Located: 21865 Soundview Avenue, Southold. SCTM# 1000-135-1-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of,Hearing Card Posted: Y / N Ch. 275 " Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other r ` if � r ` rJ IE q _ AV' r �Y qk Pi ' r:t fir ► a " - � - - 12 / 5 /20180, a', 17 f " jai --'Robert&Eithne Piscioneri 1865 Souadview Avenue,Southold ��,SCTM#: 1000-135-1-9 :ue - 12/5/18 ,. ,. ----now PK 40 t A. .._- ,• ..'� ,,fir �` _ ��' sem- ,'+ � -• r - �,� .•: `poi.,,� , ;;�' • � � �,w -a4 �y.ern-- i �Fi.,'.- -a iy .r /i •.J. r _-.y , . may e.0 � of SDUryOlO Town Hall Annex Michael J.Domino,President John M.Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas KrupskiO �pQ Telephone(631) 765-1892 Greg Williams l�COU '� ► Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUT HOLD November 15, 2018 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW YORK STATE ENVIRONMENTAL QUALITY REVIEW ACT NYCCR PART 617 ROBERT & EITHNE PISCIONERI 21865 SOUNDVIEW AVENUE, SOUTHOLD SCTM# 1000-135-1-9 Dear Mr. Patanjo: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, November 14, 2018: DESCRIPTION OF ACTION: Jeffrey Patanjo on behalf of ROBERT & EITHNE PISCIONERI for a Wetland Permit and a Coastal Erosion Permit to install 70 linear feet of proposed rock revetment along pre-storm damaged shoreline; proposed revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator; upon completion of revetment install approximately 350 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 20' long by 50' wide and 8' deep; replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Department requirements; all work to be completed landward of the Mean High Water line. Located: 21865 Soundview Avenue, Southold. SCTM# 1000-135-1-9 S.E.Q.R.A. NEGATIVE DECLARATION OF ENVIRONMENTAL SIGNIFICANCE: WHEREAS, on November 9, 2018 the Southold Town Board of Trustees found the application of ROBERT & EITHNE PISCIONERI to be an Unlisted Action Negative Decision pursuant to SEQRA Rules and Regulations. A Short Environmental Assessment Form and a field inspection have been completed by the Board of I Trustees; and it is hereby determined that it will not have a significant effect on the environment, and; WHEREAS, the Southold Trustees are familiar with this project having visited the site on October 10, 2018 and again on November 7, 2018 and having considered Jeffrey Patanjo plans for this project last dated September 18, 2018 showing the proposed revetment, and filling in void area landward of revetment, and the Kenneth M. Woychuk Land Surveyor survey last dated September 18, 2018, and; WHEREAS, in reviewing the project plans last dated September 18, 2018, it has been determined by the Southold Town Board of Trustees that all potentially significant environmental concerns have been addressed as noted herein: • No existing rocks or boulders are to be utilized, moved, or relocated on the beach. • Access to the site for construction will be by land only. • Vegetative, non-structural measures are not capable of stabilizing the erosion of the bluff alone. • Protection of the toe of bluff using hardened structures including a rock revetment is necessary. • As time progresses, continued soil loss at the toe of the bluff may lead to complete loss of bluff stability. • A site inspection by the Southold Town Board of Trustees recognized severe erosion on this property and recognized the need for an erosion control plan. THEREFORE, on account of the foregoing, the Southold Town Board of Trustees Approve and Authorize the preparation of a Notice of Negative Declaration pursuant to SEQRA for the aforementioned project. If you have any questions regarding the above, please contact this office. Very truly yours, 0 Michael J. Domino, President Board of Trustees d SUFE©(,� ,, Michael J. Domino, Presid 0 C' Town Hall Annex �John M. Bredemeyer 111, Vice-Prubmunt by�� OGy54375 Route 25 Glenn Goldsmith C= z P O.Box 1179 A.Nicholas Krupski 0 • Southold,NY 11971 Greg Williams 'y per,( Telephone(631)765-1892 Fax(631)765-6641 }amu xxzy'7. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �D 1/. �" Completed in field by: Jeffrey Patanjo on behalf of ROBERT & EITHNE PISCIONERI fora Ketland Permit and a Coastal Erosion Permit to install 70 linear feet of proposed rock revetment along pre-storm damaged shoreline; proposed revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator; upon completion of revetment install approximately 350 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 20' long by 50' wide and 8' deep; replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Department requirements; all work to be completed landward of the Mean High Water line. Located: 21865 Soundview Avenue, Southold. SCTM# 1000-135-1-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 \/ Ch. 111 SEQRA Type: I 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: jny I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: /Bredemeyer M. Domino V G. Goldsmith N. Krupski \//G. Williams Other UFFO( ` Michael J. Domino, 1 lent O�Q� fie' Town Hall Annex John M. Bredemeyer 111,Vice-President byti� y�� 54375 Route 25 Glenn Goldsmithy a P.O.Box 1179 A.Nicholas Krupski 7Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES p� TOWN OF SOUTHOLD Date/Time: �Lj O �� Completed in field by: re / 6V- Jeffrey Patanjo on behalf of ROBERT & EITHNE PISCIONERI for a Wetland Permit and a Coastal Erosion Permit to install 70 linear feet of proposed rock revetment along pre-storm damaged shoreline; proposed revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator; upon completion of revetment install approximately 350 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 20' long by 50' wide and 8' deep; replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Department requirements; all work to be completed landward of the Mean High Water line. Located: 21865 Soundview Avenue, Southold. SCTM# 1000-135-1-9 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 Hearinric Posted: Y / N Ch. 275 //' Ch. 1 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 comp/letss/comments/standards: /Vo 7— Y4- l� '� �L� l'a eT/�&� �o --tI�� J'f24 I.Alaijj, I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present wereJ Bredemeyer M. Domino �G. Goldsmith N. Krupski /G. Williams Other t .sy. ` '' �Y 1 • ' 40 +r, t y F offja Y --" 144141%, y �. -rte$ 1►:',.r e, - 4. N ,' T�: 7� U� i, Kober[&Eithne Piscioneri 4 �♦A '. ; 21865 Soundvicw Avenue,Southold r1 4 ;'CTM#: 1000-135-1-9 -V 1AW e,. {�. 9 r ta ' 01 v _ F 1�* rr•�_� .t_� � ^a_ ,�—�� rev, __ - a"'ti, �, .F ww ^�`T �4L.�N►Y t's^{l'd`�� _ �'t•C'L � 4. r7R.. 4/2001 Aerial Legend Write a description for your map. 21865 Soundview Ave -- [� Feature 1 t4 foxs r ,^_, 1r 1�� C , `J u *dtJW &\Vj@ y � 0 10400" ow f n t s 6 i F3/2007 Aerlal ._, Legend escription for your map. 21865 Soundview Ave L_; Feature 1 a •' r A nrRi . _,, ✓ � �-`� ., , rte' Ow PIP 9' � t ti 4 • Ab 11 Legend f YY �� • ` � �• � � � � �• ��. ' ~ .� i � s� �`j �S a 86SoundviewA vei 4L I ov WNW 4*4 ♦' ti �L• � k � L . X2186 • =•o • v e Ave rr, � a YYYYY y A x 'M Q rt Ave Soundview �g - _ 100 ft 3/2012 Aerial Legend Write a description for your map. v` 21865 Soundview Ave Feature 1 _ 4 '�'""' � .mow► - ,�„ �:.. � ��~.� ��•'M./+ice! i .. �► _.� . ..r• r AV bL r R � ee • 9/2013 ' Aerial ♦ • • • • Write a description for your map. , Y 21865 Soundview Ave Feature 1 j • *t-1 VO . i 4,. ^_'y,'y,. _,; . . i r's� - ate• S � 21865,,-SoundvIew Ave y t - a Google Earth Ob `1 oo ft .. � ;,� r .•. ,� _ .► .mow•.1� • Tom.-.r ,' �. r1�� •� r Legend 21865 Soundview Ave Feature 1 4t*' c It lb Goode Earth 100 ft 5/13/2016 Aerial Legend n►""'"O'° * t Write a description for your map. 21865 Soundview Ave Feature 1 • _ ,r ` � A• � " s•' ♦_ 9 O O O 11V17' NO TO j 01P - .. , .1 dej Zd � '' T•.. -",.' 'U' ► � �. .,� r { � x; C t f � i'�' • (► i '�.�+ ..¢ www ,�' �y . -+�ti 21865 SoundView Ave � yv • � � ' r , jr Qgle.Earth -.. . ft I 100ft M� ISI, win 4 { Y �",a„r'• `may .�.�v,,.,�<� . �, •�r''t�► IX- Photo l � Photo 3 (4/18) t 1 Photo 4 (4/18) I nJUL 2 3 2018 Scut",O,a�Town o Executo"5Deed-Individual or Corporation CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE,made the _20 —day of P21 L .2018 BETWEEN Mark Newbold Diller,residing at 171 West 79'Street,#33.New York,NY 10024-6449, as executor of the last will and testament of JEAN NEWBOLD DILLER a/k/a JEAN NEWBOLD ANDREWS,late of Suffolk County, who died on the July 19,2016,party of the first part,and ROBERT PISCIONERI and EITHNE,PISCIONERI,his wife,residing at 248-57 88'Road,Bellerose, NY 11426,party of the second part, WITNESSETH, that whereas letters testamentary were issued to the party of the first part by the Surrogate's Court,Suffolk County,New York,on and by virtue of the power and authority given in and by said last will and testament,and/or by Article 11 of the Estates,Powers and Trusts Law,and in consideration of Eighty Four Thousand and no/00($84,000.00)Dollars paid by the party of the second part,does hereby grant and release unto the party of the second part,the distributees or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being in the[INSERT LEGAL DESCRIPTION] See Schedule A annexed hereto TOGETHER with all right,title and Interest,if any,of the party of the first part,in and to any streets and roads abutting the above-described premises to the center lines thereof; TOGETHER With the appurtenances and also all the estate therein, which the party of the first part has or has power to convey or dispose of, whether Individually, or by virtue of said will or otherwise; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the distributees or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been Incumbered In any way whatever,except as aforesaid. Subject to the trust fund provisions of section thirteen of the Lien Law. The word"party"shall be construed as if It read"parties"whenever the sense of this indenture so requires. Being and intended to be the same premises conveyed to the party of the first part by deed dated 6/14/1991,recorded 7/05/1991 in Liber 11294 page 516 in the Office of the Clerk of the County of Suffolk IN WITNESS WHEREOF,the party of the first rt I�as,duly executed this deed the day and year first above written, r \ focu-Ja— IN PRESENCE OF IkAt- i _ — MARK NEWM DILLER,Executor,Grantor- }I I JUL 2 3 2018 Saulncld?own tees ti''(wicnr Lula/7ille lnsttrative Contputilt fella Number W-ADA-1429-S Pape 1 SCHEDULE A DESCRIPTION Amended 41412010 ALL that certain plot,piece or parcel of land,with the buiidings-and Improvements thereon erected,situate,lying and being in the Town of Southold,County of Suffolk,State of New York,being more particularly described as follows BEGINNING at a point on the northerly edge of Soundview Avenue a distance of 790 feet, more or less,from the Intersection of Soundview Avenue and Middle Road(County Road THENCE(i)South 74 degrees 00 minutes West a distance of 56.16 feet, THENCE(a)North 17 degrees 62 minutes 00 seconds West,a distance of 119 feet, more or less,(deed), 109 00 feet(actual)to the high water mark of the Long Island Sound. THENCE(in)60 feet,more of less,(deed).South 75 degrees 03 minutes 54 seconds East n5 14 feel(actual)along the high water mark of the Long Island Sound. THENCE(Iv)South 18 degrees 16 minutes 90 seconds East a distance of 98 feet,more or loss,(deed),South 18 degrees 16 minutes 30 seconds East,75.00 feel(actual)to the northerly side of Soundview Avenue,the point or place of BEGINNING IrOR CONV6YANCINf;ONLY: I ugedter With aB HKIII,[lilt and interest of,In nod to ony streets Find ronds nbntfing slit Fibnve destrlbed prenthes,to lbe center Ihie thereof. 1 s m - gpUND SEE NO.1]n / / 9 3 ISLAND LONA 0.26 v \ e i • P� ...� ,32 .y P y�l ,M1 FMK e P CONDOM NIUM N < "Yc 7 ' ICa•IJIN6N 7 (FOR UN(LS ; 1.' e a 3 N �EY� m '�i OZ �..,• SEE,uo°N �vF U SOVNO �° 3w ''�, -`t'•oA U rs3 a s'' e♦ • • i ea r 'G 0 o e e B F 4 �P � e ,• Omxn as asrax + ♦♦/ i ss3]A / s� gyy2W N>3:. _ tiM1 u - HWh*pO e P.�Z ♦e a ze 33 ♦s SON 161 s n �:w ax3 3 9 ♦ 3e - 3e.1 - 41 44 Ao) _�_ us..•� RII ------ -�� _...� noncE COUNTY OF SUFFOLK © E vo a sormro�n secnor+No _ —I`� µ-___ _ —Q �� —� ��_—_—,�—_—_ _ m • Real Property Tax Service Agency v 135 December 6, 2018 Town of Southold Trustees Town Hall Annex Building ` 7 E 54375 Rte. 25 P.O. Box 1179 PQ I Southold, New York 11971 u �'; DEC 12 201 RE: 21865 SOUNDVIEw AVE. -SOUTHOLD bmFold Town SCTM N0. 1000-135-1-9 Bar fTr� a s REVISED PLANS Dear Trustees: Attached please find four copies of revised plans based on recent Trustee field inspection. Plans have been revised to relocate the proposed revetment landward of originally proposed as well as indicating the removal of the existing gabion baskets. In addition, we have included a copy of letter from neighboring property owner. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at JJPatanjo@gmail.com. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Piscioneri 21925 Soundview Avenue Southold NY 11971 December 5th, 2018 (_?, l Town of Southold Trustees L I 0 EC 1-;L 2018 Town Hap Annex Building 54375 Rte 25 PO Box 1179 Southold Town -BoardTrustees Southold NY 11971 NYS Dept of Environmental Conservation SUNY @ Stony Brook 50 Circle Road Stony Brook NY 11790-2356 RE: 21865 Soundview Ave Southold SCTM No. 1000-135-1-9 Application for Permit To whom it may concern, We,the owners of 21925 Soundview Ave,Southold NY 11971 hereby give Robert and Eithne Piscioneri of 21865 Soundview Ave, permission to attach the proposed rock revetment to our property. Sincerely, 0 or. Anne T Piscioneri Kathleen Piscioneri John Piscioneri Robert Piscioneri December 1, 2018 ---- --- __ Town of Southold Trustees - Town Hall Annex Building DEC 4 54375 Rte. 25 2018 P.O. Box 1179 Southold, New York 11971 - - RE: 21865 SOUNDVIEW AVE. -SOUTHOLD SCTM No. 1000-135-1-9 REVISED PLANS Dear Trustees: Attached please find four copies of revised plans based on the November 18th public hearing. Plans have been revised to relocate the proposed revetment landward of originally proposed as well as indicating the removal of the existing gabion baskets. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at JJPatanjo@gmail.com. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Robert& Eithne Piscioneri 21865 Soundview Ave. Southold, NY 11971 SCTM No.: 1000-135-1-9 Revised PROJECT DESCRIPTION: The project includes installation of 70 lineal feet of proposed rock revetment along pre-storm damaged shoreline. Revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator. Upon completion of revetment install approximately 180 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 15' long x 50'wide and 8' deep. Replace storm damaged storm drain pipe in its' pre-storm J location and coordinate with Town of Southold Engineering Dept requirements.All work to be completed landward of the mean high water line. l� V _ J DEC 4 2018 orn OFFICE LOCATION: ti0�*0 SU(/T�OI MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 • COQ Telephone: 631 765-1938 O Fax: 631 765-3136 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: October 15, 2018 Re: Local Waterfront Coastal Consistency Review for ROBERT & EITHNE PISCIONERI SCTM# 1000-1000-135-1-9 Jeffrey Patanjo on behalf of ROBERT & EITHNE PISCIONERI for a Wetland Permit and a Coastal Erosion Permit to install 70 linear feet of proposed rock revetment along pre-storm damaged shoreline; proposed revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator; upon completion of revetment install approximately 350 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 20' long by 50' wide and 8' deep; replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Department requirements; all work to be completed landward of the Mean High Water line. Located: 21865 Soundview Avenue, Southold. SCTM# 1000-135-1-9 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the Board: 1. Verify that the M.H.W line is accurately depicted and that the new structure will not extend more seaward than the concrete seawall to the west. The structure should not extend further seaward than the M.H.W. line. Such an extension would impede public access along the foreshore. I concur that the existing drainage pipe should be referred to the Town Engineer to assess the function and/or compliance with Town and NYS State regulations. 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 September 18, 2018 Town of Southold Trustees SEP 2 4 2018 Town Hall Annex Building 54375 Rte. 25 Southold Town P.O. Box 1179 Southold, New York 11971 RE: 21865 SOUNDVIEw AVE. -SOUTHOLD SCTM No. 1000-135-1-9 REVISED PLANS Dear Trustees: Attached please find four copies of revised plans based on your e-mail comments. Plans have been revised to include CEHL, information on pipe, square footage of fill area and an attached description. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at JJPatanjo@gmail.com. Ve trul your -- J rey Patanjo P.O. Box 582 Bohemia, NY 11716 Robert& Eithne Piscioneri 21865 Soundview Ave. FP k.- C` Southold NY 11971 I1� - � � SEP 2 4 2018 1 SCTM No.: 1000-135-1-9L-- .__.______� Sauthmd iov�n r ofTr� Revised PROJECT DESCRIPTION: The project includes installation of 70 lineal feet of proposed rock revetment along pre-storm damaged shoreline. Revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator. Upon completion of revetment install approximately 350 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 20' long x 50' wide and 8' deep. Replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Dept requirements.All work to be completed landward of the mean high water line. Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Wednesday, September 5, 2018 1:10 PM To: jjpatanjo@gmail.com Cc: DiSalvo, Diane; Michael Domino Subject: Piscioneri application; SCTM# 1000-135-1-9 Jeff, Regarding the above mentioned application,the Trustees have deemed the application incomplete for the following reasons: 1. The survey and the site plan are required to depict the Coastal Erosion Hazard Area line. 2. The survey depicts an outflow pipe that leads from near the road to the embankment. This pipe may be a Town managed storm drain pipe. Trustee Domino is requiring that this pipe be depicted on your plans and how the application intends on maintaining/working with the Town Engineers (if applicable) on assuring that said pipe continues to be functional upon completion of said project. 3. Square footage or length by width by depth of area to be filled in with clean fill. 4. Application project description be more descriptive, similar to the detail described on said plans(size of stones, how placed, etc.). Please submit said information for another review by the Board prior to a determination of the application being considered complete. -5*" &WtWA Senior Clerk Typist Town of Southold Board of Trustees 631-765-1892 i ��OgpFFQ(„r�0 Peter Young,Chairman g h Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O Box 1179 • `� Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 12, 2018 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to NOT SUPPORT the application of ROBERT & EITHNE PISCIONERI to construct 70 If. rock revetment and place 350 cy. of clean sand fill landward of revetment to stabilize bluff and protect against additional storm damage. Located: 21865 Soundview Ave., Southold. SCTM#135-1-9 Inspected by: Peter Meeker, John Stein The CAC does Not Support the application because this is a high risk, high energy area showing a history of failing and, has the potential to have an adverse effect on the property to the east. Vote of Council: Ayes: All Motion Carried ��, SOF SO�Iy`rr Michael J.Domino,President ti �`� �� ': Town Hall Annex John M. Bredemeyer III,Vice-President 54376 Route 25 T P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith � O • �Q4�,� Telephone(631) 765-1892 Fax(631) 765-6641 A.Nicholas Krupski ��,I�COUN� �`�`'41� .,� , � int BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application __- Permit F- -Administrative Amendment/Transfer/Extension r Received Application: -y�Received Fee: $ ©��00 JUL 13 2018 V Completed Application:--- 8.3119 Incomplete: _ ' SEQRA Classification: Type I_ Type 11_ Unlisted Sou'hu!i f nvn Lead Agency Determination: Boar I nr T. , rs I 7� oordination:(date sent):_, —LCWRP Consistency Assessment FSent: CAC Referral Sent: $.2q-1b�jrm Date of Inspection: _12 1 IT Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Legal Name of Property Owner(s): ?ober-' j Ci+H n e e) Se I o n er i Mailing Address: 48"57 88 �OacQ �e�(e �oSe ,,1 Phone Number: '3q-7 - 3q d" ;L-7 '3X Suffolk a- Suffolk County Tax Map Number: 1000- 13S - 1 9 Property Location: _ 01 186 5 S uv n Pvt tw Ave - So,4--let _ s-ee ( r e- A+t n /l1 A 10 (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): �e �e e't-hon c, Mailing Address: Phone Number: _ to 31- `a'8 '13 3�-- q a��\� 1 Board of Trustees Appli.i ion GENERAL DATA Land Area(in square feet): S, 13 y c E Area Zoning: f2e S• Previous use of property: Ces. Intended use of property: (It S Covenants and Restrictions on property? Yes ✓ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes — No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ---No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No /No Does the structure(s)on property have a valid Certificate of Occupancy _ Yes Prior permits/approvals for site improvements: Agency Date ✓No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? `"-No Yes If yes,provide explanation: Project Description(use attachments if necessary): C•NSrrvt4- -747 Lf: f4cK 4VeA:Mcn?' gKot ( 14" iso Cy pp c�sun wage 611 t1.�aPwar� e� /eycl-n en-r -to 5-tobdife- Board of Trustees Applii ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ev,4str ve,^t -7 o GC- R..e_K. re ve i n ewf rinD Pttct 35-0 e•{ ,F eI!4•t S.inV F11 �e��.rar�aQ of Peve.&vewf ka tip,.sT du�a� Area of wetlands on lot: D square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: + Zoo feet Closest distance between nearest proposed structure and upland edge of wetlands: 1 2" feet Does the project involve excavation or filling? No ✓ Yes If yes, how much material will be excavated? 4' cubic yards How much material will be filled? 3 So cubic yards Depth of which material will be removed or deposited: $ _feet Proposed slope throughout the area of operations: 0 - Manner -Manner in which material will be removed or deposited: M a-he t twl 'to k< ,+k -a-;x tot v•a fio,L 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): _rkerc --tit y e- K 1 o !t-i vt, ekf-e e� oA —Lae � 1 4 n cX 1 et to 4e rte Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: e,1-S 4-rte> r tX rrvef'�%7t«rt- eta& Aee 3TC9 C� df G�l�/l Swn� til! G4/1Gcc�XtrtQ •� (�vt'r/NIAt 'f's sZ«belt-tc 61,,W Ank efo +«f ��a�•+ s7 ��< l ste�.�.. Are wetlands present within 100 feet of the proposed activity? ✓ No Yes 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? 3 sO (cubic yards) Manner in which material will be removed or deposited: e-Oc c f4w*+-.,- Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) Tke ftes-ed At (ro-Ade e,, fa&-tx.e- ej4,re-r OA-e19 ► lOofco%y f2/-e ftc- 'tei b� t.vu�t,, !3 f- Ic��ct�1 rnitun r � n Short Environmental Assessment Form Part I -Project Information Instructions for Comnletin� Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: 21865 Soundview Ave-Southold Project Location(describe,and attach a location map). See location map Brief Description of Proposed Action: Stabilize storm damaged bluff with 70 LF rock revetment.Install 350 CY of clean sand fill landward of proposed revetment. Name of Applicant or Sponsor: Telephone: 347-392-2732 Robert&Eithne Piscioneri E-Mail: Robert.piscioneri@gmaii.com p' @gmail.com Address: 248-57 88th Road City/Po. State: Zip Code Bellerose NY 11426 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 Q may be affected in the municipality and proceed to Part 2. If no,continue to question 2. El 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: - ❑ NYSDEC-Town of Southold Trustees 3.a. Total acreage of the site of the proposed action? 0.12 acres b.Total acreage to be physically disturbed? 0.02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.12 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban [-]Rural(non-agriculture) ❑Industrial [:]Commercial m Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b.Consistent with the adopted comprehensive plan? ❑ Z ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ Z 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: F7 1-1 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 77 EL b Are public transportation service(s)available at or near the site of the proposed action? ❑✓ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑✓ ❑ 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: a ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Q ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? F71 ❑ b Is the proposed action located in an archeological sensitive area? F7 ❑ 13. a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15 Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? Piping Plover ❑ Z 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 Page 2 of 3 18 Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: Lr 1 ❑ 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- ( V ❑ 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 KNOWLEDGEQQ 1�%4r Applicantlspons n e: P. oro' c i q"r t ?i t 6 c reibate: I b l k Signature: PRINT FORM I Page 3 of 3 questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to th---iewer. When answering the questions the revieN- —ould be guided by the concept"Have my responses been reasonab nsidering the scale and context of the proposed a ?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? Q 3 Will the proposed action impair the character or quality of the existing community? D 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 affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing. a. public/private water supplies? b.public/private wastewater treatment utilities° 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9 Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ 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 problems? 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 he assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-tern, long-term and cumulative impacts. F] Check this box if you have determined, based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency d Dl ate Michael J. Domino President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer _ ,��y�-vn�irvo Signature of Respon�e Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 EAF Mapper Sumi _ry Report Friday, July 06, 2018 4 29 P v1 Disclaimer: The EAF Mapper is a screer:ng too nic-,ded to assist project sponsors and reviewing agencies In p•eparir :;n anvnonmental assessment form(EAF}.Not all questions asl ed in'. r E:,F are answered by the EAF Mapper Additional rfc�mauo• on. .ny EAF I, question can be obtained by consulting'he EAF No 'c.-ks Although the EAF Mapper provides the most up-to-date di;,ta data available to 1 ? DEC,you may also need to contact local or other oa a se rtes in order to obtain data not provided by the Mapper Digital IE a,s not a < l ;,;, , substitute for agency determinations. , S old ; c� Tol ^'1 t�. G I 'x.rm, Esn •-E PE G�rmm ,1a , I^'/^•+,t „ Fcf'E':T`F, t:�? s,161114=1311 y.-r: 't}-E -eta- cTl Eer;�^Ira t^Cn )' Ean Sc.r�= E � � Cna�, , tree ar T^_Marc,Iti�!`ii✓' _ a clumbus 7 .EGF�Uzra,.--` ,'=cl•_ — _c-_rE•E-e71ac zrVr,utcr; .arc theG15 4, 3r •ETl E5, Part 1 /Question 7 [Critical Environmental No Area] Part 1 /Question 12a [National Register of No Historic Places] Part 1 / Question 12b [Archeological Sites] No Part 1 /Question 13a [Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15[Threatened or Piping Plover Endangered Animal - Name] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report Board of Trustees Application AFFIDAVIT 2ebt�t Y' t�tl,,,� Pisclo��ti 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. Yl C.. - _ _-- Com.•-�o� Signature of Property Owner Signature of Property Owner —�- �v— SWORN TO BEFORE ME THIS _ 73 DAY OF 20—j_ Nota licr R`-'7A ec! ^N1ATIAN r,'�w York _- 14 755 q n ; Gounty A Hoard of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- 1 3 s - / 9 in the town of New York, hereby authorizes 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. Ae=1 �- - � C�cxl--� _ . roperty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS c)DAY OF 20__l - U of y ublic RE7A SQ.LAMATiAN Notary Fu'.,: e of New York fro Oua'i,i,_ in i"i_.,.;.a UJunty Ehplr,; Au just 2.320 v APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of$outhold's Code of Ethics prohibits conflicts of interest on the txrrt of town officers and employees.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. r YOUR NAME: 91 G 1 061-C (Last name,first name,tfi»ddle initial,unless you are applying in the name of someone else or other entity,such as a company If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance _ Building Variance _ _ Trustee __✓__ Change of Zone Coastal Erosion Approval of plat _ Mooring Exemption from plat or official map _ Planning Other (If"Other",name the activity) Do you personally(or through your comp:m),spouse,sibling,parent,or child)have a relationship with any officer or employee of the']own of Southold? "Relationship"includes by blood,marriage,or business interest."Rusincss interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO —I -- If you answered"YES",complete the balance of this forth and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship bc(veen yourself(the applicanUagcnUrepresentative)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); _—II)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 t � 1 Submitted thi 0 day of 20_�__� f , Signature Print Name o T Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the pan of town officers and employees The putmose othis form j��v f :�information which can alert the town of possible conflicts of interest and allow it to take whatever action r5 necessary to avoid same. YOUR NAME: (Last name,first name,griddle 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 i _ Building Variance _---- Trustee _ Change of Zone __ Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ _ Planning Other (If"Other",name the activity.) _ Do you personally(or through your company,sponse,sibling,parent,or child)have a relationship with any officer or employee of the Town ol'Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means it business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a curpunition in which the town officer or employee owns more than 5%of the shares. YES NO J 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 heckthe 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 corpomtion); the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation): _ C)art officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this �4 day of _ T1--20�� Signature_ _\`'r`�c�^ -. ,'_ 1 Print Name L l_ '1�C f`A _►,�(\U V1�"\ Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employee~ 'fhe purpose of this form is toprovide 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: P -t 4-t4l S:�4 (Last name,first name,1tiddle Initial,unless you are bpplying to the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion _ Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the"town of Southold? "liclationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO ✓ 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 thc 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 6 da of 3.tt., 20 I Signature_ t Print Name Form TS 1 11 U.S. Postal Service" U.S. Postal Service'" CERTIFIED*MAIL'! RECEIPT CERTIFIEDMAILO RECEIPT r-3 Domestic Mail Only Domestic Mail Only = - -0 For delivery information,visit our website at www.usps.com". For delivery information,visit our website at www.usps.com". U1 M M Certified Mail Fee rn Certified Mail Fee Er $ Er $ Extra Services&Fees(check box,add fee as appropriate) Extra Services&Fees(check box,add fee as approjcnate) [:]Return Receipt ittardoopy) $ [I Return Receipt(hardcopy) $ C3 E3 E]Return Receipt(electronic) $ Postmark C3 ❑Return Receipt(electronic) $ Postnj&4A C3 []Certified Mail Restricted Delivery $ Here C3 ❑Certified Mail Restricted Delivery $ J?FIV ED 0a— C3 ❑Adult Signature Required $ E3 []Adult Signature Required $ 4 Adult Signature Restricted Delivery$ [:]Aduft Signature Restricted Delivery$ Postage C3 Postage C3C3 Total Postage and $Total Postage and scrm#iood'�iigl-f�io r-q $ SCTM# 1000-135-2-10.1 F"-- $ To Piscioneri,Anne T Sent To r%- Sent rq Levin Family Ltd Prtnrshp r--1 c/o Kathleen Piscioneri C3 ...ihdV.ff E:3 10 Garden Way r- 6. 320 Mt Beulah Ave PO Box 26 Southold, NY 11971 City 4b Woodacre,CA 94973 :01T.7 W 1;19 1.WiT.— -------- rr U.S. Postal Service T. CERTIFIED © RECEIPT Domestic Mail Only Ln -0 Ln . — . . ... .. .. . M M Certified Mail Fee Extra Services&Fees(check box,add fee as appropriate) C3 rn ❑RetuReceipt(hardcopy)y) ❑Return Receipt(electronic) $ Postmark ❑C3 Certified Mail Restricted Delivery $ .1dere O C]Adult Signature Required $ []Adult Signature Restricted Delivery$ C3 Postage E3 $ Total Postage am $ SCTM#1000-135-1-8 r- Snt TO r-q Levin,Jody& Levin, Ors C3 $fieetandApf.-ffc 545 Columbia Road Southold, NY 11971 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: � 3S-- (9- STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 2C , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this Day of , 20 i i Notary Public October 8, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 ----. P.O. Box 1179 Southold, New York 11971 RE: 21865 SOUNDVIEw AVE. -SOUTHOLD I OrT 2 2018 SCTM No. 1000-135-1-9 i AFFIDAVITS 'cwn Dear Trustees: Attached, please find original signed affidavits for posting and mailing for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Je ey Patanjo P.O. Box 582 Bohemia, NY 11716 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-135-1-10 SCTM# 1000-135-2-10.1 SCTM#1000-135-1-8 Piscioneri,Anne T Levin,Jody& Levin, Ors c/o Kathleen Piscioneri Levin Family Ltd 545 Columbia Road 10 Garden way 320 Mt Beulahhve p Ave Southold, NY 11971 PO Box 26 Southold, NY 11971 woodacre,CA 94973 STATE OF NEW YORK COUNTY OF SUFFOLK Jeffrey Patanjo , residing at P.O. Box 582, Bohemia,NY 11716 being duly sworn, deposes and says that on the y day of October , 20 18 , deponent mailed a.true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named _ persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at S o 4. ,�-•— that said Notices were mail each of said persons by CERTIFIED MAILIRETURN RECEIPT. i Sworn to before me this �I Day of October , 20 18 "-�AhNth i Not Publicr-T MARILYN S. H," NOTARY PUBLIC,STATE QF NrW YORK f9istration No.01 Hl63Oggg Qualified in Suffolk Canty Commission sxpires October 10,2021 Michael J.Domino,P........ent �QSUFFOtt 410 Town Hall Annex John M.Bredemeyer III,Vice-President �� ym 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A.Nicholas Krupski W_ • Southold,NY 11971 Greg Williams ?� pt Telephone(631)765-1892 0� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ROBERT & EITHNE PISCIONERI 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 I, Jeffrey Patanjo ,residing at/dba PO Box 582, Bohemia,NY 11716 being duly sworn, depose and say: That on the b day of October , 2018 , I personally posted the property known as 21865 Soundview Avenue, Southold SCTM#1000-135-1-9 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, October 17,2018. Dated: J11-6-18 0o, ( 'gn re) Sworn to before me this to day of Oct. 2018 MARILYN S. HICKS NOTARY PUSUC,STATE OF NEIN YORK Nota Publi Registration No.01HW6540 Qualified in Suffolk County Commission Expires October 10,2021 NUTILt: Uim HtAKING 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: ROBERT & EITHNE PISCIONERI SUBJECT OF PUBLIC HEARING : For a Wetland Permit and a Coastal Erosion Permit to install 70 linear feet of proposed rock revetment along pre-storm damaged shoreline; proposed revetment to consist of 4-5 ton lower course, and 2-3 ton upper courses placed in an interlocking pattern placed with an excavator; upon completion of revetment install approximately 350 cubic yards of clean sand fill from upland sources landward of proposed revetment with an approximate size of 20' long by 50' wide and 8' deep; replace storm damaged storm drain pipe in its' pre-storm location and coordinate with Town of Southold Engineering Department requirements; all work to be completed landward of the Mean High Water line. Located: 21865 Soundview Avenue, Southold. SCTM# 1000-135-1 -9 TIME & DATE OF PUBLIC HEARING : Wednesday, October 17, 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 si rug 'ficant 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# 1 3 S - 1 -_ PROJECT NAME 2 1 &6 5 S vu,n Qy e..., Ave t t4 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: &..crlvCT 7o Lf 20c1- «Ve-r.ticn-r 4114 3S0 a01- f, tt✓,It I Nt�tva re�(I V-f re✓e-t-•vt Gn r 4 S?14D.I t t L (JC Location of action: :n945- +1,•1 Q Site acreage: Present land use: R•e S Present zoning classification: (ZA S 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: 9-.6c(t o v) e< i (b) Mailing address: g 4 i -,Tl if 8 h A,el(ervbe, N`t ty al (c) Telephone number: Area Code( ) 3 q7 - 3 ja- 2,7,3�- (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes allo❑ If yes,which state or federal agency? N%%s o CC— C. LC. 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. ZYes ❑ No ❑ Not Applicable Tr&,I.rc fral-ee ("S 14knef L.ns.Q u11•wS ! C'4•vhil.aC� ESQ i-► e�S t�/Ieln7 lora /r,.✓ fOr -{ 1s Co- {-1. Ay- SOJRO . 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 Rr Not Applicable 'rhe"- x,.e- µ 16y....nl dtf" e--1 fj tc at rCr'Fi ••CS d►•r 4Yr- TAe Nl,&4 /S •F �j .sw( Grf-tI dun<T.t✓ �n G tGl- Xj aK.Q- w ll( Ne{' {� fin.✓rt f t r'C 4-- d�r••� f��('tr-f-taQ it re...S - 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 2 Yes ❑ No ❑ Not Applicable elo)e&+ pt..itt(1S .c„_ resr-it�D skot�trKc G�•.Srsdcwf wttk rtcl�hGioi�-sy er pc r-he will "t' 6,- why d.st,-/fr--j rfs vie.-5 e2 �tS ta5 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 P�i�rc f fcfee ri 4j .66K S-t /k rt <K62 r,�►u Pt%te� Pl--,%P( is a-. nor-Steg co-•tyw( r-rfo t-ems 5,ot+a6Ge 4++Z 41t11 e;wrS'TR ( ltOc.l'rt0-j Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria ErYes ❑ No F1 A ot Applicable -Tka Frepo Sne Lnya'E -41 L.ote .e iP,+Sr-f�v� e FF.eaf o...r w&A-e,- ✓,.lr •t -fe (�l�t+[e .o/vSl a,•� f ro w� t� ��cr st t w y j f 'r 2�✓ ,-f S A u fl+GK-f" Cov I(.l'EL o.J r-E- w t l l �l l s.,.r �L Gs..+'te rvC� t<i1 cam+ G.tcQ 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 — h`Yk w.r t.•-- b Kt . 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 � iot Applicable . . r•�cc-1_ �,..1_� reY' I1....L i•X'�.�t vc .rte Post-tom e f� -f ...r •ori x r•��,� 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. El Yes ❑ No E3 Not Applicable erio� -4-4- ti t' of So l.CA r 4 r.0a.A •.0 4 s-1 c . 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 ElYesD No U Not Applicable F'r?d'c f wilt ,vwr t n fxr4cv-_,,r j,e2 r.,j 4ee-jt -fie 161•e- Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Q,11ot Applicable !s�tv( r S f/�t Ga,�s'llcvfz,s..r a. t t ue-!.ly S-�a refs wa! "" 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. F1Yes ❑ No D'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 forevaluationvgaluation criteria. ❑ [ Yes ❑ No U Not Applicable Clh sv S /t.o .0 F,F-ef 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 Q Not Applicable riA {{b o.•rce S PREPARED BY J ' r T`"�`d�' TITLE 14 If A DATE b�� July 19, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 q Southold, New York 11971 RE: 21865 SOUNDVIEw AVE. -SOUTHOLD JUL 2 3 20 SCTM No. 1000-135-1-9 i APPLICATION FOR PERMIT Southold Town I Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, 9 P44�" Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716