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HomeMy WebLinkAboutTR-6435 Michael J.Domino,President 0f S0(/jTown Hall Annex John M.Bredemeyer III,Vice-President 54375'Route 25 O 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2019 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: KARAN AHOOJA 19965 SOUNDVIEW AVENUE, SOUTHOLD SCTM# 1000-51-4-5.1 Dear Mrs. Moore: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, June 19, 2019: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#6435 from Steven Benfield & Sheila Patel, as issued on August 23, 2006. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, ;�4�j Michael J. Domino, President Board of Trustees MJD/dd S11FF0QN Michael J. Domino, Presides O�Q COG Town Hall Annex John M. Bredemeyer III,Vice-Pre'.- it �� r,,, - 54375 Route 25 Glenn Goldsmith P.O.Box 1179 A.Nicholas Krupski 1�._ M Southold,NY 11971 Greg Williams 4,, Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 4 3 Ay Completed in field by: �� Patricia C. Moore, Esq., on behalf of KARAN AHOOJA requests a Transfer of Wetland Permit #6435 from Steven Benfield & Sheila Patel, as issued on August 23, 2006. Located: 19965 Soundview Avenue, Southold. SCTM#: 1000-5174-5.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� 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: L :� 2&,, - G 3�- j 7k� &njy 4,12-1q �N-tfous� R�cl✓u! g� F�oA R D I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other SURVEY OF PROPERTYrh' E �i =^YT SITUATED AT 4� y ���SOUTHOLD . TOWN OF SOUTHOLD LQ , APR 1 5 2019 SUFFOLK COUNTY, NEW YORK S s3'sa• N S.C. TAX No. 1000-51 -04-5.1 X2.7$4" £ G SCALE 1"=20' S B7. L�q - 1 VD DECEMBER 6, 1995 49'40,, OCTOBER 22, 1996 (ADDED COASTAL EROSION HAZARD LINE) 3J• F `'N� JULY 16, 1998 (ADDED FENCE LOCATIONS ON EAST PROPERTY LINE) S MARCH 28, 2006 ADDED TOPOGRAPHICAL SURVEY d DEt1L •03'42,• e C JANUARY 17, 2007 SET SETBACK STAKES 0 s« v AWYP UY MARCH 23, 2009 FINAL SURVEY Ki STEPS sIEPs AUGUST 13, 2018 UPDATE SURVEY N 88 �,1Ya N 89'23'1 4" E a a� °"�M, 'E • 7 21.63' CIE AREA = 26.968 sq. ft. (TO BULKHEAD) 0,619 0C. TNRU-FLOW a qsp WRX CERTIFIED TO: �OE7AlEp Ax IV OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY KARAN AHOOJA \ R Aa 3/a'IQ r 0 y, 110 � Will- WOOD wooD wmwc N W Zit 15� °`BLD,* ^DM t� "DO P(Ar g WOOD STEP _ _ STATE-4 DIRT WAD( 61 i O WOOD DEor - -�—- ` CRIT vX 2 "'CE ` E• COA Z e°ZC CyQ, EEhf O�� S�Z•a e•'rW/ ( eS W/D��/1o s'rtLTP•Ts E �- iH1OTQ 523' WHE EROSION 1-HAE_ZRAOR�CDILINE AS STORY F SE RDS GMIALEPD PHoio No55-578-83 HOUSE No 19965 -J VVVMsulCPADD I� 1 0 rE M M 1SY le,°• WOOD Pp71 S' �Q / STFK �1X-� ,Q: a�2f•' N _ O CD ZJ OGHT FAMNGE 'Oy'1r`PA'/O/P m/ �E/ ,°• FENCE"Kron -24pK ZB SO-f s!C LJ C:) � 220• 94.00• SLATE IU- FOR STEPs FRAME E°D' 3 s S 10• O / suTE POOL HOUSE w A/C DNR roLA,D A0.28, • l / q WA,N ACE ' E Z/ °1TDcSEPFc ' O&AT'EA{N°1 24T tC Q'k / d p _ PREPARED 1N ACCORDANCE WITH THE LVMMUM F • • .yT STANDARDS FOR TITLE SURVEYS AS ESTABUSHED hTAD 2 "t,� 4 a • S7 1 0 •AP SOCK �rG' BY THE LIALS AND APPROVED AND ADOPTED F ° 2y VyW� � . • °FOR SUCH • tivp / • • ` S �, TITLE ASSOCIATIDUSE�THE NEW YORK STATE LAND °VET ROD • • J• • •v/ • • `SATEORT r r� - „EAu °rr A'b(E cuRa m""eIDLx % 5 A uRr WALK O •• �--'ORUN• • . � � M 4. • rby'E °• A (0 a • • d • N 7 •28 ,°maw Ia(c4or '`�T + ••a a• •a • WELL 19'E N.Y.S Lic. No. 50467 V SO•, W• C j• 0 'VICIIAEL�O�P UNAUTHORIZED ALTERATION OR ADDITION •• 'Y PALS ©0 N 82'16'30" 1y 3'OLANDA KANES�TO TO THIS SURVEY 1S A VIOLATION OF „ SECTION 7209 OF THE NEW YORK STATE EOUCATPON LAW. T j A a /,h 1 DD.OD• lJ 1\/T .a izJ N 82-16,30- Nathan Taft Corwin III C�OF THISV SURVEY I KE NOT BEAD VV LJ '• " THE LAND sUAL SAL INKED SEAL SI T T J JO • , d fa°•SW m..' -0" w 66.64' EMBOSSED SEAL SMALL NOT 8E CONSIDERED �/ •9S TO BE A VALID TRUE COP/ Land Surveyor ONLY TO THE PERSON INDICATED WHOM SHALL RUN FOUND ONLY TO THE PERSON FOR WHOP 7SURVEY .�E T T • N H2.1 6` S • ° PM � 6 PREPARED.AND ON 1a5 BE/WALE TO TD THE � 1 �/ 'p T ,`A W TITLE COMPANY.GOVERNMENTAL AGENCY AND /\/ T ., A LENDWG INSTITUTION LTSTED HEREON.AND a 1 7.52' We Surveys -SuDdinsons - Sfe Plans - Consfr=(;bn Lcyouf TO THEASSIGNEES OF THE LENDWG INS I- V TUROM CERTWrAYONS MC NOT TRANSFERABLE PHONE (631)727-2090 Fa. (631)727-1727 OFFICES LOCATED AT U41LING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 1586 L(.*..Rood P 0 Bos I6 AND/OR EASEMENTS OF RECORD.IF Jamesport•New York 11947 Jamesport•New York 11947 ANY.NOT SHOWN ARE NOT GUARANTEED. 38-209 l S$5b•� Michael J. Domino,President o�*rjF S�UryOl 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 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES f'r l�i TOWN OF SOUTHOLD l' APR 1 5 2019 st) I-ICATIO FOR A TRANSFER OF A WETLAND PERMIT DATE OWNER 00n 417190 i PHONE 9l7— 245S MAILING ADDRESS 31 6 - 281A A-"k 6-W / N'Y f ALY '/00/'6 AGENT P&mtcr d C Z,&Dte PHONE 63 L 7&`("L/3 3 ADDRESS v U2orV1 tcocj, f6t &lo1ol 'y-Y /1971 PROPERTY LOCATION f l(,"Lr Sov.-Y-1tri4 JOU114O%� TAX MAP NO. I/We GG ti's! 4610, Ci /e request a Transfer of Permit# from Signed By: Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) KARAN AHGOJA, as owner of premises 19965 SOUNDVIEW AVE, SOUTHOLD,NY(sctm: 1000-51-4-5.1) residing at 3.1 E.281h St., Apt 5W,New York,NY 10016 do hereby authorize our attorney,Patricia C. Moore, to apply for permit(s) and appear before the Southold Board of Town Trustees on my behalf. �— (owner's signature) Karan Ahooja _ James F.King,President ��0�S�UJyO Town Hall Annex Jill M.Doherty,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen CAR Bob Ghosio,Jr. � �� Telephone (631) 765-1892 �'.COU '� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0415C Date: April 17, 2009 THIS CERTIFIES that the.additions to existing dwelling, new swimming pool, terraces, fence accessory building the installation of gutters leaders and drywells for dwelling and pool backwash and the removal of the existing gazebo , At 1-9965 Souridview Avenue Southold New York Suffolk County Tax Map# 51-4-5.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 7/20/06 pursuant to which Trustees Permit# 6435 Dated 8/23/06 and 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 additions to existing dwelling new swimming,pool;terraces fence accessory building the installation of gutters leaders and dMyells for dwelling and pool backwash, and. the removal of the existing gazebo The certificate is issued to'STEVEN BENFIELD & SHEILA PATEL owner of the r aforesaid,property. oZ Authorized Signature y James F. King,President C Town Hall,53095 Main Rd. Jill M. Doherty,Vice-President P.O.Box 1179 Peggy A. Dickerson ` Southold,NY 11971 Dave Bergen 'ljQ �! Telephone(631)765-1892 Bob Ghosio,Jr. �` Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD INC11q DATE F INSPECTION: 1 V �ro�'ZT NeC3 De?ck Ch. 275 Ch. 111 (�:;�-�0(1 ��✓�d �f he- i ere� ate OWnef' cx�G( nod �- INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curt 1st day of construction 2 constructed Project complete, compli nce inspection. INSPECTED BY: COMMENTS: `b b G ;Svc, `ems e ca 1 sL M CERTIFICATE OF COMPLIANCE: J ;; , ►/ /►/ ►11 11 �i ��i i�1 IG 1! ►//In Is /11 I F' k ... .use•�jvF}Y�,�.° k% '�!. P - �-•�... Vf- 1 Y 5 5{, - eth.. �'�•+�.� ��; I r� 1 3' 'fit '�}}}���,,,���++,, T * gyp. �;_. •+ � u v 1 �fj Y � ' r✓'K � '-s��I.f"' tip ter+ ,r a� t, 'i . �.J'' ,i [�,, ,.. a; s � / v \ i11 III IN # ' r" � s James F. King,President � yo Town Hall �QF SO!/T Jill M. Doherty,Vice-President ,`O 53095 Route 25 P.O.Box 1179 Peggy A.Dickerson 1 Southold,New York 11971-0959 Dave Bergen Bob Ghosio,Jr. �� Telephone (631) 765-1892 0�y COU Fax(631) 765-6641 NT`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 18, 2008 Ms. Nancy Steelman Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: BENFIELD/PATEL 19965 SOUNDVIEW AVE., SOUTHOLD SCTM#51-4-5.1 Dear Ms. Steelman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., June 18, 2008: RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Permit#6435, as issued on August 23, 2006. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Ja es F. King President, Board of Trustees JFK:Ims James F. King,President \\,oF Sorry Town Hall Jill M. Doherty,Vice-President ,`O� Ol0 53095 Route 25 Peggy A.Dickerson P.O.Box Southold,New Yorkk 11 11971-0959 Dave Bergen John Holzapfel %�`� �� Telephone(631)765-1892 UNT`I, Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction Y2 constructed V/ Project complete, compliance inspection. SITE DATA SCTM # 1000-51-04-5.1 PROPERTY: 19965 Soundview Ave. W ADRESS Southold, NY 11971 00 OWNER: Sheila Patel &Steven Benfield >- ! 51 5th Ave. Apt 10 LO New York, NY 10003 -NG ISLAND SITE: 27,389 SO. FT. = 0.629 ACRES W SOUNDW Z COVERAGE: S 74.5 3 7 E ALLOWABLE: 20% OR 5,477 SF S 88•04 42 E PROPOSED: 17.5% OR 4,786 SF 123.311, 23•18' ZONING: R-80 Z Cn MEgty 1, UNE� O(DEcABR11IgR, ---_ SURVEYOR: Joseph A. Ingegno LU 322 Roanoke Ave M "ro0D auu�H wow ego Riverhead, NY 11901 TOE DF SLOP 631 727-1727 LICENSE # 49273 N DATED: De cember 6, 1995 Q W �■■, N UPDATED: March 28, 2006 = W a' 0 o N O STAIIR CO) p T.W 6A .W41"7 B. TO Ee REMOVED D•w a. O TO OF WALL LOCATION _LL i AB"1 \rerore COASTAL EROSION HAZARD LINE AS SCALED O Q AV II T1O►� 1 c� 44 FROM THE CO�STAL EROSION HA7_7ARD MAP PHOTO No. 55-578-83 �\ Uj LLI &FRIIIII/ -V////", LJL \ f d z _ I 20, A? PJ 3 Q-a W A. ETBAGK J 9h�h Long N\ Dw / �x I �° o`s — �; �° Creek / D 41 J- LLj 4 ' % ,r O CC Y I E3 / — _ I 2 \ LU EXIST. Q a 1 zR ..;,. .. :. . : APPROVED BY s 38 :. `sue ' '' M BOARD OF TRUSTEES G� wTRY A RKI to I y N TOWN OF SOUTHOLD ILA N17O' a8• Hr a . ' .. .(( N DATE 33.oft 27- So017953 UA x V� RE A \ N 82.16'30" W F "° - U J O: o 0602 DRAWN BY: NS 4 I y CHECKED BY: DATE: r., JULY 20, 2006 s SCALE: 1"=20'-0" SHEET TITLE: SITE PLAN SCALE: V = 20'-0" SITE PLAN SHEET NO.: TRUSTEES DATE: Revised September 25, 2006 F,60-9a 8996t, 'ON 'o!l 'S'A'N 5960-106 1 1 >Noj MaN 'poaylanlN 10611 NJOA MON '(3V3HN3Al8 t£6l Xo8 'O'd 3nN3AV 3NONYOd ZZ£ q5 �d7� SS3aoov 9Nnrvr IV 031V,903 S301330 LZL I-LZL(M) XDJ 060Z-LZL(K9) 3NOHd sF jno fo3 uogon_j;suo0 - suold apS - suo/slnlpgnS - sda vnS al;1 \ 14 t . Nld NG M pro` �9 ° \ JOAGAjnS pue-� ONn011 °17.2 N . G �3w1 J • ° ON'dl 31V1S NLIOA M3N 3H1 A8 NO ° v ° r�j�`• e ► � 031d0CV ONV 03AOHddV ONV 'S 'I1 1 A8' �,M ou�a�u' -d ydasor C L 03HSI18V1S3 SV SA3AanS 31111 S SO2NOMd1S/Y 'ON00 ' WnWINIW 3H1 HLM 30NV02l000 NI O3LIYd32Id .'dg'gg GN/lOj '3.f•p •S,O.y it D �j .. Aia0£ 30N3j" - 3jN° .S .00'001 4 /lun \ D. . 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IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. OLD— CM 4)447 el - ��g11fQ •'1111 E � '•• u , e 1.�'• rr j, SON ii�� �uy A:.:�'rvi. "'•.y!��.1:! -- ,t 1.r d/ 4 „ �1.11•�. . ��e2 •::Q.,.i�' P N � TERMS AND CONDITIONS ` The Permittee-Steven Benfield& Sheila Patel,residing at 19965 Soundview Ave., Southold, NY, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions,of the originating application maybe cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if,in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. James F.King,President *OF SU!/r Town Hall Jill M. Doherty,Vice-President ,`O l0 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen �� Telephone(631)765-1892 John Holzapfel Ol�,��UNTY Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 23, 2006 Ms. Nancy Steelman Samuels & Steelman Architects 25235 Main Rd. Cutchogue, NY 11935 RE: STEVEN BENFIELD & SHEILA PATEL 19965 SOUNDVIEW AVE., SOUTHOLD SCTM#51-4-5.1 Dear Ms. Steelman: The Board of Town Trustees took the following action during its regular meeting held on Wed., August 23, 2006 regarding the above matter: WHEREAS, Samuels & Steelman Architects on behalf of STEVEN BENFIELD & SHEILA PATEL applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated July 20, 2006, 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 Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the installation of drywells to contain the roof run-off and pool backwash, the installation of a hay bale line during construction, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 23, 2006, 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 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirements imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of STEVEN BENFIELD & SHEILA PATEL to renovate and construct additions to the existing residence, construct a new swimming pool, terraces, fence, and accessory building, and to remove the existing gazebo, with the condition drywells and gutters are installed to contain the roof run-off and pool backwash and a line of staked hay bales is installed during construction, and as depicted on the plan prepared by Samuels & Steelman Architects last dated September 25, 2006. 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, Jam A. King President, Board of Trustees JFK/Ims James F.King,President �of so yo Town Hall Jill M. Doherty,Vice-President 01 0 53095 Route 25 P.O. Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen G John Holzapfel �� Telephone(631)765-1892 IOUNT`l,Nc� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: "�teoo cry e a n m dLsho. a �akc l Please be advised that your application dated `�1031NO has been reviewed by this Board at the regular meeting of @,31 Q6 and the following action was taken: ✓) Application Approved (see below) �) Application Denied (see below) �) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: Yic�o i R�Pec�bn �_e e-19 so 100 - ed �WI5 TOTAL FEES DUE: $ 5-0,Od BY: James F. King, President Board of Trustees � l'•►y.:� ..y. -`.M►^ -�� ,b.r 1 v r-, A xw a.r! ....v—�. a 4vs..i 'r d • 8 t James F.King,President �pf so, jyo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 Peggy A.Dickerson P.O.Box 1179 Southold,New York 11971-0959 Dave Bergen G Q John Holzapfel 'p �� Telephone(631) 765-1892 IiYCOU '� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 1 Name of Applicant: _SAe Name of Agent: Property Location: SCTM#& Street s - Lj S• I Brief Description of proposed action: r b 0� G C C eSS"r\', (A 2S Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound Front Bay Front Distance of proposed work to edge of above: Park of Town Code proposed work falls under: _Chapt.97 ✓Chapt..37_other Type of Application:_Wetland_Coastal Erosion Amendment_Administrative _Emergency • Info needed: Modifications: . oa olr • ( ( c,Jr"j r Conditions: �'� G7n r74 Cr e Present Were: 4JMg JJ.Doherty_P.Dickerson. D. Bergen J.Holzapfel Other: Mailed/Faxed to: Date: f CL �J �a-e..s (•T a '', `:-N g � "�` ,�� �E`er New York State Department of Environmental Conservation Building 40 - SUNY, Stony Brook, New York 11790.2356 Telephone (516) 444-0365 Facsimile (516) 444-0373 Micitaol 0. z4gate Commissioner May 24, 1996 Ms. Barbara Shinn Mr. David Page 300 Bleeker St. #2B New York, NY 10014 Re: 1-4738-01339/00001 Shinn/Page Property 19965 Soundview Avenue Dear Ms. Shinn & Mr. Page: Southold Based on the information you have submitted, the New York state Department of Environmental Conservation has determined that: the property landward of the bulkhead greater than 100 ft. , constructed prior to September 1977 as shown on the survey prepared by Van Tuyl & Son dated 3/13/68 and last amended 12/19/68 is beyond the jurisdiction of Article 25 Tidal Wetlands. Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act . Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your Project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i. e. a 15 , to 201 wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Permit Administrator MMR cc: R. Larsen BMHP File 6-ze.° e� z-° SOUND sauce e� a - _ •. SEE SE4141b ISLAND LONG — � .os SCH P.D.70 t, 1B•iaeiny t, _ tJ a, /: '- LA-43 -tz s z 12t• _ _ O" t6 t n �.. x2z tt ,,.,66 �99 F D• AVE.s s}. s t2, � 9g SEE SEL aJ.lJ9 .. 's r 0O -n. 1IB^� 115 ,26• ,1.6 -J.l - na BP10 Leucl `" ys .le .}IS E 1.16 F 15LLc1 t 11.9 tet cE ve+ Eox va.xa. S sal ,, sEE sEL xo. N 2n s-a6-°°t .1y cx. s tx.w x.� at•i+ H, rd'^ � 1�J 1yll s ��6°A J.IJu• J.Iz 1v' J•J =� . yP•a 1". 410 *" to ,. .J}° _ ,,. ..tii_• O 3 ., QQ � 46'J hOq"� \ Ix,6 (t ♦R••a � �e y 5 6.6 m zx.°e i5e �je i• u6e z�we ��� J �w,�4 eNsa ��> •�� tV?�' IytA e} xttE,. epJ.a ee Lv 4 joE u ,. yy yapa p4,4' 'h erox na.No. �"apt e 4 oEE SEL N0. L�e cl J.e 16 r FM N°. 1• �E�° 4 L9 m 1 • _ r EE SEC. +. ,�}. �'i tiP• J o. - 94-e G.iJ-096.1 \ L,elcl �— Ay_'_F •ipe u, ,5olp _ ,� Lwa t .2 m °.L•d � NDR R b 0 L„�,,,anw s,e.r,u,. ._. mwr ---- se.uw.•,u. --6a— ..e..+mrn,u.--•— w666 °"••" enaxnsc •u vwe6^'�* NOTICE COUNTY OF SUFFOLK © ' '�'°"° a SOUTHDLD K we a< JOEx SECTION NO O..w.IT—Cnr„iro Arwvv E Uo� S A M U E L S & S T E E L M A N .June 9, 2008 Board of Trustees Southold Town Town Hall Annex Main Road Southold, NY 11971 Re: Steven Benfield & Sheila Patel Residence 19965 Soundview Ave. Southold, NY 11971 SCTM # 1000-51-4-5.1 Dear Trustees, We are requesting a one year extension for Trustees Permit#6435 which was issued on August 23, 2006. We have enclosed a check for $50.00 Please call us with any questions or concerns. SincerelyXancy & STEEL ARC ITECTS JUN 1 0 2008 I Southold Town Board of Trustees an chitect ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (631)734-6405 FAX(631)734-6407 o��g�FFO�,�coG y� Telephone G Town Hall (631)765-1892 _ 53095 Route 25 P.O.Box 1179 Southold,New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., August 16, 2006, the following recommendation was made: STEVEN BENFIELD & SHEILA PATEL to renovate and construct additions to the existing residence, construct a new swimming pool, terraces, fence, and accessory building. Located: 19965 Soundview Ave., Southold. SCTM#51-4-5.1 The CAC did not make an inspection, therefore no recommendation was made. �`.. MAILING ADDRESS: PLANNING BOARD MEMBERS / P.O.Box 1179 JERILYN B.WOODHOUSE *Of SOulyOl Southold, NY 11971 Chair V� O OFFICE LOCATION.. KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR us 54375 State Route 25 GEORGE D.SOLOMON (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND Oly CDU Southold,NY ��� Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: James King,President Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner W LWRP Coordinator I1 AUG 2 1 2006 Date: August 21,2006 Re: Request for Wetland Permit for Benafield Patel Residence_____—_�__` `s---__— SCTM# 51.4-5.1 Samuels& Steelman Architects on behalf of STEVEN BENFIELD & SHEILA PATEL requests a Wetland Permit to renovate and construct additions to the existing residence, construct a new swimming pool,terraces,fence, and accessory building.Located: 19965 Soundview Ave., Southold. SCTM#51-4-5.1 The proposed action has been reviewed to Chapter 95,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 proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee.permit conditions. The proposed pool/fence structure from the top of bluff is proposed at 19.10 feet; a minimum setback distance of 50 feet is required pursuant to Chapter 275-3. Please require that the applicant amend the application to meet the above policy to the furthest extent possible. CC: Shawn Kiernan,New York Department of State,Division of Coastal Resources i uFFO( Albert J.Krupski,President ®� �C Town Hall James King,Vice-President ��0 ®Gy 53095.Route 25 Henry Smith c P.O.Box 1179 Artie Foster W = Southold, New York 11971-0959 Ken Poliwoda �y Telephone(631) 765-1892 �1J01 ��O Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application . etland Permit Application -Major Minor _Waiver/Amendment/Changes ,f6ceived Application: Q( _deceived Fee:$ cL.',\V �6mpleted Application r) I C'Q J 0� _Incomplete _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) _ I ! "CAC Referral Sent: J U L 2 0 2006'1 a 107� � ,mate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: __/-I"u-blic Hearing Held: IkI _Resolution: NameofApplicant Steven Befield and Sheila Patel Address 51 5 th Ave. Apt. 10 C NY, NY 10003 PhoneNumber:(t ) 765-6276 Suffolk County Tax Map Number: 1000 - 51-04-5. 1 Property Location: 19965 Soundview Ave. Southold, NY 11971 (provide LILCO Pole#, distance to cross streets, and location) COA AGENT: Samuels & Steelman Architects - Nancy Steelman 401�U (If applicable) ^� Address: 25235 Main Rd. Cutchogue, NY 11935 Phone: 734-6405 Board of -Trustees Application GENERAL DATA Land Area(in square feet): 27, 389 S.F. Area Zoning: R-8 0 Previous use of property: Residential Intended use of property: R P G; d P n ti a 1 Prior permits/approvals for site improvements: Agency Date TM' - Nnnilx; sdiction ., 24, 1996 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description (use attachments if necessary): Renovations & additions to an existing residence, construction of ' a new,lpool , terraces, fence and Accessory building. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Renovations & add iti ons to an existing residence. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge ofwetlands: 75 , 3 feet Closest distance between nearest proposed structure and upland edge of wetlands: 7 5 1 -3 11 feet Does the project involve excavation or filling? No x Yes for pool If yes, how much material will be excavated? 200 cubic yards How much material will be filled? NA cubic yards Depth of which material will be removed or deposited: 8 " feet Proposed slope throughout the area of operations: Existing Manner in which material will be removed or deposited: Earth moving equipment - All excavated material to remain on site 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): 1.0-16=4(2/87)=Text 12 ' PROJECT I.D. NUMBER 6t .21 SEC Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Nancy Steelman (Samuels & Steelman) I Benfield-Patel Residence 5. PROJECT LOCATION: Municipality Southold Town county Suffolk 4, PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 19965 Soundview .Ave. Southold, NY 11971 5. IS PROPOSED ACTION: tJ New ❑Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Renovations & additions to an existing residence, construction of a new pool , terraces; fence & accessory building. 7. AMOUNT OF LAND AFFECTED: Initially ,04 acres Ultimately __ 1 1 acres 8. WILL PROPOSE ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING BLAND USE RESTRICTIONS? FK.Yes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential 0,!ndustrial ❑Commercial ❑Agriculture "Park/Forest/Open space L Other I Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? ©Yes ❑No If yes,list agency(s) and permit/approvals DEC Non j ur i s d i c t i On 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes' ®No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ❑No N/A I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/spons e: N n y Stelman O G pate: D Signature: If the action is in"•the Coastal Area, and you are a state agency, complete the iCoastal Assessment Form before proceeding with this assessment OVER . 1 PART II— =NVIRC?J 11 E? SSESStMENe a be comcletea by Ab A. DOES ACTiCN EXCEED ANY i ?E I THRESH..GL'J ;N o NYCR=. ?.ART 911.:2? it jss. 'codrdiri'atbi the review crocess and usa the FULL _71A Yas i yo 3. 'NILL ACTtCN RECciV=_ .,:CRGINATED REVIE'N AS?RCVIGED =CR'JNUSTED AC`iCNS iN o NYCRR, ?ART 9i7.57 if No, a negative ..ec:ar may be sucersedec oy another involved agency. l_ Yes No I C. CC'ULD AC70N RESULT" iN ANY ADVERSE E?FECTS ASSCCL;TcD WITH '^E=0LL:,WING:,Answers may ce nandwnften. if :egible) I C1. Existing air quality, surfaca or'grounowater cualily or cuanuty, noise levels. existing .,aific -atterns. solid waste precucticn or alscc potential for erosion, cratnage or floocing problems?_xolatn briefly: C2. Aesthetic, agricultural, archaeological,historic, or other natural or cultural resources:or community or neignocrnood character? Explain CO. Vegetation or fauna. :Isn. snellfisn or wildlife species. significant naoitats, or threatened or endangered scec:es? =xclain orlarly: C A community's existing plans or goals as offic:ally adooted,or a change in use or intensity of use of land or other natural resources?Explain ar CS. Growth, subsecuent:evetooment.or related activities likely to be induced by the crebosed action? Exolain oriefly. iCS. '_ong Term, snort term.cumulative,or other stfects not identified in C'-05? Exoiain bneily. I IC7. Ctner imoacts sinctucing ::ranges in use of e:ther quantity or :ype or energy)? Sxplatn briefly. - I I I O. :S 7HERE, oR iS`H;:RE _:KcL'f `o 3E.G_-NTACVERSY RELATE 70 POTENTIAL ADVERSE =NVIRON1vlENTAL i'dPACTS? i _ Yes .Jo f'.'es. exelain oriefly ?ART III--OEi ERMINA T ION OF SiGNIF1CANCE (To be Completed by Agency) INSTRUCTIONS. For eacn adverse effect identified above,determine whether it is substantial,large, important or otherwise sign ifit Each effect snould be assessed in connection with its (a) setting (ire. urban or rural); (I,).probability of occatring; (c) durat)of irreversibility:(e) geographic scope: and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure exotanations contain surffcfent dezafl to snow that all relevant adverse impacts have been identified and adequately addressee Check this box :f you have identified one or more potentially large or significant adverse imoacts whlcri iMA occur. Then 'proceed directly to the FULL EAF andlcr prepare a positive-declaration. i Check this box if you have determined, based on the information and analysis above and any su000rtin documentation, :hat the proposed action -WILL NOT result in_:?ny significant adverse environmental imoact AND provice on attachments as necessarv, the reasons supcoriing this determination: I i .v„ure Of _e.,u Agency i i rr,nt ur :voe N.,tnr. 71 le)vontl ole t.a tic er:n.coo.�gen C7 ;Otte or rL,00nsiole UrnCOr jignJtute Or ZeScontioie•_[nCir-n Leau Agency i,gnature or r''t-oJrer tit 'lnverent from resoonstole otriCar, i Jim 2 r PROOF OF MAILING OF NOTICE ATTACH'CERTIFIED MAIL RECEIPTS U.S., Postal ServiceTM �- Address: rL M1 run rpomestic Mbil Only;No insurance Coverage Provide Sc/� �- a 7 7" Postage $ 0..87, (� G � ) CO Certified Fee ,_�� '� 2 f�/ O L C Post-L, o 0 Return Recei t Fee r ( ndorsementRequired) 1•= V Her p E:3 Restricted Delivery Fee C .... t.'.I,IKM- �w Q• m (Endorsement Required) 666 C3 Total Postage 8 Fees � 1.12 fi8/07 06' 8 Ln -0 0 Sent To o r` 4 � Street Apt.No.; 9 , or PO Box Nzip+o ,-.2-2---......i--------- - ---- - --- residing at L, y G�j'� � being duly sworn, deposes and says that on the �J day of vS ,20 (y, deponent mailed a true copy of the Notice setst forth•inin the Board o 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 ��(�-�G ,that said Notices were mailed to each of said persons by (certified) (registered)mail. . 21Sr- Sworn to before me this Day of A s.k , 20 0 9y �_ Notary Pub ' John M.Judge NOTARY PUBLIC State of New York No. 01 J U605940b Qualified In Suffolk count commission Expires May29,20 O1 James F. King,President ``S' S�Ur o Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G John Holzapfel Telephone(631)765-1892 ��y�DUNTY,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of -------uqw. l-aa ----------------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) j AFFIDAVIT OF POSTING / , residing at being duly sworn, depose and,s y: Thai on the 167'day of A5'8 , 200(k?I personally posted the property kijowjn as by placing the Board of Trustees official poster where t 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 � � . � ( ,� • on. 61a 6a.cf &;3o Pm. Dated:f1/�J� (signature) Sworn to before me this f 3 day ofi J 200(p PAT'RI.C: < 41CHARDS otary Public Notary Publ'lc, State of New York N®. 01 R16042467 Qualifed. n Suffolk County J CommisSlon Expires May 30, 2082"'a_\10 08/23/2006 10:00 5, 346;' `' SAMUELSSTEIWN PAGE 02/62 James F.King,President so Town Hall 63095 Route 26 Jill M.Doherty,Vice-President P.O.Boas 1179 Peggy,A,.Dickerson Southold,New York 11971-0959 Dave Bergen Telephone(681)765-1892 John Holzapfel com Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the Matter of the Application of -------lo -`-�u —--- ------------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) �J AFFIDAVIT OF POSTING I l ,residing at � � /�-- being duly sworn, depose ands : Tha on the lG day of Ald ,2004�I personally posted Aa prolperty ovja as .� by placing the Board of Trustees official poster where ft 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 T Cg41 60Uf ao P�►'t. Dated:f/ •6� (signature) Sworn to before me this y-� day o016 200(p Qnk;::Zj P,A7•Aic.1: RICHARDS rotary Public Notary Puhtia, State of New York 1114. 01 RIG042467 Qualif* in Suffolk County C0mm1WQn Expires May 30, 20"--J� JUL-19-2006 13:52 From:GOSACHS 121234631800:5167346407 P.1i1 Steven Bonfield and Sheila Patel 51 a Ave Apt IOC New York, NY 10003 July 19, 2006 I hereby authorize Nancy Steelman of Samuels and Steelman Architects of 25235 Main Road, Cutchogue, NY,to apply for all required permits from the Town of Southold,for our project located at 19965 Soundview Ave., Southold, NY 11971, Sincerely, Steve Benfield L -pz�-V-J- Sheila Patel Board of Trustees Application County of Suffolk State of New York BEING DULY SWORN DEPOSES W AFFIRMS THAT BE/BE IS THE APPLICANT FOR THE ABOVE DESCRIBE PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/I ER 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 TOWN 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(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH RE W OF T PLICATION. nature SWORN TO BEFORE ME THIS DAY OF 20 6 Notary Public. Notar PArRICIA RICHAR®S Y Public, State of ew YorkNo. 01R16042467 qualified in Suffolk County commission expires Ma Y 30, 20Aa—, Zia APPLtC TRANSACTIONAL DISCLOSURE BORH The -Town ot• SoAhold's Code of > bhice Ofohibibe conflicts of interest on the part of town officers and emplo_ ees. The -ur ose of this form is to provyide 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: Nancy Steelman Last name, first name, m dd•le iRmnItniess you are applying in the name or someone else or gther entity, such as a company. If so, indicate the other person's or company's name. ) 04 . NATURE OI? APPLICATIONt (Check all that apply. ) Tax grievance Variance change of zone ' ARP p�ral of plat ;h EMption from plat or official map Other (If "Other," name the activity,) Trustees.. Perm.i.t Do you personally (or through your cbrtpany► sp6oae, nibiing, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "business interest" means a business, including a partnership, in which Ehe town officer or employee has even a partial ownership of (or employment by) a corpdration in which the town officer or employee owns more than 5% of the shares. YES NO X " If you answered "YES,"• complete the balance of thit form and date and sign where indicated. Name of person employed by. the mown of Southold Title or position. of thab person Describe the relationship between yourself (bhe applicant) and the town officer or; employee. Either check the appropriate line h) 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) t A) the owner of greater than 596 of the shares of the corporate stock of the applicant (when the applicant is a corporation)l g) the legal or bbneficial owner of any interest in a noncorporate'entity (when the applicant is not a corporation)t c) an officer, director► partner► or emplbyee. of the applicanbi or D) the apbual-applicant. 10 DESCRIPTION OF ttELATIONSIIIp ' .... �;,t.t Kj St��'•','. :PJ!`l�t.�r ..j,Sl'[`vtY•' \1�(�• su bin ibbed I • sighabur -Print nam ' .'::.t:�'71'�ii••.'r1 :tJ'1.�:laa�Y���i1�E���`"'a?.A:1�hv' J�! •i?•' ••'111ri� Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold To)yn) 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. �� r n- A copy of the LWRP is available in the following places: nli e at the Town of Soutl old's website (southoldtown.northfork.net), the Board of Trustees Offi Pl Pling LDep erit ,all local libraries and the Town Clerks office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 51 _ 04 _ 5. 1 PROJECT NAME Benfield Patel Residence The Application has been submitted to (check appropriate response): Town Board 0 Planning Board 0 Building Dept. 0 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: Renovations & Additions to an existing residence with construction of a new pool , terraces, and accessory structure. Location of action: 19965 Soundview Ave. Southold NY Site acreage: 27, 389 S.F. or .629 Acres Presentlanduse: Residential Present zoning classification: R-8 0 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: Steven nf; id & Sheila Patel (b) Mailing address: 51 5th Ave. Apt 10C New York, NY 10003 (c) Telephone number:Area Code( ) 6 31-7 6 5-6 2 7 6 (d) Application number, if any: none Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No© If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes No 0 Not Applicable 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 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes 0 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 Pages 8 through 16 for evaluation criteria 0 Yes [] No © Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria © Yes 0 No 0 Not Applicable Drywelis will be ins a e o 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 7 No© Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No © Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP.Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes❑ No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's�lGater-dependent uses and promot�"sR'Tng of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No © Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No © Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable n PREPARED BY TITLE I- � DATE o/V \_ zo Amended on 811105 EL S A M U E L S & S T E E L M A N July 20, 2006 Southold Town Board of Trustees Town Hall Annex - Main Road EE C E W E {?A Southold, NY 11971f RE. Benfield-Patel Residence J U L 2 0 2006 19965 Soundview Ave. Southold, NY 11971 Southold w n SC TAX MAP # 1000-51-04-5.1 Board of Trusiees Dear Board Members: We are requesting a Permit for the above reference project. For your review we are submitting the following documents: 1. Application 2. Short Environmental Assessment Form 3. Application Affidavit 4. (2)LWRP Consistency Assessment Forms 5. Letter of Authorization 6. Four Site Plans prepared by Samuels & Steelman Architects 7. Current Survey 8. Check for $250. Please call us with any questions or concerns. Sincere y, SAMU LS & STE MAN ARCHITECTS Nancy S e an Princip Architect ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (631)734-6405 FAX(631)734-6407