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TR-7653
James F.King,President ��OF SUUT�,o Town Hall Annex Bob Ghosio,Jr.,Vice-President �� l0 54 Main Road P..O.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John.Bredemeyer G Q • �O Telephone(631) 765-1892 Michael J. Domino �O`�•CO(1 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 21, 2013 Bruno & Alma Ilibassi PO Box 3504 New Hyde Park, NY 11040 RE: BRUNO & ALMA ILIBASSI 1728 ARSHAMOMAQUE AVENUE, SOUTHOLD SCTM# 66-2-45 Dear Mr. & Mrs. Ilibassi: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 21, 2013: RESOLVED'that the Southold Town Board of Trustees.grants a One-Year Extension to Wetland Permit#7653, as issued on September 21, 2011. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, James F. King President, Board of Trustees JFK:amn � James F.King SUFFO(,�,President c,� 0& P.O.Box 1179 Bob Ghosio,Jr.,Vice-President j GS Southold,NY 11971 Dave Bergen y -� Telephone(631 765-1892 .John Bredemeyer Fax(631)765-6641 Michael J.Domino 'F Southold Town Board of Trustees Field Inspection/Work Session Report iD Date/Time: ,yvG- /y 2-a17 6; 5 a //) 144 BRUNO & ALMA ILIBASSI requests a One-Year Extension to Wetland Permit #7653, as issued on September 21, 2011. Located: 1728 Arshamomaque Avenue, Southold. SCTM# 66-2-45 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound 4--lBay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: 0"j'. King "'Bi Ghosio D. Bergen, yJ. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by -- Mailed/Faxed to: Date: CC# : C12-843 Y COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 01/09/2012 under Liber D00012681 and Page 661 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 01/09/2012 SUFFOLK COUNTY}} CLERK JUDITH A.PASCALE ;-r SEAL JAN 2 p 2012 '``_ I IIIIIII IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII I(IIIII IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 01/09/2012 Number of Pages : 4 At: 01 :25 :55 PM Receipt Number : 12-0002566 LIBER: D00012681 PAGE: 661 District: Section: Block: Lot: 1000 066. 00 02 .00 045.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $20 .00 NO Handling $20 .00 NO COE $5 . 00 NO NYS SRCHG $15 . 00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $5 . 00 NO RPT $30 .00 NO Fees Paid $95 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 21 L71 Number of pages RECORDEC'..- 2012"' Jan 09 0125-55 Nil RIDITH A. PASCALE F'LrE-RK OF This document will be public SUFFOL[.I 1COUNTY record. Please remove all L DOOOI68'-I' Social Security Numbers P E.f:,I prior to recording. Deed/Mortgage Instrument Deed Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee 45�� Mortgage Amt. Handling 20. 00 1. Basic Tax 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. C) or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX R.P.T.S.A. Dual Town—Dual County rya Held for Appointment Comm.of Ed. 5. 00 p d Transfer Tax Affidavit Mansion Tax Certified�iedCopy The property covered by this mortgage is or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total If NO,see appropriate tax clause on page#_of this instrument. 0/-0 V,—/c;z 4 Dist. 1000 06600 0200 045000 5 Community Preservation Fund Real Prope p T S Consideration Amount $ Tax Servi R LPA A Agency (09-JAN-1 CPF Tax Due $ Verificati( 6- Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved RECORD & RETURN TO: Vacant Land TjrU VID TD �O p3c��C ��d � TD New- de Tcq r k TD 4y I �jy //b/-/b Mail to: Judith A. Pascale, Suffolk County Clerk 7 1 Title Compan-y Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# Suffolk Count-V Recordins! & Endorsement Page This page forms part of the attached mad.by: - (SPECIFY TYPE OF INSTRUMENT) �Rrf A Y) 0 The premises herein is situated inue-CAccca- SUFFOLK COUNTY,NEW YORK. -------- TO In the TOWN of 56U4014 In the VILLAGE or HAMLET of S. BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104..10/08kk (over) �. 01/03/2012 11:00 63: `.1769 THE INK SPO' PAGE 05/06 DECLARATION OF COVENANTS TUIS DECLARATION made this 4th day of January 2012 by ZI bassi Bruno & Alma Ilibassi residing at �728 Arshamomaque Avenue, Southold, NY hereinafter referred to as "DECLARANT(S) , W I T N E S S E T H WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 1728 Arshamomaque Avenue, Southold, ,Town of Southold, County of Suffolk, State of New York, described in. _ the Suffolk County Tax Map as District 1000, Section 66 Block 02 Lot 45 which is more particularly bounded and described as set North in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands. within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and variovs activities conducted upon the property -may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a Permit pursuant to the wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a. condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 10 ft. "non turf buffer" is installed along the landward side of the bulkhead andasas epicted on the survey prepared by Nathan Taft Corwin III last revised 10/25/11. NOW, THEREFOPE, the DECLARANTS) do/does hereby covenant and agree as follows; 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and. subsequently maintained. - a 10 ft. non turf buffer is installed along the landward side of the bulkhead y. 01/03/2012 11:00 651769 THE INK Sp,_, PAGE 06/06 as defined by Chapter 275 of the Town. Coder and as depicted on survey prepared by Nathan Taft Corwin III last revised 10/25/11 and stamped approved on 10/31/11 and 2) These covenants shall run with the land and shall be binding on the BFCLARANT_(S) r._-his_/her/their_-heirs,_ assi gnsr- purchasers; or -successors_ iri interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owners) has/have duly executed this instrument this day of 4th 'dav of Janes, 2012 . �aWNER'S SIGNATURE 1 i OWNERS SIGNATURE STATE OF NEW YORK - COUNTY OF NASSAU On the 4th clay of January �, ndersigned, a Notary Public in and for said the eateear Z01�, before me the Brunoodks�Alma Ilibassi personally personally known to me or Y appeared satisfactory evidence to be the individual(s) whose name(s) is/are stheubscribed to the within .instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the .individual or the persons on behalf of which the individual(s) 'acted, executed the instrument. a zM LAUREN i MASTRANGELO 4_4'�ry Pc N®tafy Public,SWe of New York r No,01MMiOM6 ®ualftd in Nassau County z4 ,nExpixes,6*13,2013 I 2 i Exhibit"A" Town of Southold, County of Suffolk,and State of New York,shown and designated on a certain map entitled "Map of Beixedon Estates,Town of Southold,Suffolk County, New York, Property of Grace R. Nickles,formerly Grace Rogers DeBeixedon",made by Otto W.Van Tuyl, Licensed Surveyor,and filed in the Suffolk County Clerk's Office on March 16, 1946 as Map No. 1472,as and by lot numbered 5 in Block number 7 on said map. Subject to an easement or right of way over the above described premises in favor of Lots 5 and 6 as shown on said filed map for purposes of ingress and egress. Said easement or right of way being shown and designated on said filed map. Together with a right of way 15 foot in width for purposes of ingress and egress in common with the others from the northwesterly corner of the premises westerly across lots 5 and 4 approximately 142 feet to Arshamaque Avenue and thence northerly along Arshamaque Avenue to the Main Road(New York State 25). The northerly boundary of said right of way is southerly line of lot 3 on said map. More commonly known as 1728 Arshamomaque Avenue,Southold, NY 11971. Jill M.Doherty,President so yo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O. Box 1179 James F. King Southold,New York 11971-0959 Dave Bergen John Bredemeyer �Q Telephone(631)765-1892 COU '� 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 1st day of construction % constructed Project complete, compliance inspection I &;x ect2k,l. s-.I t �{�r�c��-�,�,� L.L c,h e v �,r7`Cr/'ac r�' vo v — Sc cf,'v,ti o-� a✓lK��� —L xAc) / ceojS r—crilmde TAree 6X8 .y}IQ/ / t Graca)e 10 Je 20 / ``/ At"O) _-C— 0 //V�V/'�V( �AICr/VC SG4aa� J4 a fx��n / d — _I ! y J141 iS c) 7s_ E C E W E Al/ ha rd&...a•t —i l(Se j -/ ,� � %,,a cc/ i I S E P — 6 2011 Southhoid Town Board of Trustees • I S�G-f- 'arL Fe,d, t/1'e c.✓ " dry 6`SC 6_ta— Cl MR �U to X-20 S, j e, ✓,"e low i i i _ ccA loffx;lo/ 6X6��v✓a�er CCA ,v �"7,e Nu r CCA 92, ,r �� all',bras CCX ' g or✓r7 �J�e� b� �O��S'�, �.. e� r G�/��������r� i i Ca s r PLAN FOR PLACEMENT OF 1/2 to 1 TON STONE RIP RAP o1�E s� ��' }� � <<� ''�� LOT 5 �10g ��Q j �� u�� I.f 0CT 2 8 2011 y� t MAP OF �IpY 4" °�, BEIXEDON ESTATES ih BLOCK 7 SITUATE or O � T. �. SOUTHOLD 1. � s A�Eo s 6 &o TOWN OF SOUTHOLD c �A pp ° �� ���. SUFFOLK COUNTY, NEW YORK Eta p0• S.C. TAX No. 1000-66-02-45 SCALE 1"=40' MAY LOT O NO . OCTOBER 5, 201' O REMSE PLAN 0� 60��,p �PSE�ETZ AREA = 26,146 sq. ft. Z' 30��Roy S 15 O, (TO BULKHEAD) 0.600 ac. yoT IF P! a y �E D Y ZUSTEES y � 9 �'v N. OF SOUTHOLD NOTES: � T,o C � '—`,,�. `� % �bC-3r� 1 . ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION 0.0' "'±--- UNAUTHORIZED ALTERATION OR ADDITION EXISTING ELEVATIONS ARE SHOWN THUS: 5.0 SECTION SURVEY OF�THE NEW TIYORK STATE T.B. — TOP OF BULKHEAD O `F EDUCATION LAW. .B. — BOTTOM OF BULKHEAD T COPIES OF THIS SURVEY MAP NOT BEARINGB y° OR T.J. — TOP OF JETTY 1'O G� _ _ _ _ _ ___ THE LAND SURVEYOR'S INKED SEAL O EMBOSSED SEAT.SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. 2. 400 cu. yds. OF FILL TO BE USED FOR BEACH REPLENTISHMENT. °JSF CERTIFICATIONS INDICATED HEREON SHALL RUN u ONLY TO THE PERSON FOR WHOM THE SURVEY p IS PREPARED.MID ON HIS BEHALF TO THE TITLE COMPANY,GONMENTAL AGENCY LENDING INSTITUTIONLILISTED HEREON,AND D TO THE ASSIGNEES OF THE LENDING INSn— O� TLrnoN.CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF OF C� '100°1 AND/OR EASEMENTSRIGHT OF R CO DAY F 'P lor-1- ��• ANY, NOT SHOWN ARE NOT GUARANTEED. �O�yJP PROPOSED CROSS SECTION OF °� RIP- RAP & BULKHEAD PLACEMENT � SIB' - W q�HE MIWMUM gg((��T►H{ ESUBLISHED �• �� �/ EORhS I ST LAND 0. PROP05ED 10' NON-TURF PELAGE BUFFER TOP PROP05ED BULKHEAD 2' HIGHER �°1y'� THAN TOP EXISTING BULKHEAD oe � '-i O01C'� \0 h ..•..•.�O°�y�GOJ�,, `�` ���,1 N.Y.S. Lie. No. 50467 TOP EXISTING BULKHEAD 2' PROPOSED RIP RAP ��e ::: cv (1/2 TO I TON ROCK) H16H WATER ` b `'� �p Nathan Taft Corwin III cy LOW WATER o �°� Land Surveyor .................................... .. EXISTING BULKHEAD TO BE REPLACED WITH NEW VINYL •�6��Lj Title Surveys — Subdivisions — Site Plans — Construction Layout BULKHEAD CONSTRUCTED WITH HOT-DIPPED 40' FILL FOR ' �� D O PHONE (631)727-2090 Fax (631)727-1727 GALVANIZED HARDWARE AND 20 TIE RODS Ir 5 OFFICES LOCATED AT MAILING ADDRESS TO DEADMEN AS SHOWN ON ATTACHED BEACH REPLENT15HMENT 1586 Main Road P.O. Box 16 BULKHEAD PLANS ' Jamesport, New York 11947 Jamesport, New York 11947 r .`�llfif/r rlrl��r � ��Ilff rlriy�rr' . - _ rry � N ♦iir .•ffH rrr •P�rrr � -' ♦4 rrr'. W ryr •IN+ ►r P MINI ►N, o�° ►I .- _"VI+ ►llyr — •,,icy BOARD OF SOUTHOLD TOWN TRUSTEES '►�s SOUTHOT;D;NEW YORK "•�:► PERMIT NO.7651 DATE: SEPTEMBER,21,2011 •�o++ :; ISSUED.TO: BRUN.O &ALMA ILIBASSI �►�' _r PROPERTY'ADDRESS: 1728 ARSHAMOMAOUE AVE., SOUTHOLD J, rs,,►► : S'CTM466-2.45 11,.• � f _- •"If+'r . - - , �UTHORI,Z.�.T�ON rl�ti�, '= Pursuant to the provisions of Chapter 275 of the Town.Code.of the Town of$outhold.,and in accordanc with the Resolution of the Board of Trustees adopted at the meeting heed on September 21,2011 in consideratio �.':4►► of application fee in the sum of$250.00 paid by Bruno&A1ma.Ilibassi and subject to the Terms and Conditions 41, stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to replace 100''of existing timber'liulkhead"u'sirig vinyl sheathing and 2' higher,than existing,bulkhead construct 4 X 8' beach stairs w h�a 41'toil,lagr in front of the tform replenish the,beach with r�s► approx. 400 cy. of sand,install a fence no closer than 10' of the bulkhead,with the 1.°•°t I Condition a.10' non-turf buffer.is installed alon ,the,landward;side,of the bulkhead an as depicted on the survey prepared by Nathan Taft:Corwin III;last revised.October 25, 2011. IN WITNESS;WHEREQF,theaaid Board of Trustees hereby.causes}ts Co orate Seal to,be affixed, rP and these presents to be:subscribed by a majority of the,said Board as of this date., gpE�O� i ;f 4111 IH°. � -.9Z�1 1°r-,� ��rN I�ii f ti_ r�/Ief�l ♦Ir�We9'r, :r�lll 111;:•.. r�lr��e►r.1.°•°�� •t•�A�►.►♦•�°��� .,♦„Ne :h,�' :5•,,�♦°:°�>' �' ..r.to .,z� .sr -•Ssl::.e"... 1s. n.. TERMS AND CONDITIONS The Permittee,Bruno&Alma Ilibassi residing at 1728 Arshamomaque Ave., Southold,NY as part of the consideration for the issuance of the Permit does understand aiid 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 subj ect 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 io 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 1ow 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.:s required to provide evidence that a copy of this:Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenanfand deed restriction to the deed of the subject parcel. Such evidence shall be provided within mnety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion-of th'e,work authorized. f" 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. Jill M.Doherty,President ��q SO(/ryO Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O l0 54375 Main Road P.O.Box James F.King l Southold,New Yorkk 11 11971-0959 Dave Bergen G Q Telephone(631)765-1892 John Bredemeyer �OCOUI .� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 21, 2011 Mr. & Mrs. Bruno Ilibassi P.O.. Box 3504 New Hyde Park, NY 11040 RE: 1728 ARSHAMOMAQUE AVE., SOUTHOLD SCTM#66-2-45 Dear Mr. & Mrs. Ilibassi: The Board of Town Trustees took the following action during its regular meeting held on Wed., September 21, 2011 regarding the above matter: WHEREAS, BRUNO & ALMA ILIBASSI applied to the Southold Town Trustees for a permit under the provisions of Chapter 275. of the Southold Town Code, the Wetland Ordinance, application dated September 6, 2011,. 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 September 21, 2011, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, 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, and, , NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application.of BRUNO & ALMA ILIBASSI to replace 100' of existing timber bulkhead using vinyl sheathing:.and 2' higher than existing, install rip-rap 'h to 1 ton stone armor in front of the bulkhead, construct 4'X 8' beach stairs with a 4' platform, replenish the beach with approx. 400 cy. of sand, install a fence no closer than 10' of the bulkhead, with the Condition a 10' non- turf buffer is installed along the landward side of the bulkhead, and as depicted on the survey prepared by Nathan Taft Corwin III last revised October 25, 201.1. 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: None Very truly yours; Jill . Doherty, Prel Board of Trustees JMD/Ims Jill M.Doherty,President 4 Town Hall,53095 Main Rd. Bob Ghosi6,Jr.,Vice-President ti u. � P.O.Box 1179 James F.King � • 'F Southold,NY 11971 Dave Bergen 1 Telephone(631)765-1892 John Bredemeyer �` Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: BRUNO & ALMA ILIBASSI Please be advised that your application dated 9/6/11 has been reviewed by this Board at the regular meeting of 9/21/11 and your application has been approved pending the completion of the following items checked off below. XX Revised plan for proposed project— Increase in the height of bulkhead by 2', 10' non-turf buffer along the landward side of the bulkhead, fence along landward side of buffer, rip-rap and fill. Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Mooring/Duck Blind Permit Fee ($25.00) 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. TOTAL FEES DUE: $. 00 BY: Jill M. Doherty, President Board of Trustees f i Sept.21,2011 Town Trustees Town of Southold PO Box 1179 Southold,IVY 11971 Dear Town Trustees: The Officers and the Board of Directors are in favor and voted to replace the community bulkhead damaged by Hurricane Irene. We strongly support the Beixedon bay front bulkhead owners(Ball, Ilibassi and Kuchner)efforts to replace their damaged bulkhead. The stone armor will help to minimize toe erosion and help stabilize the shoreline immediately in front of the bulkheads. The Board of Directors and Officers of Beixedon Estates Association,Inc.are working very closely with the bulkhead owners to reestablish our shoreline and beach. The bulkhead owner's sand permit will help restore our shoreline to the 2008 levels. We hope to come to a long-term solution to the shoreline erosion problem through careful application and monitoring of the sand while working with the regulating agencies. I recently addressed the community informing the Beixedon community of the Trustees meeting tonight and the meeting in October for the community bulkhead. We strongly support the one—two foot height increase of the bulkhead because it will add stability and a safe access point to the beach for all community residents.This access helps preserve a significant asset our community has,and it would be a shame to lose. In my recent letter to the community, I also addressed correspondence and communication with government agencies.I would like to state that only I and members of our Board have the authority to communicate and make decisions on behalf of our Association. I understand every member is entitled to their own opinion(and vote within our Association),but one individual cannot make representations to the thoughts of the community.Please retain my contact information for future reference should you need any clarity or have any questions relating to Beixedon. I appreciate your help and consideration given to our current situations. Sincere , Michael Warlan,President Beixedon Estates Association,Inc. 917-282-4395 mwarlan@msn.com Peter Young,Chairman 4 y� Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 ! Southold,NY 11971 Telephone(631)765-1892 j* Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 14, 2011, the following recommendation was made: Moved by Doug Hardy, seconded by Derek Bossen, it was RESOLVED to RELUCTANTLY SUPPORT the Wetland Permit application of BRUNO & ALMA ILIBASSI to replace 100' of existing timber bulkhead using vinyl sheathing 1' higher than existing and construct 4'X 8' beach stairs with a 4' platform. Located: 1728 Arshamomaque Ave., Southold. SCTM#66-2-45 Inspected by: Doug Hardy The CAC Reluctantly Supports the application, however, recommends the applicant consider a rock revetment with a 3:1 slope to absorb the wave energy and cut it back into the property. The CAC has sympathy for the applicant, however, replacing the bulkhead will not solve the problem. Vote of Council: Ayes: All ' Motion Carried r s U* 0-� Jill M.Doherty,President P.O.Box 1179 Bob Ghosio,Jr.,Vice-President Southold,NY 11971 James F.King Telephone(631765-1892 Dave Bergen Fax(631)765-6641 Jolm BredemeyerNr Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: BRUNO & ALMA ILIBASSI request a Wetland Permit to replace 100' of existing timber bulkhead using vinyl sheathing 1' higher than existing and construct 4'X 8' beach stairs with a 4' platform. Located: 1728 Arshamomaque Ave., Southold. SCTM#66-2-45 Type f area to be impacted: altwater Wetland Freshwater Wetland Sound y Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: O 0 Cho Conditions: tA s -t 12e-r,r4 7" Are- Pres t Were: Zoherty B. Ghosio J. King D. Bergen, J. Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: . � . a• � � .T� f� �4� w / s.Fe.` �"� �r wM[` Ta �I r i �''�.�, 1 Yl,. el �' h .11•t---,� '1�• ,41 9Aw `k � �-���r i� .1 ,�•� I•. ��j` i �•s' XF • 5 �•� f y °�� S . ems' .rR i r Y :.fir -��•r �.:_ w.� • it ,' � �, �:� ��,. I . N• 1%, low r f� A w� ,:�':- U,,;�:` � '•.� � ,��, as 'YI�� �, � ',.,.,tom••' - \�"'—� ,. s � • , .,�!�'► � I) `. I z w CZ a _ f' r saalsmi }o Ping umoi P104 10S IIOZ 9 - ddS ; (� V� co w 1 '• - ,/3��I�� ,: .`��p♦ _+�,j ,ems e f R 4 ,4 t ,.tna 8 to*w uE --8EE 9K.NO.om „E - nm FOR POL.NO. dj 5o SEE SK.NO. J i T T 5� m TAO'r00t? { N tsycl LM1VU p .��A� Pg\NP ,P,P A �A a Pq m y / r �g W � SECTN N NO Nonce COUNTY OF SUFFOLK © E x Real Property Tax Service Agency Y „ 66 c _ • Rti O �r� — �..--..-- , c .1,C r„r Y.,n, w m Rct.o E ..... --_- er.�r --�-- -- -- ,�,...1777k���+✓ pP r 10 PROPERTY MI,P N a�.�r 2t Nrl•R.0 r --r-- ��e�r.--�-- v p PO Box 3504 New Hyde Park, NY 11040 631-765-2332 Board of Town Trustees D E C O n� Town of Southold PO Box 1179 JUL 2 6 2013 Southold, NY 11971 ou of Town RE: Trustee's permit# 7653 B Dear Town Trustees: We are requesting a 1 year extension to Permit#7653 issued on September 21,2011. Enclosed is a check for the$50.00 fee. Sincerely, Bruno Ilibassi l Alma Ilibassi a OFFICE LOCATION: �q SO(/�y MAILING ADDRESS: Town Hall Annex Ol0 P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Southold,NY 11971 Telephone: 631 765-1938 pQ Fax: 631765-3136 oly4AN ffN LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM LJ C To: Jill Doherty, Presidentr 7 b Town of Southold Board of Trustees U SEP 26 2011 TOWn From: Mark Terry, Principal Planner SoBoard rd of d Trust ees _ LWRP Coordinator Date: September 8, 2011 Re: Proposed Wetland Permit for Bruno and Alma Ilibassi SCTM# 1000-66-2-45 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 proposed action is CONSISTENT with the LWRP review provided the following best management practices are required if the action is approved: 1. Require a landscaped buffer landward of the bulkhead. 2. Minimize the use of CCA materials in the proposed stair. The diagram indicates that all wood would be CCA treated. To further Policy 5: Protect and Improve Water Quality in the Town of Southold and Policy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem it is recommended that the Board require a silt boom during construction. § 275-11. Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (2) Erosion control. Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm. and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation of a silt boom that will retain all suspended sediments within the immediate project area. 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: Lori Hulse, Assistant Town Attorney 09/13/2011 10:58 7183470:"—', UIKAR MGT r `. PAGE 01 05/13/2011 11:35 THE INK SPOT PACE 02/03 Sept 13,2811 Board of Town Trustees Town of Southold PO Box 1179 Southold,W 11971 Dear Town Trustees: We have submitted an application for replacing our bulkhead because of the damage Incurred from Hurricane Irene on August 28,2011. After several years of effort,we recently obtained amendments to our DEC permit and Trustees permit#469 for rip-rap and sand replenishment. The Town Trustees permit for sand replenishment was issued on July 20,2011.'The Belxedon Estates Assocllition(50 homeowners)requested that the vxrk for the sand replenishment and rip rap project start after labor Day to avoid disrupting the beach during the summer. unfortunately,the damage from Hurricane Irene happened before we were able to start this project. We are requesting thatthe amendments to permit#469 to install rip,rap'K to 1 ton stone armor in front of the existing bulkhead and to replenish the beach with approx.400 cy,of sand,as depleted on the site plan prepared by Dru Associates,Inc,be included In this application. I1 aBrunoIlibassI i S EP 1 3 2011 1725 AmhaMom3tUe AvE _ G5"+hptd, NN 1lq'7 t SoutTh-01-d Town il Eoarci of Trustees Jill M.Doherty,President O��Q�S�UJyO Town Hall Annex Bob Ghosio,Jr.,Vice President l0 54375 Main Road James F.King ! i P.O.Box 1179 Dave Bergen G Southold,New York 11971-0959 John Bredemeyer �� Telephone(631)765-1892 l�rou Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - Office Use Only 15 VU l5 V f n Coastal Erosion Permit Application _ wetland Permit Application Administrative Permit ;{ _Amendment/Tran /E tension LPG, S E P - 6 2011 Received Application: Received Fee:$ Southhold Town ompleted Application _Incomplete Board of Trustees _SEQRA Classification: Type I Type II . Unlisted V L!rW Consistenc(datey sent) �— e✓L��Consistency assessment Fora. � vCAC Referral Sent:_ i t j :�Deate of Inspection:. ' I �l _Receipt of CAC Rcport: _Lead Agency Determination: _Technical Review: +public Hearing Held:-I Resolution: ` Name of A PPlicant &Lk n FT 11rYlj 1 �� Address PO B6 x 3 sb`/' O e [.y [7 V e -PQ j— /k j\ f/ O V® Phone Number:( Suffolk County Tax Map Number: 1000- Property Location: �y urj (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Boa-' of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: LID Previous use of property: 6 is/ dell?-ha J Intended use of property: Aes id e n-hQ Covenants and Restrictions: Yes L,"No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes No If"Yes",please provide copy of decision. Prior permits/approvals for site improvements: Agenc Date rwj� J ,U5 U5ItW erm� #�b 9 P Isl� I yY�yn�l�" .rwn 1ru54ees7erM 44gb9- IWIL)-71MeKJMeV&- pl _Pat d'reAn " 1 rus+�es��w► `� 8 - S �kG1e4 0 My DEC �ermr ���S7-/fig i V��I in 4A r�ple�,is fn�neh�- r� IJ �rC I�rm1f. t /pi�t�g7 Co►�5 �1- bu I klnea� {� P y No prior permits/approvals for site im vements. Has any permit/approval ever been revoked or suspen5pd by a governmental agency? No Yes If yes,provide explanation: Project Description(use attachments if necessary): Gla ma f� lI ba k k aaj a S c- 1r�e S u d`�- o- 1`t ►-v�i c� r2��° �-To rvY1 c�a►�v�ae -- mayi k i'nJ Y-, lace Jaxome-d 64a-)rn ,r, i t I b\ea a ro vma -el I t4 b y e 64br-rn U-3A-Ue I YJ � i�-1, bu.I L hle a� . 6+6 Ors uj ! l be a pprox, 4 x d '� � boarn or Trusrees appiicauuu WETLANDITRUSTEE LANDS APPLICATION DATA ' Purpose of the,proosed operations: placefYFen J Q mo- p WkkeaA s r bdp Jam -P-0 M &A506 CC►n P- e o l c� Area of wetlands on lot: square feet a� S Percent coverage of lot: % bLL K�► � Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet ea►m � 6. S Q �aV'� I Does the project involve excavation or filling? ' No ✓ Yes Q pP►�� vase -J�r die If yes,how much material will be excavated? cubic yards e-XO How much material will be filled? /9� cubic yards erodedRephcfz UUQ Depth of which material will be removed or depositedl�yowi 1--3 feet © aQ- u Proposed slope throughout the area of operations: IeUz/- -7b 6 J�h� ,{ LuQ Manner in which material will be removed or deposited: ,J�-/Y a d nav ` Ui b b i 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): I /Vf�lie �' Board of Trustees Application COASTAL EROSION APPLICATION DATA —T� ,. J i P Pro oses of osed activity: I I ce r- QCe��� p b d Are wetlands present within 100 feet of the proposed activity? f- J No Yes 1 `7'O �® (.�'"t�l� U Baj Q Ce Does the project involve excavation or filling? ` No /Yes If Yes,how much material will be excavated? (cubic yards) lQG �� hQS How much material will be filled? qp�m�rx (cubic yards) ����j /,�Q 5 C7 Manner in which material will be removed or.deposited: Q `` ear mbyiY? u i me CbDL-44 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) 6P re- a ks6 a /xikq rep h ce% Mao P,--/ bulkh��s a Jill M.Doherty,President �� soUryo Town halt Annex 'Bob Ghosio,Jr.,Vice-President Q �7 543751h gdn Road P.O.Box 1179 James F.king Southold,New York 11971-0959 Davcn � JoAri a Bergen er�never Q1 Telephone(631)765-1892 Fax(631.)765-6641 ROARD OF TOWN TRUSTEES ' TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE �4�5/ :r Li bQ The owners of record of property at: �� gQ�Y1amQ 8 SCTM#1000- 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: �} Aulkl)wd stirs -T5 Showr7 60 5MeVeu �y A11&n t.os ivir� �o as shown on the attached licensed survey and/or site plan for the approved structure. l �jd &opdori It is my/our understanding that we are to maintain this structure with materials designed s to endure 30 years and/or equivalent to the original approved structure.Any T-Uvl 6-p maintenance which involves more than 50%of the length of this structure requires LA (J 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 i net al ;Odce f res, Notarized signature of owner of record 92, ry Public JOANNE A LXAN� ER NOTARY PUBLIC,State of New Yortc No. Kassa 5 �/ Qualified.in Nassau County Commission Expires November 19, This maintenance agreement shall only be valid upon the attachment of a licensed land surveyland or site plan made within one year,of the original construction and validated to show the final approval of the administrator. sane 39tid 10dS ANI 3H1 69LI99LIE9 Zb:21 TIOZ/10/6e PROJECT ID NUMBER 617.20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS only PA)2T 7 -PROJECT INFORMATION (To be completed by Applicant or project Sponsor) 1.APPLICANT!SPONSOR 2.MY NAME a Il o a 1lrnat M i�,e(�, lea !w haevr&iy '3.PROJECT LOCATION; 1 Municipality QL( 'r a f County 50 4.PRECISE LOCATION: Street Addeas and Road Intersections. Prominent landmarks ate -or provide map 177- 5.IS PROPOSED ACTION: ® New Fl Expansion Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: 9 v In y b� proX l�e� '540r.rn wine s '512, 1 �Will l� c>`ppro�c.. 4)C8 u,► I.AMOUNT OF LAND AFFECTED: Initially acres Ultimately 64!�' acres S.VVILL PROPOSED ACTION COMPLY WITH EXISTING 'ZONING OR OTHER RESTRICTIONS? ulYes ONO If no.describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY—pF PROJECT? (Choose as many as apply.) XJResidential O Industrial F—lCommerciai []Agriculture ©Park I Forest/Open space LJOIner (describe) 10. DO,ES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Feclaral, State or local) Yes No If yes, iist'agency name and permit / approval: 11_DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Dyes 10No It yes, list agency name and permit I approval: ' AAA RESULT. FR OSEOACTiON�WILL EXSTINGPERMI ICAYION2 ,❑ o e O I !� CERTIFY THAT THE INFORMATION PROOVVIQE 6 A90VE IS TRUE 1TO THE BEST OF MY KNOWLEDG Applicant ! Sponaime 5i_natur If the action is a Costal Area,and you are a state agency, Complete the Coastal Assessment Form before proceeding with this assessment I 90/90 39dd lOdS ANI 31-11 69LT99LIE9 1t7:9T ITH/Z0/60 r PART II- IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF. Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes 0 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,'shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: .. C5..Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts including changes in use of either quantity or type of energy? Ex lain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? If es,explain briefly: Yes a No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Yes 0 No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked .yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box ifyou have identified one or more potentially large or significant adverse Impacts which MAY occur.Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actin WILL NOT result in any significant adverse environmental Impacts AND provide, on attachments as necessary,the reasons supporting thi determination. Board of Trustees Name of Lead Agency Date Jill M. Doherty President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Town of Southold E.rosion, Sedimentation & Storm-1 ester Run-off ASSESSMENT FORM i PROPERTY LOCATION', S ti.T.M I" THIS FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 41 tO 0 STORM-WATER GRADING DRAINAGE D ION CONTROL PLAN F 'l= eFMMIED BY A DIESIGN ROFE3310NAL IN THE STATE OF NEW YD SCOPE OF WORK - PROPOSED CONSTRUMON n'EM# / WORK ASSESSUDIT Yes No a What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Ott (Include Total Area Of all t'8ar sls located within 7 15�G f,� Generated by a Two(2")Inch Rdlnfall•on Site? the Scope of Work for Proposed earing Construction) (s F/�) (This item will include all run-off created by site b. What is Ground Total Area aF Land the proposed clearing andbr construction activities os well as all and/or Ground Disturbance for the proposed /D6ea e�e Site Improvements and the permanent creation of construction activlly? impervious surfaces) 2 Does the Site Plan and/or Smey Show Ali Proposed PROVIDE BR=PRO=/bFSCRWMON movkeAdMang Psae.,a Nwrlyd) Drainage Structures Indicating Size&Location?This / I Item shall include all Proposed Grade Changes and /7 r!r1 a f n P fQ c e— !'� I(�(�{�y) Slopes Controlling Surface Water Floa. El (� 3 j r Does the Site Plan and/or Survey desc-mbe the erosion T trr�Y! rq YVIdC(e !all I k 61 QQ' and sediment control practices that wil(be used to �❑ control site erosion and storm water discharges. This l vinyl I�bu f edd +Ly i l' be item must be maintained throughout the Enire A C• }''1". �11 CA ker �'�U17 e Construction Period. - --- - - 4 Wll this Project Require any Land Filling,Grading or l 1 1� (l Excavation where Ware is a change to the Natural ` ny-M U - Q Existing Grade Involving more than 20.Cubic Yards _ l 1 J '_ 1 of Material within any Parcel? C:1 T b 6. 5 Will this Application Require Land Disturbing Activities .l,, i _ /��a Encompassing an Area In Excess of Five Thousand I ' t I 4� (5,000 S.F.)Square Feet of Ground Surface? I�J d- 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction — General DEC SWPPP Reguinaments; or within One Hundred(100')feet of a Welland or Submission of a SWPPP is required for all Construction activitles involving soil Beach? diSlurhanC96 of one(1)err more gores:Indttding disturbances of lase than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a largor common plamthat will ultimately disturb onto ormom awes of l;tnd; which Exceed Fifteen(15)feet of Vertical Rise to ❑ . ` including Co"WrAion aoffvlft,�Iwvolving sou dlsturbane"of legs than one(1)acre where One Hundred(100')of Horizontal Distance? .J.0 the DEC has determined that a BPDFS permit is required for storm water discharges, (SWPPP'*Shall mob{Via MMlmum Requirernenta of the SPDES General Permit $ Will Drivevirays.Parking Pa-eaS or other Impervious ' For storm Water Discharges from Construction activity-Permit No.GP•0-10.491.1 Surfaces be Sloped to Direct Storrn-Water Run-Off 1.The SWPPP shall be prepared/prior to the submittal of the N01.Tho NOI shall be Into and/or in the direction of a Town right-of-way? submJIhW to this Dnpedmant prior to the commencement of eonalmedon acdvity. 1 Require set P the PlaGemeut of Material, this Project R 2-The SWPPP shall descnbo the erosion and sediment control practiws and whops 9 WJII I H. required,post•const+vlctfon slonowater management praeucea that will be used and/or Removal of Vegetation and/or the Construction of any J. constructed to reduce Ilia,pollutants In:lomr water dizchargos and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terma and cormhions of this penrAL In addWon,the SWPPP shall r Area?Phu leer//ww NOT Ind El identify potential saunas of pollullon which my reasonably be expected to affect the ,rd.Ura InatWlwlan of 9rlwwuY Aproaa) I i NOTE: If Any Anawer to Questions Ona Waugh Nine is Anaweted with a Check MWk 1 quality Ot SIOfrA wsl@t dlBCteatgea. y 9 3,All SWPPPs that require the post-conabuellon storm water management practice In is Box and gra construction alle dlsturtrenee fa laetweae 4110 B.F.61 Atra In area, component shall be prepared by a qualified Dosign Prokudlonal Licensed Ire New York a StamnMetw.Grading,Drainage d Eroalon Control Plan it Required by the Town of that is khowledsoable In the pdn0ples and praetleea of Storm Water ManagemanL Southold and Nutt be submitted for Review Prior to Noumea of Any Building Poor& i {NOTE; A Chsde Made(4)and/or Answer fa each QL"an is Required rot a Complate ApplfeaLba) S17ATE OF NE`yV'YORK, , Q i COUNTY OF..........................------------_-SS I `That I,__�. It�.Q.••K.... �>a.9��,1..being duly swprn,deposes and says that he/she is the applicant for Permit, (Name or individual atraning Document) ; And that he/she is die .�Z....._...A< 5 d ��..�L„ �. u .... (% G ........... .... ... . I.. .,.... .. (Owner,Conte.oor,Agent,Corporala Moir.etc.) i I Owner and/or rnprcsentative of the Owner or Owners,and is duly authorized to perforrrt or have performed the said work and to l make and file this application;that all statements contained 41 this application are true to the best of his)uiowledgc and belief;and i' that Chi:work will be,pelf'ormled in the manner set forth in flit applic:Atiou filed herewith. j Sworn to before ine tfds; .................. .... .......day of Sly 20/2 Nouiy P •• ................................. ........................ (Signature otdppllonr) FORM 461 =R 1 York ,f0":''`�.�' ::w JOANNE ALEXANDER t4OT/aRY .,.: r NOTARY PUBLIC,7"=t State Eli New York N..4bb35 / Qual"ic:.` Qualified in Nassau County Commission Commission Expires%movember 19, Y 90/60 3Jdd _L0dS ANI 3Hl 69LT99LTE9 it?:9T ITOZ/10/60 ti �rOF ; SE PROOF OF MAILING OF NOTICE U `-'I P 1. 9 2011 ATTACH CERTIFIED MAIL RECEIPTS __ Q Board of Trustees Name: Address: �c� -2-5© I Sef r--ke-�-� N� I1733 �JO(an • ofc,r , Icy 11 � `1.1. . • 5 -rm Ihovv►as I �.ba►- dal It �G i�- /a I Cley)4. Ca5+e,0ak,o q STATE-OF NEW YORK COUNTY OF SUFFOLK MEN Wit =L 1 (ASS ! residing at, 17 �S N lyi�o PVl f�-QI /V .,being duly sworn, deposes and says that on the 7j. day of 5 grPT—. , 20 J/ 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 name's 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 . A Q✓ro G(rUtt' N V , that said Notices were mailed to each of said.persons by (certified) (registered)mail. toll Sworn to f e me this Day of. 201 1 LAUREN J MAVRANOLP Notary Public,State of Now YQFN No.01 MA6200&R@ Qualified in Nassau Opunly Commission Expires Ju)y'13,gold . r N to P blic ���OggFFO(�Ca� Jill M.Doherty,President y Town Hall,53095 Main Rd. P.O.Box 1179 Bob Ghosio,Jr.,Vice-President u. � James F.,King � � Southold,NY 11971. 0 a��* Telephone(631)765-1892 Dave Bergen �� Fax(631)765-6641 John Bredemeyer BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD E �r E F ) SEP 1 9 2011 BOARD OF TRUSTEES: TOWN OF SOUTHOLD ------------------------------------------------------------- � Southhold' ToWn In the Matter of the Application of s�oard of Trustees BRUNO & ALMA ILIBASSI COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, gkomo 7 L- - Sj/residing at/dba l 7 W14-momu tF �o y j(�� h ti r� L1 1 1 9-7/ being duly sworn, depose and say: That on the /D day of 5t PT , 201J, I personally posted the property known as l 7 z-<' Ats594Ma &P puC A✓� _5o617-#o[_.,�;' , hl y /1 97/ by placing the Board of Trustees official poster where it can easily be se n, 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 Wed, September 21, 2011 on or about 6:00 PM. Dated: (signature) Sworn to befo&20 rgg me this day of bi LAUREN J MASTRANGE LO Notary Public,State of New York ��� � No.01 MA6208826 r-tvi L&'�\WQualified in Nassau County a Public Commission Expires July 13,2013 Ell d of 'trustees Applxcatx= County of Suolk f�t��f State of New York t ( /2G!✓! �' —�i��5�1 BEING DULL'SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PEMT(S)AND THAT ALL STATEMENTS CONTAINED HERXIN 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 SOU'THOLD TOWN BOARD OF TRUSTEES. THE.APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGI~S AND CLAIMS ARISING UNDER OR.BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEESP THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS S� DAY pF�' 20 JOANNE ALEXANDER NOTARY PUBLIC,state of New York No.4974685 Qualified in Nassau County L commission Expires November 19.90/ SO/ZO 39dd lOdS ANI 31-11 69LT99LTE9 Tti:ST TIOZ/TO/60 AaPPLICANUA.GENT/ RESENT4TIVE TRANSACTIONAL DISCLOSUIM FORM The Town of SoutholiEs Code of'Ethics prohibits conflicts of interest on the part oftown bffc_ n� rs a nd•emploYn�wposc of this form is to providS inferipation which can alert the town gfpossibla conflicts of interng and allow it to Uilas whatever action is necessary to avoid same. f,b �lvvl if YOUItNAME� 45�1 Bruno 4 (Last name,fiist nam ,oddle initial,unless you are applying is the flame of someone else or other entity,such as a company.If so,indicatiz..the other per'mon'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 trap Planning Other (If"Other",narrow the•activity'.) — f i Do you personally(or through your company,spous,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship includes by blood,Aarriage,or business intermt."Business interest=means a business, including a partnership,in which the town officer or ciriployee has cvcn a partial ownership of(or employment by)a corporation j in which the town officer or employee owns more than S%of the shares. YES � NO if you answered"YES",complete the balancc of this form and date and sign where indicutctl Name of person employed by tlne Town of Southold Title or position of that person 1 I Describc the relationship betwccn yourself(the applicant/agcnVrepcesentative)and the town officer or employee.Bithor check the appropriate line A)through.D)and/or describe in the space providcd. 1 The town officer or employee or his or her spouse,sibling,parent;or child is(cheek all that apply)_ A)the owner of greater than S%of the shares of the corporate stock of the applicant I. (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a Eton-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 Submit is day of 200 • Si are � � v _ )'rin e _ 9 g _/ Forrn TS I 90/t,0 39dd 10dS ANI 3H1 69LI99LTE9 1b:9T TTOZ/TO/60 Town of Southold j 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 f and other ministerial permits not located within the Coastal Erosion Hazard Area. i 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 Towns {{ 1; 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, listind both supporting and non- '! supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and i I conditions,it shall not be undertaken. i! ; i 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 I local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION i PROJECT NAME �!'7AY10 fi'1')Q ZIP l�RSS 814 I�AeaC� /C ePbC60Me14- The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees LZJ 1. Category of Town of Southold agency action(check appropriate'response): j (a) Action undertaken directly by Town agency(e.g. capital ❑ i construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) I j i (c) Permit,approval,license,certification: LAJ Nature and extent of ac ion: i � �'�d i'� a/�c�e. ��blacevne�l7� ©T 100 hic�l�er ►never)+ :5 rM -vuave. .5WB)e Location of action: r rj�l R VI'JoIiYJQ �6 1�17'f70 Site acreage: / 7.5aCre' i I� Present land use: 4�,5idem a I Present zoning classification: _ 8e Gj j U e C 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: 'I I VI I I o q- &M4(a) Name of applicant: �-1 �C!55 I (b) Mailing address: �© /36 ONO *� t (c) Telephone number:Area Code( ) J Z 79—3 `7 g 9 (d) .Application number,if any: �f Will the action be directlyundertaken require funding' or approval b a state or federal agency.? q g� PP �/ Y g y. Yes � No❑ If yes,which state or federal agency? A -5 DEC 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 is 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. VN Yes ❑ No ❑ Not Applicable E i:. Attach additional sheets if necessary If 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 a ❑ Yes [JNo Not Applicable I i I 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 VNJ Yes ❑ No ❑ Not Applicable �l i Attach additional sheets if necessary l NATURAL COAST POLICIES ff, . I( Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP f Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable I ti I : Attach additional sheets if necessary I E 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 C n � I . El Yes ❑ No `V]Not Applicable f : I : 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 Applic 1 I I� Attach additional sheets if necessary j 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 I; - I itAttach additional sheets if necessary H ' I 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 I- PUBLIC-COAST POLICIES f 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. l Yef—I No❑ Not Applicable � i 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. K71Yes ❑ No ❑ Not Applicable j Attach additional sheets if necessary I , 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 I l j Attach additional sheets if necessary � ; . i Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No x Not Applicable I , l I I' i .I .l 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. f ❑ Yes ❑ No Not Applicable E I � i PREPARED BY /��' d. .r/, l G rf,` TITLE 0 DATE 9 /�i