Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
TR-9395
�aFF0 President y�osu ���o Town Hall Annex Michael J. Domino, ��o L, John M. Bredemeyer, III, Vice-President cm 1 54375 Route 25 Glenn Goldsmiths N ,? P.O. Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams �ol , �a Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction %2 constructed Whenjroect complete, call for compliance inspection; p i 1.11 nt, F BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK M PERMIT NO. 9395 DATE: FEBRUARY 13, 2019 t ISSUED TO: ROBERT & BARBARA LEWIS PROPERTY ADDRESS: 700 WEST COVE ROAD, CUTCHOGUE SCTM# 1000-111-2-10 t AUTHORIZATION A Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on February 13,2019 and i in consideration of application fee in the sum of$250.00 Daid by Robert & Barbara Lewis and subject to the Terms and Conditions as stated in the Resolution,the Sou&ld Town Board of Trustees authorizes and permits the following: Wetland Permit to remove and replace 104 linear feet of existing bulkhead with new vinyl bulkhead in-place with a raised elevation of 18"above existing top cap; and as depicted on the site plan prepared by Jeffrey Patanjo dated December 3,2018,and stamped approved on February 13,2019. 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 the 13thday of February,2019. coo § 4,- a S TERMS AND CONDITIONS The Permittee Robert&Barbara Lewis, residing at 600 West Cove Road, Cutchogue,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. �O� U yOIO John M.Bredemeyer III,Vice President Michael J.Domino,President �Of S0Town Hall Annex r 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold„New York 11971 A.Nicholas Krupski G • Q Telephone(631) 765-1892 Greg Williamsy00U 'O Fax(631)765-6641 � NTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 13, 2019 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: ROBERT & BARBARA LEWIS 700 WEST COVE ROAD, CUTCHOGUE SCTM# 1000-111-2-10 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 13, 2019 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of ROBERT & BARBARA LEWIS 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 December 20, 2018, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 13, 2019, 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVE the application of ROBERT & BARBARA LEWIS to remove and replace 104 linear feet of existing bulkhead with new vinyl bulkhead in-place with a raised elevation of 18" above existing top cap; and as depicted on the site plan prepared by Jeffrey Patanjo dated December 3, 2018, and stamped approved on February 13, 2019. 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: $50.00 Very truly yours, o Michael J. Domino President, Board of Trustees MJD/dd SURVEY OF P/0 LOT 277 & LOTS 278 & 279 AMENDED MAP A OF NASSAU POINT FILE No. 156 FILED AUGUST 16, 1922 SITUATE THONROCORNWE NASSAU POINT a coRNwE ! TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK \ S.C. TAX No. 1000-111-02-09 plo LOT 27 354.43' ��° S.C. TAX No. 1000-111-02-10 Cow.MOw ,• ' � SCALE 1"=30' V "i w _ NOVEMBER 16, 2009 1Ji I plo LOT 27 \ �•0 1 1• s N 83'38'20" E to, l0 1 �{ 377.32Lp �1 1 FlIED MA? Iy1 0 m,aa S� 4`• '�—�—"� • C`+] 1 WS *\�/ �$ ASF �� �j� � Nao� _ s� �Cf�. >> +Q:°" . _ r3]��'J, _ Fn� 1,� • •. }.(1 \\IL � 0 k� 0.°'Na ••�.. LOT 278 \ c T I o CERTIFIED TQ- ROBERT BARBARA LEWIS _53e3� OIL 9"a \�!�6 Fye sD o�p� cE � _ ° a O \ y 1a;.,,�SNF 1oD0-1t1_o2—p9 29124*3 P) 0- 02-10 (FlIFO W rO 2 Gyp u'� 1000^111 cc S.C. TAX No. S.C. TAX No. '$\ 1000-111-02-09 1000-111-02-10 sIr 0 6a �i� a g TOTAL AREA = 61,429 sq. ft. 39,780 sq. ft. 21,649 sq, ft. 88.08'04" E OT 279 �I \ •• (To BULKHEAD 1.410 ac- 0.913 ac. 0.497 ac. 9a L . &TIE UNE) .. \ 4 TOTAL AREA = 65,756 sq, ft. 41,870 sq. ft. 23,886 sq. ft. �� \� .� /�� \1• ga 1 S• (BY FILED MAP) 1.509 ac. 0.961 cc. 0.548 cc. x6 N POST TQryyyg A °• a.a Lj \ i9j 2tS.$a \ FRAME HOUSE FF ` i y G zea 227 31' . ' ; 'j ;L? LOT �: l:( r' i I.y t 1'--•� e� W 00 ,trI DEC 2 0 2v1,t� Fl1D $ 77.23,`0'f M,N F Gp G!<"'-Y STANDARDS FOR TRIS SURVEYS EO PREPARED IN ACCAROANCE WIRI THE MINORUM BY THE LIAI-S AND APPR FOR SUCH USE BY THE , i TRLE ASSOCIATION Q 5�-�r,Froo�"QF, I - _ I LAND N Y S Lc No 50461 UNAUTHORIZED ALTERATION OR ADDITION To TRS SURVEY IS A VIDATION OF IO' SECT7TION209 OF THE NEW YORK STATE LAW CCOPES CF THIS SURVEY MAP NOT BEARING Nathan Taft Corwin III AN THE LD SURVEYOR'S IMOD SELL OR Land Surveyor �/�or EM OWED SELL SHALL NOT BE CONSIDERED �A TO BE A VAUD TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY 6 PREPMEDr AND ON H6 eEHAIF 70 THE 'i TTf1E COLIPANY,GWERNMFMAL AGENCY AND Ti9e Surveys SubdwmTi s- Sde Plane - Construction Lalmt TO TH C ASSIGNEES F THE HEREON.AND 1's- - ' TO THE ASSRR1EE55 OF THE IFlIDINC INSTI- TNrION CERTIFICATIONS ARE NOT TRANSFER1Bl£ PHONE(631)727-2090 Fox (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFRCES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O.Box 16 ANY,NOT SHOWN ARE NOT GUARANTEED. Jamesport,New York 11947 Jamesport,New York 11947 700 West Cove Road cl \ EXISING WOOD WALL TO BE REIEOVED s p n All \\ N er08'a7 9 _ \ o pACANT 02-10 b • a TAR DEAF 1000-11I q c ILH,W,ALONG BULKNEAD FACE LOCATION M A P \ T�OFBMIK APPROVED BY N.T.S. 1.67' \ `� \Z CHAIN LINK FENCE BOARD OF 1"RUSTEES -�� \ \ PROPOSED 104 TOTAL LF OF VINYL BULKHEAD TO BE REPLACED ! - w, LN-KIND LN-PLACE of E705RNG TMER BULKHEAD VM I r J f • i A RM TOP CAP BEVATION OF IB'UMMUM ABOVE D WNG 2¢I�' \ t I +` 'p _ TOWN SOUTHOLD DATE f4op 'l 13t Zo(� �' DEC 20 ?01' I \ N/O�F - I I G'ip \ y2'2C" JOHN F. 0 GRGRADY S 7Y gL WARILYN F• \ I Board o T; PROPERTY OWNER: PREPARED BY: ROBERT LEWIS JEFFREY PATANJO PROPOSED FIR TIMBER TOP CAP BARBARA LEWIS P.O. BOX 582 120 E. 89TH ST. — APT. 4D BOHEMIA, NY 11716 NEW YORK, NY 10028 631-484-9332 PROPOSED 12'LONG 10'BUTT PROPOSED 3'X6'REAR WALE CCA TREATED TIMBER PILE,8'OC JJPATANJO@GMAIL.COM NOTE: REMOVE EXISTING BULKHEAD EXSTING GRADE STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION 1B. MAX PROP SED OF SED 6CCA NOTES: WALE(TYP OF 2) =� 1. LOT AREA: 23,886 S.F. / .548 ACRES I 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: " 0"W'E M.H.W.° NATHAN TAFT CORNWIN LAND SURVEYING -- --__- -- ��S�EFO Michael J. Domino, President ;?�o� ��y � Town Hall Annex John M. Bredemeyer, III, Vice-President �o `a 54375 Route 25 CO Glenn Goldsmith P.O. Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams �'Y Telephone (631) 765-1892 Fax (631) 765-6641 2,zasl9 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ROBERT & BARBARA LEWIS c/o JEFFREY PATANJO Please be advised that your application dated December 20, 2018 has been reviewed by this Board at the regular meeting of February 13, 2019 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) — (Silt boom) 1" Day of Construction ($50.00) '/2 Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY- Michael J. Domino, President Board of Trustees Michael J. Domino, Pi ;nt O��$uFFO(�COG c Town Hall Annex John M. Bredemeyer III, Vice-President �� W_ 54375 Route 25 Glenn Goldsmith CM P.O.Box 1179 A.Nicholas Krupski a 07 Southold,NY 11971 Greg Williams '�',yol �ap� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: dh 1►� Completed in field by: N' No ) Jeffrey Patanjo on behalf of ROBERT & BARBARA LEWIS requests a Wetland Permit to remove and replace 104 linear feet of existing bulkhead with new vinyl bulkhead in-place with a raised elevation of 18" above existing top cap. Located: 700 West Cove Road, Cutchogue. SCTM# 1000- 111-2-10 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ./ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application rrcompleteness/comments/standar/ds: S?'a"04 wl�--) i 0 a C&w+ c(— 41,,,�on I J�I k�l(�tl — No w M cl�4 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino -/G. Goldsmith N. Krupski G. Williams Other i Photo 1 �'�P _fit i. �.- '�r �j•. '• �. !„iT 1 .. rr a • b .I1. is j `y •� j LO-Ar� 4 Aw. 41, N Q A Photo 3 r� f ,�.9a• - `ice'. ....` 5 p' TI --i�L -" ;rte .l u �- -P--z--- yy� � � 1 ° _ a°' o•" � ,'�'. '�ar ,� !b t 1J.r, .ee'�xr a "' �___ a_' __2 J • 4 s ° �� �gir-i� p� .s ,p r,•. ,-' �.+ �I nv s' t JJ• ">' _ r^n n- e9' -r� 3 13Yc) @• 9 � 1.BNc)y, P, 2 -11A ��'�a_ A- �J) ��� � w, �Ml- s.3° z " s s'° �' q M1` 9 ♦1 ;ro ITs �'1 "Pa A +p a 15 tI 1�. tx2 ~ 3.1 �Y OlD ♦1ENHN)F.N co, 0.+ P' �RO � \� §P" P, ++ lelemR v ',.� J � �PII + P^ 5 21 e � 19 '♦' x � � 4\ �.. � � O„+x � • a+ r4 Pon+eT 'i 2 P,} N pP =' z� � \ ♦ \ i 1 182 T wx ^` 2 ^ 6 ® 6 4 3A(c) .\ • l n O 15 "Nc) P• +p 9 10 9 11 a OyOC ' rJ./ owA t� Po w 19 9 Pn a iiNc) Ix 9 � +s ,.eµq � N ♦ w^ 'ie \ : /�. ,. ,• �+pN°t° z �•P+ _ -___ n se, z9Nc)c��- m"♦ .e �` M N n � tFgq ro a a•+ ///_ ^�. orf 12 12 'I a`..�'.�;A, ♦ \� P, `'o ±�, ': � '. O 161 ;�� � feM♦) ,- P'�O isIs ' imi fea �'' /, .I a /e d °• +12 ,IIs z.okc) a.(l, \">.�� is♦k(-� m 21 "'' �pl� "°"♦ � e P'�.�+ «n m p zr +q� ------ _ e9` es•.� s W O \S Ts !�"P �(1 5_� 1 tA(c)s - ..,� ,� � ^' ^ 6AY t �` b 2♦ r1NU p 4 P` 6w P H 7 9✓. ' Zlt "S.fNc 31 120Nc) ♦ y � e w j-.g1ll� T FOR PCl_NO.R7� / ♦"..b. p Lz s H ase 0 3 NOTICE COUNTY OF SUFFOLK © N 10 ' 1°ml ar SOUTHOLD SECTION NO (21) «... z. "°""'y — '-- � 6 Real Property Tax Service Agenq v .......- �-.. - SEE SEC.NO.105 OFFICE LOCATION: �®- SO �`�'�� MAILING ADDRESS: Town Hall Annex `L® (���`�� P.O.Box 1179 54375 State Route 253 1I Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) CY, J Pr Telephone: 631765-1938 Southold,NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator ; Date: February 12, 2019 Re: LWRP Coastal Consistency Review for ROBERT & BARBARA LEWIS SCTM# 1000-111-2-10 Jeffrey Patanjo on behalf of ROBERT & BARBARA LEWIS requests a Wetland Permit to remove and replace 104 linear feet of existing bulkhead with new vinyl bulkhead in-place with a raised elevation of 18" above existing top cap. Located: 700 West Cove Road, Cutchogue. SCTM# 1000- 111-2-10 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with the below, listed Policy Standards and therefore is INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. A Wetland Permit for the structure was not located within Town records. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Fee Peter Young,Chairman y Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 !► Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 6, 2019 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of ROBERT & BARBARA LEWIS for the removal and replacement of 104 If. of existing bulkhead with new vinyl bulkhead in-kind and in-place as existing with raised elevation of 18" above existing top cap. Located: 700 West Cove Rd., Cutchogue. SCTM#111-2-10 Inspected by: John Stein, Peter Meeker, Carol Brown It's the opinion of the CAC that this property is a good candidate for a living shoreline project. Vote of Council: Ayes: All Motion Carried r so& Michael J.Domino,President '�� ��� Town Hall Annex John M. Bredemeyer III,Vice-President G 54375 Route 25 P.O.Box 1179 Charles J.Sanders Y Southold,New York 11971 Glenn Goldsmith GRA `�.� �y�,' Telephone(631) 765-1892 A.Nicholas Krupski Fax(631) 765-6641 ]BOARD Old° TOWN LV TRtLJ STS ES TOWN OF SOUTHOLD This Section For Office Use Only oe—Coastal Erosion Permit Application Wetland Permit Application _ Administrative Permit E �a �y� LZ �cAmendment/Transfer/Extension � j/ Received Application: _ (Z-20•�S i Received Fee: $ 2 6'0•0 0 EC 2 0 Completed Application: 12-31.1$ Incomplete: / SEQRA Classification: Type I_ Type II_ V/ Unlisted So I;Ici Town Lead Agency Determination: Boardof Tru tees Coordination:(date sent): _ 2.1. V"'-LWRP Consistency Assessment Form Sent: CAC Referral Sent: 140-11 Date of Inspection: •t' Receipt of CAC Report: Technical Review: — -_ Public Hearing Held: _ �•►�•�"1 Resolution: Legal Name of Property Owner(s): g o t e'r -t- b a Le w i S Mailing Address: 1 0' C;' ?'9 +h S - A Vo rl(4 "o Phone Number: d s 0'7& 8 Sb d- Suffolk County Tax Map Number: 1000 - / ! ! - ® 2L - 4 Property Location: /_.P V L4..9 e e-b Co,1 e- 2'S�a4 - �'�-� e ®g v e. 5-ce- o e, M ke (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): -� recd I'A'ra y"i A a Mailing Address: �• D �'x 5_5 al- 'B a 4 eM t A) Phone Number: 6�!' L( J q 3-3 2-- 0 Board of Trustees Agog' -iation GENERAL DATA Land Area(in square feet):^_ j F 4 C_ Area Zoning: 9-p—S Previous use of property: J e. ca Intended use of property: - 'dl d-e. 11 Covenants and Restrictions on property? Yes ✓No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes v-,�No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓No If"Yes",please provide copy of decision. Will this project requi any demolition as per Town Code or as determined by the Building Dept.? Yes ��// No / Does the structure(s) on property have a valid Certificate of Occupancy? Yes °' No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓No Yes If yes,provide explanation: Project Description(use attachments if necessary): S a+-- a G A e Robert& Barbara Lewis 700 West Cove Road Cutchogue, NY 11935 SCTIVI No.: 1000-111-2-10 PROJECT DESCRIPTION The project includes removal and replacement of 104 LF of existing bulkhead with new vinyl bulkhead in-kind and in-place as existing with raised elevation of 18" above existing top cap. Board of Trustees App—cation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:_ 'Sec- e,+.,e 6e A AScfl p-hc, Area of wetlands on lot: � square feet Percent coverage of lot: N % Closest distance between nearest existing structure and upland edge of wetlands: /00 feet Closest distance between nearest proposed structure and upland edge of wetlands: 1190 feet Does the project involve excavation or filling? ✓ No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: d Manner in which material will be removed or deposited: 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): AFFIDAVIT T.o ber+ r12�a r y4,rc` l pew 1 BEING DULY SWORN DEPOSES AND AFFIRMS THAT RE/SIDE IS THE APPLICANT FOR THE ABOVE (DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/RER KNOWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE.MANNER SET FORT[IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO BOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMITS),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY ALlTHO=E THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH TMS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AE'TRORgZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COAS'T'AL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES(DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner �tn SWORN TO BEFORE ME THIS � BAS'O ®G��°® ,20_a ,"°AlxOi Rattanjit S Ahluwalia NOTARY Notary Public,State of New York 4' PUBLIC }=No 01 AH6336783 a r Qualified in Queens County Commission Expires 02/08/20-r---& otary n ity �w AUTHORIZATION (Where the applicant is not the owner) ItWe, 9_0 "Or+ � ��,r 6a �� L��.► is - owners of the property identified as SCTM# 1000-. ! / ! o a- �` . !.° in the town of c New York,hereby authorizes 1 r �'c.0 to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS � DAY OF 696�t9 , 20 "ys►SE oF°�� Rattanpt S Ahluwalia Nornar" 'e Notary public,State of New York =* °=NoOIAH6336783 wueuC Qualified in Queens County Notary LZ '����nniu�°"`"•\ Commmssion Expires 02I08/20;—"� APPILIICANWAGENTMPRESENTA'T.WE '�)i�ANSAtCTIONAL DISCLOSURE FORM The Toi"ofSouthold's Code of Ethics prohibits conflicts ofinterbst on die marl oftown officers and employees.The purpose of this form is to provide iuforination which d;►rti alert tho'town of ooesible confficti ofinterest and allow it to taloa whatever notion is necossary to avoid coma. YOURNAiVtE: 1, eW t 5 a..r dt r (Last name,first name,4flddle initial,unless you ate applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply) Tax grievance Building Variance Trustee Change ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other'',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of theft own of Soxilli ld7 "Relatiouship"includes by blood,niarriage,or business itttetest."Swiiness interest"•means a business, ineluding a partnership,in whit;h the-town officer or employee has even a partial ownership or(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. YES NO if ydu answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Tide br position of that person Describe the relationship between yourself(the applicantlogengrepresentative)and the town officer or employee.Either check the appropriate line A)through n)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,patent,or child is(check all that apply): A)the srwner ofgreater than 5%of the shares of the corporate stock:of the applicOnt (when the appiica It is a corpbi-tdion); 1i}the login or beneficial owner of any interest In a non-corporate entity(when the appiicrnt is not a t;orporation); G}an officer,director,partner;or employee of the applicant;or b)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this. _day of JOUR ?(}r Signature - _; Print NameCIZ IA1 2 9 AA, LAa,x;t`D Form fS 1 APPLICANT/ADEN l/RE-P ENT,kT TRANSACTIONAL CTIONAL DISOLOS FORM 111e Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose sof this form is to provide information whioh can alert the town dpossible conflicts of interest and allow it'to take whatever option i's necess<7ry'io avoid scone. YOUR NAME: (Last name,first name,4tiddle initial,unless yott are applying in the frame of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance _ Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If`Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of 8outhpid? "Itelaiionship°"includes by blood;nyarriage,or busincss interest."Business interest"means a business, including a pmtnership,in whioh the toren officeror employee leas even a partial ownersttip of(or employment by)a corporation iti which the town officer or employee owns more than /u or the shares. YES NO ' I. � If ydu answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or positron ofthat person Describe the relationship between yourself(the itpplicaiiVagznt/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space prodided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply), A)the ouhier of greater than 5%of the shares of the corporate stock of the applichnt (when the applicant is a corporation); 13)the legal or beneficial owner of any interest in a nort-t;orporale entity(when the applicturt is not a corporation); _C)an otYicer,director,partner;br employee of the applicant;or IJ)the actual applicant. DESCRIPTION OF RP-LATIONS141P Submitted is. ___day of ti @ D6 20Ik Sigrlalure Print Name s _,l� Form TS I TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information whicli can alert the town of possible conflicts of interest and allow it to take whatever action is necessaryto avoid aa►ne. FOUR NAME: �G 4 0 J a J -�1/'IC (Last name,first n e,.ali►ddle initial,unless you ire applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Soutliold? "Relationship"includes by blood,nlarriage,or busincss interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns store than 5°�0 of s ares. YES NO - If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person _ Describe the relationship between yourself(the applicanVagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than S%of the shares of the corporate stock of the applicant (when the applicant is a corporation); ____B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this �diay-pf OC-+- 20 /9 Signature Print Name X& Form TS I `/ Short Environmental Assessment Form Part d v(Project Information Instructions for Com2leting Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Proposed bulkhead 600 West Cove Road-Cutchogue Project Location(describe,and attach_a location map): See location map Brief Description of Proposed Action: See attached description Name of Applicant or Sponsor: Telephone: 646-276-8562 Robert&Barbara Lewis E-Mail: docboblewis@gmail com Address: 120 E 89th St. City/PO: State: Zip Code: New York NY 10128 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ ❑ NYSDEC/NYSODS/Town of Southold Trustees 3.a.Total acreage of the site of the proposed action? 1 509 acres b.Total acreage to be physically disturbed? 0.149 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.509 acres 4. Check all land uses that occur on,adjoining and near the proposed action. Urban ❑Rural(non-agnculture) [—]Industrial ❑Commercial ®Residential(suburban) ❑Forest 13Agnculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed act NO YES I N/A a.A permitted use under the zoning regulations? ❑ 17 ❑ -b. Consistent with the adopted comprehensive plan? ❑ W1 ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:Name.Cutchogue Harbor,Name:Peconic Bay and Environs,Reason:Significant coastal fish&wildlife ❑ habitat, eason. ro ec public health,water,vegetation,&scenic beauty,Agency..5outhold, I own of, :rtmffc ifrEn 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? 17 Elc.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? W ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO I YES If the proposed action will exceed requirements,describe design features and technologies: F-1 F7 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: F7 ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? R1 ❑ b.Is the proposed action located in an archeological sensitive area? ❑ RL 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ Z b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 17 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®Shoreline ❑Forest ❑Agricultural/grasslands El Early mid-successional ❑ Wetland ❑Urban ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? Piping Plover,Common Tem,.. ❑ 16.Is the project site located in the 100 year flood plain? NO YES V/ 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO []YES FIT ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO ❑YES Page 2 of 3 18.Does the proposed m include construction or other activities that r-.-..in in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 0 1-1 20,Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ® F] I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spo r na e: Robert&Barbara Lewis Date: 10 (Y Signature: SPRINT FORM page 3 of No,or Moderate small to large impact impact may may __ occur occur 1, Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? El 2. Will the proposed action result in a change in the use or intensity of use of land? El 3. Will the proposed action impair the character or quality of the existing community? El 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? El El S. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? u (_ 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate (""lI reasonably available energy conservation or renewable energy opportunities? E 7. Will the proposed action impact existing: a.public/private water supplies? b,public/private wastewater treatment utjlities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? El EJ- Page 3 of 4 No,or* Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 0 El 11. Will the proposed action create a hazard to environmental_resources or Manan health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. DCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date 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) LRINT Page 4 of 4 EAF Mapper Summy Report Monday, October 08, 2018 5:20 PM Disclaimer: The EAF Mapper is a screening tool intended to assist '100-1 GOOD I project sponsors and reviewing agencies in preparing an environmental Jt1,F r' 13.4fJ0•400=1'1 U00 I'll 0G-1 00-2000 I 1 I'I GO-•400-2001 assessment form(EAF).Not all questions asked in the EAF are 7 jt:I;I J,O1 .1G;'I'iG=13001 _I'I'I:GO •4r�0'1000. I'I I OG=•hJO 'i00O answered by the EAF Mapper Additional Information on any EAF i, I question can be obtained by consulting the EAF Workbooks. Although r-: a .• I .r, ., I�I'Ir'0.-11J�)�'=k)GG I Irl 00--100=3•I-0�SO�_� ;r' i I'L'I U 0-2 00 3v0'I, a pit_ the EAF Mapper provides the most up-to-date digital data available to r1I100-•I'OO-3.7000---�� f 9110;,•;:;0,5GGnpLI=IOG -40C=i3OC5"0 DEC,you may also need to contact local or other data sources morder 190,-2, GG 500 I'I'I'I 00-200-=4006 O+y: r' to obtain data not provided by the Mapper Digital data is not a r + �'. _ substitute for agency determinations •I'I'I:I�JO�'100i=4'�OG'I -�•-�I:I_I�JO-�I�JQ-'00014;1'�JG-340-6GOG`� 'I'1906-'IGO-;42G00'Irl'10G-2GO-6OOQ� 4; .1.11!:0-.'.Ori-T:rGU'19'100-3GG-S+VGG 1'1'100.OG-1 ;000( ,r D1a:r�ra L1rJ)*Unl _I'I;I'IGG2003GU I I I 1190x=GOu-100r� r II'l00-30O'-15000 ` _-- 117100-;00-'1300'1 I I�Jf4,=2,IDU- ft I 11001°GO-I.t4GG Toronto ��i I!�OC;O'I'I:IOu=3.Ou I3GO�.I I,ICO GOrr_,.hn„ 13400-•400-300O'1'I'10G•-200 1.11-00 - I'I'Ii7-O-GGC'-•Ir�Gci r � rlh:my '1'1100-200=120001'1'100-500-1000 i I tlrar,lt E3 as on Scum, Esri!','• A�= �?E_,E sr rn s r_ i Prralrlrnrr D -- r'I C4'ef:t141 - Inlermsp,II.ICREIAEI.4T F,;;dPC9n;Esri--- '- Jspsn,tJ1ETll E=�ir��i,inb;4tiLrr,�ll�'cng`1,. "sriG`!r' Scurc_-.,J rri,F9pV�y I-tNE,Csrmrn, ICcres, Esri ITh ren 1 •t' 'fit•' Columblrc F7tt burUlr t1,G*llla1btrd IttCREt:AEhlT CpfnSlr_ tlu s{ n_Wtcr;., �+'�Q(i_ � F,J•lP,Csn, Esri Jspsn, I:AETI, LJ_�Ccmrriurit, I l l C-50n1 1�„In_7r�C„ :InnaL F r C s ;Hcrra Kcngr, Esrl tNuiEni>' Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7[Critical Environmental Name:Cutchogue Harbor, Name:Peconic Bay and Environs, Area- Identify] Reason:Significant coastal fish&wildlife habitat, Reason:Protect public health, water, vegetation, &scenic beauty, Agency:Southold, Town of,Agency:Suffolk County, Date:3-24-88, Date:7-12-88 Part 1 /Question 12a [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a [Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15[Threatened or Piping Plover, Common Tern, Least Tern Endangered Animal-Name] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 S.,PostaI,8erv'c6` GEI IEQ,M `�RE -RT R All L GEI PT ■ r-q Dom4Stla mail Phly ru 11012, 11; 0 A L RIJ 82 En I Ulf coru Certifie Mail Fe Certified Mail Fee ca Ln $ Ln $ =t- Extra Services&Fees(check box,add fee as;appropriate) --3- Extra Services Fees(check b.X add fee as[I Rertum Receipt(hardcopy) $ C3 0 Return Receipt(hardcopy) appropriate) E3 ❑E]Return Receipt(electronic) $ Postmark 1=1 $_ r3 ❑ Return Receipt(electnonl�) $ r-3 E]Certified Mail Restricted Delivery $ Here 0 Certified Mal Restricted Delivery $ Postmark C3Adult Signature Required $ C-3 0 Adult Signature Required Here C3 ❑Adult Signature Restricted Delivery$ 1-3 $ OAdult Signature Restricted Diijiveii$_ O Postage C-3 Postage Er $ Ir $ E-3 Total Postage and C3 Total Postage and M SCTM#1000-111-3-17 M $ $ SCTM#1000-111-2-9 r-q ia co Sent To Thiel, David R& Eleanor T Sent To Lewis, Robert A& Barbara C3 775 W.cove Road 9th 120 E. 8 St.Apt.4D City State;Z%P+4° Cutchogue, NY 11935 ctry-Rat&, New York, NY 10028 ■ Q 1:0 a M IX Ur 1 ru 5FIF (--0 � ED -Certified Mail Fee Ln $ Extra Services&Fees(check box,add W as appropriate) El Return Receipt(hardcopy) $ E-3 D Return Receipt(electronic) $ Postmark E:3 E]Certified Mail Restricted Delivery $ Here C3 []Adult Signature Required $ 0 E]Adult Signature Restricted Delivery$ I r3 Postage ir $ C3 Total Postage and rn $ SCTM#1000-111-2-11 co Sent To O'Grady,John F& Marilyn ------------------- C3 99 Seventh St.Apt 1A ciy tit,,2n5;:WG Garden City, NY 11530 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS xU( -y-r, Name: = - STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public Michael J.Domino,President QSUFFQ� C Town Hall Annex John M.Bredemeyer III,Vice-President „� tk 54375 Route 25 Glenn Goldsmith N P.O.Box 1179 A.Nicholas Krupski � Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ROBERT & BARABA LEWIS COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE I, -S 4w'r 51, P-A&n I a , residing at/dba P•o• 13 o w 5V*N-- being duly sworn, depose and say: That on the 9�- day of Pet 4D- , 20161, I personally posted the property known as 0'o W e sT Cay e, k2oG, C.� o LcP 5 v-e .0 11 3_T___ by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, February 13, 2019. Dated: a_ 57_ 6 c) 0 (s' at e) Sworn to before me this day of-�Feb. 20 L MARILYN S. HICKS® !'110TARY PUBLIC.STATE OF NEW yORK I Registration No.01 HI6366489 Qualified in Suffolk Cou Notary Public Co►nmission Expires October 0 2021 �so PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Rotate ,4 l.cwlS �' ����Krti Lewis e*-.CU.- J o b cq X' • v' G�•s Nl a n �y 4'C r4 ll - Seve rt-h s? -4p4-4- '1 A- Dull* kitL ea.,,,s T ?huL STATE OF NEW YORK COUNTY OF`SUFFOLK , a 4V v -o residing at 0 . (3 0 r 4--m r N it -414, being duly sworn,deposes and says that on the day of ft, , 20j_l , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at !e,,, k rrt Lo`_ , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this 5-�h Day of�m.,� 20�� MARILYN S.HICKS NOTARY PUBLIC,STATE OF NEIN YORK CA 4 Registration No.01 HI6365489 Notary Public Qualified in Suffolk County Commission Expires October 10,2021 -7IO ! �ti, ✓ I February 5, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 700 WEST COVE ROAD-CUTCHOGUE SCTM No. 1000-111-02-10 AFFIDAVITS Dear Trustees: Attached please find affidavits of posting and mailing for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 NUTILt: Uim HL: AKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 (\/lain Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: ROBERT & BARBARA LEWIS SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove and replace 104 linear feet of existing bulkhead with new vinyl bulkhead in-place with a raised elevation of 18" above existing top cap. Located : 700 West Cove Road, Cutchogue. SCTM# 1000-111 -2- 10 TIME & DATE OF PUBLIC HEARING : Wednesday, February 13, 2019 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to ils sintg, ficant beneficial and adverse effects upon the coastal area(which includes all of Southold ToN i). 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 explain W in detail, listing both sopporflug and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 0/ 0 _ ® ;1 - 09 10 PROJECT NAMIE 13V( K A,, c O 4.-- 60o/7 00 W eS-r Oe>%-� The Application has been submitted to,(check appropriate response)- Town Board ❑ Planning Board❑ Bu iDding Dept. ❑ Board of Trustees I I> 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: Location of action:; 00 J-7 o® We s-r Cp sae _ C. Site acreage: / • r'99 Present land use: '� •l tJ&C a n Present zoning classification: 12 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Aflame of applicant: �Z®S e e{- � �e4 r e-A.— Le w[S (b) Mailing address: t5' . J S+ - 4 L4 6> Nem y ®mak, N ® P (c) Telephone number: Area Code( ) G q 6 ' -7a- (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes PJ Ado❑ 1f yes,which state or federal agency? 0®S 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 forma be returned for completion. D EYELOPE D COAST POLICY Policy 1. Pester 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 L V6W Section Illi-Policies;Page 2 for evaluation criteria. ®Yes Q No [-I Not Applicable Pd'®t /M&-Ve-S kI-e-1- '5-Ie-(— e¢ 9f- Co c4-4-1.a�j ,-2 bt�� Attach additional sheets if necessary Policy 2• Protect and preserve historic and archaeological resources of the 'Town of Southold. See LINRP Section III-�-Policies Pages 3 through h for evaluation criteria 0 Yes El No R Not ApplicabRe re-e Lees a-pa Sif-ing 6d UC �it--S Attach additional sheets if necessary Policy 3, Enhance visual quality and protect scenic resources throughout the gown of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria 9 Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL C®AS'lT''IPO LICIIES Policy 4. Minimize loss of life, stPuctuures, and natural resources from flooding and erosion. See 1LVRj? Section HE—Policies Pages 8 through 16 for evaluation criteria ZYes ❑ Ido ❑ Not Applicable Kmiec 4- ,Pro-t7ir"f- O's 4I n S pro S r QA el�z -6rA-1 S G V2 co- rLoorre.�*i+.S �+� nI Ge.ts� E4 � g.,Gc.� �✓C1�la.C�cQ Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HE —Policies Pages 16 through 21 for evaluation criteria FrYes ❑ Ido ❑Not Applicable Pf° )ea4- -Pro-(-ee-t5 Attach additional sheets if necessary Polio 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlaiidso See LVVRP Section HI—Policies; Pages 22 through 32 for evaluation criteria. Yes No A Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See L WRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes Ido Fot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVvW Section Ilii—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes F] No D Not Applicable PUBLIC COAST POLICIES CI1IIES Policy 9. Provide for public access to, and recreational nese of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 far evaluation criteria. M Tt'eF-1 No ElNot Applicable Attach additional sheets if necessary WORKING COAST 1 JCIES Policy 10. Protect Southold's water-dependent asses and promote siting of new water-dependent rases in suitable locations. See TLWRP Section ISI–Policies; egos 47 through 56 for evaluatiola criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy RI. Promote sustainable use of Paving marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWR P Section III–Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No U No t Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the 'Town of Southold. See ILWRP Section III–Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No l.-J Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Sections III–Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BX TITLE DATE December 11, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 G � RE: 700 WEST COVE ROAD - CUTCHOGUE souti olfJ Town SCTM No. 1000-111-02-10 5oardofTrustees APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Ve tr yours, ffrey Patanjo P.O. Box 582 Bohemia, NY 11716