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TR-9412
r . Michael J.Domino,President �QF SOUK, Town Hall Annex John M.Bredemeyer III,Vice-President �Q� Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith l Southold,New York 11971 A. Nicholas Krupski G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 17, 2019 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: JOSEPH & MAUREEN COOGAN 1875 CALVES NECK ROAD, SOUTHOLD SCTM#: 1000-70-4-48 Dear Mr. Patanjo: The following action was taken by,the-Southold Town Board of Trustees at their Regular Meeting held on Wednesday, April 17, 2019: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9412 to install non-treated timber decking in lieu of the conditioned Thru-Flow decking material on the fixed dock; and as depicted on the site plan prepared by Jeffrey Patanjo, dated January 5, 2018,_and stamped approved on April 17, 2019. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd PROPOSED FIXED ELEVATED PIER 5' WIDE X 30' LONG IN SAME LOCATION AS EXISTING -- --- - - ti..:.r._ PROPOSED 10"0 CCA PILES (NP.) - °`�� �'�� ; �`�;t���:t� �+�,-.•`�-;; :,-•a;;�-•,•, T� _� 'b '`=ii:.d'z.:.�... _i:�<fir:•.+.,,,;,,. ---5 • � b "`;�:-k 'r�",s;rr"r�3`i':;,'nr<:<.�,f i=h-•3°:',x,'-q 10 PROPOSED 30" WIDE X 14' LONG ALUMINUM HINDGED RAMP 30' �` , �.,„� ..•.. ,: : $ JAN 2 5 2019 PROPOSED 6' WIDE X 20 LONG `"• I:q,' FLOATING DOCK SUPPOORTED W 6 ( ) " PILES / n ter, t� .: . ,,.• 4 10 0 CCA P EXISTING DECK ,.:q ;ce ' .• &T 4 - - - - - - - - - - - - a a+iir ' „nw EXISTING BULKHEAD �- --- -- --- --- ----- ---- - ---------- M H.W. EL 1_5t O� J� LOCATION MAP N.T.S. -4 t• 2 • STING RAMP AND FLOAT TO BE RELOCATED • % ' r. FROM THEIR ORIGINAL LOCATION AS SHOWN Y TYPICAL PIER SECTION •'`�PROPOSED1D' DIA CCA TIE-OFF PILES (1 VERTICAL JU v� �'• & 1.,ATTER) - TOTAL OF 4 ON PROJECT N.T.S. +, PROPOSED 6' WIDE X 20' LONG FLOATING DOCK •. RELOACTED FROM ORIGINAL LOCATION AND SUPPORTED WITH A TOTAL OF 4 - 10' DIA. CCA PILES PROPOSEI>30' WIDE X 14' LONG ALUMINUM RAMP \ 3.41';z RELOACTED FROM ORIGINAL LOCATION A As PROPOSED WIDE X 30' LONG FIXED PIER IN SAME s sem• a4go a 3��. LOCATION AS EXISTING WITH SHORTENED LENGTH �. �Pppsp6,•; 5 A g6 O-'3. REMOVE AND DISPOSE OF EXISTING PIER M.Hk& M.L.W. ALONG BULKHEAD FACE PROPERTY OWNER: JOSEPH & MAUREEN COOGAN yD+6 � EXISTING DECK TO REMAIN 79 KENSINGTON ROAD GARDEN CITY, NY 11530 BARBARADMF STYPE /' �' EXISTING AREA TO REMAIN BEACH SAND In �� PREPARED BY: ' N� ��EXISTING REMAINS OF JEFFREY PATANJO WAD\FIr P.O. BOX 582 tOc BOHEMIA, NY 11716 ' 631-484-9332 APP OV By E ���� JJPATANJO@GMAIL.COM BOARD O� '1 RU ES 50 ss• y,�09 2 STORY ry�g6 �• EXISTING WOOD AND VINYL ,r TOWN OF SOUTHO / FRAME RESIDENCE yam. BULKHEAD TO REMAIN qOV'' / AND GARAGE NOTES: 1. LOT AREA: 15 843 S.F. 0.36 ACRES DATE Afjtj� l?, 2olq �P� y� , / 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 1.2111 TAFT CORNWIN III, LAND SURVEYING o \ P.O BOX 1931, RIVERHEAD NY 11901 ,�O�,R SURVEY LATEST DATED NOVEMBER 2, 2017 144.00' 66 00 5 N,G,F Proposed Dock Permit Plans SCALE: Ire — �" CHARLES N RIESTE E 00� S 79.04'30" Tq & GERALDINE RIESTERER 1"=30' PROPOSED DOCK PLAN, DATE: DETAILS & LOCATION MAP 1-5-18 1875 CALVES NECK ROAD SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP N0. 1000-70-04-48 1 of 1 Zzz `�o�OgufFO(�yti Town Hall Annex Michael J. Domino, President John M. Bredemeyer, III, Vice-President o <�, 54375 Route 25 Glenn Goldsmith co z P.O. Box 1179 A Nicholas Krupski y • �3 Southold, NY 11971 631 Tele Greg Williams hone� 1 � ���� p ( ) 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 %Z constructed When project complete, call for compliance inspection; WEEAW BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9412 DATE: MARCH 20,2019 L4 ISSUED TO: JOSEPH & MAUREEN COOGAN PROPERTY ADDRESS: 1875 CALVES NECK ROAD,SOUTHOLD I SCTM# 1000-70-4-48 AUTHORIZATION 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 March 20,2019, and in 5 consideration of application fee in the sum of$250.00 paid by Joseph & Maureen Coop-an and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove existing 5'x421 fixed dock and construct a 5'x301 fixed dock in same location as existing; re-install existing 30"x141 aluminum ramp; re-install existing 6'x2O' floating dock situated in an "I"configuration; install two double 10" diameter pile clusters to support floating dock; and install a total of four(4) double 10" diameter pile clusters to be utilized as tie-off piles; with the condition of the use of thru-flow decking on the dock; and as depicted on the site plan prepared by Jeffrey Patanjo,dated January 5,2018,and stamped approved on March 20,2019. 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 20'hday of March,2019. co TERMS AND CONDITIONS The Permittee Joseph &Maureen Coogan residing at 1875 Calves Neck Road Southold New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said 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 pennit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This pen-nit 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. PROPOSED FIXED ELEVATED PIER 5' WIDE X 30 LONG IN SAME LOCATION AS EXISTING PROPOSED 10"0 CCA PILES (TYP.) APPROV 10 j PROPOSED 30" WIDE X 14' LONG I —BOARD, OF I RUSTEES ALUMINUM HIN I i DGED RAMP Q � 4.,, n�.:�=;�.�;�> �a�•,�� �.��; 8 2U19 -TOWN 'd'. T'. 30' JAN 2 5 `` -TOWN-OF SOUTHOLD .� PROPOSED 6 WIDE X 20' LONG �. N ``' ' y=° � FLOATING DOCK SUPPOORTED W/ d • ` (4) 10"0 CCA PILES _ ®ATE. I ��Q EXISTING DECK ' Cr i Aq 4 - - - - -- 'lam .I jy; { -- c., ��.:?:u•���,'.'Y.-u�� 2 EXISTING BULKHEAD �- --- -- --- --- ----- ---- - ----------- M H.W._EL 1_5t - - y 0 .L.W EL 0.00± �•, m _ od ,__ ' LOCATION MAP —2 Ti P �4 .�► N.T.S. �9 j^ —4 �• ' . %STING RAMP AND FLOAT TO BE RELOCATED '• % ' r FROM THEIR ORIGINAL LOCATION AS SHOWN • TYPICAL PIER SECTION •� �PROPOSED))- DW. CCA TIE—OFF PILES (1 VERTICAL se 1;BATTER) — TOTAL OF 4 ON PROJECT is U ' •�'i do 4r N.T.S. J, PROPOSED 6' WIDE X 20' LONG FLOATING DOCK �•, RELOACTED FROM ORIGINAL LOCATION AND SUPPORTED WITH A TOTAL OF 4 — 10' DIA. CCA PILES PROPOStb 30' WIDE X 14' LONG ALUMINUM RAMP REQ)ACTED FROM ORIGINAL LOCATION N �s PROPOSED 5 WIDE X 30' LONG FIXED PIER IN SAME s'sa• .0K r s'3��'. LOCATION AS EXISTING WITH SHORTENED LENGTH Cb 300 S' ,5 a cy6' 0."A. REMOVE AND DISPOSE OF EXISTING PIER // �b1,i �' PROPERTY OWNER: �—M.H.W. do M.L.W. ALONG BULKHEAD FACE JOSEPH & MAUREEN COOGAN yo+8 �� EXISTING DECK TO REMAIN 79 KENSINGTON ROAD N/o/F i a GARDEN CITY, NY 11530 BARBARA M. STYPE / S a`� EXISTING AREA TO REMAIN BEACH SAND PREPARED BY: y 01 � ISTING REMAINS OF JEFFREY PATANJO WOO JEW P.O. BOX 582 01I c BOHEMIA, NY 11716 / � 631-484-9332 JJPATANJO@GMAIL.COM `7 gp' � / ' s s •� 2 STORY �S Sys y,, � EXISTING WOOD AND VINYL 5r / Off/ r FRAME RESIDENCE BULKHEAD TO REMAIN NOTES: / AND GARAGE 1. LOT AREA: 15,843 S.F. / 0.36 ACRES 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: � P� NATHAN TAFT CORNWIN III, LAND SURVEYING f� 's ♦ P.O BOX 1931, RIVERHEAD NY 11901 09"0. Dfsq SURVEY LATEST DATED NOVEMBER 2, 2017 V' i 144.00 6eOO 5 Al Proposed Dock Permit Plans SCALE: CHARLES NW. RIESTERER 1"=30' �O & ERALDINE RESTERER S 79-o430 PROPOSED DOCK PLAN, DATE: DETAILS & LOCATION MAP 1-5-18 1875 CALVES N SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP N0. 1000-70-04-48 1 OF 1 SURVEY OF PROPERTY 7 ..--, SITUA TE 1� rE fl, SOUTHOLD TOWN OF SOUTHOLD JAN 2 5 2019 SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-04-48 SCALE 1"=20' e, n DECEMBER 20, 2015 FEBRUARY 23, 2016 ADD TOPOGRAPHICAL SURVEY NOVEMBER 2. 2017 FINAL SURVEY AREA = 15,843 sq. ft. (TO TIE LINE) 0.364 CO. CERTIFIED TO. FIRST AMERICAN TITLE INSURANCE COMPANY JOSEPH COOGAN MAUREEN COOGAN I. FLOOD ZONE INFORMATION TAKEN FROM- FLOOD INSURANCE RATE MAP No 36103CO166H 4'r BASE FLOOD ZONE VE COASTAL FLOOD ELEVATIONS WITH VELDETERMINEDOCITY HAZARD(WAVE ACTION), ZONE X AREAS DETERMINED TO BE OUTSIDE THE 0 2%ANNUAL CHANCE FLOODPLAIN 0 0 30 06. 29'0,', -08. e O� 'Dk A 5 U) % LL"' rn0� I Q 4011 -24'TREE % CQ co GL % 011,A, (7), 0 0. TREE 2e TREE CO 'A. 144.00 tiJ 40-111 PREPARED WITH THE MINIMUM /V STANDARDSIN ACCORDANCE FOR TITLE SURVEYS AS ESTABLISHED"VA BY THE LI-kLSAgn AND ADOPTED 60' FOR SUCH US -"&-ve R�-STATE LAND U 30 N101F '1ZER TITLE Qr —'001 04 W R1 vs1r.CRER C" 19 ,N J'GO'2DINE r rp t SEPTIC SYSTEM TIE MEASUREMENTS 50467 UNAUTHORIZED ALTERATION OR ADOMON HOUSE HOUSE TO THIS SURVEY IS A VIOLATION OF CORNER E]4 BE CORNER L@j EDCTION M7209 OF THE NEW YORK STATE UCATI LAW SEPTIC TANK C Nathan Taft Corwin III INLET COVER 213' �34' ONES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED S SEPTIC TANK TO BE:A VALFkL SHALL NOT BE CONSIDERED and Surveyor OUTLET COVER 31' 1 32, tG TRUE Copy Lc LEACHING POOL CERTIFICATIONS INDICATED HEREON SFI�RUN COVER 1 40' ONLY TO THE PERSON FOR W 2-3- HIS SEHALFTHE SURVEY gTO THE GOVERNMENTAL ADEN AND Successor To Staple J Isaksen,Jr LS LEACHING POOL 44' 137' HEREON AND Joseph A Ingegno LS. COVER 2 UENDING'INsn- Be TUTION CERTIFICATIONS ARE NOT TRANSFERABLE Title Surveys—Subdi—S — Site Plans — Co-t=hoii Layout PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD,IF 1586 M-Rood P 0 B.. 16 ANY, NOT SHOWN ARE NOT GUARANTEED I Jamesport, New York 11947 Jamesport, New York 11947 =-270B January 30, 2019 Town of Southold Trustees Town Hall Annex Building _ 54375 Rte. 25 E C E VE P.O. Box 1179 D Southold, New York 11971 RE: 1875 CALVES NECK ROAD -SOUTHOLD FE® ~ 5 2019 SCTM NO. 1000-70-04-48 Southold Town GOOGLE IMAGEBoardo r s Dear Trustees: We hereby submit one (1) original and three (3) copies of the Google Aerial imagery for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very}trOly."yours, • Jilh" 1•i � 'rS+F R d J' y Pat Indo :. U �O. Box S82 . Bohemia, NY'l17s16 ^ U...th-nd Itamtvm , p bdd tp Chic survey is 5 v,olo a 0 10 15 bon OI ec 7209, ..c p��z,.1 tn.Ne.m,k METERS Stat.Ed...tIm t, Cpp,w p1 HEIDECKER LAND SURVEYING tme curvy mop not b—, 111111 FEET a.I.nd."" .y.:. "r .. ccopy, 0 10 20 30 40 o Idered to ba vpfid GRAPHIC SCALE 1" = 10' . -397 -4.13 -428 -434 •-438 -433 -411 TOWN CREEK . -391 •-407 ,-437 .-444 -433 ,-427 -407 . -389 .-417 ,-3.92 .-394 .-389 -425 -417 . -361 .-379 -426 .-4.03 -399 -351 -388 -446 -432 FLOATING DOCK -336 ,-402 ,-376 ,-398 - -4 23 a -323 -359 -389 -397 -388 ,-374 ,-371 a I . -301 ,-364 .-359 -377 ,-353 '-289 N -3,44 M . -247 .-331 .-343 - •-341 -309 •-281 ,-2.67 NOTES M 1 MELD WORK WAS CONDUCTED OCTOBER 17, I 2018 BY HEIDECKER LAND SURVEYING,PLLC Of AND ALL MEASUREMENTS WERE TAKEN ON W THE GROUND Q_ 2 NORTH ARROW IS BASED UPON CPS . -200 .-262 .-1 80 -1 66 -1 29 .-1 76 -1 78 OBSERVATIONS CONDUCTED BY HEIDECKER LAND SURVEYP G.PLLC M 3 ELEVATIONS SHOWN REFERENCE MEAN LOWER LOW WATER(MLLW)VERRGAL MTUM BULKHEAD moo• If1 11 !ice ,.T 'I ;_/ -� JAN 2 5 2419 � I TE JOHN GERD HEIDECKER NY STATE LAND SURVEYOR LIC Q 050719 BULKHEAD 751 COATES AVENUE HOLBROOK NEW YORK 11741 (631)-772-9604 lhaid..k.,0h.,deck.H.cpm PREPARED FOR MAUREEN & JOSEPH COOGAN SECTION 70-BLOCK 4-LOT 48 DATE BATHYMETRIC SURVEY SHEET NO OCTOBER 19,2018 1 OF 1 .RA wN Br eM SECTION 70-BLOCK 4-TAX LOT 48 pROJ NO CHK BY J H #1775 CALVES NECK ROAD I8HLS121 TOWN OF SOCAD FILE sCAL E 1'= 10' SUFFOLK COUNTY NEW YORK Michael J.Domino,President ��QF soyo Town Hall Annex John M.Bredemeyer III,Vice-President Q 54375 Route 25 h O P.O.Box 1179 Glenn Goldsmith J Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2019 Jeffrey Patanjo .P.O. Box 582 Bohemia, NY- 11716 RE: JOSEPH & MAUREEN COOGAN 1875 CALVES NECK ROAD,=SOUTHOLD SCTM# 1000-70-4-48 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 20, 2019 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of JOSEPH & MAUREEN COOGAN, 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 January 25, 2019, 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 March 20, 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of JOSEPH & MAUREEN COOGAN to remove existing 5'x42' fixed dock and construct a 5'x30' fixed dock in same location as existing; re-install existing 30"x14' aluminum ramp; re-install existing 6'x20' floating dock situated in an "I" configuration; install two double 10" diameter pile clusters to support floating dock; and install a total of four(4) double 10" diameter pile clusters to be utilized as tie-off piles; with the condition of the use of thru- flow decking on the dock; and as depicted on the site plan prepared by Jeffrey Patanjo, dated January 5, 2018, and stamped approved on March 20, 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: $965.00 Very truly yours, 0 Michael J. Domino President, Board of Trustees MJD/dd Michael J.Domino, President zf S®UT/y® Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President �� l0 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski G • Telephone (631) 765-1892 Greg Williams 'O� eQUFax(631) 765-6641 d �y,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: - COMMENTS: e>ti CERTIFICATE OF COMPLIANCE: John M. Bredemeyer III, President �o�OS�F�O( q Town Hall Annex Michael J. Domino, Vice-President �� 54375 Route 25 James F. King y ,? P.O. Box 1179 Dave Bergen o� o� hY Southold, NY 11971 Charles J. SandersTelephone (631) 765-1892 `§ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES ` del I TOWN OF SOUTHOLD TO: JOSEPH & MAUREEN COOGAN c/o JEFFREY PATANJO Please be advised that your application dated January 25, 2019 has been reviewed by this Board at the regular meeting of March 20, 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) 1St Day of Construction ($50.00) Y2 Constructed ($50.00) X Final Inspection Fee ($50.00) x Dock Fees ($3.00 per sq. ft.) 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: 5'x30' dock = 150 sq. ft. x $3.00 = $ 450.00 30"x14' alum. ramp = 35 sq. ft. x $3.00 = 105.00 6'x20' floating dock = 120 sq. ft. x $3.00 = 360.00 TOTAL FEES DUE: $965.00 BY: Michael J. Domino, President Board of Trustees 'L.Z��G� Michael J. Domino, Town Hall Annex John M. Bredemeyer III,Vice-President �� y�,� 5.4375 Route 25 Glenn Goldsmith j co P.O.Box 1179 ZZ A.Nicholas Krupski j Southold,NY 11971 Greg Williams i ?' pQ` Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: I z, P— l y Completed in field by: Jeffrey Patanjo on behalf of JOSEPH,& MAUREEN COOGAN requests a Wetland Permit to remove existing 5'x42' fixed dock and construct a 5'x30' fixed dock in same location as existing; re-install existing 30"x14' aluminum ramp; re-install existing 6'x20' floating dock situated in an "I" configuration; install two double 10" diameter pile clusters to support floating dock; and install a total of four (4) double 10" diameter pile clusters to be utilized as tie-off piles. Located: 1875 Calves Neck Road, Southold. SCTM# 1000-70-4-48 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool); 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet! 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted.' Y / N Ch. 275 ,/ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: - Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: !—_ ' %' !L'!/✓ fry ` .� _41.`^+'/"�Y"`_� --_ C.st✓ elm✓'�1 fa%C�ilT6� a.�+"r" - 1 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: /J. Bredemeyer ---"M. Domino -- G. Goldsmith N. Krupski L° G. 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Y • `^ 1 +. 9 t . �P•� ° "N �. 3 aes $ 3oz t aYe 3n3 as , ,.oa= , ,• _ •+ $,,, t,^• ,�, +, ,pt6 7fl� ��. o ° y wt s A s' w g ,'" a r• z. 26" °'` a,3 qT ,• � 1e t) to r9 pm Zt _� ,.fid $ 3 I -ew t pD a,1 m t5 ' ^ ♦ 11� 1 iaa, ,1` �?. ,� ° "O V 13 • fr . n3A m w '^ " " � � $ $ - +s - •1 "�H.z � " "a ,o TOWN OF i I. n -tB w� 1] to a - t f 35 11� te.3 �61 SOUI+r(xD 12 ,tA ,t] O OUSTER m AVE. � � m � 10 $"'a 0 � -" � �\ ^", � fie♦ 5®'P 10fA 10� � - "� '� 2a T 3, 32 n x -p 2a 26G •'n r ^' tB N .3 , '� 33,E M o �,,,w�••t to'¢ )w _ 10 "?i ve ,N21 b 3• aw AT fi w M ^^ \ 333 x., las za \ O, ,.9 ,,, �"� .m ^. mi ..� � w � � � .. +v -m1t r � � °�`•� A e C 8 \ .. i 3aa 7 at a Nl 39 3e T 36 >5 S-Zl •• ,w b_� m ]T m $ 3B w ~� 31 s A5 „•^`� ° � °� 5e 59 I �y� 1.aA(d 1.5w)30 .]A + s i y m] u w cn» g n1 83 6] g1 ry AVE �' r50 t5 $ m Y ~ 36' to P1 _� O•�\ �1_'�i J\ /' - J �a �, � a, - .• m. �-j ,� � � �� /� \ice..�. �o �,'�, ♦ TCANI OF 2B1 2t.0ad Y09 19] _ )—___--_ 11L1---_E ,$ S7� _ 38_ - SOLRNOLO ^� rd aEr SA WTCR ;a of sa,nnwn d y 0,? �ycl _ _ _ N0T1cE rmv,,} COUNTY OF SUFFOLK © K m ms ,• 801fisrolD SECT ON NO e �...... '21) ,A 0 _ _ _ _ • Real Property Tax Service Agency r am +y , ,,�a 070 E uu. �.`___ ow - u —_�- ur.w.ru. __,_� "w,y--.�— Lo.•1Y ten,"NwnW.NY tteet A„r N w a,N".Ru ,� —__— w.ru. --•-- errs--,�-- ,woeKrv,wa N,mu.O[vtr .�V o P a20 an psiR,Cfw 1000 MAP P March 25, 2019 Town of Southold Trustees Town Hall Annex Building r 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 LIAR 2 8 2019 t RE: 1875 CALVES NECK ROAD-SOUTHOLD SCTM No. 1000-70-04-48 �0i`"0'0 ii'yd1 h�stees PLAN REVISIONS Qo�rd of Dear Trustees: As discussed at the March 20, 2019 public hearing for the above referenced application, the Board of Trustees proposed installing Thru-Flow decking on the fixed portion of the pier to be replaced. By way of this letter, we respectfully request the plans as submitted with non-treated timber decking be reconsidered. It has been determined there are no wetlands near or adjacent to this project and ipe decking would be a natural fit for this location. As we understand, an additional fee of$50 will be required, which will be delivered by the client and the application will be placed on the April hearing calendar. We appreciate your understanding and look forward to hearing your comments regarding this matter. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Verytrul yours, J rey Patanjo .O. Box 582 Bohemia, NY 11716 11 OFFICE LOCATION: ®�S�®F s® y®� MAILING ADDRESS: Town Hall Annex "` ® P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) CA Southold,NY 11971 ® Telephone: 631765-1938 � a LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: March 12, 2019 Re: LWRP Coastal Consistency Review for JOSEPH & MAUREEN COOGAN SCTM# 1000-70-4-48 Jeffrey Patanjo on behalf of JOSEPH & MAUREEN COOGAN requests a Wetland Permit to remove existing 5'x42' fixed dock and construct a 5'x30' fixed dock in same location as existing; re- install existing 30"x14' aluminum ramp; re-install existing 6'x20' floating dock situated in an "I" configuration; install two double 10" diameter pile clusters to support floating dock; and install a total of four (4) double 10" diameter pile clusters to be utilized as tie-off piles. Located: 1875 Calves Neck Road, Southold. SCTM# 1000-70-4-48 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, the proposed action is recommended as CONSISTENT with the LWRP. This recommendation is made with the following considerations: 1. The dock to be replaced is a permitted structure (Wetland Permit 1758). 2. The modifications proposed are minor and no further seaward projections will occur. 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 �S +�EFO�kca� Peter Young,Chairman H � Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 ��j►� ��t 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., March 13, 2019 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of JOSEPH & MAUREEN COOGAN for the removal of existing 5'X 42' fixed pier, relocation of 30"X 14' long aluminum ramp and relocation of existing 6'X 20' floating dock. Construct new 5'X 30' fixed pier in same location as existing but with shortened length, re-install existing 30" X 14' aluminum ramp and reinstall existing 6'X 20' floating dock in an "I" configuration. Install two double 10" dia. pile clusters to support floating dock and install a total of four double 10" dia. piles as shown to be utilized as tie-off piles. Located: 1775 Calves Neck Rd., Southold. SCTM#70-4-48 Inspected by: Peter Meeker, Carol Brown, John Stein The CAC Supports the application using thru-flow decking and a vegetated non-turf buffer no less than 5'. Vote of Council: Ayes: All Motion Carried Sour Michael J.Domino,President Sf' �� �® t_ Town Hall Annex 1S �o John M.Bredemeyer TII,Vice-President 54375 Route 25�i s P.O.Box 1179 Charles J.Sanders i U, (Yf Southold,New York 11971 Glenn Goldsmith ":,� , ' Telephone(631) 765-1892 A.Nicholas Krupski �;unl�G,ou"h`' �a �il{G� Fax(631) 765-6641 ]BOARD 61F TOWN TRUSTEES TOWN OF SOUTHOLD� This Section For Office Use OnlY Coastal Erosion Permit Application D E C E O � E Wetland Permit Application L� Administrative Permit f Amendment/Transfer/Extension I �� Received Application: _ ,25. 5 2011, Received Fee: $ 250.00 �Coinpleted Application: '2 Southold Toaan Incomplete: / a o Trus SEQRA Classification: Type I_ Type II_ Unlisted Lead Agency Determination: Coordination:(date sent): 3�� g,lQ LWRP Consistency Assessment Form Sent: _I /CAC Referral Sent: 2,2 Date of Inspection: 34 12 Receipt of CAC Report: Technical Review: Public Hearing Held: �20,1 Resolution: Legal Name of Property Owner(s): �05 e�h a �-e C®a1 Mailing Address: 79 (Zd • G rePev) C I -+ , N`I 11 3 0 Phone Number: Sl P 77-2 9 - `I s/ D Suffolk County Tax Map Number: 1000- -7 0 ! 09 ' 44 Property Location: l F 7 S CAI--es Ste- Lrvee,•-I-t o rt /?*Le�-p (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): _-e AC(!'tel �A"ra+n 1 Mailing Address: FSC 5_S �o� e,_ I jv V Phone Number: 631- 0 4 ' Q 3 3 �L_ � �°\ Board of Trustees Appl' tion GENERAL DATA Land Area(in square feet): Area Zoning: ;fie 5 Previous use of property: �5 Intended use of property: i Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes °� No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project require ny 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 pennit/approval ever been revoked or suspended by a governmental agency? `�N o Yes If yes,provide explanation: Project Description(use attachments if necessary): , r i 1875 Calves Neck Road - Southold SCTM No. 1000-70-04-48 PROJECT DESCRIPTION 1-14-19 Project includes the removal of existing 5' wide x 42' long fixed pier, relocation of existing 30" wide x 14' long aluminum ramp and relocation of existing 6' wide x 20' long floating dock. Construct new 5' wide x 30' long fixed pier in same location as existing but with shortened length, re-install existing 30" wide x 14' long aluminum ramp and re- install existing 6' wide x 20' long floating dock in an "I" configuration as shown on plans. Install two double 10" diameter pile clusters to support floating dock and install a total of four double 10" diameter pile clusters as shown to be utilized as tie-off piles. Board of Trustees Appl`__'Ltiora WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: d square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: /o o feet Closest distance between nearest proposed structure and upland edge of wetlands: �to a 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? N (4 cubic yards Depth of which material will be removed or deposited: N A- feet Proposed slope throughout the area of operations: " ' 3 Manner in which material will be removed or deposited: N 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): .Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing 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: 1875 Calves Neck Road Bulkhead Project Location(describe,and attach a location map): See attached location map Brief Description of Proposed Action: Remove and replace existing fixed pier and floating dock in new configuration as shown on plans.Replacement dock to be 5'wide x 30'long, 30"wide x 14'long aluminum ramp and 6'x 20'floating dock.In addition 4 tie-off pile clusters will be installed. 1 Name of Applicant or Sponsor: Telephone: 516-729-4510 Joseph&Maureen Coogan E-Mail: joseph.coogan@aol.com Address: 79 Kensington Road City/PO: State: Zip Code: Garden City NY 11530 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 7 ❑ 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: F-1 ❑ NYSDEC/Town of Southold Trustees/NYSDOS 3.a.Total acreage of the site of the proposed action? 0 364 acres b.Total acreage to be physically disturbed? 0.008 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 364 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban E3 Rural(non-agriculture) ❑Industrial ❑Commercial ZResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic El Other(specify): ❑Parkland Pagel of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ 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-Peconic Bay and Environs,Reason•Protect public health,water,vegetation,&scenic beauty, ❑ F_/1gency: u o county, a e. - - 86 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? ❑ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑✓ ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies. 1-1 W1 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: ® ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑✓ ❑ b.Is the proposed action located in an archeological sensitive area? ❑ ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 3n'x 5'fixed pier..30"x 14'aluminum ramp&G'x 20'floating dock 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 ❑Agri cultural/grasslands ❑Early mid-successional ❑ Wetland El 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? Common Tem,Piping Plover,.. ❑ ❑ 16.Is the protect site located in the 100 year flood plain? NO YES 14 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES ❑ ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe- E]NO ❑YES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 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: Z ❑ 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: Z ❑ I AFFIRM THAT THE INFORMATION PROVI D BOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Joseph&Maureen Coogan Q0 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the revie�,ver should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Wi11 the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2 ^Will the proposed action result in a change in the use or intensity of use of land? E 3. Will the proposed action impair the character or quality of the existing community? E 4. Will the proposed action have an impact on the environmental characteristics that caused the E establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities9 L=t 7. Will the proposed action impact existing: a.public/private water supplies? ❑ b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, El architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, FO ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 1 l. Will the proposed action create a hazard to environmental resources or human health? El 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. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmentali acts. / Town of Southold-Board of Trustees 3 Name of Lead Agency Dat Michael J. Domino President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Resp sible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT ® 5:44 Q BEING DULY SWORN DEPOSES AND AFFIRMS THAT H HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER}KNOWLEDGE-AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION ,AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOA" OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WI'T'H ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. �tntore ofoperty Owner Sign tore of Property ner SWORN TO BEFORE ME THIS DAY OF ,20 Notary Public ALANNA GABRIELLE RUSSO NOTARY PUBLIC-STATE OF NEW YORK No.Ol RU6300963 Qualified in Suffolk County MY Commission Expires April 07,2022 Board of Trustees Applaca�ciora AUTHORIZATION (Where the applicant is not the owner) I/We, )o �e P J-� �•.,r c ��t Cn o q &A owners of the property identified as SCTM# 1000- '7 0 - ° 't in the town of New York,hereby authorizes c,4 'nom 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. 1p� y Own r' Signature APropOwner's Signa r SWORN TO BEFORE ME THIS DAY OF J U , 20 �Ci Notary Public ALANNA GABRIELLE RUSSO NOTARY PUBLIC-STATE OF NEW YORK No.01RU6300963 Qualified in Suffolk County MY Commission Expires April 07,2022 APPLICANT/AGENT/REPRI';SENNATIVE TRANSACTIONAL]DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the onrt ortown officers and employees.The 12u tosc of this form is to rovide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. rr YOUR NAME: (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.if so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building �L Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,nlarriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial owncrsitip of(or employment by)a corporation in which the town officer or employee owns more than 5%o/rthe shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated.' Name of person employed'by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agettt/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 owner of greater than 5%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), ' G)an off-jeer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da �f 2U ` Signature Print Name Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics_prohibits conflicts of interest on the part of town officers and employees.The pu )orf se of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same./► YOUR NAME: 1 b O k.►� /`�Gt �!''C'C'✓1 (Last name,first name,.gtiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your compnny,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business hiterest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 3%of the ares. YES NO Ifydu answered"YES",complete the balance of this form and trate 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 apl)licant/agettUrepresentative)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 of his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%ofthe 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 1 l ay ZO 1(2 Signature__ t Print Name Form TS 1 APPLE CANT/AGENT/RF,P]kESE ITATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethicsprohibits conflicts of interest on the part of town officers and employees.The purpose se of this form is to provide information which call alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. T YOUR NAME: '24+&A n p J'e (Last name,first ame,jpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee �— Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest_"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES , NO ✓ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicani/agenUrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the appliept (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 corpotvion); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 6 d y Signature �of SOP 201 g Print Name Form TS 1 March 13, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 1875 CALVES NECK ROAD-SOUTHOLD SCTM No. 1000-70-04-48 AFFIDAVITS Dear Trustees: Attached, please find original 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, J ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 f MAR 8 1019 1 __ Board of Trustees PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Name: Address: \ i SCTM#1000-70-4-49 SCTM#1000-70-4-47 Stype, Barbara M Riesterer,Charles W&Riester,Geraldine 1765 Calves Neck Road Attn:Chas&Jeanette Riesterer Southold, NY 11971 210 Bedell Ter West Hempstead, NY 11552 SCTM#1000-70-4-41 Walsh,John G&Walsh, Rosemary 110 Tenth Street Garden City, NY 11530 STATE OF NEW YORK COUNTY OF-SUFFOLK Jeffrey Patanjo ;residing at PO Box 582,Bohemia,NY 11716 being duly sworn,deposes and says that on the 12th day of March ,20__,19 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 Bohemia ,that said Notices were mail o each of said persons by CERTII1ED MAIIJRETURN RECEIPT. Sworn to before me this 12th Day of March ---.02019 MARILYN S.HICKS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 HI6365489 Qualified in Suffolk County NotAry Public Commission Expires October 10,2021 Michael J. Domino,President Town Hall Annex John M.Bredemeyer 111,Vice-President 54375 Route 25 Glenn Goldsmith za: 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 JOSEPH&MkMZEEN COOGAN 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 Jeffrey Patanjo residing at/dba PO Box 582,Bohemia,NY 11716 being-duly swo----rn- depose and say: That on the I 2th day of March 2019 , 1 personally posted the property known as 1875 Calves Neck Road, Southold. SCTM# 1000-70-4-48 by placing the Board of Trustees official po--ster where it can easily be seen, and-that!-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.,March 204,201,91. Dated, et (s to before me this 12th day of Mar. 2019 MARILYN S. HICKS NOtARY PUBLIC,STATE OF NEW YORK Registration No.01 H16365489 -Noary"P�bfi Qualified in Suffolk County Commission Expires October 10,2021 ■ iServiceTM ■ stal Service ■ ® L@ 'RECEI ■ n. !• in '-� it• _n ° e ° 4ir� ' msµ. , r- �'� • .^5 .•.1 r— 'Off ii �-..✓ 5 &t W L 'o Certified Mail Fee Certified Mad Fee Extra Services&Fees(checkbo�y addfee as appropriate) u i _ EXtra Services&Fees(check box,edd ree as appropnate) O� ❑Retum Receipt(hardcopy) $ Sf V" CIOO ❑Return Receipt(electronic) $ ❑ Return Receipt(hardcopy) $ WS ab y�'9 6� I O C3 ❑Return Receipt(electronic) $ �IIQ o.�t�19 r3 ❑Certified Mail Resected Delivery $ Here []AdultE ❑Certified Mail Restricted Delivery $ Here 1-3 ASignature Required $ E3 []Adult t Signature Required $ \ p❑Adult uit Signature Resected Delivery$ E]Adult Signature Restricted Delivery$ stage CigpS Q' $ . p Postage I O Total Postage and r -- - - - ------ m E3 Total Postage and F------—- ---= $ SCTM#1000-70-4-41 M co Sent To litSCTM#1000-70-4-49 a C 1 Walsh,John G &Walsh, Rosemary Sent To O 'S p heet and Apt.No '- Stype, Barbara M N 110 Tenth Street C3 Sheet and Apt No., City-Srtate ZIP+4° ►`- 1765 Calves Neck Road Garden City, NY 11530 I Ctry srere;ziP+d®i Southold, NY 11971 =°' ' J PostalUs ® Frn MAIL ° ■s. A IN ° � OM COCertified Mail FeO P Ln $ ` '` A •� F)dra Services&Fees(check box,add fee as eppropdate) �_M IA ❑Return Receipt(hardcopy) O postmark V 0 ❑Return Receipt(elechonicj $ Q) Here []Certified Mail Resected Delivery $ g []Adult Signature Required $ d pp C3 ❑Adult Signature Resected Delivery$ E:3 PostageEr C3 Total Postage and SCTM#1000.7 M V`J co Sent To Riesterer,Charles W&Riester;Geraldine a Attn: Chas&Jeanette Riesterer O StieetandApfNo r- 210 Bedell Ter City Slate,Z/P+4a West Hempstead, NY 11552 M. _ J PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: F .. K •:dry,i+._,1: :'-� .,% .��„.q..,nl •., �"�.: u:i� .•Fri+ r,S,, �,�� �� r� `, ii 1� '' rr _ ____ �,{�4,s{•^Fir ��.;�.�t�• �e ti--_ _ _ _ _ _ - _____� __ __ N.,�_r47,.)�`�.4k,. s4f�--i,- ��Y} ��/C"�t' Y'r�'� rJ,+''.�•`a�. ��'d` •.tom `l. .^Zt�,. 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 MAILIRETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public 11UTILL Uim Ht: AK111 NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD : JOSEPH & MAUREEN COOGAN SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove existing 5'x42' fixed dock and construct a 5'x30' fixed dock in same location as existing; re-install existing 30"x14' aluminum ramp; ' re-install existing 6'x20' floating dock situated in an "I" configuration; install two double 10" diameter pile clusters to support floating dock; and install a total of four (4) double 10" diameter pile clusters to be utilized as tie-off piles. Located : 1375 Calves Neck Road, Southold. SCTM## 1000-70-4-43 TIME & DATE OF PUBLIC HEARING : Wednesday, March 20, 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 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORD A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt -minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its simifflcant beneficial and adverse effects upon-die-coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thies, each answer must be explained in detail, listing both.suipiport3ng 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# °70 - O 1 - 4 8 PROJECT NAIL o C'? s �'a!�s N ecV— 904,LC- Doe/ The Application has been submitted to(check appropriate response): n� Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I� 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: See 4. -4tc-kc r� I Location of action: If 7 S usS AJ t ME- IN— 5 e Site acreage: D• 3 Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: o X'A4wr4eyl 40,14o% (b) Mailing address: '7 q ke on%1 r A 4,4 R of- - �a ��er1 Ct�•� tom. �t s 3 0 - - (c) Telephone number: Area Code (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? em Yes L�1 No❑ If yes,which state or federal agency? tAK t PCe— i Oe-&tAA.KY CO✓q&. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. EYes ❑ No [:] Not Applicable U&-t'k taiStirLo d6.v t +11Ms !tA tSL ht14l1ryzJks riQer t.a1 . ,�Ntn,LGeS a �ee�..af ,.Sa • � t,..a-f-.e•/tw6+.0 Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ElYes ❑ [goo..'No Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑ No ❑ Not Applicable l�.em Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable r' ro.xds � tit-or-e- s-r; `lam s�rtwr't.�� Ste OK • Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section In : —Policies Pages 16 through 21 for evaluation criteria 1-1Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ [�K' 1 Yes No 1Vot Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — PoIicies Pages 32 through 34 for evaluation criteria. ❑ Yes F] No[9�<ot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes 1-1a No L r Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. [?/'YeO No❑ Not Applicable roProtA&A J 0414 -+c i C ( ;a Avg. b,d ji tr~) 4r.12 ♦F— Attach additional sheets if necessary I WORKING COAST Pv L ICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living amarine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. 1:1 Yes 1:1 No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes 1:1 _►�No 1Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Poflicies; P ges 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY .� • �����` p TITLE DATE I' l January 11, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 FrnE E V E Southold, New York 11971 }'RE: 1875 CALVES NECK ROAD-SOUTHOLD 20 SCTM No. 1000-70-04-48 /APPLICATION FOR PERMIT L— So�tzhoWbwn � Bar firs e Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, J rey Patanjo P.O. Box 582 Bohemia, NY 11716