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Home My WebLink AboutTR-9427 7 Michael J.Domino, President �QF S0(/Ty Town Hall Annex John M.Bredemeyer III,Vice-President ,`OOl0 54375 Route P.O.Box 11799 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q ,Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1619C Date: September 9,2019 THIS CERTIFIES that the installation of 1 to 2 ton boulders f 10' landward of bulkhead with a set of stone steps-to water; continue boulder wall along westerly side yard landward to dwelling with stone steps-in side yard; install±30 cubic yards of clean fill in area between dwelling and new boulder wall; install a 12'x40' permeable paver patio in eastern side yard; a bilco door to the east to be removed and foundation closed as required; the installation of a 6'x4' drywell on south side of residence; and to install and perpetually maintain a 15' wide non-turf buffer area along the landward edge of the bulkhead with all existing Cape American beach grass within the non- turf buffer area to remain undisturbed; At 2995 Sigsbee Road, Mattituck Suffolk County Tax Map #1000-126-6-9.1 Conforms to the application for a Trustees Permit heretofore filed in this office dated January 24, 2019 pursuant to which Trustees Wetland Permit#9427 Dated April 17, 2019, was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the installation of 1 to 2 ton boulders±10' landward of bulkhead with a set of stone steps to water; continue boulder wall along westerlyside ide yard landward to dwelling with stone steps in side yard; install±30 cubic yards of clean fill in area between dwelling and new boulder wall; install a 12'x40' permeable paverjpatio in eastern side yard; a bilco door to the east to be removed and foundation closed as required; the installation of a 6'x4' drywell on south side of residence; and to install and perpetually maintain a 15' wide non-turf buffer area along the landward edge of the bulkhead with all existing Cape American beach grass within the non-turf buffer area to remain undisturbed. The certificate is issued to Kenneth&Heather Clausman owners of the aforesaid property. Authorized Signature CC#: C19-30035 Y COUNTY CLERK'S OFFICE_ STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A. PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 07/03/2019 under Liber D00013017 and Page 981 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 07/03/2019 SUFFOLK COUNT/Y� CLERK �i�.cLrr.L Q. �it.dcalLLi - JUDITH A.PASCALE SEAL M F21 umber of pages E.C12-MED 20H, Ril 06 054-20:58 M -11LE-RK CIF This document will be public -,{,P-OL r ,:L,,,;.T" record. Please remove all L E.00 01130 t Social Security Numbers P R! prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX � Dual Town Dual County — Held"�— Held for Appointment Comm.of Ed. 5. 00 Transfer Tax__ Mansion Tax Affidavit Thej-property covered by this mortgage is Certified;Co ~ e� or will be improved by a one or two NYS Surcharge 15. 00family dwelling only,.: Sub Total YES- -or NO Other �^ Grand Totalc If NO,see appropriate tax clause on page# of this instrument. 4 1 Dist. IS 3900783 1000 12600 0600 009001 5 Community Preservation Fund Real Property P T S II�IIVIIII�II�IIII�II�111VIIIIIIIIIp Consideration Amount $ Tax Service R APO A 11111' u u Agency 02-JUL-19 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Re leasps,List,.PropertyOwners Mailing Address RECORD &'RETURN TO: Vacant Land CLAUSMW TD 140ST TD Wy 1 1 I ©y TD Mail to: Judith A: Pascale, Suffolk County Clerk 7 title Com an Information 310 Center Drive, Riverhead, NY 11901 Co.Name IMA/1A1 c1 iffniknnuntvnv_aov/clerk — „ 'Notation EA-52 17 (County) Sub Total Spec EA-5217 (State) TOT 2%flG,T_A R.P.T.S.A. I? l Tom a -m-_1 t;Coun 1 Held Comm. of Ed. 5. 00 Transfer Tax ° Mansion Tax Affidavit � _ - The property covered by this mortgage is Certified.`Co or Will be improved by a one or two NYS Surcharge 15. 00 family dwelling only,.: Sub Total YES- mor' NO Other (SO y- Grand TotalC If NO,see appropriate tax clause on page# of this instrument. 4 Dist. IS 3900783 1000 12600 0600 009001 $ Community Preservation Fund Real Property p T S I IIIIII VIII ILII III VIII VIII II�IID Consideration Amount $ Tax Service RAP® A Agency o��lllt_-19 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land TD TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Com anv information 310 Center Drive, Riverhead, NY 11901 Co.Name - - vw w.suffolkcountyny gov/clerk_ . _ __ - _. Title# $ Suffolk.Countv Record 0n & Endorsement Pa2e This page forms part of the attached � 1 V& }� ;ECIFY�TrYPE OF The premises herein is situated in SUFFOLK COLTNTY,NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRIlNTED IN BLACK INK ONLY PRIOR TO RECORDING OR 7.z7� G_ 12-0104.10/08kk .,< DECLARATION OF COVENANTS THIS DECLARATION made this day of JVAee- 2019 by ��►L-�- h 1 )i , € G1�A I Cc�� siding at ag95-5t�Sr, 0.16, �'Le-rTikk PY I A , hereinafter referred to as "DECLARANT(S) ": W I T N E S S E T H WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 2gg5 Sias fey f.," Jt qg2, Town of Southold, 4County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 1 ?_(,0 , BlockOi�aLot_ j which is more particularly bounded and described as set forth in Schedule "A0l annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a ��° WID7-ffi "non-turf buffer" adjacent to and landward of and WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW, THEREFORE, the DECLARANTS) do/does hereby covenant and agree as follows: y . ,rf v 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained Irpu wtCAe- "non-turf buffer" as defined by Chapter 275 of the Town Code, to wit: "A designated area where turf grass, pesticides and fertilizers are not permitted." and as depicted on the e, Lb-L,pG, see Exhibit "A" attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owners) has/have duly executed '_this ir_struuient this day of 2019 v 0 R` SIGNATURE ' 1�ti►IJC' WNER'S SIGNATURE1 i��e. Gist�s�►�;a �-� 'N��- til�Ik C�u� STATE OF NE14 YORK ) COUNTY OF A ©I ss: On the day of Tuap , in the year 20 A before me the u..�dersigned, a Notary Public in and for said State, personally appeared ,rAe-IV, Xe-ife14eqW4,, , personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name (s) is are subscribed to t. within instrument and acknowledge to me that he/she/they executed the same in is/ er/their capacity, and that by(his her/their - s 'b� the instrument, eiendividual or the ersons on beh of wh' t dividua (s) acted, executed P the instrument. f otary Public CARLOS A RIVERA NOTARY PUBLIC STATE OF NE]YORK RICHMOND COUNTY LIC.#0 RI62865192 COMM.EXP. � s Uniform Form Certificate of Acknowledgment 5tate.of New York County of .��f (t — On the day of �� rV in the yegr 20l T before me, the undersigned, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the individual-(s) whose name (s)-is/are subscribed to the within instrument and*acknowledged tome that he/she/they executed the same in his/her/their capacity (ies), and that by his/her/their signature (s) on the instrument, the individual (s), or the person upoi� behalf of which the individual (s) acted, executed the instrument Notary Public ti CAROL A.MEEHAN Notary Public,State of New York No.04ME6221284 Qualified in Suffolk County Commission Expires May 03,20Y f t r;t f'fir y, Jai. �c ..r Title No.3020-862693 AMENDIED 08/23/2017 (li) SCHEDULE "A" PARCEL"A" ALL THAT CERTAIN PLOT, PIECE OR PARCEL OF LAND,SITUATE, LYING AND BEING AT MATTITUCK, COUNTY OF SUFFOLK AND STATE OF NEW YORK, DESCRIBED AS FOLLOWS: BEGINNING AT A CONCRETE MONUMENT SET ON THE EAST SIDE OF SIGSBEE ROAD THREE HUNDRED AND TWENTY-FIVE (325) FEET SOUTHERLY FROM PECONIC BAY BOULEVARD AND RUNNING PARALLEL WITH SAID BOULEVARD EASTERLY NINETY-TWO AND FIFTY-EIGHT(92.58) ONE HUNDREDTHS FEET TO ANOTHER CONCRETE MONUMENT; THENCE SOUTHERLY 200 38` EAST TWO HUNDRED AND SIX AND SIX ONE HUNDREDTHS (206.06) FEET TO PECONIC BAY; THENCE ALONG PECONIC BAY NORTH 530 52' EAST, FORTY-NINE AND THREE TENTHS(49.3) FEET TO THE EASTERLY LINE OF LOT NUMBER ONE HUNDRED EIGHTEEN (118) ON MAP OF MATTITUCK PARK PROPERTIES, INCORPORATED; THENCE ALONG SAID EASTERLY LINE TO THE SOUTHEAST CORNER OF LOT NUMBER ONE HUNDRED SEVENTEEN (117); THENCE ALONG THE SOUTHERLY SIDE OF LOT NUMBER ONE HUNDRED AND SEVENTEEN (117) ONE_HUNDRED FORTY AND THIRTEEN ONE-HUNDREDTHS (140.13) FEET TO SIGSBEE ROAD; THENCE ALONG SIGSBEE ROAD SOUTH 200 38' EAST TWENTY-FIVE (25) FEET TO THE POINT-OR PLACE OF BEGINNING. EXCEPTING THEREFROM THE NORTHERLY TEN (10) FEET OF LOT NUMBER ONE HUNDRED AND-EIGHTEEN (118) WHICH ADJOINS LOT NUMBER ONE HUNDRED SEVENTEEN (117). PARCEL"B" ALL THAT CERTAIN PARCEL OF LAND, SITUATE NEAR MATTITUCK, IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK AND STATE OF NEW YORK, BOUNDED AND DESCRIBED AS FOLLOWS: BEGINNING AT AN IRON PIPE SET ON THE BOUNDARY LINE BETWEEN LANDS OF THE PARTY OF THE FIRST PART AND LAND SHOWN ON A MAP ENTITLED "AMENDED MAP OF PROPERTY OF MATTITUCK PARK PROPERTIES, INC.", FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE AS MAP NO. 801; SAID PIPE BEING 380.0 FEET SOUTHERLY ALONG SAID BOUNDARY LINE FROM ITS INTERSECTION WITH THE SOUTHERLY LINE OF PECONIC BAY BOULEVARD; FROM SAID POINT OF BEGINNING RUNNING ALONG OTHER LAND OF THE PARTY OF THE FIRST PART,TWO COURSES AS FOLLOWS: 1. NORTH 670 04' 00" EAST, 10.01 FEET; 2. THENCE SOUTH 200 39' 10" EAST, 129.27 FEET TO THE ORDINARY HIGH WATER MARK OF GREAT PECONIC BAY; THENCE ALONG SAID ORDINARY HIGH WATER MARK OF GREAT PECONIC BAY SOUTH 620 52'5011 WEST 10.06 FEET TO SAID LAND SHOWN ON SAID MAP; CONTINUED... TITLE NO. 3020-862693 f SCHEDULE "A" CONTINUED THENCE ALONG SAID LAND, BEING ALSO ALONG LAND OF THE PARTY OF THE SECOND PART, NORTH 20° 39' 10"WEST, 120.0 FEET TO THE POINT OR PLACE OF BEGINNING. PARCEL"C" ALL THAT CERTAIN PLOT, PIECE OR PARCEL OF LAND, SITUATE, LYING AND BEING AT MATTITUCK,TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK AND KNOWN AS THE NORTH TEN (10) FEET OF LOT NO. 118 OF MATTITUCK PARK PROPERTIES, INC., MATTITUCK SUFFOLK COUNTY, NEW YORK,AMENDED MAP NO. 801, CONTAINING ACCORDING TO THE TAX BILL OF THE TOWN OF SOUTHOLD, .003 ACRES AND DESCRIBED ON THE 1965-66 TAX BILL OF THE TOWN OF SOUTHOLD AS ITEM NO. 12508. PERIMETER DESCRIPTION DESCRIBED AS SURVEYED AS FOLLOWS: ALL THAT CERTAIN PLOT, PIECE OR PARCEL OF LAND,SITUATE, LYING AND BEING AT MATTITUCK, COUNTY OF SUFFOLK AND STATE OF NEW YORK, DESCRIBED AS FOLLOWS: BEGINNING AT A CONCRETE MONUMENT SET ON THE EAST SIDE OF SIGSBEE ROAD 325 FEET SOUTHERLY FROM PECONIC BAY BOULEVARD; RUNNING PARALLEL WITH SAID BOULEVARD SOUTH 660 59' 00" WEST 92.58 FEET TO ANOTHER CONCRETE MONUMENT; , THENCE SOUTH 200 38' 00" EAST 183.78 FEET TO PECONIC BAY; THENCE ALONG PECONIC BAY SOUTH 580 59' 56"WEST 58.47 FEET TO A POINT; THENCE NORTH 200 38'00"WEST 120.64 FEET TO A POINT; THENCE SOUTH 670 05' 10"WEST 10.01 FEET TO A POINT; THENCE NORTH 200 38' 00"WEST 80.00 FEET TO A POINT, THENCE SOUTH 660 59' 00"WEST 140.13 FEET TO SIGSBEE ROAD, THENCE ALONG SIGSBEE ROAD SOUTH 200 38' 00" EAST 25.00 FEET TO THE POINT OR PLACE OF BEGINNING. THE policy to be issued under this report will insure the title to such buildings and improvements erected on the premises, which by law constitute real property. FOR CONVEYANCING ONLY:TOGETHER with all the right,title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. Michael J.Domino,President 0v soy0 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 • Telephone (631) 765-1892 Greg Williams O Y Fax(631) 765-6641 coum BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: M/j9 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: . C�oldSr�t �� COMMENTS: _ ��►; I� �� aceo�aw� p�c�,� X427 and plansand g CovaA 20ig, C n C CERTIFICATE OF COMPLIANCE: �oSUFFOL4leo w, Town Hall Annex Michael J. Domino, President o y� 54375 Route 25 John M_ Bredemeyer, III, Vice-President k o Glenn Goldsmith : ti ,?4 P.O. Box 1179 A Nicholas Krupski y I g. 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 I st day of construction Y2 constructed �( When project complete, call for compliance inspection; 'tiiii•ri'%% 'viii iS S� ,. 'tiii+ �iri�•- '�i�ii i'•�t^• `' - "iii+ +irii:• •�iotii•'•iii�i:•ti '- �'ii, ri�ej:• - _ .;� nuFGnm?rnNTmn,ILFi•^IyvnrNxrC\'nyltvrrrrgy,:r grcn/R'mrm Anm,xarvr.�4,mrr.nk,„nv�Yn„�mz„e•+.}Y„n:rnm^Ti.;'am+w;3tttnr!!,zva*n,rr�mnznYMrrm/limr%rlnn.nr4..+;,7rrrpvrmnfn7ym,.nVaCmnyrnnmc ��' —! " rti BOARD OF SOUTHOLD TOWN TRUSTEES rrr� SOUTHOLD, NEW YORK PERMIT NO. 9427 DATE: APRIL 17,2019 ISSUED TO: KENNETH&HEATHER CLAUSMAN rt rr'r° PROPERTY ADDRESS: 2995 SIGSBEE ROAD,MATTITUCK 't•' } SCTM# 1000-126-6-9.1 AUTHORIZATION L 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 April 17, 2019, and in consideration of application fee in the sum of$250.00 paid by Kenneth&Heather Clausman and subject to the r.' € Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: '; '< Wetland Permit to install 1 to 2 ton boulders±10' landward of bulkhead with a set of stone steps to water; continue boulder wall along westerly side yard landward to dwelling with stone it steps in side yard; install±30 cubic yards of clean fill in area between dwelling and new boulder wall; install a 12'x40' permeable paver patio in eastern side yard; a bilco door to the east to be '�p�'` removed and foundation closed as required; the installation of a 6'x4' drywell on south side of .T residence; and to install and perpetually maintain a 15' wide non-turf buffer area along the landward edge of the bulkhead with all existing Cape American beach grass within the non-turf buffer area to remain undisturbed; and as depicted on the site plan prepared by TFLC,Inc., s dated March 23,2019 and stamped approved on April 17,2019. = =' ;= IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, i; and these presents to be subscribed by a majority of the said Board as of the 17fl'day of April,2019. „; Olt rF C4 as^r •=tea`} � ` 2 y� � ... n r Crrr� .v i.a.wu111114166,euvY�.:�SiA74':xwi,&ainixirui.Jz3G,;.ivabkw?vixuw}�yxRcu:.•aituirniuS,.a3ro,.uu,zuua Fnu v.,a;A'v.S:C �IIiI 4+, .+e{i� +` - .iii iii i.: :ii• .r: ir1 •` '�i°i.�ii:A.. .0j`+ (+1 e• 'hr Yi TERMS AND CONDITIONS The Permittee Kenneth &Heather Clausman residing at 2995 Sigsbee Road, Mattituck, 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. S. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County 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. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President �QF SOUrTown Hall Annex John M.Bredemeyer III,Vice-President ,`QOl0 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 cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 17, 2019 W. Jonathan Fabb Twin Fork Landscape Contracting, Inc. P.O. Box 460 Cutchogue, NY 11935 RE: KENNETH & HEATHER CLAUSMAN 2995 SIGSBEE ROAD, MATTITUCK SCTM# 1000-126-6-9.1 Dear Mr. Fabb: The Board of Town Trustees took the following action during its Regular meeting held on Wednesday, April 17, 2019 regarding the above matter: WHEREAS, Twin Fork Landscape Contracting, on behalf of KENNETH & HEATHER CLAUSMAN 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 24, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered policy of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: revised plans for project; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 20, 2019 and on April 17, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, 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 KENNETH & HEATHER CLAUSMAN to install 1 to 2 ton boulders ±10' landward of bulkhead with a set of stone steps to water; continue boulder wall along westerly side yard landward to dwelling with stone steps in side yard; install ±30 cubic yards of clean fill in area between dwelling and new boulder wall; install a 12'x40' permeable paver patio in eastern side yard; a bilco door to the east to be removed and foundation closed as required; the installation of a 6'x4' drywell on south side of residence; and to install and perpetually maintain a 15' wide non-turf buffer area along the landward edge of the bulkhead with all existing Cape American beach grass within the non-turf buffer area to remain undisturbed; and as depicted on the site plan prepared by TFLC, Inc., dated March 23, 2019 and stamped approved on April 17, 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 --- - Michael J. Domi o President, Board of Trustees MJD/dd k :X S; \U \•1 � S ry 10 lO'O� yG'\ •� \ i brc/3'' �� `� � � Q4 \w.0G \ss I t O ! afl 1 -0 e \? \� \ �\ Inc \ • \, \ oi"? 9 e z IND n: 17' •\ � \ � 4� w 9 e� q cl 3- C` Cepp tai F 99 O 21Y• lei � sY I t JAN 1019 I J \ ��T� 0�\ ! I I 4T: oltl;^� �Oc itl�1 1___. AREA=15=6 5'3 Fr. 5€ F� •Siw-iYISIGH-'0.`�1�17 YJP fA:I�T.GG?TFK F"�i.GT" 'yi Ll:_•PI•_' IH LEE K0_907;i=GEVs.G�Y�od.G04.Gti SY4 R1426 A9S AL K0. : ❑=rcH�•Tr 9ET o•sp;�rslr Fctav Q.srAv��T• c'>>sTA�Fo.Lw s. � s �--. - io0 Ontra-ICn-Avory°,RNeMesl,tmn lax 11401 5UR\/EY FOR E5 too 631.T172iO3!a 6. ROBERT TAYLOR ` f 0111 L. �f 1jL�llll(k - at Mattltuck,TOM of Southold 3 Suffolk County,New York gs '��I-f � M:nGr3 IY Yash LSE S.NC�T v5; `••. �1-..^" G rotper, BOUNDARY SURVEY !} '�•,�i R:t:ert G.Tea«+'rcni:aL: Cevalc_.AdJn!•Rrotasa•�_;Et:.•mr. ix Gc-bi T—Nap a --IGGG:.cu:,126 Jr. B 5MVEYORS CERTIFICATION Rao SmWEY Co>•� r-AY 1,:010 5= PEf�LERnpN 70 ROt3ERT TAYLOR ='�•i/� HAP Hi3`ARM MAY 70,30'10 �r ' tH ACOGRDA=11�Ti=GO.�� ''''�'•k Record of RevlsiGns ACR LAW 9LW--1'S„OGp;p HY Ti?'ti.1/1046 t:TAT[ == A.c=IATIO4 CF FR:='0:7AL Wa.#*Vuycgs, REa.ARD OP FMVW.Q775 DATE �L u"" f so o is ao 60 >3 rxa'foe I'� 30• AL 1--A1VO K YO«ti5"kY=L5.MD.4. —_3 NO.2010-0106 z DK,_�to_olab--Fr'P CFI y4 ROTTED Or.DLL ROT DAM.W m.30t0-23 CM °�"�\Vtwe.•\zmD\uio_o7w\Mumo�masyaeq PECONIC BAY tomEXISTING CAPE AMERICAN ' " - � � NON GRASS TO REMAIN NDN TURF BUFFER �---__ WEST ELEVATION <� Boulders �2 SCALE 1Filled Area 1 , Turf STEPS +/-30 yards . l RESIDENCE 614' DAYWELL � Turf • + CAPE AMERICA BEACH GRASS TO REMAIN 24" GRADE CHANGE � EXISTING FENCE STEPS ' BILCo DOOR TO BE REMOVED BULKHEAD Residence 12'X40 PERMEABLE PATIO STEP Ll 15' NON TURF BUFFER HWL STEP STONE WALKWAY ,. - ---- -- � 12" GRADE CHANGE EXISTING GRADE lit ] t ------------ SITE PL��N _LLJ_L_LL1-�- ---___w _ OUTH ELEVATION lit ] . .....Gravel SCALE 1 =10' ______ SALE 1"=2' Parking Area ;, - — -- - -- . . .. . . . � , .. . � . mom mom . mom . NON Now . NON . .. • � now • � ' APPROVED BY BOARD OF 1RUSTEES � RESIDENCE D DATE � OF I �� OLD GARAGE S ■ GARAGE ---- -- -- - . _ . _ , _ . _ . _ . — • — m — • — EXISTING FENCE – m Now mmm a wom m mom m mom 0 NON m ENN mmm m amm m NON 2' GRADE CHANGE - _ — _ 1' GRADE CHANGE OWN TURFlow Ad BURUNDI Tum T TEP 2i CLEAN FI,.►. +— BULKHEAD 15' NON-TURF BUFFER NON—WOVEN Li -- — FILTER FABRIC 2 TON BOULDER BULKHEAQ � mow ' � r� CLAUSMAN RESIDENCE �,�r�` -� r BOULDER CRASS SECTION It -� �C� i WAR 2 8 2019 I SCALE 1SQ ,,_8405 COX LANE 295 SIGSBEE ROAD °; �W° CUTCHOGUE NY 11935 MATTITucK NY 11952 TWINFORKLC@OPTONLINE.1vE7'/631-734-8354 REVISED MARCH 23,2019 Michael J. Domino, President �� Gy ? Town Hall Annex John M. Bredemeyer, III, Vice-Presidenty a, gin,;;. k 54375 Route 25 Glenn Goldsmith o "°ti P.O Box 1179 A Nicholas Krupski �.l� ao� Southold, NY 11971 Greg Williams �Yx'r Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 22If TO: KENNETH & HEATHER CLAUSMAN c/o TWIN FORK LANDSCAPE Please be advised that your application dated January 24, 2019 has been reviewed by this Board at the regular meeting of April 17, 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) 1St Day of Construction ($50.00) 'h 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) xx 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: $_50.00 BY: Michael J. Domino, President Board of Trustees Michael J. Domino ;ident O��$UFFU(,� Town Hall-Annex John M. Bredemeyer III, Vice-President �� yJ, 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES 1 TOWN OF SOUTHOLD Date/Time: / Completed in field by: Twin Fork Landscape Contracting on behalf of KENNETH & HEATHER CLAUSMAN requests a Wetland Permit to install 1 to 2 ton boulders ±10' landward of bulkhead with a set of stone steps to water; continue boulder wall along westerly side yard landward to dwelling with stone steps in side yard; install ±60 cubic yards of clean fill in area between dwelling and new boulder wall; install a 12'x40' permeable paver patio in eastern side yard; a bilco door to the east to be removed and foundation closed as required and to install and perpetually maintain a 10' wide non-turf buffer area along the landward edge of the bulkhead. Located: 2995 Sigsbee Road, Mattituck. SCTM# 1000- 126-6-9.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet j 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet I 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 I - 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 Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: /-.-/J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other 1 DiSalvo, Diane From: Susan Forrest <sforrest9594@gmail.com> Sent: Friday, March 15, 2019 1:23 PM To: DiSalvo, Diane Subject: Permit for Ken and Heather Clausman Dear Diane and Board of Trustees, It was so nice speaking to you today. As per our conversation, I own the beach property at 2999 Sigsbee Rd., Mattituck,NY.(126-06-7) directly G&84 of and adjacent to the property of Ken and Heather Clausman who reside at 2995 Sigsbee Rd., Mattituck NY (126-06-9.1) The Clausmans are requesting a permit to build their land up 2 to 3 feet higher than the existing terrain on the south west side of their property adjacent to mine. This rise can and has formed an illegal run-off of seawater during storms and hurricanes such as Hurricane Irene and Hurricane Sandy. The previous owners, the Taylor family, illegally raised their property up 3 feet before Hurricane Irene. The force of the water during Irene was so great that it blew out the bulkhead both at my property and my neighbor's property(Pat O'Connell) to the West of mine. It required 18 dump-truck loads of clean fill on my property, and my Western neighbor, Pat O'Connell, required around 10 truck-loads. Both my property and the O'Connell's had to erect a new bulkhead. The DEC told the Taylor's that their property was required to stay level with mine. Just before Hurricane Sandy the Taylor's again raised up the Eastern side of of their property facing Marlene Beach and after Hurricane Sandy I required 11 dump-truck loads of clean fill, and my neighbor, Pat O'Connell, needed around 10, but the bulkheads held. The water surged over the bulkheads with swells from East to West. I have many,witnesses to the damage the run-off caused at that time. There is a three-foot cement wall on the Clausman property that was covered when the former owners illegally raised their yard, and it is still underground. If the Clausmans can find a way to drain their yard towards the East where there is only beach, I would consider that. They are good and reasonable people, although brand new to the North Fork. I am sure they are unaware of what the tidal surges can do. My family has been on the North Fork since 1902, and has owned my present house since 1927. My Uncle Bill Leonard was Supervisor of Riverhead, as well as a cousin, J. Stark. We have local police and Homeland Security in the family. We understand and respect the force of the Great Peconic Bay, and love the North Fork. I ask for your help in this matter. Thanking you for your time and consideration, I remain, Respectfully yours, Susan Forrest i Michael J. Domino, Presi o�pS �► � z" Town Hall Annex John M. Brederneyer III,Vice-President �� ,, 54375 Route 25 Glenn Goldsmith o 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 Date/Time: 3 :05 Completed in field by: � �'� 1'd5'm)"Y-, Twin Fork Landscape Contracting on behalf of KENNETH & HEATHER CLAUSMAN requests a Wetland Permit to install 1 to 2 ton boulders ±10' landward of bulkhead with a set of stone steps to water; continue boulder wall along westerly side yard landward to dwelling with stone steps in side yard; install ±60 cubic yards of clean fill in area between dwelling and new boulder wall; install a 12'x40' permeable paver patio in eastern side yard; a bilco door to the east to be removed and foundation closed as required and to install and_perpetually maintain a 10' wide non-turf buffer area along the landward edge of the bulkhead. Located: 2995 Sigsbee Road, Mattituck. SCTM# 1000- 126-6-9.1 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 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: �� o �IEGe �� i1QItlEL�111cZ ��1 �1��iil"1Giq� . ��C`��/'� �� chi� 6-c,.,r✓�..s -., I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: J. Bredemeyer -� M. Domino G. Goldsmith N. Krupski =/G. Williams Other v to Kenneth&Heather Clansman jFF C 2995 7k` ` a Road, uck SCTM#-: 1000-126-6-9.1 3/12/19 LA— t "t � 1 F *• , r. t Kenneth&Heather Clausman ~ 2995 Sigsbee Road,Mattituck ` SCTM#: 1000-126-6-9.1 , 3/12/19 / r T K, t Yi ,,�y i rt ♦�S A a Ke7' �l ! 1� a y�I" a i f♦� F . '� , ` ,' r FvlaF ' . s'j► r :', yet 'r �L\tom r 4,% •k•: L ..�.- nr r 1, - .+Ste•-'' �`".. "r - �• r� .r ••y r` r -� ��'� ;moi -4 1 ON' 017 �' ` a . 1 r r?'- i rt , 9t �� .,• , .�;� C_ »°art utr+p� ''li .N �I R ti. s. iy '14V 711. �'•�'. - � �� a +.; •A��j.r� w - � - . 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Ale +s' w S 1/22/2019 Town of Southold Tax Map Inquiry Parcel: 1000-126.-6-9.1 Acreage 0.33 Class One Family Year-Round Residence Land Use Medium Density r Residential Protected Community Facility CPF Ag District Info ' Zoning R-40 District Zoning2 r Freshwater 0.00 k k - Zoom to N. 1 http://tos.maps.arogis.com/apps/Solutions/s2.html?appid=l b4d46l a4ebc440ba l gd25e98eb3fa90 f/1 J Twin Fork Landscape Contracting, fico P.O. Boar 460 - Cutchogue, Nle 11935 _. PH: 631-734-6643 FX 631-734-6354 Email: twinforklc@optonline.net _ feta°#� i `�ifU• Mhz � G? rsa January 4th, 2019 BOARD OF TRUSTEES RE: SCTM# 1000-126-06-9.1 2995 Sigsbee Rd., Mattituck, NY 11952 To Glen Goldsmith, This letter has been constructed with regards to requesting an on-site meeting with the Southold Town Trustees representative for the CLAUSMAN residence located at 2995 Sigsbee Rd, Mattituck. Attached provides notarized Homeowner affidavit's and authorization forms, survey, pictures and a proposed site plan for your review. TFLC, Inc is the acting property owner's agent in requesting an on-site meeting to determine what next steps and permits will be required to conduct the proposed plan. From the attached site plan we have illustrated installing 1-2 ton boulders along designated lines as specified by plan provided and correcting Me grade with approximately +/-60 cubic yards of clean fill. A total of(2) stone access steps also to be installed during construction and illustrated on plan. In addition, on the East side of home the Homeowner would like to install a 12' x 40' permeable paver patio (illustrated on site plan), the existing BILCO doors will be removed and foundation closed as required. We feel it is beneficial to review the site to determine the required size of buffer and size of permeable patio and correcting the grade what is permitted by the Trustees at this time with regards to sizes, specs and materials. I myself would attend on behalf of the property owners. I can be contacted at 516-807-2575 Thank you. Best, W. Jonathan Fabb Twin Fork Landscape Contracting, Inc. n Twin Fork Landscape Contracting, Inc. LEGAL PROPERTY NAME: Kenneth & Heather Clausman - PH: 917-347-3690 EMAIL: kclausman@hotmail.corri TAX MAP 126-06-9.1 PROPERTY LOCATION: 2995 Sigsbee Rd, Mattituck NY 11952 AGENT: W. Jonathan Fabb, President Twin Fork Landscape Contracting, INC PO SOX 460 Cutchogue NY 11935 PH: 631-734-6643 LAND AREA SQ FT: AREA ZONING: R-40 Previous use of property: Residential Intended Use: Residential PROJECT DESCRIPTION: From the attached site plan we have illustrated -.7E J KK�'E -7- S SEG NO 1= .NE MTCH. ZT E --- --------------------- T__ Z_ FORT C .o ry SEE SEC.NO 1 614 y¢ Al p t2zm ams A PAARrKD33— DtrP W ai 'W' 2 9 103 101 11 12 kbftn Geek 09. o9. SEE SEG No 1. FOR ML NO _U9 NO, SEE SEG 12�41M No 3 I 14 MRPCL NO ZaA(C) sm SEC o 125 o4 az424 IR .16 If 2 4A( 10 n aT 4 MR PCL No SEE SEC NO 4 125 0102425 t4 v HATCH-----Z----—LINE sm S.C.No I" COUNTY OF rK SOUTHOLD SECTION NO NOTICE Real Property Tax Service Agency E (2-1) 26 m 1. G —'"r oGAN'IPgRioNCt Teff Y E No 1000 N ztNOmtzu P t9 tza PROPERTY Twin Fork Landscape Contracting, Inc. P.O. Box 460 Cutchogue, NY 11935 PH: 631-734-6643 FX: 631-734-8354 Email: twvinforklc@optonline.net httg./%twonfork§andscapecontractina.corr� March 28th, 2019 RE: SCTM# 1000-126-06-9.1 2995 Sigsbee Rd., Mattituck, NY 11952 RE: WETLAND PERMIT APPLICATION REVISED PER 3/20/19 MEETING To the Board of Trustees, Attached provides a revised site plan for the Clausman Residence as per the 3/20/19 Trustee Meeting. The plan has been revised to incorporate the following: 1.) The NON-TURF buffer has been increased from 10' to 15'. 2.) All existing Cape American beach grass within the non turf buffer will remain undisturbed. ' 3.) A 6' x 4' dry well is illustrated on South side of residence to be installed to catch storm water runoff from all waterside gutter leaders, ensuring no adverse conditions directed towards neighbor to the west. 4.) Also revised and illustrated on the plan are the two additional elevations, the WEST Elevation and the SOUTH elevation as requested. 5.) Due to the increased NON-Turf buffer area the fill has been amended to use +/- 30 yds of fill from originally submitted 60 yds. Please feel free to give us a call directly with any questions. Thank you, D L► :, il 5� ;J W. Jonathan Fab MAR 2 8 201 President Southold Town Rnard of lruskaes OFFICE LOCATION: '®f. ®��®� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) .a Southold, NY 11971 � .� � , �< 2� Telephone: 631765-1938 COWN LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees iw.µ From: Mark Terry, LWRP Coordinator Date: March 18, 2019 Re: LWRP Coastal Consistency Review for KENNETH & HEATHER CLAUSMAN SCTM# 1000-126-6-9.1 Twin Fork Landscape Contracting on behalf of KENNETH & HEATHER CLAUSMAN requests a Wetland Permit to install 1 to 2 ton boulders ±10' landward of bulkhead with a set of stone steps to water; continue boulder wall along westerly side yard landward to dwelling with stone steps in side yard; install ±60 cubic yards of clean fill in area between dwelling and new boulder wall; install a 12'x40' permeable paver patio in eastern side yard; a bilco door to the east to be removed and foundation closed as required and to install and perpetually maintain a 10' wide non-turf buffer area along the landward edge of the bulkhead. Located: 2995 Sigsbee Road, Mattituck. SCTM# 1000- 126-6-9.1 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 INCONSISTENT with the LWRP. 1. The plans are insufficient: current grade and fill elevations are not provided and the patio is not shown. 2. The placement of 60 cubic yards of fill is a concern and may adversely impact the adjacent properties. 3. It is recommended that the non-turf buffer be vegetated with native, salt tolerant vegetation. 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 Peter Young,Chairman c - 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., March 13, 2019 the following recommendation was made: Moved by Caroline Burghardt, seconded by James Abbott, it was RESOLVED to NOT SUPPORT the application of KENNETH & HEATHER CLAUSMAN to install 1-2 ton boulders along designated lines as specified by plan provided and correcting the grade with approx. 60 cy. of clean fill. A total of two (2) stone access steps also to be installed during construction and illustrated on plan. Install a 12'X 40' permeable paver patio on the east side of dwelling and remove BILCO doors and foundation closed as required. Located: 2995 Sigsbee Rd., Mattituck. SCTM#126-6-9.1 Inspected by: Peter Young, James Abbott, Caroline Burghardt The CAC does Not Support the application based on an observation of the heavily dense beachgrass. The proposed project may not be productive and could have a negative impact on the adjacent properties. The CAC recommends the applicant consider other alternatives. Vote of Council: Ayes: All Motion Carried n, Tow* nHallAnnex Michael J_Domino,President - John M.Bredemeyer H1,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith !4 Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Greg Williams Fax(631)765-6641 ]BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Seition For Office Use Only Coastal Erosion n Permit Application Wetland Per Application V et Administrative Permit I Amendment/Transfer/Extension 1.2'#�jq JAN 24 2019 'Received Application: - J_ -_ 12�Received Fee: $ M.60 Completed Application: Sc;C1 7r"'T 17", Incomplete: - L-_. Board 0i 1_;2vs SEQRA Classification: Type I Type H Unlisted Negative Dec. PositFvj-Dec. -Lead Agency Determination Date: Coordination:(date sent): 3. 9-jq �LWRP Consistency Assessment F rm Sent: CAC Referral Sent: 9-2-7-1 Date of Inspection: 312 Receipt of CAC Report Technical Review: =Publir,Hearing Held: 34204q__ -Resolution: Owner(s) Legal Name of Property(as shown on Deed): �ecbiey- C lauswan Mailing Address: Phone Number: - q Suffolk County Tax Map Number: 1000- 1.2 (0 -Q -q- I Property Location: ?C'/'LCtr IGS IZA 61"t UKAL- P92 (if necessary,provide LILCO Pole distance to cross,streets, and location) W-30_ft&A-1Na((\ AGENT(If applicable): Mailing Address: P0 Phone Number: 3q Uq;7 91,;Wl \ Board of Trustees App: ztion GENERAL DATA Land Area(in square feet): 13 jZEP cz,q pi Area Zoning: Be�C-DeAm 1 PrL— Previous use of property: Intended use of property: S, kl A l d - Covenants and Restrictions on property? Yes __X_No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes Y 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): See the Attached site plan illustrating installing 1-2 ton boulders along designated lines as specified by plan provided and correcting the grade with approximately+1-60 cubic yards of clean fill. A total of(2) stone access steps also to be installed during construction and illustrated on plan. In addition, on the East side of home the Homeowner would like to install a 12'x 40' permeable paver patios illustrated on site plan), the existing BILCO doors will be removed and foundation closed as required. r Board. of Trustees Appl Ition a WETLAND/ 12jJSTEE LANDS APPLICATION DATA 1000-126-06-9.1 CLAUSMAN _ PURPOSE OF PROPOSED OPERATIONS: See the attached site plan illustrating installing 1-2 ton boulders along designated lines as specified by plan provided and correcting the grade with approximately+/-60 cubic yards of clean fill. A total of(2) _ stone access steps also to be installed during construction and illustrated on plan. In addition, on the East side of home the Homeowner would like to insXall a 12'x40' permeable paver patio(illustrated on site plan), the existing BILCO doors will be removed and foundation closed as required. Area of wetlands on lot: d — square feet Percent coverage of lot: ®�� % e' Closest distance between nearest existing structure and upland edge of wetlands: fleet Closest distance between nearest proposed structure and upland edge of wetlands: 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? do cubic yards Depth of which material will be removed or deposited: k -feet Proposed slope throughout the area of operations: 01 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): 1` 61Z20 Appendix B S/toz t Environmental Assessment For nz Instructions for Co-moletim Part i -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 l 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 i-Project and Sponsor Information CL'A fe.W„� Name of Action or Project: 2 CJCiS i�' �'� t� , �c, 4 �t Project Location(describe,and attach a location map): .29gq! .510S-atg" N t 8 Brief Description of Proposed Action: See the attached site plan illustrating installing 1-2 ton boulders along designated lines as specified by plan provided and correcting the grade with approximately+/-60 cubic yards of clean fill. A total of(2) stone access steps also to be installed during construction and illustrated on plan. In addition, on the East side of home the Homeowner would like to install a 12'x 40' permeable paver patio(illustrated on site plan), the existing BILCO doors will be removed and foundation closed as required. Name of Applicant or S2onsor: Telephone: E-Mail: Address: City/PO: State: Zip Code: 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: &� ❑ 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? _ ----acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial XResidential(suburban) El Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Pace 1 of 4 5_Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ b.Consistent with the adopted comprehensive plan? F1 ❑ 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: vie 8. a.Will the proposed action result in a substantialincrease in traffic above present levels? NO YES b.Are public transportation services)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 tlse proposed action meet or exceed the state energy code requirements? NO _ YES If the proposed action will exceed requirements,describe design features and technologies: ❑ '❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: m r� ET ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO ES Places? ❑ b. Is the proposed action located in an archeological sensitive area? ❑ IT 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? ❑ Er b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ I f Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Iden ' the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: QoSlihoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional E Wetland ❑Urban ❑Suburban I5.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? _Rr ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ a.Will storm water discharges flow to adjacent properties? ❑NO [-]YES b.Will storm water discharges be directed to established.conveyance systems(runoffand storm drains)? IfYes,)briefly describe: -_ ❑NO AYES Page 2 of 4 �` 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: �_ _�_ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO I YES completed)for hazardous waste? If Yes,describe: _-----__--- I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: •�� s t f a-�ite: Signature: -;A _ 7W Fart 2-Impact Assessment. The Lead Agency is responsible for the completion of fart 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 reviewer 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 TL 1. Will the proposed action create a material conflict with an adopted land use plan or zoning E� regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? rj�r V u EL I Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 01*0 F1 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ( ❑ reasonably available energy conservation or renewable energy opportunities? u 7. Will the proposed action impact existing: 1 a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Pa(ye 3 of 4 4 No,or Moderate sinal[ to large impact impact may maty occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead 4gency 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 clement 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. ■ C eck this box if you have determined,based on the information and analysis above,and any supporting documentation, tat the proposed action may result in one or more potentially large of significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental a pact . Town or Southold-Board of Trustees Name of Lead Agency ate --M-1 c_h a e-B__�D e_�a m i n President Print or Type Name of Responsible Officer in Lead Agency Title of R nsible Officer Signature ol'Respo&ible Officer in Lead Agency Signature 6f Preparer ' d t from Responsible Officer) PRIPage 4 of 4 <= 3oara os- .uruatieas app.Liaat, f:�•; A.'UT110-PUZA.TION (where the applicant is not the owner) I/We, __) nti1VleA- l� �Avyw n ' owners of the property identified as SCTM# 1000- a ^ �� " �- in the town of &d( �Ml2i�New York,hereby authorizes r�aeW r INC- `to act as my agent and handle all i necessary work involved with the application process for peixnit(s)from the Southold Town Board of Trustees for this property. s• Properly Owner's Signature Property Owner's Sio ahue z 1 z !tt�Pr��i� f •• SWORN TO BEFORE ME THIS DAY OF 20 t 5 -�- Z 1 .f N u F KYNDAL R LOCASCIO Notary Public-State of New York N0.011.06296497 iQualified in Queens County z My Commission Expires Mar 20,2022 v 1 � _ _ .t?�.�7-.r-+ :yt� _ ? ;'':'�• +.&.i,``�IF 4, .�5�, ar'SY:r:l-).�i��`rfi'"": --'-•:• �•-.r Com., :,s.r,,,^'y'7c•z t:l f:?`I�,�, ri:.ivlttiy.tiN Vii: !ice'.i•.�;:.-.r,.:"�r.�.ar.F.:;•,�i_. '�.•^.zq.��x;� r-:li;*-'�.•r.- `''•STS`:"`+Y'1'��}}��xP- �sr .c.'.'"' T•n.�3„n'.+:4%r M+'"*'.,:.'.r.1-,] r r�:f...l •: Sry�„r;-,a.: ;,c. -T•`'"� '�"�'St• c,.k i }� yx'.= :i. �'� „=w.i _ i...•.�,. T'..f`e� vS "�'-orf;, Y�.:,• (. t �'��i�": i� .2`iF.•'t�t '�f.l..{ tt•" .::"<•'•i f4':4�fi r'"} ='u`rr •.i ._;;t.^'¢srt - ..�:t•f. 'c'�•�tip�.r=` :�n r�R', :: '#.: s:-��; .rn,�a� ss - :•�.tY.,..'.,i{ .gr-• '� .�..., a Yfr�„ a��rl/•i;�t ��^.�::Iet'a''iw� s,:� tx.r:n Y `; a s' •a, A. �i. ..3? '! :d � s,3=� 3i:;>��'�. ;: r� - •.ro f�' � __+� `:f;� .!• ,_� ,�-.F v D- �.'.. 's zM '1,� 1�'e, .�..A` _ ?,,�s Y:: >.; r4.. ;»., ,�1.F;43."r;"`z x' +fir!'„urr?,ay::'ri:,•:-.r :rr•hY r-7-�ry,.�• �1pi«y,1-•>kC..�c.r•-'�'.t<;"'A, JTi:?"��.;3f,L 7R :# +.a,�t��; i � r„• s' _,1 -i:n-it.�,Z,`�i..E'n.f f.;r§^:?s � f ..,.•t ,�t•.,+,,t J7'. .4i # J'6.f�.;�f•Y-u3rE•I!i•_i:F r1,w,•yi2,�� l,. •�rr13'•.•�,...I�a�='=:Y)aa•��;�Y•”-.�s}. ♦ L'��{,�-. ..{�•.§�'�.y �f��1 �.i'•.Ni3>;_.. .if...$,_:.::t_.� IetSy,Y�F,� HI i(2r!��7FV y�;��t�,4YF^y��•�} yy P.x ( �..,.;:�oN,q�..5'. N57"'�,��1� D'S Y! .}•F:.L .+y.4�r... �Y�T'S;i(n`�iiii::i:ria�.-`-Lid.iti3s:AUlF.S'.e. A�.`u t. ,sY3' r'''r ,•+,jr'r•'�`�y p'�!511�i�9wf'�f34.''i`vaL'.S�'�c`{i�h ��,•'v4. 4".L•.�'..r,}'.'.•$.v'i.�ti�e�'��i�{:�,��:'�•°.L�.i+t�?'.�'•.Y'.�.r'�.v.:._.�'-+S'd:isa-_.3�a...r.. ` 5 J Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) _ owners of the property identified as SCTM# 1000- " d in the town of I r ,SUTI+Q LIQ M prTCXFUC-L ,New York,hereby authorizes f--6e IL t A Kj�C( ( �LQI�T��CT(1.I(�} 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. Pro7fty Owner's Signature Property Owner's Signature d SWORN TO BEFORE ME THIS 3 Sfi DAY Or 20� 4W �}t ('Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. 0101475593 Qualified In Suffolk County My Commission Expires April 30, 20?7 N} r A Uri ll?A Y 1�JL N BEING DULY SVV+ORIN] ANBD AVFWXIVIS THAT ElN/511E IS TEM 1��t�t�T'�'�'®�T]E�i ��i� i DESCRMEt D pr-,MT'(S)AND THAT ALL STATEMENTS CONT'AINE-D nMs REIN ARE TRUE 'O T ST�➢ + S/ R 1C.NoW.LEDGE.A14D BELIE,F,.AND THAT ALI,Wollif'�/U,L B DONE IN THE 1h9tANi r SST FORTHIN TSS A�'��1�C��T�ON AND.AS MAY IM AP��O�/?�.�'D Bir TKA SOFT)IOL D TOWN BOARD Off'TRUSTEES, T ' a APPLICANT.A GMES TO.aOL D TWE TOWN OF SOUTHOLD AND T IWO, BOARD Off'TRUSTEES HARMLESS AND r'RE'FROM ANY AND ALL�A�'�A��S AND CLAIMS ARISING UNDEROR BY VIRTUE 07 SAI�PLRIa/IXT(S),IF " +G NTE D. IN CONkPLE,TING THIS.ApPLICATTO-I, I HEREBY AUTHORI ZE TllE TRUSTEES,TR..AGTOTT'(S)OR ' ,. SE 114TATIVES,INCLUDING THE O Ei�1 R ONTO D y YROPERTY TO COATSP;R.'VATION ADVISORY COUNCIL T ; INSPECT T'H'E R&W'lI ISLES IN CONJUNCTION V71TH- TIUS A,PPLIdA.TTON, jNCjXDl NC A FLIM AL DTSPECTION- I BURT"'ER AU TT OR;�' I T'l E BOARS Off` ! TRUSTE ES TO ENTER ONTO riIff PROPERTY A ND AS REQUIRED TO INS-UPM COIYLPLIANC;E WITH ANY CONDff ION Or APPY ETLAND OR COASTAL ROS�ON PE,W/Iff ISSUED BY THE BOARD OE 11RUSTEES DURING THE T'ERNI OF THE PEl0'11T. 5 • 'igxiatia e of Property Owner Signature of Property Owner i SWORN TO BEFORE M TI-119_ G DA'Y OF !'f��/5c'T ,2� o P,:•o 9 KYNDAL R LOCASCIO Notary Public-State of New York N0.01L06296497 O_ualified in Queens county• ' My Commission Expires Mar 20,2022 ; a Board of Trustees Appl ci .'tion AFFIDAVIT[` BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIY(S)'AND"THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER.SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HE, AUTHORIZE' THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO-INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. ti Si ature of P operty Owner Signature of Property Owner SWORN TO BEFORE 1vtE THIS �3/ DAY OF�� C , 20� Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No, OID1476593 �Qutfllflod In Suffolk County My COMMissi®n Explrss April 30,20�� APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE]FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employee~ The uurpose of this fdnn 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. SCAM YOUR NAME: .LTlyry g d V�� °"' 6J (Last name,first name,spid initial,u. ess 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 beftveen yourself(the applicant/agentfrepresentative)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(cheek all that apply): A)tate 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); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION Or RELATIONSHIP f n � Submitted this a&if �� 20 (�� W Signature _ C ""- 1 Print Name'. �/ t /�4�J�it Form TS I MELANIE V BROWN Wattuy Public,State of New York -46 No.01BR4908712 Qualified in Suffolk County gommission Expires October 19„_,_... APDLICA.NT/AGENTIRY,',PRUi.SEN`1'A.TtV'E TRANSACTIONAL DISCLOSURE FORM '11c Town of Sca tliold's coac or rtmes pfr,himts conflicts ofsntemgt ci c_ art nt'town o �ecrs rnd rmUlnvcc !i^purrs{=',z r{ gticfor r7f� c mvicle�nti�rmnt+i.n�� pi t r jn {tert the,town nt't�o�_,ih{e rnnf rt of intetr:t unci nitnty tt Io Wks wh�t_rurl,,l�tI q s, pp-cessary to aymd,;nD w. YOUR h!AAAF: -- _�- ��`_ _3 t�e►�wr�� t (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.) NANVIF.OF ArPLICATION., (Check all that apply.) T,,wx gr;cvance Building _ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring E%Lmption from plat or official map _ _ _ Planning Other (If"Othcr'. name the activity.) Do you personally(or through your company,spouse,sibling,patent,or child)haven relationship with any officer or employee of the Town of Soodaold? "Relationship"includes by blood,ntarringe,or business interesL"Bu;inrss hitcrci;f'means ai business, including a partnership, in xvhich the town officer or employee has even a partial ownership of(or unployment by)a corporation in which the town o Il icer or employee owns more than 30:0 of the shares. YES .. -- NO If you answered"YES",complete the balance of this form and date and sign where indicated. - i i Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representaiive)and the town officer or employee.Either check the appropriate Hne A)through D)and/or describe in the space provided. � t The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): f A)the owner of greater than S,'o of the shares of the corporate stock of the nppliont (when the applicant is a corizoration); i S)the legal orbenviicial otytterofany interest in a non-corporate entity(when the applicant is not a corporation); Q an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this :2 K dayof 3'44 -4> 0161y Print Name /Kn-e-AMrLntrs . Form IS I . � e 2_�615-5165138t:-_7 APPLICANT/AGENT/REPRESENrTATIVE TRANSACTIONAL DISCLOSURE FORM Thcz Tow of au I's Co<t n :thi -proi 'ts c tli t o 'nr o _tbe to ccrs and emplojecs.The u � r this farm is to provide infarination which c rn alert tic-toy,afrsossibie conflicts nr intcrest and allow it to take whitcvcr,1rtinn 1S nvoeesnry to atloid"Inic. ame �ddle initial,unless you are applying In the name of YOUR NAME: �Q1 (Last n 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 X 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 wid,any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business intc=L"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed-by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling, parent,or child is(check all that apply): A)the owner of greater than 5%of the shaves of the corporate stock of the npplicont (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 R Submitted this X dayof AW 0 P 20T 30 Signature Print Name C'-( Form T5 1 TM ' . ® ® s ■ m sOm S • r� cc WTI • gcoy '� •�lEOtlr ' � �'2i 7 CertdiedMail Fee $3.50 ^� C3 Certified Mall Fee e h �G; 5 , Lr1 Extra Services&Fees(check box,add fee as / v� $ 3 �, 1C_ ❑Return Receipt(hardcopY) $ e) v �-b ❑Return Receipt(electronic) $ N Extra Services&Fees(check box eddies V/.- Extra „a ❑ Return Recelpt(hardcopy) $ -�/ W 0 ❑Certified Mail Restricted Delivery $ `�`(-I�rO •P O ❑Return Receipt(electronic) $ 1 p�stma� Cl E]Adult Signature RequiredJv. , ❑Certified Mail Restricted Delivery $ j �klgre j ❑Adult Signature Restricted Delivery$ • O �..y•i f J ��/ O ❑AdultsignatureRequired $ y' / 9.- C] Postage �• �- '�c9 []Adult Signature Restricted Delivery$ `J%r 05 � $ �I-t•7�I fJ 3 Postage $0.70 • els �N 0 Total Postage and"0.0(1 � 03/11/20 r r Total Postage and Fees 03/11/20 1�V� $' ---••---------- 0 S an o.,pr� No-------------- ------7- ---------------------- ----- -- aSIR T�} � N 'e -------------------------------- r- �£' / ----------------- ry a --- - O Street pt.No., O Box I I Ct ,Sate Z l`- -- !K--------------------- -------- Z--4® A , D�V� - - - • _ :r c r r r rrr•r _. ■ • e. o ■ ■ r7:1 C3 4 a• • . Ill �- L td t€iIsti "i1 r o " $3. ,,'0935 t7 gNEV S 05 Certified Mall Fee a Certified Fee $0.ru 0 ,� marli Ln Extra Services&Fees(check box,add fee a �, Return Receipt Fee "Hers� ❑a Ser Receipt(hardcoPY) O (Endorsement Required): Of� $ L��/�Ppstmark I ❑Return Racal pt(electronic) $ AaAA /N}j��t Restricted Delivery Fee aO ❑certified Mail Restricted Delivery $ 4/ �1J,�� W p (Endorsement Require') ❑Adult Signature Required O f �n ��43 ❑Adult Signature Restricted Delivery$ 11411' �9 Total Postage&p!Postage $0.70 ` 03/11/2019 I se7! mnal $ o'� forvc L- � w Q' Total postage and Fees `� O Fri. - ---- $ �� Street,Apt. o.I / S or PO Box No. �Q &Y- 1,3 �1vA'LD �iC 'WA�- --------------------- --------- Ci tate, 4 r` - ox No. 11 Cl Sf�of ant No.,o ,P�7B_ /` ]� - -------------------------- col L Gty,State, ® N ru ■ • Ir r` •• • Ln 95 C3 Certified Mall Fee 3.5� �lJ/0935 ti HAIDT 1' _ n °-' ..n $ -a �% 05 r M `=9� (I�.�i [+- Extra Services&Fees(checkbox,addree d,{ J ''��,v C• ❑Return Receipt(hardcoPY) $ 'atlm� I` C3Posh v �1//,f��41, �I 1 ❑Return Receipt(electronic) $ er 7�Oys [l-'• I "'ry r��',, "'� C3 []Certified Mall Restricted Delivery $ ! 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STATE OF NEW YORI COUNTY OF SUFFOL" ; 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 I ----------------------------- CUTCHOGUE 240 GRIFFING ST CUTCHOGUE NY 11935-1200 ° 3520550935 03/11/2019 (800)275-8777 1:38 PM Product Sal e Final Description Oty Price First-Class 1 $0.70 Mail Letter (Domestic) \ (MATTITUCK, NY 11952) (Weight:O Lb 1.20 Oz) (Estimated Delivery Date) (Wednesday 03/13/2019) Certified 1 $3.50 (@@USPS Certified Mail #) (70091410000210620173) �_- Return 1 $2.80 ` - Receipt (@@USPS Return Receipt H) (9590940246518323138473) First-Class 1 $0.70 Mail Letter (Domestic) (NEW YORK, NY 10016) (Weight:0 Lb 1.30 Oz) (Estimated Delivery Date) (Wednesday 03/13/2019) .Gert t f i ea 1 $3.50 '(@@USPS Certified Mail #) (70160910000155674147) Return 1 $2.80 Receipt ([sUSPS Return Receipt #) (959O94r-,2465183231:38034) First-Class 1 $0.70 Mail Letter (Domestic) (MATTITUCK. NY 11952) (Weight.O Lb 1.10 Oz) (Estimated Delivery Date) (Wednesday 03/13/2019) Certified 1 $3.50 (@@USPS Certified Mail #) (70133020000190232197) Return 1 $2.80 j Receipt -� (@@USPS Return Receipt #) �,-- k (959094024651832'1,138091) First-Class 1 $0.70 Mail Letter (Domestic) (MATTITUCK, NY 11952) (Weight:0 Lb 1.30 Oz) (Estimated Delivery Date) (Wednesday 03/13/2019) Certified 1 - $3.50 (@@USPS Certified Mail #) (70170190000076901592) Return 1 $2.80 Receipt (@@USPS Return/ Receipt ;#) (9590940236077305355732) First-Class 1 $0.70 Mail Letter ' (Domestic) (NEW YORK, NY 10022) (Weight:O Lb 1.30 Oz) (Estimated Delivery Date) (Wednesday 03/13/20191 mei �i i i eu 1 13.50 (@ USPS Certified Mail ff) (70170190000076901882) $2 80 Return Receipt (@@USPS Return Receipt #) (959094023607730355756) - $0.70 First-Class Mail Letter (Domestic) (MATTITUCk, NY 11952) (Weight:0 Lb 1.30 O?) (Estimated Delivery Date) (Wednesday 03/13/2019) Certified _ 1 $3.50 (@CUSPS Certified Mail #) (70160910000155674130) Return80 Return Receipt (@@USPS Return Receipt #) (9590940246518323138480) Total - $42.00 `\ Credit Card Remitd $42.00 (Card Name:AMEX) (Account #:XXXXXXXXXXX4025) (Approval #:860968) (Transaction #:436) (AlD:A000000025010801 Chi p) (AL.AMERICAN EXPRESS) (PIN:Not Required) Text your tracking number to 28777 (2USPS) to get the latest status. Standard Message and Data rates may apply. You may also visit www List)$ cam LISPS Tracking or call 1--800-222-1811. Preview your Marl Track Your Packages Sign up for FREE C www.informeddelivery.com All sales final or, Stamps and postage. Refunds for• guaranteed services only. Thank you for your business. HELP US SERVE YOU BEfTER TELL_ US ABOUT YOUR RECENT POSiAL EXPERIENCE Go to: https.//post aIexpel-ience:com/Pos 840-5117-01410-002-00015-46290-02 or scan this code with your molatle device: h 6-p�' or call 1-800-410-7420. W"�a .;1 S�SFFd(, Michael J.Domino,Presidento�,Q ® 2 Town Hall Annex John M. Bredemeyer III,Vice-President X41 � �y 54375 Route 25 Glenn Goldsmith crn P.O.Box 1179 A.Nicholas Krupski � Southold,NY 11971 Greg Williams Telephone(631)765-1892 *0 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of KENNETH & HEATHER CLAUSMAN 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, C)XZQ , residing at/dba being duly sworn, depo e and say: - That on the 1�, day of K/�^ , 201 q, I personally posted the property known as 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, March 20 2 Dated: -3 --!Z (signa re) Sworn to^before me this day of W>t-20 l� i� Notary Public MELANIE V BROWN Notary Public,State of New York No.01 BR4908712 Qualified in Suffolk County 40-1 Commission Expires October 19,® PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: e tt�DI L-(s r Address: ri�IA�LC+vE t_ � G! V(L 5a� 61011 CvreA-1- PeCorl c. teak (�Luc� �0 3 d a g Z ✓►1 c��'t►tvc.(c.. !v`-t t(L S2 U+P,(Z SEs S Pz5st?;:2 z 1'qr t 5 c erS 9tF- " 6tA:t-h+u k-Al L/ It sZ Ronald 5'C h wa l b -310 57 5l S hee Ed &�ow v-r �-vim n'4Ct F7 QVC k-- PRIG 6t5T l/02-e) �('�CdrriG el v C3 Z ZS s(GS ie-cl 'u *fi STATE OF NEW YORK COUNTY OF SUFFOLK residing at Imo`? /l �� , being duly sworn, deposes and says that on the f 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 a Town of Southold; that said Notices were mailed at the United States Post Office at C41' ,FL' A /'1I�K-that said Notices were mail ach of said persons by CERTIFIED MAIL/RETURN RECEIPT. UV Sworn tq before me this �^ Day of 20 Notary Public MELANIE V BROWN Notary Public,State of New York No.01BR4908712 Qualified in Suffolk County) 12,�- Commission Expires October 19, LEGAL PROPERTY NAME: Kenneth & Heather Clausman PH: 917-847-8690 EMAIL: kclausman@hotmail.com TAX MAP 126-06-9.1 PROPERTY LOCATION: 2995 Sigsbee Rd, Mattituck NY 11952 AGENT: W. Jonathan Fabb, President Twin Fork Landscape Contracting, INC PO BOX 460 Cutchogue NY 11935 PH: 631-734-6643 CERTIFIED MAILING: 126-6-10 PROPERTY NAME: Marlene Lane Civic Association LOCATION: 11012 Great Peconic Bav Blvd Mattituck MAILING ADDRESS: PO BOX 1082 Mattituck, NY 11952 126-6-7 PROPERTY NAME: Susan Foster&Charles J Foster LOCATION: 2999 Sigsbee Rd Mattituck MAILING ADDRESS: 2999 Sigsbee Rd Mattituck, NY 11952 126-6-6 PROPERTY NAME: Ronald Schwalb LOCATION: 3105 Sigsbee Rd Mattituck MAILING ADDRESS: 30 E 40th St NY NY 10016 126-6 -17 PROPERTY NAME: Mattituck Park District LOCATION: 11020 Great Peconic Bay Blvd Mattituck MAILING ADDRESS: PO BOX 1413 Mattituck, NY 11952 126-6-4 PROPERTY NAME: Robert E. Norell LOCATION: 2925 Sigsbee RD, Mattituck NY 11952 MAILING ADDRESS: 411 E 57th St NYNY 10022 126-6-11 PROPERTY NAME: Kathryn Mary Main LOCATION: 10894 Great Peconic Bay Blvd, Mattituck NY 11952 MAILING ADDRESS: 10894 Great Peconic Bay Blvd, Mattituck NY 11952 Q— R D 17=1 a ° cm . 451. ru nj ru w, M m m ° ru ru fiJ Postage $ O 0 r3 Er ® Q" fr -n � Certified Fee , rI °[]® ® r-9 r=1 Postmark S ® Q C3 Return Receipt Fee Here E3 0 r3 p (Endorsement Required) I] ' - ® r3 E3 Restricted Delivery Fee O O f (Endorsement Required) ru a 4 ru ru E:3 C3 r3 Total Postage&Fees M m m m : '0 m m s ro �1A�'�S3 ST ----- �`tXv�'N_ 5 - ----------------------------r-q --- --- C3 a ® C3 a Sweet Apt.No.�� I�� /J D I7 ® or PO Box No. iL� - q -------------------- r ZIP e • /� 3REV i r 7,81gnatur7e . N Complete items 1,2,and 3. ❑Agent ® Print your name and address on the reverse ❑Addressee so that we can return the card to you. ® Attach this card to the back of the mailpiece, • d by(Printed Name) C.Date of Delivery or on the front if space permits. i 1. Article Addressed to: D. Is delivery address different from item 1? 13Yes &San A 1 If YES,enter delivery address below: [3 No ' A�� Service3. PMail Express@ riority e ❑Adsignature Restricted Delivery ❑Registered Mall Restricted Delivery 9590 9402 4651 8323 1380 91 ❑Ce'"t'�Mali® ' ❑Certified Mall Restricted Delivery ❑Merc�haRndlrselPt for ; ❑Collect on Delivery ❑Signature ConfinnafionTM ❑Collect on Delivery Restricted Delivery 9 2. Article Number(Transfer from service(abet) ❑Insured Mail ❑Signature Confirmation ❑Insured Mail Restricted Delivery Restricted Delivery (over$500) I i Domestic Return Receipt PS Form 3811,July 2015 PSN 7530-02-000-9053 1 1 ® a, o 0 f Iti C,�((�� ® !ti Imo- -0 ,� D< ,D �p Certified Mall Fee Lrlul nnn ® t•r) U) $ � � Extra Services&Fees(check box,add lea as appropriate) =Q ® ❑Return Recelpt(hardcopy) $ , O - ® ® �p ElReturn Receipt(electronic) $ Postmark 0 ® E3 Q ❑Certified Mail Restricted Delivery $ Here C3 ® E3 E:3 ❑Adult Signature Required $ ® E]Adult Signature Restricted Delivery$ O C3 Postage r-9 ® r-9 rl $ O ® E- Total Postage and Fees Q , ® a a S bNk-D '}PWA�-5 e.,0 ® O 0 Street an----t No. ,o P ox e- Q N Iti �4/ - Cfry,Srare,_ o `g�7t- -- ' 6 CJ V� nr ._ ��4*%`�.-.f1 Wi""+t4.-F'x�I�. r u r r r•e (�-. - B e o 7Signature e o n® Complete items 1,2,and 3. i ® Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee® Attach this card to the back of the mailpiece, • eceved by(Printed Name) C.Date of Delivery 1 or on the front if space permits. i r 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes RV IV��D -/'#1/V�� If YES,enter delivery address below: ❑No e fit,. � I I _ • 3. Service Type ❑Priority Mail Express® i ❑Adult Signature ❑Registered Mail*"t ❑Adult Signature Restricted Delivery ❑RegIstered Mail Restricted ! 9590 9402 4651 8323 1380 84 ❑Certified Mat(® Delivery ❑Certified Mall Restricted Delivery ❑Retum Receipt for 11 Collect on Delivery Merchandise 2. Article Number(Transfer from service Labe) ❑Collect on Delivery Restricted Delivery ❑Signature Confirrnatiodmi ❑Insured Mail ❑Signature Confirmation F ❑Insured Mad Restricted Delivery Restricted Delivery j (over$500) — PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt D • 1 7EBRecelved 07,) C. !� Complete items 1,2,and 3. ature s Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee e Attach this card to the back of the mailpiece, by(Printed NaDate of Delivery or on the front if space permits. 1. Article Addressed to: D: Is delivery address different from item 17 ❑Yes If YES,enter delivery address below: p No t° q Fri'P �gel L I3. Service i II��I�I II�III�IIIIIIIIII II IIIII�II�IIII�I�II ❑dft 0 Priority Mail uSgnaturee ❑RegiseredMailTm s® I ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 3607 7305 3557 32 ❑Certified Mall® Delivery I ❑Certified Mail Restricted Delivery ❑Return Receipt for 1 ❑collector Delivery Merchandise 2. Article Number(Transfer from service/abed ElCollect on Delivery Restricted Delivery 11Signature Confirmation'"' El Insured Maii ❑Signature Confirmation ❑Insured Mail Restricted Delivery Restricted Delivery i (over$500) II PS Form 3311,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt °, J[ Jrj Er Er Ln Qu A Ln Ln C37 ",TINe X � �w f # ri ra t� a s: o l^_c P §; I tt ns E3 E3 C3 D o C ® Q" Certified Mal Fee fl ® $ Extra Services&Fees(chedrbox,add lee as appropriate) a U " ❑Return Receipt(hardcopy) S LJ Q ❑Return Receipt(electronic) $ Postmark C3 , ® M C3 ❑certded Mail Restricted Delivery $ Here CM:31 ® r-3 I1 []Adult Signature Required $ ® r3 C3 ❑Adult Signature Restricted Delivery$ CM3 0 C3 Postage Er o Q" i. $ r-:I1] rl rl Total Postage and Fees C3 0 0 $ T a a -- ---- --- 07 °''�"---- = 'n 1 - O p ® O S1 e d oi. o., r PI-Boz - - ------------------------ iCh cry,s rP ---------------- --- �r ■ Complete items 1,2,and 3. A Signature �'1 1111111 Print your name and address on the reverse X 13 Agent so that we can return the card to you. E3 Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. a of Delivery l or on the front if space permits, f 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes NDfir' ' If YES,enter delivery address below: ❑No Il l full I II II I III I I I I I II I I I I I IIII I III III III 13.1 ServiceType ❑RegiPriority Registered Mall"ess® ❑Adult Signature p Registered MailT"' ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted '9590 9402 3607 7305 3557 56 ❑Certified Mail® Delivery ❑Certified Mad Restricted Delivery ❑Return Recelpt for ❑Collect on Delivery Merchandise -2-_Article Numbed r..,fecfrorrLserVlCe-label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmtionT^' -Aad ❑Signature Confirmation 7 017 0190 0000 7690 1882 D�il Restricted Delivery Restricted Delivery I; PS Form.3811,July 2015 PSN 7530-02-000-9053 . Domesticl e.0 ecelpt ; ■ Complete items 1,2,and 3. A. Signature I ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. E3 Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Printed a T Ie471' or on the front if space permits. , 1. Article Addressed to: D. Is delivery address different from i 1? ❑Y s If YES,enter delivery address b ❑No Po goy ia9Z. llg52�. IIIII�I�I�IIII��II�IfIIIIIII�IIIIIIIIIIIIIII� 3. Service Type 0PriorityredMaj[Tm ❑Adult Signature ❑Registered MaiIT� ❑Adult Signature Restricted Delivery ❑Registered Mall Restricted ❑Certified Mail® Delivery 9590 940. 2 4651 8323 1384 80 ❑Certified Mall Restricted Delivery ❑ ipt for ❑Collect on Delivery ❑SI nature ConfirmationT"+ 2. Article Number ransfer from service label) ❑Collect on Delivery Restricted Delivery 9 Mail ;❑Signature Confirmation 7 016 D 910:=0 0 0.1 i5 5 6 7: 413 0 = bo)l Restricted Delivery ; ; Restricted Delivery PS.Form 3811,July;2015 PSN 7530-02-000-9053 Domestic Return Receipt I ■ Complete items 1,2,and 3. A. Signature' ■ Print your name and address on the reverseX> l_ r _ Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B.rec ived by P' ted Name) C. Date of Delivery Jor on the front if space permits. 1. Article Addressed to: D. Is elivery addre from item 12 ❑Yes If ES,enteslow: ❑No cb 3. El Priority Mail fI I flllll I�I I�f f�I�IfII II I IIII�I III fl II If fIf ❑Adult Sign turece eRestricted Delivery ❑Reggistered MallRestricted 9590 9402 4651 8323 1384 73 ❑Certified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Retum Receipt for ❑Collecton Delivery Merchandise 11Collect on Delivery Restricted Delivery E3Signature ConfirmationTM 2._Article�lumber(Transfer from service label) I?Signature Confirmation Iii R I i i Restricted Delivery 1 7009 14'10 0002' 10 6 2 '01 T3 II Restricted Delivery ;PS Forriti381 i1,July 2015 PSN 7530,02-0004053 ; —� Domestic Return Receipt j NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE.- 1 OTICE:1. That-it-is-the intention of the undersigned to request a Permit from the Board of Trustees to: See the attached site plan illustrating installing 1-2 ton boulders along designated lines as specified by plan provided and correcting the grade with approximately+/-60 cubic yards of clean fill: A total of(2)stone access steps also to be installed during construction and illustrated on plan. In addition,on the East side of home the Homeowner would like to install a 12'x 40'permeable paver patio as illustrated on site plan- t. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Ig F-41 -3. That the-project which is subjecf to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: t You may contact the Trustees O ce at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold ,and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: Vievi 1 MAILING ADDRESS: 2 6195ep'tV6bee e4i PHONE #: AGENT:- 1 dJ 2� 1, I��C i � C IT�f'1f i/ - �, INC. MAILING ADDRESS: FA ftx 4&() C��—G>✓ �a� it�:35 PHONE #: Ca I— 7B!4 _(g(p f?2 Enc: Copy of sketch or plan showing proposal for your convenience. 1/22/2019 Town of Southold Tax Map Inquiry �_ _' __� _,'_-'r ir�� y�� :i'�C^ � ,r �r�.�v d>'t; i, _, �r 1"r� !.: \�/• ��f�/'� �'V' \Cy�'t,� TM�/�.�'� ,,1�i,r' . �\ -�--,T-'`j t; _.--�V� ..j, r`•\� , �! - � � �F'�g,' c �;' �A "',11 ';�� i"y, ^\\ 69°x, L � i �ting \C"�• .. �a ,� f �' N,qv. <rr'f\' > � � , r�' � �4 ,�iy • \ i1;� f � ,`t .� `$�: � � !E t d4 �'�*fi \\ �y \ \ � ,- ii .V '•�,,-moi ,��—', x �L�, -t1` e '� Y 1C r '9 , > `.�' li ReiR�` 41,n •ps rF ~' »� ��F` ,COY�Y s' S �, ` � •�t�,, ^, T *c�, PR^ �y,J.n K �✓� � 1 r f ti 'r'iS a isa.,:, 'lN (Parcell: 1000-126.-6-9.11 `F'4. i , 2 � p�a \`rpt; - `� =-�-- "� \ 'i f ia:,,-r,..•;'4�Y';,� Acreage 0.331 31 Class One Family Year-Round . ;._ Residence t .A,v ' Land Use Medium Density ^< a , f/f ¢• \' \ Residential ;l rr a � Y ,,x,,-,h•;� � �s , '�� \�� ,� �'�'�� , Protected ;•;, r �•f °, " a, .'` �y rr � �' ti`r', \' i Community Facility •�,��. f- 'n�= ''--�� / ASF` -..Y ,\ CPF �. .. * l/ Ag District Info `° /`� _ ` re ' Zoning R-40 Districl Beach ,6 .w Zoning2 ' Freshwater 0.00 �. , vMak : ` ' s ' .'' r ./ Zoom to � ``_; t !".. A" a x" �--_'_ —\R'• �' -• - http://tos.maps.arcgis.com/apps/Solutions/s2.html?appid=l b4d46la4ebc440bal9d25e98eb3fa90 111 ' oc N ;C E�1u i s s `1 r SOr-O`� �1 V�O ter.-\ WOO gj \f/ t9T•; lV 9 7 2j El •O� f X06 � \ •E ., t �� t �.c,. � �� K9 = lw CL _ C I ' '+`E O t\ O } "`AAA :tE�+ •`�\7- <o Sk ,•\ `•t �� 1, In G NOTES ARS.=1386 xL F'1: ^s sm:rs, r L_C-- .r_. = L`„ :—lLL,�GmIG=O�Y"_GL_=RKG=��,^._C CO-%—.r Gti Zn a.!-=& ❑,rG\,�`s� a=r_.-•vrw:FCL'w p o srxs� 2 o sr�Fa,r,D -_ e' SURVEY FOR f; :00 0°Ceecr AVarJ°,Puvarta:d,Y.-x YcrK I1501 ROSMOTTAYLOR .al.63I�203 tx 63I.a7Dtr ^� =)L�111iC�cl1)0111aE MaEtllxtc �k,Town of Southold ah ,2i ``- i-E Suffolk County New York 4� G I SCUNDARY SU VEY 4q I •f/. loco 12b —05 c.: ?.I - e SU YEYOR:5 GURMIG/-I`TION s vercesvierc� rirw,smo °ftW..Fs_9YCG'4'n<Y TO ROBERTTAYLOR PLxs a 'vs�v1 Aaac¢:AVC 1L:N fi G0.'7Z 07 .,,, Record of ROvlalens FGR WJ S.Rv=Y5:.a ..a Sr <TAIE ` A4C.'IATG4 C , PATE " 1 '•t .�:uL✓ft-L'll 90 O 15 50 60 F- S^31A.3010-0=6 k�n:.QJ K Yam 5.`LYS Ls.K0.4--5.0 t7nS.x)10-Gtcb-Fri? � F. 1 PLOTIL7 or,et- PLOT DAM a.aro-xtr„ t:c Pae�tm,mW Iolxav_mcs\MVvlv�lruyse.� NUTILOL. U1 HmL. AKINC 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. OWN ER(S) OF RECORD: KENNETH & HEATHER CLAUSMAN SUBJECT OF PUBLIC HEARING : For a Wetland Permit to install 1 to 2 ton boulders ±10' landward of bulkhead with a set of stone steps to water; continue boulder wall along westerly side yard landward to dwelling with stone steps in side yard; install ±60 cubic yards of clean fill in area between dwelling and new boulder wall; install a 12'x40' permeable paver patio in eastern side yard; a bilco door to the east to be removed and foundation closed as required and to install and perpetually maintain a 10' wide non-turf buffer area along the landward edge of the bulkhead. Located: 2995 Sigsbee Road, Mattituck. SCTM# 1000-126-6-9.1 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 CONSICSTENCY ASSESSAMNT FORI`r/I A. EgSTRNCTIONS 1. All applicants for permits' including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. 'Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Tovm). 3. If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoidtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. IDESCRIFTIION OF SITE AND PROPOSED ACTION At SCTM# 0-T PROJECT NAME The Application has been submitted to(check appropriate response): TownBoard El Planning�oaal❑ Building DeptEl Board of Trustees � 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Mature and extent of action: C.m� %% UL`�i I✓(� See the attached site plan illustrating installing 1-2 ton boulders along designated lines as specified by plan provided and correcting the grade with approximately+/-60 cubic yards of clean fill.'A total of(2) stone access steps also to be installed during construction and illustrated on plan,In addition, on the Fast side of home the Homeowner would like to install a 12' x 40'permeable paver patio(illustrated on site plan), the existing BILCO doors will be removed and foundation closed as required. Location of action: 9G( i,; <<3!q she-e- c�n —d iRO- ' *C e , Site acreage: � � Present land use: Present zoning classification: �02 v 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: A ,j (a) Name of applicant: / �'l RY(Cf (jq-j-'D S�-e�,; - (b) Mailing address: I�JV) GL J (c) Telephone number: Area Code ' --7 9 —��69 (d) Application number,if any: I Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. I3EYELOPED COAST POLICY Policy I. 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 LVvW Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Sections III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ leo N l41ot Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRI? Section M—Policies Pages 6 through 9 for evaluation criteria ❑ Yes ❑ t`do ['` Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LVM P Section III—Policies Pages 8 through 16 for evaluation criteria ti F] yes ElNo of Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section1❑ —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No �ot 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 LWW Section M—Policies; Wages 22 through 32 for evaluation criteria. ❑ ❑ 1 Yes Into Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air qual?ty in the Town of Southold. See L%W Section In — Policies Pages�2 through 34 for evaluation criteria. ❑ Yes n Into i Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVMP Section III—Policies; Wages 34 through 38 for evaluation criteria.. ❑ Yes ❑ INO�'-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 I WRP Section HE—Policies; Pages 38 through 46 for evaluation criteria. &" ot 1:1 4e1 Ido Applicable Attach additional sheets if necessary 4 WORICgqG COAST POLICIES Policy 10. Protect Southold°s water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section M—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town®eaters. See ILWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 1:1 No of Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See ]LWRP Section HIT—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ Ido _ of Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section M—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes F1 No q.I of Applicable 16 PREPARED EY ►J q)YtV�- TITLE SG C�`'�� DAT9 Twin Fork Landscape Contracting, Inc. P.O. Box 460 Cutchogue, NY 11935 PH: 631-734-6643 FX: 631-734-8354 Email: twinforkic@optonline.net Datta//wwwa /of'orklandscapecog��com January 24th, 2019 RE: SCTM# 1000-126-06-9.1 2995 Sigsbee Rd., Mattituck, NY 11952 RE: WETLAND PERMIT To the Board of Trustees, Attached provides you with a completed wetland application with required documents. Please note an on-site meeting was conducted with Glen Goldsmith approximately January 11th, 2019. TFLC, Inc is the acting property owner's agent. Attached provides the discussed site plan which illustrates installing 1-2 ton boulders along designated lines as specified by plan provided and correcting the grade with approximately+/- 60 cubic yards of clean fill. A total of(2) stone access steps also to be installed during construction and illustrated on plan. In addition, on the East side of home the Homeowner would like to install a 12' x 40' permeable paver patio (illustrated on site plan), the existing BILCO doors will be removed and foundation closed as required. I can be contacted at 516-807-2575 Thank you. I{r �; � i�— � l Best, JAN 24 200 , ..�1 v.1 ��VA 4 Br�adrrT� , 5 � W. Jonathan Fabb Twin Fork Landscape Contracting, Inc.