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TR-9428
` o�oS�FFO(��, F Michael J. Domino, President y` Town Hall Annex John M. Bredemeyer, III, Vice-PresidentCo 54375 Route 25 Glenn GoldsmithP.O. Box 1179 A Nicholas Krupski y A � Southold, NY 11971 Greg Williams �1 , �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 15f day of construction %2 constructed When project complete, call for compliance inspection; BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9428 DATE: APRIL 17 2019 ------ 4Z ISSUED TO: BRENDA K. HELIES REVOCABLE TRUST PROPERTY ADDRESS: 440 PARK AVENUE EXTENSION, MATTITUCK SCTM# 1000-123-8-28.3 AUTHORIZATION 2 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 Brenda K. Helies Rev. Trust and subject to the g Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: ( s Wetland Permit to install±55 linear feet of 1-2 ton boulder material to serve as a protective VI boulder revetment; provide 60 cubic yards of clean sand to backfill the rock revetment wall; the proposed wall will run from existing dune and extend landward into the natural vegetation; i this area will be revegetated as required with native species (i.e. beach grass); and as depicted on the site plan prepared by TFLC Inc.,dated January 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, and these presents to be subscribed by a majority of the said Board as of the 17'h day of April,2019. ISE yJ or W TERMS AND CONDITIONS The Permittee Brenda K.Helies Revocable Trust,residing at 440 Park Avenue Extension, 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. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President *QF SU(/ry Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith [ 1 Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �O ® �� Fax(631) 765-6641 �'��OUIGlT10� 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: BRENDA K. RELIES REVOCABLE TRUST 440 PARK AVENUE EXTENSION, MATTITUCK SCTM# 1000-123-8-28.3 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 BRENDA K. RELIES REVOCABLE TRUST 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 29, 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, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 17, 2019, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of'the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have,found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of BRENDA K. HELIES REVOCABLE TRUST to install ±55 linear feet of 1-2 ton boulder material to serve as a protective boulder revetment; provide 60 cubic yards of clean sand to backfill the rock revetment wall; the proposed wall will run from existing dune and extend landward into the natural vegetation; this area will be revegetated as required with native species (i.e. beach grass); and as depicted on the site plan prepared by TFLC Inc., dated January 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. Domino, President, Board of Trustees MJD/dd o Young & Young, Land Surveyors 400 Ostrander Avenue, Riverhead, New York 11901 516-727-2303 uung o- LIL 24 Alden W. Young, P.E. & L.S. (1906-1994) Howard W. Young, Land Surveyor Thomas C. Wolpert, Professional Engineer � p D1II[l� plpE FouNo ' PP\rt \ ' John Schnurr, Land Surveyor E S — \ lsnaing `PSpHP�OQ ]En inrrrin Nv`G N -7 S8.9 1 \ � � G4 Y 0 3 �- SPLIT RAIL 2�2 ° bnrur in FENCED 8S 3 \ FENCE 4�E oO N R O• 1 1 U, I oo \ 0 Z 1 � U) g I ri (A 1 °�\ O O I p c !t 1 O. OY 1ri o S• 4j7 1 C<I- 1 S 94 a W O - ----- - — -- -- .-;r NYT 2 1 O O y 1 X FNCE , 1 C) T}p / 0l�E ' 7 Q O 1 CO IO , \ 1 (f) 1 0 o p O 1 n ' 0 0 � 00 110 / / lb CENTERLINE f� �p EEK RICENTERLINE OF 10' WIDE / O �, P Hp' E RIGHT OF WAY AS DESCRIBED a9 � 0 .�� / co 0, / D EE IN DEED L. 8235 CP. 398. 1 \ i ' O O O / 59, PROPERTY ALSO SUBJECT TO 11 �. 11 1 \ \ Q CENTERLINE OF EXIS ANG f( jop" E 5' WIDE EASEMENT FOR WATER 0 1 ROAD LINE AS /\� s� °< �\ TRAVELED STONE & EARTH ` SUPPLY AS DESCRIBED IN DEED 8PER ADJACENT DEEDSDRIVE AS OF DEC. 13, 1999 L. 83,o cP. 481.° 1ti ° OCl NYT O3 Q 1 4 eFRAME SHED <D �L 1 01 O fENG£ , -, , 4s4 4F \ �y 550NOTEIt -10 0 ° 0 �5�Ems__ - - - s' °ice ` 77 1 9 - _—\ / I 22 0 a , 1 , ' TAX LOT 1000-123-08-13 AREA = 95,501 SQ. FT. OR 2.1924 ACRES.RG0 1 -, ( n 1 0 1 >_ N 83.2.5c� N � � ;' 1 TAX LOT 1000-123-08-28.3 AREA = 10,075 SQ. FT. OR 0.2313 ACRES. 00 '1 1 NYT 3 \ 4S 03 E / I 11 I 0� l� TMROAD�i ° CENR g'vN ° ' NE S\Q `� / ` U` �1 NG 9 1 a- S� EPR 1 H£DCE o 1" 1 1 1 ROADw 3p �� I Z TIE ALO M f_ • LOT NUMBERS SHOWN REFER TO SUBDIVISION MAP Ay S�8 52 3g ' 1 47 50.•E f ��- Ap,�RoxIMATE H• ! 1 - "MARRATOOKA POINT" FILED IN THE OFFICE OFTHE CLERK OF FEN (D 1 1 O F �� jy- r `x s �, -L 1 8 1 26. fr. 72.so 1 w N �° cD� SUFFOLK COUNTY ON MARCH 19, 1927 AS MAP N0, 331. O c 1 ID, ° i S84'44' _ N78'2 5 ' • n' n O _ _ TEM SHOWN ON MAP FOR TAX LOT 28.3 HAS Vol r X0.5' 9 a • ,I' -•�0 6 1 17 — �16.E t 69.51 N 7 23 00"E ' �--r 3 E 4 � a � •� BEARING SYSTEM ' 1 `°� RHf R EARTH I ROADWgy\ — 63.7 ' Oy �EMi o• 05 BEEN ROTATED TO MATCH DEED BEARING SYSTEM OF TAX LOT 13. 1 g 70' \ / NYT 3t 0 S 6' r 1 _ O k7 24 q♦a' OFtY 9 -� O 1 qS G11 ° 1 -I O 1 -- CINES 1 ST 1 ', Ay ► 1 O / 1 I " 1 FRAME tv&oW Oi 1 P T O °C�.C ZI O ` O Cl) \ I — �� O Z o �£ N'a3' ND 4�O rn O'�\ O I - — I NYT 33 O z " `;4 a N U F 4 L 1 hqY 1 ' O ¢ ' 1 NYT 32 q4.3' to 0 , 0 zI, , O '.,u Wood OECIA N. , \ 111 Za 5' o ;. .v o ,ti � CERTIFICATION n oIRo I \� o o \� �' 1000_123'; + - 1 1 ° ` p ' 1 O 0 S 1 I — O o SOT 'n • WE HEREBY CERTIFY TO BRENDA K. HELIES & N o , a , 1 CP AX t 5 I o ° to rn n ° -^ p n ° O C7 1 CA �0 1 1 ANTHONY M. HELIES & MICHAEL B. INSEL, 1 \ n n 1 CD '1 6 ' O ° O D i Q O < r c 11 ° rn 1 ° ' ° 1 p 1 -, \ Q ' � -. N -� 6 ALaN M 1 s TRUSTEES THAT THIS SURVEY WAS PREPARED IN 1 c.I.o , O 1 0 4 1 1 p cA , N ^ TIE�1NE ATE HW' 1 w ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND SURVEYS I ° Uy O 0 ' 1 r ° I Q i -s AppROXIM 34'1}8 ADOPTED BY THE NEW YORK STATE ASSOCIATION OF 0^ COVER' o 0 1 �L N O 1 ` CD r '13• r " 1 O �- `` c N ► -, -• ` ' dot :3-3.8A <�r 1 o -s PROFESSIONAL LAND SURVEYORS. IkW 00 1 :.,_ , 1 1� p o 1 '1 O O CD 1 6•�6+08" n W o � fl ' 1 O O `er 1 1 5 � 1 1 20. 1 -� (D , , 0 0 1 t 0 3215 F NEW 1 1 , z o 29 a' J 1 .c 1 1 ` , 1 �a o r^{{Jyo W Q i "?13.5' ° 7� 1 1 1 6 �' 1 1 _ 1 1 1 1 9 $ 1 N 20.9' ^ 15.2 ci a 6g m t S70RY FRAME 1 1 S HOUSE A GARAGE , 1 1 1 ' m SLATE 2�' DOOR 1 1 PATIO �CO 1 ' P JOH SCHNURR, N.Y.S. L.S. NO. 49517 �1 1 22.e' .Ni o , 1, 1 1 .{ 1, 1 1 E 1 1 1 ,1 I GREW 1 HOWARD W. YOUNG, N.Y.S. L.S. NO. 45893 1 AI`fENG 1 5PI-1 R 1 FENCE 1 1 fENCE 1'OE WOOD LANDING 2qW ' Fp LANG 1 & STEPS 1 1 CENSER 3�WOf 1 1 1 1 HEO��NCE 0.3'W AD �� 1 gU�KHE sol ° ., C'URVEY FOR i O FENGE gUU�''EP �v IIS WOOD IBULKHEAD , 1 gUt-KHEAD BRENDA K. HELIES & ANTHONY M. HELIES I S.0'W , ' J 3685,; - & MICHAEL S. INSEL, TRUSTEES 63.82 - ---, i N 86.48'12" W h' $1• JAN 2 201 P/0 Lot 5 & P/0 Lot 6 148„ gU£KHEAD 4 3 E f 11 TIE LINE ALONG 5 \' A, 7 At Mattituck, Town of Southold ! = APPROXIMATE N.W.M. 'y �2 5 / f ' 45,v � Suffolk County, New York I ro I v 1000 123 08 13 County Tax Map Digt,ict 1000 Section 123 Block 08 Lot 28.3 GR BOUNDARY SURVEY EAT P EC4N1C gAY � MAP PREPARED DEC. 13, 1999 I SCALE 1" s 40' JOB NO. 99-0604 OF 1 DWG. NO. 990604 • E]- MONUMENT SET MONUMENT FOUND - STAKE SET A- STAKE FOUND I DOCK-4, BEACH GRASS PLANTINGS DEEP HOLE CREEK 2 TON BOULDER �` yt I, f .gid CLEAN F .L I EXISTING WETLANDS j 30" 1 SAND p PARK AVE EXTENSION N NON WOVEN REVETMENT FILTER FABRIC CROSS SECTION HARD COURSE � STONE SCALE 1 =2 RESIDENCE EXISTING SEPTIC ® LOCATION YARM HELIEs RESIDENCE SAND AREA TO BE � — RE—VEGETATED 440 PARK AVE • MATTITUCK NY 11935 JANUARY 23, 2019 i BEA i SCALE 1"=20' i CH � r TFLC i ! ■ - ■�.�. •r■ _■—■ .wmo `.�. INC. 8405 Cox LANE, PECONIC BAY CUTCHOGUE NY 11935 Ari 2 9 2019 APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD 7 �R�L 17 26/q Michael J. Domino, President a� �� Town Hall Annex John M. Bredemeyer, III, Vice-President y z 54375 Route 25 Glenn Goldsmith o q P.O. Box 1179 A Nicholas Krupski ?.yj �oe�S� Southold, NY 11971 Greg Williams any Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ��l� TO: BRENDA K. HELIES REV. TRUST c/o TWIN FORK LANDSCAPE Please be advised that your application dated January 29, 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) 1" Day of Construction ($50.00) % Constructed ($50,.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30- Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar'days of issuance of this permit. Permit fees are now due Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 Q BY: Michael J. Domino, President -4 l Board of Trustees qt I Michael J. Domino, Presit 4�QS�FFD(11 COG 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 0! { Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �,/o/ 11 2:35 Completed infield by: 6. Go Usm"A Twin Fork Landscape Contracting on behalf of BRENDA K. HELIES REVOCABLE TRUST requests a Wetland Permit to install ±55 linear feet of 1-2 ton boulder material to serve as a protective boulder revetment; provide 60 cubic yards of clean sand to backfill the rock revetment wall; the proposed wall will run from existing dune and extend landward into the natural vegetation; this area will be revegetated as required with native species (i.e. beach grass). Located: 440 Park Avenue Extension, Mattituck. SCTM# 1000-123-8-28.3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet; 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275yl Ch. 111 SEQRA Type: 1 II Unlisted Action a Type of Application: Pre-Submission Administrative Amendment +1 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: �eG�'nS ���c? Gi St rca o G hT �o t'v✓ATct P�o i�* . N I have read & acknowledged the foregoing Trustees comments: i Agent/Owner: / Present were: `� J. Bredemeyer �✓ M. Domino G. Goldsmith N. Krupski __I/G. Williams Other Brenda K.Helies Revocable Trust 0 Park Avenue Ext.,Mattituck S CTM#: 1000-123-8-28.3 /10/19 twL OPM wt _ r +, r . r 4 J . - 4 ,e. , y _ 0 TAX MAP 123-8-28.3 PROPERTY LOCATION: 440 Park Ave Ext, Mattituck NY 11952 JAN 19 1019 j :;n} _._ B^=1 , ` CENTERLINE OF 10' WIDE DEEP H OLE C1 RIGHT OF IN DEED lL. 8235 CP.AY AS 398. I EXISTING PROPERTY ALSO SUBJECT TO E X EARTH Ja N 5' WIDE EASEMENT FOR WATER SUPPLY AS DESCRIBED IN DEED 13, 1999 \ 1; L. 8370 CP. 481. Illt q C } 19. IS.. 11 F X36.10' CD E ! irn- gPPROialdF 1 r f9 . 7 nO 51 _ N p � 7-23 00 E _ � ,a•- _: ;`� i AY S�Ly4 moo' CR 63.76' LG O o :a,9, SZOFtY 1 -� t I , 1 gt3N�Gu- ' o O, o �O Ny-1 33 71 UPI Q -, o CD + ! , 1000 12 4- 1 o 3 to vc) o C) cp c� ss '` -° C7 Q O Q co -, APP�Ox'ti,,Z_ ' 48 \N i4 5 -7 34 `c ti°` , 33 84 �`( S 4 X6. 6' 08 �o � P EGcm GRA�' tf w4PL'y As or, ECJ . $3713 43 461, aC^ 10 __.. ©TE TAX J .A,,p. . � �� .., ,� •a -- � �„., ,_�3� ... y(�TAXlQT IOt�4 � -4R.2t924 li; �,. 0.3 af .. 10,07 SO, F7. OR 0.2313 qc' S, 'OT NUMSMS SHOVW REER TO S �.1UBL!IWSION MAP :NA � AfTRAfi0C3Fcq �kNT' VJLELJ IN r°'..,� s; THE.)fFr1LK COUNTY 1Cf C.IFTHE' CLERK 6F GJiJ A4 `' M # 1927 AS MIA.P No 3.31, h e, * `� • SCARING SYSTEM! SHpH1+1 ON ARRP FOR T 8E� ROTATED TU MAX QEECAX LOT 28.3 HAS ) @FARJN S YaTEbfOF Tax t:O> J:, ate , �, ... ._._ .. n FI Tl O+1 k . .ksaz';y,# 1 _ w 4 • # t�E:i,E CERTIFY T ANTHt] 0 BRENDA JC. HZLIE9 6 `' •`.nx�*ti h NV M• HEL e:n & MICHAEL W TRUtHi1Eta THAT T141S SUJ7W, WAS PRE�'AR1I7 IN ®. 11+19 E L., b ` is 78*3 WAC4 4Rt�d,M1i6MF WJTH THE .t3a, { ADOPTED SLY THE NEW YCC3UE OF PRACTICE ikV LAND Stt�?VtF"'Y'> PROFESSJQNAL LAND - STATE" ASSOCIATION 4 . 7 ` GRA j''j P Ec Ole .._ .JCJW SCNUiiR, N,Y”.S. L.S. NO. 49917 .. HCWAFtO W YOUNG, N Y-S L a NO. 45893 O ZA1YD gv i `'".JR1EY FOR BRENDA K HELIES 1/22/2019 Town of Southold Tax Map Inquiry Town of Southold Tax Map Inquiry r r r 4 Parcel: 1000-123.-8-28j3 . f Acreage 0.27 ¢ Class Seasonal Residences Land Use Medium Density Residential Protected i Community Facility CPF ✓/ `'" Ag District Info "r Zoning R-40 Zoning2 ,,• Freshwater 0.00 Wetlands Tidal Wetlands 0.06 Zoom to r `w http://tos.maps.arogis.com/apps/Solutions/s2.html?appid=l b4d46l a4ebc440bal gd25s98eb3fa90 1/1 s; t ' dtd4+.�„ .. �r�,�......-- _ M -� i ,i �a�, � - ,,� r-_ - . .;.�" _ •� , . . _ r_ �� �. !� �� `�. - .-..�. d ,y� !t moi'+-: ��+ 2 'Ay•: a � J rY�iri . . , .�=: � � w*�^ ro'x. �� � ��� �. ,;m a,.1�. �, +�+� �:• `. } ►i 6 SEE SEC NO.115 SEE SEC NO 115 SEE SEC NO 11S q LINE \ MATCH LINE MAttxOxE xm1eR xm+MRW MATCH —_—_-- --- — __—_-----'� ---- ---_.z--_ �— F! )3 sFE e Id FOR PCL NO z ^".\� 12.BA(t) L\• 1lIA(c) 1.4A(c) 11 `n` •s sy/ ,J FOR PCL.NO � 1♦ 5 N F� ry SEE SEC NO $ 9 y 9 e 11z-0saa I W " \9+ `5 n yaF ® n A I R 15+ \5 a TORN OF _ ITTHOOW , _� d 1✓( 2 1 g \B 6 sn 1 A / CRE —A 22 EK • 'B 1 t1 23•� 11 2 02 2 m1 y M� • a 95 1jAk1 A�.�•9 E� �""X a 1Ao � a F i 43 zg zs w 0156.683 � 74 g gl \tµ � u1 I 2 18.1 26 A\ 111 i.�A B.1Alc) y0µ\` ♦ % h .n 11.tq 111 � + {fit�•o-a y w� / / .. 18 19 123 1• �Q.313� y,11O a `A li ` 6N. I tg az++;1\s ,p 9` .•`• A y/ 1 PE00 0 1 p eeR$ 5 --•-- •ReR' . ^�•"E' NOTICE COUNTY OF SUFFOLK © E *w.'x OF SOYT11010 SECTION NO -Z- .....�.,..,m... (2,� m� O �.. — rn... Real Property Tax Service Agency r aF 123 A � R n„R+ A<reM Gun RNNrea a r a. 3 OF so OFFICE LOCATION: ®�� y®� MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CAS Southold,NY 11971 ® a� Telephone: 631765-1938 ® Fax: 631,765-3136 U0i- LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: April 15, 2019 Re: LWRP Coastal Consistency Review for BRENDA K. HELIES REVOCABLE TRUST SCTM# 1000-123-8-28.3 Twin Fork Landscape Contracting on behalf of BRENDA K. HELIES REVOCABLE TRUST requests a Wetland Permit to install ±55 linear feet of 1-2 ton boulder material to serve as a protective boulder revetment; provide 60 cubic yards of clean sand to backfill the rock revetment wall; the proposed wall will run from existing dune and extend landward into the natural vegetation; this area will be revegetated as required with native species (i.e. beach grass). Located: 440 Park Avenue Extension, Mattituck. SCTM# 1000-123-8-28.3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, the proposed action is recommended as CONSISTENT with the LWRP. 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 1 Peter Young,Chairman ti 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 Mon., April 15, 2019 the following recommendation was made: V M Moved by Peter Meeker, seconded by James Abbott, it was RESOLVED to SUPPORT the application of BRENDA K. HELIES REVOCABLE TRUST for the installation of+/-55' of 1-2 ton boulder material to serve as a protective boulder replacement, as previously constructed (3) properties to the west. Provide 60 cy. of clean sand to fill the rock revetment wall. Proposed wall will run from existing dune and extend landward onto the natural vegetation. The area will be revegetated as required with native species. Located: 440 Park Avenue Ext., Mattituck. SCTM#123-8-28.3 Inspected by: Peter Meeker, James Abbott, Carol Brown Vote of Council: Ayes: All Motion Carried Michael J.Domino,President ��0f SUUTyO Town Hall Annex John M.Bredemeyer III,Vice-President �� lQ 54375,Route 25 P.O.Box 1 Glenn Goldsmith [ Southold,New York 11971 A.Nicholas Krupski G • Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 �ycDUNTI,� i - BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only - Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application• I'La`�9 Received Fee: $ i r- �R;; 1 �•,;+'' �` Completed Application: 2.1.lq Incomplete: J SEQRA Classification: Type I_ Type 11 Unlisted JAN 2 9 ; Lead Agency Determination: Coordination:(date sent): 31 g.Iq LWRP Consistency Assessmen Form Sent: CAC Referral Sent: Date of Inspection: 3l2 l Receipt of CAC Report: Technical Review: Public Hearing Held: 3�Za Resolution: Legal Name of Property Owner(s): Mailing Address: b' ti Phone Number: Suffolk County Tax Map Number: 1000 - Property Location: (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: 2 r &p- �10ga Phone Number: -"W� ��( Board of Trustees Applic" ion GENERAL DATA Land Area(in square feet): Area Zoning: ``' 'u Previous use of property: ' r Intended use of property: M,,vo� Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dep . 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 " `�No Does the structure(s) on property have a valid Certificate of Occupancy?_)tYes No Prior permits/approvals for site improvements: Agency Date o prior permits/approvals for site improvements. Hasanpermit/approval roval ever been revoked or suspended b a governmental agency? �, No Yes Y P PP P Y If yes, provide explanation: Project Description use attachments if necessary):Y)� 9► loi- A : --—-- PROJECT DESCRIPTION: Illustrated on the attached site plan,TFLC has proposed installing +/-55LFT of 1-2 Ton Boulder material to serve as a protective boulder revetment,as previously constructed (3) properties to the west. TFLC will provide 60 cubic yards of clean sand to back fill the rock revetment wall. The proposed wall will run from e Natural vegetation. The area will be revegetated as requed existing dune and extend landward into th with Native Species(i.e. beach grass). Board of Trustees Applic ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: _ ----— Illustrated on the attached site plan, TFLC has proposed installing +/-55LFT of 1-2 Ton Boulder material to serve as a protective boulder revetment, as previously constructed (3) properties to the west. TFLC will provide 60 cubic yards of clean sand to baek fill the rock revetment wall. The proposed wall will run from existing dune and extend landward into the Natural vegetation. The area will be revegetated as required with Native Species (i.e. beach grass). Area of wetlands on lot: (L square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: LILL feet Closest distance between nearest proposed structure and upland edge of wetlands: ' eet 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? 60 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 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): ��[ 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete ParrI based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Inform n V-Vnc 6 f" ame of Action or Proje t: II�� Project Location(describe,and attach a location map): 14 . F r � Brief Description of Proposed Action: Illustrated on the attached site plan, TFLC has proposed installing +/-55LFT of 1-2 Ton Boulder material to serve as a protective boulder revetment, as previously constructed (3) properties to the west. TFLC will provide 60 cubic yards of clean sand to back fill the rock revetment wall. The proposed wall will run from existing dune and extend landward into the Natural vegetation. The area will be revegetated as required with Native Species(i.e. beach grass). i'Nqae of Applicant or Sponsor: a Telephone: E-Mail: I C 00,M0 Address:F0 6 CAV 14�j� nc W City/POO t 1 �, State- Zip ode: _ o ktu N� lq-35 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, • NO YES administrative rule,or regulation? _=1' -- - ` 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? 4acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban El Rural(non-agriculture) ❑Industrial [—]Commercial [Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 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? ❑ ❑ 6. Is the proposed action consistent with the predominant character.of the existing built or,natural O 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: ❑ 8. a.Will the proposed action result in a substantial iperease in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ i 9.Does the proposed action meet or exceed the state energy code requirements? N 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: >Z ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: JV ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO j YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain 'NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically after,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: LN 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional VOVetland ❑Urban ❑Suburban 12) 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑ 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 If Yes, Ela.Will storm water discharges flow to adjacent properties? F-1NO DYES b.Will storm water discharges be directed to established conveyance systems(runoffand storm drains)? If Yes,briefly describe: ❑NO ❑YES 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 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 V4�b NOW Applicant/sponsor name: W Date: Signature: rA 1A,fee -- Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. 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)? 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? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? LffiL 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)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage Elproblems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date Michael J. Domino President Print or Type Name of Respo sible Officer in Lead Agency Title o R si Signature of Re onsible Officer in Lead Agency Signature of Preparer(if4i fereni from Responsible Officer) PRINT Page 4 of 4 I APPLICANTIAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the partof town officers and employees.The_pumose of this form is to Vmvide information which can alert the town of pqssibl6 conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: W AtVr (Last name,first name,.rpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood, marriage,or business interest`Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO Ifyou 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 applicantlagentlrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this ��da of 20L Signature Print Name Form TS l vvv�k\rj��� _ MELANIE V BROWN Notary Public,State of New York No.01BR4908712 Oualified in Suffolk County Commission Expires October 19,__..� • -�''."• :`G`i.'�. �� �*',�•�•s«:'a�`iia �t.'�r�`:s.W a `-,...1'v.Tix :i 1 1 'JJ.. ONTAINE %RJ- '?RUT TO THE. BFS,j (-)F jiffs>��� �N(,) L )4;E AN KUM ND HA!, N TM.S PP C TI ;'' AS E �,I�1�`TtI?�'�;Ll ��N' ° "'N�y �+I� "T`'EC)t �� �" �''�+► WARD OF"d"�tI :4T`�:t. . �, _"I`IIt:II..D AND THE RI � F " l Tt Mt . I t'iI' I I. I►°� I ; Irf it:. "I; ' , I HE F'I��' %I'T AOR 1.�; SIT,_ CONSTRV A I`ION 11'��`[�� I��' 4_��� "1T = '-N TI- ONTO MN MOPERT i• 'W I' Y yI TTM PIAT<mIsVs # t_"s A FINAL RT T T' I I ►3. s I I. 0 �I #�I T, I W 11 i 1 EtI S I I ; ,.S TO FNT'ER ON 3 OMI f'I�OPf Y I ") it Et, t N cON I`T"IO I 'T"I.. Irl ! I T I. , . v,l 3I' TRk:1 TEES Di4UN -mv i rRm 01 THY PFP%It* _ '.Barr`rss r•t { ,... >,sapp Ao - - I Ala v' ,, 4 y 2 r Board rd Vast es `i�oblica a ; UY ' where the s3l14 uI1 1;it#? $h4 t�W��i'>1 J' (mailing add�tsw;) J Aber t ;.,u � _ ` ` a ' Y to,apply for 3'aTYt2% from the St�ui.hold Beard of TI a''w4 .�6nmy b . +fin this day of 20"i --- ' ,• - - - e L rte' r b�#a , t .n e:sign6d nd bre; public, re pS43 �, sxas: _ tial me Prov W�'t1C�°vete `A, 1 L £; $ a nes is 1 6i d=, - on th. proceedir cit-attucbed document :n my preserce 1� f' r ~` sly _'o EVAN_ - - t S3 aeiG3.s C.n ,Si�� xy 3u�a+ 'i-w�+�'it S"lw�.�.�<NSA''ar�1✓6Ye- _ -_ Ins ION I ` _ -:i.mPE�£`>°a ofc t�s€�Yi"��S idmi=d SC-T."'14- i �!.�., ,,..,�. L [' f..��,...., :,.:�'.°;,}�.,.�t'zid d� townz}�-Y � :*S 4;i,L'-Y4j=317 hv2eb�v�'3sfz61.$ria",:=:sIf'-,..,:.�.�i'«W«,„.w,,.. co act as a ept mrd hands 0 iix --ma vv-o k iir, zine :"t;':the%p�3�1�adon jf+ VSs too�'�t`r:�t(s 3+�Tr.t �mlhea1d'r; vn- BmTd o f Tnistees for this pn*crzy. �-42 0%% 2es Signature [ten hTg z1zur mE tz e .vv'V _ ' ^M - -i A4-- 4 APPLICANT/AGENT/REPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM _The Town of Southold's Code of Ethics prohibits eg mets of interest on the,part of town officers and gmploXw The ramose of this form is to nmvide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid mnic. YOUR NAME: ''nes spye (Last name,first name, 'ddle initial,unless you are applying ill the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)haven relationship with.uny officer or employee of the Town of Southold? "Relationship"includes by blood,marriage.or busfncss interest."Business interest"mcatrs a husiness, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a c1l"Mitiorr in which the town officer or employee onns more than 510 of the shares. YES _ NO if you ansrvcrcd"YES",complete the balance of this farm 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,patent,or child is(check all that apply): A)the owner of greater than 51%of the shares of the corporate stock of the applicant (when the applicant is a corporations 8)the legal or beneficial owner of any interest in a non-corporate entity(%vhcn the applicant is not a corporation), C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 200_ Signature Print Name—�t&—n Form TS 1 .�r APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM " The Town of Southold's Code of Ethics prohibits conflicts of interest on the Part of town officers and employees.The Purpose of this form is to RMvide information which can alert the town of Rgssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: I N (Last name,first name,-qiiddle initial,unless you` -are applying m 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, rgarriage,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 Ifyou answered"YES",complete the balance of this form and state 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 applicantlagentfrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP 12 Submitted this da of 20L Signature Print Name 3 Form T'S 1 r MEIANIE V BROWN Notary Public,State of New York No.01BR4908712 Oualified in Suffolk County Commission Expires October 19, -- v - r-k NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: 4q 0 Pka T. SCTM# 1:2-3-3- 28 , YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of TRUSTEES to: Illustrated on the attached site plan,TFLC has proposed installing+/-55LFT of 1-2 Ton Boulder material to serve as a protective boulder revetment,as previously constructed (3) properties to the west_TFLC will provide 60 cubic yards of clean sand to back fill the rock revetment wall. The proposed wall will run from existing dune and extend landward into the Natural vegetation. The area will be revegetated as required with Native Species (i.e. beach grass). 2. Thatthe property which is the subject of Environmental Review is located adjacent to your property and is described as follows: -✓(-a VUST qyo PAie(G Avc— Y-r — A4aJ -e- -3. That the-project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: ,y DATE: w n __)_ 2_D-! L? a*o r'0 6av -r 6:3d217'\ You may contact the Trustees Office 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: ����lies Rev0�A61E Tr_uS, MAILING ADDRESS: Shy 1 It 9cl X/I�in MtASS 02_�tQ3r PHONE#: 71— 2.al —CaS—]3 AGENT: `�V j N c:6: eV . CdN) ACMI r'sbr f Kr MAILING ADDRESS: i Y&D��f��9�1�p ids�s PHONE #: Al —73q — ta4?2 Enc: Copy of sketch or plan showing proposal for your convenience. i Y � TAX MAP 123-8-28.3 PROPERTY LOCATION: 440 Park Ave Ext, Midd-iLuck NY 11952 O�EEK CENTERLINE OF 10' WIDE p EEP HOLE �y RIGHT OF WAY AS DESCRIBED IN DEED L. 8235 CP. 398. EXISTING „ PROPERTY ALSO SUBJECT TO & EARTH S' Wf E-EASEMENT FOR WATER / ' SUPPLY AS DESCRIBED-IN. DEED 13, 1999 L. 8.370 CP 481 - 61 649. Z, t. I ,77 55>Og E 4S �t � o 7'23 OG Er_ 0 r�_, 7iVA ll o — O t c� O J qty i �? �u• 'G ,s' • C7 c') -:3 co O Vq 1, S -7a-3 6 W L, S GO��G G� 1/22/2019 Town of Southold Tax Map Inquiry I J - A 1 r• t ', Parcel: 1000-123.-5-2$:3 ti Y , ' ( Acreage 0.27 s Class Seasonal Residences Land Use Medium Density w! Residential Y K Protected Community y -p Facility CPF �a •}: .ti Ag District Info b Zoning R-40 Y A Zoning2 c,.* � Freshwater 0.00 Wetlands ti r J* Tiklal WPtlantts n.n6 "1 • �g��yi • 6 5yr •ati i,^m, :'�ig�{ s '.x .,r �.`t ! '� 4.ya" �,'i. €r`` ` i"•' 4 F' zr" , *,r'�, a.a': !{ - rt• _ .a�- •,sem• ;N l` _ . http://tos.maps.arcgis.com/apps/Solutions/s2.html?appid=1 b4d461 a4ebc440ba19d25e98eb3fa90 1/1 U.S.,Postal Service" Postal ServiceCERTIFIED, © RECEIPT CERTIFIED MAILP RECEIPT Ln �D me tic Mail OnIV Domestic Mail ® rq Elm" r%- _a Certified Mail Fee 71 Certified Mail Fee Lf) 69rop Extra Services&Fees(check box,a appate) (hardcopy)L.r) Extra Services&Fe (check box,add fee flat 0 Return Receipt(h ca K 3N, E]Retum Receipt(electronic) Postmar6) El Return-Receipt(hardcopy) $ �Iffi rq I-, 0 (electronic) $ �,-�;strnatk L� r:1 [3 Return Receipt(ate 0 [:]Certified Mall Restricted Delivery Here 0 r-3 E]Certified Mail Restricted Delivery $ C�Ver r3 []Adult Signature Required C3 .,.d 1\1 []Adult Signature Restricted Delive []Adult Signature Required $ Q!, C3 E]Adult Signature Restricted Delivery$ 1 0 postage C3 Postage $ T-q $ Cr Total Postage and Fees C3 Ir Total Postage and es 'en C3 $ � i $ A —0 Sent TO ne- r-q ----- ------ff-— - ------ ----------- —---- --------- Box 0. IF u ..... ------------------ -1-f ----- ------ -------------- Xe4hf 1:3 diffitij�o r N ------------------- r%- SW kd------------------------------------------------ 1 ity, ------ ---------------------- eK-h N� 2-bigtf PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: P STATE OF NEW YOR,t�_ COUNTY OF SUFFOLK ,residing at ,being duly sworn, deposes and says that on the day of20 , 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 ------------- ------------------------ tj CUTCHOQU " . ' 240 GRIFFING ST CUTCHOGUE q NY 11935-1200 3520550935 04/09/2019 (800)275-8777 10:42 AM Product Sale Final Description Qty Price First-Class 1 $0.55 Mail Letter -(Domestic) (DELRAY BEACH. FL 33483) f (Weight:0 Lb 1.00 Oz) (Estimated Delivery Date) (Friday 04/12/2019) Certified 1 $3.50 (@@USPS Certified Mail #) (70160910000155674154) Return 1 $2.80 Receipt (@@USPS Return Receipt #) (9590940236077305355701) First-Class 1 $0.55 Mail Letter (Domestic) (DELMAR, NY 12054) (Weight:0 Lb 1.00 Oz) (Estimated Delivery Date) (Thursday 04/11/2019) Certified 1 $3.50 (@@USPS Certified Mail #) (70160910000155674161) Return 1 $2.80 Receipt (@@USPS Return Receipt #) (9590940236077305355695) - Total $13.70 Credit Card Remitd $13.70 (Card Name:AMEX) (Account #:XXXXXXXXXXX4025) (Approval #:887241) (Transaction #:551) - (AID:AO00000025010801 ` Chip) --J (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.usps.com USPS Tracking or call 1-800-222-1811. Preview your Mail Track your Packages Sign up for FREE @ www.informeddelivery.com � `^�'='�ti+ Ln ( `•i_Ci;s'g Ln ul 1 __Ul $ ;•'..__ M1 3 .a' 'S, S=y r °. ;^_-,dc r .Y k pi 17-9 : Gam° -M- t r"w"i ° • `.rt a. Certified Mad Fee ✓~- Ln _ ® Ul Lr) Extra Services&Fees(check box,add tee as appropfrate) ❑ Fiat um Receipt(hardcepy) S E]ReturnReceipt(eiec"nte) S Postmark - 0 0 E3 � ❑Certified Mag Restricted Delivery $ Here r-3 ;t—jroL C3 C3 []Adult Signature Required $ 'N� ,-,�„- ❑Adult Signature Restricted Delivery$ Q p p Postage a I ). 4 a s $ nrT tt 0 Total Postage and Fees _0 S ..0 d ' —0 ...0 Sent To r� rR ------------ :- ----� ------------------------------------------ r-3 =,. O17� t ozh � oOt617� city,SalOak,v , - (�_ 3VIO F/ 5 --- I»-,•:,.-° „v, °. ! '° ', 1 i D ' 0 O o O O D » Complete items 1,2,and 3. A. Signature 'y- s Print your name and address on the reverse 13 Agent- ElAddressee'so that we can return the card to you. - ® Attach this card to the back of the mailpiece, B.Received by(Printed Mame) C. Date of Delivery or on the front if space permits. 1. Article Ad ressed te; D. Is delivery address different from item 1? ❑Yes F C®1116.1w, If YES,enter delivery address below ❑No IIQ�I0101ItllIDIIIIIIIiIIIIIiIiIIljll111111II1111 3. Service Type ❑ Mai1_Fxpress® ❑ ❑Adult Signature Registered MatITM' ❑Adult Signature Restricted Delivery ❑Registered Mali Restricted 9590 9402 3607 7305 3557 01 ❑Certified Maf@ Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature Corlfimtaf rin 2. Article Number(transfer from service labep ❑Insured Mall Er Signature Confirmation ❑Insured all Restricted Delivery Restricted Delivery (over$500) Domestic Return Receipt PS Form 3811.July 2015 PSN 7530-02-000-9053 t �.-w o•�f `r`� P ����r7,-'��,^ ,;r','r..�'"-�'-ice;-4';�•i`-,=��,�Vis. � :i,�,i�.,•'�„ 17=1 r=I ® Certified Mail Fee R u ? ® ��I Ln (C={ Extra Services&Fees(check box,add fee as appropriate) ."..-"`'�-'.�- ❑Return Receipt(hardcopy) S ❑Return Receipt(electronic) $ Postmark !] O El 6 u ® Certified Mall Restricted Delivery S Here 1-3 "''"•`� © ID C3 []Adult Signature Required $ _ o r ® n AdultSignatureRestnctedDeriverys p i p ED Postage ra a a s Er Ir Tota]Postage and Fees C3 O E3 {y a a C3 p StVPerd At r P Bo-N J- -7-] -] Q04grate�ZIP+g A 1( -h r-- Z2`�'o-i'.`-G_�e�� �:sV1 .1..,,:a s y�dl� Y�'�s�-1�0 'p�,1'y<���„oy��.�``�t'��M,:Jar•?',���”a..�.,�r.A��t!,�..,,,�s1n��.,s.+'•,-r • I , — 1 - MON D Oy © 0 0 0 D m Complete items 1,2,and 3. A.Signature _ 13 Print your name and address on the reverse Cl Agent so that we can return the card to you. ❑Addressee © Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D: Is delivery address different from item 1? ❑Yes � �Qp0-ay�61 a M If YES,enter delivery address below: p No 3. 11111111 tfice e 0 Priority Mail� sriO Registered Adult Delivery J Registered Mail 9590 9402 3607 7305 3556 95 ❑Certified Mail® Delivery ❑Certified Mail Restricted Delivery 0 Retum Receipt for 11 Collect an Delivery Merchandise 2. Article Number(Transfer from service/abet El Collect on Delivery Restricted Delivery ❑Signature ConMnatlonT" ❑Insured Mail ❑Signature Confirmation ❑Insured Mail Restricted Delivery Restricted Delivery (over$500) Ps Form 3811,July 2015 PSN 7530-02-000-9053 - Domestic Retum Receipt I r b az Michael J. Domino, President ,-BOG Town Hall Annex SS John M Bredemeyer III,Vice-President 6Yi� V_ 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 Zz A.Nicholas Krupski Southold,NY 11971 Greg Williams y �a�! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of BRENDA K. HELIES REVOCABLE TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE 1, A/ , residing at/dba �✓,1 sem- �� G � C�-1�_ being duly sworn, depose and say: S That on the day of , 201 , I personally posted the property known as +f 0 PAVAL- SC i nil I�� -�- 2��a 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, April 17, 2019. led, 7 I I (sig) re) Sworn to before me this day of�V)( 20 7� Notary Public MELANIE V BROWN Notary Public,State of New York No.01BR4908712 Qualified in Suffolk County Commission Expires October 19,v_, PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address- CERTIFIED ddress:CERTPIED MAILING - -- WEST of PROPERTY PROPERTY NAME: Philip J Giacone Jr LOCATION: 360 Park Ave EXT MAILING ADDRESS: 115 Mosher Rd, Delmar MY 12064 EAST of PROPERTY 123-8-28.4 - PROPERTY NAME. Ann Co;ligan CIO Dianne Jeffrey LOCATION: 520 Park Ave EXT MAILING ADDRESS: 917 Aliiamanda Dr, Delray Beach, PL 33483 STATE OF NEW YORK COUNTY OF SUFFOLK 7k0 � L�a� ,residing at //I being duly sworn, deposes and says that on the day of AWl2ir-C ,20A 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 CviC./�(,�AC1 , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to befor me this Day of )'I ,20 „ �?Notary Pubh ME9.ANIE V BROWN Notary Public,State of New York No.01BR4908712 Oualified In Suffolk County'} Commission Expires October 19, ,tl°�I NUTILI: ':Ulm H- LAKIN -G NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: BRENDA K. RELIES REVOCABLE TRUST SUBJECT OF PUBLIC HEARING : For a wetland Permit to install ±55 linear feet of 1 -2 ton boulder material to serve as a protective boulder revetment; provide 60 cubic yards of clean sand to backfill the rock revetment wall; the proposed wall will run from existing dune and extend landward into the natural vegetation; this area will be revegetated as required with native species (i.e. beach grass). Located: 440 Park Avenue Extension, Mattituck. sCTIVI# 1000-123-6-26.3 TIME & DATE OF PUBLIC HEARING : Wednesday, April 17, 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) 765-1092 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form.should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A Proposed action will be evaluated as to its simlificant beneficial and adverse effects upon the coastal area(which includes all of Southold Town) 3: If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. 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(southoldtown.northfork.net), the Board of Trustees Office, the Planning Departent, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#-�- - PROJECT NAME , 4elle. ' The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustee 1. Category of Town of Southold agency action(check appropriate-response): ��"""�` (a) Action undertaken directly by Town agency(e.g. capital ❑ ` -construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: 'aeV- 2;#-*_eCJtd (t!! 1 Location of action: Site acreage: Present land use: 9 V 4 Present zoning classification: � � 2. If an application.for the proposed action has been filed with the Town. of Southold agency, the following information shall be provided: (a) Name of applicant: ,aaii*� MW IIV 6"--LA (b) Mailing address• P ,(c) Telephone number: Area Code( ) 5L4 (d) Application number,if any: Will the.action be directly undertaken,require funding,or approval by a state orfederalagency? Yes ❑ No X- If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further-support or not support the policies. Provide all proposed .Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 2.;Protect and preserve historic and archaeological resources of the Town of Southold. See LVW Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No XNot Applicable Attach,additional sheets ifnecessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ Noxi — Attach Not Applicable — additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and nataral resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria rVII ❑ Yes ❑ No rNotApplicable a Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No fNot Applicable Attach additional sheets if necessary Policy 6.. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary „ Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ t%' Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ NoX' 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 LVVRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes[] No9( Not Applicable Attach additional sheets if necessary , WORKINGCOAST POLIii+:S 'Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III•—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic' Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No$Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands-in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes Q No XNot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes E:] NoE Not Applicable PREPARED BYW-Jo' TITLE DATEW �U TK[Nf�r,- Twin Fork Landscape Contracting, Inc. P.O. Box 460 Cutchogue, NY 11935 PH: 631-734-6643 FX. 631-734-8354 Email: twinforklc@optonline.net January 28, 2019 BRENDA K HELIES REVOCABLE TRUST I 9 RE: SCTM# 1000-123-8-2E.3 f s �f 6 440 Park Ave Ext., Mattituck, NY 11952 To TOWN TRUSTEE's: This letter has been constructed with regards to the submission of the attached Wetland permit for the HELIES residence located at 440 Park Ave Ext., Mattituck. Due to the recent Storm activity, the existing protective dune has sustained severe erosion. The existing septic system is located within the protective dune and threatens to be exposed in the near future. Attached provides a Wetland application, survey, pictures and a proposed site plan for your review. TFLC, INC acting as property owner's agent. Illustrated on the attached site plan, TFLC has proposed installing +/- 55LFT of 1-2 Ton Boulder material to serve as a protective boulder revetment, as previously constructed (3) properties to the west. TFLC will provide 60 cubic yards of clean sand to back fill the rock revetment wall. The proposed wall will run from existing dune and extend landward into the Natural vegetation. The area will be revegetated as required with Native Species (i.e. beach grass). The continuous erosion that has occurred over the past few storms has not only compromised the protective dune, but also the existing septic system and building structure. The site plan provided will aid in protecting the property from future storm damage. I can be contacted at 516-807-2575 with any questions. Thank you. Best, W. Jonathan Fabb Twin Fork Landscape Contracting, Inc. LEGAL PROPEf: . l NAME: r BRENDA K. HELIES REVOCABLE TRUST (Attached attorney documentations) Mailing Address: HELIES RESIDENCE 45 Shady Hill Rd. Weston, MASS 02493 PH: 781-237-6873 TAX MAP 123-8-28.3 PROPERTY LOCATION: 440 Park Ave Ext, Mattituck NY 11952 AGENT: W. Jonathan Fabb, President Twin Fork Landscape Contracting, INC PO BOX 460 Cutchogue NY 11935 PH: 631-734-6643 LAND AREA SQ FT: 10,075 SQFT/ .2313 acres AREA ZONING: R-40 Previous use of property: Seasonal Residential Intended Use: Seasonal Residential PROJECT DESCRIPTION: Illustrated on the attached site plan, TFLC has proposed installing +/- 55LFT of 1-2 Ton Boulder material to serve as a protective boulder revetment, as previously constructed (3) properties to the west. TFLC will provide 60 cubic yards of clean sand to back fill the rock revetment wall. The proposed wall will run from existing dune and extend landward into the Natural vegetation. The area will be revegetated as required with Native Species (i.e. beach grass).