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TR-9432
Michael J.Domino,President Vv�of S0Ujy0 Town Hall Annex John M.Bredemeyer III,Vice-President ,`O �� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith J [ Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 ol�10OU ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1671C Date: January 7, 2020 THIS CERTIFIES that construction of a 14'x51' (irregglar) 604sq ft attached deck with a 22'x4' attached side deck 64sq ft (side entry)• two sets of stairs at 4'x4' and 4'x5' and a third set of 6'x4' stairs; establish and perpetually maintain a 20' wide buffer consisting of a single row of boulders on its landward edge beach grass plantings and a row of marsh elder to be installed at the wetland boundary implement a stormwater control plan consisting of three 8'x3' leaching pools on the landward side of house and four 8'x2' leaching pools 51' from the wetland boundW at its closest point; and to maintain a 4' wide path to the shoreline of Goldsmith's Inlet; At 2700 Mill Road,Peconic Suffolk County Tax Map#1000-67-5-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 29, 2019 pursuant to which Trustees Wetland Permit#9432 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 construction of a 14'x5 F (irregular), 604sq.ft. attached deck with a 22'x4' attached side deck 64sq ft (side entry)' two sets-of stairs at 4'x4' and 4'x5', and a third set of 6'x4' stairs; establish and pgpetually maintain a 20' wide buffer consisting of a single row of boulders on its landward edge beachrg�ass plantings and a row of marsh elder to be installed at the wetland boundary, implement a stormwater control plan consisting of three 8'x3' leaching pools on the landward side of house and four 8'x2' leaching pools 5 P from the wetland boundary at its closest point; and to maintain a 4' wide path to the shoreline of Goldsmith's Inlet. The certificate is issued to Goldsmith's Inlet,LLC owner of the aforesaid p5ff 10 Authorized Signature I t s- Michael J. Domino, President �� SU!/j�o Town Hall Annex John M. Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski G � O Telephone (631) 765-1892 Greg WilliamsO Y Fax(631) 765-6641 �y'00UNI`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 11 IZ°l 0 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: 7r,'S J) --7— COMMENTS: CERTIFICATE OF COMPLIANCE: Suffolk Environmental Consulting, Inc. Newman Village - Suite E 2310 Main Street a PO Box 2003 - Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President December 31, 2019 -1 JAN 2 2019 Mr. Michael Domino, President Board of Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Goldsmith's Inlet, LLC Property Situate: 2700 Mill Road- Peconic-New York SCTM#: 1000-67-5-02 Dear Mr. Domino, Request is hereby made for a Certificate of Wetlands Compliance for the above referenced property. Attached herewith please find a certified copy of the Declaration of Covenants filed at the offices of the Suffolk County Clerk on December 30, 2019. Kindly issue the requested certificate at your earliest convenience. Yours truly, Bruce A. Anderson Cc. P. Videt CC# : C19-57983 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 12/30/2019 under Liber D00013042 and Page 072 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 12/30/2019 SUFFOLK COUNTY CLERK JUDITH A.PASCALE r SEAL- , ,._ I IIIIIII IIII VIII VIII VIII VIII VIII VIII VIII IIII IIII ' Illill (IIII VIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 12/30/2019 Number of Pages: 8 At: 04 :28 :43 PM Receipt Number : 19-0242891 LIBER: D00013042 PAGE: 072 District: Section: Block: Lot: 1000 067 . 00 05. 00 002 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $40 . 00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15 . 00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $10 . 00 NO RPT $200 . 00 NO Fees Paid $290 . 00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County 4 ' M R I RECORDED Number of pages2019 Dec 0 04.2 .43 PI-1 _UDITH H. PAS ALE CLERK 01 This document will be public LI F0LIZ.L f��ajc"►_►;r'•` E�I��7�•;� record. Please remove all P ,ii 72 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Reco ding/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total r Spec./Assit. Notation or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX R.P.T.S.A. � n9 Dual Town Dual County Held for Appointment Comm.of Ed. 5. 00 Transfer Tax r Affidavit � IND B � Mansion Tax / The property covered by this mortgage is Certified Cop l l J or will be improved by a,one or two NYS Surcharge 15. 00 r family dwelling only. Sub Total YES or NO Other Grand Total b If NO,see,ap'propriate tax clause on page# of this-instrument 4 1 Dist. -4023383 1000 06700 0500 002000 , 5 CO* unity PresebwatioaFund Real Property P T S Consideratian•Amount $ Tax Service R RAK Pt IIIDII �IIII'III'I�IIIIIII Agency 30-DEC-1 CPF Tax Due $ Verification - —- -- -- Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address pp A�. `` __ RECORD k RETURN TO: Vacant Land &AollK f14ulV0NW4t44 �tl�1S�a�p� W •, TD gyp. o, '&qk V-0 0—TZvi'041 Arku P r0/V Ili TD TD I Mail to: Judith A. Pascale, Suffolk County Clerk - �71 Title Corn anInformation 310 Center Drive, Riverhead, IVY 11901 Co. Name www.suffolkcountyny.gov/clerk Title# :8t Suffolk County Recording '-Endorsement Page This page forms part of the attached 7Dee4fty'*-Hu%VI 16Vf—N%40L jS made by: (SPECIFY TYPE OF INSTRUMENT) �s����w►•kin I'nAt� The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWNof V TWVs 0 -MA In the VILLAGE Vy, or HAMLET*of 1 ' CCU, q.- BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK•ONLY PRIOR TO RECORDING OR FILING. 12-0104 10/08kk ' ' (over) IMPORTANT NOTICE , 3 If the document you've just recorded is'your SATISFACTION OF MORTGAGE, please be aware of the following: If a portion of your monthly mortgage payment included your property taxes, *you will now need to contact your local Town Tax Receiver s© that you may be billed directly for all future property tax statements. Local property taxes are payable twice a'year: on or before January 101 and on or before May 31". Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tatem Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxe's',,, Riverhead Town Receiver of Taxes 200 East Sunrise Highway 200 Howell Avenue North Lindenhurst, N.Y. 11757 Riverhead, N.Y. 11901 (631) 957-3004 (631) 727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville, N.Y. 11738 Shelter Island, N.Y. 11964 (631) 451-9009 (631) 749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place ! 99 West Main Street East Hampton, N.Y. 11937 Smithtown, N.Y. 11787 (631) 324-2770 (631) 360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington,-N.Y. -11743 Southampton, N.Y. 11968 (631) 351-3217 ` i , (631) 283-6514 Islip Town Receiver of Taxes Southold Town Receiver of Taxes 40 Nassau Avenue 53095 Main Street Islip, N.Y. `11751 Southold, N.Y. 11971 (631) 224-5580 (631) 765-1803 Sincerely, Judith A. Pascale Suffolk County Clerk t DECLARATION OF COVENANTS THIS DECLARATION made this C�[� day of ������. 2019, by Goldsmith's Inlet, LLC, with offices. located at 100 Chidlom- Place ,Condo, - Sod Chidlom Place -Condo, Soi Chidlom Road, Apartment 5A* Bankok Thailand, 10330, hereinafter referred to -as "DECLARANT",. W I T N E S S E T H: WHEREAS, DECLARANT axe the owners of certain real property located on 2700 Mill Road, Peconic, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District- 100'0, Section 67, Block 5, Lot 2 which is more particularly bounded and described as set forth in Schedule "A." -annexed hereto, hereinafter referred to as the Property; and 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; and 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, the Board of Trustees granted a permit for the regulated activity, as set forth in Schedule "B" annexed hereto. and m WHEREAS, as a condition of the granting of a Wetlands Permit to undertake- such regulated activities, the Trustees required that a 20 foot "non--disturbance buffer extending from the Vetland boundary as depicted on Goldsmith's Inlet, LLC Property Proposed Native Plantings prepared, by Suffolk Environmental Consulting, Inc, last dated June 6, 2018 and stamped approved on April 17, 2019 as set forth in Schedule "C" annexed hereto; and WHEREAS, the declarants have considered the foregoing and have determined that the same will . be in the best interest of the` Declarants and subsequent owners of the property. NOW, THEREFORE, the DECLARANT(S) does hereby -covenant and agree as follows! 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained ' a 20-foot "non-disturbance buffer" as defined by Chapter 275 of the Town Code, to wit:. "A designated area where turf grasses, pesticides and fertilizers are not permitted," And as depicted on Goldsmith's- Inlet, LLC property - Proposed Native Plantings prepared by Suffolk_ Environmental Consulting, In_c. last dated 5CL,."A--,;1- June 6, 2018, see �-t ` C" attached; and 2) These covenants shall run with the , land and shall be binding on the DECLARANT, his heirs, assigns, purchasers, or successors in interest and may only ba modified after a public hearing and upon resolution of the Trustees. 2 IV WITNESS WHEREOF, the owners have duly executed this instrument this �1'�`day of Nov-e�;2019. Goldsmith's Inlet, LLC t Fote •Videt,, Manager STATE OF NEW YORK) COUNTY OF rI�� ss: On the day of � in the year 2019, before me the undersigned, a Notary Public in and fox` said. State, personally appeared Pate Videt'x personally, known to me or proved to me on the basis of satisfactory evidence to be the individuals whose name is subscribed to the within instrument and acknowledged to me that they executed the same in their capacity, and that by their signatures an the instrument, the individuals or the persons on behalf of which the individuals acted, executed the instrument. Notary Public ALASDAIR MACK"CLYNES Notary Public-State of New York NO.OICL6390750 Qualified in New York County My Commission Expires Apr-22,2023 3 Schedule A ALL that certain plot, piece'or parcel of land, situate, lying and being at Peconic, in the town of Southold, County of Suffolk and State of'New York, known and designated as Lot 16 and part of Lot 15 on a certain Map entitled, "Map of Property of Blanche T. Dickinson, Peconic, Long Island, New York, surveyed by Daniel R.,Young, P.E.and L.S.°-and filed in the Office of the Clerk of the County of Suffolk on June 6, 1926 as Map Number 860, which said lot and-part of Lot, when taken together , are more particularly bounded and described as follows: BEGINNING at a point on the Easterly side of Mill Lane (Road)which said point is where the division line between the premises herein described and land now or formerly of Barbera Fitz intersects the Easterly side of Mill Lane (Road); THENCE South 28 degrees 00 minutes East along the Easterly side of dill Lane (Road), 110.90 feet; THENCE North 62 degrees 48 minutes 00 seconds East, 120.37 feet to the ordinary highwater mark of Goldsmith's inlet; THENCE along said highwater marls the following (2) courses and distances. 1) North 17 degrees 52 minutes 58 seconds East, 51.37 feet; 2) North 21 degrees 18 minutes 39 seconds Vilest, 74.97 feet to land now or formerly of Fitz THENCE South 62 degrees 49 minutes 00 seconds West, 165.99 feet to the Easterly side of Mill Lane(Road), the point or place of BEGINNING. Schell k - - BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.9432 DATE: APRIL 17.2019 ISSUED TO: GOLDSMITH'S INLET,LLC PROPERTY ADDRESS: 2700 MILL ROAD.PECONIC r $CTM# 1000-67-5,.22 j AUTHORIZATION � rsursuaitf to the provisions of.Chapter $75 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 i7.2019.and in consideration of application fee in the sum of 250.00 paid by o s ith's Inlet.LLC and subject to the Terns and Conditions as stated in the Resolution;the Southold Town Board of Trustees authorizes and pereriits the following. Wetland Permit to construct a 14'x51'-(irregular),604sq.ft.attached deck with a 22'x4' - attached side deck 64sq.ft.(side entry);two sets of stairs.at 41x4' and 41x51,.and a third'set of 61x4'stairs; establish and perpetually maintain a 20'Wide buffer consisting of a single row of = • boulders on its landward edge,beach grass plantings and a row of marsh elder to be installed at, s the wetland boundary;implement a stormwater control plan consisting of three$10'leaching pools;on the landward aide of house and four 81x2'leaching pools 51'from the wetland boundary at its closest point;and to maintain a 4'wide path,to the shoreline of Goldsmith's { Inlet;and as depicted on the-site plan•prepared by Suffolk Environmental Consulting,Inc.,, ; dated June 6,2018,and stamped approved on April 17,2019. g g 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 170'day of April,2019. , TERMS AND CONDITIONS The Permittee Goldsmith's inlet,LLC,residing at 2704 Mill Road,Pecohic. New Yorkas 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 perforimed 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. 1 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-nov-complian�e.with the provisihris of the oi'iginating application tnaybe'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. b, 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, outhold: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(94)calendar daysof issuance ofthis,permit. - 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 14. --That the Permittee will obtain all other permits and consents that maybe 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 penpitted 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. C [ SITE L111AREA of BEACH GRASS PLANTINGS w "��1 Pgoffi T SPECiFiCATIONS V s 1.0"mzo.o't SINGLE LINE of t 4.0'_Wide Path ''' BOULDERS t xv Applicant propoi toplant anarea(1,'100 square feet±)along the 11f)D lbS/CgCl1existing tidal wetlands boundary0jwithin the northeasterly section ofthepropertyti,•ithMarshElder(Im '.�ttesccns� and Cape American ` 2BeachGrass (Ammvylrila .tJActI $ gQj • t . �, ;r' ,< r� Meaigul* -Additionally,asingle z .: ..;a, au t~'' tine of bou 47 tilers(1001b/each)is to be tailed al the ns ong landwardboundary of the proposed active tV , native Plantings. An existing area ' , FI A of nathe vegetation within the n fi southeastern aectlort of the +jar \ \ \ X55$$ zp '` property is to remain undasttubed. arsh Elder a [� o M t , \ :f *\} • �� C14t; 1X h ^� ion \ F : a9 ; j11 to t ?;Y''" Planted at t to 2 gallon potted. W a \ j • Sevenlmn(1y)total t. i m V • �y� i i Planted Mr ole. ® ; All ��j0¢ n�y-•. a ys ft � w ^i ' ;," '► V } - '• ; tae _ American Beach Grass_ A-t (Anrf wphita Gent+iligirlafa) . 9 • / �' -APPIt,OVED BY • i'tanz�ai bs plugs• X 4 BOA�D OF TRUSTEES ' tH"s�tc throughvutbutfcr. " + TOWN OF SOUTHOtA r�1� Jr DATE Afiea` t7,2ot�j Q _i _ Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O.Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 ! Fax: (631) 537-5291 Bruce Anderson,M.S.,President November 6, 2019 Mr. Michael Domino, President Board of Trustees Scuthold Town, Town Hall Bar T est _ P.O. Box 1179 Southold, NY 11971 Re: Goldsmith's Inlet, LLC Property Situate: 2700 Mill Road■Peconic■ New York SCTM#: 1000-67-5-02 Dear Mr. Domino, Request is hereby made for a Certificate of Wetlands Compliance for the above referenced property. Attached herewith please find two photographs taken earlier today that depict the wetland plantings and buffer plantings authorized in the permit. Kindly issue the requested certificate at your earliest convenience. Yours truly, Bruce A. Anderson enc. GOLDSMITH'S INLET, LLC Property Situate: 2700 Mill Road • Peconic • New York SCTM #: 1000 — 067— 05 — 002 (Photograph taken on November 6, 2019) is L w P_ , r 4 7e e, r 1v Photograph indicating the established Buffer along the easterly section of subject property. Photograph taken from the northeastern section of the property, facing southwest. E C E I V E So'!tilnld TQW� Bn of Trustees GOLDSMITH'S INLET, LLC Property Situate: 2700 Mill Road - Peconic - New York SCTM #: 1000 - 067- 05 - 002 (Photograph taken on November 6, 2019) I AM FT1 vs ..1 Photograph indicating the established Buffer along the easterly section of subject property. Photograph taken from the northerly section of the, facing northeast, towards Goldsmith's Inlet. [) ECEHE i; NOV - 72019 Pf ;;ccs r\oSUFFQ�K�o w, Michael J. Domino, President c�o � Town Hall Annex John M. Bredeme er, III, Vice-President �� yam . 54375 Route 25 Glenn Goldsmith o _ P.O. Box 1179 A Nicholas Krupski y ��� Southold, NY 11971 Greg Williams ! , �a Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction %2 constructed When project complete, call for compliance inspection; BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK 3 PERMIT NO. 9432 DATE: APRIL 17, 2019q ISSUED TO: GOLDSMITH'S INLET, LLC PROPERTY ADDRESS: 2700 MILL ROAD, PECONIC SCTM# 1000-67-5-2 Q- A AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and i 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 Goldsmith's Inlet, LLC and subject to the Ternmn and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 14'x51' (irregular),604sq.ft. attached deck with a 22'x4' attached side deck 64sq.ft. (side entry); two sets of stairs at 4'x4' and 4'x5',and a third set of 6'x4l stairs; establish and perpetually maintain a 20'wide buffer consisting of a single row of boulders on its landward edge,beach grass plantings and a row of marsh elder to be installed at the wetland boundary; implement a stormwater control plan consisting of three 8'x3l leaching 3E pools on the landward side of house and four 8'x2' leaching pools 51' from the wetland boundary at its closest point; and to maintain a 4' wide path to the shoreline of Goldsmith's Inlet; and as depicted on the site plan prepared by Suffolk Environmental Consulting,Inc., dated June 6,2018,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 171h day of AprI 1,2019. 1 "a 411 Vid 4; TERMS AND CONDITIONS The Permittee Goldsmith's Inlet LLC residing at 2700 Mill Road,Peconic, 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. 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 QE S0(/TTown Hall Annex John M.Bredemeyer III,Vice-President - �O� Ol0 P.O. Route 25 P.O.Box 1179 Glenn Goldsmith [ l�i Southold,New York 11971 A.Nicholas Kxupski 0.2 Q Telephone(631) 765-1892 Greg Williams � Fax(631) 765-6641 oly�UUNTI,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 17, 2019 Bruce Anderson, President Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: GOLDSMITH'S INLET, LLC 2700 MMILL ROAD, PECONIC SCTM# 1000-67-5-2 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 17, 2019 regarding the above matter: WHEREAS, Suffolk Environmental Consulting on behalf of GOLDSMITH'S INLET, LLC 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, 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, 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, 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 GOLDSMITH'S INLET, LLC to construct a'14'x51' (irregular), 604sq.ft. attached deck with a 22'x4' attached side deck 64sq.ft. (side entry); two sets of stairs at 4'x4' and 4'x5', and a third set of 6'x4' stairs; establish and perpetually maintain a 20' wide buffer consisting of a single row of boulders on its landward edge, beach grass plantings and a row of marsh elder to be installed at the wetland boundary; implement a stormwater control plan consisting of three 8'x3' leaching pools on the landward side of house and four 8'x2' leaching pools 51'from the wetland boundary at its closest point; and to maintain a 4' wide path to the shoreline of Goldsmith's Inlet; and as depicted on the,;site plan prepared by Suffolk Environmental Consulting, Inc., dated June 6, 2018, 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 Michael J. Domino, Presidenti� Ee. Town Hall Annex John M. Bredemeyer, III, Vice-President o _; 54375 Route 25 Glenn Goldsmith a P.O. Box 1179 A Nicholas Krupskiy��l �oo�r;� Southold, NY 11971 Greg Williams Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD lq TO: GOLDSMITH'S INLET, LLC c/o SUFFOLK ENVIRONMENTAL 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) 1st Day of Construction ($50.00) '/2 Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES- .1q TOTAL FEES DUE: $.50.00 BY: Michael J. Domino, President ��>Z Board of Trustees ' DiSalvo, Diane From: Hugh Switzer <hughswitzerl@gmail.com> Sent: Wednesday,April 17,2019 10:57 AM To: DiSalvo, Diane Subject: Goldsmith Inlet, LLC Environmental Review To: Board of Trustees, We are the property owners adjacent to and directly to the north of this property. We fully support the planned changes at 2700 Mill Road, Peconic,NY and recommend your approval of them. Please contact us if there are any questions. Sincerely, Hugh and Susan Switzer 3180 Mill Ln, Peconic,NY 11958 631-765-3296 hughswitzerl@szmail.com ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i AREA of BEACH PROSECT SPECIFICATIONS SITE PLAN- GRASS PLANTINGS W , N\ SINGLE LINE of — r- 1.0 =20.0 ± � 4.0' Wide Path ;, _ Applicant proposes to plant an BOULDERS ' r area(1,100 square feet±)along the (100 lbs/each �. '`� �4 \ � ` existing tidal wetlands boundary i within the northeasterly section of i the Property with Marsh El ° der(Iva ++ AL esc - _- ut ens -Ca _e American � • I . Beach G � = •? _ \ ` � Grass (Ammophila ��O v r.4;y`r�'C�.:!„- �'l�i,;•=�� 1 `� ` syn G o =K ,.;. ti,•.. .,;; brevigulata single JAN ®�� °°o Fy��N `' R,x :4; tea:p -4.;a, , � Additionally, } s E of $ �' ,' •4 :' - t line of boulders 100 1 00 0 �:��r,. ., .�.�: 1:.-• ( lb/each),is to a ed alorig the landward •,� `'� be install o -tet ,.,,.• -'� ..• , - - ;,.�F Owl, x�, o0 5:.x :: >a ., Qk F ®` boundary of the ro os -ah ® rY p P ed active LOnative plantings. An existing area J ., of native on within the w � ` •� FR P� -:�E- .:.�;:�•- : ®:°�-=° 'f.�` . --y-. �� .vegetation � ''d �o � � •� southeastern f the section o � c � o J � property is to remain undisturbed. rr �l t•"7� "tf" "}'. yrj�.� b, 11.5``-,)+ • - - _ _ Q F;e M ' Marsh Elder ® o (Iva frutescens) u AREA ofhN,A.°TIVE qPy Cj \ ���o�e�� \ Yz' �IEGETI 1�1'fo Planted at 1 to 2 gallon potted. c W -� ems\ Q ;.G. EM� �� Seventeen(17)total AA INS A Planted 3.0' o/c. z-, V o )n dt 'rQ,iy4,P.`.,�✓ amu, •r•., F �Q M . °S., S� y1P ! \ MOO ;¢ t+^:: 2 ,'3.''6f t� l'f♦ ",-1Y•, ' qf ^ � o o ac. :spa � Cn� o �;; a , c1=r, -� '�`.*�- ��°• ��tn�f<'f �•� � +�,�� � � M ��� o� o^o o � � 0��• � ,� _�. ��p-,� � � `�''' ' moi° tf 4 L� �i O10 Og 6` t i ': c O �'` ' American Beach Grass N 10 oy � �� (Ammophila breviligulata) 0 o N ZY ZY 0 0 4-1 0 $ y ! PR®,- ®: ®YPlanted as plugs. CL BOAR OF T"I�USTEES ° 18" o/c throughout buffer. TOWN OF SOUTHOLD °`- _ ° �� �'r 1 i"O-C�.",'4w���i�hs�'`•'-i Fa,v:,yt � rll 7� N ®ATE 1 �.i•4 _ Ggg SURVEY OF W _ P 0 LOT 15 & - ,., , • ,� \Moa• --:� �, � L 0 T 1 � .' \ MAP OF PROPERTY L;` « f � ! o/FZZEg IL FGA \ \ \ i - EAG " \ \ o OF BLANCHE T. DICKINSON '�i FILE No. 860 FILED JUNE 6, 1926 JAN 2 9 201 - G#6�G o�a� � �5$�' \ \ \ �� r'� ® SITUATE PECONIC - cEss NEoY ',Ir. \ _S_G�PN00 \ � AN TOWN OF SOUTHOLD OR SU.FFOLK-COUNTY-- -NEW YORK a Np."N�Fz S.C. TAX No. 1000-67-05-02 a 2atiF�gF \ \ i ��/ \ SCALE 1"=20' 4-NA, ze c.aa �y \ 9 \ jo ,�' R 7, 2014 -- O \' CTOSE, \ 2a MARCH 26, 2016 ADD WETLANDS DECEMBER 27, 2016 ADDED PROPOSED DECKS V 1 NOVEMBER 10 2017 ADD WALKS TO LOT COV RAGE APRIL 4, 2018 REVISED PER NYSDEC LETTER 04 032018 62'09 �" AUGUST 17, 2018 REVISED PROPOSED DRKS AREA = 17,258 sq. ft. r- 9���� o£ , �� CERTIFIED T0: 0.396 ac. y� °G� \ o` Fo t � Via- 7 `� GOL'DSMITH'S INLET, LLC. 113 \ \ \ e1, / °s02° ym '� FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK \ a T y�< o NOTES: LO \ O , / M 1. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103CO161H NRP�L � ZONE AE: BASE FLOOD ELEVATIONS DETERMINED 0Z ZONE X*: AREAS OF 0.29 ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL VA y� CHANCE FLOOD WITH AVERAGE DEPTHS OF LESS THAN 1 FOOT z 'I / OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. ° �u �' .� - 5�,� 0) TEST HOLE BY McDONALD GEOSCIENCE ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. a \ G _ d mss�S \ \ ,I, I / P. o. eox 1000, sourHOLD, N.Y. 2. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1988 DATUM Nowo, ON 4 AUGUST O4 ® 1:30 P.M. EXISTING ELEVATIONS ,ARE SHOWN THUS: 5.0 �T,A o`' Gp�G 6� J'� �C•' ��p�o� o� / e(v ORIGINAL GROUND EXISTING CONTOUR LINES ARE SHOWN THUS: — — — —5— — — — �o MIXED SAND AND LOAM F.FL. - 'FIRST FLOOR OA a 5 . G.FL. - GARAGE FLOOR 2 WATER IN MIXED SAND AND LOAM LO 4 WATER IN BROWN BOG PT C9 SGVp��q p 1?/ 5 WATER IN GREY ORGANIC CLAY OL ITH c,� PREPARED IN ACCORDANCE WTHE MINIMUM ti O aG�Pa�pE5\ja p 1 STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.IAL.S- AND APPROVED AND ADOPTED �FPp�PtV ` WATER IN PALE BROWN FOR SUCH USE BY THE NEW YORK STATE LAND 0 �icRuG FINE TO MEDIUM SAND SP TITLE ASSOCIATION. e o� 10 2o �1 F WATER IN BROWN CLAYEY SAND SC � a 0 ' 94 10`Oy 5 #. ra 5A / a 412 0 1"01 F' UIS J sA_ " /� 4�1 SSTL u� -- - ••-•- •- --- WATER IN BROWN CLAY CL BUILDING COVERAGE OVER UPLAND AREA DESCRIPTION AREA -X LOT COVERAGE v 25 { O,° a i S V v EXISTING HOUSE 1,187 sq. ft. 8.0athan Taft . Corwin III EXISTING FRONT COPIES OF THIS SURVEY MAP NOT BEARING "ooG PORCH 212 sq. ft. 1.4X THE LAND SURVEYOR'S INKED SEAL SI Land Surveyor yayQ EMBOSSED SEAL SHALL NOT 8E CONSIDERED 9.3 a TO BE A VALID TRUE COPY. �00 EXISTING GARAGE 537 sq. ft. 3.6X CERTIFICATIONS INDICATED HEREON SHALL RUN EXISTING GARAGE APRON 35 s ft. 0.2% .00. 0q' ONLY TO THE PERSON FOR WHOM THE SURVEY �t IS PREPARED, AND ON HIS BEHALF TO THE EXISTING CONC. WALKS 215 sq. ft. 1.5X TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout LENDING INSTITUTION LISTED HEREON, AND tUy PROPOSED DECK ,#1 64 sq. ft. 0.4Y. TO THE ASSIGNEES OF THE LENDING INSTI- / TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 FOX (631)727-1727 IA�j1 PROPOSED DECK #2 604 sq. ft. 4.1X OFFICES LOCATED AT MAILING ADDRESS / PROPOSED STEPS 103 sq. ft. 0.7X THE EXISTENCE OF RIGHTS OF WAY 1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 Jamesport, New York 11947 TOTAL 2,957 sq. ft. 20.0% ANY, NOT SHOWN ARE NOT GUARANTEED. w j i rn 0 cam+ 2 ! a, MR rm TIDAL 3 I �p LANDWARD EDGE OF T � } i iLij WETLANDS AS DELINEATED �S� dia. �•� � BY SUFFOLK ENVIROMENTAL S, "' CONSULTING, INC. ON Y �� FEBRUARY 23, 2016 N CJ F yVOO HUGH SWITZER FLAG x I E #4 p TIE LINE APPARENT 'MINIMUM �,,�, � 1�NcK woer � HIGH WATER MARK (ik6-10/10 llAf1R) wo �` � ` UN INLTE!Q CLO MM. , $ �s 1 t.1-1 2'de 6MCEb PIL'IZR GLOTN-�, 16" 4 i�9• X ,,, , MM.v INTO dAOUND Mny - "r MUM PRAMA011 AIRFA '#6 FLAG ` �J 1/1 ACM 1100 LINEAR NFEP �"� > 8d EXISTING CESSPOOL I FUG , �' N (TO BE ABANDONED) �0 SIT FENCE D=T ILS % ; '1 �#3 < z N.T'.6, 0:50 W �L� Fes -► WIN . olz�!zoEXISTING CESSPOOL \` OTEST I C� �'1l . , / HOLE . 'nAx.7 i ,•e;�'�',�.:.• ,.�.,,�::. ;;~ "°' ,� 7`�. / ,� 5'dia X 6'deep STRUCTURALLY POOR O k , H C`� (TO BE ABANDONED) �5 _ 1'; FLAG I 6 ^ dop 10i 011too 4. faRouHP,utloe) i .i! '�� ' I0A sj } . .00 $ QOS%°1; Michael J. Domino, Presii SOFFQ(,� CSG Town Hall Annex John M. Bredemeyer III,Vice-President „� yam,' 54375 Route 25 Glenn Goldsmithy a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 'y p! Telephone(631)765-1892 �0� �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD i Date/Time: � Completed in field by: Suffolk Environmental Consulting on behalf of GOLDSMITH'S INLET, LLC requests a Wetland Permit to construct a 14'x51' (irregular), 604sq.ft. attached deck with a 22'x4' attached side deck 64sq.ft. (side entry); two sets of stairs at 4'x4' and 4'x5', and a third set of 6'x4' stairs; establish and perpetually maintain a 20' wide,buffer consisting of a single row of boulders on its landward edge, beach grass plantings and a row of marsh elder to be installed at the wetland boundary; implement a stormwater control plan consisting of three 8'x3' leaching pools on the landward side of house and four 8'x2' leaching pools 51' from the wetland boundary at its closest point; and to maintain a 4' wide path to the shoreline of Goldsmith's Inlet. Located: 2700 Mill Road, Peconic. SCTM# 1000-67-5-2 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 o earing 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: /-J. I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: Bredemeyer U M. Domino fG. Goldsmith r N. Krupski G. Williams Other air w. -r �1 `��' ; a 9►,e�/� , •- . . � �, ♦ f�` fir. � �• , ���� �r��AM r' r, `� Yt - tj� 1 �j• y.R •'1 (7�?09,�i/6 � 7� � , - I/'�+•' • +•• +.? °y s• !TCS b ,1. ! r .iR`�.,.� . �' y 4�/ 10/2U 19 15 : 36 oldsmith's Inlet,LLC 700 Mill Road,Peconic ' SCTM#: 1000-67-5-2 • /10/19 13 .F -" r ,��M�-1,S,ti4� ,Y ��.—` �� - - �'�•� yt � -..�i`-; ��•'*q ax',. + lad' e-I_"P°+ .,.�-t _.�,rt�'� •yr,` »T -+.t .- a v. _<,. +>4• 'fir.: �..��' '�y'Gy�,`��`. + 7� ,.. yQ �y P• �,'. s.� s � 'd '� ,ro E�'p. �. .i - � �l/ � V(!,. ��:1 U101 NEW YORK STATE DEPARTPAENT OF ENVOR0NMENTAL CONSERVATION 010.4on of Env1ronmenla9 Pormfo,"Ion I SUNY Q atony.Brook.59 Circio(Rood,atony.Brook.,t Y 11799 F:(631)444-03651 F(631)444-10360 www,dec,my cgov July 18, 2018 Bruce Anderson Suffolk Environmental Consulting PO Box 2003 r- .-r. 1 n �, , ,-� -�=; Bridgehampton, NY 11932 Re: Permit No. 1-4738-02906/00003 ` JAN ' Goldsmith's Inlet LLC L Board of Tma',Pns Dear Mr. Anderson: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your client's permit for the referenced site. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If your client is unable to comply with any conditions, please contact us at the above address. Enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of Construction. Sincerely, ark Carrara Deputy Permit Administrator Cc: Goldsmith's Inlet LLC @ 2700 Mill Road BMHP File NEW YORK STATE DEI CMENT OF ENVIRONMENTAL COHSE", ",TION ' Facility DEC ID 1-4738-02906 PERMIT Under the Environmental Conservation Law CL Permittee and Facility Information Permit Issued To: Facility: GOLDSMITH'S INLET LLC GOLDSMITH'S INLET LLC 100 CHIDLOM P CONDO 2700 MILL RDISCTM# 1000-67-5-2 SOI CHIDLOM RD -APT 5A PECONIC,NY 11958 BANKOK, TH 10330 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 712.3 NYTM-N: 4547.8 Latitude: 41'03'13.5" Longitude: 72°28'25.4" Authorized Activity: Construct decks and steps; install stone border; and establish a buffer area with vegetative plantings. All work shall be done according to the survey prepared by Nathan Taft Corwin last revised on April 4 2018 and the Site Plan prepared by Suffolk Environmental Consulting stamped NYSDEC approved on 7/18/2018. Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-02906/00003 New Permit Effective Date: 7/18/2018 Expiration Date: 7/17/2023 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator:MARK CARRARA, Deputy Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Br0000kk,NY 11790 -3409 Authorized Signature: � Date Page 1 of 5 n - NEW YORK STATE DE] IMENT OF ENVIRONMENTAL CONSK-, ATION Facility DEC ID 1-4738-02yub Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Nathan Taft Corwin last revised on April 4 2018 and the Site Plan prepared by Suffolk Environmental Consulting stamped NYSDEC approved on 7/18/2018.. 2. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project,the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 4. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 5. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 6. Long-term Plant Survival The 20' foot wide natural buffer shall be planted with Marsh Elder and American Beach Grass and the permittee shall ensure a minimum of 85% survival of plantings by the end of five growing seasons. If this goal is not met,the permit holder shall re-evaluate the restoration project in order to determine how to meet the mitigation goal and submit plans to be approved by the office of Marine Habitat Protection NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790-3409 7. Cover Material For Footpath Cover material used for footpaths is limited to natural wood/bark chips, stone, gravel or sand. Page 2 of 5 NEW YORK STATE DEI TMENT OF ENVIRONMENTAL CONSk ,`,TION Facility DEC ID 1-4738-02yuo 8. No Unauthorized Fill No fill or backfill is authorized by this permit without further written approval from the department(permit,modification, amendment). 9. No Changes to Septic System This permit does not authorize any alteration, expansion or replacement of existing septic systems. 10. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation(grasses, etc.)immediately following project completion or prior to permit expiration,whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season,then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 11. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from ' construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 12. State May Require Site Restoration If upon the expiration or revocation of this permit,the project hereby authorized has not been completed,the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require,remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 13. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 14. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit,the structure,fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 15. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. GENERAL CONDITIONS - Apply to ALL Authorized Permits: Page 3 of 5 NEW YORK STATE DEF MENT OF ENVIRONMENTAL CONSE TION Facility DEC ID 1-4738-01yuu 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit'application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to Page 4 of 5 NEW YORK STATE DEI, ',CMENT OF ENVIRONMENTAL CONSE�, LTION Facility DEC ID 1-4738-01�.,,, the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the pennittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: 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. Page 5 of 5 GOLDSMIT HfS INLET, LLC Property Situate: 2700 Mill Road ■Peconic ■ New York SCTM #: 1000—067—05 —002 SUBJECT' ' X PROPERTY / sa,maa i''ii`i+i/i7:3'-�L�l�j'=•.a`aC�K �ff F fi � - J/// vJ,�� 9119 F MTH I'z-F!.PART( R ' •�; ' - {�� SUBJECT PROPERTY � p 835 NILE LFI r� ,♦ - SIl��` , �f^y K-P 2600 N ILL LN J t. ti� ♦ }1✓ ✓ n GOLDSMITH'S INLET, LLC Property Situate: 2700 Mill Road ■ Peconic ■ New York SCTM #: 1000—067—05 —002 (Photo taken on May 16, 2017) .r i 1 I I Photograph indicating the northerly staked out corner of the proposed Deck (arrow). Photograph taken within the central portion of the property, facing northeast,towards the wetlands and Goldsmith's Inlet. Y t `r . S ,� 16 fk a'F �p1O i ex A r �: }^2 •1 .fir,C4 •.� 5 . E _ F t _ le OA Wi S. Photograph indicating the 4,tak6d out seaward points of the proposed Deck (arrows). Photograph taken from the northern- central section of the property, facing southeast. � r S• It Y l S! ' .�1� t, �';: s•, } ' may. i� - .�-. Situate: 2700 Mill Road - Peconic - New York i GOLDSMITH'S INLET, LLC P 111 1. 1 11(Photo takcn on May 16, 2017) i\ +{•,* .;w$ Y a .'. �. �;� ' sem... _ _mow. .. 1 ••`.. V 'way ���„�,.y -.. A. }I i Photograph indicating thei staked out easterly corner of the proposed Deck (arrow). Photograph taken from the southern- central section of the property, facing northeast towards the wetlands boundary (flag circled) and Goldsmith's Inlet. GOLDSMITH'S INLET, LLC Property Situate: 2700 Mill Road ■ Peconic ■ New York SCTM #: 1000—067—05 —002 (Photo taken on May 16, 2017) F� l k . Y f . ' *� nAh, dii ' tr I' 7 Photograph indicating the flagged wetlands boundary (circle). Photograph taken from the easterly section of the property, facing north, along Goldsmith's Inlet. GOLDSMITH'S INLET, LLC Property Situate: 2700 Mill Road ■ Peconic ■ New York SCTM #: 1000— 067—05 —002 (Photo taken on May 16, 2017) 44. 47 ij(ti _%ytiY ^:A n L ✓'r 1 .ri.:R ._. �. .. .. a ,.f _a..•st�l�.ai ..rs.s+ _ , S ' L Photograph indicating the staked out location of the proposed Deck (arrows). Photograph taken from the easterly section of the property, facing southwest. 1 I � • • fit Ir � � '` '`� ! `'�• t � ��. � �l^i j�' fly�. �,- +� �� f S"Y •F .. - i i 4a A d Photograph indicating the staked out seaward points of the,, proposed Deck (arrows). Photograph taken from the northern-'` central section of the property, facing southeast. k GOLDSMITH'S INLET, LLC P Situate: 2700 Mill Road - Peconic - New York 111 1 . 1 11 (Photo takept on May 16, 2017) �l u t I Photograph indicating the! staked out easterly corner of the proposed Deck (arrow). Photograph taken from the southern- central section of the property, facing northeast towards the wetlands boundary (flag circled) and Goldsmith's Inlet. GOLDSMITH'S INLET, LLC Property Situate: 2700 Mill Road ■ Peconic ■ New York SCTM #: 1000—067—05 —002 (Photo taken on May 16, 2017) saw a 1 w .s Photograph indicating the flagged wetlands boundary (circle). Photograph taken from the easterly section of the property, facing north, along Goldsmith's Inlet. GOLDSMITH'S INLET, LLC Property Situate: 2700 Mill Road ■ Peconic ■ New York SCTM #: 1000 —067— 05 —002 (Photo taken on May 16, 2017) y a A NEW Photograph indicating the staked out location of the proposed Deck (arrows). Photograph taken from the easterly section of the property, facing southwest. a c e P ^o V P O a f P <� e P �• f e 4 +ol lie lk �i � .� R r of ,P• t`. �4' a'' , P �R� P �t PyO�� � • ,' �,, P,' oc comer P ' Yp NOT111COUNTY OF SUFFOLK © K o� SECTION NO . • e '�^ sourxo�o 'a P rtY T Service Agency v �e ti'i' OFFICE LOCATION: S®ur�®l MAILING ADDRESS: Town Hall Annex ® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 ® �� Telephone: 631 765-1938 ® Fax: 631 765-3136 UNT 1 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: April 10, 2019 Re: LWRP Coastal Consistency Review for GOLDSMITH'S INLET, LLC SCTM# 1000-67-5-2 Suffolk Environmental Consulting on behalf of GOLDSMITH'S INLET, LLC requests a Wetland Permit to construct a 14'x51' (irregular), 604sq.ft. attached deck with a 22'x4' attached side deck 64sq.ft. (side entry); two sets of stairs at 4'x4' and 4'x5', and a third set of 6'x4' stairs; establish and perpetually maintain a 20' wide buffer consisting of a single row of boulders on its landward edge, beach grass plantings and a row of marsh elder to be installed at the wetland boundary; implement a stormwater control plan consisting of three 8'x3' leaching pools on the landward side of house and four 8'x2' leaching pools 51'from the wetland boundary at its closest point; and to maintain a 4' wide path to the shoreline of Goldsmith's Inlet. Located: 2700 Mill Road, Peconic. SCTM# 1000-67-5-2 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. The following is recommended to further Policy 6. 1. Memorialize the 20'wide buffer required in Wetland Permit 5356 and by the NYSDEC in Permit No. 1-4738-2906/3 in decision making. Although this is an application for a deck, note that wastewater is disposed of within an 8' deep septic tank and one cesspool. Depth to groundwater is shown a 2.5'from grade and Town records show that problems with the sanitary system have occurred in the past. It is recommended that the Board discuss with the landowner the possibility of replacing the sanitary system with an A/I OWTS (in front yard out of the flood zone if possible). Funding may be available to replace the existing systems through http//www.reclaimourwater.info 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 FOIk�a� Peter Young,Chairman 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: Moved by Caroline Burghardt, seconded by John Stein, it was RESOLVED to SUPPORT the application of GOLDSMITH'S INLET LLC to construct a 14'X 51' attached deck with a 22'X 4' attached side deck and three sets of stairs. Establish a 20' buffer consisting of a single row of boulders on its landward edge, beach grass plantings and a row of march elder to be installed at the wetland boundary. Implement a stormwater control plan consisting of three leaching pools on the landward side of the house and four leaching pools 51' from the wetland boundary at its closest point; and maintain a 4' path to the shoreline of Goldsmith's Inlet. Located: 2700 Mill Rd., Peconic. SCTM#67-5-2 Inspected by: Peter Young, John Stein, Caroline Burghardt The CAC Supports the application, however, there is a concern with the 4' access path and future maintenance of a natural path in a highly impacted wetland area. The CAC suggests consideration for a raised, thru-flow walkway. Vote of Council: Ayes: All Motion Carried BOARD MEMBERZ-J Southold Town Hall Leslie Kanes Weisman,Chairperson ��OF so 53095 53095 Main Road -P.O.Box 1179 Southold,NY 11971-0959 Patricia Acampora Office Location: Eric Dantes Town'Annex/First Floor, Robert Lehnert,Jr. �O� 54375 Main Road(at Youngs Avenue) Nicholas Planamento �I,YCOU Southold,NY 11971 i� RECEIVED http://southoldtownny.gov �`G ►� (� I l 32 SWI ZONING BOARD OF APPEALS JAN 2 5 2019 -'/ TOWNOF SOUTHOLD JAN 2 9 2019 /} Tel.(631)765-1809-Fax (631)765-9064LQt�G ------------ So old Town Clerk FINDINGS,DELIBERATIONS AND DETERMINATION MEETING OF JANUARY 17,2019 ZBA FILE: #7232 NAME OF APPLICANT: Goldsmith's Inlet,LLC PROPERTY LOCATION: 2700 Mill Road,Peconic,NY SCTM#1000-76-5-2 SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under consideration in this application and determines that this review falls under the Type II category of the State's List of Actions, without further steps under SEQRA. SUFFOLK COUNTY ADMINISTRATIVE CODE: This application was referred as required under the Suffolk County Administrative Code Sections A 14-14 thru A 14-25, and the Suffolk County Department of Planning issued its reply dated September 14, 2018 stating that this application is considered a matter for local determination as there appears to be no significant county-wide or inter-community impact. LWRP DETERMINATION: This application was referred for review under Chapter 268, Waterfront Consistency review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. The LWRP Coordinator issued a recommendation dated December 19, 2018. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, the "as built" garage is recommended as INCONSISTENT with Policy 4. The structure is located in a FEMA Flood Zone AE E1.9 and may be subject to episodic flooding during storm events. The proposed construction of the deck is recommended as CONSISTENT with the LWRP, provided the following is considered to further Policy 6: Memorialize the 20 foot wide natural buffer required by the NYSDEC in Permit no. 1-4738-02906/3 in decision making. The LWRP Coordinator further advised that; although this is an application for a deck and accessory garage, it was noticed that wastewater is disposed in an'8 foot deep septic tank and one pool. Goldsmith Inlet has had water quality problems in the past. It is recommended that the Board discuss with the landowner the possibility of replacing the sanitary system with an A/I OWTS (out of the flood zone if possible). PROPERTY FACTS/DESCRIPTION: The subject property is located at 2700 Mill Road, Peconic, NY. SCTM#1000-76-5-2. The total square feet of the property measures 17,258. The northerly property line measures 165.99 feet, the easterly property line measures 121.70 as it runs east and south adjacent to Goldsmith's Inlet, the southerly property line is 128.01 feet, and the westerly property line runs adjacent to Mill Road and measures 110.90. The parcel is improved with a single-family dwelling and a framed 24.2 foot by 22.2 foot two bay garage located partially in the side yard as shown on the survey prepared by Nathan Taft Corwin, III, LS, last revised August 17, 2018. Page 2, January 17, 2019 #7232, Goldsmith's Inlet SCTM No. 1000-67-5-2 BASIS OF APPLICATION: Request for Variance from Article III, Sections 280 -15; and the Building Inspector's August 28, 2018,Notice of Disapproval based on an application for a building permit to build a deck addition to be attached to an existing single family dwelling; at; 1) existing accessory garage will be located in other than the code required rear yard; at: 2700 Mill road, (Adj. to Goldsmith's Inlet),Peconic,NY, SCTM#1000-67-5-2. RELIEF REQUESTED: The applicant requests a variance to construct a deck addition attached to the rear of an existing single-family dwelling The proposed construction on this non-conforming 17,258 square foot lot in the R- 40 Zoning District, is not permitted pursuant to Article III, Section 280-15 which states, "accessory building and structures or other accessory uses shall be located in the required rear yard." By constructing the attached deck,the existing accessory structure will be partially located in the side yard. ADDITIONAL INFORMATION: On July 18, 2018, the applicant received a permit from the New York State Department of Environmental Conservation to build the deck and steps and install a stone border, as well as establish a 20 foot buffer area with vegetative plantings as shown on the survey prepared by Nathan Taft Corwin, III, L.S. last revised April 4, 2018 (agency approval stamp). The existing accessory structure requiring variance relief was issued a certificate of occupancy in November 18, 2003 as an accessory boat storage building. The applicant testified that the Southold Town Board of Trustee'•s approval is pending for aforementioned improvements to the property. A letter to the Board from the neighbor to the north expressed support for this application. FINDINGS OF FACT/REASONS FOR BOARD ACTION: The Zoning Board of Appeals held a public hearing on this application on January 3. 2019at which time written and oral evidence were presented. Based upon all testimony, documentation,personal inspection of the property and surrounding neighborhood, and other evidence,the Zoning Board finds the following facts to be true and relevant and makes the following findings: 1. Town Law §267-b(3)(b)(1). Grant of the variance will not produce an undesirable change in the character of the neighborhood or a detriment to nearby properties. The proposed deck is to be built on the rear of the house and will not be seen from the street. The two bay boat storage accessory structure has existed for some time on the property and its location will remain the same.. 2. Town Law $267-b(3)(b)(2). The benefit sought by the applicant cannot be achieved by some method, feasible for the applicant to pursue, other than an area variance. The existing accessory garage cannot be moved. The dwelling on this non-conforming lot does not allow for much use of the rear yard due to the close proximity of the tidal wetlands. The construction of the deck will allow the property owner to enjoy the views of the water. 3. Town Law 4267-b(3)(b)(3). The variance granted herein is mathematically substantial, representing 100% relief from the code. However, the accessory garage exists in the current code conforming rear yard and the construction of the attached deck will place the garage only partially in the in the side yard, with 14.2 feet continuing in the rear yard location and 10 feet(the width of the proposed attached deck) in the side yard. 4. Town Law V67-b(3)(b)f4). No evidence has been submitted to suggest that a variance in this residential community will have an adverse impact on the physical or environmental conditions in the neighborhood. The applicant must comply with Chapter 236 of the Town's Storm Water Management Code. Although the Board understands and supports the logic of the LWRP coordinator's recommendation that the applicant upgrade the existing sanitary system with an alternative waste water treatment system, the proposed deck addition does not constitute sufficient new construction to warrant the imposition of such a condition by the Board. The installation of the proposed stone border and buffer area will help protect the tidal wetlands that run along Page 3, January 17, 2019 97232, Goldsmith's Inlet SCTM No. 1000-67-5-2 Goldsmith's Inlet and the applicant's property. Additionally, the applicant proposed to abandon a structurally poor cesspool on the seaward side of the as built accessory boat storage structure 5. Town Law §267-b(3)(b)(5)• The difficulty has been self-created since the applicant proposes new construction that will place an as built accessory structure, currently located in a code conforming rear yard, partially in a non- conforming side yard, and it is presumed that the applicant has actual or constructive knowledge of the limitations on the use of the parcel under the current Zoning Code. 6. Town Law X267-b. Grant of the requested relief is the minimum action necessary and adequate to enable the applicant to enjoy the benefit of a deck while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION OF THE BOARD: In considering all of the above factors and applying the balancing test under New York Town Law 267-B, motion was offered by Member Weisman (Chairperson), seconded by Member Planamento, and duly carried,to GRANT the variance as applied for, and shown on the Building Plans (A-1 to A-3) prepared by Joseph Fischetti, P.E., dated August 5,2018, and the survey prepared by Nathan Taft Corwin, III, and dated August 17,2018. SUBJECT TO THE FOLLOWING CONDITIONS: 1. The deck shall remain open to the sky and unenclosed. 2. The applicant shall comply with the code requirements for onsite drainage, including installing gutters and leaders, and any necessary drywells to prevent storm water from draining into the inlet 3. The applicant shall install and continuously maintain the proposed 20 foot natural buffer 4. The applicant shall receive approval from the Town of Southold Trustees 5. This approval shall not be deemed effective until the required conditions have been met; and failure to comply therewith will render this approval null and void i That the above conditions be written into the Building Inspector's Certificate of Occupancy, when issued.- Any deviation from the survey, site plan and/or architectural drawings cited in this decision will result in delays and/or a possible denial by the Building Department of a building permit, and may require a new application and public hearing before the Zoning Board of Appeals. Any deviation from the variances)granted herein as shown on the architectural drawings, site plan and/or survey cited above, such as alterations, extensions, or demolitions, are not authorized under this application when involving nonconformities under the zoning code. This action does not authorize or condone any current or future use, setback or other feature of the subject property that may violate the Zoning Code, other than such uses, setbacks and other features as are expressly addressed in this action. In the event that this is an approval subject to conditions, the approval shall not be deemed effective until such time that the foregoing conditions are met; and failure to comply therewith will render this approval null and void. The Board reserves the right to substitute a similar design that is de minimis in nature for an alteration that does not increase the degree of nonconformity. i Page 4, January 17, 2019 #7232, Goldsmith's Inlet SCTM No. 1000-67-5-2 Pursuant to Chapter 280-146(B) of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three (3)years from the date such variance was granted. The Board of Appeals may,upon written request prior to the date of expiration, grant an extension not to exceed three (3) consecutive one (1)year terms. Vote of the Board: Ayes:Members Weisman (Chairperson),Dantes,Planamento and Lehnert. This Resolution was duly adopted (4-0). (Member Acampora was absent) Leslie Kane4 Weisman, hairperson Approved for filing I /a�/2019 BOARD MEMBERS Southold Town Hall Leslie Kanes Weisman,Chairperson �� p�® 53095 Main Road e P.O. Box 1179 �® r� ® Southold,NY 11971-0959 Patricia Acampora s2, r� Office Location: Eric Dantes CP Town Annex/First Floor, Robert Lehnert,Jr. �® ® �® 54375 Main Road(at Youngs Avenue) Nicholas Planamento CO Southold,NY 11971 9 http://southoldtownny.gov ZONING BOARD OF APPEALS TOWN OF SOUTHOLD Tel.(631)765-1809•Fax(631)765-9064 January 23, 2019 Bruce Anderson Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton,NY 11932 Re: ZBA File# 7232 Goldsmith's Inlet, 2700 Mill Road, Peconic SCTM No. 1000-67-5-2 Dear Mr. Anderson; Transmitted for your records is a copy of the Board's January 17, 2019 Findings, deliberations and Determination,the original of which was filed with the Town Clerk regarding the above variance application. Before commencing any construction activities, a building permit is necessary. Please be sure to submit an application along with a copy of the attached determination to the Building Department. If you have any questions,please call the office. Sincerely, t` Kim E. Fuentes Board Assistant Encl. cc: Building Department Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O.Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President February 28, 2019 I E IV E D Mr. Michael Domino, President ' 4 2019 Board of Trustees VAR Town Hall P.O. Box 1179 Sootid townoar of It to Southold, NY 11971 Re: Goldsmith's Inlet, LLC Property Situate: 2700 Mill Road■ Peconic ■ New York SCTM#: 1000—67—5-02 Dear Mr.Domino, Enclosed herewith please find a check made payable to the Town of Southold in the amount of$150.00 in satisfaction of the required application fee. I understand that this matter will come before your Board on April 17, 2019. Yours truly, Bruce A. Anderson enc. cc: Goldsmith's Inlet, LLC 0 � n John M.Bredemeyer III,President .� Town Hall Annex Michael J.Domino,Vice-President "•+ e�� 554375 Main Road P.O.Box 1179 James F.Wng,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee _ Charles J,Sanders,'i`rustee ��' Telephone(621) 765-1892i+ax(631)7615-6641 AA BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application X Wetland Permit Application Administrative Permit Amendment/Transfer/Extensionp _Received Application: 1.2-q.11 Received Fee:$ MOO Completed Application: Incomplete: SEQRA Classificatio - Type I Type II Unlisted Coordination:(date sent) �A� 29 20�� q i LWRP Consistency Assessme t Form% CAC Referral Sent: JrWA A X7 Date of Inspection: �0I 9 1 Receipt of CAC Report: , Lead Agency Determination Technical Review: I Public Hearing Held: Resolution: Name of Applicant Goldsmith's Inlet LLC Address 100 Chidlom P. Condo - Soi Chidlom Rd—Apt 5Ac • Bankok TH - 10330 Phone Number: (8881 ) 844 - 5637 Suffolk County Tax Map Number: 1000—67—05 -02 Property Location: 2700 Mill Road - Peconic • New York (provide LILCO Pole#, distance to cross streets, and location) AGENT: Bruce A. Anderson- Suffolk Environmental Consulting Inc (If applicable) Address: P.O. Box 2003•Bridgehampton NY 11932 Phone: (631) 537—5160 Board of Trustees Application GENERAL DATA Land Area(in square feet): 17, 258 s.f. Previous use of property: Residential Intended use of property: Residential with attached deck. Covenants and Restrictions: Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? X 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 X No If"Yes",please provide a decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description(use attachments if necessary): Applicant Proposes to construct a 14' x 51' [irregular] 604 s f attached deck 54- feet from the wetland boundary with a 22' x 4' attached side deck 64 s f [side entry] 75 —feet from the wetland boundary; two sets of stairs @ 4' x 4' and 4' x 5' and a third set of stairs @ 6' x 4'• Establish a 20-foot buffer consisting of a single row of boulders on its landward edge, beach grass plantings and a row of marsh elder to be installed at the wetland boundary and in accordance with NYSDEC Tidal Wetland Permit; implement a stormwater control plan consisting of three [8' x 3] leaching pools on the landward side of the house and four [8' x 2] leaching pools 51-feet from the wetland boundary at its closest point; and maintain a 4' path to the shoreline of Goldsmith's Inlet Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed operations: Residential Deck Area of wetlands on lot: 2, 469 square feet Percent coverage of lot: 20.0 % Closest distance between nearest existing structures and upland edge of wetlands: 11 feet Closest distance between nearest proposed structures and upland edge of wetlands: 51.0' feet(Leaching pool) Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? 15 (cubic yards) How much material will be filled? N/A (cubic yards) Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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): No impact to the wetlands are anticipated due to the project compliance with respect to the regulatory setbacks for attached decks 50-feet];the creation of a 50 foot buffer and the implementation of a stormwater control plan. Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: Goldsmith's Inlet LLC Project Location(describe,and attach a location map): 2700 Mill Road,Peconic Brief Description of Proposed Action: Applicant proposes to construct a 14' x 51' [irregular]604 s f attached deck 54-feet from the wetland boundary with a 22' x 4' attached side deck 64 s f [side entry]75 - feet from the wetland boundary,two sets of stairs @ 4' x 4' and 4' x 5' and a third set of stairs @ 6' x 4' , Establish a 20-foot buffer consisting of a single row of boulders on its landward edge,beach grass plantings and a row of marsh elder to be installed at the wetland boundary and in accordance with NYSDEC Tidal Wetland Permit,implement a stormwater control plan consisting of three[8' x 3' ] leaching pools on the landward side of the house and four[8' x2' ]leaching pools 51-feet from the wetland boundary at its closest point,and maintain a 4' path to the shoreline of Goldsmith' s Inlet Name of Applicant or Sponsor: Telephone: 6681-844-5637 Goldsmith's Inlet,LLC E-Mail: pote@lombardunvestments com Address: 100 Chidlom P Condo,Soi Chidlom Rd-Apt 5 City/PO: State: Zip Code: Bankok TH 10330 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 government Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ ❑✓ 3. a.Total acreage of the site of the proposed action? 0 396 acres b.Total acreage to be physically disturbed? >0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 396 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page I of 3 SEAF 2019 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ Z 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 increase in traffic above present levels? NO YES F-1- b.Are public transportation service(s)available at or near the site of the proposed action? 1—&/1 ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? R1 ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: Fv� F1 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: Fv1 ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? ❑✓ ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 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 ® Wetland ❑Urban ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ✓❑ ❑ 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(runoff and storm drains)? If Yes,briefly describe: ❑NO DYES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: Fv] ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: F] I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Bruce A.Anderson-Agent Date:'-24-17 Signature:]OonQ—I.Al- 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 I 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? E 4. Will the proposed action have an impact on the environmental characteristics that caused the fel establishment of a Critical Environmental Area(CEA)? u 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 incoiporate ❑ 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? 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 I—�� ❑ problems? ZJ 11. Will the proposed action create a hazard to environmental resources or human health? 21 1:1 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. n Check this box if you have determined,based on the information and analysis above,and any supporting documentation, l--1 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 a 77) c7f Town of Southold-Board of Trustees !� Name of Lead Agency I Date m *■ -'�., _i n n m�� • President Print or Type Name of Responsib e Officer in Lead Agency Title of Responsible Officer Signature of Resp Bible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK Bruce A. Anderson, residing at Suffolk Environmental Consulting, Inc, P. O. Box 2003, Brid e�pton,NY 11932, being duly sworn, deposes and says that on the day of , 2019, 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 their 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 Bridgehampton, 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 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Goldsmith's Inlet, LLC SCTM# 1000 — 67 — 5 — 02 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to conduct regulated activities: Applicant Proposes to construct a 14' x 51' [irregularl 604 s. f. attached deck 54- feet from the wetland boundary with a 22' x 4' attached side deck 64 s. f. [side entry] 75—feet from the wetland boundary; two sets of stairs @ 4' x 4' and 4' x 5' and a third set of stairs @ 6' x 4'; Establish a 20-foot buffer consisting of a single row of boulders on its landward edge,beachrgrass Plantings and a row of marsh elder to be installed at the wetland boundary and in accordance with NYSDEC Tidal Wetland Permit; implement a stormwater control Plan consisting of three [8' x 3'1 leaching Pools on the landward side of the house and four [8' x 2'] leaching Pools 51-feet from the wetland boundary at its closest point; and maintain a 4'Path to the shoreline of Goldsmith's Inlet. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 2700 Mill Road • Peconic • New York 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: DATE: 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: Goldsmith's Inlet, LLC (Pote Videt, Member) MAILING ADDRESS: 100 Chidlom P. Condo • Soi Chidlom Rd—Apt. 5Ac • Bankok, TH • 10330 PHONE #: (8881 ) 844 - 5637 AGENT: Bruce A. Anderson C) Suffolk Environmental Consulting -Inc.'- MAILING nc:MAILING ADDRESS: P. O. Box 2003, Bridgehampton, NY 11932 PHONE #: _ (631) 537 - 5160 Enc: Copy of sketch or plan showing proposal for your convenience. nonru of i ruSMS Appuca , t AUTHORIZATION (Where the applicant is not the owner) I/We, Pote'V'ideL Manager.Goldsmiths Inlet.LLC, owner of the property identified as SCTM# 1000-67-5-2 in the town of Southold,New York,hereby authorizes Suffolk Environmental Consulting Inc.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. vf� Property Owner's Signature J SWORN TO BEFORE ME THIS ! � DAY OF ��� , 20I7 MEO MALENA Notary Public Notary public-State of New York NO.01 MA6296541 County QualifiedoIroux n Expires Jul 29,2021 My Comm Board of Trustees Application AFFIDAVIT Pate Videt,Manaaer.Goldsmith's Inlet,_LLC_BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE(DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES, THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENATTIVES,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. Signatm of Property Owner SWORN O EFORE ME THIS DAY OF 0 e 2017 SWORN Notary Public LEWIN ROMEO MALENA Notary Public-State of New York NO.01 MA6286541 Qualified in Bronx County My Commission Expires Jul 29,2021 i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL(DISCLOSURE FORM 110 Tomy"of uth ld's Code of E,thlcs roltii "ts its f in ere t1Ra rt of town of�c rs end em to es. 1 he u se of Misfibrinv w ' VM ralgili i e con of in merest said allow it Rn/spec whatever action is necessaw to avoid same. YOURNAME: Pete Vidcl.Manager for Goldsmith's inlet,LLC. (Last name,first name,middle initial,unless you arc 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:(Cheep:all that apply) Tax grievance � � � Building Variance _ _... Trustee x Change of Zone ._ Coastal Erosion Approval of plat _ _ _ flooring, Exemption from phu or e(ficial map _� Planning Other (If"tither",name the activity.) Do you personally(or through your company,spouse,sibling.,parent,nr child)have a relationship with any officer or employee of the Towm 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 at'person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/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 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); an oMcer,director,partner,or errpfayec at the arkpl"it:or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this `l day of J 201 —7 Signature, ,-_ Print Name bte'Vides 'atm TS l r r i 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 provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Bruce A.Anderson (Last name,first name,middle 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 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 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 X 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 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 28`h dgy of January,2019 Signatur A . Print Name Bruce A.Anderson Form TS 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Aldcroft Fmly 2016 Irr Trust P. O. Box 431 Peconic ,NY 11958 Hugh Switzer Irrv. Trt. 4350 Sentinel View NW Atlanta, GA 30327 Peter and Carol Walsh 15 Devon Way Hastings on Hudson,NY 10706 John v. Halsey- Peconic Land Trust P. O. Box 1776 Southampton,NY 11969 STATE OF NEW YORK COUNTY OF SUFFOLK Bruce A. Anderson, residing at Suffolk Environmental Consulting, Inc, P. O. Box 2003, Brid ehhgmpton, NY 11932, being duly sworn, deposes and says that on the 81" day of April, 2019, 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 their 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 Bridgehampton, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this 07%1 Day of L , 20 17 tary Public �TTHEW D. 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STATE OF NEW YORK COUNTY OF-SUFFOLK residing at being duly sworn,deposes and says that on the day of , 20____, deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public �y S FF Michael J.Domino,President 04 O�'Q onG, Town Hall Annex John M,.Bredemeyer III,Vice-President � 54375 Route 25 Glenn Goldsmith P.O.Box 1179 A.Nicholas Krupski � Southold,NY 1;1971 1: Greg Williams '� �p��� 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 GOLDSMITH'S INLET, LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING -THIS F_ORMIS TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT', LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, w Lk- 41 residing at/dba SUFFOLK ENVIRONAAENTAL CONSULTING,INC P.O.BOX 2003 BRIDGEHAMPTON,NY 11831.2003 being duly sworn, depose and say: That on the,5 day of /i r� 1 , 201 I personally posted the property known as drJ 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. Dated: ��� -71 A(sign7ature) , Sworn to before me this /70'day of QffJ(-2011 THEW D. (VANS Not/P is NOTARY PUBLIC-STATE OF NEW YORK No.Ol IV6053859 Qualified in Suffolk County My Commission Expires 01-222 Ht: AKING NUTILt: 'U1 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. OWNERM OF RECORD: GOLDSMITH'S INLET, LLC S U BJ E CT O F P U R LI C �H EAR I N G : For a Wetland Permit to construct a 14'x51 ' (irregular), 604sq.ft. attached deck with a 22'x4' attached side deck 64sq.ft. (side entry); two sets of stairs at 4'x4' and 4'x5', and a third set of 6'x4' stairs; establish and perpetually maintain a 20' wide buffer consisting of a single row of boulders on its landward edge, beach grass plantings and a row of marsh elder to be installed at the wetland boundary; implement a stormwater control plan consisting of three 6'x3' leaching pools on the landward side of house and four 6'x2' leaching pools 51 ' from the wetland boundary at its closest point; ani d to maintain a 4' wide path to the shoreline of Goldsmith's Inlet. Located: 2700 Mill Road, Peconic. SCTM# 1000-67-5-2 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) 765-1892 Form TS 1 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 significant 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",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,the action should be analyzed in more detail and, if necessary,modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP,policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 67 - 5 - 02 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ 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: Nature and extent of action: Applicant proposes to construct a 14' x 51' irregular 604 s. fi attached deck 54- feet from the wetland boundary with a 22' x 4' attached side'deck 64 s. f. side entry] 75 —feet from the wetland boundary; two sets of stairs @ 4' x 4' and 4' x 5' and a third set of stairs @ 6' x 4'; Establish a 20-foot buffer consisting of a single row of boulders on its landward edge, beach grass plantings and a row of marsh elder to be installed at the wetland boundary and in accordance with NYSDEC Tidal Wetland Permit; implement a stormwater control plan consisting of three f8' x 3'1 leaching pools on the landward side of the house and four [8' x 2] leaching pools 51-feet from the wetland boundary at its closest point; 'and maintain a 4' path to the shoreline of Goldsmith's Inlet. Attach additional sheets if necessary Location of action: 2700 Mill Road•Peconic •New York• 11958 Site acreage: 0.396 acres Present land use: Residential Present zoning classification: R-40 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: Goldsmith's Inlet LLC (b) Mailing address: 100 Chidlom P. Condo • Soi Chidlom Rd—Apt. 5Ac • Bankok TH • 10330 (c) Telephone number: Area Code (8881 ) 844 - 5637 (d) Application number, if any: N/A 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? DEVELOPED COAST POLICY e4 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 Subject proposal is consistent with the policy in that the attached deck is common to residential development and the deck meets the setback for accessory structures Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Subject proposal is not applicable to this policy in that it will have no impact to any potential historic and/or archaeological resources within the surrounding area Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 5 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will not adversely impact the visual quality of the surrounding area in that the surrounding area is currently comprised of properties improved with similar appurtenances (i a Houses with attached decks) of equal, if not greater, size and scope. Accordingly, this proposal will comply with Policy 3. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will fully comply with Policy 4 in that the proposed deck is structurally independent of the house Accordingly, this proposal will comply with Policy 4 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 ® Not Applicable Subject proposal is not applicable to this policy in that it will have no effect to the water quality/supply within the surrounding area 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 Subiect proposal will maintain the quality of the surrounding ecosystem in that the proposal is typical of this section of Goldsmith's Inlet, which has not resulted in significant effects to the surrounding ecosystem. Accordingly, this proposal will comply with Policy 6. 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 ❑ No ® Not Applicable Subject proposal is not applicable in that the proposal is simply to improve subject property with a dock assembly which will not result in any form of adverse effects to air quality. Accordingly, this proposal is not applicable with this policy Attach additional sheets if necessary i, Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Subiect proposal is not applicable in that the proposal does not involve disposal and/or transportation of solid waste, hazardous waste, toxic pollutants, petroleum products Attach additional sheets if necessary PUBLIC COAST POLICIES Policy 9. Provide for public access to,and recreational use of,coastal waters,public lands,and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38b1hrough 46 for evaluation criteria +' ❑ Yes ❑ No ® Not Applicable Subject proposal is not applicable to this policy in that the proposal is attendant to a private residential 'use. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Proposed proiect has no effect on water-dependent uses. 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 Subject proposal is not applicable in that the proposal does not involve any form of marine resource management (i e. commercial fisheries, recreational fisheries, aquaculture etc...). 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 ❑ No ® Not Applicable Subiect proposal is not applicable in that the proposal does not involve agricultural lands Re the conversion of farmland, the establishment and/or maintenance of new coastal agricultural production etc...l Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Subiect proposal is not applicable in that the proposal does not involve the conservation of energy resources on a commercial level and/or the promotion of alternative energy sources, proper maintenance of fuel storage facilities and/or the extraction of mineral extraction Attach additional sheets if necessary Created on 5125105 11:20,4M , k 0 % Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O.Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President January 28, 2019 Mr. Michael Domino, President Board of Trustees Town Half2 9 2019 P.O. Box 1179 V Southold NY 11971 Re: Goldsmith's Inlet, LLC Property Situate: 2700 Mill Road■ Peconic ■ New York SCTM#: 1000—67—5-02 Dear Mr. Domino, This Firm represents the owner of the property referenced above, who is seeking all required regulatory approval to construct an attached deck. Consequently, approval from your Board is required. Our initial application was filed with your office on July 17, 2017. However, a zoning Variance and NYSDEC Permit was likewise required and the overall regulatory process resulted in some changes to the project. Please be advised of our revised project description as follows: Applicant proposes to construct a 14' x 51' [irregular] 604 s. f. attached deck 54 feet from the wetland boundary with a 22'x 4'attached side deck 64 s.f. [side entry] 75—feet from the wetland boundary; two sets of stairs @ 4' x 4' and 4' x 5' and a third set of stairs @ 6' x 4 Establish a 20 foot buffer consisting of a single row of boulders on its landward edge, beach grass plantings and a row of marsh elder to be installed at the wetland boundary and in accordance with NYSDEC Tidal Wetland Permit; implement a stormwater control plan consisting of three [8'x 3'1 leaching pools on the landward side of the house and four j8' x 2'] leaching pools 51 feet from the wetland boundary at its closest point, and maintain a 4'path to the shoreline of Goldsmith's Inlet. 4 Please find enclosed herewith for your review: (1) Town of Southold Trustees Wetlands Permit Application [revised] (four [4 copies); (2) Local Waterfront Revitalization Program application [revised] (four [4] copies); (3) Short Environmental Assessment Form [revised] (four [4] copies); (4) Survey, prepared by Nathan-Taft CorwinI III last dated August 17, 20i,8 (four (4] sets); (5) Planting Plan prepared by this office last dated June 6, 2018; (6) NYSDEC Tidal Wetland Permit# 1-4738-02906/00003 dated July 18, 2018; (7) Southold Town Zoning Variance Determination dated January 23, 2019; and (8) Stormwater Management Plan prepared by Joseph Fischetti, P. E. dated March 20, 2017 (four [4] sets. By way of this correspondence, and on behalf of the owners, I request that you commence review of this application and schedule before the next available Trustees Board meeting for discussion and subsequent permit issuance. Thank you in advance for your cooperation. Yours truly, Bruce A. Anderson enc. cc: Goldsmith's Inlet, LLC Vice-President �� 1p 54375 Box 179 Michael J Domino, - � P O Box 1179 James F King.Trustee Se� J51d. Ncw York 1 L971-0959 cl� x Dave Bergen.Trustee12, Telephone (631) 765-1892 Charles J. Sanders.TrusLceFax(631) 765-6641 COW�Iy ,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD D To: Southold.Tow6 Building Department V Re: Verification of Building Department Permit Requirements JUL 2 1 2017 BUILDING DEPT. S&M#: TOMW nYSOUTHOLD Property Owner Name: ` 1�LOT, Date Sent to Bldg_ Dept_: -7-2-1.1 -7 The Office of the Board of Trustees is forwarding the above referenced application-for verification of the Building Departments permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from /hEe Zoning Board of Appeals? Will any part of this application be considered as Demolition as 'described under Town Code? - - COMMENTS: 2017 Signature of Reviewer Date f , r 4.0 ' John M.Bredemeyer TTt,President {l `M I � Town Hall Annex Michael J.Domino,Vico-President 6 375 Main Road >;' P,0.Bax Iv1179 , '; Southold, ov�Yorls 11972-0959 James F.Kin Trustee T Dave.Bergen,Trustee Telephone(631) 765-1892 Charles J.Sanders,Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application "• Wetland Permit Application Administrative Permit Amendment/Transfer/Extension D E E Received Application: 7.A17 Received Fee:$j 00,00 Completed Application: JUL 1 9 2017 Incomplete: SEQRA Classification: Type I Type II Unlisted Southold Town Coordination:(date sent) f T e LWRP Consistency Assessment Form: CAC Referral Sent: Ell ---_ Date of Inspection: Receipt of CAC Report: Lead Agency Determination Technical Review: Public Hearing Held: m—k k(&rf ace, Resolution: Name of Applicant Goldsmith's Inlet LLC Address 100 Chidlom P. Condo - Soi Chidlom Rd—Apt. 5Ac • Bankok, TH - 10330 Phone Number: (8881 ) 844 - 5637 Suffolk County Tax Map Number: 1000—67—05 -02 Property Location: 2700 Mill Road - Peconic - New York (provide LILCO Pole#, distance to cross streets, and location) AGENT: Bruce A. Anderson- Suffolk Environmental Consulting,'Inc. . (If applicable) Address: P.O. Box 2003;BridgehaWton,NY 11932 Phone: (631) 537—5160 ` J Board of Trustees Application GENERAL, DATA Land Area(in square feet): 17, 258 s.f. Previous use of property: Residential Intended use of property: Residential with attached deck. Covenants and Restrictions: Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? X 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 X No If"Yes",please provide a decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permitlapproval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): Applicant to construct a 14' x 41' [irregular] attached deck with a 21' x 4' attached side deck [side entry] two sets of stairs @ 4' x 4' and 4' x 5' and a third set of stairs @ 6' x 4'; all totaling 736 sq. ft. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed operations: Residential Deck Area of wetlands on lot: 2,469 square feet Percent coverage of lot: 18.0 % Closest distance between nearest existing structures and upland edge of wetlands: 11 feet Closest distance between nearest proposed structures and upland edge of wetlands: 52.0' feet(Proposed Deck) Does the project involve excavation or filling? X No Yes If Yes,how much material will be excavated? N/A (cubic yards) How much material will be filled? N/A (cubic yards) Depth of which material will be removed or deposited: , N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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): No impact to the wetlands are anticipated due to the protect compliance with respect to the regulatory setbacks for attached decks [50-feet]. i -- — -- 1 Board of Trustees Application, COASTAL EROSION APPLICATION DATA N/A Purposes of proposed activity: ' Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK Bruce A. Anderson, residing at Suffolk Environmental Consulting, Inc, P. O. Box 2003, Brid eg hampton, NY 11932, being duly sworn, deposes and says that on the day of , 2017, 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 their 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 Bridgehampton, 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 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Goldsmith's Inlet, LLC SCTM# 1000 —67 — 5 — 02 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to conduct regulated activities: Applicant proposes to construct a 14' x 41' [irregular] attached deck with a 21' x 4' attached side deck [side entry] two sets of stairs @ 4' x 4' and 4' x 5' and a`third set of stairs @ 6' x 4'; all totaling 736 sq. ft 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 2700 Mill Road • Peconic •New York 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: DATE: 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: Goldsmith's Inlet, LLC (Pote Videt, Member) MAILING ADDRESS: loo Chidlom P. Condo • Soi Chidlom Rd—Apt. 5Ac • Bankok, TH • 10330 PHONE #:_ _(8881 ) 844- 5637 AGENT: Bruce A. Anderson (cD- Suffolk Environmental Consulting, Inc. MAILING ADDRESS: P. O. Box 2003, Bridgehampton, NY 11932 PHONE #: (631) 537 - 5160 Enc: Copy of sketch or plan showing proposal for your convenience. I Form TS 1 Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Goldsmith's Inlet LLC Name of Action or Project: 2700 Mill Road,Reconic,NY Project Location(describe,and attach a location map): 220 slo Miami Avenue,Peconic(see attached location map) Brief Description of Proposed Action: Applicant proposes to construct a 736 square foot attached deck Name of Applicant or Sponsor: Telephone: 6681-844-5637 Goldsmith's Inlet LLC E-Mail: pote@lombardinvestments.com Address: 100 Chidlom P Condo,Soi Chidlom Rd-Apt.5 City/PO: State: Zip Code: Bankok TH 10330 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 21 F1 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: ❑ R NYSDEC 3.a.Total acreage of the site of the proposed action? 0.396 acres b.Total acreage to be physically disturbed? >0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.396 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban []Rural(non-agriculture) [-]Industrial ❑Commercial EIResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic El Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ Fi/1 ❑ b.Consistent with the adopted comprehensive plan? ❑ ✓❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ R] 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: R1 ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES R1 ❑ b.Are public transportation service(s)available at or near the site of the proposed action? Fv� ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? R] ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 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: R1 ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? Fv] ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? RI ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 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 © Wetland El Urban ❑✓ Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? R] ❑ 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, Ela.Will storm water discharges flow to adjacent properties? ❑NO [:]YES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: I]NO DYES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: A.Anderson-Agent Date:5-24-17 Signature: C1 �•/� PRINT FORM Page 3 of 3 J GOLDSMITH'S INLET, LLC Property Situate: 2700 Mill Road ■ Peconic ■ New York SCTM #: 1000—067—05 —002 SUBJECT PROPERTY sa,n,do SUBJECT PROPERTY o r.1aL ud I ui[ui _ ^ LILL LI1 I fill III GOLDSMITH'S INLET, LLC Property Situate: 2700 Mill Road ■ Peconic ■ New York SCTM #: 1000—067—05 —002 (Photo taken on May 16, 2017) Photograph indicating the northerly staked out corner of the proposed Deck (arrow). Photograph taken within the central portion of the property,facing northeast,towards the wetlands and Goldsmith's Inlet. DOMM 09 1 MUM APPUC2UOn AU,THORIZATION (There the applicant is not the owner) ]/We, Dote Videt Manager.Qoj4amjtbs,Wet.LLC, owner of the property identified as SCTM# 1000-67-5-2 in the town of Southold,New York, hereby authorizes Suffolk Environmental ConagItin ,.Inc.to act as g_ my agent and handle all necessary work involved with the application process for permits)from the Southold Town Board of Trustees for this property. Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF 2017 LEWIN EO MA ROMIIN"york 2:;2 state of New N0.01 MA62865 4 Notary Public Notary public- County rity Qualified 1ri3ro!ri)( ,29,2021 . o1jE)(pjreSJ My COMMISS% Board of Trustees Application AFFIDAVIT Vote VidSL Manager,Goldsmith's In1cWLLaC;__I3EING DULY SWORN DEPOSES AND AF'F'IRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE(DESCRIBED PERMIT(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 ANIS AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENATTIVES,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 ICY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL. EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING TIME TERM OF THE PERMIT. Signature of Property Owner SWORN O EFORE M£THIS ( DAY OF �� � , 2017 Notary Public _ LEWIN ROMEO MALENA Notary Public-state of New York NO.01 MA6286541 Qualified in Bronx County My Commission Expires Jul 29,2021 APPLICANTIAGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM TheAw a. 0 Cade of Ethics prohibits conflict-of interest on the pan of Towoffiand n cers employees.The puM2sc of oriplere's!UnAullow it to tai-t W114leve ratctioni.1 ficiassa to avoid sama:, YOURNAME- Pole Vidor Manaw for Goldsmith's IRICL LLC (Last name,first name,middle initial,unless you am applying in the name or 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 Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If-Othee',name the activity.) Do you personally(or through your t!ompuny,spouse,sibling,pare-at,or child)have a relationship with any officer or employee of die Town of Southold?"Relationshir 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 cuiployment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered-YE!sr*v complete the balance of this form and date and saga when: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), die owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); the legal or beneficial owner of any interest in a nowt-corporate entity(when the applicant is not a corporation); )an oPlIcer,director,partner,or employez of Wic applicant,or the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 201 -7 Signature_ Print Name Videt Form TS I APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Bruce A.Anderson (Last name,first name,middle 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 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 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 X 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 William H.Price,Jr.,Esq. Title or position of that person Justice 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 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 Brother-in-law Submitted this 17t' da, oy f July,2017 SignaJ;& Print Name Bruce A.Anderson Form TS 1 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 significant 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",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. , ' Thus,the action should be analyzed in more detail and,if necessary,modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net),the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 67 - 5 - 02 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ 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: Nature and extent of action: Applicant proposes to construct a 14' x 41' [irregular] attached deck with a 21' x 4' attached side deck[side entry] two sets of stairs @ 4' x 4' and 4' x 5' and a third set_of stairs @ 6' x 4'; all totaling 736 sq. ft j Attach additional sheets if necessary �.. Location of action: 2700 Mill Road■Peconic■New York■ 11958 Site acreage: 0.396 acres Present landuse: Residential Present zoning classification: R-40 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: Goldsmith's Inlet LLC (b) Mailing address: 100 Chidlow P. Condo ■ Soi Chidlow Rd—Apt. 5Ac ■ Bankok TH ■ 10330 (c) Telephone number:Area Code (8881 ) 844 - 5637 (d) Application number, if any: N/A 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? 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 Subject proposal is consistent with the policy in that the attached deck is common to residential development and the deck meets the setback for accessory structures. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Subiect proposal is not applicable to this Policy in that it will have no impact to any potential historic and/or archaeological resources within the surrounding area. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 5 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subiect proposal will not adversely impact the visual quality of the surrounding area in that the surrounding area is currently comprised of properties improved with similar appurtenances (i.e. Houses with attached decks)of equal, if not greater, size and scope Accordingly, this proposal will comply with Policy 3 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life,structures,and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subiect proposal will fully comply with Policy 4 in that the proposed deck is structurally independent of the house. Accordingly, this proposal will comply with Policy 4. 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 ® Not Applicable Subiect proposal is not applicable to this policy in that it will have no effect to the water quality/supply within the surrounding area. 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 Subiect proposal will maintain the quality of the surrounding ecosystem in that the proposal is typical of this section of Goldsmith's Inlet, which has not resulted in significant effects to the surrounding ecosystem. Accordingly,this proposal will comply with Policy 6. 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 ❑ No ® Not Applicable Subiect proposal is not applicable in that the proposal is simply to improve subject property with a dock assembly which will not result in any form of adverse effects to air quality. Accordingly, this proposal is not applicable with this policy. 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 ❑ No ® Not Applicable Subiect proposal is not applicable in that the proposal does not involve disposal and/or transportation of solid waste, hazardous waste, toxic pollutants, petroleum products. Attach additional sheets if necessary PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of,coastal waters,public lands,and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Subject proposal is not applicable to this policy in that the proposal is attendant to a private residential use. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Proposed project has no effect on water-dependent uses. 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 Subiect proposal is not applicable in that the proposal does not involve any form of marine resource management (i.e. commercial fisheries, recreational fisheries, aquaculture, etc...). 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 ❑ No ® Not Applicable Subject proposal is not applicable in that the proposal does not involve agricultural lands (i.e.the conversion of farmland, the establishment and/or maintenance of new coastal agricultural production, etc...) Attach additional sheets if necbssary 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 ❑ No ® Not Applicable Subject proposal is not applicable in that the proposal does not involve the conservation of energy resources on a commercial level and/or the promotion of alternative energy sources, proper maintenance of fuel level and/or the promotion of alternative energy sources, proper maintenance of fuel storage facilities facilities and/or the extraction of mineral extraction Attach additional sheets if necessary CrPt7fPd nn 5/25/05 77.20 AM R, Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O. Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S.,President July 17, 2017 DE CEI E Mr. Michael Domino, President Board of Trustees JUL 1 9 2011 Town Hall P.O.Box 1179 Board of Town r Rustees Southold, NY 11971 Re: Goldsmith's Inlet, LLC Property Situate: 2700 Mill Road■Peconic■ New York SCTM#: 1000—67—5-02 Dear Mr. Domino, This Firm represents the owner of the property referenced above, who is seeking all required regulatory approval to construct an attached deck. Consequently, approval from your Board is required. Please find enclosed herewith for your review: (1) Town of Southold Trustees Wetlands Permit Application (original and three [3] copies); (2) Local Waterfront Revitalization Program application (original and three [3] copies); (3) Short Environmental Assessment Form (original and three [3] copies); (4) Location Map for reference (four [4] copies); (5) Photographs of subject property, indicating the conditions thereon, as well as the staked location of the proposed dock assembly (four (4] sets); (6) Survey, prepared by Nathan Taft CorwinI III last dated December 27, 2016 (four (4] sets); and i 2 (8) Check made payable to the Town of Southold in the amount of$100.00 covering the requisite application fee. By way of this correspondence, and on behalf of the owners, I request that you commence review of this application and schedule before the next available Trustees Board meeting for discussion and subsequent permit issuance. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Yours truly, i Bruce A. Anderson enc. cc: Goldsmith's Inlet, LLC