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HomeMy WebLinkAboutTR-9424 Glenn Goldsmith,President �QF sorry Town Hall Annex A. Nicholas Krupski,Vice President ,`QOl0 54375 Route 25 John M. Bredeme er III P.O. Box 1179 York Y 1� �i( Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 ol�coUM`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1835C Date: July 19, 2021 THIS CERTIFIES that the removal of an existing 60' long timber groin and to construct a new 55' long groin utilizing vinyl sheathing which will extend to the ALW line;the new groin shall be no higher than 18" in elevation above grade of the down drift beach; At 1280 Cedar Point Drive E., Southold Suffolk County Tax Map#1000-90-2-22 Conforms-to the application for a Trustees-Permit heretofore filed in this office Dated-February 5, 2019 pursuant to which Trustees Wetland Permit#9424 Dated April 17,2019 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of an existing 60' longtimber mber groin and to construct a new 55' long groin utilizing vinyl sheathing which will extend to the ALW.line; the new groin shall be no higher than 18"in elevation above grade of the down drift beach. The certificate is issued to Cedar Beach 1280 owners of the aforesaid property. Authorized Signature Glenn Goldsmith,President *QF sv(/ryo Town Hall Annex A. Nicholas Krupski,Vice President ,`O 1 54375 Route 25 John M. Bredemeyer III 1�[ [ P.O. Box 1179 Southold, New York 11971 Michael J.,Domino G • Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 07 (2- 1 r ' f INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/siltboom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection COMM TS:' r r-0 cl— CERTIFICATE OF COMPLIANCE: Michael J. Domino, President 00 Town Hall Annex John M. Bredemeyer, III, Vice-President 54375 Route 25 Glenn Goldsmiths W r1 P.O. Box 1179 A Nicholas Krupski y � Southold, NY 11971 ° Greg Williams 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 constructed When project complete, call for compliance inspection; i 1 _ .i.Y � •,..�.:i, •.. - .�. .o. - - :P�1i�'fOr•'• r r•Q•�i i%ri�. _+` ...•`1+'1• i���r•: „�yl'•1 1•Ir/r���. - ^;,••11 I'Ij��...-y` '`1111 i'fll'10$6 _ -��1;11 1'll%Oji• .. .`j10 Ij��:• 1va�m,uJ..Q`11 ll�:. - 's��' .,•�\w j�.. ': `,, �`"`"•�, _ � �..�'""'"`"'"""'"�W"\ �uw'""`ni��. ' _.,y;.�."" ��,,,,,� '/,."'_.�Jw'�."4`..._—'_.=''o'er\' r..''etN/v: � `l'r � _ •t'= ll%-,�l'i �'r.....;- vlq ={�`,E• �'T"`1. �a • 4.— .,I'r'��, 13+• 1;�'•.. �"' ra i, — i�<`�G,n,!,cy�9Srrnuf Hn„?..u,,rol,,,.�n,5�!�'r:;7?mn$o�+�iy,�Sm,ccS��'vr9r-•�Pvrv7^x�:n:7.NT*r7ablwxnrvASt q^raF/:imi[�..1,n,e�mm�EeiL�ex.�,!Knrt,+rnadn5^,^xy1,•2'.,,r+rx�„r,5cenm?LV�n„»r,G.mnnE.'..°mjnm'Rme'.n,.g7^g',..n,vsmSG,*l,;.r�!°•v;�•_ •�:�1 I`u�w��' �N•` I BOARD OF SOUTHOLD TOWN TRUSTEES U Ily'°r SOUTHOLD, NEW YORK 5_ PERMIT NO.9424 DATE: APRIL 17,2019 ISSUED TO: CEDAR BEACH 1280 4 t PROPERTY ADDRESS: 1280 CEDAR POINT DRIVE EAST, SOUTHOLD '' °�'•' SCTM# 1000-90-2-22 AUTHORIZATION 3. €' Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 17, 2019, and in ' �,•ly consideration of application fee in the sum of$250.00 paid by Cedar Beach 1280 and subject to the Terms and 1•,p ��• s Conditions as stated in the Resolution the Southold Town Board of Trustees authorizes and permits the following: ;'or;;•,. r, Wetland Permit to remove an existing 60' long timber groin and to construct a new 55' long `'- groin utilizing vinyl sheathing which will extend to the ALW line; the new groin shall be no 4 higher than 18" in elevation above grade of the down drift beach; and as depicted on the site •'s',,; plan prepared by JMO Environmental Consulting received on February 5,2019,and stamped '�'r approved on April 17,2019. t _r = r` IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, { -; and these presents to be subscribed by a majority of the said Board as of the 17'h day of April,2019. FO C2 IS 1. •�r �O� til ��® bow Ja �55 ,%. � •nx,rt`o•.T.,•SwG,Gn•+„�:acaa�r,.od�,%,.3wx.u��.vC.\kii•DawhVuiw��vvi,it'G�haibf•nuvu.ari..+P1uLF Vwi\1U'eui.\\)9iuear.nrL.u{f lilr]i(QiJliwxW?:swx••d•ktSYJ?rt=vaPlYrliS•W1-iCii•Ylj]rb.�i±2?.u�}S.ypAv0111LWliutQYiv`ia4u.rY�WVXs � _ ��{�'_�v -\�.,� • � �'3',, ”' '„r�"� v_ >• ..,.••_ �„R[,.� � �^�pmn,.,vz..g„ra.�"�`` \ afi""" � �'•, \h9°R�*r^ 1��,.�.�'x�*'^�"*n'1'� � y •° �� 1��._...�� ���° 1,�� 11�iN` S�.ii 11 is=. -__ •.�11:•i 11.1,• •t'"ili��•,iiN.:C S a'.::1•,•;:•'� �',4::ti i•::�'•' -•-'.:4.r''� '��i•l-+ TERMS AND CONDITIONS The Permittee Cedar Beach 1280 1280 Cedar Point Drive East, Southold,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President QF soti Town Hall Annex John M.Bredemeyer III,Vice-President �Q k ��� 54375 Route 25 _ P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 couffm BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 17, 2019 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: CEDAR BEACH 1280 1280 CEDAR POINT DRIVE EAST, SOUTHOLD SCTM# 1000-90-2-22 Dear Mr. Just: The Board of Town Trustees took the following action during its Regular meeting held on Wednesday, April 17, 2019 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting Services, on behalf of CEDAR BEACH 1280 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 February 5, 2019, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 17, 2019, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, -- --------- - - - -- ----WHEREAS;the Boar ha's considered all the testimony antl documentation-submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter,1275 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 CEDAR BEACH 1280 to remove an existing 60' long timber groin and to construct a new 55' long groin utilizing vinyl sheathing which will extend to the ALW line; the new groin shall be no higher than 18" in elevation above grade of the down drift beach; and as depicted on the site plan prepared by JMO Environmental Consulting received on February 5, 2019, and stamped approved on April 17, 2019. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) - - Fees: $50.00 Very truly yours, Michael J. Domino, President, Board of Trustees MJD/dd 1 SCALE I� =30- EXISTING ,j '1 Applicant: Jack May Purpose: Groin reconstruction Location: 1280 Cedar Point Drive East Datum: Apparent Low Water Locus: 41'1' 48.1548" -7T 23' 39.354 S.C.T.M.No. 1000-90-2-22 j �F FLICK i NjF MAY CN top of / 51 e f 19.7, f h9 r18-4- -'8:2 - - - 1.7:7 op f.._.._18.i• - -9-4-L-=� - k �G.� e--rl 1 G RO I -1 1 TO BEN r� R 1 T/gK T/BK / Wetlands T/BK f 17.9 9t 7.8 1 Atblkd. 4 r 5 7.8f f 3' T/Jity 6.0 T 8 T/Jtty 6.0PT�MyW.L� 4 4.4 e 2.4 3.1 4.2 3,3 4.2 2.3 ALK -----0.9-------------- _ _-�_� 2.5 ------------------ --1.7------------ --- --- .5 r/Jtty 4.5 _----�NW_.----3-0----- ---- 3.6 T/J� 4.6 --__4:O" T�-8tY 4.4 2.9 - 1.7 ---- - 3.1 '2 -0.9 Boa d cr i ;tr_�s Q --0.5 0.7 1.7 0.6 /110 -" - Y 1.5 1.7 0.1 ;2:b -0.5 6® T/Jtty 2.9 0.4 F T/Jffy 3.4 01 -1.1 �Jtty 2,8 0,4 -0.7 3 -1.4 0.0 0.7 n � ---_2.1-- ---- - - _L.t - _ -Q.9 -1.0 -Q 1.2 0 -2.7 1;7 1.6 _ - - - - 1.2 _ _ -----=2.-i---- .5 ; -3.6 -3.7 T/Jffy 0.7 -3.0 2 T/Jtty 0.4 -2.5 -1• T/Jtt%X1.4 Applicant A r0 to remove an existing pp proposes oses g -3-9 -3.6 -3.2 2. 60' timber groin and construct a new 55' 1 -3.8 -3 9 -3.6 _3 8 T�'itty 0.4 groin which will extend to the ALW line -3.9 -3.9 _3 PP -4.0 -3.9 9 -3 S utilizing vinyl sheathing. The new groin Q -3.9 -3.9 3.9 shall be no higher than 18" in elevation d _4 0 -4.1 -4.0 • above grade of the down drift beach. At p-'+ -4.2 -4.2 _4 1 -4 0 -4 1 -4 1 Peconic Bay, Southold, Town of Southold, -4.3 -4.3 -4.2 -4.1 -4.2 -4.3 Suffolk County, New York PECONIC BAY 4 FLOOD EI3 -� WI DTN> 1)000' Plan based on a Topographic Survey prepared by Robert H. Fox PLS last dated 10-12-16 SHEET I CE 5 11 Tidal Wetlands Line located by G Just 10/16/18 SOLE f'' -30- � - - .=A - • - • PROPOSED tAP, BOARD OF•1 RUSTEES TOWN-OF SO•UTHOLD DATE e, 1�f �f/�/ A `licant: Jack May -pose: Groin reconstruction I - ' Lo ation: 1280 Cedar Point Drive East . Apparent Low Water I Locus: 41t'1' 1548" -72'0 23' 39.354" 1 d- S.C.T.M.No. 1000-90-2-22 ` t Nk FLICK top of f510pe j-..18.1 19: •x..- - ti „ j J e"'1 GROIN TO f3F a 5t T/BK , wf3tlartd5 T/BK 3. r/,�tty s.v - .8 tr stty 6.0- - - . w.s.t ._----2 4 3.1 4.2 3.3 4.11 4.2 _ 2.3 _ ---- ---- __ ----------------- ----------- 2.5 __ r �.� 3.D 3.6 � FEB 5 2019 4 '4:� ..-- - 9:� - _-?•5 /� ---------------- -- Y/J_Y 0.9 T/ -4.4 ` 2.9 - i.7 _- - .2 _- 0.6 .0 -D.9 -0.5 0.7 1.1 / 1 j.5 0.4 i 1 ? 0.1 - 308 c___-�_1 Tt;SFnr=- _- T� .� -1.1 -0.7 d a y 2.8 -0.5 0.4 r/illy 2.9 0.7 T/J� 3 4 _ ---- -1.4 0.D 1.2 6 _3 j T/Aty 0.7 -3.0 -2 7 r/,lily 0.4 - 2 r/Jltj/1.4 Applicant proposes to remove an existing -3.6 ! -2.1` C% ' 60' timber groin and construct a-new 55' -3.9 -3.8 -3.s -3 6 -3.8 - ��.t,ly 0.4 groin which will extend to the ALW line 1 -3.9 -4.0 -3.9 '3•g -�".9 ! -3 s utilizing vinyl sheathing. The new groin C -3.9 -3.9 -3.9 shall be no higher than 18" in elevation -4.0 T4.1 -4'0 above grade of the down drift beach. At a -4.2 -4.2 -4.t -4.0 -4.1 -4.1 Peconic Bay, Southold, Town of Southold, - -4.1 `4'3 Suffolk County New York ' -4.3 -4.3 -A.2 -4.2 '� � PECONIC BAY ' 4FLOOD ESB-3- '� WI DTH 1,000 Plan based on a Topographic Survey prepared b � Y Robert H. Fox PLS last dated 10-12-16 Tidal Wetlands Line located by G, Just 10/16/18 SHEET 2- OF 2 � �CJMLE 1,-,,5 . EXISTING 6 V® aa.macnRsw� "l Sl EX,GRADE -- O K EX,.T I M 13 E R GROIN [� I EX. IT D. A 'p/ H VI, i L' � EX_G ADE DE.AC�1 3 ' EX. GRA DE 1 A LW BEAU — --- ' i'L Applicant proposes to remove an existing {`i' i,,: �'� � FEB - 5 2019 i` 60' timber groin and construct a new 55' s groin which will extend to the ALW line Board� Sasi�!of Tvs�tr._•s utilizing vinyl sheathing. The new groin ` ' shall be no higher than 18" in elevation i • aboverade of the down drift beach. At ', Applicant: Jack May g � Peconic Bay, Southold, Town of Southold, Purpose: Groin reconstruction Suffolk County, New York ; Location: 1280 Cedar Point Drive East Datum: Apparent Low Water i Locus: 41® 1' 48.1548" =72' 23' 39.3549 S.C.T.M.No. 1000-90-2-22 - 1 SKEET 3 Or 5 SCALE I';5' PROPOSED j - FEB - 5 2019 � ! I EX GPAD& PROP. WALER, a C13LKEX TPIC , : DE-X . -PROP. 13EACH PI LES ( EX-GP-ADE "BEACH I -- FF ? � s PROP, VINYL SHEATHING Applicant: Jack May Applicant proposes to remove an existing > O Purpose: Groin reconstruction 60' timber groin and construct a new 55' W a Location: 1280 Cedar Point Drive East groin which will extend to the ALW line Datum: Apparent Low Water utilizing vinyl sheathing. The new groin Locus: 41111 ' 48.1548" -.7T23' 39.35499shall be no higher than 18" in elevation S.C.T.M.No. 1000-90-2-22 above grade of the down drift beach. At Peconic Bay, Southold, Town of Southold, Suffolk County, New York SHEET 4 F 5 r _ __ .PROM ED y FEB 5 2019 90 t..—._ 1 PROP 8 — I®r P11, ES 7e5 OG i l a con Zw PROP O � VINYL ..� � u � SHEATHI PPUP 6 X 6 WALES a tet' _ O O Applicant proposes to remove an existing !; Applicant: Jack May 0 60 timber groin and construct a new 55 i Purpose: Groin reconstruction groin which will extend to the ALW line ; Q : Location: 1280 Cedar Poirit-Drive East utilizing vinyl sheathing. The new groin Datum: Apparent Low Water shall be no higher than 18 in elevation p 1 Locus: 41� 1 1548" -72023' 39.354" I above grade of the down drift beach. At S.C.T.M.No. 1000-90-2-22 Peconic Bay, Southold, Town of Southold, Suffolk County, New York SKEET 5 QF.5 �� 3hael J. Domino, President Town Hall Annex !hn M. Bredemeyer, III, Vice-President y z 54375 Route 25 Glenn Goldsmith o hh P.O. 'Box 1179 I A Nicholas Krupski Southold, NY 11971 j Greg Williams Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES Y'A 11 TOWN OF SOUTHOLD TO: CEDAR BEACH 1280 c/o J.M.O. ENVIRONMENTAL Please be advised that your application dated February 5, 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) % Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to'Board-of Trustees Office) - - The Permittee is required to provide-evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Michael J. Domino, President Board of Trustees Michael J. Domino, Pi ;nt Og11FFU('YC' Town Hall Annex John M. Bredemeyer I11,Vice-Fresident � 54375 Route 25 Glenn Goldsmith y z P.O.Box 1179 A.Nicholas Krupski %t_� Southold,NY 11971 Greg Williams y O! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ' Z �`Z3 ' , G�� ri Completed in field by: J.M.O. Environmental Consulting Services on behalf of CEDAR BEACH 1280',requests a Wetland Permit to remove an existing 60' long timber groin and to construct a new 55' long groin utilizing vinyl sheathing which will extend to the ALW line; the new groin shall be no higher than 18" in elevation above grade of the down drift beach. Located: 1280 Cedar Point Drive East, Southold. SCTM# 1000-90-2-22 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool); 100 feet 4. Septic Tank: 75 feet i 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet' 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: l i I I have read & acknowledged the foregoing Trustees comments: Agent/Owner: ; Present were: ZJ. Bredemeyer ` M. Domino —G-/Goldsmith `—N. Krupski G. Williams Other J '" e*N Topographic Survey 1 1 , . Surveyed: 10-05-16 s ; ; Amended: 10-12=16 Town: Southoid Suffolk County, NY SCT# 1000-90-2-22 ; SCT# 1000-92-1-5 Datum: NAVD'88 r # 1280 Cedar r # 1340 Cedar r Point Drive East Point Drive East i r 30' r r r top of r ' r to r r r r r r r r T/BK wetlarld5 5tp5• T 7.8 T i r /eK StpS. r -- 7.s r at blkd. - 3.0 . _7.9 T- M-y - 6.1 -- -- - -- - T My 6.0 3:•-_ T/Jtty 6.0 4.2 4.4 2.3 .3 3.1 4.2 3.3 4.2 3.0 3.6 9:Y7- 2.4 ------------------2.5 T/Jtty 4.5 ai iV`I_............................... _ .E --------1.7----- T Jity -4 � --- _ 1 9 _ 3 1 -.2 -0.9 TfJity 4.4 0,6 1.0 - 1.7 0.1 -2:b -0.5 0.7 1.1 1.5 0.4 T/Jtty 3.4 ���� 5 T/Jfty 2.9 0.7 -1.1 -0.7--yJtty 2.8 -0 0.4 0.0 1.2 -1.4 -1 .0 ----_2-f------ -0.9 _ - -- -0.5 1.2 -2.7 -1.7 1.6 _ - - - _ -3.0 =7-:g_ T/Jiffy 0.4 -2.5 - 1.6 T/J1ty 1.4 -2.7 -3.1 T/Jtty 0.7 -3.2 -3.s i -3.6 -2. -3.6 _3 g -3.617U,' T,/Afy 0.4 • -3.9 -3.8 -3.5 -3.9 -3.9 -3.9 -4.0 -3.9 -3.9 -3.9 -3.9 -4.0 -4. 1 -4.0 -4.0 -4.1 _ -4.2 -4.2 -4.1 -4.1 -4.2 -4.3 -4.3 -4.3 -4.2 # 3 FES " 5 2019 L/ 4.3 } ROBERT H. FOX PLS#50197 P 0 Box# 366 Aquebogue, NY 11931 edar Beach 1280 AU 1280 Cedar Point Drive E.,Southold CTM#: 1000-90-2-22 /10/19 77 r- ft i _ _ - _ � � _ a } = ���;: +• ,rte ,. �. _. -` - � 'r -,�'.. �_ • •,spy��r �.=,��. ' -�, • l: '.,raw~ ...� r v _ +_ _ _ 7 -may ��` �• `d+..� � ..-...� ti.. . ;,rte, � - - `�:•�;,,. _ - :._ �. -.... . . � _ ..,, iU5-. 4z tA .S` r �...� - �. :..' r 6 •'_ `. • r. •~L•� ti`s +rrr . ... `'�.,. 1�+._ -< EnAronmenW Consulting Services February, 19 2019 ''V'' r� Z 5 2019 FEB I ` Mrs. Diane DiSalvo Board of Town Trustees Town of Southold Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: May, 1280 Cedar Point Drive East, Southold S.C.T.M.No. 1000-90-2-22 Dear Mrs. DiSalvo: I am writing you in response to your e-mail of earlier today regarding this project. I have enclosed a copy of the deed for this property which was filed with the Suffolk County Clerk's office on January 31, 2019. Please be advised that the Pettit family sold their half of the property to the "May Group", which includes Jack May and ten of his siblings, and which group already owned the other half of the property. Immediately after that, the May Group sold the whole property to a smaller partnership of eight of the siblings, that partnership is called Cedar Beach 1280. Please let me know if you have any questions. ust Phone (631) 653-0607 © Email Gjust10215@aol.com 121 Jessup Ave - 2nd Floor o P.O. Box 447 Quogue, New York 11959-0447 I Ilillll IIII IIIII IIIII IIIII Illli Illll IIIII IIIII 1111 IIII I Illlil IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 01/31/2019 Number of Pages: 6 At: 11:45:28 AM Receipt Number : 19-0021711 TRANSFER TAX NUMBER: 18-21910 LIBER: D00012998 PAGE: 993 District: Section: Block: Lot: 1000 090.00 02 .00 022 .000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $30 .00 NO Handling $20 .00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $0.00 NO RPT $200.00 NO Transfer tax $0 .00 NO Comm.Pres $0.00 NO Fees Paid $405.00 TRANSFER TAX NUMBER: 18-21910 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County l F, s RECORDED 3019 Jan 31 11:45:28 All Number of pages JUDITH A. PASCALE CLERK OF SUFFOLK COUNTY This document will be public L D00012998 record. Please remove all P 993 Social Security Numbers DT# 18-21910 prior to recording, nerd/Mortgage Instrument Dred/Mortgage Tax Stamp Recording/Filing Stamps ' 3 FEES Page/Filing Fee 1 bby Mortgage Amt, 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Tota I Notation Spec./Assit. or EA-S2 17(County) / Sub Total Spec./Add, EA-5217(State) 1 70T.MTG.TAX Dual Town Dual County R.P.T.S.A. Held forAppointment �� Comm.of Ed, 5. 00 Transfer Tax f/ Affidavit • • Mansion Tax The property covered by this mortgage is Certified Copy r will be improved by a one or two NYS Surcharge 1s. 00 , family dwelling only. Sub Total r YES orNO Other Grand Total If NO, see appropriate tax cla I se on '✓ page# of this iIru 4 4 Dist 5 Community Preservation Fund 19002668 1000 09000 0200;•022000; �� Real Prop T S Consideration AmountTax Servii $ . Venf cati 4 JAN-9 wl�� Agency R [)Ty A CPF Tax Due 5 � Improved Satisfactions/Discharges/Releases List Property Owners Mailing Address ECORD&RETURN TO, Vacant Land 911AP Z 1,S PA•P,j/e� P.L, r TDA Oy f 6f"the/'f/ivy/! � TO Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name P A 00 kaMadlT www.suffolkcountyny.gov/clerk Title# T 8 Suffolk County Recording & Endorsement Page This page forms part of the attached &.0A made by: (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEWYORK. TO In the TOWN of in the VILLAGE or HAMLET of BOXES 6 THRU S MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over i IMPORTANT NOTICE 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 so that you may be billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 10� and on or before May 31,,. Failure to make payments in a timely fashion could result in a penalty. Please contact your local Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes 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 (631)702- 2470 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,•, //►I Judith A.Pascale Suffolk County Clerk dw 2/99 ua,a usrose 1 Bargaan and Sale ucca.vnth Coveaaot agnuna Grantors Acts—Individual or Coryoranon(Single Sheel) _ CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. --- A,VV, — _______._--- ity THIS INDENTURE,made the 3 day of Pevetabcsr,in the year 20M%011t BETWEEN THE MAY GROUP,having an address at 1340 Cedar Point Drive East,Southold,NY 11971 party of the first pan,and CEDAR BEACH 1280,a partnership,having a mailing address at 17638 Trenton Drive,Castro Valley,CA 94546 party of the second part, WITNESSETH,that the party of the first part,in consideration of ten dollars paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the at Cedar Beach Park,Suffolk County,State of New York,known and designated as Plot No.99,on a certain map entitled, "Subdivision Map Cedar Beach Park,situate at Bayview Town of Southold,New York;surveyed and certified by Otto W. Van Tuyl,Engineer and Surveyor,and filed in the Office of the Clerk of the County of Suffolk,as Map No:90. TOGETHER with an easement for ingress and egress over all streets,roads,drives,and lanes as laid down on said map;and also the right to ingress and egress in and to any of the Inlets,Basis or Harbors on said map,and to moor a boat in Cedar Beach Harbor. ` TOGETHER with all the right,title and interest of the grantor if any,in and to land in front of said premises under water in the Peconic Bay,and all grantor's riparian rights thereto. TOGETHER with the right to run with the land,to use and enjoy in common with others enjoying similar rights and privileges,those portions of Cedar Beach Park,which have been or may hereinafter be set aside for Community purposes as such rights and privileges are set forth in Liber 1375 cp 35. Being and intended to be the same premises described in the deed to the party of the first part herein by deed dated October 31,2'000,and recorded November 29,2000 in the Suffolk County Clerk's Office in Liber 12087 at page 423. TOETHER with all right,title and interest,if any,of the party of the first pan in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever AND the party of the first pan covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose.The word"party"shall be construed as if it read"parties"whenever the sense of this ihdenture so requires. Said premises is known as 1280 Cedar Point Drive East,Southold,NY 11971. Dist 1000 Sec 90 Blk 2 Lot 22 TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second pan forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first'for the purpose of paying the cost of the improvement and will apply the some first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose.The word"party"shall be construed as if it read,"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OR Al/ THE MAY GROUP BY:Barbara May M oney THEM GROUP BY:John W. ay Ad!lam HE MAY GR UP cy May THE MAY OUP BY:Joan ay • � I t CONT.SIGNATURES—BARGAIN AND SALE DEED-STAT1Ef OF NEW YORK THE MAY GR 7PAY:K leen May THE MAY GROUP BY: arilyn May THE MAY G U BY:Pa Ma-11 Cs2 y THE Y G UP BY:Peter May OIL THEY A UP : ichard y THEM Y GROUP q:Robert May THE MA GROUP BY:Suzannlef"May West ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE STATE OF � ss.: COUNTY OF 6-556A On the Zday of NOVEMBER in the year 2018 before me, the undersigned personally appeared KATHLEEN MAY,personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is(are) subscribed to within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ie9)',`ii6t.�by4 his/her/their signature(s)on the instrument, the individual(s)or the person upory betlalf bf=which the individual(s)acted executed the instrument,and that such Individual make such,*appearai;ce before the undersigned in the _*Wn a A1Wbcc'-w , �JA ,' (add the city or political subdivision and the state or country or other place the acknowledgment'waS:taken)� ±c Notary Public ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE STATE OF CA• ' :ss.: COUNTY OF Ala : On the1fi"day of NOVEMBER in the year 2018 before me, the undersigned personally appeared MARILYN MAY,personally known to me or proved to me on the basis of satisfactory evidence td be the lndividualf0whose nameW is(w&) subscribed to within instrument and acknowledged to me that hefshe/they executed the same in hWherAheir capacity(ios), that by hilefher/their signature(4on the instrument,the individual(,s4 or the person upon behalf of which the individu4ge)acted executed the instrument, nd that such individual make such appearance before the undersigned in the _{yt 1� , (�IA- (add the city or political subdivision and the state or country or other place the acknowledgment was taken). S.®UNNARI NOTARY PUBLIC-CALIFORNIA Notary Pdbt COMMISSION ALAMWCOUNV My Comm.Exp,AAAI B,2822 STATE OF NEW YORK :ss.: COUNTY OF NASSAU On the I day of NOVEMBER 2018 before me, the undersigned, personally*appeared, . PAUL MAY personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the I=d d executed the instrument. WM ' STATE NEW YORK'. /Notary Public °m iKpTARYl�PUB CLIcLI 4�Igry1N11V� ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE State of New York,County ofNA1W�ss: State of New York,County of #49"-- On the �j r day of1bCfi+l'In the year A91 ,�/before me,the On the 5 day of0ata)n in the yearVillbefore me, the undersigned, personally appeared BARBARA MAY undersigned, personally appeared NANCY MAY, personally MAHONEY, personally known to me or proved to me on the known to me or proved to me on the basis of satisfactory basis of satisfactory evidence to be the individual(s) whose evidence to be the individual(s) whose name(s) is (are) name(s) is (are) subscribed to the within instrument and subscribed to the within instrument and acknowledged to me that acknowledged to me that he/she/they executed the same in he/she/they executed the same in his/her/their capacity(ies),and his/her/their capacity(ies),and that by his/her/their signature(s) that by his/her/their signature(s) on the instrument, the on the instrument,the individual(s),or the person upon behalf of indi idual(s), or the person upon behalf of which the which the individual(s)acted,execute the instru nt, in duals)ac ,executed the instrument. NOTARY PUEEIC NOTARY PUB L C CHRISTINE SZAP LIJAM J.Md)EMM&ff NOTARYPU NOTARY PUBLIC,STATE OF NEW YORK BLIC,b'tseeolNeeiYall No 01SZ4648748 Ou�idnNN�au Qualified In Queens County- ConrrMlon E�ee 25. �$) Commission Expires July 71,201-0 ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK TAKEN IN NEW YORK STATE STATE San M;�vel State of New York,County of ss: State of Co ,County of ss. On the day of in the year before me, the On the 01 day of W4V in the year 24IT , before me, undersigned,a Notary Public in and for said State, personally the undersigned personally appeared JOAN MAY personally appeared JOHN MAY,the subscribing witness to the foregoing known to me or proved to me on the basis of satisfactory instrument,with whom I am personally acquainted,who,being evidence to be the individual(s) whose name(s) is (are) by me duly sworn,did depose and say that he/she/they reside(s) subscribed to the within instrument and acknowledged to me that in (if the place of residence is in a city,include the street he/she/they executed the same in his/her/their capacity(ies), that and street number if any,thereof);that he/she/they know(s) by his/her/their signature(s)on the instrument,the individual(s) to be the individual described in and who executed the or the person upon behalf of which the individual(s) acted, foregoing instrument;that said subscribing witness was present executed the instrument, and that such individual make such and saw said execute the same;and that said witness at appearance before the undersigned in the- (add the city or the same time subscribed his/her/their name(s) as a witness political subdivision and the state or country or other place the thereto. acknowledgement was taken). NOTARY PUBLIC NOTARY PUB IL C SETH WEATHERFIELD Notary Public-State of Colorado Notary ID 20164028368 My Commission Expires Jul 26,2020 Bargain & Sale Deed COUNTY:Suffolk With Covenants TOWN/CITY•Southold PROPERTY ADDRESS:1280 Ceder Point The May Group TO SECTION.Dist 1000 Sec 90 Cedar Beach 1280 BLOCK•2 - LOT:22 Title No. RETURN BY MAIL TO: Bonnie LS Parente,P.C. DISTRIBUTED BY 190 East Jericho Tpke,Suite 204 Mineola,NY 11501 JUDICIIAL,MTLEE T:800-281-TITLE F:800-FAX-9396 • STATE OF NEW YORK COUNTY OF NASSAU � 5,i- ecem� On the day of y, (1�ER 2018 before me, the undersigned, personally appeared, PETER MAY personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(les), and that by his/her/their signature(s) on the Instrument, the individual(s), or the person upon behalf of which the individual 1e Instrument. MATTHEW)FLAHMy CeftNotarySteleof "Yank RegoCounty. Notary Public Exp:310902-1 ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE STATE OFIii .ss.. COUNTY OF 4#&&AV. On the L'2 Uay of NOVEMBER in the year 2018 before me, the undersigned personally appeared RICHARD MAY,personally known to me or proved to me on the basis of satisfactory evidence to be the Individual(s) whose name(•sr•is(ars) subscribed to within instrument and acknowledged to me that he/s#>;@Ahey-executed the same in his/her/theircapacity(ie4 that by his/her4heiFsignature(a}on the instrument,the IndividualM or the person upon behalf of which the Individuals)acted executed the Instrument,and that such Individual make,such:appearance before the undersigned in the = " g �a/awcr�T/t/tT (adds#tie city or political subdivision and the state or country or other place the acknowledgment was falces)."= ` MARIA L KAFKALAS �'� u , NOTARY PUBLIC OF NEW JERSEY .. My COMMISSION EXPIRES JUNE 2Z,2023 Notary Public STATE OF NEW YORK :Ss.: COUNTY OF# t&*I--M pJ 1� On the?1day of NOVEMBER 2018 before me, the undersigned, personally appeared, ROBERT MAY personally known to me or proved to me on the basis of satisfactory evidence to be the individuals)whose name(s)is(are)subscribed to within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature( s) on the instrument, the individual(s), or the person upon behalf of which the individuals)acted executed the instrument. 'yL � =.moi•' = ROBERTANTENUCCI NOTARY PUBLIC STATE OF NEW YORK DUTCHESS COUNTY LIC.001 ANS36636 COMM.EXP.03l08/Qu ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE STATE OFIQMO& ��� _� :ss.: COUNTY OFJ6 it On the�!j day of NOVEMBER in the year 2018 before me, the undersigned personally appeared SUZANNE MAY WEST, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is(are)subscribed to within instrument and acknowledged to me that he/shelthey executed the same in his/her/their capacity(ies), that by his/her/their signature(s)on the instrument,the individual(s)or the person upon behalf of which the individual(s)acted executed ftjnstrument,and that such individual make such appearance before the ndersigned in the onCn ,V-1' (add the cityor po cal sub ' 'sion and the state or countryor other place the acknowledgment was taken). NptWhblic ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK STATE STATE OF ,Lr ss.: COUNTY OF � (k : On the 2-� day of NOVEMBER in the year 2018 before me,the undersigned personally appeared JOHN W. MAY, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is (are) subscribed to within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),that by his/her/their signature(s) on the instrument,the individual(s) or the person upon behalf of which the individual(s) acted executed t e instrument,and that such individual make such appearance before the undersigned in the (add the city or political subdivision and the state or country or other place the ackno led ement was taken). N no Public JJr Z` i �11 � �� 1 Cc7m+<lni�5to►� ����5 Leg May Property fid= "' '•; ,, F - �; end I' J az s' 1280 Cedar Point Dr E Write a description for your map. �� ;E Y9 �• �_:. Y - t • O 1V s 0 r� _ `>wigs'n�:�" _ ,.a. �:;•,,_,�, :,_ ._.. .....:.r..""�— _. - - _ �., __ �, ; F ,:Google GoogleC)2018 11 ft Town of Southold Tax Map Inquiry http://tos.maps.arcgis-com/apps/Solutions/s2.htni I?appid=l b4d461 a.. Tit Town of Southold Tax Mai aD -to Wit AL 41P • • a T- 1 �r 1 1 + t �f 11/6/2018.9:35 A " Topographic Surrey ' =eyed: 10-05-16 S f + ed: 10-12-16 XD ( k M Town:Southold .7 � SCl`#1000-00-2-22 ► Suffolk County, NY r2--1: 7 ---::,-r-- 1288 Ceder � SCT# 1000-92-1-5 Datum:NAVVp # 1340 Cedar i Point Drive East Point Dave East : 5 20 FEB to e + r + r �/ + wetlar T/B r iYs� 5 `' I Md. - 7.8+ I 3. . 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May Property 1280 Cedar Point Drive East Southold October 16, 2018 11 :20 a.m. O ��. Lrf f-s`�►�'a`z*.; ; 77 .rte" . r Oki 7-- `��,-•tom 'ty{ j_-_ y, _:: rs � * i � '. ;af;fry+�'s�t+'i"! Jt -,Y.�;- �. � r N•Y , '� div,. .r�pr' • s • 10 Ar T let Ais r• _ f May Property 1280 Cedar Point Drive East Southold October 16, 2018 11:20 a.m. ` •1 r _� �.' p y p• •• ,•rte_ � 1 tl _ _ May Property 1280 Cedar Point Drive East Southold October 16, 2018 11:20 a.m. room.99 �. AQ r f _ -_ _ __ �-- _ '�J'ft��►i'111i P ►.r��_ �htTLrh'�+ May Property 1280 Cedar Point Drive East Southold October 16, 2018 11 :20 a.m. x. �. -�•.5 cC`.S y � `j t.9Afc1 Op 18 e � So,TNOLO 13 ' 1.5N,) z.]Acc) Q. z UA nw PINT �ES,oE n n„ t 2 w e � 3 DR 12w °+ e a - rovm oF. _-51------- 13 „\ $ CEDgR 14 as TawN of sountoLo n� z z.oA1c, / • 3 wEST s s ; c za CF �o 0 LAKE • e nw - o ♦6 F - 0 AID--- ua wa -f.G(c`--- - cy nw�✓ a 2B nw .(s__ $p11TlKKD 13.1 1.48 0 O OR. E- .a W. LAKE 1'Hcy HOG NECK BAY 8 COUNTYOF SUFFOLK © K me *°"1'°r souTHoLp SECT] NOTICE ON NO E - x:.. -^--^ --.— o'°v ,..'•'E"^..�K,E"^"°"°"'.E Real Property Tax Service Agency v om r - -,„ � _ ,-- .,�.. �� �.,,,�� 090 1 - SSO(/ry OFFICE LOCATION: OF®� Ol MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) C Southold,NY 11971 a@ Telephone: 631 765-1938 Q Fax: 631 765-3136 lycOU01 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: April 15, 2019 Re: LWRP Coastal Consistency Review for CEDAR BEACH 1280 SCTM# 1000-90-2-22 J.M.O. Environmental Consulting Services on behalf of CEDAR BEACH 1280 requests a Wetland Permit to remove an existing 60' long timber groin and to construct a new 55' long groin utilizing vinyl sheathing which will extend to the ALW line; the new groin shall be no higher than 18" in elevation above grade of the down drift beach. Located: 1280 Cedar Point Drive East, Southold. SCTM# 1000-90-2-22 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, the proposed action is recommended as CONSISTENT with the LWRP. This recommendation is based upon: 1. A net increase of groins would not occur as a result of this action. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Peter Young,Chairman - 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 John Stein, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of CEDAR BEACH 1280 to remove an existing 60' timber groin and to construct a new 55' groin which will extend to the ALW line utilizing vinyl sheathing. The new groin shall be no higher than 18" in elevation above grade of the down drift beach. Located: 1280 Cedar Point Drive East, Southold. SCTM#90-2-22 Inspected by: Peter Young, John Stein, Caroline Burghardt The CAC Supports the application, however, questions the necessity of raising the height to 18" as this would impede public lateral access. Vot&of Council: Ayes: All Motion Carried ..p,.y Michael J. Domino,President Town Hall Annex 54375 Route 25 John M. Bredemeyer III,Vice-President 4' _ { P.O.Box 1179 Glenn Goldsmith ' e¢ - a' Southold,New York 11971 A. Nicholas Krupski Telephone(631) 765-1892 Fax(631) 765-6641 Greg Williams ° /aq >• BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only ee astalEroion Permit Application FEB - S 2019 tland Permit Application Administrative Permit Amendment/Transfer/Extension Southold Town Received Application: 25•�9 a _ Received Fee: $ 256•�0 Completed Application: 2.x•1' Incomplete: / SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): Q VLWRP Consistency Assessment�jorm Sent: _CAC Referral Sent: 2.27.1'7 Date of Inspection: _ 3,1 Z.l Receipt of CAC Report: Technical Review: Public Hearing Held: •20'____ Resolution: Owner(s) Legal Name of Property (as shown on Deed): (-ET9Ak 09ACtf )99V Mailing Address: C_kpr %ye ]deo T 00 Phone Number: R Qq Suffolk County Tax Map Number: 1000 - Property 000 -Property Location: -JAD 92 f'%%. (If necessary; provide LILCO Pole #, distance to cross streets, and location) AGENT (If applicable): -,-r ]Gr4.a!OrNiP" Co cal[Ai n Ge-tin E< Mailing Address: ���._%� Phone Number: (DS'3—`® too _ � Board of Trustees kp', Lcation GENERAL DATA Land Area(in square feet): 31,(3 Area Zoning: E—AD Previous use of property: ` i Intended use of property: c�1P� t Y1 Covenants and Restrictions on property? Yes A No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes _Io if"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ,,L Igo Does the structure(s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date No prior permitsfapprovals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): Applicant proposes to remove an existing 60' timber groin and to construct a new 55' groin which will extend to the ALW line utilizing vinyl sheathing. The new groin shall be no higher than 18" in elevation above grade of the down drift beach. Board. of Trustees AV, Loation d WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations; PgorAr0QAn%r\ Cd ayi Area of wetlands an lot:- _ ___--square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands;� Feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No S�. _ Yes If yes,how much material will be excavated? tQ cubic Yards How much material will be filled? _ cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 4 l Manner in which material will be removed or deposited: hnP Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason,of such proposed operations (use attachments if appropriate): 1-hie qmmrnscd 1 t�/1 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: Demolition of existing timber groin and to construct,a new groin utilizing vinyl sheathing Project Location(describe,and attach a location map): 1280 Cedar Point Drive East,Southold,location map enclosed Brief Description of Proposed Action: Applicant proposes to remove an existing 60'timber groin and construct a new 55'(to extend to the ALW line)utilizing vinyl sheathing. The new groin shall be no higher than 18"in elevation above grade of the down drift beach Name of Applicant or Sponsor: Telephone: 631-488-0629 Jack May E-Mail: 50freemelack@gmail com Address: 359 Bullock Drive City/PO: State: Zip Code: Guildford VT 05391 1.Does the proposed action only involve the legislative adoption of a plan, local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources•that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ ❑ Southold Town Trustees,N Y.S D.E.C.,N.Y.S D O.S.&U.S.A D O.A. 3.a. Total acreage of the site of the proposed action? 0.75 acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.75 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban m Rural(non-agriculture) ❑Industrial [:]Commercial ❑Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed ac NO YES N/A a.A permitted use under the zoning regulations? ❑ F7 ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical EnvironmentalArea? NO YES If Yes,identify:Peconic Bay ❑ ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑✓ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Z ❑ 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: W/1 ❑ n/a 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Z 1:1n/a 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? ❑ 21 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? Z ❑ 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?iNO off and storm drains)? If Yes,briefly describe: ❑YES Page 2 of 3 18.Does the propos ;tion include construction or other activities tl :sult in the impoundment of NO YES water or other liquias(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: Z ❑ 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: ❑7r ❑ I AFFIRM THAT THE INFO TION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: E ,ust as awfl, Date: I_ I Signature: PRINT FORM Page 3 of 3 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ® ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every --question-in-Part-2- that-was-answered-"-moderate-to large impact may oeem",or if-there-is-a-need-to-explain-why a particular- -- --- -- - element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental imp `ts. Town of Southold-Board of Trustees d Name of Lead Agency Date Michael J. Domino President Print or Type Nam of Re ponsible Officer in Lead Agency Title of Responsible Officer Signature of ResporYsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 T APPLICANTIAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM 'P�► oid'' ode i ' c f rest' t u o 0 4 4vi a 't G n 0 eta of act A d a ew it to a leve etio i§ YOUR NAME: �' {t.ast �Srmst am ,ritiddle initial,unless you are applying fathe narrte o€ someone else or over entity►such as a company.if so,indicate the other person's or company's name.) NAME DP APPLICATION: (Check all that apply) Tram grievance Building Variants Trustee Change of Zan Coastal Erosion . Approval of plat Mooring Exemption from plat or afftcial map _ Planning Other Of"Other",name the activity.) Do you personalty(or through Your company,sriouse,sib'liM parent,orcluld)have a relationship vM)any oft"i=or egtploycu of the`,o�vtr of Soutlmld? "Relationship"Includes by blood,Marrriago,or bus oss interest Bits jr►teresV Matas abusincss, including a pWnership,In which the town officer or tmplo ce hus even u partial ptvnership,of(m'employment ley)wCorpomfton in which the town ot`fitet or employee oven$Moro than 5°D`a of the shares. YES - NO if you anxwered"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 Uescr'sbe the relationship between yourself(the applieantftgenitrepmwaadvo)and the town officer or employee.Either check the appropriate line A)through D)andlor describe in the space provided. The town officer or employee or his or her spouse,sibling,p=arent,or child is(check all that apply): _A)A)the owner of Smatter tim 5%of the shows of the-corporate stock of the applicant (when the appll�tt is;e corparat3oO the legal gar Wheal Owner 0,any.iitkerest'Ptt a iton-eorpaettte entity(wh otl fife applicant is not a cotlaurati+ x __q'40 oftir.cr,director,part w.arernployee of the applicant-,or D)the actual applicant. DESCR1PTlON OF RELATIONSHIP Submitted this of ZQ,. Signature Print Form TS 1 r Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We ja—rb .�''!,L owners of the property identified as SCTM# 1000- C47--JL--,'1 in the town of New York,hereby authorizes ' t�l/�,�1. tiInrvl�yt � C _ 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. Properly Owner's Signature ` ` Property Owner's Signature I SWORN TO BEFORE ME THIS �� DAY OF , 2Q., Notary Public E ISTINE SZAPC,STATE OF NEW YORK 01SZ4648748 in Queens County Expires July 31,202-0 I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the part of town officers and employes,.The numose 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: Q �Va nr (Last name,first n e fiddle initial,unless you are applying in the name of someone else or o her entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the"town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more thin 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the appliemit/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 emplovee of the applicant;or _D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted t 's day of�'r61. 20 Signature u Print Name 0-.-lids n'1 Form'TS I Board of Trustees Application AFFIDAVIT �c9 j'ln h BEING DULY SWORN DEPOSES AND AFFIRMS THAT "/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 WORT{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 APPLICA'T'ION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNC'T'ION 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 CONDI'T'ION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. ;e -M- Signature of Property Owner —� Signature of Property Owner SWORN TO BEFORE ME THIS 3- DAY OF_ _Z,o_M je , 20_/ tl� :2. Notary P l' --- CHRISTINE SZAP NOTARY PUBLIC,STATE OF NEW YORK No.O1SZ4648748 Qualified in Queens County Commission Expires July 31,2u-L0 Board of Trustees Apg]..,;ata.on AUTHORIZATION (Where the applicant is not the owner) I/We, 1 � owners of the property identified as SCTM# 1000- Sid--a--Q )„ in the town of New York, hereby authorizes e -f_ to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME TMS DAY OF Demftl 6 c-1— 20 LL Public MATTHEW J.FLAHERTY Certified Notary State of New York County: Nassau Reg.#01 FL6202072 Exp: 3109120 Z , X . Board of Trustees Application AFFIDAVIT 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 REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of roperty Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAX OP ata Pub1T MA1�HEW J.FLAHERTY Certified Notary State of New York County: Nassau Reg.#01 FL6202072 Exp:3/09/20 Z APFLICANTIAG �+NTWI P SEI NATIVE TRANSACTIONAL DISCLOSI7RIi FORM The.Town of Southold's Code of IJthics nroliibits conflicts of interest on the part of town officers and cm tartyCea 71�e_nurnose of this form Is to provide information which can alert the town of possilale conflicts of interest and allow it to take whatever action es necessary to avoid same. A ,, YOUR NAME: C r,�r V J�- (Last name,first name,griddle initial,uniess you are applying m the name of someone else or other entity,such as a company.if so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Othef',name the activity.) - Do you personally(orthrough your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town ofSouthoid? "Relationship"includes by blood,marringe,or business interest.'`Business interesf'means a business, including a partnership,in which the town officer or employce his even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO if you answered"YES",complete the balance of this-form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person -- Describe the rclationship between yourself(the applicant/age:nt/representative)and the town officer or employee.Either check the appropriate line A)through D)and/gr 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 dean 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 tion-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 SI Submitted th' day of (94MOM 20 6B Signature Print Name &Dl Form TS 1 ;- Board of Trustees Appl.L..,,;ation AUTHORIZATION (Where the applicant is not the owner) UWe, _) 1 J• �n owners of the property identified as SCTM# 1000- in the town of New York,hereby authorizes ' to act as my agent and handle all J necessary work involved with the application process for permits) from the Southold Town Board of Trustees for this property. Prop rty (Jwner's Signature Property Owner's Signature SWORN O BEFORE ME THIS DAY CF o �c i Board of Tr-ustees Application AFFIDAVIT CU BEING DULY SWORN DEPOSES AND AFFIRMS T AT HE/SITE 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 AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO, INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE 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. 4iaureof Property Owne _v Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF tU(�y_�(`1(1_ � , 20 1�b Notary-Public ___ APPLICANT/AGI+;NT/E'.EPRF,SENTATIVEi TRANSACTIONAL AISCLOSURIir FORM ThQ Town of Southold's Code of Cthic.s Prohibits conflicts of interest on the part of town ofticam and employees The Purpose of this form is to provide information which can alert the town of passible conflicts of interest and allow it to take whatever action is neoessary to avoid same. YOUR NAME: Y\A (Last fi-rst!2nahtAlpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or offioial map Planning Other (If"Other'',name the activity.) - Do you personally(orthrough your company,spouse,sibling,parent,or child)have a relationship with any aft-jeer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by tlx:Town of Southold Title or position of that person Describe the relationship between yourself(the applicnnttagcnt/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°/a of the shares of the corporate stock of the applicant (when the applicant is a corporation); 13)the legal oeneficial owner of any interest in a noncorporate entity(when the r b applicant is not a corporation), C)an officer,director,partner,or employee of the applicant,or _D)the actual applicant. DESCRIPTION OF RELATIONS141P Submitted thi � jdaSignature Print Name � ffo�f /1V10,V'fyW1,10E/ 20 ^� Form TS I ~ Board of Trustees Application AFFIDAVIT / 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/ITER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE 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. A all Signature~ roperty n _- Signature of Property Owner SWORN TO BEFORE ME THIS -- DAY OF � � , 20(� W LLIAM J -"ARY PUBLIC S�e o�N r7 _ Qualms d�� 95B375 �nmiftim ssau�Unty ISI £II' �?l l C sept 25,2011 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tile Town of Southold's Code of Etl»cs nrohibins conflicts of in#creston the part oftown officers and emotovees,.Thenuroose of this form Is to provide information which can alert the town of pogstble conflicts of interest and allow it to take whatever action is nec�to avoid same, YOUR NAME: (Last n o,first name rpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.if so,indicate the other person's or company's name.) NAME OF APPLICATION: (Cheek all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Other'',name the activity.) - Do you personally(orthrough your company,spouse,sibling,parent,.or child)have a relationship with any officer or employee of the Town ofSouthold? "Relationship"includes by blood,marriage,or busirwss interest."Business interest"means a business, including a partnership,in which the town ofticer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee awns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the:Town of Southold Title or position of that person Describe the relationship between yourself(the applicanttagent/representative)and the town officer or employee.Either check tite appropriate line A)through D)and/or describe in tho 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 stook of the applicpnt (when the applicant is a corporation); ti)the legal orbeneflcial owner of any interest in a tion-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 day ofL2fl Signature Print Name Fonn TS I ` R Board of Trustees App"cat+ion AUTHORIZATION (Where the applicant is not the owner) Vwe, owners of the property identified as SCTM# 1000- 'r4D--.a-.Q::), in the town bf y ,New York,hereby authorizes IE47 tir�v�ty� ys � cC4 _ 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. roperty Ow 's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAA''OF ���,a.,� ,201 tar Public MLi tAM J.Md,?�Mt� . "OrARV'PUBLIC.Stateq f ter Yolk Q ainN� � Comtn"M EKpbft sept,as zo�j, Board of Trustees App ration AUTHORIZATION (Where the applicant is not the owner) I/We, Q 'i ` owners of the property identified as SCTM# 1000- � '� in the town of New York, hereby authorizes ', 1 , e , _ - U-�+ to act as my agent and handle all I necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this ,property. L!� Property Owner's Sign tune Property Owner's Signature SWORN TO BEFORE ME THIS ✓L DAY OF NQ\JL� 6V , 20 �--_-- ` S.OUNNARI `xTom, NOTARY PUBLIC-CALIFORNIA � COMMISSION#2237488 otar Public ALAMEDA COUNTY y My Comm.Exp.April 8,2022 -S . Board of Trustees Application AFFIDAVIT a,r'% tf i Rav BEING DULY SWORN DEPOSES AND AFFIRMS T#-IAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HTS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR 13Y VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING TLIE 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 WTTH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property caner Signature of Property owner SWORN TO BEFORE ME THIS _ DAY Or_ NOv�� . 20� S.GUNNARI NotaryPublic NorARy PUBLIC•CALIFORNIA ,a COMMISSION#2237489 ® ALAMEDA COUNTY my Comm.Exp.April 8,2022 t APPLICANT/AGENT/REPRESENTATIVE' TRANSACTIONAL DISCLOSURE FORM The,Town of Southold's Code of Ethics prollibits conflicts of interest on the part of town offficers and cm I ecs.The uuWme of this form is to prov,de information which can alert the town of, ossthle conflicts of interest and allow it to take whatever action is necezary_to avoid sam�en. YOUR NAME: I"`Q U I"t a I I� (Last Dlme,first name,rpiddle,hi ial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have n relationship with-any officer or employee of the Town,of Southold? "Relationship"includes by blood,marriage,or business interest,"Business intcresC'means a business, including a partnership,in which the town officer or employee t:as even a pnrtial ownership bf(oreamployment 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 ofthis 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(thc applicaitt/agcnt/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 or the corporate stock of the applicant (when the applic;nt 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 or the applicant;or _D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of N6Ve-yrn -r 20 Signature �9- Print Name c r i t h �-t a� Form`fS 1 Board of Trustees Appl.,.�ation AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- CID--a-- .� in the town,of ,t a New York, hereby authorizes C _ to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS J ` DAY OF 20 f ZkIL Notary Public Board of Trustees Application AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS T T 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 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 APPLICA'T'ION, I.HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FUR'T'HER 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. 9 Signature of Property Ow Signature of Property Owner 5Ak SWORN TO BEFORE ME THIS DAY OF 24_� hdo Notary Public t ^r APPLICANTIAGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURIir FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and em lovees Tite 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: ,mi (Last name,first nameddle' '' i,unless you are applying in the name of someone else or other entity,sue as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other'',name the activity.) - Tac you personalty(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 orticcr or employee}las even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES _ NO _ if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by tlx: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 or the corporate stock of the applic*nt (when the applicant is a corporation); B)the legal or beneflcinl 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 S day of 1�G�Gi'11+ � 20 Signature Print Name Form TS 1 N Board of Trustees Apply.,,ation AUTHORIZATION (/here the applicant is not the owner) I/We, S�-C�,,vine owners of the property identified as SCTM# 1000- 9-0 -J--Q� in the town of New York,hereby authorizes �' MXL,J.pu r nansv',\ � i C-LQ4416 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. yp_ Property wner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS ` DAY OFkir�]Jk Notary Public Board of Trustees Application AFFIDAVIT A&' wen--A' 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 ITIS/HER I0OWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES .HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I.HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE 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. Signature ofperty Owner Signature of Property Owner SWORN �O BEFORE ME THIS 2I DAY OF I�1lNQ(( '} , 24_l y. w APPLICANT/AGENTIRE'PRF,SENTATIVE TRANSACTIONAL DISCLOSURE FORM Tile Town of Southold's Code of lrthies prohibits conflicts of intereston the part oftown officam and employees The numose 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: (Last namd,f rst name,gii dle ini ial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) - Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business inwresL"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 oflieer or employee awns more than 5%of the shares. YES NO If you answered"YES",complete the balance ofthis 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 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 orhis 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 appliegnt (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 / day ofJvg20 Signature; —i�u1 p Print Name Form TS 1 � r e Board of Trustees Appx.u�ation AUTHORIZATION (Where the applicant is not the owner) I/We I\6�1 ,' Q e owners of the property identified as SCTM# 1000- 9-0—,-)L—Q'). in the town of � , ,New York, hereby authorizes i c _ 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. T'L k & Property Owner's Si na e Property Owner's Signature SWORN TO BEFORE ME THIS 6;�� DAY OF _ - V tary Public ROBERT ANTENUCCI NOTAR_Y,-,PUBLIC STATE OF NEW YORK DUTCHESS COUNTY LIC.#01 AN635536 � A COMM. EXP. 03/06/ `r� APPLICANTlAG ENTIREPRESIENTATIVE' TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohib}ts conflicts of interest on the part of town officors and eml2loyces The ISUrnOse of this farm is toprovide 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: (Last c, irst name,.gttddle initial,unless you are applying in the nam' of someone eisc or other entity,such as acompany.if so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erasion Approval of platMooring 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,mamnge,or business interest."Business interest"meitns a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by tlx Town of Southold Title or position of that person — Describe the relationship between yourself(the applicnntlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/gr 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 beneflciai owner of any interest in a non-corporaty 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 RELATIONS141P Submittedthi day of ✓1 20 4Q Signature Print Name Form TS 1 } � n Board of Trustees ,application AFFIDAVIT Tz6f fZ BEING DULY SWORN DEPOSES AND AFF I S 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 I NOWLEDGE AND BELIEF, AND THAT ALL WORK WILL.BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLaUDING 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 CONDI'T'ION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUE'D BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Prop O ner Signature of Property Owner SWORN TO BEFORE ME THIS _T DAX OF 20_!g otary Public ROBERT ANTENUCCI NOT�RY PUBLIC STATE OF NEW YORK -6'U-fCHESS COUNTY -LIC.#01 AN6355365 COMM, EXP, 03/06 PostaV 1 � . e CERTIFIED eo 43 1 m „ 117 •• SOUiNOUD3 !Y 11.871 [11 i I zkI - _ SOU3HO ID5 1 7'1 Q^ Certified Mad Fee e - �, � u U L � ,� $ $3.51, yp�o 090��'� , Q' Certified Mad Fee $�.c� 0901 J�) Extra Services&Fees(check box,add fee mop ate) $ 02 ❑Return Receipt(hardcopy) $ tr•�� � 6ra Services&Fees(check box,add fee LIReturn Receipt(electronic) $ ark ❑Return Receipt(hardcopy) $ 6�r LL,„`11 JJ ❑Certifled Delivery 0 O Mall Restricted Delive $ V to ❑Return Receipt(electronic) $ ' C” POsttrl�if'., I O ❑Adult Signature Required $ F1 Certified Mail Restricted Delivery $ j a Her ❑Adult Signature Restricted Delivery$ Q ❑Adult Signature Required $ O Postage F1 Adult Signature Restricted Delivery$ % � $1.30 E:jPostage $1.30 Q Total Postage and F s 04/09/2019 $ 2019 $ $1.60 OTotal Postage and Fees r-. Sent To $ $7.60 ,a Av\sv, r- Se To C3 '8117 66i and Apt IVo.,or PO Box No. ----------------------------------------------------- r-q ane 40rMFA, -- -------------------------------------- i r`- '�,�Ky"?,o} `��3 O Street and Apt No.,or PO Bo No C� State, IP+4® s_ -_ _c7__-L'�__13�----------------- or-ol� a�`f \�� —ct433 ® e © ' rl Om • Er Certified Mall Fee $3.51 0901 1.t7 Extra Services&Fees(check box,add fee algropt�pie) /'0 -- El I �� ❑Return Receipt(hardcopy) $ PP LLQ° LL���� __ . C3 ❑Return Receipt(electronic) $ • 41 �' 07 Pos�t'm rk � ❑Certified Mail Restricted Delivery $ � Here P 0 []Adult Signature Required - $ Q-11 - 0 E]Adult 1 Adult Signature Restricted Delivery$ ®1 p Postage $1.30 ` \, QQ�� r Total Postage and Fr 04%9/2 1 C3 .60 rq Sent To D �B d � - y O Streectand Apt No,or PO Box No. -\-Q�'`S ------------------------------------------------ C ,State,21 � S PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL. RECEIPTS Name: J J C;2) STATE 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 ,,,��zzcrzrzzr,_ Michael J. Domino,President O�QSQFFQ(�C' ;� Town Hall Annex John M.Bredemeyer III,Vice-President �� 54375 Route 25 Glenn Goldsmith cz P.O.Box 1179 A.Nicholas Krupski ,a<v-°' Southold,NY 11971 Greg Williams ��0 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 CEDAR BEACH 1280 COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I,r�(p n,R � Jt4 , residing at/dba a k'J(2 P1 being duly sworn, depose and say: That on the6t*,day of p' ,,C;k , 201 , I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, April 17, 2019. Dated: (si"natur Sworn to before me this J�q day of4"120 (q GINA A.LOCKE Notary Public NOTARY PUBLIC,STATE OF NEW YORK }' uRegistration No.01LO6057960 Qualified in Suffolk County Commission Expires Apr.30,20-0 PROOF OF MAILING OF NOTICE A'T'TACH CERTIFIED MAIL RECEIPTS Name: / Address: KI1mel c433 25otVU6\�, 1\QTf--Og33 Ge �r\-�p�ive���( � ,c7, 1"3��`Sa I ��-�(- �� C71-3� STATE OF NEW YORK COUNTY OF SUFFOLK G�an� �-��5� ,residing at \),P-,r h ec�� G , being duly sworn, deposes and says that on the day of ��r-; ,20 tCi , deponent mailed a true copy of the Notice sef 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 ere T} fled at the United States Post Office at hec k) that said Notices e' mail to each of said persons by CERTI IED MAIL T RN RECEIPT. Sworn to before me this Day of h 1 201 7 Notary Public GINA A.LOCKS NOTARY PUBLIC,STATE OF NEW YORK Registration No.OILO6057960 Qualified in Suffolk County Commission Expires Apr.30,2Q-0 J.M.00 Environmental Consulting Services April 9, 2019 Mr. Michael Domino,.President Board of Town Trustees D Town of Southold APA i 2019 Town Hall Annex southold Town 54375 Route 25 Boar oiTrustee P.O. Box 1179 Southold, NY 11971 Re: Cedar Beach 1280, 1280 Cedar Point Drive East, Southold S.C.T.M.No. 1000-09-2-22 Dear Mr. Domino- Enclosed please find is the Proof Of Mailing Of Notice for this pToject. -Sin re , Glenn E. Just r Phone (631) 653-0607 Email Gjust10215@aol.com 121 Jessup Ave o 2nd Floor © P.O. Box 447 Quogue, New York 11959-0447 NUTILL Uim Ht: AKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD : CEDAR BEACH 1280 SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove an existing 60' long timber groin and to construct a new 55' long groin utilizing vinyl sheathing which will extend to the ALW line; the new groin shall be no higher than 16" in elevation above grade of the down drift beach. Located : 1280 Cedar Point Drive East, Southold. sCTM# 1000-90-2-22 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 B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1692 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" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSER ACTION SCTM# - `� �a PROJECT NAME G-rn l, neco n2A(-�4 W)YA The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Rept. ❑ 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 remove an existing 60' timber groin and to construct a new 55' groin which will extend to the ALW line utilizing vinyl sheathing. The new groin shall be no higher than 18" in elevation above grade of the down drift beach. Location of action: � • `Oce-�- LA Site acreage: Q� � Present land use: l<< Present zoning classification:__ - 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: c (c) Telephone number: Area Code (d) Application number,if any: 116 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?(,�,S,� �(_,�. _ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. Yes ❑ No [:] Not Applicable =Hon TW lac. C S1%4`n ��LVFS�LA 'ICOM LAA e 1 c nAe cc—t e t Attach additional sheets if necessary W%41--. `S (�eJ NF tI Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III--Policies Pages 3 through 6 for evaluation criteria [ L:21 Yes ❑ No ❑ Not Applicable M ` GtL r`G t c Attach additional sheets if necessary Policy 3. Enhance visual quality and-protect scenic resources throughout the Town of Southold. See LWRP Section III--Policies Pages 6 through 7 for evaluation criteria Q Yes ❑ No ❑ Not Applicable \ o ` o ° -1 ngc-k,r C_ r 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 :c \ \r S Attach additional sheets if necessary Policy S. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria a Yes 1-1NoNo i-]Not Applicable c 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 ffi—Policies; Pages.22 through 32 for evaluation criteria. Lam" ❑ ❑ Yes No Not Applicable ' t ccs r-St AS t. T4 S 1 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See I.'WRP Section III -- Policies Pages 32 through 34 for evaluation criteria. ® Yes [] No F-1 Not Applicable 4k,,0 qAU Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LMW Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes 0 No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the 'Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. © Yeil No EJ Not Applicable _ \ <<r Attach additional sheets if necessary w WORDING COAST POLICIES Policy 10. I"rotect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation,criteria. 2 Yes ❑ No ❑ Not Applicable -(I\e - rA s Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ® Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No l--Not Applicable Qe C a 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 �4 Not Applicable PER \ - N PREPARED BY - V� _�195� TI'T'LE DATE ;