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TR-9507
ti�sufFoc� Michael J. Domino,'riesident �o�� �GGy?� Town Hall Annex John M. Bredemeyer, III, Vice-President a= 1'N 54375 Route 25 Glenn Goldsmith r N z 'k, P.O. Box 1179 A Nicholas Krupski y • o �;r Southold, NY 11971 Greg Williams l"' , „ �"-S Telephone (631) 765-1892 -' any 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 Y2 constructed When project complete, call for compliance inspection; A BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK Q PERMIT NO. 9507 DATE: JULY 17,2019 "'Hi '.A ISSUED TO: JOHN & JEANETTE COLLINS PROPERTY ADDRESS: 515 WATERSEDGE WAY,SOUTHOLD SCTM# 1000-88-5-60 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 17, 2019, and in consideration of application fee in the sum of$250.00 paidby John&Jeanette Collins and subject to the Terms h and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits t e following: Wetland Permit to remove and replace 100 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing and removal of existing timber steps to beach and replacement with new 4'x4' platform and 4' wide by 8' long steps to beach along bulkhead face; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo,dated May 13,2019 and stamped approved on July 17,2019. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the 17th day of July,2019. ell S1 Ma P L TERMS AND CONDITIC_ The Permittee John&Jeanette Collins residing at 515 Watersedge Way, 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J. Domino,President QF SOUTTown Hall Annex John M.Bredemeyer III,Vice-President h0� ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 GregWilliams �� Fax(631) 765-6641 Fax BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 17, 2019 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: JOHN & JEANETTE COLLINS 515 WATERSEDGE WAY, SOUTHOLD SCTM# 1000-88-5-60 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 17, 2019 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of JOHN & JEANETTE COLLINS, 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 June 10, 2019, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application July 17, 2019, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the'Board members have personally viewed and are familiar with the premises in-question and the surrounding area, and, - 2 J WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of JOHN & JEANETTE COLLINS to remove and replace 100 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing and removal of existing timber steps to beach and replacement with new 4'x4' platform and 4' wide by 8' long steps to beach along bulkhead face; and to establish and perpetually maintain a 10' wide non- turf buffer along the landward edge of the bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, dated May 13, 2019 and stamped approved on July 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, ` f O President, Board of Trustees MJD/dd w PROPERTY OWNER: PREPARED BY: r'f North Fork Sign Wolf Preserve w JOHN & JEANETTE COLLINS JEFFREY PATANJO 1f 6 S1pWRd 515 WATERSEDGE WAY P.O. BOX 582 I _ j 4 SOUTHOLD, NY 11971 BOHEMIA, NY 11716 — Z 631-484-9332 O II JJPATANJO®GMAIL.COM NOTES: ` 1. LOT AREA: 21,000 S.F. / 0.4821 ACRES 4 WATERSEDGE WAY 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: -515WatersedgeWay STANLEY ISAKEN JR. P.O. BOX 294, NEW SUFFOLK NY 11956 SURVEY LATEST DATED JANUARY 8,-1993 W`°"° S 88.22'10" � 100.00' • -__- APPROVED.Sy H I y ,..BOARD OF TRUSTEES LOCATION MAP TOWN-OF• SOUTHOLD N.T.S. 0 J p a C ' DATE Tvt •1 c '20 jg F L PROPOSED FIR TIMBER TOP CAP PROPOSED 22'LONG 10'BUTT PROPOSED 3'X6'REAR WALE CCA TREATED TIMBER PILE•6'OC. / I NOTE: REMOVE EXISTING BULKHEAD EXISTING GRADE STRUCTURE IN ITS ENTIRETY 1 STORY AND INSTALL NEW BULKHEAD FRAME RESIDENCE IN THE EXACT SAME POSITION PROPOSED 6'x6'CCA WALE(TY'P OF 3) I I I I � O m APPROMMATE M.H.W.EL 251 EXISTING BULKHEAD PROPOSED 8'71P CCA LAY-LOC PILE ITO E TS ENTIRETY TY IN ��//��/��//�///�/��\� / APPROXIMATE M.LW EL 0.01 LINE OF PROPOSED 10' WIDE NON—TURF BUFFER PROPOSEDI6'TIP CCA PILE,8'O.C.B' 1 LENGTH 601-TED TO LAY-LOG WITH 3/4' REMOVE AND REPLACE EXISTING STEPS TO BEACH GALVANIZED THRU-BOLTS. REPOSITION ALONG BULKHEAD FACE. INSTALL NEW 4'X4' PLATFORM do 4' WIDE X 8' LONG STEPS I PROPOSED 16'LONG 1'DIA.GALV TIE ROD,6'O.0 O p O PROPOSED 20'LONG CLOC 9900 VINYL p ® p i SHEETING ® ® ® c TYPICAL SECTION ••—.._.._.._.._[BAY —M.H.W.—.. �, — N.T.S. �j EPR d Bulkhead Permit Plans SCALE: EL PROPOSED 100 LF VINYL BULKHEAD 1"=30' IN SAME EXACT LOCATION AS EXISTING � � SED PLAN, DETAIL AND JUN 1 0 2019L DATE: L--M L.W.—••—••—.._. NEM�REDT(ISTING TIMBER BULKHEAD LOCATION MAP5-13-19 M EXISTING GROIN TO REMAIN UN—DISTURBED ISouthold iown 515 WATERSEDGE WAY s ssz2•fo" 1r 100.00• Roars!of Trlstee THOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET:PECONIC MAP N0. 1000-088-05—G0 1 OF 1 y W TERRY WATERS SUBDIVISION WATERSEDGE WAY v CM FO _ /800, - S 660 22' 10"E /00" 400 0' ' FO IL R=80 A=103 09 —CM FO _ TOP BROKEN � Q W � � Q) o 1 O V 224'_ 182 24 / 213 O ! m vuroye ( 140' I E 0 g 1 STORY WOOD f FHA ME RESIDENCE JUN 10 2019 ` 56 25' Southold Town Board melees LOT 4 NIF GATALI i N O m w. 6tiUUDEN 8UL KHEAD , H W L THIS AT Steps N 66 0 22' 10".W /00' c?rtouthorized altera$on ar addlhon to 0 PECON/C , SA Y Uur'vey i viciction of S*Ction ��� ► �� ;IM-New_lork State Education Laws, FM#290/ SURVEY OF SURVEYED 8 JANUARY, 1993 FILED DEC'29;/958 SCAL E I" . 30• TM-d/000-088-05-60 LOT 3 AREA=21,000 SF. " IN �uorantees indicated here on shall rug MAP OF TERRY WATERS niy to rhe person for whom the survey $ITUAIE Prepared, and on his behalf to the BAYV/EW, TOWN OF SOUTHOLD tie corr.,,: , L overmental Agency, nding irs,;i ticr., if listed hereon, and SUFFOLK COUNTY,N.Y. ' the css:gnees of the lending institution4 uarantees are not transierabla to SURVEYED FOR JOHN W, B ✓EANNETTE COLLINS .iditionol institutions or subsequent owners. GUARANTEED TO SURVEYED BY JOHN W. B ✓EANNETTE COLLINS STANLEY ✓ I,SAKSEN,✓R FIRST AMERICAN TITLE INS CO PO BOX 294 TOWN OF SOU THOL D NEW ,SUFFOL K,NY, 11956 (516) 34-58.35 'pies of this survey map not bearing Land Surveyors embossed seal shall be considered to be a valid true L ICENSED A D SURVEYOR '�'� NYS LIC O 49273 93-496 Michael J. Domino, Presidentir`�o Gy'h Town Hall Annex John M. Bredemeyer, III, Vice-President u o 54375 Route 25 Glenn Goldsmith p g N P.O. Box 1179 A Nicholas Krupskir' Southold, NY 11971 Greg Williams ', s =�" Telephone (631) 765-1892 Fax (631) 765-6641 -7,;A6 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JOHN & JEANETTE COLLINS c/o JEFFREY PATANJO Please be advised that your application dated June 10, 2019 has been reviewed by this Board at the regular meeting of July 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) 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) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. t 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 4W Board of Trustees Michael J. Domino, Pri .nt O�Q uFFQl C Towri Hall Annex John M. Bredemeyer III,Vice-President �� y��j 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: , `( Completed in field by: Jeffrey Patanjo on behalf of JOHN & JEANETTE COLLINS requests a Wetland Permit to remove and replace 100 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing and removal of existing timber steps to beach and replacement with new 4'x4' platform and 4' wide by 8' long steps to beach along bulkhead face; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 515 Watersedge Way, Southold. SCTM# 1000-88-5-60 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5 Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: cQ�l�fi �W'Jarj 6uy6a fg k1u/&'V-jr SDH- S`��� Sa fA c�l� r VPUc)✓4,� , I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other MM0hn=Jeanette Collins tersedge Way,Southold CTM#: 1000-88-5-60 7/10/19 41. Vlk '. , ,:. ?. '., _ ..4+, .. <..lr - _ - ._''"-i`', ._""•"yam� __-� _ _ `�' - .- + - T � 1_ 4. . J �.� -,. � -w� � i�,'��' ._ � ��4' w ?�♦ x'V=ac�`� - _ �. U, a Alr l •3 I i � t Photo is m I� MATCH u MATCH UNE to FON PCL NO 1.e 2.aA rot _ FOR PCL.NO. �m $ SEE mc..NO 2J f fm�fA a SEE SEC.W. 5 w 019/160152 I10.rN 9 �6tr-"ZYn eT911T-055 AY:ry,� a w 2 0 > m__ :14 t9 /H « ' 2q 2AA O / '3 +a, . m 2z.0 2 w 177 2tryc) 17.4 tw t w I� B eb r a JIb Tf 32 q a 1351 r .°j tlsz _ Tlown of >b d1p 1 r bt m h b 21.9A r 1351 mN+oa aBIT El $ r 2 eyt b ebs 5 50') 13.5 w rx 1113 t].11� 1155 T." r 6 r lq�` ,� 15 13.39 111 1115 N, if b 1 b 1Jaw. r SFE SEC.NO. r )Ib .wf IwAca•A•aep SrACE1 d 1]Ie w Oa10B012t ° Iq° r by •a x, yn M,� W m 132+ J Jd r 13.9 w 1].te 1110 wiJ.tt Q b blra J)b E, nn 11A9 QJ 11]2 % 1J25c 17.17 A lae irb e 3 a^" `, ) u.A9 s 17a v2z le y1) ,a ♦p SW REASEM pL fbt ,n 13.Ae m 1139 w A n A 13.1am J y la m q - m 1321 r < 17.A1 13.]e 13.19 WATERSEOCE ^ ^ A 1320 11/2 W• 1],]e A 13.]] ,• 13.. ux �� FD 28 t 'tl +12 9 te2>18.] L.D.A3 1zd v.eo 5 1. N� fee M t 15 fe }iDG NECK BAY �a """ "" -----' -- -- COUNTY OF SUFFOLK © K v SECTION NO a,l �.. Real Property Tax Service Agency v NOTICE SOUTIIOLD qy w�a. ^ �•• 6•••,— ____ o..e,.. -- ,� — si reo 1:a,wn cmr.fa..ttr.f,Nrn9m M 088 ,,,• _z A o9rwcrw t9p ,.. _ .. ... .w'ra6mmumm / _ ,>•. _ ... PAOPE,RY NAP' a OFFICE LOCATION: �OF SO(/fy® MAILING ADDRESS: Town Hall Annex h® l® P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) G ® Q Telephone: 631765-1938 Southold, NY 11971 ®lyc®U ,y ► LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: July 1, 2019 Re: LWRP Coastal Consistency Review for 515 WATERSEDGE WAY -JOHN and JEANETTE COLLINS SCTM# 1000-88-5-60 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 on the new submittal and my assessment, the proposed action is recommended as CONSISTENT with the LWRP provided the Board considers the following to further Policy 6: 1. Verify that the bulkhead is failing. Submitted photos do not show failure areas. 2. Require a vegetated, non-turf buffer landward of the bulkhead. 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 ��4g+�FFOIk�dG 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 Wed., July 10, 2019 the following recommendation was made: Moved by James Abbott, seconded by Peter Young, it was RESOLVED to SUPPORT the application of JOHN & JEANETTE COLLINS for the removal and replacement of existing 100 If. bulkhead with new vinyl bulkhead in same location as existing and removal of existing timber steps to beach and replacement with new 4'X 4' platform and 4' wide X 8' long steps to beach along bulkhead face. Provide a 10' wide non-turf buffer along the bulkhead. Located: 515 Watersedge Way, Southold. SCTM#88-5-60 Inspected by: Caroline Burghardt, Peter Young, James Abbott The CAC Supports the application with retractable stairs at the base, parallel to the face of the bulkhead, and the installation of a 15' vegetated non-turf buffer. Vote of Council: Ayes: All Motion Carried Michael J.Domino,President ��®v s otlp'® Town Hall Annex John M.Bredemeyer III,Vice-President �® l� , 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Telephone (631) 765-1892 Greg Williams , Fax(631) 765-6641 yc®UNTt,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application �, 11,uh Ij Liz I i Wetland Permit Application ' (�"�' { nl , Administrative Permit Amendment/Transfer/Extensio JUN 10 2019 Received Application: Received Fee: $ 290.D0 Completed Application: AI 8old*o4va Board Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): �• ��q PD ate of Inspection: 7•lD• Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): "To h n Tea n c-t+.. C. 111-15 Mailing Address: 3715' W A.-1-ere eAle- W" 01 IN -71 _7 Phone Number: & 31 — Suffolk 31 -Suffolk County Tax Map Number: 1000- Property Location: S A W �'<r se�9� w �I — 5 0 -�1-►o f tQ S.Cc to CA +►Vel �•'4r (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): -�5-e46(Ce A PA+An 1 y Mailing Address: P• o x g 60Ae rn i a t N� 1 ��' Phone Number: d 31- q X q - 33 ,)' co �1t� Board of Trustees Application GENERAL DATA Land Area(in square feet): a 1 00 D Area Zoning: 1Z.S Previous use of property: I`LGS Intended use of property: 124S . Covenants and Restrictions on property? Yes %/ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes ✓ No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes f No Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date V/ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? \,/ No Yes If yes, provide explanation: Project Description (use attachments if necessary): he 6( I� i John&Jeanette Collins 515 Watersedge Way Southold, NY 11971 SCTM No.: 1000-88-05-60 PROJECT DESCRIPTION: The project includes removal and replacement of existing 100 LF timber bulkhead with new vinyl bulkhead in same location as existing and removal of existing timber steps to beach and replacement with new 4'x 4' platform and 4'wide x 8' long steps to beach along bulkhead face. Provide a 10'wide non-turf buffer along the bulkhead. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 5 ce a A-A a c Aedt Area of wetlands on lot: O square feet Percent coverage of lot: tJ A % Closest distance between nearest existing structure and upland edge of wetlands: L oy feet Closest distance between nearest proposed structure and upland edge of wetlands: qvo feet Does the project involve excavation or filling? f No Yes If yes, how much material will be excavated? ,4 cubic yards How much material will be filled? N 1A cubic yards Depth of which material will be removed or deposited: N I 4 feet Proposed slope throughout the area of operations: V - 2- Manner " 2.Manner in which material will be removed or deposited: r'k 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): -rheec will 1?oSt+1ve c-(F«-t- on we4Isv7d.S cQc.Ae -4o, reek e-eS egrayon r l r 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: 515 Watersedge Way Bulkhead Replacement Project Location(describe,and attach a location map): See location map Brief Description of Proposed Action: Remove and replace 100 LF of existing bulkhead in same location as existing.Remove and replace steps to beach in new position along bulkhead face. Name of Applicant or Sponsor: Telephone:P 631-338-8168 John&Jeanette Collins E-Mail: Icollins515@optonline.net Address: 515 Watersedge Way City/PO: State: Zip Code: Southold NY 111971 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/Town of Southold Trustees ❑ z 3. a.Total acreage of the site of the proposed action? 0.48 acres b.Total acreage to be physically disturbed? 0 of acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 48 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial ® Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ PIr ❑ b. Consistent with the adopted comprehensive plan? ❑ l 7 l ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ ❑✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency'Suffolk County,Date:7-12-88 ❑ Pq NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO ❑ b. Are public transportation services available at or near the site of the proposed action? Q ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ a 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 171 FJ 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ Z archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the projec site.Check all that apply: m Shoreline ❑ Forest ❑Agricultural/grasslands ❑Early mid-successional m Wetland ❑ Urban m Suburban 15. Does the site of the proposed action contain any species of animal,or associated habifats,listed by the State or NO YES Federal government as threatened or endangered? Piping Plover,Least Tem ❑ 0 16. Is the project site located in the 100-year flood plan? 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? ❑✓ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in t'e impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 1-9. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES 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: P/l ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND CCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spo r/ me: J n Collins Date: '67 ti Signature: Title:o ner PRINT FORM Page 3 of 3 Part 2-Impact Asses, t. he Dead Agency is responsible for the coml v 'on of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materia vr-'Ubmitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"{-lave my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning [ Tn regulations? 1�J LJ 2. Will the proposed action result in a change in the use or intensity of use of land? j 3. Will the proposed action impair the character or quality of the existing community? l 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or 77 affect existing infrastructure for mass transit,biking or walkway? ,n 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Witt the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, L__ architectural or aesthetic resources? EL 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, (� waterbodies,groundwater,air quality,flora and fauna)? F] 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage �;�j ❑ problems? a�j 11. Will file proposed action create a hazard to environmental resources or human health? EY �y Part 3-Determination of significance. The Lead agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude Also consider the potential for short-tern,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 deter mined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees1 — dame of Lead Agency /,1'( ate ■ �' D ,n Q_ President Print o!`I ype fvame of sponsib e t�fficer rnLead Agency Title of Responsible Officer �,Fibh icer n ea'Agency Signature of Preparer(if different from Responsible Officer) N EAF Mapper Summary Report Monday, May 20,2019 9:52 PM Disclaimer: The EAF Mapper is a screening tool intended to assist '� +_ pm1�sponsors and reviewing agencies in preparing an environmental 8800-30 d-1 X400$$00 00-100008800. 4©=36000 r' assessment form(EAF).Not all questions asked in the EAF are r , ,8800-500=12000r answered EAF $$00-300-17004 -, - '"8800+{90 I.70�0(g -500- 800 I 6G O(} 00_500--20045, question can beeob obtained Mapper. y consulting the EAF Workbooks Although 870dr6(1ps12041f $800-�4Q-11040' JIP8§-(00-500'-'14600,� � „ theEAFMapper provides the most up to date digital data available to t . :$$G0=5Q(?:= 'IDOI!, I DEC,you may also need to contact local or other data sources in order 8800-360,-1900'688,0V.4 00'-12 000 r - .1 4=5- ., 00• to obtain data not provided b the Mapper.Digital data is not a _ > t,8800-500-X1.8,000" Y PPa -83-00=300-190008804= 00-1 300 ,'.• • t r �$$00-55o0'k'3�000 ; substitute for agency determinations. 7`�_8}30�4-430_=1'3,000` . 8800-50©,+t94Q0 T"g840 500-4•)•000, _- �' '' 1 $$40`-500- i000`d r t �' - �f '$800-X00=,11004 + ' $$04+i�0(?=t'3(?52 4. .. ,$ G 00,66fl00 r- f '" a4 Pdontrear''; L_880.0=5t�0- 1000:�,' 8800-500-35000 � .„� P�tt�i6ayQ_ Q1666-500:-650007', �. > _� ` IN, � 540-64-00.4$E�4Q=540 QOp ' 0 500=5f�000 Y° +, ';a 88000(7-Fi$f?00$8GQ 500;6300fl O. 11 $800-5'00:58000^ :- I 8800�5t7(1&1QQ};'8$Cf� 4Q1 -0000�`. +. ,,� 8800,=5} - 000 �. f•$$�0-500 55000 i%R „t, Tor'antc (, •1 4 8860;54©;55000; Y V. _ i t othsllur ;$$Od•500: 7,000 } 0 13015 tl','i�tin -- t_ 88 0-600.- +z r'� - [3etralt • .', y ., 7, - -, , �i �' r .r,;+-'-rte• `+,',fir' 'C`{,{, ?'' �>:'.� " r HERE in WGarm ,lFSCS :i:. . .• Cteue9;rad �rrar rte ' i1330,0:S6L$��s�sri, _, .,. _�, ;;-',,.,,,.,.,, ,', r( ,, .:s•4,r,;. ;�� IntErmisP,R+t^CREAE4T.Rt:RC Lp.,Esti; [ _ _ '� Pti t'1FT',`y ltF,�7fSl� a Ja n,h1ETl;Esti""China IHvn iC_cn Esif L� v o'urce ;`Esti; E;+Carmin, oPittsbuTgh :'----�_., Kcrea,�E�rii(-Thailsndj;,fvGC'C;(o),• Cofumbuc';; .,, -'�°-US�iBillat�trlsR.,lI+fCRET,tEPdT, ''£1Fen5treet6,G'p ntail;'utgtsy'an_drtheaGlS r�"` '•i « �N� 'cj» i°,P,itRCan Esai.Jepari tllETl:, �iJcmmrinity'`- clnnaUr ,' „tVUa , �i. [ 9 g)'' ^M1 F ina Ffori {Cvn Esti' ---- !Part 1 /Question 7 [Critical Environmental !Yes Area] 'p,..„..--.......-..z..+e..—....__.r....,.—..w..................�.+w.....�....ew_m...r_..-........—s i_....,....._.....,..»_...�,....._...........�.�.�m.—.....,.....—......+.,-........-_w......-r.®.ev.............A.v.. IPart 1 /Question 7 [Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health,water, ; .Area-Identify] ivegetation,&scenic beauty,Agency:Suffolk County, Date:7-12-88 ' !Part 11 Question 12a [National or State No Ii i Register of Historic Places or State Eligible i ; ;Sites] ,._ ,.. „ M._ �—_n. _ _ �—._ _ Part 1 /Question 12b [Archeological Sites] 'Yes 'Part 1 /Question 13a[Wetlands or Other ',Yes-Digital mapping information on local and federal wetlands and +Regulated Waterbodies] iwaterbodies is known to be incomplete. Refer to EAF Workbook. 1 Part 1 /Question 15[Threatened or !Yes I !Endangered Ani_m_al] 'Part 1 /Question 15[Threatened or _ Piping Plover, Least Tem i Endangered Animal-Name] I 'Part 1 /Question 16[100 Year Flood Plain] IYI__es i ,Part 1 /Question 20[Remediation Site] ;No Short Environmental Assessment Form- EAF Mapper Summary Report 1 Board of Trustees Appl!' ;tion AFFI DAVU —S«n e 4p_ G 1 < <MS 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 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. Si ature of Property Owner Sign a of Property Owner SWORN TO BEFORE ME THIS a DAY OF I Notary Public L40M m. ""me �' AV I9ftA 4TNE OF NElrVplil 6 N9,®1 MA6147275 Ouslifl®®in Suffolk County MY Cidl9iMIssion Expires o6.31 - wk Board of Trustees Appl:_ tion AUMORIZATION (Where the applicant is not the owner) Uwe, -Tv 4 n 'S.t a n c 4-4-c 0,- 111 " S owners of the property identified as SCTM# 1000- y9 - in the town of Sol., -�G w t .New York,hereby authorizes �ti '�-f-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. Owner's Signature Pperty Owner's Signature lo � 1 SWORN TO BEFORE ME THIS G DAY OF O ,20 Notary Public LEEANN R, MARINO NOTARY PUBLIC-STATE OF NEW YORK No.o1 MA6147276 Qualified in Suffolk CountX My Commission Expires 06.30-o� APPLICANT/AGENUREPRESENTATiVE TRANSACTIONAL DISCLOSURE FORINT The Town of 4outhold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnloveec 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 necessary to avoid YOUR NAME: ®1/r n S , Te a n e 4-jke (Last name,first name,,middle initial,unless you are applying in the name of someone else or other entity,such as a company:If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building - Variance Tice 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(orthrough 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 oremployce has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO if you answered"YES",complete the balance of this form and date and sign where indicated_ Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(whets the applicant is not a corporation); C)an ofTccr,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this .� c� da of-7� 20 Signal "2( I -r/ Print Na , Form TS I APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart of town officers and employees.Trts he Buose 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 name,first name,oddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other` person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance __ Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Othef,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 interesL"Business interest'means a business, including a partnership,i n which the town officer or employe.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 Tf you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation), C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted daf U"l u 20 t q 490ANN R, MARINO Signature NOTARY PUBLIC-PATE OF NEW YORK Print o ;t Form TSNio.01 MA6147275 Cluallfled In Suffolk County My Commission Expires 05-30-�&--), �°-- 7K�T" APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSU"FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of town officers and em to ees.The pnose of this form is to provide information which can alert the town of pgssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: P&tea ^ Te - CC (Last name,first name,griddle initial,unless y u are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownerslup of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO ✓/ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 2 V day of I-A G- 20-11 Signature Print Name �r Form TS I July 9, 2019 Town of Southold Trustees J U L 1 5 2019 Town Hall Annex Building 54375 Rte. 25 g,v f flair Town P.O. Box 1179 ustnes Southold, New York 11971 RE: 515 WATERSEDGE WAY-SOUTHOLD SCTM No. 1000-88-05-60 AFFIDAVITS Dear Trustees: Attached please find affidavits of posting and mailing for above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 j M m PRIM- r ru s o m Er MAN ru �,p, N Y ILI Certified Mad Fee � certified Mall Fee � J Ill $ ul $ •-r Extra Services&Fees(check box,e$fee ssfee ap= �"' Extra Services&Fees(check6ox,add tee as appropnete) 7 ❑Return Receipt(hardcopy) i ❑Return Receipt(hardcopy) $ 11 2AJ Pa O ❑Return Receipt(electronic) $ a', Po$trl5ark O ❑ReturnReceipt(electronic) $�— tHere- 0 ❑Certified Mail Restricted Delivery $ ALO' 0 ❑Ce rtfled Mail Restncted Delivery $ 1k O -<� 0 [:]Adult Signature Required $ O ❑Adult Signature Required $ 0 ' ❑Adult Signature Restricted Delivery$ S f-1 Adult signature Restricted Delivery$ �' A�5e Postage Cr Postage C3 --- - Q' p Total Postage an Total Postage an( fti 1 --�— C3 r M $ ' SCTM#1000-88-4-41 $ SCTM#1000-88-4-50 co Sent To ' co Sent To � Anderson Joseph C&Carolyn ` a __: Simon,Arnold &Joanne V � SiieeiandApENiI 14 Barrett Road I C3 StreetandApt.Nc 100 Hilton Ave M-24 r` i c.ry,sreie;ziP+a Hanover, NH 03755 ------istate;zip+4 Garden City, NY 11530 ru Q a,aim IN, CO TL nj • �� i F ? (} q ( �O CertII Mall Fee n.l Ewe �Sf i CO Certified Mad Fee a' $ Ln $ Extra Services&Fees(check box,add fee as gwwrlate) Extra Services&Fees(checkbox,add fes as eppropdata) 0 ": ❑Return Receipt(hardcopy) $ rrtt(��'St ❑Return Receipt(hardcopy) $ o� j111,9 1-3 ❑Return Receipt(electronic) $ m 1' PO n�twt9 r3 ❑Return Receipt(electronic) _ $�— SYYNN ��77 r ❑Certified Mail Restricted Delivery $ 1 Here C Here•x-� 0' []Adult Signature Required $ J 0 ❑Certified Mall Restricted Delivery $ []Adult Signature Required $ []Adult Signature Restricted Delivery$ 1 0 []Adult Signature Restricted Delivery$ ,`■■..��� 0"Postage, USPS " p Postage V,r, II $ -- _ m Total Postage anC ATotal Postage and ` — $ ' I SCTM#1000-88-5-61.2 rr7 $ SCTM#1000-88-5-59 Sent To l psarros,Stamatios G &Sandy Sent To ; 0 Street and Apt.No Crown Intl Trading Co ry, 264 Sylvia Lane p Stye®f anodApt No 120 Commerce Drive ' �I ci ,srare,zrP+4j Allentown, PA 18104 1 cttysra�e;ZIP+4! Hauppauge, NY 11788 1 :ao" PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 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 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-88-5-61.2 SCTM#1000-88-4-41 Psarros,Stamatios G &Sandy Simon,Arnold &Joanne V 264 Sylvia Lane 100 Hilton Ave M-24 Allentown, PA 18104 Garden City, NY 11530 SCTM#1000-88-5-59 SCTM#1000-88-4-50 Crown Intl Trading Co Anderson Joseph C&Carolyn D 120 Commerce Drive 14 Barrett Road Hauppauge, NY 11788 Hanover, NH 03755 STATE OF NEW YORK COUNTY OF SUFFOLK Jeffrey Patanjo , residing at P.O.Box 582,Bohemia,NY 11716 being duly sworn,deposes and says that on the q day of-July , 2019 ,deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite 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 9 o�c rn t , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. r r Swom to before me this I Day of July ,2019 - o S Nota Public EMARILYN S. HICKS NCOMARY PUBLIC,STATE OF NEW YORK gistration No.01 H163654a9 Qualified in Suffolk County ission Expires October 10,2021 Michael J.Domino,President Town Hall Annex John M.Bredemeyer III,Vice-President �� yJ, 54375 Route 25 Glenn Goldsmith y z P.O.Box 1179 A.Nicholas Krupski _ Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(6311)765-6641 �I BOARD OF TOWN TRUSTEES „ TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD , In the Matter of the Application of r JOHN,&JEANETTE'COLLINS COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO-BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SE IGEN DAYS PRIOR TO THE PUBLIC HEARING DATE " I, Jeffrey.Patanjo ,residing at/dba PO Box 582,Bohemia,NY 11716- being duly sworn;-depose and say: That on the d- day of July_ ,2019 , I personally posted the property know6as 515 Watersedge,Way, Southold SCTM#1000-88-5=60 by placing the Board of Trustees official poster where it can easily be seen, and-that I have E, 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,July 17,2019. _Dated: -7. b (1 q Sworn to before me this b day of - July2019 /�, � MARILYN S. HICKS +_ ItIOTARY PUBLIC,STATE OF NEW YORK Notary Public Registration No.01H16365489 Qualified in Suffolk County Commission Expires October 10,2021 NUTILL: Uim HLAKING 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: JOHN & JEANETTE COLLINS SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove and replace 100 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing and removal of existing timber steps to beach and replacement with new 4'x4' platform and 4' wide by 8' long steps to beach along bulkhead face; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 515 Watersedge Way, Southold. SCTM# 1000-88-5-60 TIME & DATE OF PUBLIC HEARING : Wednesday, July 17, 2019 - at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 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 si ' cant beneficial and adverse effects upoa.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 PROPOSED ACTION SCTM# 0,9 - o ff - to o PROJECT NAME 5/S w et f't I S e e� Q ey a y — S o.� -� •�/ The Application has been submitted to(check appropriate response): �- Town Board ElPlanningBoard❑ Building Dept. ❑ Board of Trustees E7'; 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: S-C� e--V 4- �t� \ti Location of action: 6-15— Site !SSite acreage: Present land use: s Present zoning classification: Pe—t.5 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: J o h in 4 T, e7 Co nS (b) Mailing address: 5-15- W a f t r 5 e A q.e w (c) Telephone number: Area Code (d) Application number,if any: /V/A Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 2r No❑ If yes,which state or federal agency? AN S E� C. Evaluate the project to the following policies by analyzing how the project will fun-ther 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 mninimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ZNot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town' of Southold.' See LWRF Section.III—7es Pages 3 through 6 forevaluation criteria ElYes ❑ Noot Applicable Pr -e e-is 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 9 for evaluation criteria ❑ Yes ❑ No Not Applicable P r/Ile.4 kLS A 9 -e4:4�GG` Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and:,erosion. See LVVIBP Section III—Policies Pages S through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable Prof-e Pro-tea{S eAtia1AST L.�S ,,-F Ltn[e I(crc to .erase-oi f Ld ivi LAe&4f Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the'Town of.Southold. See LIAW Section In —Policies Pages 16 through 21 for evaluation criteria U Yes ❑ No ❑Not Applicable /l p e r v+.e G-rS A 5 et,tit S Se aQt ow f w,T t ALl Awe- 'Co -6n Lip, lip v G4(, 6c4 Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III=Policies; Pakes 22 through 32 for evaluation riteria. Yes No �—4 Applicable (ejee ts-cG 71 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the d'o'wn of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in 'Town of Southold from solid waste and hazardous substances and wastes. See LWRF Section III—Policies; Pages 34 through 38 for evaluation criteria. F-1Yes ❑ Rio 1:9"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 ILWRP Section III—Policies; Mages 38 through 46 for evaluation criteria. Rio❑ Riot Applicable Pro ���E pr®�ccQ*S e-pnfth.-e-gfi otcGC�S �r� i✓d4vl� �t�� Attach additional sheets if necessary W®1 TG COAST P _ ICIES Policy 10. Protect Southold's water-dependent eases and promote siting of new water-dependent uses in suitable locations. See LI»P Section III-Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes F-1NoNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in bong Island Sound, the Peconic Estuary and 'Town waters. See I.,WRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑Yes 0 N 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 forevaluation criteria. E] Yes ❑ leo L-1 '� t Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See }LWR P Section ILII-Policies; Pages 65 through 68 for evaluation criteria. Yes F-1 No 19 Not Applicable FREFARED ]BY TITLE A 4 tyn DAI'I+ 5--lo-11 June 4, 2019 Town of Southold Trustees Town Hall Annex Building D IEC E V1 E54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 1 0 2019RE: 515 WATERSEDGE WAY—SOUTHOLD old Torun SCTM No. 1000-88-05-60 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716