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Colletti, Scott
NOTES: 1. IN PLACE REPLACEMENT OF 86+/-LF EXISTING TIMBER BULKHEAD WITH NEW 5"VINYL SHEETING BULKHEAD y ?i, RAISED 1'-0".ADD 10'WOOD WALK ENGINEER BEHIND BULKHEAD,BACKFILL W/10+/- A*-W A—%`JS® °$ho CU-YDS CLEAN UPLAND FILL. - - - - - - - - - - - - - 44t ENGINEERING c CARUSO ENGINEERING LLC i 5247 WILSON MILLS RD#451 RICHMOND HEIGHTS,OH 44143 440-459-6709 Cu / 1 04FpR 800\ SCOTT COLLETTI _ -- 2140 DEEPHOLE DR -- MATTITUCK,NY `M JOB BULKHTAX MAP NO REPLACEMENT 0 0123000 00004001 f 8.00------- O EXIS I\G RETAINING WAL ME \ G PLOT PLAN .00 If SHEET NO o ° 1 0 SCALE EX.FR 1"=40' HOUSE DRAWN TAPER TO MATCH T/ �i CPC XDJ EX BULKHEAD \ / REVISION DATE 57' 0 04/25/2019 PATIO PROPOSED\0'DECK X00 53'-6" `— -_ Q� N;1: 86+/-LF PROPOSED \ Q�rvR PA&Z �0 \ BULKHEAD REPLACEMENT I ro EX WETLANDS TO - r = cco ulc REMAIN \ - - - U O Lu UNDISTURBED(TYP.) HW C? z�°°` D / ECE �;E AR EBB EX.DOC i� FEsS1oN SH! BULKHEAD FACE-_\ FLOW EX.RAMP \\MLW 2019.04.25 17:14:26-04'00' EX.FLOAT 4 p� APR 2 j 0 IT IS A VIOLATION OF NYS EDUCATION LAW ARTICLE 145 SECTION 7209 FOR ANY PERSON, / UNLESS HE IS ACTING UNDER THE DIRECTION DEEP HOLE CREEK UtIT OF A LICENSED PROFESSIONAL ENGINEER OR Boardof Tr stee LAND SURVEYOR,TO ALTER THIS DOCUMENT IN ANY WAY. WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the structure, as applied for does not comply with the standards set forth in Southold Town Code Chapter 275-11(B)(1)(h) New bulkheads in creeks and bays are prohibited, unless the operation involves construction of a low-sill bulkhead, and WHEREAS, the Board has determined that the request, as applied for, will have a detrimental effect upon the health, safety and general welfare of the people of the town, and, adversely weaken or undermine the lateral support of other lands in the vicinity. BE IT FURTHER RESOLVED that the Board of Trustees DENIES WITHOUT PREJUDICE the application of SCOTT COLLETTI to replace in-place approximately 86 linear feet of existing timber bulkhead with new 5" vinyl sheeting bulkhead and to raise the height an additional 12"; install a 10' wide (860sq.ft.) wood walk along the landward edge of the bulkhead; and backfill with ±10 cubic yards of clean upland fill; and as depicted on the site plan prepared by Caruso Engineering LLC, dated April 25, 2019. This is not,a determination from any other agency. Very truly yours, Michael J. Domino, President Board of Trustees MJD/dd DiSalvo, Diane From: DiSalvo, Diane Sent: Thursday,August 15, 2019 2:00 PM To: 'Cole Environmental Services' Subject: Lavaud &Colletti Attachments: Cole.pdf Attached please find copies of the two emails which you sent on July 16, 2019 requesting that your matters be tabled "until next month" and were therefore put on the Aug. 14, 2019 agenda. Since that date there was no communication from your office, no further requests for tabling, and no newly submitted updated plans or reports to address the inconsistencies listed by the LWRP coordinator or issues raised by the Trustees. As the matters were on the agenda, the trustees reviewed the plans as submitted and voted upon the applications, leading to their denial without prejudice. You may re-apply in the future. As per your question regarding the tabling of applications please see Chapter 275-8 G of the Southold Town Code. Diclm DLsnLVO SoRtkoLcl ToWVL Trustees 54 5715 T-110 kt6 215 P.O. gox 1175 South acl , NY zz972 1 NOTES: LACE REPLACEMENT OF 86+/-LF EXISTING TIMBER BULKHEAD WITH / NEW 5"VINYL SHEETING BULKHEAD ENcwEElt _ RAISED 1'-0".ADD 10'BCKF1�LW10+/- BEHIND BULKHEAD, ENG`N LLC CU YDS CLEAN UPLAND FILL. CARUSO ENGINEERING 5247 WILSON MILLS RD H 44143 RICHMOND HEIGHTS, / 440.459-6709 CLIENT \ Dl%pyFUQ 0pSCOTT OlOR � ---� 2 0 DEEPHO E DR MATTITUCK,NY Joe REPLACEMENT ?FMq A UL KHEAD MAP NO:1000123000400004001 \ pNF 1ppo 8.00 - ��..�� TITLE / EXISTING RETAINING WAL PLOT PLAN _ Of 6'G, , !` O Al2 510 R�g1ON EX. FR HOUSE � �F yO9 TAPER TO MATCH T/ NEw�i f ADJ EX BULKHEAD57 10'DECK Q��P PAUL C� c i , \ O PRPOSE StO ` * N L1J EJC r � ' Z PATIO / ' v . C7 53'_6" PROPOSED MENT BULKHEAD REP�CE \�\ 04.002517:14:26' 2019.0 S�o��Ac1 PER�1pN EX WETLANDS TO — IOU v10N OF NY p9 FOR ANID OR REMAIN — _ MHW r AV �ag5EOT1pN72 0r- I E 1NEE�r1T \ 1POO E HE\S ACTING gS10NAL 6N OCUM UNDISTURBED(TYP.) 2.00 _ a� pe uN�ESS NSEDPROFE�TRRTNISO / I] FA(3 L V OF A1-1GE vE�OR,TO A , BULKHE.A � NP,NYWAy' ` EBB EX.DOC SFr / FLOW MLW \ utita'�j EX.RAMP �,..�\:2 QQ\ —� at of Trus ee EX.FLOAT 400—_ DEEP HOLE CREEK ENGINEER c -Ru5® ENGIN E,ER ING CARUSO ENGINEERING LLC 5247 WILSON MILLS RD#451 RICHMOND HEIGHTS,OH 44143 440-459-6709 CuENT SCOTT COLLETTI BACKFILL W/10+/-CU-YDS 2140 DEEPHOLE DR T/REPLACEMENT BH 2"TOP CAP CLEAN UPLAND FILL MATTITUCK,NY RAISE 1'ABOVE EXISTING 2X6 TIMBER DECKING JOB X6 T/EXISTING WALL ( X 2)2X66 BEAM BULKHEAD TAXMAP NO REPLACEMENT 0 0 300 00004001 (B 2'-6" �i =;i= l` 1r - I �a;E= i� TITLE-:,r* CROSS SECTION ,' fin(�. 3 �T,.- f � - i i;_i�__'j�4��•7" 7'-9" t!1 -: a :itl- :z _I+, i i - tIf_ 1 SHEET NO 2 SCALE 8"GALVANIZED TIE 1/4"=V 6X6 WALER TYP7 RODS @ 8'O.C. DRAWN 3X6 FOLLOWER TYP cp CPC 4X4@10'OC REVISION DATE 0 04/25/2019 REPLACE EX 2" SHEATHING WITH 5" 8"LAY LOG VINYL SHEETING 8"X 5'DEADMAN @ 8'OC QF NE�Y ��POQ?ER ?q�� O r = CD LuLu r v I O L L EFESSIO19 2019.04.2517:14:33-04'00' IT IS A VIOLATION OF NYS EDUCATION LAW ARTICLE 145 SECTION 7209 FOR ANY PERSON, UNLESS HE IS ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER OR LAND SURVEYOR,TO ALTER THIS DOCUMENT IN ANY WAY. SURVEY OF PROPERTY A T MA TTIT UCK TO WN OF SO UTHOLD SUFFOLK COUNTY N. Y, 1000-123-04-4.1 SCALE: 1'= 20' A SEPTEMBER 15, 1997 MAY 21, 1998 (FLOOD ZONE) � MARCH 1, 2000 (SURVEY) � 'P. o,-„ YAGGMI MAY 26, 2000 (CONC. BLK. FOUND) JANUARY 11, 2017 FEBRUARY 28, 2017 (PROP. GARAGE) X696 o ti�� GRAVE , Q9 \ O L ARKIN h , DK b S .°. h o ^ �-Jv�v Z. ,� �� ^6• �yL1�U `fid � e v �0�4J 2P �r 0. V ” CERTIFIED TO- ~` /p 5GOTT P. GOLLETTI TAMMY GOLLETT I \ r BK I D&EHAMPTON NATIONAL BANK ADVOGATE5 AB5TKAGT, ING. A5 AGENT FOR 5TEWART TITLE (#ADA-03067-5) 004 N FEB - 8 2019 " 60 c• \ OF N[-:W), ® MONUMENT or RAMP AND FLOAT � . N OUT OF WATER FOR ,h.r•L�� THE 5EA50N UN5URE OF 4�ra•���;,. flfi EXACT LOCATION fj •.,�. ry t FLOOD ZONES FROM FIRM 36103C0482H r- MAP EFFECTIVE DATE- 5EPTEM15ER 25, 2009 a• ANY ALTERATION OR ADDITION TO TH 15 SURVEY 15 A VIOLATION � � /tf.� .rr,�VJ r�G .S LIC. NO. 49618 OF 5EGT I ON 72090E THE NEW YORK STATE EDUCATION LAW. PECONIGU—SURVEYORS, P.C. EXCEPT A5 PER 5EGT I ON 7209-5UBD I V 15 I ON 2. ALL GERT I F I GAT I ON5 (631)®`765-50`20 FAX (631) 765-1797 HEREON ARE VALID FOR TH 15 MAP AND GOP I E5 THEREOF ONLY IF AREA=12,054 Sq►.f t. P.0. BOX 909 SAID MAP OR COPIE5 BEAR THE IMPRE55ED SEAL OF THE SURVEYOR t0 TIE LINE 1230 TRAVELER STREET SOUTHOLD, N. Y. 11971 9 /7--211 SUFFoc�- Michael J. Domino, Pr, nt 0�0 CSG�� r,, Town Hall Annex John M. Bredemeyer III, Vice-rresident �� yam,` 54375 Route 25 Glenn Goldsmith y - 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: Cole Environmental Services, Inc. on behalf of SCOTT COLLETTI requests a Wetland Permit to replace in-place approximately 86 linear feet of existing timber bulkhead with new 5" vinyl sheeting bulkhead and to raise the height an additional 12"; install a 10' wide (860sq.ft.) wood walk along the landward edge of the bulkhead; and backfill with ±10 cubic yards of clean upland fill. Located: 2140 Deep Hole Drive, Mattituck. SCTM# 1000-123.-4-4.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet, 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have,read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Michael J. Domino, `lent O�QSUFFUj�COG Town Hall Annex John M. Bredemeyer 11I,V ice=rresident �� ` 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 A.Nicholas Krupski 1 Southold,NY 11971 Greg Williams � p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 71iolv1 Completed in field by: Cole Environmental Services, Inc. on behalf of SCOTT COLLETTI requests a Wetland Permit to replace in-place approximately 86 linear feet of existing timber bulkhead with new 5" vinyl sheeting bulkhead and to raise the height an additional 12"; install a 10' wide (860sq.ft.) wood walk along the landward edge of the bulkhead; and backfill with ±10 cubic yards of clean upland fill. Located: 2140 Deep Hole Drive, Mattituck. SCTM# 1000-123.-4-4.1 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 I Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: I 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: 1�6�h i flo G�L2.il�f� I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer %//M. Domino ✓ & Goldsmith v"—N. Krupski ✓ G. Williams Other ia.. Michael J. Domino,,P ent OSC' Town Hall Annex O~ ` John M. Bredemeyer 111, Vice-rresident ��,�" 54375 Route 25 Glenn Goldsmith o " P.O. Box 1179 co ., a A.Nicholas Krupski d Southold,NY 11971 Greg Williams 41- �OO��( Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: S1,'//9 15 Completed in field by: Cole Environmental Services, Inc. on 'behalf of SCOTT COLLETTI requests a Wetland Permit to replace in-place approximately 86 linear feet of existing timber bulkhead with new 5" vinyl sheeting bulkhead and to raise the height an additional 12"; install a 10' wide (860sq.ft.) wood walk along the landward edge of the bulkhead; and backfill with ±10 cubic yards of clean upland fill. Located: 2140 Deep Hole Drive, Mattituck. SCTM# 1000-123.4-4.1 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 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: Tdea.1 n�►���� t®r 1 i Vi �!?� S l�dr�l, n� JP,roNJ ► 7 " I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / / / Present were: V✓ J. Bredemeyer ✓ M. Domino G. Goldsmith ✓ N. Krupski ✓ G. Williams Other Scott Colletti 2140 Deep Hole I Mattituck, NY 11952 SCT M: 1000-123-04.4.1 Photo 1 Drone photo Overhead �y. SNR s 00 R/. ►.bra ,�`_ 1i�' � "r�`-�� �`"#��,,, - a �. �• ki ai 'fir eV '�1� •1 _ - J • 'iS;d 1' n. y ,A .o i. r . Scott Colletti 2140 Deep Hole I Mattituck, NY 11952 SCTM: 1000-123-04.4.1 Photo 2 Drone Photo Facing North East r �r IX .r ♦ s w Photo 3 Ground Level Facing North East �. 74, ^ 9 ® � �rw kn Location Map Raphael Scott Colletti 2140 Deep Hole Dr Pindar Vineyards Mattituck, NY 11952 SCTM: 1000-123-04.4.1 Pugliese Vineyards # fG �f 0 C� 7sJ CutchogueP1 Eileen Santora Designs LLC ie New Suffolk Shipyard Cutchogue... z North Fork Country Club �a �r Now Suffet4�vp Mattituck tt?w 01'µ ' n(x Nmv SkOfolk-j", New Suffolk 2140 Deep Hole Drive Daniel Gale Sothebys so& PJe 5� International Realty Ole, w W� 4Y� Laurel Robins Island SEE5E0 NO tt5 MAttx urE x xu BEE BEC.NO,ts 9Ft sEc xo.ns $• aSE 115 UNE _____-_�____--- UNExo-Z-_- _-.� ttm!FOR PCL.NO 2 9 SEE SEC NO y ,t • pR. u $115N + \s 'HOLDL2z p6 j, 9(q w \, Is 41 43 Q1 ,�+s 1.21• � 5 � � 16ID V. \s Fo 3p•+ / O 1 3+ ONIC 6z++ 2\ •g�LE • PvC +]CION fWTHOW NO __ _ __ __ __ __ Nonce COUNTY OF SUFFOLK © E L „^,.,,,_ �� --x Real Property Tax Service Agency v of 123 E ' —� ..•�n (T1) w O sxxu. --•-- ww'--'•rte— a Q:�,c C—q_,_...y ,NtrM ...y o...�v.._.� ...... m-Y—T-- c„•,••e„ _. .. .� wn • •xs xwvouccwxn rx.N.o�c rxoMx„Eo tr nn o mo P as ,Oaa PROPEftTYMAP Maim Diane From: Chris Cole <chris@coleenvironmentalservices.com> Sent: Tuesday,July 16, 2019 3:52 PM To: DiSalvo, Diane Subject: 2140 Deep Hole - Colletti Hi Diane, We would like to table the hearing for Mr. Colletti at 2140 Deep Hole Dr until next month. Thanks, Chris Cole Cole Environmental Services, Inc. 425 Montauk Highway East Quogue, NY 11942 631-369-9445 CES Website Facebook ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i : 6; ? ' OFFICE LOCATION: ��®� s® �® MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 ® Telephone: 631 765-1938 COU 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: May 13, 2019 Re: LWRP Coastal Consistency Review for SCOTT COLLETTI SCTM# 1000-123.4-4.1 Cole Environmental Services, Inc. on behalf of SCOTT COLLETTI requests a Wetland Permit to replace in-place approximately 86 linear feet of existing timber bulkhead with new 5"vinyl sheeting bulkhead and to raise the height an additional 12"; install a 10' wide (860sq.ft.)wood walk along the landward edge of the bulkhead; and backfill with ±10 cubic yards of clean upland fill. Located: 2140 Deep Hole Drive, Mattituck. SCTM# 1000-123.4-4.1 The action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, the proposed action is recommended as INCONSISTENT with the below listed policy and the LWRP. 6.3. Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. 9. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. A Wetland Permit was not located within Town records for the existing, as- built structures. In the event the action is approved, a vegetated buffer is recommended in place of the deck. 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 t ' _4gUfFDJ,��aG Peter Young,Chairman ti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 `F Southold,NY 11971 *A 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., May 8, 2019 the following recommendation was made: Moved by John Stein, seconded by James Abbott, it was RESOLVED to SUPPORT the application of SCOTT COLLETTI for the in-place replacement of approx. 86 If. of existing timber retaining wall, raise 12", remove existing flag stone, add 10' wide untreated wood walk landward of bulkhead, and backfill with 10 cy. of clean upland fill. Located: 2140 Deep Hole Drive, Mattituck. SCTM#123-4-4.1 Inspected by: John Stein, James Abbott The CAC Supports the application, however questions the need to raise the retaining wall 12". Vote of Council: Ayes: All Motion Carried 0 0 � 425 Montauk Highway East Quogue,NY 11942 (631) 369-9445 April 25, 2019 Town of Southold Town Hall Annex r� Board of Town Trustees ��_t C r Q V E 54375 Main Road P.O.BOX 1179 J L ASR � � Zol� Southold,NY 11971 Re: Scott Colletti Southold Town B ar Trustees 2140 Deep Hole Dr Mattituck,NY 11952 SCTM: 1000-123-04.4.1 To Whom It May Concern, Mr. Colletti is seeking to complete an in-place replacement of 86+/-linear feet of existing timber bulkhead with new 5"vinyl sheeting bulkhead raised 1 foot. Add 10'wood walk behind bulkhead(860sgft),backfill with 10+/-cubic yards of clean upland fill. Should you have any questions,please feel free to contact us. Sincerely, 4, e 4 Chris Cole Cole Environmental Services chris@coleenvironmentalservices.com Lr ii James F.King,PresidentoF SBUTyo Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`4 54875 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Michael J.Domino � ® yo Telephone(631)765-1892 � COn�s�� Fax(68I) 765-6641 BOARD OF TOWN TRUSTEES FID)) TONIN OF SOUTHOLD ,F` l F- Office Use Only i t Ll FEB 8 _ Coastal Erosion Permit Application V Wetland Permit Application Administrative Permit Soot':a;d Tovin _Amendment/Trmsfe/ tension Board of Trustees eceived Application; 2" /"tt ._., "eceived Fee:$ 25b, 2 Completed Application Incomplete _SEQRA Classifica on: Type I Type II V Unlisted mation:{date sent} 3 ZLW=RP Consistency Assessme Form AC Referral Sent: laIT Date of Inspection: �, Receipt of CAC Report: Lead Agency Determination: ZPechnical Review: ublic Hearing Held: . �9 Resolution: / Name of Applicant SCOTT COLLETTI Mailing Address 2140 DEEP HOLE DRIVE, MATTITUCK MATTITUCK IVY 11952 Phone Number:( 631-484-4036 Suffolk County Tax Map Number: 1000- 1123 114 .1 Property Location: 2140 DEEP HOLE DRIVE MATTITUCK NY 11952 (provide LILCO Pole#, distance to cross streets,and location) AGENT: 1COLE ENVIRONMENTAL SERVICES, INC ICHRIS COLE (If applicable) Address: 425 MONTAUK HIGHWAY EAST QUOGUE---1 NY I il,942 Phone: 631-369-9445 Board of Trustees Appli ion GENERAL DATA Land Area(in square feet): 12,054 SF Area Zoning:R-40 E E V E 1 residentially developed I n E Previous use of property: fJ L' APR 2 6 2019 , Intended use of property:residentially developed I Southold Toren Covenants and Restrictions on property? Yes xt No artl of Trustoes If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? ELYesElNo 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? D Yes _allo If"Yes",please provide copy of decision. W' is project r wire any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure (s)on property have a valid Certificate of Occupancy? W1 Yes_0No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency.721 No El Yes If yes,provide explanation: Project Description(use attachments if necessary): IN PLACE REPLACEMENT OF 86+/- LINEAR FEET OF EXISTING TIMBER BULKHEAD WITH NEW 5" VINYL SHEETING BULKHEAD RAISED 1 FOOT. ADD 10'WOOD WALK BEHIND BULKHEAD (860sgft), BACKFILL WITH 10 +/- CUBIC YARDS OF CLEAN UPLAND FIL. oard of Trustees Applicat I WETLAND/TRUSTEE LANDS APPLICATION DATA TO REPLACE A DETERIORATED RETAINING Purpose of the proposed operations: WALL AND RAISE IT ONE FOOT C 2 n// APR 2 6 2019 Area of wetlands on lot:2130 square feet Southold]own 19 Board of Trustees Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands:0 feet Existing existing retaining wall. Closest distance between nearest proposed structure and upland edge of wetlands: feet proposed retaining wall, replacement. Does the project involve excavation or filling? ❑ No ^Yes 10 cy to grade existing bank for plantings. If yes,how much material will be excavated?0 cubic yards How much material will be filled?10 cubic yards Depth of which material will be removed or deposited:1011 feet % Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: SMALL EXCAVATOR Statement of the effect,if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): No measurable impacts to the wetlands or tidal waters are anticipated by the replacement of this retaining wall that is landward of the mean high water mark. Board of Trustees Appliv ,Lon ' zE GENERAL DATA Land Area(in square feet): 12,054 SF Area Zoning:R-40 Previous use of property: residentially developed Intended use of property:residentially developed Covenants and Restrictions on property? Yes xx No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? ElyesElNo I€"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? El Yes _allo If"Yes",please provide copy of decision. W' is project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure(s)on property have a valid Certificate of Occupancy? Z Yes—ONo Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?-2-1 No ❑Yes If yes,provide explanation: Project Description(use attachments if necessary): IN PLACE REPLACEMENT OF APPROXIMATELY 86 LINEAR FEET OF XISTING TIMBER RETAINING WALL, RAISE 12 INCHES, REMOVE EXISTING FLAG STONE INFRONT OF WALL, ADD 10 ' WIDE UNTREATED WOOD WALK LANDWARD OF BULKHEAD, BACKFILL WITH YARDS OF CLEAN UPLAND FILL, DECKING TO BE UNTREATED, NOTE - BULKHEAD TO BE SINGLE WALE, STAVING ' BULKHEAD CCA, -,Board of Trustees Applicar' „n WETLAND/TRUSTEE LANDS APPLICATION DATA TO REPLACE A DETERIORATED RETAINING Purpose of the proposed operations: WALL AND RAISE IT ONE FOOT Area of wetlands on lot:2130 square feet Percent coverage of lot.19 % Closest distance between nearest existing structure and upland edge of wetlands:0 feet Existing existing retaining wall. Closest distance between nearest proposed structure and upland edge of wetlands: feet proposed retaining wall, replacement. Does the project involve excavation or filling? ❑ No�_Yes 10 cy to grade existing bank for plantings. If yes,how much material will be excavated?0 cubic yards How much material will be filled?10 cubic yards Depth of which material will be removed or deposited:10” feet % Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: SMALL EXCAVATOR Statement of the effect,if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): No measurable impacts to the wetlands or tidal waters are anticipated by the replacement of this retaining wall that is landward of the mean high water mark. Board of Trustees Applica", ' •,�n COASTAL EROSION APPLICATION DATA TO PROTECT THE UPLAND AREA OF THE Purposes of proposed activity: PROPERTY FROM RISING SEA LEVEL AND EROSION. Are wetlands present within 100 feet of the proposed activity? ❑ No FT Yes Does the project involve excavation or filling? ❑ No ❑ Yes If Yes,how much material will be excavated? 0 (cubic yards) How much material will be filled? 10 (cubic yards) Manner in which material will be removed or deposited: SMALL EXCAVATOR Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed,including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) THIS PROJECT WILL HAVE NEGLIGABLE IMPACTS TO OVERALL CREEK AREA AS IT IS REPLACING AN EXISTING RETAINING WALL WITH A SLIGHTLY HIGHER WALL,BUT WILL BE BfteKFf tnt)WITH etRAN SAND THAT WILL PROVIDE FILTRATION KLN 1)A RT FOR THE TEMPORARY RETENTION OF STORMWATER PRIOR TO ENTRANCE INTO THE C,PUEK. 617.20 AM Environrneni al Assessment Form Instructions for Coml2lctin� Part I -Project Informal,lon. The applicant or project sponsor is responsible for the completion of Part T. 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 infonnation, Complete all items in Part 1. You may also provide any additional information which you believe will be needed by oruscfail to the lead agency;attach additional pages as necessary to supplcmcnt any item. Part t-Project and Sponsor Information SCOTT COLLETTI Name of Action or Project: SCOTT COLLET71 Project Location(describe,and attach a location map): 2140 DEEP HOLE DRIVE MATTITUCK Y 11952 Brief Description of proposed Action", _ JF IN PLACE REPLACEMENT OF APPROXIMATELY 86 LINEAR FEET OF XISTING TIMBER RETAINING WALL,RAISE 12 INCHES, REMOVE EXISTING FLAG STONE INFRONT OF WALL, ADD 10'WIDE UNTREATED WOOD WALK LANDWARD OF BULKHEAD, BACKFILL WITH 10 CUBIC YARDS OF CLEAN UPLAND FILL, DECKING TO BE UNTREATED, NOTE- BULKHEAD TO BE SINGLE WALE,STAVING TO BE 5' WALL TO BE LOCATED AT SHHW STRUCTURAL TIMBERS FOR R1 11 1<HFAn CTA Name of Applicant or Sponsor: f,Telephone: 631-484-4036 SCOTT COLLETTI .E-K/lail: Address: �Go�-��Mtt.guR-N Ft.00p.l IvG.coM Y, 2140 DEEP HOLE DRIVE CitylPO Zi Codc: MATT ITUCK NY 11952 1.Does the pr®posed action only inv®!ve'the legislative adoption of a plan,local law,ordinance, NO INES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that M 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; NYSDEC ® `�✓- . 3.a,Total acreage ofihe site ofthe proposed action? •27 acres b.Total acreage to be physically disturbed? •01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 12,054 SF acres 4'.Check all land uses that occur'on, adjoining and near the proposed action. EJUrban ❑Rural(non-agriculture) ❑Industrial ..oterdial residential(suburban) barest Dgriculture E]kquatic LOmtither(specify): ❑Paa kland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? '® 0 ,11 b.Consistent with the adopted comprehensive plan? ® ® rM 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES. landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: 91 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO (YES IL.J b.Are public transportation service(s)available at or near the site of the proposed action? ®✓ E c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ✓ El 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies:, � 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ;0 b.Is the proposed action located in an archeological sensitive area? LU �! I El 13.a.Does any portion of tile site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? :� If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that oce r n,or are likely to be found on the roject site. Check all that apply: ❑✓ Shoreline Forest gricultural/grasslandsEarly mid-successional �✓ Wetland [DJrban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES ✓ V 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? ONO YES ✓� -® b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: LJNO EYES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: - FM� 0 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 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO'THE)BEST OF MY KNOWLEDGE p Applicant/spo s r name:- CHRIS COLE/AGENT Date-, Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,.or Moderate small to large impact impact may may occur occur. 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? l�I 5. Will the proposed action result in an adverse change in the existing level of traffic or (� affect existing infrastructure for mass transit,biking or walkway? I� 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 � f r No,or Moderate, small to large impact impact may may occur occur 1'0. Will the proposed action result in an increase in the potential for erosion,flooding or drainage �l 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 occur",or if there is a-need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability-of occurring, duration,irreversibility,,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box-if you have determined,based on the information and analysis above,and any supporting documentation,' that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not-result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency 'Date Michael J. ®omino President Print or Type Name of Responsible Officer in Lead Agency M Title of Responsible Officer A.�l�i1naftre of Respon ' ead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 moard of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1000- 1.2�j�C�` [ in the town of New York,hereby authorizes b� XJ 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., _ I Property Owner's Signature Pro erty Owner's§ignature SWORN TO BEFORE ME THIS._ _ DAY OF , 20� Notary Public JAIME R.SHELLEY Notary Public,State of New York Registration No.01SH6196185 Qualified in Suffolk County My Commission Expires November 10,20 t E APPLICANT/AGENT/REPRESENTATIVE I TRANSACTIONAL DISCLOSURE FORM The Town of Southold_'s'Code of Ethics nrohibits'conflicts of interest on the pail oftown,oflticers ardd'emnloyees:The puroose-of, this farm is to rovi a inforination.which can alert"" ible-conflicts,of interest and allow it to take whatever action is neeessary to avoids - I YOUR NAME: (Last nddle 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 Tie Change of Zone - Coastal Erosion - z Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(af through your company,,spouse,sibling,,parent-or.cliild)have-a ielat'ionship with any offieer ovdr iployee of the Town,of Southold? "Relationship"includes by blood,'njarriage,orliustncss'interest"Business'intaitst".means a business, including a partnership,,in.•which the townoffrcef or employee has even a partial ownershippf(or employment byj,a corporation• in which the town.officcr,or employee'owntmore than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold ; Title or position of that person_ Describe t1ie,relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check t the appropriate line A)through`D)and/or describe in tlie•space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)ttie ownerof greater.than;5%o,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 nota corporation); C).an officer,di"r,-partnci,or employee oUthe applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted day of Signature Print Name Form TS I JAIME R SHE, NewYoek Notary Public,State of Ne itegu ifled InSuolk County 5 pualifled mbar 10. My Commission Expires Nova20_ `$oard of Trustees Application ,AFFIDAVIT -TOI VO W1 C 6 I I a 4+ BEING DULY SWORN DEPOSES AND AF RMS 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. Signature of Property Owner Sigature of Property Owner SWORN TO BEFORE ME THIS, DAY OF- _ ;;20 1 Notary Publi l"j JAIME R SHELLEY Notary public.State of New York RegistrationNo.01 SH 6196185 i Qualified n Suffolk County My Commission Expires November 10,20 and of Trustees Applicati� AFFIDAVIT 7 O VIA M M C 0 ` BEING DULY SWORN DEPOSES ANb 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 TRUS'T'EES,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 Property Owner Signature of Property O er SWORN TO BEFORE ME THIS _,5 DAY OFG11 , 20—d— " A 5a� r",5� 5ra - JAIME R SHELLEY Notary Public,State of NeW York Registration No.01SH6196185 aualified in Suffolk County My Commission Expires November 10.20_, and of Trustees Applicata AUTHORIZATION (Where the applicant is not the owner) t owners of the property identified as SCTM# 1000- 123-04-4.1 in the town of Southold ,New York,hereby authorizes Dennis &Chris Cole of Cole Environmental Services 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 6;ca;�erldkd.,ignature SWORN TO BEFORE ME THIS DAY OF Notary Pub l' JAIME R SHE«Ey "OWY Public,State of New yory� Registration No.01SHg196185 My commissQuaion me n suf folk County Pres November 10,20ah -,+...4J� 4.14 .i)Sif is`(.'tu✓�rN i;:i4i$,�f....�, {e.l:ai'Fi P: '�:/ Qf -MtusteCew,Aipplidatic. AUTHORIZATION (Where the applicant is not the owner) I/We, 123,0,4-4J ''th, -'t f owners,of.'�'thepropert,y,identified'�A's°S'C,T,M#",I'.000 in, e., 6w'n,b 14 - -1 11 Southold NeVt►`York;;lie'ieby authorizes;'. f - 'Dennis iis%cple oi .............. Qple En es, 0; MY, , y�ronni�ntal Servic `4geiit-afid,hand1e,411" p� necessary workirN61vied1with the"apolic-Ati6ft oro"66§s for-p-enniit(s),'06in;thq':'S6u' tho1d'T6wd, Board of Trustees',fbilhis property: Pro -�Qignature perty,Owner s,Signature Property Uw r' SWORN TO BEFORE ME THIS DAY OF 20j— Notary Pubb r MOM,Publjc;St�te--r ''Redistratio, 'N `0-Ne*,Yo* I , n o.0jSH6j061,b,,, MY mm Quilifted in Suftojkn ,,C POEx' Ir 6ut -Noj� mbbr 10,2 Y-4 0a 1 APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL(DISCLOSURE FORM flu'Town of Southold's Code of Ethics prohibits conflicts of interesyon the part of town officers and employees.The purpose of this form ie to provide infornation which can alert the town of possible conflicts of intemst and allow►t to take whateveract►on is necessary to avoid same. YOUR NAME: mail - (Last name,first name.rpiddle D ttial,upie—ss6ulare applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee —X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town Df Southold? "Relationship"includes by blood,,nlarriage,or business interest."Business interest''nicans'a business, including it partnership,in which the town officer or employee has even a partial ownership of(or employment by),a corporation in which the town officer or employee owns more than 5%of the shares: YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe theselationship between yourself(the applieant/agenU►•epresentative)and the town officer or employee.Either check the appropriate line A)through D)nncVor 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 greeter than S%of(lie 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 nota corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP � �20J�1 Submitted this day f _ Signature Print Name Form TS 1 x JAIME R SHELLEY Notary Public,State of New York Registration No.01SH6196185 ^, Qualified In Suffolk County U My Commission Expires November 10.20 Contact Information Sheet Owner Name ' 4) Owner Address (if different than project) Owner Phone Owner Email ` How did you hear about us? (Referral) Brief Project Description Lrd of Trustees Applicatii AUTHORIZATION (Where the applicant is not the owner) I/We Scott Colletti owners of the property identified as SCTM# 1000- 123-04-4.1 in the town of Southold ,New York,hereby authorizes Dennis W. Cole &Chris Cole of Cole Environmental Services 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. 9 ro y Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF �e 520 Notary Pu lic Danielle Dody Notary Public, State of New York No. 01 D06010556 Qualified in Suffolk County Commission Expires Expires July 20,2020 Board of Trustees Applii ion AUTHORIZATION (Where the applicant is not the owner) I/We Scott Colletti owners of the property identified as SCTM# 1000- 123-04-4.1 in the town of Southold ,New York, hereby authorizes Dennis W. Cole&Chris Cole of Cole Environmental Services 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 DAY OF 120 Notary Public ` Board of Trustees Application AFFIDAVIT i C D r-r 6 V L.,iG-i T 1 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 : z 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 Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF - 2eaM G.z-'- ;.20 /8 IB tb1 . otflry Public,State of Newyork Reg Uon No.01SI6371145 Qualified In Suffolk Counttyy My Commission Expires Feb.20,20?.2 OWNERS CONSENT FORM Owner's Name: Property Location: 2140 Deep Hole Dr Mattituck Nlfi 11952 S.C. Tax#of Parcel(s): 1000 123 04 4.1 Please be advised that I am the owner of record of the above referenced property and hereby consent to Dennis Cole of Cole Environmental Services Inc., making an application to the following: Agency and Application Type: ❑✓ New York State Department of Environmental Conservation, ❑✓ Town of Southold , ❑Village of , ❑Suffolk County Department of Health Services Department of Waste Water Management, US Army Corps of Engineers As owner of the property, I understand that I will receive copies of all correspondence, unless noted below. I also acknowledge that as owner, I am responsible for all activities that take place on the property identified above. Sincere (Signature, of Owner) ' J -2- - � q ► (Dated) I APPLICANT/AGENT/REPRESENTATNE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Cade-of Ethics piphibits conflietc of interest on the'part of town cifficcrs and employees.The nurnoie of this th is-10R`ovidd infbrination,w+hich can aI io tow of ossible conflicts of irnerest and allow tt t take whale c act! n is necessary to avoid same. YOUR NAME (Last name,first name,jAiddle 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 ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Other;name the activity.) Do you personalty(or through your company,spouse*sibling,parent,or chili])have a relationship with any officer or employee of the Town of Southold? "Relationship"includes•by blood;utarriage,or business interest"Business interest"means a business, Including a_partmrship,in which the town officer br employee has even a partial ownership or(or emj loymcnL by)a corporation In which the town u Meer or employee owns more thus 5%offtthe shares, YES NO J 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/.agenttrepresentative)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 tiie 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 applicatnt is not avorporation); C)an officer,director,partnei,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this d of 0 Signature Print Name Form TS 1 Su/ern �v ,6e _ u 1`1c,uo Z-e- 4c.&eir EVELYN L SIBILLA Notary Public,State of New York Registration No.01S16371145 Qualified in Suffolk County AlmyCommisslon Expires Feb.20,20�ja APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and em Io ees.The 12uWse of this form is to Vrovide information which can alert the town of p9ssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last n e, rst name,jpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building _ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest`Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO Ifyou answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the 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 daSof 20 Signature Print Name Form TS 1 y Michael J. Domino,President Qt' � Town Hall Annex John M Bredemeyer III,Vice-President 4���® - !/�J,�� 54375 Route 25 Glenn Goldsmith a P.O. Box 1179 A Nicholas Krupski ,� Southold,NY 11971 Greg Williams 'y c,�t' . 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 SCOTT COLLETTI 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, V-1A Wk W12 I , residing at/dba Co I d qQ W 0od 1)Y'' being duly sworn, epose and say: That on the �0 day of M A , 201°1, I personally posted the property known as 7.440 Dee,p Hole I)v , NArlibbiCK N U 111G2 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, May 15, 2019. Dated: M Gt j�;, 2,010j (signature) Sworn to before me this a j day of 2011 � --A . Notar Public BARBARA .TANDY Notary Public,State Of New York No. 01 TA6086001 Qualified In Suffolk County Commission Expires 01/13/20 ra PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: ► ► S - 14 - 16 STATE OF NEW YORK COUNTY OF SUFFOLK V-rAfQ 9-uVI LMQA , residing at Co Q,( QW nod V avd9 Ue, NkA Wit being duly sworn,deposes and says that on the I-M —day of MQ , 20_6, 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 JEoAG+ 0>a 0 H& that said Notices were mailed to each of said persons by CERTIFIED MAIL/REIPURN RECEIPT. ' Sworn to before me this Day of 20_1_q_ Notary Public 1 BARBARA H.TANDY Notary Public,State Of New York No. 01 TA6086001 Qualified In Suffolk County Commission Expires 01/13/20 a 3 f i ro — L ' /' GE ■ / ■ ® e © ■ ■ A O ■ ■ ''DoMestici0ail0rillIs I N In �m RDC V, U:EI ENJRU, NY ]1570 ,Ili: -D NEW OE .)•1 NY 100 5A L V, ZA " ul Certified Mad Fee - O� � Certified Mail Fee - ,� . $3.50 �' 1 n $3.50 JCC. 09 � 99 � Extra Services&Fees checkbox,add tee are ;t (,(� O' $ ( �prpl• ) ,. to 0^ Extra Services&Fees(check box,add fee ¢ ate) ❑Return Receipt(hardcopy) $ U ❑Return Receipt(hardcopy) $ '+•- Z (� (y �,_ 17 ❑Retum Receipt(electronic) $ ��( POstrY 4rk ❑Return Receipt(electronic) $ to..Id0 :D P tt�tark C3 ❑Certified Mail Restricted Delivery $ $, He'% C3 ❑Certified Mad Restricted Delivery $�,fl,.•I-1Q re q C3 ❑Adult Signature Required S_ $0.00 C7 [:]Adult Signature Required - $ $0 oil O ❑Adult Signature Restricted Delivery$ L O O []Adult Signature Restricted Delivery$ sly V Co, - $0:55 �; l? 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C3 a�5/t� 201-91C3 LICE AND SARRWAW Y ,.,., LEVVJS ND EFFIE MOI ;EMERY „�, i - 2628 BROADWAY U711154 S CENTRE AVE Ln o ROCKVILLE CENTRE, NY 11570 o APT 18B ,ti r, NEW YORK, NY 10025 :11 1 :11 1 11 111 Postal,Service- CEIRTIFIED © ■ ■ Ln DoMeStiC mail Only CUT"G�!:!NY�11935Ln ) Lt Certified Mail Fee, $3.50 F Q+ Extra Services&Fees(check box,addIfippa-gate) Pf❑Return Receipt(hardcopy) $ Ur-q ❑Return Receipt(electronic) $ stmark A [:]Certified Mail Restricted Delivery $ �n re 0 ❑Adult Signature Required $ � Ca E]Adult Signature Rest�nctted Delivery$ ,p� may. i7s" O -- i+V - �"•�' +t` Tk�-�q Vis• - C3 TH S'AND-KAREN 'r' MEVOCABLE TRUST `^ PO BOX 218 { o CUTCHOGUE, NY 11935 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: : "•'; ��;' s�-�-: . •;•pry^.'„'if',_:��_ :r.,_.' .. , �it, '=.'P+{ ".Fi�PiYr•Y'"�..'3`" fw - _ :_M a t .i`.•'Y - W'`•`• 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 r• • e A. Sid e ■ Complete items 1,2,and 3. 0 Agent ■ Print your name and address on the reverse 0 Addressee "so that we can return the card to you—, C;Date of Delivery 1 ■ Attach this card to the back of the mailpiece, B. Received by(Prin ed ame) or on the front if space permits.-- —_ _jellvery address different from item 1? 0 Yes �- •J ES,enter delivery address below: [] No 1, ' LEWIS AND EFFIE MONTGOMERY S :E-NTRE AVEz J. ROCKVILLE CENTRE, NY 11570 I{ _ __------ --- ,j.—tierviceType ;fPnont7lNlauExpress@ 1 I ll I IIIIII I'll III I II I ll II Il ll I II I IIII IIII I II III ❑Adult Signature rY ❑Registered Madan I ❑Adult Signature Restricted Delivery ere Mail Mad Restncted ertified Mad@ eturn Receipt for 1 9590 9402 3511 7275 6165 23 ❑Certified Mad Restricted Delivery Merchandise ❑Collect on Delivery ❑Signature ConfinnationT" ❑Collect on Delivery Restricted Delivery Signature Confirmat3rl'ri 2. Article Number,(Transfer from service label) T_ :- — ;ured Mad• °' ' 3 i:E :Restncted Dgil e r - _ i ;ured Mad RestnctcfrDeliveryt i't: - 7015` 3010 00 °1°196.6-5' 6172t'`' , ',er$50D). . Dome3tiReturn Receipt �s PS Form 3811,.July 2015 PSN 7.530 02-000-9053 — � _ �:___. �i v - • 1 A. Sign 0 Agent I ■ Complete items 1,2,and 3. 0 Addressee X I I ■ Print your name and address on the reverse C. Date of Delivery so that we can return the card to you. B. eceiveo by(Printed Na e i Gh 1 q✓� ■ Attach this card to the back of the mailpiece, ❑Yes or on the front if space permits. Is delivery address different from item 1? _-.—•y ��-- If YES,enter delivery address below: ❑No II BRUCE AND SARA SANDS ` 2628 BROADWAY I APT 18B NEW YORK, NY 10025 -a--service Type ❑Priorly Mail Express@ ❑Registered MadT" E]Adult Signature ❑Registered Mad Restncled l IIIIIIIII Illi IIIIII I II IIIIII IIII IIII I Illi I ❑Adult Signature Restricted Delivery Delivery Certified Mad@Return Receipt for ❑Certified Mad Restricted Delivery Merchandise 11 p Collect on Delivery 0 Signature Conf 9590 9402 3511 7275 6165 47 ❑Collect on Delivery Restricted Delivery Signature Confirmation ransfer from service label)— - —nsured Mad Restricted Delivery 2. Article Number Cr nsured Mail Restricted Delivery (]_15__301_0-_D��y 9665 t?158 over$500) Domestic ReturnReceipt r, PS Form 3811;July 2015 PSN,7530 02 000-9053 11UTILL 'Uim HtAK111u , 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: SCOTT COLLETTI SUBJECT OF PUBLIC HEARING : For a Wetland Permit to replace in- place approximately 86 linear feet of existing timber bulkhead with new 5" vinyl sheeting bulkhead and to raise the height an additional 12"; install a 10' wide (860sq.ft.) wood walk along the landward edge of the bulkhead; and backfill with ±10 cubic yards of clean upland fill. Located: 2140 Deep Hole Drive, Mattituck. SCTM## 1000-123.-4-4.1 TIME & DATE OF PUBLIC HEARING : Wednesday, May 15, 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 S a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 P 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 sunnortmg and non- sunnorting 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 Scum 1000 _ 123 4 4.1 PROJECT NAME COLLETTI PROPERTY The Application has been submitted to(check appropriate response): Town Board M Planning Board® Building Dept. ® Board of Trustees 90 1. Category of Town of Southold agency action(check appropriate"response): (a) Action undertaken directly by Town agency(e.g.capital 13 construction,planning activity,agency regulation,laud transaction) .(b). Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: ®✓ Nature and extent of action: IN PLACE REPLACEMENT OF APPROXIMATELY 86 LINEAR FEET OF XISTING TIMBER RETAINING WALL, WOOD WALK LANDWARD OF BULKHEAD,BACKFILL WITH 10 CUBIC YARDS OF CLEAN UPLAND FILL, 12FCKIN ,TOR .UNTREATED NOTE-RTTTX14F.AD TO RF SINGLE WALE SIAVING TO RF.r,' WAT.T.TO RF- LOCATED FLOCATED AT SHHW.STRUCTURAL TIMBERS FOR BULKHEAD CCA, r ' Location of action: NEW SUFFOLK AVE.,TO HALLS CREEK ROAD,MATTITUCK Site acreage: •27 Present land use: RESIDENTIAL Present zoning classification: R-40 RES 2. If an application for the proposed action 6s been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: S COT Z CO LLE T TI ({}) Mailing address: 2140 DEEP HOLE DRIVE,MATTITUCK MATTITUCK NY 11952 (c) Telephone number:Area Code( ) 631-484-4036 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes M No If yes,which state or federal agency?NYSDEC 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 .inimizes adverse effects of development. See LWRP Section III--Policies; Page 2 for evaluation criteria. 0 Yes [I No C] Not Applicable THIS PRO ECT DOES NOT TAKE AWAY FROM THE BENEFICIAL USES OF COASTAL LOCATIONS AND WILL PROVIDE ADDITIONAL NON-TQXIC BARRIER BETWFEN THE UPLAND/WETLAND INTERFACE BY INSTALLING CLEAN SAND LANDWARD OF RETAINING WAT.T. THIS MIL ATT) TN CAPITTRINC ANY STORMWATER FROM 1141? 1 IRT ANT) S1-IRE-A-CE PR-IQR-TO ENTRY INTC) TLIE Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LNW Section ffi=Policies Pages 3 through 6 for evaluation criteria ® Yes M No V3 Not Applicable f Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH-Policies Pages 6 through 7 for evaluation criteria ® Yes ® No21 Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section In-Policies Pages S through 16 for evaluation criteria Myes ® No EJ Not A licable THE PROPOSED RETAININGp�JVALL WILL PROVIDE ADDITIONAL PROTECTION TO THE UPLAND FILTRATION TO THE COASTAL WATERS, THEREBY REDUCING NUTRIENTFLOW FROM THE GRASS AREAS TO THE TIDAL WATER. THEREFORE THIS PROPOSAL IN CONSISTENT WITH THIS POLICY. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section IH - Policies Pages 16 through 21 for evaluation criteria V] Yes ® No 0 Not Applicable THE RETAINING WALL AND THE AREA LANDWARD OF THE WATT. MIL PROVIDE ADDITONAI_-EI-QW FROM THE GRASS AREAS TO THE TJDAI WA, . T-INE—IR—EFG-R—Pi T1419 PROPOSAL 1N SNSISTEW-T I-a I-H-iuis 12c)l,Ic-Y. Attach additional sheets if necessary Policy 6. Protect and restore the' quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III-Policies; Pages 22 through 32 for evaluation criteria. Yes No Not,n�plicablc THE RETAINING WALL WHICH IS LANDWARD OF THE MEAN HIGH WATER MARK WILL HAVE NEGLIGABLE IMPACT TO TIDAL WATERS AND THE ECOSYSTEMS INCLUDING WETLANDS AND THEREFORE IS CONSISTENT WITH THIS POLICY Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ® No21 Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section IIl—Policies; Pages 34 through 38 for evaluation criteria. Yes ® No 0 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. Yeso No M Not Applicable THE SUBJECT PROPERTY IS PRIVATELY OWNED AND DOES NOT IMPACT THE USE OF COASTAL WATERS, PUBLIC LANDS, AND/OR PUBLIC WATERS. Attach additional sheets if necessary WORKING COAST POLY%-ifS Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. 0 Yes ® No 0 Not Applicable THE SITE IS CURRENTLY SERVED BY A DOCK STRUCTURE AND THEREFORE IS CONSISTENT WITH THIS POLICY. 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. El Yes ® No M 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 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III--Policies; Pages 65 through 68 for evaluation criteria. Yes No Not Applicable PREPARED BY CHRIS COLE/AGENT ZT'MEi AGENT DATE 2 V I 17 425 Montauk Highway East Quogue,NY 11942 cesenv@gmail.com (631) 369-9445 February 8,2019 Town of Southold Town Hall Annex Board of Town Trustees 54375 Main Road �� -- a�� '� ��� i{ ;� ��7 P.O.BOX 1179 L i Southold,NY 11971 -`'1 Re: Scott Colletti 2140 Deep Hole Dr Mattituck,NY 11952 0f IInictnn% f SCTM: 1000-123-04.4.1 To Whom It May Concern, Mr. Colletti is seeking to replace in place 102 linear feet of timber retaining wall with new 5"vinyl sheeting. The wall is to be raised 12" and a wood walk added directly being the retaining wall. Backfill with approx. 10 cubic yards of clean fill. Flagstones to be removed. The following items are also enclosed: 1. Application Fee 2. Completed Board of Trustees Application 3. Short Environmental Assessment Form 4. Authorization Form 5. Agent Authorization Form 6. Agent Transactional Disclosure Form 7. Applicant Transactional Disclosure Form 8. LWRP Consistency Assessment Form 9. Stamped Project Plans Dated 2/7/19 10. Location Map 11. Photographs 12. Survey Should you have any questions,please feel free to contact us. Sincerely, Chris Cole Cole Environmental Services