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TR-9608
Michael J. Domino, President =�o�o co�y,� Town Hall Annex John M. Bredemeyer, III, Vice-President 54375 Route 25 Glenn Goldsmithc N z P"O Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams1 , �� rTelephone (631) 765-1892 Fax (631) 765-6641 SOUTROLD TOWN BOARD OU 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 V When project complete, call for compliance inspection; •. ':�.. ..,$ u,.. H'�.• GLI uiVi S? = 1 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK 1 I PERMIT NO. 9608 DATE: DECEMBER 11,2019 ISSUED TO: MATTHEW STANTON PROPERTY ADDRESS: 2725 WELLS AVENUE,SOUTHOLD SCTM# 1000-70-4-16 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in :1 accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 11, 2019) ); and in consideration of application fee in the sum of$250.00 paid by Matthew Stanton and subject to the Terms ! 1 and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: j Wetland Permit to install 30 linear feet of rip-rap for bank stabilization at entry to existing dock; and as depicted on the site plan prepared by Jeffrey Patanjo, dated October 1, 2019 and stamped approved on December 11, 2019. i IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these resents to be subscribed b a majority of the said Board as of the 11th da of December,2019. � P Y J h' Y ,r I BUFFO( " opo dell: co s� .L""- \\.n.q.,,,,,-....,.av�.. ��,,..,.... .n•.,�"�, �•�m..,,,.,.,„,,.+chi' Wiz„>r„_...,..,.+�.,:� \:,;"'^*,,,,,,,,,,,,,,m^:;i �";•.;,,, �.,;,t `----� 'Wtl..t.. - ••:.d ,,.,. �_----::�- � y ti• _�- •s. �!:, ---= � t "` - � .ata� .::�.._ _ � .a. , r TERMS AND CONDITIONS The Permittee Matthew Stanton residing at 2725 Wells Avenue, Southold,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. c � JD r `f 2019 D � ' OCT 1 5 5,411 S ° s O I !A 50 2p 7 17 32'48„E i TAX LOT t7 , �,- 29 / Vo°� l u t r 30. � J4p, 85 �p0 — 75-G5 \i opp 3.93y Wq�C`4 ` `\ x5.5315 52X 2 i2 l� \\ Bim• COVPRtD�� L � � I�2�94 ♦\ V, LANDING / v> �6S• `;g•� \�\\\Y \ \\ `�` �' ' 569 4.51k` I •. Z iy9y Pr�� i•1 1917 14.5'// g6 /o GP s\9 WOOD \sX�l c �O No �a�–� •rd 3`I WALK e.3� .yam p\ z 1 0.54o� dj 6.7f5' 9, \15.95. O 9>z TAX LOT 16 . ��\ \` `�� \ N x ti r AREA= 23,965.11 SQ FT'` x CPo o zo 14 0 0.55 ACRES 2078 \ `\ x2056 �� i/ '1722 15 78 ,q s 80034'00° w 275. 17 '8.14 6, N 2 ' WWe– � \ TAX LOT 15.1-72 a o�\ SO0 \ so \ 0 A 20' OAKLAND AVENUE 30 0 15 I I I l 1 1 1 so SUFFOLK COUIV77'DIST 1000 l I 1 inch =30 ft. GRAPHIC SCALE { IN FEET ) SEC. 70 BLK 04 LOT 16 DATE.- 7-08-10 SCALE. 1"=30' -- . T EASON I ND SURVEYOR PRO CT NUMBER TEA10-154 QUAD MAP NUMBER= 1759" LAT/LONG COORDNIA TES 41 03 30.5"N, 72 25 25.8"W �- 304 HALLOCKA G'ENUE,PORT JEFFERSON STATION,N.Y 11776 Phone(631)474-2100 /Fa+F(631)899-9085 —d1TEASON-LS@OPTONLINE.NET ELEVA 170NS SHOWN REFER TO NGt�D 1929 DATUM SURVEY NOTES. TOPOGRAPHIC SURVEY UNAN5fDER ED ALTERATION OR ADDITI)t Co ON CE TJ 5 SURVEY ISA VIOLATION OF SECTION'7209 Of THE NEW YORF.STATE R-9O EDUCATION LAW COTES Y THIS SURELY MAP NOT DEARlNG THE SURVEYOR'S IN ITL OR EMDQSSED SEAL SHµl NOT SURVEYED FOR• VINCENT LABA TE D[CON91DERED TO DE A VALID TRUE COry CERiIFI ,TIONS INDICATED HERON SMALL Ri1N ONLY TO THE PERS'�VPERSONS FOR WrtpM?H'SURVEY IS PREPARED.AND ON HIyryERrtHEIR BEHALF TO THE TITLE COT.wANr GOVCRNM[NTt,L AGENCY AND ENDING INSTITUTION-15TEO HEREON CERT^CATON5 ARE NOT TRAN5FERADLf TO ADDrTIONAL IN5TgLrTION5 OR 5U35EOUENT OWNERS C OFFT-115 SURVEY r5 SJDJECT i0 ANY PASEM-Nt Cr RECORD AND OTHER FERTT 5E FACTS A DA AN OR C ABSTRACT OF TITLE MIGHT DISCLOSE. � OF• DESCRIBED PROPERTY 5U OFFSETS SHOWN HEREON ARE FORA$PEC1f;C PURPOSE AND SHOULD NOT BE USED AS A DA55 FOR COvSTRUC'TION Of FENCES OR OTHER StRUCTURtS SUDSURfA,CE STRIICTURCS ANONJR tlTIUTIES.IF AN1' NOT SHOWN 5 HEDGE AND PENCE OFFSETS 5HOWN ARE TO CENTERLINE UNLE55 OTHERWI5E NOTED LOCATION.• SOUTH OLD SUFFOLK COUNTY ,NY I CERTIFY THAT THIS MAP REPRE5ENT5 AN ACCURATE AND TRUE ACCOUNT Of A SURVEY PERFORA'LD IN THE FIELD UNDER MY SUPERVISION ON 7/0&2010 Of THE LAND THEREIN►ARTICULARLY DE5CRIDED THE RECORD DESCRIPTION OF THE , � 5U5JECT FPOI'ERTY FORM5 A MATHEMATICAL:`.'C:05E0 NGURE-THIS SURVEY WA5 PREPARED IN&CCORDANCE WrTH THE CURRENT CODE OF PRACTICE FOR LAID SURVEYORS ADOPTED DY THE NEW YORK STATE A550CIATION OF - rROTS510n'ALLAND SURVCYO►S CERTIFIED TO: VINCENT LABATE 050452 PROPOSED 500 LB MAX. WIEGHT RIP-RAP PLACED IN ANGLE BACK TO rO""c TOP OF BANK. OCT 1 5 2019 PROPOSED FILTER FABRIC UNDER PROPOSED RIP-RAP STABILIZATION _ I H2 d� i� `-- APPROXIMATE M.H_W_ EL._2.5f___ --------------- 12725 Wells Avenue \ \ � � APPROXIMATE M.L.W EL. O.Ot v, EXISTING GRADE LOCATION MAP NO FILL TO BE ADDED N.T.S. PROPOSED 30 LF OF INTERLOCKING RIP-RAP TYPICAL SECTION © RIP— RAP SHORELINE STABILIZATK)N ALONG EXISTING N.T.S. LINE OF EROSION <� 0.31 _ Y APPROVED BY BOARD OF TRUSTEES - - _ — S 06•20.54"E TOWN OF SOUTHOLD 7.17' EXISTING FLOATING DOCK, RAMP AND PIER - S 84.32'48"E TO REMAIN UNDISTURBED - 15.29' cr N 69 DATE � ��� DATE EXISTING VEGETATED WETLANDS AS IDENTIFIED 2 STORY FRAME GARAGE #2 BY J. PATANJO ON JULY 8, 2018 , FRAME RESIDENCE - 3 PROPERTY OWNER: MATTHEW STANTON 14 COVENTRY LANE RIVERSIDE, CT 06878 13.97' PREPARED BY: JEFFREY PATANJO S 80.34.00"1I 275.17 P.O. BOX 582 Ar m�sn'no-w BOHEMIA, NY 11716 _ 15.00' 631-484-9332 .moo NOTES: JJPATANJO@GMAIL.COM >, 1. LOT AREA: 23,965.11 S.F. / 0.55 ACRES 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: Pro�oSed Permit Plans SCALE: 1"=30' T. EASON LAND SURVEYOR PROPOSED PLAN, SECTION DATE: 304 HALLOCK AVE, PORT JEFFERSON STATION NY 11776 SURVEY LATEST DATED JULY 8, 2010 & LOCATION MAP 10-1-19 OAKLAND AVENUE 2WELLS AVENUE SOUTHOOLDLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET TAX MAP N0. 1000-70-04-16 1 of 1 Michael J.Domino,President SoUj Town Hall Annex John M. Bredemeyer III,Vice-President ,`O� yplo 54375 Route 25 P.O. Box 1179 South Glenn Goldsmith old, New York 11971 A. Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 �yC4UNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 13, 2019 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: MATTHEW STANTON 2725 WELLS AVENUE, SOUTHOLD SCTM# 1000-70-4-16 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 11, 2019 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of MATTHEW STANTON, 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 October 15, 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 December 11, 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 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 MATTHEW STANTON to install 30 linear feed,of rip-rap for bank stabilization at entry to existing dock; and as depicted on the site plan prepared by Jeffrey Patanjo, dated October 1, 2019 and stamped approved on December 11, 2019. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Michael J. Domino President, Board of Trustees MJD/dd Michael J.Domino,President S0!/jTown Hall Annex John M. Bredemeyer III,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Q Telephone (631) 765-1892 Greg Williams Fax(631) 765-6641 C4UNT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 12, 2019 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW YORK STATE ENVIRONMENTAL QUALITY REVIEW ACT NYCCR PART 617 MATTHEW STANTON 2725 WELLS AVENUE, SOUTHOLD SCTM# 1000-70-4-16 Dear Mr. Patanjo: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, December 11, 2019: DESCRIPTION OF ACTION: Jeffrey Patanjo on behalf of MATTHEW STANTON requests a Wetland Permit to install 30 linear feet of rip-rap for bank stabilization at entry to existing dock. Located: L725 Wells Avenue, Southold. SCTM# 1000-70-4-16 S.E.Q.R.A. NEGATIVE DECLARATION OF ENVIRONMENTAL SIGNIFICANCE: WHEREAS, the Southold Town Board of Trustees are familiar with this project having visited the site on December 4, 2019, and having considered Jeffrey Patanjo plans for this project dated October 1, 2019; and the survey of T. Eason Land Surveyor, dated July 8, 2010, shown at the Trustee's December 9, 2019 work session; and WHEREAS on December 11, 2019 the Southold Town Board of Trustees declared itself Lead Agency pursuant to S.E.Q.R.A.; and 1 WHEREAS, on December 11, 2019 the Southold Town Board of Trustees classified the application of MATTHEW STANTON as an Unlisted Action pursuant to S.E.Q.R.A Rules and Regulations. A Short Environmental Assessment Form and a field inspection have been completed by the Board of Trustees; and it is hereby determined that it will not have a significant effect on the environment, and; WHEREAS, in reviewing the project plans of Jeffrey Patanjo dated October 1, 2019, and the survey of T. Eason Land Surveyor, dated July 8, 2010 shown at the Trustee's December 9, 2019 work session, it has been determined by the Southold Town Board of Trustees that all potentially significant environmental concerns have been addressed as noted herein: • No existing rocks or boulders are to be utilized, moved, or relocated on the beach. • Proposed 5001b maximum weight rip-rap will be angled back towards the top of bank; • Proposed filter fabric will be secured under proposed rip-rap; • Proposed rip-rap not to extend seaward of existing bank; • Access to the site for construction will be by land; • Proposed activities will be conducted so as to minimize disturbance of existing vegetation; • A site inspection by the Southold Town Board of Trustees on December 4, 2019 identified ongoing erosion of the creek bank which necessitates remedial action. THEREFORE, according to the foregoing, the Southold Town Board of Trustees Approve and Authorize the preparation of a Notice of Negative Declaration pursuant to SEQRA for the aforementioned project. If you have any questions regarding the above, please contact this office. Very truly yours, y� A-0-" Michael J. Domino, President Board of Trustees Michael J. Domino, President Town Hall Annex John M Bredemeyer, III, Vice-President �o ` ;: 54375 Route 25 Glenn Goldsmith y o + P O Box 1179 A Nicholas Krupski ;y�j oo� ' Southold, NY 11971 Greg Williams `'�l_' ` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO- MATTHEW STANTON c/o JEFF PATANJO Please be advised that your application dated October 15, 2019, X19 has been reviewed by this Board at the regular meeting of December 11, 2019 and your application has been approved pending the completion of the following items checked off below. Pre-Construction Hay Bale Line Inspection Fee ($50.00) — (Silt boom) 1St Day of Construction ($50.00) % Constructed ($50 00) xx Final Inspection Fee ($50.00) Dock Fees ($3 00 per sq ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due Please make check or money order payable to Town of Southold The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE. $_50.00 BY. Michael J. Domino, President Board of Trustees Michael J. Domino, lent SOtFU(,� Town Hall Annex �`9�0\O CSG John M Bredemeyer III, Vice-President 4U,`� y `4 54375 Route 25 Glenn Goldsmith y z P.O. Box 1 179 A.Nicholas Krupski Southold,NY 11971 Greg Williams ` 'y �p Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD e � Date/Time: ' ; y ' �ti Completed in field by: 1 Jeffrey Patanjo on behalf of MATTHEW STANTON requests a Wetland Permit to install 30 linear feet of rip-rap for bank stabilization at entry to existing dock. Located: 2725 Wells Avenue, Southold. SCTM# 1000-70-4-16 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 � I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: y J. Bredem �eyer v M. Domino '� G. Goldsmith A N. Krupski ✓G. Williams Other Kr _ 42" I L r. ,. 1 R'' f m rtcY _ J1914{ILl iirry ut✓fis,'( d -rf- NEST NIl NO tstrl � � t.iNcl ,� pTown creeX�. ° h zWc) + a � i gyp+,• ep i n $z. 47^ 4+ at 5 .• ° 31 rt3Alc ♦ cx`�ES NEc• .a„�,r„�.^I ,� s 'b - N a s e .t.r ♦ + �, 0'�- to ..� \ & eSs / m SW THOID SCHOOL DISTRICT N0.5 1 p) ` P JASMINE \ /\ 13 to ° -12 o a .pa 11 1 a5 P P P A 2 i\w / J Q s 1d + 11 \ \ 9 21 E "� Cr as 2a2 'h�� �� ° • q?� x�?� to � ! a� / � � V _/ /l FOR PCL NO.a 'pggtYY 11, i b e ^ w / / x0 15.x111 \ I a r 79 w J' ,SMS 'B mut No. ,Ao aooa ^ r 18.9 ,at6 +9.0 tarz ,B.n tai zs.2 x° ti. ^e^ f / go�d 1 I' Z ,a n_ to_ +zNq +zNq +zµq t tµq • + .� u § cRE>=e �^ 00. ,,, s� ` •� // —y��:� i � �1 � ty' 4 I� $ a z e s -s to 1 n ;tz$ 13 u ,s to 17 t.'a t6µq t]�A(c) ztz 't - y. ` t0° pn 7o i,Aa^ 1. lA ez e + e $ Y a ` / II _,ez I• " � \\ x6 \\ 9 i ,ex ^' ] i l + .J �.n�..u�i a o� lOtM1 OF 50UT1101D • -y 19 x' a o r 19 „. �j5\^ '\ 9OUTHOLD .i ?A.�., aTNq ' ,.8µc1 O /�- `t .s„' si, tT 5 • i ,a 5. to 1 BOWERY ) �.p” �i Q w BAY t ?a �. 14 Yx i3a1 • � r ,t '2 `"` ,a yd' .2 $ '^ xl $ e b ,Y,e VAG e w 1 tN tiTN� e) ie 301 ]] ^, Y 1Aldcl tAl '0:161 .�. ]TNq T A >2 11A C1<3tEtvtY 6 6 li P15E to 1T•aCK 1tB xD a-2+ -a + 1A11q ] r a $„ ,a t @If1 a ]T1 16 �• i R �]OB a 1yl ,�• �j 19e 0 t5 2 ,.,A 1 ,J .. w ^ a ^ a _ ,s ✓ .n JtIN i] c ,. +e `e "� „, ^ OWN OF me 1/ 18.3 a SOUTHOID A,2 20 TT ze 25 ^ m `• a, 1 ° S '!1 tat/ ,.,A O a 9 ]1]T it $i6 >9 39 x 3s S-a.n a y I, PTI n� m +° a_ 7z ip" ° t6` I �— �r t Bµcl 7 ,3 � 5B � 4.1A i 5 _ 6 v T CLFiWVIEW AVE. yru 4 e1 SO 49 066.1 _ d ST Z28 3 p{, i �`p� • —= 01601-0]6 1'! M aR ?6 21 lea 16A 1.0µq a� �t 292�. .�t{VNC a — �1��---LINE sa pHo D $ 3 ', aL'�' � tIw^IalaMtttnn V 3 s,? 61`1 NOTICE Y COUNTY OF SUFFOLK © K m ,,, o wa. SOUTHOLD SECTION NO c �� _�_ w� R+) — 0 ��—_�-- YN.teNYcc..tuaTwY.BB�Eat Real Property Tax Service Agency r t" VLLeYE6 070 E •••• -- m Ir —__ �� --,__ avvu.--.-- . Zti Glny Gr�Yr le..reuB,NYlltgt A 40o ON MIt Ca V p!r ini YIP IIa Pnu.srt0 N '•••,A' - Yr o.Yu.--ww-- N� P ms �y nsr^cT xo 1000 PROPERTY MAP O ..�,. n w n+Nwv txtA --'-- 2tN.l OFFICE LOCATION: �O��Ov so - 01 MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) C Southold, NY 11971 OQ Telephone: 631 765-1938 Fax: 631 765-3136 "!COUNTY, 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: December 10, 2019 Re. LWRP Coastal Consistency Review MATTHEW STANTON SCTM# 1000-70-4-16 Jeffrey Patanjo on behalf of MATTHEW STANTON requests a Wetland Permit to install 30 linear feet of rip-rap for bank stabilization at entry to existing dock. Located. 2725 Wells Avenue, Southold. SCTM# 1000-70-4-16 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc Damon Hagan, Assistant Town Attorney ��V�QgpFFOt,�Ca Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 y'�► ��` 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., December 4, 2019 the following recommendation was made: Moved by Peter Meeker, seconded by John Stein, it was RESOLVED to SUPPORT the application of MATTHEW STANTON to install 30 If. of rip- rap bank stabilization at entry to existing dock. Located: 2725 Wells Ave., Southold. SCTM#70-4-16 Inspected by: John Stein, Carol Brown, Peter Meeker The CAC Supports the application and recommends the applicant contact Cornell Cooperative Ext. for bluff stabilization plantings. Vote of Council: Ayes: All Motion Carried �V � SCUT.7 l Town Hall Annex 41 f Michael J.Domino,President 1�' John M.Bredemeyer III,Vice-President �� ti0 l0 54375 Route 25 1 P.O.Box 1179 Glenn Goldsmith !� Southold,New York 11971 A. Nicholas Krupski Telephone(631) 765-1892 Greg Williams �� ,�� 4� Fax(631) 765-6641 coumv BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application _ ~ Wetland Permit Application Administrative"Permit Amendment/Transfer/Extension OCT 1 5 2019 i Received Application: 10-S.Ig Received Fee: $LS0.00 r Completed Application: Incomplete: SEQRA Classification: TypeI Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: ll'22"1 Q CAC Referral Sent: 11.26 =Date of Inspection: 12e.if-A Receipt of CAC Report: t/Public Review: ��j q q ✓ Public Hearing Held: Resolution: Owner(s)Legal Name of Property (as shown on Deed): /V1 at-t 6t'hew S TA n to r% Mailing Address: l , CT 06 f-7e Phone Number: 9 17 " p 2 F - 3 94 o Suffolk County Tax Map Number: 1000 - -7® - `/ -16 Property Location: P7 a.S' wvc i l S A v c. — S o,-Irl,,01 Q S« to,*-r,o,n M&P - (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Pa d'a e7 1 D Mailing Address: D ' Qo rC '-S8 a- (?o 1)em«, -,)q 11-7 14, Phone Number: b 31 ' y a'y- -9 3 3 a- Board of Trustees Application GENERAL DATA Land Area(in square feet): 2 3 Area Zoning: (Le 5 Previous use of property: 2 e S Intended use of property: iz c S' 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 ✓ No Does the structure(s) on property have a valid Certificate of Occupancy? ✓Yes No 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? No Yes If yes, provide explanation: Project Description (use attachments if necessary): 8 o l F of R lP-44eo of -eAt-fy -E'er Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 'Z szt i( 30 LF m F 2I.I-i-4,4 bf-dI e- At tvi+4',c4ee tm C,U Sony Wor-4 . Area of wetlands on lot: a' / S t square feet Percent coverage of lot: -7 0 % Closest distance between nearest existing structure and upland edge of wetlands: d feet Closest distance between nearest proposed structure and upland edge of wetlands: O feet Does the project involve excavation or filling? V No Yes If yes, how much material will be l excavated? N cubic yards How much material will be filled? /`� -4 cubic yards Depth of which material will be removed or deposited: ,-J R feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): -T-btrc A� Po s ►-live tpi .� .-E dA .►� c rt a��PS -t- /Vt,+w'f"ttk e1Fe5.to^ t A Lo SS .,F leyid exI-A wt+k 4he- rzwe-(Lt? Gjv6,,,t �ytv(,ro, ,-nen-i Board of Trustees Appli .ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 7-11111 2-0 LF of- 941-it-4#0 bar-i/[_ STa.(a-F Ii ,�-t? o,, At eN.F,r.t rt o c+rc 9tin .t/o��G . Area of wetlands on lot: If/ 5- t square feet Percent coverage of lot: -7 G Closest distance between nearest existing structure and upl d edge of wetlands: O feet Closest distance between nearest proposed structure an upland edge of wetlands: O feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? N cubic yards How much material will be filled? /J cubic yards Depth of which material will be removed r deposited: *JR feet Proposed slope throughout the area of perations: V- 5- Manner in which material will be r oved or deposited: N ,4 Statement of the effect, f any,on the wetlands and tidal waters of the town that may result by reason of such propos d operations (use attachments if appropriate): c w ( 6e .- Pes i-bve do «.? a rl o.n.dfs at c+k 4 t R P—(Lt 10 Boa - of Trustees Application AFFIDAVIT �,ka.I1�u►� S {-sr,,►+on BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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 Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF A ,20 i Notary'Public AWN0601�8f NOTAIK RM 3fAM Of F*W YM 0000wry OLIC.NO OE81 7427 K EXP a�- Short Environmental Assessment Form Part I -Project Information Instructions for Comuletine 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: 2725 Wells Ave Erosion Repairs Project Location(describe,and attach a location map): See location map Brief Description of Proposed Action: Install 30 If of rip-rap bank stabilization surrounding entry to pier as shown on plans. Name of Applicant or Sponsor: Telephone: 631-765-6598 Matthew Stanton E-Mail: matthewstanton@me.com Address: 14 Coventry Lane City/PO: State: Zip Code: Riverside CT 06878 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:NYSDECI Town of Southold Trustees Q 3. a.Total acreage of the site of the proposed action? 0.55 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.55 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page I of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑✓ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ 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 NameReconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency:Suffolk County,Date:7-12-88 F-1 7 NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? � ❑ b. Are public transportation services available at or near the site of the proposed action? Fv� ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed Elaction? 21 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: a ❑ 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: FE ❑ 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 21 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 ❑ 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 project site.Check all that apply: OShoreline ❑ 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 habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑ ❑ Common Tem,Piping Plover,... 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 a. Will storm water discharges flow to adjacent properties? W1 ❑ 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 the 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: ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste INOYES 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: a ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Matthew Stanton Date: Cc-* -7, Signature: Title:Owner PRINT FORM Page 3 of 3 EAC Mapper Summary Report Tuesday,April 02, 2019 10:36 PM Disclaimer: The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies in preparing an environmental assessment form(EAF).Not all questions asked in the EAF are h0007,'nr,-} 30r ti ',, "_� r._,7,,,, 1 answered by the EAF Mapper Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to A-101)"'•' DEC,you may also need to contact local or other data sources in order 7-)00- ,r,_2 000 r, to obtain data not provided by the Mapper Digital data is not a '' substitute for agency determinations. 7v,^,,,i_:I,u,;2,,;, , nr,n-'�,r,,)_ r onawa Monteal 22'..12_ _ 7o,'. '-4':, 1' 7r,nr,-1'„,_,��,,,i� pr' 3'"'tip 22011 r'Q4ti+1' ,t,r.r, Toronto 70nr1_4r 150,1 . 7000-600.'4,K F'1 wrd i. I ,.cl�•..1,f Wbany 7 000-3 00-22 010 Detroit Nocton 7000-306-2200V0 providence 6burces Esri,HERE,Garmin,U5G5. Ir termap,-INCREIAEkT P•NRCan,Esri � r - -- 7'200-3JV-22;?'15 a an,-��,�TI, Jr,i���g hina;Hung Kang),Esri Sources�Esri, E,Garmin, K 'EsFi';t 811ar?'c),NGCC,0 Columbus 'F''tcabtrgh Ug &ilnta!rrktip, 70n0_'x.00-2200 CStree*vlaF owtributcn,and the GIS ti INCOElul ENT P.NRCen,Esri 7Us'�d !rilr 'Rity cinnatl W"epv LtETI,EsriChine Part 1 /Question 7 [Critical Environmental Yes Area] Part 11 Question 7 [Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health,water, Area- Identify] vegetation, &scenic beauty, Agency:Suffolk County, Date.7-12-88 Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] 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] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15[Threatened or Common Tern, Piping Plover, Least Tern Endangered Animal-Name] Part 1 /Question 16[100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form- EAF Mapper Summary Report Part 2-Impact Asses t. The Lead Agency is responsible for the com m of Part 2. Answer all of the following questions in Part 2 usit,s,information contained in Part I and other materi, bmitted 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 l Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? [Z—[--P 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 comtnunity9 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 Q I affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 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, M, waterbodies,groundwater,air quality,flora and fauna)? 10 Will the proposed action result in an increase in the potential for erosion. flooding or drainage ❑ problems? H. W ill 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 clement 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 detennined 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. Q �CY1 ll�ir.c�,•t-� �'Q� cc.1t_ 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 IFYOU have determined,based on the information and analysts above,and any supporting documentation. that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees / 1-311f — Name of Lead Agency Date Michael J. lr/V ��t/ President { Print or Type Name of esponstbbbb�llle of icer m Lead Agency Title of Responsible Officer c <nnr, rr>�r Pcnnn¢i1 C?ffioer in Lead Agency Signature of Preparer(if different from Responsible Officer) Board of Trustees Application AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL 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 Signature of Property Owner S ORN TO BEFORE ME THIS 7 DAY OF —'20 Notary"Public dA1M�0 k%WP AC 8tA1E OF W*Y= 0000m m LIC,!! 7427 COMM.EXP — a�- APPLICANT/AGENT/REPRESENX'ATIW TRANSACTIONAL DISCLOSURE FORM The Town if Southold's Cot of Wcsgmhibits co,nflicts of in ad on the d of town blues and=W2.ee�.The nuroose of this's rm is to±avidew-info&Wion which can alert the town of lwssible confliGM of k temst and allow it to pb whatever action is r�same. 1 YOUR NAME: S fi a n*a A A� �-4•��tw (Lest name,first name,Middle Initial,unless you are applying is 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 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 positron of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate lite 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 shams of the corporate stock of the applicant (when the applicant is a corporation), B)the legal or beneficial owner of any interest in ation-corporate entity(when the applicant is not a corporation), _Q an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da of D i 20_Ll ll Signature �-- Print Name M A-f Form TS 1 OUMM30 3 AA6 WY lerO TC 7ATI:k114t IR vpAT'OW 4 Boa of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, AA �4 k e w S to n+-A owners of the property identified as SCTM# 1000- in the town of S e"-k k e 1 ,New York,hereby authorizes 'fit 1--,rr es 0.'Ca�1► v 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 C f , 20—LIL— Notary Public GOOO" UC. 7B174S_:�_ COW.EXP APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of SouthoId's Code of Etwalzrobibits ponftiets of interest on the 21dof town bfficers and enloxm.The se f .s•drm is to vide information which can alert the town of poser ie conflicts of ffrterest and allow it to take whatever action is necessary to avoid Satre. YOURNAIVfE: S-t a n*0A 4'�'�tW (Last name,first name,griddle initial,unless you aro 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 peraonally.(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 '/ 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)andlor describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,of 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 it iron-oorporate 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 7 da of 0 20 1 Signature - a �-- Print Name M rf Form TS l � WY*0 10 VATI OW YFAYN Y11N)Q�E�101 TO WAOO �S►�►t3�tp1F �I1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the 12art of town officers and employees.The numose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: P6%—rA.h (Last name,first narge,fuddle initial,unless you dre 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 interesi'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 V 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 1 day of D a{- 20 Signature n Print Name ,r Form TS 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-70-4-17 SCTM#1000-70-4-15.1 SCTM#1000-70-3-25.1 Vivinetto, Ralph &Joan Vastola, Raymond &Joyce Rich Rich Family Trust#IWells Avenue 821 Bowling Green Dr 80 Hampton Road 08 2 PO Box Westbury, NY 11590 Scarsdale, NY 10583 Southold, NY x 211971 STATE OF NEW YORK COUNTY OF SUFFOLK Jeffrey Patanjo , residing at PO Box 582, Bohemia,NY 11716 being duly sworn,deposes and says that on the ab day of November , 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 V3y� em,A.- ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this a` Day of November ,2019 MARILYN S.HICKS NOTARY PUBLIC,STATE OF NEW YORK RegisEration No.01HI6365489 untY �uaItf: p ufffN c 0,2021 Not Pub is ,mission Exp' Michael J Domino, President tO�O u4p Town Hall Annex John M. Bredemeyer I11,Vice-President ;, y� . 54375 Route 25 Glenn Goldsmith y z ;t P-O Box 1179 A.Nicholas Krupski .�� � Southold,NY 11971 Greg Williams yh p�':`` Telephone(631)765-1892 =, or v"- ti Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MATTHEW STANTON 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, Jeffrey Patanjo , residing at/dba PO Box 582, Bohemia,NY 11716 being duly sworn, depose and say: That on the 3° day of November , 2019 , I personally posted the property known as 2725 Wells Avenue,Southold. SCTM#1000-70-4-16 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, December 11,2019. Dated: 3'0 ' t 1 C g ture) Sworn to before me this day of Nov.2019 _ W MARILYN S.HICKS S NOTARY PUBLIC,STATE OF NEW YORK Re gistration No.01HI6365489 Notary Public (]uslilled in Suffolk County Conwnhmion Expires October 10,2021 Postal Postal ■ , . • ■ , O RECEIPT Domestic Mail Only Domestic Mail Only For delivery information,visit our website at www.uSPS.Coni". rq t r%- Certified Mail Fee r- Certified Mail Fee n�, .D $ Extra Services&Fees(check box,add fee as appropria �{`°,. 0 Extra Services&Fees(check box,add fee as app-ri Yom. t3 El' Return Receipt(hardcopy) $� r-:10 Return Receipt(hardcopy) $ p O ❑Return Receipt(electronic) $ r Postil O ❑Return Receipt(electronic) $ < Postrn`�, C3 ❑Certified Mail Restricted Delivery $ Here :01 0 ❑Certified Mall Restricted Delivery $ Here t 0 []Adult Signature Required $ !7 0 ❑Adult Signature Required $ f- ❑Adult Signature Restricted Delivery$ 1 ❑Adult Signature Restricted Delivery$ 'r 0 Postage O PostageCo 1:0 Total Postage and SCTM#10000-`10=�.1 rt r Total Postage and $ Rich Family Trust#I $ SCTM#1000-70-4-15.1 Q' Sent To Q' Sent To 3415 Wells Avenue o Vastola, Raymond &Joyce 0 $heat and Apt.No. .Street andApt.% r� PO Box 208 r� 80 Hampton Road Ciry;-State,ZIP+4 c;iy,-sraie,Z%P+4e Southold, NY 11971 Scarsdale, NY 10583 Postal CERTIFIED o RECEIPT `n I. mestic Mail Only s9.11.19 r%- Certified Mail Fee —0 $ C-3 Extra Services&Fees(check box,add fee as appropriate) �'�....n..� ❑Return Receipt(hardcopy) $ 0 ❑Return Receipt(electronic) $ _.y_ P091IjfafM- 0 ❑Certified Mail Restricted Delivery $ r3 ❑Adult Signature Required $ \_ ❑Adult Signature Restricted Delivery$ Q Postage �r ru fTotal Postage and $ SCTM#1000alm 4=-17 U Sent To '-9 _______ _ ________ Vivinetto, Ralph &Joan � Street aifd Apt.No 821 Bowling Green Dr crry state,ziP+aa Westbury, NY 11590 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 12 U� Ll - 17 ?() - N - /S. l 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 `StAVtod December 2, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 2725 WELLS AVE. -SOUTHOLD SCTM No. 1000-70-4-16 AFFIDAVITS Dear Trustees: Attached, please find original affidavits of posting and mailing as required for public hearing process. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Je rey Patanjo P.O. Box 582 Bohemia, NY 11716 IIIc � 6..1 i L 11 ! =Ji DEC - 6 2019 �`J N -UTILt: Uim Ht: AKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: MATTHEW STANTON SUBJECT OF PUBLIC HEARING : For a Wetland Permit to install 30 linear feet of rip-rap for bank stabilization at entry to existing dock. Located : 2725 Wells Avenue, Southold . SCTM# 1000-70-4-16 TIME & DATE OF PUBLIC HEARING : Wednesday, December 11, 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 significant 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# -7 V PROJECT NAME 2 -79,Y- well 5 Ave S o.-,-(In c t d7 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I. 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: 1 / 30,LF rf (LtP'/1-gyp s?,.6�/! z'/o..1 ae�Jcc�nT 4o it Location of action: a7 a S We-( IS ,4-w - — s o o4-k oZ JQ Site acreage: D. T5- Present SPresent land use: IQ e S Present zoning classification: P5- 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: Alk 4+4 h1l Tu vi-t o.1 (b) Mailing address: I Cc✓Gv% it n e ILtVeOrS(We , cT o6cf7 r (c) Telephone number: Area Code( ) 217 - f?a qw-3 yb O (d) Application number,if any: J Ig 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? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. F]Yes ❑ No 9Not Applicable Pro eej k&s no -c FF�� Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III- 'c' s Pages 3 through 6 for evaluation criteria 11Yes ❑ No Not Applicable re ie n Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria dYes ❑ No ❑ Not Applicable ���iav} �rA•x�tS a �at., frcL S1r&t4N/ji`eV bAAV— rn L/t✓ kha / Sr/Ay lno a CAereli n Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable Pfbt'-ec-rS j4/nS-f' .e1roSloA KJ- L•1S d< Cg.'d . Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No ❑Not Applicable p dr 1,.so 4 je 4p t AS a/- i t o n i n Ifo w a-f'K/L-S Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable Qri1t� ��v�a�S �"bei� •� Lt✓anc� t(�Vcro� .N�tNI-,— �ir� wt,(d(4 AS, (.•��ll w s tp 1�.,� Fc Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No[�Not Applicable �O -CG 4 4 s It o t f-('CG lL Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 1:1Yes ❑ No l=J 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. Z' YeF-1 No❑ Not Applicable f��GG w.(( o.,,r S fv� � r[Sfotwt'(o,J � F �. c✓a c.dG.�n y Q.��k -to Attach additional sheets if necessary WORKING COAST PI CIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. Se WRP Section III—Policies; Pages 47 through 56 for evaluation criteria. El Yes F] No Not Applicable P! -eC4 'hh.S VLdPl s "-eC- " 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 [?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. ElYes El � No U Not Applicable c4 W.S o -4-4n-- Attach -4nGAttach 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 P w "rte n-I o TITLE e oi DATE 1 •-2'-I October 8, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179a fi+n Southold, New York 11971 1 C --- RE: 2725 WELLS AVE. -SOUTHOLD I U OCT 1 5 2019 D, SCTM No. 1000-70-4-16 APPLICATION FOR PERMIT Southold Town Board of Tr stoes 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