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TR-9626
Glenn Goldsmith,President ��QF SOUjyo Town Hall Annex Michael J.Domino ,`O l0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G • Q Telephone(631) 765-1892 Greg Williams '0 Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1771C Date: October 28, 2020 THIS CERTIFIES that the removal and replacement of 60 LF of existing timber bulkhead with new vinyl-bulkhead in same location as existing and raised height of 12"above existing and an additional 6'.-of bulkhead return; remove and replace 4'x4' cantilevered platform iri same --location as existing; existing 30"x 11' ramp and 6' x 20' floating dock to remain in same location as existing with no changes; all decking and top cans to be of un-treated timber materials; and to install'and perpetually-maintain a 10' wide non-turf buffer along the landward edge'of the proposed bulkhead; - At 4000 Wunneweta Road, Cutchog_ue Suffolk County Tag Map #1000-111-14-22.1 Conforms to the application for a Trustees Permit heretofore filed in-this office Dated November 18, 2019 pursuant to which Trustees Wetland Permit#9626 Dated January 15, 2020,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal and replacement of 60 LF of existing timber bulkhead with new vinyl bulkhead in same location as existing and raised height I f 12"above existing and an additional 6' of bulkhead return; remove and replace 4'x4' cantilevered platform in same location as existing-, existing 30"x 11' ramp and 6' x 20' floating dock to remain in same location as existing with no changes• all decking and top caps to be,of un-treated timber materials; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the proposed bulkhead. m��-certiDcate-is-issued-to�hrst �&�1-� �Mer�field_owners._of_the_aforesaid nropert�, Authorized Signature �~ Glenn Goldsmith,President *QF SUET Town Hall Annex Michael J.Domino,Vice-President �Q� yplo 54375 Route 25 P.O. John M.Bredemeyer III .IL k = Southoldd,, Box 11 New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION,: 10 Lo b0 INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction; haybale line/silt,boom/silt curtain 1St day of construction / % constructed J Project complete, compliance inspection COMMENTS: y� - / Q hamfoww ur expo. Wo it 1. (/�e �� '-fR4vr , Wo-Ad 01%hq a iVeK) Pt(rA�� . 6�s � �� COw11St. CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President �QF S0 Town.Hall Annex Michael J.Domino ,`QOl0 54375 Route 25 P.O.Box 1179 John M-Bredemeyer III Southold,New-York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OP SOVTHOLD October 29, 2020 Christopher& Elyse Merrifield 4000 Wunneweta Road Cutchogue, NY 11935 RE: 4000 WUNNEWETA ROAD, CUTCHOGUE SCTM# 1000-111-14-22.1 Dear Mr. and Mrs. Merrifield: The following action was,taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 28, 2020: RESOLVED, that the Southold Town Board'of Trustees APPROVE the request for a Transfer of Wetland Permit#9626 from Pauline Segrete_to Christopher & Elyse Merrifield, as issued on January 15, 2020. Any other activity within 100' of the-wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Glenn Goldsmith, President Board of Trustees GG/dd t � �Ydly1: GI�d(5�o7 fi �� 2vY�ZA Qj &VL- a VI Oy,S O-A Abo c�, L&V% vQ-W 4L T IG QY - Ilw,.�v� Ca rr ci v -�,�� 167, b �w Aro vo- �a OY ✓Pi11(�'t"1 � CJeC�^ �11111� !�� �'�aW � Ju x tna"e- s `�� kHP�- ��1 We- Nti�V2 Mr�tczr� 'CoY A ked a A �S vis e-d r� u ` �S_ ln� .e�✓c ,2� �( ELI WAL��Mjnl i� , l' ru7 FF—,.4 60b CPA py nrT 19 2020 i 4 Sn: hr!. ir;m ;- -- Glenn Goldsmith, Presi t 0\0SUfFO14,COG Town Hall Annex Michael J. Domino �,,, 54375 Route 25 John M. Bredemeyer III o �'` P.O.-Box 1179 A. Nicholas Krupski o Southold, NY 11971 Greg Williams y O� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: (O A jo Completed infield by: CHRISTOPHER & ELYSE MERRIFIELD request a Transfer of Wetland Permit#9626 from Pauline Segrete to Christopher & Elyse Merrifield, as issued on January 15, 2020. Located: 4000 Wunneweta Road, Cutchogue. SCTM#: ' 1000-111-14-22.1 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: oV,\ -At> -mss 6 , I- ar 14-r- I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other THIS INDENTURE,made the 20th day of May,Two Thousand Twenty BETWEEN PAULINE SEGRETE, as surviving tenant by the Entirety with Dominick Segrete, who died a resident of New York County on May 18,2004,residing at 557 PACING WAY,WESTBURY,NY, party of the first part,and CHRISTOPHER MERRIFIELD and ELYSE MERRIFIELD,his wife,residing at 69 WENDOVER DRIVE,HUNTINGTON,NY 11743,party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the Town of Southold, Suffolk County, New York, known and designated as Lot 230 on a map entitled,"Amended Map of Nassau Point owned by Nassau Point Club Properties,Inc.",surveyed June 28, 1922 by Otto W.Van Tuyl,C.E.,and filed in the Suffolk County Clerk s Office under map file number 156 and also a strip of land on said map which together are described as follows: BEGINNING at a point where the Westerly side of Wunneweta Road is intersected by the Southeasterly side of Lot 231; RUNNNG THENCE along the Westerly side of Wunneweta Road as measured along a tie line,South 57 degrees 19 minutes 20 seconds East for a distance of 216.32 feet to the Northerly line of Lot 229; THENCE South 73 degrees 07 minutes 40 seconds West along the Northerly line of Lot 229 for a distance of 112 feet; THENCE North 63 degrees 31 minutes 40 seconds West along a tie line for a distance of 57.10 feet to the Southeasterly line of Lot 231; THENCE North 30 degrees 32 minutes 00 seconds East along the Southeasterly line of Lot 231 for a distance of 257.30 feet to the Westerly side of Wunneweta Road,the point or place of BEGINNING. Premises known as and by 4000 WUNNEWETA ROAD,CUTCHOGUE,NY 11953 Being the same premises conveyed to the grantor by deed recorded in Liber 10948 page 392. TOGETHER with all right,title and interest, if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid.AND the party ofthe first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first written IN°PRESENCE OF: -J�k-z-�K IsArt� y *,2016 r PAULINE SEGRET by LES S CRETE` ELL as Agent under Power of Attorney dated Apri State of New York,County of Nassau } ss.: On May 20, 2020, before me, the undersigned, personally appeared LESLIE SEGRETE CARBONELL, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name is subscribed to the within instrument and acknowledged to me that she/he/they executed the same in her/his/their capacity, and that by her/his/thei'r signature(s) on the instrument, the individual(s), or the person on behalf of which the individual(s)acted,executed the instrument. 1Notary Public LINDA A. HOLBROOK Notary i lublic.Strata of New York l,io.DjHOW 430'3 CuaVied in NassE.0 County Corrain;ssion Expires 05,1312D : District 1000 Section 111.00 Block 14.00 Lot 022.000 County Suffolk Bargain and Sale Deed with Covenants Record&Return to: PAULINE SEGRETE Thomas & Graham, LLP,Esq. 1 Hollow Lane, Suite 309 to Lake Success,New York 11042 CHRISTOPHER MERRIFIELD and ELYSE MERRIFIELD if III OCT 9 2020 F 7 t S „n Z a j owe a� ulf�ic �C) ! Y, 54,ee,5 "bie yo 9F �.�k� M �v✓'i -�cl d Lznon'2.Y S`tc ip A -4b OD _�I¢ylvxkwR- n!1 ci ✓ � � IrOZ� Ct.� C-c� ^�_s�7�R� `� Cc G►tia cs� h, "tom �1�.�ti w '�� a D o a Cke Al 2322 CAt c Z 's `5L ,Lry Glenn Goldsmith,President *V SO Town Hall Annex Michael J.Domino,Vice-President 01 1 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ Southold, New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR-TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE - Pre-construciioh,fhay bale line/siltboorrt-/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; f V' j BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9626 DATE: JANUARY 15,2020 .e I ISSUED TO: PAULINE SEGRETE PROPERTY ADDRESS: 4000 MTUNNEWETA ROAD, CUTCHOGUE SCTM# 1000-111-14-22.1 IhY AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on January 15,2020 and in consideration of application fee in the sum of$250.00 paid by Pauline Segrete and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the removal and replacement of 60 LF of existing timber bulkhead with new vinyl bulkhead in same location as existing and raised height of 12" above existing and an additional 61 of bulkhead return; remove and replace 4'x4l cantilevered platform in same location as existing; remove existing 3' wide x 24' long landward deck with new 6' wide x 24' long deck in same location; existing 30" x 11' ramp and 6' x 20' floating dock to remain in same location as existing with no changes; all decking and top caps to be of un-treated timber materials; and to install and perpetually maintain a r. 10' wide non-turf buffer along the landward edge of the proposed bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, dated January 9, 2020 and stamped approved on January 15, 2020. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Sea]to be affixed, and these presents to be subscribed by a majority of the said Board as of the 15th day of January,2020. '41 � tY �� Gyp 3 k— W V__ IMM TERMS AND CON75IT.,z, JS The Permittee Pauline Segrete residing at 4000 Wunneweta Road, Cutchogue, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4., That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold, 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)-calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held-or vested in a person not a party to the permit. Glenn Goldsmith,President `'*V sorry Town Hall Annex Michael J.Domino,Vice-President ,`O` ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 17, 2020 Jeffrey Patanjo P.O..Box_582 Bohemia, NY 11716 RE: PAULINE SECRETE 4000 WUNNEWETA ROAD, CUTCHOGUE SCTM# 1000-111-14-22.1 Dear Mr. Patanjo: , The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 15, 2020 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of PAULINE SEGRETE, 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 November 18, 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 January 15, 2020, 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 PAULINE SEGRETE for the removal and replacement of 60 LF of existing timber bulkhead with new vinyl bulkhead in same location as existing and raised height of 12" above existing and an additional 6' of bulkhead return; remove and replace 4'x4' cantilevered platform in same location as existing; remove existing 3' wide x 24' long landward deck with new 6' wide x 24' long deck in same location; existing 3,0" x 11' ramp and 6' x 20' floating dock to remain in same location as existing with no changes; all decking and top caps to be of un-treated timber materials;and to install and perpetually maintain a 10' wide non- turf buffer along the landward edge of the proposed bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, dated January 9, 2020 and stamped approved on January 15, 2020. 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, Glenn Goldsmith President, Board of Trustees GG/dd Glenn Goldsmith, PresidentTown Hall Annex Michael J. Domino , Vice-President 54375 Route 25 John M. Bredemeyer, III o h P.O. Box 1179 A Nicholas Krupski y.�j °o�,;'ry Southold, NY 11971 Greg Williams A), Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: PAULINE SEGRETE c/o JEFFREY PATANJO Please be advised that your application dated November 18, 2019 has been reviewed by this Board at the regular meeting of January 15, 2020 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/2 Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 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: Glenn Goldsmith, President Board of Trustees Hog r ok VolPROJECT LOCATI0N 04,000 U4Fumew a R"d TTLE PECONIC Ll BAY ROAD :2E co f N hC PROJECT LOCATION MAP / N.T.S. / 0 PROPERTY OWNER: PREPARED BY: e ' PAULINE SECRETE JEFFREY PATANJO I f 'N 557 PACING WAY P.O. BOX 582 z� o C WESTBURY, NY 11,590 BOHEMIA, NY 11716 / rn 'z 631 -484-9332 / o Z NOTES: I m 1 . PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: I o PECONIC LAND SURVEYORS z 1230--TRAVELER__STREET, S.OUTHOLD, NY 11971 / o DATE SURVEYED: JULY 13, 1999 y 70 2. LOT AREA = 19,293 SF / 0.442 ACRES / °0 ASPHALT DRIVEWAY I , APPROVED Y E®ARD OF J RUSTEES TOWN OF SOUTHOLD / DATE r 2 is 2020 / X4STTOROR Y WOOD FRAME / RESIDENCE R ,OO I IN—GROUND POOL WOOD I N BRICK DECK / Q PATIO / W PROPOSED 10'WIDE NON—TURF BUFFER N REMOVE J'NOE X 24'LONG BQARDM AND REPLACE WRIH NEIVG WIDE X 24'LONG BQNWAUK ADJACENT 1D PROPOSED BULKHEAD.ALL OEDW M BE UNTREATED TIMBER OR EQUAL. M HW R MLW ALONG FACE OF BULffA REMOVE AND REPLACE EXISTING 4X4'CANTILEVERED PLATFORM WITH NEW PLATFORM INSAME LOCATION AS OWNG ��', O+ w REMOVE AND NEFF WR BULKHEAD HISS E�DON TIMBEFI OWN AND°R� HWff OF 12'ABOVE OEM TOP CAP ELEVATION - . OWN wpm'TIMBER RAMP TO REMAIN N ns CURIffM EXISTING 6'X20'FLOATpG DDCK TG REMAIL IN ITS CURRENT LMARDIN REMOVE AND IBM OWN M LP TIBER BULKHEAD RETURN N 66'31'20" W WITH MEW VINYL BUX IE41)RETURN IN SANE LOCATION AS DEW EXISTING VEGETATED WFTANDS AS IDEMRFED BY 58.55' J.PATANJO ON SEPTEMBER 14,2019 WUNNEWETA POND BULKHEAD PERMIT PLANS SCALE: 1"=30' DATE: PLAN & LOCATION MAP 1-9-20 JAN 1 3 2020 L' 4000 WUNNEWETA ROAD Southold Town CUTCHOGUE, TOWN OF SOUTHOLD .Board of Trustees SUFFOLK COUNTY, NY SHEET: TAX MAP N0. 1000-111-14-22.1 1 OF 2 NOTE: REMOVE EXISTING BULKHEAD STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION WITH RAISED ELEVATION OF 1' HEIGHT ABOVE EXIST. TOPCAP PROPOSED FIR TIMBER TOP CAP PROPOSED 3"X6" PROPOSED 22' LONG 10" BUTT PROPOSED 6' WIDE AT—GRADE REAR WALE CCA TREATED TIMBER PILE, 6' DECK LANDWARD OF BULKHEAD O.C. PROVIDE 20CY CLEAN SAND FILL BACKFILL BEHIND BULKHEAD PROPOSED 6"x6" CCA TOP & BOTTOM WALE APPROXIMATE M.H.W. EL 2.5t 0 cd------ --------------------------------- — ------ --------------------------------- — APPROXIMATE M.LW EL 0.0± PROPOSED 8" TIP CCA EXISTING BULKHEAD LAY—LOG PILE TO BE REMOVED IN ITS ENTIRETY. PROPOSED 8" TIP CCA PILE, 6' O.C. 8' LENGTH. BOLTED TO LAY—LOG WITH 3/4" /\\/\// //\/\\\/\/ \ GALVANIZED THRU—BOLTS. AOL / PROPOSED 16' LONG 1" DIA. GALV. TIE ROD, 6' O.C. PROPOSED 16' LONG CLOC 9000 VINYL SHEETING TYPICAL SECTION — BULKHEAD N.T.S. PROPOSED 4X4 CCA POSTS 4'-0" PROPOSED 2X2 CCA RAILS AT 4" O.C. SPACING ///-PROPOSED UN—TREATED TIMBER DECKING SURFACE co 3/4" GALVANIZED HARDWARE PROPOSED 2X12 CCA STRINGERS PROPOSED 10"0 CCA PILE EXISTING 30" X 10' RAMP APPROXIMATE M.H.W. EL 2.5f Ez EXISTING 6'X20' FLOATING DOCK APPROXIMATE M.LW EL 0.0t TYPICAL SECTION — FLOAT N.T.S. PBKHEAD PERMIT PLANS SCALE: D E C E V ��, N.T.S. SECTIONS DATE: 1-9-20 JAN 1 3 2020 4000 WUNNEWETA ROAD Southold Town CHOGUE, TOWN OF SOUTHOLD Board of Trustees SUFFOLK COUNTY, NY SHEET: MAP NO. 9000-111-14-22.1 2 of 2 v E' J NOV 1 8 2019 p,CONIC BAY � n N m SURVEY OF PROPERTY AT NA SSA U POINT TOWN OF SO UTHOLD _ m SUFFOLK COUNTY, NEW YORK o 1000-111-14-22.1 SCALE: 1'=30' JUNE 1, Q JULY 13, 19991999 9(ADDITION) IAT 23° m` 23 3' N 1 7j m 100 O ? 1 $ ` m AREA = 19,293 sq. ft. .00 56'. •�e ` o to tie lines ,0' p 15 1 y ■=monument wood fw" u O 20 6 V n� 40' rd W 49. s{one N o t i o m 740' 56 I �s s �e PooL 56 N Lot numbers refer to "Amended Map of ti. Nassau Point" filed in the Suffolk County pec Stix ° �I e ;e '�' j Clerk's Office on Aug. 16, 1922 as File No. 156. Dulkfwd IQ°r o�'eE \ �� ./` 1',0• 7 N.Y.S. LIC. N0. 49618 ANY E63'Z\ 44 r J of\\ g 73��'�0" w �� 229 OF SECTIONAI7I�09 OFN ORA�ETION NEW YORK STATO THISUTEVEDUIS ACATIONOLAW N EOONIC SU YORS, P.C. EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CERTIFICATIONS (516) 765 — 5020 r� HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P. 0 BOX 909 kgs, SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET �+.lV� WHOSE SIGNATURE APPEARS HEREON, SOUTHOLD, N.Y. 11971 9 9 -206 Michael J. Domir esident O d i _ Town Hall Annex John M. Bredemeyer II1, Vice-President ��� t�,� 54375 Route 25 Glenn Goldsmith y a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 4,- p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: A Completed in field by: Jeffrey Patanjo on behalf of PAULINE SEGRETE requests a Wetland Permit to remove and replace 60 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing and raise the height an additional 12" above existing height; remove and replace 4'x4' cantilevered platform in same location as existing; remove existing 3' wide by 24' long landward deck with new 6' wide by 24' long deck in same location; existing 30"x11' ramp and 6'x20' floating dock to remain in same location as existing with no changes; all decking and top caps to be of un-treated timber materials; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 4000 Wunneweta Road, Cutchogue. SCTM# 1000-111-14-22.1 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 Public Notice of Hearing Card Posted: Y / N Ch. 275 y Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: l� P Xyl r!e�-I— (e ��►� ,yes-1- --���I -/ ��ls, I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: `� J. Bredemeyer vM. Domino \ /G. Goldsmith N. Krupski '/G. Williams Other LrA i d .1 ^ At.' Pauline Segrete # , • 4000 Wunneweta Road,Cutchogue1000-111-14-22.1 0 low s:sLA / `'• -_ .. _ - Ipigi a '1�,t' ;�" ire r i�+' r •�3,-�' .3 s�i 4. �-�. �r��� +it..E..��':i �'i�►� �1 t ..� . � , � 'd'.'_hr�_-- � F 4a �♦_ +* ,r.,^t 7r.: 0. 7 'S,v kk,g _ '��y��'� -_. G C1 `�.n{ rt♦+P _ ..� - "E `.ye. �`v~•' �.c. Y�M�i ��M a��' `J' '!t-s.i .1. ;"') ._ .` �� `-.. 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Box 1179 JAN 13 2020 Southold, New York 11971 RE: 4000 WUNNEWETA RD.—CUTCHOGUE, NY Southold Town SCTM No. 1000-111-14-22.1 Board of Trustees REVISED PLANS Dear Trustees: Attached please find four copies of revised plans and project description. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Ve tr ours, effrey Patanjo P.O. Box 582 Bohemia, NY 11716 Pauline Segrete 4000 Wunneweta Rd Cutchogue, NY 11935 SCTM No.: 1000-111-14-22.1 Revised 1-14-20 PROJECT DESCRIPTION: The project includes the removal and replacement of 60 LF of existing timber bulkhead with new vinyl bulkhead in same location as existing and raised height of 12" above existing and an additional 6'of bulkhead return. Remove and replace 4'x4' cantilevered platform in same location as existing. Remove existing 3' wide x 24' long landward deck with new 6'wide x 24' long deck in same location. Existing 30" x 11' ramp and 6'x 20'floating dock to remain in same location as existing with no changes.All decking and top caps to be of un-treated timber materials. Provide 10'wide non-turf buffer landward of proposed bulkhead. OFFICE LOCATION: ®� ®� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 �� Telephone: 631 765-1938 ® Fax: 631765-3136 C®UNT1 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: January 3, 2020 Re: LWRP Coastal Consistency Review PAULINE SEGRETE SCTM# 1000-111-14-22.1 Jeffrey Patanjo on behalf of PAULINE SEGRETE requests a Wetland Permit to remove and replace 60 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing and, raise the height an additional 12" above existing height; remove and replace 4'x4' cantilevered platform in same location as existing; remove existing T wide by 24' long landward deck with new 6' wide by 24' long deck in same location; existing 30"x11' ramp and 6'x20' floating dock to remain in same location as existing with no changes; all decking and top caps to be of un-treated timber materials; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 4000 Wunneweta Road, Cutchogue. SCTM# 1000-111-14-22.1 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 policies and therefore CONSISTENT with the LWRP provided the following is required to further Policy 6: 1. Turbidity controls are employed pursuant to Chapter 275. Note that the dock received a Wetlands Permit(4322) in 1994. The Tx 11' foot ramp was permitted as a Tx 8' ramp. The bulkhead was recognized as existing in the permit. 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 ��9g+�FFOt,kca� Peter Young,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 8, 2020 the following recommendation was made: Moved by James Abbott, seconded by Peter Young, it was RESOLVED to SUPPORT the application of PAULINE SEGRETE for the removal and replacement of 60 If. of existing timber bulkhead with new vinyl bulkhead in same location as existing and raised height of 12" above existing. Remove and replace 4'X 4' cantilevered platform in same location as existing. Remove existing TX 24' landward deck with new 6'X 24' deck in same location. Existing 30"X 11' ramp and 6'X 20' floating dock to remain in same location as existing with no changes. All decking and top caps to be of untreated timber materials. Provide 10' non-turf buffer landward of proposed bulkhead. Located: 4000 Wunneweta Rd., Cutchogue. SCTM#111-14-22.1 Inspected by: James Abbott, Peter Young, John Stein The CAC Supports the application with a 15'-20' non-turf native vegetated buffer with a decreased angle of slope. Vote of Council: Ayes: All Motion Carried _ Sl1FF0(,,r Michael J. Dom President ols° co�� Town Hal( Annex John M_ Breder—yer, III, Vice-President o 54375 Route 25 Glenn Goldsmith N x P.O- Box 1179 A Nicholas Krupski ySouthold, NY 11971 Greg Williams l , Telephone (631) 765-1892 Fax (631) 765-6641 SOUTROLD TOWN BOARD OF TRUSTEES TO_ SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS 111- (� -221 SCTM#: l NODI 2 2 2019 Property Owner Name: Date Sent to Bldg_ Dept: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES ' NO <Mll the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? ✓ Will any part of this application be considered a Demolition as described under Town Code? COMMENTS: ex on -Omk - //ash I Igaure of Reviewer Date 4 Michael J.Domino,President oy��OF out r749 V. Town Hall.Annex John M.Bredemeyer IU,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Greg Williams Pax(681)765-0541' , BOARD OF TOWN TRUSTEES I TOWN OF SOUTHOLD This Section For Office Use Only FVF—.--,IT'-- Coastal Erosion Permit Application Wetlands _ ,, - ^.-.-__�' _:1.' Permit Application Adininistrafive7Permit AAmendme nt/Transfe ffixfension NOV 1 8 2019 Received Application: R e-ceived Fee:$ ZS& Completed Application: It.7-Z-Iq ! jncomplete: ...$EQRA Classification: Type I_ Type H Unlisted Negative Dec. Positive Dec. ,ead Agency Determination Date: Coordination-(date sent)* ate of Inspection: l.g�Z(y Aeceipt of CAC Report. —/ Technical Review: —Public Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): Pauline Segrete Mailing Address: 557Pacing Way Westbury,NY 11590 Phone Number: Suffolk c6mty Tax Map Number: 1000- I11.-14-22.1 Property Location: 4000 Wunneweta Road Cutchouge,NY 11935- (if necessary,provide LILCO Pole distance to cross streets,and location) AGENT(If applicable): Jeffrey Paltanjo Mailing Address: P.O.Box 582 Bohemia,NY 11716 Phone Number: (631)484-9332 Board of Trustees Application GENERAL DATA Land Area(in square feet): 19,293 Area Zoning: Residential Previous use of property: . Residential Intended use of property: Residential Covenants and Restrictions on property? Yes x No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes x No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes x No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes x No Does the structure(s)on property have a valid Certificate of Occupancy?-XYes No Prior permits/approvals for site improvements: 'Agency Date x No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes,provide explanation: Project Description(use attachments if necessary): he A Pauline Segrete 4000 Wunneweta Rd Cutchogu, NY 11935 SCTM No.: 1000-111-14-22.1 PROJECT DESCRIPTION: The project includes the removal and replacement of 60 LF of existing timber bulkhead with new vinyl bulkhead in same location as existing and raised height of 12"above existing. Remove and replace 4'x4' cantilevered platform in same location as existing. Remove existing 3'wide x 24'long landward deck with new 6'wide x 24'long deck in same location. Existing 30"x 11' ramp and 6'x 20'floating dock to remain in same location as existing with no changes.All decking and top caps to be of un-treated timber materials. Provide 10'wide non-turf buffer landward of proposed bulkhead. Board of Trustees Application wETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: See attched Area of wetlands on lot: 620 square feet Percent coverage of lot: 0.03 % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? X No 'Yes If yes,how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason.of such proposed operations(use attachments if appropriate): All precautions will be taken to avoid disruption of wetlands including limiting water jetting of bulkhead sheeting and piles.There are no anticipated negative results due to construction. Short Environnwntad Assess ment Form Part I -Project Informadon Instructions for Completing art 1–Pro'ect 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. art 1–Pro'ect and S onsor Informatio Name of Action or Project: 4000 Wunneweta Road Bulkhead Project Location(describe,and attach a location map): See Location Map Brief Description of Proposed Action: Remove and replace 60 LF of deteriorated bulkhead with new vinyl bulkhead in the same location as the existing bulkhead.Existing 27'x 4'platform, 20'x 6'floating dock,and 11'x 2'ramp to remain in same location. Name of Applicant or Sponsor: Telephone: 516-414-3712 Pauline Segreter E-Mail: esmerrifield@hotmail.com Address: 557 Pacing Way City/PO. State: Zip Code: Westbury INY 11590 1 Does ;ed action only involve the legislative a o tion of a pl@L oc aw or mance NO YES —unlstrathve rule,or re anon. 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 El El 2. Does the ro osed action re uire a permit,a royal or funding Tom an other government Agency? NO YES If Yes,list agency(s)name and permit or approval: 11 3. a. o I acre a of he ite f th roposed action. 0.443 acres b. Tot acrea a to a sic distur a 0.034 acres c.irotal acrea a ro'ect site and.any contiggous properties)owne or controlled by thea licant or roject sponsor? 0.443 acres 4. heck all land uses that occur on,are adjoining or near the ro osed action: 5. ®Urban ® Rural(non-agriculture) ® Industrial ® Commercial ® Residential(suburban) ®Forest ® Agriculture ® Aquatic ® Other(Specify): ®Parkland Page I of 3 5. Is the proposed action, NO YES N/A & penmitte use un era zon�ns re ations El z El b. onsistent wit t e a dEpte co, re ensive p anp ® RI 6. Is the proposed action consistent with thepredominant character of the existing built or natural landscape? NO 11 YES ED Fv-1 7. Is the—.st-te- of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES — ---- ame:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency:Suffolk County,Date:7-12-88 NO YES 11 Z- 8. a. i t e proposed action result m a su stantra increase in tr fic a ove present evels Z El b. Are public transportation services available at or near the site of the proposed action? 21 11 c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed action? LKI 9. 1Does a 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: l l. Will the proposed action connect to existing wastewaterutilities? NO YES If No,describe method for providing wastewater treatment: 21 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 R1 0— 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. nes an ortion of the site ofthero osed action,or lands adjoining the proposed action,contai NO YES wetlands oro et�r waterbodies re a edera, state or oca a enc � El 2 b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? El If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 11age 2 of 3 14. denti the ry ic4:...:jitat ry es that occur on,or are likely to be fo-....on the project siLJ Check all that apply: ®Shoreline ®Forest ®Agricultural/grasslands ®Early mid-successional ®Wetland ® Urban 0 Suburban 15. 1 Does the site of the proposed action contain any species of animal or associated habitats listed by the 9—ta—te-OV NO YES Federal government as threatened or endan ered. Piping Plover, Least Tern ® 21 16. Is the project site located in the 100-year flood elan. NO YES 1:11 21 17. ill the nro osed action create storm water discharge,either from ointornon:!Pointsourcesl NO YES If Yes, a. Will storm water discharges flow to adjacent properties? b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe- 18 JDoes the pMosed action include construction-or other activities that would result in the impoundment of water NO YES or o er i ui s e. reten on on waste a oonam If Yes,explain the purpose and size of the impoundment: 19. as Te site of a propose action or ana Iommg_ffopeqy been aocation o an active or closed solid wast NO YES management facility If Yes,describe: Z El 20. as a site oft e ro osed action or an ad oimng propeLty been the subject of remediation(ongoing ol NO YES om leted for hazardous waste If Yes,describe: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY RNO`i'LEIDGE Applicant/sponsor/name: Pauline Segrete Date: Si ature �D 'e,„ Title-caner J 6 AL) - PfflHT FORM Page of 3 EAF Mapper nmary Repon Tuesday, September 24, 2019 5:51 AM Disclaimer: The EAF Mapper is a screening tool intended to assist I I i 004-100-2 0006 project sponsors and reviewing agencies in preparing an environmental -- I i 100-12 00-1000- assessment form(EAF).Not all questions asked in the EAF are yl.1.10�>=1'100-lio00 u } _- answered by the EAF Mapper Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although 1-1100-1200-200-1 the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources In order 11100-1100-22,000 r to obtain data not provided by the Mapper Digital data is not a ' t r -' 1 substitute for agency determinations. I t 111100-1200-2002- 11 l = 100- 1100-20001111100-14J)C,-20000 , Moitical 1"11100-1'100'2 4000 II i 4,-- lllOO-1200-5005 _ Soutl old""1)0-1 d00-_22001 ,1`11(A)-1400-1 000 111100-1200-7001, 11'I v-'1.1.00-23600 '�'I' ttui( r. Cf�r_,ch^,slrli L91c:dFd unicTDXJ 11100-1400-18000• -'--`-- ti i rc;lda 100-1&cGt te`�a( 5r1, HERE.Garmin, USGS, Zlevcat tact ;, txe I1 1.106-1400'170130 Intermap,,_KiI ?6�,JENT PJ-IRCsn, B i {a a 7!1 7 F I, t i E _��psn,IviETI,Esrj,Chln3-(!? h6( c�i� , srio- Saisc�, ri, E?E,Garmin, l 1'130-i-1.00r-150100 � - ., ' -'I'1'1170-"I Il �rentCE�Pi,TfTdCCC,je) columbtic' ��ltLbeuc�h U G tllal��s ., INCREMENT I 1 100-IIS J6-I rOQ01 I,800 f o0-i11000 Cp nStieettAsp' d�rit utc;a,and the GIS I" m F,i;RCan, Esri Japan,MET1,, I 1111 0=1400-27G01 l�t��''r'ci4t�niS'rii}'y0(ji�,, ciunatl = '-pIns{Hcng ICrn®), Essi Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /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 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 I Part 2-Imp!- "Issessment. The Lend Agency is responsible for`-completion of Peart 2. Answer all of the following questions in F using the information contained in Part 1 and othi terials submitted by the project sponsor or otherwise avaname to the reviewer. When answering the questions the reviewer should be guided by the concept"Have any responses been reasonable considering the scale and context of the proposed action?" No,or Moderate i 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 r—>� regulations? u 1 7 D_ 2. Will the proposed action result in a change in the use or intensity of use of land? I 0 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 r"�} establishment of Critical Environmental Area(CEA)? �..�-11 1 5. Will the proposed action result in an adverse change in the existing level of traffic or F�1 affect existing infrastructure for mass transit,biking or walkway? L� 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energv conservation or renewable energy opportunities? El 7. Witt the proposed action impact existing: El a.public/private water supplies? b.public/private wastewater treatment utilities? s 8. Will the proposed action impair the character or quality of important h istoric,archaeological, !J architectural or aesthetic resources? !J 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? FX F] 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ` ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may 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 as-,cssed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude Also consider the potential for short-term,long-term and cumulative impacts. ElCheck 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, (Uf/ 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 innrts. To f.Sou old-Bo d of rus s i 7b /�� _ M i ch a iLa. uiom f n o Date Southold Board of Trustees President i Print or Type Name of Res nsible Officer in Lead Agency Title of Responsible Officer C,,,,�r,,,•�. f T2 Jnnncih1P Offirer in Lead Aaencv Signature of Preparer(if different from Responsible Officer) 1 AppLIC ANT/AGENTIREIP ,SE' d4TA'>i'MI TR.ANSAMONAL DISCLOSURE FORAM Th Towrt ofSouthold'c Code of Ethics prohibits conflicts 0f intcirost oa the vari ai town officers and'crntrlovices The nurno:r 0f this frim is to nmtkda tnfgrmntion which cut'alert the town of ss+btc e6nfticts of+n rost and,111,it to takC whatever section+s nccetsary to avoid same. Pauline Segrete YOURNAME: (Last nanofleet twnteqtiddle mitial,unless you arc applying in the atm a of , . someone else or other entity,such as a company.If so,indicate the other person's or compaby's name-) NAME OF'APPLICATION: (Check all dial apply.) Tax Variance evattoe Building Tntstee Change of Zone - Change Coastal Erosion C _ Mooring • Approval of plat — Planning 1 Exemption from plat or official map Other (If"Other,name the activity.) Do you persooaily(or through your cgmt)any,spam,sibling,[%trent or child)have a retationAip with any offteer or crailloyce of the Town of Southold?"Rctationship in¢tudcs;by blood,marriage,or business intercA"Bsisine=�interest`'means u business, including a paiirtcrshtP.in which the town offer r ar cnrployce hta zaca a prstial t+wn4rsirip of(t+r employment by a corpnraiiori ib which the rowa officer or cmployce owns more than 5°o the shares. YES NO If you answered"YES",,complete the balance of this foim and date and siI&where indicated. 1 i Name of poison employed by the Town of Southold ' Title or position of that person - Descnlrethe relationship betsetca yourself(the applicont/agthtlrepresentative)and the'town officer of employee.Eithercbeck the appropriate line.A)through D)and/or describe in the spas:&ptodided. The,town officer or employee onhis ocher spouse,sibling,parent;or chiid is(check all that apply): A)the owner ofgreatcr than 5%of the shares of the torpt,rate stock of the 8011=1 (vfien the appliaml N a corporation), s __B)the legal or beneficial owner of any intcr..st in a non-corporate entity(when the € - .^, 11ri1nt IS not a corporation); C)mt on icer.director.pt+rtrtcr,or etnptopec of the tttpticattt or I}}the actual sppiicart, DESCRIPTION OF RELATIONSHIP Submitted this _day of 0 �0`( 20+9 Signature - i'c. Print Name , E Fottn TS 1 E F i 1 Board of TrusteeslApplication AFFIDAM Pauline Segrete 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 Prop rty weer Signature of Property Owner SWORN TO BEFORE ME THIS �v® DAY OF DGa L ,20 l-cP —4otary Public MERVIN BLACKMORE Notary Public,State Of New York No.01131.636M2 QualOW in Nassau County Commission Expires June 26,2021 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, :Pauline Segrete owners of the property identified as SCTM# 1000- 111.-14-22.1 in the town of Cutchogue ,New York,hereby authorizes Jeffrey Patanjo to act as my agent and handle all necessary work involved with the application process for permits)from the Southold Town Board of Trustees for this property. Property Owned gigfiature Property Owner's Signature SWORN TO BEFORE ME THIS �U DAY OF 20� Notary Public M9AVIN BLACKMORE Notary PUb;lie,State of New York No.01 eL63twea2 Quaffed In Name County Commission tcpires June 20,2021 i f V- APPLICANWAGEENTMEPRESENTATM TRANSACTIONAL DISCLOSURE FORM The Town of 5outhold's Code of Ethics alohibits conflicts of interest on the nark of town bffrcerS and emnloyees The nuraose of this Form is to Provide information which can alert the town of possible conflicts of inteMg and allow it to take whatever action is necessary to avoid same. _ YOUR NAME: P4."�°L 1 0 . - 1-.c"re -- (Last name,first name,*coddle buttal,unless you are g to 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 frdm 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 501(1af 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 br 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 appliewat (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 thi t 3 day of, v c-{ 20-9, Signature PrintName Form TS 1 Michael J. Domino,Presidentu'rS�FFO('� , !f�'�0 �'0 Town Hal]Annex , John M. Bredemeyer 111,Vice-President 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 A.Nicholas Krupski � ® t Southold,NY 11971 CP Greg Williams 'y,�o ap�`�j 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 PAULINE SEGRETE 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, J c FFc c Pa to - residing at/dba P.O. 0®e nia, Jq I1710 being duly sworn, depose and say: That on the y day of --S-A n , 202.f, 1 personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, January 15,2020. Dated: na re) Sworn to before me this g",day of:Te,,. 2020 JASON E. SCHULTZ NOTARY PUBLIC,STATE OF NE]2021 Registration No.O1SC6365 Qualified in Suffolk Count ary Public Commission Expires October 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 4rttif-et- Sha l e4e- a? 57. �a�rlLs PC.- A-P� S�C�p{�.c•► M.�,t� - Mar,Z Vast 1;r 33 Lv tnS ���„� Ct( Tv�IC4 �uoc r ,vy / o-7 m7 r-p t e1....G.s 6 0,t e-c it E ._ IV ST 4p4- P ff 1 o A et-,, �l•�<< ,�� l �o�3 ©cart, *' plkwzf �'�p �(�� y,,� Nem l.t ►��rti F14,r0c s 1'Jtir('� .AA-il[r,, 6rdw,eG, ,t, -4p -,+j7nG, NCw. �'�ltc�"Y lnoo'L �e to ye-j A.w STATE OF NEW YORK G4 "�/� 6D 3 0 w S S�ti, ed WL r , COUNTY OF SUFFOLK G G {-G • 5 GG, N ( r 5 3 -C Fpr e- Pft+-�niczp �residing at P—,P- got- 59d- 8 o Al un c� being duly sworn, deposes and says that on the 9 --day of 7S�>,-, 4 ,20 2 c, 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 '& Cx e^ta. ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of_ ��a 20 26 JASON E. 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Sworn to before me this Day of , 20 Notary Public January 8, 2020 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: . 4000 WUNNEWETA RD.—CUTCHOGUE, NY SCTM No. 1000-111-14-22.1 AFFIDAVITS Dear Trustees: Attached please find original affidavits of posting and mailing 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, � ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 ECrE � VE JAN 1 3 2020 Southold Town Board of Trustees ,NUTILt: Uim HtAKIN- G 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: PAULINE SEGRETE SU RJ ECT O F P U B LI C H EAR I N G : For a Wetland Permit to remove and replace 60 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing and raise the height an additional 12" above existing height; remove and replace 4'x4' cantilevered platform in same location as existing; remove existing 3' wide by 24' long landward deck with new 6' wide by 24' long deck in same location; existing 30"x11 ' ramp and 6'x20' floating dock to remain in same location as existing with no changes; all decking and top caps to be of un-treated timber materials; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 4000 Wunneweta Road, Cutchogue. SCTM## 1000-111-14-22.1 TIME & DATE OF PUBLIC HEARING : Wednesday, January 15, 2020 — 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 nrobosed action will be .evaluated as to its siccant 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 p4plainM in detail, listing both supporting and noir supporting frets. 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. DESCIITION OF SITE AND PROPOSED ACTION SCTM# 111 _ 14 _ 22.1 PROJECT NAME 4000 Wunneweta Bulkhead The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept ❑ Board of Trustees 0 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: 0 Nature and extent of action: See attached description. 1 Location of action: 4000 Wunneweta Road, Cuchogue Site acreage: 0.443 Present land use: Residential Present zoning classification: Residential 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: _ Pauline Segrete (b) Mailing address: 557 Pacing Way Westbury,NY 11590 (c) Telephone number.Area Code( ) J'/e - `!I f-3-7 1 Z (d) Application number,if any: /-V-/ will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0 No❑ If yes,which state or federal agency? NYSDEC and NYSDOS 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 minintizes adverse effects of development. See LWRP Section In—Policies;Page 2 for evaluation criteria. Fx Yes ❑ No ❑ Not Applicable Project provides for continued use of property and is consistent with neighboring community. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section M—Policies rages 3 through 6 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable y , No effect due to project Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IIf—Policies Pages 6 through 7 for evaluation criteria Q Yes ❑ No ❑ Not Applicable Project provides a visually appealing bulkhead Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. IVinimize loss of life, structures, and natural resources from flooding and erosion. See LVZF? Section III—Policies Pages 8 through 16 for evaluation criteria x1:1 Yes 1-1 No Not Applicable Project protects against loss of property due to erosion. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold.See LWRP Section 1111 —Policies Pages 16 through 21 for evaluation criteria 0 Yes ❑ No ❑Not Applicable Project provides for improved water quality due to limiting erosion through existing bulkhead. Attach additional sheets if necessary Policy 6. Protect and restore the duality 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. El ❑ ❑ 41 1 Yes No Not Applicable 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 Q 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 III—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. 0 Ye❑ No❑ Not Applicable Project provides for stabilized entrance to existing dock facilities. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in auitable locations. See VAMP Section M—Policies;Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No Q Not Applicable Project has no effect. Attach additional sheets if necessary Policy 1.1. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters.See LUMP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable Project has no effect. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LVDP Section ILII—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No a Not Applicable Project has no effect. 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 Project has no effect. pREPAR.ED ]gy Jeffrey Patanjo TITLE, Agent IDA T E to -0'-ii November 2, 2019 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 4000 WUNNEWETA RD.—CUTCHOGUE, NY SCTIVI No. 1000-111-14-22.1 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, )Jeffr ey Pa Ptanjo P.O. Box 582 Bohemia, NY 11716 Nov 1 2019 " n;?_._._._�_.__-�