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Home My WebLink AboutTR-9631 A0 ............... T-m_ rm BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9631 DATE: JANUARY 15,2020 ISSUED JOSEPH BARSZCZEWSKI JR. t PROPERTY ADDRESS: 110 LAWRENCE LANE, GREENPORT H SCTM9 1000-53-2-7 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ti, Fl 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 Joseph Barszczewski, Jr. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: R. Wetland Permit for the as-built clearing of a vacant lot; adding±200 cubic yards of fill and grading out in order to raise the grade of the property; plant 15 shrubs 4' apart along southeast property line; and plant 18 shrubs 4' apart along southwest property line; and as depicted on the survey prepared by Kenneth M. Woychuk,Land Surveying, last dated December 28,2019; and stamped approved on January 15,2020. M 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 Janual-y2020. "314�Slqf F0Z vo I......... J* ------ .... /i: V ........... COMPLIANCE CONI'ERENCE DATE: d(1] NAME: CASE# d13 TELEPHONE# Tr �" jq�rA N`�S fiG-�� it res_ T�r �b?6,t� 'j �117 E C F PY E JkPfl .- 6 2D2� - - Sctncld?i,,un __ Roard._-5tEe3._. S.C.T.M. NO. DISTRICT: 1000 SECTION: 53 BLOCK: 2 LOT(S): 7 / cgTF / UPLAND SIDE SEAWARD SIDE / S, LOW MOW FESCUE GRASS Z WOOD CHIPS � Ec� � oVE / s�o s� JAN - 6 2020 i/ / / LOT 169 3' PROPOSED SOIL BERM Southold Town pp < / / / / SCALE:1"=1 ' Board of Trustee gyp• / / / WETLAND BOUNDARY �4PPR® �� / AS FLAGGED BY EXISTING/ LOQ TOWN OF SOUTHOLD t CLEARING' TRUSTEES. (90, -.-:BOARD OFT USTEES . •• ` TOWN=0F S UTHOl.D EXCESS SOIL FROM ' '(U IXISTING CLEARED UPLAND AREA OVER CLEARED AREA ' ®ATE STK. . p TO BE PLANTED WITH TO BE RE PURPOSED Ti4'AlUfl7�� l5 202d ,y� / / / / / LOW MOW FESCUE GRASS / / / / FOR BERM CONSTRUCTION � S / oP� EXISTING Q CLEARING PROPOSED PLANTING PLAN 3'WxI H / / / OVERCLEARED AREA TO 12 EASTERN RED CEDARS \ SOIL BERM % % % BE STABILIZED WITH WOOD CHIP MULCH (3" CALIPER) I / / LOT 168 12 BACCHARIS HALIMIFOLIA / / VACANT REVISED 12-28-19 V cur UPDATE 11-20-19 U.P. / LOT 167 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS. SPIKE AREA: 10,846.14 SQ.FT. or 0.25 ACRES ELEVA77ON DATUM.• UNAU7HORIZED ALTERA77ON OR ADD177ON TO THIS SURVEY IS A WOLA71ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY ROADWAY-' i1 MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN 0.7'E ��V" ONLY 70 THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO 7HE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU770N LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING 1NS77TU770N, GUARANTEES ARE NOT TRANSFERABLE. �� 9L oQ" 7HE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE F� �o NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE 7HE EREC71ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS S`j�' AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 7HE 77ME OF SURVEY SURVEY OF: LOT 168 CERTIFIED T0:JOSEPH F. BARSZCZEWSKI, JR. O HYD.v'v, 1� MAP oF:AMENDED MAP A, PECONIC BAY ESTATES FIDELITY NATIONAL TITLE INSURANCE STK. FILED: MAY 19, 1933 No.1124 SERVICES, LLC; sITUATED AT..,GREENPORT TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design \ P.O. Bog 153 Aquebogue, New York 11931 FILE # 18-58 SCALE: 1 "=20' DATE: MAY 12 2018 PHONE (831)298-1588 FAX (831) 298-1588 \ M Y.S LISC. NO. 050882 meintdnins the records of Robert J. Hennessy k Kenneth AL Ooychuk LEVTDENC � .� a �°w a ��-os 1 �/7�/� aR7l- o2Dl� OL VILA VIOLATIONSOC //f `� w s 2022 L� fl souUiold Tow: Board.of Trustees RESI'OlVI)ENNTS CQnDMNTS: /�1�5`� 0�- 1AL'.'�� RESOLUTION REMOVAL: -fp/-�ej -, b�e!�Zl /,,-car RESTORATION: FINE: _ ,i:`y� riri ..•';tii+�•'�i�::�''! :�\ji. ..I,i�;t,, �ti r9,�s� ,.,� '"^,r ' 'mss"' � ''ili_-.�->,._"•\ f� - -�---.;.•-., mss "'�'�,� .b"'""r°`� ' '`\ �.s.��:j�u�\ ,�"�?"s�r"ss°y Wil\ � i.•� �` .�, i. r� ,.�:�%,:, ��/r �/'' q: .�.. i_ ( 'I:. ,t' %`�}�: S .r','ro...•� /:�j' - ru�ti•� ��:.`�,• � .(��y. - •%,fes\` � - // •-\1\ "•n�� JT'��l• i/.i.w.�.l� 1/,l.^�l, -..J' - /UI 1�•\ :f - 1 " .. '::.� •/ P.;"Q.x:n!),.m.1..:....•T.KT?v_C:P?LC �/ • ' r oTl9mrxn wr4r:, trn?�„ »r'ri�'ccrrm nnro.r»rrc :2R1'rC:.n:S!!;maim:ttu'�Yi.X?!+.m?.X^'^rgn!,\:.:!N)Y,:,::1•.!,rXi!<'.:.�.C°y!!!q m?1.ny,?r2:^xnSS:mu.!„„xav+,rr!^.•:'. ter! ..1,,:. 'y.” `\� .r•ma• .aM: +rox.,am„:. +?� !A?.. >+73.' J,,u!•..^''pL4F,„ -- _.---'--.—._.-..'-- -...----- --- - I ,. BOARD OF SOUTHOLD TOWN TRUSTEES ,, j SOUTHOLD,NEW YORK PERMIT N0. 9631 DATE: JANUARY 15,2020 + 1 ISSUED TO: JOSEPH BARSZCZEWSKI,JR. PROPERTY ADDRESS: 110 LAWRENCE LANE, GREENPORT SCTM# 1000-53-2-7 (r ' AUTHORIZATION Pursuant to the .provisions of Chapter 275 of the Town Code of the Town of Southold and in � ,��•.,”. 1 `r!' • 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$250.00 paid by Joseph Barszczewski, Jr. and subject to the '' .5 .. ` Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits _• I the following: Wetland Permit for the as-built clearing of a vacant lot; adding f200 cubic yards of fill and � •� g property; P P g `. grading out in order to raise the rade of theplant 15 shrubs 4' apart along southeast <( k, property line; and plant 18 shrubs 4' apart along southwest property line; and as depicted on ` •_`orf = � i the survey prepared by Kenneth M.Woychuk,Land Surveying,last dated December 28,2019; tit X11 aI c,+ and stamped approved on January 15,2020. � :�'• ` ,'.. s Corporate Seal to be affixed IN WITNESS WHEREOF,the said Board of Trustees hereby causes it , =_ and these presents to be subscribed b a majority of the said Board as of the l 5th da of Janua 2020. Y j tY y ry, ( fl; , : YF .� c.. . .. .: .. , , a, :rr,+ _ ...++n:Sri.;r5;,,s::.iisrn'�x•as'i•;,xmtii� •F}� . wu,SA,.v.•:•,o.i",»....,..r.,o,,..,.,,.,,ouu .w,.,....xw,nu'x'zauay..,.a.•uwi.:,.u;,ilxu•w..•aavwwu,,.•,.".,,:..:,,.,...:,.'n..,,,.:ni:i;ou..uuuur"uu,war:uxvr:tiw,;::.,:carve.,+uN�v..or.•:,..;ms;�w:a�ar�: - '•• :j1. \�,. ,•mp.rtR'?Q.::. "'•<�'.�,J,'.!mT!.� \,..•"•V.Ol!A�•2•tl^,`...rt.'�'yi `, _ , ,;"`�.:.�..�.v.� � 1 A:� _ ,t`J,�11 ��,;ls. ;: - .,• ,:att 1 t�'z:;" -t•:A :?.:�� a tttl, ,l�::... +st;ttS; ,t,!.�•••.•, •:. ,,,�>. Glenn Goldsmith,Pr ��o\o COG$ Town Hall Annex A.Nicholas Krupski,Vice*'.,,, dent .� 54375 Route 25 Eric Sepenoski C* at P.O. Box 1179 Liz Gillooly �,y ® opt Southold,NY 11971 Elizabeth Peeples �� a Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �j 61 2a 16 : g0Aw Completed in field by: JOSEPH BARSZCZEWSKI, JR. requests a Site Inspection to discuss changes made on the property that are not in accordance with Wetland Permit #9631. Located: 110 Lawrence Lane, Greenport. SCTM# 1000-53-2-7 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 X Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 0-71 -'rUVI�+ a o nCa rs +b In.�c exlo,�,�e vU 11 ►�e e�► -� re a P 1 .P ��-t Pc OO1 Lea vi k S hov � 5. r -(�v-e v►c.L -4� 12 Ig.m ��= ,J�w�,�-�-cc� � 'r,0 . (0 26Z0 . Present were: X- G. Goldsmith x N. Krupski k E. Sepenoski L. Gillooly _ E. Peeples Other Glenn Goldsmith,rresident �QF so�jy Town Hall Annex Michael J.Domino,Vice-President ,`O� �� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer IIISouthold,New York 11971 A.Nicholas Krupski G 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-construciio'h,*'l bale•line/silfbbom/silt curtain 1St day of construction constructed When project complete, call for compliance inspection; . ........ ....... ...... ..... BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9631 DATE: JANUARY 15,2020 ISSUED TO: JOSEPH BARSZCZEWSKI,JR. PROPERTY ADDRESS: 110 LAWRENCE LANE, GREENPORT SCTM# 1000-53-2-7 -M AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in 20 accordance with the Resolution of the Board of Trustees adopted at the meeting held on January 15,20 , and t in consideration of application fee in the sum of$250.90 paid by Joseph BarszczewskLkand subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: 01, Wetland Permit for the as-built clearing of a vacant lot; adding±200 cubic yards of fill and grading out in order to raise the grade of the property; plant 15 shrubs 4' apart along southeast property line; and plant 18 shrubs 4' apart along southwest property line; and as depicted on the survey prepared by Kenneth M.Woychuk,Land Surveying,last dated December 28,2019; and stamped approved on January 15,2020. ,31 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. fi 4,- TERMS AND CONDITIONS The Permittee Joseph Barszczewski Jr residing at 110 Lawrence Lane Greenport, 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. Glenn Goldsmith ' ,Adent OF so - Town Hall Annex Michael J.Domino,Vice-President ,`O� �� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III l�[ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams '0 �� Fax(631) 765-6641 COUNTY,� ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 21, 2020 Joseph Barszczewski, Jr. 1450 Albertson Lane Greenport, NY 11944 RE;: 110 LAWRENCE LANE, GREENPORT SCTM# 1000-53-2-7 Dear Mr. Barszczewski: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 15, 2020, regarding the above matter: WHEREAS, JOSEPH BARSZCZEWSKI, JR., 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 May 2, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the submission of a new plan; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 rw, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JOSEPH BARSZCZEWSKI, JR for the as-built clearing of a vacant lot; adding ±200 cubic yards of fill and grading out in order to raise the grade of the property; plant 15 shrubs 4' apart along southeast property line; and plant 18 shrubs 4' apart along southwest property line; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveying, last dated December 28, 2019; 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, Genn GA osm i t h President, Board of Trustees GG/dd S.C.T.M. NO. DISTRICT: 1000 SECTION: 53 BLOCK: 2 LOT(S): 7 / GqT� / UPLAND SIDE SEAWARD SIDE LOW MOW FESCUE GRASS COPD EIVED I JAN 6 2020 �o�� // LOT 169 3' PROPOSED SOIL BERM Souinold Town pp SCALE:1"=1 ' Board of Trustees WETLAND BOUNDARY / AS FLAGGED BY TOWN OF SOUTHOLD f CLI STING A . EAR NG' I�Q(90,TRUSTEES. / / -BOARD OFT USTEES TOWN,.OF S 11TH®LD / / / / EXCESS SOIL FROM ®ATE / � EXISTING CLEARED UPLAND AREA j j j j OVER CLEARED AREA STK. T�NvA�� 5.20� l�r �p TO BE PLANTED WITH / / / / TO BE RE PURPOSED T / s LOW MOW FESCUE GRASS / / / / FOR BERM CONSTRUCTION ; 00. �P Al 15 EXISTING CLEARING ` QvPROPOSED PLANTING PLAN PROPOS / ED 'w �03 Wxl,'H / / / OVERCLEARED AREA TO 12 EASTERN RED CEDARS \ SOIL BERM / / / BE STABILIZED WITH WOOD CHIP MULCH (3" CALIPER) LOT 168 12 BACCHARIS HALIMIFOLIA / / \ / VACANT \ REVISED 12-28-19 GUY UPDATE 11-20-19 LOT 167 U.P. / THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCA170NS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS SPIKE AREA: 10,846.14 SQ.FT. or 0.25 ACRES ELEVA77ON DATUM: UNAUTHORIZED AL7ERA770N OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY �OcF` ROADWAMAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN �A- �,c• 0.7'E �� ONLY TO 774E PERSON FOR WHOM 774E SURVEY IS PREPARED AND ON HIS BEHALF TO 7HE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777U770N LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS77TU770N, GUARANTEES ARE NOT TRANSFERABLE. q` 1�o THE OFFSETS' OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE S7RUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE F� �o 0O NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUC7URES OR AND 07HER IMPROVEMEN75 EASEMENTS AND/OR SUBSURFACE STRU&TURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT 7HE 77ME OF SURVEY oo, SURVEY oF: LOT 168 CERTIFIED T0:JOSEPH F. BARSZCZEWSKI, JR. HYD.,-''� MAP oF:AMENDED MAP A, PECONIC BAY ESTATES FIDELITY NATIONAL TITLE INSURANCE STK. FILED: MAY 19, SERVICES LLC; 1933 No.1124 SITUATED AT. GREENPORT \ Tom oF: SoUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Hoz 153 Aquebogue, New York 11931 FILE # 18-58 SCALE: 1"=20' DATE: MAY 12, 2018 PHONE (831)298-1588 FAX (831) 298-1588 \ N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth IL Waychuk Glenn Goldsmith,President *QF SU!/rTown Hall Annex Michael J.Domino,Vice-President ,`O� Ol0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III J Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 �yCOUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 16, 2020 Joseph-F. Barszczewski, Jr. 1450 Albertson,Lane ; Greenport, NY. 11944 RE: 110 LAWRENCE LANE, GREENPORT SCTM# 1000-53-2-7 Dear .r. Barszczewski: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, January 15, 2020: i DESCRIPTION OF ACTION: JOSEPH BARSZCZEWSKI, JR. requests a Wetland Permit for the as-built clearing of a vacant lot; adding ±200 cubic yards of fill and grading out in order to raise the grade of the property; plant 15 shrubs 4' apart along southeast property line; and plant 18 shrubs 4' apart along southwest property line. Located: 110 Lawrence Lane, Greenport. SCTM# 1000-53-2-7 ' 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 June 12, 2019, September 11, 2019, and January 8, 2020, and having considered plans for this proposed project submitted by Kenneth M. Woychuk dated December 18, 2019 at-the Trustee's January 13, 2020 work session; and; WHEREAS, on June 17, 2019, the Southold Town Board of Trustees declared itself Lead Agency pursuant to S.E.Q.R.A., and WHEREAS, on January 15, 2020, the Southold Town Board of Trustees classified the application as an unlisted action under S.E.Q.R.A., and WHEREAS, on January 15, 2020 the Southold Town Board of Trustees found the application of JOSEPH BARSZCZEWSKI, JR to be classified as an Unlisted Action pursuant to SEQRA 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 plan submitted by Kenneth M. Woychuk dated December 18, 2019, it has been determined by the Southold Town Board of Trustees that all potentially significant environmental concerns have been,addressed as noted herein: • Environmental Upkeep: Fill to be removed From wetlands. • Scope: Disturbed area will be allowed to naturally revegetate. • Scope: Plantings of Eastern Red Cedar trees and Baccharis halimifolia will benefit the wetland habitat, wildlife and other wetland functions and values. 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, Glenn Goldsmith President Board of Trustees GG/dd Z rJ Glenn Goldsmith, President h'��o °y�� Town Hall Annex Michael J. Domino Vice-President 14 54375 Route 25 John M. Bredemeyer, III too P.O. Box 1179 A Nicholas Krupski �tyyj� o��;i' Southold, NY 11971 Greg Williams ` .. Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JOSEPH BARSZCZEWSKI, JR. Please be advised that your application dated May 2, 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) (SILT BOOM) 1St Day of Construction ($50 00) '/z 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 I,�,�.2� BY- Glenn Goldsmith, PresidentCb�� Board of Trustees Michael J. Domino, Pre: t o�QSQFFO(,;-� � Town Hall Annex John M. Bredemeyer III, Vice-issesident �� 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 1'\ Date/Time: ��'� Completed in field by: z- JOSEPH BARSZCZEWSKI, JR. requests a Wetland Permit for the as-built clearing of a vacant lot; adding ±200 cubic yards of fill and grading out in order to raise the grade of the property; plant 15 shrubs 4' apart along southeast property line; and plant 18 shrubs 4' apart along southwest property line. Located: 110 Lawrence Lane, Greenport. SCTM# 1000-53-2-7 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: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal,Erosion Emergency Violation Non-Jurisdiction Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I /4-0 r�F 'loL� �� UF�r � v r(2 AN of I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: /J. Bredemeyer M. Domino G. Goldsmith N. Krupski /G. Williams Other Michael J. Domino,Pres Town Hall Annex John M. Bredemeyer III, Vice President �,�,,' �' 54375 Route 25 Glenn Goldsmith N P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams � �ap� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES q TOWN OF SOUTHOLD Date/Time: / " S Completed in field by: JOSEPH BARSZCZEWSKI, JR. requests a Wetland Permit for the as-built clearing of a vacant lot; adding ±200 cubic yards of fill and grading out in order to raise the grade of the property; plant 15 shrubs 4' apart along southeast property line; and plant 18 shrubs 4' apart along southwest property line. Located: 110 Lawrence Lane, Greenport. SCTM# 1000-53-2-7 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: 5.0 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. 275y Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside revi /cons ultant/appIication completeness/comments/standards: p?V'Pdo/ I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present we r J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other iflolMMntynygoY/gis/apps/View/index.htmhappid=3d3H04394164cecb4473a8c367c9531 rl! DOBEN •� (CPOIiNI N.4 LLD:LS - r • k)ONN 4 F �OSfG I ` P elete • `��r MG LLCMYS I 3 ' Michael J.Domino, President QF SD(/PyO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 h O P.O.Box 1179 Glenn Goldsmith [ Southold,New York 11971 A. Nicholas Krupski G @ Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 ig NVI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 21, 2019 Joseph F. Barszczewski, Jr. 1450 Albertson Lane Greenport, NY 11944 RE: 110 LAWRENCE LANE, GREENPORT SCTM#: 1000-53-2-7 Dear Mr. Barszczewski: The Southold Town Trustees have begun to process your application for a Wetland Permit under the provisions of the Southold Town Code, Chapter 275 and the provisions of the State Environmental Quality Review Act. In order to expedite the permit process and assist you in understanding the Board's concerns and requirements needed to fulfill the provisions of a Chapter 275 permit in order to bring your property into compliance, it is strongly advised that you, or a duly authorized representative, attend Field Inspection to be held with the Board of Trustees, onsite, in the morning of July 10, 2019. Please contact the Trustee Office at (631) 765-1892 for information and details concerning setting up the inspection including information on submitting authorization forms for any environmental expeditor(s) and/or legal representatives) that you may wish to act/attend on your behalf. Absent you availing yourself the opportunity for an Inspection and your scheduling the same, the Board of Trustees will continue to process your application with the expectation that you, or your duly designated representative, will be present at the Public Hearing on July 17, 2019 to discuss the appropriate remediation of your violation necessary for the Board to consider issuance of a Wetland Permit for the unauthorized work undertaken on your property. Thank you for your cooperation in this matter. Should you have any questions, please do not hesitate to contact the Trustee Office. Very truly yours, n M. Bredemeyer, III Vice-President Board of Trustees 40- Michael J.Domino,President O�*pF SO(/�yOl Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 O P.O.Box 1179 Glenn Goldsmith J Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams � �� Fax(631) 765-6641 olyenum BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20, 2019 Roger Evans N.Y.S. Department of Environmental Conservation 50 Circle Road SUNY @ Stony Brook Stony Brook, NY 11790-3409 RE: LEAD AGENCY COORDINATION REQUEST The purpose of this request is to determine under Article 8 (State Environmental Quality Review— SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: • Your Agency's interest in acting as lead agency; • Your Agency's jurisdiction in the action described below; and • Issues of concern which your agency believes should be evaluated. Enclosed is a copy of the permit application and a completed Part 1 of the Environmental Assessment Form to assist you in responding. Project Name: JOSEPH BARSZCZEWSKI, JR. Project Location:,_110 LAWRENCE LANE, GREENPORT SCTM#: 1000-53-2-7 Type of Permit Application: WETLAND PERMIT SEQRA Classification: [ ] Type 1 [X] Unlisted Trustee Contact Person: Michael J. Domino, President Trustees Position: [X] The Southold Trustees wish to assume lead agency status for this action [X] The Southold Trustees have no objection to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is made. [X] The proposed action has been identified by the Southold Trustees as occurring wholly or partially within or substantially contiguous to a critical environmental area (CEA) that was designated by Suffolk County, New York. It is the position of the Southold Trustees that your agency, if it has a jurisdiction over the action, should assume the lead agency role based on the existence of the CEA and the fact that the anticipated impacts are primarily of non-local significance. [X] The Southold Trustees have no objection to your agency or another agency assuming lead agency status for this action, but we have the following concerns regarding this project (see "comments" below). [X] Other. (See Comments below) Comments (optional): • Concern that intertidal wetland may have been filled beyond owner property lines onto public lands of Suffolk County. • Concern that intertidal wetlands may have been filled on/over Suffolk County Vector Control ditches. Response: Please respond to this request within 30 days of the date of this letter. If no response is received within 30 days, we will assume that you have no comments to offer regarding the proposed action at this time. If neither your agency nor any other involved agency has indicated a willingness to serve as lead agency within 30 days of this letter: [X] We will to designate the Southold Trustees a lead agency for this action. [ ] We will petition your agency to designate your agency as lead, presuming you have jurisdiction. Please feel free to contact this office for further information or discussion. Very Truly Yours, By: John Bredemeye , Title: Vice President Board of Trustees of the Town of Southold Michael J Domino, Preside Town Hall Annex John M. Bredemeyer III, Vice-President �� `; 54375 Route 25 Glenn Goldsmith co P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 GG'to� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: (S" �z /9 Completed in field by: ✓�/��i�ch9�%�f v JOSEPH BARSZCZEWSKI, JR. requests a Wetland Permit for the as-built clearing of a vacant lot; adding ±200 cubic yards of fill and grading out in order to raise the grade of the property; plant 15 shrubs 4' apart along southeast property line; and plant 18 shrubs 4' apart along southwest property line. Located: 110 Lawrence Lane, Greenport. SCTM# 1000-53-2-7 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3 Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ]_� Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application- Pre-Submission Administrative Amendment _zwetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 1 e y)6 f"UZ! Ci/l C'.T o fr/ 7� 1 GWh J f ri yam, v v-o-, �j �►-ec- 1^d&o4,f I have read & acknowledged the foregoing Trustees comments: Agent/Owner. Present were Bredemeyer _ IC/I. Domino k'_G. Goldsmith N. Krupski G. Williams Other �0/4tp_ IF/7 � ll �� L -rA r NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Region 1 Main Office SUNY @ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)4440200 www.dec.ny.gov April 17, 2019 Mr. Joseph Barszczewski 1450 Albertson lane Greenport, New York 11944 Re: R1-20190411-93 Dear Mr. Barszczewski: Enclosed please find copies of the fully executed Order on Consent and Cashier's check in the amount of Two Hundred Fifty Dollars ($250) with regard to the penalty assessed in the above referenced matter. Sincerely, Carole A. Gaje sJd kip Secretary I Office of General Counsel /cag Enclosure EWvoRK Department of oP o ;Nn Environmental Conservation Y\ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ............................................L........................................ In the Matter of the Violati�n of the New York State Environmental Conservation Law("ECL") Articles 15,and/or 25 and Titles 11 and/or 23 of Article 71, Part 663 of Title 6 of the Official Compilation of Codes,Rules ORDER ON CON Tq / and Regulations of State of New York FILE NO.Rl- _ ("6NYCRR')by: Respondent Joseph Barszczewski Suffolk County ................................................................ X WHEREAS,Article 25,Title 4,of the New York State Environmental Conservation Law,(Tidal Wetlands Act) prohibits conducting any regulated activities on or adjacent to any tidal wetland without the requisite permit,or in noncompliance with the requisite permit;and WHEREAS,Article 15,Title 27 of the New York State Environmental Conservation Law,(Wild,Scenic and Recreational Rivers)prohibits conducting any regulated activities within the corridor of rivers so designated, without the requisite permit,or in noncompliance with the requisite permit;and ❑ WHEREAS,Article 24 of the New York State Environmental Conservation Law,(Freshwater Wetlands Act) prohibits conducting any regulated activities on or adjacent to regulated freshwater wetlands without the requisite permit,or in noncompliance with the requisite permit;and WHEREAS,the Department of Environmental Conservation(DEC)has documented a violation of said statutes,specifically Section 25.401.1,in that Respondent(s)caused and/or permitted to be caused, The clearing of vegetation within the adjacent area to a regulated tidal wetland.The placement of fill within the € adjacent area to a regulated tidal wetland at 110 Lawrence Lane in Greenport,on or before 9/7/2018; WHEREAS,Respondent(s)has/have affirmatively waived his/her/its/their right to a public hearing in this matter in the manner provided by law and having consented to the entering and issuing of this Order,agree(s)to be bound by the terms and conditions contained herein. IT IS HEREBY ORDERED,pursuant to the applicable provisions of the ECL and/or Rules and Regulations,,that: I. With respect to the aforesaid violation(s),there is hereby imposed upon Respondent(s),a penalty in the sum of One Thousand Two Hundred And Fifty 51250.00 Dollars,of which'hyo Hundred And Fifty($250.001 Dollars shall be made payable by certified check or money order to the NYS Department of Environmental Conservation upon the signing of this Order, and the remaining One Thousand(51000.00)Dollars to be suspended provided Respondent(s)strictly adherets)to the terms and conditions outlined in this Order,including Schedule A,the compliance schedule attached hereto and made part hereof. II.For the purpose of insuring compliance with this Order,Respondent(s)shall allow duly-authorized representatives of the DEC access to the Facility and subject property without prior notice at such times as may be necessary in order for DEC to inspect and determine the status of Respondents'compliance with this Order. III.Respondent(s)shall indemnify and hold harmless the Department,the State of New York,and their representatives and employees for all claims,suits,actions,damages and costs of everyname and description arising out of or resulting from the Page 1 fulfillment of attempted fulfillment of this Order by Respondent and its successors(including successors in title)and assigns. IV.Upon completion of all obligations created in this Order,this Order settles only all claims for civil and administrative penalties concerning the above violations against Respondent(s)and its successors(including successors in title)and assigns. V.Nothing contained in this Order shall be construed as barring,diminishing,adjudicating,or in any way affecting any of the civil,administrative,or criminal rights of the Department or of the Commissioner or his/her designee(including,but not limited to,nor exemplified by,the rights to recover natural resources damages and to exercise any summary abatement powers)or authorities with respect to any party,including Respondent(s). VI.Nothing herein shall be construed as preventing the Department from collecting regulatory fees where applicable. VII.This Order shall not become effective until it is executed by the Regional Director on behalf of the Commissioner,and the date of execution by the Regional Director shall be the date of execution of this Order. VIII.In those instances in which the Respondent(s)desire(s)that any of the provisions,terms or conditions of this Order be changed,(s)he/it/they shall make written application,setting forth the grounds for the relief sought,to the Commissioner,c/o Regional Attorney,New York State Department of Environmental Conservation,50 Circle Rd.,State University Campus,Stony Brook,New York 11790-2356. IX.Respondent(s)shall strictly adhere to the terms and conditions outlined in this Order and in Parts 1,11,and/or III of Schedule A,the compliance schedule attached hereto and made a part hereof. X.Any change in this Order shall not be made or become effective,except as specifically set forth by written order of the Commissioner,such written order being made either upon written application of the Respondent(s)or upon the Commissioner's own findings. XI.This Order shall be deemed binding on the Respondent(s),it/his/her/their successors and assigns and all persons,firms and corporations acting under or for it/him/her/them,including,but not limited to those who may carry on any or all of the operations now being conducted by Respondent(s),whether at the present location or at any other in this State. XII.The failure to pay any penalty amounts due under the terms and conditions of this Order may result in a 22%surcharge in recovery costs and a potential tax refund offset by the Department of Taxation and Finance. XIII.A dishonored check fee of Twenty($20.00)Dollars will be charged for all checks which are returned for insufficient funds. XIV.Default of Payment.The penalty assessed in the Order constitutes a debt owed to the State of New York. Failure to pay the assessed penalty,or any part thereof,in accordance with the schedule contained in the Order,may result in referral to the New York State Attorney General for collection of the entire amount owed(including the assessment of interest,and a charge to cover the cost of collecting the debt),or referral to the New York State Department of Taxation and Finance,which may offset'any tax refund or other monies that may be owed to you by the State of New York by the penalty amount.Any suspended and/or stipulated penalty provided for in this Order will constitute a debt owed to the State of New York when and if such penalty become due. BASIL SEGGOS Dated: Sony Brook,New York Commissioner Apvd 16 12019 To:Joseph Barszczewski ByMX.0 1450 Albertson Lane CARMt MEE GALLAGHER Greenport,NY I 1944 Regional Dire or NOW: 18JA 123 Page CONSENT BY RESPONDENT (Individual) Respondent acknowledges the authority and jurisdiction of the Commissioner of Environmental Conservation of the State of New York to issue the foregoing Order,waives public hearing or other proceedings in this matter,accepts the terms and conditions set forth in the Order and consents Ao the's ante reof. Signature: 15141� Print Nitne: ;G Full Home Address: NOTE TO NOTARY: The correct acknowledgment from below MUST be utilized for signing in New York State versus outside New York State. All blanks MUST be completed. ACKNOWLEDGMENT(Signing within New York State) STATE OF NEW YORK ) )ss.: COUNTY()F _) On the-day of iu the yeaAd=ersonally the undersigned,personally appeared known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that(s)he executed the same in their capacity,and that by their signature on .he instrument,the ividual,or the person upon behalf of which the BARRY E LATNEY individual ted,executeru ent. Notary Public,State of New YorkBARRY E LATNEY Reg.No:01 LA6142606 A. NotW Public,State of New Yat( Qualified in Suffbik County LA6142606 Commission Expires Manch 20,2022 'Notary Pu lic,State of New Yort QualOW In Suffolk County Commlaslon Expires March 20,2022 ACKNOWLEDGMENT(Si¢nine outside New York State) ss: On the day of ,in the year ,before me,the undersigned,personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that(s)he executed the same in their capacity,that by their signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument,and that such individual made such appearance before the undersigned in the *** Notary Public * (Insert the State[&County],District of Columbia,Territory,Possession or Foreign Country the acknowledgment was taken.) ** (Insert the city or other political subdivision and the state or country or other place the acknowledgment was taken.) ***(Signature and offire of individual taking acknowledgment) Page 3 SCHEDULE A Compliance Schedule for Article(s) 15 and/or 25 I. GENERAL REQUIREMENTS: Immediately, Respondent(s)shall cease and desist from any and all future violations of the New York State Environmental Conservation Law and the rules and regulations enacted pursuant thereto. Respondent(s)shall submit photographs of the completed work,if any,required under this schedule,to the Department within five(5)days of its completion•: All submittals to the Department required under this Order shall be made by Respondent(s)as follows: 1) One Copy to Marine Habitat Protection,Region One,New York State Department of Environmental Conservation,50 Circle Rd,S.U.N.Y.,Stony Brook,New York 11790-2356. II. REMOVAL REQUIREMENTS: No removal required. Respondent(s)shall have removed the structures and/or fill FJ which are the subject of this Order as follows: Removal Specifications: Page 4 r 1 ` Schedule A(Contd.) III. RESTORATION REQUIREMENTS: No later than 5/15/2019, Respondent(s)shall submit to the Department,an approvable* arestoration plan and time schedule for implementation of said plan. *Approvable in the context of this Order shall mean approvable by the DEC with minimal revision. Minimal revision shall mean that Respondent(s)incorporate(s)the revisions required by the DEC and resubmits the plan for approval within fifteen(15)business days of receipt of the DEC's comments. This plan shall include: ❑ Regrading ❑ Plantings in disturbed area a Specifications: A 10'buffer consisting of native shrubs and/or trees must be planted along edge of disturbed area near the wetland. Other: . Upon written approval by the Department,Respondent(s)shall implement the approved restoration plan in accordance with the approved time schedule. The permittee shall ensure a minimum of 85%survival of plantings by the end of 5 growing seasons. If this goal is not met,the permit holder shall re-evaluate the restoration project in order to determine how to meet the mitigation goal and submit plans for review with the annual report for that respective calendar year.The report must be submitted by January 15th of each calendar year and sent to: Region 1 Bureau of Marine Habitat Protection,Attention/Compliance;50 Circle Road,Stony Brook,NY 11790 No Restoration Required. F-1 Page 5 .. .� ..-A+•-"'*"..s 'tom -"+;�� 0 ',e'm_�,,., � __ _ 1 w A kk n ' tr.. i•�_ ..� c-4�` '..':1 MKT t+ ��I �! �_ [�� i... � _ 4th-..:��t4• � _`,}�Y , 4 t: i r = .�I -� ,� i�k-� 4 _may - _ "'' •. NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Region 1 Main Office SUNY @ Stony Brook,50 Cirde Road,Stony Brook,NY 11790 P:(631)4440200 www.dec.ny.gov April 17, 2019 Mr. Joseph Barszczewski 1450 Albertson lane Greenport, New York 11944 Re: R1-20190411-93 Dear Mr. Barszczewski: Enclosed please find copies of the fully executed Order on Consent and Cashier's check in the amount of Two Hundred Fifty Dollars ($250) with regard to the penalty assessed in the above referenced matter. Sincerely, Carole A. Gajes�h1 kip Secretary I Office of General Counsel /cag Enclosure NEW YORK Department of oP o ,rm Environmental Conservation I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ..................................................................................... In the Matter of the Violation of the New York State Environmental Conservation Law("ECL") Articles 15,and/or 25 and Titles l Iand/or 23 of Article 71, Part 663 of Title 6 of the Official Compilation of Codes,Rules ORDER ON CON T and Regulations of State of New York FILE NO.Rl- `�� ("6NYCRR')by: Respondent Joseph Barszczewski Suffolk County ................................................................ c X WHEREAS,Article 25,Title 4,of the New York State Environmental Conservation Law,(Tidal Wetlands Act) prohibits conducting any regulated,activities on or adjacent to any tidal wetland without the requisite permit,or in noncompliance with the requisite permit;and ❑ WHEREAS,Article 15,Title 27 of the New York State Environmental Conservation Law,(Wild,Scenic and Recreational Rivers)prohibits conducting any regulated activities within the corridor of rivers so designated, without the requisite permit,or in noncompliance with the requisite permit;and ❑ WHEREAS,Article 24 of the New York State Environmental Conservation Law,(Freshwater Wetlands Act) prohibits conducting any regulated activities on or adjacent to regulated freshwater wetlands without the requisite permit,or in noncompliance with the requisite permit;and WHEREAS,the Department of Environmental Conservation(DEC)has documented a violation of said statutes,specifically Section 25.401.1,in that Respondent(s)caused and/or permitted to be caused, The clearing of vegetation within the adjacent area to a regulated tidal wetland The placement of fill within the adiacent area to a regulated tidal wetland.at 110 Lawrence Lane in Greenport,on or before 9/7/2018; WHEREAS,Respondent(s)has/have affirmatively waived his/her/its/their right to a public hearing in this matter in the manner provided by law and having consented to the entering and issuing of this Order,agree(s)to be bound by the terms and conditions contained herein. IT IS HEREBY ORDERED,pursuant to the applicable provisions of the ECL and/or Rules and Regulations,,that: 1. Withrespect to the aforesaid violation(s),there is hereby imposed upon Respondent(s),a penalty in the sum of One Thousand Two Hundred And Fifty $1250.00 Dollars,of which Two Hundred And Fifty($250.00)Dollars shall be made payable by certified check or money order to the NYS Department of Environmental Conservation upon the signing of this Order, and the remaining One Thousand($1000.00)Dollars to be suspended provided Respondent(s)strictly adheres)to the terms and conditions outlined in this Order,including Schedule A,the compliance schedule attached hereto and made part hereof. II.For the purpose of insuring compliance with this Order,Respondent(s)shall allow duly-authorized representatives of the DEC access to the Facility and subject property without prior notice at such times as may be necessary in order for DEC to inspect and determine the status of Respondents'compliance with this Order. III.Respondent(s)shall indemnify and hold harmless.the Department,the State of New York,and their representatives and employees for all claims,suits,actions,damages and costs of every name and description arising out of or resulting from the Page 1 I ' fulfillment of attempted fulfillment of this Order by Respondent and its successors(including successors in title)and assigns. IV'.Upon completion of all obligations created in this Order,this Order settles only all claims for civil and administrative penalties concerning the above violations against Respondent(s)and its successors(including successors in title)and assigns. V.Nothing contained in this Order shall be construed as barring,diminishing,adjudicating,or in any way affecting any of the civil,administrative,or criminal rights of the Department or of the Commissioner or his/her designee(including,but not limited to,nor exemplified by,the rights to recover natural resources damages and to exercise any summary abatement powers)or authorities with respect to any party,including Respondent(s). VI.Nothing herein shall be construed as preventing the Department from collecting regulatory fees where applicable. VII.This Order shall not become effective until it is executed by the Regional Director on behalf of the Commissioner,and the date of execution by the Regional Director shall be the date of execution of this Order. VIII.In those instances in which the Respondent(s)desire(s)that any of the provisions,terms or conditions of this Order be changed,(s)he/it/they shall make written application,setting forth the grounds for the relief sought,to the Commissioner,c/o Regional Attorney,New York State Department of Environmental Conservation,50 Circle Rd.,State University Campus,Stony Brook,New York 11790-2356. 1X.Respondent(s)shall strictly adhere to the terms and conditions outlined in this Order and in Parts 1,II,and/orIll of Schedule A,the compliance schedule attached hereto and made a part hereof. X.Any change in this Order shall not be made or become effective,except as specifically set forth by written order of the Commissioner,such written order being made either upon written application of the Respondent(s)or upon the Commissioner's own findings. XI.This Order shall be deemed binding on the Respondent(s),it/his/her/their successors and assigns and all persons,firms and corporations acting under or for it/him/her/them,including,but not limited to those who may carry on any or all of the operations now being conducted by Respondent(s),whether at the present location or at any other in this State. XII.The failure to pay any penalty amounts due under the terms and conditions of this Order may result in a 22%surcharge in recovery costs and a potential tax refund offset by the Department of Taxation and Finance. XIII.A dishonored check fee of Twenty($20.00)Dollars will be charged for all checks which are returned for insufficient funds. XIV.Default of Payment.The penalty assessed in the Order constitutes a debt owed to the State of New York. Failure to pay the assessed penalty,or any part thereof,in accordance with the schedule contained in the Order,may result in referral to the New York State Attorney General for collection of the entire amount owed(including the assessment of interest,and a charge to cover the cost of collecting the debt),or referral to the New York State Department of Taxation and Finance,which may offset any tax refund or other monies that may be owed to you by the State of New York by the,penalty amount.Any suspended and/or stipulated penalty provided for in this Order will constitute a debt owed to the State of New York when and if such penalty become due. BASIL SEGGOS Dated: Sony Brook,New York Commissioner 2019 To:Joseph Barszczewski Bym�,L,L 1450 Albertson Lane Greenport,NY I I944 CA E MEE GALLAGHER Regional Dire or NOV#: 18JAI23 Page 2 1 ' CONSENT BY RESPONDENT (Individual) Respondent acknowledges the authority and jurisdiction of the Commissioner of Environmental Conservation of the State of New York to issue the foregoing Order,waives public hearing or other proceedings in this matter,accepts the terms and conditions set forth in the Order and consents o th�isancere�of. , Signature: Print Ntne: Full Home Address: aee_4,pc-r A" Y,-k NOTE TO NOTARY: The correct acknowledgment from below MUST be utilized for signing in New York State versus outside New York State. All blanks MUST be completed. ACKNOWLEDGMENT(Signing within New York State) STATE OF NEW YORK ) )ss.: COUNTY QF ) On the 6: day of i the year 200 before me,the undersigned,personally appeared ersonally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that(s)he executed the same in their capacity,and that by their signature on he instrument,the' al,or the person upon behalf of which the BARRY E LATNEY individual ted,execut t ruividuent. Notary Public,State of New York BARRY E LATNEY Reg.No:01 LA6142606 Notary Public,State of New York Qualified In Suffolk County ;- , LA6142606 Convnisslon�=March 20,2022 'Notary Pu tic,State of New Yor QualdW in Suffolk County Commfaslan Fjires March 20,2022 ACKNOWLEDGMENT(Signing outside New York State) * ) ss: On the day of ,in the year ,before me,the undersigned,personally appeared ,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that(s)he executed the same in their capacity,that by their signature on the instrument,the individual,or the person upon behalf of which the individual acted,executed the instrument,and that such individual made such appearance before the undersigned in the *** Notary Public * (Insert the State[&County],District of Columbia,Territory,Possession or Foreign Country the acknowledgment was taken.) ** (Insert the city or other political subdivision and the state or country or other place the acknowledgment was taken.) ***(Signature and office of individual taking acknowledgment) Page 3 r SCHEDULE A Compliance Schedule for Article(s) 15 and/or 25 I. GENERAL REOUIREMENTS: Immediately, Respondent(s)shall cease and desist from any and all future violations of the New York State Environmental Conservation Law and the rules and regulations enacted pursuant thereto. Respondent(s)shall submit photographs of the completed work,if any,required under this schedule,to the Department within five(5)days of its completion: All submittals to the Department required under this Order shall be made by Respondent(s)as follows: 1) One Copy to Marine Habitat Protection,Region One,New York State Department of Environmental Conservation,50 Circle Rd,S.U.N.Y.,Stony Brook,New York 11790-2356. II. REMOVAL RMUUIREMENTS: No removal required. Respondent(s)shall have removed the structures and/or fill ❑ which are the subject of this Order as follows: Removal Specifications Page 4 t i Schedule A(Contd.) III. RESTORATION REQUIREMENTS: No later than 5/15/2019, Respondent(s)shall submit to the Department,an approvable* arestoration plan and time schedule for implementation of said plan. *Approvable in the context of this Order shall mean approvable by the DEC with minimal revision. Minimal revision shall mean that Respondent(s)incorporate(s)the revisions required by the DEC and resubmits the plan for approval within fifteen(15)business days of receipt of the DEC's comments. This plan shall include: F-1 Regrading ❑ Plantings in disturbed area Specifications: A 10'buffer consisting of native shrubs and/or trees must be planted along edge of disturbed area near the wetland. Other: Upon written approval by the Department,Respondent(s)shall implement the approved restoration plan in accordance with the approved time schedule. The permittee shall ensure a minimum of 85%survival of plantings by the end of 5 growing seasons. If this goal is not met,the permit holder shall re-evaluate the restoration project in order to determine how to meet the mitigation goal and submit plans for review with the annual report for that respective calendar year.The report must be submitted by January 15th of each calendar year and sent to: Region I Bureau of Marine Habitat Protection,AttentionlCompliance;50 Circle Road,Stony Brook,NY 11790 ❑ No Restoration Required. Page 5 -mss- {�" '� .�,� .r. f' •� �• w d i _�, Ikl ' ` `� �.. ! - ,in •�s� x•' _ - ? t � ��!- �,, -"'= _ _ opt- loll IL Aw!� r v•_�C\ _ �.�+ i ►. '� yr • Jam. i sem,. _ __ - _ h ., H• -=�'- , 41. 01.9 11 ' 43 3 Yom. Joseph Barszczewski,Jr. 1 •, r Lawrence Lane,Greenport ` - 1000 v IT_ 1 i ^ w Mow r t d ♦ tet • � - / All 01 Ar 14 Alp �- ob Ilk - Nr 00 46. •'� fi 1 /}• � �f '� 0.5� MI, + '_ ' �/1� - •� ��?.. 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CN.050 MINE \\ .. i Michael J.Domino,President SOUjTown Hall Annex John M.Bredemeyer III,Vice-President A%, Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Jt Southold,New York 11971 A.Nicholas Krupski A Q Telephone(631) 765-1892 Greg Williams '� `,� Fax(631) 765-6641 �ycoUNT`I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 8, 2019 Joseph F. Barszczewski, Jr. 1450 Albertson Lane Greenport, NY 11944 RE: 110 LAWRENCE LANE, GREENPORT SCTM#: 1000-53-2-7 Dear Mr. Barszczewski: As the hand drawn plan you placed on the Kenneth Woychuk licensed survey dated May 12, 2018 and recently submitted to this office differs greatly from the flags placed by the Board of Trustees on your property on September 11, 2019. During the pre-submission discussion concerning remediation of your property in relation to your outstanding wetland violation several issues were raised by the Trustees that need to be addressed. This letter will detail what will be needed to address the outstanding issues in the wetland application. You may also want to consider retaining the services of a competent design professional or permit expeditor to address these concerns. 1. The plan must show the width of the proposed berm to scale. A survey may be the basis for the required scaled drawing, however, hand drawn additions should not be placed on the licensed survey by a party other than the surveyor; 2. Flags placed by the Board during the pre-submission field inspection are to be located and depicted on your survey by a licensed surveyor; 3. A cross-section drawn to scale showing the berm height and width is required. (Berm to be no less than 12" high); 4. A statement to the effect whether additional fill is planned for the lot should be found on the plans; 5. A statement to the effect of your intent to remove fill adjacent to the wetland to construct the berm should be found on the plans, as requested by the Board; 6. A detailed planting plan to scale is required that indicates the specie(s) of tree, their caliper and location should be found on the plans; 7. If you need to provide fence protection for the trees to prevent deer predation it must be included in the scale drawings and be fully described. I trust you will find this helpful toward meeting your obligations to settle your wetland violation. Please do not hesitate to contact this office or Assistant Town Attorney Damon Hagan if you have any questions. Very truly yours, John M. Bredemeyer, III Vice-President Board of Trustees OFFICE LOCATION: OF SOUr�® 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: 631765-1938 C®iJm� 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: June 14, 2019 Re: LWRP Coastal Consistency Review for JOSEPH BARSZCZEWSKI, JR SCTM# 1000-53-2-7 JOSEPH BARSZCZEWSKI, JR. requests a Wetland Permit for the as-built clearing of a vacant lot; adding ±200 cubic yards of fill and grading out in order to raise the grade of the property; plant 15 shrubs 4' apart along southeast property line; and plant 18 shrubs 4' apart along southwest property line. Located: 110 Lawrence Lane, Greenport. SCTM# 1000-53-2-7 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based on the new submittal and my assessment, the proposed action is recommended as INCONSISTENT with Policy 6 of the LWRP due to the following. 1. The site was cleared without a Wetlands Permit (including wetland areas). 2. Chapter 236 Storm Water Management controls (silt fence) are not in place. 3. The action proposes to add fill to the parcel, the final grade is not provided. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Peter Young,Chairman N -� 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., June 12, 2019 the following recommendation was made: Moved by Carol Brown, seconded by Peter Young, it was RESOLVED to NOT SUPPORT the application of JOSEPH F. BARSZCZEWSKI, JR. for the clearing and raising of the grade of vacant land. Located: 110 Lawrence Lane, Greenport. SCTM#53-2-7 Inspected by: Carol Brown, Peter Young The CAC does Not Support the application because the work has been completed and this is a compliance issue for the Board of Trustees to address. Vote of Council: Ayes: All Motion Carried Michael J.Domino,President �� soyo Town Hall Annex ,`O S0 54375 Route 25 John M.Bredemeyer III,Vice-President l P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams O! Fax(631) 765-6641 y�4UNTY,�� BOARD OF TOWN;TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only __/ oastal Erosion Permit Application E t�7 E9 Wetland Permit Application Administrative Permit �Amendment/Transfer/Extensionn MAY — 2 2019 a Received Application: ' Received Fee: $ 5i6Q,00 — A5 6Vi� ;i itY:rn Completed Application: 5712-1y Board o¢Sattfl!cl-d Tlwi^s _E Incomplete: SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): l0•1�l� —7.4-LWRP Consistency Assessment Form Sent: -1 CAC Referral Sent: 6,24.1 q Date of Inspection: (�'�2•l Receipt of CAC Report: Technical Review: Public Hearing Held: •� Resolution: Owner(s) Legal Name of Property (as shown on Deed): Texs,��®y4 mzeE A Mailing Address: G �� Phone Number: — � (o3(�S7/— 037 Suffolk County Tax Map Number: 1000 - q 3 ' 7 Property Location: (I Ldul"nc.:e Z,4-A - (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): Mailing Address: �p Phone Number: , � J Board of Trustees Appli4 kion GENERAL DATA Land Area(in square feet): OCA t Area Zoning: Previous use of property: Intended use of property: o� e Covenants and Restrictions on property? Yes J No If"Yes", please provide a copy. / Will this project require a Building Permit as per Town Code? Yes J 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 req ui any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structures on property have a valid Certificate of Occupancy? Yes /No ( ) p p Y Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has an permit/approval roval ever been revoked or suspended b a governmental agency? /No Yes Y p pp p Y If yes, provide explanation: Project Description (use attachments if necessary): C\e—C.NCe�A V'CSCCk,n 4— Ct�h V r'Ck Ck m�c- , 12 �� G44- 44 )= eI)AI ZI C" , v Board of Trustees Appli( ';ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 6'CKq C- Area of wetlands on lot: square feet Percent coverage of lot: 2 0 % Closest distance between nearest existing structure and upland edge of wetlands: feet It Closest distance between nearest proposed structure and upland edge of wetlands: t e Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? 2.00 cubic yards Depth of which material will be removed or deposited: ` feet Proposed slope throughout the area of operations: -�p�G Manner in which material will be removed or deposited: +" -aCA-G r # / y'oG k Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): f 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I 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: Project L cation(describe,and attach a location map): A d llG�' e 1j/4 / Brief Description of Proposed Action: e Name of Applicant or Sponsor: Telephone: ?j 24-, E-Mail: Q Address. City/PO: State: Zip Code: CreaA,,� � /Y y )194 1.Does the pr posed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? ❑ If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: �G C jcj y S C") C c, r--_C& r-C e1 ❑ 3.a.Total acreage of the site of the proposed action? k1kAacres b.Total acreage to be physically disturbed? ti $ acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? OE ILA acres 4. Check all land uses that occur on,adjoining andn ar the propose action. E:]Urban El Rural(non-agriculture) E]Industrial Commercial El Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. is the proposed action, NO YE N/A a.A permitted use under the zoning regulations? ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ 09 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YE landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: FJ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: [A ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: V\OY1e Y\<-C-6 C_6 R'] ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ,V\00�_ Y\U-C—cic� PJ ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YE 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: wed k(\\nC\_ 9 t yyS 59uc\v-c -r�e_-�, 14. Identify the typical habitat types that occur h,or are likely to be found on the project site. Check all that apply: V❑ horeline El Forest Agricultural/grasslands El Early mid-successional Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed YES NO by the State or Federal government as threatened or endangered? ❑ 16.Is the project site located in the 100 year flood plain? NO YE 1 141 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ a.Will storm water discharges flow to adjacent properties? ❑NO YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO AYES 41 Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: i ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spon or name: O h 3� SZC Z-C—W 5 V Date: O(A ly2 120 l C\ Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 1:1regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? El 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El 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, �� waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 L No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. t4 C eC �ek Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees (./®I ®Y Name of Lead Agency Date Michael J. ®o m o n o President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer ignature of Resp Bible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applin ;ion AFFIDAVIT BEING DULY SWORN DEPOS ES 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. /Sig7ature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF , 20 Notary Public BARRY E LMEY Notary Public,State of New York Reg,No.01 LA6142606 Qualified In Suffolk county Commtsslon E*res March 20,2022 J APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow,t to take whatever action is necessary to avoid same. \ YOURNAME: (Last name,first name,giiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) k5 f A C.oS-k�` j-:- O s�o" 7e c t 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 than5%o e shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted X_,Lday of 20-Signature Print Na e Form TS l y l _ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 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 120 ZA,-L4 Notary Public BARRY E LATNEY Notary Public,State of Now York Reg.No.01LA6142606 Qualified in Suffolk County commission Expires Manch 20,2022 -COMPLETE • C ■ Complete items 1,2,and 3. A. n tura A Signature ■ Print your name and address on the,reverse ❑Agent �ss on the reverse ;'° ❑Agent 1 ❑Addressee and to Tr so that we can return the card to you. X you. X i ❑Addressee ■ Attach this card to the back of the mailpiece, B. Received by(Pri t d Name) C. ate of Delivery k of the mailpiecer B. Received#�y(PFTd Nam `,°, ',C�Date of Delivery or on the front if space permits. t.,` (h' ifs. (�•, ,,',-.g5as I. Article Addressed to: D. Is delivery address different from item 17 ❑Yes D.IIs delivery a�ress reetifrorp item 11 ❑Yes r If YES,cm(ter IIsmn �V cue below: Cl No rte ', ; Il �� If17ES;e11 erd ivddr�s �belouv:� ❑No I yea'•��,,o (V� �t \' �� `�� , `' c ;�� 0YX 3. Service Type $(6 6� ❑Priority Mail Express® I I I I I III I II I II IIIIII- 3. Service Type El Priority Mail Express® ElI II I IIIIII IIII III I II I IIII I II I i I I III I IIII IIII III Adult Signature, El Registered MaiITM ElAdult Signature 11 Registered MailTO° f 0-Adult Signature Restricted Delivery ❑Registered Mail Restricted 1:1Adult Signature Restricted Delivery 13Registered Mail Restricted 9590 9402 3554 7305 7961 45 13Certified Mail® Delivery x305 7961 38 ❑Certified Mail® Delivery ❑Certified Mail Restricted Delivery E3 Return Re%ptfor ❑Certified Mail Restricted Delivery E3 Return Receipt for El Collect on Delivery Merchandise �11 Collect on Delivery Merchandise2. 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(11 Q POS�Jt park Q ❑Cert�ed Mail Restricted Delivery $Q ❑Cert�ed Mail Restricted Delivery $ qJf He.n v Q ❑Adult Signature Required $Q ❑Adult Signature Required $�ryy--y�� b ❑Adult Signature Restricted Delivery❑Adult Signature Restricted Delivery$ ��r =rr= � •Q PostageC13CO Postage S6,66 ! � $ $1 A5 66 $ $1.15 Total l Postage and Fees 1'�Y 11t? 11 Q Q Total Postage and Fees 16/06/2019 $7,45 $ $7.45 43 Sent Se Q i t and A No.,or/t' x o: S et an t K,or P ox N. - G fe I + --------- (�J((,!¢Lppp�/��/g1ya,/ 4 � -- -- ------- :.. r r. rrr•r i ii _ I ii F li PROOF OF MAILING OF NOTICE ;I ATTACH CERTIFIED MAIL RECEIPTS yl i e Cr Name: .- - ,, �- ---`"' ` • y ,I ss -d iare 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 i Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. !i Sworn to before me this Day of , 20 Notary Public - ,i �y®��FFO(�C� \� Michael J.Domino,President Town Hall Annex�Y John M.Bredemeyer III,Vice-President 54375 Route 25 Glenn Goldsmith P.O.Box 1179 A.Nicholas Krupski ry� Southold,NY 11971 Greg Williams 4,- �Y Telephone(631)765-1892 Fax(631)765-6641 �U BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JOSEPH BARSZCZEWSKI, JR. COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLA CE FOR A T LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE 1, G�G� y� 1l r�,��residing at/dba being duly sworn, d pose and say: That on the 6 day of (i-v�p� , 201�, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, June 19, 2019. Dat egARRY E LATNEY Notary Public,State of New York Reg.No.01 LA6142606 - Qualifled in Suffoik County Commission Expires March 20,2022 Asigtune) Sworn to before me this \ ofJOA?-20 I Ci Notary ublic PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ace-e,,7L� e %rte" Name: Address: Sib . 53 -c;2 - B/ 1 4 Ae- 7. /moo f eco;ve- � - STATE OF NEW YORK COUNTY OF SUFFOLK r o �� ,residing at �� being duly sworn, deposes and says that on the day of 20,a, 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 11 of the Tow 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 /RETURN RECEIPT. BARRY E LATNEY Notary Public,State of New York Reg.No.OILA6142606 Qualified in Suffolk County Commission Expires March 20,2022 Sworn to be�ore e this Day of 6 �, 2 f Z,WG,. ;, __ Notary Public NUTILL UF HLAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD : JOSEPH BARSZCZEWSKI, JR. SUBJECT OF PUBLIC HEARING : For a Wetland Permit for the as- built clearing of a vacant lot; adding ±200 cubic yards of fill and grading out in order to raise the grade of the property; plant 15 shrubs 4' apart along southeast property line; and plant 13 shrubs 4' apart along southwest property line. Located : 110 Lawrence Lane, Greenport. SCTM## 1000-53-2-7 TIME & DATE OF PUBLIC HEARING : Wednesday, June 19, 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. B OAR® 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 ficant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME ; r The Application has been submitted to (check appropriate response): �y Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I�l 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit, approval, license,certification: Nature zxtent of action: i Location of action: 1 LCxW Ce h Ce- Site eSite acreage: dLA 010-C Present land use: V CxC.Cw\ A- Present zoning classification: k V-\ G\, 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: Jo Se V-�) C Cs ZCZe wS I (b) Mailing address: k q SO A l V---ac v--V50 e (c) Telephone number: Area Codd-M & 0 LA 3 (d) Application number,if any: N/ A' Will the action be directly undertaken,require funding,or approval by a state or federal agency? 0,VC-CA-61) f f ro..e d Yes No❑ If yes,which state or federal agency? b U C 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 LMW Section III-Policies; Page 2,for evaluation criteria. ❑Yes ❑ No dNot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes u No ❑ Not Applicable - r r Attach additional sheets if necessary Policy 3. Enhance visual quality and 'protect scenic resources throughout the Town of Southold. See LSection III—Policies Pages 6 through 7 for evaluation criteria 7YcsF1 No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES 5 Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III--Poicies Pages 8 through 16 for evaluation criteria ❑ Yes No ❑ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section III —Policies P7NO6 through 21 for evaluation criteria ❑ Yes ❑Not Applicable 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 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 dNo Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substance7NoE:l d wastes. See LVWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes 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. ❑ Ye No❑ Not Applicable 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 suitable Iocat' ns. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes No ❑ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary aY own waters. See LRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes No ❑ Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 6 for evaluation criteria. ElYesNo❑ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III— olicies; Pages 65 through 68 for evaluation criteria. El Yes No ❑ Not Applicable PREPARED BY TITLE DATE W'