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HomeMy WebLinkAboutTR-9676 Glenn Goldsmith,President QF SU(/rTown Hall Annex Michael J. Domino,Vice-President ,`OO0. 0 54375 Route 25 P.O.Box 1179 -- John M.Bredemeyer III lL Southold,New York'11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 �yCOUM`l BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD-OF TRUSTEES 12 HOURS'PRIOR TO-COMMENCEMENT OF THE ACTIVITIES C4d,kE6,'_ F INSPECTION SCHEDULE Pre-construct oh;,N# ti'al'e'Iiii Ysi�#boQ ri/Silt=cu #ain - -. --; -- --- - - -� uf-c'an5fi`acfiiv ---- i corrstrrrcted X When project complete, call for compliance inspection; I IN T", lwl IMAI ��wv� tWlmm M,o(Mal-I#"��""Mkl 1100"�V%tyVV!I I A IV!k, 'X'h I F� 'A,,,FI)WI 'f! t BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK C 01 , PERMIT NO. 9676 & 9676C DATE: AUGUST 19,2020 f14 k ISSUED TO: JOHN P. &KIMBERLY G.YCEISERMAN PROPERTY ADDRESS: 1170 WILLOW TERRACE LANE, ORIENT SCTM#1000-26-2-23 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Z Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on Angus 19,2020 and in consideration of application fee in the sum of$500.00 paid by John P. &Kimberly G. Keiserman and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install new vinyl sheathing on landward side of approximately 131 9 N J linear feet of existing timber bulkhead; partially remove and replace (in-kind/in-place), as needed existing 12'x17' grade level wood deck; and revegetate disturbed area behind bulkhead as needed with Cape American beach grass; and as depicted on the site plan 3 prepared by En-Consultants, dated on January 28,2020, and stamped approved on "Mll I PA RN� August 19,2020. ON M E Corporate Seal to be affixed, IN WITNESS WHEREOF,the said Board of Trustees hereby causes its and these presents to be subscribed by a majority of the said Board as.9f the 19'`day of August,2020. 177A Ilea, C& X%N TERMS AND CONDITIONS The Permittee John P. &Kimberly G. Keiserman, residing at 1170 willow Terrace Lane, Orient, 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 belie 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,President q SOUTg, Town Hall Annex Michael J. Domino,Vice-President ,`O� ®lam 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 O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT#96760 ''Applicant/Agent: En-Consultants 'Permittee: John P. & Kimberly G. Keiserman SCTM#: 1000.26-2-23 Project Location: 1170 Willow Terrace Lane, Orient Date of Resolution/Issuance: August 19, 2020 Date of Expiration: August 19, 2022 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: Install,--new vinyl sheathing on landward side of approximately 131 linear feet of existing timber bulkhead, partially remove and replace (in- kind/in-place), as needed existing 12'x17' grade level wood deck; and revegetate disturbed area ' behind bulkhead as needed with Cape American beach grass; and as depicted on the site plan prepared by En-Consultants, dated on January 28, 2020, and stamped approved on August 19, 2020. INSPECTIONS:-Final Inspection SPECIAL CONDITIONS: None In accordance with Chapter 111-15 Erosion Protection Structures: N/A A maintenance agreement is attached hereto and is a necessary special condition of this permit. By: c Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President �'rjf So(/�y Town Hall Annex Michael J.Domino,Vice-President ,`O� ®lam 54375 Route 9 John M.Bredemeyer III P.O.Box 11 Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams '� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 25, 2020 Robert E. Herrmann .En-Consultants 1319 North Sea Road Southampton,_NY 11968 RE: JOHN P. & KIMBERLY G. KEISERMAN 1170 WILLOW TERRACE LANE, ORIENT SCTM# 1000-26-2-23 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 19, 2020 regarding the above matter: WHEREAS, En-Consultants on behalf of JOHN P. & KIMBERLY G. KEISERMAN 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, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated February 3, 2020, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the proposed application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the proposed application for the replacement of the deck be found Inconsistent with the LWRP, and, _ WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program policy 6.3 to the greatest extent possiblethrough theimposition of-t>f a— ---- following Best Management Practice requirements: there was a prior permit on record for the deck; and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 19, 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, WHEREAS, the structure complies with the standards,set forth in Chapter 275 and Chapter 111 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 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of JOHN P. & KIMBERLY G. KEISERMAN to install new vinyl sheathing on landward side of approximately 131 linear feet of existing timber bulkhead; partially remove and replace (in-kind/in-place), as needed existing 12'x17' grade level wood deck; and,revegetate disturbed area behind bulkhead as needed with Cape American beach grass; and as depicted on the site plan prepared by En-Consultants, dated on January 28, 2020, and stamped approved on August 19, 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, ,4- L 4M" Glenn Goldsmith President, Board of Trustees J SWPPE I y 9 N�Purpose;Maintain existing functional bulkhead for � Ce ural flood and erosion control I �RORu+o °r� 2) Datum;MLW soci y Mus m° 3) �xistmg bulkhead to 6e resheated on landward side wtth P �/ vc -`_., e ;— vinyl sheath riq supported with pre%ure-treated structural „' �"' ®VE'® e tim6er5 and hot-dipped galvanized steel hardware SOA °w N o s BOARD OF-1 RUS :EES I 4) Di5tur6ed portions of naturAly vegetated embankment to be ` ur 6� revegeted with Cape American 6each q-ass,18"O.C. TO.INNQ ,0 = .OUT � 5) Project plan based on land survey prepared 6y Kenneth OF.S �✓%�� M.Woychuk Land 5urveyinq,last dated 8-15-16 ®ATE 6) Plan and crossview diaram are schematic in nature Q °ON and are intended only to establish protect location,snipe and basic construction details for pamlttinq purposes and are not intended to serve as or substttute for "- - � \`�`��• ����� engineering or construction plans for construction purposes _SITI C ACCE 55 VIA 1) Property location;1120 Willow terrace Lane,Orient; SCI6J�CT pf:OP�p(Y 5CTM#1000-262-23 ( --&10PIFNT HAMR) WILLOW TERRACE LANE 5uffolk Countq Hagstrom Map 49 I" _ +2000' O � h 1„ = 30' ti z z 1 1/2 STY r ° FRAME HOUSE ° N ❑ & GARAGE E N - CONSULTANTS 1314 NORTH SEA IR®o WOOD DECK AaSOUTHAMPTON, NY 11 963 � z �y SWIMMING POOL a _ 631-233-6360 CEHA BOUNDARY — — — — — — �, ! '\ _ -I - OO TIMBER WALL WOOD DECK ; FEB 3 2020 ___ _ _ _ _ _ _ -- - - - i l APPROX, EXCAVATION/DISTURBANCE ADJ. BLKHD. ADJ. BLKHD. AREA TO_$E 'REVEGETATED- AS. NEEDED" 6r(Ir 'Y MHW/MLW EX. +12' x 17' GRADE—LEVEL WOOD APPROX. 131 L.F. OF EX. TIMBER DECK TO BE P RTIALLY REMOVED AND BLKHD. TO BE RESHEATHED ON REPLACED (IN— IND/IN—PLACE) AS NEEDED LANDWARD SIDE WITH VINYL SHEATHING EX. 2.5' x 4.5' PLATFORM AND 2.5' x 8' STAIRS TO REM IN FILED MAP BOUNDARY ORIENT HARBOR MOPO5Fn I.AN12WAFP PULKHM p�5H�AVJ% FOP JOHN & KIMMV 05�pMAN ON RIM HAp60p,, 00 NT, 5UFFOI K COUNTY, NY 5HETT I OF 2 1-28-20 i 5�CVON THPU PPOP05�P MPWAR) 6UI.KHW FT5H�ATNIN6 1" - 10' AMOK AP.EA OF EXCAVATION/f715TUTANCE TO 6E pEVEGMfW AS WPE 17 -10' EX.WOOF P1 CK TO 6E PAPflALMY PMACEP OK/IP) A5 WPF17 If +I2' - I 4"x 6" TOP CLAMP 2" CAP v EX.T1MM\13UI"A17 �• MW- 2' -6" t { MLW- 0' -0" t EX.GSE PPOP.I/3" x 8" x 14' VINYL 9-fATNIN6 TO 6E EX.MPZO7/PFA17MEN TO FWAIN;TEMPOMMY WA-LEI?ON LANPWAP.f7 5117E OF EX-11M P\6UMKI-EAP CUT ANP f;E-WEMf7 TTEIZZOP5 TO 5ECUpE NEW 5 fATNING - - - { F F B 3 2020 -E--N---G0 [SULTANT-S--.-- 1319 NORTH SEA R®, SOUTHAMPTON, NY 1 ]965 631-283-6360 MOPO5�n I ANPWAPP P I.KHM p�5H�KHIN6 FOP JOHN & KIW1\.Y 05MAN ON RENT HA DR, O�I�NT, 5UFFOI K COUNTY, NY SN��T 2 OF 2 1-28-20 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY j __ __ ■ Complete items 1,2,and 3. A. Signature �-o -v� ■ ■ '� ■ Print your name and address on the reverse X � tT I -� i so that we can return the card to you. ❑Addressee , ;0 � o m ° 0 ■ Attach this Card to the back of the,mailplece, B. Received by(Printed Name) 0 e of Delivery o mtz or on the front if ace permits. -Co •�•i �p a m� c m 1. Article Addressed to: D. Is delivery address different from item 1 ❑ es i =o m : y = ;Wi If YES,enter delivery address below: [3 No L - v, o 0 o w m i �N I E N O .moi i — --...,--- - - ---- ----- -- S O p^ i _ �• N 3 CL N � m in aa �a t -Z o I j W R 0 w y w Marie-Lise Gazarian -w o , '' � •* y o, fl o 80-15 Main Street, Apt. C 3. Service Type ❑Priority Mall Express® sv � o Jamaica, NY 11435-1253 ❑Aduitsignature 13 Registered MaIIT"� N E' co ElAgWt Signature Restricted Delivery E3 Registered Mail Restricted 00 Ir WD ! LWertilled Mail® Delivery o _ m ❑certified Mail Restricted Delivery ❑Retum Receipt far 6 �' a ! 13 collect on Delivery Merchandise mi (liveryRestricted Delivery ❑Si13 gnature Confirmation I o 2. - •- - -- —' - -7019 1640 0001 4119 1502_$5, Restricted Delivery Restricted Delivery iL-j : :t . .. over uu, i Er: p❑0�1❑p W i'PS Form 3811;July 201'5 PSN 7530-02-000-9053 Domestic Return Receipt p o� C(D it 5 0 a O•f0 f0 C7 CD a�3��mm co w p r .g �6 0 a " SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION'ON DELIVERY ;.� o.a ■ Complete items 1,2,and 3. A. SignatuQL i _ r g gym. ■ Print your name and address on the reverse X ❑Agent �z o -• - a I so that we can return the card to you. ❑Addres ee : Z ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C.Date of Delivery ' Q' or on the front if space permits. o m 1. Article Addressed to: D.'Is-delivery address different from item 1? ❑Yes o ❑❑ ❑ ❑❑❑ io 3 ' l Ba s ',j`If YEVnte delivery address below: No 8coffmammsm �Dmcn3�ox�r o ❑ o »oy�3m�y 1 M� nQ •, inyY rt $m�a� c3m3 — _— (-1n ID Rag o rn \ �r a a7 CD Robert N.Hulsmann Trust& � � I s s ID _a � ® G Ann V. Hulsmann Trust 1 -_ Q-- -- — m v I ❑Adult Type ❑Priority Mall Express® { - P.O. BOX 188 dultSignature ❑RegisteredMail- ❑Adu Signature Restricted Delivery ❑R istered Mail Restricted i' Orient, NY 11957 _ _ =PlfisdMalio D�very 1 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise "••"o..u—,,.,rmlivery Restricted Delivery 13 Signature ConfirmationTm 7 319 1640 0001 4119 1496 °I - r ❑Signature Confirmation I Restricted Restricted Delivery l PS'Form 3811;July'2015 PSN 7530-02-000_9053 _ ` - Domestic Return Receipt Glenn Goldsmith, President �ps FFO��c� Town Hall Annex Michael J.Domino Y��� Gym 54375 Route 25 John M. Bredemeyer III ti z ' P.O.Box 1 179 A.Nicholas Krupski 0 ® Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 ��� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JOHN P. & KIMBERLY G. KEISERMAN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I� Robert E. Herrmann , residing at/dba En—Consultants 1319 North Sea Road,\:Southampton, NY 11968 being duly sworn, depose and say: That on theilthd'ay of August , 2020 , I personally posted the property known as 1170 Willow Terrace Lane, Orient; SCTM #1000-26-2-23 by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, August 19,2020. Dated: (signature) Sworn to before me this 19th day of Aug'20 20 KIM H . STEPHENS NOTARY P U 9 L I C STATE OF NEW YORK COMMISSION NO . 5015931 ry u lic QUALIFIED IN SUFFOLK COU TY EXPIRES AUGUST 2 , 20.,� � Peter A.Young,Chairman Town Hall,53095 Main-Rd. Lauren Standish,Secretary P.O.Box 1179 4_, • _ !� Southold,NY 11971 '�J�j .ad Telephone(631)765-1889 Fax(631)765-6641 Conservation Advisory Council Town of Southold TO: Southold Town Board of Trustees . VAR 16 20� FROM: Conservation Advisory Council Southold Town Board of Truste s DATE: March 11, 2020 RE: Recommendations The CAC-reviewed the following applications, Due to the COVID-19 Crisis and subsegiuerl State of,,Etneroon«y.Oecla�re) for.5 QId*Town; the irnpet rrg of the onse0ation A►Visoir�_dq'G;t c� r;t C4, ceiletl: , ' No recttteittcstiaihs rnEilt he,p ©vde f�i yar.flles a tltts tide "". ; BRI lsI A FAI{f[iLY LIMiTD l AR 't R llp:to construct 132 It of-retaining wall including returns;within the srea:ad*c+eht to.tidal Maters aa6dward of the mean-high wrater elevation. Rel666te_and iristalfi gift' 'd'f suis for 4aoe and'l§cour protection seowatd-face of the proposed wall and exis. -vegetated slope.-iteplace existing damaged timber stairs. Located: 1240 Latham Lane, Orient. 8CTM915-9-1.6 JOHN P. & KIMBERLY G. KEISERMAN to install new vinyl sheathing on landward side of approx. 131 If. of exiting timber bulkhead; partially remove and replace (inkind/inplace) as needed existing 12'X 17' grade level wood deck;-and revegetate disturbed area behind bulkhead as needed with Cape American beach grass. Located: 1170 Willow Terrace Lane, Orient. SCTM#26-2-23 `SEAUREEZE CONDOMINIUM-AS�OC. to rehabilitate 1:99' of the existing revetment, . located-on'tlae norttlerly,portion"of'the subject property. Rocks to be sourced on-site arld _ supplemented as needed. Stair assembly to be,removed as well.as all rocks within 10' of the stairs to provide access for construction equipment. Stair.assembly,and rocks to be replaced-upon completion of the rock revetment (irikind�np(a�;e): Rocks-ta`be sourced on- site and supplemented as needed'. 1-o-G-attedd- 60120 Counareenp9it. SCUM 25 a a 2 61600 MAIN ROAD LLC to raise the existing one-story office and lobby building which currently straddles Zone VE and Zone AE. The existing 6,280 sf. one-story building on the south side of the property is currently sitting in the flood zone. Elevate the existing building so it will be in compliance with current FEMA regulations. Located: 61600 Main Rd., Southold. SCTM#56-6-3.4 CHARLES RIESTER & JEANETTE M. RIESTER for a proposed:14'X24' in-ground swimming pool with drywells to contain pool backwash; and for thio two-story dwelling, 4' wide pavers behind retaining walls, 60 It retaining walls on south and retaining walls on north. Located: 1945 Calves Neck Rd., Southold. SCTM#70-4-47 GORDON LAU AND MAMIE CHIANG to replace previously existing dock, ramp and float, decking piles to remain in place with the following: 4'X 20' catwalk with Thru-Flow decking, 3.5'X 18' aluminum ramp and 6'X 20' floating dock. Located: 1450 Jockey Creek Drive, Southold. SCTM#70-5-17 RICHARD LIE$OWITZ & CONSUELO PROL for the removal and replacement of existing 4'X 34'-long fixed catwalk wit�,steps on both ends and Thru-Flow decking in same location as existing and construction of proposed 6'X 16'`fixed dock in-a "T" configuration With untreated decking. Trimming of-extsting phragmites.for,a 75'Wide section-, ' surrounding the catwalk is proposed:All;trimming to.'b s l ctjve of"pi�r r't�ite ; 'dotte . , by harld two times a year to a height of 12" above 60* -:grddnd,siai# e: - Located: 1-000 Beachwood Lane, Southold'-S:CTI1400t..4 .1 - 1.06 MUL;SVERRY CORP. to construct a two-story dwelling w1tfi'Wr td6h6ct:dpck;stone - driveway=on the-west side.of the ' dwelling and 1 'X O':paWng aroa ori-Wo side of proposed dwelling and 1 VX 20' parking area on north,side of prQppsed dW tffaq, new.I/A nitrogen reducing-water treatment system, and W_'rep failfn bo(kheasl orr,fhe west side of'the,property, adjacent to dug•inlet on the north side of"the'lot as well as to replace the wood jetty, which extends into West Lake. Located: 750.West Lake Dr., Southold. SCTM#90 2-1 JONATHAN REBELL & NOAH LEVINE•to construct a staircase with lan6ings-at 65' 10"• in length consisting of four (4) staircases, with the bottom being,rem'dvable.vi►,00d or aluminum and five landings for a total of 350 sf; Located: 4790 Blue Horizon Bluff, Peconic. SCTM#74-1-35.56' ' MICHAEL & SUSAN CAVOUNIS to construct pppr6X. 151.(f, of.viny('bulkhead in place.Of existing timber bulkhead, remove and replace(in-place) 22' north'di tirriber�ulkhead return with vinyl return, and backfill with approx. 25 cy. of clean sandy fill to be trucked in from an approved upland source; remove existing dock structure consisting of a TX 8' - deck, 7;X 17' fixed walkway, 4'X 16' ramp, and 8'X 12' floating,dock,' and construct in the same location anew dock (to be connected to water and electricity) consisting of a 4'X 39' f edAirabeEcatwal - c Ast-ructed-with-open r-ate-decking-and-rape handrai ' ' hinged ramp and 6'X 20' float secured by two (2) 10" dig. pilings, construct 10'X 15' grade- 3 level, untreated wood deck landward of dock and bulkhead; and establish a 10' wide non- turf buffer landward of bulkhead. _ t Located: 3475 Wells Rd., Peconic. SCTM#86-2-9 LAUGHING WATER PROPERTY ASSOC. to construct a 76' X 18'wide at low water'and 3' in height at highest point a living shoreline consisting of approx. 40 cy. rip-rap, 20 cy. biodegradable sandbags, 420 sf. of spartina paten @ 9" on center, construct approx. 60' of living shoreline.consisting of approx. 20 cy. of biodegradable sand_ bags and 480 sf. of spartina paten @ 9" on center. Located: Minnehaha Blvd., Southold. SCTM#87-3-60 _ PATRICIA GOELLER KIRKPATRICK to construct a two-story,sihole family dwelling with attached deck and driveway. Install a-new, innovative alternative, nitrogen-reducing . IA/OWTS septic system with 161 If. of retaining wall surrounding the septicisystem'on the landward side of the proposed single-family dwelling-. In addition, applicant proposes to establish a 50' wide non-turf buffer area landward of the tidal wetland boundary. - Located: 565 Fisherman's Beach Rd., Cutchogue. SCTM#111-1-34 WILLIAM MURPHY & KIMBERLY REECE for the existing 4'X 18' wood dock, to removable ramp to "L"shaped float 6X 20' and 6'X9'. Add existing wood (private.access) pedestrian bridge: 4'X 15' wood ramp to a 41X 33' bridge to-4'X 8' ramp-to cross W6nnewetta P®nd'for applicant's=parcels. Located: 1652-.Bridge Lane, Cutchpgue. SCTM#118-1-4.1 --STEPHEN LICATA & AM LICATA for,'411e=as=fiytt#, Iterafiians to t#te a isflng #ii flirt acid - - -t6 rebuild-the existrrig-1--1'X 30' screen d-porefi-ai d addaif_ecR-t644:roof:i4;�--6--J 00!)Q5. ' patio and 68 If. of 2' wide stone wall, and 7'X 8'. fire pit'aad pergola. In dditiQn, there will be installed and maintained a 10'non4drf buffer Qn th-dindWand fide dtht.6k1$t1ng . , concrete-seawall. ` Located: 670 Old Salt Rd., Maftituck.' SCTM#144-5-13 - 'CHARLES 0. PARDEE to construct a 16'X 18' at-grade wood deck on the southwest corner of the subject parcel, setback 20' from the western property line. Establish an 8' wide vegetated buffer area landward of the existing retaining wall and along the southern portion of the eastern property line. Located: 6760 Great Peconic Bay Blvd., Laurel. SCTM#126-11-3.1 -RECOMIVIENDATI(SNS-APPLICATIONS TO AMEND WETLAND & COASTAL EROSION PERMIT APPLICATIONS,, MARY ANN HOWKINS to amend Wetland Permit#9614 for tke in=kind'arid in-place reconstruction of a 2,161 sf. one-story dwelling with attached paragd, deck and.sahitary system. �� ' ^Gated:-32`45 Wells R.a Pe 6 7_ v�r� .T-cv-�r�.��}t�i �v Glenn Goldsmith 'sident 0 C ' Towq,,, l Annex Michael J. U6mino a0� � Q 54375 Route 25 John M. Bredemeyer III C P.O.Box 1179 A.Nicholas Krupski %�5 Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892. HCl �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: - ' // Completed in field'by: -'T En-Consultants on behalf of JOHN-P. & KIMBERLY G. KEISERMAN requests a Wetland Permit and a Coastal Erosion Permit to install new vinyl sheathing on landward side of approximately 131 linear feet of existing timber bulkhead; partially remove and replace (in-kind/in-place), as needed existing 12'x17' grade level wood deck; and revegetate disturbed area behind, bulkhead as needed with Cape American beach grass. Located: 1170 Willow Terrace Lane, Orient. SCTM# 1000-26-2-23 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 o7He 'ng Card P _ted: Y / N Ch. 275 Ch. 111 SEQRA Type. 1 II Unlisted Action Type of Application: Vie-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N b�� Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application comple ness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: ---NL-d Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other S.C.T.M. NO. DISTRICT: 1000 SECTION: 26 BLOCK: 2 LOT(S):23 IHIGH WATER ORDINARY HIGH WATER MARK AT TIME OF SURVEY. LOT 3 J � I MARK AS INDICATED ON FILED MAP. 154.5' I S49.12'00"W I— 0. _ 185.80' 5'8 0.5'N -:zr �-� oI 14 W PCO LOT 4 c �� �� POG I WELL00U.P. ,on PI M • 3 I N WELL ❑ x N I z • 04 — O r N X I Z m 24'�� 23' N O x m m m Im I x M ��? z I .........2°......:•:'t,%'%:..;`.: � o� 4N. Q ^i O� :.ir:;.,:.i';'::;.:p._s..tiii:i'r:fii^:iii:i. to �.:• is•:.....:.:•:i.::.:•:.:::•• .::•:• o'`•�. ti° O •;. to LO �I o •::;"................................ :.;•;:•::.;•:::::;::;.;:;:;.;;.;^' PCO LOT 4 O ... --IJ d dI d i:• ?.?:9' ::•i}4 1/z str:'•:;':::s.01 _. 63.6' rn [Tl FRM. :...: T� DWELLING ^ L ✓^ WOOD DECK i......., Y,.t;i`•::x /V D•N::::.;rY�;:.::•iii"•:'N 8 � _i I EL 17.3 �+t•.; i:;;i::;:i........::i::� B O Xx ................... •.... O ::.:::. C0 " '' ................:...:::::....... - - - - { - ,_�— WOOD � - .::t-+-'_ ' 4.1':?:.::i;i..'.'4.0' - M DECK cel k;:_;,.lR- ::'u:::•:`:,::' i- GRADE or l EL 9.6 odl a : :•:;::;;.;: y•:. :::.. :: C) z ' r r o DECK W 3 ..; 20' C4 OVERHANG :. ...:.#,.,...:::.:.:• X 5' c (128 S.F.) �o I`':;: :'::::: ;:`•':. n EXISTING SANITARY MON. O cn O (HAND BLOCK CESSPOOLS) Ed24.5' J� OU.P. v 0 .N J 7.3'N 4' VIAPICKET 180.91 S38°17too"W 151.8' I LOT 5 I COASTAL EROSION HAZARD BOUNDARY I AS SHOWN ON MAP #26 BUILDABLE LOT AREA: 13,065 S.F. (AREA LANDWARD OF THE COASTAL EROSION HAZARD LINE.) _' = LOT COVERAGE: ;;_.,, - 1 DWELLING, FRONT PORCH: 1,965 S.F. or 15.07o POOL DECK: 1,436 S.F. or 11.0% I FEB 3 2020 A j POOL DECK OVERHANG: 128 S.F. or 1.0% EY SWIMMING POOL: 648 S.F. or 5.0% � TOTAL: 4,177 S.F or 32.0% REVISED 08-15-16 REVISED 05-16-16 REVISED 04-16-16 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL FIRM MAP 36103C0068H LOCA77ONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS. AREA: 21,435.79 SQ.FT. or 0.49 ACRES ELEVA77ON DATUM: UNAUTHORIZED-ALTERA77ON -OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF SEC77ON 7209 OF THE NEW YORK STA TE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS777UTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF: LOT 4 CERTIFIED TO: KIMBERLY G. KEISERMAN; MAP ORWILLOW TERRACE SECTION ONE JOHN P. KEISERMAN; FILED: AS #5407 CHICAGO TITLE INSURANCE COMPANY; CITI MORTGAGE; SITUATED AT:ORIENT TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Boz 153 Aquebogue, New York 11931 FILE #15-64 SCALE: 1"=30' DATE: MAY 26, 2015 PHONE (831)298-1588 FAX (631) 298-1588 N.Y.S. LISC. NO. 050882 maintaining the records of Roberti. Hennessy k Kenneth M. Woychuk JOHN J&MBERLY KEISERMAN, 1170 WfW TERRACE LANE,ORIENT r •`- _ - _ w���!i�►�11/.-ems wt � x Figure 1. Looking northwest at existing timber bulkhead to be resheathed on landward-side with vinyl sheathing, and at existing grade-level wood deck to be removed and replaced(ik/ip),as needed. X . ra ° - -- -=..tea-' — _---•,�: Figure 2. Looking southeast at existing timber bulkhead to be resheathed on landward side with vinyl sheathing; and at naturally vegetated embankment to be revegetated with Cape American beach grass,as needed. r, a Z MIRIL" 11 a3. , 1 FOR PCI.NQ. p1SOh-0i,,t0� 1 M � 3 8 °� f,15MAit 913 SA 33 9 1.4A p i 122 a SS. tz, " \\ zs Q 3924 29 ze \ z, n ° SA $ m �. \ ,e m f� p 0.7 Yj1.00k � YANG q \ / 201 4 alt ` •. AA ,+ 38.15 - w r7.5 t[Nq. s 'a�°r a r ♦ +, 30.A - O 83.10 - Ji ,0 3°17� 38.13 M 413 \ ,^ s, 3e14 s. a2h • .: a1\� ° � ". 3816 µ F � s IS San tame)30 s I� 38, 1 t y~' • 7 29 7 24 0 3 2 !, � rnr 0' P �t zs 27, ,0 e � 1 - :� r 12 Kxeoex \ 7 N NOTICE E _ _ """� low COUNTY OF SUFFOLK © µMe g w e99 o eN 9 oR v Y E Property Ta:Service A me row,or sot77Ho�0 0'�'6 Real B oumretmoKff Nn roR7aN OF THE •__.._.. wuat�_ — rruNa �_ __ x,Nel io9 Cmtm DrM.leverF�M 71901 W StFFOLK CQ.Mr irK WP 6 PRG,HR:O M _ __ ysr. w711011f wima+F9AS5�16 ilE P v.aME K 5 FX moFBar TRtt gRv1Q eceY. DiSalvo, Diane From: Robert Herrmann <rherrmann@enconsultants.com> Sent: Monday, August 10, 2020 10:38 AM To: DiSalvo, Diane Subject: Keiserman bulkhead replacement application Diane, As I saw that the LWRP Coordinator is recommending that the replacement of the grade-level 12' x 17' deck adjacent to the bulkhead (as necessitated by the removal and replacement of the deck)be found"inconsistent" due to the lack of a permit for the existing deck, I'd like to ask you to please note in the file that the deck is permitted pursuant to Wetlands Permit No. 9627,issued on January 15,2020. Many thanks, Rob Robert E.Herrmann,MEM Coastal Management Specialist En-Consultants 1319 North Sea Road Southampton,NY 11968 Phone: 631-283-6360 Fax:631-283-6136 Email:rherrmann@enconsultants.com www.enconsultants.com ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. a OFFICE LOCATION: so y® NIAI ING 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 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To- Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: June 10, 2020 Re: LWRP Coastal Consistency Review KEISERMAN SCTM# 1000-26-2-23 The proposed action has been reviewed to Chapter 268, Waterfront ConsistencyReview of th'eTown of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, the proposed action is recommended as CONSISTENT with the LWRP. The replacement of the deck is recommended as INCONSISTENT with Policy 6.3. There is no record of the deck receiving a permit in Town records. 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 i Glenn Goldsmith,President *0 SOU�� Town Hall Annex Michael J.Domino,Vice-President ,`p�' � 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III - g l [ Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Greg Williams %�` �RS Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application - Administrative Permit Amendment/Transfer/Extension FEB 3 ZQZQ Received Application:tion: Z.3- mac_ y Received Fee: $ 500.W0 Completed Application: 2-6140 - Incomplete: tr SEQRA Classification: Type I Type II`� Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): �LWRP Consistency Assessment Form Sent: CAC Referral Sent: Z-z -20 Date of Inspection: : .4120 Receipt of CAC Report: Technical Review: Gdv d' lo�svr e _ :24—Public Hearing Held: Resolution: Name of Applicant John P. &Kimberly G.Keiserman 114 Mackey Avenue Address Port Washington,NY 11050 Phone Number: eL21 940-6385 Suffolk County Tax Map Number: 1000 - 26-2-23 Property Location: 1170 Willow Terrace Lane,Orient (property is located on south side of Willow Terrace Lane,+/-330'west of Majors Pond Path) (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road,Southampton,NY 11968 Gn X Phone:631-283-6360 M010 f Uv V v � Board of Trustees _:)plicatiori GENERAL DATA Land Area(in square feet): 21,435 sf Area Zoning: R-40 Previous use of property: 1.5-story,single-family residence with pool and decks Intended use of property: No change Covenants and Restrictions: Yes X No If"Yes", please provide copy. Will this project require a Building Permit as per Town Code? Yes X No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s) on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date Southold Wetlands Permit#5279& 2-23-01;Amended 7-30-01 &6-17-15; Coastal Erosion Permit#5279C(bulkhead) Transferred 10-21-15 Southold Wetlands Permit#5279 1-15-20 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Install new vinyl sheathing on landward side of approximately 131 if of existing timber bulkhead;partially remove and replace (in-kind/in-place)as needed existing 12'x 17'grade level wood deck;and revegetate disturbed area behind bulkhead as needed with Cape Amencan beach grass,all as depicted on the project plan prepared by En-Consultants,dated January 28,2020. Board of Trustees Ar-, cation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To maintain and protect existing functional bulkheading for flood and erosion control. Area of wetlands on lot: 3,972 square feet Percent coverage of lot: 30.4 0/0 Closest distance between nearest existing structure and upland edge of wetlands: 0 feet (ex.timber bulkhead) Closest distance between nearest proposed structure and upland edge of wetlands: 11 feet (new vinyl bulkhead sheathing) Does the project involve excavation or filling? No X Yes (as required to install new sheathing landward of If yes, how much material will be excavated? TBD cubic yards existing bulkhead) How much material will be filled? N/A cubic yards Depth of which material will be removed o gwwiWd: +/-10 feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Upland soil material landward of ex.bulkhead will be temporarily excavated to allow for installation of new vinyl sheathing on the landward side of the existing bulkhead. All material will be replaced and revegetated with Cape American beach grass upon completion of resheathing. ,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): For the purpose of maintaining the property's historical method of protection against erosion and flooding,the project proposes to maintain the existing timber bulkhead that was originally constructed prior to 1977 by installing new untreated vinyl sheathing on its landward side. There is no viable non-structural alternative means of maintaining and protecting the upland portion of the property in its current location;and without maintenance of the bulkhead,the subject and adjacent properties would be exposed to severe flooding and erosional damage. The disturbed portion of the naturally vegetated embankment landward of the bulkhead will be revegetated as needed with Cape American beach grass upon project completion. The project will thus maintain the existing site conditions without any change in or significant adverse impact to the adjacent bulkheaded properties or the adjacent tidal waters. Board of Trustees Dllcation COASTAL EROSION APPLICATION DATA Purposes of proposed activity. To maintain and protect existing functional bulkheading for flood and erosion control. Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No X Yes (as required to install new sheathing landward of existing If Yes, how much material will be excavated? TBD (cubic yards)bulkhead) How much material will be filled? NSA (cubic yards) Manner in which material will be removed or deposited: upland soil material landward of ex bulkhead will be temporarily excavated to allow for installation of new vinyl sheathing on landward side of ex bulkhead All material will be replaced and revegetated with beach grass upon completion of resheathing Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) For the purpose of maintaining the property's historical method of protection against erosion and flooding,the project proposes to maintain the existing timber bulkhead that was originally constructed prior to 1977 by mstalling new vinyl sheathing on its landward side. There is no viable non-structural altemative means of maintaining and protecting the upland portion of the property in its current location; and without maintenance of the bulkhead,the subject and adjacent properties would be exposed to severe flooding and erosional damage. The disturbed portion of the naturally vegetated embankment landward of the bulkhead will be revegetated as needed with Cape American beach grass upon project completion. The project will thus maintain the existing site conditions without any change in or significant adverse impact to the adjacent bulkheaded properties or the adjacent tidal waters. Board of Trustees Ap cation AUTHORIZATION (Where the applicant is not the owner) I/We, John Keiserman owners of the property identified as SCTM# 1000- 26-2-23, in the town of Southold ,New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A roperty Owner's Signature Property Owner's Signature John Keiserman SWORN TO BEFORE ME THIS a DAY OF �041t� 120 20 c7yotary blic gRi�'ANY A.GENOlNO No�rY Nob01 GE6245154pulic,State of W York oualifled in Suffolk ff July u 2, Commission Exp Board of Trustees Al ication AUTHORIZATION (Where the applicant is not the owner) I/We, Kimberly Keiserman _ , owners of the property identified as SCTM# 1000- 26-2-23 in the town of Southold .New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A o 4ertyOOgnureProperty Owner's Signature i erty Kei erm SWORN TO BEFORE ME THIS 2' DAY OF J cLn� , 20 2U 77-=-) — I Notary P li ORrTTANyA. (Votary Public,State of New York No.01GE6245154 CommasondExpirres July 18,,Eo Z3 Board of Trustees Ap '.cation AFFIDAVIT Kimberly Keiserman BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE-TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. r N/A kKimerly re y wner Signature of Property Owner ei erman SWORN TO BEFORE ME THIS —DAY OF. J a(\U-0 Y\A 120 2-0 1 N aryju-b-ri, BRITTANY A.GENOINO Notary Public,State of New York No.01 GE6245154 Qualified in Suffolk Country Commission Expires July 19, 023 Board of Trustees Ap 1 ,cation AFFIDAVIT John Keiserman BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED, IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF.TRUSTEES DURING THE TERM OF THE PERMIT. N/A ignature of Property Owner Signature of Property Owner John Keiserman SWORN TO BEFORE ME THIS nd DAY OF J�nu� ,20 1 Ot ubl1C BRITTANYA.GENOINO Notary Public,State of New York No.01 GE6245154 Qualified in Suffolk county3 Commission Expires July 18.20.!:Z APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Towel of Southold's Code of Ethics prohibits conflicts of interest on the part of lawn officers and ernplovecs.The _u__pr os__.ee 2f this form is to provide infrrrination which can alert the town of possible conflicts ofuiterestand all it to take whateveraotron_is necessary to avoid same. YOURNAME: Keiserman,John (Last name,first name,apiddle 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 X Change of Zone Coastal Erosion X Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"incl tides by blood,marriage,or Business interest."Business interests means a business, including a partnership,in which the town officer or employee-has even xpartial ownership of(or employment by)a corporation in which the town officeroremployee owns,more than 5%ofthe 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); T3)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 SubmittedAthLisday of�� 20Signature - PrintNaKeiserman Form TS l APPLICANT/AGENUREPRESENTATIVL TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of flown officers and emntovices.Tile pumase of this form is to provide information which can alert the town of possible conflicts of interestand allow it to take whatever action is necessuato avoid same. YOURNAME: Keiserman, Kimberly (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 X Change of Zone Coastal Erosion X Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)haven relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest_"Business interestr-'means a business, including a partnership,in which the town officer or employce,has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than Sn/of the shares. YES NO - If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the,corporate stock of the applicant (when the applicant is a corporation); l3)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 t ' day o r✓1 20 Signature- Print Nae Kimbserman Form TS I APPLICANT/AGENT/REPRESENTATIVE 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 it to take whatever action is necessary to avoid same. YOUR NAME: HPrrmantL, Rnlwri F (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold J Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 29thd f January 20 20 Signature Print Name o Herrmann Form TS 1 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES TOWN OF SOUTHOLD In the matter of applicant: John P. &Kimberly G.Keiserman SCTM# 1000-26-2-23 YOU ARE HEREBY GIVEN NOTICE; 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Install new vinyl sheathing on landward side of approximately 131 if of existing timber bulkhead;partially remove and replace(in-kind/in-place)as needed existing 12'x 17'grade level wood deck;and revegetate disturbed area behind bulkhead as needed with Cape American beach grass,all as depicted on the project plan prepared by En-Consultants,dated January 28,2020. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1170 Willow Terrace Lane, Orient 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wed.,August 19,2020 at 5:30 p.m. (meeting access information attached) You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. John P. &Kimberly G.Keiserman PROPERTY OWNERS NAME: 114 Mackey Avenue MAILING ADDRESS: Port Washington, .. ngton,NY 11050 PHONE #: 212-940-6385 AGENT: En-Consultants MAILING ADDRESS: 131 ort 9 North Sea Road, Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-26-2-22 1060 Willow Terrace Lane Bushell Family Trust Orient,NY 11957 SCTM#1000-26-2-24 P.O.Box 188 Robert N.Hulsmann Trust&Ann V.Hulsmann Trust Orient,NY 11957 SCTM#1000-26-2-30 80-15 Main Street,Apt.C Marie-Lise Gazarian Jamaica,NY 11435-1253 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 being duly sworn, deposes and says that on the 10th day of August ,20 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 their 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 Southaniptori , that said Notices were Maifed to each of said persons by (certified')( i , , ) mail. Robert E. Herrmann Coastal Managment Specialist Sworn to before me this 10th day of August _,20 20 KIM H , STEPHENS NOTARY P U 9 L I C � f - STATE OF NEW YORK COMMISSION N0 , 5015931 NouxrY lm. �:��lic ALIFIEO IN SUFFOLK COUNTY fid` EXPIRES AUGUST 2 , 75-2,/ • ®. � .M1p ru ,.e . Er C3 Ln _-r ""uh E cr, articled PJM Fee rCt6ded Mail Fde OX) � ntr p y ❑❑Jadu ,mdtaa(mP' mBrCct ' �wG�Extra ry��s� �as� � ��F��r ut� certVd�esi� r]RaWm x t r mit 0r) $ t• wdc �d CoMed ti Popfthan r er amyq / rk Ip01f AP� ad �❑�tpaatwdCMwarcHe atuAdult signatureRmgow � dr�tN�a ad ejAwry IS ®ndura � tr Cl Wcrettt��z f POI TotalSPS Pra■ Total :".�a i Er ,sent Bushell Family Trust .. aric--1,is Gazarian r-q ___-__ o 1060'illb u°T6iike Lane r- atri P L5,�"� �� Street Apt. C r` orient, � �Y 11957 r +rJ jamas 114351253 .. � o n gyp, yx � t � ux . . i ra UeMrned'MaR Fe rq Tp� =r Extra�a n cee ee5 6 r 7d tl y tx a s Maat � d ❑FWaQucnt�a�cat�krwscm `' r-q ❑R aturrt RmcmOt(amactlm*1, $....._ .... wk r ❑CtorlMadMatIRfAQVToWd Depmay S � 0 L 1 P ,Vt sa nut n Rwtfctmru IT Psi: _ �ps Q- seiitTo, R6beft N. Milsmann T`usl& "� C3 iaiil >.Ann'V, 1, ulsmann T st� f` F G. Box 1 - "ri a,, NY I l 7 1 1 o sul:Fo�k Glenn Goldsmith,President �O CO Town Ilan Annex Michael J.Domino ,�� Gym 54375 Route 25 John M.Bredemeyer III y� a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams y ® p! Telephone(631)765-1892 ��l �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 5, 2020 En-Consultants 1319 North Sea Road Southampton, NY 11968 Re: Board of Trustees Application of John P. & Kimberly G. Keiserman 1170 Willow Terrace Lane, Orient SCTM## 1000-2672-23 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Order 202.1, this application is now scheduled'to be heard by the Southold Town Board'of Trustees, via videoconferencing,on Wednesday, August 19, 2020 beginning at 5:30 P.M. Please continue to check the Town's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. 1 Be advised, the office had previously mailed to you a Notice of Hearing noticing packet to use for the adjacent property owners, and a public notice property sign for your application regarding the above referenced property. However, because of the pandemic, many of the Board's meetings were canceled. Now that the Board of Trustees are starting to again hold public hearings via videoconferencing, you are required to send out a second revised public notice to all adjacent property owners and place the revised public notice sign at the site, and as per Chapter 55 of the Town Code, Public Hearings, Notice of, in order to be rescheduled and heard during the Board's August 19, 2020 public hearings,via videoconferencing. Also enclosed is an,informational notice regarding the videoconferencing meeting and how to access the online meeting, Please mail a copy of this notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. V ry Truly Yours, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President O�QSUFFOj,f-COG Town Hall Annex Michael J.Domino 54375 Route 25 John M.Bredemeyer III x P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESEDAY, AUGUST 19, 2020 5:00PIVI & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, August 19, 2020 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform on Wednesday, August 19, 2020 with the 'Regular Work Session beginning at 5:OOPM, and the Public Board Hearings beginning at 5:30PM. The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer,or smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at hftps://www.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 912 5509 9515 Password: 014072 • Telephone: Call 1•(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending all files are listed by_name in alphabetical order. Click on the name of the application to view the file. NOTICE F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. OWNER(S) OF RECORD: JOHN P. & KIMBERLY G. KEISERMAN SUBJECT OF PUBLIC HEARING: For a Wetland Permit and a Coastal Erosion Permit to install new vinyl sheathing on landward side of approximately 131 linear feet of existing timber bulkhead; partially remove and replace (in-kind/in-place), as needed existing 12'x17' grade level wood deck; and revegetate disturbed area behind bulkhead as needed with Cape American beach grass. Located: 1170 Willow Terrace Lane, Orient. SCTM# 1000-26-2-23 TIME & DATE OF PUBLIC HEARING: Wednesday, August 19, 2020 — at or about 5:30P.M. — To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: John P.,&Kunberly G.Keiserman SCTM# 1000-26-2-23 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Install new vinyl sheathing on landward side of approximately 131 if of existing timber bulkhead;partially remove and replace(in-kind/in-place)as needed existing 12'x 17'grade level wood deck;and revegetate disturbed area behmd bulkhead as needed with Cape American beach grass,all as depicted on the project plan prepared by En-Consultants,dated January 28,2020. 2. That the property which is the subject of Environmental Review is located - adjacent to your property and is described as follows: 1170 Willow Terrace Lane,Orient 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wednesday, March 18, 2020 -@ 5:30 PM You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of ,Southold and does not reference any other agency that might have to review same proposal. John P.&Kimberly G.Keiserman PROPERTY OWNERS NAME: 114 Mackey Avenue MAILING ADDRESS: Port Washington,NY 11050 PHONE #: 212-940-6385 AGENT: En-Consultants , MAILING ADDRESS: 1319 North Sea Road,Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. L PROOF OF MAILING OF NC �-E ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-26-2-22 1060 Willow Terrace Lane Bushell Family Trust Orient,NY 11957 SCTM#1000-26-2-24 P.O.Box 188 Robert N.Hulsmann Trust&Ann V.HulsmannTrust Orient,NY 11957 SCTM#1000-26-2-30 80-15 Main Street,Apt.C Marie-Lise Gazarian Jamaica,NY 11435-1253 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being duly sworn, deposes and says that on the 11th day of March '2020 , 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 their 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 Southampton , that said Notices wer Mailed to each of said.persons by (certified)(mffiaoevecc mail. Robert E. irmann Coastal Managment Specialist Sworn to before me this 11th day of March ,20 20 KIM H .NOTARY PUBLIC S PUBLIC S STATE 0 F NEW YORK COMMISSION NO . 5015931 VIA'LIFIED IN SUFFOLK COUNTY Not blic EXPIRES AUGUST 2 , 201 FUZZ M ru r=1 Certified Mail Fee NIM P Extra Services&Fees(check box,add fee as appropriate) '�•��g ❑Return Receipt(hardcopy) $_ 0 Yry ❑Return Receipt(electronic) $ Co Postmark Z OO ❑Certified Mall Restricted Delivery $ ( NAR� tel�(12ry []Adult Signature Required $ ' LVV VV " []Adult Signature Restricted Delivery$ \ r I p Postage \���^ � $ Marie-Lise Gazarian o- se C3 '9 it 80-15 Main Street, Apt. C r` - Jamaica, NY 11435-1253 ------ c, 4 ..0 O ru ( `is e m" p- tM ii t r !:�,� �'r, I z rq Certified Mail Fee 7 r�l11_ Extra Services&Fees(check box,add fee as appropriate) >� ❑Return Receipt(hardcopy) $ O ❑Return Receipt(electronic) $ �, Postmark .� ❑Certified Mail Restricted Delivery $ �)i He OrR,�gt� O E]Adult Signature Required $ ❑Adult Signature Restricted Delivery$ C3 Postage \ / Tot. 117968 rq $ Robert N.Hulsmann Trust p" Sen ,-q Ann V.Hulsmann Trust ------------- o sire P.O.Box 188 ------------- ciy Orient,NY 11957 - o - i1 111•1 J4 d n 1 II 11..1 =11- C3IN III MINES 'II 11..1 ' ,�f""t jL�O i� e 3�� 0 f;.• { Certified Mail Fee $ /� 1 To p Extra Services&Fees(check box,add fee as appropriate) \ ❑Return Receipt(hardcopy) $ l rq ❑Return Receipt(electronic) $ ;O) Postmark r� 0 []Certified Mail Restricted Delivery $ []Adult Signature Required $ t,NjP []Adult Signature Restricted Delivery$ p Postage --1- 1968 .-n ...0 To, — ��`._ 1-1 $ Er Se Bushell Family Trust r-9 --------------- E3 '8E 1060 Willow Terrace Lane �, Orient,NY 11957 NUTILL U1 H _t: ARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: JOHN P. & KIMBERLY KEISERMAN SUBJECT OF PUBLIC HEARING : For a wetland Permit and a Coastal Erosion Permit to install neve vinyl sheathing on landward side of approximately 131 linear feet of existing timber bulkhead ; partially remove and replace (in-kind/in-place), as needed existing 12'x17' grade level wood deck; and revegetate disturbed area behind bulkhead as needed with Cape American beach grass. Located : 1170 willow Terrace Lane, Orient. SCTM/# 1000-26-2-23 TIME & DATE OF PUBLIC HEARING : Wednesday, March 18, 2020 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1692 e � 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-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 I-Project and Sponsor Information Name of Action or Project: Keiserman Renovations Project Location(describe,and attach a location map). 1170 Willow Terrace Lane,Orient,Town of Southold, Suffolk County,NY; SCTM#1000-26-2-23; property is located on south side of Willow Terrace Lane,+/-330'west of Majors Pond Path,maps provided. Brief Description of Proposed Action: Install new vinyl sheathing on landward side of approximately 131 if of existmg timber bulkhead;partially remove and replace(in-kind/in-place)as needed existing 12'x 17'grade level wood deck;and revegetate disturbed area behind bulkhead as needed with Cape American beach grass,all as depicted on the project plan prepared by En-Consultants, dated January 28,2020. Name of Applicant or Sponsor- Telephone. 212-940-6385 John P.&Kimberly G.Keiserman E-Mail: john.keiserman@kattenlaw.com Address: 114 Mackey Avenue City/PO: State: Zip Code- Port Washington NY 11050 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. X 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: N/A X 3.a. Total acreage of the site of the proposed action? 21,435 sf, b Total acreage to be physically disturbed? <3,000 sf c Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 21,435 sf,- - 4 Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑Commercial ® Residential(suburban) ❑ Forest ❑Agriculture ®Aquatic ❑ Other(specify). ❑Parkland Page 1 of 4 5.Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area9 NO YES If Yes,identify: Name:Peconic Bay&Environs;Reasons:Protect public heath,water,vegetation& scenic beauty;Agency: Suffolk County;Date: 7-12-88 X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9. Does the proposed action meet or exceed the state energy code requirements9 NO YES If the proposed action will exceed requirements,describe design features and technologies: N/A 10.Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N/A 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b. Is the proposed action located in an archeological sensitive area? X 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b Would the proposed action physically alter, or encroach into,any existing wetland or waterbody? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply. ® Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ® Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? 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❑YES Page 2 of 4 r 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: X 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: X 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: X I AFFIRM THAT THE INFORMAT N PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name. Robert E.H ,Coastal Mgmt. Specialist Date: January 29,2020 Signature: Part 2-Impact Assessment.The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 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 No,or Moderate small to large impact impact may may 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 I Part 3 should,in sufficient detail, identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude.Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 �E',._;.•—_.- I!I I I I i��N V0 Oq Nov �.ra Terry Pr � 1lurrtt� 01311ENT PS o py ! z Cam m� L x.: 1 EastMarmn _— x. '\ ( Dnent Park �^•, ({eCII�P �S><IPPERS Centr Cam PJ Re StPPS yMus Q� F S--V'Ds 7L—.__ J m ��.i. �� 9�PEPN o � 9� � lL.�- ))) � � G�"•�W S a o Dam Port: t \`PO *T m 01It,rt Nat I'm oQ o r EAS IOIU 43 1. G 901 . 25 PS 511 (ACCF55 VIA ` \� AN RI NT HARPOV) Suffolk Courfti{Nagstxom Map 49 THE s - ,._.,_. I" +2000' w'�„—,�a F �a OKI Islands' °Foy 5 Fs,Cgsf +:.. Islands � 9 O J�' T�4 SJ/J I , ,—a End yao°o99s�° GS cr ' I DC 8 CC aoQ F ooc ��oy�P yoJ r sc ., � .F �•Y}t` �� qv C�Q� �, BA IEW ��oy � j i /� AZ 4�� s c� �: ?,� / `Z uFL-�� f ';;:.:;` c..l .n, dull Pt 1 ,t MEAoow I^ Long Beach g 1A i Cleves PL Pt 0 LH Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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# 26 - 2 _ 23 PROJECT NAME John and Kimberly Keiserman The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Install new vinyl sheathing on landward side of approxunately 131 if of existing timber bulkhead;partially remove and replace (in-kind/in-place)as needed existing 12'x 17'grade level wood deck;and revegetate disturbed area behind bulkhead as needed with Cape American beach grass,all as depicted on the project plan prepared by En-Consultants,dated January 28,2020. Location of action: 1170 Willow Terrace Lane Site acreage: 13,065 sf Present land use: Residential, 1.5-story dwelling with swimming pool Present zoning classification: R-40 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: John and Kimberly Keiserman (b) Mailing address: 114 Mackey Avenue Port Washington,NY 11050 (c) Telephone number: Area Code 212-940-6385 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No N If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ❑Yes ❑ No N Not 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 1:1 No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable For the purpose of mamtaining the property's historical method of protection agamst erosion and flooding,the project proposes to maintain the existing timber bulkhead that was originally constructed prior to 1977 by installmg new vinyl sheathing on its landward side. There is no viable non-structural alternative means of maintaining and protecting the upland portion of the property in its current location;and without maintenance of the bulkhead,the subject and adjacent properties would be exposed to severe flooding and erosional damage. The disturbed portion of the naturally vegetated embankment landward of the bulkhead will be revegetated as needed with Cape Amencan beach grass upon project completion. The project will thus maintain the existing site conditions without any change in or significant adverse impact to the adjacent bulkheaded properties or the adjacent tidal waters. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ® Not Applicable 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 J The sheathing to be mstalleu iaudward of the existing bulkhead will be untreatea vinyl;and the disturbed portion of the naturally vegetated embankment landward of the bulkhead will be revegetated as needed with Cape American beach grass upon project completion. The project will thus maintain the existing site conditions without any change in or significant adverse impact to the adjacent tidal waters and associated ecosystem. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ❑ Yes No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® 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. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Smituold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ 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 and Town waters. See LWRP 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 65 for evaluation criteria. 1:1 Yes El No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY LECoastal Management Specialist DATEJanuary28,2.020 Robert E. fk=ann Amended on 811105 r, EN-CONSULTANTS January 30,2020 _ --- - Town of Southold Board of Trustees l 54375 Main Road F F B 3 2020 Post Office Box 1179 , Southold,New York 11971 Pr Re: John&Kimberley Keiserman 1170 Willow Terrace Lane, Orient SCTM#1000-26-2-23 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland&Coastal Erosion Permit Applications including: a) Authorization&Disclosure Forms; b) Short Environmental Assessment Form; c) LWRP Consistency Assessment Form. 2. Project Plan prepared by En-Consultants, dated January 28, 2020. 3. Survey prepared by Kenneth M. Woychuk Land Surveying,PLLC, last dated August 14, 2016. 4. Application fee of$500.00. I hope this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Since ely, Robert E. Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283 6136 www enconsultants com environmental consulting