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HomeMy WebLinkAboutTR-9710 Glenn Goldsmith,President soUly Town Hall Annex 054375 Route 25 Michael J.Domino,Vice-President h0 l0 P.O.Box 1179 John M.Biedemeyer III [ Southold,New York-11971 A.Nicholas Krupski r/' G � Telephone(631)765-1892 Greg Williams �O �� 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 7�`HOURS'PRIOR TO COMMENCEMENT OF"THE ACTIVITIES CHEC.KE6'-6EF - INSPECTION SCHEDULE Pre-construcfioN;Ndi bai'e'IiWdlsilt•boo l/silt'�ctirtain 1 st day of construction constructed When project complete, call for compliance inspection; TN,101 IIKKIWll 1�� 1�!TM� M. ITI.N11-1 ,T 1!3 1 k. PKI Nkl�l kv!" BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK T,- f.� E PERMIT NO. 9710 DATE: SEPTEMBER 16 2020 ISSUED TO: ERIKA C. & CHRISTOPHER P.WERSHOVEN PROPERTY ADDRESS: 3150 OLE JULE LANE,MATTITUCK SCTM# 1000-122-4-19 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in S, accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 16, 2020, U and in consideration of application fee in the sum of$250.00 paid by Erika C. &Christopher P.Wershoven and § subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: :f N Wetland Permit to remove the existing deteriorated timber bulkhead and the landward installation of 135 lineal feet of new vinyl bulkhead with a raised height of 18" above existing; a proposed 4' wide gravel pathway to the new bulkhead; and a 30"wide by 14' long aluminum ramp leading to a 6'wide by 20' -in area; long floating dock with untreated timber decking is proposed in the newly created bulkhead cut and approximately 50 cubic yards of fill to be removed from between the existing and proposed bulkhead which will be utilized as fill landward of the proposed bulkhead; establish and perpetually maintain a 10' wide non-disturbance buffer to include non-fertilizer dependent turf grass or vegetation and shall be M native plantings/mulch/sand/gravel landward of the bulkhead; with the condition of the use of ACQ lumber on the pilings and walers; and as depicted on the site plan prepared by Jeffrey Patanjo last dated September 17,2020,and stamped approved on September 16,2020. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these th presents to be subscribed by a majority of the said Board as of the 16 day of September,2020. N co cdo 4,� TERMS AND CONDITIONS The Permittee, Erika C. &Christopher P. Wershoven, residing at 3150 Ole Jule Lane,Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this pennit, which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President �QF SQ(/�y Town Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ Southold,New York 11971 A.Nicholas Krupski cn G Telephone(631) 765-1892 Greg Williams27, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 25, 2020 Jeffrey Patanjo P.O. Box 582 Bohemia, NY -11716 RE: — ERIKA C. &.CHRISTOPHER P. WERSHOVEN 3150 OLE JULE LANE, MATTITUCK SCTM# 1000-122-4-19 Dear Mr. Patanjo: The Board of Town Trustees-took;the following action-during its regular meeting held on Wednesday, September 16, 2020 regarding the above matter: WHEREAS, Jeffrey Patanjo on-behalf of ERIKA C. & CHRISTOPHER P. WERSHOVEN 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 January 10, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements; the use of ACQ lumber on pilings and walers, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 16, 2020, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all-the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the, health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that 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 ERIKA C. & CHRISTOPHER P. WERSHOVEN to remove the existing deteriorated timber bulkhead and the landward installation of 135 lineal feet of new vinyl bulkhead with a raised height of 18" above existing; a proposed 4' wide gravel pathway to the new bulkhead; and a 30" wide,by 14' long aluminum ramp leading to a 6' wide by 20' long floating dock with untreated timber decking is proposed in the newly created bulkhead cut-in area; and approximately 50 cubic yards of'fill to be removed from between the existing and proposed bulkhead which Will be-utilized-as fil[landward of the proposed bulkhead- establish and perpetually-mai'ntain-a 10''wide non-disturbance buffer-to-include non- fertilizer dependent turf grass or'vegetation and shall-be' native plantings/mulch/sand/gravel landward of the bulkhead; with the condition of the"use of ACQ lumber on the pilings and walers; and as depicted on the site plan prepared by Jeffrey Patanjo last dated September 17, 2020, and stamped approved on September ' 16, 2020. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Glenn Goldsmith President, Board of Trustees l GG/dd l I' 11.. ALL WORK PERFORMED FROM BARGE 2. THERE ARE NO IDENTIFIED WETLAND GRASSES ADJACENT TO PROJECT AREA AT TIME OF SURVEY. 3. ANY EXCESS FILL CREATED FROM PROJECT TO BE UTILIZED AS FILL LANDWARD OF PROPOSED BULKHEAD. 4. ALL EXCAVATION TO BE PERFORMED PRIOR TO REMOVAL OF O 7.4 EXISTING BULKHEAD SHEETING. 5. THERE WILL BE A GAIN IN TIDAL WERAND AREA OF 763 S.F. s'P,haiiiT cy, MEET EXISTING NEIGHBORING BULKHEAD THERE WILL BE A LOSS OF TIDAL WETLAND AREA OF 26 S.F. ULTIMATELY, THERE IS A NET CM OF TIDAL WETLAND AREA OF 737 S.F. 78.16'20"E 223' TO pPPO .9. 16b.TB' `S1� ` / APPARENT M H W & M LW ALONG SHpRfUNe FACE OF EXISTING BULKHEAD EXCAVATE AND DREDGE TO A DEPTH 15.00' SOF 40' BELOW M.LW I ASPHALT DRIVEWAY _ -�,�LJ � j -.�`:_ _ _ '' _ --, - -,:,Ffi�.r _ • ' _ :_ - ,- "•= • �' '_ PROPOSED 6' X 20' FLOATING DOCK _r1 `� _� - w ,> 0 . ;r; _ s ff W/ UN-TREATED TIMBER DECKING b PROPOSED 30'WIDE X 14' LONGP. / ALUMINUM RAMP L� = 2 STORY L r , FRAME RESIDENCE AND GARAGE GARAGE J to II I r'-ryT- w I i I PROPOSED 4' WIDE GRAVEL PATH THROUGH NON-DISTURBANCE BUFFER w LOCATION MAP I PROPOSED 135 LF VINYL BULKHEAD IN A LANDWARD LOCATION '193.g7' ~ FROM EXISTING W/ RAISED HEIGHT OF 18'ABOVE EXISTING ;� N.T.S. UNE OF PROPOSED 10' WIDE NON-DISTURBANCE BUFFER TO INCLUDE NON-FI32TI� DEPENDENT ro Ili —'TURF GRASS OR VEGETATION AND SHALL BE NATIVE PLANTINGS / MULCH/ SAND/ GRAVEL/ ETC. REMOVE AND DISPOSE OF EXIST. BULKHEAD & BRICK WALK 11 APPARENT!M.Hy. VARIES JUST LANDWARD OF BULKHEAD APPROVED BY PROPERTY OWNER: PREPARED BY: s g9�12,�� ERIKA C. WERSHOVEN JEFFREY PATANJO MEET EXISTING NEIGHBORING BULKHEAD -6OARD OF I o?USTEES CHRISTOPHER P. WERSHOVEN P.O. BOX 582 PROPERTY LINE TOWN,' SOUTHOLD 185 HALL ST. — APT 1004 BOHEMIA, NY 11716 BROOKLYN, NY 11205 631-484-9332 DATE 5e?TU � JJPATANJO@GMAIL.COM EXISTING EXCAVATED PROPOSED 20' LONG 10'BUR FILL TO BE UTILIZED PROPOSED UN—TREATED TREATED TIMBER PILE, W O.C. AS BACKFILL BEHIND TIMBER TOPCAP r PROPOSED BULKHEAD PROPOSED 6'x6•TREATED NOTES: TOP, MIDDLE &BOTTOM WALE —� - 1. LOT AREA: 15,988.52 S.F. / 0.367 ACRES 1 16'ABOVE D=NG .L 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: ANGLE OF ATTACK LAND SURVEYING IT 100 S. JERSEY AVEe,UNIT 7, SETAUKET NY 11733 VA Affl=M SURVEY LATEST DATED?SEPTEMBER 19, 2010 -PROPOSED 69c2O• °D FIAATING DOCK PROPOSED 8'TIP TREATED FPPROXHUE ILLW EL OAL LAY—LOG PILE STING BULKHEAD PROPOSED 8'71P TREATED ,� 3 ,5j TO BE REMOVED IN ITS ENTIRETY. PILE, 8' O.C. 8' LENGTH. f BOLTED TO LAY—LOG WITH s s 3/4'GALVAN20 THRU—BOLTS. SAM�� PROPOSED 18' LONG 1'DIA. �y�\\ � '\\/� �'� 11 rDETAILS Bulkhead Permit Plans SCALE: GALV.71E ROD, 8' O.C. \ \y \ L SED BULKHEAD PLAN, DATE: y [ SEP 2 1 2020 & LOCATION MAP 12-31-19 PROPOSED 16' LONG CLOG ' 3-11-20 9D00 VINYL SHEETING 5-28-20 Sout?Iold Town 3150 OLE JULE LANE 9-17-20 Boar;of?rustees ITUCK, TOWN OF SOUTHOLDSHEEP: TYPICAL BULKHEAD SECTI0N SUFFOLK COUNTY, NY1 OF 1 N.T.S. MAP N0. 1000-122-4-19 Glenn Goldsmith, President i¢� �oGy� Town Hall Annex Michael J. Domino Vice-President y z 54375 Route 25 John M. Bredemeyer, III o y P.O. Box 1179 A Nicholas Krupskiy�j�� �ao� Southold, NY 11971 Greg Williams '�� Telephone (631) 765-1892 'Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ERIKA C. & CHRISTOPHER P. WERSHOVEN c/o JEFFREY PATANJO Please be advised that your application dated January 10, 2020 has been reviewed by this Board at the regular meeting of_September 16, 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) 1" Day of Construction ($50.00) '/2 Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES. fA)16 4-q 1 2z TOTAL FEES DUE: $ 50.00 ;f 11(p BY. Glenn Goldsmith, President Board of Trustees September 17, 2020 D E C E � V E Town of Southold Trustees SEP 2 1 2020 Town Hall Annex Building 54375 Rte. 25 Southold Town P.O. Box 1179 Board of Trustees Southold, New York 11971 RE: 3150 OLE JULE LANE-MATTITUCK SCTM No. 1000-122-04-19 REVISED PLANS&DESCRIPTION Dear Trustees: Attached, please find revised plans per the Public hearing for this project. Plans have been revised to remove reference to CCA for treated timber. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very trul yours, Jdfrey Patanjo P.O. Box 582 Bohemia, NY 11716 Glenn Goldsmith, PresidiO�0St1FF0(�-COG ) Town Hall Annex Michael J.Domino_ _ � yJ, 54375 Route 25 John M. Bredemeyer III y �'" P.O.Box 1179 A.Nicholas Krupski ; Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ,r Date/Time: 9AI90 Completed in field by: GOids��$� Jeffrey Patanjo on behalf of ERIKA C.- CHRISTOPHER P. WERSHOVEN requests a Wetland Permit to remove the existing deteriorated timber bulkhead and the landward installation of 135 lineal feet of new vinyl bulkhead with a raised height of 18" above existing; a proposed 4' wide gravel pathway to the new bulkhead; and a 30" wide by 14' long aluminum ramp leading to a 6' wide by 20' long floating dock with untreated timber decking is proposed in the newly created bulkhead cut-in area; and approximately 50 cubic yards of fill to be removed from between the existing and proposed bulkhead which will be utilized as fill landward of the proposed bulkhead. Located: 3150 Ole Jule Lane, Mattituck. SCTM# 1000-122-4-19 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3.. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer `�M. Domino G. Goldsmith LN. Krupski G. Williams Other ----------------------- -------- --- - --- - o'o - - o , o JAN 10 2020 TIE LINES FROM A RECORD SURVEY BY YOUNG$YOUNG DATED DEC 1971 TAX LOT 18 n' 418.00 - S 7 TW V �--- ---- -_____ 30 16_201 Bw—1.6 - 5'sm. /FM OF ►xc a1 s 210'deed) a7 N v �T M 147.7s'm°"°�`=x=�=== r=----- 165.76 ___--- o LL► ---- -------------- BIT DRIVE V / 30.4 -----7 o co ew�i s co TAX LOT 19 Q ! � ` PUMP HS. WOOD BULKHEAD a ( co _ 2 STY FR. c m I `' 826 I,n `. LLI 1 _--------- - J 7 23.2 1 34.3 0 I o 0 LL9 38.2 rr V. ( r � � ® J Tw 28 --------- 1 iI aw—1.6 ! ---- G N I / - 2' OVERHANG 1 15'4 I BRICK WALK - _ - Q? TAX MAP;l DIST 1000 SECT. 122 BLK. 4 LOT 19 FNO 1.1 S e BW as g3.3 DATE: SEPT. 19,2010 SCALE 1"=20' e37 edl � _�_ IMPROVEMENT" SURVEY ° SHEET 1 OF 1 FNc a7 TAX LOT 20.1 S890 TW 26 MAP OF PROPERTY ow 0.0 i8.p0 #3150 OLEJULE LANE TAX LOT 19 SITUATE AT f p MATTITUCK,TOWN OF SOUTHOLD NOTE THIS SURVEY IS FOR THE PURPOSE OFSHOWING �1 SUFFOLK COUNTY,NEW YORK _ - IMPROVEMENT'S AS OF THE DATE OF THIS SURVEY AND GUARANTEED TO JOHN E&AMELIA WOOD �� IS NOT IS BE RELIED EPOV FOR THE FUTURE !1 1 ANGLE OF ATTR ESTABLISHME'dT OF FE\CE BtRLDII:G 0R OTHER <�� �• ,-,I��� �K IMPROVEMENT LINES SUBSURFACF CONDITIONS MAY HORIZONTAL DATUM NAD 83 NEW YpftK STATF.PLANE LI ZONE! L'S FEET F 7 w,y " n I LINESOT OF SHORECORD EASEYNOTBESHRIGHTS OFWAY"ANDOTHER VERTICAL NA VD 88 L'S FEE[ LAND SURVEYING LL LfNESOFRECORDMAY'vOTBESfiOWN ,{ t � �► t� V NOTE UNAUTHORIZED YOR'PONSp �y� y 100 S. JERSEY AVE, UNIT 7 A SL'KVEY BEARING A LICr:NSF17 LAND St RVEYOR'S SEAI IS A VIOLATIOti OF Tt1L NFw yoRi,STATE `f R c y A 1J ED17CATI00 I AW.SECTIO\-2?9,SLB-SECTIO'\y ; l SETAUKET NY 11733 WU L1AM D.MITCFMLL ' 631-751-190 T tom' NYS PLS#49834 1 hz- W - ..d• a,.n..a.'C. 4.;_r�. I F•3,'d4�F. hob' NOTES: 1. ALL WORK PERFORMED FROM BARGE 2. THERE ARE NO IDENTIFIED WETLAND GRASSES ADJACENT TO PROJECT AREA AT TIME OF SURVEY. 3. ANY EXCESS FILL CREATED FROM PROJECT TO BE UTILIZED AS FILL LANDWARD OF PROPOSED BULKHEAD. 0� O f �r , 4. ALL EXCAVATION TO BE PERFORMED PRIOR TO REMOVAL OF I EXISTING BULKHEAD SHEETING. 1 i - 5. THERE WILL BE A GAIN IN TIDAL WETLAND AREA OF 763 S.F. ?�Igreenq•Ph' mace MEET EXISTING NEIGHBORING BUU(HEAD THERE WILL BE A LOSS OF TIDAL WETLAND AREA OF 26 S.F. ULTIMATELY, THERE IS A NET SiAI_d OF TIDAL WETLAND AREA OF 737 S.F. 73'16'20"E 223 To IV 165.76' OPPOS17Z7 w APPARENT M.H.W. & M.LW ALONG a S�RfuN f / � •'"l FACE OF EXISTING BULKHEAD EXCAVATE AND DREDGE TO A DEPTH 15.00' l _ ?r i 3150 Ole Jule Lane" /OF 40' BELOW M.LW r' ASPHALT DRIVEWAY [` ! ' "moi 1 p •PROPOSED 6' X 20' FLOATING DOCK W/ UN-TREATED TIMBER DECKING _Strorleis Marine PROPOSED 30'WIDE X 14' LONG 3_`;_a I _ - 1 9 �i d / STORY ALUMINUM RAMP �_�;_` FRAME RESIDENCE AND GARAGE GARAGE rd II 1 J PROPOSED 4' WIDE GRAVEL PATH THROUGH NON-DISTURBANCE BUFFER r � W LOCATION MAP 1 'I - ( PROPOSED 135 LF VINYL BULKHEAD IN A LANDWARD LOCATION / 19g g7, Q N.T.S. FROM EXISTING W/ RAISED HEIGHT OF 18' ABOVE EXISTING ® � LINE OF PROPOSED 10' WIDE NON-DISTURBANCE BUFFER TO INCLUDE NON-FERTILIZER DEPENDENT TURF GRASS OR VEGETATION AND SHALL BE NATIVE PLANTINGS / MULCH/ SAND/ GRAVEL / ETC. REMOVE AND DISPOSE OF EXIST. BULKHEAD & BRICK WALK 6 APPARENT M.H.W. VARIES JUST LANDWARD,OF BULKHEAD 30"w PROPERTY OWNER: PREPARED BY: g Bs'12 ERIKA C. WERSHOVEN JEFFREY PATANJO CHRISTOPHER P. WERSHOVEN P.O. BOX 582 MEET EXISTING NEIGHBORING BULKHEADNY 11716 PROPERTY UNE 185 HALL ST. — APT 1004 BOHEMIA, BROOKLYN, NY 11205 631-484-9332 JJPATANJO@GMAIL.COM 1 EXISTING EXCAVATED PROPOSED 20' LONG 10" BUTT FILL TO BE UTILIZED PROPOSED UN—TREATED CCA TREATED TIMBER PILE, 6' AS BACKFILL BEHIND PROPOSED BULKHEAD TIMBER TOPCAP O.C. PROPOSED 6'x6"CCA NOTES: TOP, MIDDLE do BOTTOM W 1. LOT AREA: 15,988.52 S.F. / 0.367 ACRES IB"ABOVE EXISTING 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: ANGLE OF ATTACK LAND SURVEYING 100 S. JERSEY AVE, UNIT 7, SETAUKET NY 11733 "PP"M "A" EL MSURVEY LATEST DATED SEPTEMBER 19, 2010 io PROPOSED 8'X20' FLOATING DOCK PROPOSED B"TIP CCA AMATE Y.LN EL a0t LAY—LOG PILE EXISTING BULKHEAD PROPOSED B'TIP CCA PILE, 6' 3 $ TO BE REMOVED IN O.C. 8' LENGTH. BOLTED TO a ITS ENTIRETY. LAY—LOG WITH 3/4' GALVANIZED THRU—BOLTS. SW BBTXpy POSED N �\//�/// Proposed Dilkhead Permit Plats SCALE: PROPOSED 16' LONG 1' DIA /\ \\\ \/\\/ GALV. TIE ROD. 6' O.C. / /� I. PROPOSED BULKHEAD PLAN, DATE: p� DETAILS & LOCATION HAP 12-31-19 • I,I JUN 8 2020 3-11-20 f F , PROPOSED 16' LONG CLOG 8000 VINYL SHEETING rJ-28-2D 3150 OLE JULE LANE „i MATTITUCK, TOWN OF SOUTHOLD TYPICAL BULKHEAD SECTION SUFFOLK COUNTY, NY 1H OF:1 TAX MAP N0. 1000-122-9-19 N.T.S. Glenn Goldsmith, Presid o�OSCG ;!� Town Hall Annex G Michael J. Domino 54375 Route 25 John M. Bredemeyer III y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 4,- �ap� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 8'✓1/4".9,01 2:30 Completed in field by: 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 vl' Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment t,-- Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredem /G.eyer �M. Domino Goldsmith N. Krupski G. Williams Other Erika&Christopher Wershoven 3150 Ole Jule Lane,Mattituck SCTM#i: 1000-122-4-19 8/11/20 a� few ~ 4w m r �L s ..�- ��'• � � Via. •_ 3. '� ?� s ..Y - �• r _ - IF Z4 GYA zw nowNasauRldo B � s+ � 1 En tT .w tB , 52 �i:eta PE B� A�Ra c a I a SvIs 2 m za pVE. a t1.t t l.e " OIEAA i + r4l 2AA S t cls a.+ ,y�lct so�+o z•.s 1 A. � s nBA ,, x a + •aA � n� a 'G � zw a sB _ I xP.+ 4n e• ,,YY I qs rpm ry�' a `B� � u tJ u � at xs ao at Jz s n, I I n e acus Ko. e"I ae.., to f Lst ears/'-J a ,a, x a ae I 6 411 10 m 1 FOR PCL No. 1'IJ SEE am NO Na' ♦ �. +1 19 xi+ I IF ,AµU I / I \\\ a O //� 8 �• , x, I „ ,� �\O [E'pQ[,a� / � • �. / //�i]� Tia SUFFOLK C NTY x2 \� --RAurl,own 'S'O'O JBMUi� j xs l N \. I �v 1 ` Ari e, S g1r N BA125 e 6B• ` ,Bt'�Ot 13A BB FOR PCL NOL ♦ .P' t SEE SEC.NO..• 1xi-0SWi, � ,.eNq F � x % s1AA mP1� ;1 cl 1 a Nzwan 'n '' zLANE -------------------- — MATCN i SEE SEC.NO.txe NOTEAN APPARENT NY oc P LONBRION EJ-grs RENNIN BLOCK 66 9 arnO N PAROELS M.K . SECTION L -�� v,. �. _ �� ^_= NOTICE COUNTY OF SUFFOLK © E uz +a *�"" N —�— O — --�-- reNN�LKFAA* .ate« Real Property Tax Service Agency 122 E •+--� --- olKnwuen*.a N.v,e�rnoueir A aelwe*ero 10Da PROPERTY MAP N O w�+ n r ,xINQs,2tA -____ mN.eaw,oruE s+a.Ar OFFICE LOCATION: � MAILING ADDRESS: Town Hall Annex �� �� N P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) �6 Telephone: 631 765-1938 Southold, NY 11971 � �� 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: September 9, 2020 Re: LWRP Coastal Consistency Review of ERIKA C. & CHRISTOPHER P. WERSHOVEN SCTM# 1000-122-4-19 Jeffrey Patanjo on behalf of ERIKA C. & CHRISTOPHER P. WERSHOVEN requests a Wetland Permit to remove the existing deteriorated timber bulkhead and the landward installation of 135 lineal feet of new vinyl bulkhead with a raised height of 18" above existing; a proposed 4' wide gravel pathway to the new bulkhead; and a 30" wide by 14' long aluminum ramp leading to a 6' wide by 20' long floating dock with untreated timber decking is proposed in the newly created bulkhead cut-in area; and approximately 50 cubic yards of fill to be removed from between the existing and proposed bulkhead which will be utilized as fill landward of the proposed bulkhead. Located: 3150 Ole Jule Lane, Mattituck. SCTM# 1000-122-4-19 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with LWRP Policy 6.3 and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. CCA treated wood is proposed to be used in piles, walers and lay logs. It is recommended that an alternative treated wood be used and the use of CCA be reduced, Turbidity controls are not proposed. 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 May 28, 2020 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 JUN 2020 P.O. Box 1179 Southold, New York 11971 RE: 3150 OLE JULE LANE -MATTITUCK SCTM No. 1000-122-04-19 REVISED PLANS& DESCRIPTION Dear Trustees: Attached, please find revised plans and project description for the above referenced project. Plans have been revised to include all work within the subject property line and by comments issued during the NYSDEC approval process. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, 9effrey Patanjo P.O. Box 582 Bohemia, NY 11716 Erika &Christopher Wershoven 3150 Ole Jule Lane Mattituck, NY 11952 SCTM No.: 1000-122-04-19 Revised PROJECT DESCRIPTION: The project includes the removal of the existing deteriorated timber bulkhead and the landward installation of 135 lineal feet of new vinyl bulkhead with a raised height of 18" above existing. A proposed 4'wide gravel pathway to the new bulkhead and a 30"wide x 14' long aluminum ramp leading to a 6'wide x 20' long floating dock with un-treated timber decking is proposed in a newly created bulkhead cut-in area as shown on plans. There is approximately 50 cubic yards of fill to be removed from between the existing and proposed bulkhead which will be utilized as fill landward of the proposed bulkhead. A 10'wide non-turf buffer is part of this application as well. �+ L4 JUN 8 20 :; Peter Young,Chairmany 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., February 5, 2020 the following recommendation was made: Moved by James Abbott, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of ERIKA C. & CHRISTOPHER P. WERSHOVEN for the removal of existing deteriorated bulkhead and the landward installation of 137 If. new vinyl bulkhead with a raised height 18" above existing. Proposed 8'X 10' untreated timber deck flush with surrounding grade adjacent to new bulkhead and a 30'X 14' long aluminum ramp leading to a 6'X 20' floating dock with untreated timber decking in a newly created bulkhead cut-in area; and a 10' wide non-turf buffer. Located: 3150 Ole Jule Lane, Mattituck. SCTM#122-4-19 Inspected by: James Abbott, Caroline Burghardt Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President *QF STown Hall Annex Michael J. Domino,Vice-President ,`O� y�lO 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III #i[ Southold, New York 11971 A.Nicholas,Krupski G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 oly/A^UN% BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT JAN 13 2020 RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQUIREMENTS SCTM#: 12Z _q I q . rt Property Owner,Name: Date Sent to Bldg. Dept: 1.1 3' ZO The Office of the Board of Trustees is forwarding the above referenced application for artment's permitting. requirements stated below: verification of the Building Dep YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered-a Demolition as described under Town Code? - COMMENTS: Q ' gnature of Reviewer Date Michael J.Domino,President ��®� S®Ulef® Town Hall Annex John M.Bredemeyer III,Vice-President °®� !® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams cou 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 IReceived Application: I•/0'20 � eceived Fee: $ 2.00.00 Completed Application: Incomplete: SEQRA Classification: TypeI Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): / 3l� � 90 LWRP Consistency Assessment Form Sent: CAC Referral Sent: I-ZZ-ZD Date of Inspection: 2.5•ZC> ; . Receipt of CAC Report: r,�le� �e�y�,'d, JA N 0 2020 �echnical Review: �(1as ublic Hearing Held: Resolution: all 6ACD Owner(s) Legal Name of Property (as shown on Deed): C. w e f"s A oil t C s�oQh c(Z Mailing Address: 1 5- f f a 1 s? - A1,9 00141 H n� jj Phone Number: G -671 -0 8q 8 Suffolk County Tax Map Number: 1000 - a a ° q Property Location: 31 ,5-p ole- Sv 1 L ti,,l e �►/) a fi-1 f- S L see L oCA.+1 on /0 e- P - (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): -73 P"+e'n 1 a Mailing Address: /J '9 1-1.7 6 6 Phone Number: d 31 `l �0 9 3 3 �•- Cid sen4- 140_bD Board of Trustees Application GENERAL DATA Land Area(in square feet): /5, 9 918 Area Zoning: /2e 5 Previous use of property: Izz S Intended use of property: Ize s Covenants and Restrictions on property? Yes ✓ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes ✓ No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓ No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure (s) on property have a valid Certificate of Occupancy? ✓ Yes No Prior permits/approvals for site improvements: Agency Date 'Jr VSt-rzS 4�'1 -7 2012 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓ No Yes If yes, provide explanation: Project Description (use attachments if necessary): S« o,44 a cA M Erika &Christopher Wershoven 3150 Ole Jule Lane Mattituck, NY 11952 SCTM No.: 1000-122-04-19 PROJECT DESCRIPTION: The project includes the removal of the existing deteriorated timber bulkhead and the landward installation of 137 lineal feet of new vinyl bulkhead with a raised height of 18" above existing. A proposed 8'wide x 10' long un-treated timber deck flush with surrounding grade is proposed adjacent to the new bulkhead and a 30"wide x 14' long aluminum ramp leading to a 6'wide x 20' long floating dock with un-treated timber decking is proposed in,a newly created bulkhead cut-in area as shown on plans. There is approximately 50 cubic yards of fill to be removed from between the existing and proposed bulkhead which will be utilized as fill landward of the proposed bulkhead., A 10'wide non-turf buffer is part of this application as well. Boara or Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: SC-e- at 4a c b - d- Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: so feet Closest distance between nearest proposed structure and upland edge of wetlands: 5-0 feet Does the project involve excavation or filling? No ✓ Yes If yes, how much material will be excavated? SD cubic yards How much material will be filled? SD cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: C-5-,r- 4 c, 4c, �-e ,Icy i t: as C, 1I -'c 6✓ L 1Z�'C X a n Se rt4 Z'0- w i +k] —E'r.I c 14'.?� s ICI ft 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): lv, l �t P° S/ 'f-t uG � �� mn w�-,Hkvlh �vL -4o reAveeg eroS,I oe, aS well aS E+ A+Ir 6100 J ve +0 GRi%X wtrrt 0 Short Environmental Assessment Form Part I -Project Information 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 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 3150 Ole Jule Lane,Mattituck Bulkhead and Floating dock Project Location(describe,and attach a location map): 310 Ole Jule Lane Mattituck Brief Description of Proposed Action: Remove existing timber bulkhead and install new vinyl bulkhead landward of existing with a raised height of 18".Install 30"wide x 14'long aluminum ramp and 6'x 20'floating dock with un-treated timber decking in newly created excavated area.Construct an on-grade 8'x 10'un-treated timber deck directly adjacent to bulkhead Name of Applicant or Sponsor: Telephone: 646-671-0848 Erika C.Wershoven&Christopher P Wershoven E-Mail: erika.wershoven@gmad com Address: 185 Hall St-Apth-1004 City/PO: State: Zip Code: Brooklyn NY 11205 1. Does the proposed action only involve the legislative adoption of a plan;local law,ordinance, NO YES administrative rule,or regulation? If Yes,,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/NYSDOS/Army Corps/Town of Southold Trustees ❑ z 3. a.Total acreage of the site of the proposed action? 0.367 acres b.Total acreage to be physically disturbed? 0.02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.367 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial p Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page I of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑✓ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ ❑✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name-Pecomc Bay and Environs,Reason.Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency:Suffolk County,Date:7-12-88 ❑ Z NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑✓ ❑ b. Are public transportation services available at or near the site of the proposed action? ❑✓ ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the 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: ❑ ❑✓ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑✓ ❑ 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑✓ ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ ❑✓ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: James Creek,proposed floating dock 120 sf Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: m Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑Wetland ❑ Urban m Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? 16. Is the project site located in the 100-year flood plan? NO YES ❑ ❑✓ 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑✓ ❑ a. Will storm water discharges flow to adjacent properties? ❑✓ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES 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: ❑ ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Enka C.Wershoven Date: Signature: Title:Owner PRINT FORM Page 3 of 3 I EAF Mapper Summary Report Wednesday, January 01,2020 9:12 AM Disclaimer: The EAF Mapper is a screening tool intended to assist `, x122 0040 '+t?000 7 "` project sponsors and reviewing agencies in preparing an environmental I �3C�? u�,,17000`1 X300 5 GO 13 01122 00-41)6-4?0 G i 'I 22w0 I,00=1 �OQO �1�v assessment form(EAF) Not all questions asked in the EAF are r r -- G answered by the EAF Mapper Additional information on any EAF � \ /,1220C)4f. 500 = 1 43pC 50 t 2000 r ,t r,- ��� r question can be obtained by consulting the EAF Workbooks Although 5• ,� �? +* k;200_4,00,16000,Fr 12200-500-1-{000 the EAF Mapper provides the most up-to-date digital data available to = I 4-300-5c.0 I i OLEO, f, DEC,you may also need to contact local or other data sources in order r-� f' �- �.^ ,fy r to obtain data not provided by the Mapper Digital data is not a �14.300 5r,0-`10000 fr i ��f ,`f i 220,[?50u,15000 substitute for agency determinations f' 12200`--1-'00-110004-' ` +• - x'12200-500-164J ------ -- - -- - -- -- -__ __W ______ .- -- - w 1-I 300-500-`?00t7 "- f 10 -00 .12 x 0ta;w;3 Montreal ntreal 14300-5 00-8000"[-2`200,`-60,.16'00 '12200-400-1cb0O o n 7 R f P•t,.r, fir' f 12'200-500-22001, ~14300.-5'0047002 01 2200 500- 113 0 500-74C�I r� t i - _ s ^12200-500=23001 _ r` 12240cm" t?1�a0f�. j i Totunta i1 122 00-5 0 0-1 PO 00 -r .'U t1'L00�1.014-'210? 4 1 , ,._i hiltl ar >l?act,r:l_�r J 122Lt4 500-20Oi70 ti t n ss •r, A!harr, 1430()-500-5000\ I .r 12200-., 27000 '-= _ra?troll - " Bo tcrt I220O-x-00 2OL,0'I* � ,I � !1 Sctrces,'Esri,FERE,carmin,1 S'QS, - 1, r ='Glavd:ntl �J c4 Intsrm'ap,It{CREWIEIET C ir'{�csn Esri n y y ' �J ^ar 1 T r is;hina H l c � n O1, f' rix;_'I„i,tfiauica= E��i.b E Carmin. 1244 �1,&,f=�IIF F b? 7, �.ilr.• �,I.1400-100,,1000' .. �cr+=s,Esr- I- d',t,'LCC,'fctl ) Cotumbu��' itt✓burgh USGR,1ll rt&Ma)?.,ItdC-REN11EkT - �� p.— 22 .,,1 �. L gry 3000 is.4 enStreetkU �ntributcrs fh s _ P,NRcan,Esri,la an,JAETI, ,O- U-21000, y", �� Use*, cdnmumbj cinnal9 I i' F: iia{Hcng Kcng},Esri' - ------- - — --- ------- ------ --------- ------ ------- -------- --- -- -------- ---- --------- --------- --- ------------- -- --------- ---- --- ;Part 1 /Question 7 [Critical Environmental 4Yes jArea] ;Part 1 /Question 7 [Critical Environmental !Name:Peconic Bay and Environs, Reason:Protect public health,water, ;Area- Identify] Ivegetation, &scenic beauty, Agency:Suffolk County, Date:7-12-88 j ;Part 1 /Question 12a [National or State ;No Register of Historic Places or State Eligible !Sites] Part 1 /Question 12b [Archeological Sites] i No , Part 1 /Question 13a [Wetlands or Other iYes- Digital mapping information on local and federal wetlands and !Regulated Waterbodies] ,waterbodies Is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15 [Threatened or No ;Endangered Animal] Part 1 /Question 16 [100 Year Flood{Plain] ;Yes !Part 1 /Question 20 [Remediation Site] !No Short Environmental Assessment Form- EAF Mapper Summary Report 1 Part 2-Impact Ass ent. The Lead Agency is responsible for the co tion of Part 2. Answer all of the following questions in Part 2 using Lhe infonnation contained in Part I and other mate submitted by the project sponsor or otherwise available to the reviewer When answering the questions the reviewer should be guided by the concept"Piave my responses been reasonable considering the scale and context of the proposed action?" ' No,or Moderate t small to large impact impact l may may occur occur I Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 1:1t 2. Will the proposed action result in a change in the use or intensity of use of land? 0 1 P 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 Elf�`-1} establishment of Critical Environmental Area(CEA)? j 5. Will the proposed action result in an adverse change in the existing level of traffic or 3 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? El 7. Will the proposed action impact existing. 3 Ela.public!private water supplies? ' b.public/private wastewater treatment utilities? f 8_ Will the proposed action impair the character or quality of important histone,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)? 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. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result to one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees — Name of Lead Agency Date i President Print or"Type Name of Responsible Officer in Lead Agency Title of Responsible Officer cf„n.,rn rn nr QPennncihlP nffirer in Lead Aeencv Signature of Preparer(if different from Responsible Officer) Board of Trustees App],' `ration AFFIDAVIT ��'lILc� C• �tJ{rsho+�c� BEING G'hrts+cpke/ZP.�e�sh _ ! BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS'ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE-PERMIT. Signature of Property Owner Signature of Property Owner —� SWORN TO BEFORE ME THIS DAY OF )an\JO -C , 20QLb TAWANA HALEY otary Public - State of New York Notary Public N0. 01 HA4965322 Qualified in New York Co my My Commission Expires �' Board of Trustees Applwtion AUTHORIZATION (Where the applicant is not the owner) I/We, L,0eesl,ovcn P. tt��rsl� ovc✓� , owners of the property identified as SCTM# 1000- Z 2 ` 014 — 1 °J in the town of r1�a -} �,+,JL- New York,hereby authorizes to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OFy G 20 o1O �i TAWANA HALEY otary Public Nyfary Public - State of New York NO 01HA4965322 Qualified in New York Cou ty i . My Commission Expires t04111, b APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The ToN+m 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 Rrovide information which can alert the town of possible conflicts of interest and allow it to take whatever Action is necessary to avoid same. tnle r s 4 o�e vi ER t 1Lo_ G . YOUR NAME: � (Last name,first name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat _ Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or rtnployce hits even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 51/t,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); 13)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is nota corporation); _C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this of 20�" Signature Print Name Form TS I \` �/�12I1�V�o V 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 emplMccs.The purpose of this form is to provide informal!on which can alert the town of possible conflicts of interest and allow it to take whatever action is necessaa to avoid same. 11 YOUR NAME: UJ e r S �o v e✓t (2 n r 1 S �o (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 Change of Zone _ Coastal Erosion — Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest",means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or 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 applicgnt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is nota corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day Qf � � 20 Signature Print Name1�r S-1�,Q I( pAr _0 Uv(gym Form TS 1 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 pumose of this form is to pLovide information which can alert the town of Wssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: �'a—ra at t C, (Last name,first name,.tltiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO ✓ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this I day f 7;S-PL e) 202-0 Signature p Print Name Le_rcpt rat., Form TS 1 Glenn Goldsmith,President ySUFFQ(,f- 0 COG Town Hall Annex Michael J.Domino y�� �� 54375 Route 25 John M.Bredemeyer IIIc a P.O.Box 1179 A.Nicholas Krupski -rn Southold,NY 11971 Greg Williams ?� pl,r Telephone(631)765-1892 1 0 0 �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 25, 2020 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of Erika C. & Christopher P. Wershoven 3150 Ole Jule Lane, Mattituck SCTM# 1000-122-4-19 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, September 16, 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. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational 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. eL Truly Glenn Goldsmith, President Board of Trustees -yl`,c27 Glenn Goldsmith,President O�Q$UFFO(,f-COG T6wn Hall Annex Michael J.Domino ,� �� 54375 Route 25 John M.Bredemeyer III y z P.O.Box 1179 A.Nicholas Krupski p rye Southold,NY 11971 Greg Williams ��0 gyp! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC ,HEARINGS WEDNESEDAY, SEPTEMBER 16, 2020 „ 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD'OF TRUSTEES will be held on Wednesday, September 16, 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, September 16, 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 https://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: 910 7289 9663 Password: 151944 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. To_view.the application files please visit: https://www.southoldtownnV.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. I N6�Ps�tov�N September 7, 2020 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 ISE: 3150 OLE JULE LANE-MATTITUCK SCTM No. 1000-122-04-19 AFFIDAVITS Dear Trustees: Attached please find affidavits of mailing alisting for the above referenced application. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly vours, ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Postal, TM ® ® r9 ,DomesticOnly ul I . . � � rq F � I Certified Mall Fee [` Certlfied Mail Fee .a $ i iI D $ _ 4 l Extra Services&Fees(checkbox,add fee as appropriate) u®�"� Extra Services&Fees(check box,add fee as appropnats) ❑Return Receipt(hardcopy) $ 7� ❑Retum Receipt(hardcopy $ ' { ❑Return Receipt(electronic) $ e - I ❑Return Recelpt(electronic) $ ^�.., ostmark �� postmark d O t•re(e l3 ❑Certified Mall Restncted Delivery $• ~ N Here j ! 1 � []Certified Mall Restricted Dell very $ �t �, I} C3 []Adult Signature Required $ 1'-- M t/i ❑Adult Signature Required $ /_. N ❑Adult Signature Restricted Delivery$ [:]Adult Signature Restricted Delivery$ I dt --� Postage l t•-y y i � Postage a, I co $ fr : a F TI'Llotal Postage an( SCTM'#1r000 1�4 8 -- 1 ru Er $�I Postage and— $CTM#1000 1'LzU4-20.1 ' SentTo Sent To Conklin, Christopher M Q- Mello, Chad C3 Mello,Sharon A h SFieeiarrdApt tic Conklin, Evelyn M � � Sheet and Apt 71ro Iti y I` I -----�8re;2iP+a 3400 Ole Jule Lane 3030 Ole Jule Lane ary,scare,2IP+4' Mattituck, NY 11952 :o Mattituck, NY 11952 ; 3030 Ole JuIe Lar Extra Services&Fees(checkbox,add fee as approprlate) �(X F-1 Return Receipt(hardcopy n$ 'r, /), Mattituck, NY 119 a ❑Return Receipt(electronic) $ `, _'!' �, Postmark 1-3 ❑Certlfied Mall Restricted Delivery $ ,9 r- °` t Here -- i I] El Adult Signature Required $ a []Adult Signature Restricted Delivery$ SCTM#1000-122-„ p Postage ti •�cS, Irby, Cathy ru $ 3145 Ole Jule Lai rU Total Postage and SCTM#1000 122-5-18 Mattituck, NY 115 sant To Irby, Cathy 0 sieatii pr ivs� 3145 Ole Jule Lane 5V-9ia-re;2iP+d& Mattituck, NY 11952 STATE OF NEW 5 COUNTY OF SUFtvj.LN. r Jeffrey Patanjo residing at P.O. Box 582, Bohemia,NY 11716 ;being duly sworn,deposes and says that on the 3 day of .September 220 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 Bohemia I ,that said Notices were mail to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this G Day of September ,2020 No Public e MARILYN S. HICKS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 H16365489 Qualified In Suffolk County Commission Expires October 10,2021 Glenn Goldsmith,PresidentQ Town Hall Annex Michael J.Domino „�� Gym, 54375 Route 25 John M.Bredemeyer III y z P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Grey Williams 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 ERIKA C & CHRISTOPHER P. WERSHOVEN 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 1, Jeffrey Patanjo ,residing at/dba PO Box 582,Bohemia,NY 11716 being duly sworn, depose and say: That on the 4 day of September , 20 20 ,I personally posted the property known as 3150 Ole Jule Lane,Mattituck. SCTM# 1000-22-4-18 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, September 16,2020. Dated: '11&1902.0 (si ature Sworn to before me this 0 day of Sept.2020 MARILYN S. HICKS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 H16365489 Qualified in Suffolk County Commission Expires October 10,2021 Notary ublic Com — $If�TARYPUBLIC,STATc:+'t ReKmtration No.01 H163654N -; - `••1k County tor..•- •"?1 Come i... __• r NOTICE F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees 1 via the online Zoom platform. OWNER(S) OF RECORD: ERIKA C. & CHRISTOPHER P. WERSHOVEN SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove the existing deteriorated timber bulkhead and the landward installation of 135 lineal feet of new vinyl bulkhead with a raised height of 18" above existing; a proposed 4' wide gravel pathway to the new bulkhead; and a 30" wide by 14' long aluminum ramp leading to a 6' wide by 20' long floating dock with untreated timber decking is proposed in the newly created bulkhead cut-in area; and,approximately 50 cubic yards of fill to be removed-from between the existing and proposed bulkhead which will be utilized as fill landward of the proposed bulkhead. Located: 3150 Ole Jule Lane, Mattituck. SCTIVI# 1000-122-4-19 TIME & DATE OF PUBLIC HEARING: Wednesday, September 16, 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 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 malting 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 Townl. 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 eMplainM 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# 2►a -_�_- PROJECT NAME_ 1/ 5-v o n IV a e-IL The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit,approval, license,certification: Nature and extent of action: P Location of action: /V1 u + Site acreage: c Present land use: ISS Present zoning classification: 5 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: C�l r ls�'o we�'si1 ovefit (a) Name of applicant: tIL-c,_. C - t,J t,r s� ov-eo (b) Mailing address: / ,65- /I A 1l S T-- — A e4 I a `� Groold ,n l N`I I I Lv 5- (c) (c) Telephone number: Area Code 7 l-P 9 LIS (d) Application number,if any: AJ/tq Will the action be.directly undertaken, require funding, or approval by a state or federal agency? Yes 10/No❑ If yes, which state or federal agency? A]y 51br- 0- ,4/0 A� 00/y s 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. dyes R No ❑ Not Applicable Q`o, rs C®osis+eA± wr-th /leial�bar+nq pra►ecr-�,�s �ndZ �✓ral(� b�hLF;'c�uL vse OF -FOAL boaant fce%'cu�-, 01% gcf'•�i-Ires _ 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 ❑ No [J Not Applicable �c,(p1,e huh fiu 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 P�ottc ¢ �lo�lcQcs ay�s�K� (7 �.11Asul �'�lca b,�uCd►�a� awr�2 StYh�l� �-e P S� orcUrle • 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 S through 16 for evaluation criteria 9 Yes ❑ No ❑ Not Applicable �njie-d- pf-V1 cs A f"VnefioAJu'L lo•�L��euGQ wh�clt will l �r���e PfoSlon As w-ed o.5 .12sov(Ae 460k& cana )(- ho-f-i-ia-► 4a #4 due -to 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 �r'�j.�e-� Proms c5 red��.c�Q. SccP.ncnta�'►•�J ®� wa��Rs ��f w� o•F r��w b��lChc,.cC 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 t Applicable <o►ec4- ProvscP--S AcPkk cr«lL dve - 'o 1601ewuree P/,qr--mcn ¢ ro ✓LKhe&d . -rbis Proles emrdexs o F pilJib/c AncQ r, 5A h't6•--,. f-. 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[2Not Applicable Pro rsc4 h f na <Fr"e-f 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 allot Applicable erdI CC* h ks h o C 6-Pc I 14 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. n(� R Yep ] No❑ Not Applicable Pro c- (v,de3 -Fi2 arrtSS if,A-s !L bei n 4,ncA reern 4#.xj eACl(L)(4fef. Attach additional sheets if necessary WORKING COAST P1, CIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ✓❑ Not Applicable Ponce 4 b u S it, P r-ZZC P W 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 _ N-0(.ea'1' hog mo e ,(4cc-4- Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes 1-1 ❑lu No U Not Applicable PI m( -e 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 foiec`F �c s no {F,ke PREPARED BY�-Ph-r"." . TITLE 4 DATE 1-I - z 0 January 7, 2020 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 JAN 2020 1 RE: 3160 OLE JULE LANE -MATTITUCK SCTIVI No. 1000-122-04-19 S APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, yg� Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716