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HomeMy WebLinkAboutTR-9778 Glenn Goldsmith,President �OF SU(/jy Town Hall Annex A.Nicholas Krupski,Vice President ,`O� - ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III 1 Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF-TOWN TRUSTEES _ TOWN OF SOUTHOLD SOUTHOLD TOWN'BOARD OF TRUSTEES 'YOU AREREQUIRED TO,C'ONTACT THE OFFICE OF THE=BOARD OF;TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT-OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE a; P e�coristructi rr;>ti y bald:-Jima%il bb n/sutdotta_in ` st ops did °= : % constructed - : When-projpggA'complet6, calf for compliance:insr)ection; ; BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9778 DATE: FEBRUARY 9,2021 ISSUED TO: NORTH FORK REALTY HOLDINGS,LLC PROPERTY ADDRESS: 1095 WATERSEDGE WAY,SOUTHOLD SCTMH.1000-88-5-65 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 21. 2020, and in consideration of application fee in the sum of$250.00 paid by North Fork Really Holdings, LLC and 1 subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit remove and replace 104 linear feet of existing timber bulkhead with new vinyl bulkhead; with the condition to install and perpetually maintain a 15' wide non-turf buffer along the landward edge of the bulkhead; and as depicted on the 14, 2021, and stamped revised site plan prepared by Jeffrey Patanjo last dated January approved on February 9,2021. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these presents to be subscribed by a majority of the said Board as of the 9th day of February,2021. TP =a Is C2 53 Grcg Williams-Abser;V NAM; TERMS AND CONDITIONS The Permittee North Fork Reafty Holdings LLC residing at 1095 Watersedge Way, Southold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. I Glenn Goldsmith,President �QF S0(/rTown Hall Annex A. Nicholas Krupski,Vice President �Q� Ol0 54375 Route 25 John M.Bredeme er III P.O. Box 1179 Y Southold,New York 11971 Michael J.Domino G Q I Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 ol�PAUNV I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 8, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11.716 RE: NORTH FORK REALTY HOLDINGS, LLC 1095 WATERSEDGE WAY, SOUTHOLD SCTM# 1000-88-5-65 Dear Mr. Pataojo: The Board of Town Trustees-took the following action during its regular meeting held ori Monday,-December 21, 2020'tegarding'the above matter: WHEREAS, Jeffrey Patanjo`on behalf of NORTH FORK REALTY HOLDINGS, LLC applied to the Southold Town Trustees for a permit under the provisions of Chapter-275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 30, 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; establish and perpetually maintain a 15' wide non-turf buffer; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 21, 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, ,I 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 generalwelfare-ofAbe-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 NORTH FORK REALTY HOLDINGS, LLC to remove and replace 104 linear feet of existing timber bulkhead with new vinyl bulkhead; with the condition to install and perpetually maintain a 15' wide non-turf buffer along the landward edge of the bulkhead; and as depicted on the revised-site plan prepared by,Jeffrey'Patanjo last dated January 14,-2021,.and stamped-approved on February 9, 20211. ; Permit.to'construct and complete-projectWiil expire`two years:from'_the date.-the,permit, is signed. .Fees must-be paid, if applicable,-.and_permit issued within,six months of the;- 7. date of this notification, Inspections are required at a fee of$50.00 per inspection: (See attached schedule.) Fees: $50.00 Very truly yours, 'Vdlenn Gsmith President, Board of Trustees GG/dd PROPOSED FIR TIMBER TOP CAP ! bFnDl1 PROPOSED 18'IANC 10'BUTT t) PROPOSED 3'X8'REAR WALE CCA TREATED LONG PILE,8'GG (j NOTE: REMOVE EXISTING BULKHEAD EXISTING GRADE i JA N 2 0 2021 STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION Soufiicid Tom PROPOSED 6'x6'CCA Board of Trustees WALE(TYP.OF 3) NO ADDITIONAL FILL TO BE ADDED.ONLY REMOVE AND REPLACE EXISTING FlLL LANDWARD OF BULKHEAD -H S 66.49'30"E 0 11.66' Ln PROPOSED B'TP CCA LAY-LOG PILE TO BE C BULKNE7ID /\\\ APPR07aWLTE Y.N.W.EL 25f ITS ENTIRETY. NTIR TY. IN /�� � APPROXIMATE M.LW EL 0.01 PROPOSED B'TIP CCA PILE,8'WITH LENGTH.BOLTED LAY-LOG WITH 3/4' Ni GALVANIZED THRU-BOLTS PROPOSED 16'LOJTIE GJ/ ROD,6.O.C. N/0/F 1PROPOSEDSNG20'LONG CLOG 8800 VINYL 1195 W TERSEDGE WAY / TYPICAL BULKHEAD SECTION. / APf R0V k L' bi `i N.T.S. / BOARD OF TO Iy r-)F SV -, I HOLD EXISTING DWEWNG VACANT PROPERTY / FEgRuA�e� 4 j 202-1 N/0/F PROPOSED 15' WIDE NON—TURF BUFFER / NEPROPERTY OWNERS'A ASSOCIATION KtA / PROPOSED 104 LF VINYL BULKHEAD / NOTES: IN SAME LOCATION AS EXISTING / - W M G BULKHEAD 1. LOT AREA: 22,215 S.F. / 0.51 ACRES W W W W W W INEMRETY STING TIMBER BULKHEAD/ ENT -R. 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: YOUNG & YOUNG LAND SURVEYING W W W W W ASO e 400 OSTRANDER AVENUE, RIVERHEAD NY / W " 6 SURVEY LATEST DATED JULY 24, 1981 W g� v PROPERTY OWNER: MEET EXISTING BULKHEAD NORTH FORK REALTY HOLDINGS LLC 1 N ys'sy 4 s uPea unA,, 6 RIDGE DRIVE MELVILLE, NY 11747 1095' Watersedgeway , PREPARED BY: 104 of rR oposed Permit Plans SCALE: JEFFREY PATANJO Lj 1"=30' P.O. BOX 582 �?' 'k4 .W - L�' A w` ., OSED BULKHEAD PLAN, DATE BOHEMIA, NY 11716 • 631-484-9332 �CQ ION & LOCATION MAP 10-10-20 JJPATANJO@GMAIL.COM 1-14-21 ERSEDGE WAY LOCATION MAP ��Y THOLD,TOWN OFSOUTHOLD N.T.S. SUFFOLK COUNTY, NY SHEET: MAP N0. 1000-88-05-65 1 of 1 1� gUFFO(k60 Glenn Goldsmith, President �r�o Gym Town Hall Annex Michael J. Domino y z r 54375 Route 25 John M. Bredemeyer, III tt a P.O. Box 1179 GNechWilliamspskid �oo�r^� Southold, NY 11971 9Kr��� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: NORTH FORK REALTY HOLDINGS c/o JEFFREY PATANJO Please be advised that your application dated October 30, 2020 has been reviewed by this Board at the regular meeting of December 21, 2020 and your application has been approved pending the completion of the following items checked off below. xx Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees January 14, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 — Southold, New York 11971 E C Vi C�%' E RE: 1095 WATERS EDGE WAY-SOUTHOLD 7 L SCTM No. 1000-88-5-66 JAN 2 0 2121 I REVISED PLANS So,t,'hcIul fio in Dear Trustees: Boz_J of T r-,tns Attached please find four copies of revised plans based on comments addressed at the December 2020 public hearing. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, 0 P4 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 North Fork Realty Holdings,LLC 1095 Watersedge Way,Southold SCTM#L 1000-88-5-65 '• 12/9/2+0 - .r _ w '.a "�.„tel. -_ -• ,o 1 E .asr�,l M Glenn Goldsmith, Pres' � FOjA - Town Hall Annex Michael J. Domino 54375 Route 25 John M. Bredemeyer III - P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams A Telephone(631)765-1892 =� �` Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTOL Date/Time: Completed in field by: Jeffrey Patanjo on behalf of NORTH FORK REALTY HOLDINGS, LLC requests a Wetland Permit to remove and replace 104 linear feet of existing timber bulkhead with new vinyl bulkhead; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 1095 Watersedge Way, Southold. SCTM# 1000-88-5-65 . 275- - SETBACKS TL Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 1 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: _J. Bredemeyer M. Domino Goldsmith �. Krupski PG/. Williams Other rl 11 l^a i.. s ' v I �� I I �� PROPOSED FIR TIMBER TOP CAP PROPOSED 16'LONG 10'BUTT ' OCT 3 p 2020 PROPOSED 3'%8'REAR WALE CCA TREATED TIMBER PILE,8'O.C. � NOTE: REMOVE EXISTING BULKHEAD EwsDNG GRADE STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION PROPOSED 8'a6'CCA ::] I WALE(TYP.OF 3) NO ADDITIONAL FILL TO BE ADDED.ONLY �I REMOVE AND REPLACE E%ISDNG FlLL LANDWARD OF BULKHEAD j _H S B8°49'30"Ps o Ii 11.58' LO �N EIsTING BULKHEAD APPROXIMATE M.H.W. 25t PROPOSED B'TIP CCA LAY—LOG PILE ITS ENTIRETY.BE RM /�\/\/ �//�/��/�/ •�� APPROXIMATE M.LW EL O.Ot73, s se's• C� PROPOSED 8'DP CCA PIM 6'O.C.8' \ / ♦ \ SOy1�j LENGTH.BOLTED TO LAY—LOG H1TH 3/4• GALVANIZED 7HRU—BOLTS. a� PROPOSED 16'LONG 1'DIA.GA M.TIE �9 ROD,8'O.C. N/0/F %iEETII1PROPOSED 20'LONG CLOC 8800 VINYL 1195 W TERSEDGE WAY / TYPICAL BULKHEAD SECTION / N.T.S. EXISTING DWEWNG // VACANT PROPERTY / / PROPOSED 10' WIDE NON—TURF BUFFER SI'.H. PROPN/O/F ERTY •n'� / OWNERS' ASSOCIATION 6p / PROPOSED 104 LF VINYL BULKHEAD / NOTES: { / IN SAME LOCATION AS EXISTING `�� / MEET EXISTING BULKHEAD 1. LOT AREA: 22,215 S.F. / 0.51 ACRES W W REMOVE EXISTING TIMBER BULKHEAD/ W W y W IN ENTIRETY _ a-Ra 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: TS eA'� YOUNG & YOUNG LAND SURVEYING W W W W W /•'�° " 400 OSTRANDER AVENUE, RIVERHEAD NY W W W W O��A SURVEY LATEST DATED JULY 24, 1981 W W W W /�+ MEET EXISTING BULKHEAD PROPERTY OWNER: _ NORTH FORK REALTY HOLDINGS LLC N rs'sy q \ Plp��eh pf 6 RIDGE DRIVE �•.�. ` `� / S,. r;`c ��� a MELVILLE, NY 11747 m a4 PREPARED BY: >°4�� rPROPOSED roposed Permit Plans SCALE: 1og5 Watersedge Way �, vnh,. JEFFREY PATANJO Lj?, �..� 1"-30' P.O. BOX 582 ?'L� M�'w.,. BULKHEAD PLAN BOHEMIA, NY 11716 .p •� 631-484-9332 DATE:_ �'Cp ION & LOCATION MAP10-10-20 JJPATANJO@GMAIL.COM NjC 1095 WATERSEDCE WAY LOCATION MAP I ��� THOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: N.T.S. MAP N0. 1000-88-05-65 1 OF 1 .I v �Dn' o OCT 3 0 2020 -s�F • ,4/ 01 � 0 IN Qh - "'s �• � poo �' `16 _ I N, ;4/ �� .._... .4 J �,.••` C oyR e.12 v...t A.vRA w-�o�•is S11 „�. ��O\• o Q 'off t../ R.r y El ?"Val clay e4k s.s w•TW� -7-2a 8� FEV1"E� Lo6•rt1IXHlr SURVEY FOR RICHARD MOHRING, JR. LOT 54,"MAP OF BAY HAVEN" AT SOUTHOLD 'I!L` 44.191 DATE JUNE.10,lsel TOWN OF SOUTHOLD SCALE 1'IF 30' SUFFOLK COUNTY, NEW YORK NO, e1-333 O umumonuto ALTERATION OR AODIt10N TO THIS SURVEY a A VIOLATION Of SECTION 7200 OF THE NEW YORK STATE EDUCATION LAW •COPIES Of MIS SURVEY NOT -AXING THE LAND SUnvE TOR'9 INKED SEAL OR CMOOSSEO $CAL SMALL"Or + KOUARANTC[SI I'DI""HME[RfOwl ITI EI,CUDpILY TO ' HEALTH DEPARTMENT-DATA FOR APPROVAL f0 CONSTRUCT THE PERSON Fon WHOM THE SURVEY is PREPARED M NEAREST WATER YAIN_YI RSOVRC.OF Wq R PRIu1Tf ✓► AND DR HIS OEHALF ro TXC Tlfl[COYhWT,OOVNM• K Stiff CO TAX MAP pST o�a_o SECT, e E UDLIC— MENTAL AGENCY AND LENDING INlTITUftOM LISTED OM�/LOCK J LOi�T N[RfON,AND TO INE ASSIGNEES Of THE LENDING N HER[ ARE!10 E SHOWN WI CHIN 100 FELT Of THIS PROPERTY HIS TITUTION OUARANTffS APE NOT TRAHSffRA�L[ OTHER THAN THOSE SHOWN H[R(ON TO A001 TIONAL INS TItUTIpI! 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave. UJ Southold, NY 11971 i Telephone: 631 765-1938 �t 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: December 9, 2020 Re: LWRP Coastal Consistency Review of NORTH FORK REALTY HOLDINGS, LLC SCTM# 1000-88-5-65 Jeffrey Patanjo on behalf of NORTH FORK REALTY HOLDINGS, LLC requests a Wetland Permit to remove and replace 104 linear feet of existing timber bulkhead with new vinyl bulkhead; and to install and perpetually maintain a 10'wide non-turf buffer along the landward edge of the bulkhead. Located: 1095 Watersedge Way, Southold. SCTM# 1000-88-5-65 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 action is INCONSISTENT with the Policy Standards and therefore is INCONSISTENT with the LWRP based upon: 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 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. A Wetland Permit for the bulkhead was not located within Town records. To further Policy 6, it is recommended that the vegetation that occurs landward of the bulkhead be preserved in a vegetated buffer. Instructions to the contractor should be given to minimize disturbance and the replanting of disturbed areas should be required. A non-turf buffer with no vegetation does not provide erosion control, nutrient filtration or wave attenuation during storm events. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Peter Young,Chairman 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., December 9, 2020 the following recommendation was made: Moved by John Stein, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of NORTH FORK REALTY HOLDINGS LLC to remove and replace 104 If. of existing timber bulkhead with new vinyl bulkhead. Provide 10' wide non-turf buffer landward of bulkhead. Located: 1095 Watersedge Way, Southold. SCTM#88-5-65 Inspected by: John Stein, Caroline Burghardt The CAC Supports the application with a 15' non-turf vegetated buffer.. Vote of Council: Ayes: All Motion Carried .e�nie Michael J.Domino,President a4a Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President A• --r; P.O.Box 1179 ;- Glenn Goldsmith R Southold,New York 11971 A Nicholas Krupski Telephone(631)765-1892 Greg Williams Fax(631) 765-6641 Co BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application r�' Wetland Permit Application Administrative Permit OCT 3 2020 Amendment/Transfer/Extension 0 Received Application: 16.3y•ZO Received Fee: $ Z!0,00 Completed Application: �� •20 ''"`= ---- -- Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: �Coordination:(date sent): LWRP Consistency Assessment Form Sent: L �� ,LCAC Referral Sent: l/ Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: 12j (D Resolution: Owner(s)Legal Name of Property(as shown on Deed): Ar 41, -rc t(L ac..t±1 n,+5 Mailing Address: "� q� 0 "�- eJl.c 1�, 1)e, N q 11-7q :7 Phone Number: Suffolk County Tax Map Number: 1000- Property 000-Property Location: 10157 W'.-I'eeS eAc See to-? , vics+ ®4- P^A14 -vk`arl+ LaKd (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): -Te 44-e1 i' J 412 I a Mailing Address: w $ �� e t�� N y Phone Number: 6 31 q 133L Cob i �3I Board of Trustees Appy --Ztion GENERAL DATA Land Area(in square feet): 2 z, 21 .- Area Zoning: jZG S. Previous use of property: 4 s Intended use of property: (-Gt' 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 f--$ CA< 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): f�0-1"`e Anct gtat-¢. 10 q LF of wt4k new tic,,!, L)Z, 4tad . Pro ,.«44t (of W&C AOVN - �.�l� ✓(-�t/L landwgA,1 ®F b, LlL��,c�. Board of Trustees Appli -Ation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: te✓►t,*%.o-e vn Q rCr 1-kc e log CF of- t-" f- c.h 44A, b, (_lGht&,oP +�14h newyt,u�, L 5.,Llt 4ee"A t n S•►.n,c LOcatty� �S �XIS�!✓�q • ��� vciQ.t9 �o' wtc�z �►on — Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: -s feet Closest distance between nearest proposed structure and upland edge of wetlands: -7 r feet Does the project involve excavation or filling? ✓ No Yes If yes, how much material will be excavated? �'' �1 cubic yards How much material will be filled? ^'(A cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: "14 Manner in which material will be removed or deposited: N k Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): -�o rectueek .e rbStv✓� . 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: 1095 Watersedge Way Bulkhead Replacement Project Location(describe,and attach a location map): 1095 Watersedge Way,Southold NY 11791 Brief Description of Proposed Action: Remove and replace 104 L.F of bulkhead in same location as existing Name of Applicant or Sponsor: Telephone: North Fork Realty Holdings LLC E-Mail: lindapedllo@yahoo.com Address: 6 Ridge Drive City/PO: State: Zip Code: Melville INY 111747 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 F71 ❑ 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 ❑ 3. a.Total acreage of the site of the proposed action? .51 acres b.Total acreage to be physically disturbed? .1 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 51 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ® Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ r;� ❑ b. Consistent with the adopted comprehensive plan? ❑ W1 ❑ 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:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency:Suffolk County,Date:7-12-88 F11 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 a Elaction? 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 IfNo,describe method for providing potable water: 77 n 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 77 n 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? ❑ 21 b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Page 2 of 3 14. qnt:tfy the ical habitat es that occur on,or are ldcely to be found on the oject site Check all that apply: ®Shoreline ®Forest ❑Agricultural/grasslands ®Early mid-successional ®Wetland [3 Urban 0 Suburban 15.1Does the site of the ro osed action contain any species of animal or associated habitats listed by theState o NO yES Federal overnment as threatened or endan Bred? Piping Plover,Least Tem 16. s e,rc�ect site LQcaWJn. e 1 0 year o d nla NO YES 17. ill the o osed action create storm water dischM,either fromoin or non- oint sources NO YES If Yes, � ❑ a. Will storm water discharges flow to adjacent properties? ❑t/ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑✓ If Yes,briefly describe: 18.IDoes the proposed action include construction or other activities that would result in the im oundment of wat NO YES oro er ui e. .,retention p2acl waste lagoon am If Yes,explain the purpose and size of the impoundment: ❑ ❑ 19. as a site of aro ose actton or an a omm r e een a ocatton o an acttve or closed so was NO YES management facili If Yes,describe: W ❑ 20. the site o e ro ose action or ana omm roe been the su 'ect o remechatton ono o NO YES om le d for azardous waste If Yes,describe: Fb�e ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: 'a /� Date: Si store Title: a PRINT FORM Page 3 of 3 Part 2-Impact Assessmomt. The Lead Agency is responsible for the com^°-•°m of Part 2. Answer all of the following questions in Part 2 usin information contained in Part I and other in' bmitted by the project sponsor or otherwise available to t..,,.-viewer. When answering the questions the reviewer snould be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" m i No,or Moderate small to Inrge impact impact may ntny occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ 1 regulations. 2. Will the proposed action result in a change in the use or intensity of use of land? I F1 3. Will the proposed action impair the character or quality of the existing community? L J 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ y. "I establishment of Critical Environmental Area(CEA)? l l 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? Q 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate El available ener�v conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a,public!private water supplies? b,public/private wastewater treatment utilities? 11 !1iEl ,- ': S. 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)? �9 10. Will the proposed action result in an increase in the potential for erosion;flooding or drainage I"` ❑ problems? It. Will the proposed action create a hazard to environmental resources or human health? 1-1 El Part 3-LDetermination 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 detennined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. EDCheck 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. F] Check this box if you have determined,based on the tnforntation 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 President 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) EAF Mapper Summary Report Wednesday,August 12, 2020 5:24 PM Disclaimer: The EAF Mapper is a screening toot intended to assist �- project sponsors and reviewing agencies in preparing an environmental '30��3-300-t&t504� 88t�tk'i ani=129011 88�,G- j�3-3fis?0 assessment form(EAF).Not all questions asked In the EAF are _ u44-ft}ta 15C#it4 t ^"' answered by the FJ\F Mapper.Additional Information on any EAF 93'806-300-t u000 ;= r °-.� question can be obtained by consulting the EAF Workbooks. Although 87000-600-12001 ���t�-�t3 3Ail(i� the EAF Mapper provides the most up-to-date digital data available to 6;500-400-f 3000 DEC,you may also need to contact local or other data sources to order -- rR i' to obtain data not provided by the Mapper.Digital data Is not a w t~$00-400-1-tf00 i ` substitute for agency determinations. ifs -500-6TC�r1U� c �3t? �Ctg-aJ600 °_...�.�._.__M Vit; S8f1Q 5f10-6 ?�60 - Ctttattadontrcat .8306-54 (t0 '00-500-6400 tti8300 T�tonta -500-6300 1 88 O-500-62000 _ y ` ^_.X rAE ~ F-t:otcf tidl 6iT� ` t$ il�, r,�' -I V Ak t:ltbtst}h :;�;:,•;:•--'-�;"'„;.?`` .. '` `..;�. ";'�=__.-r; ,=", ;=`;.-" ;= .; ;-„ _. r t„n Phitadelprifa _ �anriii�_:ItS S;>(ri nnaf�ltl l;E1JEClTP;t1Ft tx`Es(i, lean tslETi�Esn,C' itis:H no_i citt k{Esn, F:1EPTT'P: Cin Esn apat� t:1E11�Esn China IHatrcfk ot�c(F,Eta i`�+r�a; fit.,hailailrC',ttGCC:`(�j sJl?+ tS1?` kt#ani tot�tilii4tts+rs.;iEisl tie;Gl t_Is t ��tNriifit�ttif � OpaaSb`e�#Plat>ts�trt{iia �y#ri rs lQttEFie y{5 FIs: ii)uri y; Part 1 /Question 7 [Critical Environmental Yes Area] Part 11 Question 7[Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health,water, Area-Identify] vegetation, &scenic beauty,Agency:Suffolk County, Date:7-12-88 Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15[Threatened or Piping Plover, Least Tem Endangered Animal-Name] Part 1 /Question 16[100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form- EAF Mapper Summary Report l Board of Trustees Appli ^.tion AFFIDAVIT C i���✓ Oji'l�j BEING DULY SWORN DEPOSES AND FFIRMS 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 Propertg Owner �l Signature of Property Owner T� SWORN TO BEFO ME THIS DAY OF OC �� , 20 � Notary Public BISMAR TRUJILLO BARRIOS NOTARY PUBLIC,STATE OF NEW YORE( NO. OITR6385456 QUALIFIED IN SUFFOLK COUNTY TERM EXPIRES JANUARY 7, 2023 Boarri of Trustees Application WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: RZ**tv%xe 4,v% r CP j at e e 104 4F v F Ti " 4m- b Ll,h- t-n4h new vi v!7L f7-LJe- 4e4J iwt Sam �catt�� S LSI✓► ®/'� vct.Q.t lo' wtr.Pe. i►®s► — Area of wetlands on lot: square feet Percent coverage of lot:, % Closest distance between nearest exist g structur nd upland edge of wetlands: -7 S feet Closest distance between nearest propos d st cture and upland edge of wetlands: -7 S .feet Does the project involve excavation or fi g? ✓ No Yes. If yes, how much material,will be ex vated cubic yards How much material will be fille /" cubic yards Depth of which material wil a removed or dep sited: N�g feet Proposed slope through t the area of operations: w Manner in which m erial will be removed or deposi ed: Statement of the effect, if any, on the wetlands and tidal wate of the town that may result by reason of such proposed operations (use attachments if appropri te): Pro,lac-� X10 h A- PaS► twc- .ef4-ee4 nti ..•c-��a .��QS t.�crc —Eg ter.QeC�dZ .� �Sl®r� . Board of Trustees Appli-ation AUTHORIZATION (Where the applicant is not the owner) I/We, L owners of the property identified as SCTM# 1000- d — S—6 .- in the town of S 0''4 1 t& .New York, hereby authorizes i &-to, 1 1 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 Sign u G,., � �a Property Owner's Signature BISMAR TRUJILLO BARRIOS NOTARY PUBLIC, STATE of NEW YORK NO. ®ITR6385456 QUALIFIE®IN SUFFOLK COUNTY TERVE EXPIRES JANUARY 7, 2023 SWORN TO BEFORE ME THIS DAY OF , 20 Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the part of town officers and employees.The nurpose of this form is to l2rovide 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: Pert 11 b L L n A— (Last name,first name,;iiddle initial,unless you are applying in the nam f someone else orther entity,such as a company.If so,indicate the othe person's or coin fy's name.) NAME OF APPLICATION: (Check al 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,spo se,sibling,parent,or ch'd)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes y blood,marriage,or usiness interest."Business interest"means a business, including a partnership,in which the town officer or •mployce has even partial ownership of(or employment by)a corporation in which the town officer or employee owns more tha 59 of the share . YES NO If you answered"YES",complete the balance of this form a d d e 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/ ent/repre ntative)and the town officer or employee.Either check the appropriate tine A)through D)and/or describe in the ace provide The town officer or employee or his or her spouse,sib ng,parent,or child (check all that apply): A)the owner of greater than 50'0 of the sha • of the corporate stock of a applicant (when the applicant is a corporation); B)the legal or beneficial owner of any in rest in a non-corporate entity(w n the applicant is nota corporation), C)an officer,director,partner.oremp yee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP 7 /"] Submitted t ' day of � 20 Signature Print N 1 NOTARY rm TS l TRU,1 ARY PUBLIC.STLLO aARPrOS NO. 01TR 38S4S6 NEWATE OF: YORK 411gLIFIEO rN pCRM EXPgRES.7q yF ARMCO ZU 3 APPLICANT/AGENT/REPRESENTATM TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnloyces.The nurpose 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. n �1 YOUR NAME: Pen I l b 1.t h (Last name,first name,;iiddle 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° 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 51"o 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 not a corporation); C)an ofcer,director,partner.or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP "dayf Submitted 20 2ASignaturePrint ���1Form TS 1 � � �L ,.,.� yam(% B%SMAR TRUJILLO B NEW YORKG–v RRIO NOTARY pUBLTC, � No. ol.TR6335456 <– OUALYFIED IN SUFFOLK COU2 2 TERM EXPXRES JANUARY 71 �JFr a��Q.� l— APPLICANT/AGENT/REPRESLNTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethicsprohibits conflicts of interest on the part of town officers and employees.'fie purtmse of this form is to provide information which can alertthe town of possible conflicts of interegand allow it to take whatever action is necessary to avoid same. YOUR NAME: e6 t^'t 1 o (Last name,fust name,jpidile initial,utiles 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_ok 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 apartial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the s es. 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 applic@int (when the applicant is a-corporation); $)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 of IP e-+ 20-10 S ignattire 5;;� Print Name le� Form TS 1 Glenn Goldsmith,President N S fI `'OG Town Hall Annex Michael J.Domino �� �,�� 54375 Route 25 John M.Bredemeyer III y P.O.Box 1179 A.Nicholas Krupski w "' Southold,NY 11971 Greg Williams �'� ® p� ,� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 23, 2020 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of North Fork Realty Holdings, LLC 1095 Watersedge Way, Southold SCTM# 1000-88-5-65 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, December 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. Very Truly ours, Glenn Goldsmith, President Board of Trustees ( a Glenn Goldsmith,PresidentO�QSUFFO(��'OG Town Hall Annex Michael J.Domino 54375 Route 25 John M.Bredemeyer III y 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, DECEMBER 16, 2020 5:00PM & 5:300M A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF. TRUSTEES will be held on Wednesday, December 16, 2020 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. y 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. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and.diane.disalvo@town.southold.ny.us. Said comments will _ be considered at the public.hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. 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: 922 8909 5446 Password: 020187 • 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 acknowledgeyour request: When prompted to unmute your phone press *6. 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 "?ending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. A Glenn Goldsmith,President O�QSVfFU(�-COG Town Hall Annex Michael J.Domino �� ��, 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 BE ADVISED — AS PER CHAPTER 55 NOTICE OF PUBLIC HEARINGS Failure to submit the following originals to this office no later than the day prior to the scheduled Public Hearing for your application will result in a postponement of said application: • All original white & green certified return receipt mail receipts stamped by U.S.P.S. • Completed original Proof of Mailing Form Failure to submit the following originals to this office no later-than 12:OOPM the day of the scheduled Public Hearing for your application will result in a postponement of said application: • Original Affidavit of Posting form — DO NOT COMPLETE SAID FORM UNTIL THE GREEN SIGN HAS BEEN IN PLACE ON THE PROPERTY FOR AT LEAST SEVEN (7) DAYS. All green signature cards- related to said application that were returned to your office should be either dropped off in our "Trustee drop box" or mailed into our office whenever they are received. These cards are not required prior to the Public Hearing, unless specifically requested for by this office. This specific requirement is subject to change. i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS - -.:£ fi \ 5...�v���:,e:=.";i:`.�/:��"(H.vF,.-�aK�r«'✓ z���`�=}5'1 Name: ' '•-i-.r`} ri'r,y":�`-1 .v3°�i;<kiY.ru'�u'(�ii't w. ��-':�TvI _ '`'As��:`?xu; ':�'Yr�ti e-�"=_��efp..,mac•••;".'ft,'`'y4;. <y: AM,:Y 4,•.,�J, -° _ �J�.¢ �r.�"=1 I., -;"}�: - ••.+�'..'.,i"'i1Tt-,'='l� " ,`.,^,,,;.. ,'+=f�a ,* .:, '4K ' :,,,•'Piz- 40— < �i.':- y , -.',.•Y• ,i�"rr%.,:�- I'_,-�;4; :s �•. ,4�_- "�"r."'.x;^xv=;`��, ,zr..,,�i:�Tom,:a;�,.,�''-= � �,.,.1r,? 3�-:.>� i'iy"31. 1"a.`_. ..'ir� 'at —X'a -;- Y.7.`-ter t ^♦ r;;:;e•' r •.�,;.ar,7'9ll'.,^.wr,}. rva;;:`. `�,s: c»,yTS"'in"',r f"k�S=.;�sww;y,Pi:e,.t,..:.ak .., :ea'�•>i�; "I"'in"', r •-m;s:.t'.,F^,�`y kr"fi.y,� -Y<'t�.�.h_u.'r e �.•ivfLi�}c��a`��F i .. !: ,^ui..'P�4 3u:`..'�+T.7�,�i;Jx M1ti. f��r'r 'e.. ;y?_�:,e:•�"r.,,a�'�,ez 'a�rr•�� ' a:�;•�;;��,<� :�:--,��'".���...� v?>k,':_:.. tt•Z .r -•p"r�.�iSJa,f..:.h'�&"F s;xru�',�-_-�,iS: :et,'i � w :^r.^� •lY"lu���' aJ .•^f} YST., sµ• :_ -- ����^c' - "I ".4.'.", <�.'s Fr•i�i n����4:'. -��' - +:S` a:,!"Sg,'•,#",1':rZN,�•]_ts.'"Sr1l��:.�i.vl!., .�.r�c`-..v ACAS;.,Yi ,',•�,. ,. :{C, "` ;'ar;+fa?�,e�7i:Jr:£:'i:'4•,�"'�`a;'x�t,"tr"5�f,:`�`..��,.;�' `,'S'S:?rAY.yi...,'irvS-i vi N';� 4'(<'"Yrj'�^'�i?icu4-'•�'�:�ti.~��-� 1�"tl�y�, i^�„t:���ii.'H,��.'.� ��a`�er'ah.;�c.. .�n�•%��F'-��>�4•�Mr:u``�`"+y~;��::F�'=":�j�5r,^�t'�'z'„�a.+�Y`^=� ' �,'!";'i ':,:�'Rs A-Y:a x��5::: :;�e.. .._ vK�"'r3�3'n�"n�,y?•+fro`-.,.e�VM,{..rzL'�,.F-' 4u,y:;.,{F W in'.fa;:Z%a.„ m�•... ••"«�.S.M1w._� ,_4; x�'r`^.- -b.11 " �:'a, i a`i, ' �'` �`,a'wiN.: t' rit �>�:-p;4 e,��,�• vy.<; �",4,�r +"ak;p�`��,1 - 1,15• ;` .1.�r.,}l., �` �:_„ �� ��i°�Se'�',a.'� -, :^- STATE,OF:NRW YORK. �..::. residing at being Mysworn, and-say's,that'on the day of 20� deponentmailed-'a•true copy ofihe Notice, sei forth in the Board of Trustees Application,'directed to each,ofthe above named- ;` ? persons-at'the addresses set-opposite there respective natnes;,that the addresses set opposite,the names of said persons are the address of said persons as shown on the current assessment.roll of the Town of Southold;-that said Notices were mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public December 16, 2020 Town of Southold Trustees Town Hall Annex Building so sn.l to Poo 54375 Rte. 25 umol ploginos P.O. Box 1179 Southold, New York 11971 OZOZ L Z �3 RE: 1095 WATERS EDGE WAY-SOUTHOLD SCTM No. 1000-88-5-65 AFFIDAVIT Dear Trustees: We hereby submit Affidavit of posting 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, c Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Glenn Goldsmith,President Y �yo�pY_ g�FFU(,kc'a Town Hall Annex Michael J.Domino 54375 Route 25 John M.Bredemeyer III y P.O.Box 1179 A.Nicholas Krupski ® Southold,NY 11971 Greg Williams 'y p!• Telephone(631)765-1892 Fax(631)765-6641 r- BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I� } ----- F;'; iDD i � BOARD OF TRUSTEES: TOWN OF SOUTHOLD DEC 2 1 2020 --------------------------------------------------------------- L e Application i So,�hoi�7o�,n In the Matter oft h of NORTH FORK REALTY HOLDINGS LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORNPUNTIL .AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, Jeffrey Patanjo , residing at/dba P.O.-Box 582,Bohemia,NY 11716 being duly sworn, depose and say: That on the 7 day of December ,20 20 , I personally posted the property known as 1095 Watersedge Way,Southold SCTM# 1000-88-5-65 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 a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,December 16,2020. Dated: 2-T - 2 o Sworn to before me this day of Dec.2020 + MARILYN S. HICKS NOTARY PUBLIC,STATE OF NEW YORK Notary Pub 'c vJ Registration No.01 H16365489 Qualified in Suffolk County Commission Expires October 10,2021 �0 Cr DobUs, Fp-Trr a Y�IFIR U .E Certified Mail Fee �} $3.55 , �,Ly^;., , 0716 u1 $ ;y/ x- -._ 03 Extra Services&Fees(check box,add tee E9pl I l l tee) 1 ❑Return Receipt(hardcopy) $ t t M .ti y ❑Return Receipt(electronic) $ - sfl,6 1 ` Postmark O [j Certified Mad Restricted Delivery $ CP ere O ❑Adult Signature Required $ +--� E]Adult Signature Restricted Delivery$• y�R. � Postage $0.55 12i08�2020- � Total Postage enc _ ---— — ''��..,..... M 1$6.95$ SCTM#1000-88-5-66 1 co Sent To ' Name: __________ ______i Zias, Elias&Constantina B C3 Street and Apt Nc r• 88 N Mountain Drive Ciiy Sta�e;Z/P+4 Dobbs Ferry, NY 10522 -- - - - - f SCTM#1000-88-5-64 - SCTM#1000-88-4-13 I Bay Haven Assoc &Cons {I R an-Epifano, Patricia Zias, Elias& onstantina B Y ' PO Box 784 I 88 N Mountain Drive 1100Watersedge Way Southold, NY 11971 Dobbs Ferry, NY 10522 Southold, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK Jeffrey Patanjo ,residing at P.O.Box 582,Bohemia,NY 11716 being duly sworn,deposes and says that on the day of .December , 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 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 ,that said Notices were mailed each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this 8 . Day of Dec. ----S20-20 \,._Notaryublic =! MARILYN S. HICKS ' NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 HI6365489 Qualified in Suffolk County Commission Expires October 10,2021 December 8, 2020 � LIE VC-11 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 ff' a F� 1 S 202a P.O. Box 1179 Southold, New York 11971 RE: 1095 WATERS EDGE WAY-SOUTHOLD SCTM No. 1000-88-5-65 AFFIDAVIT Dear Trustees: We hereby submit Affidavit of mailing for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, ). 1006;-- Jeffrey Patanjo P.O. Box 582 - ---- - - Bohemia, NY 11716 li � � e • e o ® o . G s. s rn ®. r% n I c certified Mad Fee r3.vtc 0716 certified Mail Fee 071( e '03 $3.55 Ln Extra Services&Fees(check hox,add ree s'e pate) Iv El(tra Services&Fees(checkhox,add feeg{.¢PPf9a�) - ❑Return Receipt(hardcopy) - $ III-11(I _ Retum Race ipt(hardcopy) f)nfl Postmark Return Receipt(etectranlc) $ a- �— Postmark O Return Receipt(ate C) $ p e,ti r.:e— Here 4 Q 0 [3 Certified Mail Restricted Delrvery�$ "a rte Here ❑Candied Mall Restricted Delivery $ -^4. r3 ��^t i-' Adult Signature Required' []Adult Signature Required $ �, .:'. O ?i1 r•!"-' % 'a Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ °`w °" n- /-t•� 5 C3 Postage c r ,� p Postage $W55 $0.5 f F� -e Q- �`12/1a8I21"12�1�`—, r — '�Isl2B2� r� Total Postage anci co IS Total Postage and c I'n 46.95 m X6.9,, $ STM#1`� 88 4-13 $ ,`u SCT 1000-8 co Sent To �;p� , v,/ I t� Sent I �, �;BayeHaven Assoc to Ryan-Eplfano)' atrlcia §fieefandiiptNa :1 C3 Srreet and Apr.No: PO BOX 784 N 1100WatersedgeWay r` �,tysrete,ZIP+4, CityState- ZIP+4, Southold, NY 11971 d Southold, NY 11971 i ;ee :ee t � h is NOTICE F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees r via the online Zoom platform. OWNER(S) OF RECORD: NORTH FORK REALTY HOLDINGS LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove and replace 104 linear feet of existing timber bulkhead with new vinyl bulkhead; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 1095 Watersedge Way, Southold. SCTM# 1000-88-5-65 TIME & DATE OF PUBLIC HEARING: Wednesday, December 16, 2020 — at or about 5:30P.M. — To access the Zoom meeting please sere 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.southoIdtownny.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 J- 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 berieficial and adverse effects upon the coastal area(which includes all of Southold Town). 1 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 exnlainM1n. 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# dy - 5- - S PROJECT NAME 1.,OAAWS ex 1,( ct,�, The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees LJ 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Er Nature and extent of action: d C4 ed-O •.. E4t, vi±►A ,L. h✓LrC-2e' . �(�.�r r•(.t to, r utA2 p Location of action: W w��r cs 2 t O k o IGS Site acreage: 0•S Present land use: Ack!q 7' Present zoning classification: �.GS 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:_ dJo 2� C u- 264 t l!� s , LLL (b) Mailing address: Q� r ���V•2 /Af-,!4;c t�.e , Nti '1 q'7 (c) Telephone number: Area Code 6. 9 — V 00*7 (d) Application number,if any: l /A Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 2I .No❑ If yes, which state or federal agency? A-,' C. Evaluate the project to the following policies by analyzing how the project will further support or not support theyolicies. 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. PrYes ❑ No [—] Not Applicable r o c a,-n s c sr ,%-( 4^,t4A v✓ t S 1b ec amu.L.Ax 2a-4 cQ Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Pol' ies Pages 3 through 6 for evaluation criteria Yes ❑/'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 n,v e k,Gc A 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 1- Yes 1:1 No 1:1 Not Applicable rr1K&A .Q" tee4'5 *� *to,7F (,o5s VE B/tn ek erb-560n 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 1:1Yes ❑ No U Not Applicable r,o 'e 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 N Lpplicable 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 AO C C. — Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See See LWRP Section III–Policies; Pages 34 through 38 for evaluation criteria. ElYes ❑ No I-1 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. ❑ 41 No u Not Applicable 40 4e,4- Attach additional sheets if necessary WORKING COAST PO] ',IES 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 rw e ",*4 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Townnwaters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. 1:1 Yes 1:1 No 13--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 forevaluation criteria. ❑ Yes F] No U Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; P ges 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable .2 44- PREPARED BY K -lv^h TITLE_( 5tft DATE °' `� October 18, 2020 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 1095 WATERS EDGE WAY-SOUTHOLD OCT 3 0 20Z0 SCTM No. 1000-88-5-65 APPLICATION FOR PERMIT TIM ---� --•—��a�+of 7rus:ees 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, )/ a� eff;rey Patanjo P.O. Box 582 Bohemia, NY 11716