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TR-9824
Glenn Goldsmith,President �QF SOUrTown Hall Annex A.Nicholas Krupski,Vice President ,`O� 011 54375 Route 25 P.O. Box 1179 John M. Bredeme er III Y � � Southold, New York 11971 Michael J. Domino G Telephone(631) 765-1892 Greg Williams �l� �� Fax(631) 765-6641 �OUM`1,� BOARD OF TOWN TRUSTEES SOUTHOLD.TOWN BOARD OF TRUSTEES YOU A IRE-REQUIRED-TO CONTACT. THE'OFFICE OF THE BOARD OF TRUSTEES, 72`HOURS'�PRrOR To COMMENCEMENT=OF THE ACTIVITIES,CHECKED-OFF INSPECTION SCHEDULE Pi:e-construction;=hd-'bale lino/silt boom/silt curtain 1St day of construction r -'/ constructed X. When projec#-coriaplete,-call for compliance inspection;, . BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9824 DATE: FEBRUARY 17,2021 ISSUED TO: SHAWN&DAWN WILLIAMS NN 3 PROPERTY ADDRESS: 405 SOUTH DRIVE,MATTITUCK SCTM# 1000-106-11-20 AUTHORIZATION P rsuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in u -29 accordance with the Resolution of the Board of Trustees adopted at the meeting held on Februm 17,2021 and ----------- in consideration of application fee in the sum of$250.00 paid by Shawn &Dawn Williams and subject to the its Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and perm Z the following: rr Wetland Permit to remove and replace 101 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing with raised height of 12" above existing; S acknowledging no intent to disturb the existing vegetation on the bluff; and as depicted on the site plan prepared by Jeffrey Patanjo dated December 10,2020, and stamped approved on February 17,2021. 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 17th day of February,202 1. Greg Williams *75' T Q,,, M&'6A 'K", "�i"i '3� .0. TERMS AND CONDITIONS The Permittee Shawn &Dawn Williams, residing at 405 South Drive,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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn`Goldsmith;President �QF S�(/ry Town Ha11-Annex A.Nicholas Krupski,Vice President ,`O� 54375 Route 25 - John M.Bredemeyer III P.O. Box 1179 Southold,New York 11971 Michael J.Domino G @ Telephone(631) 765-1892 Greg Williams �'� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 24, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: SHAWN & DAW.N'WILLIAMS - 405 S,O.UTH DRIVE, MATTITUCK SCTM# 1000-106-11-20 Dear Mr. Patanjo: The Board of Town Trustees-took the.following,action-during its regular meeting held on Wednesday, February 17, 2021 regarding the above-m'atter:` WHEREAS, Jeffrey'Patanjo on behalf of SHAWN-& DAWN WILLIAMS 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 December 29, 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 greatestextent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structure; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 17, 2021, 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 forthe 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 SHAWN & DAWN WILLIAMS to remove and replace 101 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing with raised height of 12" above existing; acknowledging no intent to disturb the existing vegetation on the bluff; and as depicted on the site plan prepared by Jeffrey Patanjo dated December 10, 2020, and stamped approved on February 17, 2021. 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 Go[ smith President, Board of Trustees GG/dd I NOTE REMOVE E=nNG BULKHEAD FIR 70BBER TOP CAP SnW=RE HN HiS ENnREIY AND INSTALL NEW BUMEAD PROPOSED 3'Xe' POSED Ur LONG 10'SUIT IN THE 00=SAME POBNON REAR WALE crA 7wTED 7=ER Pim B AS E)GSTM WUH RAISED HOW O.O. OF 12'ABOVE EXISTING TOP W. CONNECT TO EXISTING BULKHEAD 693.34' PROPOSED e'er'ca TOP.MIDDLE 6 BOTiOY WALE i i N I \ 0— I PRDP=m nW np CCA ��. PROPOSED 161 LF OF VINYL BULKHEAD _ EXHSMG KRXNEAD � IN SAME LOCATION AS EXISTING O.C. LENOTH&.m° I s�BE I" LAY—LOG WRH 3/4' \ GALVANIC THRUU—BOLTS A?F1ZK0WE MLN FL HLeE ! PROPOSED Te'LONG T'BA. \ GAM TIE ROD,e O.C. I •\ PROPOSED 74'LONG CLOG NOO VOM SHEEDNG EXISTING DOCK TO REMAIN TYPICAL SECTION — BULKHEAD \ V' N.T.S. 2 STORY \ FRAME RESIDENCE1 C REMOVE EXISTING BULKHEAD IN ENTIRELY �PP ®QED Y AND GARAGE - `BOARD OF I TRUSTEES BRICK PAVERs MEAN LOW WATER LINE Y TOWN OF SOUTHOLD C' DA JE F�P� 17 X21 EXISTING JETTY TO REMAIN C� IRR Z S 61045'22"W Z 7.10' o / O MEAN HIGH WATER LINE ALONG FACE OF BULKHEAD r •ta.La O e I to BRICK PAVER i E lei(C E Id E D ,Vf I MEAN LOW WATER LINE IDEC 2 9 2020 CONNECT TO EXISTING BULKHEAD S 79°25'52"W .9.77' Southold Town S 08018'57"E Board of Trustees 7.07' 596.96' 1 S 61001'44"W 4.62' P roposed Permit Playas SCALE: S 17028'48"E 1"=20' 5.so' TE PLAN AND DETAIL DATE: 12-10-20 405 SOUTH DRIVE TITUCK, TOWN OF SOUTHOLD - SUFFOLK COUNTY, NY SHEET: MAP N0. 1000-106-11-20 2 OF 2 F17 77 Mill Road Preserve LOCATION OF PROPOSED WORK 0-N PROPERTY. . SEE SHEET 2 OF 2 FOR DETAILS. N/O/F LOCATION MAP NICHOLAS AND LOIS CAMARANO 103 PICCADILLY DOWNS, LYNBROOK, NY 11563 amw -------------------------------------------------------------- -------- k ss moo'? \`� %% % a ----------------------------------------------------- ...., a 9.7r vr -- _ oar — -- --- a te N 0F � ars a erorw ANDREW MOORE AND KAREN SILVEIRA4"a, 305 CUMBERLAND STREET, BROOKLYN NY 11238 an, D E C E WE ` DEC 2 9 2020 Southold Town Board of Trustees Proposed Permit Plass SCALE: 1"=60' NOTES: OVERALL SITE PLAN & DATE: 1. LOT AREA: 81,921.31 S.F. / 1.881 ACRES PROPERTY OWNER: PREPARED BY: LOCATION MAP 12-10-20 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: SHAWN & DAWN WILLIAMS JEFFREY PATANJO 405 SOUTH DRIVE JOSEPH A. INGEGNO L.S. 1 405 SOUTH DRIVE P.O. BOX 582 MATTITUCK, TOWN OF SOUTHOLD 1380 ROA INGOKE AVE, RIVERHEAD NEW YORK 11901 MATTITUCK, NY 11952 BOHEMIA, NY 11716 SUFFOLK COUNTY, NY SHEET: SURVEY LATEST DATED APRIL 26, 2002 6 PATANJ-9332 JJPATANJO@GMAIL.CO TAX MAP N0. 1000->06-11-20 i of 2 I o��gUFFOI,��oG Glenn Goldsmith, President �a Town Hall Annex A Nicholas Krupski, Vice-President o 54375 Route 25 John M. Bredemeyer, III o ® yr P.O. Box 1179 Michael J. Domino 4,, Southold, NY 11971 Greg Williams °X` �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: SHAWN & DAWN WILLIAMS c/o JEFFREY PATANJO Please be advised that your application dated December 29, 2020 has been reviewed by this Board at the regular.meeting of February 17, 2021 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) Y2 Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) 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 Glenn Goldsmith,R' ,nt Town Hall Annex A.Nicholas Krupski,Vice-President ��� 4�c 54375 Route 25 John M. Bredemeyer III cm z P.O.Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams y �ap�r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD n� Date/Time: Completed in field by: Jeffrey Patanjo on behalf of SHAWN & DAWN WILLIAMS requests a Wetland Permit to remove and replace 101 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing with raised height of 12" above existing. Located: 405 South Drive, Mattituck. SCTM# 1000- 106-11-20 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: . Bredemeyer ✓ M. Domino ,-XG. Goldsmith ✓N. Krupski 51G. Williams Other N -_ Shawn&Dawn Williams ** I M5 South Drive, � .- f. . 1000-106-11-20 2/9/21 PfAfj p 4 � 00,0,-, *0 - - _ _ Imo► � ; . � , �. Z,. • ... 1,, . .: . . . . . . . 1 . SURVEY - OF ,. . . . OF . . BAYVIEW AVEN UE . . LOT.. % .. .�� ,: , � . . D ° � ��'� . % � * . I . . .:�. � :. . . . : '. . . . . . . . . . ., . .1 -,.I .,. 1 I . MAP OF . . . . . ' . o�c z s 20� 0 . ... . . ..Rf�3. ' . . . 0 ... ,e•as. . . . , ' Qg" " .. FILE No. 41 FILED JANUARY 3, 1914 hold Town ' hoard of Trustees . . . . .. .SITUATED AT . . . . . MATTITUCK . . I . . .. ., TOWN OF SOUTHOLD . . - . . O NTY, NEW YORK V. FFC?.LK C U . . . � . • I. S.C. TbX No. 1000-- 106-- 1 1 --20 . . . . . . . SCALE 1 "=30' 1. .' Y G % 1. I JANUARY 24, 1996 .. ,. c NC. MON. j . . AUGUST 29, 1997 PLOT PLAN . .. . . . . . y i� ARCH 9, 1998 FOUNDATION LOCATION . . , 4 . . DECEMBER 17, 1998 UNDER CONSTRUCTION SURVEY • . SEPTEMBER 29, 2001 UPDATE .SURVEY & ADDED PROPOSED POOL & PATIO ' . 4F • NOVEMBERR10, 2001 REVISED2001 MOVED PPROPOSDEDPPOOL &PPATIIO FEBRUARY 24, 2002 ADDED CABANA SEPTIC SYSTEM .. T. -. . . J : . _ �' APR 26, 2002 UPDATE SURVEY IL . w . �a�~• . . . • FOUND BROKEN AREA = 81,921.31 sq. ft. , . LKH . CONC. MON. . . , . . (To BU EAD) 1.881 cc. I. . bG . 11 I. . . - . . �y . . .. M . .. 4 . .. 1 _ - .. . - t , ' . .. '. . . . to • ' 1�� .. .. . . �. _ . . . .. 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GUY WIRE �g ,...•;.. � ..: '<<;r: . 2.0'. 7.0' WEL1.L �..r-1 . . *t . :' �, ,! !.,- '` ' , `AD ooD TIE WALL ,•,� '''� '__ % 51 . • . - i,,' i ROOF OVER 6��'` 6...{ A Ir' N STEPS i ',/��- �' : •• . :� -, • & SLATE in 0m c > "'-_ ' CA Y •i . • DIRT & GRAVEL ORNEWA OtRT GRAVEL DRIVEWAY •'t_. Y..;.. • :. ; .1 pp�yl UTILITY POLE w" •. ,� �' T 22.8• z 8U1I(NEAD. EIu j! _ —. _. � .' ; :� " •.•�:.« N j imm- 25 S 61'45'22'" W . rD VON ) ----— +' r° `� x1. ' • .. . . ,� .0.1 .'~ _ ��_ �+=�e�t r .'-• ;, •' ,r • � ,• .� y 7.10I. �: ..1. Iy:.. ;• •w - +bi 8' "' 'A' • tss '�+ :�"u0 µpm ,, �.. �l�. 4 A / .� Q p . p 9+ L --_—'--� • U17I tTY POLE tp c . .i I* - ',r 'r". WOOD BOOP _, 84.0' •I�OD . a' .:' .. . 11 _ 2,N. '. .� I*14.•,:� .,'�, .' ..6 s PATIO BLOCK WALK CONC PITO FOR s aE (N . •' +: p ► OVERHEAD WIRES ;UTLBITIE F ;�, r•I'� ' A^ •ai�PROPMIE TCNIF3KViEA0U1PMENT& POOL3 �og 3 ' 4' • p ► 0 :.,�::... BRIt7K WALLS '` ► ' 87'15'00" V1/ _ HEDGE Row :QPM .�,v I'' TAIIK vALVE MANHOI E� r<:�.;,�,• y , . . : . s .b D*, DVERHEAD WIRES — OVERFIEAb WIRES C" •.'', • ''`. ' + •. �OIlRB� .- % ='r,. . (1" CONC. BLOCK. S f 9'25'52" '..... . r . . . .. �' ' .2 8'N: 82 0' " MAYiiiii�ill ,Y.7'S.. � BRICK do FRAME , 1•.• , .•. � . . • , .I.:. CHAIN F�ooL—.,(3 c I ._.euanlNc 9.77 . . . ► . ► D . s.' . . . O AY .-: . • : p lu . p p• , 0 DRVFYI p, ► FENCE 0.8'S. HEATElR * FOUND uTMm POLE S 08 18'57" E w y f5D , -:4F `. " •Q. STOCKADEFENCE °\ .P 1.7'S. STOCKADE FENCE CHkN LINK 12.9' 7.07' . .. LOTO . t . o r"'i � ,lye FENCE os's S 61'01'44" W . .. ° AY '. . , ` ' °ss 41 s. $96.96' 4.62 uNAunIZED AtTE,zATK�N OR AnomoN ' . . - c S 17'28'48" E . TO THIS SURVEY IS A VIOLATION of . 5 6O' SECTION 7209 OF THE NEW YORK STATE . . . . . . . _ .� EDUCATION LAW. .. . � I COPIES OF THIS SURVEY MAP NOT BEARING " . . . THE LAND SURVEYOR'S INKED SEAL OR . .. . . I. ' EMBOSSED SEAL SHALL NOT BE CONSIDERED .. . , . TO BE A VAUD TRUE COPY. 1. . GUARANTEES INDICATED HEREON SHALL. RUN I ' .: . . . , IS PREPARED, ANONLY TO THE R�ON HIS WHOBEHALFMTHE THEY . .. . . TITLE COMPANY. GOVERNMENTAL AGENCY AND . LENDING INSTITUTION LISTED HEREON, AND,- �. . TO THE ASSIGNEES OF THE LENDING INSn- :.'., . . I. - E NOT TRANS . • . .. TUITION. GUARANTEES LIR TRANSFERABLE .: _ . THE EXISTANCE OF RIGHT OF WAYS .. - . AND/OR EASEMENTS OF.RECORD, IF . .. ... . . . . . . ANY, N0T SHOWN ARE NOT GUARANTEED. . . .. .. ... ,' . . • , . ARM IN RVEYS AS SHM r1.. i . . S�TA�THE LI FOR CTRLE' NEW YORK D STATE �oS �� �n a no BY THE H USE AN OVER AND ADOPTED e� g FOR SUCH USE N. N D, . .. TITLE.ASSOCIATION. . y, ••r :1 .,: : 11 . Land Surve or. . : , , -- y . .1 CERTIFIED TD: ` �, 1. . I. . FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK . REPUBLIC CONSUMER LENDING GROUP, Inc. `"1`� ^�' `Q� Titles Surveys — Subdivisions — Site Pions --. Construction Layout , ITS SUCCESSORS AND/OR 'ASSIGNS �u�,\ . ' % . SHAWN WILLIAMS \\;,: PHONE (516)727-2090 Fox (631)727-1727 I- \� .. . LI. : I . ED AT . - . . . . 11 _, DAWN WIL TAMS t . . . I. . ' ' :. . ' • : . ' ' : . .. . ' . . . . RIVERH 0 New York 11901 ' Riverhead,* New8Y�93 . SS N.Y.S. Lic. No. 49668 .r 1380 R 1 :; . 11 EAD o 11901—OS , : ., 9 j. .. .. � .. y. . . . .. 96-11 �,- Mill Rodd Preserve `- v4hin N,vYVisw BAYV= AVENUE _ _ �:, ^�' - 3 44}kl./�, v.,i�t ji",Jtriyq..,� r . k•[,'�•'}.. ;�^ - - .- �.:✓.^.'r r* • .--rte si`eaa,7_ `_ _ LOCATION OF PROPOSED WORK ON PROPERTY. SEE SHEET 2 OF 2 FOR DETAILS . N/O/F LOCATION MAP NICHOLAS AND LOIS CAMARANO 103 PICCADILLY DOWNS, LYNBROOK, NY 11563 w 42 ♦ ` a er ro" ------------------ ..,r..• ------- ------ ..—.�, a�ara NO F -- ----�----�—�--- a o sera a 4 r ANDREW MOORE AND KAREN SILVEIRA a ffW4 8 305 CUMBERLAND STREET, BROOKLYN NY 11238 ® ECE � VE DEC 2 9 2020 Southold Town Board of Trustees i Proposed Permit Plans SCALE: 1"=60' OVERALL SITE PLAN & NOTES: i LOCATION MAP DA2- 10-20 1. LOT AREA: 81,921.31 S.F. / 1.881 ACRES PROPERTY OWNER: PREPARED BY: 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: SHAWN & DAWN WILLIAMS JEFFREY PATANJO 405 SOUTH DRIVE JOSEPH A. INGEGNO L.S. 405 SOUTH DRIVE P.O. BOX 582 MATTITUCK, TOWN OF SOUTHOLD APMATTITUCK, NY 11952 BOHEMIA, NY 11716 SUFFOLK COUNTY, NY SHEET: 1380 ROANOKE AVE, R 631-484-9332 TAX MAP N0. 1000-106-11-20 1 of 2 SURVEY LATEST DATED APRIL L 2 26, 2002 NEW YORK 11901 JJPATANJO@GMAIL.CO NOTE.REMOVE OMNO IRIWiEAD EER TTMBER TOP CAP STRUCIURE IN OS ENnRE77' AND INSTALL NEW BUWiEAD PROPOSED 3W ROPOSED IV LONG 10'BUR IN THE EXACT SAME POSRWN REAR WALE CCA 7REATED MMBER PILE,B AS E703 M WITH RAISED HEIGHT O.C. i OF Ir ABOVE ETOS M TOP CAP. CONNECT TO 'EXISTING BULKHEAD 693.34' PROPOSED OW CCA 7WOP.MIDDLE s 807TOM N PROPOSED rp uP E TIP--Zl APPRDIOWE MNL B.23! 0o. PROPOSED 161 LF OF VINYL BULKHEAD Dam=SUMEAD PROPOSED a'TEP c1w POE,e• TO BE RELQVED IN o.o� ;IN SAME LOCATION AS EXISTING uLT7 TO EHIIrEn Y16 GALVANRED THR Mu B.oDt '\ PROPOSED 181 LONG 1'DLA. CAIN.71E ROD,IV O.C. •, 10W\'-PROPOSED 1$LONG CLOC 9800 VIM.SHEMINO EXISTING DOCK TO REMAIN TYPICAL SECTION - BULKHEAD '� cn N.T.S. 2 STORY FRAME RESIDENCE �. REMOVE EXISTING BULKHEAD IN ENTIRETY AND GARAGE 1 BRICK PAVERS MEAN LOW WATER LINE EXISTING JETTY TO REMAIN A S 61°45'22"W Z / 7.10' / c MEAN HIGH WATER LINE ALONG FACE OF BULKHEAD d a o ° I w BRICK PAVER I ® C I MEAN LOW WATER LINE DEC 2 9 2020 CONNECT TO EXISTING BULKHEAD /•' S 79°25'52"W '9,77' Southold Town / S 08°18'57"E Board of Trustees 7.07' 596.96' S 611101'44"W 4.62' FTAX mposed Permit Plans SCALE: S 1702848"E 1"=20' 5.60' TE PLAN AND DETAIL DATE: 12-10-2o 405 SOUTH DRIVE TITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: MAP N0. 1000-106-11-20 2 of 2 r � d r « r s i - s • • 1 A • � i CJD • • 1 w� �. � , ,. it -,��Nr y w ... ..� A, f .. r . . .•� �, �a" � .�,,e � a � , „ `• � �� � � _ �, �.� • • • 1 i �� t b=�� _ _ - �4 ? _ . �.� "�. '�,;+` � ,_ +� 4 �.` mss,,.��, • • � 1 wrr ),l>'Oe3: •.'... 9EE eFG wti.nr .. 1.4A(c) — �__—_ -- -- Q WiCH—Z 3 ,�, a �' -- --- la3 ��� i .• 3 x a m(c) R O i /r '�j,'�, w •y a wn ^.1U 1� 1� i mw �'.° • (8) II } \ 3 ' / `gyp �ti m (�) � eV"'. 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Box 1179 54375 State Route 25 �'r Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold NY 11971 Telephone: 631 765-1938 VU LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: February 11, 2021 Re: Local Waterfront Coastal Consistency Review for SHAWN & DAWN WILLIAMS SCTM# 1000-106-11-20 Jeffrey Patanjo on behalf of SHAWN & DAWN WILLIAMS requests a Wetland Permit to remove and replace 101 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing with raised height of 12" above existing. Located: 405 South Drive, Mattituck. SCTM# 1000-106-11-20 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. 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. A Wetland Permit was not found for the bulkhead. In the event the application is approved, require turbidity controls. 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., February 10, 2021 the following recommendation was made: Moved by Caroline Burghardt, seconded by Peter Meeker, it was RESOLVED to SUPPORT the application of SHAWN & DAWN WILLIAMS to remove and replace 161 If. of existing timber bulkhead with new vinyl bulkhead in same location as existing with raised height of 12" above existing. Located: 405 South Dr., Mattituck. SCTM#106-11-20 Inspected by: Caroline Burghardt, Peter Meeker The CAC Supports the application with a vegetated non-turf buffer landward of the bulkhead. Vote of Council: Ayes: All Motion Carried F ,®� SOOT r- Town Hall Annex Michael J.Domino,.rv6sident � �� �o �, John M.Bredemeyer III,Vice-President ti0 �O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith ,1 Southold,New York 11971 A.Nicholas K-rupski Telephone(631) 765-1392 Greg Williams 4 l�,C®U � �e �( Fax(631)765-6641 ]BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application 6 C E U ET Wetland Permit Application D Administrative Permit Amendment/Transfer/Extension DEC 2 9 2020 ;L Received Application: 12.Zq•W Received Fee: $ Z50.DD Completed Application: Southold Town Incomplete: Board of Trustees SEQRA Classification: TypeI Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): —LWRP Consistency Assessnjent Form Sent: CAC Referral Sent: IoZl ✓ Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: 1 T M1 Resolution: x• 11 Owner(s)Legal Name of Property (as shown on Deed): 6 b G wJY1 f �q w n ' I G/n S Nailing Address: g 0 5' :5 o v A-k C)Q ly o 0 /✓1 a •�����(� �! I S a— Phone Number: 6"b I - 8 7'�-- 14 6 G Suffolk County Tax Map Number: 1000 - 1 "' 1 f'" Property Location: 109_ -Ste+' l% '9 a t v(- — �✓La� {-c-rte c lL N`7 1 l 9 S L .SCC boo^4( o^ A-A,& ? (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): ! Pe,�A Mailing Address: C •0 - (3' (2,. �'1<r►', l a , �� 11 '71� Phone Number: G I•g Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: S Previous use of property: S Intended use of property: 4S 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 w-** 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 No prior permits/approvals for site improvements. Inas any permit/approval ever been revoked or suspended by a governmental agency? -""No Yes If yes, provide explanation: Project Description (use attachments if necessary): g e'n o.ic 44 rl P l N M 161 �,f- S -f-,, i bc(, b�A Cl-ht&J w Jk ne&s vt.,J�_6v LK-be�9 it S v� vv,.4k r,%i se0 hea y kf Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION CATION DATA Purpose of the proposed operations: le^°t..e_ A,4& /e?&W— ate S fY n b 161 t f .a ov?beA- c%/a. 14-i-► Al et-) Lt 6✓ k,K,h ey. y oco<�(VA en. I4A /fir rSceV e-le-y,dej.f e'&147' Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? ✓ No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? N (,A- cubic yards Depth of which material will be removed or deposited: N feet Proposed slope throughout the area of operations: 0- Manner in which material will be removed or deposited: 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): TH,I/� t,v,� �e .� �l�s�'{"1�t e ��c�- ✓n byc-���� cQS e(a,r 'to A Short Environmental Assessment Form Part I -Project Information Instructions for ComnletinLy 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: 405 South Drive-Mattituck Project Location(describe,and attach a location map): 405 South Drive,Mattituck NY 11952 Brief Description of Proposed Action: Proposed work to include the removal and replacement of 161 LF of bulkhead in same location as existing with a raised elevation of 12"above the existing top cap. Name of Applicant or Sponsor: Telephone: 631-872-1466 Shawn and Dawn Williams E-Mail: spwl466@optonline.net Address: 405 South Drive City/PO: State: Zip Code: Mattituck �NY 111952 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 a ❑ 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? 1.881 acres b.Total acreage to be physically disturbed? 01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.881 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 m 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? ❑ ❑ 0 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 If Yes,identify: ❑ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO ❑ 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 ff the proposed action will exceed requirements,describe design features and technologies: ✓❑ ❑ J 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: 17 F-1 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 waterbddy? ❑ ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Page 2 of 3 7 14. Intify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: ©Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional M Wetland ❑ Urban 0 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 ❑ 0 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, M ❑ a. Will storm water discharges flow to adjacent properties? f❑ ❑ b. Will storm water discharges be directed to established conveyance systems(mnoffand 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: ❑ ❑ .1-9. 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: 201las 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/spo /n e: Shawn Williams y% lW +-i-+ n^S Date: ca Z-00-�D Signature: d� "Title:Owner PRINT FORM Page 3 of 3 Part 2-Impact Assessme-1 The Lead Agency is responsible for the comple , if Part 2. Answer all of the following questions in Part 2 using ti 1,brmation contained in Part I and other materials s itted by the project sponsor or otherwise available to the.—..wer. When answering the questions the reviewer snouid be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to Inrge ( impact impact { may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning I regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? RI l 0 3. Will the proposed action impair the character or quality of the existing community? tt�©�� 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? Ef El 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ( ]� L_r_I reasonably available energy conservation or renewable energy opportunities? t " r 7. Will the proposed action impact existing: l a.public/private water supplies? ' b.public/private wastewater treatment utilities? .i- 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ff 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 3-1Determination 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. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, El(� that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the infonnation 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 /a��Zi — (n� Date Name of'Lead Agency President t Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer A��AbleN—Si,, Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) EAF Mapper Summa _ _ leport _ Tuesday,November 3,2020 6:32 PM Disclaimer: The EAF Mapper is a screening tool Intended to assist project sponsors and reviewing agencies in preparing an environmental ti•1 t17_t -iDU-2 t7f C assessment form(EAF).Not all questions asked in the EAF are _ answered by the EAF Mapper.Additional information on any EAF ,: =:s 4-_ ,-1,, t• question can be obtained by consulting the EAF workbooks. Although 10600-1100-17000 �,_ f: - „ the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources in order to obtain data not provided by the Mapper.Digital data is not a ". substitute for agency determinations. "i ,z. _ 10600-1100-118000 C3tt3tr;# �tcntre.tt H �-""" '-"��,, _- _ - _;�1.1_�fJC3,200=142, .,. _ -„-; ”' - �; -, _....�.,..,..,.<<.�;,z ,c.•,. Southold'; 10600-1100-190100 - � - ` t P, Ab3�ctt trace oil ',�y�.'.:ilk��"7z`. - - , Now 4��ak"; irs� s•�", - °;,�g;�,.;,{k EVl Ik _ aPsttcttgh ° ,`Itrtzt� t awl t �a EstiJa` `i't:i ,..;_ t.=.;Y ,rni��m r :, Philadelphian q Kp"Eh��qT f 6 tv l�at. , EtE Asn--tfi>i�-t� li 1 a 6� t iEt-1TP,. 1 Cats");sly ipan.t tElTx Esn Ciw»(Hong l� t�t(r._EsJt t# CFoho"0t s' �tk r i (%area,Esrl�11»ilantb,Pt6CC, Opb�Str t 1 =��t l n t+i dt teA t I: tnwa)�iiwiibe" : +q ie tali potttib 'a#ttNOMie GIS t.s'otcb inTcin Part 1 /Question 7 [Critical Environmental No Area] Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] No 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 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 Board of Trustees Applic-4:t7.on AFFIDAVIT 5r,awtl Dat►n Lot- l !Gm Is BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR T`HE 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 SOUT'HOLID 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,THEIN.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 90ARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. % r Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF e�(� , 20 MANN�i Ruffi,- ftlky P ,State of New,Turk of ' Publi . r B :d of Trustees Application Wll+'I~'ILAND/T1~tUSTED+ LANDS APPLICATIONDA'I�A Purpose of the proposed operations: t O� � T� r stfnb 161 C'f -# i vi k4- 1v,•cA-/ra.S Va -K,h ci� W S 4eln Crt'/►Z Area of wet nds on lot: square fe Percent covers of lot: % Closest distance be een nearest existing struc re and upland edge of wetlands: / ° feet Closest distance betwe nearest proposed ructure and upland edge of wetlands: I feet Does the project involve e avation or ling? ✓ No Yes If yes, how much material will e e avated? N cubic yards How much material will be fille . N I'+ cubic yards Depth of which material will e rem\or ed: N feet Proposed slope throughou the area p- Manner in which mate ial will be reited: �� /z \\ Statemen of the effect, if any, on the wetlands and tidal wat\Ag, town that may result by reason o such proposed operations(use attachments if appr+dbi����'.j6�aliiiC� �) j''`'�� 6 1 e,�� cif' -�L� 4 Board of Trustees Appli4 ion AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property-identified as SGTM# 1000- 1°�' t i_ �° in the town of c4 A- New York,hereby authorizes PA k"?\ 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, t. Q��a-WAAK� v�- Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF.1 eee^Lt ,20 Q�D Notary paw. %yCfk No.O1ST6U81 Ousted 1 6149 ` Commtssin�Expires.w4lt 03, Z No "y Publi AITLICANT/AGENT/REPRES]ENTATIVF, TRANSACTIONAL DISCLOSURE, FORM The Town of Southold's Code of Ethics prohibits conflicts of int rest on the pirt of town officers nd c i iovccs.The a se of this form is to provide information which can alert the town 6 ssible conflicts of interestancLAllow it to take whatever action is necessary to avoid same. YOUR NAME: k)+ III ken s o t vi,, (Last name,first name,.tpiddle initial,tut ess you are applying in a name of someone else or other entity,such as a c mpany.If so,indica the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance B ilding Variance T stee Change of Zone C astal E on Approval of plat oring Exemption from plat or official map PI nni Other (If"Other',name the activity.) Do you personally Cor through your company,spouse,siblin•,I arent,or child)have a relationship with any officer or employee of the'rown of Southold? "Relationship"includes by bloo ,nt;rriage,or business interest.'*Business interest"means a business, including a p:+rtnership,in which the town officcror cmpl yeC f as evcti a partial a;soetsliip of(ur employment byl a corpor:Uian in which thetown o' cer or employee owns more than 5 5 of th shares. YES NO Ifyou answered"YES",complete the balance of s form and da and sign where indicated. Name of person employed by,the Town ofSout old W-1 ,-,,S Title or position of that person fie, — Describe the relationship between yourself a applicant/agent/repr enta6ve)and the town officer or employee.Either check the appropriate line A)through D)andlor escribe in the space provi d. The town officer or employce or his or er spouse,sibling,parent,ore ild is(check all that apply): A)die owner of greater than 5.6 of the shares of the corporate st lc ofthe applicant (when the applicant is a c oration); 13)the legal or beneficial oer of any interest in a non-corporate tity(when the applicant is not a corpotion), G)an off icer,director,parte of the applicant;or D)the actual a lMrr t. `t'� •rile�i;;9�Sldi'! Pp 1L�I�T,'.lt e�b3 ��Ott ' �Illa€kites rti a�t4t,�stl<J � ,�13�it1l.4t�ir�.;it�ic�Str4tFRL}.i DESCRIPTION OF RELATI NS IP ACL-- Submitted thisLrRda f 20 .� Signature Print Name .s„Z , . ( a Fomi TS I ADPL ICANVAGENT/REEPRESENTA'I IVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Prohibits conflicts of interest on the Dart of town officers and emnlovecs.The manse of this form is to rovide information which can alert the town ofp2ssible confltcte of interestand allow it to tale whatever action is necessary to avoid same. t YOUR NAME: �✓� I�1 u�+�►S 5+10�. - (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)haven relationship with any officer or employee orthe Town of Situthold? "Relationship-includes by blood.marriage.or business interest.-Business interest"means a business, including a partnership,in which the town officer or employee has evert a partial ounertihip of(or employment byl a corporation in which thetown o Icer 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 'ride or position of that person-�T�0 j'1 C.-p— ism — Describe the relationship between yourself(the applicant/agent/representative)and the town officer ormployce.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)dic owner of greater than 5%of the shams of the corporate stock of the applicant (when the applicant is a corporation); l3)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is nota corporation): C)an officer.director.partner.or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da o 20ao Signature + Print Name Form TS 1 t APPLICANT/AGENT/RE-PRESENTATIVE TRANSACTIONAL DDISCLOSLW FORM The To—Am of South id's Code of Ethics prohibits conflicts of interest on the vart of town officers and emnloyees.The nuMse of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: _ 4 J-: i I t®em s / -t 11 (Last name,first name,itiddle initial,unless you are applying to the name of- someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building = _ Variance I 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 amployce hats even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5u�of-the shares. YES NO if you answered"YES",complete the balance of this form and date and sign where indicated. Ir 7 toto Name of person employed by the Town-of Southold _ �'1, LAJ t to Vlr-- Title br position of that person-- '� O-M L , ✓S {� Describe the relationship between yourself(the applicant/agent/representative)and the town officer or mployee.Either check the appropriate line A)through D)andlor 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 eorporalion); ti)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not:e corporation); C)an officer,director.partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF WfATIONSHIP SO Submi 1 day of Iea-M S i g n a t u r�� _ Print Name +l 4 Form TS I TRANSACTRONAL DISCLOWU FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town bfficers and employees.The pumose of This farm is to provide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. 11 YOUR NAME: "Pti Tk 17\ r J C't� f CL4 (bast name,f rst ame,Middle initial,unless ou are applying to the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee �— Change of Zone Coastal Erosion Approval of plat Mooring Exemption 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 his 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 orbeneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C}an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted t ' 9 da f m%ol 20310 Signature Print Nam a r+ Form TS I Glenn Goldsmith,Presidento��$QfFO(,fco Town Hall Annex A.Nicholas Krupski, Vice President �� G�,� , 54375 Route 25 John M.Bredemeyer III a P.O.Box 1179 Michael J.Domino r Southold,NY 11971 Greg Williams y p�- r Telephone(631)765-1892 ��� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 2, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of Shawn & Dawn Williams 405 South Drive, Mattituck SCTM# 1000-106-11-20 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, February 17, 2021 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 Yours, v Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President �Q ufFOC� Town Hall Annex A.Nicholas Krupski,Vice President {�°,�� Gym y 54375 Route 25 John M.Bredemeyer III t CD a P.O.Box 1179 Michael J.Domino � Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, FEBRUARY 17, 2021 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, February 17, 2021 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. 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; bei public hearing provided that they are submitted-no later than 12:00 P,U. (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-orcall 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: 936 5601 0209 Password: 238680 • 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. When prompted to unmute your phone press *6. To view the application files please visit: https://www.southoldtownnV.goy 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. suFFoc� Glenn Goldsmith,President 0 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 by or no later than 12:OOPM the day prior to the scheduled Public Hearing for your application will result in a postponement of said application. This office WILL NOT contact you to request said information: • 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 by or 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) FULL DAYS. Sign the form on the eighth day that the green notice of hearing sign has been up on said premises. 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. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: ; lad STATE , F, YQI�I - . C0UNT'Y E)FICQLK ; -- - --- --- -- -=--- = ---- - - - ------- --- residing at ' being;duly,swom,,deposes.arid.says-that on the day of ,20T; deponent-mailed,a.'true copy 'f the Notice set forth in,the Board of Truslees,Appliction;directed to ea+cli 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 shownon 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 MAEURETURN RECEIPT. Sworn to before me this Day of ,20 Notary Public Glenn Goldsmith,President tyl�Oc�VFF0C �4 Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M.Bredemeyer III ti z P.O.Box 1179 Michael J. Domino �t Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(63 l)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES:-TOWN OF SOUTHOLD -----------------------'--------------------------------------- In the Matter of the Application of SHAWN & DAWN WILLIAMS COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FOR1bI UNTIL AFTER POSTING REINIAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, Jeffrey Patanjo ,residing at/dba PO Box 582 Bohemia,NY 11716 being duly sworn, depose and say: That on the I day of February , 2021 , I personally posted the property known as y v5' Sov#n QQ I Ve mot4 tvcK- 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 Wednesdav, February 17,2021. Dated: Z - q -2 t (sin to ) Sworn to before me this. _ day of Feb. 2021 MARILYN S. HICKS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 H16365489 Notary ublic Ouali6ed in Suffolk County Commission Expires October 10,2021 PROOF OF MAILING OF NOTICE,, ATTACH CERTIFIED MAIL RECEIPTS Name: _Address: _ _ SCTM#1000-106-11-19 ( SCTM#1000-106-11-11 Camarano, Lois& Nicholas Pawlik,Stephen &Stephanie 103 Piccadilly Downs PO Box 1611 Lynbrook, NY 11563 j Mattituck, NY 11952 SCTM#1000-10641-21 - - -- - - -J Warnick Moore Andrew Louis Silveira Karen 305 Cumberland Street Brooklyn NY 11238 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 9 day of February , 2021 ,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 ithe 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 to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Sworn to before me this 2 - I -a� Day of February ,2021 MARILYN S. HICKS - NOTARY PUBLIC,STATE OF NEW YORK N Public Registration No.01 HI6365489 ' Qualified in Suffolk County Commission Expires October 10,2021 _ _ 1 • �'-CERTIFIEDWAIUO RECEIPT W M Ila 0 .1 CO CIO L.E a �� Certified Mail Fee Certfed Mall Fes P �� t ul $ jr t �- $ rn' `' Extra Services&Fees(checkbox,add ree s ro date z Extra Services&Fees(checkbox,add fee es Ee prrrfate) r3 ❑Retum Recelpt(hardcopy) $ `a a p ) �j O ❑Returr Recelpt(hardcopy) $_ """".,@@@@dd Y ❑Return Receipt(electronic) $ °B. �2. 0 Return Receipt(electronic), $ Gfl P�$tm� k. ,�, '+.,iPOSer erk Certified Mall Restricted Delivery $ +�l!S N rH ra O ❑Adult Si Mall a Required Delivery $ ° ..... L�Here O ❑ R �� N @ I p [I Adult Signature Required $ -Q ❑Adult Signature Required $ �, E]Adult Signature Restricted Delivery$ ❑ Adult Signature RestrlctecrDelivery$ C3 Postage Postage `�Er- � 9�' Er $ C3 $ m ToSC talPostageand TM#1000-106-11-21 J I f r,I Total Postage an%- SUM#1000-106-11-11 $ Co $ Pawlik,Stephen &Stephanie cO Sent To Warrick Moore Andrew Sent To I Louis Silveira Karen PO Box 1611 Sl�eee an�lApE IVc Sfieei anifApCNo, � ct ,-srare,ziP+a I 305 Cumberland Street �iry,'srera;ziP+4' Mattituck, NY 11952 -ry- tytj,--f,;741 Brooklyn NY 11238 :.I o, ,r) cc n l GO [ � '0 Certified Mad Fee $ Extra Services&Fees(checkbox,add fee as gi piopna�te" ,�. � ❑Return Receipt(hardcopy) $ ' I"rl `i,\j° 3 ❑Return Receipt(electronic) $ �r-f PO,6� ark c ❑Certified Mall Restricted Delivery $ �"S I Here' j `I O ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ 1 1 O Postage o — $ SCTM #1000-10 6=` 11-1� 9 I MTotal Postage and $ Camarano, Lois& Nicholas ro Sent To r-91 103 Piccadilly Downs 5'treetanSdApf No Lynbrook, NY 11563 Cdy State,21P+41 C � 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 via the online Zoom platform. OWNER(S) OF RECORD: SHAWN & DAWN WILLIAMS SUBJECT OF PUBLIC HEARING: For a -Wetland Permit to remove and replace 101 linear feet of existing timber bulkhead with new vinyl bulkhead in same location as existing with raised height of 12" above existing. Located: 405 South Drive, Mattituck. SCTM# 1000-106-11-20 �7TIME & DATE OF PUBLIC HEARING: Wednesday, February 17, 2021 — 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 sdcond 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 FORD 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 si=Wcant beneficial and adverse effects upon.the coastal area(which includes all of Southold Town), 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. 'Thus, each answer must be explalnM in detail, iistina 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# l o& _ 1 / _ so PROJECT NAME 1-/®s 5&--+ Oelue- - The Application has been submitted to(check appropriate response)- Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees L 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: -neye- AW r-ep14e. /6! if 41.164- h�G/Ll�� W &NIW Viti!j C j JA SAA-r— L•c'.f(�.� p Location of action: "-1bS So-+t 02 ' n4't 441 Site acreage: acreage: • dot Present land Use: S Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: 1 (a) Name of applicant: S kft^"'''^ er (b) Mailing address: ��0� 5�_''T� Q IL ' _ AAa+t,�v c-It, '- t l q5�— (c) Telephone number: Area Code( } 6 3 7 a' '1 X116 (d) Application number,if any:_ / 9'T Will;[�No ti n be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ If yes, which state or federal agency?�Li S 0 Ca 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. DEVELOPE,D 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 innfrastructure,makes beneficial use of a coastal locations,and minimizes adverse effects of development, See LRW Section flfl—Policies; Page 2 for evaluation criteria. WYes ❑ No ❑ Not Applicable Pro v_� sc-oA S ts+elh4' wi+L n u ou n ti f net o�'i eS Attach additional sheets if necessary Policy 2> Protect and preserve historic and archaeological resources of the Town of Southold. See L W Section M—P®licie Pages 3 through 6 for evaluation criteria Yes 11N pplicable nap e- -CCA-Attach additional sheets if necessary Policy 3. Enhance visual quality and Protect scenic resources throughout the Town of Southold. See IL'"W Section III—Policies Pages 6 through 9 for evaluation criteria F�rYes ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosiom See ILS Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ Rio ❑ Riot Applicable fDlsePlb..i�l y 4 $f4 /���td� ��c�iG ta. strj ft ✓<< Cjrodco^ w�- Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See ILWRP Section III —Policies Pages 16 through 21 for evaluation criteria U Yes ❑ No ❑Not Applicable ('Olt �Ovl � dl uc'e <f�Sl�n � � t�►2Grrty- ta.� Attach additional sheets if necessary Policy 6e Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See ILS Section III—Policies; Pages 22 through 32 for evaluation iteu°ia. ❑ ❑ Yes No Ne'-- pplicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section In — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 1 Not Applicable -e l—�a 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. ElYe❑ No U Not Applicable .e"tom Attach additional sheets if necessary WORIKINC COAST?P(1 CIES Policy I®o Protect Southold°s water-dependent eases and promote siting of new water-dependent uses in suitable locations. See I,WRP Section IH—Policies, Pages 41 through 56 for evaluation criteria. ❑Yes ❑ Ido Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Pecoanic Estuary and Town waters. See LVaIP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No U Not Applicable w. "ie.� Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See It WRP Section III—Policies; Mages 62 through 65 for evaluation criteria. ❑ Yes ❑ Into U Not Applicable ji o e F-ee-�- Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Sections III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes 0N [ lrNot Applicable �d G PREPARED BY � a�� TITLE DATE December 12, 2020 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 405 SOUTH DRIVE-MATTITUCK SCTM No. 1000-106-11-20 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application, deed, previous surveys 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, J rey Patanjo P.O. Box 582 Bohemia, NY 11716 V E ll D EC 2 9 2020 5ouL'G Torn °card or Trustees