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TR-9811A
Glenn Goldsmith,President ��OF SOUryo Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III [ Southold, New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams '� �� Fax(631) 765-6641 �yCOUNT`1,0c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1874C Date: November 9, 2021 THIS CERTIFIES that the installation of a 100sq.ft. storage shed on wood platform; At 610 Park Avenue Ext.,Mattituck Suffolk County Tax Map #1000-123-8-28.6 Conforms to the application for a Trustees Permit heretofore filed in this office Dated Jahpar 8,.2021 pursuant to which Trustees Administrative Permit#9811A Dated February 17, 2021, was issued"and conforms to all " the requirements and conditions of the applicable,provisions of law. The project for which this certificate is being issued is for the installation of a 100sq.ft. storage shed on wood platform. The certificate is issued to JJS Edgewater LLC c/o Scott Edgett owner of the aforesaid property. Authorized Signature' Glenn Goldsmith,President �QF SQ(/Jy Town Hall Annex V� A. Nicholas Krupski,Vice President ,`O l0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino cn G Q Telephone(631) 765-1892 Greg Williams ��1� Y� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: l 1 A2( INSPECTED-BY: C�, Gv Lo)Sm► �'� Ch. 275 Ch. 111 INSPECTION SCHEDULE _Pfe=construction,..haybale.,line/silt: boom/silt curtain sc::9 of. n co struction cgnstru-ted Project complete,, compliance inspection COMMENTS: ® G m �• 9 811 A - ca nA 'p l cs.c.� 21116 12021 CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President Qf S 0 Town Hall Annex A.Nicholas Krupski,Vice_President ,`O l0 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III [ Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams YO Fax(631) 765-6641 _ BOARD-OF-TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN•DOARD OE TRUSTEES "YOU ARE REQUIRED TO CONTACT THE,-OFFICE OF THE-BOARD OF TRUSTEES MIHO,URS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE . Pre�coristructidn. ka y-bale:JinO/M boom/silt curtain " , :: -,.__. : . •�•St. y Qfc�ir�s�ruc ton=• :,. - , " -, . .. , .' . . -' - , " Constructed " V1/hen"project complete, cellon compliance inspe'ctlon; Glenn Goldsmith,President *9 SU(/rTown Hall Annex A.Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J.Domino G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 C4UM`I BOARD OF TOWN TRUSTEES --TOWN-OF SOUTHOLD - - Permit No.: 9811A Date of Receipt of Application: January 8, 2021 Applicant: JJS Edgewater LLC c/o Scott Edgett SCTM#: 1000-123-8-28.6 -Project Location: 610 Park Avenue Ext., Mattituck - :Date,.of Res6lution/Issuance: February 17, 2021 Date.of Expiration: February 17, 2023 Reviewed by:- Glenn Goldsmith, President Project Description: Install a 100sq.ft. storage shed on wood platform. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275:of:the..Southold Town:Code:,.-The issuance of an Administrative Permit allows•for the operations_as indicated on the site plan prepared by Frederick R. Weber, Architect, received on,February 16, 2021 and stamped approved-dh 'February 17, 2021: Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit•wifl be required. This is not a determination from any other agency. 4V. - Glenn Goldsmith, President Board of Trustees FREDERICK -- -- — — . ROBERT M al F oof �, WEBER I I-I I F I-I ARCHITECT I I I I H I-I Roll-up Door - -I II II II I-I II II I-I p9 I I I-I I-I I I I I I I I I I:I I I I I I I I I I lil I I -72'x LJ LJ LJ LJ L:J LJ r -48'x -30"x SOUTH ELEVATION WEST ELEVATION <11 -66"xx-72' 54"xx-60" QT h -48"x , SHED lvJ -42'x r -36"x FLOAT -24•x �P��� ; j Roll-up Door j -18'x �CpP 2'-6" 9'-01, -12'x O T/1 IL/ 1 u, Wood Pad -6'x S62o _ 00Eh o'� -o'x x1.0 LAND N/F OF f LOOK PLAN STACY ANN ARD 2.6 LEIGH P. WICKHAM x3.0 DRAWING TITLE: P/0 LOT 8 0� 3P C AS � x3.8 STORAGE SHED TIDAL WETLAND BOUNDARY Oq pv AS DRINIATED BY 1 SITE PLAN 1� 0 EN-CONSULTANTS 2/3/2020 �?61, PLAN.L /� y,l ELEVATIONS SEPTIC � ` ) JOB: �Q. roe 70 PROPOSED a� JJS EDGEWATER, LLC STORAGE SHED SHED ON WOOD pqp . .;:�:. 9 9 � •c<` PROPI=RTY OWNER: - — .:•1 .:: '' •. DIR 1 DRI VEWq T , �o �000� �. h JJS E D CT E UJ A T E R, 1_L C ..:.: ::;.. .: :; ,.'Q ea r. V. 1)G Vic. g 610 PARK AVE. EXT. LAND N/F ��1a �O �' ya ao Sr SITUATE: MATTITUCK MATTITUCK, NY TOWN OF SOUTHOLD OF �oGG�g`_� P/O LOT 'C � �� �O, SUFFOLK COUNTY. NEW YORK TOWN OF SOUTHOLD MATTITUCK PROPERTY FAMILY TRUST ( \ ��P- as �. 190 SCTM# 1000-123-8-28.6 OFT' °' 1 S��o s SURVEY INFORMATION: `, ����' d avKENNETH WOYCHUK GPO �� 9- o� ��Q\���o o AQUEBOGUE, NY ARCHITECT: LOT SURVEYED: DECEMBER 8, 2019 oo, �• � �o FREDERICK R. WEBER 0 41 EAST MAPLE ROAD FILED MAP: GREENLAWN, NY 11140 P/O LOT 8 52 NOYAC PATH MARRATOOKA POINT WATER MILL, NY 11916 MARCH 19, 1921 NO. 331 0y,�h SC T Mft 1000-123-08-28.6 TEL 631 154-5555 LOT AREA: 22.263 S.F. (0.51 ACRES) fweberarchltecteyahoo.com pF BUILDABLE AREA: 20,653 f S.F. ZONING: R-90 SEAL: NON-CONFORMING LOT: 20,000 SF TO 39,999 SF r � f. 0 YARDS (ACCESSORY) (20,000- 39,999 SF, 18' HEIGHT) SIDE $ REAR YARD: 10' (MINIMUM) 50.13' S F fi 8f°59"39' �Gls oA\ PROPOSED AREAS: 1 -'�-' G R�P� EXISTING HOUSE: I696 SF `� � r �_ v'v ` v EXISTING PORCHES: 221 SF APPROVED �5`� EXISTING DECK: 27 SF BOARD OF S PROPOSED SHED (14'x7'): 98 SF . TOWN O � �-,;��D - TOTAL AREA: 22 F REV.: ' LOT COVERAGE: il. -r --` r-6604q 17, ZM1 DATE: JAN I, 2020 NORTH SCALE: I" - 20'-0" �• -..__ ..i SITE P JOB NO: w201908 1" = 20'-0" DRAWING NO. C C E I W E c. ' FEB 16 2021 Southold Town OF Al Posrd of Trustees r 4 Glenn Goldsmith, Pre: `�t ti0S �c0 ! �� Town Hall Annex A. Nicholas Krupsk�,-srce-President ��� Gyj - 54375 Route 25 Michael J. Domino o '` P.O. Box 1179 John M. Bredemeyer, III o Southold, NY 11971 Greg Williams y O! Telephone (631) 765-1892 ��l Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1),12) j y33'o Completed in field by: JJS EDGEWATER LLC c/o SCOTT EDGETT requests an Administrative Permit to install a 100sq.ft. storage shed on wood platform. Located: 610 Park Avenue Ext., Mattituck. SCTM#: 1000-123-8- 28.6 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 Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino •1/G. Goldsmith N. Krupski G. Williams Other FREDERICK ROBERT M a1 oof WEBER , ARCHITECT -I Ll Roll—up Door -I I; o I-I I; I-I 71 J I I I i I I I I lil 1 I I I I I I I I I lil I I S I I I I I I I I i:l I I -72"x10 A L J L J L J L J L:J L J -48'x �� x G -3o' .� ••.� WEST ELEVATION SOUTH ELEVATION 1 x-72" -66•x _ w O SHED . -48"x -42"x r -36"x -30"x ---- — ------, FLAT -24"x Roll—up Door �P �•O W . P' -12"x o r� u, Wood Pad boll LAND N/F OF X1.0 FLOOR PLAN o x1� STACY ANN SHEPPARD x 2.6 LEIGH P. WICKHAM 0" 'h�`ryQ4b x3.0 DRAWING TITLE: 0° h� x3.8 P/0 L07 8 ➢ VI�� 5 ��� �� -6p�� 110AL WETLAND B°UNDARYG D 13O�1 oq' � P�'0� AS EN-CONSULTANINMED TS 3izo2° - 1�2 6 SITE PLAN N ' r E ELEVATIONS x • P`������ROP c1' Q 0 vP 2°g SEPTIC 1 JOB: 70 '� a� o s PROPOSED � ,�• O • � ;P1 JJS EDGEtUATER, LLC STORAGE SHED �� O,, SHED ON WOOD PAD39 59 �' PROPERTY OWNER: .....:,: : DIRT DRIVEWAY JJS EDGEWATER, LLC LIO PARK AVE. EXT. e ��� ti°° MATTITUCK, NY LAND N/F ,Oo �•••� `rr SITUATE: MATTITUCK TOWN OF SOUTHOLD OF G��`�P/ P/0 LOT 8 �' �� `''p, TOWN OF SOUTHOLD MATnTUCK PROPERTY FAMILY TRUST l�\QrG� \ ��0?� ao a ego SUFFOLK COUNTY. NEW YORK SCTM# 1000-123-8-28.L 5 �G 5 SURVEY INFORMATION: 'Dill �� KENNETH WOYCHUK cPo \\ oaQ\Vo AQUEBOGUE, NY ARCHITECT: LOT 7 SURVEYED: DECEMBER 8, 2019 FREDERICK R. WEBER 0 41 EAST MAPLE ROAD FILED MAP: GREENLAWN, NY 11140 \ P/O LOT 8 MARRATOOKA POINT 52 NOYAC PATH MARCH 19, 1921 NO. 331 WATER MILL, NY 1191L 4-555 SCTM4 1000-123-08-28.6 fw�beraL3lt c�®yahoo.5om LOT AREA: 22,263 S.F. (0.51 ACRES) 0f BUILDABLE AREA: 20,653 t S.F. ZONING: R-10 SEAL: NON—CONFORMING LOT: 20,000 SF TO 39,999 SF 0 J\ YARDS (ACCESSORY) (20,000— 39,999 SF, 18' HEIGHT) o �53 ��� �' SIDE 4 REAR YARD: 10' (MINIMUM) ' 50.13° Z N °0Z5�" Pa�G S 8{°59'39' E PROPOSED AREAS: REPS EXISTING HOUSE: 1696 SF -� GEXISTING PORCHES: 221 SF EXISTING DECK: 276 SF PROPOSED SHED (1.4'x7'): 98 SF \ TOTAL AREA: 2291 SF REV.: LOT COVERAGE: 11.1% DATE: JAN 1, 2020 SCALE: I" - 20'-O" SITE PLAT ' NORTH JOB NO: w201908 l" = 201_011 2 n WE- !� DRAWING NO. n_ l� tJ t.,. j L FEB 16 2021 ' At Southold Town Etnard of Trustees OF Al r iF l: FREDERICK -- -- — ROBERT Me a1 oof WEBER T i ARCHITECT II - II I I-I I I I r-I II Ii H i I II II I- Roll-up Door I If II II II H II 1I I i J I I I I I I I I lil I I I I I I I I I lil I I WEST S T �L�V�T I O N SOUTH ELEVATION PTS -66"xx-72' 54"xx-60" x 0 SHED -42"x r- -36"X -30"x 1 ---------------- FLOAT -24"x �Pe� �� I Roll-up Door -o P' -18"x 2'-6" 9'-O" 2'=6" � Wood Pad � 1 ty M LAND N/F OF X'° FLOOR PLAN �o x1� STACY ANN SHEPPARD \ry 2.6 LEIGH P. WCKHAM 0.0 DRAWING TITLE: � ON x3.8 407 8 yhh z3.s STORAGE SHED 4O� TIDAL WETLAND BOUNDARY ° Al 00% W pv AS DELINIATED BY I SITE PLAN 1� p EN-CONSULTANTS 2/3/2020 11\ .6-11 6�1 PLA N D PROPOSED �� ' ELEVATIONS STORAGE ON WOOD PADD h e SEPTIC Q e Lr JOB: a� O Lof` '�. O 6 �o JJS EDGEWATER, LLC 195 o,, SHED �9 DIRT DRt/EWAY 59 PROPERTY OWNER: JJS EDGEWATER, LLC 410 PARK AVE. EXT. LAND N/F ti° SITUATE: MATTITUCK ,r MATTITUCK, NY d R� �0 ° TOWN OF SOUTHOLD OF `PGG��p��� P/o LOT s ����' opo d `�0, SUFFOLK COUNTY, NEW YORK TOWN OF SOUTHOLD MATTITUCK PROPERTY FAMILY TRUST � ,o �. 19• 5CTM# 1000-123-8-28.4 ✓G \ oF�' '' 15��a° 5 SURVEY INFORMATION, KENNETH WOYCHUK CPO \ f 9 °a ,0 AQUEBOGUE, NY ARCHITECT: LOT 7 _O, \\ sZk Amo ao y9? 2 SURVEYED: DECEMBER 8, 2019 FREDERICK R. WEBER \ o 41 EAST MAPLE ROAD FILED MAP: GREENLAWN, NY 11140 P/O LOT 8 52 NOYAC PATH MARRATOOKA POINT WATER MILL, NY 11914 �O gry� ,�k� MARCH 19, 1921 NO. 331 �ky�h SCTMU 1000-123-08-28.6 TL fwebera631 154 -55 .5om �� �, LOT AREA: 22,263 S.F. (0.51 ACRES) J / 0� BUILDABLE AREA: 20,653 t S.F. ZONING: R-10 SEAL: r'T NON-CONFORMING LOT: 20,000 SF TO 39,999 Sr YARDS (ACCESSORY) (20,000- 39,999 SF, 18' HEIGHT) ���� ' SIDE 4 REAR YARD: lo' (MINIMUM) 50.13' Z N 15°0�5�° POpp QN\ PROPOSED AREAS: EXISTING HOUSE: 1696 SF EXISTING PORCHES: 221 SF EXISTING DECK': 216 SF PROPOSED SHED (14'xl'): 98 SF ti TOTAL AREA: 2291 SF REV.: LOT COVERAGE: 11.150 DATE: JAN I, 2020 SCALE: I" a 20'-0" SITE P NORTH JOB NO: W201908 I" = 20'-0" DRAWING NO. F EB 16 2021 Southold Town E?oard of Trustees OF Al E , FREDERICK -- -- I- L D C� E ROBERT M al oof WEBER 1 JAN — 8 2021 Southold Town ARCHITECT I Board of-f"rustees I I I I Roll—up Door II po H 1 •-72'x % 9 -30"x WEST ELEVATION SOUTH :ELEVATION I/4" = 1'-0" lG 14'-0" -66•xx-72' ` W - x-60• 54.x -48•x ° SHED -42•x r -36'x -30•x ------------------- FLOAT -laic �P�gZq Roll—up Door -iB•x ���P -12'x � T n in V -6'z Wood Pad 62 o 1J �1 o ,S' S�' C%. 14 Op,, -ox 410 xT.O 01) LAND FLOOR PLAN o xiOF I STACY ANN SHEPPARD Q$ 2.6 LEIGH P. WICKHAM � ,Q0 x3.0 DRAWING TITLE: x3.8 P/O 607 8 ,,����` STORAGE SHED TIDAL WETLAND BOUNDARY AS DELINIATED BY I� SITE PLAN 5 e\ EN-CONSULTANTS 2/3/2020 FLAN G ELEVATIONS h �VN p"n"0 za• Xo JOB: s a. JJS EDGEWATER, LLC 1$6 SHED DIRTDRI�WAY 010 �9 59 PROPERTY OWNER: o s `�Q�c� 1 JJS EDGEWATER, LLC 610 PARK AVE. EXT. LAND N/� 100 �� �o' 2° ya �, `rj SITUATE: MATTITUCK MATTITUCK, NY OF �c``�A�Q� PROPOSED P/O LOT a •c � �� S� OWN �K COUNTY LNDEW YORK TOWN OF SOUTHOLD MATTITUCK PROPERTY FAMILY TRUST l�\Q�� \ STORAGE SHED 10, �. ,9° �' SCTM# 1000-123-8-28.6 \ ON WOOD PAD OFi' 15V�c S SURVEY INFORMATION: z KENNETH WOYCHUK CPO "'`'S �� �', 9' o� 1° AQUEBOGUE, NY ARCHITECT: Lor 7 \ �`;�:•:::::�� e � a � 2 ' g2 Ano �o �9, 2 SURVEYED: DECEMBER 8, 2019 3?�0' \ c� ; FREDERICK R. WEBER ' 41 EAST MAPLE ROAD \\\ 3 FILED MAP: GREENLAWN, NY 11740 y P/O LOT 8 MARRATOOKA POINT 52 NOYAC PATH 1 rG WATER MILL, NY 11916 Ary .�k MARCH 19, 1921 NO. 331 SCTMst 1000-123-08-28.6 TEL 631 '154-5555 LOT AREA: 22,263 S.F. (0.51 ACRES) fweberarchltect®yahoo.com BUILDABLE AREA: 20,653 f S.F. ZONING: R-40 SEAL:. NON—CONFORMING LOT: 20,000 SF TO 39,999 SF YARDS (ACCESSORY) (20,000— 39,999 SF, 18' HEIGHT) SIDE II REAR YARD: 10' (MINIMUM) 50.13 , - 1G PEC;0 PROPOSED AREAS: rm•_, REPS EXISTING HOUSE: 1696 SF G EXISTING PORCHES: 221 SF EXISTING DECK: 2% SF PROPOSED SHED (14'x-f'): 98 SF TOTAL AREA: 2291 SF REV.: LOT COVERAGE: 11.1% DATE: JAN 6, 2020 SCALE: In - 20'-0" SITE F L A N NORTH JOB NO: w201908 1" = 20'-0" DRAWING NO. Ali i OF Al F •' ti F" l� ppii� r—T—rte r g - _ T .. w. l � ,.� :"'r`.., rr_r - .��'. e -.,•:!•'r � � Y ` .->r ..' bra .�'� �.ja t IS �� .+ Y4.�M1 '\�i�` ' . - - �.. ,� \ a Rx.. - - >t AL 4 �.� � •-'---_�-�',�.« :'c �����''�"' _ —_ mat _ _ Q i r� � fix. . . .x4,.. ;� s.,�.i�.'�h`� �,r n\ ��Y- ,��a `� ,,. �r• pi_�'} _' � ,,4# ;.�. "�.�j,/:k -.,,y?"' 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'.' ... 21 2 p ,i p 3o.BA 22 O �°?µl + '° ^^ �• A�m.m,w'wq CREEP p ' u.BA '1."b ENtER ,p +° , no �J/ .:\\. � ,•gMd 4- m.1 47 to g ]P t` ;� , •Y' +g ,y,1 t 119, N°, ``1 +fes 1q �;:./%• 22.10 � e a ' ap2 �m n 1 1 tis � m �..�` •. - O i ?, M` z,i •� 'B�pe ' e �w� t pEGGNi� BAYGRa A ��$ R _.— ' NOTICE COUNTY 4FSUFFOLK SE NO K � sanNao Real Property Tax Service Agency v 6 E CeuMVCmbrmwpr4NYHpp1 MUApEOF 123 "� � ._ PROPERTY IAAF February 161h, 2021 To Whom It May Concern, Trustees, first off I would like to start by saying thank you so much for your attention the other day as we discussed the location of the storage shed at 610 Park Ave Extension, Mattituck. After the comments made by the board, it has been made clear to me that I was thinking about the shed location incorrectly. I have modified the plan to come up with two schemes (Al) and (A2). (A2) is the scheme that we discussed which seemed to be pleasing to the trustees the other evening,though after placing the shed in that location, I came up with a couple concerns. First, it will be the first-shed built across the Right of Way on the point. Second; I feel that it - would impede the view of my neighbors looking down the creek. Thirdly, it is extremely close if not slightly over the title wetlands boundary. On Scheme (A2) I was able to move the shed as close to the Right of Way as possible which seems to have several benefits. First, it is the highest elevation of my property. Secondly, it is in line with all other sheds built on the point. Several homes on the point have shed 'structures that are all in-line on this side of the Right of Way. Third, it's,the furthest possible location of any total wetlands boundary. In conclusion,'I'd appreciate any comments from the board as I hope to receive approvals on one of the schemes so we can store some of the loose furniture laying around the property. I really appreciate everybody's insight and comments. Thank You i Ad ance, ce �-e Scott Ed ett 631-255-4028 [FE EIV 16 2021 Southold Town _Board of Trustees Glenn Goldsmith,President *QF so(/Ty Town Hall Annex Michael J. Domino,Vice-President ,r\O� ��� 54375 Route 25 III P.O.Box 1179 John M.Bredemeer Y � � Southold,New York 11971 A.Nicholas Krupski - G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 COU � art BOARD OF TOWN TRUSTEES JAN - 8 2021 TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT RE: VERIFICATION OF BUILDING DEPARTMENT PERMIT REQ UIREM ENTS=,`._"`T7_,Tw�= � SCT(1(II#,: °PrOoe-q Owner Dame: Date'Se4'16'-Bidd 'Dept: The Office of the Board ,of Trustees is forwarding the above referenced application for verification.of the Building Department's permitting,requirements stated below: Su YES NO Will the proposed project require a Building Permit? t/ Will the proposed project require a variance determination from the Zoning-Board of Appeals? Will any part of this application be considered, (Demolition -, as described under Town Code? COMMENTS: 4�,k signaYure'vo-f Reviewer Date OFFICE LOCATION: q S® �® MAILING ADDRESS: Town Hall Annex �® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 ® Telephone: 631765-1938 ��cOUNTY,� a 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 JJS EDGEWATER LLC c/o SCOTT EDGETT SCTM# 1000-123-8-28.6 JJS EDGEWATER LLC c/o SCOTT EDGETT requests an'Administrative Permit"to install a 100sq.ft. storage shed on wood platform: Located: 610 Park Avenue Ext.,,Mattituck. SCTM#: 1000-123-8-28.6 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. The shed is located within the FEMA Flood zone VE (Velocity Hazard) and is not.consistent with,. k, Policy 4. Structure within these zones should be relocated, or if that is not possible; be minimized. 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 Glenn Goldsmith,President �Q� s�(/T Town Hall Annex Michael J.Domino,Vice-President ,�O `� 64375 Route 25 John M.Bredemeyer III P.O.Box 1179 Southold,New York 11971 A.Nicholas Krupski G g Telephone(631) 765-1892 GregWilliams O �0 Fax(631) 765-6641 ti. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application E E E Wetland Permit Application Administrative Permit -� g 2021 Amendment/Transfer/Extension �� YRecejvedFee: s ceived Application: _ / .2-4 X40. D Southold Townmpleted Application: •Il. Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: 7-L"AW ordination:(date sent):Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: 29-q-24 Receipt of CAC Report: Technical Review: Public Hearing Held: Z-17-2/ Resolution: Owner(s)Legal Name of Property (as shown on Deed): J S G&5 rVJ P'1(c-�L ULC c-Lo Sc.dj' bdq Mailing Address: G85 +-fLALk- A,jC QWLCk05v--t 119,35 Phone Number: 631 196--NOD Suffolk County Tax Map Number: 1000 - M3-%-' . o o q o Property Location: 610 12gL r*ve- Mk 1 —•-a c_L (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): Mailing Address: Phone Number: bard of Trustees Applicai ' n F` GENERAL DATA Land Area(in square feet): I Area Zoning: N09 Previous use of property: Intended use of property: Re,S Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure (s) on property have a valid Certificate of Occupancy? 'f Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_2!!f_No Yes If yes,provide explanation: Project Description(use attachments if necessary): ,3oard of Trustees Applica" -n WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: 1�t4-ts 7 '-K 14' ® S� 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? v.� cubic yards How much material will be filled? � cubic yards Depth of which material will be removed or deposited: vi lix feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited:_ SLA 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): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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: Project Location(describe,and attach a location map): I,UES+ s � oiizPco��r i cs idea o irov.1�� Brief Description of Proposed Action: Ne\pa \W5' 1 S Name of Applicant or Sponsor. Telephone: (03i 2 (_Of v J Te Irk ,ew"-etL t_Lt_ E-Mail: cL0.W@) N r vj0C)N t...Xr.K_S a Address: GF05 -VLACY— Av? City/PO: State: Zip Code: CtA l J v-p- N y I IN35 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 Fx may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site of the proposed action? 0 . 555 acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? O.SSS acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial AResidential(suburban) ❑l;orest ❑Agriculture []Aquatic ❑Other(specify): ❑Parkland Page I of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ® ❑ b.Consistent with the adopted comprehensive plan? © El 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 121 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: 'Dfte�� _ C(e4pL k ALO rlk_ -� 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? © ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ® ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: rx-1 ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: a El 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ® Elb.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grass lands F-1 Early mid-successional ❑ Wetland L1 Urban TO Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? qkov��- ❑ ❑ 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES 1f Yes, ® ❑ a. Will storm water discharges flow to adjacent properties? [N NO ❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: FV1NO [-]YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 5� ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ® ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE a Applicant/sponsor name: l o-w e,-W Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning El ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ E 3. Will the proposed action impair the character or quality of the existing community? 1:1 E 4. Will the proposed action have an impact on the environmental characteristics that caused the El 1:1establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? El 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? El 1:1 7. Will the proposed action impact existing: a.public/private water supplies? El El b.public/private wastewater treatment utilities? El 11 8. Will the proposed action impair the character or quality of important historic,archaeological, D ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ Elwaterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 o No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage El E]problems? 11. Will the proposed action create a hazard to environmental resources or human health? El I Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in 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 information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date 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) PRINK Page 4 of 4 9oard of Trustees Applicaf- ' n AFFIDAVIT J L 65t ori— BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. ignature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF-.—"� .� 120 ]Dawn Joh mon NOTARY Notmry Public,State Of New York nilt+uc ' No 01,1636349053 -� ,, Qualified in Suffolk County � Notary P lie ' i6il���*�T commission Expires 10/11/20&7 loard of Trustees Applica�-' n AUTHORIZATION (Where the applicant is not the owner) I/We, , owners of the property identified as SCTM# 1000- in the town of New York,hereby authorizes to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF J4:Lin�� 20 2 I ��lai'• POW, stflte oEl�e��'®a�/ NO b11C PUBLIC 5 �Cfitlfidl'1G`Jttfd,C�*)EL'.ES APPLICANT/AGENT/REPRESENT,kTIVE TRANSACTIONAL DISCLOSURZ FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide inforination which can alert the town of possihle conflicts of interest and allow it to take whatever action is necessary-to avoid same. YOUR NAME: J S Ect t���1r�cLR—�L(- � �LA dS" (Last name,first name,.piddle 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,njarriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO y— 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 this day of 200_ Signature Print Name i Fotm TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Townl 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 12-; - $ - PROJECT NAME_ (2 k0 JPr Y- Nom E-4� The Application has been submitted to(check appropriate response): NvI Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 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: Pew 100 s5 ' . P I Location of action: (Q k© N40- Site 40- Site acreage: Present land use: 1253 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: (a) Name of applicant: J SS C,c1 t ,,JA-- (L- 1 l c S coo t} 2 S (b) Mailing address: _ �Pr�5 W-4kL. — p"i e c46\05"P- (c) Telephone number: Area Code( ) CQ f 21) *71 D (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ,❑ No KL If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No RNot Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Lam-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 H Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LdvRJF Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes 1:1 No KI Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not ilicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [-] No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® loot Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye�] No® Not Applicable Attach additional sheets if necessary WOREING COAST POLI( ,S Policy 10. Protect Southold°s water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LVVRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LMW Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LVVRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See L'VVRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLE DATE