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TR-9859
��Glenn Goldsmith,President Town Hall Annex�,, ,� � A. Nicholas Krupski,Vice President 54375 Route 25 y P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 16, 2023 Robert D. Kelsey 2345 Rose Walk Drive Alpharetta, GA 30005-8333 RE: 3790 GREAT PECONIC BAY BOULEVARD, LAUREL SCTM# 1000-128-6-4 Dear Mr. Kelsey: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 15, 2023: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#9859, as issued on April 14, 2021. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Glenn Goldsmith President, Board of Trustees GG:dd Glenn Goldsffiith,Presidents Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz GilloolyIrA Southold,NY 11971 Elizabeth Peeples ' Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: -3A312, Completed in field by: 1,l ,® � ROBERT D. KELSEY requests a One (1) Year Extension to Wetland Permit #9859, as issued on April 14, 2021. Located: 3790 Great Peconic Bay Boulevard, Laurel. SCTM#: 1000-128-6-4 Type -of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: II/Chapt.275 Chapt. 111 other Type of Application: / Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.- Present Were: `, G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples February 23, 2023 Board of Town Trustees Town of Southold request a one year extension to Permit Number 9859, dated April 14, 2021. 1 have not been able to obtain a contractor to work on way project due to Covid, an increase in construction demand and a shortage of workers. Included is a check for the fifty dollar fee. Thank you for your consideration. e-16e Robert D. Kelsey 2345 Rose Walk Drive Alpharetta, GA 30005-8333 cell phone: 678-246-9992 emmail: rd el ey_@comcast.net e Glenn Goldsmith, President �QF SU!/TTown 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 Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 COUN1Y,Nc� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF - - -- BELOW INSPECTION SCHEDULE Pte-constructi6n,bafyba1e line/silt-boom/silt curtain 1St day of construction- % constructed When project complete, call for compliance inspection; A BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9859 DATE: APRIL 14,2021 ISSUED TO: ROBERT D. KELSEY PROPERTY ADDRESS: 3790 GREAT PECONIC BAY BOULEVARD,LAUREL SCTM#.1000-128-6-4 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 14, 2021, and in consideration of application fee in the sum of$250.00 paid by Robert D. KeIM and subject to the Terms and eta Ell Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove and replace existing stairs and covered platform down existing bank consisting of 41x14'steps,6.5'x7.5' covered platform,and 41x41 steps leading to an on-grade 10'x20' deck and 4'x4l cantilevered platform with seasonally removable 41x9l steps to beach; all decking to be un treated timber or composite and seasonal steps to beach to be aluminum or un-treated timber or composite; and all work to be in same location as existing and done by hand methods with no machinery; g and as depicted on the site plan prepared by Jeffrey Patanjo,dated January 5,2020,and stamped approved on April 14,2021 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 14th day of April.2021. C* A Ll MIN TERMS AND CONDITIONS The Permittee Robert D. Kelsey, residing at 3790 Great Peconic Bay Blvd.,Laurel,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 SOUrTown Hall Annex A. Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25 P.O. Box 1179 John M. Bredemeer III Y � � Southold,New York 11971 Michael J.Domino G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 C4UNT` I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 16, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: ROBERT D. KELSEY 3790 GREAT PECONIC BAY BLVD., LAUREL SCTM# 1000-128-6-4 Dear Mr. Patanjo: The Board of Town Trustees took the following actiori during its regular meeting held on Wednesday, April 14, 2021 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of ROBERT D. KELSEY applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 13, 2020, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings. and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 14, 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ROBERT D. KELSEY to remove and replace existing stairs and covered platform down existing bank consisting of 4'x14' steps, 6.5'x7.5' covered platform, and 4'x4' steps leading to an on-grade 10'x20' deck and 4'x4' cantilevered platform with seasonally removable 4'x9' steps to beach; all decking to be un-treated timber or composite and seasonal steps to beach to be aluminum or un-treated timber or composite; and all work to be in same location as existing and done by hand methods with no machinery; and as depicted on the site plan prepared by Jeffrey Patanjo, dated January 5, 2020, and stamped approved on April 14, 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, 411- ip" Glenn Goldsmith President, Board of Trustees GG/dd zf�cuFF01 C��r� Glenn Goldsmith, President ;r�o�. oy�\ Town Hall Annex A Nicholas Krupski, Vice-President y z h 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 Michael J. DominoSouthold, NY 11971 Greg Williams 4 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ROBERT D. KELSEY Please be advised that your application dated January 13, 2020 has been reviewed by this Board at the regular meeting of April 14, 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) '/z Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees - tt' PROPOSED 4X4 CCA POSTS PROPOSED 2X2 CCA RAILS W = ; _APPROVE.®--BY AT 4. O.C. SPACING PROPOSED UN-TREATED TIMBER OR E...� BOA y j] COMPOSITE DECKING SURFACE 1 ,;'BOARD OF I ICUST,EES 3,4• GALVANIZED HARDWARE 1PROPOSED 2X8 CCA STRINGERS w ♦♦ -TOWN=OF SOUTHOLD " PROPOSED 3X6 CCA C • • DATE PROPOSED STEPS TO BEACH TO ,�1 Q 1 ♦ ` — ��fBE SEASONALLY REMOVABLE fir~ \ - - - � O $+ FRAME GARAGE F w pyo,♦♦ ♦ \��\\��\��\��\��\��\��\\/� ♦ I \ \ PLATFORM AND STAIRS SECTION ♦ ♦ N.T.S. H19hwind 5 -- ,d0- �t---____ "'-.._ Qa°'� ♦ 2 STORY ♦ I E_ _--.._._-----. -._--= - ,` ♦ FRAME RESIDENCE 1 ♦ ?~ PROPOSED 4' X 4' CANTILEVERED PLATFORM L \ JAN 1 3 2020 l, d+r ♦\ �! ♦ PROPOSED 4' X 9' STEPS TO BEACH I ! I y` j &�,r' (SEASONALLY REMOVABLE – ALUMINUM OR UNTREATED TIMBER) 11 -;n PREVIOUS LOCATION OF STORM DAMAGED STEPS TO BEACH ISiriu,I.�;t� ♦♦ 1 ♦ 10 = EXISTING JETTY TO REMAIN UNDISTURBED �® 3970 P"Onlc •1 .�/�^ 9a7rt3oulevard EXISTING BRICK WALK TO REMAIN 1 I ♦ I PROPERTY OWNER: ��•,�` I ROBERT D. KELSEY tib- �' \ 11 S I 2345 ROSE WALK DR. ♦♦ it I ALPHARETTA, GA 30005 LOCATION MAP \ I I PREPARED BY: BEACH I JEFFREY PATANJO N.T.S. REMOVE do REPLACE 4' X 14' STEPS IN SAME LOCATION AS EXISTING ♦ z 3 I P.O. BOX 582 BOHEMIA, NY 11716 REMOVE do REPLACE 6.5' X 7.5' COVERED TIMBER PLATFORM IN SAME LOCATION AS EXISTING J Y �j 1 –{ 631-484-9332 REMOVE do REPLACE 4'–X 4' STEPS IN SAME LOCATION AS EXISTING Z m i JJPATANJO@GMAIL.COM PROPOSED 20' X 10' DECK TO BE FLUSH WITH SURROUNDING GRADE i ♦♦ X I w co w 11 i w Proposed Permit- Plans SCALE: NOTES: ^^ � TIMBER NOTES: ♦ 1 I F�'�'I 1"=30' 1. LOT AREA: 38,468 S.F. / 0.881 ACRES ALL STRUCTURAL TIMBER TO BE CCA I I POSED PLAN SECTION ALL DECKING TO BE UN–TREATED TIMBER OR COMPOSITE MATERIAL I I DATE: 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: ! \ 3 Q 3 & LOCATION MAP 1-5-20 PECONIC LAND SURVEYORS, P.C. ♦ _ J 1230 TRAVELER STREET, SOUTHOLD NY 11971 s ♦ 1 q W PECONIC BAY BOULEVARD SURVEY LATEST DATED FEBRUARY 20, 1992 1 . 1 1 rn I UREL, TOWN OF SOUTHOLD �\ SUFFOLK COUNTY, NY SHEET: 1 I MAP N0. 1000-128-06-04 1 OF 1 I Glenn Goldsmith, Pre' nt0uFF0I0t CpG� Town Hall Annex A.Nicholas Krupski, Vice President J,F; 54375 Route 25 John M. Bredemeyer III v P.O. Box 1179 Michael J. Domino u- ^r Southold,NY 11971 i Greg Williams .y'�0 ��!•, Telephone(631)765-1892 1 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 11 Date/Time: 4/7�Z) 3 26 Completed in field by: Jeffrey Patanjo on behalf of ROBERT D. KELSEY requests a Wetland Permit to remove and replace existing stairs and covered platform down existing bank consisting of 4'x14' steps, 6.5'x7.5' covered platform, and 4'x4' steps leading to an on-grade 10'x20' deck and 4'x4' cantilevered platform with seasonally removable 4'x9' steps to beach; all decking to be un-treated timber or composite and seasonal steps to beach to be aluminum or un-treated timber or composite; and all work to be in same location as existing and done by hand methods with no machinery. Located: 3790 Great Peconic Bay Boulevard, Laurel. SCTM# 1000-128-6-4 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice/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 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner Present were J. Bredemeyer M. Domino G. Goldsmith N. Krupski VIG. Williams Other •� e ,rr r jlc .d' d '� ^hk•,�*'�` *k1� Rei� ',�1��%.' ..L, ,�ti 13, lb r L �� i ■ t;*' i -A-V- r h„ til � •..h Glenn Goldsmith, Pr( ,it Town Hall Annex A.Nicholas Krupsl<i,Vice' -resident a� y� 54375 Route 25 John M. Bredemeyer III rc P.O.Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams ? dap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Jeffrey Patanjo on behalf of ROBERT D. KELSEY requests a Wetland Permit to remove and replace existing stairs and covered platform down existing bank consisting of 4'x14' steps, 6.5'x7.5' covered platform, and 4'x4' steps leading to an on-grade 10'x20' deck and 4'x4' cantilevered platform with seasonally removable 4'x9' steps to beach; all decking to be un-treated timber or composite and seasonal steps to beach to be aluminum or un-treated timber or composite; and all work to be in same location as existing and done by hand methods with no machinery. Located: 3790 Great Peconic Bay Boulevard, Laurel. SCTM# 1000-128-6-4 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 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: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other N SURVEY OF PROPERTY AT LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, 1000-128-06-04 m SCALE: 1'=40 FEBRUARY 20, 1992 NOVEMBER 5, 2020 r VAR — 9 2021 c J pr v CMF J 0 FEN.END Q GJ� 0.6'W ��•v 2.3'S �Q' o Q� "V Q rn Q �cM cGMP p O ATER 6 WATER / METER . VALVE \ i O s - X f� / FEN.COR. O 0.l'W = i ct N/O/F ERIC & KERRI FREND i v� Ir N/O/F 1 9MAY E NOLTE i L z LAUREL COUNTRY ESTATES PROPERTY OWNERS ASSOCIATION FEN OR. i 0.4'W AF • m 1.9 20 4 J 1.9 20 4 FR. OUT. SHOWER BRICK WALK n rFISH z POND G � J ODD RAMP RAMP nn O w000 FEN.END DECK 0.5'W 12.2 t0.3 15.0 8 . N/0/F 2 sv- w STOOCONCP CMF R w GAIL & HENRY VONELM rn N�uSE RET. WALL 35. 4.2'E • 3 WOOD RETAINING R/0 ¢� �j ! WALL, BULKHEAD PORCH !%! ! RETURN to • BRICF. WALK °6' qo� WOCD SR770' DECK ° FLAGPOLE--. ti°� % J.� ' WOOD JETTY KEY 4.2'EW y0/ /� ® = WELL ® = STAKE V = TEST HOLE / ® = PIPErn / QO ® = MONUMENT WETLAND FLAG Al <,F F• a `' ;; = U77UTY POLE 4- . t ELEVA77ONS REFERENCED TO NA VD 88 ANY ALTERA77ON OR ADD177ON TO THIS SURVEY IS A WOLA77ON OF • ,. LIC. N0. 49618 SEC77ON'7209 OF THE NEW YORK STATE EDUCA77ON LAW. EXCEPT PECONIC-°SURVEYORS, P.C. AS PER SEC77ON 7209—SUBDIVISION 2. ALL CER70CA77ONS HEREON (631) 765-5020 FAX (631) 765-1797 ARE VAUD FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP AREA= 38,463 SO. FT. P.O. BOX 909 OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE TO TIE LINE SIGNATURE APPEARS HEREON. 1230 TRAVELER STREET sOUTHOLD, MY 11971 92-115 cq I moo., PROPOSED 4X4 CCA POSTS rJ PROPOSED 2X2 CCA RAILS wAT 4' O.C. SPACING PROPOSED UN-TREATED TIMBER OR a COMPOSITE DECKING SURFACE Eu/,,3/4" GALVANIZED HARDWARE O I PROPOSED 2Xa CCA STRINGERS PROPOSED 3X6 CCA _ PROPOSED STEPS TO BEACH TO Q I \ BE SEASONALLY REMOVABLE ♦ \�i��/i��i��i�\�i��i��i��i��i��i�\iii\ O FRAME GARAGE W moo.,\♦ \j\\//\//�j\//\//\j�\\/� \ \ PLATFORM AND STAIRS SECTION \ ♦ N.T.S. 'Hghwlnd FWT Farms 2 STORY i ♦\ i`'~; (�_' [, f r _ - _ - - ,-1,` ♦ FRAME RESIDENCE \ PROPOSED 4' X 4' CANTILEVERED PLATFORM i \ ,! �°�;�~ ♦\ y I \ I PROPOSED 4' X 9' STEPS TO BEACH 1f JAN 13 2020 I (SEASONALLY REMOVABLE — ALUMINUM OR UNTREATED TIMBER) f �• 'rsy 1 PREVIOUS LOCATION OF STORM DAMAGED STEPS TO BEACH ry r ti_ �` ♦\ $rr ♦�o = EXISTING JETTY TO REMAIN UNDISTURBED __ ' ��" 9r E`� 4 rl r • ' ✓- �3voPeoomc, EXISTING BRICK WALK TO REMAIN ~ Ba�BoulerarA ♦ I PROPERTY OWNER: r ROBERT D. KELSEY 2345 ROSE WALK DR. - — - - _ - ♦ I� " i ALPHARETTA, GA 30005 1 . PREPARED BY: LOCATION MAP ♦ 1 J I I \ I s�ncH I JEFFREY PATANJO N.T.S. ♦ ! 3 I P.O. BOX 582 REMOVE & REPLACE 4' X 14' STEPS IN SAME LOCATION AS EXISTING z =� I• �..1 BOHEMIA, NY 11716 REMOVE & REPLACE 6.5' X 7.5' COVERED TIMBER PLATFORM IN SAME LOCATION AS EXISTING 1' _ �i 631-484-9332 REMOVE & REPLACE 4' X 4' STEPS IN SAME LOCATION AS EXISTING z m I TO, JJPATANJO@GMAIL.COM PROPOSED 20' X 10' DECK TO BE FLUSH WITH SURROUNDING GRADE' i ♦♦ X ? I I v NOTES: ^ � w W lPTAX Proposed Permit Plans SCALE: TIMBER NOTES: ♦ I Iii 1"=30' 1. LOT AREA: 38,468 S.F. / 0.881 ACRES ALL STRUCTURAL TIMBER To BE CCA I I POSED PLAN SECTION ALL DECKING TO BE UN—TREATED TIMBER OR COMPOSITE MATERIAL I _ I DATE: 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: \ 3 a 3 & LOCATION MAP ,-5-zo PECONIC LAND SURVEYORS, P.C. \ w PECONIC BAY BOULEVARD 1230 TRAVELER STREET, SOUTHOLD NY 11971 s \ c UREL, TOWN OF SOUTHOLD SURVEY LATEST DATED FEBRUARY 20, 1992 , I SUFFOLK COUNTY, NY SHEET: I MAP N0. 1000-128-06-04 1 of 1 I " t w • 4 Photo 1 (12/19) t �Y. Photo 2 (12/19) r . I w to ,���,� •. •� ,. _ � �� � fes/ � •' � , J v 1 i r � r i • v � . Photo 4 (12/19) m aeau+ _—v-- f..�..,�1w--.—.«._ ;:rc _..___— .E .�.!v' YT^C srs-s'CY. • ._ P 1 1 - . SEE SEG.NO.110 / HATCH UNE FOR PCL.NO. a �J �3 SEE SEC.NO. �ta5M0a13] .� ✓ w I 4 Taft IIS sEE sFc.ra. a O .�• l.w=) I rasa-oxn 5 / I zaA(c) � B1 O F , A. �- • 1z w I g� .1.} 4 /• b Co � I e 1j SEE SEC.O. I triol m 2 / 1AA M1✓ am I, 9 glee / 12 iA. '1 to y 14 r t.1A M � 142 t� f 6 / 3 eM1N• R ! � / T � \e /� m ✓ / - t ,0.t / A 1.1A a / t � e O y L 2 tw � a• . xI 17 n t.tN�l � x T ? / to j d 5 ao w=) ,z � a / n j u to P �P P / / �P • twws WMOLD SECTION NO NOTICE COUNTY OF SUFFOLK © e 3 e Real Property Tax Service Agency r ne m �a 12$ rrw.r�r r wa . n+ouin MAP E •••••• M•___ �� r owlr . nwllrnanullceA+ne,o.or r«�1D �• " 100" PROPERTY N r.ia.. D•••-• w. 1zl Nhs uu u• — ��"• --•-- owu.--�-- �aegor.wn tAf�rmxE,vfncr ��aom.rr.an OFFICE LOCATION: � �� r MAILING ADDRESS: Town Hall Annex ° <p " P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 � t Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Heather Lanza, AICP, Town Planning Director on behalf of Mark Terry, LWRP Coordinator&Assistant Town Planning Director Date: April 14, 2021 Re: Local Waterfront Coastal Consistency Review Kelsey SCTM# 1000-128-6-4 The application referenced above is for a Wetland Permit to replace steps to and over existing retaining wall and bulkhead, replace a platform, and add a new 10' x 20' deck between the wall and the bulkhead. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action of replacing the stairs is CONSISTENT with the LWRP. Note that the protective function of any vegetated or non-turf buffer in between the retaining wall and the bulkhead will be reduced by the new deck, which will cover approximately 20% of that area. Consider a smaller deck to improve the function of the buffer. 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 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Monday, March 1, 2021 10:40 AM To: jjpatanjo@gmail.com Subject: KELSEY Property; SCTM# 1000-128-6-4 Jeff, I don't know if Amanda spoke to you but she had reviewed the survey last dated November 5, 2020 and determined that the project does not need a variance from Zoning Board of Review. Once this office receives four(4) original surveys the application can move forward with the application. As always,the drop boxes are outside in front of the building if someone wanted to drop them off in lieu of mailing them. 56 tl &wthe2C Senior Office Assistant Town of Southold Board of Trustees Office: 631-765-1892 Email: elizabethc@southoldtownny.gov 1 Glenn Goldsmith,President �Qf sorry Michael J.Domino,Vice-President ,`O� O01 0 John M.Bredemeyer III A.Nicholas Krupski CX) Q Greg Williams O ® BOARD OF TOWN TRUST, 44 TOWN OF SOUTHOLD TO: SOUTHOLD TOWN BUILDING DEPARTMENT (�� �► �1115--- -- RE. VERIFICATION OF BUILDING DEPARTMENT P�_T s� SCTM#: JAN 1 5 2020 Property Owner Name: K Date Sent to Bldg. 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: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? V Will any part of this application be considered-a Demolition as described under Town Code? - COMMENTS: Pa f2a pa v_G4 &YJ ag ffiyilr_ 1 kc,� �� 1 a4,�/ Signature of Reviewer Date r " Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Thursday,January 23, 2020 1:19 PM To: jjpatanjo@gmail.com Subject: FW: Kelsey From: Cantrell, Elizabeth Sent:Thursday,January 23, 2020 1:18 PM To: Nunemaker,Amanda <Amanda.Nunemaker@town.southold.ny.us>;Jeffrey J. Patanjo (jpatanjo@optonline.net) <jpatanjo@optonline.net> Subject: RE: Kelsey Hi Jeff, Just as an FYI, until we receive 4 updated surveys depicting what Amanda requested, and it can be determined by Amanda whether or not a ZBA variance will be required,the application will be tabled with our office. If you have any questions, please don't hesitate to ask. Elizabeth From: Nunemaker,Amanda <Amanda.Nunemaker@town.southold.ny.us> Sent:Thursday,January 23, 2020 9:36 AM To:Jeffrey J. Patanjo (ipatanio@optonline.net) <ipatanio@optonline.net> Cc: Cantrell, Elizabeth <elizabethc@town.southold.nv.us> Subject: Kelsey Hi Jeff, Hope all is well. I am reviewing the Trustees application for proposed work at 3790 Peconic Bay Blvd., Laurel. There is an "as built" deck addition to the house that does not meet the required 15'side yard setback. This would require a variance from the ZBA or they could cut it back. In addition,the surveyor needs to indicate whether or not there is a bluff on this lot as defined by the Town Code definition (see below). The survey indicates it's a bluff but your plans display it as a bank. If this is a bluff,then the "as built" deck and the proposed 6.50.5 covered deck will require variances from ZBA. Please provide the Trustees with a revised survey that displays the topography and slope of the area in question. Town Code definition of bluff: Land presenting with a precipitous or steeply sloped face adjoining a beach or a body of water. For the purposes of this chapter, a precipitous or steeply sloped face shall be a face with a slope of 20%or greater and a height of greater than 20 feet between the toe of the bluff and the top of the bluff. Thank you. Let me know if you have an questions. .Amanda Nunemaker Building Permit Examiner 1 7 f _ Peter Young,Chairman H I own Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 i Southold,NY 11971 Telephone(631)765-1889 1 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., .February 5, 2020 the following recommendation was made: Moved by John Stein, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of ROBERT D. KELSEY for the removal and replacement of existing stairs and covered platform down existing bank consisting of 4'X 14' steps, 6.5'X 7.5' covered platform and 4'X 4' steps leading to an on-grade 10'X 20' deck and 4'X 4' cantilevered platform and seasonally removable 4'X 9' steps to beach. All decking to be untreated timber or composite and seasonal steps to beach to be aluminum or untreated timber or composite. All work-to be in same location as existing and done by hand methods with no machinery. Located: 3790 Peconic Bay Blvd., Laurel. SCTM#128-6-4 Inspected by: James Abbott, Caroline Burghardt The CAC Supports the application with retractable steps at the base of the beach stairs, seasonally removed or raised. Vote of Council: Ayes: All Motion Carried Michael J.Domino,President ��®� S®UTy® Town Hall Annex John M.Bredemeyer III,Vice-President �� �® 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Telephone (631) 765-1892 Greg Williams COU Y Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application R! a Wetland Permit Application Administrative Permit Amendment/Transfer/Extension JAN 13 2020 i Received Application: 1.15.zo Received Fee: $ Z90. M - Completed Application: 1•I •Zd - f_ Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): d,f �LWRP Consistency Asessment Form Sent: -CAC Referral Sent: U2•zv Date of Inspection: oZ Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): S'-u Mailing Address: _ (L OSe _WeLLb_' Ok - A t P Ina�rg-N CpA 3 0 0 Phone Number: Suffolk County Tax Map Number: 1000- 1 06 °y Property Location: 3 7 9 0 �t eon is gay g l�� L r�L See— (If «(If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Mailing Address: tO-v •ISo S P Z IUY 11716 Phone Number: lo 3/ y JVy' 9 3 3a- CS �a\7 Board of Trustees ApF)-",-,,.ation GENERAL DATA Land Area(in square feet): Area Zoning: Re,S Previous use of property: (L.e S- Intended use of property: Kes 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 u-"—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 c_do Vne—f KVlocb,-'(�� koLts — �ASu� f��� ��s �c�s sever bei► So�� Prior permits/approvals for site improvements: Agency Date r,oc-tees '-4-- S1y4 Ma/'cA X2. 2aoo ✓ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓No Yes If yes,provide explanation: Project Description(use attachments if necessary): Ste gac.di�� Robert D. Kelsey 3790 Peconic Bay Blvd. Laurel, NY 11948 SCTM No.: 1000-128-06-04 PROJECT DESCRIPTION: The project includes the removal and replacement of existing stairs and covered platform down existing bank consisting of 4'x14' steps, 6.5'x7.5' covered platform and 4'x4' steps leading to an on-grade 10'x 20' deck and 4'x4'cantilevered platform and seasonally removable 4'x9'steps to beach.All decking to be un-treated timber or composite and seasonal steps to beach to be aluminum or un-treated timber or composite.All work to be in same location as existing and done by hand-methods with no machinery. b6atd at 1fuStEeS A��11�la�lax� WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Sr<e c. -4e cA d Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 5'.0o feet Closest distance between nearest proposed structure and upland edge of wetlands: s v o feet Does the project involve excavation or filling? ✓ No Yes If yes, how much material will be excavated? ^' A cubic yards How much material will be filled? �") 4 cubic yards Depth of which material will be removed or deposited: 0-14 feet Proposed slope throughout the area of operations: 0 - 2,5, Manner in which material will be removed or deposited: '-f) 0 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): (1'016e,-4 h,.,& ". e-(�-cc Ern ,je-H nk� &4v.e v Se-oPe- of WIP/ZJL IS n of t 0 GA T l C9J r' > i . Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 3790 Peconic Bay Boulevard Project Location(describe,and attach a location map): 3790 Peconic Bay Boulevard,Laurel NY Brief Description of Proposed Action: Remove existing timber walkways,stairs and covered platform and replace in kind.Install new deck and cantilever timber platform and steps to,beach to replace damaged steps. Name of Applicant or Sponsor: Telephone: 678-246-9992 Robert D.Kelsey E-Mail: rdkelsey@comcast.net Address: 2345 Rose Walk Dr. City/PO: State: Zip Code: Alpharetta GA 130005 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources,that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/Town of Southold Trustees ❑ RL 3. a.Total acreage of the site of the proposed action? .881 acres b.Total acreage to be physically disturbed? 05 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .881 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial ❑✓ Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ Fv� ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: A9ency:Suffolk County,Date:7-12-88 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES ❑ F-1b. 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? 21 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the ❑ State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ R1— 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: rz fi3se "45p*a"YY�h Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: 0 Shoreline ❑ Forest ❑Agricultural/grasslands ❑Early mid-successional ❑Wetland ❑ Urban ❑✓ Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? W-1 El 16. Is the project site located in the 100-year flood plan? NO YES ❑ R1 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, W ❑ a. Will storm water discharges flow to adjacent properties? ❑ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ ❑ If Yes,briefly describe: , r 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE / Applicant/sponsor , Rob D. el Date: (15&o Signature: -A, Title:Owner PRINT FORM Page 3 of 3 Part 2-Impact AF �rnent. The Lead Agency is responsible for the er Aetion of Part 2. Answer all of the following questions in Part 2 L g the information contained in Part I and other mat s 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 11 W—fl—Ithe proposed action create material conflict with ail adopted land use plan orzoni�Tmng regulations? ——- --- ....... I Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character orquality of the existing community? LI 4• Will the proposed action have an impact it the environ mental characteristics that Caused the establishment ofa Critical Environmental Area 5. Will tile proposed action result in an adverse change in the existing level of traffic or tie infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available crien-vA. conservation or renewable energy opporwrl ides? El 7 Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8- Will the proposed action impair the character or quality of important historic,archaeological, 741 architectural or aesthetic resources? E ......--- ----------------- 9- Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauns}, natural _ roposed action result in all increase in the potential for erosion, flooding or drainage .......I problems? ........... 11. Wilt the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3, Part 3 should, in sufficient detail, identify-the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-terill, long-term and cumulative impacts. documentation, DCheck this box H'you have detcrrrl�ned,based on the information and analysis above,and any SUpportin that the proposed action may result in one or more potentiaky large or significam adverse impacts and�an envi ro ni-nental impact stateinew is required. Check this box if You have determined,based on the information and analysis above,and any Supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. 'Town of S,)Whold-E3oard of Tmslees �1, i Name of Lead Agency Date PvesideN Title of Responsible Officer le Officer in Lead Agency Prim or 'Fvpe "I DI Responsib EAF Mapper Summary Report Wednesday,January 01, 2020 8:58 PM Disclaimer. The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies in preparing an environmental assessment form(EAF).Not all questions asked in the EAF are = answered by the EAF Mapper.Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although h` the EAF Mapper provides the most up-to-date digital data available to `e ;tet• ;5. -`'•'. , ' 'A' "'t; :',y; ;„.:'_`;;, ;tr 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. - _ w+r, - "�ij��•,•'a `r�'" :'`zX... _ i� �, "•f,i._ 3 y„lW,nnwu•an...•.o.;r,'N+^`F - •K' G s oa e;° r. _--f., Tot arito -;,�"• _ rva ''p ".� •� ,.arc` "r.`,6 ::'E �?eirP�.- ecwst€,n. x `reii c &'(i USC iEzcE:;Garii�in`'US ;'''t' E)e4, tc- ;r;' gra=, „• . �, 'y2 s� .r„ _ 'Yf • .rkr, Y'+ t�`r= • E, A`, = at' ` trtesniep.,lhFr1E?!t'Rh}Csri': _s-" is p.s �w .w,i, ri,, E.Garmin,, �.F.,� span,,8•tETI;,,)=sri`Gtsina(}•ierig 3Ccng):Esri° ,, . ;1�ifc=- t � ` Corea,Esti#Td sitend);,NdCC,i IE 'Cotumbu ,,�'3?at aggh ->tJSC� Illatt�'art .INCIRE€rt 2T r.. �ertSirEatftsp; trit:utcrs,-and,theGIS ( y.;'` ;• ;`',' — '; Csit,Esri3apan,frlETl,, `. - ��i#a,=s„Gs.mmims}7rty;�, _ v •�(nn�� �-=''w7�xai��""��: {"VV���a3�P�irea•yj4�arsA/,1San/��j�Esri' - "&•. 7§ CWF Y'Sd'.1. l _O, 8ic-W Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7[Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health,water, Area:Identify] _ vegetation, &scenic beauty,Agency:Suffolk County, Date:7-12-88— Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] k No Part 1 /Question 13a[Wetlands or Other _ Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] Iwaterbodies is known to be incomplete, Refer to EAF Workbook. Part 1 /Question 15[Threatened or I No ,Endangered Animal] I I Part 1 /Question 16[100 Year Flood Plain] —Yes i Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 Board of Trustees App? �:ation AFFIDAVIT D Lle-j se BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY'VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owrdr Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF-::f , 20 y I1.t3refrem otar Public N0WY PUN* y State of FWida [Myr!lOnQnissbn Expires 07130l2Q13 CmnmW"ft GQ 341443 -�� Board of Trustees ApF?;-�ation AUTHORIZATION (Where the applicant is not the owner) I/We, 2 0 &e f J P.)Z,e I S.e.!_ owners of the property identified as SCTM# 1000- 1 2-d' — d 6-Ot/ in the town of L a vrc.L New York,hereby authorizes ;(2t-re ?'A+a n 1D 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 Properly Owner's Signature SWORN TO BEFORE ME THIS DAY OF 20 Way R.�raMm Notary Public Notary Pubb State of Flodds My Conenfsslon Exp1res 07130MM �n1inISSl01t N0.60 341442 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnl_ayices.The pumgse 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 necessaa to avoid same. nn YOUR NAME: kle I S r ti 1� 13 e r+ O (Last name,first name,Middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship,with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",,complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); i3)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 th day f 20s;20 Signature Print Name Form TS 1 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSU"FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and empiovees.The purpose of this form is to-provide inforinadon which can alert the town of passible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Pa+et h ) 0 :5—e CF-t&d (Last name,first name,ip ddle initial,unl ss you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage.or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this dayko 'fGVI 20 2v Signature r Print Name ��t�+�c041,�1•✓1 Form TS I Glenn Goldsmith,President �Q 00, Town Hall Annex A.Nicholas Krupski,Vice President �� 54375 Route 25 John M.Bredemeyer IIIc P.O.Box 1179 Michael J.Domino 0 �y Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of Robert D. Kelsey 3790 Great Peconic Bay Boulevard, Laurel SCTM# 1000-128-6-4 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, April 14, 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, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President ?`off�FFr11k 0 Town Hall Annex A.Nicholas Krupski,Vice President } 54375 Route 25 John M.Bredemeyer III y P.O.Box 1179 Michael J.Domino4,- Southold,NY 11971 Greg Williams � J' Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, APRIL 14, 2021 6:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, April 14, 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.south old.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. The public,will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below— Zoom Zoom Meeting ID: 915 7791 6135 Password: 553396 • 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.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. . JF Glenn Goldsmith,President OQ UFFQz' C'OG Town Hall Annex A.Nicholas Krupski,Vice President �� y� 54375 Route 25 John M.Bredemeyer III y P.O.Box 1179 Michael J.Domino v- "y Southold,NY 11971 Greg Williams �'� p!� 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: /4lG�C�<1 � J 4 / 6?1(3--co -3 ' /61 3 - �a STATE OF NEW YORI { COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20____, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of 120 Notary Public April 8, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179a C, �E �Y' E ESouthold, New York 11971 �F ��1� J RE: ROBERT D. KELSEY APR 1 9 2021 3790 PECONIC BAY BLVD. -LAUREL SCTM No. 1000-128-06-04 SRXi-,'.M own AFFIDAVITS Dear Trustees: Attached, please find affidavit of posting for the above referenced property. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly ours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 •, : �aa'rx Glenn Goldsmith, President o�QSOFF0 .01 Town Hall Annex A.Nicholas Krupski,Vice President bY„� ��, 54375 Route 25 John M.Bredemeyer III N k P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams ��Ol p ✓ Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ROBERT D. KELSEY COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE residing at/dba�7 Q— -5 12 �'�'�M ii�t�l(p being duly sworn, depose and say: That on the j' day of ,4PQ , 2021, I personally posted the property known as -6-191C) ��iC` ,.oe�rr�l �.re Qq 1104$ by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, April 14, 2021. Dated: 1/9/2)/ J —Vk P (si ature) Sworn to before me this 04 day A ff',1 20a1 JEFF GREENHAUSE N0/1 O ubllc Notary Public-State of New York NO.01GR6189953 Qualified in Suffok County"z7 My Commission Expires ! V- April 8, 2021 Town of Southold TrusteesE C E 12 ID Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 APR 1 2 2021 Southold, New York 11971 Southold Town RE: ROBERT D. KELSEY I Board of Trustees 3790 PECONIC BAY BLVD. - LAUREL SCTM No. 1000-128-06-04 AFFIDAVITS Dear Trustees: Attached, please find affidavit of mailing for the above referenced property. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jffrey Patanjo P.O. Box 582 Bohemia, NY 11716 PostalI Postal o RECEIPT iruMail Only Dome,I co 111111,70�MOP WON" 43 M. I � N Certified Mail Fee (� Certified Mail Fee C3 Extra Services&Fees(checkbox,add tee as appropriate)'' k tii; 1 O Extra Services&Fees(check box,edd fee as appropriate) ❑Return Receipt(hardcopy) $ n� Postmark ❑Return Receipt(hardcOPY) $ Q Return Reeeipt(electronic) $ r �` y -Here ❑Return Receipt(electronic) $ r"'�- Postmark�e O ❑Certified Mail Restricted Delivery $ r ^,� C3 ❑Certified Mail Restricted Delivery $ F 7 ,P�•� Here ❑Adult Signature Required $ t"-- i �' []Adult Signature Required $ � Ir, ❑Adult Signature Restricted Delivery$ � - � � � Q Adult Signature Restricted Delivery$ II O Postage =,ti, ' ' _ O Postage v- 4 N $ ------ -'f? ,r---- - JJlI N $ - J � 1 t1 t Total Postage ani i __ injTotal Postage an r a ' SCTM#1000-128-06-03 $ 1 $ Laurel Cntry Est Prop Own 'r — )r' Sent To SCTM#1000-128-03-22 B-' Sent To rq Leblond Daniel&Leblond Amy i r-1 PO Box 402 E3 S----KndApT Nc 83 Audrey Ave 0 StreetandApf.Ni Laurel,NY 11948 f`- Plainview,NY 11803 I'- SCTM#1000-128-06-04 City State,21P+41 SCTM#1000-128-06-04 City;State;ZIP+1 I Postal Service"m TM � • Service - Ln CID Domestic Mail Only cD Domestic Mail Qnly M ca � SAL U 8 E M �� � � L USS I r`- Certified Mall Fee r -p [�- Certified Mall Fee ExtraServices&Fees(check box,add fee as appropriate) `•3 $ ❑Return Receipt(hardcopy) $ -- -�-, Extra Services&Fees(check box,a$fee es appropriate) ❑Return Recelpt(electronic) $ _ Postmark ti ❑Return Receipt(hardcopy) `l'7 �--�'Postmark C3 ❑Certified Mail Restricted Delivery $ I,+ ' Here�� �a ❑Return Receipt(electronic) $ f Here'I _ C3 []Adult Signature Required $ []Certified Mail Restricted Delivery $ ❑Adult Signature Required $ ' t-a ,• E]Adult Signature Restricted Delivery$ ) vim, I� []AdultPostage Adult Signature Restrlcted Delivery$ ` - % —- ,--r— C3 Postage ru $ IS ru Total Postage ant {� ru ✓'° Total Postage al o-,1 w„ m- -,- $ I SCTM#1000-128-06-05" ti n� 06 06 Y /- Q" Sent To Von Elm Henry&Von Elm Gail lv�f 'I S SCTM#1000 128- R ,J(;4: r_13534 Great Peconic Bay Blvd ` Q•' Sent To Frend Enc&Fiend Kerri C3 Sfieei srti W No PO Box 548 - 120 Vineyard Way r` Laurel,NY 11948 0 S°irseiandApi N Ayuebogue,NY 11931 City3Yate;2/5+4? SCTM#1000-128-06-04 r� SCTM#1000-128-06-04 City,iia"te,215+4 ___ IWO] •r - J I I I PROOF OF MAILING OF NOTICE ATTACH[ CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-128-06-03 SCTM#1000-128-06-06 Laurel Cntry Est Prop Own Frend Eric&Frend Kern PO Box 402 120 Vineyard Way Laurel,NY 11948 Aquebogue,NY 11931 SCTM#1000-128-06-04 SCTM#1000-128-06-04 SCTM#1000-128-06-05 - — -- - Von Elm Henry&Von Elm Gail 3534 Great Peconic Bay Blvd SCTM#1000-128-03-22 PO Box 548 Leblond Daniel&Leblond Amy Laurel,NY 11948 83 Audrey Ave SCTM#1000-128-06-04 Plainview,NY 11803 SCTM#1000-128-06-04 STATE OF NEW YORK COUNTY OF SUFFOLK -, residing at l)Q,`�- rj' being duly sworn, deposes and says that on the e day o f AML , 202 L, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at�}�- ph• mi a , that said Notices were mai to e ch of said persons by CERTIFIED MAIL/RETURN RECEIPT. Aj� � h Sworn to before me this Day of Nrlll 209( ` Notary Public JEFF GREENHAUSE Public-State of Ne:York] NO.OIGR6189953 Qualified in Suffolk Cou[Notary Commission Expires�t�'"� NOTICE F HEARING i NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees i via the online Zoom platform. OWNER(S) OF RECORD: ROBERT D. KELSEY SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove and replace existing stairs and covered platform down existing bank consisting of 4'x14' steps, 6.5'x7.5' covered platform, and 4'x4' steps leading to an on-grade 10'x20' deck and 4'x4' cantilevered platform with seasonally removable 4'x9' steps to beach; all decking to be un-treated timber or. composite and seasonal steps to beach to be aluminum or un-treated timber or composite; and all work to be in same location as existing and done by hand methods with no machinery. Located: 3790 Great Peconic Bay Boulevard, Laurel. SCTM# 1000-128-6-4 TIME & DATE OF PUBLIC HEARING: Wednesday, April 14, 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 files) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold � LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in 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 evaluate& as to its significant 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 explained in detail, listing bath 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# -�— PROJECT NAME 3-71v Pee-w►tC The Application has been submitted to (check appropriate response): 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: i P Location of action: Site acreage: ' 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: (a) Name of applicant: fro yep a- ';_ __ _�L� Ise- 4 (b) Mailing address: V 3 t4 5- !,•>4 UL `JD1L _A If 1n��e-r-ra - -C� s4 3Doa� (c) Telephone number: Area Code( } b7 t'j" 2- 99 9-2- (d) (d) Application number, if any: ��� Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ZNo❑ If yes, which state or federal agency? A 14 SD6c- 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 PropeCA i s A- f!�-e(keem evn f v f ou s-'i n y . 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 I=I Not Applicable I i 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 HYes ❑ No ❑ Not Applicable - efq�ocA Provt4eg ?-ew ✓lSy�.,ll... hDA��.�/iLU Sf�Ps e..+.`2 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes a No 2 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 ❑ No u Not Applicable Pl GI oeGA k-ft f o o F ce+ 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 Pt Applicable Pro pep-L h&S a. e44t-Ct 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 P k hwS rt:2 cCtect Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See 1,W]" Section III–Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes 1:1 No I-1 Not Applicable Pr o, n o W-t'� 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. Yer–I No❑ Not Applicable Pfrice4 �(svc6�Gs Orr Cooi4m.e-4 etcedSs -i-® 6--xe-k {*crta-h®,k otc49rchd Attach additional sheets if necessary I WORKING COAST F tICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Prm,t�� hti s ►�.� �F�f Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable 9f®r*4 hso no e-&rvi V Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 forevaluation criteria. F1 yes 1:1 No u Tot Applicable nJo �F�G-F Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No Not Applicable PREPARED BY �' �®' `^ TITLE A DATE /'y-2a January 7, 2020 Town of Southold Trustees JAN 13 2020 Town Hall Annex Building 54375 Rte. 25 Southold Town P.O. Box 1179 Boar'of Trustees Southold, New York 11971 RE: 3790 PECONIC BAY BLVD.- LAUREL SCTM No. 1000-128-06-04 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Ve truly- urs, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716