Loading...
HomeMy WebLinkAboutTR-9950 Glenn Goldsmith,President O�*QF SO(/ryOl Town Hall Annex A. Nicholas Krupski,Vice President A. 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 BOARD OF TOWN.TRUSTEES .TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #4882-C Date: December 12 .2021 THIS CERTIFIES.that the existing retaining_wa1T 13.7'x35.7'x13 3' to capture stormwater causing:erosion on property and steps;to grade; gutters and.leaders.to 3.drywells'landward of retaining wall install hav bales and Gilt fencing duan coristruchon,and to'establish and perpetually maintain a 10'-.wide non-Wif:buffer along south side of propertiarid A 15' non-turf buffer along north-east side of property. Kayak rack hose.connecton and iglu post'landward:of dock;: At 425 Monsell Lane, Cutchogue ; Suffolk County Tax Map #1000-97r9-27 Conforms to the`application,for a Trustees Permitheretofore filed m this office Dated.'March_8;-2021 pursuant to which Trustees Wetland Permit#9950 Dated July.14;2021,was issued'and.conforms to:all - the requirements and conditions of the applicable provisions of law: The projecf for which this certificate is being issued is for the existing retaining wall'13:7'x35.7'x13.3, to capture stormwater causing erosioh. on properly and steps to grade• gutters and leaders to 3 dDywells landward of retaining wall; install hay.bales and silt fencing during construction; and to establish and perpetually-maintain a 10:'-wid6 non.turf buffer along south side of property and a 1.5' non-turf buffer along north=east side of property. Kayak rack, hose connection and light post landward of dock: The certificate is issued to Gary D. Doroski owner of the aforesaidpro.perty.. A__u'4hoKzed Signature r .. Glenn Goldsmith,President QF SO(/�y Town Hall Annex A. Nicholas Krupski,Vice President ,`O ��� 54375 Route 25 III P.O. Box 1179 John M. Bredemeer Y � � Southold, New York 11971 Michael J. Domino N ,c G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 com,��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Z �� INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction; haybale..lino/silt: boom/silt curtain 1st day of construction Y constructed x Project complete, compliance inspection COMMENTS: CERTIFICATE OF COMPLIANCE: CC#: C22-4012 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OI'SUFFOLK I, JUDITH A.PASCALE,Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 02/04/2022 under Liber D00013141 and Page 330 and, that the same is a true copy thereof,and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 02/04/2022 SUFFOLK COUNTY CLERK I Z-1 LC. 1101--cavil JUDITH A.PASCALE SEAL 1111111 IIII VIII VIII VIII hili VIII VIII VIII IIII IIII liilll(IIII VIII IIII Ilil SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 02/04/2022 Number of Pages: 10 At: 10:40:06 AM Receipt Number : 22-0019016 LIBER: D00013141 PAGE: 330 District: Section: Block: Lot: 1000 097.00 08.00 027.000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $50.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 ., NO , Cert.Copies $6.50 NO RPT $200.00` �0-NO Fees Paid $296.50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County �a 0 Number of pages 1 This document will be public. record. Please remove all Social Security Numbers prior-to recordine. Deed/Mortgage Instrument Deed Mortgage Tax Stamp T--RTc.,drg Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17(County) Sub Total Spec./Add. EA-523.7(State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held forAppointment Comm.of Ed. S. 00 Transfer Tax Aftw:9dt • Mansion Tax ertifie�d Co O'D The property covered by this mortgage is or will be improved by a one or two N r Qrchargee 15. 00 I family dwelling only. Sub Total YES orNO Other Grand TotalIf NO, see appropriate tax clause on u page It ofthl instr toent. ) �Lnd 4 Dist. 4757495 1000 09700 0800 027000 5' Community Preservation Real Property P T Sff ! R SMI A Consideration Amount$ Tax Service Agency 28-JAN-22 CPF Tax Due Verification Improved Satisfactions/Discharge 6 R;I(Coelmases List Prverty Owners Mailing Address &RETURN 0: Vacant Land Patricia C. Moore 51020 Main Road TD Southold, NY 11971 TD TD Mail to:Judith A. Pascale,Suffolk County Clerk Title Company information 310 Center Drive, Riverhead, NY 11901 Name a,me www.suffo[kcountyny.gov/clerk Co.-r .. TitleA Suffolk County Recording & Endorsement Page This page forms part of the attached DECLARATION OF COVENANTS made by: (SPECIFYTYPE OF INSTRUMENT) Gary,.P.Doroski The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold The Town of Southold In the VILLAGE or HAMLET of Cutchogue BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over DECLARATION OF COVENANTS G THIS DECLARATION made this 1 day of l%j 2022 by Gary D.Doroski,residing at' 425 Monsell Lane, Cutchogue, NY, 11935, hereinafter referred to as "DECLARANT(S)": WITNESSETH: WHEREAS,DECLARANT(S)is/are the owner(s)of certain real property located on 425 Monsell Lane, Cutchogue, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 97,Block 8,Lot 27 which is more particularly bounded and described as set forth in Schedule"A"annexed hereto,hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold(hereinafter the Trustees)pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor,and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS,the DECLARANT(S)therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities,the Trustees required the as built retaining wall 13.7'x35.7'xl3.3'to capture stormwater causing erosion on property and steps to grade; gutters and leaders to 3 drywells landward of retaining wall;install hay bales and silt fencing during construction;and to establish and perpetually maintain a 10' wide non-turf buffer along south side of property and a 15' non- turf buffer along north east side of property.Kayak rack,hose connection and light post landward of dock. WHEREAS,the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows: 1)Upon the substantial completion of the aforementioned permitted activities there shall be established for the as built retaining wall 13.7'x35.7'x13.3'to capture stormwater causing erosion on property and steps to grade;gutters and leaders to 3 dryweIls landward of retaining wall;install hay bales and silt fencing during construction;and to establish and perpetually maintain a 10'wide non-turf buffer along south side of property and a 15'non-turf buffer along north east side of property.Kayak rack,hose connection and light post landward of dock;as defined by Chapter 275 of the Town Code,as detailed on permit 99950.and as depicted on the survey prepared by John C.Ehlers Land Surveyor,last dated June 22,2021 and stamped approved on July 14,2021."Exhibit B" 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF,the owner(s)has/have duly executed this instrument ( this v\ day of " Mary D.Doroski STATE OF NEW YORK) COUNTY OF`—F(=eLx). On the 1�\ day of J 1)u ',in the year 2022,before me the appeared Gary D.Doroski,personally known to me or proved to me on the basis of satisfactory evidence to be the induvial(s)whose name(s)is/are subscribed to the within instrument and acknowledge to me that he/she/they execu ed the same in his/her/their capacity,and that by his/her/their sig refs)On the::instrum n;the individual or the persons on behalf of which the individual(s) act d; xecu ed th I stru e �VfCn, N tary Public BETSY A.PERKINS Notary Public,State of New York No.01PE6130636 Qualified in Suffolk Countyr� commission Expires July 18,�� �?_ SCHEDULE A ALL THAT CERTAIN plot,piece or parcel of land,with the buildings thereon erected,situate, lying and beinl;in the Town of Southold,County of Suffolk and State of New York,bounded and described as follows:- Lots 31,32,33,34 and 35 on a subdivision map entitled NORWOLD surveyed by Otto Van Tuyl, C.E.,which map was filed on March 13,1939,as Map No. 1275 in the Office of the Clerk of Suffolk County at Riverhead,New York. ,:. 'TL'.v_ *CP'J6PJ:D' - T�tr'- __ .•;13p.'}A•+"tel -:3. -;.` V . BOARD OF SOUTHOLD TOWN TRUSTEES Ei SOUTHOLD,NEW YORK H PERMIT N0.9950 DATE: JULY 14,2021 , r ISSUED TO: GARY D,DOROSKI y i PROPERTY ADDRESS: 425 MONSELL LANE CUTCHOGUE I SCTM 1000-97-8_27 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 July 14.2021 and in x consideration of application fee in the sum of$250.00 paid by Gary D.Doroski and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the f following; Ei Wetland Permit for the as-built retaining wall 13.71x35.7'x13.3'to capture stormwater causing 1 a erosion on property and steps to grade;gutters and leaders to 3 drylvelis landward of retaining J wall;install hay bales and silt fencing during construction;and to establish and perpetually maintain a 10'wide non-turf buffer along south side of prop"and a 15'non-turf buffer along north-east side of property. Kayak rack,hose connection and light post landward of dock;and as depicted on the survey prepared by John C.Ehlers Land Surveyor,last dated x June 22,2021,and stamped approved on July 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 July,2021. IN �oo�, coGy w :} T. . C N TEIUMS AND CONDITIONS The Permittee,Gary D.Doroski.residine at 425 Monsell Lane Cutchoeue,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if,in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold, 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel.Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same, 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Fi� OF LOTS 31-35 N ,. -275 : NEAR CUTChOGUEa° ITOWN: 5OUTHOLD �tR:&v W E !SUFFOLK COUNTY, NY 15URVMD 12-01-2020 � S UPDATED 12-26-2020od UPDATED 02-10-2021 6�\G UPDATED 02-17-2021,06-22-2021 �sQ., 5UFFOLK COUNTY TAX# �1000-97-6-27 Cq CF.RMEDTO. j GAII4 LM1YID➢01{�1C(. V 1A. m { <<T• A,PR QVEP BY BOARD OF T*RUSTEE,S N v TOWN F,'SOWHOED i DATES I( y c! r P e Y 43 '"! C A � U �? rJNRotoi ro: Vp O J drys �Q. E C E I V,E'D ;JUN 2 B�2i t_"' o9snavntms'T-oarwenzin:isti2or.Zozoi .,. E.9 MA.'1i40°D$JHe-.�4 AP{ECb). '..--r.4tet.I:PtatR36703Ga16ad. - pF JOHN C. EHLERS LAND SURVEYOR .°ooroa 6 EAST MAR!5TREET N Y.5,UC,NO.50202 Arcs=37,699 9q.FL RNERHEAD,N.Y.1 1901 369 299 Paz 369-9267 - Aro =O.B65Acr 5 O Nr�^;wt ✓(w,.r.w rs qe'=, �esurvey(�optonlme.net s�6ozoa a _�� 2020.1]9 CAN✓+�� 4�,�.ya M�µ ra r` o(yj 2� �{".� �� '4' ''cam.. ', �!>, r •. 5' r I f � r I [. .. to Cp �ffl{ , ,. �` � ��q���1�.�� Wit• � 1 / C�S. ac61 l COr3 _' O 6 �h0 JUN 2 B 2021 (WETLANDS SHOWN THUS , DELINEATED BYSURVFYOP IF.E.M.A. FLOOD 70N X d AF(EL G)FPC)M F.1.R.M. PANEL 3G 103 CO I G4 d6h-too— NOTFS. y. p b clog o Ileenaeo lana vurveye:a ae01 Q vire"OUPID I J O N N C. E N LE RS LAND SURVEYOR .Iaglbn er aeemn Azov.sib-dlwaow a,or tro - rv<n Yor Slole Edvcotton Law WDUD Fc. 1 " '_ t . ,aOnlyd coliea Rom IM1'o:Iginol Of Ub survey --x—><-- CHAIN LINK tt'vC[ -.-...------.------ --- - - �'.'' ;% slomved Oeevl1 shall be'canside:ed to be vvlitl ylrve s co Z G EA5T MAIN STREET N.Y.5. LIC. NO. 50202 'Ce.tintoV—Indicel<d neroon a nlry t Jt IM1I, a�rvey woe nrepor¢a In oteordgn«wun me e.- Alea = 37,G90 Sq.Ft. ;RIVERHEAD, N.Y. 1190 I 3GO-8288 Fax 369-8287 `,J aUng redo or Pr«Vee roc Lent SOrveys odopl<tl Area =0.885 Acres • f,� by me ew YOrk St.te P...Nollm or proleso m "`� VJ Lund Sar•'. Said c<rtinlIki—e ab011 r GR.APNIC,SCAL_ "=30' resurvey@opton6ne.net --LyYs tothen¢r:pn mr venom!he so"n y m nreoo1ea and on nls benoir to Ih¢bUe tomo y gvvcrnman t, tol a eney and lending ImIll.11cn listed hereon,and ' to tb<v. gees of the Iendln9 inslilution,. C¢rtifc0- 2020-179 '� Vona ore—1 Ironerertble to oddiLi—f mauwmn. �UKVEY U1- LU I --) -5 1 -fin iv A5 5HOWN ON A MAP ENTITLED"NORWALD" FILED IN THE OFFICE OF THE CLERK OF 5UFFOLK COUNTY A5 MAP NO. 1 275 SITUATE: NEAR CUTCHOGUE TOWN : 50UTHOLD °��° �`� � a"ev SUFFOLK COUNTY, NY s SURVEYED 12-01-2020 UPDATED 12-28-2020 UPDATED 02-10-2021 I UPDATED 02-17-202 1 , 06-22-2021 30 SUFFOLK COUNTY TAX # '` 1000 - 97 - 8 - 27fPA CERTIFIED TO GARY DAVID DOROS1CI BOARD OF TRUSTEES � N TOWN OF SOUfHOLD � 2 DATE 4 r r N Q NA #3 10, r �< LOT 32 F \Q I I t Q Q �.: , 40. 1 1 w p¢o�` esc Pose r ; i C�iJ 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 Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 &OUNT 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=HOUR8 PRIG_ R TO COMMENCEMENT'OF-THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction;'hay bale line/silt boom/sift curtain Itday of construction % constructed �( When project corhplete, call for compliance-irispection; " �'°;�i3�a�°s�•r�."- - 1�°p°i°�°I°9°ji'• -- .io�0•i•ie'i57••,e _ ..�Oei eeTo•:.�'_ - ''7?-i•� _ _,". _- "._- ,y'..c*"'\ _- ':��� a�!llfy. - _ .�`p1@ llf�r: _ .:;opp►11 fAllf�r.. '- - -,.;OapN@ 111/%jd,' ~:;pe'611 Pioeye>..-- - f;C��H°i'1'0'io'po.�u'` -- F;:�1@°i°+°•1h°0/j°%.�,.'�� 1 4211L'MIN""a;YA;�'!8"N7I,'��M;AI1''C�.4;s`d AC•�12:tLaY6!l�'°A&«e`k�':•'s�;.'y,°G�k1°_GY'.°1.'1G_:55°��'C:&13x`T#'f4�".G;ty.GS:.y�1.�1.2T/'.1!a"1;,�s'�"1.'.!yT,�'S.'nY','CC,�5,4''14CdRi4r",.�,�R'�.'+-..,.A1°i�H:'�Y�.'S�:..XMUS'��� ,�':•;'x BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK aea13A+ 3f 11°oq° �'',� PERMIT NO.9950 DATE: JULY 14,2021 tip va- ISSUED TO: GARY D.DOROSKI °pf` ° PROPERTY ADDRESS: 425 MONSELL LANE, CUTCHOGUE SCTM# 1000-97-8-27 10'01` '< AUTHORIZATION al, Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in I►ol�°'. `,) ¢ accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 14, 2021, and in % p consideration of application fee in the sum of$250.00 paid by Gary D. Doroski and subject to the Terms and ~e Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the ° f following: f . Wetland Permit for the as-built retaining wall 13.7'05.71x13.3' to capture stormwater causing eta �;-a•_ ,.�, erosion on property and steps to grade; gutters and leaders to 3 drywalls landward of retaining hE >, wall; install hay bales and silt fencing during construction; and to establish and perpetually \� maintain a 101 wide non-turf buffer along south side of property and a 15' non-turf bufferRZ along north-east side of property. Kayak rack,hose connection and light post landward of °'',., dock; and as depicted on the survey prepared by John C.Ehlers Land Surveyor,last dated -€ June 22,2021,and stamped approved on July 14,2021. Y } IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these 1,' �•a0 presents to be subscribed by a majority of the said Board as of the 14th day of July,2021. y< _4 co p ca ` i�JWfir •any , � °s, N!v ov„Fiii;.v'a,u`s+`iinisr„7s,;,uneYeu2N,,�„iut,?n�."reiaW aiAz„i2:�ei•}ala,,Jwaie"v'�.n'sZG.�'3,'.+•�'3-i�"vauaiC.7,`r7u"1>silm i�\l�;ia�Yfru,"s�i1,�,a53SFsii�"ciwx',:�2.n5a;.,tiwtsfit"i`r,`�,�i4YM„�,i;4i.,:n,.n•,3a5i7t�,.a„avt�'r,,,;,�,'3riib;��s�'u<.,nlrS:V',3i,akYiSi�,S.aiCu;� `�r •�-,.?,:'''\\��\\ a \�` m ''�.�\sa .�/ e >,'� e '`=�,,ir � r,',�\�i �fr e r]a� s �: e ���= ;�'J �• S,MC � .v1��`.i,�'�;'i - �:d€ -j,ilEve.° ':ieAB 1Na:e _ •:e/AA 10pe:!, ,.;i0f' � 61e:."o t:if 10i:r, - .:eDl L,::.� - .e�I A,..r, _ �-_ -_ 'g°� _ °•'�I04:_!a@��g?%,- ..;�:::_!1°leg,., , ..::i/Oi:L!1°1��;.. _ .;r/°Aelo a°10o f.- .,e%6°!,a►,.,.- - _ -.;:AAI°°/°aL°e,` TERMS AND CONDITIONS The Permittee Gary D. Doroski, residing at 425 Monsell Lane, Cutchogue New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if,,in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. 5U RVEY OF LOTS 3 1 -3 5 N AS SHOWN ON A MAP ENTITLED"NORWALD" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY A5 MAP NO. 1275 51TUATE : NEAR CUTCHOGUE ���°� s °���� W E TOWN : 50UTHOLD � 5 5UFFOLK COUNTY, NY SURVEYED 12-0 ) -2020 00��� UPDATED 12-28-2020 UPDATED 02- 10-2021 G\° 00` UPDATED 02- 17-202 1 , 06-22-2021 30 SUFFOLK COUNTY TAX # S 1000 - 97 - 8 - 27 ��° CERTIFIED TO: GARY DAVID DOROSI(I - O, APPROVEID BY BOARD OF I RUSTEES 2 TO.WN.OF.°SOUTHOLD \ i DATE . l w r , 11 o z LOT 32 O12 W' c- ',\J a O Z ' r' PRo�O ISD I , Fn-- t---r---- #4 J as O�OJ� PR pOTtiP� O I C(D 41- as / C"I Qp- 6Q �� \G, /Qa��e RI O 0 Q O ASO ���� D �' CEQVE R1•OO, � JUN 2 8 2021 Southold Town Boar f Trustees WETLAND5 SHOWN THUS DELINEATED BY5URVEYOR 12-01-2020 F.E.M.A. FLOOD ZONE X t AE(EL G) FROM F.I.R.M. PANEL 3G 103CO I G4H NOTES: "Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's seal Is a PIPE POUND JOHN C. E H LE RS LAND 5 U RV EYO R ��,o N Ey�� violation of section 72og, sub-division Education 2, of the Q � C. New York Store Educotion Law" WOOD FENCE "Only copies from the original of this survey —X—X— CHAIN LINKFENCE ` I (P marked with an original of the b validsurytrue stomped seal shall be considered to be valid true h co t 6 EAST MAIN STREET N.Y.5. LIC. NO. 50202T ;M -,-� 'Certifications indicated hereon signify that this " "'�9 survey was prepared in accordance with the ex- Area = 3-/,G99 Scl. Ft. RIVERHEAD, N.Y. 1 1901 3G9-8288 Fax 3G9-8287C)-8287 14 is yting Code of Practice for Land Surveys adopted r; Ercc�.va Q by the New York Stole Association of Professional Area = 0.865 Acres9-4,11 ��, �U Land Surveyors Sold certifications shall run only GRAPHIC SCALE 1"= 30' resurvey@optonllne.net -c� FO SO "02\,V Jlp and on hto l SCALE behalper f to thehtitlethe comuarny. Is prepared, company. governmen- `, lal agency and lending I shtution listed hereon, and to the assignees of the lending institution Certifica- 2020-179, tions are not transferable to additional institutions Glenn Goldsmith,President SO Town Hall Annex -17 A.Nicholas Krupski,Vice President ,�4 l 54375 Route 25P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J.Domino _ Telephone(631) 765-1892 Greg WilliamsFax(631) 765-6641 • �OUfVTTY,�• . BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 20, 2021 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: GARY D.-DOROSKI 425 MONSELL LANE, CUTCHOGUE SCTM# 1000-97-8-27 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 14, 2021 regarding the above matter: WHEREAS, Patricia C. Moore, Esq., on behalf of GARY D. DOROSKI 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 March 8, 2021, and, WHEREAS,,said application was referred to the Southold Town Conservation Advisory Council and-to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 14, 2021 and July 14, 2021, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of GARY D. DOROSKI for the as-built retaining wall 13.7'x35.7'x13.3' to capture stormwater causing erosion on property and steps to grade; gutters and leaders to 3,drywells landward of retaining wall; install hay bales and silt.fencing during construction; and to establish and perpetually maintain a 10' wide non-turf buffer along south side of property and'a 15' non-turf buffer along north-east side of property. Kayak rack, hose connection and light post landward of dock; and as depicted on the survey prepared by John C. Ehlers Land Surveyor, last dated June 22, 2021, and stamped approved on July 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, ex-4- 44�.-'4 X_ Glenn Goldsmith President, Board of Trustees GG/dd ®gUFFO(q(e0 Glenn Goldsmith, President ��o Gy Town Hall Annex A Nicholas Krupski, Vice-Presidenty z 54375 Route 25 John M. Bredemeyer, III o ® P.O. Box 1179 Michael J. Domino Southold, NY 11971 Greg Williams '�° �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: GARY D. DOROSKI c/o PATRICIA MOORE Please be advised that your application dated March 8, 2021 has been reviewed by this Board at the regular meeting of July 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) 1s' Day of Construction ($50.00) '/ Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) XX The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: x,21 TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Project Description Gary Dorsoki 425 Monsell Lane, Cutchogue Retaining wall 13.7' by 35.7' by 13.3'to capture stormwater causing erosion on property and steps to grade. Gutters and Leaders to 3 drywells landward of proposed retaining wall. Haybales and silt fence installed during construction and 10' nonturf buffer along south side of property and 15' nonturf buffer along north-east side of property. Kayak rack, hose connection, and light post landward of dock JUN 2 9 � ski w..d i ly m� °a^,"�,' 'q l��I v�� w✓1 (� lf�gf n' i m �' �" M dr >w n+ f4 5" � "I � i n, �; r Y a V✓ i I y"".r 4 � f G^' � � " i. �mfla' 1�a'w'r ry 4�'y + f i p, �' �µ � ry � - �✓ r. r u ro r�a ��, ,I M;� %�'"a Mr u'� �� � ��" �c �Ir; wr �!k%�' ✓�` �U� b ,�rGay ��y r?�J�iY� p)� l i ��tr dl, h , ✓✓//;yi/ /C �I; /r� , i ^f � �� ��rJdl�W F �� I � �I <'u� ��,�,Jl rp ar;c'�/„r�r� ' I� ✓rf' r"f �+i r (i a l IF /f Gre/f p9, �� � �� ^; 1 i��'9J;f �1�"��G�G�GY�r✓ �'� � ��;� '� r r, ✓ ^m Ff �! �(� 8yU��� � �Y7"iP'��y UV. ✓��+ r^Y� W��i�" m t 1 /����U 7�/ 'G� ���� � � ' ��^ w ir�myel i �i I a✓ � - ,y �;I '� � v I, '�i'r dry > � „`u��tl A 91 �m it r ✓"i C'� �"✓,' l ��,; t �� y p"TMwr ��wi� l�� ww Jl �al � i ar � Fn la) r Mrd! �,� 6 m ��� fhr I ,gid lupi /�, �" 're ,✓ aw' wk I r✓� °�, l r�✓ �'�m�'y� r � �' y � � �rar t t ' I � a � >� r m ^ i r r r mI 1/ `""r�f � ✓ it a I.a! rr 7�1�i/r r.� (��, / ,;,j r✓' ilG f ,Ir ! u '. �w�Yr. /�/ »�lye , �✓�'�r � d�ay`�'�I �i ���r� ��� m� au � v p r9�iwm�' Nr' ✓F � � � ", i /. 0 / f, f n J �mW � u � I 1 a , ' I I wmaml �, II r pq wir 9� rliG I J 1, t f o �r M V 00,l�➢m� ���h vfliul n r � ✓rq a'� 6m� 1 � � '0✓ � � � � 1 fr l� �Il �j ��T Wn�v, � ! J'� P / 1l � fy,�✓ �r m,1 '1 i 91m� i r � w PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Betsy Perkins Paralegal Julia Spanburgh Julia Schade June 28, 2021 Board of Town Trustees Town of Southold PO Box 1179 JUN 2 9 2021 Southold,NY 11971 RE: 425 Monsell Lane, Cutchogue,NY(Doroski) SCTM: 1000-97-8-27 Dear Board members: With reference to the above, enclosed please find a revised survey prepared by John C. Ehlers that includes the changes requested by the Board. If you need anything further, please contact my office. Thank you. Very truly yours, .-'- 41, Patricia C. Moore j m S PCM/jms Encls. 5U RVEY OF LOT5 3 1 -35 N AS SHOWN ON A MAP ENTITLED"NORWALD" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY AS MAP NO. 1275 51TUATE : NEAR CUTCHOGUE .v�� �d` w E TOWN : 50UTHOLD 5UFFOLK COUNTY, NY S SURVEYED 12-01 -2020100 UPDATED 12-28-2020 UPDATED 02- 11 \G , 00 UPDATED 02- 107-202 1 , OG-22-2021 SUFFOLK COUNTY TAX # 1000 - 97 - 8 - 27 3' o CERTIFIED T0: GARY DAVID DOROSKI _ l� N Q X_ 2 05�� \ \ .� � LOT 3 �Q I °oi z M r r I O _ >1 1 l ElI t J I _ I i M c" Iter O _ p I J p - 0 - 0 ' �' O _ a OX r = rr� ? Q UO1_ 0) <OT 36 o 1 '. 1 I a (WETLANDS SHOWN THUS 1 DELINEATED BY SURVEYOR 12-01-2020 j F.E.M.A. FLOOD ZONE X t AE(EL 9) FROM F.I.R.M. PANEL 3G 103CO I G4H NOTES: "Unauthorized alteration or addition to a survey mop bearing a licensed land suryeyor's seal is a, o PIPE FOUND J O h N C. E h LE�S LAND 5 U f�VEY0 I viola,an of section 7209, subdivision of the ,z New York State Educatioio n Law" - -- WOOD FENCE ] 'Only copies from the original of this survey - CHAIN LINK FENCEa marked with an original of the land surveyors77] I stamped seal shall be considered to be valid (rue I copes" G EA5T MAIN 5TREET N.Y.5. LIC. NO. 50202 "Certifications indicated hereon signify that this survey was prepared in accordance with the ex— Area = 37e �'G99 S Ft. RIVERHEAD, N.Y. 1 1 901 3G9-8288 Fax 3G9-8287 W is ling Code of Practice for Land Surveys adopted by the New York Stale Assoc'oton of rofessonal1 Area = 0.8G5 Acres Land Surveyors_ Said cert f cat ons shaPll run only _ resurvey@optonllne.net to the person for whom the survey Is prepare RAPHIL_,`CAI F 1n= 30 and on his behalf to the title company. governmen - lal agency and lending institution listed hereon, d; s the assignees of the lending institution- Ce I f ca 1 - 2020-179 tions are not transferable to additional ns'- utions. Glenn Goldsmith, Pre it Town Hall Annex A.Nicholas Krupski, Vice 1'resident 54375 Route 25 John M. Bredemeyer III P.O. Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams ' Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: -)1 Completed in field by: Krp.l��l, Patricia Moore, Esq. on behalf of GARY D. DOROSKI requests a Wetland Permit for the as-built retaining wall 13.7'x35.7'x13.3' with steps to grade to capture stormwater causing erosion; install 3 new drywells landward of retaining wall; install hay bales and silt fencing during construction; plant various vegetation/trees; and to establish and perpetually maintain a 10' wide non-turf, non- fertilization buffer along the landward edge of wetlands. Located: 425 Monsell Lane, Cutchogue. SCTM# 1000-97-8-27 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 tol Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: ALIJ of"-- 10 ,a It-Tp. JUQU ,t� WvU $�alyard rpCuM�.11�� I have read & acknowledO fhe egoing Trustees comments: Agent/Owner: Present were: /J. Bredemeyer M. Domino G. Goldsmith N. Krupski /G. Williams Other i ;goer":dsx_ ��L�'v""_J�^.,v.-•�+n'y_�..- _� -��� i cc•�...�+`. � - -_�� � '.tis5'•^��.. 1 XL if _ m ` VAR '8 2021 f� jr) �Ydsff� Southold Town Board of Trustees G Ex �s� i�r av 6 \\\�• '�'P,ti '- `�- ��i.`S�r i '.!y/,/I %�f 1f 7 f' ',`" > i ''I� .,>._..._ r d ;-� ]/r'/(`/�/[/1�� � S _ -•qY4] _ _ _ _a -..5 ✓J •d s l� _ __ �a^.- Y _ F". _:+e m,r,:fi.e-;- f f� -` � �'��v � Ar �/ %ro //�fc I5 r YAR - 8 2121 IR Cl / �L T>O-r0 S /`a a� �� Southold Town Board of Trustees _ / r U Graffi-����'o s �( a2 5 ryl C, sr,c-\\ 5U RVEY OF LOT5 3 1 -35 N AS SHOWN ON A MAP ENTITLED"NORWALD" FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY A5 MAP NO. 1 275 51TUATE : NEAR CUTCHOGUE °k` w E TOWN : 50UTHOLD �O� 5UFFOLK COUNTY NY S SURVEYED 12-01 -2020 00 UPDATED 12-28-2020 UPDATED 02- 10-2021 060 UPDATED 02- 17-2021 % �� 30 O i SUFFOLK COUNTY TAX # 1000 - 97 - 8 - 27 CERTIFIED TO: O GARY DAVID DOROSKI Ov �.. :e� #3 ?3 OCO, \ Zph \— –A c ` epG'00 LOT 32 IL a �Q I , (D O � �� Qom/ � � I � �t D U) I fll 0 J668'I �< T #4 �V 1 00 O PR T>P� II 1 C1J `I C' I a I f O� / G O 0\_ _410d � '� 100 / ,,, o �o o�L co )Q o / / \ CO X33 O `Or3G . C) p ISA R — 8 2021 # Southold Town Board of Trustees WETLANDS SHOWN THUS DELINEATED BY SURVEYOR 12-01-2020 F.E.M.A. FLOOD ZONE X t AE(EL G) FROM F.I.R.M. PANEL 3G 103COI G4H NOTES: .f'f "Unauthorized alteration or addition to a survey v ^',% \1r' Iq it map Dearing a licensed land surveyor's seal Is a 0 PIPE FOUND J O h N C. E h LE R5 LAND 5 U RV EYO - ".;.�� C•EN<F��� violation of section 7209, subt division 2, of the `;!C-1 New York State Education Law." WOOD FENCE +�.Q�O ,r� �o Only copies from the original of this survey —x--x— CHAIN LINK FENCE ._ V' I- marked with an original of the land surveyor's stomped seal shall be considered to be valid e tru '' copies" G EAST MAIN STREET N.Y.5. LIC. NO. 50202 �A, * s Certifications indicated hereon signify that this ti- survey was prepared In accordance with the ex- Area = 37,G99 ScI. Ft. RIVERHEAD N.Y. 1 1901 3G9-8288 Fax 369-8287 sting Code of Practice for Land Surveys adopted � `� Exch� Dy the New York State Association of Professional Area = 0.865 Acres . Land Surveyors. Said certifications shall run only GRAPHIC SCALE I �e5urvey@optonhne.net �;, solo to the person for whom the survey is Prepared, I"= i and on his behalf to the title company, is governmen- tal agency and lending institution listed hereon, and to the assignees of the lending institution. Ce,tific.- 2020-1791 tions are not transferable to additional institutions 5 U RV EY Of LOTS 3 1 -35 N A5 5HOWN ON A MAP ENTITLED"NORWALD" PILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY A5 MAP NO. 1 275 51TUATE: NEAR CUTCHOGUE ° �°k w E TOWN : 5OUTHOLD 5UFFOLK COUNTY NY s SURVEYED 12-01 -2020 00``�G SUFFOLK COUNTY TAX # �\\ �0\ 1000 - 97 - 8 - 27 x\ . 30' CERTIFIED TO: GARY DAVID DOROSKI P 1 l t1 �� �YavoSe cddlaNOc.I woY� � _ Q 3'x`i'2ose 1�ack SGY��� R 5ra-Cs ci4YO \VCLQ �cvv�c\wcwc� a+ i�Tr��nvr� `\LOT 3 I \\ \ (S \ 2 _\ � NS / (r) I1 J� aY I \ 66.8 I �� f 4 j I 0 ' ---" 4 J v I I U`0 0 j Mme __ � � a• e� � � —_ O 1 t + ;Dd1 n- 33 O O O CDV01 - - 0 co 4Q 41 i 3s �or36 ° l/ D YAR - 8 2021 01 # Southold Town WETLANDS SHOWN THUS DELINEATED BY SURVEYOR 12-0 I:2020 Board of Trustees F.E.M.A. FLOOD ZONE X AE(EL 6) FROM F.I.R.M. PANEL 36 1 0300 1 6411 NOTE$: �IC "Unauthorized alteration or addition to a survey _•`C/,{_r map bearing a licensed land surveyor's seal is a JOHN C. E h LE RS LAND 5 U RVEYO R �� E violation of section 7209, subt e Education Low." division 2, of the 0 PIPE FOUND �. `,� � New York Stat WOOD FENCE 7 �� Only copies from the original of this survey (s1 .G marked with on original of the land surveyor's ---x —x— CHAIN LINK PENCE stomped s")sl be considered to be valid Irue �1' ,,. copies" 6 EA5T MAIN 5TPF- T N.Y.S. LIC. NO. 50202 * t * Certifications indicated hereon signify that this '�� t•- survey was prepared in accordance with the ex- Area = 37 699 5�. Ft. RIVERHEAD N.Y. 1 I 369-8288 Fax 369-8287 sting Cade at Prattles far Land Surveys adapted i. �j - by the New York State Association of Professional 5 Q �-, Land Surveyors. Said certifications shall run only Area = 0.865 Acres T �� to the person for whom the survey is prepared, resurvey@optonllne.net 5020 and an his behalf to the title company, governmen- GRAPHIC SCALE I 30' S�� LAND tal agency and lending institution listed hereon,and -`F to the assignees of the lending institution. Certiflco- 2020-1 79 ?err,f tions are not transferable to additional institutions V� a.. �: •� c 1 F t j 75ti owes W. -•�'' �}'�ti P, ` � �:' Rey � `�� I _ "_!' �'7N._ .��' _, � r� �� �,- ��� � y���� �--.` ., of.a � •r.. . S Jed l r - 7W ps�o 76, > J. ^�.•s�` ' �' �, IIP. � �+I�AR""". _ 'l�rr��•ou - ,, -- { \�.� "'mow"- `- - �r _ �rrf�g�r,ysenP..:.•�u *j i i• . r 10 r1 fit. y ;* dft 40 - — � � f.. i .-.�_ • '.fly ' +1 s //�r4 ' 4 s, 4-OR�ffwave "!7 ilk Nz- t l �_ I y-� '� -�e - r Y.�i_ •,,� - •fir f ate' ow R Va y y *�^" _ _ SIR�awra-.res=•w.,-",�! _ _ r., r 1� 1�Awl � 11 J fjop s � var -. �- w�,�.•� _s •_--�;- - - _ -_' �., ..-,;,tea 1w _ ate` �` s ► 1 s Ar ' t�, moo }` / "got` ti a • _. _ - .. e. .-_ _ _... __-.. MW-dft NM ��ire, ICAw -,U;. n-e < R ii� � { •M�a�� •. `'may# � �_ t` •, •••A � • Un"12- - SEE SEL.NO.Oyj SEE SEL.N0.095 M.txAr vs+sow". MATLN 'r`` .'MwTCN.. E v:..MATLN rAd)A9 LRIE .... LINE a a Os re Or w �r Jy mAl� 13w 4. a N lirt na+TxrnOHtq ! y tqw a Lls 1y � j y r N Nn5 09 ltd 0!tOM 0 41 4 �i 'S toaoa9 w tow to— n to-w w '. iroN«w�9ow«oJ, z.eAtc-01 ) •1' a gl of vice xvxaF<eNTwo«ey tea - ry. .# xm ,: ' ..._a '.,'- Y Mrn.ra 4• d, z \ .a .) 4 2911 092 0 i' $M':9 •./�' u . - 1DM9 ) t Ip .1P O. x D mw h 1 �t -r. �, f t "'' n. � ,�ycT ,... .k•4 sa'�^) c0uvrr nalrfaax ,y J , r'W h 2MlcJ ` 1. "y.. sONM�ell e` Qr B 21M x.5Ak1 ; O - r .;; * �, 2x.1 t� e i •90', i p. a. ,' •' .% .In' 9Lw(<I ; ,�A t- .._.n__.__. 9 11a � 3,'l >�' ,4•.�.b O _ ♦ f,�, UNION FREE I—DW N0.9 { 2,pA :t A9g1� Er . __..... w '. I i.CM +F .' t t16 < •" •� �� {( '^ t,aj 11 .r: i 1 Qt b � .. x X 19 ! ..<� f ! 10 . 1e.9 N.- •9 1 a 2J6 a �117 f- Q9 Y r. 4 i A 'k n . 9c uRr a a 2�..y ". ,,,F (i « Jx a•, a`y ��"! iyia cy 1 ; !'_,t s• a x ! A•. �, f ' e1 d�rl!� tW ;� 1 'E a, JaA p � t• 4 fy! Q a �.V.. tTq(1 5 )F )o oA '` ♦ « 1 b may t% r e a a. g ea t ♦; Y . o,m <'`` s d• is lw � 2pa _t er E 9� ,:x' Y1� J,e Y t,! � ?re% .?� t9 '� toric lag� )e �R fA xD w .s .ti'', 9 ).w�.��_= e •# r' z „ � ! ._ m f l � i. f 9� -.y •• 4 1 ,E * ,3. as A a�F Arj ',.B��9) m t. n s+ ti..., o .ca_ cucE Es,.e-r . 9 7 - 2a f �, • s a' St s,-. r. i'eci. ..i .� .a i .. 21, -#^- ,\ �_'..>21ns t ti J,H e U p 1, ,•;s 4pw .,, # 2 o i 90 -•v"'- ✓• 1 i4¢ s, �"��h,�*1 tz . �yb 1 e a 1D 't 21 T/A .<� 4 !' •'ow ...y `�6' �: v e. 9 1..... 7a s 's4 '�„afAr6 . , a ;'' rya. a":p �ya� v« ' i� , °+ .. >R m� 1gA E, 9L�=wNEN a?-•5 ��A�s soQa 2 �'gMa t+ � 9 w 9 a4 ♦ � ..4 a a s 52 �oR L �`lj ;2 �, t, b,yr9.._ y ;,.. 5 B • a°y,,i. p2 t.�� �•'. .-: °ji< .b"� `m ., 1:B N. '.. ". <, :� • ?tzwx 1 914 MAiI. LONE tQ) � -••`OVEN r S. SEC r COUNTY OF SUFFOLK NOTCE K r«e� toxo N SECTION ND _s,e— — ,c•r<c-9y<o__ O •.�,•.. —.� arner ttA Real Property Tex Service Agency MNN)arlr.E.xrRu)rry sALEcw v wunato 097 e R� _ _ r^ ___ W E ivwurmf10Nrc my Timis Mw s"aRmaRNEo a N v.n_yy___ _ • bl Cerv<r Drm Irer.LW,\)Ilwrl M 0 ——._ ��.—«w.� t•" —_ w•q r. (211 r� .w v vAtRgP svRrtiBl Ra565p16M p ec ___ S REAL wERAry TA%SFMIIR tOBi,' OFFICE LOCATION: ( z MAILING ADDRESS: Town Hall AnnexP.O.Box 1179 54375 State Route 25 � + Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold NY 11971 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 Doroski SCTM# 1000-97-8-27 The application referenced above is for a Wetland Permit for a retaining wall, irrigation system, drywells and plantings. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with the Policy Standards and therefore is INCONSISTENT with the LWRP based upon: Policy 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. A Wetland Permit was not located in Town records for the as-built retaining wall. The construction of unpermitted structures does not meet this policy. In the event the action is approved, runoff from precipitation and irrigation should be controlled, and irrigation should be limited to landward of the new wall. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney � Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,SecretaryOlt P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held April 7, 2021 the following recommendation was made: Moved by Peter Young, seconded by Carol Brown, it was RESOLVED to SUPPORT the application of GARY D. DOROSKI to construct a retaining wall to capture stormwater causing erosion on property and steps to grade. Install three (3) new drywells landward of proposed retaining wall. Install haybales and silt fencing during construction and a 10' non-turf, non-fertilized buffer. Located: 425 Monsell Lane, Cutchogue. SCTM#97-8-27 Inspected by: Peter Young, Caroline Burghardt The CAC Supports the application with a 15' non-turf vegetated buffer. Vete of Council: Ayes: All Motion Carried PATRICIA C. MOORE ® E C E I U E Attorney at Law 51020 Main Road Southold,New York 11971 MAR 31 2021 Tel: (631) 765-4330 Fax: (631) 765-4643 Southold Town Betsy Perkins Paralegal Board of Trustees Julia Spanburgh Julia Schade March 31, 2021 Board of Town Trustees Town of Southold PO Box 1179 Southold,NY 11971 RE: 425 Monsell Lane, Cutchogue,NY(Doroski) SCTM: 1000-97-8-27 Dear Board members: With reference to the above, enclosed please find an additional check in the amount of $250.00 made payable to the Town of Southold. Thank you. Very truly yours., Tcd�kt� C. MS Patricia C. Moore J PCM/jms v 1 Glenn Goldsmith,President ` 19 Town Hall Annex s®UTy® 54375 Route 25 Michael J.Domino,Vice-President ,`® l0 P.O_Box 1179 John M.Bredemeyer III [ Southold,New York 11971 A.Nicholas Krupski G Telephone(631)765-1892 Greg Williams �O' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - -- - --- - — - -This Section For Office Use_Only --- - Coastal Erosion Permit Application D E C E 0 WE Wetland Permit Application Administrative Permit AmendmentlTrander/Exjtension LIAR - 8 2029 -Received Application= Received Fee: Completed Application:= 3A16,Z( -- Southold Town Board of Trustees Incomplete:- __ _ SEORA Classification: Type I Type II Unlisted Negative Dec. __-_ Positive Dec._- Lead Agency Determination Date:— -- -� Coordination:(date'sent): _ LWRP Consistency Assessme t Form Sent: DAC Referral Sent: _ ate of Inspection: 4,7-_ _ - Receipt of CAC Report. Technical Review: - I'ublic Hearing Held: Resolution: ' Owners)Legal Name of Property(as shown on Deed): A GLrc.� Mailing Address; _ID D--?j o hQ,-ti Phone Number: 1 - 1--,)to to - rl O 12 Suffolk County Tax Map Number: 1000- q-1 - - - 21 -=-- -= - -- - --- - Property Location:_ ZS hal b r�S \ L0.`n�� �.�. .h��►� , 1� =1 1C1 -_ (if necessary,provide fdLCO Pole##,distance to cross streets,and location)- - - _- - - - -- --_ AGENT(If applicable): -pa:h- 1 6 a �' 0 D 1(- Mailing Address:_- S 1 0 2 D _ -t A Q -r1 —- — 33t� Phone Number: (a 1 - �1 ��3I � Board of Trustees Applic, Lon GENERAL DATA Land Area(in square feet):,- Area Zoning:------- Previous use of property: -S Intended use of property: -1-M-M-C4 _-AK[a Q-L- A: M;rn Covenants and Restrictions on property? Yes No If"Yee',please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Y&',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 Y No If``Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? —Yes )(_ No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Dat!,, No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V/ No Yes If yes,provide explanation: Project Description(use attachments if necessary): 1-3,-7 -f- rctcLk J Lead,-_ri cvna du (es a*J A lo" Aj0y0-u- Y1f- fro r\ -W+-tA1Z--c� hc4�Yo L)N)eAr 7,- f 7 F Board of Trustees Applic,' 'Lon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations. W A.1_S Area of wetlands on lot; �,QQD—square feet Percent coverage of lot: _ 5- % Closest distance between nearest existing structure and upland edge of wetlands: `7 1 feet Closest distance between nearest proposed structure and upland edge of wetlands: ;2Y. 7 feet G• Y Does the project involve excavation or filling? _ _ _ No _13 _ __.Yes If yes,how much material will be excavatedT-S_Q_-__cubic yards How much material will be filled? Sty cubic yards Depth of which material will be removed or deposited: 1A WN . - feet Proposed slope throughout the area of operations:_ r__G�u c�-Q_ Manner in which material will be removed or deposited:.- U/Vid 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): C Crn� -i�l anrnc�s 9 -�osio 61 Z20 Appendix B Short Environmenta[Assessment Form Instructions-for Comnletiria. 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:- - -— Projecfi,ocarion(describeand attach a location map):, Z 5 lel o oseA I Lci rye , 6W-z- ve_ _ Brief Description of Proposed Action: Name ofApplicanforSq7 S - - - -- -- - -Telephone:ponsor � t - o [a -✓1 I]VIP Address: - - -- State: Zip Code. S ( kA- © I_-Does the proposed action only involve the legislative adoption of it plan,Iocal law,ordinance, NO_-J YES administrative rule,or regulation? - - If Yes,attach a Tiarrative 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� dd the proposed action requrre a permit,approval or funding from any other governmental Agency? NO_ YES If Yes,list agency(s)name and permit or approval: N�'S of G ;❑ f ^� - '-3_a Total acieage of the site of t rF-e ptogosed action?_~ �'(0 5 . acres b.Total acreage to be physically disturbed? _ o4_i ----acres c.Total acreage(project site and any contiguous properties)owned - or controlled by the applicant or project sponsor? acres 4. Check all Iand uses ihat ocxur on,adjoining and near 6e proposed acti- - F]Urban ❑Rural(nom-agriculture) ❑Industrial []Comm&ialesidentiai(suburban) ❑Forest ❑Agriculture ®Aquatic ®Other(specify): -- _ ----— ElParkland Page I of 4 5. -Is the proposed action,-- - -- --� - N0=_.=YES_ 1V/A_ a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? F1 Er El 6. is the proposed action consistent with the predominant character of the existing built or natural NO :YES landscape? 7. Is the site of the 13-46kil action7ocated in,or does i adjoin,a state listed Critical Environmental Area? NO ,YES If Yes,identify:. -- -t— --— --—=-- - - - - - - -- - _ 8: a.Will the proposed action result in a subs-tantial=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? _ a 9_Does the proposed-a _ meet of exceed the state energy cede requirements?- --- ` - NO- YES- If the proposed action will exceed requirements,describe design features and technologies: -- - 10. Will the proposed action connect to an existing pu-blidprivate water supply? _ `:hV0^,'LYES. If No,describe method for providing potable water --- - ------- - --- ----- --------- -- _ - 11 Will[he proposed actionconnect to existing wastewater utilities? -- - _-AVO YES= If No,describe method for providing wastewater treatment:'_- i2—a.Does the site contain a structure that is listed on either the State or National Register of Historic — 'NO 'YES,, Places? �✓ b_Is the proposed action located in an archeological sensitive area? 13.a.Does any portion ofthe site ofthe 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? IEl If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: _ - ___ 1 -r i 14. Identify the typical habitat types that occur on,or are likely to be found on the project-site. Check all that apply:_ El shoreline ❑Forest D Agricultural/ grasslarrds DEarly mid-successional Wetland D Urban ❑Suburban I S_Does the site of the proposed action contain any species of animal,cf associated halirtats,listed--by the State or Federal government as threatened or endangered? [ Ei 16_Is the project site-located in the 100 year flood plain?---- - ------ - - --- - - ',' NO YES IT Will the proposed action create-storm water discharge,either from point or non-point sources? -_ SIO _YE;;_ iflres, { - a.Will storm water discharges flow to adjacent properties? fv0 DYES j --t b_Will storm water discharges be directed to established convaaice systems ranoand storm drains)? - IfYes,brieflg+describe: _ [''NO DYES Page 2 of 4 8. Does the proposed action incl.. .�..._..W.. _.... .........I ude construction or other activities that result in the im undment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: �._....... �a .— -------- ...... ....,�.... �....... � �..�— R _. �..-. ._...__.. _..�..._ 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: ..... 11 I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Date: Signature: Part.2-impact Assessment. "fire I mmrll Agency,its responsible for the completion of Paarl 2, Answer all of the following questions in part 2.using the infonm°ration contained in part l and other materials su.mnmitted by,the project sponsoror otNrt rwia available to„m tine rew fewer. When answering time questions the,reviewer shomuld be guided by the concept"H ave tmiy responses been reasonable considering,the scale amu'l conttext ol`the prm:mposed action?” No,or Moderate small to large impact impact may may _... ®. ......... ....... ..... . occur occur ut mlI the proposed action create a nmateiriai conflict with an adopted land use plan or zoning regulations? EJ .. Will time proposed action result in a change in fine use or intensity of use of land? ��✓" p lx mul action impair the character_... uni � ..._ �_.... 2. Will tfa�v° roam p«` or quality of the exust.rng connmmmmrnit ............... .. C Will time proposed action havean im ent on the cnvmrom._amleumtal characteristics tlmat u.mauled tlm... . a, establishment of a Critical Env ma rtental Area(CEA)? . milr"ill time proposed action result in an adverse change in the existing level ol"tm l c or (� affect existing inlmmastrucmture for mass transit,biking or walkway? u proposedEl 61, the n cause auconservation �...... �energy, �it fails tmmutroi�m.r.a...te re�rmabi r a amlable oner �oomery r ron or mnewablenertmiec _.... _ ...M T Will the pmposed action mmpdwt existing. a.pulmc l lives eater supplies? b.publi6c c°private wastewatertmreatrrient utilhics? i iEl � & " il the proposed action impair the ch actetor qtutfity of irnrAi1rlant ltistamric,marchacciloigcal architectural or-aesdietic resomarces? t'9_ Will the P"-PfK)s4d aatimi result in an adveoae change mo,natural FeSIDUrces e,-q- wetlands., �wvat bodies grm mrnd�waratcr,aur e ualiiy,flora and lauuasi°l gage 3 of w...................... ......M.. .. ----... m. �... ..�..�.,,,,,,,......__. No,... or Moderate small to large mmmapaacp pmmnpmamct may may occur mauccmmim. ....� ............. ...— u° � ......... 10. Will the� ro osed ,tmoum nvsu.ullt h�mm i mmmcse mum the�pmu �puaapaanamm,floodingdpmu om-dmaanma pe ��ra� _ ... �.. ....� p p w Will the proposed o° tion create a hazard to environrriental resources or h uumm mm health? .—..........ww.. .. mmsos ......... ..�, ,,,,,,,u, �...... .......................... Part 3-Determination of signific2ne.e. 'nve.Uad Agency fis responsible for the completiorm of Part 3. For every mpuestmmama in Part 2 that aammsweiirw -mmmodcr e to large impact may as µmeme',or if there is a need to explain why ma particuiar element o,f the p ropaoscd action may or will mmart result in a signmfm t adverse vmmammmmm ental mmmulpa ,please mm a;mmmmmpmlll to Part 3. Flza-t 3 should,in sufficient detail,identify the impact,including airy measums or design elements that have been included by the project"t p;mmmnm m to avoid or reduce impacts.. Fl•,umt 3 should also explain how the lead aguasy a,eternimned that the impact mayammpmmpmpmummmm�p mmnmmp � mmp M mmemmm mm � mm probability ofoccurring, duration, irreversibility,geographic scope maggnitude. Also consider Mme pmmmt miatmaap Pimm short-term,long-term and cumulative ummmimamcts. ...,� .._ _ mm eau n the�mmlpmmmmulmguli � .... � �m .�mui mamrp� mma�mmwmuimmmuarcmmd�mulmm`:�wmluµ You a,,... , �� y � m� �nmmmmp um�iui� momm mmamp mm� amllLmmxummu llpaammtth:eE Check llmmiummmposc!d �mmtionmmmay ae��mmmi� ma��nm uuim �Im . p m y mm mm�mmmr.mamm mmoummmmm mm� mm�mammm p mmmw rm!;mmmmiil�a~ ulu�' �mmmmm mpuam �; a!mmmmy imm°m emmmmpmmmmmmmmenW mmmrmpm mmwmt r mn*mrpm.mium d.. . . m.. din;box if y(w I av hila mm mmmNmmmmmllli mrmmwmmilu luimmmlll analysis,m mmm ,„ammmm yummy jwpmllll)oiiImmm�,mmmpul..ummmmm.iutatioiiilill, p mmmm��mmrm 11haaa�the p ro ism &lin imm�m'ulm mmitist�mllllw llmaan sill �mmmiphiL mia averse mmrem mm°mmmmmm entamm iuiumm lxwls.. y W' III..' imp mmmmr uum�mm�'mmm mmmmw wSk a� m' ... 11 °��' paamm map y mm , „n,,,,..,m ,,,mm,,,..,, .m �_.. ........ �.m ul�iimmui mm mau�mmmuumm III m ��i III � p.. . _g n y [We a ro f I fi ala m �. ....m mm...,.,. ., m1 q m pim: a mnm apn Officerin Lead Agency p m ��of c � �^Offim ,am.�� �.. e.. ... .... 6 mmrumn.um a �a'p plea �a�mm np-,O p�p°� pm � .. ��� pm�m�p.m��umy Agency yuiuglllu1mtlu�m�� mmdp"" (im''31p'mpmmm� i III!. mm mpe��!apwm)mm,iuiWmmm �imm���m1 mm __._ I:lagp lag4 m al` Board of Trustees Application County of Suffolk State of New York GARY DOROSKI, 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 TOWN 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(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Gary D oski Sworn to before me thisZ, day of S, G - , 2020 TJ-61'ary Public BETSY A.PERKINS N®tart'Public,FEt6 30636 Y®* Qualified in Suffolk Coun Commission Expires July 18, . Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) GARY DOROSKI, as owners of premises 425 Monsell Lane, Cutchogue,NY 11935 (sctm: 1000-97-8-27)residing at 425 Monsell Lane, Cutchogue,NY 11935 do hereby authorize our attorney,Patricia C. Moore,to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. (owner's signature) Gary Doroski Sworn to before me this 2q day of De-c,_ , 2020 otary Public BETSYA.PERKINS Notary Public,State of New York No.01PE6130636 Ouallfled in Suffolk Coun Commission Expires July 18,�� V APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) 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 information,which can alert the Town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: DOROSKI,GARY&MOORE,PATRICIA (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 or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity: Dock Permit Change of Zone Approval of Plat Exemption from Plat or Official Map Other Trustees X 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 X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold: Title or position of that person:= Describe that relationship between yourself (the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship 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 day of 2020 GaNr � Glenn Goldsmith,President o�QSDfFD(,�Co� Town Hall Annex A.Nicholas Krupski,Vice President ,`� �� 54375 Route 25 John M.Bredemeyer III y z P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF-SOUTHOLD . March 31, 2021 Patricia Moore, Esq. 51020 Main Road Southold, NY 11971 Re: Board of Trustees Application of Gary D. Doroski 425 Monsell Lane, Cutchogue SCTM# 1000-97-8-27 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. V y Truly Yo s, Glenn Goldsmith, President Board of Trustees ;'�O�Osuff©(�COGy Glenn Goldsmith President Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M. Bredemeyer III P.O.Box 1179 Michael J.Domino oy �Nz Southold,NY 11971 Greg Williams 'h0� �`a�� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN. OF.SOUTH.OLD__......._. w. _ WORK SESSION & PUBLIC HEARINGS WEDNESDAY, APRIL 14, 2021 6-00PM & 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 Headrigs-beginnirig'at 5:30PM. Pursuant to Executive-Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disalvo@town.southold.ny.us. Said comments will be considered at 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 computeror smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892, Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 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.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Lasefiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on- the name of the application to view the file. � I F Glenn Goldsmith,President O�QS�FFD(, CD Town Hall Annex A.Nicholas Krupski,Vice President �� 6y� 54375 Route 25 John M.Bredemeyer IIIy P.O.Box 1179 Michael J.Domino 9 ^� Southold,NY 11971 Greg Williams 4, ® ap�� 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 12:00PM-the day prior to-tfie 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: es I f - STATE OF NEW FORK COUNTY,OF"SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20____, deponent mailed a true copy of theNotice 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 MAILIRETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF SIGN DOROSKI POSTING Regarding Posting of Sign Upon Applicants Land Identified as 1000-97-8-27 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE residing at Southold, New York being duly sworn, depose and say that: On the 6th day of April, 2021, 1 personally posted the property known as 425 Monsell Lane, Cutchogue, New York by placing the board of Trustees official Poster where it can easily be seen, and that I have checked to be sure the post has remained in place for seven (7) days prior to the date of the public hearing. Date of Hearing to be held on Wednesday, April 14 on or about 5:30 p.m. Pat� 'a Koore Sworn to before me this fj day of Wyk, 20 a( & %'0--" Notary Public 13ETSYX PERKINS Notary Public,State of New York No.01PE6130636 Qualified in Suffolk Count , Commission Expires July 18,E r C�� PATRICIA C. MOORE Attorney at Law �— 51020 Main Road 1 2021 Southold,New York 11971 SAY Tel: (631) 765-4330 _ yJ Fax: (631) 765-4643 Board of "f Betsy Perkins Paralegal Julia Spanburgh Julia Schade May 17, 2021 Board of Trustees Town of Southold PO Box 1179 Southold,NY 11971 RE: Doroski 425 Monsell Lane, Cutchogue Dear Board members: With reference to the above matter, enclosed please fmd an additional green card that we received. Thank you. `Very truly yours, • • o ire MOORE LAW OFF;ICE'S ; ' A. Signature 51020 MAIN ROAD gent SOUTHOLD NY 11971 X Addressees B Received by(Printed Name C. Date qfj el'Very I 1. Article Addressed to. %`f/ "7 i D. Is delivery address different from ite;7 1I ❑Yes ' JAMES 'l!KVN S E L L & 0 R S If YES,enter delivery address below. 0 No 509 FIfS,T _ST i GREENrP•O'ril N4' 11944 I i i Illlllli► r II II►II IIII IIID r 9290--9902 7906 6900 00177889 �e ep 2. Article4Nu�9 [rrar�s(e0f6om6dc�ia4❑.,7 8 5 0 3. Service T e l YP ®Certified Mail® ❑Certified Ma,l® Restricted Delivery t PS• Form_3811:Facsimile, Jul 2015 y_ _ _Domestic Return Receipt i s o • • o • A Signature MOORE L-AW OFFICES ' . '" ,`; ' 'Agent ! 51020 MAIN ROAD /✓� �'/�jj �y�2 ❑Addressee SOUT'HOLD NY 11971 xC B. Received by(Printed Name) C. Date of Delivery' C(� vq" v�f 1. Article'Addressed to: D. Is delivery address different from item 1? El Yes -A, If YES,enter delivery address below: ,0'No f RUER MONSELL 162`3], 32ND AVE SE MILL CREEK WA 98012-8340 �iiIi ill�I SII II I II��III III I II ' 9290 9902 7906 6900 0017 96 IJ i 2. F�[tlple4NUCg11Bj,(�rary$fEr16om6@[y!(@ Ial2Pll 1 7 9 2 3. Service Type N Certified Mail® ❑Certified Mail® �7J C21y� II'`71 LuI 2C rr``1J UU `I LI LI U L� Restricted Delivery PS'Form 3811 Facsimile, July'2015 . . Domestic Return Rebeipt , • • • Signature ❑Agent j MOORE LA'W "OFFICES ❑Addressee s 51020 MAIN ROAD S 0 U T H 0 L D NY 11971 B. Received by(Printed Name) C. Date of Delivery 1 Article Addressed to: D'� s different from item 1? El Yes (F4- very address below ❑No BENJA',i-,,A'.DOROSKI PO Btr X' 1698 MATTVFUCK, NY 1 1971 I lil IIIII IIIIIIIIIII lil IIIII IIIIIIIIII IIIII 9290 9902 7906 6900 0017 72 2 Article Number(Transfer from service label) 3 Service Type N Certified Mail® ❑Certified Mail® 9214 7902 7906 6900 0017 78 Restricted Delivery ; - I PS. Form 3811, Facsimile, July,20,15 Domestic Return Receipt BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF DOROSKI MAILING Applicant's Land Identified as 1000-97-8-27 ---------------------------------------------------------------x COUNTY OF SUFFOLK) STATE OF NEW YORK) I, JULIA SPANBURGH, residing at Riverhead, New York, being duly sworn, depose and say that: On the 5th Day of April, 2021 deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the persons listed on the attached list at the addresses set below their respective names; that the addresses set below 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 Southold, New York, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. 1 r� I . I J LM-8_PAN_ BQgtI4 V SwcAntobefore me his 5-4' d of - I ( Pu lic) BETSYA.PERKINS 1401ary Public,State of New Y0* No.01 PE6130636 Cualified In Suffolk Counbp O mmission Expires July 1%. _.__ .�_ - --- ------------- RECEIPT - ----I RECEIPT I 9214 7902 7906 6900 0017 92 9214t7902 7906 ssoo oon es RECEIPT , L 9214 7902 7906 6900 0017 78 i FROM: FROM: MOORE LAW OFFICES MOORE LAW OFFICES FROM RE doroski trustees RE doroski trustees MOORE LAW OFFICES RE doroski trustees i I ` D TO: SEND TO. James VMo see,-p s SEND TO' Roger Monceg50 1� r - �-17K f 16231 32n'2i gve'SE���f`• 509 np Ben�a 509 rNrpitDo�oskQ� Mill Cre� A98128340 Ge ' PO Q O \ > 1 a G� Map)rfc NY 1 1971 n i �f �a , O I FElES. c�.. -(0,);!9$: ti O��O PEES' T Posta9r� 050 Ce(tri�etl Feeti 55 \\ 50 I Certed,Fee •2 85 Retb�n�jecei 5 Postagev ��155 I Retum�2ece�Pr t r Restrncte C�lfiedFee 4 285 Restncted QED F l L6� 4 Returnsf�eceipt TOTAL $6.90 Restricte`d6 4 6 �`\� { TOTAL $6.90 i TOTAL $6.90 POSTMARK OR DATE I POSTMARK OR DATE G POSTMARK OR DATE � E i ' � NOTICE F, HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. �t OWNER(S) OF RECORD: GARY D. DOROSKI SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the as-built retaining wall 13.7'x35.7'x13.3' with steps to grade to capture stormwater causing erosion; install 3 new drywells landward of retaining wall; install hay bales and silt fencing during construction; plant various vegetation/trees; and to establish and perpetually maintain a 10' wide non-turf, non-fertilization buffer along the landward edge of wetlands. Located: 425 Monsell Lane, Cutchogue. SCTM# 1000-97-8-27 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 file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records,-Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold I::WRP.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 determiination 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 Revitalizafion Program. A--proiiosed_kti&d -will. be--evaluated._as--*-;its::.si riifiicant. beneficial adadversd effects upon the coastal area( �ici includes alL'of'Sauthold T'owri�. 3 If any question is Section C on this form is answered "yes" or`bio", 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_egnlainM in detail, listing-both sutiiioi-tiria and non-- sup 6i-tin -facts. If an action cannaf Tae certified as consistent with the LWRP policy standards and conditions,it shall Ot 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. DESCCRI MON OF SITE AND PROPOSED ACTION SCTM- PROJECT NA1VIE 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-capes ,construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g.grafi loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action- Location of action: _7`� /111-O-o s ca LcA,^ ( tetgki C)C U-t Site�acreage:_ _ - 37� - Present land use:- -__-_-- _ ---- _0c)© S_,&rN Present zoning classification: 17� � 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 applicanf:, G!r-j, roil (b) Mailing address:-- _ --� (3 0 - - TI CIJ n CSG 1-1 19'3,3 . (c) Telephone number.Area Code( )__-��J _ -",�J�(r(o_�'__70-1 --7 (d) Application number,if RTill the action be directly undertaken,require funding,or approval by a state or federal agency? Yes No e� 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 LMW Section III-Policies;Page 2 for evaluation criteria. &L Yes `Q Ilio ® Not Applicable - -�- -- - --------- -- --- - — — --- - - -- - _ ---- -_ - s --bincy J- Attach additional sheets if necessary - Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Z Pages 3 through 6 for evaluation criteria Ell Yes[] No Mot 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 n,,No ENot Applicable 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 —Policies Pages S through 16 for evaluation criteria MNoE1 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 El Yes Q''No Not Applicable ------- - ---- - ----- -- Attach additional sheets ifnecessary 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 iteria. Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LMMP Section HI — Policies Pages 12 through 34 for evaluation criteria. Yes ,0 No,P/Not Applicable Attach additional sheets if necessary Policy 8. Afinimize environmental degradation in- Town of Southold from solid waste and hazardous substances and wastes. See LNVRI?Section M—Policies; Pages 34 through 38 for evaluation criteria. S No P'Not Applicable PUBLIC COAST POLICIFS 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 M—Policies;Pages 38 through 46 for evaluatioin criteria. YeD.- XoETNot Applicable Attach additional sheets if nec-eisary WORIING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations7No WRP Section III—Policies; Pages 47 through 56 for evaluation criteria. 0 Yes .0 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 w"ate See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. _M Yes _0 No Not Applicable Attach additional sheets if necessary - - - - - - - - - - _ -_ - ------ - -- l \t PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Betsy Perkins Paralegal - Julia Spanburgh ,r–— - Julia Schade L Ct ;r ---'---ftp March 8, 2021 8 2021 j Board of Town Trustee Town of SoutholdPO Box 1179 , Southold,NY 11971 RE: 425 Monsell Lane, Cutchogue,NY(Doroski) SCTM: 1000-97-8-27 Dear Board members: With reference to the above, enclosed please find an Wetland Permit Application to the Southold Town Board of Trustees and a check in the amount of$250.00 made payable to the Town of Southold. Thank you. Very truly yours., ?6& C Patricia C. Moore J s 4 PCM/jms v