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TR-9881
Glenn Goldsmith,President Qf so(/�yo Town Hall Annex A. Nicholas Krupski,Vice President � l0 54375 Route 25 John M. Bredemeyer III P.O.Box 1179 Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �'0 �� Fax(631) 765-6641 COU 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 "Pre-construction'-hdY-bale line/silt boom/silt curtain Vt day-of construction Y2 constructed When project complete, call for compliance inspection; a"e'iii`a�9•: - a�C°P"Citl�•.." 94'!°goo' "ai i'i'i: _ _ _ .:'` 111@ 44/1°^•���- " °11@ 44d - w^','�° @ 40°^'� _ - ">�0 0 d4`�y..�` �" ioi'io+'�••;- ;e�e7i o"°%:- - s^• .6{`i Jp 'ars-„n.,7,. •5�p1 J pv” �~a Qp1G1i liJfe• � ;gp11 JJp�r: - .:eiy�C@@ 4`1°p J'o,.,.,'..'.'•h'-'-p;,• - .a61 @I@ 40f•C�OS- �1�'„�?:a��y @°f°P'•�'P9pp?�e;r `.y :�, �. ,;;,,,-r •"``�"�'�:�;L�; e >'•:... �. _ r."���E- -Y" aO, ..,a::w'�G";r`f: - �--.'�-" 'o-.: '� \ t�` e� a(�r� '$ t%;� _ •.r a r,�\t '� � a! ` o ` , m ,��,` o a. y as ;��^�l'i v_ o !r'`C,. m"e,' s. • �.,. .1 ear ... a ,.. ♦ ii •`r, � • e,Fe', g ay_� i ,-.�' 9,t';�•; »r�TMf�,�T„'�;?;�'�f:�1f2,5.^s�r xs'J•+,xTr:'sT�:�''1�s*rw”,4PJ,3=l'�k'7'+Y>•v�"."t5.�4,';v_1:rCr+r_'hr^yds,:'�.''s4�«1.�"•d�2'.&"'�n=•s'Z.`9�'fiA:2,v•r.E'.skYSl.:"3rL,^"�.'X11,4�va9z�',?'3sr,;,,'e ?eYTla;'ar arc!!'�L%yT•e,a',•''�'sve3•:,�A'Cu:,,.�!%„•a-:;s;"�;e•�<d*,E a ?ee �I I�41sa•ae ilre � •rp„ �,i BOARD OF SOUTHOLD TOWN TRUSTEES I y_ SOUTHOLD,NEW YORK i 4Addd I PERMIT NO. 9881&9881C DATE: MAY 19,2021a . ISSUED TO: JOLYON STERN PROPERTY ADDRESS: 63035 C.R. 48, GREENPORT SCTM#1000-40-1-13 -� 4 'g° AUTHORIZATION �.. a�ie@°o a t Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of i.r Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May z ',a 19,2021 and in consideration of application fee in the sum of$500.00 paid by Jolyon Stern and subject to the , j, Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits F the following: g - 14z •1„ i �lia1@ t Wetland Permit to install 80 linear feet of rock revetment at toe of existing bluff; install 25 I 'vFoo M cubic yards of clean sand fill and Cape American beach grass; and as depicted on the site eq plan prepared by Jeffrey PatanJo, dated February 2 2021> and stamped approved on May 19, 2021. e {e,ddd IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Sea]to be affixed, 111,►►_°..y _�e a and these presents to be subscribed by a majority of the said Board as of the 19th da of May,2021. +'a •�� ,ZO COQ _�>>-;, +�. _�- i..e - •010@@ Y f ��� � ���� _ ��' � 'Jp°°� , f M1 •`010 I � 4��/ -- .` a ,'��� iiii'uii• rir)NRr'veCrru”fi.trui�.url,irr3+S�Su3iiinrfiiv i'r'Cii'ir:.7r�x}n:LtiCi•;.r,�'•,Si`�x'Lulin'Y�X,i•;:aYrFati�.iris:�ektiutu.4'Cr)'rrwirre&riw�r2iSiri•.w.irifii.iir`lS\i,6ii•�55irerir7,rr.t0,�+�nr),veivYrl�}lrvie RrrvuRrnrrr;i2irrf�•.fiinCilfic2J'ovlrrf) .rin n,. 1u��'\ {{geddd 11104°i• •;eQddd 11181 {e�Idb /11;e;, .i .{idAd IIO�,;t- .{{Dodd N`o;:• __ :gedA16 111o,:�a °`°,{�ed 111p•, _ _.iij iii•�•� �_ _;. �e:i:iial��_' nai%1iJ�• _ = ie%1ii•a. __ •ii%°ii =.� •_0.:•_'.1:i•e. _i �_ �..i:_i::•.-_ TERMS AND CONDITIONS The Permittee Jolyon Stern,residing at 63035 C.R 48, Greenport, 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 SU�TTown Hall Annex A.Nicholas Krupski,Vice President ,`O ��� 54375 Route 25 P.O. Box 1 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �' �� Fax(631) 765-6641 oly�pU01�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT#9881C Applicant/Agent: Jeffrey Patanjo Permittee: Jolyon Stern SCTM# : 1000-40-1-13 Project Location: 63035 C.R. 48, Greenport Date of Resolution/Issuance: May 19, 2021 Date of Expiration: May 19, 2023 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: .Install 80 linear feet of r"ock'revetment at toe of existing bluff; install H cubic yards of clean sand fill and Cape American,beach-grass; and"as depicted,on,the site"plan prepared by Jeffrey Patanjo, dated February 2, 2021, and stamped_approved on May 19, 2021. INSPECTIONS: Final Inspection - SPECIAL CONDITIONS: None In accordance with Chapter 111-15 Erosion Protection Structures: xx A maintenance agreement is attached hereto and is a necessary special condition of this permit. By: . Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President \QF S�Uly Town Hall Annex A.Nicholas Krupski,Vice President �QV' ��� 54375 Route 25 P.O.Box 1 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 May 21, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY - - RE: JOLYON STERN 63035 C.R. 48, GREENPORT SCTM# 1000-40-1-13 Dear Mr. Patanjo: The Board of Town Trustees foo'k the`followihb'actiori during its regular meeting held on Wednesday, May 19,-2021 regarding the above matter:- WHEREAS, Jeffrey Patanjo on behalf of JOLYON STERN 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, and Chapter 1-11 of the - - Southold Town-Code, Coastal Erosion Hazard Areas, application dated April 2, 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 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 May 19, 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 and Chapter 111 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 JOLYON STERN to install 80 linear feet of rock revetment at toe of existing bluff; install 25 cubic yards of clean sand fill and Cape American beach grass; and as depicted'on the site plan prepared by Jeffrey Patanjo, dated February 2, 2021, and stamped approved on May 19, 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 XWYYour Glenn Goldsmith President, Board of Trustees GG/dd Glenn Goldsmith, President Town Hall Annex A Nicholas Krupski, Vice-President y 54375 Route 25 John M. Bredemeyer, III A i P.O. Box 1179 Michael J. Domino Southold, NY 11971 Greg Williams 631 Telephone 765-1892 p ( ) Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JOLYON STERN c/o JEFF PATANJO Please be advised that your application dated April 2, 2021 has been reviewed by this Board at the regular meeting of May 19, 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.) xx 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) 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: • b i'M TOTAL FEES DUE: $_50.00 BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President *0 so Town Hall Annex A.Nicholas Krupski,Vice President hQ� ��� 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 �y�OUNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 20, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW YORK STATE ENVIRONMENTAL QUALITY REVIEW ACT NYCCR PART 617 JOLYON STERN 63035 C.R. 48, GREENRORT SCTM# 1000404-13 Dear Mr. Patanjo: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, May 19, 2021: DESCRIPTION OF ACTION: Jeffrey Patanjo on behalf of JOLYON STERN requests a Wetland Permit and a Coastal Erosion-Permit to install 80 linear feet of ro&revetment at toe of existing bluff; install 25 cubic yards of clean sand fill and Cape American beach grass. Located: 63035 County Road 48, Greenport. SCTM# 1000-40-1-13 S.E.Q.R.A. NEGATIVE DECLARATION OF ENVIRONMENTAL SIGNIFICANCE: WHEREAS, the Southold Town Board of Trustees are familiar with this project having visited the site on May 12, 2021, and having considered the survey of property by John Gerd Heidecker dated January 12, 2021, and having considered-the plans for this proposed project submitted by Jeffrey Patanjo dated February 2, 2021 at the Trustee's May 17, 2021 work session, and WHEREAS, on May 19, 2021 the Southold Town Board of Trustees declared itself Lead Agency pursuant to S.E.Q.R.A., and WHEREAS, on May 19, 2021 the Southold Town Board of Trustees classified the application as an unlisted action under S.E.Q.R.A., and WHEREAS, in reviewing project plans submitted by Jeffrey Patanjo dated February 2, 2021 it has been determined by the Board of Trustees that all potentially significant environmental concerns have been addressed as noted herein: • Vegetative, non-structural measures are not capable of stabilizing the erosion of the bluff alone. • Protection of the toe of bluff using hardened structures including rock revetment is necessary. • No existing rocks or boulders are to be utilized, moved, or relocated on the beach. • As time progresses, continued soil loss at the toe of the bluff may lead to habitat degradation and bluff instability. • A site inspection by the Southold Town Board of Trustees recognized erosion on this property and the need for a bluff stabilization/erosion control plan. THEREFORE, according to the foregoing, the Southold Town Board of Trustees Approve and Authorize the preparation of a Notice of Negative Declaration pursuant to SEQRA for the aforementioned project. If you have any questions regarding the above, please contact this office. Very truly yours, _25&' Glenn Goldsmith, President Board of Trustees GG/dd N 44000'00" E � , .� QVEDBY LOCATION MAP 20.00' A ; N.T.S. DISTRICT 1000—SECTION 040.00—BLOCK 01 00—TAX LOT 014.000 q 01 SEE SITE PLAN BELOW N/F ALEXANDRA FOX STERN 1997 TRUST � `F;k �, -If„i %` ;”";:�i"'-`'%';;,^' ''', ;;t,•°,`;', 1 S 25 18'14 �' LIBER 13020—PAGE 257 I�USTEFS58°48, 0" W (� 1 >r,fy` 3%a•a 1 _ -TOWN OF SOUTH0032 Rd:;`; , °esRdco ru-'• 01 WOODh. p ` FRAME DISTRICT 1000—SECTION 040.00 1` Cb 1 HOUSE i BLOCK 01.00—TAX LOT 013.000 W �t,}x b tom] \ N/F JOLYON F. STERN � � k� ,h•, ,.�,, _,I ,n J°_ , ',� ;�;�{� ;;Flt,„ - • LIBER 7173—PAGE 56 ;"i; "'" "' ?,'%`•aY co P i ,1 p r'•,..x q =;,., ,PROJECT ' a § N 27°11'S0" W 684.62' r- ;%`• ' " DISTRICT 1000—SECTION 040.00—BLOCK 01.00—TAX LOT 012.000 1c, • CA'TIO N/F KEVIN & KAREN MANNIX ;' •# r 4}a° ;' _ ;i oy�r_ k. , r '` \ LIBER 12758—PAGE 683 �g.,,r,,,` y'.f: : "•., r ',C+is6cr a'n"',~•' OVERALL SITE PLAN ti ov�F.,, h�, ti o Via`. x •,; rAla� •., ` ''''. SCALE: 1"=60' C 1`J 4 Racy •. RE-VEGETATE DISTURBED BLUFF WITH CAPE EXIST. GRADE AMERICA BEACH GRASS PLUGS AT 12"ON APR I A CENTER FOR ENTIRE DISTURBED AREA Z 2OZ1 PROPOSED 80 LF ROCK REVETMENT 1 CONSISTING OF BOULDERS AT A Southo ofld Town Tru MAXIMUM OF 2.5 TONS PER LINEAL FOOT Board s Les EXISTING VEGETATION ON BLUFF 1 ° ALONG EXISTING BOTTOM OF SLOPE. TO REMAIN UN-DISTURBED SEE TYPICAL SECTION FOR DETAILS. TIMBER/GRAVEL STEPS — RE-VEGETATE DISTURBED BLUFF WITH CAPE -}- I— AMERICA BEACH GRASS PLUGS AT 12" ON 1 N M 1 c � -v, N CENTER FOR ENTIRE DISTURBED AREA 1 d n "n sl 111 660,_1a Z. PROPOSED CLEAN SAND FILL FROM UPLAND 1 �I 6P>2'P INE C C EN E P STS SOURCES. MAX. 25 C.Y. OF FILL TO BE UTILIZED I1 11 0 n 000 4 T AL UTILIZE 1-2 TON BOULDERS I IeN�r ' ' � ' RET W CL p O PROPOSED 80 LF ROCK REVETMENT o CONSISTING OF BOULDERS AT A MAXIMUM STABILIZATION FABRIC COD OF 2.5 TONS PER LINEAL FOOT ALONG / , CONTINUOUS UNDER r' 1 ¢ SHOWER GRA EXISTING BOTTOM OF SLOPE /\ \\ \ REVETMENT11'I` STEPS AND LANDINGS w #63005 UTILIZE 2-4 TON BOULDERS 1' ROCKY I o WOOD FRAME BEACH I4I RESIDENCE =I 1p 11 ly FIRST FLOOR=50.5" h 1111 ARAGE FLOOR=42 6' \ / o GARAGE GRAY L DRIVEI APPROXIMATE M.H.W. EL. 2.51 MIN. 2' EMBEDMENT APPROXIMATE M.L.W EL. O.Ot , //\/ /� INTO EXISTING BEACH DECK 49' - DISTANCE TO M.H.W APPROXIMATELY 25' 1 48 00O 2ND STORY OVERHANG � TYPICAL SECTION A-A 1 471� N N.T.S. PROPERTY OWNER: D ER F NCE JOLYON F. STERN —'S1-1 — — _ — _ C/O DEWITT STERN - RISK STRA 420 LEXINGTON AVE. STE 2700 Proposed Revetment Permit Plans SCALE: �� � 1 N ` NEW YORK, NY 10170 AS NOTED EXISTING VEGETATION ON BLUFF TO PROPOSED PLAN DATE: \ PREPARED BY: REMAIN UN DISTURBED JEFFREY PATANJO 2-2-21 RE-VEGETATE DISTURBED BLUFF WITH CAPE P.O. BOX 582 63035 NORTH ROAD \ AMERICA BEACH GRASS PLUGS AT 12"ON BOHEMIA, NY 11716 CREENPORT, TOWN OF SOUTHOLD CENTER FOR ENTIRE DISTURBED AREA 631-484-9332 SUFFOLK COUNTY, NY SITE PLAN SHEEP: SCALE: 1"=30' JJPATANJO@GMAIL.COM TAX MAP NO. 1000-40-1-13 1 of 1 Glenn Goldsmith,PresidentTown Hall Annex A. Nicholas Krupski,Vice President ` ~-x 54375 Route 25 qty P.O. Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J.Domino11 Telephone(631) 765-1892 Greg Williams Fax Fax(631) 765-6641 � cOU01 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I (We) JOLYON STERN The owners of record of property at: 63035 C.R. 48, GREENPORT SCTM#: 1000-40-1-13 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: to install.80 linear feet"of rock revetment at toe of existing bluff install'25 cubic yards of clean sand fill and-C,ape American beach Bass; as shown on the attached licensed survey and/or site plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original'approved structure. Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees.We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource,features. Nota,izec Siglo tore 51,owner of record Sworn to before me this day of ay, 2021. - ROGER A.KLUGE y n A i t Notary Public,Stato of New York N ar �Ilc E Reg.No.01KL4684289 Qualified in'l\oyr Y66k coufity r C.emmi,mian! xxpirab JUIV 314 cb22 This maintenance agreement shall only be valid,upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to-show the final approval of the administrator. Glenn Goldsmil •esident '`S�FFD(/ V' �d Town Hall Annex A.Nicholas Krupski, Vice President j�4 } 54375 Route 25 John M. Bredemeyer III C3 1 P.O. Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams 4" �pN- Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: / S' Completed in field by: i Jeffrey Patanjo on behalf of JOLYON STERN requests a Wetland Permit and a Coastal Erosion Permit to install 80 linear feet of rock revetment at toe of existing bluff; install 25 cubic yards of clean sand fill and Cape American beach grass. Located: 63035 County Road 48, Greenport. SCTM# 1000-40-1-13 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 f 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. 1'11 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: A10 6 P U4 1 have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer 1/' M. Domino G. Goldsmith N. Krupski _k:�'G. Williams Other - 4 .- i VON a + �1 fff r r "'► J f a, �s �.,` •-" �--ems.:+ ��A.. 171 r Aw yp. S6aHtI2 al W Na+Yar* lpta E'mDmamp law 0°Na of lFm aaa+Y n°I Fe°rhp leas��+raYam s1°"a'O °YO"O man HEIDECKER LAND ® EcE WE I APR - 2 2021 Southold Town Board of Trustees LEGEND BUILDING LINE z X— FENCING WALL EDGE OF PAVEMENT CURBING(TYPE) D611aCT 1000-SEETW WOOD-1,(—0100-TAK IDT 014000 ---60'--------- MAJOR CONTOUR \ \ N/F u ND 1]ODD-PDR MX TACRNE 2507 MUST —62 MINOR CONTOUR 44,00,00• 20 00' —W WATER LINE \ '` S 2S'IB'14'E N 27 D ELECTRIC UNE 1- I �.m voc 6INNIN — o _O GAS LINE 1 �\ 1 — _ _ _ \ _ _ — — — — OF BEGINNING S W48' IP LIGHT POLE I 1 1 ' I 1 — JZ —_ {i FL FLOOD LIGHT ro 1 E0, 1 1 I �yie U� _ __-- -O UP UTILITY POLE / \ 'I I B' �+Avb /I _ / TJ,2ie 50 FT I F GUY ANCHOR Z 1 - , I ' I I \ U �- S A ��j _ -__ ��'"v ___�_� _ 4 1681 OR \ 1V I w I p ❑ CB CATCH BASIN FH FIRE HYDRANT O WM WATER METER Z \ 1 \ \ \\\ ' w.a ow / o WV WATER VALVE - O SMM SEWER MANHOLE - OIS WCT 1000-SECTION 04000 D S SIGN R W+= ( , BLDGK O7 0LYON LOT 011000 5° UM 7173 F STERN O \ � '-/ —� USER 7173-PACE 56 O D 6848 ` \ .rcra✓d/.C!' N 27'11'50r W r 1 DISTRICT 1000-SECTION 00000-BLOCJ(0100-TAX IDT 012000 N/F KEWN&KAREN MANNM LIBER 1275B-PAGE 867 I NOTE8 AS COxpOCiro D6EYB0L xOxO eY x0°E«En uNo smvflvW.puc imiuE°r v1"aoons ems.nllw w TxE DRown 1 �O�PF NEW FSS z PROFIXIY IVOF.BEtmiGO 1A)RIH AId10a ARE a sEn uPON D-E11m NIDI mE 0 15 3 J 9RFpX CWMT f1EPo(a tmFA lt)}FACE O6 0 45 1 TIB 6 H01 A mtE SLfNM AVD WAS MrD alRX0lli THE ffNCiT OF A Till£IdPOM / 2� °Ma'®"°m Iro1Rm uwrc uxEs AaE Nor sHDna Fang ro mramucnox TXE mxm°R METERS #� � >a; JOL YON F. STERN M�r DNU 010 BAEELT FElI YORK•Al B11 Ax0 1uvE All DIRTY IOGTOIS YAIIXFO ON FEET •-f � � 1E JANIIARY 12 2021 S FltYATONS REFER N TIE NORM AYFRIOW VENInwE DATIY OF 1xBx vD b)ANO 0 30 60 90 120 o A 0� J0H OFRD HBOECKEA N.Y SlAIE LWO S01tVEY0R IlC/OSOFiB OATS SHEET NO usE INSEO upoN ms oxsEavAm v FERFowan Br H00ECKFR IAVD s5N°mEYwD Pus. GRAPHIC SCALE T" 30' `fy csD1n Ts1 m.TEs AVENUE uAm•12 2D2t TOPOGRAPHIC/BOUNDARY SURVEY I of I pNp��y 5°� DRAwN Br Bu SECTION 40-BLACK 1-IAT 13 PRa ND xolB—K NflV wwE 1-1 #83005 NORTH ROAD(CR ROUTE 48) 20HLSI65 (�+)-TTz-BRo4 cxK Br JH GBEENPORT-TOWN OF SOUTHOLD ITeweeierOnadecYeHamm srrF t•=3D' SUFFOLK COUNTY NEW YORK 1 I N 44000'00" E i LOCATION MAP 20.00 DISTRICT 1000-SECTION 040 00-BLOCK 01.00-TAX LOT 014.000 N.T.S. N/F ALEXANDRA FOX STERN 1997 TRUST 6 SEE SITE PIAN BELOW S 25*18'14" E LIBER 13020-PACE 257 S 5804820" W ca 15.00' 447, -, q�" 699-27' 104 P 0 ci WOOD 7, co FRAME DISTRICT 1000-SECTION 040.00 OUSE 'j- BLOCK 01.00-TAX LOT 013.000 c� N/F JOLYON F. STERN A, LIBER 7173-PAGE 56 :44 I...... .. PROJECT N 27'11'50" W 684.62' DISTRICT 1000-SECTION 040.00-BLOCK 01.00-TAX LOT 012000 -T 10N,�, N/F KNN & KAREN MANNIX LIBER 12758-PAGE 683 Ffih OVERALL SITE PLAN "a, SCALE: 1"=60' E C E RE-VEGETATE DISTURBED BLUFF WITH CAPE EXIST. GRADE AMERICA BEACH GRASS PLUGS AT 12"ON CENTER FOR ENTIRE DISTURBED AREA APR 2 2021 PROPOSED 80 LF ROCK REVETMENT CONSISTING OF BOULDERS AT A SZ7u—thold Town MAXIMUM OF 2.5 TONS PER LINEAL FOOT EXISTING VEGETATION ON BLUFF ALONG EXISTING BOTTOM OF SLOPE. Board of Trustees TO REMAIN UN-DISTURBED SEE TYPICAL SECTION FOR DETAILS. TIMBER/GRAVEL STEPS RE-VEGETATE DISTURBED BLUFF WITH CAPE FIE A L AMERICA BEACH GRASS PLUGS AT 12' ON < '00 CENTER FOR ENTIRE DISTURBED AREA /�/\\\\///�\\/\/�/\\/\/�/ In F,�, §y -, a I \ Ij J 10 60, PROPOSED CLEAN SAND FILL FROM Ul D he'I INE EN E P STS SOURCES. MAX. 25 C.Y. OF FILL TO BE UTILIZED \%\�\\ j\\\�� IN' T AL OGG UTILIZE 1-2 TON BOULDERS �Z. \\/j\\/ PROPOSED LF ROCK VETAMENT CONSISTING80 OF BOULDERS ARET MAXIMUM STABILIZATION FABRIC OF 2.5 TONS PER LINEAL FOOT ALONG CONTINUOUS UNDER STEPS AND LANDINGS SHOWER GKF� EXISTING BOTTOM OF SLOPE REVETMENT t2� #63005 UTILIZE 2-4 TON BOULDERS ROCKY WOOD FRAME 6'-7' BEACH 111111 RESIDENCE M VJKS0 MDOR=50.5' ARAGE FLOOR=42.6' GRAV L DRIVE\ APPROXIMATE M.H.W. EL. 2.5± GARAGE MIN. 2' EMBEDMENT APPROXIMATE M.L. INTO EXISTING BEACH DECK Lo 0 49' APPROXIMATELY 25' � 4 Ob n 2ND STORY OVERHANG TYPICAL SECTION A-A 0 C) N.T.S. PROPERTY OWNER: JOLYON F. STERN C/O DEWITT STERN - RISK STRAT Proposed Revetwwnt Permit Plans SCALE: 420 LEXINGTON AVE. STE 2700 I AS NOTED '0 EXISTING VEGETATION ON BLUFF TO NEW YORK, NY 10170 REMAIN UN-DISTURBED PREPARED BY: PROPOSED PLAN DATE: JEFFREY PATANJO 2-2-21 RE-VEGETATE DISTURBED BLUFF WITH CAPE P.O. BOX 582 63035 NORTH ROAD AMERICA BEACH GRASS PLUGS AT 12"ON BOHEMIA, NY 11716 GREENPORT, TOWN OF SOUTHOLD CENTER FOR ENTIRE DISTURBED AREA 631-484-9332 SUFFOLK COUNTY, NY SITE PLAN SHEET: SCALE: 1"=30' JJPATANJO@GMAIL.COM TAX MAP NO. 1000-40-1-13 1 OF 1 � a� � ��-, iii � � 4 t ;E 'I'k '.'� ' / ('¢s® �.:_ y- I .f' �4c %y, , ,- �.:� \ d � 4 , F` � e f' �% V:Px.3.uy"y X✓ .. � ��i� � ��� � .. _ � t '� ,; � � ��� �� �� �R, _ .: a y..iy �- � �. �� a ... ._. FA x I ala, �.. 14ti 1 L. 1 RevBpne ,x.osse �1so § • a.— t1x.oeox --- —_�__ _ e ee7ww �° • °+1+1 +h° \2 ° oi.,aa / IW _� a��1 CP �9 �a �[ ° +}+ e k "1�pO �•me +gyp ! /� OSV xo-oe / I' ewlvww +j a�, e° .e. °, �f ,qj +.,o +, +.3 a p .F •+e" q. ,t ae.ae.1e / � p ic,Lxeaw a 11r•P � , + e +° as,r M s°'p e� +e. � '\ril Emer• wl O +01 + 'M +'f° d N s ,N�u �A\ y�� / ,u iN"a � ien 50• +>�` A,a� A �3 +91 f/ z].a tAT O PM +++6 / 1] I 3 M LOUN-OFS�8UF8MeFOLK O1 Ex.vMm�x xuv.�mN 11]A 9A 3 01 M +1T+ 1 O euiFaKOF O FNO a +Ne . d F 1 �2 NgSP ' l 91 •o e.smm L_ '$ w,POF0,ESLANO — / 4' eae xwm a CgN00NiNIUM IFGR UNRS SEE BEC CSUFFOLK 0 . C L � Y rq.w0011 +1+ a OPS N t m L � BEE BLE.NO,w r \v?' • I0.IM°1 p 4p °P 1�_,�.v M • � e r J e Int p Z 70 OF ta,, �NQpft� E O -,0 OF GFl(O `2 N� 23.1 w„`a:' O e.a •o,: F\.e_.\ SID. •NN ,,.]. ':ii,x. Fx.n emm `V� Ni LO R„UGE OF 9.1 � x GREENPORT x'OMcI j' t I iMc� x 4 +rl 21 \ 28M0 ]1 p P1' v Sxuexrm exwx .2 LrMcl s ] N , «I A o 1�9Mc1 /• xA IS x.>Mc) t.]Mc1 W; v:puii�1'k 3,6 W. � �e♦ � . I1eMc) x>A 3 nSM.) f ea w°t°i„� w F7,v.vsmn 12 p �V x.aMcl O I.LI eMC 11 incl S'D. I .-'�/ [>Ncl ,oxa ET,«f.xv lv /NVP xmE 5e m FOIA PCL./� SEE SEGNO.NO . . �,. awraos.t TOWN OF SOUTHOLD pr11 °� �1 NNrcN LIN $ a s�5� ar '6 VILLAGE OF GREENPORT pA/I t SEE SEG NO.Ov3 �e SEE SEC.NO.Ove �- 4,&1 LMTON Mn LINEI L NOTICE CP%,�) COUNTY OF SUFFOLK © K 99e* a SOUTHOLD SECTION NO c�.°. ° —z— z,) ...N. —_.__ ....,.. --.-- ReaIProew a . rwA98�� y Q4� pM- __ ew. m Tmc ro 1000 P PROPERTY AIBP F FO lee- Peter Young,Chairman - Town Hall, 53095 Main Rd. Lauren Standish,Secretary , P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held May 12, 2021 the following recommendation was made: JOLYON STERN, TRUSTEE for the installation of an 80 If. rock revetment at toe of existing bluff, install 25 cy. of clean sand fill and Cape American Beach grass to protect property against additional storm erosion. Located: 63005 County Road 48, Greenport. SCTM#40-1-14 (aka 63035 CR48) The CAC inspected the property, however a quorum was not present. Retractable, hinged steps are recommended at the base of the stairs and the boulders are brought in by barge. OFFICE LOCATION: o �" TMn;�� MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) � Southold, NY 11971 Telephone: 631 765-1938 '� � � �'����` P Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: March 11, 2021 Re. Local Waterfront Coastal Consistency Review for JOLYON STERN SCTM# 1000-40-1-13 Jeffrey Patanjo on behalf of JOLYON STERN requests a Wetland Permit and a Coastal Erosion Permit to install 80 linear feet of rock revetment at toe of existing bluff; install 25 cubic yards of clean sand fill and Cape American beach grass. Located: 63035 County Road 48, Greenport. SCTM# 1000-40-1-13 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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that: 1. Rocks naturally occurring in the environment or in public ownership should not be used in the structure. 2. Policy 4.1 Minimize losses of human life and structures from flooding and erosion hazards supports the installation of hardened shoreline structures where vegetative methods are not effective at controlling erosion and that are: a. limited to the minimum scale necessary b. based on sound engineering practices — it is recommended that the Board address potential impacts to the unprotected, flanking properties. 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 il. oT SQ(J Michael J.Domino,.Pieddeut„ ��� j�or Tow 6 all Annex John M.Bredemey-er,111,Vice=Pmddent t_ 25 P.O.Box 1179 Glenn,Goldsaaith Southold,New York 11971 f A.Nicholas Srupold �� Y4�ti Telephone(891)786.1895 Greg WM—ims; Fas(891)786-8841 180AW OF TOWN TRUSTEES TOWN OF SOUTHOLD - This Section For Office Use Only ✓ Coastal Erosion Permit Application t'D E C D V E =Wetland Permit Application Administrative Permit Amend7at/Transfer/Extensi,�}n APR —2 2021• Received Application:2. r7Received Fee:S SW. Completed Application: .?.•y Southold Town Incomplete: Board of Trustees SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Lftc. Lead Agency Determination Date: _�Coordination:(daw sent): __- - _ - LWRP Consistency Assessme t Form Sent: 01 YtCAC Refibrial•Sent aZ44 Date of Inspection: S+i Receipt of CAC Report: Technical Review: Public Hearing Held: 5.1 •21 Resolution• Owner(s)Legal Name of Property(as shomm on Deed): 70 tee_ MailingAddress: 13 o 7 S7-,qp� 6 Nl�►J �,o,[.�l pl 4 ! 006 S Phone Number:, Suffolk County Tax Map Number: 1000• Property Location &3ycf "o,-+l 44ait- �ireenP�" 6RKIt b3o3s cR- `�8, . sic l�u.}c�.► M �P - (Ifnecessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): Mailing Address: f• 0, & Phone Number: 6 3 C . q ✓ bO�L'Q O= 1r1�8L�O� !►�1i13aLit7i1 GENERAL DATA Land Area(in square feet): 25, Zed. Area Zoning:.------ iS Previous use of property:. S Intended use of property: 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 Ddpt.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓No If"Yes",please provide copy of decision. Will this pioject require iy 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? Ye No Prior permits/approvals for site improvements: Agency Date Ido prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? W-90- Yes If yes,provide explanation: Project Description(use attachments if necessary): 5!C Jolyon Stern 63005 North Road Greenport, NY 11944 SCTM No.: 1000-40-1-13 PROJECT DESCRIPTION: The project includes installation of 80 LF rock revetment at toe of existing bluff, install 25 CY of clean sand fill and Cape America Beach grass to protect property against additional storm erosion. i YV�iV Vr ♦ti Yv wrrr �YTi ���"�"�� WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: +-44e- A ed Area of wetlands on lot: square feet Percent'coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: SV y feet Closest distance between nearest proposed structure and upland edge of wetlands: 5-00 feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: `>< 1 feet Proposed slope throughout the area of operations: D' Y.5'- Manner in which material will be removed or deposited: Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason.of such proposed operations(use attachments if appropriate): -r4e4we L,1II jx 4, R-e.,'+1ve, e-"ec-f Druz 4v rdveek e�aeo� art Q JCoQi�[n�'µ'f'fo.J 0� ,wa-�[,cs Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: See- 'A44-od e B _ Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No ��®Yes If Yes,how much material will be excavated? N (cubic yards) How much material will be filled? 4/0 (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed,including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) / e O ,e(VS me 1 Short Environmental Assessment Form Part I -Project Information Insfrattibili.for Completing' Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the k 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: - - Proposed Revetment 63005 North Road-Greenport - Project Location(describe,and artach a location map):. See location Map Brief Description of Proposed Action: - ij Construct 100 LF rock revetment at toe of bluff.Install 40 CY of clean sand fill and stabilization plantings. Name of Applicant or Sponsor: Telephone: 917-214-0467 Jolyon Stern,Trustee_ E-Mail: jstern@dewittstern.com r Address: 130 E.67th St.-Apt 6D City/PO: State: Zip Code: New York NY 1_0_06.5_ 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance administrative rule,or regulation? NO YES- #If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that i�'rmay 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-of funding from any other government Agency? NO YESW_ If Yes,list agency(s)name and permit or approval:NYSDEC-Town of Southold Trustees 3. a.Total acreage of the site of the proposed action? 1.681 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.661 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial 2] Residential(suburban) ❑Forest ❑ Agriculture E] Aquatic ❑ Other(Specify): ❑Parkland Pagc I of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? U o, Cl b. Consistent with the adopted comprehensive plan? j E ;a. ,1 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 If Yes,identify: S. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES b. Are public transportation services available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed action? _ `9. Does the proposed action meet or exceed the state energy code requirements? NO 'YES If the proposed action will exceed requirements,describe design features and technologies: { s a FJ 10. Will the proposed action connect to an existing public/private water supply? NO n``YES, If No,describe method for providing potable water: rI 11: Will-the proposed action connect to existing wastewater utilities? JNO� 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 U listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO_ _ YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: j y . Page 2 of 3 i 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: R1 Shoreline ❑Forest ❑Agriculturallgrasslands ❑Early mid-successional ❑WetIand ❑ 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? Piping Plover 16. Is the project site located in the 100-year flood plan? NO YES 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a ,❑ a. Will storm water discharges flow to adjacent properties? a ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? Q If Yes,briefly describe: 4 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: 1.9. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: '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 PRO EDA VE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE .ApplicanVsponsor/" e; dolycn,Ste Date:_ -a, -) 2 Signature: Title:Trustee F20GER q KLUGE Norary.Public,,State-of iVew,York R_g.'No.61 M468'4'289 Comm Uflied,ln IJeuv Yarti'Courity (ssiOR i�j'WJ4Jy 31;204 PRINT FORM Parc 3 of 3 EAF Mapper Summary Report Wednesday,October 23, 201911:17 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 i question can be obtained by consulting the EAF Workbooks. Although " the EAF Mapper provides the most up-to-date digital data available to 113000-1 00'I 441 DEC,you may also need to contact local or other data sources in order ` ; to obtain date not provided by the Mapper.Digital data is not a 440 0 substitute for agency determinations. `" •-� '�`fit'_�t�;��y - - - -•--°-^'s 6`-S O0-i��tt4 40 1#4i�!<14614R a Gllalva .Montreal _ ;t . d X50-100-1 30up - &t04�'1`�4 OOid © l F06Iat0b-120 � •N4�Oc1.O�t�5444,� � S���r1'4 a0,10�'I"4v�4�r94 z1,°1+��O.•�,�34�.?1702 r'`�•� ?' j, 40004-1,00-1+74a{IC�O44,30,--ai Toronto :'.t, a t 1.40i�4 40'2 400 %,4=4'00,"100"= Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 usin information contained in Part I and other materia' hrnitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewc, should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or -Moderates' slnall to large impact impact may may occur occur I regulations?rltheprn posed actiocreate a material conflict with an adopted ^� - land use plan or zoning _ 2. 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 or quality of the existing community? FT Li 4. Will the proposed action have an impact on the environmental characteristics that caused the � ca Environmental Area(CEA)? 5• establishmen t ofa Cnti.�.,-�. �.___..__ .__._.. .......�..�..�. �__ I En Will the ro sed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Willthe proposed action cause an increase in the use o energy P y a use of ever and it fails to incorporate eiierf?y o ry ortu sties reasonably available enemy, canservatlon ormre � l� ..__.. ..�_.. ...�_.___._ .�, 7_ Will the proposed action impact existing: a.public/private water supplies? El b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? L m 9_ Will the proposed action result in an adverse .__ waterbodies,groundwater,air quality,flora change to natural resources(e.g.,wetlands, P Po @� ra and Fauna)? 1 Q Will the proposed action result in an increase in the potential for erosion,flooding or drainage p l 1. Will thepo ro sed action create .�..,..._.. �.~ P e 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 S. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check that thethis �pproposed action maresult inone or more determined,based potentially h cation and analysis above,and any supporting documentation, y po flatly large or significant adverse impacts and an environmental impact statement 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 Southold-Board of Trustees Blame of Lead Agency Date u President int qal Title of Responsible Officer ti print r? k,ylnt 1'�trr�e of Responsible Officer in Lead Agency P f tlratlr c 6s� 4`�fflcer in Lead Agency Signature of Preprarer(if different t. o...m Respommnsible Oficer) f i AIF FIDAVIT ��o n s���n, Tr••s-�'-�� 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 VIR'T'UE 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. f Si Property Owner Si tune of*Pmerty Owner h SWORN TO BEFORE ME THIS�� DAY OF A 20d RWERA-KLUGE Notary publio„Statg'of,New York, � C Reg.'No;:01KL�4S842$9 Qualified in New,York county, Commission Expires July=31,-2022 3{ i 004L=a V= 1&WOU0099 aWYi.LU4:9 .6W" AUTHORIZATION ATI®N (Where the applicant is not the owner) Me, oir owners of the property identified as SCTM# 1000- j/v. - l ►3 in iht town of �7(`<li p k4' New York,hereby authorizes _ r 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 Pr perry Owner's S gnatuie SWORN TO BEFORE ME THIS DAY OF a ` 2 J '1?ablic ROGER A.KLUGE Notary Public,State of New York Reg.No.01 KL4684289 Qualified in New York County Commission Expires July 31,2022 L 3 a } APPLA �AQZIr carRMNTATNE aRAvSACTiONAL bISCLOSURE,YORK ' +Va of s.,EinQ��ions oi;��tir�..mhlbl��5+� �•�n th o�+of�wn bffii�srs an��nviovecs=7lie mtrorx��f, thia,iorm is 4a crovid ,inlid` un drhic cah welt ft 1ptssiWe aatt]Icts of XtraosCsnd slaw tt offt whnh+vera tlon� �DI3'L1�L�lf�sanre: - - {Last nems first ttartu,�lddle;ta.'sl.tales you ere applying is the name of someone also or other aitity,such as a company.If s%indicatp the other person's or company's name.) NAME OF APPLICA f ION. (Check all that applY•) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval ofplat Mooring Exemption fift plat or official map_ Planning Other (If"Other",name the activity.) t�aopersarWly ;you (aGth�oogh your cpnnpany.spouso;'sibling,parent,`or;et►ild)haul+,a relationship WWI my offrcer,or oniployec theTawniaf Sotrtho�d7"Etei�io hlp"'lricludcg by b16cd_m iagc;orbusincss hil st"BAnoss lntaiestt'menns,a b�taln ireciudi a'panneishtp; "wtiic#r the toiniolGceror employee has even,a paitlal'ow.nCMwp of(or"employment`by)a eo�omi ilom inwhich`,the°town,of"emroremptoyesawrs moretlran'S%.ot _ , s- 'YES ._� NO If you answered"YES",complete the balance of this form and date end sign wham indicated. Name of person employed by the Town of Southold Title or position-of"pe'r'son Describe the relationship belvwxn,yawself(the appliedn'tlagenUtepresentative)and the town officer or employee.Either check the apptopd Oi tine A)throvWD)`a- or+irscribe in the spate proVided. The town officer or employee or his or her spouse,sibling,parent,or child is(check 811 that apply). A)ft owber of gma(erihso 5%of the shales of the_corporate stock of the applicant aappp��itcartf,7H a corpotat3on)i B)'tiie'kgal;a&,mileial ownerof spy interest is a hon-corporate entity(wheA the _-� applIc�iit is itot sa co�p6ttttiQAY, G�.aactTtecr;db=Wr peihwc.oreviployee'oftheappliau►>yor D)thg,acivei applicant. DESCRIPTION OF RELATIONSHIP Submftted this day of -�' 0 Signature' print Name Form TS 1 ROGERA KLUGE, Notary Fublir,,i�(e-af NqW York 13e9:No.01KIA1642M ,C)Wi ed in Nein Yortt Counly Commission Expires J*41,2022 APPLICANT/AtGENT/REPRES ENTATM TRANSACTIONAL DISCLOSURE FORM The To S u d's Cokof EtWas MhOWHIsconflictsK anthem of py-nofficorsaid ematoym.ne unm o this o c to videiriftritiqtLom which alert-the town pf Rgoibje conflicts ofintemstm 81LO—W it o Ift Whatever agetim is ngcessa to avaid same. YOUR NAME: y C (Last name,first natneopiddlS initial,unless you are ipplying 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 /Z 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,turn c,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee hfig even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5°/a of a 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,oir child is(check all that apply): A]the owner of greater than 5%ofthe shares of the corporate stock of the applic W t (when the applicant is a corporation); the legal orbenefrcial 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 20„,,, Signature Print Name Form TS 1 f 1i=«- Glenn Goldsmith,PresidentOQ UfF��'��'�G, Town Hall Annex A.Nicholas Krupski,Vice Presidenttcz �� 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 April 20, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of Jolyon Stern 63035 County Road 48, Greenport SCTM# 1000-40-1-13 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, May 19, 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. ry Truly urs, v Glenn Goldsmith, President Board of Trustees z Glenn Goldsmith, President ogUFfQ(�-O , Town Hal]Annex A.Nicholas Kru ski Vice President r$ p o �!:;4 u 54375 Route 25 John M.Bredemeyer III _ P.O.Box 1179 Michael J.Domino �� Southold,NY 11971 Greg Williams Telephone�'`��r� Telephone(631)765-1892 azua Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, MAY 19, 2021 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, May 19, 2021 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5,30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform. Written comments may also be submitted via email to the Trustees Clerks at elizabethc@southoldtownny.gov and diane.disalvo@town.southold.ny.us. Said comments will be considered at the public hearing provided that they are submitted no later than 12:00 P.M. (Prevailing Time) on the day of the public hearing. The public will have access to view and listen to the meeting as it is happening via.Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.southoldtownny,gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 929 4246 7425 Password: 716691 • 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,Hwww southoldtownn.y.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 Glenn Goldsmith,PresidentO St1FF0(, �O COG•, Town Hall Annex A.Nicholas Krupski,Vice President ,� yam , 54375 Route 25 John M.Brederneyer III y z P.O. Box 1179 Michael J.Domino 0 �fy' ' Southold,NY 11971 Greg Williams �,h p! j' Telephone(631)765-1892 of % ,i 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. STATE OF NEW PORK 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 MAWRETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public Glenn Goldsmith,President' jAFFOt.4, Town Hall Annex A.Nicholas Krupski, Vice President 54375 Route 25 John M. Bredemeyer III cz P.O.Box 1179 Michael J.Domino 0 �{ Southold,NY 11971 Greg Williams `y ! r�'� 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 JOLYON STERN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE I,�e-�r��a nom_, residing at/dba`7.®:?-)L-yX, 5Z `80),M 10 ,IU L4 being duly sworn, depose and say: That on the P`j day of P-�tl , 20 M, I personally posted the property known as 1JCAi'� 1 19 L1 9 by placing the Board of Trustees official notFcing 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,May 19,2021. Dated: l 7024 Oil- (Zgnature) Sworn to before me this ENOtary MEDINA GARCIA O day of 20� -State of New York 1ME6095 200in Suffolk Countyn Expires Jul 7, 2023 W- 4i- 4� , PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: --- --- --- ---- ----- -- ---- -- - -- ---- - --------- - ---------- -- - ------- --- --------- SCTM#1000-40-1-12 Kevin Mannix&Karen Mannix 5 Rodeo Dr Syosset,NY 11791 SCTM#1000-40-1-1 Jerad Motel Corp 21695 Soundview Ave Southold,NY 11971 SCTM#1000-40-1-14 Stern AF 1997 Trt c/o Dewitt Stern-Risk Strat 420 Lexington Ave Ste 2700 STATE OF NEW YORK COUNTY OP'SUFFOLK residing at 'PQ.`60 c 562 hE'mIC-1 Qq 11-7 (,o being duly sworn, deposes and says that on the day of W , 20 ) 1, deponent mailed a-true copy of the Notice set forth in the Board of Tr1istees 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 't3nhP_ y)10 ,that said Notices were mailed to ch of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of M�y , 20 a i Notary Public SCOTT A CAMPAGNA �A Notary Publrc-State of New York NO 01CA6376886 j Qualified in Suffolk County ,, ,+ty commission Expires Jun 18, 2022 Pe • • TM ® o"RECEIPTCE ® o ■ . TIFIE /• / L /o 'Only O N Certified Mad Fees f� Certified Mail Fee 0 e O Extra Services&Fees(checkbox,add fee as appropriate) ..) ,,,•'`�• M,��. Extra Services&Fees(check box,add fee as appropriate) i ❑Return Receipt(hardcopy) $ �. �,• F ! ! ❑Return Receipt(hardcopy) $ - ❑Return Receipt(electronic) $ 'i n`%t Posfrnark •=; C ❑Return Receipt(electronic) $ Postmafk� :! 0 ❑Certified Matt Restricted Delivery $ e "Here r Ceified Mail Restricted Delivery $ Adult Signature Required $ , }a Here- r_3 p ' ❑Adult Signature Required $ r A, [3 Adult Signature Restricted Delivery$ � U� g []Adult Signature Restricted Delivery$ f p Postage �; r; O Postage rU Total Postal ru k_t« ru $ SCTM#1000-40-1-12 Total Postage an SCTM#1000-40-1-14 Q' Sent To Kevin Mannix&Karen Mannix Q' $ ent To Stern AF 1997 Trt "° " 'c';'• " r9 5 Rodeo Dr c/o Dewitt Stern-Risk Strat D Street ands O �. Syosset,NY 11791 Sheet enifApGTN6 420 Lexington Ave Ste 2700 ----------- ----- City,State,. City State,ZIP+4� ! :11 1 1 1 •II•1• _ _ Posta jCeTfA -GE ■ ® , IL,R m ■ /o O C A L U s�-'T_ 7 I— Certified Mad Fee r0 $ Extra Services&Fees(check box,add fee as appropriate) " ❑ Return Receipt(hardcopy) $ IM1I1r�( j E:3 E]Return Receipt(electronic) $ ,);PostmarkM` C:3 ❑Certified Mall Restricted Delivery $ s t F` Here p []Adult Signature Required $ ( fdd AV ❑Adult Signature Restricted Delivery$ I r ��`!I ! O O Postage 1 CVL ru $ 4 ru Total Pot SCTM#1000-40-1-1 I r� o- $ Jerad Motel Corp ra sent To 21695 Soundview Ave siFeeier Southold,NY 11971 -------- City,Stagy :e1 a 11 111.1, - I _ 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. OWNER(S) OF RECORD: JOLYON STERN SUBJECT OF PUBLIC HEARING: For a Wetland Permit and a Coastal Erosion Permit to install 80 linear feet of rock revetment at toe of existing bluff; install 25 cubic yards of clean sand fill and Cape7American beach grass. Located: 63035 County Road 48, Greenport. SCTM## 1000-40-1 -13 TIME & DATE OF PUBLIC HEARING: {r_ Wednesday, May 19, 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 kWMgQNFSMCY ASSE12ff T FORM A. INSTRUCTIONS 1. All applicants for permits` including Town of Southold agencies, shall complete this CCAF for proposed actions that ate subject to the Town of Southold Watedrant 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 Bronston Hood,4rea. 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. Waterftont Revitalization Program. A proposed action Al be evaluated. as to its sigu1'ficant beneficial and adverse efficfis upon the coastal.Mat'which includes all of Southold inml. 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. Th in detail, Hstina h2tg and inon- saarting,fc . If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shad nit 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 ice, the Planning Department, all local libraries and the Town Clerk's office. B. DES ON OF SM AND PROPOSED AMON PROJECTNAME The Application has bem submkW to(check appropriate response): Town Board ❑ Plamaing Boal❑ Brno nF.Dept. ❑ Board of Trudew 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ constmtion,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: E500"' Nature and extent of action: Location of action: A-4- 6 r -,,e.D� Ck it A 6 3 0 3 5 site acreage: b Present land use: e!e.. Present Zoning classification: S . 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. So (b) Mailing address: 13 n t• �1 �h CO pi t w �(s R,�G 1 4. (c) Telephone number;Area Code( ) �17 - 2�`{ - v40 (d) Application number,if any: }� Will,the action be directly undertaken,require finding,or approval by a state or federal agency? Yes ZNo❑ . If yes,which state or federal.agency? C. Evaluate the project to the following policies iby anaalyAng how the project WE further support or not support the policies. Provide all proposed Best Management Practices that will farther eseb polity. Eacoamplete answ►errs wiU requke that the formas be retarned for completion. DZI%LGM COAST polity 1. poster a pattern of development an the Town of Southold ftt embfinces coam m uaaity chaneterg preserves opens space,.r des emcieat use of irmtastimeture,neem beneWal use of a cons>tal location,and minimizes adverse effects of development. See LIAW Sermon HI-Policies;Hage 2 for evaluation eriteriao ❑Yeffi ❑ No Ef Not A.ppHeablce V% d 'Attach adMonal sheets if ctecessaryr Policy 2. Protect and preserve her ie and archaeological resources of the Town of Southold. See LvnW Seedon M-�-Poyticiess Pages 3 through 6 for evaluation terria 0 Yes ❑ No L'._I Not Applicable rte\ j O Ct tif� Attach additional sheets if necessary Policy 3. Enhance mal quality said protect seeaic resources, throughout the Town of SouthokL See LWRp Section M-,Policies Pages 6 through 9 for evaluation Criteria ❑ yes lata► �Igot Appble Aftch additional.sheets 1f necessary NATURAL COAST FOAMS Poilcy 4. MR11 size 1085 of life, stmctuires,, and nate r'al resources from fimodb ig and erosion. See L Section M—Policies Pages S through 16 for evaluation crated' 2/yes ❑ No ❑ Not Applicable p ,L QrO'�GG�S A b►M wS 7° LOSS u GA n .4 a to iro of vn l� Attach additional sheets if necessary Poliq 5. Protect anal improve water gmlity and suppb in the Town of Southold.See LWRP SectioM M —Policies Pages 16 tbraough 21 for evalmation crrAteria yes ❑ No ❑Not Applicable � r# f rO tec-t$ AL e4 W y, ,Attach additional sheets if necessary Policy bo Protect and restore the quality anal. function of the Town of Sonthold ecosystems includhtg sigtnifacaut Coastal Fish and Wildlife Habitats Rad wetlands- See LWRP Section III—Poflicies; Pages 22 through 32 for evaluation criteiris►. Yes No Not _ ')bcable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the 'Lown of Southold. See LWRP Section M — Policies Pages 32 through 34 for evaluation criteria. `files U No 2Not Applicable Ao G� Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section M—Policies; Pages 34 through 38 for evaluatio0 criteria. Yes n No 1= Not Applicable h O -e }'t"-Y Gl 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 M—Policies; Pages 38 through 46 for evaluation criteria. El Yes#-J No u Not Applicable Attach additional sheets if necessary WORMG COAST POI cM8 � r Polley 11.0. Protect Souathold's water-dependent uses and promote seting of new water-dependent uses in suitable locations. See LWRP Section M Policies;Pages 49 through 56 for evaluation criteria. ❑ Yes [I No E3Not Applicable no a*4-Wl+ Attach additional sheets if necesssay Policy 11. Promote sustainable use of living nntrliane resources in Long Ulmd Sovnsd, the Peconje Estnaary and Town �waaters.See LSectle a M—Policies;Pages 57 through 62 for evaluation.criteria,F]Yes ❑ No 1J Not Applicable , Yt O e &k e- Attach additional sheets if necessary Policy 12. .Protect agricultural lands In the Town of Southold. See LWRP Section M—Policies; Pages 62 through 65 for evalluuation criteria. ev ❑Yes ❑ lqo u I-ot Applicable rw ,a F F- Attach additional sheets if necessary I'oucyy n. Promote appropHate we and development of energy and mineral resources. See LWRP ,9ecdon W—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes [I No El'lqot Applicable ho er- '�• PA - A A� 441,11 � DA'C'E 3. Z-(P Pt AI IB �Y 'I 'ISEW _ 1 i J March 27, 2021 Town of Southold Trustees r� 2 n �n t� Town Hall Annex Building D E C E a U E 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 APR ® 2 2021 RE: 63005 NORTH ROAD-GREENPORT Southold Town SCTM No. 1000-40-1-13 Board of Trustees 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. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716