HomeMy WebLinkAboutHillman, Revocable Trust Cantrell, Elizabeth
From: Cantrell, Elizabeth
Sent: Wednesday,August 11,2021 8:12 AM
To: 'mkimack2@verizon.net'
Subject: RE:Hillman dock approval
Hi Mike,
Thank you for the update on the two applications.
Stay Safe!
e l''d�
Senior Office Assistant
Town of Southold
Board of Trustees
Office: 631-765.1892
Email:elizabethc@southoldtownny.gov
From:mkimack2@verizon.net<mkimack2@verizon.net>
Sent:Tuesday,August 10,202110:24 PM
To:Cantrell, Elizabeth<elizabethc@town.southold.ny.us>
Subject: FW:Hillman dock approval
Hi Liz:
Just to let you know,they are still bouncing me around on Hillman.
Probably won't be able to get you that letter in time for the 18tn
Same goes for Stump.
best
From:Priolo, Peter<Peter.Priolo2'@suffolkcountyny.eov>
Sent:Tuesday,August 10,202112:15 PM
To:Michael A Kimack<mkimack20Dverizon.net>
Cc:Hilary,Scott<Scott.Hilary(dDsuffolkcountyny.Aov>
Subject:RE: Hillman dock approval
Michael,
It was determined that the jurisdiction of the county lot is in the Department of Economic Development and
Planning. I have forward your request to them and they will be contacting you.
Regards,
Peter Priolo
Assistant Director
and Sr. Environmental Analyst
DPW Waterways
1
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From: Michael A Kimack[mailto:mkimackNDybrizon.net)
Sent: Monday,August 9, 2021 1:50 PM
To: Priolo, Peter
Subject: RE: Hillman dock approval
ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders
or unexpected emails.
Thanks Peter
Sent from the all new AOL app for Android
On Mon, Aug 9, 2021 at 1:19 PM, Priolo, Peter
<Peter:Ptiol62(cl)suffolkcountynV.gov> wrote:
We have an inquiry in with our department's subject matter expert regarding this. I will update you tomorrow.
Regards,
Peter Priolo
Assistant Director
and Sr. Environmental Analyst
DPW Waterways
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From:mkimack2i yerizon.net rmailto:mkimactcl@verizon.net]
Sent: Saturday,July 31,2021 4:52 PM
To:Priolo,Peter
Subject:Hillman dock approval
ATTENTION:This email came From an external source. Do not open attachments or click on links from unknown senders or
unexpected emails.
2
M peter;
Need approval letter by Aug. 11 to make Aug. 18 hearing date.
Best
3
Glenn Goldsmith,President q sorry Town 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 N
G Q Telephone(631) 765-1892
Greg Williams Fax(631) 765-6641
CouNTi,��'
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
June 17, 2021
Michael Kimack
P.O. Box 1047
Southold, NY 11971
RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW
YORK STATE ENVIRONMENTAL QUALITY REVIEW ACT NYCCR PART 617
JANICE HILLMAN SITYLES a/k/a JANICE HILLMAN REVOCABLE TRUST
8340 MAIN.BAYVIEW ROAD,..SOOUTHOLD
SCTM# 1000-87-S 23.2
Dear Mr. Kimack:
The Southold Town Board.of Trustees adopted the following Resolution at a meeting
held on Wednesday, JUne 16, 2021:
DESCRIPTION OF ACTION: Michael Kimack on behalf of JANICE HILLMAN
SITYLES a/k/a JANICE HILLMAN REVOCABLE TRUST requests a Wetland Permit to .
construct a 4'k18' walkway with a staircase consisting of three (3) treads and four (4)
risers with Thru-Flow decking (72sq.ft.), connected to a 4'x24' fixed dock with Thru=Flow .
decking (96sq.ft.), 168sq.ft. total; and to install 14 8" diameter pilings. Located: 8340
Main Bayview Road, Southold. SCTM# 1000-87-5-23.2
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 June 8, 2021, and having considered the survey of property by John
Heidecker dated April 8, 2021, and having considered the plans for this proposed
project submitted by Michael Kimack dated April 20., 2021 at the Trustee's June 14,
2021 work session, and
WHEREAS, on June 16, 2021 the Southold Town Board of Trustees declared itself
Lead Agency pursuant to S.E.Q.R.A., and
WHEREAS, on June 16, 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 Michael Kimack dated April 20,
2021 it has been determined by the Board of Trustees that all potentially e significant
ntiallysi nific
environmental concerns-have been addressed as noted herein:.
• Scope: The proposed dock is comparable to docks on neighboring properties in
an area where docks historically are used for commercial and recreational
purposes
• Scope in relation to the riparian rights of shell fish*ers: The plan allows.a standard
fixed catwalk design that will not impede access for those seeking shellfish and
crustacea in season.
• Environmental upkeep: The dock design projects a usual lifespan of 30 years
with limited.pile replacement so as to minimize disturbance of the bottom.
THEREFORE, according to the foregoing, the Southold d 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,
Glenn Goldsmith, President
Board of Trustees
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7.75 ft.el.
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L4 . I 1.Thruflow decking(continous)
.2.2"x 8"ACQ @ 16"O.C.(continous)
- 2.40 MHW 1 3.,3"x 8"ACQ lateral support
i wl(2)518^x 12"galv.bolts w1 washers
each piling
" — 4.8"diam.pilings 2 8 ft.O.C.
0.00 MLW -
Of
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Natural Grade Line J {
1
M AY 3 2021
DOCK ELEVATION '
SCALE: 1"=5 FT. I i
_- — ----- i Southold scum
Board of Trustees
22 ft. -- — -- —
10 ft. FFRAMING DETAIL
SCALE: 1'=3 FT.
I
Thruflow Deckng Thruflow Decking Ii
} A
I
I--- '� HILLMAN PROPERTY
8"�diam.pilings as shown
8340 Main Bayview Road, Southold. N.Y.
PROPOSED WALKWAY w/ FIXED DOCK
Represented by Michael A. Kimack
-- DOCK LAYOUT I Date: April 20, 2021
SCALE:1"=5 FT.
I
Unauthorized alteration or
addition to this survey is o
violation of section 7209,
sub
this s rve 2, p the New York L'-+ 0 U
State Education Law Copies of I-IILLMAf� PROPERTY
this survey map not bearing the
land surveyor's inked or
embossed seal shall not be HEIDECKER LAND SURVEYING 8340 Main Bayview Road, Southold. N.Y.
considered to be a valid copy
PROPOSED WALKWAY w/ FIXED DOCK i MAY 3 2021 �
Represented by Michael A. Kimack
Date: April 20, 2021 SOt Old TO`Nll
Boar fi Trustees
CERTIFICATION
I hereby certify that this is a Template of a Bathymetric Survey
a
of Corey Creek along the southerly property line by
SECTION 87-BLOCK 5-LOT 23.2 John Gerd Heidecker, Land Surveyor, dated April 8, 2021.
(#8340 MAIN BAYVIEW RD) No details or features which could bear upon this
application have been omitted .
701
ftftft ® TOP OF ANK s _ - --- Michael A. Kimack, Agent, April 20, 2021
Proposed 4 ft.x 18 ft.walkway w/staircase I
r ft'r if i• r ft r Myw (3 treads&4 risers),to 4 ft.x 24 ft.,fixed dock 1
ELEV�2 VEGETATION ( 168 SF w/thruflow decking& 14 8-diam.pilings f
�rrrerrftrrt�rr�s•iisW LEV=O-O' �1 6 j 8-9;?
rr® � TO7' 0 N
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®TES +-240 15�. `.r+�rr VEGETATION 45
1 FIELD WORK WAS CONDUCTED MARCH 9, +�10j 731 TOp
2021 BY HEIDECKER LAND SURVEYING, J� `235 +`rr� -�/�`� ®1� ® w,M�HW ELEV=24' OF BANK
PLLCTAKE AND ALL MROUNDM=NTS WERE d 79�9 tilLw "��1 �� l �� �s
TAKEN ON THE GROUND +-2 0S - _,1:y•�_ 9 r ELEV-O 0 _`'`•�
+`2 f, _ _ _- 0,5
�rr�rrit®il®li®garr® r ®�2 NORTH ARROW IS BASED UPON GPS 05� z7
OBSERVATIONS CONDUCTED BY HEIDECKER 2,3
LAND SURVEYING, PLLC '`2 24 -2 S7 +'2 2.5 * ML
"1 02 �dr r
3 ELEVATIONS SHOWN REFERENCE NOAA `2 24 e' s +�2 S� •`2 14 '`0 8) r r r r ®�fI'v ELEV>0.0'
MEAN LOW WATER DATUM +`1•88 ry CO.- `o +'248 err®rr�rr
Proposed West t±t3i'ight Potter'19 Ft.Sailboat(®/E) �2•f4 � '9S g '2.03 +`2.5j +`f 83 *�'91 ``104 ®rr�rr�rr*r
Leinght. '18*6-, Beane.7°G-,Draft keel up.8- +-7 8 p r +'2.04 +`2 53 �98 �0 �rrcir,
1 +`2 05 +-2-26 +-2.13
07 - NEW 0® + 95 209 +`20g +_ass +-225 +-221 +`233 +`183
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2 I-AND
0 10 20 30
METERS
FEET �JOHN GERD HEIDECKER NY STATE LAND SURVEYOR UC # C50719 DATE' BA A HYlVlE Y R1C CTT�`JE1i V SHEET N0.
751 COAT ES AVENUE APRIL 8, 2021 1 SURVEY 1 OF 1
0 20 40 60 80 HOLBRSUITE zz SECTION 87—BLOCK 5—TAX LOT 23.2 PROJ. NO.
GRAPHIC SCALE 1" = 20' (631)- 72OK, NEW YORK 11741 CHKDRAWBY. J 8 M
(631j-772-9604 #8340 MAIN BAYVIEVf ROAD 21HLS16
TOWN OF SOUTHOLD CAD FILE.
lheidecker0heideckerls cam SCALE 1"= 20'
SUFFOi,K COUNTY- NFL YORK 21HL576FP OWG
Glenn Goldsi President
Town Hall Annex
A.Nicholas Krupski, Vice President 54375 Route 25
John M. Bredemeyer III P.O.Box 1179
Michael J. Domino w ` Southold,NY 11971
Greg Williams Telephone(631)765-1892
Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
.� I
me: Completed in field by:
Date/Ti
Michael Kimack on behalf of JANICE HILLMAN SITYLES a/k/a JANICE HILLMAN REVOCABLE
TRUST requests a Wetland Permit to construct a 4'x18' walkway with a staircase consisting of three
(3) treads and four (4) risers with Thru-Flow decking (72sq.ft.), connected to a 4'x24' fixed dock with
Thru-Flow decking (96sq.ft.), 168sq.ft. total; and to install 14 - 8" diameter pilings. Located: 8340
Main Bayview Road, Southold. SCTM# 1000-87-5-23.2
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 ofzHearing Card Posted: Y / N
�f
Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action
Type of Application: Pre-Submission Administrative Amendment Wetland
Coastal Erosion Emergency Violation Non-Jurisdiction
Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line
Additional information/suggested modifications/conditions/need for outside
review/consultant/application completeness/comments/standards:
f
` -F � - LL
-`
I have read & acknowledged the foregoirO Trustees comments:
Agent/Owner: A17�_
Present were: J 1edemeyer M. Domino G. Goldsmith N. Krupski
�Z
G. Williams Other
nli 4&� r - • r
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
-.kyAL)ar
THIS INDENTURE,made the 14th day of December 2016
BETWEEN
JANICE HILLMAN SITYLES,with an address at 301 Samantha Drive,Lewes,DE 19958
party of the first part,and
JANICE HILLMAN SITYLES aWa JANICE HILLMAN REVOCABLE TRUST DATED DECEMBER 14,2016,with an
address at 301 Samantha Drive,Lewes,DE 19958
party of the second part,
WITNESSETH,that the party of the first part,in consideration of
ten($10.00) dollars
paid by the party of the second part,does hereby grant and release unto the party of the second part,tthe heirs
or successors and assigns of the party of the second part forever,
ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate,
tying and being in the _
at Bayview,Town of Southold,Suffolk County,New York,bounded and described as follows-
ALL that certain plot,piece,or parcel of land situate,lying and being at Bayview,Town of Southold,Suffolk County,New
York,bounded and described as follows:
BEGINNING at a point in the Southerly line of Main Bayview Road which point is South 64 degrees 07 minutes East 185
feet from the Northeast corner of land of Turner;
RUNNING THENCE South 64 degrees 07 minutes East 200 feet along the Southerly line of Main Bayview Road to a
point;
RUNNING THENCE South 25 degrees 53 minutes 00 seconds West 194.00 feet to the ordinary high water mark of the
boat basin;
RUNNING THENCE westerly,along a tie line along the high water mark of the boat basin North 63 degrees 06 minutes 50
seconds West 200.03 feet;,
RUNNING THENCE North 25 degrees 53 minutes 00'seconds East 190 50 feet to the southerly side of Main Bay View
Road,the point or place of BEGINNING.
_ y
DISTRICT SECTION BLOCK LOT
1000 087.00� 05.00 023.002
TOGETHER with all right, title and Interest, if any,of the party of the first part in and to any streets and roads
abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all
the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the
premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of
-. the second part forever.-,,,.._
AND the party of the first part covenants that the party of the first part has not done or suffered anything
whereby the said premises have been encumbered in any way whatever,except as aforesaid.
AND the party of the first part, in compliance with Section 13 of the Lien Law,covenants that the party of the
first part will receive the,consideration for this conveyance and will hold the right to receive such consideration
as a trust fund to be applied first for the purpose of paying the cost of the Improvement and will apply the same
first to the payment of the cost of the improvement before using any part of the total of the same for any other
purpose. The word "party" shall be construed as.If it read "parties" when ever the sense of this Indenture so
requires.
IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above
written
IN PRESENCE OF:
J ICE HILLMAN SITYLES
Standard N.Y.B T.U.Form 8002-Bargain and Sale Deed,with Covenant against Grantors Acts-UniformAcknowledgment
Form 3290
ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE ACKNOWLEDGEMENT TAKEN IN NEW YORK STATE
State of New York,County of SS. State of New York,County of
ss
On the day of in the year On the day of in the ear
before before me,the undersigned,personally appeared y
ore me,the undersigned,personally appeared
personally known,to me or proved to me on the basis of personally known to me or proved to me on the basis of
satisfactory evidence to be the individual(s) whose name(s) is satisfactory evidence to be the individual(s) whose name(s) is
(are)subscribed to the within instrument and acknowledged to (are)subscribed to the within instrument and acknowledged to
me that he/she/they executed the same m his/her/their me that he/she/they executed the same in his/her/their
capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their Signature(s) on the
instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which
the individual(s)acted,executed the Instrument
the individual(s)acted,executed the Instrument
NOTARY PUBLIC NOTARY PUBLIC
ACKNOWLEDGEMENT BY SUBSCRIBING WITNESS ACKNOWLEDGEMENT TAKEN OUTSIDE NEW YORK
TAKEN IN NEW YORK STATE STATE g
State of New York,County of ss State of Delaware SQ X
County of ' ' _ ss.
On the dayof lM � �y
in the year On the th day of D r ,J to the year 2011 ,
before me, the undersigned, a Notary Public in and for said before me,the undersigned personally appeared
State,personally appeared , JANICE HILLMAN SITYLES
the subscribing witness to the foregoing Instrument,with whom personally known to me or proved to me on the basis of
I am personally acquainted,who,being by me duly sworn,did satisfactory evidence to be the individual(s) whose name(s) is
depose and say that he/she/they reside(s)in (if the place (are)subscribed to the within instrument and acknowledged to
of residence is in a city,include the street and street number if me that he/she/they executed the same in his/her/their
any,thereot),that he/she/they know(s) capacity(ies), that by his/her/their signature(s) on the
instrument,the individual(s)or the person upon behalf of which
to be the individual described in and who executed the the individual(s) acted, executed the instrument, and that such
foregoing'instrument,that said subscribing witness was present individual make Such appearance before the undersigned in the
and saw said
execute the same, and that said witness at the same time (add the city or political subdivision and the state or country or
subscribed his/her/their name(s)as a witness thereto. other place the acknowledgement wa tak
----------------------
NOTARY PUBLIC
N LC
Ch n S i-1.r\cc P�, oe,6 �-
\N A
C��•\C'OM MISS
Bargain and Sale Deed ,, 0
With Covenants = ;Z EXPIRES
MAY 18,2018 _
COUNTY SUFFOLK i •' �fi
0.
TOWN/CITY SOUTHOLD j TgRY Pv P<z-�
JANICE HILLMAN SITYLES PROPERTY ADDRESS 8340 Main Bayside Rodf OF
TO Southold,NY 11971 /�//11111100
JANICE HILLMAN SITYLES aka JANICE HILLMAN REVOCABLE TRUST DATED 17-14.16 SECTION 087 000
Title No. BLOCK 05.00
LOT 023 002
RETURN BY MAIL TO:
DISTRIBUTED BY Kevin M.Baird,Esq
^^^ 6 S State Street
_--�_ Dover,Delaware 19901
JUDICIAL TITLE
T:800-281-TITLE F:800-FAX-9396
of Corey Creek along the southerly property I
� ECTIC�N 87-BLOCK 5-LOT 23.2 John Gerd Heidecker, Land Surveyor, dated
(#8340 MAIN BAYVIEW RD) No details or features which could bear upon
application have been omitted .
Waft Ter, or A Michael A. Kimack, Agent, Apri
y Proposed 4 ft.x 22 ft.walkway w/staircase
/ w/3 trends 8.4 risers and 4 ft.x 24 ft.fixed dock
f i w/thruflow decking throughout and
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FEET JOHN GERD HEIDECKER NY STATE LAN) SURVEYOR LIC # C50719 DATE• D R �LTVII
751 COATES AVENUE APRIL 8, 2021 D1� H 1 1
60 80 SUITE zz SECTION 87
„ HOLBROOK, NEW YORK 11741 DRAWN BY B.M
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OFFICE LOCATION: MAILING ADDRESS:
Town Hall Annex P.O. Box 1179
54375 State Route 25 Southold, NY 11971
(cor.Main Rd. &Youngs Ave.)
Southold, NY 11971a �, Telephone: 631 765-1938
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, AICP
LWRP Coordinator
Date: June 14, 2021
Re: LWRP Coastal Consistency Review for JANICE HILLMAN SITYLES a/k/a JANICE
HILLMAN REVOCABLE
SCTM# 1000-87-5-23.2
Michael Kimack on behalf of JANICE HILLMAN SITYLES a/k/a JANICE HILLMAN REVOCABLE
TRUST requests a Wetland Permit to construct a 4'xl8' walkway with a staircase consisting of
three (3) treads and four(4) risers with Thru-Flow decking (72sq.ft.), connected to a 4'x24' fixed
dock with Thru-Flow decking (96sq.ft.), 168sq.ft. total; and to install 14 - 8" diameter pilings.
Located: 8340 Main Bayview Road, Southold. SCTM# 1000-87-5-23.2
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 Policy Standards and therefore is CONSISTENT with the LWRP
provided that:
The landowner(Suffolk County) agrees to the placement of the dock.
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem
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
Trustees shall consider the factors contained in § 275-11C(2)(d).
In the event the action is approved it is recommended that the Board establish a
vegetated, non-turf buffer landward of the wetland to protect the quality of Corey
Creek; an New York State Significant Coastal Fish and Wildlife Area.
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 cz 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 June 9, 2021
the following recommendation was made:
Moved by John Stein, seconded by Caroline Burghardt, it was
RESOLVED to SUPPORT the application of JANICE HILLMAN SITYLES to construct a
4'X 18' walkway with a staircase consisting of 3 treads and 4 risers with thru-flow decking
(72 sf.) connected to a 4'X24' fixed dock with thru-flow decking (96 sf.) 168 sf. total. Install
14 8" dia. pilings as shown on site plan.
Located: 8340 Main Bayview Road, Southold. SCTM#87-5-23.2
Inspected by: Caroline Burghardt, John Stein
The CAC Supports the application using thru-flow decking, best management practices
and the installation of silt fencing and hay bales during construction.
Vote of Council: Ayes: All
Motion Carried
soTown Hall Annex
Glenn Goldsmith, President i?f /
A Nicholas Krupski, Vice President " 54375 Route 25
� P.O. Box 1179
John M Bredemeyer III
�. Southold,New York 11971
Michael J Domino " ��
a`g=j a 1 Telephone(631) 765-1892
Greg Williams " s3,� � � Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
L � �n
This Section For Office Use Only
Coastal Erosion Permit Application MAY �.��., 2021
_Wetland Permit Application
Administrative Permit
Amendment/Transfer/Extension c it1 Towvn
X Received Application: S:�Z
Received Fee: $ S•6 21
Completed Application: 2j0.00
Incomplete:
SEQRA Classification: Type I Type Il Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
Coordination:(date sent):
I ,LWRP Consistency Assessment Fo to Sent: q a''11
✓,CAC Referral Sent:
�/ Date of Inspection: •g'
Receipt of CAC Report:
_Receipt
Review:
�—Public Hearing Held: •/�a•ZI
Resolution:
r � ..
Owner(s) Legal Name of Property (as shown on Deed): ZV011/4;.e /ZICHAl
Mailing Address: D/ .1�i�i%'•aN�'-fd/� D� ,i5VI/ •aS
Phone Number:
Suffolk County Tax Map Number: 1000 - P7— '`Jr-' 2�• z
Property Location:
_Ae?2 0x, 290 )c AE/�57�.�L Y oic HA64,00&Z e7: l d VC ®N/��eyr v�u�i�
(If necessary,provide LILCO Pole#, distance to cross streets, and location)
AGENT (If applicable): 101,444- .4 K/H- A CAC
Mailing Address: P. !1. 496)e 1404 �.P0 M&Z 1.2 97�
Phone Number: Si_,6 - 7
G��
- 5�a
Board of Trustees Application
GENERAL DATA
Land Area(in square feet): 14r®j Q? 2—
Area Zoning: zi?— 4 4
Previous use of property: /�99MENV)gZ 0 ,re9/`9�L y
Intended use of property: ',d�/V I�L 0AIA5 A--AV14-Y
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 _X_No
If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals? Yes x _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 x No
Does the structure (s) on property have a valid Certificate of Occupancy?_ Yes No
Prior permits/approvals for site improvements:
Agency Date
_)< No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?)_No Yes
If yes, provide explanation:
Project Description(use attachments if necessary):
S25z P�1 C91IF"o Jr0a6 w-h—V&
PROJECT DESCRIPTION
Construct a 4 ft. x 18 ft walkway with a staircase consisting of 3 treads and 4 risers with
thruflow decking ( 72 SF) connected to a 4 ft. x 24 ft. fixed dock with thruflow decking (96 SF)
168 SF total. Install 14 8" diam. pilings as shown on site plan
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: TD C Q VJ!; U-U
a0CE S,yJw"9' H Ta 920UL .4 fW-14&,0A-r ,.45D)e �Z C
c O RCS ceg�e e /-)D GS �4 C't 'a -Y
Area of wetlands on lot: O square feet
Percent coverage of lot: O %
Closest distance between nearest existing structure and upland edge of wetlands: A/ feet
Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet
Does the project involve excavation or filling? No Yes
If yes,how much material will be excavated? A- cubic yards
How much material will be filled?- Aem cubic yards
Depth of which material will be removed or deposited: A11A feet
Proposed slope throughout the area of operations: ®,!r 0& ,B.1Nk- 1-0
Manner in which material will be removed or deposited:
Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by
reason of such proposed operations (use attachments if appropriate):
�!aE C��U CTIQ& D� � ,DD C,L J'YJ,T�� Gt>!C�
I' L (VA 7,57 WIZ-4 BF .1111VA-fiOUXP c D
617.20
Appendix B
Short Environmental Assessment Form
Instrttctions for C omr,ietin
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:
142 H,4N S'MII-S A f? c16
Project Location(describe,and attach a location map):
� �TTQ , ivy /l9y/
Brief Description of Proposed Action:
J'�E ®,P N, FC-7
Name of Applicant or Sponsor: Telephone ��'/80
r— E-M a !M/�lGs�_VP V&P!�on!• V,5
Address:
City/PO: State: Zip Code:
SOV77�040 Al, 4 :1-
1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, ` NO YES
administrative rule,or regulation?
If Yes,attach a naurative description of the intent of the proposed action and the environmental resources that
may be affected in the municipality and proceed to Part 2. If no,continue to question 2.
2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES
If Yes, list agency(s)name and permit or approval: ❑
3 a.Total acreage of the site of the proposed action? acres
b.Total acreage to be physically disturbed? acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? _acres
4. Check all land uses that occur on,adjoining and near the proposed action.
❑Urban ❑Rural(non-agriculture) [:]Industrial ❑Commercial gResidential(suburban)
❑Forest ❑Agriculture El Aquatic ❑Uther(specify):
❑Parkl an d
Page I of 4
5. Is the proposed action, NO YES N/A
a.A permitted use under the zoning regulations? ❑ IN ❑
b. Consistent with the adopted comprehensive plan? ❑ X ❑
6. is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape'? ❑ 0
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: _ 1`11�71 ❑
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
EX F-1
b.Are public transportation service(s)available at or near the site of the proposed action? in( ❑
1 ON
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? UK-] ❑
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies ® ❑
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water:__ _ - N/� ® ❑
11.Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment: _/41A ❑
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places? if]
b.Is the proposed action located in an archeological sensitive area? ❑
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency? ❑
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:
a�Y �
14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply:
(Shoreline ❑Forest ❑Agr icultural/grasslands ❑Early mid-successional
❑ Wetland ❑Urban OSuburban
15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES
by the State or Federal government as threatened or endangered? 9 ❑
16.Is the project site located in the 100 year flood plain? 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? ❑ YES NO
b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)?
If Yes,briefly describe: ❑NO [_JYES
Page 2 of 4
PROJECT DESCRIPTION
Construct a 4 ft. x 18 ft walkway with a staircase consisting of 3 treads and 4 risers with
thruflow decking ( 72 SF ) connected to a 4 ft. x 24 ft. fixed dock with thruflow decking(96 SF)
168 SF total. Install 14 8" diam. pilings as shown on site plan
18. Does the proposed action include construction or other activities that result in the impoundment of NO YES
-----------------
water or other liquids(e.g_retention pond,waste lagoon,dam)?
If Yes,explain purpose and size:
19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO Y_ES
solid waste management facility?
If Yes,describe:
20.Has the site of the prolposed action or an adjoining property bee- he subiect of Temediation(ongoing orNO F YES
completed)for hazardous waste",
if Y es,describe:
-- ------------ Fm
D ABOVE IS TRUE AND ACCURATE TO'THE BEST OF MY
I AFFIRM THAT THE INFORMATION PROVI BE
KNOWLEDGE
�112 6_7
e:
App 'Qant'sponsor na Date,
Signa(Ul-e:
Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Pail 2. Answer all of the following
questions in Part 2 Using the information contained in Part I and other materials submitted by the project Sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
No,or I Moderate
small I to large
impact impact
may MRY
occu 1* occur
I Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations?
use or nmens of se of land?
2. W the pro posed action eswt in a ch an-ge in the-
y
3, Will ffie pionosed,action mpair Me o' quality of tfle exist'*]]"'COMMUnRY'?
4. Will the proposed action have an impact on the environmental characteristics that caused the
establishment of a Critical Environmental Area(CEA)?
5- Will the proposed action result in an adverse change in the existing level of traffic or
affect existing infrastructure for mass transit,biking or walkway?
6- Will the proposed action cause an increase in the use of energy and it fails to incorporate r--71
reas"-ItlaViv available eneray conservation or renewable cnt:rgy opportunid-2-sI
7. Will the proposed action impact existing:
a.public!private water supplies?
b.public/private wastewater treatment utilities?
8. Will the proposed action impair the character or quality of important historic,archaeological,
architectural or aesthetic resources? PI E
9, Wil.flie proposed anion all acre rSeec hinge 101-.aU_ resources wetlands,
A
wateroodies,groundwater ah-mia' ty.,flol a and alma)?
'Dage 3 of
I No,or Moderate
small to lai-ge
impact impact
may may
occul, occur
....................
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
problems?
I I I. Will the proposed action create a hazard to environmental resources or human health?
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular
element of the Proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should, in sufficient detail, identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and
cumulative impacts.
Check this box if you have determined, based on the-information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
FZenvironmental 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-Boaro of Ti us'ees
Name of Lead Agency Date
President
Prin
t orJwne Mul It R iiponsible,(Afiicer in Lead Agency Title of Responsible Officer
V
SignatUre of Responsible Offick;r in Lead Agency Signature of Preparer(if different from Responsible Officer)
PRINT Page 4 of 4
1
Board of Trustees Application
AFFIDAVIT
r�/V/ef_ 4/12'LMAA1 111114n,' BEING DULY SWORN
DEPOSES AND AFFIRMS THAT I-lE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMITS) AND THAT ALL, STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HIS/HER K24101,VLEDGE 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 HOLI) THE TOWN OF SOUTHOLD AND THE
BOARD OFTRUSTEES HARMLESS AND 11 REE FROM ANY AND ALL DAMAGES
AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERbIIT(S), IF
GRANTED. IN COMPLETING THIS APPILICA TION, I HEREBY AUTHORIZE THE
TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE
CONSERVATION ADVISORY COUNCIL, 11-0 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 A:vY WETLAND OR COASTAL
EROSION PERMIT ISSUED 13Y THE BOARD (►F TRUSTEES DURING THE TERM
OF THE PERMIT.
ti
Signature of Property Owner ,signature of Pr ert�er
a,4VICE III&HaN -vV y4z-T
SWORN TO BEFORE ME THIS _ _- DAY OF_ - % _ 20vf
VICTORIA KOPU
Notary Public - - NOTARY PUBM
STATE OF DELAWARE
My COMMission apirm
Jul 12,2023
Board of Trustees Application
AUTHORIZATION
(Where the applicant iz; not the owner)
owners of the property idu-ntitied as SC'TM# 10C10-_$Z Z in the town of
_._._TQ47C,05 r D —_-- New York., hereby authorizes
"I'-L) A, Ct 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.
operty Owner's Signature Property Owners Signature
JANICE- I-II&J-14,41
SWORN 'I'0 BEFORE ME THIS DAY OF_ / _ 20 641
VICTORIA KOPUNEK
Notary Public--_-----�-�— NaTARYPU6lIC
STATE OF DELAWARE
My Commission Expires
�sl 12,2023
A.PPLICA.NT/AGENVIIE PRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
'ptc"1'own of Southold's Code of Ethics prohibits conflicts of'int_trmt—oi.Ihe)ai� of town officers and employees.The nur op Se of
this form is to provide information which can alert the town cif pos,>.jh e cort:licts of interest and allow it to ta�:e w�iataver action i._.
necessary to avoid same
YOUR NAME: _ SY�i _s�n✓ � 1i'LL.Ir)� ---
(Last name,first name,ipiddle initial,unles,, ,you„re applying in the name of
someone else or other entity,such as a company.if so,indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance _ Building
Variance Trustee-
Change of Zone _ Coastal Ero;,,on
Approval of plat _ _ Mooring
Exemption from plat or official map _ Planaurg
Other - - -'
(It"Other",name the activity)—.-_._`__`__ __�_ __- • _____� __
Do you personally(or through your coinpany,spouse,sibling,parc-it,or Child)have a relationship with any officer or employee
of the'rown or Southold? "Relationship"includes by blood,Mari iage,or business interest."Business intcrc5l"means a business,
including a partnership,in which the town officer or employee hav:ven, partial ownership of(or umployniom by)a corporation
in which the town officer of employee invns nroie thou 5°�0 of tht shares.
YHS — - NO X
If you answered"YES",complete th.balance ofthis form and dart:and sign whuie indicated.
Name orperson employed by the Town of'Southold
I iuc or poaition of that person
Describe the relationship between yourself(the applicant/agent/representi,tive)and the town officer or employee Either check
the appropriate line A)through D)af:d/oi describe in the space provided.
1 he town ofTicer,or employee or his or her spouse,sibling,parent,rr chil,l is(check all that apply)-
----A)the owner of greater than �;%of the shares or the c•orporxr stork of dic,IDphcant
(when the applicant is a corporation);
_--.B)the legal or berieficial owner of any interest in a non-cwponite entity(«hen the
applicant is not a coi poi at i z)n);
_-_C)an officer,director,partner,or employee of the applicant,or
_-_D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this day of P ,� 20 ot�
Signature_
Print Name
Form TS 1
APPLICANT/AGENTAREA PRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Tovsm of Southold''Code of Ethics,nrohibits conflicts oljntet �,st on the part of lown officers and c:Mployees.T e urwLs of
this form is to provide information a hick can alert the town of msLd1 conflicts of interest and pillow it to take whatever whateyer action is
liecessary to avoid same. /�
YOUR NAME: V��/�/S���,� /t'ILC�I�, LL__,Ll
(Last name,first name,.piddle initial,unless you are applying in the name of
someone else or other entity,such as a company.If so,indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building J
Variance _ Trustee
Change of Zone _ _ Coastal Erosion
Approval of plat _ Mooring
Exemption from plat or official map _ Planning
Other
(If"Other-,name the activity.)
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee
of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest/means a business,
including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation
in which the town officer or employee owns more than 5%of the shares.
YES — NO _ --
If you answered"YES",complete the balance of this form and date;and sign where indicated.
Name of person employed by the Town of Southold—._�_,
Title or position of that person
Describe the relationship between yourself(the applicant/agent/tel)resentative)and the town officer or employee.Either check
the appropriate line A)through D)arid/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
__,A)the owner of greater than 5%of the shares of the corporate stock of the applicant
(when the applicant is a corporation);
B)the legal or beneffoial 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 iQ/220�1_
Signature��— d
Print Name _ f
Form TS 1
' 1
Glenn Goldsmith,President " uFFO('�-CD Town Hall Annex
A.Nicholas Krupski,Vice President �{��� G�� 54375 Route 25
John M.Bredemeyer III y P.O.Box 1179
Michael J.Domino N Southold,NY 11971
Greg Williams '�,�Ol p! Telephone(631)765-1892
Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
May 28, 2021
Michael Kimack
P.O. Box 1047
Southold, NY 11971
Re: Board of Trustees Application of Janice Hillman Shyles,
a/k/a Janice Hillman Revocable Trust
8340 Main Bayview Road, Southold
SCTM# 1000-87-5-23.2
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, June 1.6, 2021 beginning at 5:30 P.M. Please continue
to check the Town's website as the meeting date approaches for the latest meeting agenda and
videoconferencing information.
Also enclosed is an informational notice regarding the videoconferencing meeting and how to
access the online meeting. Please mail a copy of the informational notice along with all other
required paperwork to each of the adjacent property owners. Please keep a copy of said
informational notice for your records so that you can access the meeting in order to have a
conversation with the Board during your application review.
Very Truly Yours,
Glenn Goldsmith, President
Board of Trustees
r
.' j
zuzr t�
Glenn Goldsmith,President ,yo�� O Town Hall Annex
A.Nicholas Krupski,Vice President yt 54375 Route 25
John M.Bredemeyer III y ,? P.O.Box 1179
Michael J. Domino �,y ® �� Southold,NY 11971
Greg Williams 0� ��o� Telephone(631)765-1892
Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
WORK SESSION & PUBLIC HEARINGS
WEDNESDAY, JUNE 16, 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,June 16, 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: 957 4891 8038
Password: 845569
• Telephone:
Call 1(646) 558-8656
Enter Meeting ID and Password when prompted (same as above).
In order to "request to speak" when the application you are interested in has begun,
please press *9 on your phone and wait for someone to acknowledge your request.
When prompted to unmute your phone press *6.
To view the application files please visit: https://www.southoldtownnV.gov At the bottom of the
picture on the main screen click on the second button from the right "Town Records,
Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click
on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on
the name of the application to view the file.
Glenn Goldsmith, President QS�FFD('��D Town Hall Annex
A.Nicholas Krupski, Vice President ��� GyJ,t} 54375 Route 25
John M. Bredemeyer III Co P.O. Box 1179
Michael J. Domino ® �Y Southold,NY 11971
Greg Williams ?,� p! ,y Telephone(631)765-1892
�l �% 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.
Board of Trustees Applic- ' -',Zon
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
APPLICATION NAME ''
NAME:
i7- , c2 3
STATE OF NEW YORK
COUTNY 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 their 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 located at
_._ ,that_said_Notices were.mailed_to
each of said persons by CERTIFIED MAIL/RETURN RECEIPT.
Signature
Sworn to before me this
Day of , 20
Notary Public
NOTICE F HEARING
NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees t
via the online Zoom platform.
OWNER(S) OF RECORD: JANICE HILLMAN SITYLES,
a/k/a JANICE HILLMAN REVOCABLE TRUST
SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 4'x18'
walkway with a staircase consisting of three (3) treads and four (4) risers with
Thru-Flow decking (72sq.ft.), connected to a 4'x24' fixed dock with Thru-Flow
decking (96sq.ft.), 168sq.ft. total; and to install 14 - 8" diameter pilings. Located:
8340 Main Bayview Road, Southold. SCTM# 1000-87-5-23.2
TIME & DATE OF PUBLIC HEARING: ,
Wednesday, June 16, 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:W,RP CONSISTENCI'ASSESSMENT FORM
A. INSTRUCTIONS
l.. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to'the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form,should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A.pMosea-action will. be evaluated as to 'its significant
beneficial and adverse,effects upon the�coastal area(Much includes all of Southold Town),
3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each answer, must:be exnlainW in detail, listing both supporting and non-
supporting facts, If an action cannot be certified as consistent with the LWRP policy standards and
conditions,it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# R 7 Z
PROJECT NAME /LL"AAZ FA/9 Z85- : M. W d 66
The Application has been submitted to (check appropriate response):
Town Board El PlanningBoard❑ Building Dept. ❑ Board of Trustees JN
l. Category of Town of Southold agency action(check appropriate-response):
(a) Action undertaken directly by Town agency(e.g.capital 11
construction,planning activity,agency regulation,land transaction) ❑
(b) Financial assistance(e.g.grant, loan,subsidy)
(c) Permit;approval,license,certification:
Nature and extent of action:
PROJECT DESCRIPTION
Construct a 4 ft. x 18 ft walkway with a staircase consisting of 3 treads and 4 risers with
thruflow decking ( 72 SF ) connected to a 4 ft. x 24 ft. fixed dock with thruflow decking (96 SF)
168 SF total. Install 14 8" diam. pilings as shown on site plan
BOVCY 2 IV IN r—o sV1S R o,T,5 CT
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III—Policies Pages 6 through 7 for evaluation criteria
❑ Yes ❑ No,� Not A plica le
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LYW
Section III—Policies Pages 8 through 16 for evaluation criteria
❑ Yes ❑ No Z Not A plica le
-6 L1 CY N TD W15 PRQ-qEFC7-
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of,Southold. See LWRP Section In
—Policies Pages 16 through 21 for evaluation criteria
❑ Yes ❑ N ®Not Appla a to /S C
U cy�" ,�'r�r
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22
through 32 for evaluation criteria.
❑ ❑
M
Location of action: �',34 D RA JAI A6AYVZhW RA, fD UWOZ.D
Site acreage:_ ®, 92
Present land use: 4L
Present zoning classification: Oe— 40
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:_ Z%V l a 4�1-44/V'i-" JW YK Y
(b) Mailing address: � Q / S'i�/y,� 4 DR,
l A--w/A.5: DIE
(c) Telephone number: Area Code( )
(d) Application number,if any: ,
Will the action be directly undertaken,require funding, or approval by a state or federal agency?
Yes � No❑ If yes,which state or federal agency? Al
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 LV;RP Section III—Policies; Page 2 for evaluation
criteria.
ZYes ❑ No [—] Not Applicable
THE LO aC/c .rYJR GU/lam AR VM � W/V.�512
4W,4 CC�SS 7'0 7%1Z:-: 4�14MRGyAYS ,Z&?4 J'yzl7 AA -
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III—PPo{licies Pages 3 through b for evaluation criteria
❑ Yes ❑ No L'J Not Applicable
Yes No Not Applicable
Y-AIZ AeOPOZ5P- A6 Ce XY-MH /S NaT L D 04?�5p
O Ben P10 , 04C,L L D CA- nl-Al IN WE CAi4/ViVFt
Attach additional sheets if necessary
Policy 7. Protect and improve air quality in the Town of Southold. See LVW Section III — Policies
Pages 32 through 34 for evaluation criteria.
Yes ❑ No� Not Applicable
-- .ROL/CY 7 N/4 nb- �'`/&S- P,e®ZEC-r
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LVW Section III—Policies; Pages 34 through 38 for evaluation criteria.
❑ Yes ❑ No 0 Not Applicable
N A r® �—��RY ?R 7ZC —
PUBLIC COAST POLICIES
Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation
criteria.❑ Ye�1nn
No® Not Applicable
P/ZOP D aD P C,L' cv/u NB p"/�P�p� .�iy`� �'�,�L! C
co
Attach additional sheets if necessary
WORKING COAST POLICIES
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria.
❑ Yes ❑ No,T Not Applicable
PQZICy /0 N ,& M 71.2/.S PRO525CE—
Attach additional sheets if necessary
Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic
Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria.
❑ Yes ❑ No ® Not Applicable
,4GLIPD,P,p��D>S�,P�i4�l/G� 8'
C Y D
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages
62 through 65 for evaluation criteria.
❑ Yes ❑ No® Not Applicable
a L/CY /2 Al A 70 ZV S PLO ACT
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section III—PoIicies; Pages 65 through 68 for evaluation criteria.
❑ Yes ❑ No R1 Not Applicable
PREPARED By H A A�J&A Ce— TITLE A(,�5,Al — DATE ; Del