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HomeMy WebLinkAboutTR-9924 Glenn Goldsmith, President �QF SUl1TTown Hall Annex A. Nicholas Krupski,Vice President ,`O ��� 54375 Route 25 John M. Bredeme er III P.O. Box 1179 York Y �t � Southold,New York 11971 Michael J. Domino G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 10OUNT`I 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;'heiy-bale line/silt bo—6bi/-silt'cbrtain. 1St day of construction Y2 constructed When project complete, call for coMpliance-inspection' aQ'p•Q pp P°!°9Vp.�.�• - :-�ee00Q°`•f9'6pp•,,- 0 to°0'PO4C'yg.: _ .•f0i Oif':e., - ., .o- - m - _5�= a'y°a°' 47 ppP Q,®aa°@ 6@ppe® -tyCa00 6P6®ppr.- '>y`q@@A•9d96tr'c=:- "••®�@Va@y 40°90pp'"s^.. � i�p @@ e 96°pp'4�.. •"�^B49°9°d°9°e'b�. °�4;iIL, ,..:; `�- rll�l.,!'ly. 1 hillllff _ It'1j.Mlf'i - �4Y�l�ft�tY'I'✓ tll(l o I.li:,,- ,•fy, ly�iylVtl,Yl.;l':•flntl1yy111Y1.1Y1'ffi.4�.t.•,1{f.r1YYt4:t.lllt44111tY.lll.ffYft.11Pt1•rll,,f4•'1._4,.t14{{,t'lffftl't:YlY:.tt4••t'elYffY'111Ct.t't'1 .'� ` - 4s. ___-- --t•)t��1:5111�Y-4�':1.4,•:4$l.{�s�l ® —/I BOARD OF SOUTHOLD TOWN TRUSTEES r z SOUTHOLD,NEW YORK PERMIT NO. 9924 DATE: JUNE 16,2021 _ .c I ISSUED TO: SIGURDSSON BALDUR,LLC c/o WADE GUYTON,MANAGER PROPERTY ADDRESS: 1800 HYATT ROAD,SOUTHOLD SCTM# 1000-50-1-4 \ - AUTHORIZATION = t, Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in 'd°odor s accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 16, 2021, and m P P„ consideration of application fee in the sum of$250.00 paid by Sigurdsson Baldur, LLC and subject to the ` Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits =o = the following: Y Wetland Permit to construct a 41.96'x57.28' (1,712sq.ft.) two-story dwelling; a E l °p90Q 40.5'x14' (680sq.ft.) in-ground swimming pool with a surrounding 680sq.ft. terrace; .' Y _, resurface an approximately 1,668sq.ft. asphalt driveway; and to establish and _ ® - perpetually maintain a 10' wide non-turf buffer along the landward edge of the top ®A crest of the bluff, with the condition that an I/A sanitary system be installed; and as = ,® M= depicted on the survey prepared by Young& Young, last dated March 11,2019, and :oaaao stamped approved on June 16,2021. F IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these y ti F presents to be subscribed by a majority of the said Board as of the 16th day of June,2021. "< :a6gdeSµ� �a°amca:•" coo -• 8081'04 ' t(��-7w.-• � 'c 4`°p`°�o - .rr°Amb O ° — M. :eaGeA°1 i ay0sae: 8sooad i I ._7dd6ppr :ea ,:�?•.(emr'r0rin ,tYYnn intinni d•Peei enrS,n rrirr}�;u,fs�,nnr�'��d:,,�tro�n.,rrrivi,in i�.eei .ion,rr5,lr i,ff•rer,onr%wne,oa•,un ,..nfr�•nr,arn7ff,nn rrurn,frne Yr e,:�,A n,r,r �' nrr mar - .+ a avli e. urs ai„i1�, I '•d >p me%i.�� eo -tea .,, ;a evs .t`.' <•� u:.-�\paw �a.9J �,�a. ,` �^'n ?o'i x ov,,,.•.', • '7i, 1c ^:oaS aaso, •:,Ai64 tai iia l,,., ne aa... ,r,a BID aro - .aag a<a •,e SG° a@@°p.r' .,oa�A4 @aeae> •,6adeA :@�sa.• .!sAA aa,�:e.� °^eS;A �” r'dS:7oS::bOaoa.°.a' ..;eeo-iA>:0•.!°°.°.•°. TERMS AND CONDITIONS The Permittee, Sigurdsson Baldur,LLC, residing at 1800 Hyatt Road, Southold New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President �pE SO�ry Town Hall Annex A.Nicholas Krupski,Vice President 01 54375 Route 25 P.O. Box 1179 John M. Bredemeyer IIIc[ Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 COUNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 21, 2021 Bruce Anderson, President Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: SIGURDSSON BALDUR, LLC c/o WADE GUYTON, MANAGER 1800 HYATT ROAD, SOUTHOLD SCTM# 1000-50-1-4 Dear Mr. Anderson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 16, 2021 regarding the above matter: WHEREAS, Suffolk Environmental on behalf of SIGURDSSON BALDUR, LLC c/o WADE GUYTON, MANAGER applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 26, 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 June 16, 2021, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of-the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that 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 SIGURDSSON BALDUR, LLC c/o WADE GUYTON, MANAGER to construct a 41.96'x57.28' (1,712sq.ft.) two-story dwelling; a 40.5'x14' (680sq.ft.) in-ground swimming pool with a surrounding 680sq.ft. terrace; resurface an approximately 1,668sq.ft. asphalt driveway; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the top crest of the bluff; with the condition that an I/A sanitary system be installed; and as-depicted on the survey prepared by Young &Young, last dated March 11, 2019, and stamped approved on June 16, 2021. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.)_ Fees: $50.00 Very truly yours, Glenn Goldsmith President, Board of Trustees GG/dd ' (1)UNAUT.iIX22ED_ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR EREC71DN OF FENCES.(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAID SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY (4)CERIIFICATION INDICATED HEREON SHALL RUN ONLY 70 THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TOI 117LE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITU71ON LISTED HEREON AN TO 7HE ASSIGNEES OF THE LENDING INSRIURON CERRFICgRONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W).SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON AVE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS 400 Ostrander Avenue,Riverhead,New York 11401 ° NOTE: tel.631.92"1.2303 fax.631.921.0144 FINISHED FLOORS ELEVATION TO BE I SITE DATA com en ddmin® oun Ineerin VERIFIED BY ARCHITECT i /� �y¢ g g 9• AREA = 40,334 SQ. FT'. 4 114 yyK N eeKJ � VERTICAL DATUM =N.A.V.DATUM(1488) , Howard W.Young,Land Surveyor Thomas G.Wolpert,Professional Engineer J Douglas E,Adams,Professional Engineer Robert G.Tast,Architect - i / NT'NG S HEALTH DEPARTMENT USE DILA. i 5 i/ 4NCFh�s hvr LS !! 1' 7'0 ry�� I!h -Cc�� P O S Y ,^V '�i`>F Q rh /i ti 3`/!�/ // /, / 'bN no a * STq�o aeSgo o/` S `�/ to / o r / '40 r >co R �� ;,� o�j// /// /ryd l/ //�� o pow firy�er sq"' X< APR 2 6 27 F "BOARD G,P T r�USTEES // ,m // / // e//, r `'TOWN ®F.SOUTHOLD M '/// // /;off/// W//rf/ ; -§ ''gJ �h�es R'"Srs D '� 0 /�/ / / �; / 1 `' /a'�o,' ./ Southold �vn 0 , n p. � ''� �/ / / /.o// /// //// , /r "Tp� Lei (� I Eoard of Tr tees / / / 'S , ti` <gS q,.S DATE Tv % V �ry m /` -�Bo t �� 1/ 11 / ///; // ////////yo/// 7.� /66$ o aOr !� ` � Z0� 96 / 4U 116 4.3 3 %' � � U - I � ,d9 °a e°s 89. - �' x 4'�G �r� SURVEYOR'S CERTIFICATION ri I l / $s oo, � 737:iAy�� s � 5 7/ / LF.02 OtL � � WE HEREBY CERTIFY TO WADE GUYTO �,I1VFTHA7"THI 59.t_� , 6 5 �� �/ b92 SURVEY WAS PREPARED IN ACCORDANCE LTH T}fEI- '6 , / �Og54 / 57 > 8 F { PRACTICE FOR LAND SURVEYS AD THE ORK SQA r_- Jr QAL' Tq� D'D 8• 96 DIq> ASSOCIATION OF PROFESSIONAL LAND8. __5 �� � \ 6 ?65. ry / / / go.8 58 B� 8.2 Y +�I 1 S k' r i d STOW"4% \ 1 �\ 60. •^ T �o �/ 8 TEST HOLE aT/ �, ss. ho r4 ^� off g \ / 1 so•DIA+ 6 Q } HOWARD W YOUNG.N Y.S.L.S.NO.458613 l,4 1 i;i' •� BY McDONAL GEO5GIENGE �y �� +SaU t /- 7REEo 56.8 c DATE, 03/04/18 \` Geo or 4 `moo o0 518 . 6 a� ` ' 1 L.F.a m 1Y 0� o a - EL=59.8 0.0' \ ��rSe rmerY�S S `ro 3� ��7°. \ :I 0 5UR1/EY FOR o DARK BROWN 'fie// Qh y 4�yiT � T \a s s6.o d u V L \ '�� 995 ' ' , /SS?t 5 5� 'I `� A 4 �,; Y4ADE GUYTON INC. . -- -- ---- 0.5 N j / 56.1o m o ---at Southold, Town of Southold WN a BROCLAY we/// \ - O Svc,. Suffolk County, New York (GH) h9Jl i:100' 55. 1 55.9 56.1 BUILDING PERMIT SURVEY s BROWN S CLAYEY SAENLD /T,g SOC RTy County Tax Map District 1000 Section 50 Block OI Lot 4 IN LAYERS LOT GOVER,4GE \� Sr5'�1 �� �y� �~ � - EL=2b 6?.O' j\ p 4 FIELD SURVEY COMPLETED FEB. Io,aolb z MAP PREPARED FEB.II,2016 BROY " \ Record of Revisions CLAYEY PROPOSED / \ 0 Ju T y RECORD OF REVISIONS DATE SAND WITH HOUSE = 1,112 50. FT. = .4.290 �� \ �! � 1 U TV COASTAL EROSION HAZARD LINE JuLY 14 2016 a GRAVEL 90 O' TERRACE = 0162 50. FT. = 2.4% / �� \ m �1G Q ADDED BUILDING PERMIT DATA MAR,04,201 POOL = 680 SQ. FT. = 1.790 We,, 0 0 - N w AMENDED EiUILDINb PERMIT DATA APR-30 2018 / AMENDED BUILDING PERMIT DATA AUG- 13,2018 BRROOVM TER IN ASPHALT DRIVEWAY = 1,668 50. FT. = 4.19'0 // G fo �9J \ 2 t k m GENERAL AMENDMENTS MAR- 11.201q DO TOACOARSE eOrb� e�i O `. % 4 C to �i (SvV TOTAL = 5,022 5Q. FT. = 12.4% / J �� q1L� �4- s0 O 25 5p LOO O T6.0' / eVrgS,gH"r'rpX O � � IL HIGHEST EXPECTED / o Pit 3 T�Rj-�C Scale: P = 50' GW EL=2,8 Ski 0'. ,JOB NO.2016-0003 / �^f DWG.2016_0003_bp_r2 I OF 2 El = MONUMENT SET ■= MONUMENT FOUND A= STAKE SET A= STAKE FOUND CO_ = UTILITY POLE (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES TO EMSTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT 70 BE USED TO ESTABLISH PROPERTY LINES OR FOR ERECTION OF FENCES.(7)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIOERED TO BE A VALID TRUE COPY (4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL MSTITunoNS OR SUBSEQUENT OWNERS. (5)THE LOCATION OF WELLS(W).SEPTIC TANKS(S»&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS 400 Ostrander Avenue,Riverhead,New York 11901 tel.631.727.2303 fax.631.727.0144 adm In®youngenglnearing.com ou� a yowt� Howard W.Young,Land Surveyor Thomas G Wolpert,Professional Engineer Douglas E.Adams,Professional Engineer Robert G.Tast,Architect HEALTH DEPARTMENT U5E 9 �I 4 APR 2 6 201 NEW RESIDENCE sC' Tov N Boar o;'rrust e FFEL=69.50 0 0 10' 8' 20' N K .F C.I. COVER j-1' MIN. EL=62.0 2' MAX. o BFEL=60.0 EL=59.0 SURVEYOR'S CERTIFICATION 4" DIA. PVC •WE HEREBY CERTIFY TO WADE GuYT17 �I�C�CC.THRTINI 4 DIA PVC PIPE r PIPE Y": 1' E L—5 0.0 SURVEY WAS PREPARED IN ACCORDANCE',tiii;THE cgDF of` !¢": 1' MIN. 0.50 PRACTICE FOR LAND SURVEYS ADOPTS BY THE F1EW l'ORI�STA MIN. ASSOCIATION OF PROFESSIONAL LAND` VEYORS._„ �' FLO LINE FLOW LINE IE=50.6 IE=50.1 ,J IE=50.0 ` IE=50.8 0 � HOWARD W.YOUNS,1N. .S.L.S.NO.45893i'' C4 �—--8.00' N SURVEY FOR 0 1000 GAL. INANE &IJ"r'T0N INO. SEPTIC TANK00' —� HIGHEST z at Southold, Town of Southold EXPECTED Suffolk County, New York 300 SFSWA GROUND WATER m EL=2.8 BUILDING PERMIT SURVEY LEACHINGPOOL County Tax Map District 1000 Section 50 91ock 01 Lot 4 FIELD SURVEY COMPLETED FEB.10,2016 MAP PREPARED FEB.11,2016 Record of Revisions RECORD OF REVISIONS DATE COASTAL EROSION HAZARD LINE JULY 14 2016 H ADDDED BUILDING PERMIT DATA MAR04.2018 d AMENDED BUILDIN&PERMIT DATA APR.30 2018 AMENDED BUILDING PERMIT DATA AUG. 13 2018 o I GENERAL AMENDMENTS MAR II 2014 c 0 �m F � 0 ' Scale: N.T.S. IL 1 JOB NO.2016-0003 f DWG.2016_0003�p—r2 2 of 2 �ogOFFOL,��o Glenn Goldsmith, President ��o Gyt Town Hall Annex A Nicholas Krupski, Vice-President y z 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 Michael J. Domino Southold, NY 11971 Greg Williams �l ' �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: SIGURDSSON BALDUR, LLC c/o SUFFOLK ENVIRONMENTAL Please be advised that your application dated April 26, 2021 has been reviewed by this Board at the regular meeting of June 16, 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) % Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) XX The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Suffolk Environmental Consulting, Inc. Newman Village ® Suite E 2310 Main Street © PO Box 2003 ® Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED June 24111,2021 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: SIGURDSSON BALDUR L.L.C. - Proposed Re-development Situate: 1800 Hyatt Road •Southold, NY •11971 SCTM#: 1000 - 050 - 01 - 04 Dear Members of the Board, As per the Board's request, enclosed herewith please find a check in the amount of fifty dollars ($50.00) in full satisfaction of the requisite final inspection fee. Thank you for your time and consideration in reviewing this application. Yours T ,W Robert W. Anderson (enc.) DECEIVC . it 2 d 2021 Southo d Town Board of Trustees gf Fr Glenn Gol, th, President Town Hall Annex A.Nicholas Krupski, Vice President �, 54375 Route 25 John M. Bredemeyer III ' P.O.Box 1179 Michael J. Domino s Southold,NY 11971 Gre-Williams r , 3 Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field 'AL v Suffolk Environmental Consulting on behalf of SIGURDSSON BALDUR, LLC, c/o WADE GUYTON, MANAGER requests a Wetland Permit to construct a 41.96'x57.28' (1,712sq.ft.) two-story dwelling; a 40.5'x14' (680sq.ft.) in-ground swimming pool with a surrounding 680sq.ft. terrace; resurface an approximately 1,668sq.ft. asphalt driveway; and to establish and perpetually maintain a 10' wide non- turf buffer along the landward edge of the top crest of the bluff. Located: 1800 Hyatt Road, Southold. SCTM# 1000-50-1-4 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N ce Ch. 275 y Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission _Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J.Bredemeyer M. Domino G. Goldsmith - N, Krupski G. Williams Other (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW (2)DISTANCES SHOWN HEREON FROM PROPERTY LINES 70 EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TD BE USED TO ESTABUSH PROPERTY LINES OR FOR ERECTION OF FENCES(3)COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY.(4)CERTIFICATION INDICATED HEREON SHALL RUN ONLY 70 THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION USTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS ON SUBSEQUENT OWNERS (5)THE LOCATION OF WELLS(W).SEPTIC TANKS(ST)&CESSPOOLS(CP)SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS NO 400 Ostrander Avenue,Riverhead,New York 11901 FINISHED FLOORS ELEVATION TO BE SITE DATA TE tel 631.12?2303.g 31.?2?g0144 VERIFIED BY ARCHITECT admin® ou en Ineerin com AREA = 40,334 SQ. PT. ! Q VERTICAL DATUM = N.A.V.DATUM(1988) Howard W.Young,Land Surveyor Thomas G.Wolpert,Professional Engineer J Douglas E.Adams,Professional Engineer ec ® Robert G.Tost,Architt / /ti r'NG S HEALTH DEPARTMENT USE 4 5 / rHCs Yr lee Jt i a i/ &/01 �in'SCTO r Le to 0 CIO U/ �2 /i /; ////� / 6 °� w /n q it ery N/T�Rr40. 2 6 21 Iff q. �7 / / // /�,/ ,� �/ , o�o� hoes Srsi APR o °�� �• // � i � � ( // /,s° // ////// /// '56.1 'r k 06_ �s Stauth6ld Tc wn �� / 8.0 ,/ j l l /lz�3 / /// ///j//51.9 �5� �� ° orae/ [Cld�ria 1i 7'tu @es / ' 596 •� ` 1 .,,�,.� O X 4.3 L ( I // //56Jo $.$ Z as "Z/22-4 % // "` 68 ` % oo, ea�aoD"o 9.2 6 -Kr 0ku- � , 1.00 0- 9�6 � RON•_...�A,^ / '-'j �t /f(57)./ 5 7J L.F. ,FFL "�\ . , p `� WE HEREBY CERTIFY TO WADE GUYT0 1T� T 7HI / // / 59 6 y R/ 6a.0 (9 SURVEY WAS PREPARED IN ACCORDANCE IT1i THE E'OF I-'• / Cp ° i ij S> a•F ajy 5\ PRACTICE FOR LAND SURVEYS AVO BY,THE NE YORK STA % 4/At �r�`� 57.8 t�Y m4 a j -,662 g6 Dlgl ASSOCIATION OF PROFESSIONAL LAND VEYORS. _ I V^ OF H,a a Cao_QQ n, 8• TT�HH \l \ \ I ` {{{� ;f /OH \58�e,` \�65 h y,�.` /TR.J / ' / TREE 0 58 8.3 8.2 rO epF�C�py�,. �5� " •27. 8• 0" O \ 4.8 / 57.1 "`oN�M�YD4T, � :��c�l'� \� � 6o- pB'6g'� I/ ��� � Qi fT'-PYV'e�.�4/l.�• '� '� .. -�_-_%-''' ?• ao4bN � .n � Lr pC 2, �\ r- / 60 / -,0, ' SG M 60. TEST HOLE 11ftLT/pN �3o Qg 0 �' % eo' IDAWW : Q }� v HOWARD IN.YOUNG,NY.S.L.S.NO.45893 ',4 ( ,� `'• l ' BY MaDONAL GEOSCIENCE nOAy TREE.56 6 6 U �� N DATE 05/04/I b Geo or - oo S(jS 3 •sa 7 1s,% iy� U) 0 (3 - a; EL=54.8 0.0' \ '9e rmer 699 F�/p,Ag���'o Q, ; \�4J _ °m Q 5UR1/EY FOR o DARK BROWN AVS/// qn `S e 5 56.0 k v a LOAM \`\ �9J 9qS gS1-S� l °� F(1 �r `5 5`� 1 4®N, MADE &U� 1 ON I NO. c O5' 4C Tp> h aR�G/J c �D�v \\ G I '�aa�r,`�yEo�''& , 56.1 o at Southold, Town of Southold a. BROWN CLAY e / (GH) / �" °}fir � � Suffolk County, New York \ O 100' 55 6.01 \ O 5519 56,1 "`� BUILDING PERMIT SURVEY • BROWN S CLAYEY SAND County Tax Map District 1000 section 50 Block OI lot 4 1011TH LAYERS \ 4RY SN'�1 h� ? �> EL=2.8 (SC) 5IO' LOT GOVERAC7E Ski FIELD SURVEY COMPLETED FEB.lo,2oI6 WATER IN \ z MAP PREPARED FEB. 11,2016 BROWN PROPOSED !u 0_ Record of Revisions CLAYEY /' \ ((�j 4) RECORD OF REVISIONS DATE SAND WITH HOUSE = 1,112 50. FT. = 4.2Jo \ d \ CU COASTAL ERrT51ON HAZARD LINE JULY 14 2016 GRAVEL -10.01TERRACE = 0162 5Q. FT. = 24% 0 �,� A�M�Efl eLUDILDIN6 PERMIT DATA DATA A �0 2�I8 J WATER IN POOL = 6S0 5Q. FT. = I.-190 /1e//, ~ 4) w AMENDED 9UILDIN6 PERMIT DATA AUS.13 2018 BRorFINE ASPHALT DRIVEWAY 1,6 \ z 11, k ® GENERAL AMENDMENTS MAR- II 2019 e ay = 68 SQ. FT. = 4.196 TO COARSE / Ge OP• 4 ® fl1 -m SAND Or9e�eh� O / m TOTAL = 5,022 50. FT. = 12.4% 50 O 25 5o 100 a HIGHEST EXPECTED / ° Ag 'T k scale: I" = 50' 6101 EL=2.8 / S)S oA JOB NO.2016-0003 DWG.2016_0003—bps2 I OF 2 El = MONUMENT SET ■= MONUMENT FOUND D= STAKE 5ET A= STAKE FOUND UTILITY POLE IZED OR THIS VEY IS A ION OF CTION 7209 OF THE NEW YORK STATE TION LAW 2)DISTANCES SHOWN REON FROM ERTYLINES TO ARE FOR A SPECIRC AND OT TO BE USED 70 BLISH PROPERTY NES OR FOR RECTION FENCES. S SURVEY MAP OT EARING THE 'S INKED SEAL ALL NOT BE CONSIDERED TO BE A VAUD (INDICATEDOHEREO SHALL RUN ONLY TOOTHEOPERSON FOR WHOM THE SURVEY IS�PREPARED AND ON HIS BEHALF TO THE�TLEA COMPANY,(GOVERNMENTAL AGENCYEAND LENDING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTIONS NCERTIFICA11ONS ARE NOTA TRANSFERABLE TOUADDITIONAL INSTITUTIONS�OR SUBSEQUENCOPIES ONNERRS.�(5)THE LOCATIONN OF SWELLS(VQ,SEPTAICDTANKS(ST)&CESSPOOLS(CP)EMBOSSED SHOWNN HEREON�ARE FROM FIELD OBSERVATIONS AND OR DATATRUE OBTAINED(4)CERTIFICATION OTHERS 400 Ostrander Avenue,Riverhead,New York 11901 tel.631.'12'12303 fax.631."12'1.0144 admin@youngengineering com E6 E V E Howard W.Young,Land Surveyor ® Thomas G.Wolpert,Professional Engineer Douglas E.Adams,Professional Engineer APR 2 6 2021 Robert Tast,Architect a Southold TownHEALTH DEPARTMENT USE Board of Trustees NEW g RESIDENCE a FFEL=69.50 a 0 s 10' 8' 20' O v C.I. COVER EL=62.0 1, MIN. BFEL=60.0 2 MAX. EL=59.0 SURVEYOR'5 CERTIFICATION n 0 50 4" DIA. PVC 1 •WE HEREBY CERTIFY TO WADE GUYTO�J'I�NC. THATTHI 4 DIA PVC PIPE PIPE @ Ya":1' i EL=50.0 SURVEY WAS PREPARED IN ACCORDANCE,C THE-666 or- C_ PRACTICE FOR LAND SURVEYS ADO BY THE FLEW YORK STA MIN. ASSOCIATION OF PROFESSIONAL LAND` R5;_,- FLO LINE FLOW LINE IE=50.6 IE=50.1 IE=50.0 IE=50.8 0 ; ) 1 p r -- 8. HOWRD lei.YOUNG,NYS.L.S.NO.45893 p 00' SURVEY FOR RS O 1000 GAL. AADS &U`�T®N INC. SEPTIC TANK 1---8.00 �j HIGHEST _z at Southold, Town of Southold EXPECTED Suffolk County, Neal York 300 SFSWA GROUND WATER cn BUILDING PERMIT SURVEY LEACHING POOL EL 2.5 County Tax MOP DIstFIGt 1000 sBaI00 50 aleck OI Lot 4 FIELD SURVEY COMPLETED FEB. 10,2016 MAP PREPARED FEB. 11,2016 Record of Revisions RECORD OF REVISIONS DATE COASTAL EROSION HAZARD LINE JULY 14.2016 ADDED ?PERMIT DATA MAR-09,2018 o AMENDED BUILDING PERMIT DATA APR.30 2018 a j AMENDED BUIL I PE MIT DATA AUG-13 2018 e GENERAL_AMENDMENTS MAR. 11,2014 I m 0 a Scale: N.T.S. I JOB NO.2016-0003 :20F OF 2 DG.2016_000312 W - 1 4b & GUYTON P Situate: 1800 Hyatt Road ■ Southold■ New York SCTM #: 1000—050—01 —004 (Photo taken on April 9, 2018) ,� p giq ren w a ap✓e' n.„3 Photograph indicating the staked out corners (arrows) of the proposed House and Swimming Pool within the central section of the property. Photograph taken from the easterly section of the property, facing west, overlooking Long Island Sound. GUYTON Property Situate: 1800 Hyatt Road ■ Southold■ New York SCTM #: 1000—050—01 —004 (Photo taken on April 9, 2018) �i Photograph indicating the staked out corner (arrows) of the proposed Swimming Pool within the central section of the property. Photograph taken from the easterly section of the property, facing west, overlooking Long Island Sound. GUYTON P Situate: 1800 Hyatt Road■ Southold■New York SCTM #: 1000—050—01—004 (Photo taken on April 9, 2018) 9Y f a x qh i"rg t Photograph indicating the staked out corner (arrow) of the proposed Swimming Pool within the central section of the property. Photograph taken from the central section of the property, facing west, overlooking Long Island Sound. GUYTON Property Situate: 1800 Hyatt Road■ Southold■ New York SCTM #: 1000—050—01 —004 (Photo taken on April 9, 2018) �i Photograph indicating the marked out corner (arrow) of the proposed Dwelling within the central section of the property. Photograph taken from the central section of the property, facing west, overlooking Long Island Sound. GUYTON Property Situate: 1800 Hyatt Road • Southold ■ New York SCTM #: 1000—050—01 —004 (Photo taken on April 9, 2018) } - ft 4. w - Photograph indicating the approximate location of the existing septic system to be removed. Photograph taken from the central section of the property, facing west, overlooking Long Island Sound. GUYTON Property Situate: 1800 Hyatt Road■ Southold■ New York SCTM #: 1000—050—01—004 (Photo taken on April 9, 2018) r i ym m fi T e Photograph indicating the marked out corner (arrow) of the proposed Dwelling within the central section of the property. Photograph taken from the central section of the property, facing east. GUYTON Property Situate: 1800 Hyatt Road ■ Southold■ New York SCTM #: 1000—050—01—004 (Photo taken on April 9, 2018) ,W $0 h P K tT ro � c w . r Photograph indicating the existing remains of the original dwelling. Photograph taken from the top of the bluff within the central section of the property, facing east. GUYTON Property Situate: 1800 Hyatt Road■ Southold■ New York SCTM #: 1000—050—01—004 (Photo taken on April 9, 2018) Photograph indicating the conditions along the shoreline and approximate high water mark within the northwestern section of the property. Photograph taken from the shoreline, facing west, overlooking Long Island Sound. GUYTON P Situate: 1800 Hyatt Road■ Southold• New York SCTM #: 1000—050—01 —004 (Photo taken on April 9, 2018) L yy 8 4 M1 3 4 r FBF c � Photograph indicating the conditions along the bluff within the northwestern section of the property. Photograph taken from the shoreline, facing east. Pevisiorn 0 o&nt 12.a is 16 asm+s 1 2 N 50000 RD. EXT SOU 1� 3.5 14 SOUlHDLD IMPI[wST. �. � ® � ` /�O5 6 11A 2p w N AA?.Q� ftc ­ZZ""",w..�Rksr,po Zal/ 131 '+ ♦ • � j IyzA(`1 O1 e 0 a\. P 5 • i e A l O Ity, q a /�q 11 t.ikc) IAA(c «I *gOJ�O '¢ g FORPCL.ND. y SEE 3EC.ND. osaaaaze.s . a m a1 --z E �� I I µ __�__ w.� __ __ oaaN NOTICE ,oai,. COUNTY OF SUFFOLK © E P• SOUTNOLD SECTION NO E e.-.Tw... 21 __ „ , � Real Property Tax Service Agency Y N va..•>w. µ ro.�... ” —__ m....... --.-- waw,--.-- co +y N 111a1 M a OSO 0 P cy 1300 PROPERTY MAP OFFICE LOCATION: � ��� MAILING ADDRESS: Town Hall Annex ° �a P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold NY 11971 Telephone: 631 765-1938 ou �w 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: June 10, 2021 Re: Local Waterfront Coastal Consistency Review for SIGURDSSON BALDUR, LLC, c/o WADE GUYTON, MANAGER SCTM# 1000-50-1-4 Suffolk Environmental Consulting on behalf of SIGURDSSON BALDUR, LLC, c/o WADE GUYTON, MANAGER requests a Wetland Permit to construct a 41.96'x57.28' (1,712sq.ft.) two-story dwelling; a 40.5'x14' (680sq.ft.) in-ground swimming pool with a surrounding 680sq.ft. terrace; resurface an approximately 1,668sq.ft. asphalt driveway; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the top crest of the bluff. Located: 1800 Hyatt Road, Southold. SCTM# 1000-50-1-4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP. The installation of a I/A OWTS is recommended. The ZBA granted a variance (7184) with a condition to install a 20' planted non-turf buffer landward of the top of bluff. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,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 SIGURDSSON BALDUR, LLC, Wade Guyton, Manager to construct a 1,712 sf. two-story dwelling, 680 sf. in-ground swimming pool with a surrounding 680 sf. terrace; and to resurface an approx. 1,668 sf. asphalt driveway, as well as to establish a 10' wide non-turf buffer area landward of the top of the existing bluff. Located: 1800 Hyatt Rd., Southold. SCTM#50-1-4 Inspected by: Caroline Burghardt, John Stein The CAC Supports the application and recommends an I/A septic systema Vote of Council: Ayes: All Motion Carried 3vfitbael J.Domino,President Tem Hall nne John M.Bredermeyer III,Vice-President �-a, �, � �7b u� � � � .., , �; � '� P.O.Box 1179 Charles J.Sanders .� R , Southold,Now York 11971 Glenn Goldsmith NA ,~� Telephone(631) '76 -1592 A, Nicholas Krupski i Fax06 11 - 1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application X Wetland Permit Application Administrative Permit Amendment/Transfer/Extens io Received Application: 21�•Z( Received Fee:$ Z,'O,#U Completed Application: •L7T�1 Incomplete: (� (� SEQRA Classification: L) 15 l�J E 14 E Type I Type II Unlisted Coordination.(date sent) ! �LWRP Consistency Assessment orm: ' al/ ApR 2 6 2021 CAC Referral Sent: a�o Date of Inspection: •WL( �-•� Receipt of CAC Report: Southold'1!ovvn Lead Agency Determination Board of Trustees Technical Review: Public Hearing Held: Resolution: Name of Applicant Sigurdsson Baldur, LLC, Wade Guyton, Manager Address 167 Bowrey—Fl. 4 •New York •New York • 10002 Phone Number: (917) 714-3803 Suffolk County Tax Map Number: 1000— 50—01 —4 Property Location: 1800 Hyatt Road • Southold •New York (provide LILCO Pole#, distance to cross streets, and location) AGENT: Bruce A. Anderson- Suffolk Environmental Consulting, Inc. . (If applicable) Address: P.O. Box 2003; Bridgehampton,NY 11932 Phone: (631)537—5160 Uk i Board of Trustees Application GENERAL DATA Land Area(in square feet): 40,334 s. f. Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions: Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals X Yes No (already granted) If"Yes",please provide a decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? X Yes No(remains of dwelling lost to fire) Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency ' Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description(use attachments if necessary): Applicant proposes to construct a 41.96' x 57.28' (1,712 ft2) 2-story dwelling; a 40.5 x 14' (680 ft2) in-around swimming pool with a surrounding 680 ft2 terrace; and to re- surface an approximately 1,668 ft2 asphalt driveway, as well as to establish a 10.0' wide non-turf buffer area landward of the top of the existing bluff. i Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed operations: Replace dwelling lost to fire and add a pool with surrounding terrace. Area of wetlands on lot: 0 square feet Percent coverage of lot: 12.4 f % Closest distance between nearest existing structures and upland edge of wetlands: 180.0 feet (retaining wall) Closest distance between nearest proposed structures and upland edge of wetlands: 232 feet(terrace) Does the project involve excavation or filling? No X Yes (Septic system and drainage) If Yes, how much material will be excavated? 50 (cubic yards for new septic system and leaching pool) How much material will be filled? 0 (cubic yards) Depth of which material will be removed or deposited: 16 feet Proposed slope throughout the area of operations: moderate Manner in which material will be removed or deposited: back hoe 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): No impact to the wetlands anticipated because the proposed structures are sited further from the wetlands then the existing structures to be replaced. 617.20 Appendix B Short Enr1ronmental Assessment Farm Instructions 1'01- Cotunletinp Pari 1- Project Infortnatio111 The applicant or project sponsor is responsible for the completion of P:trt 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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answeras thorou-lily as possible based on current information. Complete all items in Part I. 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. I':r rt 1 - Project and Sponsor Information Name of Action or Project: Sigurdsson Baldur L.L.C. (c/o Wade Gunton Manager) Project Location(describe,and attach a location map): 1800 Hyatt Road - Southold,NY - 11971 Brief Description of Proposed Action: Applicant proposes to construct a 41.96'x 57.28' (1,712 ftZ) 2-story dwelling; a 40.5 x 14' (680 ft') in-ground swimming pool with a surrounding 680 ft'terrace; and to re-surface an approximately 1,668 ftz asphalt driveway. Name of Applicant or Sponsor: Telephone: :(631)537-5160 Robert Anderson @ Suffolk Environmental Consulting,Inc. E-Mail:,Bruce@ 'al environmental.cam Address: P.O.Box 2033 -- -- - ----- ------ -- -- - ---- -- -- - ------ - - --- ----- ---------- - -- Cityfpo: - - State: Zip!Code: Maehari►pton NY ' '11932 1.Does the proposed action only involve the legislative adoption of a plan,local law, ordinance NO YES administrative rule,or rcgulation't If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ® El may be affected in the municipality and proceed to Part 2. if no,continuc to question 2. 2. Does the proposed action require a permit,approval or ftrttding from any other governmental A- ticyf? NO YES If Yes-list aaencv(s)_name and pennit or approval: Town of Southold Board of Trustees Wetlands Permit. NYSDEC Tidal We Permit, --Town of Southold Building Permit mi.Total acreage of tile site of the proposed actionp 10.93 _ 'acres b.Total acreage to be physically disturbed't = <0.1w± _ acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsorl 0.93 _ acres 4. Check all land uses that occur on, adjoining and near the proposed aetionj ❑Urban ❑Rural (non-agriculture) ❑Industrial [:]Commercial ®Residential(suburban) 1:3 Forest ❑Agriculture MAguatic ❑Other(specify): ❑l'arkla nd Page 1 of 4 S. Is the proposed action, NO YES I NIA a.A permi tted use tinder the zoning regulations) E3 El I ED- b.Consistent with the adopted comprehensive plarilE17,71 =777 l 1^1 LJ 6. Is the proposed action consistent with the predominant character of the existing built or natura,11 NO YES landscapet MUM 7. Is the site of the proMed action located in.or does it adjoin, listed Critical Environmental p,a state NOYES If Yes,identify,4 -7 8. a.Will the proposed action result in a substantial increase in traffic above present levels' NO YES j EJ 777' b. Are public transportation service(s)available at or near the site of the proposed action? MV L7_1 c.Are any pedestrian accommodations or bicycle routes available on or near site of(fie proposed action? M El 9.Does the proposed action meet or exceed the state energy code requirements) NO ' - YES ift4moP "qnytLiex tremep�,descri�g d"n ­ features and techno F7 M to 'V" 10. Will the proposed action connect to an existing public/private water supply;l NO YES ­­ Kwell I f-110., dcspribq_mqthod for prAyiding,potable water., M ED P Proposed NO YES If No,describe method for providing wastewater treatment: P d' hfionai,' t' conve 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic l NO YES Places?l 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 orother waterbodies regulated by a federal,state or local agencyl. F-1 I M71 L b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? r\_71 If Yes,identify,the wetland or waterbody and extent of alterations in square feet or acres: lF. Icteritify the Typical habitai typ sihat occur on-nr hie`Iikely io tie found onVttie piojcct sitd� &'a_ll_tktffapply: E!Shoreline El Forest p Agricultural/grasslands El Early mid,accessional El Wetland El Urban El Suburban 15.Does the site of the proposed action contain any species of animal, or associated habitats,listed NO YES by the State or Federal government as threatened or endangered) —1 1:1 rX 16.Is the project site located in the 100 year flood plain; NO YE cf 11 M711-1 1" J 17.Will die proposed action create storm water discharge,either from point or non-point sources` NO YES If Yes, r-71 a. Will storm water discharges flow to adjacent properties? [:1 NO E3YES Fx'� LJ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? _Lf describe: M, NO r,'IYES Page 2 of 4 13. Chis the proposed action include construction or other activities that result in 111c iMPOUndment of No NTS water or other liquids(e.g. retention pond.waste lagoon,da )'j If Yes,explain purpose and sire- ❑ g 19. Has the site ofthe proposed action or an adjoining property been the location of an active or closed) No YES solid %`-asie management facility:] If Yes,describe: El El X Has the site ofthe proposed action or an adjoining property been the subject of remediation(ongoing orl NO YES completed) for huaardous waste' If Yes,describe: I AFFIRM THAT THE: INFORMATION 111110% IDIA) ABOVE IS TRUE: :AND ACCURATE TO THE KEST OF MY KNO%% LEDGE Applicant.sponsor f _RID _ er own Vie' r ffe l vir s i(to ,Inc.Date: Signature[ Part 2 - Impact A%so%snien4 The Lead Agenc% is responsible for the completion of I'am 2. Answer all ofthe 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 ttme questions the reviewer should be guided by the concept "Slave m} responses been reasonable considering the scale and context ofthe proposed action?" No.or Moderate small to large impact impact 1113% 111.1% occur occur I. Will the proposed action create a material conflict with an adopted land ttse plan or zoning' rcgtilations°. El- 2. Will the proposed action result in it change in the use or intensit} of use ofland'i 3. Will the proposed action impair the character or quality ofthe existing community'r Ej 4. Will the proposed action have an impact on the environmental characteristics that causiLd t establishment of Critical Environmental Area.(CEA)'r S, Will the proposed action result in an adverse change in the existing level of traffic o aftcct existing infrastructure f°or mass transit,biking or%`-alkwayf G. Will the proposed action cause,an increase in the use of ever `•and it fails to incorporate) reasonably available cir-rayconservation or renewahle ctw o, ortttrnities. 7- Will the proposed action impact e®istingl El a. public private water supplies? b. public: private wastewater treatment utilities) Ln El 8. Will the proposed action impair the character or quality of important historic,archaeological) architectural or aesthete ru ounce% 9, Will the proposed action result in an adverse change to natural resources(e.g.,wetland waterbodies.groundwater,air qualiq, flom and sauna) Page 3 cif 4 No,or Moderate small to large impact impact read® nins oce u r occur 10. Wi I I the proposed action result in an increase in the potential for erosion,flooding or drainage problems` I I 1z 11. Will the proposed action create a hazard to environmental resources or human health4i 112 Part 3 ® Mtermination of sig niricancel The Lead Agcnc% is respon%ible for the completion of Part 3. For every question in Part 2 that Nvas answered"moderate to large impact may occur".or if them 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 b)l the project Vonsor to avoid or reduce impactsl Part 3 should also explain how the lead agenvy determined that the impact may or will not be significant, Each potential impact should be assessed considering its setting.probability of occurringl duration,irreversibility. gep_gmphic scope and magnitude, Also consider the potential for short-term, long-term andi cumulative impact4 ElCheck this box ifyou have dewrmined, Kvsed on the information and analysis 3boveand an),supporting dOCUmentanon, that the proposed action may result in one or more potentially 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. Name of Lead Agency to Print o `T IN pe Name ot`Rvipo,---ible Officer in Lead Agency Title of Responsible Officer -L 'sm-MattitV61'Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 4 M1\ GUYTON Property Situate: 1800 Hyatt Road ■ Town of Southold ■ New York SCTM #: 1000 - 050 - 01 - 004 ,% ;� h ";>r'' 9%, ✓"' by � v„ vim/ tir3 �� y�� `,fl ✓ �q'/'�"r x '��" /�'/'z " � r ,„",y �%Or�"u�r k,"" /9"0' /` 9✓� is /'r',f q+„",f/„'��, p �� „'19 rr, 2' q 'r✓, 'i, "w,'"r<;i;�='��,'ya�i „�” i" "rr ��^, 'r/.t✓ / /,��,,'�' i�;, �,' 'i y, �/ /' '�z�,, „rr r„ ,� �'�„ '✓,!','"r'"� ' ,,,��%✓` �� r” �," ', '�e tq�„ y �'�"�^q'�' ✓,��,,�„ ,o°'�av;�! n �.„.,•. /i„ ,//`vii '�'„ ;���� � � �r�q"/�„ y�;�"i,,�"„;'",.r�ou!���,��F' '''�',,r Z � ,/'„ ��”"Y,;/✓����„�,�,, 1✓""”'�� 4rew Dri "' ,y✓',"�,r "�v" f/��/�ti��', "r r "' ,rv'+r"�' �r �vv,��"�„'',�,�u ���q9" a ���f�z ri q vir=�r u / "¢' ,�iqy��"",�,,' �,?'"'q�/�, / ,'r �i'''1 �7' ^ R3t r: �� �/ '�a �u�� „2„"`o'vc„�''q, '�”/i,� �'� -%x% ,r�`�'Fl��if,6r vntiy q ,�,✓�`�,/��i«� ",/„'''�,�'/r�”" � r, ,�'�� - �i" s ✓ � ;� ,�!, u�'aN�,^„�� L ''`� i�''�,`�,�'�"',� �" � eg4r i �9 '�,l' " v'%',"" r/iir fq.��� // /q"' ," ��/ �� ', �' 'sem„ r"/ ,✓;' °�y'��a�„'���'�"�,,,,,,r f=,�'t�f��,.,,„;ff�"�;�'*,m"�"'�a��'���”„�'' "rv' r/�'�u'�/„��y�� q�1��"r'"/c”''���', "�'"'�' �_�„ ��� �v" /'; v'q �,�" ,”q, 6�� .r ��i� '�uriF' f�£��"'a�°;%�.� t9„,/ q'a�"//i�r �� „�e�.;�9r✓i y"� �/W�,'� °'m.., �� ' c,q„,� � ,"� � / �^ '�'%"� "sx"i,„ti�. �;?'�/ r�y�"rr��f',"�fr'���/°/'„„" '�""'"�%'�� ✓"'��„��"riq"� "�,n'%' - ��' �✓_ '�v,!�';,;� �' ''„� ,/ u � � „fir„ x, �����'” ,��!"���H /°�!;;„,"' ��'� ti �"��,;;,,� ;�.� �,/�� y'',y2;q q�"a„�v';' q�” ,h� � r, �,,;�'� 9%/ gfr"°,�"A✓/u""'�”,'v/"�,",,fl �'" ,,,�,d"�' ,/o°�v,�„/„ ��,° / 1 �, ��'„ „ti" ✓ ,�'�? y��y�� "r, "rrw� � r "�, , +�,�a✓erg/„�,,,���, "x„�`r � r� ” ^ 7' �/✓ �, r �", �' ',, ''�"; � ,„�zy,�, °'v'N��� '�",q/a/�� " ,�'• 'f ,"m�i'/„; ��,��,/,^,% �'/y "j " dxx� _ ”'�,r` , 6 G" '„f��,�"��`,,r a9,i,r r9''„"''"�' "'"r�;�r, ✓,� ��/�r3`�r' �rqe �q^q 6�«"v�,f�tZ>,�la'�, .� � ,x'x,, r f' wr i�" ,„;xa b �p��d 3g rya� / e � G"` qi/lf �o, ���""-� ✓7, '� '�� �f ti �u%/' , �r f"' w�,'q��'' /',c,"„q„ro�� ,�� ��' �" ✓ .gq���rr2�„ ,����� ro�d/'/,F',,��lr/y'�� �,,��, ” �'_�' „�a ,'��" ,v'= rt���'�s�"�` ""vw,�'�� �'� "� � ,r,�i��� ✓ ,r� ,yge,' ` '�"r ti�,��G/'� M� /zr �q'grq��, ��, '/Giy��✓' �ve° �f% ✓w��'^" f� ' wv"" ,f� y/�"�'�r�✓r�'rc?,N�s�� ',,„yssNm/ fir,,,", v"r%,� ���P��`�; ;�irtA'�"�»',” ,y"s,'�"H �a�'�''i„� r'''-` G �,'�,a �r „,�a `� / ti"'v��' ',i` �",�a da,�;i%�"� �'�" " � z,” /"" '��'�„' e,H ✓ " 3� �' • r "WEE l /,,i ���3r �'�, ti�/✓1gar'�„ ti,�i' '�'� ;��, iia - 4 � �' '; :"�' �, '/�a�^ �ze,,"7�/,r/r'' /""y� H�,,"� /6 ,r,�'"'%"����,�''£, a /'fir/ �5, �"y" ,f i/"��`�yp� ,✓r,,/q yY'�„"ie r�/i/,�e 1`^ / v� "�”�" ,�r'ry�/�/ !fir l✓" ,s 'a ,� _ �"'/yi ti`' "„,„y ��� `� ��z, �p9�q�"/, a�~�✓� '” ;fPzn�„ o����y ,y� "� r {, l�, ���r�, ,” iia �gti7m ' ?vii "���'',�y' „�t� „", r� "" , ,��� ��,,L`i�'o ���rYv q 7' �i,�ar" � r�rg'r"f?a,", - 's»�%§=t �"�� �y ^ �;Y/iq r6y;; ✓i q/✓x""F�A"'y /vv yr/ r�„�,r?�, *��� � °�5 "�' ri'',r' _ ,/"e. �: j4 - i / �'��i�i,•i ,," ',q rq� 5 /,e 't �„�/',�� ���;��r�"k/'"'/ '' y �� g ,r��' G ,�'��,� e/,r,' � ��i✓�, �',„'� 5 ryi�r/r, F %�„ /g ,%,n„ „ , `� r�i;, a, ✓ ��r�' °”" `%` brr t,,. tiq �Gy/� ,gym „r, �✓/,®// y y„ �" j3,�q "y q'"'"�.i��;j,$���„ �r;„ H ^,�n,cx' ,",a H/r', q/,,5 6 y�� �@✓ /��qti� ,; ,r �""r yf; �9„H.,%'o,"b"'fi�"�� ti"���✓ ,'�,fir°""'/`" �;�,%.r/;r*Y�r%�w"n/�, �x, f-. /qp �`"i r�„'�4<%' .fig' �,,„✓ vhq�,p�t'�,', /7nA".;,= r r,",f"";��'�,ri', d'' ,/%y'vr�'"' i ^ v s{ �Y/„"'%yr,� f rf I%a 7 M/�,„i'z t,", .� ✓rN y,, ' f,, q,,' �✓q,,',',' 1:U6 Ni'-wt HJN ter/ % � mall�sxN Board of Trustees Application AUTHORIZATION (where the applicant is not the owner). I, Wade Guyton, Manager, Sigurdsson Baldur,LLC residing at 167 Bowrey—F14, New York • 10002 do hereby authorize Suffolk Environmental Consulting_Inc. to apply for permit(s)from the Southold Board of Town Trustees on my behalf. Wade Guyton Board of Trustees Application County ofSe State of New York Wade Guyton, Manager.Sr urdsson Baldur LLC BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. N� SWORN TO BEFORE ME THIS �°Z DAY OF L , N Public ILLIAM J.PLUCINSKI NOTARY PUBLIC,ST OF NEW YORK Registration No.01 PL4617853 f y Qualified in New York County Commission Expires March 30,2023 Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Bruce A. Anderson (Last name, first name,middle initial,unless you are applying in the name of someone else of other entity, such as a company.If so, indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X 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 X 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 appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse, sibling,parent, or child is (check all that apply): A) the owner of greater then 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted tj's day of 207. Signature Print name Bruce A. Anderson 1 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of the town officers and employees The purpose of this form is to provide information which can alertthe town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Wade Gu ton, Manager, Sigurdsson Baldur,LLC (Last name,first name,middle initial,unless you are applying in the name of someone else of other entity,such as a company. If so, indicate the other person's or company's name.) NATURE OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X 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 offcer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest.``Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X 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 appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse, sibling,parent, or child is(check all that apply): A) the owner of greater then 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C) an officer,director,partner, or employee of the applicant;or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of Signature Print name Wade Guyton Glenn Goldsmith,President S�FFD(�- Q COG Town Hall Annex A.Nicholas Krupski,Vice President �� y�Z 54375 Route 25 John M.Bredemeyer IIIc 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 June 1, 2021 Suffolk Environmental Consulting P.O. Box 2003 Bridgehampton, NY 11932 Re: Board of Trustees Application of Sigurdsson Baldur, LLC, c/o Wade Guyton, Manager 1800 Hyatt Road, Southold SCTM# 1000-50-1-4 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Order 202.1, this application is now scheduled'to be heard by the Southold Town Board of Trustees, via videoconferencing on Wednesday, June 16, 2021 beginning at 5:30 P.M. Please continue --.------.-- ---to-check-the—T-own's website-,as-the-meeting-date-approaches-for_the_latest_meeting_agenda-.and__ videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. V ry Truly Yours, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President Gy Town Hall Annex A.Nicholas Krupski, Vice PresidentJa ,, 54375 Route 25 John M. Bredemeyer III y ,? P.O.Box 1179 Michael J. Domino oy �A Southold,NY 11971 Greg WilliamsO� �`aO r 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 Towns we-bi46--a- http§://www.southoldtownnV.qov/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.southoIdtownnV.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. ;i SI�FFO( t=om Glenn Goldsmith, President Town Hall Annex A.Nicholas Krupski, Vice President �'�� ti� T 54375 Route 25 John M. Bredemeyer III ro z P.O. Box 1179 Michael J. Domino wry Southold,NY 11971 Greg Williams 'y ® p�;�' Telephone(631)765-1892 �lrY 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 APPLICATION NAME&SCTM#: SIGURDSSON BALDUR L.L.C.: 1000-50-1-4 Name: Address: 50.-1-5 Arthur and Frances Leudesdorf PO Box 1275 Southold,NY 11971 50.-1-3 George Dangas 200 E 90th St 24E New York,NY 10128 50.-1-18.6 Ellen M Creighton PO Box 1217 Southold,NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK Robert W. Anderson, residing at Suffolk Environmental Consulting, Inc, P. O. Box 2003, Brid ehhgmpton, NY 11932, being duly sworn, deposes and says that on the 3`d day of June, 2021, 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 at Bridgehampton, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of S*,jE_ , 20 Z/ ,Zze MATTHEW D. (VANS Ory Public NOTARY PUBLIC-STATE OF NEW YORK No.01 IV6053859 Qualified in Suffolk County My Cammission Expires 014 2123. • . 1 'U.S.ftstal Service7. 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CD •. esticMaIlOnly If NeCPfy F Ra s0 A Er n Certified Mall Fee $3.60CO P•� �'l} Extra Services&Fees(checkbox,add teelaw d, ElReturn Receipt(hardcopy) $ .c I I- [:]Return Receipt(electronic) $ Postmark • ❑Candied Mall Restricted Delivery $ f Here Signature Required Uy❑du t Signature Restricted Delivery$ W G 2021 r1 O Postage Ln CC ru $Total Postage and Feee.�!� / 06/03/202 C7 Sent To�� ���� g�5 IAVT64 Rl O Stteetan A L-lVo.,orF Boz No: D.- D " �OaH S6'Q 2fZ�1_ --------------- fir' c----..._.'�._._..�:---.._.._.. cry,sta ziP+a�- • ew VorK )JY 10 28 :01April 2015 r I Suffolk Environmental Consulting, Inc. Newman Village ® Suite E 2310 Main Street © PO Box 2003 ® Bridgehampton NY 11932-2003 t 631.537.5160 ® f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED { June 3rd,2021 �,r Board of Trustees '" Southold Town 101 P.O.Box 1179 ``scut old Tt ! Southold, NY _ M_ _ ��:' '•gr`ustee� 11971 RE: SIGURDSSON BALDUR L.L.C.PROPERTY-Affidavit of Mailing Situate: 1800 Hyatt Road • Southold,NY • 11971 SCTM#: 1000—050—01 —04 Dear Members of the Board, As per Southold Town Code X55-1,please find the Affidavit of Mailing for the subject parcel attached herewith. Thank you for your time and consideration regarding this application. Should you have any questions or concerns please feel free to reach out to this Office at any time. Sincerely, Robert W. Anderson '3oard of Trustees Applicaii PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAM NAME: i 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 namedT 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 -thatsaid-Notices were-mailed-Lo 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 via the online Zoom platform. f OWNER(S) OF RECORD: SIGURDSSON BALDUR, LLC, c/o WADE GUYTON, MANAGER SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 41 .96'x57.28' (1 ,712sq.ft.) two-story dwelling; a 40.5'x14' (680sq.ft.) in- ground swimming pool with a surrounding 680sq.ft. terrace; resurface an approximately 1 ,668sq.ft. asphalt driveway; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the top crest of the bluff. Located: 1800 Hyatt Road, Southold. SCTM# 1000-50-1 -4 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 Glen)Goldsmith,President Town I fall Annex A.Nicholas Krupski..Vice Piesidet)tXZ :A Route 25 John M. Bre(Icineyer III P.O. flux 1179 at Michad J. Domino Southold,NY 11971 Greg Williams f O 'Telephone(6311)765-1802 yea Pax(631)765-6641 BOARD OF TOWN TRUSTEX 'rOWN OF SOUTHOLD BOARD OF TRUSTERS:TO%%,'N OF SOUfl-IOLD ------------------------------------------------------------ In the Matter of the Application of SIGURDSSON BALDUR.LLC. c/o WADE GUYTON, MANAGER COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO AW T C0.41PLETE THIS FORM UA711.AFTER POS TING,UXIAIM/Af PLA CL'MR AT LFEAST.V VF.ADA YS PRION TO 77]L,*P1,-BL1G1M,*A1U.,VG DA TE Robert W. Anderson . residing at idba Suffolk Environmental Consulting,_IiLq. P.O. Box 2003 - 13ridgehLmj)ton,NY - 11932 being duly sworn. depose and say: That on the 3,d day of June 2021 , I personally posted the property known its 1800 Hyatt Road - Southold,NY - 11971 by placing the Board of Trustees official noticing poster where it Can easily be seen from the street, and that I have checked to be sure,the noticing poster has remained in place lor a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, lune 16,2021. Dated: 7U1j6'c -10L% Sworn to before me this 14day of J1 01L1 MATTHEW D. IVANS NOTARY PUBLIC-STATE OF NEW YORK No.01 IV6053859 NN'Otary Public Qualified in Suffolk County MY Commission Expires 0 1-22-2�` 0 Print name Bruce A. Anderson Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C,the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered"yes"or"no",then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus,each answer must be explained in detail,listing 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# 050 - 01 - 4 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: Nature and extent of action: Applicant proposes to construct a 41.96' x 57.28 (1712 s. f.) two story dwelling with a 40.5' x 14' (680 s.f.) pool with a surrounding 680 s.f. terrace and to resurface an approximate 1668 s. f. asphalt driveway. Location of action: 1800 Hyatt Road - Southold -New York Site acreage: 0.93 :L acres Present land use: Remains of residence lost to fire Present zoning classification: R-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: Sigurdsson Baldur, LLC Wade Guyton Manager (b) Mailing address: 167 Bowrey—Fl. 4 - New York • New York • 10002 (c) Telephone number: Area Code (917) 714-3803 (d) Application number, if any: N/A 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? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ® Yes ❑ No ❑ Not Applicable As indicated within Policy i,"Development that does not reinforce the traditional land use pattern of the Town of Southold would result in a loss of the community and landscape character of Southold.") this proposal seeks to replace an existing dwelling lost to fire with a new dwelling set back farther from the top of bluff and wetland boundary. The proposed setbacks are consistent with the neighborhood Accordingly.the proposed project is consistent with this p licy. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 5 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will enhance visual quality of the surrounding area because the type of development proposed herein is consistent with the surrounding development of the area or neighborhood Therefore, this proposal is consistent with this policy. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will fully comply with Policy 4 as the dwelling complies in all respects to FEMA regulations as the area in which development takes place is within an"X'zone and the setback from the top of bluff area maximized Therefore,the proposal is consistent with this policy. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will comply with Policy S as the proposed project consists of implementation of the appropriate stormwater controls and the replacement of and existing cesspool with a compliant septic system Therefore,the proposal is consistent with this policy. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will comply with Policy 6 in that proposed activity swill provide enhancement of the surface waters through implementation of the appropriate stormwater controls and septic improvement. Therefore,the proposal is consistent with this policy. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary 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 ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound,the Peconic Estuary and Town Waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Policy 12 i Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Not Applicable. Attach additional sheets if necessary Suffolk Environmental Consulting, Inc. Newman Village a Suite E 2310 Main Street PO Box 2003 - Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED April 26, 2021 EC E IV E- 5 Board of Trustees Town of Southold ��� 2 6 2029 P.O. Box 1179 Southold, NY 11971 Southold Town Board pf Trustees RE: SIGURDSSON BALDUR L.L.C. -Proposed Re-development Situate: 1800 Hyatt Road -Southold, NY -11971 SCTM#: 1000 - 050 - 01 - 04 Dear Members of the Board, This Firm represents the owner(s) of the subject property,who are seeking all required regulatory approvals to re-develop the subject property in a residential manner. Consequently, your Boards approval is required. The Board should also take notice that the proposed has been previously approved on April Th, 2019. Enclosed herewith, please find the following application materials; 1. Board of Trustees Wetland Permit Application, (one original and three [3] copies); 2. LWRP Consistency Assessment Form, (one original and three [3] copies); 3. Agent Authorization, (one original and three [3] copies) 4. Applicant Affirmation, (one original and three [3] copies) 5. Applicant Transactional Disclosure Form, (one original and three [3] copies); 6. Agent Transactional Disclosure Form, (one original and three [3] copies); 7. SEQRA Short EAF, (one original and three [3] copies) 8. Location Map, (four [4] sets); 9. Photographs of the subject property and current conditions thereon, (four [4] sets); 10. Survey of the subject property prepared by YOUNG & YOUNG LAND SURVEYORS, last dated March 11th, 2019, (four [4] prints) and; 11. Check made payable to the Toum of Southold in the amount of tzvo-hundred fifty dollars ($250.00) in satisfaction of the requisite fees. Thank you for your time and consideration pertaining to this matter. Please feel free to reach out to this Office at any time with any questions or concerns that you may have. Yours Trul Robert W. Anderson (enc.) C.C. W. Guyton