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Home My WebLink AboutFalcone, Anthony & Beatrice Glenn Goldsmith,President ®� ®//?� Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�� 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 COUN�,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 18, 2022 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: ANTHONY & BEATRICE FALCONE 405 WILLIAMSBERG ROAD, SOUTHOLD SCTM#: 1000-78-5-17 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 13, 2022 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of ANTHONY & BEATRICE FALCONE 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 July 26, 2021, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council who was unable to make a recommendation as property was not staked at the time of their inspection; and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the proposed application be found Consistent with the LWRP; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 17, 2021 and July 13, 2022, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the structure(s), as applied for does not comply with the standards set forth in Southold Town Code Chapter 275-11(C)(2)(b) Docks locations and lengths[1]No dock shall be erected or extended if, in the opinion of the Trustees, such structure would adversely affect navigation, fisheries, scenic quality, habitats or wetland areas; 275-11(C)(2)(d)[5] Degradation of surface water quality and natural resources, and Southold Town Code Chapter 275-12D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and vegetation or the natural habitat thereof, and Chapter 275-12F. Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of the Town; and WHEREAS, the Board has determined that the request, as applied for, will have a detrimental effect upon the health, safety and general welfare of the people of the town, and, BE IT FURTHER RESOLVED that the Board of Trustees DENIES WITHOUT PREJUDICE the application of ANTHONY & BEATRICE FALCONE for the installation of two (2) 4'10" wide x 12'3" long personal watercraft floats (total of 118.3 s.f.) fastened to existing bulkhead in an end-to-end pattern so as to not obstruct navigation in existing channel; and as depicted on the site plan prepared by Jeffrey Patanjo, received on June 14, 2022. This is not a determination from any other agency. Very truly yours, v Glenn Goldsmith, President Board of Trustees GG/dd AT 41055'30" w 171.72' -3.4 --3.7 - LOCATION MAP - -\ - - - - - - 2.0-3.r3t- S25°1610" W -2 7 N.T.S. 12.T 5 \<oo M.H.W.&M.L.W.ALONG BULKHEAD FACE -2• ` .� -2.2 -2.2Pine NeckR� �4 0 \ 1�y� 3J -3.4 f' Cusfer'Ave Q <� 25 Cl-2.9 -2.1-3.7 EXISTING -2.5 2 STORY PROPOSED 2-4'10"X 12'3" ` -3.9 -2.9 -2. HOUSE PERSONAL WATERCRAFT FLOAT o -3.s 45' -2.2 -2.3 -3.0 -3.5 baht r 1 ^w -3.6 Z 'ek Ra f *r N BayvtQW G 1 .4 3}5 ' -2.9 -1.8-3 a 9ayV�ew N 3.5 \\''C\�I C> �R�VLVVr1 '� I- -2.1 -2.0 ,�,: 1 4 ,w �a� Bahle -3.3 v -3.0 -2. -1.5 9 .4 C1 � -1.7 x I - -3,0 -2'9 PROJECT -� .0 -34 M'9 -2.3 -18 °° LOCATION -1.4 I -2.0 -3.5 160.000 -2.0-1.5 -3.2 -2.9 EXISTING TIMBER PILE -1.6 -2.2 -1.6 --2.7 -1.6. -2.0 -2.9 -2.4 APPROXIMATE M.H.W. EL 2.5t 2- PROPOSED 4'10" X 12'3" ® E C E 0 14 lE' PERSONAL WATERCRAFT FLOAT 0 APPROXIMATE M.LW EL 0.0t JUN 1 4 2022 o � o � g Southold Town SAND BOTTOM EL -3.3'f Board of Trustees > PROPERTY OWNER: ANTHONY & BEATRICE FALCONE Proposed Dock Permit Plans SCALE: 405 WILLIAMSBURG DR. SOUTHOLD, NY 11971 1"=20' PROPOSED PLAN & SECTION DATE: PREPARED BY: 7-16-21 EXISTING BULKHEAD TO REMAIN JEFFREY PATANJO 9-7-21 P.O. BOX 582 405 WILLIAMSBURG DRIVE 6-6-22 S TYPICAL SECTION BOHEMIA, NY 11716 TOWN OF SUFFOLK COUNTY, THOLD NY 631-484-9332 SHEET: N.T.S. JJPATANJO®GMAIL.COM TAX MAP NO. 1000-78-5-17 1 of 1 ' nthony&Beatrice Falcone OS Williamsberg Rd.,Southold CTMii: 1000-78-5-17 /8/21 kk .i 4 \ `Nk • /2021 10 , 4 j2� ' , Jeffrey Patan o From: Cantrell, Elizabeth <elizabethc@town.southold.ny.us> Sent: Tuesday,June 21, 2022 11:01 AM To: 'JJPatanjo@gmail.com' Subject: Falcone;405 Williamsburg Drive, Southold Good Morning, The office is in receipt of the revised plans/project description for the above reference property. I have two questions for you. One, are the jet-ski floats just being tied to the bulkhead, no ramp to get to them? Also, it was some time ago, but the Trustees wanted a copy of the hydrographical survey submitted that you used to get the water depths, or a new one created. Can you please mail us two copies of the hydrographical survey. I plan on adding this application onto our July 13, 2022 meeting provided you can send us the hydrographical survey. 4�akffil tInawtw& Senior Office Assistant EIVE Town of Southold Board of Trustees 7 ,7. Office: 631-765-1892 JUN 2 7 20T Email: elizabethc@southoldtownny.gov LL r�rlla�td"C� rn, Board of TasfO f/lam n KGs 1 Unauthorized alteration or addition to this survey is a violation of section 7209, subdivision 2, of the New York State Education Law. Copies of this survey map not bearing HEIDECKER LING SURVEYING the land surveyor's inked or embossed seal shall not be 1-3 considered to be a valid copy. \k mi MLW0) -- SECTION 78-BLOCK 5-LOT 17 e rr �"p -1.6 OP OF 0--5 81 -2.9 -2.0 *-1.9 3.4 -3.4 -2.4 'JUIN 2 7 .0 . -3.0 -2.3 ow -3.3 -3.5 -2.5 a�Trtts -3,U -- -3.5 -2.6 K � -3.2 � � , -2.4 -1.6 -2.7 -3.6 -3.5 -2.0 -2.9 - -3.0 ^- -3.9 -3.8 2.9 -3.3 T -2.0O � -3.0 -3.5 -3.8 -3.0 -2.9 -3.9 -2.2 2.0 -2.9 -2.9 .-3.7 a -- *-3.4 - -1.8C -3.7 -2.9 Al AIA Po -1.5 -2.3 M-3.0 -3.5 m -4.4 -2.9 T -3.7 1.7 � A .� -2.1 -2.9 -1.4 -3.2 -1.8 -3.8 -5.0 -1.8 -2.2 M -3.3 -1.5 -2.1 -2.1 NOTES M-2.0 - -3.6 -4.1 -5.3 -2.3 1. FIELD WORK WAS CONDUCTED APRIL, 2022 2 3 -2 2 -2.7 .. BY HEIDECKER LAND SURVEYING, PLLC AND -2.6 ALL MEASUREMENTS WERE TAKEN ON THE -5.0 GROUND. 2. NORTH ARROW IS BASED UPON GPS -2.2 .. OBSERVATIONS CONDUCTED BY HEIDECKER -3.8 LAND SURVEYING, PLLC. 2.4 -2.5 - 3. ELEVATIONS SHOWN REFERENCE MEAN LOW WATER (MLW) VERTICAL DATUM. -4.9 -2.5 .-2.0 -4.4 -2.0 0 5 10 15 METERS _ JOHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 050719 DATE: SHEET NO. I� I FEET 751 COATES AVENUE MAY 18, 2022 BATHYMETRIC SURVEY 0 10 20 30 40 SECTION 78-BLOCK 5-TAX LOT 17 PROJ. NO. HOLBROOK, NEW YORK 11741 DRAWN BY: B.M. CA 21 HLS95 GRAPHIC SCALE 1" 10' (631)-772-9604 CHK BY: J.H. #405 WILLIAMSBERG ROAD _AO FILE: E: jh prJ cker he'ideckerl's.aarm TOWN OF SOUTHOLD ztHLsssFv.Dwc SCALE: 1'= 10' SUFFOLK COL)I 'TY NEW YORK NNOMMMUMMOM slate or other SCDHS REF# ,11,p• suitale cover topper end plug Cast Iron PRE-18-0794 SURVEY OF PROPERTY Locking Cover EL. 7.8' FINISHED GRADE EL5.3' ' ' •� -BA YVIEW• R I.E. 6.6' mesonory chbnney 110 121_ 6 t TOWN OF SOUTHOLD on out 'E s- I.E. SUFFOLK COUNTY N. Y. per foot min. p(tc 6.3' 10,0 1/8'per foot min I.E. T�l X11 >t, "�:;,'?' 2' ., 4 4.4 •. ' 1000-78-05-17 min. C dia. pipe pitch min. 4 dia.pipe 2400 pipe or equal min : ,; class 2400 pipe or equal 3' SAND COLLAR- 1250 GAL.PRECAST 2P In. [61 8'm 6' "SCALE: 1 - 30" ' 2111n. SEPTIC TANK LEACHING POOLS 22 5'LIQUID DEPTH GROUND WATER EL0 7. a.0.7' � DECEMBER 09, 2005 `HIGHEST RECORDED GROUNDWATER JANUARY 19, 2006 BACKFILL MATERIAL TO BE CLEAN SAND & GRAVEL MARCH 3, 2006 (ADDITIONS) SEPT I G SYSTEM C>ETA I L REMOVE MATERIAL 8'0 TO JULY 13, 2018 (PROP. HOUSE) SAND N.T.S. SAND 8'm (I j L WITH&BACKFILWITHOCTOBER 15, 2018 (HD REVISIONS) ETR LAR 24, STOPPER avv �SP� NOVEMBER 13, 2018 (HD REVISIONS) JANUARY 9, 2019' (REV. DETAIL) CI MAY 11, 2021 (FOUNDATION LOCATION) )vER R JOINT 2Ui � N 1ACK/NG EER PIPE ►YPICAL) Q Q 4-SDR 35 J�v �� Opo TO SEPnC ., TANK 00 PVC WYE Ci 70 PVC HOUSE ADAPTOR PROPOSED SEPTIC, SYSTEM GLEAN OUT DETAIL �,vv� Q� cbd` (3) DEDROOMS N.T.S. (1) 1250 GALLON CYLINDRICAL 5EPTIC TANK C' (6) 6' LEACHING POOLS Qlv2 y 00 9tij, (3) 5' $ EX5PAN5ION POOL5 PROPOSED RAIN RUNOFF CONTAINMENT ° HOU5E,GARAGE- 1360 5Q.FT. p1 CO a� ° 1360 a 1 * 0.17 - 231.2 GF DRIVEWAY (PERVIOUS) v ,�v O 231,2 GF / 42.2,4 - 5.47 VF _u00 ZOEA S Eb ti U5E (3) 5' � DRYWELL5 AT 2' DEEP yV � J cb HOLE �• TOLE DATA 4 ss. DRY WELL CONNECT TO HOUSE GEOSGIEN4E — Q ®� WITH GUTTERS + LEADEK5 J 2106 ---- - — O n QARiC D>toWN L�t1M OL • 2 ds c' DROWN CLAYEY SAND 50 SQ 0• s `' O WATER IN DROWN CLAYEY2S 00, �os� s0. SAND 5C, �i WATER IN DROWN CLAY GH r UO A 8.0' WATER IN DROWN CLAYEY A SANG 5C, (r_`rap✓ ZONE X 10.0' WATER IN PALE DROWN FINE 5AN5 51' yLA e� � 17 mss'+ e 0+ v� O �oF 0, Ai� ry�wry. G� Do �h y 01• <� G'i 9C 004}' Cb BAR Cl <<, O� �pkP , �0 '9 �C ZONE AE6 AKE �� 'pO Jo �Y ME ?� Qi IVE � 000 D WUMENT 47, ,41' y �O MMD FLAG �� °c JUL 2 6 2021 UTY POLE 4 )RANT Southold Town board of Trustees )ERGROUND GROUND UTILITIES PROPOSED (AE EL. 6 & X) 103COl66 H 5/25/09 OF Nseh, RE REFERENCED TO NAVD 1988 ob 'k s -f public water, wells and cesspools shown hereon are from field observations and or from data others. 5u � ya t Y TO COMPLY WITH SAID LAW THE TERM ALTERED DY MUST DEUSED DY ANY AND 1 1 )RS UTILIZING A COPY OF ANOTHER5 SURVEYORS MAP.TERM5 5UCH AS "IN5PEGTE0" AND p TO- DATE" ARE NOT IN COMPLIANCE WITH THE LAW. :ATION OR ADDITION TO TH15 SURVEY 15 A VIOLATIONI NO. 49618 )N 72090E THE .NEW. YORK STATE EDUCATION LAW. - TOTAL EA .: �,PER . ...1. .N .: :.:�:: .. . ... . .. June 10, 2022 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 1E C E IV ED, D RE: ANTHONY FALCONE I JUN 14 2�022] 405 WILLIAMSBURG DRIVE -SOUTHOLD SUM No. 1000-78-5-17 APPLICATION REVISIONS Southol Own Board of 1 st Dear Trustees: Attached, please find four copies of revised plans and project descriptions for the above referenced project. The scope of work has been modified to remove the proposed platform, ramp and floating dock and install two proposed personal watercraft floats alongside the existing bulkhead. No other plan changes were made, please replace the attached with the original submission. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE ANTHONY& BEATRICE FALCONE 405 WILLIAMSBURG DR. -SOUTHOLD SCTM No. 1000-78-5-17 PROJECT DESCRIPTION—REVISED 6-10-22 The proposed project includes the installation of two (2) 4'10" wide x 12'3"' long personal watercraft floats (total of 118.3 s.f.) fastened to existing bulkhead in an end-to- end pattern so-as-to not obstruct navigation in existing channel. E C E JUN 14 2022 S5uthold Board of Truntmat W 171.72' -3.7 LOCATION MAP N 41055'30"._. ..�.. ..�.. �.... �. .-. ...... ....., -3.4 S 25016'10" W N.T.S. -2. Ln 2 3 2.163 -2.7 �""Jr � _ �, afl . p. M.H.W.&M.L.W.ALONG BULKHEAD FACE ^z.s v1 � -2.2 --2.2 � Gine Nc:ck Ttd Cf ^',a o-3.7 -3.4 €wneer Avc g -2.6 n �• ,'` p00 x.2.5,# �,fa2rwirtiw�giw. p -2.9 -2.1 c 0-3.7 r 3.9-2.5 -1 r EXISTIN G 2 STORY PROPOSED 2-4'10"X 12'3" I 3.9 -2'9 HOUSE PERSONAL WATERCRAFT FLOAT 5 45' -2_ --2.2 -2.3 A, -3.5 -3.0 dyvipw N Rayviewe i 1 5 o 4 0 2.9 N Bay View Y I-3.5 -2.0 Main¢1a C). DRNEwA -2., ,�W� CO -2.9 -3.3 -a p CST -1.5 l sau hu " . -1 4 Q 9 -1.7 X -2.9 -3.0 v - Z PROJECT I -� 0 3.4 9 -2.3 LOCATION --2.7 "* N 32°57'30'- � - -1.9-3.3 -2.0 -3.5 160.00y �.0 -2.0-1.5 -3.2 -2.9 EXISTING TIMBER PILE -1.6 -2.2 - -1.6 2.7 -. - -2.4 2.9 -1.4 APPROXIMATE M.H.W. EL 2.5t 2- PROPOSED 4'10" X 12'3" E C E 9 V E PERSONAL WATERCRAFT FLOAT APPROXIMATE M.LW EL O.Ot JUN 1 4 202.2 o �+ o M ro E Southold Town SAND BOTTOM EL -3.3't Board O1 Trustees f PROPERTY OWNER. ANTHONY & BEATRICE FALCONE P1'OPOSed DOCK Permit Plans SCALE: 405 WILLIAMSBURG DR. 1"-20' SOUTHOLD, NY 11971 PROPOSED PLAN & SECTION DATE: PREPARED BY: 7-16-21 EXISTING BULKHEAD TO REMAIN JEFFREY PATANJO405WILLIAMSBURG VE 9-7-21 P.O. BOX 582 TOWN OF SOUTHOLD s-s-22 TYPICAL SECTION BOHEMIA, 9332 1716 SUFFOLK COUNTY, NY SHEEP: N.T.S. JJPATANJO@GMAIL.COM TAX MAP NO. 1000-78-5-17 1 OF 1 October 27, 2021 Town of Southold Trustees Town Hall Annex Building NOV 3 2021 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE ANTHONY FALCONE 405 WILLIAMSBURG DRIVE-SOUTHOLD SUM No. 1000-78-5-17 NYSDEC PERMIT Dear Trustees: Attached, please find two copies of the NYSDEC permit for the above referenced property. As you will note, the approved plans include the changes as shown on the most recent submission to the Trustees. We request this application be placed on the next hearing agenda. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, effrey Patanjo P.O. Box 582 Bohemia, NY 11716 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSES I Division of Environmental Permits,Region 1 SUNY @ Stony Brook.50 Circle Road,Stony Brook,NY 11790 P:(631)44403651 F:(631)444-0360 www.dec.ny.gov October 4, 2021 Anthony & Beatrice Falcone 6 Terrace Dr Port Washington, NY 11050 Re: Permit No. 1-4738-03528/00006 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather, and a Notice of Commencement/Completion of Construction. Please note, the permit sign and Notice of Commencement/Completion of Construction form are sent to either the permittee or the facility application contact, not both. Sincerely, pyrygy µ , Eugene R. Zamojcin Environmental Analyst II Enclosure MMYORK DePartnientf LWE rtAmnierd 1 51AI�IMtiMd%tb� F pM \411 Conservation NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03528 PERMIT Under the Environmental Conservation Iia CIS Permittee and Facility Information Permit Issued To: Facility: ANTHONY FALCONE FALCONE PROPER.'lyY 6 TERRACE DR 405 WILLIAMSBUR RD(SCTM# 1000-78-5-17 PORT WASHINGTON,NY 11050 SOUTHOLD,NY 11971 Facility Application Contact: JEFFREY PATANJO PO BOX 582 BOHEMIA,NY 1.1716-0.582 (631)484-9332 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: S4 UTHOLD. Facility Principal Reference Point: NYTM-E: 716.406 NYTM-N: 4'546.366 Latitude.: 41°02'23.2" Longitude: 7t°25'31.5" Project Location: 405 WILLIAMSBURG DR "6" XrERCO'UI 'SE: DREDGED CANAL Authorized Activity: Install a 4X5"platform, 30"X14' ramp, 5'X20'floating dock and associated pilings. All authorized activities shall be in strict conformance with the atta6hed plans stamped "NYSDEC Approved" on 10/4/202.1. GRZ Permit Authorizations Tidal Wetlands-Under Article 25- Permit ID 1-4738-03528/00006 New Permit Effective Date: 10/4/2.021 Expiration Date: 10/3/2026 NYSDEC Approval By acceptance of this per .it, the permittee agrees that the permit is contingent upon strict compliance with the ECL,all applicable regulations,and all conditions included as part of this permit. Permit Administrator: SUSAN ACI ERMAN,Regional Permit Administrator Address: NYSDEC EC Re ion 1 Headquarters f 8 rC - S @ Stony BrookJ50 Circle Rd Stony Brook,NY 11790 -3:409 Authorized Signature: _W Date ,. .. Page 1 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility. DEC ID 1-4738-03528 Distribution List JEFFREY PATANJO Bureau of Marine Habitat Protection Environmental Permits Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE, PERMIT CONDITIONS - Ap;ly to theFollowing Permits: TIDAL WETLANDS 1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are folly aware of and understand all terms and conditions of this permit. Within 30 days of completion of project,the bottom portion of the form must,also be signed and returned,:along with photographs of the completed work. 3. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction:of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected.buffer areas, 4. Materials Disposed at Upland Site Any demolition debris,excess construction materials,and/or excess excavated,materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 5. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 6. No Prop Dredging Prop dredging, or the act of utilizing and/or directing the propeller or propulsion system of a motorized vessel and/or the water-borne forces created by said propeller or propulsion system,to excavate or displace existing bottom sediment and benthic habitat for the direct or indirect purpose of establishing or increasing water depth,is a regulated activity and is not authorized by this permit. Prop dredging is strictly prohibited without further written authorization(permit,modification or amendment)from the department. .�.. m, . �f Page 2 of 6 20L 1 I is NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03528 7. No Dredging or Excavation No dredging, excavating or other alteration of shoreline:or underwater areas is authorized by this pernfit,nor shall issuance of this permit be constraed to suggest that the Department will issue a permit for such activities in the future. 8. No Permanent Structures on Dock Noermanent structures shall be installed on p i dock/catwalk/float without first obtaining written Department approval (perinit,modification,or amendment), 9. Docks.at Property Lines Docks/catwalks/floats must not: a. extend laterally beyond property lines, b. interfere with navigation, or c. interfere with other landowners riparian rights. 10. Pilings at Property Lines Pilings shall not: a. extend laterally beyond property lines, b. interfere with navigation, or c. interfere with other landowners riparian rights, 11. No Structures on'Pilings No structures, other than structures specifically authorized by this permit, shall be constructed on pilings without further authorization from the department(permit, modification or amendment). 12. Install,Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing,etc., are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 13. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilizied. 14. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or night to compensation shall accrue from any such damage.. Page 3 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Now Facility DEC ID 1-4738-03528 15. State May Order Removal or Alteration of Work Iffuture operations by the State of New York require an alteration in the position of the structure-or work herein authorized, or if,in the opinion of the. Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the�people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural.work, obstructions, or hazards caused thereby without expense to the State, and if,upon the expiration or revocation of this permit,the structure,fill, excavation,or other modification of the watercourse hereby authorized shall not be completed,the owners, shall,without expense to the State,and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 16. State.May Require Site Restoration If upon the expiration or revoeat on of this permit,the project hereby authorized has not been completed,:the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the,site to its former condition. No claim shall be made against the State of New York oriaccount of any such removal or alteration. 17. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved-plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Jeffrey Patanjo, last revised 9/7/2021. 18. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings,paints, concrete,leachate or any other.environmentally deleterious materials associated with the project. GENERAL CONDITIONS - Apply to.ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility,including relevant records,is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301. and SADA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions,must.be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. t Page 4 of 6 �,,l ciV w, 2021 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 0 Facility DEC ID 1-4738-03528 2., Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the.terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the.Department for permit renewal,modification or transfer of this permit. Such application must include any forms or supplemental.information the Department requires.: Any renewal,modification or transfer granted by the Department must be in,writing. Submission of applications for permit renewal,modification or transfer are to be submitted.to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790-3409 4. Submission of Renewal Application The permittee must submit a renewal application at:least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to;modify, suspend or revoke this permit. The grounds for modification; suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since:the issuance of the existing permit; e. noncompliance with previously issued permit conditions,orders of the commissioner,any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer. Permits are transferrable unless specifically prohibited.by statute,regulation or another permit condition. Applications for permit transfer should be:submitted prior to actual transfer of ownership. OV 3 2021 Page 5 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03528 NOTIFICATION OF OTHER PERMITTEE OBIJ�GATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indem ii and hold harmless the Department of Environmental Conservation of the State of New York, its representatives,employees, and agents ("DEC")for all claims, suits, actions,and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee s undertaking of activities in connection with., or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and-conditions of the permitk This indemnification does not extend to any claims, suits,actions, or damages to the extent attributable to DEC's own negligentt or intentional acts or omissions, or to any claims, suits, or actions naming the D-C and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is.responsible for informing its independent contractors, empl ye+es,agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities,-and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C:Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits., approvals,lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: 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. _ r NOV 3 2021 �I Page 6 of 6 C FCO ME T OF CO U'CTt01� RETURN THIS FORM TO:COMPLIANCE OR FAX TO: 631-44.4-0272 Aft Marine Habitat Protection E-Mail:dec.9m.R1M1HP BEHQdec.ny:gov NYSDEC 50.Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DA`L'E:, i PERMITTEE NAME&PROJECT ADDRESS: I _ CONTRACTOR NAME&ADDRESS. TELEPHONE: Dear Sir. Pursuant to special conditions of the referenced permit,you are hereby notified that the authori edl activity shall commence on . We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project a ;described In the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit.conditions.Ta permit,}permit sign,and approved plans will be available at the site for inspection in accordance with general Condition No.1. (Both sI;;n' atures required) 1 PERMITEE: DATE CONTRACTOR: _ DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO CO MENCE ENTOF THE PROJECT AND/OR ANY ASSOCIATED REGULATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE„ POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLEAT THE lu1"'ORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE'ANDIOR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NONCOMPLIANCEWITH PERMIT CONDITIONS. CMt @longl x x X X X X X OTICE OF CO PL O O CO ST JJON ANON= RETURN THIS FORM TO:COMPLIANCE OR.FAX TO: 631-444-0272 Marine Habitat Protection E-Mail:dec.sm.R1MHP_BEHOdec.ny.gov NYSDEC 50 Circle Road SUNYQ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was•completed on We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required) PERMITEE: DATE: AT ATAA�`I' "Illi: y 3 2021 - DATE: THIS NOTICE, K1THPHOTOGRAPHS OF THE COMPLT NDIOR' COMPLETED V Y,AS APPROPRIATE, M.UST SENT TO THE ABOVE ADDRESS MTHiN 30 DA YS OF COMPLETIONPROJECT. W-MI q a — New York State Department of Environmental Conservation Iowa NOTI E C , 14W i The Department of Environmental Conservation (DEC) has .issued permit( ) pursuant to the Environmental Conservation Law r work being conducted at this site. For' further information y - r in the nature and extent of work approved and any �Departrnental conditions on it, contact the Regional Permit below.Administrator listed Please refer to' the permit number e_ _ own when contacting the DEC. Regional iAdministrator Permit Number 1-4738-03528/00006 Susan Ackerman Expiration10/3/2026 NOTE: This noticeis i N 41'55'30" W 171.72' —14LOCATION MAP — - S 25'16'10" 3 w N.T.S. -,o 12.10'�� 5' PROPOSED 4'X 6 PLATFORM 1 PROPOSED 30'X W ALUMINUM RAMP PROPOSED 5'X 20'FLOATING DOCK W/(2)10-0 CCA SUPPORT PILES EXISTING 2 STORY HOUSE M.H.W.&M.L.W.ALONG BULKHEAD FACE 0 'per Q, —4 DRNEWAY Q -2.0 CA 13.4 - PROJECT V-3Ar 4 LOCATION 3- 1.3 -2.0 -3.5 EX ,7tfv,'TIMBER PILE APP ATE M.H.W.EL 2.% N Y S D E C APPACIVED AS PER TM4� PRaPGSED 5'X20' mD C-3NDnI M4 OF- oom P ERTA I T Not-F! 7-- Z,t5r- L- APPRMIMCE ILLW EL 0.04 e sqw,wn"m n--as? PROPERTY OWNER ANTHONY & BEATRICE FALCONE Pmposed Dwk hrmit Plans !-kLE-1 405 WILLIAMSBURG DR. SOUTHOLD, NY 11971 PROPOSED PLAN & SECTIONPREPARED BY: 7-16-21 BULKHEAD TO REMAIN JEFFREY PATANJO 405 WILLrANSBulw DRIVE 9-7-21 P.O. BOX 582 TORN OF SOUTHOLD TYPICAL SECTION 3 BOHEMIA, W 11716 Suppour COUNTY, MY 631-484-9332 SHtFr, N.T.S. TAX YAP N0. 1000-78-5-17 JJPATAWOOGMAILCOM w Glenn Goldsmith, President ��.� M �"� � Town Hall Annex A. Nicholas Krupski,Vice President Y,� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III + Southold,New York 11971 Michael J. Domino uA Telephone(631) 765-1892 Greg Williams .r Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 16, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW YORK STATE ENVIRONMENTAL QUALITY REVIEW ACT NYCCR PART 617 ANTHONY & BEATRICE FALCONE 405 WILLIAMSBERG ROAD, SOUTHOLD SCTM# 1000-78-5-17 Dear Mr. Patanjo: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, September 15, 2021: DESCRIPTION OF ACTION: Jeffrey Patanjo on behalf of ANTHONY & BEATRICE FALCONE requests a Wetland Permit to install a proposed 4'x6' cantilevered platform off of bulkhead; a 30" wide by 14' long aluminum ramp; and a 6'x20' floating dock supported with two (2) 10" diameter CCA piles and situated parallel to the bulkhead. Located: 405 Williamsberg Road, Southold. SCTM# 1000-78-5-17 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 September 8, 2021, and having considered the survey of property by Peconic Surveyors last dated May 11, 2021, and having considered the plans for this proposed project submitted by Jeffrey Patanjo last dated September 7, 2021 at the Trustee's September 13, 2021 work session, and WHEREAS, on September 15, 2021 the Southold Town Board of Trustees declared itself Lead Agency pursuant to S.E.Q.R.A., and WHEREAS, on September 15, 2021 the Southold Town Board of Trustees classified the application as an unlisted action under S.E.Q.R.A., and Page 1 of 2 WHEREAS, in reviewing project plans submitted by Jeffrey Patanjo last dated September 7, 2021 it has been determined by the Board of Trustees that all potentially significant 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 fishers: The plan allows a standard fixed catwalk to float 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 Town Board of Trustees Approve and Authorize the preparation of a Notice of Negative Declaration pursuant to SEQRA for the aforementioned project. Very truly yours, Glenn Goldsmith, President Board of Trustees Page 2 of 2 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY a Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)4440360 www.dec,ny.gov October 4, 2021 rC Anthony & Beatrice Falcone Dr 6 Terrace =EE Port Washington, NY 11050 Re: Permit No. 1-4738-03528/00006 Board wn 18oa1�of'ti`rustea^s Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather, and a Notice of Commencement/Completion of Construction. Please note, the permit sign and Notice of Commencement/Completion of Construction form are sent to either the permittee or the facility application contact, not both. Sincerely, C� Eugene R. Zamojcln Environmental Analyst II Enclosure �'EW YORK Department of " a Environmental � Conservation Aft NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03528 PERMIT Under the Environnlenmtal Conservation Law (ECL) _w Permittee and Facility Information Permit Issued To: Facility: ANTHONY FALCONE FALCONE PROPERTY 6 TERRACE DR 405 WILLIAMSBURG RDISCTM# 1000-78-5-17 PORT WASHINGTON,NY 11050 SOUTHOLD,NY 1197 Facility Application Contact: JEFFREY PATANJO PO BOX 582 OCT 15 2021 BOHEMIA,NY 11716-0582 (631) 484-9332 r',J 04 , Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: SOUTHOLDa_ Facility Principal Reference Point: NYTM-E: 716.406 NYTM-N: 4546.366 Latitude: 41'02'23.2" Longitude: 72°25'31.5" Project Location: 405 WILLIAMSBURG DR WATERCOURSE: DREDGED CANAL Authorized Activity: Install a 4'X5'platform, 30"X14'ramp., 5'X20' floating dock and associated pilings. All authorized activities shall be in strict conformance with the attached plans stamped "NYSDEC Approved" on 10/4/2021. GRZ E-'--'------' Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-03528/00006 New Permit Effective Date: 10/4/2021 Expiration Date: 10/3/2026 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: SUSAN ACKERMAN, Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony Brook150 Circle Rd Stony Brook,NY 11790 -3409 Authorized Signature: Date Page 1 of 6 Am dmkmw NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03528 Distribution List JEFFREY PATANJO Bureau of Marine Habitat Protection Environmental Permits Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS - NATURALRESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 4. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 5. No Disturbance to Vegetated'Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 6. No Prop Dredging Prop dredging, or the act of utilizing and/or directing the propeller or propulsion system of a motorized vessel and/or the water-borne forces created by said propeller or propulsion system,to excavate or displace existing bottom sediment and benthic habitat for the direct or indirect purpose of establishing or increasing water depth, is a regulated activity and is not authorized by this pen-nit. Prop dredging is strictly prohibited without further written authorization (perinit, modification or amendment) from the department. Page 2 of 6 Am Imbdo NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION MEW Facility DEC ID 1-4738-03528 7. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit,nor shall issuance of this permit be construed to suggest that the Department will issue a perniit for such activities in the future. 8. No Permanent Structures on Dock No permanent structures shall be installed on dock/catwalk/float without first obtaining written Department approval (permit,modification, or amendment). 9. Docks at Property Lines Docks/catwalks/floats must not: a. extend laterally beyond property lines, b. interfere with navigation, or c. interfere with other landowners riparian rights. 10. Pilings at Property Lines Pilings shall not: a. extend laterally beyond property lines, b. interfere with navigation, or c. interfere with other landowners riparian rights. 11. No Structures on Pilings No structures, other than structures specifically authorized by this permit, shall be constructed on pilings without further authorization from the department(permit, modification or amendment). 12. Install,Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of any disturbed area. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 13. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 14. State Not Liable for Damage The State of New York shall in no case be liable for any darnage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. Page 3 of 6 Am obwe NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION qRW Facility DEC ID 1-4738-03528 15. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit,the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 16. State May Require Site Restoration If upon the expiration or revocation of this permit,the project hereby authorized has not been completed,the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on.account of any such removal or alteration. 17. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Jeffrey Patanjo,last revised 9/7/2021'. 18. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials associated with the project. ..—� ..e.. GENERAL CONDITIONS.....m.. � _.. - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Page 4 of 6 Am NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03528 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal,modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. S. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the pennittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. Page 5 of 6 Am NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION qmr Facility DEC 1D 1-4738-03528 ^ N®'I'IF'ICA'IION O. F ®'I"HEI2 PERMITTEE ®BI:IGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the perinittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits,actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: 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. Page 6 of 6 NOTICE OF COMMENCEiq NT OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE OR FAX TO: 631-444-0272 Marine Habitat Protection E-Mail:dec.sm.RlMHP—BEH,@dec.ny.gov NYSDEC 50 Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: -,EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: �....._ ,- TELEPHONE: Dear Sir: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorize6activity shall commence on We certify that we have read the referenced permit and approved pIlans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit,permit sign,and approved plans will be available at the site for inspection in accordance with general Condition No.1. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIATED REGULATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this tine X _ :_..._......-..... x x :: Y X NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE OR FAX TO: 631-444-0272 Marine Habitat Protection E-Mail:dec.sm.RIMHP_BEH@dec.ny.gov NYSDEC 50 Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELE'PHONE:. Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required) PERMITEE: DATE:— CONTRACTOR ATE:CONTRAC TOR; DATE THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORKAND/ORA COMPLETED SURVEY,AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. 95.261 (8187]-9d New York State I Conservation Department of Environmen'ta AM MEN" dM111111111111110 NEW - NOTICIE iqw The Department of Environmental Conservation (DEC) has ,issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at a . For further information ■ regarding RegionalDepartmental conditions on it, contact the i contactingAdministrator listed below. Please refer to' the permit number shown when . Regional i Administrator Permit u r 1-4738-03528/00006 Susan Ackerman Expiration ate 10/3/2026 NOTE: notice Is r i LOCATION NIAP 41'55'30" W 4 N [[Si , W<rrD WX5111 ATQNIGgWq 111 A� M�� I YMIX'llll+'NkF,II IVD I,Ntb"XGd"AJLUOMPoV@WdWG R'A&V 41 m w � " IITV'flF„k G11YO X 7GY rRAR11 T w%NgQ7— 4 � a*a �^dG,xRi.f"ir.rt:AGs4�rr�,rezY.uF$—° 2 STORY 'a^ 'Y ...�, ` HOUS` " VII i � a " 1 34LOCATION i ,a�.o rluvitia§urn.0 -.--ti ra*ruuuuwlu, ,rn,"..,us NfSIMPG AS nGl �..gdrf r r I re.rnr (�-,rR. r �j Id IHkhl1 s MnlTffuf II'tyft:,r„„IG�u` tern Fmpused DDck ft?-mit s II It TlAifr 111M n rT ' d,"f'f F „ PROPOSED PLAN& SEMPION R 405 KIII A"IM 11y 1'LlPl TYPICAL AI SECTION� f!1 iarljf 1'% 'p°dMIIINAM JCUNPC'NO'Q DR J J Y'I Ah' 07CAA"C+NJk.VIP&'GDu'NM!"C"#":1V b" .... ............. .,,.. 1,I4,1 .73.4/ 1 i.0 etnld Wf:61Ar w r.;f»a. T"AA"AAAA”AYRC. ApApggw,....y,A...,el-#7 September 8, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: ANTHONY FALCONE 405 WILLIAMSBURG DRIVE -SOUTHOLD SCTM No. 1000-78-5-17 APPLICATION REVISIONS Dear Trustees: Attached, please find four copies of revised plans and project descriptions for the above referenced project. The scope of work has been modified to reduce the size of the proposed platform and width of the floating dock after concerns from the NYSDEC. No other plan changes were made, please replace the attached with the original submission. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, - rq,1Q- Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 YXf'.Ir� k Y I� X uM I II c I RE: ANTHONY&BEATRICE FALCONE 405 WILLIAMSBURG DR. -SOUTHOLD SCTM No. 1000-78-5-17 PROJECT DESCRIPTION -REVISED The proposed project includes the installation of a 4' x 5' platform, 30" wide x 14' long aluminum ramp and 5' x 20' floating dock supported with two 10" diameter CCA piles. S E f:' 1 3 2021 N 4>°55'30" W 171.72' 3.4 S 25016'10" W LOCATION MAP N.T.S. 12.16' Ln PROPOSED 4'X 5'PLATFORM a Pine Neck Rd �7 -01, C'.8 maer Ave PROPOSED 30"X 14'ALUMINUM RAMP —3 PROPOSED 5'X 20'FLOATING DOCK W/(2)10-0 CCA SUPPORT PILES EXISTING V--A 2 STORY HOUSE 5 41' 0 M.H.W.&M.L.W.ALONG BULKHEAD FACE o —2. N Bayvjevwp d CA MI 55' BayView —2A yo Main kkielv 2.0 Laughi CA 3.4 C-� PROJECT 0.0 —3.4 LOCATION Ar 60 —2.0 —3.5 1 ,00 EXISTING TIMBER PILE APPROXIMATE M.H.W. EL 2.5± PROPOSED 5'X20' S " ' FLOATING DOCK E 02" mi 4�7 APPROXIMATE M.LW EL 0.0± 0 C) SAND BOTTOM EL —3.3'± PROPERTY OWNER: ANTHONY & BEATRICE FALCONE Proposed Dock Permit Plans SCALE: 405 WILLIAMSBURG DR. SOUTHOLD, NY 11971 1"=20' PROPOSED PLAN & SECTION DATE: PREPARED BY: 7-16-21 EXISTING BULKHEAD TO REMAIN JEFFREY PATANJO 405 WILLIAMSBURG DRIVE 9-7-21 P.O. BOX 582 TOWN OF SOUTHOLD BOHEMIA, NY 11716 SUFFOLK COUNTY, NY TYPICAL SECTION 631-484-9332 SHEET: N.T.S. JJPATANJO@GMAIL.COM TAX MAP NO. 1000-78-5-17 1 OF 1 Glenn Gold, i, President O�QS�. ,�C Town Hall Annex A.Nicholas Krupski,Vice President �� yam„ 54375 Route 25 John M. Bredemeyer III y P.O.Box 1179 Michael J. Domino r Southold,NY 11971 Greg Williams � ®4 Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 2 J Completed in field by: J( Jeffrey Patanjo on behalf of ANTHONY & BEATRICE FALCONE requests a Wetland Permit to install a proposed 4'x6' cantilevered platform off of bulkhead; a 30" wide by 14' long aluminum ramp; and a 6'x20' floating dock supported with two (2) 10" diameter CCA piles and situated parallel to the bulkhead. Located: 405 Williamsberg Road, Southold. SCTM# 1000-78-5-17 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction 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: L-b�C,er✓�-5 0� ` -� �C�� i gr`'^ O� XPi I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. demeyer M. Domino �G. Goldsmith N. Krupski G. Williams Other i N 41055'30" W 171.72' *-3.4 525 01610 W LOCATION MAP - -\ - - - - - - - - - - - -)(.— .3 � N.T.S. .0 12.16 ,tY„8�v��`Fx'?.�.xi -N�,z�;'°�.:;;,�Y'�,"'° "��'��r,�i�� =?;''•__ �.'r;„res`.''„"'�°��,'�;-;`r" 15' �., PROPOSED 4 X 6PLATFORM :. •rf"z ,'' ;, uz��" � ,�, „}� ,mss-;. _�,.';,�:�-'•,�,�� -��;•, o O "^ -•;� }ihe'Ne4; ,r,ji',,- 4a„,� ,z,,,,. ,;,, ;xir •� n 3.8 Oir`:r"✓girl.'-,'s";"„ `.s', y_.-. - :'"�;= �,'` PROPOSED 30 X 14 AL M N M RAMP PROPOSED X .f;. :'',.'' °`"' ,= ' '�; : ' ?fie, - ' = ;Oli, c^ 6 20 FLOATING DOCK ` - ' e � O 'a,. ��"� �`�.'xn,r [; ,�,�i� •.�"''''.xa,;E„rr,,';<.t,_ W! 2 10 0 CCA SUPPORT I o , ;z ,`t•.w ..r "='-;< ,,_ � ) ORT PILES -ICA _ -- ; _ x: ,�s,n e ,•F :;r.'_ - <�'.�-_- _;;,.��2h�_ r ` EXISTING ' 2 STORY _�'�°_-` r.;s;;l `:;E,. �`�t'�%4,d^s'J^(�r;#�*�✓.i•..�,.3�_"2'"a�^,;? t%:e,•�:n',.� __ I ' '��i:•5,`,A^f;r`.;,<,,�� ,:�u , ra.�: ., � HOUSE —� —3. �:;r„ ^4`� ,V��,�! x,�,"' �_�, 4 �`" �'S�`�sxr�y .v��"�`,•�;,,`',i,,�,�` A 0D • M.H.W.&M.L.W.ALONG BULKHEAD FACE 17 At - 1 ,',�.'; 'f„��;<,`'•i�l•�'��;'` ,»s,r'”-t'}';s<Ry:".,�5;;�("�.��„�„Y•_�t ,�.�,-, 1.w;4,�,-;'a; d CA I ♦�� m — .4 - .,¢,1,fes, ?l�%�•{a..`- - t-ii•f 'rte= >"`4,s-',.'4gi'n`WT'`&}I_, ;1i,.. r'.('.:;;�'Y' r � F,+^`+t,•:,3�$.r�'��•>>�,.?�`'^vi;�n1: _ 4H�,,,t,�;y�y,^ "'7�:I,,e;, sn#:ii`s1=r`;,°"'";;�,��-� - CD NEWA O+ 1\ 1 CP ''r�;''" .,.��''r,'°-�-<'t .s ;;ux- ��y��„'�•'., Via:.}i, "��rt ir'°"s�M,s> •$a-;,t';,�� i',n,M b,neQ, .,,"',',�. s`;1,4-t��7� .;c,,r^ �' „�„4,>x��,:;';... ,_-- x•<,- jay ” � >,��t„,K-;t,•o`-"'.'•�. ,`g, ;,r,�;� ?gym;- �f,�`w.� =2�,��i,,�;,az'.�`�,', p;>" -; ~] ;}y„,:YS� l�a�,,r„��"� '” - :<,�$;�. t,,,r„r i,,, s;,f • i,.«"",t-��t''r^`''S"s .r-: - .; - —20 3.4 CACA x I PROJECT 0.0 3.4 LOCATION ' N -f' -y- -3.3 X0 160.00_* 1.3 � �2.0 �—3.5 W EXISTING TIMBER PILE APPROXIMATE M.H.W. EL 2.5t ((a '� 6 V 2 PROPOSED 6'X20' l� �C FLOATING DOCK J U L 2 6 2021 APPROXIMATE M.LW EL 0.0f M MBoaSouthold Town rd of Trustees - -- SAND BOTTOM EL —3.3'f PROPERTY OWNER: ANTHONY & BEATRICE FALCONE Pro�Oosed Dock Permit Plans SCALE: 405 WILLIAMSBURG DR. SOUTHOLD, NY 11971 1 =20 PROPOSED PLAN & SECTION DATE: PREPARED BY: EXISTING BULKHEAD TO REMAIN JEFFREY PATANJO -1s-21 P.O. BOX 582 405 WILLIAMSBURG DRIVE BOHEMIA, 58 11716 TOWN OF SOUTHOLD TYPICAL SECTION SUFFOLK COUNTY, NY 631-484-9332 SHEEP: N.T.S. JJPATANJO@GMAIL.COM TAX MAP NO. 1000-78-5-17 1 OF 1 I --slate or other SCDHS REF# e cover Cost Iron topper end plug Locking Cover PRE-18-0794 SURVEY OF PROPERTY EL 7.8' FINISHED GRADE EL5.3' 1.E. -B AT A- YVIEWIRIIIIIIII I.'E. 6.6' M fl 1.1 caynney E-11 It I f 6 oi 12 TO WN OF SOUTHOLD pan ou I.E. I I.E. Per foot 6" 5.8' I.E. .'40�0% 2' SUFFOLK COUNTY, N. Y. per foot min. pitc 6.3' 10,0 1/8*per foot min 4. p min. 4!' dia. ipe mpit ch min. C d1a.pipe 1000-78-05-17 2400 pipe or equal 4-inclass 2400 pipe or equal SAND COLLAR - -4: -, -1 1250 GAL.PRECAST 2'm1n. [61-910 6 LE.- V-- 30" • 2'rr)ln. SEP77C TANK DEPTH GROUND WATER LEACHING POOLS EL.a 7- , 2.5'LIQUID DEP ELO.7' DECEMBER 09, 2005 \—HIGHEST RECORDED GROUNDWATER JANUARY 19, 2006 BACKFILL MATERIAL TO BE CLEAN SAND & GRAVEL MARCH 3, 2006 (ADDITIONS) SEPTIC SYSTEM DETAIL REMOVE MATERIAL 810 TO JULY 13, 2018 (PROP. HOUSE) E SAND (SP) &BACKRU R17-H N.T.S. 8'0 SAND (SW) OCTOBER 15, 2018 (HD REVISIONS) PETE STOPPER EVD SAND NOVEMBER 13, 2018 (HD REVISIONS) LAR 24 1 -�PLUG (SP) JANUARY 9, 2019 (REV. DETAIL) 7 , MAY 11, 2021 (FOUNDAWN LOCA TION) JOINT MAWNG II PIPE TYPICAL)4 CI Jif 4*SDR 35 40 -.80 BEND 2'v 'R J e)IN 70 SEPAL TANK 100 PVC WYE C1 TO PVC HOUSE ADAPTOR mopmep— =11C. SYSTEM CLEAN OUT DETAIL W Cr (3) DEMOOMS + N.T.S. 11 (1) 1250 GALLON GYLINDRICAL 5EPTIC, TANK (6) 8' LEAGHIN& POOL5 (3) 6 EX5PAN51ON POOL-5 `� Qlv=y �� 9tij, V6* MO-POSED RAIN RUNOFF -CONTAINMENT HOU5E,&ARAC7Er- 1360 5Q.FT. 0, 1360 1* 1 * 0.17 - 231.2 CF DR I VEWAY (PEKV I OUr--) 0 O ZONE AE6 231.2 GF / 42.24 - 5.47 VF �v� ��r,Q�, J�� TEST USE (3) 6' $ DRYWELL5 AT I DEEP HOLE 10LE DATA mz.v Uli DRY WELL CONNECT TO HOUSE t.&E05(�IENCZ Lt WITH GUTTER5 + LEADEK5 7/06 DROWN CLAYEY 5AO 5C d� A� WATER IN DROWN CLAYEY 00, 10s, .0. Or mP 5AND 5C, 0 A10 or WATER IN DROWN CLAY CH Up A0 WATER IN DROWN CLAYEY 5AND 5C, IOD, ZONE x WATER IN PALE DROWN FINE 5AND 5P 17 0 'P ' F 0 0 A 0, PAR cp AKE ?1� ZONE AE6 y E 'HME E C 'E I I E MIUMDVT XMD RAG dt JUL 2 6 2021 LITY POLE )RANT Alp Southold Town of Trustees )ERGROUND GROUND UTILITIES PROPOSED 80ard (AE EL. 6 & X) 0--- 103CO166 H 5/25/09 Re OF NE).), IE REFERENCED TO NAVD 1988 0 ,f public water, wells and cesspools shown hereon are from field observations and or from data ji others. Y TO COMPLY WITH 5AID LAW THE TERM 'ALTERED DY" MUST DE V5EV DY ANY AND Xi UTILIZIN6 A COPY OF ANOTHEK5 SURVEYORS MAP.TERMS SUCH AS "INSPECTED" AND TO- DATE" ARE NOT IN COMPLIANCE WITH THE LAW, 0. 4,9618 ,ATION OK ADDITION TO TH15 SURVEY 15 A VIOLATION )N 7209OF THE NEW YORK 5TATE EDUCATION LAW. TOTAL AJ�94 -7 V I .17,71PN-,--j20'9,-5UI5 Pfi Z_:ALL,zCZK--T IFIr,,-AT-ION51 James F.King,President � yo Town Hall Annex Jill M.Doherty,Vice-President 54375 Main Road P A Dickerson P.O.;Box 1179 �' Southold,New York 11971-0959 Dave Bergen Telephone(681)765-1892 Bob Ghosio,Jr. Fax(681)766-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 04$1C Date„ THIS CERTIFIES that the av' a o a A M.of WNW30"' a vi of a l' } da 21'P at bcs d ted ew ead aftd. ti t h e as 'th a f c iacidk4redgg-ft=#Mn t ; Att45 aG �1a3risUuxai�+d..� uRioiil Suffolk County Tax Map EM-47 Conforms to the application for a Trustees Permit heretofore filed in this office dated14 25/07 pursuant to which Trustees Wetland Permit #6515 dated 5!16/07 was issued and conforms to all of the requirements and conditions of the applicable provisions of law.The project for - which this Certificate is being issued is for al/rolgMent ik-AgWagf .981 It qf p"Op.timber " 1'fu1 constcrictio 1 o a 14'xW e ' . `fAW Ma MUMAMM 9 ILI IWAMLd ofwku k 09"fin ft ' rat .b a 1 to eqogem Wo go ra I is—'a icl c . ' i edf a= ft hu ead o ax.> et Jaz , .twrfb i b The certificate is issued to WERYL L HANS ��BLE Titer'' owner of the f esalcl property. Authorized Signature BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.6615 DATE: 200 l ISSUED TO: CIMRYL_L, SEN RRVOCAEL-19IRMUST PROPERTY ADDRESS:a lJrAi��U ROMSal3TROI.D. SCTM#78-5-17 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May Iii,2and inconsideration of application fee in the sum of$250.00 paid bye*mlj..l Tansen, ltoturoable Trust and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: { To remove and replace(in-place)approximately 98 linear feet of existing timber bulkheading with vinyl bulkhead; construct+/-la'vinyl bulkhead return on landward side of existing timber return to be cut to grade; remove+/-21' return at boat ramp; and backfill landward of new bulkhead and existing deteriorating boat launching ramp (to be closed)with approximately 18 cubic yards clean sand fill trucked in from an upland source and approximately 27 cubic yards spoil to be incidentally dredged from area up to 10'off bulkhead(to maximum depth of 30"ALNV),with the condition of a 15' non-turf buffer landward of the bulkhead,said as depicted on the plans prepared by En-Consultanits,Inc.,last dated April 19,2007. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. ipb Ghocio _Peggy Dickerson (absent) � t M*4.4WL �I) th6 LTJ V � �• `� � �, si' tr. LM • � ,�. a! } � �,,nj; �} N"'kaAmto be*q,ta�r+�-ee.+ - MAY —2 20 REAT **&o 69 4) mcid e d fcenx 10,4:00 Area , seaward oP mw wavad t.to m'L depth of Soil u Town -30"!'LW)to rower lost backfA ad rad >.ar:of Tn�stees doe-vo app63,18�dam 50"be f��-f`�wn-�n ppl�scl�ur�kabac�fl#t new Q bulkhead aid boatIarA q�P .��G T 5) Aof artamwdl be set mAwe tacaUlff _ s kled ad trrbtd►tu 29 b)A10-fontWALff bu{ia'vd bee dts4red , _ t" a1actnttothe mw bulkhead upon b cmpletw) 7} Isrnpsiti�lacafaar. W�Su�Rand. �. $�oo APPROVb BOARD OF TRU � 1 = 30'TOWN OF SOU DATA ZI --- EX. DETERIORATING BOAT LAUNCHING RAMP TO BE �. BACKFILLED AND CLOSED 14' TIMBER RETV TO BE CUT 9 -ft TO GRADE AND REPT: - . IMMEDIATELY LANDWARD THEREOF VINYL BULKHEAD TOP pF MIS' OF .v 11A f ' ,f r 'I•" # RN TO BE REMOVED X10 x L82' -A OF INCIDENTAL DREDGING TO —3a"ALW PROPOSED ,$98' VINYL BULKHEAD TO BE EN-CONSULTANTS INC. CONSTRUCTED IN PLACE OF EX. TIMBER BULKHEAD 1319 NORTH SEA RD. CANAL (COREY CR '' 631-283-6360 SOUTHAMPTON, N.Y. 11868 pROF05et7 WHeAP WFLAC M W (IN-FXI) FOR MVOCAt %5f OF CHM HAN%N Ohl CONY CM, 5OUTHOL17, 55MU COUNTY, NY SNaT I OF 2 4119101 04 219e � 1-6 IL SEF'SF 4� �E cc�no No DTI T.MW J v 5y ,J o23 17 5A NZ) 4 ef.) -A" ::c, taA r, Y. TOvM OF t010 M so'jmD mi e mm �oi . " • le I Q1 2D el 12 1. Ir 21 % Z' "A 11 moi W) > II,A 2 7t z R 4 , A X 2" YA0 ii,m r,, I ,_RD o v 1 "', I ��l I A.',;, M 24 r :07 211 2. L COUNTY OF oLK v- a u, El <E, I—, V IA(.1 yp NO. tU(q M zc 1 10 4 7A(.) N, 144 = N,,N; z/_, 41 e/ A kl */"- 'It" 411 x _\l P 1-1EI 112 ;vy j x4.., 3', V OG I- , '0 1, . , I !", , W", 'I , ib V ca V, 24 Ab 324\ Cr fi �o d ij, 7, ss"'S4 W, V,v a .1dr 4',, A- • v j-, Fi s 1 e '4 iTW, , ;,, - ry� t ION' '�A Si A 5' 3o, 211 M_ 5 0 h"7- I I. if R� g sxe y0ot 'PA.,, 4o V/ 5, z 41 Kra Mtcai g,p IV % �'q lk J _1.2 IW� 11AIC.1 C9 0, -I N, A� e, T I'J COUNTY OF SUFFOLK(9) N NOTICE NO y R.1 Property Tax Service Agctic3 Ic"c� SDMHOLD 078 A D (21) OFFICE LOCATION: �" MAILING ADDRESS: Town Hall Annexe P.O. Box 1179 54375 State Route 25 P u ��, Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: September 13, 2021 Re: LWRP Coastal Consistency Review of ANTHONY & BEATRICE FALCONE SCTM#1000-78-5-17 Jeffrey Patanjo on behalf of ANTHONY & BEATRICE FALCONE requests a Wetland Permit to install a proposed 4'x6' cantilevered platform off of bulkhead; a 30" wide by 14' long aluminum ramp; and a 6'x20' floating dock supported with two (2) 10" diameter CCA piles and situated parallel to the bulkhead. Located: 405 Williamsberg Road, Southold. SCTM# 1000-78-5-17 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 policies and therefore CONSISTENT with the LWRP. 1. Minimize CCA treated materials in this NYDOS Significant Coastal Fish and Wildlife Habitat 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 Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 �r 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 Wed., September 8, 2021 the following recommendation was made: Moved by John Stein, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of ANTHONY & BEATRICE FALCONE for the installation of a 4'X 6' platform, 30" wide X 14' long aluminum ramp and 6'X 20' floating dock supported with two 10" dia. CCA piles. Located: 405 Williamsburg Rd., Southold. SCTM#78-5-17 Inspected by: John Stein, Caroline Burghardt, Shannon Wright Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President � � ,�?Z, `own Hall Annex A.Nicholas Krupski,Vice President r:! 5075 Route 25 79 John M.Bredemeyer M �, F.O.Box York Michael J.Domino - �'. - ,��.--- �'��3 8outhoId,New York 11971, Telephone(891)765-1892 Greg Willitarns Fax(632)766-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Seedon For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit — _Amendment/Tnimsfer, on Received Application: •2(o 7- Received Fee: $ ZSD,D =Completed Application: •Z .2 Incomplete: SEORA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: I� 1Coordination:�t): L� �� V,LWRP Cons Asses, ent-Form Sent:�� AC Referral Sent: a J ® r` -� Date of Inspection: 2 Receipt of CAC Report: J U L 2 6 2021 Technical Review: R_ Public Hearing Held:- I.15'. Resolution- Southold Town Board of Trustees Owner(s)Legal Name of Property(as shown oA Deed): A n-Arr> g�ce- frl co n e- Mailing Address: 6 - e r rs-ete- 0(L- po�+ til ks ti► ,!-oma, 1 o SO Phone Number: VIP- b S 0 - a ;143 Suffolk County Tax Map Number: 1000- Property 000-Propertyy Location: 5 Va. 1 .}- k o l GQ 5t—e, Loeo,+i on /✓�w P (If necessary,provide LILCO Pole#,distance to cross street,and location) AGENT(If applicable): Mailing Address: P' , g, Phone Number: TSFA+41,jv pa,t.��,�/ Boal of 'testees plio,.-:ion G EN7ERAL DATA. Land Area(in square feet): / Area zoning-. f2e,S. Previous use of property: mss• Intended use of property: Covenants and AestriWons on property? Yes b10 If `Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes ✓.NO If"'Y&',be advised this application will be reviewed by the.Building Dept. prior-to a Board of Trustee review and Elevation Plans will be requked. Does this project require a variance from the 24xning Board of Appeals? Yes ✓ No If"Yes",please provide copy of decision.. Will this project requires yydemolition as per Town Code or as determined by the Building Dept.? : ..Yes .. Does the structure(s)on property have a valid Certificate of Occupancy? `� Yes No Prior permits/approvals for site improvements: Agency Date �y..c,\1I►�Q� T r„5�«S6G1S )I-2 poll No prior perrnitslapprovals for site improvements- Has any permittapproval ever been,revoked or suspended by a governmental agency? No Yes If yes,provide explanation:,,, , Project Description(use ankhments if necessary): Secy �� RE: ANTHONY&BEATRICE FALCONE 405 WILLIAMSBURG DR. -SOUTHOLD SCTM No. 1000-78-5-17 PROJECT DESCRIPTION The proposed project includes the installation of a 4' x 6' platform, 30" wide x 14' long aluminum ramp and 6' x 20' floating dock supported with two 10" diameter CCA piles. Surd of Trustees Ap;alt, Ion WEIM"DfMUSTEE DAMS APPUCATION DATA Purpose of the proposed operations: Set ck-}j�f�eef Area of wetlands on lot: . .• , square feet Percent coverage of tot: s/0 Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands-. Z feet Does the project involve excavation or filling? .- '`�140 ,Yes If yes,how much material will be excavated? . .: ^` `� cubic yards Hou much material will be filled ^J,lek cubic yards Depth of which material will•be removed or deposited: feet Proposed.slope throughout the area of operations: Manger in which material will be removed or deposited: •e Statement of the effect,,if any,on the wetlands and tidal waters of the town that may result by reasqu,.of such proposed operations(use attachments if appropriate): nK S . i Short Environmental Assessment Form Part I -Projed Information Instructions for Completina 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 fiuK g,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: 405 Williamsburg Road-Southold Project Location(describe,and attach a location map): See location map Brief Description of Proposed Action: Conmiruc l 41x8'ptattorm,Wxt 4'tong aluminum ramp and V%20'%aft dock. Name of Applicant or Sponsor: Telephone. 516-650-2223 Anthony&Beatrice Falcorte E-Mail: ilegmall.com Address: 6 Terrace Dr. City/P0: State: Zip Code: Port Washington INY 111060 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rale,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or fimding from any other government Agency? NO YES If Yes,at agency(&)name and permit or approval:NYSDEG/NYSDOS?Town of Southold Trustees ❑ I:s1 3. a.Total acreage of the site of the proposed action? 0.332 acres �J b.Total acreage to be physically disturbed? 0.02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.332 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. E3 Urban ❑ Rural(non-agriculture) © industrial ❑ Commercial ® Residential(suburban) ❑Forest ❑ Agriculture ❑ AcN& ❑ 0tbeT fte ftr ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ M ❑ b. Consistent with the adopted comprehensive plan? ❑ a ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ Lr i 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Corey Creek,Name:Peconic Bay and Environs,Reason:Significant coastal fish&wildlife habitat, If Yes,identify: Reason:Protect public health,water,vegetation,&scenic beauty,Agency:Southold,Town of,Agency:Suffolk 11ounty, ... NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? 0 ❑ b. Are public transportation services available at or near the site of the proposed action? 0 ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed 0 ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ❑ 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the project site contain,or is it substantially contiguous to,abuilding,archaeological site,or distract NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ 0 archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ a If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: r '' 4x6 platlorm,39'x IV ramp and 6'xW float r • i l Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: ®Shoreline [:]Forest ❑Agricultural/grasslands ❑Early mid-successional m Wetland ❑ Urban ❑Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑ ❑✓- Piping Plover,Least Tern 16. Is the project site located in the 100-year flood plan? NO YES ❑ 0 17. Will the proposed action create storm water discharge,either from point or non point sources? NO YES If Yes, ❑✓ ❑ a. Will storm water discharges flow to adjacent properties? ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: _:- 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: Q ❑ 49. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: W ❑ 20.11as the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? ff Yes,describe: a I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spo r/ a Anthony&Beatrice Falcone Date: Z l Signature: Title:Owners ►r poft swe of ► ARL QWMbd ply ��Ewmg� �zZ- PRINT FORM Page 3 of 3 Part 2-Impact Assessmel he(Lead Agency is responsible for the complet, (Part 2. Answer all of the following questions in Part 2 using thy-_ _ irmation contained in Part 1 and other materials s", ted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact tray may ! occur occur L Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? j✓_f 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of 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? IL=1I L J d. Will the proposed action cause an increase in the use of energy and it fails to incorporate f� Q reasonably available energy conservation or renewable energy opportunities? I 7. Will the proposed action impact existing: a.public I private water supplies? b.public I private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, _ waterbodies,groundwater,air quality,flora and fauna)? Q F k L__! 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage �❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-1Determination of significance. The Lend 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 tenn,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any,supporting documentation, EJthat 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 environ/mental impacts. Town of Southold-Board of Trustees 9 �/21 — Name of l.,ead Agency Date President _ �In 0it '�� Title of Res onsible Officer " Prins o Type Nal a of Responsible Officer in Lead Agency p 1 o es ons"ilblh Officer In Lead Agency Signature of Preparer(if different from Responsible Officer) i Slnnature p i - EAF Mapper Summar; leport -.Wednesday,June 30,2021 10:10 PM Disclaimer. The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies In preparing an environmental assessment form(EAF).Not all questions asked in the EAF are 4 answered by the EAF Mapper.Additional information on any EAF Y question can be obtained by consulting the EAF Workbooks. Although j'ql the EAF Mapper provides the most up-to-date digital data available to tiM DEC,you may also need to contact local or other data sources In order ZZ DAU:44to obtain data not provided by the Mapper.Digital data is not a 3.11' substitute for agency determinations. 79.-614 5 J 794-2 78.-5-3 A Ft_-V 7 3T T 87.4-11 87,-4-2 k- 4 T Ph WP n"f6iifiq Ift E50 Gs U Part 1 Question 7 [Critical Environmental i Yes Areal Part 1 /Question 7[Critical Environmental-, '-" ;Name:Corey Creek, Name:Peconic Bay and Environs, Reason:Significant Area- Identify] i coastal fish&wildlife habitat, Reason:Protect public health,water,vegetation, 4 scenic beauty, Agency:Southold,Town of,Agency:Suffolk County, Date:3-9- M, Date:7-12-88 J;�Wl' '/' -Q"u-e,s"ti,o-,n--l--2a,-,-[-N"-a"ti",o,,"n" - [National,.. or Register of Historic Places or State Eligible Sites] -' ' /QuestionPart 1 12b [Archeological Sites] ;Yes ,Part 17Question 13a Wetlands or Other *Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodles] 4aterbodies is known to be incomplete. Refer to EAF Workbook. Part'i /"Question"'-1-6,-[Threatened or ',Yes Endangered Animal] Part 1 /Question 15[Threatened or fPiping Plover, Least Tern Endangered Animal-Name] Part 1 /Question 16[100 Year Flood Plain] ,Yes Part 1 /Question 20[Remediation Sitej "No Short Environmental Assessment Form - EAF Mapper Summary Report Board of Trustees Application AEMAVrr. BEING DULY SWORN DEPOSES AND AFFIRMS THAT HEISHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HWHER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THIN MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF 3A®PERMIT(S),N GRANTED.IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE \ CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION.I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE z COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Si of Property Owner Signature of Property Ownei 1 l SWORN TO BEFORE ME THIS DAY OF � r WOOCHuL KW Notary Publicmewy Of NOW Y No. CommMdon Expims OC 20,2®�— Board of Trartws Application' I AUTHORIZATION (Where the applicant is not tha owner) me., 411+haAi4 owners of the property identified as SCTM#1000- 7 -o - f is the town of (rR _YNewYork,hereby authorizes- Te:Urc ca-. to act as my agent and handle all necessary work involved withdw application process forpmdgs)from the Southold Town Board of Trustees for this property. Propertys Signature Property Owner's Signature SWORN TO BEFORE ME TH13 T DAY OF .20 I, Notary Public W® U.KIM of NOW Yofit N& 011MR32M ty C"MM o�M1008 DOC 20,20-.L--� Z I APPLICANT/AGENTIREPRESENTATM TRANSACTIONAL DISCLOSURE FORM T fSQMbg son thenartoftotmofticersandemnlavax.Thnmmmseaf ijt[s form is to rm—,aide ings.^.natl:..whidr can nidt @m tos.:.of onasiblc aa�ntsts ofiaterM±a.d ahlow_]ttomk whnrover nction_Ia dt to avoid same. YOURNAME: a I c o n e (Last mmSE0nam44dddism .tiaidsymiamap iftinMmmine of am==else orofteattty,serh as ammpeay.Ifm fadicatothe other porsoa's or oomp Ws'roma.) NAME OF AMICATION:(Check all ftapply.) Tax gliwance Building _L Yarimoo Trustee Change of2one Coastal Erosion Approval ofplat Mooring Exemption from plat orofficial rasp PlonomE Other (tf"Other".amaethe ac"W.) Do you personally(or through your Company,spouse,sibling,parent,or child)live a relationship with any officer or employee of the Town of Southold?"Relationship"Includes by blood,marriage,or business interest"Business interest"manna a business including a pmmcahip,in which to town officer or employee has even apartial ownership,of(or employment by)a corpandon in which the town officer or employee owns more than sero oftho shares. YES NO ✓ lfyo'u answered"YBS,complete the balance of this form and date and 91st when:indicated. Name of person employed by the Tam of Souftld Tide or position of that person Descnbe the relationship between yourself(the appRcont/aVantrepresentmive)and the tavm oMcer or employm.Either check the appmpd taline A)through D)andlor describe In the space provided The town oMoeror employee or his or her spouse,sibling,paront orchiid Is(cbeck all Md apply): A)the owner ofgrearer than 5%ofthe shares ofMe wtpotae stock ofdm applicant (When,the applicam is a empormtoa) ^B)rix legal orbeneficiai owner oPany interest in a non corpomtaeruity(what tia' applicant is not a corporation); GQ on officer,director.partner,oremployee of the applicant or _p)the actual applicant DESCRIPTION OF RELATIONSHIP Submfttad ibis AV of 20,,, Signature Print Name er c�vrL� Form TS I A/0 WOOCHUL KW MWWY• s Mato of ftwvWk '00MMftQhM atP/M-q 20,2 ` *L l APPLICANT/AGENTM2RESENfiATIVE TRANSACTIONAL(DISCLOSURE FORM 7�}gTownof SWAIN GasserEjMnarohibitacon_AicisofinMsstoathetortoftotnoillim ademagymOhonvmoseof ,form�s to QyvtA`Inlbrm' o-ata`cam nlpt�fie town oP�ss161e conNas oflnte�ecYond_allovrilPD �hntever aahn>s raressQry m avoid same. YOURNAM ' a(CarIG a•`L i��C rtm e,first aano,4tlddleinitial,hmlessYoomeepplYMIntheMmeof snmeomelse orothvueity,such asaoompaoy.I S%indicatotheother poison's or company's mato.) NAME OFAPFL(CATION:(Check all thatapply.) Mut pievisace Building Varimtw 'fie Cimngeomme, Coastal Erosion Approval ofptat Mooring Examption from plat or oMctst map Plaming Otter Rf'Odo°:mainei the activ1W.) Do you personally(or through your company,spouse,s1b1log.parent,or child)two n M10110shlp with any officer or employee of theTowa ofSouthold?"Relatonship'includes by blood.marriage,orbusloess interest"Business irhterem"moans s business indudingapartnership,inwhich dwtown officer orampioycenapartial owneumpor(oremployment by)acorporation In which the town officer oremployee owns more tma546o .shares YES NO Wynn answered"YES",complete the balance,of this form and date and sign where ladleated. Name orperson employed by the Town ofSuWwld Title or position of that per= Desm"M the relationship between yourself(the OPPUMNAPTINIFOP"'MAMWO ond ft'M'DMMoretaployN.Mescheck the apMprhz line A)through D)andlor describe In the spsx prmhided. The town offioer or employee or his or her spouse,siWhhg,pment,of child is(check all that apply): A) the owner of greater than 5%oftho shares of the corponar stock ofthe applicant (when the eeppppilcMt is a cmporationk B)the lesol orbenofrdai owner of any interest in a noa.corpormmentity(whl a the applicmt Is note corporation); C)an officer,director,parts,or employee of the appllemt4 or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted ibis day of 20_, Signature, A A - PrintNttma Form TS i GCP v V OCHUL KW MMMY PuNk,age"at iftw vol* Na®9 DUBOW In AhMMU LOAM v __ 1 - -A-20_.__ - ( ,ffrstthasah��pthiddle 8a+ltist,u� ai®gg9ia hhar+�cif - sonheone elsaorothar�tiry,suchas ahy.lfsa,indicate#�citbe�r , APPUGOVAGENrAWREAMATM TRAMAMONALDMCLMMYORM -p�ha's orcomapathy's nems) MANE OF APPUCA17ONs (Check that epplY) arty - — BOOM Tru Azone valfofplat Lxampton fivm plat orot'pciai map __ _ PlatmiaS Other (if"Otter',ame,theactivily.) - po you fpr#(ly,�;��rtfhriongbt3tEEtrnpaey; >�y slbli Wit,or cldid)havc a reletiorhship.with a&y officer orsmplcryee of the Town thf old?"Re�ip�"h�ali t•bloocT,= r pr btn a "Bhe i� a 1�usiness< incttuling a ► rhich the -OM reAll paid -60Mdopof(o [vim j. cozlmraton in which thetoaaof�,Preroployce o tta oaf ". YES M if you answered"YES",complete the balamofthis fuim and dM and sign where indicted. Name of person employed by the Toam of Soutbold Titlleorposition ordw pawn Desrsribs the tab donship between yourself(the appliow0gentkepmenttive)aid the town officer or employm Bidwrcheck the;wmp d to tine A)thtmO D)and/or desdbe k9w space prodded The town officer or emptoyee or this or her mouse,sibling parent:or child is(check all lHat ap*l A)theowhrectd' .thaa �I :al: ai - th� fti _ (when the tis a + f 13)the is lover iuvruer of s �' d rp i applfiftfinota C} an officer,director.partner,or employee of the applicant;or D)die actual applicant. DI Sf RIPTION OF RELATIONWIP Subnabed this ? day of v� 20"-(,, J Farm TS 1 Glenn Goldsmith,PresidentQ UfF��'�C� , Town Hall Annex A.Nicholas Krupski,Vice President :X_� 54375 Route 25 John M.Bredemeyer III P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams �0 ap� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 23, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of Anthony & Beatrice Falcone 405 Williamsberg Road, Southold SCTM# 1000-78-5-17 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Orders, this application is now scheduled to be heard by the Southold Town Board of Trustees via a combination of,an in-person meeting and videoconferencing on Wednesday, September 15, 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. 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. TrulyYo rs, Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President Town Hall Annex A.Nicholas Krupski, Vice President R= 1 54375 Route 25 John M. Bredemeyer III N a P.O. Box 1 179 yY r►7 A Michael J. Domino �fJ' Southold,NY 11971 Greg Williams T`:y�0� �� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION,& PUBLIC HEARINGS WEDNESDAY, SEPTEMBER 15, 2021 at 5:OOPM & 5:30PM TOWN HALL MAIN MEETING HALL AND VIA A ZOOM ONLINE PLATFORM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, September 15, 2021 with the.Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. The public is invited to attend the meetings either in person or virtually via the Zoom online platform. Masks are still required for members of the public who are not fully vaccinated. 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: 813 4681 5078 Password: 851461 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit: https-Hwww.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 Glenn Goldsmith,Presidentgl1FF0[,f- 0�0 `COG Town Hall Annex A.Nicholas Krupski,Vice President �� 54375 Route 25 John M. Bredemeyer III z P.O. Box 1179 cc Michael J. Domino Southold,NY 11971 Greg Williams yh0 pl� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD.-� BE ADVISED — AS PER CHAPTER 55 NOTICE OF PUBLIC HEARINGS Failure to submit the following originals to this office by or no later than 12:OOPM the day prior to the scheduled Public Hearing for your application will result in a postponement of said application. This office WILL NOT contact you to request said information: • All, original white & green certified return receipt mail receipts stamped by U.S.P.S. • 'Completed original Proof of Mailing Form Failure to submit the,following originals to this office by or no later than 12:OOPM the day of the scheduled Public Hearing for your application will result in a postponement of said application: • Original Affidavit of.Posting form — DO NOT COMPLETE SAID FORM UNTIL THE GREEN SIGN HAS BEEN IN .PLACE ON THE PROPERTY FOR AT LEAST SEVEN (7) FULL DAYS. Sign the form on the eighth day that the green notice of hearing sign has been up on said premises. All green signature cards related to said application that were returned to your office should be either dropped off in our "Trustee drop box" or mailed into our office whenever they are received. These cards are not required prior to the Public Hearing, unless specifically requested for by this office. This specific requirement is subject to change. �, rBoard of Trustees Appliq!'- on PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME : S1 NAME: ;�,r?�0 ' � I S"S`T'ATE-OF NEW YORK COJTNY,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 September 14, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 E C E 0 W E P.O. Box 1179 Southold, New York 11971 �! i SEP 20 2021 RE: ANTHONY FALCONE 405 WILLIAMSBURG DRIVE -SOUTHOLD Southold Town SCTM No. 1000-78-5-17 Board of 1rust8e POSTING AFFIDAVIT Dear Trustees: Attached please find posting affidavit for the above referenced property. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Glenn Goldsmith,President �Jo�pS�FFO�kC�G Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M. Bredemeyer IIIy P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williamsapl� Telephone(631)765-1892 �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ANTHONY & BEATRICE FALCONE COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING D,WINT ORR M 'S MUM residing at/dba�.Q.`�UV_ 5P32- `McMi n 1JU being duly sworn, depose and say: That on the S day of 5ep�- , 20 21, I personally posted the property known as by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 15, 2021. Dated: S'Cpl. 11-4 ` w?Z1 (s'gnature) Sworn to before me this I yk�- day of SepV 20 2-1 JESSICA L. GEREMINA _NOTARY PUBLIC-STATE OF-NEW YORK No.01 G E6418131 Qualified in Suffolk County otar u lic My Commission Expires 06-01-2025 September 7, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: ANTHONY FALCONE 405 WILLIAMSBURG DRIVE -SOUTHOLD SCTM No. 1000-78-5-17 MAILING AFFIDAVIT Dear Trustees: Attached please find mailing affidavit and receipts for the above referenced property. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 t i�✓i} E�, Ca iLEO Q �i�' !J ,, SEP 1 3 2021 Southold Town Eowd of Tru `Wes -Postal Iru CERTIFIED o l .. , Postal le I � eiv :I CERTIFIEDRECEIPT MAIL co r� nly r + , � C • (` Certified Mail Fee � _ � �• Extra Services$Fees(checkbox,add fee as _ '� �' '-'G aPPropdatep e, r� Certified ❑Retum Receipt(hardcor-qpy) $ _ •- r-..n A ❑Return Receipt(electronic) $ `. t,� O ❑ $ �"•' �� e�: t � Certified Mali Restricted Delivery $ 'r PO mark Extra Services&Fees(check box,add fee as appropriate) I ❑Retum Receipt(hardcopy) $ C3, ❑AdultSignatureRequired $ ,`)I,' .�� Here r� �_ 1f i ❑Adult Signature Restricted Delivery$, w'4 C El Return Receipt(electronic) $- n+,e A POstmark� ,(f 0 Postage y�C. O E]Certified Mall Restricted Delivery $ • Cal $ C3 El Tot Adult Signature R uired ru ,r�/®� ❑Adult Signature Restricted Delivery$ y.�,t�a,��.�,'...•.. ' ru Tot 0 Postageco a.• '�ip '.4`' $ Lester J&Ethna D Lay Q' Se ru $ rq 111 Soifer Ave E3 $' 7000-78-5-18 r. North Bellmore, NY 11710 -------------- Er s, Peter Jr Tagios ;r ,-1 Monfredo Tagios Aletra _____________ O �? 26 Amherst Rd ._______________ mkmr r Iti Port Washington,NY 11050 r r r rrr•,. C Lo :rr r rr rrr•r• TM Postal CERTIFIED RECEIPT Postal Ln Domestic Mail Onti CERTIFIED o RECEIPT m Domestic Mail only a z >> � L [�- Certified Mail Fee ,,QCs pA ) • t (} g ...� f CF �.� .Y Iti Certified Mail Fee Extra Services&Fees(checkbox,add/ee es appropriate)°t` q •, •^ ��a• ❑ Return Receipt(hardcopy) $ ❑Return Receipt(electronic) $ r... Sttilafk i,�i Extra SetYlces&Fees(checkbox,add fee es appropriate) 0 . ❑Certified Mail Restricted Delivery $ CJ /� Here -•' ❑Return Receipt(hardoopy) $ ❑Adult Signature Required $ G 0 ❑Return Receipt(electronic) $ `k�y ❑Aduk Signature Restricted Delivery$ �. r, / C3 ❑CertHied Mail ResMcted Delivery $ O Postage i ti �y. O ❑Aduk Signature Required � $ ~=E?s ❑Adult Signature Restricted Dellvery$ Total �—- M Postage ru CO 1 I $ 1000-78-5-10 ' ru $ Er sena' Wamsley Family Trust ru Tota r-1 1000-78-5-15 M Ril ii 490 Williamsburg Dr ------------ Er, Brian Parker&Sherri W Clarry 4� r` Southold, NY 11971 r'9 s' N ffg 305 Williamsberg Rd ____� Southold, NY 11971 r r r r� rrr•,• - r'r ----- l' a :rr r rr rrr• Yea Board of Trustees. Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: and ?:)pce. Vb_l cc—)e— I -JR-.5-17 NAME: ADDRESS: 1000-78-5-15 1000-78-5-10 Brian Parker&Sherri W Clarry Wamsley Family Trust 305 Williamsberg Rd 490 Williamsburg Dr Southold, NY 11971 Southold, NY 11971 1000-78-5-16 Peter Jr Tagios 1000-78-5-9 Monfredo Tagios Aletra Lester J&Ethna D Lay Amherst Po 111 Soifer Ave Port Washington,NY 11050 North Bellmore, NY 11710 STATE OF NEW YORK COUTNY OF SUFFOLK kA. e_w DnaNo , residing at`7 1 �j?_ . k�YY lift r��l 1►111a being duly sworn, deposes and says that on the —1 day of SP rk�: , 20 21 , 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 RECEIP ignature Sworn to before me this -1 Day of , 20 '21 JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01GE6418131 Qualified in Suffolk County N u I& My Commission Expires 06-01-2025 3, September 14, 2021 Town of Southold Trustees Town Hall Annex Building E54375 Rte. 25 P.O. Box 1179 1 11 Southold, New York 11971 SEP 2 0 2021 RE: ANTHONY FALCONE 405 WILLIAMSBURG DRIVE -SOUTHOLD Southold Town SCTM No. 1000-78-5-17 Board of Trustees POSTING AFFIDAVIT Dear Trustees: , Attached please find posting affidavit for the above referenced property. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Glenn Goldsmith,President "�S1�ff0��0 Town Hall Annex A.Nicholas Krupski,Vice President -0��0 G�� 54375 Route 25 John M.Bredemeyer III � P.O.Box 1179 Michael J.Dominof Southold,NY 11971 Greg Williams �, p�N� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ANTHONY & BEATRICE FALCONE COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE `Ptjnr)I Q ,residing at/dba'P.0. �0V_ ,5A2_ `, McMi'o 1. C1 11lKp being duly sworn, depose and say: That on the S day of S , 20 al, I personally posted the property known as L406 W\X\',ayy)5bjq Ute. 5CLk,�►n01 r-A�%Oy1 1\G1 k by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 15, 2021. Dated: 5Cp�- I u 1 WZI (s(gnature) Sworn to before me this I HA:23- day of x-20 2.1 JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF,NEW YORK No.01 G E6418131 Qualified in Suffolk County �rullic M,YCommission Expires 06-01-2025 September 7, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: ANTHONY FALCONE 405 WILLIAMSBURG DRIVE -SOUTHOLD SCTM No. 1000-78-5-17 MAILING AFFIDAVIT Dear Trustees: Attached please find mailing affidavit and receipts for the above referenced property. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 VE I! S EP 1 3 2021 So old Town __ Road of Trustoes Postal 86r i TM V" 77777 . R1 •CERTIFIED ° ' . • ..D • CERTIFIED r el' •� /• Oly r C •LU r,r` ks �. • - • • • -• - • • c Certified Mal Fee Extra Services&Fees'Check box,add lee as appfopdara �.'�, r`- Certified Mail Fee r r� ❑Retom Receipt(hardcopy) $ t'4: ) C3 Cl Return Receipt(electronic) $t;c y� C3 ,3� r;. jM ❑Certified Mall Restricted Delivery $ Po 8 Extra Services&FeeS(check box,edtl tee as appropriate) a 0 ❑Adult Signature Required �— H re sy ❑Return Receipt(hardeopy) $ !l",� (P �- $ ` C I r ❑Return Recelpt(electronic) $ ❑Adult Signature Restricted Delivery \ l`a" �— PoShfta O Postaoe�___ $��"'�—C CEM []Certified Melt Restricted Delivery $ t % ,) q He s ----- -—` `� �y f j O ❑Adult Signature Required n_I Tot , T�G j El Adult Signature Restricted Delivery$ f1J 1000-78-5-9 O Postage Er Lester J&Ethna D Lay rnu $ +-q 111 Soifer Ave C3 Sin $, 1000-78-s-18 r%- North Bellmore, NY 11710 _ o-• S Peter Jr Tagios r-=1Monfredo Tagios Aletra ----- l O s 26 Amherst Rd --------------- { rl- Port Washington,NY 11050 ' :+. .• r � - -- — 111 Postal,Sdivice T11 —7-777 ■ p ■ ■ n • Domestic IC CERTIFIEDLn O Domestic Mail Only +- ri ri 0 C 5 i L M 8 E r%- Certified Mad Fee �v�DA` , u Cl $ ! ! t A L �=�S R �. Extra Services&Fees checkbox°add fee as y'� �' Certified Mall Fee 1 ❑Return Receipt(hardcopy) $- �°� 23 J� ❑Return Receipt(elecnic $ II : Ira SerVIC &FO rarko as(checkbox,add fee es eppropnate) ❑Certified Mall Restricted Delivery $ C1 I� Here I° ElReturn Receipt(hardcopy) $ 0 []Adult Signature Required $ W 0 ❑Return Receipt(electronic) $ --T u []Adult Signature Restricted Delivery$ F.'n� [] ❑Certified Mall Restricted Delivery $ t`„f�, � Heme O Postage ��. O ❑Adult Signature RequiredCC) $ ru $ Delivery $ ---- 4�8 []Adultult Signature Restricted Dellye n f ru Total ...��l i Pcc, Postage_----— - �d�� \C�fir, I 1000-78-5-10 rr Seng Wamsley Family Trust r�11 ° r--j 490 Williamsburg Dr f $ 1000-78-5-15 ro- Sf�eei Southold, NY 11971 Er sen Brian Parker&Sherri W Clarry ppr �___________ a 305 Williamsberg Rd cr Stre ti Southold, NY 11971 ' A :•. o r r .r••. City i < Board of Trustees. Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: "d l`�e�ce, Vio 1CrnP Imo- 7 5-1 NAME: ADDRESS: 1000-78-5-15 1000-78-5-10 Brian Parker&Sherri W Clarry Wamsley Family Trust 305 Williamsberg Rd 490 Williamsburg Dr Southold, NY 11971 Southold, NY 11971 i r 1000-78-5-18 Peter Jr Tagios 1000-78-5-9 Monfredo Tagios Aletra Lester J&Ethna D Lay Amherst Po 111 Soifer Ave Port Washington,NY 11050 � I North Bellmore, NY 11710 STATE OF NEW YORK COUTNY'OF SUFFOLK residing at e?p• b2 T&Y-r'10 -W—LA 1111(a being duly sworn, deposes and says that on the —7 day of 20 21 , 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 RECEIP 04JI, ignature Sworn to before me this –1 Day of Se , 20 2I JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01GE6418131 Qualified in Suffolk County N 1 C My Commission Expires 06-01-2025 NOTICE F HEARI N NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees both in-person and via the online Zoom platform. ` OWNER(S) OF RECORD: ANTHONY & BEATRICE FALCONE SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a proposed 4'x6' cantilevered platform off of bulkhead; a 30" wide by 14' long aluminum ramp; and a 6'x20' floating dock supported with two (2) 10" diameter CCA piles and situated parallel to the bulkhead. Located: 405 Williamsberg Road, Southold. SCTM# 1000-78-5-17 TIME & DATE OF PUBLIC HEARING: Wednesday, September 15, 2021 — at or about 5:30P.M. — Either in Person or via Zoom. 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 To' n of Southold A. MMUCTIONS I,. AN applicants for geniis* including Town of Southold agencies, shall complete ibis CCAP for proposed actions that are subject to IC Town.of Seutbold Waterfiont Consistency Review Law. This assessment is biendW to supplement other bion used by a Town of Soudold agw.cy in 'mddpg a . moa of c o is r. *EWgX mbW=M0 4Mom hirdua%g BuBI ft.Perlis atmother tnWsxerW pennits not loaWedwithin the Coastal Erosion Hou rdtea. 2• Before answering the questions in Section C, the pmparer of ft harm should review the ex t minor action list,policies and a9knatim ofeach policy contaked in the Tova of Southold Local Waterfront Rcvctaliz ti Program, AL- �' ..dicift-W ]M.WhMid as to i(g. y *P*41M AAA 3: 'If may question in Section C on ft foam is answered "yes"or%o",tea the proposed action will .affect the achievement of the LWRP policy standards and conditions contained in the condstmey - y review law. e s Wig:,.:_. Nan action eamot be ce rtded as conoteat with the LWRP policy standards and A copy of the.LWRP is avWWAe in the foRowing places:or tine at the Town of Southold's website(sou:Wdtown=rtbfork.nd),the Board ofTms.tow'Offloo,the Planning Deparb=4 all local libraries and dw Tovm Clerk's office. B. DESC .WnON OF SM ANIS PROPOSED ACTION -73 OS /7 P o�EC�c An q05- .,.1• I .�s��`- rf S 4�.� J d The Appfcadon has bow sabmaittcd to(check q*ropresponse): Taim iloarc] ❑ g Board❑ Boding bept. ❑ Board of Tnst+ees • I. Cdegorp ofTomm of Southold agency action(Check appropiisie"response): (a) ActionunderWm directly by Town.agency(e g.capital c oast metion,pknaing activity,agency regulation,land transac tim) " (b) pian W assh'tsom{o g graat loan,subsidy) (c) Perm approval,Dowse.,eerfficadon: Nature and extent:of actiow ' g Location ofawon: Site acreage., Presentiand use Pment zoning classil1 on: /S 2. If an application for ft proposed action bas•been filed with the Toun of Southold agency, the faflowing �+aa shall be provided: An 4o fre et -Fa (a) Name of g".u� �r (b) Mailing address:. Te rrAce (c) Telephone rnIInber:Area Code (d) Application number,if any: ., Will the notion be directly undertaken,req*e fimftg,or approval by a state or federal agency? ',, Yea dNoo if yes,which state or fedaaIA4-u $ 'tSOos C. Evaluate the project to the following policies by analyzing how the project win further support or not support the policies. Provide•all proposed Best Management Practices thatwill further each policy. Incomplete answers will require that the form be returned for completion. Pomp 1. Foster a pattern of development in the Town of Southold that enhauces W mamity character, preserves open space,makes efficient use of hdrustructure,makes beneficial use of it coastal location,and minimizes adverse•effects of development. See LWMP Section M—Policies; Page 2 for evaluation 'ryesYes 0 No E-] NotApplicable Attwh addidorA sheef4 if neowery Policy 2. Protect and p e historic and archaeological resourt�.es of the Town of Southold. See LWVY Section III•-Poli Pages 3 through 6 for evaluation materia 0 Yes into Not Applicable r / Al O C at- Policy At�ohadditioaalal�ifnecessaty ` . . . . - • 3. Enhance visual quaWy and protect scenic resources throughout the Town of Southold, Sea LWRP Becdon III—Policies Pages 6 througb 7 for evaluation criteria . Yes -No Not Applicable tac' addltlonal streets ifntuy NATUPIAL COAST POLICIES Policy 4. Mtaimke loss of life, ",ructures, and natural resources from flooding and erosion. See LWO Sectioxt M—Policies Pag"8 through 16 for evaluation criteria 'lfes` No 13' i t Applicable - Policy Protect and impreve water 4quaiity and supply in the Town of Southold.See LW"Section M Policies Pages 16&m�&21 for ovaluatiion criteria des U No LJNUAppficable • Attach additional sheen If necessary .. _ .. . Policy 6. Protect and restore the gvMty and function of the Towns of Southold ecosystems ind[eft scant Coastal Fish and Wldlife Habitats and wetltiads. See LWRP Setdaon III Policies;Pages 22 through 32 for evaluua#to criteria. z ' Yes No Not Applicable : l4ttach additio�t sheets•if necessary - . . . . POUCY 7. Protect and improve air gu p in the TOWS of Southold, get LVW 5edon M --Nfitia Pages 32 tbrough 34 for evaluation criteria. Yes: :Noot Applicable Attach addd wd sheets ifneamity Policy 8o NfiWanize environmental degradation in Town of Southold from solid waste and bazardooe substancee and wastes. See LWtb.P Secdon M—Psa ;Pages 34 tkre 3S for CVdUzfM Crbak. 'Yes Ato E Not Applicable ,� a .. . .. .,. . ... .. . . - PMUC COAST POUCM Policy 9. Provide for public access to, and recreational use of, coastal waters,public lands, aed public resour es of the Town of Southold. See LWRP Sectio8 III--Policies;Pages 38 tbrougb d{for evaluation erre Ye No�,Not Applicable f lOw �S atcG«S ►t'� b� lt1R �tGk�vcf 4A-- k:.vie o cs�s; Attac additiona3 suets ifnecessary jWO►RENG COAST POLICI Polly 10. Protect Southold's water-dependent uses and promote siting of new wabr-dgpendcut ase in anitable locations. See LWRP Section M—Policies,'Page►47 through 56 for evalnation criteria. Yes .. Na ._ Not'App ieable moo- tc - At#ech addititxi�al shams if tte�ssaty - Policy 11. Promote susminable use of living urine resources in Long Island Sound, the Peeonic Estuary and Town wa See LiWRP Section M—Policies;Pages 57 throngh 62 for evaluation criteria. 'Yea 0 No L,vJNot Applicable k A tach addb!MW shuts MUMMY Policy 12. Protect agriadtaral lands in tae To" of Sonthgld. See L WRP Section III--Policies; Pages 52 through 65 for evaluation criteria. Yes 0 NoED N- ot.App#icnble- Ai�h�skeet�,'aei;assary - Policy 13. Promote appropriate me, and dovdapment of energy and mineral resources. See LW" section III—Policies;P es 65 through a for evaluation criteria. :Yes Na NotAppHable ate PWAREDd`'t-.` n �l DAq lZ .__. .__ . . . - .: - ��.,..-- .. ,. - TSE- TE / ►Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 405 Williamsburg Road-Southold Project Location(describe,and attach a location map): See location map Brief Description of Proposed Action: Construct 4'x6'platform,W'x14'tong aluminum ramp and 6'x20'floating dock. Name of Applicant or,Sponsor: Telephone: 516-650-2223 Anthony&Beatrice Falcone E-Mail: nytopsoil@ mail.com Address: 6 Terrace Dr. City/PO: State: Zip Code: Port Washington NY 111050 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/NYSDOS?Town of Southold Trustees ❑ a 3. a.Total acreage of the site of the proposed action? 0.332 acres b.Total acreage to be physically disturbed? 0.02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.332 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial ® Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Pagel of 3 July 20, 2021 Town of Southold Trustees Town Hall Annex Building - V E 54375 Rte. 25 P.O. Box 1179 ` I Southold, New York 11971 3 RE: 405 WILLIAMSBURG DRIVE -SOUTHOLD SCTM No. 1000-78-5-17 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, P4— Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716