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Glenn Goldsmith,President QF S0(/Jy Town Hall Annex A.Nicholas Krupski,Vice President ,`O� ��� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III l [ Southold, New York 11971 Michael J.Domino G Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO,CONTACT THE OFFICE OF THE BOARD OF TRUSTEES, 72-11COMMENCEMENT OF THE ACTIUITIES_CHECKED OFF COMMENCEMENT .. , _ INSPECTION SCHEDULE 1 Pre-constructin; fiay'bale line%silt"boom/silt,curtain, I St dayYOf construction - l constructed' " 11Ylhen=p�oject,.complete; call for compliance inspection; : ; TERMS AND CONDITIONS The Permittee Daniel&Amy Leblond residing at 2828 Great Peconic Bay Blvd.,Laurel, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President ��OF SDUTyo Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III 1x[ Southold,New York 11971 Michael J.Domino G • Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 17, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: DANIEL & AMY LEBLOND 2828 GREAT PECONIC BAY BLVD., LAUREL SCTM# 1000-128-6-22 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 15, 2021 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of DANIEL & AMY LEBLOND 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 12, 2021 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 15, 2021, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of DANIEL & AMY LEBLOND for the removal and replacement of two existing timber jetties (one 36 LF & one 23 LF) with new vinyl jetty in same location as existing. Total length of jetty replacement to be-59 LF and maximum height above existing sand bottom will be 18'; with the condition that the jetty will be-no higher than,the elevation of the existing jetties; and as depicted on the site plan prepared by Jeffrey Patanjo, dated July_5, 2021,-and stamped approved on September 15, 2021. Permit to construct and complete,project will expire two years,ftorn the date the permit is signed. Fees must be'paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See'attached-schedule.) Fees: $50.00 Very truly yours, Glenn Goldsmith President, Board of Trustees GG/dd f `\ LOCATION MAP N.T.S. N 23007'50" W 198.00' \ \ ,;,�;y •\ :� Lane Park r � OUTSIDE SHOWER REMOVE AND REPLACE EXISTING 36 LF &23 1 LF TIMBER JETTY WITH VINYL JETTY IN SAME r,N..�Laurelt r, _ LOCATION.SEE TYPICAL SECTION THIS PAGE FRAME MAS. PLAT 66 \ �O FORO\NSTRUCTION DETAILS 4 GARAGE P5: ;t:=z;,' 1-1/2 oSTORY FRAME OMAS' CSE HOUSE co FLAG '�' \ r.,, " `.,4f,,; =,F ,N, y >,.•,? ,... „\,;¢ '"' `'r�1.,,d,, ;r'e •, POLE ° � '7' \ \ � \ /�','-,x;`�;�,,x+,V ",."!�`,k!.�w - `�+.,�•.�Z:�' - � _ ~Y�„- ':,est'.+�.�'�-- rx � I G �Q \ \ (!' ''S. "A. .t;'V-iC;Y f' ��=F-•f,"r`ha�`u'�.f,'Y i,ttir oT• <.:�' �a!•���'•.•�i�tt, - L/1 r� MAS c9. ,4f* ;,,.;, •.fit„;,, �, \ e% x•} - '-s.•.�,;,`_x!`+- .fe`o-"i';''{,e�:i �..��',.r;,s'_ - �i£'' �k CO,.L ,y,d" r < PATIO i, \ •^{`" _ __ f;,`�F'-;!4'y .r>;n�d s5+,`�l' �,p`^w'.",,�,+,!.�iL "�,,i - e+:^Q° ��� __ l ' ����(#.• _ ," :{'y ^,y';'S�,'�r).;'udi,-`;; 7f;k,'�`r,,,�', s+,�. -q�r`,"x"S' ,�H-�C'� r"r'�t 1 S 23058'30" E 250.93E rr- SITE PLAN I SCALE: 1"=30' PROJECT \ LOCATION \ PROPOSED FIR TIMBER TOP CAP b PROPOSED 6"x6" CCA WALE BOTH SIDES � PROPOSED 8” DUB. X 14' f1 I LONG CCA PILES APPROXIMATE M.H.W. EL 2.5t c ALTERNATING AT 6' O.C. � °m-m m 1 o I BOTH SIDES OF JETTY 18” MAXIMUM ABOVE EXISTING GRADE Ww�\ / APPROXIMATE I w a o.of \/ /\\\\\\\\/\/S 25°02'50E ���.\\\� %\ \ �/� C .41' - EXISTING TIMBER JETTY TO BE REMOVED IN PROPOSED 10' LONG SHOREGUARD VINYL SHEEING I I i Re C� EAPPROVE®° BY BOARD OF 1 t�USTEES JAIL 1 2 2021 E, 'OF SOUTHOLD TYPICAL JETTY SECTION ,N.rs• Southold Town 1oard of Trustees OWNER: DANIEL LEBLOND AMY LEBLOND Proposed Jetty Permit Plass SCALE: 83 AUDREY AVE AS NOTED - -PLAINVIEW, NY 11803 PREPARED BY: PROPOSED PLAN & SECTION DATE: JEFFREY PATANJO 7-5-21 I P.O. BOX 582 2828 PECONIC BAY BOULEVARD BOHEMIA, NY 11716 LAUREL, TOWN OF SOUTHOLD 631-484-9332 SUFFOLK COUNTY, NY JJPATANJO@GMAIL.COM TAX MAP NO. 1000-128-06-22 1 of 1 �, S%pff i -7,2 Glenn Goldsmith, President Board of Trustees A Nicholas Krupski, Vice-President y 54375 Route 25 John M. Bredemeyer, III P.O. Box 1179 Michael J. Domino ® o�� Southold, NY 11971 Greg Williams ®� �a Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DANIEL &AMY LEBLOND c/o JEFFREY PATANJO Please be advised that your application dated July 12, 2021 has been reviewed by this Board at the regular meeting of September 15, 2021 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) — 1St Day of Construction ($50.00) X Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Daniel&Amy Leblond 2828 Great Peconic Bay Blvd.,Laurel CTM#: 1000-128-6-22 /8/21 ow J T S: .M' • _ 01 n UO ,�:A g September 13, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Di E C ..o Southold, New York 11971 SEP 1 3 '1091 RE: DANIEL&AMY LEBLOND I � L 2828 PECONIC BAY BLVD. -LAUREL SCTM No. 1000-128-06-22 - out W NYSDEC PERMIT Board of Trustees. Dear Trustees: Please allow the following to be used as a revised project description for the above referenced property: Project includes the removal and replacement of two existing timberjetties (one 36 LF& one 23 LF) with new vinyl jetty in same location as existing. Total length of jetty replacement to be 59 LF and maximum height above existing sand bottom will be 18". 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 September 13, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 11791 Southold, New York 11971 RE; DANIEL &AMY LEBLOND P 1 3 2021 2828 PECONIC BAY BLVD. - LAUREL SCTM No. 1000-128-06-22 L__� Town NYSDEC PERMIT Mu Board, d� o�f Trustees Dear Trustees- Please allow the following to be used as a revised project description for the above referenced property.- Project roperty:Project includes the removal and replacement of two existing timber jetties (one 36 LF & one 23 LF) with new vinyl jetty in same location as existing. Total length of jetty replacement to be 59 LF and maximum height above existing sand bottom will be 18". 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 Goldident O�QSUFF _ Town Hall Annex A.Nicholas Krup i,vice President 54375 Route 25 John M. Bredemeyer III ra P.O.Box 1179 Michael J. Domino Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 9A8421 2-'so Completed in field by: T„1 a'r,""A Jeffrey Patanjo on behalf of DANIEL & AMY LEBLOND requests a Wetland Permit to remove and replace 59 linear feet of existing timber jetty with new vinyl jetty in same location as existing. Located: 2828 Great Peconic Bay Boulevard, Laurel. SCTM# 1000-128-6-22 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet T 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: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: VJ. Bredemeyer ✓ M. Domino '� G. Goldsmith _ZN. Krupski G. Williams Other ` LOCATION MAP N 23007'50" W 198.00' \ N.T.S. \ �� atdreh Lane Park OUTSIDE SHOWER \ REMOVE AND REPLACE EXISTING 36 LF 8 23 I \ LF TIMBER JETTY WITH VINYL JETTY IN SAME Leure`I FRAME LOCATION.SEE TYPICAL SECTION THIS PAGE .`F't•. = 7r MAS. PLAT 66' \ \ �°p FOR GONSTRUCTION DETAILS GARAGE 1_12 STORY FRAME Q�° r MAS. WALK \ - CSE HOUSE FLAG a POLES SGA \ \ ;�r�• ',LO �� C/] v MAS 116' ��O \\ �' \ t;'ry-_.` _- _,, ,' ;r. 3, _�� PATIO \ `h' <d�= ' < _ m _ � S 23°58'30" E - - - - 250.93' \\ _ - _ _- '• .' •� • �`�.�=�;� , '. , ,- ' SITE PLAN SCALE: 1"=30' PROJECT LOCATION 1 PROPOSED FIR TIMBER TOP CAP PROPOSED 8` DIA. X 14' PROPOSED 6'x6' CCA WALE BOTH SIDES CZ LONG CCA PILES 'Z APPROXIMATE M. . 2.5t C) ALTERNATING AT 6' O.C. � •®'®'® 's...°®' o BOTH SIDES OF JETTY C I I 18' MAXIMUM LO ABOVE EXISTING GRADE -C m C\/�/\ .•�/�i\/�\i\\�\�\\�\/ iI �/ /// /\ \\ \ APPROXIMATE M.LW.EL O.Ot S 25°02'50E EXISTING TIMBER JETTY TO BE REMOVED IN I ITS ENTIRETY I PROPOSED 10' LONG SHOREGUARD VINYL SHEETING I i D � CaTrus=es I I JVAL JU TYPICAL JETTY SECTIONN.T.S. SoBoa PROPERTY OWNER: DANIEL LEBLOND AMY LEBLOND Proposed Jetty Permit Plans SCALE: 83 AUDREY AVE AS NOTED PLAINVIEW, NY 11803 PREPARED BY: PROPOSED PLAN & SECTION DATE: JEFFREY PATANJO 7-5-21 P.O. BOX ATA 2828 PECONIC BAY BOULEVARD BOHEMIA, NY 11716 LAUREL, TOWN OF SOUTHOLD BOHEMIA, NY 1 SUFFOLK COUNTY, NY SHEET: JJPATANJO@GMAIL.COM TAX MAP N0. 1000-128-06-22 1 OF 1 SURVEY of PROPERTY SITUATE LAUREL,TOWN OFSOUTHOLD SUFFOLK COUNTY,NEW YORK �°��� Suffolk Tax Map NO.:1000-228-o6-22 •A17veysonAoB7t,' DATE SURVEYED 6/i7/=6 SCALE:i"=3o' 110 SOUTH SEt Lindenhurat, New York MJScaHce®mlelendearvV.com P:661-887-2400 P:631-226-2400 SURVEYED BWN BY GO JOB NO.Si6-oy7q C�Nj�B A�QIJ p'E w: N �A ! S 63°46'00" W i N 63046'00" E 1 973.4'9 _•` __ 81:99r. .. . __ r Srocm(e off( FR CAR. ' ASpRl1.T/DRIVEYfAY (50'm7 6.4' i,+it85',i•,, I � I p O I I � I I A I I 1 I 1 i 32.3• IR z I ^w tlw A A N I - Gaoc W b�a I NbR 1 A o x i PE N�� O �. U F,M, I u w & W 1 No ...iT4 JUL 12 2029 Southold Town - Board of TrusteesC) NEWT LOTs�nop,� 20,217.74 S.F. 0.46 REVISIONS-UPDATES•.wix oNs !cF ya 05o90N ' DATE: DESCRmnON. CHECKED BY. ysfp LAND -- -- --- (1)UINUTNOR¢FD ALIFINTDN OR ADDIMN TO TMS SURVEY W➢BFARINO A UOENSEO I4N0 SURVEY°R5 SEA-IS A VIOLATION OF SECMN TAO.Sl>&•pY610N R.OF MEW TORN SfAIE FOUG110N Up.(2)DM.Y BOUXOIHY SLRVEY LLSPS IlTffl THE SURVEYOp'S F)1BOSSEn SFAL ARE D°ANNE TRI$A'S OD-`DT CORES OF TME SIANEYORS ORCOW.IIEYOL AVO 0%MOIL(3)CFATINGICN$DN 71fd BOIWDARY SURVEY Wp SC"VY'TWIT 7ME EI.P WAS PREPMED O1 ACCORDAME WIIM iLE CWREHT ETOSTIHO COOS DP PRACRE PoR IANp SURVEYS MOPIED BY THE NEW YORK STATE AS1pC1A1NYN Oi PROfE59BNL IMO SURIfY'ORS,ILC TIE CERDRGl10N S U_ED TO PERSONS FOR WtA1Y IME BOUNOIRY ElM✓cV WP S PF"ARE TO INE TRIS lO]YPAHY TO THE IaVEAN1ERTAL MENET,AIN'TD 7M! llTmINO OISIIIUf10N LISTED ON TILLS BOIRIMRY SURVEY IL1P.(A)TXE CIIOOTATCNS NFOtEPI ATE NOT TRVlSFERA9E(S)THE LOCATION OF UN)QUA OIINO 01Pfid UUMS OR ENCR0ICMIIEMS APE NOT ALWAYS 1OIM AI®OFTEN LASE BE ESIOIM1TFD. 6 Alff S"DBTOO UR u�ROEIFSE OR MUFORE ARE "M OR ARE MDX=MK TIE OpRMW`O`OR wcROIOHMM ARE NOT COVDtED Sr lli6 SUMEY.(0)THE OFSET(OR OIYF MMM)SHOWN MERFDN FROU THE MK CTURES TO 7NE PROPERTY ONES ARE FOR A SET AS MY OF PURPOSE e SURVEY )T14S RE ME NOT O WORW 1W A`THE ELECTION OF T Ne"TDTNNUTD"UA POOL%PAIRS PVQD4Y0 MLA;ADO MNS TO WIRINGS.AND ANY OTHER TYPE OF CONSIRM—M(L)PROPM CORIER NON MDM WERE NOT (8)iN5 SlRlhY TAlS PEPitfBOD 67M A SPECTRA FCCU9 JO ROWIC TOTAL STATEN August 30, 2021 Town of Southold Trustees ��' C `�'I�� V LE =� Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 SEP ® 3 2021 Southold, New York 11971 RE: DANIEL&AMY LEBLOND B Southold Town ar of Tru'tee 2828 PECONIC BAY BLVD. -LAUREL SCTIVI No. 1000-128-06-22 NYSDEC PERMIT Dear Trustees: Attached please find NYSDEC permit for above referenced property as requested during site inspection. 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 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 9 SUNY,@ Stony Brook,50 Circle Road,Stony Brook,NY 11790 P:(631)444-03651 F:(631)444-0360 www.dec.ny.gov June 28,h2021 Daniel &Amy Leblond Leblond Property r - 83 Audrey Avenue-,. _ Plainview, NY 11803 Re: NYSDEC#1-4738-00694/00005 Leblond Property:2828 Peconic Bay Boulevard,Laurel, NY 11948 Remove and replace two(2)jetties 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.This permit must always be kept available on the premises of the facility. Also enclosed please find a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, R m Torey K. Kouril Environmental Analyst. Enclosures ® EL. (I E Q V E I� TKK/file +� i cc: NYSDEC MHP J Jeffrey Patanjo SEP - 3 2021 howrVOM Southold Twrn ErrAromm" Deparbnent6f Lard or T'113tees z NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION - Facility DEC ID 14738-00694 PERMIT Linder the Environmental Conservation Law (E CL Permittee and Facility Information Permit Issued To: Facility: DANIEL LEBLOND, _ , s= -b. -.,LEBLOND.PROPERTY , 83 AUDREY AVE 2828 Peconic Bay Blvdl 1000-128-6-22 PLAINVIEW,NY 11803 Laurel,NY 11948 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Point: NYTM-E: 706.47 NYTM-N: 4537.021 Latitude: 40°57'29.7" Longitude: 7213247.9" Project Location: 2828 Peconic Bay Boulevard,Laurel,NY 11948 Authorized Activity: Remove and replace, in-place,a 36 foot long and a 23 foot long existing and functional jetties. All work shall be done in strict conformance with the attached plans prepared by Jeffrey Patanjo,dated 7-5-21,and stamped "NYS DEC Approved"on 07/28/2021. Permit Authorizations s Tidal Wetlands-Under Article 25 Permit ID 1-4738-00694/00005 New Permit Effective Date: 7/28/2021 Expiration Date: 7/27/2026 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:KEVIN A KISPERT,Deputy Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY 11790---3409 Authorized Signature: Date 7 I—MI,J Distribution List I Bureau of Marine Habitat Protection E C E � V E Torey K.Kouril SSP – 3 2021 Page 1 of 6 Southold Town Board Qf Trustee NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00694 Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Permit Attachments Site Plan 7/5/2021 NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS i. 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,dated 7-5-21,and stamped"NYS DEC Approved" on 07/28/2021. 2. 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. 3. 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. 4. Jetty Reconstruction or Replacement Jetty reconstruction or replacement shall not involve expansion or substantial modification of existing structures or facilities. 5. Repairs to Structures All repairs to existing structures shall be confined to replacement of existing elements with no change in design, dimension or materials,unless specifically authorized by this permit. 6. No Structures on Jetties No permanent structures shall be installed on the authorized jetties without first obtaining written department approval(permit,modification, amendment). 7. Use of Treated Wood The use of wood treated with Pentachlorophenol or other wood treatment not specifically approved by the Department for use in wetlands and/or marine waters, is strictly prohibited in the construction of structures that will be in contact with tidal waters. ] EC Q11 « 20 3 SEP — 'DD, Page 2 of 6 ii 21 Saihcid Tu;wn , ' 8u�rri i Trusties NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00694 8. 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 permit for such activities in the future. 9. 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 __ ._.K_ t__,. {„purpose of establishing or„increasing water=depth,is„a regulated activity_and is not authorized by this w r permit. Prop dredging is strictly prohibited without further written authorization(permit,modification or amendment)from the department. 10. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. 11. 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. 12. 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. 13. State Not Liable for Damage The State of New York shall in no ease 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 right to compensation shall accrue from any such damage. 14. 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. 18. 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. ► C � V E PD SEP - 3 2021 Page 3 of 6 Southold Town B and of Trusteos NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00694 16. 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 - A'pply 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. 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. 1 L> � i SEP - 3 2021 Page 4 of 6 Soutnoltl 7o1vn Board of Trustee �d� NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00694 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority tomodify, 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;Y' 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'eonditions,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. ; PD0 CE � i7 % F I SEP - � 3 2021 of hi.stees Page 5 of 6 NEW YORK STATE(DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 14738-00694 NO'TIFICA'TION OF OTHER PERMITTER OBLIGATIONS 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, y. and.agents(!__DEC'.)for..all.claims,-suits,actions,.and.damages,•to_the extent attributable,toathe.,.,.:. -. .-- 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 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 Paws. 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. C.. E_ G V E SEP - 3 2021 L_ Southold Town Boar oTruatoes Page 6 of 6 NOTICE OFCOMMENC NT OF CONSTRUCTION ' + RETURN THIS FORM TO.COMPLIANCE OR FAX TO: 631-444-0272 Marine Habitat Protection E-Mail:dec.sm.R1 MHP_BEH@dec.ny.gdv NYSDEC 50 Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER. EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: i CONTRACTOR NAME&A0DRE-S a _ _ —TELEPHONE— Dear .TEL"EPHONE ,...,_,Dear Sir: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized 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 as described in the permit and as depicted on the approved plans. We can do so in full compliance with alt 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 A T LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANYASSOCIATED 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 APPS ICABLF-SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. d Cut along this line X X X X X X X NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO-COMPLIANCE OR FAX TO: 631-444-0272 Marine Habitat Protection E-Mail: dee.sm.RIMHP—BEH@dec.ny.gov NYSDEC 50 Circle Road SUNY@ Stony Brook Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DAT � t� lLa PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: Sc�uttin;TownTELEPHONE;'. ------ 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: UA f`E THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORKAND/ORA COMPLETED SURVEY, AS APPROPRIATE_, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DA YS OF COMPLETION OF THE PROJECT. s NEW YORK- z rtn �1 STATE OF " �• OPPORTUNITY won ental M t cons � a !d L Y YNOTICI= Y t, K y The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer tothe permit r number shown -when contacting the DEC. x Regional_Permit SAdministrator Permit Number Ll SUSAN ACKERMAN Expiration Date NOTE: This notice is NIOT a permit k .y¢ I '7 LOCATION MAP N 23"07'50" W 198.QO' � N.T.S. j REMOVE AND REPLACE EXISTING 36 LF &23 rLaurel'°'' 's LF TIMBER JETTY WITH VINYL JETTY IN V OUTSIDE SHOWER SAME 66 cpm � LOCATION.SEE TYPICAL SECTION THIS PAGE FRAME MAS. PLAT / r \ p FOR 6VONSTRUCTION DETAILS GARAGE o ` i STORY FRAME 'r \� z; , o WPICA A ' C/E t HOUSE FLAG ' �. .: �,t COi POLE co rn r� MAS 116' �<� �, li:s:°•,M"',';,. 4 ' °=4 n PATIO ._ 250.93q'.� .,'� ' : -;. S 23058'30" E b 4; SITE PLAN SCALE: 1"=30' PROJECT I LOCATION \ 'PROPOSED FIR TIMBER TOP CAP b PROPOSED 6' DA. X 14' PROPOSED 6'x6' CCA WALE BOTH SIDES t4 n LONG CCA PILESt= _,,_ APPROXIMATE M .... f 2.5 p ALTERNATING AT 6' O.C. _ BOTH SIDES OF JETTY CD ' MAXIMUM c 3 coo I t JADD:EXISTING GRADE to NAPPROXIMATE M.LW.EL - 'Cb "•��1,;-��\,��\r,',� �y I !��,l/., �t''�''\�,!��/f�'j�.�\'v,"'y`.,�''``'``a'�,"�f r�f^�'"�' f S 25'02 50'E 191.49' — EXISTING TIMBER JETTY TO BE REMOVED IN ITS ENTIRETY PROPOSED IV LONG SHOREGUARD VINYL. SHEETING i 1 1 I w1 NYSOEC ARPROVED AS PER TERMS Aji July 5 2021 To Whom it May Concern, The below black and white photo was taken from 2870 Peconic Pay Blvd looking West. It shows 2828 and 2826 Peconic Bay Blvd. The photo was taken to capture the damage to bulkheads from Hurricane Carol which hit Long Island on Aug 31, 1954 and was taken shortly thereafter. • The groins marked in red are the ones referenced in the application for Daniel and Amy Leblond at 2828 Peconic Bay Blvd • The groin marked in Blue is the one referenced in the application for 2826 Peconic Bay Blvd. 2870 Beconic Bay Blvd has been owned by my family since the 1920's and the photo was taken from an old family album that contained documentation of the storm. The groins noted in the applications for the above-mentioned properties have existed at those locations since at least the date of this photo. � z ,- •i.. Sin erely SUSAN HEI-I.MU-H Robert Garehouse Notary Puhlic,State of New York No. 01 HE6123 i:10 C►u�lified in Suffolk County Commission Expires February 28,202-:5— _ w �c t ' V t�l R: ' r Photo 1 (7/21) fJ" � r Photo 2 (7/21) Iwo - . _ r JC> Photo 3 (7/21) w y ,+r Photo 4 (7/21) P. o-tSBB / SEE SEC.NO,tM mi—i F. SEE EC,NO. / �J SON PCL.NO. EE SEC.NO. ,21W-—S / / 2.1N(c) t 7 N � •li ry IY b" 4 1, FOR PGL.NO. EEE SEC.NO. m.n JI •Y tl / �� ry 3 �* T . 223 Q 15.2 5 / O1 / •rJ 4 9' V 1.3 /. a l� ) 7 t35 / "e^ Pu �If ,� r utcl B // / tSNct^ap. F tWcl r.sSO•{ __. ♦5 r �a � R 4 �T E �•"",� _�_ x till "' --- — �u �y =_^__ NOTICE69,09 COUNTY OF SUFFOLK © e souTNoLo SECTION NO CTax Service Agency Y Hr ----- --'-- ---^-- cNNNc.nN RNYNN.B.NY„p n 2. 128 ro p ecrro 1000 )i M PROPERTY MNP OFFICE LOCATION: ��� � � w MAILING O.BoDRESS: Town Hall Annex 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: September 13, 2021 Re: LWRP Coastal Consistency Review of DANIEL &AMY LEBLOND SCTM#1000-128-6-22 Jeffrey Patanjo on behalf of DANIEL &AMY LEBLOND requests a Wetland Permit to remove and replace 59 linear feet of existing timber jetty with new vinyl jetty in same location as existing. Located: 2828 Great Peconic Bay Boulevard, Laurel. SCTM# 1000-128-6-22 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. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 8, 2021 the following recommendation was made: Moved by Carol Brown, seconded by Maggie Merrill, it was RESOLVED to SUPPORT the application of DANIEL & AMY LEBLOND to remove and replace 59 If. of existing timber jetty with new vinyl jetty in same location as necessary. Located: 2828 Peconic Bay Blvd., Laurel. SCTM#128-6-22 Inspected by: Maggie Merrill, Carol Brown, John Chandler Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President �k � f " F Town Hall Annex A.Nicholas Krupski,Vice President , `` 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III r �F������" ��� z��' �' Southold,New York 11971 Michael J.Domino Telephone(631) 765-1892 Greg Williams *' `�, � � Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only 22 Coastal Erosion Permit Application ® r � C L� Wetland Permit Application Administrative Permit Amendment/Transfer/Extension JUL 2 2Q2� Received Application:l o 12.21 Received Fee: Southold Town Completed Application: 7. V-17— Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date; Coordination:(date sent): �VzcLWRP Consistency Asse sm nt Form , Sent: 2-f V CAC Referral Sent: F a -Date of Inspection: Receipt of CAC Report: Technical Review: 09 Public Hearing Held: •15.14 Resolution: Owner(s)Legal Name of Property(as shown on Deed): `D a^' L '4"'`' •� b L on Mailing Address: �3 Ao rR 4 A,e _ p a t h v t tw ,J Phone Number: 31 ' Sa l • 3 6 91 Suffolk County Tax Map Number: 1000- 12�' - o b Property Location: 212 8 P-e c o.,f c_ 19 u`1 S.ee A kke (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): ti a•�u n o Mailing Address: Q• O 0 cm t c-I N L-( 11'71 6 Phone Number: 631-q-1 q. ei33a— 5 Pk-�C-'ntmaL(. car►.% Board of Trustees Appliit,__sion GENERAL DATA Land Area(in square feet): 2 1_—7 t. Area Zoning: RIC S' Previous use of property: s' Intended use of property: S Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _Yes _'::::�No s If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓ No If"Yes",please provide copy of decision. Will this project requi%any demolition as per Town Code or as determined by the Building Dept.? .Yes ✓ No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No 3' Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? --No Yes If yes,provide explanation:, Project Description(use attachments if necessary): �8`� Board of Trustees Appli4 • ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: o�� �`'�c 5-9 L F 1►� S��/1e L.®c�.-�t•.J �+S .pct s�i� Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands. 2�b feet Closest distance between nearest proposed structure and upland edge of wetlands: 2 S° feet ; Does the project involve excavation or filling? L1.1 No Yes If yes,how much material will be excavated? . . "J �`'_ cubic yards How much material will be filled?- A' (4 cubic yards Depth of which material will be removed or deposited: N[� feet Proposed slope throughout the area of operations: Manner 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 reason of such proposed operations(use attachments if appropriate): T h t JY l,v 1 1 6e n o -c f-Pee, " ON LtJ c 1 la o d S 0&,.e '�o s'L 1-0 D et -11 ✓t' 44a P!ro CG"�. Short Environmental Assessment Form Part 1 -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: 2828 Pecornc Bay Blvd-Laurel Project Location(describe,and attach a location map): 2828 Peconic Bay Blvd -Laurel-See location map Brief Description of Proposed Action: Remove and replace 59 LF of existing timber jetty with new vinyl jetty in same location as existing Name of Applicant or Sponsor: Telephone: 631-521-3691 Daniel&Amy Leblond E-Mail: dleblond75@gmail.com Address: 83 Audrey Ave City/PO: State: Zip Code: Plainview NY 11803 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/Town of Southold Trustees/NYSDOS F17:1 W1_ 3. a.Total acreage of the site of the proposed action? 0 46 acres b.Total acreage to be physically disturbed? o 0o1 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 46 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 Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑✓ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ 7 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name•Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency.Suffolk County,Date 7-12-88 ❑ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑✓ ❑ b. Are public transportation services available at or near the site of the proposed action? ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 71 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: FV1 F-1 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,a building,archaeological site,or district 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 IZI State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑✓ ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ ❑✓ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Peconic Bay-59 LF of replacement jetty in same location as existing 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 ❑Wetland ❑ Urban m 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? Northern Long-eared Bat ❑ 16. Is the project site located in the 100-year flood plan? NO YES 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑✓ ❑ a. 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: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed) for hazardous waste? If Yes,describe: ❑ ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Daniel&Amy Leblond Date: 7 Signature: �'� Title:Owners PRINT FORM Page 3 of 3 Part 2-Impact Asses; t. The Lead Agency is responsible for the com; w of Part 2. Answer all of the following questions in Part 2 usin' ._ information contained in Part I and other materia, bmitted 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 it I smallto large impact impact may may occur occoccur _ _ i 1. Will the proposed action create a material conflict with an adopted land use plan orzoning l , a regulations? 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 ❑ I affect existing infrastructure for mass transit,biking or walkway? _ 6. Will the proposed action cause an increase in the use of energy and it faits to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? LJ 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, (—f waterbodies,groundwater,air quality,flora and fauna)? 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-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular clement 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 detennined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ECheck this box if you have determined,based of the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date cjeTn C Jk�,; President _ Print or"type Name of Responsible Officer in Lead Agency Title of Responsible Offrcer I I 4S1'7.n`aturc of Responsib a Officer in Lead Agency - Signature of Preparer(if different from Responsible Officer) i EAF Mapper Summary Report Tuesday, April 27, 2021 10:34 PM _ Disclaimer: The EAF Mapper is a screening tool intended to assist t n project sponsors and reviewing agencies in preparing an environmental { f`` J P 9 9 P P 9 1 XV-, %126.-5-0 „{ } 12$ b-$' assessment form(EAF) Not all questions asked in the EAF are 1'12$.-5-6ffx� answered by the EAF Mapper.Additional information on any EAF f� �P'`•� !/ r �, i , ,x,12$_-6�}�2 i question can be obtained by consulting the EAF Workbooks. Although 12$•-641, �1�$X6_1 a-•°� 1 the EAF Mapper provides the most up-to-date digital data available to • f J DEC,you may also need to contact local or other data sources in order • Y / f 28`6=23 1, to obtain data not provided by the Mapper Digital data is not a ti ,2 7.=$=17.5; ^ r'rf f� ti� 11 r'�l '. j substitute for agency determinations. 127-8=75f�� $.�22 f� i � �. �t4:�r:� N1,ontreal I� l 5 - j �� 128. 1277:-$' 46 2 ( `.5� t� Tomnib X12 _-6-16^12$.-6-16�� �1 • I sJ� d"{ Bip �-�Rach sler \l l� i �� 128A"-1 3. ! ' - -.r`" �r f17.�ror�_=, kraref t�trcalt _ a — 9crtcn .'V128.-6-1°7" ti .� . , � 145.40 ! � �� .,�`� _. '� � r , -,--r=`='� : _j;W.in�yl�:ania "f• r'`fgcJi�t'6s '`•1�2$�.x;13 'x� , � -�r • s - -anllin U5 9 Jrt 1� a ,I RUhTNTP,NRICan Es'n Japan.Iv1Ell.Es Chia No Konj.Es 1i( thf&?W- it fEs�Jalian R4Ell;'Bn.China iHong-Koncj Esn Y.or S ill �"nc6;t .1 L �115ti 2�ekt�lap Col li lll]llttll s,allCl the GIS' C9111111 U111t}r,r' sierlt�j52nSii• 2ttvlap sof 111117 1•�I �;12 IS 0521 C9111111 1.II111 Y Part 1 /Question 7 [Critical Environmental !Yes l Area] 'Part 1 /Question 7 [Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health, water, I Area- Identify] _ vegetation,, &scenic beauty,A_ gency:Suffolk County, Date:7-12-88 !Part 1 /Question 12a [National or State No _ Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] No � .___.., ... _�..� ,_._.�..�..a._... w ..,,__.�.....�a.....,��.....�__..._,..,..-___.��•......__.....�.�,,..._._..�....-,.�,.�...�._-�___ _�....�...._.___-.._nom 1Part 1 /Question 13a [Wetlands or Other Yes- Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15[Threatened or Northern Long-eared Bat Endangered Animal- Name] Part 1 /Question 16[100 Year Flood Plain] IYes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 Board of Trustees Application AFFIDAVIT Ot h tc L A BEING DULY SWORN (DEPOSES AND AFFIRMSTTHAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED I'ERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE.MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A.FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Sipa6hre of Property Owner Signature of Property Owner SWORN-TO BEFORE ME THIS �` DAY OF ,20,-2- Notary 0allotary Public SUSAN HELLMUTH Notary Public,State of New York No. 01 HE6123190 Qualified in Suffolk County Commission Expires February 28,20 a� i Hoard of Trustees Application AUTH01MATION (Where the applicant is not the owner) UWe, ^ c c�. AM!j L-e- to L do d - owners of thePAY ro identified as SCTM# 1000- i 2 ® 6 Z Z in the town of P Z et ,e- C .New York,hereby authorizes c to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. Prop&V Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS 6r`�L- __DAY OF C Notary Public SUSAN HELLMUTH Notary Public.State of New York No. 01 HE6123190 Oualified in Suffolk County Commission Expires February 28,20�� APPLICANT/AGENT/REPRESENTATIVE TRANSAMONAL DISCLOWU FORINT The Town of Snuthold's Code of Ethics erohibits conflicts of intcre�t an the phi of town officers and emalovecs The nuraose of this form R io provide information which can alert the tomm of tuusible onn�f lets of�lnterestand allow t to take whatever action>s tcessary to_avoid same, YOURNAME: (Lest name,fust name,griddle laitfal,unless you aro applying in the name of someone else or outer entity,such as a company.Ifso,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Tnistee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest`Business interest"means a business, including a partnership,in which the town oilieer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the Mates. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position.of that person. Describe the relationship between yourself(the applicant/agont/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space pnriided. The town officer or employee or his or her spouse,sibling,pared dr child is(check all that apply): A)the owner of greater ihan 50/o ofthe shares of the corporate stock of the appliilat (when the applicant is a corporation); l3)the legal or beneficial owner of any interest in a noir-corporate entity(whetl the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this dav ofcJ414 2024 Signattue 021111 J t Print Name e -form IS 1 APPLICANUAGENTAMPRESENTATIVE TRANSAMONAL ADISCL09M FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part oftown ofli as and emaloyecs The aucnose of this form is to ppylde tna,.n,ntion which can alert the town of Be bit conflicts of interest and allow i to take whntever action is MGM041-0-00.1d tggyoid same. YOURNAME: �.z b CQ ^t-- (Last t-(Last name,fust name,jtiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or Company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee o'" Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official asap Planning Other (if"Other.name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,murriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than5°ln o the shares. YES NO If you answered"YES'°,complete tate balance of this form and daft and sign wbere indicated. Name of person employed by the Town of Southold Title or position of that person Descnbe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe inthe space provided The town officer or employee or his or her spouse,sibling,parent,of child is(check all that apply): A)the owner of greater thari 5%of the shares of the corporate stock of the applic oat (when the applicant is a corporation); B)the legal orbeneficial owner of any interest in a non-corporate entity(whet/the applicant is not a corporation); C)an officer,director,partner,or employes;of the applicant;or LL--P)D)the actual-applicant. DESCRIPTION OF RELATIONSHIP Submitted this- dayof S--LL, 20 2-t Signature PrintNatMe or - Form TS 1 APPLICANT'/AGENT/It M"ENTAIWE TRANSACTIONAL DISCLOSUPY,FORM 0 0 , _ a �• - o of� , #oAmoki ati allow't i : YOUR NAME: (Last name,fust name,,Viddle initial,unless ou are applying yq the name of someone else or other entity,such as a company.If so,indicate the other person's orcompany's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance -.. Building Variance Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning T-- Other (If"Other",name the activity.) Do you persoitoy,(gr through your ompany,spots sr'blin#g paront,or child)have a relationship with any officer or employee of the Town of Soutliold? "Reiafl-6616p"includa,by;blood,,UWrt; flt busu illkIcs'"Bus`uinterest'mean a business, including spars mshi.#•which the town o#ficwor employee-hass evert a pWW ownership of(or-ernploymWby)a corporation in which the town 64eeroremployee bwnsrmbre than,S%of the shares. YES NO ✓ ; If you answered"YES",complete the balance ofthis foam and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agentimpresentative)and the town officer or employee.Either check the-appropriate line A)through D)and/or describe inthe space prodided. The town officer or employee or his or her spouse,sibling,parent;or child is(check all that apply): A}the owner of gneatet:than$%Oft.shmm of't ,corporate stock bfthe appiiept. (when the'spoliC�tt is a corporation); B)the legal or beneficial•owner of any intrW:ia n nor4tigorete entity(Wlio the applicarrt•is not u=i�titpofstibnr C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submittedthis Z'-' dayof APtit 20?,( �i�nt� !1✓1�:, Form TS 1 r PrintName�4,r�,� K�.��d., - A I 1 Glenn Goldsmith,President o�QS�FFU('{-co Town Hall Annex A.Nicholas Krupski,Vice PresidentG'yJ, 54375 Route 25 John M.Bredemeyer III cz P.O.Box 1179 Michael J.Domino �'7 Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES F TOWN OF SOUTHOLD August 23, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of Daniel &Amy Leblond 2828 Great Peconic Bay Boulevard, Laurel SCTM# 1000-128-6-22 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. Very Truly Yours, 41enn Gol mith, President Board of Trustees Glenn Goldsmith, President 0,9 Town Town Hall Annex A.Nicholas Krupski,Vice President yl y' 54375 Route 25 John M.Bredemeyer I11 , AY P.O. Box 1179 Michael J. Domino y ���' Southold,NY 11971 Greg Williams ��Od ���;-' Telephone(631)765-1892 ?zzzxxr 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://www.southoldtownnV.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche",- go to bottom of page and click on "pg 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order Click on the name of the application to view the file. J i Glenn Goldsmith,President ��$UffOj'f`CO Town Hall Annex A.Nicholas Krupski, Vice President ,��� Gym 54375 Route 25 John M.Bredemeyer III y z P.O.Box 1179 Michael J.Domino O Southold,NY 11971 Greg Williams ?,ho gyp! 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. Board of Trustees Appli '`-.ion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME NAME: J fR I I " � a3 - "S'P'ATE-OF NEW YORK :iCOTJTNY:O 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 320 Notary Public September 14, 2021 Town of Southold Trustees E C E P W E Town Hall Annex Building �D ' 54375 Rte. 25 1 SEP 2 0 2021 P.O. Box 1179 Southold, New York 11971 Southold Town Board of Trustees RE: DANIEL&AMY LEBLOND 2828 PECONIC BAY BLVD. -LAUREL SCTM No. 1000-128-06-22 POSTING AFFIDAVIT Dear Trustees: i Attached please find posting affidavit for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 J Glenn Goldsmith, President �'O�QSFVFF����'0� Town Hall Annex A.Nicholas Krupski,Vice President p1�� 2J, 54375 Route 25 John M. Bredemeyer IIIy zy P.O.Box 1179 Michael J.Dominory�r� Southold,NY 11971 Greg Williams � p�,�Y 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 DANIEL & AMY LEBLOND COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE 1, residing at/dba {� l7.`�U� 5732- TXJ-k Iq QQ 11-711p being duly sworn, depose and say: That on the-1 day of�,�-- , 202-1 , I personally posted the property known as c9p)a 6 nyya I- a- con;c Zcz, I `iya LaLre I k i l 19 u b 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: ILA t 304k 0 (s' natu Sworn to before me this I LI day oap,�20 2-1 JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01GE6418131 Qualified in Suffolk County My Commission Expires 06-01-2025 r, l September 7, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: DANIEL&AMY LEBLOND 2828 PECONIC BAY BLVD. -LAUREL SCTM No. 1000-128-06-22 MAILING AFFIDAVIT Dear Trustees: Attached please find mailing affidavit and receipts 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, , ovP - J rey Patanjo P.O. Box 582 Bohemia, NY 11716 u Ll SEP 1 3 2021 Sou�gald Tu'1df1 Board of Trustees Board of Trustees- Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: 1000-128-6-21 Paul Yau 1000-128-6-12 Melissa D Hobley Alison Ross PO Box 338 11 Riverside Dr Apt 4-UW Laurel,NY 11948 New York, NY 10023 1000-128-6-23 1000-128-6-11 Dimitry&Tatyana Baron Gatehouse Susan Revc Trt 220-35 77th Ave 58 Sonoma Ln Oakland Gardens, NY 11364 Middletown,CT 06457 "STATE OF NEW YORK COUTNY`OF SUFFOLK residing at P 0 A�C66 SM `tilCg Icy L 11'(1(® being duly sworn, deposes and says that on the '� day of_5W , 20 ZI , 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 ,7 that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN REC T. Si a e Sworn to before me this Day of 12021 JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01 G E6418131 Qualified in Suffolk County ary Public My Commission Expires 06-01-2025 : service P0 ' • CERTIF © RECEIPT . IED MA112 RECEIPT CERTIFIED, (mU e. o e. Only � Ln 1 � [� Certified Mail Fee e q f r- Certified Mail FeeC3 C3 Extra Services&Fees(check box,add lee as eppropnate)a t%y Extra Services&Fees(checkbox,add Wes eppropnate) q 4! ❑Return Receipt(hardcopy) ElReturn Recelpt(hardcopy)rq $ ✓; ., C3 ❑Return Receipt(electronic) $ E;`- 1, c�Q posTma r ❑Return Receipt(electronic) $ r P0�9tm8 frkl ❑Certified Mall Restricted Delivery $ 'c�` \J ' ❑Certified Mall Restricted Delivery $ �.;6. c !t Q _ 1 Her% ry tir Here, ❑Adult Signature Required $ E,-�/ �� g p []Adult Signature Required $ - 1 ❑Adult Signature Restricted Delivery$ \,��'`� 1�'�, i E]Adult Signature Restricted Delivery$ 0 Postage °�-- " C3 Postage r $ --— - - N T ru 1000-128-6-21 I ru Td g Paul Yau ig' 1000-128-6-12 Melissa D Hobley II i Er Si Alison Ross j o s PO Box 338 L--------------- Q Si 11 Riverside Dr Apt 4-UW r` Laurel NY 11948 C'- New York, NY 10023 --------------- Pibstal.CERTIFIED MAIL ' RECEIPTf I UN Ln e. - o m e. o Ln Lr) _ 0 r &PLEyi ' + V- Cerhfied Mall Fee p r, Certified Matl Fee Extra Services&Fees(checkbox,adrk ftas eppropn$te �^ Extra Services&Fees(checkbox,edd fee as eppropnate) "`'it [Ir'i Return Receipt(hardwpy) ❑Return Receipt(hardcopy) $ ! •N -�' 0 ❑Return Receipt(electronic) k, q Postmark � ❑Return Recelpt(electronic) $ Certrfied Mail Restricted Delt ,`�` PastmarK � ❑ �_ �fi Here � El Mall Restricted Delivery $ a• .0 s ❑Adult Signature Required $$�� I�, C3 ❑Adult Signature Required $ ❑Adult Signature Restdcted Delide';e 44q []Adult Signature Restricted Delivery$ `i l(�• g� C3 Postage paw �t I0 Po�tane----co ru -- �� - { —� rU r= ��" {~ rU T 1000-128-6-11 $ 1000-128-6-23 g Gatehou °' ° se Susan Revc Trt s Dimitry&Tatyana Baron -' r a r-a 58 Sonoma Ln M s 220-35 77th Ave - I C3 Middletown, CT 06457 I N Oakland Gardens, NY 11364 r` � ic -------------- :rr t r. rrr•r• :rr I ' r r ror•r. I ' I NOTICE F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees both in-person and via the online Zoom platform. OWNER(S) OF RECORD: DAVID & AMY LEBLOND SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove and replace 59 linear feet of existing timber jetty with new vinyl jetty in same location as existing. Located: 2828 Great Peconi,c Bay Boulevard, Laurel. SCTM# 1000-128- 6-22 TIME & DATE OF PUBLIC HEARING: Wednesday, September 15, 2021 — at or about 5:30P.M. — Either in Person or via - J 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. 211; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold WIRP' '_ %= SESSNIENT FQ_RM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a Mermi Cation of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Raaard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A. migsed action unll be evaluated as to it's s be tial mid advert olds u on the area whin incl all rif outhold`f wa 3If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each gMNLej mgM be.e I ' ped in d hs ' both d noaa- MgorUfa . If an action cannot be certified as consistent with the LWRP policy standards and conditions,it;,ball&be,undert�ken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# L2-K & PROJIGCT NAME -2,;6&9 �-�coi, L (3 LYeQ L cc v re The Application has been submitted to(check appropriate response): Town Board ❑ Planning,Board❑ Building Dept. ❑ Board of Trustees I. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g grant,loan,subsidy) (c) Permit,approval,license,certification: L Nature and extent of action: �Lt�.,•�u� uM d2 ,rc�(cw �`f "Er of I- II ) I I11 4!L{k ^09 J V t N (� ��i t in S*^e 0 nn s► Location of action:_. 8 T Site acreage; 0 • �� Present land use: (�J Present zoning classification: (45. . a f 2. If an application for the proposed action has'been filed with the Town of Southold agency, the following information shall be provided: ' (a) Dame of q�plieard-. Y wti►w�- �'�r,'� .c�y l (b) Mailing address: f 3 i4 r A vac (c) Telephone number:Area Code( 6��• s Z I — 3 9/ (d) Application number,if any:: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes [—] No Q If yes,which state or federal apucy� C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. ; Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY S Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes 0 No Not Applicable �o . G+�st •lan-� ujt4l al It ,ti,a �d rf-iif Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-�--P-ol�icies Pages 3 through 6 for evaluation criteria 11 Yes 0 No LJ Not Applicable i • � —.I ! �.i`���F� rti�ti 4 /1�11Y1d.1ri!YY► D C•Ff�G wa AttaS?�t�8�1@8t8 if itBCRSSBTj' . . . . - - . Policy 3. Enhance visual quality and protect-seenie resources throughout the Town of Southom See LWRP Section M—Policles Pages 6 through 7 for evaluation criteria Yes No Not Applicable NA Vida COASTPOS CZS Policy 4. Miinimbe loss of life, stt uctams,.and natural resources from flooding and erosion, See LVtI+ Section M--Pe ides Pages 8 through 16 for evaluation crlteria EfYes'O No 13 Not Applicable Qro et rofiie--ESe rva6.'If len Attach�•s�ats' neeessaey .. , e . ... ..: . , . . . . .. ..._.- . .... .. . .. Polley S. Protect and improve water qual#y and supply in the Town of Southold.See LWRP Seetiolt m PaNdes Pages 16 through 21 for evaluation cariteria YeaEIL--I No R-- Not ApPli+caible Ch a if;0- 88Egy Nagy 6. Protect and restore the quality and f1mcdon of the Town of Soa&thold ecasyaftms Including scant Coastal Fhh and WAMe Habitats and wets. See LWRP Seedon M—Policies;Mages 22 through 32 for evaluation eriterla. Yes No Not Applicable AO'0 1 S a4ld�t�W1�ShBetS 1�II6Gey _ -. s Pe icg 9. Protect and improve air quafity in the Town of 894hold. See L'WW Section SII—policies Pages 32 through 34 for evaluMon criteria Yez'O-Woo�Not Applicable Attach Z d�idansl meets ifneceiwy Policy S. 1Vfin6nize Environmental. degradaflon in Town of Southold from solid waste and hazardous substanewandwates. See LWRP 5eetion M—Peres;Pages 34thnuo 38 for evali lou"ter{a. Yes No u Not Applicable PUSUC COAST POUCERS Policy 9. Provide for public access to, and recreational use of, coastal wat m,public lauds, and public resources of the Town of Southold. See LWRP Section M--Policies;Pages 38 through 46 for evainatflon Ye No Q Not Applicable -U-IL CIL Fjt r, races a ,Q A Sc��-C tci S 'tom wrn-t?/Z Attneh addit�tonel sheets ifinec�esry . WORIMG COAST PaOLfCEMS Policy 10. Protect Southold's water-dependent uses and promote sift of My water-ftendent am in sellable locations. See LWRP Section III—Policies;Pages 47 through 56 for ef►aluatiou criteria: U Yes .0 No [3'Not Applicable Att�cha�s1 its If nerese�ry - , Poliq 11. Promote sustainable use of living marina .resources in Long bland Sound, the Peconic Estuary and Townwaters.See LWRP`Section,M—Policies;Pages 57 through 62 for evaluation criteria. t....t Yes No 13/Net A, pplicable A r ro .e Atlact+addi#i+�atsh�ts ifnecessary -- . , . .- . Policy 12. Protect agricaltaral lands in the Town of Soutltgld. See LWRP Seedori M--Polieles; Pages 0 through 65 for evaluation criftrL% Yes No D Not Appficabie At�1t a�std$f'itecae�saty . Policy 13. Promote appropriate use and development of energy aad njunal resources. Bee LWRP Section XII--Polfcies;Pages 65 through 68 for ovaluataion ctftria. ,Yes 0 No B NotApplicable PA 4^A PRVAM BY ___. �, s. /4- DATE I-27 July 5, 2021 Town of Southold Trustees ® �j C E V Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 JUL 12 2021 Southold, New York 11971 Southall Town RE: 2828 PECONIC BAY BLVD. —LAUREL B and of Tru tee SCTM No. 1000-128-06-22 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 ours, Je rey Patanjo P.O. Box 582 Bohemia, NY 11716