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TR-10026
Glenn Goldsmith, President QF SU!/Ty Town Hall Annex A.Nicholas Krupski,Vice President ,`oOld 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III [ Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 c4UM`I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72'HOUR8 PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre=construction; hay bale line/silt boom/siltcurtain 1St day of,constructibh - % constructed _ When,pr`oject complete, 'call for compliance inspection.;, - - ;;pie°vio:•:.- •iai`e'si' ai'io'�i .onoi., _ pedeti oeoe;.- :oiiai Ses�p.• ,r'�,:a'rTiieaiee;�.,`r.,), ;'i•C fz9 ^ - •'�° / 94°�i�.,� .�S r s:;' .`•' � ii io• '•-_ -- r �0°e�.a;i%,t'///g�'• :o`I 11 Igggr ,o�lllll 411//%0••' •01111 9App�ie:, ^'°1111 IA/g+'•• C IIN1 1111/+e•• 11111 4A..wD �qs1 , _ _ _v ���J�S✓� Swg '4:. ��iJa�.T �"'�, �• Ic `,fFs`;T a '•1\i- - e e .i%�.�• e •�. � �v.' e 1��ev r%� )I/ a' 1 m I'�'�a "- o /p .%` ti/�.��a.� a"�;. rF;z\. _ - f e N \i _� s lil^l:. �•;z� _� 1�a =•�.,. _v i'��\ ;=fir. _ �'�,�4s�.�.�0'9; grcVHrrv;,rv\.nv,e.,u4 V,unv`fv./vv r 4c:- '.a .�.,,.....,,,..,....,,2.,, S..„!.'.n 1551^�.�... 5��'."..5'R.,•..G^:. .f.,,.KAt,,.,lJ',�.L4A�,Su'�Q�e�:G�%Livw`1��5"'E<;l%S!EGCI,pvalrlYJYJ2dYV.6irv5�8C41�Ati\,mYpin�,%`r!'!�y!!EV$1�,.�l.�u`{�Yl:�'J'4w1J�„�,.y�$uCS+I"in44,�,a.g1m+!rlMS:1Sryo.uu (a\4�- a5' - - �� R= BOARD OF SOUTHOLD TOWN TRUSTEES ® SOUTHOLD, NEW YORK Tidy A 4 1-0�A��'_;1`•`" z s1; PERMIT NO. 10026 DATE: NOVEMBER 17,2021 RIM ISSUED TO: KRISLEN MANAGEMENT CORP. c/o EDDIE TORRES& KRISTINA HOSCH Awa ; PROPERTY ADDRESS: 55755 C.R. 48 GREENPORT � " MIX SCTM# 1000-44-1-15 AUTHORIZATION 4 , � .. Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in > n }' :ems y, ', . gym;. a a. accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 17, 2021, �q:�< - r� and in consideration of application fee in the sum of$250.00 paid by Krislen Management Corp. and subject to =;`' the Terms and Conditions as stated in the Resolution the Southold Town Board of Trustees authorizes and N' permits the following: Wetland Permit to construct a 25' long return (13' north to south and 12' east to west)situated r ; 11 in an "L" configuration as an extension to existing bulkhead return; and as depicted on the site plan prepared by Michael A. Kimack dated September 5 2021 and stamped approved on 61 November 17,2021. '}3 •�,res IN WITNESS WHEREOF, the said Board of Trustees herebycauses its Corporate Seal to be affixed and these rp , fig . presents to be subscribed by a majority of the said Board as of the 17th day of November,2021. �s,aG` C2 C seTVJ - gu�rOC e��n�gt:i�;<.siF ?` - 3 _ yf .Q• Si(u� .i„5'7,2J',ui+"u`iY•Sfi,:�:;`:G7\i`.SiiiF i�riFZv;4„u?iit��\;,,ni.9.,•,.rS?i3,n.iYrv',�Ry`S�ibiir�"`4�\r,`,C„4itrv5 ^i "�iL'u »r.:,ina;;;;eS7;. :',^.�,,3th vU'u, •n;l;rrn"';r.;�p4;dNr,L7e•:n' °�L;,{, ' .:•rtcR�A"rA``' '.�"'":[?r,�.:..r.rmm"'""` '�."^rymr.gm\,n,.m+�!"''�'• ?''�%^'�mm�...�.,,.mmn"""`F +„�� '' „-.,...1 0 '� ,'; =>,e e,a .;,A 11;.Y• •.o I,u.r = °;A eoe, •ve 1° - ,,/ � Lf. ,� sae,,., �# 10 ° ,gal°b Hr�..°• .epAA 110°.� •.:ellb 10-0ee .r A 1° ' ' - _- eb.:::✓'-� -.:.:. - - '•:::.4::• _ -- ::::<:.°,.s: .;�r8�_4�41:,�'•- •:ee`be o�c. - TERMS AND CONDITIONS The Permittee Krislen Management Corp. c/o Eddie Torres & Kristina Hosch, residing at 55755 CR 48, Greenport,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances wan-ant, 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 pen-nit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perfonn 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. i o Dwelling 0 Long Island Sou (� r 1 EC� ClWE i Retaining Walls wood deck SEP 2 7 2021 L] i Existing Bulkhead Southold Town Board of Trustees N Stone Patio Three (3)6-x 8"Whalers to match existing 13 Ft. 9 Ft. 25 Ft. 18Ft. Proposed Retaining Wall 114- 8-Pilings @ 6 Ft.O.C. 65 Ft. Existing Grade Match Vinyl Sheathing i 4 Ft.to Match Existing Grade to existing I Retaining Wall Detail Scale: 1 Inch= 10 Feet I I= 7Ft.to grade APPROVE DJiY p9 p� 4 Ft.7-to Grade Existing Grade BOAR® OF i RUSTEES EDDIE TORRES & KRISTINA HOSCH TOWN OF SOUTHOLD 55755 CR 48, Greenport DATE 1V0~ Ilj ZgZ4 { Retaining Wall Detail i PROPOSED INSTALLATION OF RETAINING WALL Scale: 1 Inch = 10 Feet i t7 TO STABILIZE PROPERTY CORNER FROM i ADJOINING PROPERTY EROSION By: Michael A_ Kimack Dated: September 5, 2021 Glenn Goldsmith,PresidentO��QF so�ryol Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G • Q Telephone(631) 765-1892 Greg Williams 'Q Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 19, 2021 Michael A. Kimack P.O. Box 1047 - Southold, NY 11971 RE: ' KRISLEN MANAGEMENT CORP., c/o EDDIE TORRES & KRISTINA HOSCH 55755 C.R. 48, GREENPORT SCTM# 1000-44-1-15 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 17, 2021 regarding the above matter: WHEREAS, Michael Kimack on behalf of KRISLEN MANAGEMENT CORP., c/o EDDIE TORRES & KRISTINA HOSCH 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 September 27, 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 November 17, 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 B"oard 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 KRISLEN MANAGEMENT CORP., c/o EDDIE TORRES,& KRISTINA HOSCH to construct a 25' long return (13' north to south and 12' east to west) situated in an "L" configuration as an extension to existing bulkhead return; and'as depicted on the site plan,prepared by Michael A. Kimack, dated September 5, 2021, and stamped approved on November 17, 2021. - Permit to construct and complete project will-expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months"of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Glenn Goldsmith President, Board of Trustees GG:dd o�oSOFF01A, o Glenn Goldsmith, President ,� y Town Hall Annex A Nicholas Krupski, Vice-President y $ 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 Michael J. Domino A Southold, NY 11971 Greg Williams of �o Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: KRISLEN MANAGEMENT CORP. c/o MIKE KIMACK Please be advised that your application dated September 27, 2021 has been reviewed by this Board at the regular meeting of November 17, 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) 11 Day of Construction ($50.00) '/ Constructed ($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. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees Glenn Gol( i, President NQS; �C Town Hall Annex A.Nicholas Kr^J"____, Vice President ��p Gy54375 Route 25 John M. Bredemeyer III y P.O. Box 1179 Michael J. Domino 0 Southold,NY 11971 Greg Williams 4,1 �ap� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Michael Kimack on behalf of KRISLEN MANAGEMENT CORP., c/o EDDIE TORRES & KRISTINA HOSCH requests a Wetland Permit to construct a 25' long return (13' north to south and 12' east to west) situated in an "L" configuration as an extension to existing bulkhead return. Located: 55755 County Road 48, Greenport. SCTM# 1000-44-1-15 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other ,zfumey of Proper Amtmmmnoque W+ •44-J - IS ► ' � '' r[ G7 2021 r , South 71d Tawn Board f Trustees CA of Io oil (4.0) (CI.) trod} of lop &r Pq 6 ysa� ` � �rttC •' 1 ��y i �, ,,�` •..,.,...•• ^�,�� .+H,«.� /(moi t`') Lor4 7.4; May 20,2M 0 k6vt M,FtLber 6I6Q'l .pc� X74 46,51 - 0- �a � s U.015 A4rog ®.Its Acres DwelEing 0 Long Island Sou (� 0 „„ r E C E U ' l i Retaining Walls wood deck SEP 2 7 2021 i Existing Bulkhead Southold Town Board of Trustees ^' Stone Patio Three (3)6'x 8"Whalers to match existing 3 Ft. 9 Ft. 25 Ft. 18Ft_ - � 1 - Proposed Retaining Wall i 8" Pilings @ 6 Ft.O.C. 65 Ft_ Existing Grade ' Match Vinyl Sheathing 1 4 Ft.to Match Existing Grade to existing Retaining Wall Detail IF Scale: 1 Inch = -10 Feet I S 7Ft.to grade E 4 Ft.7**to Grade � �n9 Grade EDDIE TORRES & KRISTINA HOSCH 55755 CR 48, Greenport Retaining Wall Detail PROPOSED INSTALLATION OF RETAINING WALL Scale: 1 Inch = 10 Feet TO STABILIZE PROPERTY CORNER FROM ADJOINING PROPERTY EROSION By: Michael A_ Kimack Dated: September 5, 2021 u of Property1,, Pimd�. SEP 2 7 202111 fes„; c 0outhold 'Ry, ` n C7 U oard of� Tr 1 NV"29 -- lop , 1 1 � s Land OF ' Gorwln oil &rmos14 AI ra y1 p� T to ftb�'2U3Q - RdfarenG� Dead t H.FORLbor 6160 � P 3'14 �+ 197 Da)= = M5L - lidW 831 -T22-ICKW hrea to VV4M = 0.013 Ae re9 7 3 -. (1)Torres Residence Taken :Sept. 3,2021 Looking WNW x Azz 1 i j 71 _ } V- M.- •�.aw 2 ) Torres Residence Taken Sept.3,2021 Looking SW r �I Y { i f 10 (3)Torres Residence Taken Sept.3,2021 ! ` i Looking SW All 4 s 4 Y (4)Tortes Residence Taken Sept.3, 2021 41 Looking SSW 4 �c L ;r I 171 Vf IV n# IL e IX _ 1 / e�� 'NC xrv��-4� gnu. 71 cou�B��e Y 5� i � O _ oNc r p p F •a 4TY+� COUNOF SUFFOLK ------ Oe..y — ftealropeMx�aSennApenty v as sera OFFICE LOCATION: �� ��"� �G MAILING ADDRESS: Town Hall Annex w P.O. Box 1179 54375 State Route 25k Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971a Telephone: 631 765-1938 4 01 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: November 15, 2021 Re: LWRP Coastal Consistency Review for KRISLEN MANAGEMENT CORP., c/o EDDIE TORRES & KRISTINA HOSCH SCTM# 1000-44-1-15 Michael Kimack on behalf of KRISLEN MANAGEMENT CORP., c/o EDDIE TORRES & KRISTINA HOSCH requests a Wetland Permit to construct a 25' long return (13' north to south and 12' east to west) situated in an "L" configuration as an extension to existing bulkhead return. Located: 55755 County Road 48, Greenport. SCTM# 1000-44-1-15 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 and therefore CONSISTENT with the LWRP. 1. The feature meets the definition of a bulkhead. 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 ,50 FOJ/re 'IPA John Stein,Chairperson �A Town Hall,53095 Main Rd. Lauren Standish,Secretary COD n� 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., November 10, 2021 the following recommendation was made: Moved by Caroline Burghardt, seconded by Maggie Merrill, it was RESOLVED to SUPPORT the application of KRISLEN MANAGEMENT CORP., EDDIE TORRES & KRISTINA HOSCH to construct a 24' retaining wall in an "L" configuration as an extension to existing retaining wall to contain erosion from adjoining vacant lot. Located: 55755 CR. 48, Greenport. SCTM#44-1-15 Inspected by: Caroline Burghardt, John Stein Vote of Council: Ayes: All Motion Carried Glenn Goldsmith, President ,�i' . t*�C /j��r' Town Hall Annex 'Y ``�" 1 Ci7v `> 54375 Route 25 A. Nicholas Krupski, Vice President �J ��' g.. '. John M. Bredemeyer III P.O. Box 1179 ` � t��R Southold New York 11971 ria >. y7t n `j3'x6' �+ � , Michael J.Domino tl z�? -� IN �" r �' ri, ti! Telephone(631) 765-1.892 Greg Williams yea 1�' Fax(631) 7M-6641 11141 7 , -_ ;r r- BOARD OF TOWN 7['RTJSTEES TOWN OF SOUTHOLD SEP 2 7 2021 This Section For Office Use Only i Southold Town _GCoaslal Erosion Permit Application I L. Rowd nf Trustees Wetland Permit Application Administrative Permit Amendment/Transfer/Exten�''on iZeceive.dApplication: Y,27.2_l�_ eceived Fee: $ 250.M _ ____ Completed Application: �cf.eq.,Z4 'T Incomplete,: SEORA Classification: Type I__ Type II Unlisted!_ Negative Oec. Positive Dec. Lead Agency Determination Date: ___;'�oordination:(date sent):__ ___ ✓✓kWRP Consistency Assessment Form Sent: `✓ I AC Referral Sent: 10 MA Wad /Date of Inspection: /I Receipt of CAC Report: _ Technical Review:_ Public Hearing Held: _fl.LT=o'- " j Resolution: i Owners Legal Name of Property as shown on Deed): >J1P' filosetv Mailing Address: �7 �� ��/�/ �' 6,42BWP.gMt-, 60210, 61 �_-- Phone Number: Q 7 — Suffolk County Tax Map Number: 1000 - _44- 1- 15 _ Property Location, 5—T-79Y CA 49 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): fA kIA5f,4 C/f _ Mailing Address: _ p -,7Ur f Qom_ ro rJ�, 0 AVy X19 7� _ Phone Number: 676 6�8 Email: A).67– Cord slela IIl11al I Board of T'rusi;;ees Application GENERAL DATA 6AreaLand Area(in square feet): 76-- Area Zoning Previous use of Property:' :---/_�7.�L Intended use of property:,� �=J���GNJ�[ �IIIL V Covenants and Restrictions on properly? _ . Yes �No If"Yes", please provide a'copy. — i Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept, pzfior to a Board of Trustee review and Elevation Plans will be required, i i Does this project require a,variance from the Zoning Board of Appeals? ' Yes No If"Yes", please provide copy of decision. ..... f Will this project require any demolition as per Town Code or as determined b�l the Building Dept.? ._._.______.._YeS _._ f�No Does the structure (s) on property have a valid Certificate of Occupancy?_ Yes No Prior permits/approvals for site improvements: I Agency Date v No prior permits/approvals for site improvements, Has an � y permit/approval ever been revoked or suspended by a governmental ag�ncy? No Yes Lf yes, provide explanation; Project Description(use attachments if necessary): Z4 6Z; z �,�_X�1' L�► 41N1�L(�ALL r/O CO OQ�I �1/�� VA _t Board of Trustees Applioatio WETLAND/TRUSTEE LANDS APP'LICATIO� DATA Purpose of the proposed operations; _� 2770 Ac Area of wetlands on lot: , 0 square feet Percent coverage of lot; % j Closest distance between.nearest existing, structure and upland edge of{wetlands: _—Q__feet Closest distance between nearest proposed structure and unland edge o wetlands: . feet _ rJ Does the project involve excavation or filling? ----rrv_.No . _ Yes If yes, how much material will be excavated?, ,_ AL6_A/L�cubic yards How much material will be filled? ;i ( cubic yards �- Depth of which material will be removed or deposited; AV, fdJet Proposed slope throughout the area of.operations; i Manner in which material will be removed or deposited: j I '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): i i 617.20 Appentlix B Sltort Environnleritnl A,vs'essrrter7l'Forrrr lttstructious for{atmpletir3 i 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 inlay be subject to further verification Complete Part I based on information currently available. If additional research or investr ation 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 Irrformation Name of Action or Project: I IV Il- Project Location(describe, and attach ra location map): Brief Description of Proposed Action: ® CL cam" 24 )t R,�7,V/ V/A CS U / s'lov 7"0 A41 co�VrAIo Name of Applicant or Sponsor:- Telephone:,�/� 6 _ 0 7�.4 N, E-Mali r LCcI�_ (!z Z0 Address: T /�•,(��- _ _ _ �1,c_�o4.-i City/PO' State,, Zip Code: i 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YF,S� administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that �] j may be affected in the municipality and proceed to Part 2 if no,continue to question 2, j 2. Does the proposed action require a permit,approval or funding from any other governor ntal Agency? NO- YES If Yes, list agency(s)naive and permit or approval: ElYTPOi � c 3.a.Total acreage of the site of the proposed action? — acre-l b.Total acreage to be physically disturbed? It 0 acre$ c 'Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action ©Urban []Rural (non-agriculture) ❑Industrial []Commercial jXResipential (suburban) ❑Forest ❑Agriculture ❑Aquatic []Other(specify): , ❑Parkland — Page 1 of'4 !I 5. Is the proposed action, a.A permitted use under the coning regulatiowo N'n 1'GS b.Consistent with the adopted comprehensive plan? �� ❑� 6. Is the proposed landscape? action consistent with the predominant character of the existing buil) natural —_l NO YES� ❑ 7. Is the site of the proposed action located in,or does it adjoin;a state listed Critical En ironmental-Area? NO YrS If Yes,identity: 3, a.Will the proposed action result in a substantial increase in traffic above present lels? ,NO -YES b.Are public transportation servicc(s)available at or near the site of the proposed action? - Eli c.'Are any pedestrian accommodations or bicycle routes available on or near site ofthle proposed action? __- ❑ 9.Does the proposed action meet or exceed the state-energy requirements? ___L _ T ""- "- If the proposed action will exceed requirements,describe design features and technologies; NO Y65 10. W i I I the proposed action connect to an existing public/private water supply? If No,describe method for providing potable water. "�►'��, 11.Will the proposed action connect to existing,wastewater utilities?yam—' � NO YE?5 If No,describe method fbr providing wastewater treatment: 12, a.Does the site contain a structure that is listed on either the State or National Regi,tett of Historic NO YC, Places? b. Is the proposed action located in an archeological sensitive area? L rNr 13 a Does any portion of the site of the proposed action,or lands adjoining the proposed ction,contain ------IN0__ __•_"_'� wetlands or other watcrbodies regulated by a federal,state orlocal agency? ❑ - b. Would the proposed action physically alter,or encroach into,any existing wetland or�waterbody? �( r� If Yes, identify the wetland or waterbody and extent of alteiations in square feet or acres: �I LJ 14. Identify the typical habitat types that occur on,of are likely to be found on the project site. Check all that apply Shoreline ❑Forest ❑Agricultural/ rasslands € g g ❑Earl rid-successional r ❑ Wetland 71 Urban Suburban l 15. Does the site of the proposed action contain any ypec,res of animal,or associated habit t$,listed NO A,ES by the State or Federal,government as threatened or endangered? -- 16. Is the project site located in the 100 year flood plain? __- -- ---�_-___ NO_ YIDS 17, Will the proposed action create storm water discharge,either from point or non-point so'n•ces? IfYes, I -— —�- NO YES —y a. Will storm water discharges now to adjacent properties? ❑NO :story�n E:S I b. Will storm water discharges be directed to established conveyance systems(runoffand drains)? If Yes,briefly describe: ONOE;S Pagel, of 4 I l I I I 18. Does the proposed�d action include cois �...nt o �.,...— p P - h•uclion or other artiviues that result in Ihc. impoundment of NO 1 14 water Or other liquids a retention pond,waste lagoon, dam): –~ .. If Yes,explain pUrpose an(]size , 19 I las the site of thero osed action or an P p n adjoining pro ert b_..� location of �.�–......�.�� �..�__.. p y been the lot an uctive or closed NO solid waste management facility? —..�a�._.... If Yes,describe: nom acted for hazardous waste 20 I]asthe site of the prop adjoining property been osed action or an � 1etr7edrPtt.�.� � _ g p p ty n the sub'eet o�f ion(ongoing or NO V L 5� If Yes,describe; ..— KNOWLEDGE ...... I AFFIRM THAT NOWEGCT THE INFORMATION PROVIDED ABOVE' Ins TRUE AND _...T IT'W ST A C..LtRATE TO THE REST OF My j Applicant/sponsor nam ue� ...e_ _... ��. �� ,• . � ��w°° �, ..�.,, ._ Signature:�naten•e: - I"Art 2-Inipaae t Assessment. The I e,ld Agency is r c.sporlsihle for the a.omplelim, oI ),,irt'2. Answer rill ofthea following elirCtitins in P in 2 rising tlw Comained ill Dart 1 111,tlr.r411a srrInnitted by thea hrorlew t �Jlor�ic'ror �tltety use rt�ntlal,ale ria rive rat i v e�, When o-iri,�uergrvfd PPie r1ue�Rotarvw tl'ra Feview i shirri,ild I.e gr.ilrfed i y,w the.concept "Have my re pniises fvecia rcat milvlc°cons ider'irrl,Ilse scale and eeante xt of the lvrop¢>,e;d iictinn a,,, No, or h10 .,..._ ulcra(e large impact impsld may may h rWill gulatthe proposed actio occur occur �...—.......,,..�.,_� n material cont,.....,. n create tier with an adopted p d land use plan or zorirvg Ona in a chmmge in the use or intensity of Lase cif land? —� 2. Will 3�Will proposed tie 11 _ �..action icsult qualityexisting 4V i 19 the... _...._.—�..�... a�, community? c ra osed action _ proposedtmparr the character or unlit of the an im mental the environmental characteristics that ttariea proposed proposedaction have I Area(CEA)? the �.•� establishment of C;riticai Environmental – n -- .. 5 Will the affect existingiitfi•astructure frcvr mass transit, biking of walkway? � ar(Icgcrr u Icsel oftr 15. Will theProposed e ch^vrx >e in the existon.. c retia in ,in adverse _ an increase the a tion noes servation orrrenewable ense rerg Opportunities')incor ortrte u io�o,ree�l action c 5Y and it farts p T Will®Ihrbpw`ulable chic"rgy m impact t I p ' p t existing, a. public/lWivate water supplies? Wastewater treatment utilities? 8. Will the proposed action rm air tilt,character or quality f. _,. u is( rivets _ p p ... resources?._ m.. P _ ; yofirnpoitair( hrstoric archaccafogiurrl, '� 9- Will the proposed action result in�uv t.,. . E-1� arc,hrtec.tuial or�ieSltre(9c, mm adverse change k>nutu al resources e.F caperurcfl,,. ...� I y _. ria)? wtterbod�e groundwater,all-c i,ralil flora and tau. . _. . . i Page 3 o f•4 No,01. small 00 impact impact rilay may occur occur 10. W I I I the proposed action result in an increase in the potential for eros ion,flood I ng or dra I' ge 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 inay 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-;, Pail 3 should, In Sufficient detail, identify the impact, Including any measures or design elements that have been included by the prqject 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-tile Potential for Sh(M-Ierffl, long-term and cumulative impacts. 1:1 Check this box if YOLI have determined, based oil file information and analysis above, and any SUpporring dOCUmentation, that.the proposed action may resu It if'one or more potentially large or significant adverse impacts and an envil'oomental impact Statement is required. Check this box if You have determined, based on the Information and analysis above,i I ind any supporting dOCUrrientation, that the proposed action will not result in ally significant adverse environmental impacts, Town of Southold-Board of Trustees 11/11A") Name of Lead Ar�yenc,,.y Date k.�q�'qpr W" �«�r1%r a s r President Print > )-y PC N E Ne Officer in Lead Agency Tlfle of ResponsIlflv Officen. SigUMmorResponsible in Load Ajj'cmy -Signature ol'Prepa'rer i f d I i f I'.ere m fion, R-esponsib le Officer) E. PRINT Page 4 of 4 Board of Trust:eea Appliaat,ion AFFIDAVIT --- — ��Ti�iV" .�,�C�.S(" DULY SWORN DEPOSES AND AF1�IRM,ti THAT' 1JIF�', I'S T'H1EAAPPLICANT FOR THE ABOVE DESCIUBED PERMITS) AND TF1AT ALIS STATEMENTS CONTAINED HEREEIN ARE 'TRUE TO THE BISS•I•' OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK. WILL BE DONE INTHE MANNER SET FORIrn 1N THIS APPLICATION AND AS MAY BE APPROVED BY THE SC)UTHOLD 'TOWN 130AR D OF 'T'RUST'EES. THE, APPLICANT AGI,EEI_•;S TO HOLD TI-EI? TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES EIARMLESS AND, I'RE;E FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR, BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS API'%IICATrON, I HEREBY AUJT'I-IOIdIZI? 'I'lil+ T'RLIS I'R+LS, THEIR AC;L,1`I'1'(S) OR REPR e,8ENT.ATIVE S, INCLUDING THE CONSERVATION ADVISC►RY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WI'T'H THIS APPLU'AT'ION, INCLUDING A FINAL l(NSPECTIOI`I. I FU1 THE•R AUTHORIZE T11E BOARD OF TRUSTEES TO ENTER ONTO M7l PROPS TO COMPLIANCE WITH ANY COND[TION Ole ANY WETIIA DI OR CIO STAI-,URE EROSION PEWMIT ISSUED BY THE BOARD OFTRUSTEk;S DURING THE TERM OF THE PERMIT. Al_.)fp y vuer - -- -- Signature ofF'roper;y caner ---- SWORNTO BEr'OIZI✓ Mh Tl-11S ----- �� . 1)'�4y OF I\otary Publi;; MICHAEL A.KIMACK Notary Public,State of New York No.02KJ5056823 Qualified in Nassau County Commission Expires March 11,0429- Board of Trust:ees AUTHORIZATION (Where the appli";,111t is not the owner) 1/0 owners of the property identified as SCTM# 1000- Q— � � __� �____--_--__- in the town of — ���— New York, hereby at,thori yes to act as my agent and handle all necessary Work involvecl With the application prc-ces� for p,rmit(s) from the Southold Town Board of Trustees for this prnl:?erty• Propert wner' ignatuR ' operty 0w►ler's Signana uredT �24.( .D/ A 1-?7- YV.Q /�oscy SWORN TO BEFORE N/1L: Tl-frS --�l i_-:AY OF -_��;---_-- 20 2 I Notary Public MICHAEL A.KIMACK Notary Public,State of New York No.021(15056823 Clualified in Nassau County Commission Expires Mgrr-.h 11 OoS2 A,.PI')LIC.AN'C/AGENT/RT PILTi,SI+,N�('ATI Vl TRANSACTIONAL UISCUMURE FORM 1 rc Towg of nu hold's lid ,•gf f?thjcs l�hi its ccntlpcts of intstws�or tlu�p� Qyv_p Qlgrrd cfnplovccs�'I'he ur sc trC this form is to provide information wlti.._i ctii alert thgh� of�c�syiblc;.c n Q"ile.res{a��allow it to take�ahait,vcr actin L, ecear to av -14 mo. YOUR NAME: -���'C JLL" Z-'MZI N4 (Last mune, first name,puddle initial,unless you ire applying in the nanr,of someone else or other entity, such as a company .f so,incicate the other person's or company's name,) NAME OF APPLICATION: (Check all thr't apply.) Tax grievance _ __ Building Variance — Trustee - —-- Change of Zonr; ---- --- --- __ __—__ C'on5tal Erosion Approval of plat Mooring Exemption from plat or official map _..,_ - Planning — - Other - --" -'-- Of"Other',nar7ie the activity.) _ — Do you personally Or through your 1.01`1111M),spuust:,sibling,par;nl,ui ohild)have a M,10onship with ony ol'ficor ur cmpluvec of the Town of Southold') "Relr;hontthip"includes by blood,marrit;;c,or business intens 'Business intcrest"means a business, including a pnrtncrship, in which the town officer orcmployce ha:;even n pn•tial ownership of(or empicynient by)a coipuration in which the town ollicer of employee owns more than 5%of the sf rues, YES f you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the To,vn o"Southold u e or position of that person Describe the tela:ionship between yoursell•(the,appli(,anUagent/repr.,senta:ivt)and the town officer or employee, Either check the appropriate line A)through F))anti/or describe in the space provided. The town officer or employee or his or het spouse,sibling,parent, ar child is(chuck all tha; apply): __A)the owner of greater than S'%of the shares of the corpora(,.,stock of the appliepnt (when the applicant is a corporn(lor!); 13)the legal or bencticial owner of•any interest in a 10 n-co rIx)rate entity(whon Ittc applicant is not a corporation); C)aft officer,director,paitner,or-1ployce of the applicant; ?r D)the actual applicant p:ESCRIPTION OF RELATIONSHIP Submitted this day Of— Print Name—gr _ _ form TS I 1,P].'I,ICANT/AGENT/RE.P]lI:ESEN'PikTIVICI "I'll A NSACTIONAL I:►ISCLOSURE FORM The Town if Southold's Codesf Fithl-s.pflthibits canfliets orinierta on t tr_pu(�iown ofljcgrs xttd c1i�loyees_I he��o,;e tit this form is to provide information�.v_Ilic isihle cclrtffgl5 q"nten_-g•�d Wlow it to t,t ke iiatuvcr actin is em,sary to mid same, YOUR NAME: TG► �'��--- , � (Last name,first name,gtiddl;;initial,unless you are applying in the name of someona else or other entity,such as a company.If bo,indicate the other person's or o mpany's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance _ - -- Trustcc;Changeofof Lone ---' - - __ Coast it Erosion Approval of plat _ _ -` Mooring - — Exemption from plat or official map _ -- _ Plann ng + Other --" — (If"Other",narie the activity)_- - --- -- - — -- Do you peisonatly(oi through your ompany,spotis,,,sibling,parent,(ii :luld)havc it relationship with any ofTicur or empioycc of the Town of Southuld`> "Relationship-includes b:v blood,irlan mge.or bu`iness interest "Business inteiest"means a bwonesa, including a partnership,in which the tov,n officer or employee has -ven i piutial OWnersh p of(or empluymcnt by)a corpoidtion in which the tm� n oRicer or employee owns more th,m 59'i of the shtues. YES — — NO lf)ou answered"YES",complate the balance of this form and date and s gn where indicated. Name ol'person employed by the To,vn of Southold Title or position ofthat person _- - `-- — - Describe the rel.ttionship between yourscaf(the appli(:miUagent/rcprzsentritiv(!)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided Fhe town officer or employee or his or her spouse,sibling,parent,of child is(cheek all that apply): A)the owner of greater than�%of the blwres ol'Ifte cotporate stock ol'the applicant (when the applicant is a corporn;i(m); 13)the legal or beneficial own•:r of any interest in a non-co rporate entily(when(lic applicant is not a corporation); C)an officer,director,partner,or rmployee of the applicant;or --D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this Signature____• _ Prirt NarneQ/ _-- Form TS I f APPLICANT/AGENT/REPRESENTA T TItANSACTIONAL DISCLOSURLi POW 71tc Town of$oulbold's Code t t� J h?ro ibits cgntltcts of inti_rr: o t g:_ own QP("i�cr nd_ti�nnloyees 1 to purpose of thls form is to gide intormation�v�l iii can alert tt3e town of po�sih .con ct - ' terns Od u J i iIto take whatever actio i� ec scary to nv iLd_c mc, YOUR NAME; (Last name,.first name,rnidd ee 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 c)mpany's name.) NAME OF APPLICATION: (Check All that apply.) Tax grievance _ _ Building _ _ Variance ._ _ Trustee Change of Zone _" `- -- -— __ Constrd 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,spous(;,sibling,parent,or child)have it rclalionshi�'with p h any Uffiecr or employee of the Town of Southold? "Relationship"includes by blood,alarringe,or business interest."Bus ess interest"menus a business, including a partnership, in which the town officer or employee has even n partial ownership of(o ;employment by)a corporation in which the town officer or employcc owns more than 5//%of the$flares, YES —.---- _.._ NO - If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourselJ'(the appli(:ant/agent/repr,esentativ(;)and the town offices or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling„parent,or child is(cheek all that apply)I; -A)the owner of greater than 5%of the shares of the corporate stock of the,Ippliquit (when the applicant is a corporation); 13)the legal or bene#icial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)all officer,director,partner,or employee of the applicant;or 1))the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this dayof S ignatu ro�� - Print Name I-onn TS 1 5eT, -- I I Glenn Goldsmith,President �OS '�CD Town Hall Annex A.Nicholas Krupski,Vice President ��� Gym , 54375 Route 25 John M.Bredemeyer III a P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams ?,�Ol p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 1, 2021 - Michael Kimack P.O. Box 1047 Southold, NY, 11971 Re: Board of Trustees Application of Krislen Management Corp., _ c/o Eddie Torres & Kristina Hosch 55755 County Road-48,•Greenport SCTM# 1000-44-1-15 To Whom It May Concern: You are receiving this letter as notice that 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, November 17, 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. V Truly You s, Glenn Goldsmith, President Board of Trustees I Glenn Goldsmith,President � Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 John M.Bredemeyer III y P.O.Box 1179 Michael J.Domino ��y 4 �� Southold,NY 11971 Greg Williams '�0� �`�o Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESDAY, NOVEMBER 17, 2021 at 5:00PM & 5:30PM TOWN HALL MAIN MEETING HALL AND VIA ZOOM ONLINE PLATFORM A RegularWork Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF• TRUSTEES will be held on Wednesday', November 17. 2021 with theWork Session beginning at 5:60PM 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-required for-those who are not vaccinated at all times when inside any of:th&Town'.Buildings. ; Written comments may also be'su,bmitted via email to the Trustees Clerks at elizabethc@southoldtownny.g'ov and.diane:disalvo@town.southoldny.us: Said comments will be'considered at:thd�public,fiearing-provided that they are-submitted rio'16ter,than,12.00 P.M. ` ,(Prevailing Time) on th' doy of the;public,h'eaanng. The.public will have access to'view and-listen to the meeting alit is•happening via Zoom.,'If you , _do not-have_access.to_'a computer_or_smart0hone, there-is an option to listen in via telephone. _2 _ Further details about,how-to tune in to the meeting are on the Town's website at https://www.southoldtownny.aov/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: 864 6066 8183 Password: 470704 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak"when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. When prompted to unmute your phone press *6. To view the application files please visit: https://www.southoldtownnV.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2` click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. Glenn Goldsmith,President o�Qs�[FOC�`CD Town Hall Annex A.Nicholas Krupski,Vice President ,�� GyJ, 54375 Route 25 John M.Bredemeyer III coP.O. Box 1179 Michael J.Domino 0 ry7 Southold,NY 11971 Greg Williams ? p!}' 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 origina(Proof of Mailing Form Failure to,"submit-the",following, originals to this office"byor no laterthan 12` PM-1the 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 Apt ration PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & cc "'IT-44 __ p NAME: Ad ace, - "'C i i .t - AT. _�•NE`- �O - - 'S >�, ,Y n - 'Yr ,:3uv S 5`T - __ k Sl(hrl ;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 Glenn Goldsmith, President r Town Hall Annex A.Nicholas Krupski,Vice President o�pSUFFU��C54375 Route 25 John M.Bredemeyer III ,�� ��1� P.O.Box 1179 Michael J.Domino Southold,NY 11971 Greg Williams o$ ® �4 Telephone(631)765-1892 Fax(63 l)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of KRISLEN MANAGEMENT CORP., c/o EDDIE TORRES & KRISTINA HOSCH COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGTH DAY OR LATER 1, /ZAGM I A1. kll-I,4 CLI , residing at/dba p D. ,BaX 11047 FiQ j/} 0110 MY 11 971 being duly sworn, depose and say: That on the2N*9[lay of Al D V , 20;?/ , I personally posted the property known as 52t� C_O�W2y Ao- d 8 &RY�N00ey" 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,November 17, 2021. Dated: N01/ 1W Z6 21 (signature) ,i Sworn to before me this DIANE DISALVO �z day of NOY20 2/ NOTARY PUBLIC-STATE Of NEW YORK No. O1 D1475593 nT Qualifiedin SurCounty My Commission Expires April 30. 20 Notary Public Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: /oaG— 44— ,1 — 1✓` NAME: ADDRESS: .��'grz Gel�os . Z3/6 �v�T�" zz9 ,P0ogeVAly My -- 16 D,9vl v '�P' QRS' COR"Al 6 3 g ",4,1N_ 77 44 - 2 1-1, 1M s c�/�- /0 S a �� .�Vv 9 j/ q so v71110Z N y `i 9 4 3 3 o sC� ,� &ti , ;STATFOF NEW YORK,: . OUNTY;OF;S.UFFOLK; - ; - ---- - -------------------— i&Cymz ;l1, 'elN.4 't , residing at I'DUZ YO� y hZ971 , being`duly sworn, deposes an&says.that on the 2' day of A16 V , MOO/ , 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 TD UZyy6/_D ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. /Z-14 &42 bw�06 Signature Sworn to before me this ! ------ - -----Day of---- NOy ----- -- 202/- -- - - - - - ----- - - - --- - - - - - - - - PAW DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK OID1475593 Notary Public Qualified in Suffolk County My commission Expires April 30, 2027' U.S. Postal Service" U.S. P��ia, l I Service"m CERTIFIED ©lJ RECEIPT -CERTIFIED WIL6 RECEIPT Domestic Mail Only -D I 6stic Alail on Ln om ly .0 11:13 U Certified Mail Fee Certified.d 7 -0 Co 0 ca $3.75 -n $ IT, rU a Services&F (C ck box,add fee M Extra S a rv1 ces&Fees checkbox,add fee a$ tr E� Ll Return Receipt(h=ophye) $ El Retum Receipt(hardoopy) rU El Return Receipt(electronic) $ A An rU El Return Receipt(electronic) $ C3 El Certiried Mail Restricted Delivery $ C3 []Certified Mail Restricted Delivery A Post C3 []Adult Signature Required $ C3 L]Aclult Signature Req6lrqd C3 C3 $ E]Adult Signature Restricted Delivery$ []Adult Signature Restricted Delivery$ Postage � M Postage M Total Postage and Tjs M Total Postage and C3 $ 38 E3 $ "'t 38 r-q Sent 7 r-q Sent To ru ru Drpoylo-x—ffo ----------------" -^---------- C3 Street and ----------------------------•-_•-- UIF- YP+4 StIfte,—11P+42? 2MI-MAY9 ------------------ W-4 2 -ey/45W---L172)--------- -- ,e0N 1< X Y IOWIW J 00M0/-,0,&Y jug T11 tf.-& Postal Service TM P,6st6l.Serv,ce CERTIFIED MAIL@ RECEIPT Ln Domestic RTIFIEEY MAIL' RECEIPT Uafl.Owy co -- - Domestic Mail Only, 11:13 • r%- r-4 Ej-wKQw9=n-=MiS�tq Ur.-Website att�,ww.ug sicorriT. �Xl V-41P IF FC9 A L U 3 Gr - P 1:0 Certified Mall $3.75 ., 4&rj-t 04,04 A L U S E .M 0971 cc, Certified Mail Fee C Ce -' rtf.d Mall Fee art ru Extra S4 Fees a M $ $3.75 Services&Fees(checkbox,add fee E]Retum Receipt(hardcopy) ni (checkbox,add fee Receipt $ Extra Services&Fees(che ru alp to) L]Return Receipt(electronic) $ VIA [:1 Return Receipt(hardcopy) $ 19 C-3 0 r, M Postmark ru ❑Return Receipt(electronic) $ Postmark 1.91 Certified Mail Restric.tad!Delivery $ $0 Cjfl Here 40 Mail tu C3 Certified Mall Restricted Delivery $ $r,.00 E]Adult Signature Required M 0, , rict $ Q.1910 E3 E]Adult Signature ov -J201 []Adult Signature Restricted Delivery$ Required s, L,--LIL, Postage $1_1 ! 11 0 -20- 15 ,. C3 []Adult Signature C3' Postage Restricted Delivery$ $0.58 if Ln 7s. Ej Postage M Total Postage and Ln,$ $0.58 M Total Postage and Fees $ C3 C3 33- rq San TO $ $7.38 ru rq Sent To C3 Street and -rpom- ----------------------- ------ ru _t 0. E:3 .gy, A U--- ---------------------- Y L4 A 0 --:7----- -----71,:?2q-------- _.:7. ........ ....... --, W0.11- ----71-,q Ulty,IRMO DOCYN 1 . LETE . ON DELIVERY • SECTION ir A-7—Si gnat ip Agent ■ Complete Items 1,2,and 3. I ■ Print your name and address on the reverse El Addressee, I so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to:: D if YES,delivery enterdress different from item i delivery address below: ❑No V/IXI o � yo //i 1 3. Service Type ❑Prionty Mail Express® I II III I IIIIIIII III ❑Adult Signature ❑Registered Mail'R II I IIII I ILII I I I II I II I II I ❑f�dult Signature Restricted Delivery Delivery Mail Restricted [I Certified MailO ❑Signature confirmationT"� ❑Certified Mail Restricted Delivery �Signature Confirmation 9590 9402 6641 1060 0508 14 ❑collect on Delivery ❑collect on Delivery Restricted Delivery Restricted Delivery 2. Article Number(Transfer from service label) ❑Insured Mail D Insured Mail Restricted Delivery 7021 0350 0002 2686 1861 (over$500) Domestic Return Receipt ; PS Form 3811,July 2020 PSN 7530-02-000-9053 • • • ® Complete items 1,2,and 3. IA. Signature t ®�en ® Print your name and address on the reverse p Addressee So that we can return the card to you. B. Received.4(Printed ame) C.Da f.D oliv ry m Attach this card to the back of the mailpiece, or on the front if space permits. d 1. Article Addressed to: D. Is delivery address different from item 1?jU lye W/� If YES,enter delivery address below: IT 7y0,P��� /./0Se� 711- 3. Service Type ❑Prionty Mail Expresso II I IIIIII I'll III I IIIIII I I II I II I II II II II IIII III ❑Adult Signature ❑Registered Mail R Mail- Adult Signature Restricted Delivery ❑Registered Mal Restricted . ❑Certified Mailo Delivery 9590 9402 6086 0125 2893 73 Certified Mail Restricted Delivery Return Receipt for ❑Collect on Delivery Merchandise [I Collect on Delivery Restricted Delivery [I Signature Confirmation nrtirla Ni imhar frransfe_r--from service label) ❑Insured Mad ❑Signature Confirmation 1 0 3 5 0 0002 2 8 6 1854 ❑Insured Mail Restricted Delivery Restricted Delivery (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 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. OWNERS) OF RECORD: KRISLEN MANAGEMENT CORP., c/o EDDIE TORRES & KRISTINA HOSCH SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 25' long return (13' north to south and 12' east to west) situated in an "L" configuration as an extension to existing bulkhead return. Located: 55755 County Road 48, Greenport. SCTM# 1000-44-1-15 TIME & DATE OF PUBLIC HEARING: Wednesday, November 17, 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 Town of Southold LRI!L CON ISTENQ ASSESSIVTENT F(JRM[ i A. INSTRUCTI®NS 1. All applicants for permits* including Town of Southold agenc.es, 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 l iy a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosi i n Hazard Area. 2. Before answeringthequestions in q Section C, the preparer of this foam should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. ronose;d action will; �e evaluated as to its sig i�jfiCatlt beneficial and adverse eftec_ is tit�on the coastal are�1(which inclt�4ie'3 all of Souihold Town). 3. If any question in Section C on this form is answered "yes" or `no", then the proposed action will affect the achievement of the LWRP policy standards and condi itions contained in the consistency review law. Thus+ aeli a swnr nau t lie; ex laiined its jetails_lxstiu l�otls seepoo�ting and uau- s,UR1201 n facts. If an action cannot be certified as consistent the LWRP policy standards and conditions, it slu�Il nottbe undertq en. 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 ANI) PROPOSED ACTION SCTtdi[# PROJECT NA.MI±; The Application has been submitted to (check appropriate response): I Town Board Cl Planning Board❑ Buillding Dept. C] Board of T�ustees Xr 1, Category of Town of Southold agency actioncheck appropriate( pp pnate responsf,)�. (a) Action undertaken directly by Town agency(e.g. capital C� construction,planning activity, agency regulation, land transaction) �J (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: IN Location of action:— Site ction: __Site acreage: �—�---� - -�--�--___ o.l.Q. - ' Present land use: Present zoning classification:_ -- --4�— 2, If an application for the proposed action has been filed with the towni of Southold agency, the followuig information shall be provided:, (a) Name of applicant:_-4Dd/ (b) Mailing address: �� f ®®� y�SN (c) Telephone number: Area Code (d) Application number, ifany':_ -- — — Will the action be directly undertaken require funding, q or approval by a tate or federal agency? Yes ❑ No If yes, which state or federal agency?__ 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 Practice that will further each policy. Incomplete answers will require that the form be returned for completio . DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and 'minimizes adverse effects of development. See LWIWP Section III–Policies; Page 2 for evaluation criteria. Yes ❑ No F, Not Applicable ' Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resourcesof the Town of Southold. See L)VRP Section III•—Policies Pages 3 through G for evaluation criteria ❑ Yes ❑ No Z Not Applicable I Attach additional sheets if necessary _ --- -- --- Policy 3. ]Enhance visual quality and protect scelnic resources throughout the Town of Southold, See LWRP Section III—Policies Page. 6 through 7 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable �1 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion, See LWRP Section III—PoIicies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary -- — — _ Policy .5. Protect and improve water quality and supply in the Town of,S�uthold. See LWRP Section IIl —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No Z Not Applica ble Attach additional sheets if necessary Policy .6. Protect and restore the quality and function of the Town of IS.outhold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands, See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable I Attach additional— sheets if necessary —_ ---1-- --- Policy 7. Protect and improve air quality in the Town of Southold. Pages 32 through 34 for evaluation criteria. ee I'WRP Section III Policies ❑ Yes ❑ NoX Not Applicable ------------ Attach additional sheets ifn necessary ary �"�"-- -- ------- _ Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 tlurough 38 for evaluation criteria. [:] Yes ❑ No X Not Applicable PUBLIC COAST POLICIIES Policy 9. Provide for public access to, and recreational use of coastal wry resources of the Town of Southold. See Li�i�'RP Section III-•Policies; Fag RP es 38 throulghl4G for evalnathron lic ❑ Ye50 No 9 Not Applicable I i Nic- -__ Attach additional sheets if necessary I 1 WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siitin of new water-dependent uses in suitable locations. See LWRP Section III—policies; Pages 47 through 5 for evaluation criteria. ❑ Yes ❑ No Not Applicable Cx Attach additional sheets if necessary Policry 11. Promote sustainable use of living marine resources in L ng Island Sound, the Peconic Estuary and Town waters. See LWRP Section III--.Policies; Pages 57 through 62 for evaluation criteria. I ❑ Yes ❑ NoZ Not Applicable Attach additional sheets if necessary �� -— ---- ---- Policy 12. Protect agricultural lands in the Town of Southold. See LW.*P Section III — Policies; Pages 62 through 65 for evaluation criteria. Yes ❑ No V—"J Not Applicable Al — Attach additional sheets if necessary — Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 tbrough 68 for evaluation criteria. ❑ Yes ❑ No '*.-7/ Not Applicable PREPARED BY TITLE___4&0V/- DATE 9