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HomeMy WebLinkAboutTR-9709 Glenn Goldsmith, President �OOF SU(/TyDlo 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 '� �� Fax(631) 765-6641 �yoou�m,��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD- CERTIFICATE OF COMPLIANCE 1878C Date: November 17, 2021 THIS CERTIFIES that the removal of the existing 4.5'x4' timber platform and replacement with a 4'8"x5'4"timber platform in same and extended landward location as existing; in addition 25 lineal feet of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform; coir log_stabilization to consist of three (3) rows of logs staked with-oak stakes and planted with beachr�pon completion of installation; ' At 25 East Side Avenue, Mattituck;- Suffolk County Tax Map #1000-99-3-18 Conforins to the application for a Trustees Permit heretofore filed i' 'this;" office- Da"ted February 10, 2020 pursuant to which Trustee's Wetlaiid'Permit#9709 Dated September.16, 2020 was issued And-Amended on November 17, 2021 and conforms to all of the requirements and conditions of the applicable provisions of law: The project for which this certificate is being issued is for the removal of the existing 4.5'x4' ;tirimber platform and replacement-with a 4'8"x5'4" timber platform in same and extended landward location as existing in addition 25 lineal feet of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform; coir log stabilization-to consist of three (3)rows of logs staked with oak stakes and planted with beachrag_ss upon completion of installation. The certificate is issued to Arthur& Gwen Pier owner of the aforesaid property. Authorized Signature Glenn Goldsmith, President *QF SOUTH, Town Hall Annex A. Nicholas Krupski,Vice President �O l0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III l�[ Southold, New York 11971 Michael J. Domino N G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 1117- INSPECTED IZINSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt, boom/silt curtain 1St day of construction '/ constructed Project complete, compliance inspection COMMENTS: rune-y 's cc�val�v y $ x S 4 - . CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,PresidentO��QF S0(/Tl Town Hall Annex A. Nicholas Krupski,Vice President O 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III Southold, New York 11971 Michael J. Domino G • Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 COUNNI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 18, 2021 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 - RE: ARTHUR & GWEN PIER 25 EAST SIDE AVENUE, MATTITUCK SCTM#: 1000-99-3-18 Dear Mr. Patanjo: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 17, 2021: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9709 for the as-built removal of the existing 4.5'x4' timber platform and replacement with a 4'8"x5'4" timber platform in lieu of the originally permitted 4'x14' platform, with un-treated timber decking; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated September 17, 2021, and stamped approved on November 17, 2021•. Any other activity within 100' of the wetland boundary requires a,permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 4C, Glenn Goldsmith President, Board of Trustees GG:dd PROPOSED 4'8' X We WIDE FIXED PLATFORM PLANT TWO ROS OF CAPE AMERICAN BEACH GRASS PLUGS WITH UN-TREATED TIMBER DECKING AT 1' ON CENTER ALONG DISTURBED AREA OF COIR LOGS ;'c°' % '' F v ;.'` SED 25 LOG AND PLANTINGS BAN ANN. 1J 10 PROPOSED lJ=X 1.5' WIDE COIR _ _ 1 _ - - •= - COIR LOGS TO BE PLANTED AS SHOWN IN TYPICAL SECTION 5' e' OR ACCORDANCE WITH TOWN AND NYSDEC RECOMMENDATIONS „x EXI SUNG STAIRS TO REMAIN STAKE COIR LOGS WITH OAK STAKES EVERY 2'.D.C. N OW WITH 3 LOGS IN HEIGHT. IOCT :", "_ "rs, ih�"^ ;.'• EXISTING FIXED PIER TOR N ONE R C� T 21 q I �` :,'_ _j,;-' ®lr 2�2 tl ,Beach,Park; - -_ 6 _— �i n EXISTING RAMP TO REMAIN ;- _ �' •� 25 East;Sk L-Avenue-;,,. -- EXISTING OATIN DOCK TO EMAIN APPROXIMATE M.H.W. EL 2.5f - Southold Town Board of Trustees 2 APPROXI AIA7E M_LW Q O.Of -- EXISTING GRADE }y+ - IJ s LW 0..0 I f,• TYPICAL SECTION ® COIR LOG ROAD {` - EXISTING WETIAN S N.T.S. - - AC2 H - - E _ y I E13 - I LB A TYPICAL SECTION ® PIER PLATFORM - - E1 • .�- iY~ - - N.T.S. -2.7' EXISTING FLOATING DOCK TO REMAIN -2.6' EXISTING RAMP TO REMAINLO CAT 10 N M A P LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED NO FILL TO,BE ADDED N.T.S. + - BY SUFFOLK ENVIRONMENTAL ON OCT. 17, 2017 y -2.6' NO MAJOR EXCAVATION FOR COIR LOGS - THEY ARE TO BE PLACED NOTES: IN SHALLOW TRENCH ALONG DUSTING EROSION UNE, STAKED AND STACKED EXISTING FIXED DOCK TO REMAIN AND BACKFILLED WITH TRENCHING SPOILS PRIOR TO BEING PLANTED jn 1. LOT AREA: 36,745 S.F. / 0.844 ACRES EXISTING STEPS TO REMAIN ��y�. 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: NATHAN TAFT CORNWIN II L.S. Y REMOVE TIMBER PLATFORM (4.5 1586 MAIN ROAD, JAMESPORT NY 11947 X 4') '►LT L� SURVEY LATEST DATED JANUARY 15, 2018 M.H.W. INSTALL NEW EW UN-TREATED USOrJ7 TIMBER PLATFORM (4'8° X 5'4� 7 R=224.00' L=62.53' u-u 02 8=900.00, a T L�qN X92 _ 4L6.75• PROPOSED 25 LF X 1.5' WIDE COIR LOG AND PLANTINGS BANK STABIUZATION. R=56400' _L=67.89' S 85°00'00"E 35.00' •• AV E �0 COIR LOGS TO BE PLANTED AS SHOWN IN TYPICAL SECTION OR ACCORDANCE WITH TOWN AND NYSDEC RECOMMENDATIONS 62 51' RB 0 RV I E STAKE COIR LOGS WITH OAK STAKES EVERY 2'.O.C. j j �� NONE ROW WITH 3 LOGS IN HEIGHT. J 1 LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED �.• ; BY SUFFOLK ENVIRONMENTAL ON OCT. 17, 2017 PROV •` Y V• Y' Y y. Y v. � : ' I PROPERTY OWNER: wBc�AR® OF ED T�USTEES X25 / ARTHUR & GWEN PIER 2 STORY 315 RIVERSIDE DR — APT 19D FRAME RESIDENCE Y 'TOWN OF SOUTHOLD � �5�dNEW YORK, NY 10025 k o I DATE P oR�� P $ PREPARED BY: _ 17 �� / JEFFREY PATANJO 63.24 P.O. BOX 582 BOHEMIA, NY 11716 � Y / � I Y W 631-484-9332 v.k w K /s°45pp JJPATANJO@GMAILCOM v, v. la • STOR BU601R0 $ 6 Y v_ I 6�•s9 Proposed Permit Plans SCALE: i W v. ' p' Y Y w _ �68; a'0 PROPOSED PLAN, SECTION DATE: Y Y 97 & LOCATION MAP 2-10-20 7-7-20 —2.5' + REPRESENTS WATER DEPTH IN FEET 25 EAST SIDE AVENUE x-17-21 MEASURED AT MEAN LOW WATER MATTITUCK, TOWN OF SOUTHOLD 5 80°57'gp W SUFFOLK COUNTY, NY SHEET: TAX YAP N0. 1000-99—OS-18 1 of 1 f Glenn Goldsr' President o�0S11F1:0(�` Town Hall Annex A. Nicholas �rupski, Vice-President 54375 Route 25 John M. Bredemeyer, III y P.O. Box 1179 Michael J. Domino o -Pry Southold, NY 11971 Greg Williams y'1p� � Telehone p(631) 765-66416 -1892 Fa BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time:- 1 Completed in field by: G • �01�1 sr- '�� Jeffrey Patanjo on behalf of ARTHUR & GWEN PIER requests an Administrative Amendment to Wetland Permit #9709 for the as-built removal of the existing 4.5'x4' timber platform and replacement with a 4'8"x5'4" timber platform in lieu of the originally permitted 4'x14' platform, with un-treated timber decking. Located: 25 East Side Avenue, Mattituck. SCTM#: 1000-99-3-18 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 1 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 s � $kmsRRO MON 06- : _.ems x. T ry f r' SF `'• '•s.��`� kr'�,Sw$�r zl f a *� ,,a .n'r".�* �� �C''� ,( rr r }}`nt •,g f!-r"'i.e, i• ��? ''� .k3�'h�'�. ;'.b �' � � 4 Glenn Goldsmith,President QF SOT, Town Hall Annex V 54375 Route 25 A.Nicholas Krupski,Vice President ,`O l0 John M. Bredemeyer III P.O. Box 1179 Southold, New York 11971 Michael J.Domino c� G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 &M, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: JAZ 121 INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale-line/silt, boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: ;rnkey- pUa ,,avr,. ;s X s' y CERTIFICATE OF COMPLIANCE: BEACH O/� 1. THIS PROPERTY IS SHOWN AS LOT 1 ON $�''IL yzo MAP OF OLD Mal HAVEN CO SURVEY OF PROPERTY FILE IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON OCTOBER 2, 1925 AS FILE No. 799 SITUATED AT 2. ELEVATIONS ARE REFERENCED TO NAV.D. 1988 DATUM MATTITUCK EXISTING ELEVATIONS ARE SHOWN THUS •�1x O TOWN OF SOUTHOLD EXISTING CONTOUR LINES ARE SHOWN THUS: — F�— "GARAGE FLOOR a BOEItXFM �„G aj SUFFOLK COUNTY, NEW YORK - 10P OpR®�' a6 - BOTIOH DF BNNDPM S.C. TAX No. 1000-99-03-18 � - fNITIOY DF WNL 3 FLOOD ZONE INFORMATION TAKEN FROM: SCALE I"=20' FLOOD INSURANCE RATE MAP No 36103CO143 H ZONE AE BASE FLOOD ELEVATIONS DETERMINED d V AUGUST 12, 2004 ZONE X AREAS DETERMINED TO BE OUTSIDE THE 02%ANNUAL CHANCE FLOODPLAIN ` NOVEMBER 11,2015 STAKE PROPERTY LINES '" 4. SEPTIC SYSTEM LOCATIONS PROVIDED BY OWNER. JANUARY 15,DECEMBER 20128,2017 UPDATE SURVEY 8 ADD 2nd STORY ADDITION d .r1 AREA = 36,745 sq. . 1t. 0 4 � 1 � T�S1 & RD6Y/J18 N/TgRT `_ P,vR I e• X dlEl,VygRT Altc �d� - AL AL 0W 1%lik x" v LAG001R1 \1�7-2.24.00 I MOT Z —13 LAIVE N 89.3s04 -l" --C665- S 85°00100" E 625164 CHORD--$e9•os'127 0/ 00 1 / ————— \ Nxt1w1. 25 AYrO S" 1111 j/ —__ 7 0 xc 55 �o/Ax x, lAE AQVL E VUIEE W PR ^ PP \ q w1 Q 60�/ 11 \ 1 I I I I I 1111 / , Np P,10 w4' , ..\ ,•,D —— i ,tom., Y ,fp1O�\— � 24 ^v' Via/ 1 Il 11 111111111 ORA WI, 5' � 4 a ,� X1 1 1 11 1111 Epi 111111 1 I �'�� __}E _ ,2, `\ L 1 0lll 111111111111111`I1°I U I 11 / $ a 1 1 z1 N 1 1 1 1 1 �+ 1x= a 1= 1 1 �I m 111111 11j111 11q�"t sum �+ % \ \ — R4 W 1 g \\ \ ;x 1 1 11 Il 11\\ \ m Ey1Y'ng1A4E DOSE — "� \ �O o Iz ,` \ \ \111;111111\\ a /� '\\ \ x� g�•yy \ 2fx 1 x 2 mx \ 1`\11111\11,\\� \ ,u _ xA7 x,,, _\\� _ �.� 20 S OCT 1 2021 oo- ib, $ @ Southold,Town Dxf A � b p� 1 1W91µ0 Sp x� 0 6 1 —� `\ �� = �^" �.• �, .� \ s e 5oard,of-Trustees, m ,w _ \t0 wEai6ixo`sr `1 "`Q •� \ \\\ i' 6�'� N(O� RI TT usE�xr tie Nn.oea srNc uR ACE 69 CO �$ COD AF I 0. A �O 1 WE 4uL RAG gp•57'30' )N \ NYS UO No 50467 5 LOT COVERAGE OVER TOTAL LOT AREA LOT COVERAGE OVER UPLAND AREA *G Tis amu + Nathan Taft Corwin iii AREA= 36.745 sq ft. AREA=30,088 sq ft, mrnG x2uWGF ra NEv rou srATE DESCRIPTION AREA X LOT COVERAGE DESCRIPTION AREA X LOT COVERAGE wvYa ai gyEys u�5F ortA� Land Surveyor HOUSE 1.620 aq ft 49% HOUSE 1,820 aq ft G o% m eE�E'0A vvwo muE�'r eE ACCESSORY BUILDING 647 ft 1 2% ACCESSORY BUILDING 447 suaeam,To Stantry J tmlmm Jr US s9 aq H 7 6X �>� ID TMs' Josapl�A In Ls gegno TIRE EgPAONY,9DIFMa�lTN ACDiCr ANp SCREENED PORCH 277 aq /1 0 6% SCREENED PORCH 277 aq 11 0 9Xro��������_ rw Su<+�ra-Subansons- sr<Rcre- caufrvc6an toJwt PHONE(631)727-2090 FOE(631)727-1727 DECKS 658 sq.It 1 8X DECKS 655 aq f1 2.3% GomnuTmNs Nre x,r TRN+s'ERwear THE COsTENOE OF RNNf6 OF WAY OFFICES LOCATED AT 1 LINO ADDRESS TOTAL 3,199 sq.fl 87X TOTAL 3,189 sq N. 10 6% WOR 6H0 RARE NOT�OVODARPMEED Jamespo,L New Yo*It947 Joo—poet N586 No,Roo Po-YoA 11947 35-232A PROPOSED 4'8" X 5'4'WIDE FIXED PLATFORM PLANT TWO ROS OF CAPE AMERICAN BEACH GRASS PLUGS t = ' '" _"" 1,77 7, 7-"'77'31 - WITH UN-TREATED TIMBER DECKING AT 1 ON CENTER ALONG DISTURBED AREA OF COIR LOGS10 = PROPOSED 25 LF X IS WIDE COIR LOG AND PLANTINGS BANK STABI COIR LOGS TO BE PLANTED AS SHOWN IN TYPICAL SECTION 85. OR ACCORDANCE WITH TOWN AND NYSDEC RECOMMENDATIONS EXISTING STAIRS TO REMAIN STAKE COIR LOGS WITH OAK STAKES EVERY 2.O.C. ONE ROW H 3 LOGS IN HEIGHT. EXISTING FIXED PIER TO REMAIN WITH EXISTING RAMP 2 I 2021 Beach%Parkr, TO REMAIN OCT F: r;' = _ - " i5"6stSide`A'ver ue 7 r- APPROXIMATE M.H.W. 0. 2.5t EXISTING OATING DOCK TO EMAIN ____ ___ __________________ 4 --EXjSnqG-GFUVE outhold TO�Nn APPROXIMATE M_LW EL 0_Ot_-- ;,i= s , ;ii 2 EXISTING GRADE - ---- ------- - ---------- ---------- - ---- Board of Trustees- LW EL.0.00i TYPICAL SECTION CSD COIR LOGS SN.T.S. ROAD o EXISTING WET.AN IA H BAL TYPICAL SECTION ® PIER PLAFORM '- - `"-�_,,I,'• ;; CA ` . _ - ; N.T.S. -" -2.7' EXISTING FLOATING DOCK TO REMAIN -2.6' EXISTING RAMP TO REMAIN LOCATION M A P f / LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED NO FILL TO 'BE ADDED Ul BY SUFFOLK ENVIRONMENTAL ON OCT. 17, 2017N.T.S. -2.6' �Y4' NO MAJOR EXCAVATION FOR COIR LOGS - THEY ARE TO BE PLACED y NOTES: IN SHALLOW TRENCH ALONG EXISTING EROSION LINE, STAKED AND STACKED EXISTING FIXED DOCK TO REMAIN AND BACKFILLED WITH TRENCHING SPOILS PRIOR TO BEING PLANTED 1. LOT AREA: 36,745 S.F. / 0.844 ACRES EXISTING STEPS TO REMAIN ��y>r. 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: NATHAN TAFT CORNWIN II L.S. 1586 MAIN ROAD, JAMESPORT NY 11947 REMOVE EXISTING TIMBER PLATFORM (4.5' x 4') 'S'Orj?► LA SURVEY LATEST DATED JANUARY 15, 2018 M•H.W INSTALL NEW UN-TREATED TIMBER PLATFORM (4'8" X 5'4' �L.7 8--224.00' L--62.53' GOON LAN ,92 U� — x-800.00' 7 �L6 5 R=564.00' L-67.89' S 8500'00" 28.01' •• 0 PROPOSED 25 LF X 1.5' WIDE COIR LOG AND PLANTINGS BANK STABILIZATION. E 35.00' " AV �p COIR LOGS TO BE PLANTED AS SHOWN IN TYPICAL SECTION 6'Z•S1• B C RV j Eyh p� / OR ACCORDANCE WITH TOWN AND NYSDEC RECOMMENDATIONS A6 / STAKE COIR LOGS WITH OAK STAKES EVERY 2'.O.C. (.�A ONE ROW WITH 3 LOGS IN HEIGHT. 1+ LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED ; BY SUFFOLK ENVIRONMENTAL ON OCT. 17, 2017 SVol O¢` Npf 9 PROPERTY OWNER: m k #25 ti 2 STORY ARTHUR & GWEN PIER +� FRAME RESIDENCE 315 RIVERSIDE DR - APT 19D fill NEW YORK, NY 10025 CA K 100 S PREPARED BY: SRP 2q JEFFREY PATANJO 63-24. g. P.O. BOX 582 BOHEMIA, NY 11716 ' ODS,w 631-484-9332 Y k , a BUILDING / JJPATANJO@GMAIL.COM 61 1 Proposed Permit Plans SCALE: PROPOSED PLAN, SECTION DATE: & LOCATION MAP 60.97' 2-10-20 7-7-20 -2.5' + REPRESENTS WATER DEPTH IN FEET 25 EAST SIDE AVENUE 9-17-21 MEASURED AT MEAN LOW WATER MATTITUCK, TOWN OF SOUTHOLD 3 80 N 0"Iff SUFFOLK COUNTY, Y SHEET: TAX MAP NO. 1000-99-08-18 1 OF 1 October 3, 2021 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 _ rGEB � �f Southold, New York 11971 RE: ARTHUR&GWEN PIER 1 202125 EAST SIDE AVE-MATTITUCK SCTM No. 1000-99-03-18APPLICATION FOR ADMINISTRATIVE PERMITTrustees 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. Please note, the application fee is doubled due to an as-built revision to original permit approval. 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 ar Michael J.Domino,President iF �� soTown Hall Annex y0 John M.Bredemeyer III,Vice-President ��,`O l0 64375 Route 25 ' P.O.Box 1179 Glenn Goldsmith r, Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams u( �' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only _ n Coastal Erosion Permit Application ® E E v E Wetland Permit Application Administrative Permit OCT 2 1 AmendmenVTransfer/Extension 2Q21 Received Application: Received Fee: $ Southold Town Completed Application: Board of Trustees Incomplete: SEQRA Classification: Type I Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): A r-t tiv ir Pte r Mailing Address: 31 S Rtve,rS1je. 0 2— A K 1 q D Ntw © K, NY t Boas Phone Number: ` 46 7" �6 ' D 771 Suffolk County Tax Map Number: 1000- di Property Location: a5- £avt c ae s'ec- 10CAtToll InmP (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): Mailing Address: P `0 - 13ax 559c- /3o keen&w I P'( 2171,E Phone Number: .00ara o= iruszees kppii :ion GENERAL DATA Land Area(in square feet): Ste, -7y 9— Area Zoning: f Previous use of property: 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 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 require 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 Prior permits/approvals for site improvements: Agency Date 1�LCI'�c poi-I�,��a•C�o..� 9709 q tl✓� �fl 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): Scie— A�4,g C �i s� PROJECT DESCRIPTION: The project includes the As-Built revision for removal of the existing 4.5'x 4'timber platform and replacement with a 4'8"x 5'4"timber platform in lieu of the originally permitted 4.5'x 14'platform with un-treated timber decking in same location as existing as shown on the approved Trustee permit #9709.All other work on original permit has been completed and inspected per original permit approval. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: See. &+4*e A eco' Area of wetlands on lot: i s 9 o square feet Percent coverage of lot: 1-7. 9 % Closest distance between nearest existing structure and upland edge of wetlands: 2 feet Closest distance between nearest proposed structure and upland edge of wetlands: 2 feet Does the project involve excavation or filling? V No Yes If yes, how much material will be excavated? .4 cubic yards How much material will be filled? &14 cubic yards Depth of which material will be removed or deposited: r' A feet Proposed slope throughout the area of operations: N �4 ' Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): �sQQoStQ. �C�ttt� Board of Trustees Application AFFIDAVIT !q�-t�►�� �wc� ��'�� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS--- DAY OF Jgr'L'vr ,20-�2/_ Notary Public Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) me, Arwer Qi c11- owners of the property identified as SCTM# 1000- 4 ?- 03-l 8 in the town of ; M &a'4't-v c.L New York,hereby authorizes -5-e Pka A 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. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF Jacob M. Grier Notary Public NOTARY PUBLIC,STATE OF NEW YORK Registration No.01GR6399126 Qualified in Suffolk County Commission Expires October 15,20Q? t l APPLICANT/AGENT/REPRESENTATNF TRANSACTIONAL DISCLOSURE,FORM �Jmjmmof e this t=j- ion which menthe town of pQ�sible conflicts djagd a) y it fo take whalcyer actiott is tie ��+ 3R,iiybicl ate• ; YOURNAME• �11LjL, ��WCI\ (Last name,fust name,griddle initial.unQyo6 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 Change of Zone _ � Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other'',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES _ NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Tide or position of that person Describe the relationship between yourself(the applicmt/agent/representative)and the town officer 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(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partnei,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 5 day of OGT 1 BC� 2092-1 gignatura Print Name ('� 17- - Fotm TS 1 Ja M. Grier NOTARY PUBLIC,STATE OF NEW YORK Registration No.01GR6399126 Qualified in Suffolk County Commission Expires October 15,2617 APPLICANT/A►GENT/REPRaFATATM TRANSACTIONAL DISCLOSURE FORM of u+l±old'st`ode of� j�,� f ,of Intereston the bM9t o,,,,}vftft=At 4 0111p(Q=&1711e MOM of this farm is toJlif- qg lyhi�c�t►sleet .town o�pgssibNe.canflicb.of�p �d show it Uo. �{fc_��5 neaessary to airb#d saltie , YOURNAME: (Last name,first name,*iddle initial,unless you are app#ying•in the name of someone else or other entity,such as a company.If so,indicate_thb other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change ofZone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If`Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than shams. YES NO If you answered'YES",complete the balance of this Form and date and sign where indicated Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanttagent/representative)and the town officer 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(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal orbeneFcial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this ot,ro QED 2087-1 s`tg Print Name l 5. Form TS l Jnmd PF brier NOTARY PUBLIC,SATE OF NEW YORK Registration No.OIGR6399126 Qualified in Suffolk County Commission Expires October 15,20- APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE,FORM Ifie TtrWn f Eo ihol *s Code o f Ethics pLohbbits codfl cts of interest on the pad of town 6fficem d em to esus.The u ge-o this r i to ovida informatio which can the Own of passibleconflid&of h1t6mg#Ed allow it4b;take what'ver-Actinit is, necessdry-to avoid same. YOUR NAME: ��� ^�..® -k+,- (Last +,-(Last name,fust nrame,ipiddle initial,unless you are applyingin the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official mapPlanning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee,owns more than 5%of the shares. YES NO / If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer 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(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION Of RELATIONSHIP Submitted this 30 day of 1200211 Print Name �J Form TS 1 Town of Southold LWRP CONSISTENCE'ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thais, each answer must be explaiined_ipn detail, listing loth supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold 's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# q Cl - 0 -3 - t ,? PROJECT NAME aS s.T S,dc- Av! n%Ac _ /Y1 a f4t 4%,dc The Application has been submitted to (check appropriate response) Town Board ❑ Planning Board❑ Building Dept. ❑ Board of'Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: S L e Location of action. 2 S �A Sri t -i-,J e- le— Site LSite acreage: el . IN t Present land use: �C S Present zoning classification: lZe-S 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: 4 f-f k o r 'c3 w, t� (b) Mailing address: 3 i V c rS ftf c A ve — +.t;4- Pg p /J ct 1002-s-- (c) eo2-,- (c) Telephone number: Area Code( ) 917- �' b - 07'7 y (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes RfNo❑ Y If es, which state or federal agency?�4 S n E� �� 0 �s C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LNVRP Section III—Policies; Page 2 for evaluation criteria. RYes ❑ No ❑ Not Applicable anstsrt,-eA+ t-� ytctykLi.�tt rty prs��d'1t a .k�✓t: Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWR,P Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Ir Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Towyn of Southold. See LSP Section lig—Policies Pages 6 through 9 for evaluation criteria ❑ Yes ❑ No ❑ Not Applicable ('ro t.(- a 4 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LVW Sectioln,III—Policies P es 8 through 16 for evaluation criteria S Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the 'gown of,Southold. See LSP Section In —Policies Pages 16 through 1 for evaluation criteria Yes 1:1 No Not Applicable --ez� - - Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LVV P Section 111—Policies; Pages 22 throug1132 for evaluation criteria. ' 4 Yes No 1 ,Applicable - Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [:] No Not Applicable n o -e "C CA Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No I=I Not Applicable h o e �{ PUBLIC OAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. R'yei:j No❑ Not Applicable Attach additional sheets if necessary WGRXING COAST PC'Y-,1IES Policy 10. ]Protect Soutlhold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section M—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in bong Island Sound, the Peconic Estuary and. 'Town waters. See LVVRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 54�Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRF Section IID[ — Policies; Pages 62 through 65 for evaluation criteria. —1 Yes ❑ No u Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No R Not Applicable ri o PREPARED BY 7S_- Pe. o TITLE_&j DATE _i Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 25 East Side Avenue Dock Repairs /Erosion Control Project Location(describe,and attach a location map): 25 East Side Avenue,Mattituck NY Brief Description of Proposed Action: Administrative revision to existing permit#9709 to modify proposed replacement platform to as-built size of 4'8"x 5'4"in size. Name of Applicant or Sponsor: Telephone:P 917-868-0774 Arthur&Gwen Pier E-Mail: pier@pierfine.com Address: 315 Riverside Dr.-Apt 19D City/PO: State: Zip Code: New York INY 110025 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 1:1may 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 ❑ 3. a.Total acreage of the site of the proposed action? .844 acres b.Total acreage to be physically disturbed? .01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 844 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m 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. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ 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? 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: W1 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 ET of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ 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: 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: m Shoreline ❑ Forest ❑Agricultural/grasslands ❑Early mid-successional OWetland ❑ 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? Piping Plover ❑ W1 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 I 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: Arthur&Gwen Pier Date: .2-02-1 Signature: 5 Title:Owners Jacob M. Grier NOTARY PUBLIC,STATE OF NEW YORK Reyistradon No.01GR6399126 Qualified in Suffolk County COMMISSlon Expires October 15,20 PRINT FORM Page 3 of 3 Part 2-Impact Asser-mint. The Lead Agency is responsible for the con ion of Part 2. Answer all of the following questions in Part 2 usi' a inforination contained in Part I and other mater_....-abmitted by the project sponsor or otherwise available to 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?" F 1 No,or Moderate ¢ small to large nnpaet impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning n regulations? o L�! 2. Will the proposed action result in a change in the use or intensity of use of land? 1 3. Will the proposed action impair the character or quality of the existing community9 ❑ 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 El _ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase to the use of energy and it fails to incorporate ❑ rt 0 reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: f Y a.public/private water supplies? f El b.public/private wastewater treatment utilities? El S. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, (� waterbodies,groundwater,air quality,flora and Fauna)? �j El 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage 1 "1 ❑ problems? �J 11. Wil I the proposed action create a hazard to environmental resources or human health? E 1 17 Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant,Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude Also consider the potential for short-tern,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large of 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 Bate I President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer ci„.,nr,,,•r.r rPPcnr%IIQihlP(1Fflrer in Lead Aaencv Signature of Preparer(if different from Responsible Officer) EAF Mapper Summary Report Thursday, January 30, 2020 9:19 AM Disclaimer: The EAF Mapper is a screening tool intended to assist , project sponsors and reviewingagencies in preparing an environmental '9 OOk30045004 ;Y} , t ,�4' v• _ , „ "' assessment form(EAF).Not all questions asked in the EAF are �! '^ ''" �y k. t:Q9©®?300,'-21Di33' answered by the EAF Mapper Additional information on any EAF = a; 99}00,-3Q0 20i�0,0' z question can be obtained by consulting the EAF Workbooks. Although the EAF Mapperprovides the most up-to-date digital data available to ""` •1r' ;, �' ,I DEC,you may also need to contact local or other data sources in order to obtain data not provided by the Mapper.Digital data is not a -9900r 3DAME,9'UdiO`--= ice^ s y substitute for agency determinations `i'®6D0,41`-300;.41002,4 - ., � ,- r*x3 '1''tc-_ lx a, . � •�( .,..:� ,ki , ,,i+'� `�f�y�'j��'"'`'�,' �E� ., _.�. ., '1"�_' ;'•,r.� - - - 'a .:�,. },)�. r" .,"•`v - ,"`j1tt5PN3`: d�Nltr'�ai�'` '99,0a7,3 �y /fit WW Vi6 •,�-' - - `:F;�^'+:.; �,�`J �. `'a;`'- '� `� - f t"TOi"'�/o'�"•.. ,,. ,4`.�';,�' `' '�•'�T.s ,.n 990`0x,300 2,300,4.; _• r '' -i �~'f;' :X• .K„, U`30©idbo[ ''y4+a`f,, =r� 06-400,'T,70 ,44• '' ;s '> ut +� � ,, „ -tW - �4 fl2d ry Rtit'fie�fQr',:�,�;-rT ;'d,..'�� :��„- �,, .+•4, -aT�:B octan _ f: , ' Iiterinap:INC�t) P,,Mt2Caric irs w fapan,METI ariG hia(Hpnig K 6rir � E P7�''�' �yV`°`, ��aisurW Gar�r►in;x= - :]Ci iea sri Ttia lend�'GCGQi gyp=300.4 00,12 t; =GbEiam g 6 '"�,U flrvt .:ANCREMENT;, .§}-_S,lreetMaj, trib' dth4Gl5 g b _' +?�= `� :3P pan.,,Fsri:iap ;• ETI;' „ Q - �, cn7ser � ��a" 10 Kglomrunii� Fsii' Part 1 /Question 7 [Critical Environmental No Area] Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] No Part 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 Piping Plover Endangered Animal-Name] Part 1 /Question 16[100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 Glenn Goldsmith,President *0 SO!/ry Town Hall Annex Michael J.Domino,Vice-President h0 l0 54375 Route 25P.O.Box 1179 John M.Bredemeyer III _Southold,New York_11971_____ A.Nicholas Krupski y 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 IZ`H®'URS'PRIORTO COMMENCEMENT OF THE ACTIVITIES CHEfrKEb QEF s.., BELO�iV INSPECTION SCHEDULE Pre-construct i;"11 bdle°lirz&%silt7Ud05 l/silt'66rtain 1st day of construction. , '/2constructed k When project complete, call for compliance inspection; Z az: 1 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9709 DATE: SEPTEMBER 16,2020 ISSUED TO: ARTHUR& GWEN PIER PROPERTY ADDRESS: 25 EAST SIDE AVENUE,MATTITUCK '. SCTM# 1000-99-3-18 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on September 16, 2020, and in consideration of application fee in the sum of$250.00 paid by Arthur & Gwen Pier and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit for the removal of the existing 4.51x4' timber platform and replacement with a 4'x14' platform with un-treated timber decking in same and extended landward location as existing; in addition,25 lineal feet of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform; coir log stabilization to consist of three(3) rows off logs staked with oak stakes and planted with beach grass upon completion of installation and as depicted on the revised site plan prepared by Jeffrey Patanjo,last dated July 7,2020,and stamped approved on September 16,2020. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these presents to be subscribed by a majority of the said Board as of the 16a'day of September,2020. 4 TERMS AND CONDITIONS The Permittee Arthur&Gwen Pier, residing at 25 East Side Avenue,Mattituck,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was'originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating,application may be cause for revocation of this Permit by resolution of the said Board. ­ 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass-and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. 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 if SO!/jTown Hall Annex 0 Michael J.Domino,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski y G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN GF SOUTHOLD September 25, 2020 Jeffrey Patanjo• •P.O. Box.582 Bohemia, NY 11716 . RE: ARTHUR & GWEN PIER 251MT SIDE AVENUE, MATTITUCK SCTM# 1000-99-3-18 Dear Mr. Patanjo: ___The.Board.of-Town.Trustees_taok_th6-following'actiQ'n during-its_r_egular_meetingheld_on_.._ Wednesday, September 16, 2020 regarding the'above matter: WHEREAS, Jeffrey,Patanjo on behalf-of ARTHUR & GWEN.PIER 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-February 19, 2020, 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 16, 2020, 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 Mealth�safety-and--general-welfare-of-the-people-of-the_town_, -- = ---------_ NOW THEREFORE BE IT, RESOLVED, that the Board of Trust�es have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ARTHUR & GWEN PIER for the removal of the existing 4.5'x4' timber platform and replacement with a 4'x14' platform with un-treated timber decking in same and extended landward location as existing; in addition, 25 lineal feet of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform; coir log stabilization to consist of three (3) rows of logs staked with oak stakes and planted with beach grass upon completion of installation; and as depicted on the revised site plan prepared by Jeffrey Patanjo, last dated July 7, 2020, and stamped approved on September'16, 2020. 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 hotificatiori: - - - -- - - - ---- ----" -- - - Inspections are required at a ,fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, 10esiid:e5not,14ard of"Trustees GG:dd PROPOSED 14' X 4' WIDE FIXED PLATFORM PLANT TWO ROS OF CAPE AMERICAN BEACH GRASS PLUGS WITH UN—TREATED TIMBER DECKING AT 1' ON CENTER ALONG DISTURBED AREA OF COIR LOGS %(f v ; ; 10 PROPOSED;25 LF X 1.5' WIDE COIR LOG AND PLANTINGS BANK STABIL¢ATION. t4 PROPOSED 6'DIA, CCA PILE (TYP) COIR LAGS d0 BE PLANTED AS SHOWN IN TYPICAL SECTION ' $ EXISTING STAIRS TO REAWN OR ACCORDANCE WITH TOWN AND NYSDEC RECOMMENDATIONS STAKE COIR LOGS WITH OAK STAKES EVERY 2'.O.C. nqq EXISTING FIXED PIER TO N ONE ROW WITH 3 LOGS IN HEIGHT. SEP 2 '2020• 6 t3a7pe''' _ EXISTING RAMP TO REMAIN gQacti,Parlc T=: EXISTING FLOATING DOCK TO N f------------------ + = A' 25,East Side Avenue;, APPROXIMATE MHW_EL 25 --- ---- Southold Town , �•, ,, 4 Board of Trustees 2 EXISTING GRADE APPRO%IMATE M_L�Y EL 0_Of_-- - - .LW EL.0.00f }.`yii'•, TYPICAL SECTION ® COIR LOGS EXISTING WETIAN __ ,N.T.S. R- — AD 2 I EACH IE B -- -,_.• - __ - - _ -- - : _ - -���,_ _ : _ - - -�•�-- . _�},= TYPICAL SECTION ® PIER PLATFORM BAILo r' CA , —2.7' EXISTING FLOATING DOCK TO REMAIN —2.6' f { EXISTING RAMP TO REMAINLO CATION M A P LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED NO FILL TO BE ADDED N.T.S. BY SUFFOLK ENVIRONMENTAL ON OCT. 17, 2017 —2,g- �� � ,� � NO MAJOR EXCAVATION FOR COIR+LOGS-- THEY ARE TO BE PLACED y NOTES: IN SHALLOW TRENCH ALONG EXISTING EROSION LINE, STAKED AND STACKED EXISTING FIXED DOCK TO REMAIN AND BACKFILLED WITH TRENCHING SPOILS PRIOR TO BEING PLANTED 1. LOT AREA: 36,745 S.F. / 0.844 ACRES EXISTING STEPS TO REMAIN ti � . 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: NATHAN TAFT CORNWIN II L.S. LL 1586 MAIN ROAD, JAMESPORT NY 11947 REMOVE EXISTING TIMBER PLATFORM (4.5' X 4') .S'prj?► LA ,� SURVEY LATEST DATED ,JANUARY 15, 2018 M.H.W. INSTALL NEW UN—TREATED TIMBER PLATFORM (4' X 14') �7 /y ra=224.00' 82.53r (r NA ,92 02 XOO� LA 900.00� ` -. 28.01• r• !'r5s4.00 L=s7.89' S 85.00'00" 35.00' EY�r A PROPOSED 25 LF X 1.5' WIDE COIR LOG AND PLANTINGS BANK STABILIZATION. — — E YY sz:s�• �p COIR LOGS TO BE PLANTED AS SHOWN IN TYPICAL SECTION HARBpRV OR ACCORDANCE WITH TOWN AND NYSDEC RECOMMENDATIONS r b- / STAKE COIR LOGS WITH OAK STAKES EVERY 2'.O.C. ONE ROW WITH 3 LOGS IN HEIGHT. - LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED .. 1 BY SUFFOLK-ENVIRONMENTAL ON OCT. 17, 2017 — Y 'APPROVED BY °BOAkD OF -i R.USTEE,S �- - dop PROPERTY OWNER: Y " - �TO.!/Vh1.OFSOUTHOLD FRAME#25 I ARTHUR & GWEN PIER 2 STORY / � � ,• �. "• �` RESIDENCE 315 RIVERSIDE DR — APT 19D a DATE S'E ��y�o NEW YORK, NY 10025 o • oR S PREPARED BY: R JEFFREY PATANJO 63-Z4' 3.24 P.O. BOX 582 ' BOHEMIA, NY 11716 oD.-,R 631-484-9332 " s'ab JJPATANJO@GMAIL.COM 1a g 61.39, Proposed Permit Plans SCALE: , 1"=30' Y Y Y g''B 00.,If PROPOSED PLAN, SECTION DATE' Y ------.1.6o.97 & LOCATION MAP 2-10-20 7-7-20 Y- o• = j —2.5' + REPRESENTS WATER DEPTH IN FEET 25 EAST SIDE AVENUE MEASURED AT MEAN LOW WATER MATTITUCK• TOWN OF SOUTHOLD 3 gp67-$O--yP SUFFOLK COUNTY, NY SHEET: TAX YAP NO. 1000-99-03-18 1 of 1 i September 17, 2020 Town of Southold Trustees in Town Hall Annex Building 54375 Rte. 25 SEP 2 1 2020 P.O. Box 1179 Southold, New York 11971 Sc�Ahold Town Board of Trustees RE: 25 EAST SIDE AVE-MATTITUCK SUM No. 1000-99-03-18 APPLICATION REVISIONS Dear Trustees: Per the public hearing comments, attached please find four sets of plans showing the proposed pier width to be 4' wide maximum. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very trul yours, J rey Patanjo P.O. Box 582 Bohemia, NY 11716 September 10, 2020 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 SEP 20x0 Southold, New York 11971 RE: 25 EAST SIDE AVE-MATTITUCK Southold Town SUM No. 1000-99-03-18 Board of li ustees APPLICATION REVISIONS Dear Trustees: Per our conversation, attached please find four sets of plans and project descriptions that clearly state the decking to be un-treated. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, J ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 ��1 :�* Glenn Goldsmith, President to aye Town Hall Annex Michael J. Domino Vice-President o 54375 Route 25 John M. Bredemeyer, III o P.O. Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams �' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES �'Z�6� TOWN OF SOUTHOLD TO: ARTHUR & GWEN PIER c/o JEFFREY PATANJO Please be advised that your application dated February 19, 2020 has been reviewed by this Board at the regular meeting of September 16, 2020 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) 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 I3z"lD BY% Glenn Goldsmith, President Board of Trustees Glenn Goldsmi' resident V 4 Town Hall Annex Michael J. Domino 54375 Route 25 John M. Bredemeyer III P.O.Box 1179 C'3 ZZ I A.Nicholas Krupski , Southold,NY 11971 Greg Williams �� ,. Telephone(631)765-1892 =_ Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD f Date/Time: Completed in field by: Jeffrey Patanjo on behalf of ARTHUR & GWEN PIER requests a Wetland Permit for the removal of the existing 4.5'x4' timber platform and replacement with a 4.5'x14' platform with un-treated timber decking in same and extended landward location as existing; in addition, 25 lineal feet of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform; coir log stabilization to consist of three (3) rows of logs staked with oak stakes and planted with beach grass upon completion of installation. Located: 25 East Side Avenue, Mattituck. SCTM# 1000-99-3-18 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N 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: 5q 0 iuo � - V to(Po /1X4b,-+ tQC r. c I have read & acknowledged the foregoing Trustees comments: Agent/Owner: t, Present were: J. Bredemeyer M. Domino 'Goldsmith N-Xrupski a� 0, Williams Other September 10, 2020 Town of Southold Trustees ,� Town Hall Annex Building E G 0 V E 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 SEP 1 4 2020 RE: 25 EAST SIDE AVE-MATTITUCK SCTM No. 1000-99-03-18 - — APPLICATION REVISIONS Dear Trustees: Per our conversation, attached please find four sets of plans and project descriptions that clearly state the decking to be un-treated. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, J ttrey Patanjo P.O. Box 582 Bohemia, NY 11716 PROJECT DESCRIPTION: The project includes the removal of the existing 4.5'x 4'timber platform and replacement with 4.5'x 14' platform with un-treated timber decking in same and extended landward location as existing. In addition, 25 lineal feet of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform as shown on proposed plans. Coir log stabilization to consist of 3 rows of logs staked with oak stakes and planted with beach grass upon completion of installation. r I SEP 1 4 2020 SO';�nn!j�CY�ti PROPOSED 14' X 4' WIDE TWO ROS OF ERICAN UGS v WITH UN—TREATED TIMBER DECKING PLATFORM AT1'1' ON CENTER ALONG DISTURBED AREAHOF C�OIRPLOGS 10 — PROPOSED 25 LF X 1.5' WIDE COIR LOG AND PLANTINGS BANK STABILIZATION. 14 PROPOSED 6' DIA. CCA PILE (TYP) COIR LOGS TO BE PLANTED AS SHOWN IN TYPICAL SECTION g OR ACCORDANCE WITH TOWN AND NYSDEC RECOMMENDATIONS EXISTING STAIRS TO REMAIN f STAKE COIR LOGS WITH OAK STAKES EVERY 2'.O.C. SEP 1 4 2020 EXISTING FIXED PIER TO REMAIN ONE ROW WITH 3 LOGS IN HEIGHT. 6a+ c EXISTING i RAMP TO REMAIN EXISTING OATING DOCK TO EMAIN APPROXIMATE I&KIN.EL 25± - ?S Fast S cic five+iue 4 _ T----------------------------------------- 5,�:,;i,nld Towle --z "1I5TING GRAI3E g("7r yf ES "Te 2 _ — t '�,� --- EXISTING GRADENtr — APPR0ICWATE 1lLW Fl O.U# 0 "LW E-.0.00± -- TYPICAL C M1 SEI TON ® CIOR LOGS -Z - N.T.S. �IH R0 AD EXISTING WELAN 5 LIE BE TYPICAL SECTIO 2 EIES PLATFORM B o � N.T.S. O1 to —2.7' EXISTING FLOATING DOCK TO REMAIN —2.6' +. + EXISTING RAMP TOR N LOCATION MAP LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED NO FILL TO BE ADDED >� BY SUFFOLK ENVIRONMENTAL ON OCT. 17, 2017 NO MAJOR EXCAVATION FOR COIR LOGS - THEY ARE TO BE PLACED y N.T.S. NOTES: IN SHALLOW TRENCH ALONG EXISTING EROSION LINE, STAKED AND STACKED EXISTING FIXED DOCK TO REMAIN x x x AND BACKFILLED WITH TRENCHING SPOILS PRIOR TO BEING PLANTED >� 1. LOT AREA: 36,745 S.F. 0,844 ACRES EXISTING STEPS TO REMAIN �k x x �� 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: NATHAN TAFT CORNWIN II L.S. 1586 MAIN ROAD, JAMESPORT NY 11947 �+ REMOVE FASTING TIMBER PLATFORM (4.5' X 4') SOtI ---��_� INSTALL NEW UNTREATED TIMBER PLATFORM (4' X 14') Tt� L�G SURVEY LATEST DATED JANUARY 15, 2018 P--224.00' L--62.53, oON LAS $ R=5s4.00' L=87.89' S 8500'00"E 35.00' WAV E '�;;���PROPOSED 25 LF X 1.5' WIDE COIR LOG AND PLANTINGS BANK STABILIZATION. — — — — _ _ C� COIR LOGS TO BE PLANTED AS SHOWN IN TYPICAL SECTION — —82.51' ��0 P j EI N. / OR ACCORDANCE WITH TOWN AND NYSDEC RECOMMENDATIONS 1 A� ,f STAKE COIR LOGS WITH OAK STAKES EVERY 2'.O.C. J� _ ONE ROW WITH 3 LOGS IN HEIGHT. LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED BY SUFFOLK ENVIRONMENTAL ON OCT. 17, 2017 r _ PROPERTY OWNER: X25 ARTHUR & GWEN PIER k " FRAME RE°SR INCE 315 RIVERSIDE DR — APT 19D NEW YORK, NY 10025 `oo PREPARED BY: JEFFREY PATANJO P.O. BOX 582 k w BOHEMIA, NY 11716 '4' 631-484-9332 x n W Qs'•C3�V JJPATANJO@GMAIL.COM w 609 k k _ e k '+' x w ti k Proposed Permit Plans SCALE: K t k w �, op wo x ` 00. 6 PROPOSED PLAN, SECTION DATE: - k- I � k — & LOCATION MAP k k " k `" L Y � k � x � �- " � 60.97 2-10-20 k r k v 7-7-20 —2.5' + REPRESENTS WATER DEPTH IN FEET 25 EAST SIDE AVENUE x j. " ' � MEASUREDAT MEAN LOW WATER MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEEP: s 8057 so TAX MAP N0. 1000-99-03-18 1 OF I CH -- ^- :----NOTES 1. THIS PROPERTY IS SHOWN AS LOT 1 ON $AIL'ROAD A MAP OF OLD MILL HAVEN CO SURVEY OF PROPERTY FILE IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY C --" 1 ON OCTOBER 2, 1925 AS FILE No 799 SITUATED AT _ 2. ELEVATIONS ARE REFERENCED TO N.A.V.D 1988 DATUM MATTITUCK EXISTING ELEVATIONS ARE SHOWN Tr O TOWN OF SOUTHOLD e 8 EXISTING CONTOUR LINES ARE SHOWNWN THUS -——-ya-——- FEB 1 9 2020 _ Ra aw„ ul SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-99-03-18 a ' 3- FLOODD INFORMATION NFORMM ATION TAKEN FROM. 7 __ _ •--•----� FLOOD INSURANCE RATE MAP No 36103C0143 H a r1 SCALE 1"=20' ' - + ZONE AE BASE FLOOD ELEVATIONS DETERMINED V AUGUST 12, 2004 ZONE X AREAS DETERMINED TO BE OUTSIDE THE 02%ANNUAL CHANCE FLOODPLAN r1 NOVEMBER 11, 2015 STAKE PROPERTY LINES 4rlj,j(; _ _�—•-4 SEPTIC SYSTEM LOCATIONS PROVIDED BY OWNER. d DECEMBER 28,2017 UPDATE SURVEY JANUARY 15,2018 ADD 2nd STORY ADDITION AREA = 36,745 sq ft. 0.844 ac. ,gyR rw• �q 6Y X�RjWj�;aTT Ali, ALL �A.I O \1�7_xACxa�HzO2�4f)\.o\NoI 4 \\�\. •II,.�/�J � 4n^q-,a[UDU'IE�TaH—--LA--C_G6-0_0N E o 85'00'00" 62. NCoow N1x as Hn5S 6 74' — E 62.6 � � 51 _CHoRDSB9OS jp� A$EONR,UV�E� —67.85' \ _ • E x>J \\ 1 111111j1 �9 1111111 // �% ��2lJxr, /6 �1 ,� \\ � > -24 W a\ 111111 111 1 [�° • °° 1 z 1=.fl✓° 11 11 D^1 Z 1 1 I I\III\\\111 II \ ORT P V 1� \\ \ fq%\\\111111111\ E% MEHOUSE o I. \\ \\�\zf\11111111\\\\ °+Y �� \\\ \ xaa7 �g s5�ry� z� III A4 Rn, \\ >,x \ ; \ 111111111\� \ ° >v xJa, x,a• \ e.0 ro AL 1f AVL PNoc wom \\ a 6 a5od fwmwuA m�sum n a Esi aunrzo � \\\ \ \ 6,39 NCE CO TE UALs aN°.slmurtn aNO Aorerto \ �s��xr nc xEW rxc swE wm cop AW1e'0 A \1 \ m lo S BD 57,3p•` W 0. NYS Un No 50467 LOT COVERAGE OVER TOTAL LOT AREA LOT COVERAGE OVER UPLAND AREA Nathan Taft Corwin i�� AREA= 36,745 sq. ft. AREA= 30,088 sq. ft. n x2uwa THE xEll voRc su1E DESCRIPTION AREA X LOT COVERAGE DESCRIPTION AREA X LOT COVERAGE OCRFs of Tws SOM£Y xxR rKIT afiRlxo Land Surveyor HOUSE 1.620 H 4 9X HOUSE 1,820 a uvo smrvEraBs endo sE�u.oa sq sq /I 6 OX rod ami wmmuE c°w ACCESSORY BUILDING 447 eq ft 12X ACCESSORY BUILDING 447 sq fl 1.4% as+m na vE roR ro' iou mE suatr 6°aess°r To Stanley J baba,J,is Is RIln ,Atm xa e[xgv m m[ Jasepl,A Ilpegno LS SCREENED PORCH 277 eq N o ax SCREENED PORCH 277 eq ft o 9x lnmau eamiulioN Lamm xxieumµD Tree s,nv,-ssbems,os- sKe Rorer- crost bon Lv ,f m,xE AmoxEEs aF INE lExon,c nsn- TV ^ NaT 1rsv+sfm.»� PHONE(631)727-2090 Fac(631)727-1727 DECKS 655 sq ft 1 6% DECKS 655 aq It 2 3X OFBf25 LOCATED AT AWIA'G AOORE$S IRE 0O5IENCE gF RI0116 TIF AY ANO/OR TASEYEMS"NCLORO.IF 1 Ne°Yah 11947 JomesporL Npo am Yoh 11947 TOTAL 3099 sq fl 8 7X TOTAL 3.789 a 16 q R. 10 8X ANY,NOT SNOWN ARE NOT WARANfEEp JRmn 35-232A PROPOSED 14' X 4.5' WIDE FIXED PLATFORM --- WITH UN-TREATED TIMBER DECKING 10 14 COIRP OG r 0 LF X BE PLANTED I WIDE SHOWN LOG AND PLANTINGS BANK STABILJZATION. $ PROPOSED 6' DIA. CCA PILE (TYP) EXISTING STAIRS TO REMAIN OR ACCORDANCE WITH TOWN AND NYSOEC RECOMMENDATIONS 1 STAKE COIR LOGS WITH OAK STAKES EVERY 2'.O.C. EXISTING FIXED PIER TO REMAIN ONE ROW IWTTH 3 LOGS IN HEIGHT. _ Bailie 6 --__ Begch'Park EXISTING RAMP TO REMAIN EXISTING GATING DOCK TO EMA1N APPROXIMATE M.H.W. EL 2.5t 25 East Side Avenue 2 APPROXIMATE M.LW EL O.Of l ------ ------- --- -- ---------- ----------- - ---- EXISTING GRADE ------------------ _ ( - $ = `� 0 - - .LW EL.O.DD± M1'' - ' TYPICAL SECTION ® COIR LOGS DAD =-_ _�-' EXISTING WERAN S N.T.S. J R - 1 —2 BEA I— BAILIE _ r TYPICAL SECTION ® PIER / PLATFORM N.T.S. EXISTING FLOATING DOCK TO REMAIN EXISTING RAMP TO REN LOCATION M A P Z-/ LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED NO FILL T0: BE ADDED N.T.S. BY SUFFOLK ENVIRONMENTAL ON OCT. 17, 2017 NO MAJOR EXCAVATION FOR COIR LOGS - THEY ARE TO BE PLACED `� NOTES: IN SHALLOW TRENCH ALONG EXISTING EROSION LINE, STAKED AND STACKED EXISTING FIXED DOCK TO REMAIN AND BACKFILLED WITH TRENCHING SPOILS PRIOR TO BEING PLANTED >;/� 1. LOT AREA: 36,745 S.F. / 0.844 ACRES EXISTING STEPS TO REMAIN ��y�. 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: NATHAN TAFT CORNWIN II L.S. REMOVE EXISTING TIMBER PLATFORM (4.5' x 4') SUz1?► 1586 MAIN ROAD, JAMESPORT NY 11947 M.H. INSTALL NEW UN-TREATED TIMBER PLATFORM (4.5' x 14') 1� L�G,OO SURVEY LATEST DATED JANUARY 15, 2018 R=224.00' L=62.53' N �N ,92�� X800.00• ZI R=564.00' L=67,8.9 S 85.00'00"E 28.01' 35.00' •• AVE E PROPOSED 25 LF X 1.5' WIDE COIR LOG AND PLANTINGS BANK STABILIZATION. — _ A �0 COIR LOGS TO BE PLANTED AS SHOWN IN TYPICAL SECTION 62 51' JOB T I EI �I`T OR ACCORDANCE WITH TOWN AND NYSDEC RECOMMENDATIONS {/ A6 / STAKE COIR LOGS WITH OAK STAKES EVERY 2'.O.C. i ONE ROW WITH 3 LOGS IN HEIGHT. HA / LANDWARD EDGE OF TIDAL WETLANDS AS DELINEATED BY SUFFOLK ENVIRONMENTAL ON OCT. 17, 2017 / PROPERTY OWNER: Nes / ARTHUR & GWEN PIER 2 STORY FRAME RESIDENCE 315 RIVERSIDE DR — APT 19D cc //�d' NEW YORK, NY 10025 c I r oR� PREPARED BY: GRP JEFFREY PATANJO " 63-24P.O. BOX 582 BOHEMIA, NY 11716 'oD',R 631-484-9332 e FRAMER LDING S ss'SJJPATANJO@GMAIL.COM 611 89 Proposed Permit Plans SCALE: lop is /sa'B0 ; PROPOSED PLAN, SECTION DATE. 60.97 ' '{ F E B 1 9 2020 ; & LOCATION MAP 2-10-20 € 25 EAST SIDE AVENUE MATTITUCK, TOWN OF SOUTHOLD S 80.57'80"A' `T j�, _ _ -��` SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-99-03-18 1 of 1 Am S�FFO('� Glenn Goldsmitgw,60 Town Hall Annex O�� CGG Michael J. Domino 54375 Route 25 John M. Bredemeyer IIIy a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 'y ® O� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 811)12©2o �`'�.5o Completed in field by: G. - 115,vA CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 / Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment ✓ Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: l'G oraaSe� �1�'T•t«+an w;�� ,nGTDCc� ec, yCac�-�lx�io 11 --rv I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: ✓ J. Bredemeyer \//M. Domino ✓ G. Goldsmith N. Krupski —7G. Williams Other Arthur&Gwen Pier 25 East e Avenue,Mattituck •1000-99-3-18 :n•/ 1 Irw • • w �Iliiiil _ { 1► r 4V w Z' s { ..r_ k,.- •�. - f i��t •� ` y.. ' > -1�, 'Rs�.�j, '/1 �1: � —� �� ,\ �• i •+• � 'tel�i'1 t Photo 1 S - f { er Y n _ v r 4r a r., ,y .• .. '' t Its ��_Y.'.r V . Photo 2 1�f4���'i�� ► ``' . Photo 3 � Y \ L� i� ^1 qJI Photo 4 "y 098 A bil 1060 - � PROPERTY MAP ' o ok ACJ 13 94 01 4."C) '01 sk 4, IMrn-njCXPAW DISTRICT ZGA 11,00 111��,Ijjjoo k 11 171 mi MAA(C) Is 10 MA *\-Z WAn OE NEW YON) ti 19 2A(c) rolrr-Uac PARK"ST'VcT d* 12V 0 2 4 A4) Nk (4) .]. 2 FOR NO tb s E 0400]O SENO 31MTCH —Z——————LiF- —E 4.1 — SOUTHOLD NO NOTICE COUNTY OF SUFFOLK (�) EK L Real PropeTty Tax Service Agency Y T�o E 99 M aw A P IAerwei ew ,000 PROPERTY MAP D OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) " Southold, NY 11971 Telephone: 631 765-1938 i� � n �+��� 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 9, 2020 Re: LWRP Coastal Consistency Review of ARTHUR & GWEN PIER SCTM# 1000-99-3-18 Jeffrey Patanjo on behalf of ARTHUR & GWEN PIER requests a Wetland Permit for the removal of the existing 4.5'x4' timber platform and replacement with a 4.5'x14' platform with un-treated timber decking in same and extended landward location as existing; in addition, 25 lineal feet of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform; coir log stabilization to consist of three (3) rows of logs staked with oak stakes and planted with beach grass upon completion of installation. Located: 25 East Side Avenue, Mattituck. SCTM# 1000-99-3-18 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 9, 2020 the following recommendation was made: Moved by John Stein, seconded by John Chandler, it was RESOLVED to SUPPORT the application of ARTHUR & GWEN PIER for the removal of the existing 4.5'X 4' timber platform and replacement with 4.5'X 14' platform with untreated timber decking in same and extended landward location as existing. In addition, 25 If. of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform as shown on proposed plans. Coir log stabilization to consist of 3 rows of logs staked with oak stakes and planted with beach grass upon completion of installation Located: 25 East Side Ave., Mattituck. SCTM#99-3-18 Inspected by: Peter Young, John Stein, John Chandler Vote of Council: Ayes: All Motion Carried Michael J.Domino,rresident of S12 Town Hall Annex John M.Bredemeyer III,Vice-President °®4 l® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Q Telephone(631) 765-1892 Greg Williams ®l OUM'1, Fax(631) 765-6641 �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application r Wetland Permit Application Administrative Permit { Amendment/Transfer/Extension 2,lR. ` FEB 1 9 2020 Received Application: Received Fee: $ 2S0• Completed Application: 2.24.7 9 Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: �Coordination:(date sent): J4• 3. '2o LWRP Consistency Assessment Form Sent: CAC Referral Sent: 3.25 20 Date of Inspection: 'St.i�+Z10 Receipt of CAC Report: Technical Review: Public Hearing Held: + '-j-0" Cl'u-S� Resolution: l oZ0 Owner(s) Legal Name of Property (as shown on Deed): A t fi kv r c n Pier Mailing Address: 31 R%v ecS 14e D 2— A P c f q D V eW V oA1Z, NY 10 o a-s Phone Number: 886 ' D ??y Suffolk County Tax Map Number: 1000 - 0/ Property Location: 'a £as'f S A A v to e eyt a+4 t't-u e e- S,ecc L oe A'h on /►Mae (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): '45Kt Cy Mailing Address: P ' o ' �X 57g,-)- j3v kwm t o tJL( 11714 Phone Number: 5/ '`f�'y ' 9 53a— cc r s� Board of Trustees Application GENERAL DATA Land Area(in square feet): 3 b, -7 y Ste" Area Zoning: 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 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 require 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? V' Yes No Prior permits/approvals for site improvements: Agency Date frLevt<c Pow 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): scie— OL 44 C_4 rk_ PROJECT DESCRIPTION: The project includes the removal of the existing 4.5'x 4'timber platform and replacement with 4.5'x 14' platform with un-treated timber decking in same and extended landward location as existing. In addition, 25 lineal feet of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform as shown on proposed plans. Coir log stabilization to consist of 3 rows of logs staked with oak stakes and planted with beach grass upon completion of installation. CV�'.6L li Vi la YJ V��.tN A�Ji.Ji i\r�1r1J� WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: See. &+4ce-A ee4 Area of wetlands on lot: ` S q° square feet Percent coverage of lot: /-7. q % Closest distance between nearest existing structure and upland edge of wetlands: 2 feet Closest distance between nearest proposed structure and upland edge of wetlands: 2 feet Does the project involve excavation or filling? V No Yes If yes, how much material will be excavated? h' 1A cubic yards How much material will be filled? &14 cubic yards Depth of which material will be removed or deposited: tl A feet Proposed slope throughout the area of operations: N Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): `( A<" w t ll ye 4. —ems Si-hue- ague 4'® ,fectvceeR bton n dole 60 1anlL $Ta9t'li 'ga-plce.a A,e? Short Environmental Assessment Form Part 1 -Project Information Instructions for Comnletin� 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: 25 East Side Avenue Dock Repairs Erosion Control Project Location(describe,and attach a location map): 25 East Side Avenue,Mattituck NY Brief Description of Proposed Action: Remove existing timber deck and replace with new timber deck addition in landward location.Construct coir log bank stabilization in area surrounding dock as shown on proposed plans. Name of Applicant or Sponsor: Telephone: 917-868-0774 Arthur&Gwen Pier E-Mail: pier@pierflne.com Address: 315 Riverside Dr -Apt 19D City/PO: State: Zip Code: New York NY 10025 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 El 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 ❑ 3. a.Total acreage of the site of the proposed action? .844 acres b.Total acreage to be physically disturbed? 01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .844 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 I 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. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: FD NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? F7 F-1— b. b. Are public transportation services available at or near the site of the proposed action? F*71 ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 21 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: FZ1 F-1 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: F47 F] 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 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 Z ❑ 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: 30 lineal feet of coir log bank stabilization Page 2 oF3 _ r 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 ® Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? Piping Plover ❑ IZI 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, ❑ i 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: i 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: Arthur&G en Pier Date: Signature: Title:owners PRINT FORM Page 3 of 3 Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 us ie information contained in Part i and other mater ubmitted by the project sponsor or otherwise available tc reviewer When answering the questions the revie.._. hould be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 1 No,oa• Moderate 1 small to large impact impact may may occul" occur I Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 1EJ 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)? E 5. Will the proposed action result in an adverse change in the existing level of traffic or �1 affect existing infrastructure for mass transit,biking or walkway? _ F J 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ El reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a a.public/private water supplies? 0 El b.public/private wastewater treatment utilities? S. 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, { I waterbodies,groundwater,air quality,flora and fauna)? f� 1 I•(�l s 10. Will the proposed action result in an increase in the potential for erosion. flooding or drainage t 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 element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude Also consider the potential for short-term,long-term and cumulative impacts. 0 t Check this box if you have determined,based on the information and analysis above,and any supporting documentation, I that the proposed action may result in one or more potentially large or signs ream adverse impacts and an environmental impact statement is required. ElCheck 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 President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer c;n.,nr„rs+M,a2 acnnncihlP flffirer in Lead Aeencv Si;nature of Prepaier(if different from Responsible Officer} EAF Mapper Summary Report Thursday, January 30, 2020 9:19 AM Disclaimer: The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies in preparing an environmental 99oc-.'C'G I;i G01' assessment form(EAF) Not all questions asked in the EAF are it 1 ga,C)0-?G0-2.1 Q 0 2 answered by the EAF Mapper Additional information on any EAF question can be obtained by consulting the EAF Workbooks Although the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources in order to obtain data not provided by the Mapper Digital data is not a r= r'��G•'•'00-19GL'G substitute for agency determinations 10000-300.10014 . lalontre, 9900-3,06-18000 r' So*'old 990 -300-2'300'1 Tarontpj z_s'_.. , 'v900-300-17001 ,RucFr:-lar 111, ' _. r, { AyhartY '10000 3GG=1 0C�1,?` tielrelt s Bv:1Gr Cl.vl;iecl '. ;tF�rexiclrnce 5c6cea.Esri,FiERE;`Gsrmin,1iSGS, % -•Iritermap•,INCREtIlErdT F.NRCan,Esri Jacan,NlETL Esri Chins(H-.ng Kcrrg'?,Esrii "' " I Sarace ,ESri -armir., I.I-6G'-20Cr-1002 Kcros,Esri(Thailsnd;,N1GC:Qrlc��ry-3rJ��=1?U'I2 1p ColumSuc r=it�bry3li USGIEtllar~— jp,INCREIAENT Ccen$treetr0sp ccntrituttfs,a,;d the GIs FpCdRC9n,Esrl JaFsr, ,t h1ETI. nriE;fCins,Hcng'kcng)I,Es ;Use Community, c Part 1 /Question 7 [Critical Environmental No Area] Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] No Part 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 11 Question 15 [Threatened or Yes Endangered Animal] Part 1 /Question 15 [Threatened or Piping Plover Endangered Animal- Name] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form- EAF Mapper Summary Report 1 Board of Trustees Appl; " �;tion AFFIDAVIT A,r-tku r Plc/L-- BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN.OF SOUTHOLD AND THE 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. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF N tar P C ANNA JAGROOP Notary Public-State of New York NO.01JA6344533 Qualified in Queens County My Commission Expires Jul 5,2020 Board of Trustees Appl,— ;tion s AUTHORIZATION (Where the applicant is not the owner) I/We, 4 P+ yr 1--i' 6 wen Pyt/L owners of the property identified as SCTM# 1000- 9q - y 3 •l F in the town of AAA ,, 41 New York, hereby authorizes `QAC/ 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. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME TH -� DAY OF_ ,20 2,Q� ANNAJAGROOP 0 llc Notary Public-State of New York N0.01JA6344533 Qualified in Queens County My Commission Expires Jul 5, 2020 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the pari of town officers and employees The purpose of this form is to plovide information which can alert the town of passible conflicts of interest and allow it to take whatever action is necessary to avoid same. q YOUR NAME: A xlL, A-�`C (Last name,first name,spiddle 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 Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO ✓ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant(agent/representative)and the town officer 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(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(whets the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP 2-7 �T Submitted this of c 20z�q Signature Print Name Form TS l APPLICANT/AGENT/REPRESENTATIn TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The numose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: P1 C/— A 6 W G 0%� (Last name,first name,itiddle 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 Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 501(of the shares. YES NO t// If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check 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(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal orbeneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day f Signature Print Name Form TS 1 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnlaecs.The RPMO a of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. T YOUR NAME: V A_t_12 rj ,O (Last name,fust ffam6,giiddle initial,unle s 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 Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest'!means a business, including a partnership,in which the town officer or employee has even apartial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%-oftheshares. YES NO v If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer 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(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation), C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 'I day of r-4 20 2 o Signature Print Name 1 -J Form TS l �x Glenn Goldsmith,President r{tCZNIQ FF©1,4, Town Hall Annex ' Michael J.Domino ti� � Z 54375 Route 25 John M.Bredemeyer III ro a P.O.Box 1179 A.Nicholas Krupski r117�7 Southold,NY 11971 Greg Williams Telephone(631)765-1892 X01 �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 25, 2020 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Re: Board of Trustees Application of Arthur& Gwen Pier 25 East Side Avenue, Mattituck SCTM# 1000-99-3-18 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Order 202.1, this application is now scheduled to be heard by the Southold Town Board of Trustees, via videoconferencing on Wednesday, September 16, 2020 beginning at 5:30 P.M. Please continue to check the Town's website as,the meeting date approaches for the latest meeting agenda and videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. Truly ur , Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President QSVFFO�'fCOG Town Hall Annex Michael J.Domino ,� y,� 54375 Route 25 John M.Bredemeyer III y z P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams y ® p! Telephone(631)765-1892 dol �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESEDAY, SEPTEMBER 16, 2020 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, September 16, 2020 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform on Wednesday, September 16, 2020 with the Regular Work Session beginning at 5:OOPM, and the Public Board Hearings beginning at 5:30PM. 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: 910 7289 9663 Password: 151944 • 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. 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. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-99-3-17.1 SCTM#1000-99-3-21.3 Corlett, Candace Geppel,Thomas Jr 300 Clearview Road Festa,Carol Southold, NY 11971 450 Harborview Avenue Mattituck, NY 11952 SCTM#1000-99-3-19 Lowry,Andrew B Lowry, Malgorzata S 441 Hawthorne Place Ridgewood, NJ 07450 STATE OF NEW YORK COUNTY OF SUFFOLK Jeffrey Patanjo ,residing at P.O.Box 582, Bohemia,NY 11716 ,being duly sworn,deposes and says that on the _day of September ,2020 ,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 there respective names;that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Bohemia ,that said Notices were mailed each of said persons by CERTIFIED MAIL/RETURN RECEIPT. I Sworn to before me this 3 Dayof September ,2020 k\1A anN Rotaly Public MARILYN S. HICKS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 H16365489 Qualified in Suffolk County Commission Expires October 10,2021 I a ® 1Mr.— ®� Aa © o I. tri ru77-7 r • L yid tyr September 7, 2020 r` Certified Mad Fee ti , C3 $ Extra Services&Fees(checkbox,add lee es appropriate) Town of Southold Trustees ,q ❑Return Receipt(hardcopy) $ 7 ; ❑Return Receipt(electronic) $ Postmark pt Town Hall Annex Building ! O ❑Certified Mall Restricted Delivery $ HereVi C3 []Adult Signature Required { 54375 Rte. 25 ❑Adult SignatureResWctedDelvery$ I P.O. Box 1179 Co postage Southold, New York 11971 rU TotalPoStageand - -- -- $ SCTIVI#1000-99-3-19 i � Sent TO I Lowry,Andrew B RE: 25 EAST SIDE AVE-MATTITUCK o St�estandApf.N Lowr , Malgorzata S SUM No. 1000-99-03-18 ; '` Y Cary"Sra[e;ziP+ad 441 Hawthorne Place AFFIDAVITS OF MAILING 8�P-OS`TIRIC�a e, Ridgewood, NJ 07450 Dear Trustees: Attached please find affidavits of mailing aid-fie --for the above referenced application. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, 9 - Pd 9_�� Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 1 e Il) ECOP 1 r— I• N • nj • • � `✓ .I EI ,✓ F `i3 • • �• r A t=om U"Q^..:! •'a-f C� Certified Mall Fee N Certified Mall Fee Extra Services&Fees(check box,add lee as appropriate)' EMfa SBNICeS&Fees(checkbox,add fee as appropriate) % `-2, ❑ Return Race (hardcopy) $ 0, ��' �" - ❑Return Receipt(hardcopy) $ 0 ❑Retum Receipt(electronic) $ '�-% Postmark r ❑Return Receipt(electronic) $ a~ Postmark © ❑Certified Mall Restricted Delivery $ d r-- r r ❑Certified Mall Restricted Delivery $ �'1 'Here —r— cn Here C3 []Adult Signature Required $ ti-,q v E=l ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ -�_L �� ❑Adult Signature Restricted Delivery$ L,, Postage ` yj: Postage j N Total Postage ant N Total Postage ani— — — -- $ ent To SCTM#1000-99-3-17.1 Q, $ SCTM#1000-99-3-21.3 o Corlett, Candace ra sent To Geppel,Thomas Jr StreePendAWEM' �[t'eeeaifti"t M Festa Carol I �` 300 Clearview Road Cary"State ZIP+4 450 Harborview Avenue cry,state;zfP+a+ Southold, NY 11971 os Mattituck, NY 11952 V Glenn Goldsmith,Presidento�QS>9fFllt� Town Hall Annex j Michael J.Domino V-- 54375 54375 Route 25 Y John M. Bredemeyer II I y P.O.Box 1179 A.Nicholas Krupski w0 ® �; Southold,NY 11971 Greb Williams 4,/ 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 ARTHUR& GWEN PIER COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEIrEN DAYS PRIOR TO THE PIIBLIC HEARING DATE, I, _ _ Jeffrey Patanjo , residing at/dba PO Box 582,Bohemia,NY 11716 being duly sworn, depose and say: That on the 6 day of September ,2020 , I personally posted the property known as 25 East Side Avenue Mattituck. SCTM# 1000-99-3-18 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 seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesdav,September 16,2020. Dated: 9 6 0 (s' nat re) Sworn to before me this 61 day of Sept.2020 MARILYN S. HICKS NOTARY PUBLIC,STATE OF NEW YORK Notary Registration No.01H16365489 Qualified in Suffolk County Commission Expires October 10,2021 ;9 :1 1 NOTICE F HEARING NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. OWNER(S) OF RECORD: ARTHUR & GWEN PIER SUBJECT OF PUBLIC HEARING: For a Wetland Permitfor the removal of the existing 4.5'x4' timber platform and replacement with a 4.5'x14' platform with un-treated timber decking in same and extended landward location as existing; in addition, 25 lineal feet of coir log bank stabilization to be installed at the entry to the existing fixed dock and new platform; coir log stabilization to consist of three (3) rows of logs staked with oak stakes and planted with beach grass upon completion of installation. Located:-25 East Side Avenue, Mattituck. SCTM# 1000-99-3-18 TIME & DATE OF PUBLIC HEARING: Wednesday, September 16, 2020 — at or about 5:30P.M. — To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. , BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# q 9 _ v 3 . _ le PROJECT NAME a S r--,&s.T S, A v o n c — /►1 a +4t+,j OL The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: P t _ Location of action: 4 V e. — M u •E-� 't.ic /L Site acreage: t7 . $ y y Present land use: at S Present zoning classification: 12e-5 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: 4 t--f kv r 4 'co w", (b) Mailing address: V c i'S td c A ve — 1-104- 111 D pet,%) qo4,K, N I eo (c) Telephone number: Area Code( ) 917- Y(T 6 -07- (d) Application number,if any: 1 " Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes RfNo❑ If yes, which state or federal agency?0" t S n EC-fij%4 s 0 DS C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. 'Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Oyes ❑ No ❑ Not Applicable 06nSIsrt'en} ra .kms.4, Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No R Not Applicable No e fjzcsE- Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable ('/o e-c- i a 4 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Hl/-Yes Yes ❑ No ❑ Not Applicable �n—E-G�o n •�,n .vim fii riS G�oJL . Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes E] No E]Not Applicable erol'-C* Y rol-ee- 1 `tj Ai n t s't�l/yl CNl't4'f'/vim �i W`i-fic� �v� —to 1roSL•�1 Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No 1, ,Applicable fyltc�- �!'ovc�Qsr$ �02 S-f'4 [ �� izzc� hail dL sln {� �snfiky c Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [:] No Not Applicable no e "c-C-4 Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. 1:1 Yes 1:1 No B. Not Applicable no a PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. E(Ye,Z] No❑ Not Applicable c.4+1 njCJ KCe rss Attach additional sheets if necessary WORKING COAST PC.` CIES I, Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Q Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No YNot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III- Policies; Pages 62 through 65 for evaluation criteria. 1:1 Yes F] No U Not Applicable no Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III-Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No R Not Applicable no e PREPARED BY �� ���� TITLE—A DATE 2- - Zo February 10, 2020 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 - - - - P.O. Box 1179 Southold, New York 11971 { ` ; FEB 1 92020 RE: 25 EAST SIDE AVE-MATTITUCK - -- - - -- -! I SUM No. 1000-99-03-18 APPLICATION FOR PERMIT ^� Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716