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HomeMy WebLinkAboutTR-10085E Glenn Goldsmith,President F SU!/T Town Hall Annex V� y� A. Nicholas Krupski,Vice President �O �O' 54375 Route 25 P.O. 1179 Eric Sepenoski J l�[ Southold,New York 11971 Liz Gillooly va . Elizabeth Peeples Q Telephone(631) 765-1892 Fax(631) 765-6641 ���OUNT`I,�� • BOARD. OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No. 1008_SE . Date of Receipt of Application: February.28, 2022 Applicant:`Robins Island Holdings LLC . SCTM#: 1'600-1 34 3;5; Project Location: 1St`St: & Jackson St' et,:New Suffolk Date of lssua•nce' February 28, 2022 Date of Expiration. 90 Days:from Date of>Issuande Reviewed-'by Board of Trostees . : Project Description: Maintenance dredge,a_.40'x90' area to..a•depth.of'-6ft" below mean low-water removing approximately 800 cubic yards-of sand Resultant spoil to be deposited m upland areaabove the.Mea'n highfwater-line Findings The project.meets the requirements for issuance of an Emergency7. Wetlands Permit as determined by the;Boatd of Trustees. The issuance of an Emergency Wetlands-.Perm:if all6vii for-the operations as indicated;in the application'receiued'on February 28, 2022 Special Conditions: Afull-.1Netland - erm'it must be obtained within 90 days in order to-conduct any further activity:on the property. This is not a determination,from any other agency. Glenn Goldsmith, President Board of Trustees No. Issued To RO�Ns �suauQ N�iW�s .Date �o .Address 1�►ta �ct sr: �u� : s�t�bt,�c -THIS:NOTICE MUST 6E DISPLAYEQ DURING CONSTRUCTION TOWN'TRUSTEES OFFICE,TOWN OF SOUTH' OLD SOUTHOLD, N:Y. 11971 TEL...: 765-1892 HYDROGRAPHIC MAP Surveyed: 20 Sept 2021 Situate: New Suffolk W E Town: Southold S Suffolk County, NY Datum: NAVD'88 30' -4.1 -5.3 -9.3 _ -13.0 -13.4 � -0.5 ' -3.8 -5.5 -4.9 -5.4 -5.9 -7.5 -9.4 -11.5 -12.6 -131 -13.2 6.9 7.4 7.1 2.7 �Y -4.7 -5.4 -5.8 -7.4 �::; `•. t, E 7.0 7.1 -3.5 -4.9 -9.6 -11.4 -12.6 -13.1 -13.3 �N., _.� 4.7 -0.5 -4.7 -5.0 -5.9 -7.5 -9.5 _ 6.7 -4.4 -12.6 -13.2 13.0 4.2 7.0 7.3 2.7 -3.4 -4.1 -4.3 -5.1 -5.8 -7.5 -9.4 =112 -12.6 -12.9 . 0 4.6 6.8 6.8 .8 -0.2 _ -4.1 -4.8 -5.9 -7.4 -13.1 F F E 2022 I 6 . 3.2 -3.7 -9.3 11.2 -12.6 -12.9 x N -13.1 -3.1 -4.1 -4.6 -5.9 -7.2 -13.1 E. ._. ... .... 4.0 4.5 6.4 I 6.6 6.8 7.2 3.0 i -3.5 -5.7 -9.1 -11.2 -12.5 -12•g suu'hlldTown x 6.0 8 2------"`u2.a -3.8 -4.6 -7.1 -9.3 -12.3 -12.7 - 3-�-----_- -4.5 -5.6 -11.2 -12.7 4.9 � 0.2 =2 2 fence 2.7 a1 1.3 0.6 rock _ =3 7 -4.6 -5.7 -7.5 -9.3 -11.2 -12.2 -12.5 -12.6 3.9 2.2 - ' . 4 8 -0.3 -2.1 5.2 -0.3 Jetty .: -3,'6 -7.5 -9.5 -11.0 -12.3 -12.5 -12.8 _ -4.5 `0?� _ -•--- -4.8 -6.2 -7.5 5.1 O °p i -4:7 .9 0.8 •.w= 2. ----- 3.7 -5.1 -9.7 -12.0 C -12.8 3.7 4.7 y1 _ -4: 2` :��� -3.6 -_ _ --- -6.3 -7.9 -11.1 -12.5 5 fl0gt -5.0 -4.8 -2.7 -7.4 -9.8 -11.1 -12.2 -12.5 -12.8 4. :� - -1. -4. -5.4 5. -4.7 `44s_ -- -6.3 -6.6 -7.2 -8.4 -10.0 -11.1 -12.0 = -12.6 -12.9 2.2 0 -0.1 2 -4.8 -6.1 -5.7 -5.0 5.4 bikd. -5.9 6 -7.4 -7.6 m -9.5 3.5 4.2 3.9 d -1 -4.5 -6.7 -5.8 -5.6 -10.1 -11.0 -12.0 -12.6 -12.7 ramp -i. -77 -6.3 -6.1 -6.0.6 -6.6 -6.9 -7.0 -7.3 0 -9.4 v -4499 -7.5 -6.8 -7.4 -7.4 -8.0 -7.1 -5.9 N -8.5 -10.2 -11.1 -12.0 -12.7 = -12.9 0 -6.6 -7.9 -7.1 -8.1 -6.9 -8.1 -9.3 -7.4 -4.2 -9.9 -11.0 -12.0 -12.6 -13.0 5.7 - - 0 -6.4 -7.9 -7.2 -7.6 -8.0 -10.0 -7.1 -9.8 -11.0 -12.0 ca -12.8 0 -13.0 3.4 4.7 4.1 3.0 .9 -6.1 -7.8 -7.2 -8.8 -8.4 -8.3 -3.5 N .7 -7.4 -7.0 -8.1 -9.8 -7.5 -1.8 -2.8 -6.0 -9.5 -11.0 -12.2 O -12.9 G7 -13.3 5.9 2.9 2.1 r`V 0. -0.9 8 -7.1 -9.2 -8.9 -8.0 -8.7 -6.1 _1¢, -_ ,,0 -5.7 -9.3 -11.0 -12.2 � -13.0 C -13.4 , 5.3 0.2 - .9 -9.5 -9.3 6.7 ;"- •h _ 3.5 _ 5.7 2.2 1./ -0.2 -0.4 bikd. - i -9.3 -9.5 -8.7 -8.0 -4.4 °'�0.�'`�i +, -4.2 -9.0 -10.9 -12.2 -13.0 m -13.8 . 0.4 -0.3 -0.9 7.9 -g 7 -6.5 -3.7 ,�,,,�°� o- ,4 ,,° -8.6 -11.0 -12.3 -13.0 -13.8 N 4.4 3 1. -''-- 0.7 7.8 -9.7 -9.0 -6.3 -2.0 '=0.0 9� 0 1. +' -3.3 -0.1 -0.8 7.9 -9.6 -9.5 ,o �- , -8.3 -11.1 -12.3 -13.1 -13.7 3.9 .� 5. 0.8 0.4 marsh -0.3 -9.6 -9.5 D -9.0 -5.9 -1.8 '� x,3.1 -8.0 -11.0 -12.4 -13.1 -13.8 1 -8.8 -5.1 i a 0.8 4.6 0.3 -0.3 -1'0 -9.6 -9.6 _ .8 5.1 - 4 i � 3.4 -7.8 -10.8 -12.5 -13.1 -13.8 5 8 .5 0.1 4.2 0.2 -0.3 -1. - .8 -9.6 -9.6 -8.7 -5.5 ,,,10.5 o ti r� -3.3 -7.6 -10.9 -12.5 -13.2 -13.8 -9.4 -9.7 - -8.6 '' �, y , $ -3.4 -7.4 -10.8 -12.4 -13.1 -13.8 5.2 0.0 -0.4 - .9 -2 2 0,,""o ,,. 0.3 /o -12.5 -13.2 -13.7 5.6 0.3 0.1 -0.4 -1. -9.4 -9.8 -8.4 , �' o' r -3.3 -7.4 -10.3 0.3 -9.8 Z N - -3.5 -12.7 -13.2 -13.7 5.6 2 - .7 -9.4 -8.1 -1. 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FOX E= 1405937.4 NYS PLS# 50197 P O Box # 366 Z=4.85 Aquebogue, NY 11931 9/23/2021 11:08:48AM G:Wsers\Sob\D000ments\00 5LM from 201't\NwSuffBsn 2021G.pro Client: Robins Island Holding, LLC Location: 120 Frist Street, New Suffolk Date: 2/24/2022 Photo 1 Photo 2 - qr jj a`, 4 .y .,. .. 4 J 'S Costello Marine Contracting Corp. Prepared by: 423 5th Street, PO Box 2124, Greenport,NY 11944 (631)477-1199 Phone (631)477.0005 Fax LLAU GIII J WATER Rd EAST CUTCHOGUE . ......... ............. WATERVILLE CUTCHOGUE 1V SHORT ACPF 13 .......... ....... Se, MATTITUL;,. New Suffolk Ave MiddW R6 -' PKOJECT sound Ave ea LOCATION 19611 'P.. ffifycA pil Rd > GROVE K JAMESPORT 0 Coo Sc E C E I V DEERFIELD ILJJ I— , n FEB 2 8 20 VICINITY MAP N40' 50' 25" W720 28' 14" SoOoldbwn APPLICANT: ROBIN'5 ISLAND HOLDINGS, LLC Board of7rustees ADDRE55: C/O BELVEDERE PROPERTY MANAGEMENT, LLC 2299 NORTH SEA ROAD SOUTHAMPTON, NY I 19G8 PREPARED BY: K5 J05 51TE: 120 FIRST STREET *- JACKSON STREET C05TELLO MARINE CONTRACTING CORP. NEW SUFFOLK, NY I 19G8 P.0 BOX 2124, GREENPORT, N.Y. 1 1944 5CTM: # 1000-1 17-8-20*21 (G3 1)477-1 199 (SHEET I of 5) DATE: 02/25/2022 ADJACENT PROPERTY OWNERS 5T QI Town of Southold P.O.Box 1179 pRGHARD rn Southold,NY 11971 n 1 (Underwater Land) 0 (SCTM# 1000-117-8-21) c STREtT y _ Q George Maul KING P.O.Box 635 New Suffolk,NY 11956 Q © \ \ (2665 Jackson Street) _ \I (SCTM# 1000-117-9-31) Q3 Town of Southold STRE P.O.Box 1179 MAIN / 1, Southold,NY 11971 (150 Second Street) (SCTM# 1000-117-10-22) Robins Island Holdings LLC c/o Belvedere Property Management LLC — 1 11 Times Square,FL 37 JAGK5ON y'N New York,NY 10036 (380 Fust Street) 3 I . i! % (SCTM# 1000-117-8-19.1) j Q New Suffolk Waterfront Fund P.O.Box 146 New Suffolk,NY 11956 (650 Fust Street) PROJECT LOCATION (SCTM# 1000-117-8-18.1) Town of Southold P.O.Box 1179 ECEIVE Southold,NY 11971 (no address) FEB 2 8 2022 (SCTM# 1000-117-8-22) LOCATION MAP APPLICANT: ROBIN'S ISLAND HOLDINGS, LLC, Southold Town ADDRESS: C/O BELVEDERE PROPERTY MANAGEMENT, LLC Board of Trustees N400 59' 25" W720 28' 14" 2299 NORTH SEA ROAD SOUTHAMPTON, NY 119G8 PREPARED BY: KS JOB SITE: 120 FIRST STREET *JACKSON STREET COSTELLO MARINE CONTRACTING CORP. NEW SUFFOLK, NY I 19G8 P.O BOX 2124, GREENPORT, N.Y. 1 1 944 SCTM: # 1000-1 1 7-8-20*2 1 (G3 1)477-1 199 (SHEET 2 of 5) DATE: 02/25/2022 PROP05ED MAINTENANCE DREDGE A 40'x90' AREA TO A DEPTH OF -G FEET BELOW MEAN LOW WATER, REMOVING APPROXIMATELY 800 CUBIC YARDS OF SAND. RESULTANT SPOIL TO BE DEPOSITED IN UPLAND AREA ABOVE THE MEAN HIGH WATER LINE, ACCESS: Rl E G BY WATER VIA BARGE F EB 2 8 2022 APPLICANT: ROBIN'S ISLAND HOLDINGS, LLC ADDRESS: C/O BELVEDERE PROPERTY MANAGEMENT, LLC 2299 NORTH SEA ROAD Boardd ooffT Trustees Southold SOUTHAMPTON, NY I 19G8 f PREPARED BY: KS JOB SITE: 120 FIRST STREET *-JACKSON STREET C05TELLO MARINE CONTRACTING CORP. NEW SUFFOLK, NY 11968 P.0 BOX 2124, GREENPORT, N.Y. 11 944 SCTM: # 1000-1 1 7-8-20*2 1 (G31)477-1 190 (SHEET 3 of 5) DATE: 02/25/2022 zl �� �1 1 PILE CLUSTER �® I \ ROCK JETTY (DOLPHINS) 4; .. e I i PEN CE / 1 ® -ilk \ DREDGING AREA =1RAMPjK BULKHEAD -�t-'�\`;- ; .`,'� - REMOVING APPROXIMATELY = 2 8 `�~`��`:\���'� .� 800 CUBIC YARDS L H AD MARSH ➢ T PILE CLUSTER c (DOLPHINS) � rn FLOATING DOCK 70 rn 10, Of SPOIL DISPOSAL SITE /� i,._'.:.,'•:: / �\ �\ moi/ /. • Nx ` ;�: y��•• / / � �5N�'� .;. ^a�,�"� = SAND BEACH -------------- / w P E C O N I C B A Y � PROPOSED PLAN APPLICANT: ROBIN'S ISLAND H ADDRESS: C/O BELVEDERE PR.� 0 60' 2255 NORTH SEA SOUTHAMPTON, N 1 PREPARED BY: KS V=60' JOB 51TE: 120 FIR5T STREET 'COSTELLO MARINE CONTRACTING CORP. NEW SUFFOLK, NY I, P.0 BOX 2124, GREENPORT, N.Y. 1 1944 SCTM: # 1000-1 17-5-2N (63 0477-1 199 (SHEET 4 of 5) DATE: 02/25/2022 40' -- -- --- - ---- - --- -- -- MEAN HIGH WATER 2'-G" --- i------ -- -- - --- -- MEAN LOW WATER VARIES 4' PROPOSED DREDGING PROPOSED MAINTENANCE DREDGE A 40'x90' AREA TO A DEPTH OF -G FEET BELOW MEAN LOW WATER, REMOVING APPROXIMATELY 800 CUBIC YARDS OF SAND. RESULTANT SPOIL TO BE DEPOSITED IN UPLAND AREA ABOVE THE MEAN HIGH WATER LINE. DREDGE DETAIL 0 10' APPLICANT: ROBIN'S 15LAND HOLDINGS, LLC ADDRESS: C/O BELVEDERE PROPERTY MANAGEMENT, LLC 1"=10' 2299 NORTH SEA ROAD SOUTHAMPTON, NY 1 19G8 PREPARED BY: K5 JOB 51TE: 120 FIRST STREET *JACKSON STREET C05TELLO MARINE CONTRACTING CORP. NEW SUFFOLK, NY I 1968 P.0 BOX 2124, GREENPORT, N.Y. 1 1944 SCTM: # 1000-1 17-8-20*2 1 (G30477-1159 (SHEET 5 of 5) DATE: 02/25/2022 W, WIM DadeNN IN h ems° r w,wss,.Tacl f , \ N NN / N u /50 x s- aeva I I ,fit 'off' " _ \ ROBINS rEr tm for ,w +w 10 to ISLAND 11 121 - Bp,Y �wur,TraF x , �'�, •GONG ,susrax "m `� S � •.,' te0.J1(U �� 5~�F .�'�\/ ® Sem tv 400 'yrt P"6 SPATE OF NEWYORR , Oj a of y fad` Pg0°N`G�Y .s ec mm / °pOs 6p v ut� L rw.su. �.r •• w — -- o�.u. --.o--- ooh -- -- NOTICE cmr COUNTY OF SUFFOLK © K ac soLrrHOLO SECTION NO c„`�� _ —_ �„�—_— Real Property Tax Service Agency v N —_ --,-- —_.-- _ �Y�eNM1e'.�.NYHeat N 5EE Ng 134 D•�..� a r tztye ,u '— —__— o.ru. --.-- oe,�--�-- `yAryX S~ - P twn rro 1000 PROPERTY MAP a`, John M.Bredemeyer III,President 4j� � rf' Town Hall Annex Michael J.Domino,Vice-President ` a =` � 54375 Main Road P.O.Box 1179 James F.Ding,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee ; Charles J.Sanders Trustee , Telephone(631)765-1892 ' .i14 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application _Wetland Permit Application Administrative Permit Amendment/Transfer/Extension /k eceived Application:. __,Received Fee:$ 5'0,00L , ,/Completed Application 2•L$ 2y' — �Incomplete ra ��, - `SEQRA Classification: Type 1 Type 11—Unlisted _Coordination:(date.sent) FEB 2 8 LWRP Consistency Assessment Form CAC Referral Sent;_— �� -_ • Date of Inspection: _ f p sC_;L :d7nwn ^Receipt of CAC Report:_____ Lead Agency Determination: Technical Review: Public Hearing Held: �__-_______ ^Resolution: Name of Aphlicamt Robins Island Holdings LLC Mailing Address c/o Belvedere Property Management 2299 North Sea Road Southampton NY 11968 _Phone Number:( ) (917) 215-0767 Suffolk County Tax Map Number: 1000-134-3-5 Property Location: 1st Street& Jackson Street,New Suffolk,NY 11956 (provide LILCO Pole#, distance to cross streets, and location) AGENT:Costello Marine Contracting Corp. (If applicable) Address: PO Box 2124, Greenport,NY 11944 Phone:(631) 477-1199 yT Board, of Trustees Applit ion GENERAL DATA Land Area(in square feet): 145,490 Sq.Ft Area Zoning:11I Previous use of property:Ferry Terminal&Launching Ramp Intended use of property:Same-No Use Change Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes X 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 X 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 X No Does the structure(s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date Town#9734E 10/21/2020 NYSDEC #1-4738-00949/00033 12/10/2020 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): Maintenance dredge an 40' x 90' area to a depth of-6 feet below mean low water removing approximately 800 cubic yards of sand. Resultant spoil to be deposited in upland area above the mean high water line. Board of Trustees Appliaa' on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Maintenance dredge in order to maintain navigational access to and from the ferry terminal and launching ramp. Area of wetlands on lot: 125,000 square feet Percent coverage of lot:N/A % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? No X Yes If yes,how much material will be excavated? 800 cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: -6 feet Proposed slope throughout the area of operations: 1:3 Manner in which material will be removed or deposited:A long reach excavator and/or crane on barge will be used to dredge the area. A skid steerer will be used to place spoil in indicated area, above the mean high water line. 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): There will be no negative impact to the tidal wetlands or waters of the Town due to our proposal. The proposed dredging should be considered ordinary maintenance necessary to maintain the area usage. COSTELLO MARINE CONTRACTING CORP DOCKS • BULKHEADS • ROCK REVETMENTS • JETTY REPAIR • DECKS • BLUFF STAIRS • PILE INSTALLATION To: Southold Town Trustees Po Box 1179 Southold,NY 11971 AUTHORIZATION 54- The undersigned, as;�e er of the Robins Island Holding,LLC, owner of property located at 1,' Street and Jackson Street,New Suffolk,NY 11956; SCTM #1000-117-8-20& 21,here by authorizes Costello Marine Contracting Corp. to act as agent to,process all permit applications needed to perforin maintenance dredging at this location Dated: z Iz&-/-Z-L Sign Here: Printed Name: SWORN TO BEFORE ME THYS 2_5 ' `- DAY OF -20-2-2- CATHERINE XENIA KEDALA NOTARY PUBLIC-STATE OF NEW YORK Notary Public Signature No.01 KE6378600 Oualifi9d in New York County My Commission Expires 07-30-2022 JOHN A. COSTELLO, President JACK F. COSTELLO, Vice President JANE P. COSTELLO, Secretary 423 FIFTH STREET.P.O.BOX 2124•GREENPORT,NY 11944.631.477.1199(o)•631.477.0005(f)•OFFICE@COSTELLOMARINE.COM Board of Trueteea Application County of Suffolk. State of New York f `ir�cAL S,,eL eg a4 901:,^j ish,,, ;41diy tct BEINGDULL'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 CLAIM 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, INLUDING 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 f�ti u• f ^ SWORN TO BEFORE ME THIS DAY OF jM 20"� CATHERINE XENIA KEDALA NOTARY PUBLIC-STATE OF NEW YORK N0.01KE6378600 Notary Public Qualified in New York County My Commission Expires 07-30-2022 AP PLICANTIAGENTAIE-PRESENTATM TRANSACTIONAL DISCLOSURE FARM The Town Sou e ofFAics prohibits.90flictsf intamst on-the oflognofficars andemploM.11e Lteme o thi Earn+is to Mv-ide information which can alert the town of Mssiblo conflicts of interest end allow It to take Whatever action is r�ssarvto avoid�rne, YOURNAME: b�ld,,2jx CtC (Last name.fast name sitiddle 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 Variatta 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 personalty(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,niarriage,or business interest."Business interest"means a business, including a partnership,in which(lie town of ccr or employee has even a partial ownership of(or employment by)a corporation in which die town officer or employee owns more than 5%of the shares. YES NO I/ 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 Desaft the relationship between yourself(the applicant/agentImptesentative)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,of child is(check all that apply): N/A A)the owner of greater than 5%0 of the sbares of the corporate stock of the appllcnat (when the applicant is corporation); N/A B)the Ito or beneficial owner of any interest Ina non-corporate entity(when the applicant isnot a corporation); N/A C)an officer,director,partner,or employee of the applicant;or N/A D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted tth* day of F4-:-—Z 200'z-e- signature -- PrintName Joe Form TS 1 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : COSTELLO MARINE CONTRACTING CORP. (Last name,first name,middle 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.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance Trustee Permit X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 X 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 Caroline Burghardt Title or position of that person CAC Member 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 that 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 Rmillayee of the Agent Submitted thi day of 20,zQ Signature Print Na ane Costello for Costello Marine Contracting Corp. 617.20 Appendix B Short Environmental Assessment Form 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: ROBINS ISLAND HOLDINGS,LLC-MAINTENANCE DREDGE Project Location(describe,and attach a location map): 1 ST STREET&JACKSON STREET,NEW SUFFOLK,NY 11956 SCTM#1000-117-8-20&21 LAPLONG:40.991,72.475 Brief Description of Proposed Action: MAINTENANCE DREDGE A 40'X90'AREA TO A DEPTH OF-6 FEET BELOW MEAN LOW WATER REMOVING APPROXIMATELY 800 CUBIC YARDS OF SAND. RESULTANT SPOIL TO BE DEPOSITED IN UPLAND AREA ABOVE THE MEAN HIGH WATER LINE. Name of Applicant or Sponsor: Telephone: 917)215-0767 ROBINS ISLAND HOLDINGS,LLC E-Mail' • eddie.aiduck@cn-ri.net Address: CIO BELVEDERE PROPERTY Attn:Eddie Aiduck 2299 NORTH SEA ROAD City/PO: State: Zip Code: SOUTHAMPTON N.Y. 11968 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 ❑✓ M may be affected in the municipality and proceed to Part 2. If'no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: PERMITS ARE REQUIRED FROM ARMY CORPSOF ENGINEERS,NYSDOS,NYSDEC,SOUTHOLD TOWN 3.a.'.Total acreage of the site of the proposed action? 3.34 acres b.Total acreage to be physically disturbed? 0.06 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 4.5 acres 4. Check all land uses that occur on,adjoining and near the proposed action. [-]Urban ❑Rural(non-agriculture) ❑Industrial m Commercial ®Residential(suburban) ❑Forest ❑Agriculture (Aquatic []Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? 1:1 Z b.Consistent with the adopted comprehensive plan? II Z 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? FI Z 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: 7 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES IZI El b.Are public transportation service(s)available at or near the site of the proposed action? Z ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Z 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: ❑ 1 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 0✓ OUR PROPOSAL DOES CREATE A NEED FOR POTABLE WATER. 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: OUR PROPOSAL DOES NOT INVOLVE THE PRODUCTION OF WASTEWATER. 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? Z b.Is the proposed action located in an archeological sensitive area? 0 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? El b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? F-1 0 If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: WE ARE PROPOSING MAINTENANCE DREDGE OF A 40'X90'AREA(3600 SQFT)AT MOUTH OF UNNAMED BASIN IN LITTLE PECONIC BAY. 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 NO YES by the State or Federal government as threatened or endangered? Z 16.Is the project site located in the 100 year flood plain? NO YES TT 14 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, � F1a.Will storm water discharges flow to adjacent properties? ®NO [:]YES b.Will storm water discharges be directed to established conveyance systems runoff and storm drains)? If Yes,briefly describe: 0 NO AYES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YiS solid waste management facility? If Yes,describe: 171 ❑ 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 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spon e: R�'b; s is)«al llci•^ts Lt L Date: Z�Z I L`z LSig-nature---Z7--�'--�• Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2-Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. 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? ❑ El 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 a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El El existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 7 � x No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage E] 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? ❑ 1-1 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. 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 or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT' Page 4 of 4 COSTELLO MARINE CONTRACTING CORP DOCKS • BULKHEADS - ROCK REVETMENTS - JETTY REPAIR - DECKS '. BLUFF STAIRS - PILE INSTALLATION February 28, 2022 Mrs. Elizabeth CantrellD E C E I V EDD Southold Town Trustees PO Box 1179 Southold,NY 11971 FEB 2 8 RE. Robins Island Holding,LLC souftIdTown 1201s'Street,New Suffolk Board of Trustees SCTM#1000-134-3-5 Dear Elizabeth: We are requesting an emergency permit to dredge a 40'x90' area to a depth of-6 feet below mean low water. Enclosed you will find the following items for review: ■ Wetlands Application Form ■ Short Environmental Assessment Form Project Plans ■ Site Photograph ■ Survey ■ Check#17901 in the amount of$50.00 If any additional information is needed to process this request,please do not hesitate to contact me. Sincerely, Jane P. Costello Permit Manager enclosures JOHN A. COSTELLO, President JACK F. COSTELLO, Vice President JANE P. COSTELLO, Secretary 423 FIFTH STREET- P.O. BOX 2124-GREENPORT, NY 11944- 631.477.1199(o) - 631.477.0005 (f) - OFFICE@COSTELLOMARINE.COM