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TR-10097
Glenn Goldsmith, President ® ®f S®U� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski d J�i Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples • �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 2205 C Date: December 19, 2024 THIS CERTIFIES that the removal of 901f of existing deteriorated'concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing and a raised height of 12" above existing,• removal of existing concrete steps and replacement in same location with natural stone steps overall dimensions approximately 10'x8' as shown on plans Removal of all dead& non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall and replacement with new low growing native plantings,• establishment and perpetual maintenance of a 10' wide non-turf buffer landward of proposed boulders, At 760 Oak Avenue, Southold Suffolk County Tax Map#1000-77-1-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 14, 2022 pursuant to which Trustees Wetland Permit 410097 Dated March 16,2022,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The,project for which this certificate is being issued is for the removal of 901f of existing deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing and a raised height of 12" above existing; removal of existing concrete steps and replacement in same location with natural stone steps overall dimensions approximately 10'x8' as shown on plans. Removal of all dead&non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall and replacement with new low growing native plantings; establishment and perpetual maintenance of a 10'wide non-turf buffer landward of proposed boulders. The certificate is issued to DONALD&GLENNA RYAN owners of the aforesaid property. Authorized Signature ` C Glenn Goldsmith,PresidentTown Hall Annex 54375 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Dzi Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 17, 2022 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: DONALD & GLENNA RYAN 760 OAK AVENUE, SOUTHOLD SCTM# 1000-77-1-3 Dear Mrs. Moore: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, November 16, 2022: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#10097 from James W. Kophen Trust c/o Glenna Ryan to Donald & Glenna Ryan, as issued on March 16, 2022. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, "I�' 44"Y' Glenn Goldsmith, President Board of Trustees GG/dd Glenn Gowsmith,President + Town Hall Annex Fee A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz Gillooly ' °" Southold,NY 11971 Elizabeth Peeples "� "� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: i 1AIA. ' , Completed infield by: -u Patricia C. Moore on behalf of DONALD & GLENNA RYAN requests a Transfer of Wetland Permit#10097 from James W. Kophen Trust c/o Glenna Ryan to Donald & Glenna Ryan, as issued on March 16, 2022. 760 Oak Avenue, Southold. SCTM#: 1000-77-1-3 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: –V—/ Wetland Coastal Erosion Amendment Administrative Emergency _—Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc..: Present Were: G. Goldsmith N. Kr ski E. Sepenoski L. Gillooly 1 . Peeples PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel,: (631) 765-4330 Fax: (631) 765-4643 October 7, 2022 Board of Trustees Town of Southold PO Box 1179 Southold NY 11971 E-- hand delivered 202 RE: PERMIT TRANSFER T om Dear President and Board:. Please let this serve as a permit transfer request of permit#10097 (copy enclosed) for property located at 760 Oak Avenue, Southold,NY 11971. (sctm: 1000-77.-1-3) from James W. Kophen Trust c/o Glenna Ryan to Donald Ryan and Glenna Ryan, his wife. I am enclosing the Affidavit signed by the owners and their authorization together with my (client's) check is enclosed in the amount of$50 for said fee. Thank you and please do not hesitate to call should you have any questions. Very truly yours, q)xa"(P'. Patricia C. Moore PCM/j1 encls. Board of Trustees AUTHORIZATION (where the applicant is not the owner) We, Donald Ryan and Glenna Ryan, owners of premises 760 Oak Avenue, Southold,NY 11971, (sctm: 1000-77.-1-3), residing at 760 Oak Avenue, Southold,NY 11971, do hereby authorize our attorney, Patricia C. Moore,to apply for permit(s) and appear before the Southold Board of Town Trustees on our behalf. Donald Ryan Glenna Ryan Sworn to before me this -7 day of 022 KYLEE S DEFRESE NOTARY PUBLIC-STATE OF NEW YORK No.01DE6420156 Qualified in Suffolk County NOt� dblic My Commission Expires 08-02-2025 APPLICANT TRANSACTIONAL DISCLOSURE FORM (FOR SUBMISSION BY OWNER and OWNER'S AGENT) he Town of Southold's Code of Ethics prohibits conflicts of interest on the watt of Town officers and nt to air_y yes;_The purpose of this form is to ttrtLvide information which can alert the"fown of possible conflicts of interest and allow it to, take whatever action is necesaaa to avoid sante.. YOUR NAME: RYAN,DONALD&RYAN,GLENNA,and MOORE,PATRICIA (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 or company name.) NATURE OF APPLICATION:(Check all that apply.) Tax Grievance Variance Special Exception If"Other", name the activity: Change of Zone Approval of Plat _ Exemption from Plat or Official Map Other Trustees X 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 X Complete the balance of this form and date and sign below where indicated. Name of person employed by the Town of Southold:.^ Title or position of that person:_ Describe that relationship between yourself(the applicant) and the Town officer or employee. Either check the appropriate line A through D(below)and/or describe the relationship 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 -7 day of r" _,,,,_m2022 Donald Ryan Glenna Ryan istrrcla C.Moore Glenn Goldsmith, President S��0� DUP'Z' Town Hall Annex O 54375 Route 25 A.Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski y: Southold,New York 11971 Liz Gillooly G Telephone(631) 765 1892 Elizabeth Peeples �Ol� hyo Fax(631) 765=6641 BOARD OF.TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES ; YOU ARE REQUIRED TO CONTACT THE OfF10E OF;THE BOARD.OF TRUSTEES 72 H0°URS PRIOR TO COMMENCEMENT OF THE ACTIVITIES:CHECKED OFF EELOW ;. .... .. INSPECTION SCHEDULE Pb construction;, hay bale i - silt boom%silt curtain 1 st day-.of constructionW. . '%2 constructed . .. When project complete;.call_for compliance inspection, .01♦ro '. „1r Prpr -. off tett „o , �Hrrw, _ e♦ro �i'rr : i a 011 0111/ ? .:• 101 1101/I - 1`1111 p/1//�0 111111 1/111/ 1111 11/10` ,,. \E0/ p p/�/� 1 1� -._ n,ffrrgrrnpqurmrr�nu nrfrcrnrrrcrcrcn x [,7/ Y r i{rlf???fnnr:.• n°.yfrrnr rcrX,rr rnnvf. q Yr�(C,rnf ;f,, e merrzrtn?'1.....,.....,,,<....,:.,,.L...._:.....,.«w ,,....RS__.... ,...?'.d4u.,.,•�..,v..S,.J,..>_..R:1,�.,rSr w,2'!.Y .'.'S:.,,d.,:^.J'',««,,,,.,.C4„+�`.kv'�''TMmr4.,..:,nr;';f'..T.Y � yf a _ 3 BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK ; ' PERMIT NO. 10097 DATE: MARCH 16,2022 Y: ISSUED TO: JAMES W. KOPHEN TRUST c/o GLENNA RYAN IV PROPERTY ADDRESS: 760 OAK AVENUE, SOUTHOLD SCTM#: 1000-77-1-3 " AUTHORIZATION , r Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in L accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 16,2022, and in consideration of application fee in the sum of$250.00 paid by James W. Kophen Trust and subject to the Terms e _t and Conditions as stated in the Resolution the Southold Town Board of Trustees authorizes and permits the 111, g.g. following: I � Wetland Permit to remove 90 If of existing deteriorated concrete rubble bulkhead and replace 1'1o1,r with new natural stone boulders in same location as existing and a raised height of 12" above existing; remove existing concrete steps and replace in same location with natural stone steps, overall dimensions approximately 10'x8' as shown on plans. Remove'all dead & non-native x /�/eliP/j lele�� plantings between existing upper concrete retaining wall and proposed replacement natural ` stone wall and replace with new low growing native plantings; establish and perpetually maintain a 10' wide non-turf buffer landward of proposed boulders; and as depicted on the site - 11111 = / ' plan prepared by Jeffrey Patanjo, last dated March 14,2022, and stamped approved on March 'r 16,2022. e e £ o r _;;J1j.4♦1 1e°e0pi: Fri' 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 16th day of March,2022. 1 e Y � b O gpFFU(�- � < 4 7 �VOf N► � � � (l°jjl aid '.`w•` } ," '•.06:,x" i > <. a 2' rr:( Y; :; �f � ' �` � :r-fl'/� �. Lir - r a � � �r'��m L.t✓_ `` _. �� i.. TERMS AND CONDITIONS The Permittee,James W. Kophen Trust, residing at 760 Oak Avenue, Southold,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. The Permittee is required to provide evidence that a copy of this 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. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 11. 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 �QF SUUTTown Hall Annex A.Nicholas Krupski,Vice President ,`O� ��� 54375 Route P.O. Box 11799 Eric Sepenoski l Southold,New York 11971 Liz Gillooly ua G Q Telephone(631) 765-1892 Elizabeth Peeples � � Fax(631) 765-6641 BOARD OF.TOWN.TRUSTEES :. TOWN°OF SOUTHOLD . March 21,.2022 Jeffrey Patanjo ..P.O. :Box 582 Bohemia, NY, 11716 RE: JAMES,-W. KOPHEN TRUST C/o G.LENNA RYAN . 760 OAK AVENUE,-SOUTHOLD SCTM#•1000=77-1-3 .Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held.on Wednesday, March 16, 2022 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of-JAMES W. .KOPHEN TRUST c/o GLENNA. RYAN 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 January 14, 2022, 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, in accordance with Chapter 268, said application was found to be.Exempt - from the Local Waterfront Revitalization Program policy standards, and; WHEREAS, a.Public Hearing was held by the Town.Trustees with respect to said application on March 16, 2022, at which time all interested persons were.given an opportunity to be heard, and., WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 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 wilf not affect the health, safety and general welfare of the people of the town, NOW THEREFORE,BE IT,: 'RESOLVED,.that the Board of Trustees:approve the'application of JAMES W: KOPHEN TRUST c/o GLENNA RYAN to remove:90 If of,existing deteriorated concrete rubble bulkhead and replace with new natural stone boulders in same location as existing and a.raised height of 12" above existing; remove existing concrete steps and -replace in same,location with. natural stone steps, overall dimensions approximately - 10'x8' as shown on plans. Remove all dead.& non=native plantings between existing upper concrete retaining wall and proposed replacement natural stonewall and replace with new low growing native:plantings; establish.and perpetually maintain a 10' wide non-turf buffer landward of-proposed boulders; and as depicted.on the site plan prepared by Jeffrey Patanjo, last dated March 14, 2022,.and stamped approved on March 16, 2022. Permit to construct and complete.project will expire two.years from the date the permit is signed. Fees must be paid, if applicable, and permit 'issued within six months-of the date of this notification. Inspections are required at a-fee of`$50.00.per inspection., (See attached schedule:) Fees: $50.00 Ve . truly yours, Glenn Goldsmith President, Board of Trustees GG/dd z VEGETATED T IDEINTIF ED BY J.PATANJO,WETLANDS PDTEMBER 2021 LOCATION MAP X w S 4003'20" E 140.00' N.T.S. M.H.W.ALONG FACE OF EXISTING p BROKEN CONCRETE *0 25 �d� y " y " 4 po PROPOSED 10'WIDE NON-TURF BUFFER p , L a REMOVE EXISTING BROKEN CONCRETE ' Q7 � rfa � � a RUBBLE AND INSTALL PROPOSED NATURA W 4a a` ' �` NecY�Rd �• .. STONE BOULDERS IN SAME LOCATION AS / % r s r , w EXISTING.TOTAL LENGTH OF 40 LF THIS S DE x OF STAIRS(90 LF TOTAL) SEE TYPICAL w U-1 w 25 s { ; SECTION FOR DETAILS. o 94 1 STORY �1 o I REMOVE EXISTING CONC.STEPS HOUSE w AND REPLACE WITH NATURAL FLAT STONE STEPS IN SAME �+ �p N 8ayvjev LOCATION AS EXISTING.OVERALL }s Bay View' ; Q DIMENSIONS 10'X8'. D 4 CONC. CURB a 'w"K. z O � o Laughing' 4-, • z :• q ii<'. r •� �s '�. Wateis`� �.,.:K '� �s , 3 = EXISTING CONC.PATIO TO REMAIN UNDISTURBED co I I a ` ASPAHLT DRIVEWAY z REMOVE ALL DEAD&NON-NATIVE PLANT MATERIALS.PLANT AREA BETWEEN PROPOSED c b STONE AND EXISTING CONCRETE WALL WITH LOW GROWING NATIVE PLANTING REMOVE EXISTING BROKEN CONCRETE RUBBLE AND INSTALL PROPOSED NATURAL I STONE BOULDERS IN SAME LOCATION AS EXISTING.TOTAL LENGTH OF 50 LF THIS PROJECT SIDE OF STAIRS(90 LF TOTAL) SEE TYPICAL SECTION FOR DETAILS. LOCATION —J N 40°3'20" W 140.00' PROTECT EXISTING TREE SITE PLAN APPROVED BY SCALE: 1°=20' ;BOARb OF RUSTEES -TOWN OF SOUTHOLD DATE r�kRuf 1 2021 - - REMOVE ALL DEAD & NON—NATIVE PLANT MATERIALS. PLANT AREA BETWEEN PROPOSED STONE AND EXISTING _ l5 l� CONCRETE WALL WITH LOW GROWING NATIVE PLANTINGS —� a (NP) REMOVE EXISTING BROKEN CONCRETE RUBBLE AND MAR 1 6 2022 INSTALL PROPOSED NATURAL STONE BOULDERS IN SAME LOCATION AS EXISTING AND RAISED HEIGHT OF _ EXISTING CONC. 12". TOTAL LENGTH 90 LF. MAXIMUM OF .50 TON �c�utf�oid 1•o1��O RETAINING WALL 12' PER LF OF WALLL Board of trustees PROPOSED FILTER FABRIC UNDER PROPOSED BOULDERS PROPERTY OWNER: EXISTING GRADE ry KOPHEN JAMES W TRUST APPROXIMATE M.H.W. EL. 2.5f I' - - - - - - - -- - - -- - - - - - C/O GLENNA RYAN w 760 OAK AVENUE Proposed Permit Plans SCALE: • ._ APPROXIMATE_M.L.W EL. 0.Of_ _ SOUTHOLD, NY 11971 2'-3' — PREPARED BY: PROPOSED PLAN DATE: JEFFREY PATANJO 1-11-22 P.O. BOX 582 3-14-22 BOHEMIA, NY 11716 760 OAK AVENUE 631-487-5290 SOUTHOLD, TOWN OF SOUTHOLD TYPICAL SECTION JJPATANJO@GMAIL.COM SUFFOLK COUNTY, NY SH 0:1 N.T.S. TAX MAP N0. 1000-77-1-3 -gVfFO(,tco Glenn Goldsmith, President Town Trustees A Nicholas Krupski,Vice-Presidenty 54375 Route 25 Eric Sepenoski o '� P.O. Box 1179 Liz Gillooly y�jo ao�� Southold, NY 11971 Elizabeth Peeples � ' ` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JAMES W. KOPHEN TRUST c/o JEFFREY PATANJO Please be advised that your application dated January 14, 2022 has been reviewed by this Board at the regular meeting of March 16, 2022 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) 1s' Day of Construction ($50.00) % Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) xx 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 �•Q•tiY -BY: Glenn Goldsmith, President � �Zv Board of Trustees Kophen Trust 760 Oak Avenue,Southold SCTM#: 1000-77-1-3 3/9/22 TV -40 d •ems ,Ry ry' r / }. qw3 / 9 / 2022 12 . 18 t Y , RE: 760 OAK AVE-SOUTHOLD SCTM No. 1000-77-01-03 PROJECT DESCRIPTION -REVISED Project includes the removal of 90 LF of existing deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing and a raised height of 12" above existing. Remove existing concrete steps and replace in same location with natural stone steps, overall dimensions approximately 10' x 8' as shown on plans. Remove all dead & non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall and replace with new low growing native plantings. Provide 10' wide non-turf buffer landward of proposed boulders. . E C E W_ E E, MAR 1 6 2022 I `ou:thofr Town Hoard of"i rustees i RE: 760 OAK AVE -SOUTHOLD SCTM No. 1000-77-01-03 PROJECT DESCRIPTION - REVISED Project includes the removal of 90 LF of existing deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing and a raised height of 12" above existing. Remove existing concrete steps and replace in same location with natural stone steps, overall dimensions approximately 10' x 8' as shown on plans. Remove all dead & non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall and replace with new low growing native plantings. Provide 10' wide non-turf buffer landward of proposed boulders. a C V A 1 5 20 ! Southold Town Board of Trustees i I RE: 760 OAK AVE -$OUTHOLD SCTM No. 1000-77-01-03 j PROJECT DESCRIPTION - REVISED Project includes the removal of 90 LF of existing deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing and a raised height of 12" above existing. Remove existing concrete steps and replace in same location with natural stone steps, overall dimensions approximately 10' x 8' as shown on plans. Remove all dead & non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall and replace with new low growing native plantings. Provide 10' wide non-turf buffer landward of proposed boulders. VAR 15 �,mN.91tkS' s Board of ra .o. FZ EXISTING VEGETATED WETLANDS AS IDENTIFIED BY J.PATANJO,SEPTEMBER 2021 LOCATION MAP S 40'3'20" E 140.00' N.T,S, M.H.W.ALONG FACE OF EXISTING E_--—_,"— `� BROKEN CONCRETE i2h PROPOSED 10'WIDE NON TURF BUFFER REMOVE EXISTIN � o �� ,� r i; �� 03 C, 7 G BROKEN CONCRETE RUBBLE AND INSTALL PROPOSED NATUU W a Rd '� �i/ � a �'STONE BOULDERS IN SAME LOCATION AS f I'"" -HISSID EXISTING.TOTAL LENGTH OF 40 LF T E OF STAIRS(90 LF TOTAL)SEE TYPICAL SECTION FOR DETAILS, 1 STORY ............ REMOVE EXISTING CONC.STEPS HOUSE AND REPLACE WITH NATURAL FLAT STONE STEPS IN SAME vain DIMENSLOCATIOIONS 10'N AS EXIST8NG. Bay View x1. I OVERALL CONICCURB 6,6 hong Wale,rs iii EXISTING CONIC.PATIO TO REMAIN UNDISTURBED ASPAHLT DRIVEWAY REMOVE ALL DEAD&NON-NATIVE PLANT MATERIALS.PLANT AREA BETWEEN PROPOSED 0) EXISTING CONCRETE WALL WITH LOW GROWING NATIVE PLANITINM(Y. STONE AND TYP4— REMOVE EXISTING BROKEN CONCRETE RUBBLE AND INSTALL PROPOSED NATURAL > STONE BOULDERS IN SAME LOCATION AS EXISTING.TOTAL LENGTH OF 50 LF THIS PROJECT SIDE OF STAIRS(90 LF TOTAL)SEE TYPICAL SECTION FOR DETAILS. LOCATION N 40'3'20" W 140.00' "-----PROTECT EXISTING TREE SITE PLAN SCALE: I"=20' REMOVE ALL DEAD & NON—NATIVE PLANT MATERIALS. PLANT AREA BETWEEN PROPOSED STONE AND EXISTING CONCRETE WALL WITH LOW GROWING NATIVE PLANTINGS (TYP) REMOVE EXISTING BROKEN CONCRETE RUBBLE AND r. INSTALL PROPOSED NATURAL STONE BOULDERS IN SAME LOCATION AS EXISTING AND RAISED HEIGHT OF EXISTING CONIC 12 , TOTAL LENGTH 90 LF. MAXIMUM OF 50 TON k c k 19 E RETAINING WALL-"' 12" PER LF OF WALL PROPOSED FILTER FABRIC UNDER PROPOSED BOULDERS PROPERTY OWNER: fT EXISTING GRADE APPROXIMATE M H W EL 2,5± �FQ H5 JAMES W TRUST 2w I V, C/O GLENNA RYAN c� 760 OAK AVENUE Proposed Permit Plans SCALE: MAR 1 5 M SOUTHOLD, NY 11971 _�PPFLOXIIAATII M L.W EL 0,0± 2'-3' PREPARED BY: PROPOSED PLAN DATE: JEFFREY TATANjo 1-11-22 3-14-22 P 0, BOX 582 oard o�f lrustces BOHEMIA, NY 11716 760 OAK AVENUE 631-487-5290 SOUTHOLD, TOWN OF SOUTHOLD TYPICAL SECTION JJPATANJO@GMAIL.COM SUFFOLK COUNTY, NY SHEET: NTS. TAX MAP NO. 1000-77-1-3 1 OF 1 Glenn Gold' I. President ��,� } � Town Hall Annex A.Nicholas Kr4K,,Vice President �� f �� 54375 Route 25 Eric Sepenoski y „a, . P.O.Box 1179 Liz Gillooly Southold,NY 11971 Elizabeth Peeples �� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Jeffrey Patanjo on behalf of JAMES W. KOPHEN TRUST, c/o GLENNA RYAN requests a Wetland Permit to remove 90 linear feet of existing deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing, and with a raised height of 12" above existing; remove existing concrete steps and replace in same location with natural stone steps, overall dimensions approximately 10'x8'; remove all dead and non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall, and replace with new low-growing native plantings. Located: 760 Oak Avenue, Southold. SCTM# 1000-77-1-3 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner:_ Present were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples Other i U E ' JAN 14smVA 12PPROPER77 � . loumow Southold'TT. OWN O SOUTHOLD ' ,1, �9- 'Z NT ; NEW YORK 1000-77--01--03 4 SCALE' 1'=20' I&< FW. 7. 2000 f ^ d 10 \ v� ` dlo . •' ,1�1� •a4 � Z,1Z e OT NUMBERS REFER TO ' -.All 01 GOOSE ° BAY ESTATES' AILED IN THE TV13 t r. `0 COUNTY CLE"S O-MCE Ota NO, :3 1934 AREA = 11,200 sgl1. r <<� AS MAP NO 1176 34000 20165 4s f998 ((1 ��OF 1YEIy 3BI09COIG6 G ENvaOOsa aro re arjoced to N.G.V� tia e,� a 7.ft4—, gy Lid' e- ANY AL•TERATR IN OR ADDITION TO 7HIS SURVEY IS A VIOLATION \ Cj t'av:, �S. =1C MU 49618 OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAv CON VE Q RC EXCEPT AS PER %(T,1ON 7209-SUBDIVISION 0 ALL CERTIFICATIONS J - $ FA:cr631� 765-!797 HEREON ARE VALRD FQR THIS HAP AND COPIES THEREOF&eY IF +qty r IGVAB SAID HAP OR COPIES REAR THE IMPRESSED SEAL OF THE SURVEYOR % �g VHOSE SIGNATURE APPEARS HEREON, / SOU Y ;E71T 9 9--°J 7 c� EXISTING VEGETATED WETLANDS AS X DENTIFIED BY J PATANJO,SEPTEMBER 2021 LOCATION MAP w 3 40"3'20" E 140.00' N.T.S. -M.H.A.ALONG FACE OF EXISTING 4 —i 4 p BROK=N CONCRETE zs g, ri I ti 9 REMOVE EXISTING BROKEN CONCRETE U Fv, RUBBL=AND IMSTALL PROPOSED NATURA STONE BOULDERS IN SAME LOCA•"ION AS W I EXISTING.TOTAL LENGTH OF 40 LF THIS S DE ILf dpi , OF STF,IRS(90 _F TOTAL) SEE TYPICAL v w SECTION FOR DETAILS Q t r 4 S 1 STORY ° m� �AT I REMO'/E EXIS-'ING CO VC.STEPS HOUSE Z AND REPLACE WITH Nj JURALQW FLAT S TONE S PEPS IN SAME �s Ba`yvea O LOCATION AS I=XISTING.OVERALL, O B�yY1eW 91 DIMENSIONS 1�'X 8'. L co CONC. CURB rs ' z rughingco S EXISTING CONC.PATIO TO REMAIN UNDISTURBED Wates ASPAHLT DRIVEWAY Z REMOVE ALL DEAD&NON-NATIVE PLANT MATERIALS.PLANT AREA BETWEEN PROPOSED co STONE AN D EXISTING CONCRETE WALL WITH LOW GROWING NATIVE PLANTING RI=MOVE EXISTING BROKEN CONCRETE RUBBLE AND INSTALL PROPOSED NATURAL S'ONE BOULDERS IN SAME LOCATION AS EXISTING.TOTAL LENGTH OF 50 LF THIS PROJECT SIDE OF STAIRS(W LF TOTAL) SEE TYPICAL SECTION FOR DETAILS. _ — — — LOCATION lT 4003'20" W 140.00' PFOTECT I_XISTING TREE SITE PLAN SCALE: 1"=20' REMOVE ALL DEAD & NON—NATIVE PLANT MATERIALS. PLANT AREA BETWEEN PROPOSED STONE AND EXISTING �/] (i= CONCRETE WALL WITH LOW GROWING NATIVE PLANTINGS � U is (TYP) < REMOVE EXISTING BROKEN CONCRETE RUBBLE AND I JAN 1 4 2022 _ INSTALL PROPOSED NATURAL STONE BOULDERS IN _ SA01 .D ME LOCATION AS EXISTING AND RAISED HEIGHT OF EXISTING CONC. 12". TOTAL LENGTH 90 LF. MAXIMUM OF .50 TON �Oui gala Tows RETAINING 0U_-/ 12' PER LF OF WALL Board of Trustees l a PROPOSED FILTER FABRIC UNDER PROPOSED BOULDERS F ROPEFTY OWNER: IXISTINC GRADE N I APPROXIMATE M.H.W. EL. 2.5fkOPHEN JAMES W TRUST I� - - - - - - - - - - - -- - - - - - C/O GLENNA RYAN w _ 760 OAK AVEIJUE Proposed Permit Plans SCALE: t • • __APPROXIMATE M.L_W EL. O.0± _ EOUTHCLD, NY 11971 1"=20' _ F REPAR ED BY: PROPOSED PLAN DATE: JEFFREY PATAQO 1-11-22 F.O. BCX 582 EOHEMIA, NY 11716 760 OAK AVENUE E 31-4E 7-52�0 SOUTHOLD, TOWN OF SOUTHOLD TYPICAL SECTION SUFFOLK COUNTY, NY SHEET: N.T.S. JJPATAPJOC�Gt,1AIL.COM TAX MAP N0. 1000-77-1-3 1 OF 1 x j ��4 � z Y • } LAaA NT jo as. ;i.. . s 1§ 1 ' • • 1 t s.. k YY� t " M A tt �4 t { A T I, tl `��_'J� �►' Tom,.�. Photo 3 (10-21) I Y a p F _ L if_•E / i . r; kF h A •- 1 r xtl L yet. 8 tolodT txlacm °otiz>+e c N -------_ Mlq y ,6 ____ --__ d ------ ----- ------- ------ __----_ ----- Ave. ---A1F _-- NOTICE COUNTY OF SUFFOLK © E � a 8007NOLD SECTION NO Real Pioperty Tax Service Agency n 077 PJWC PROPERTY IMP OFFICE LOCATION: �" °�m MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) 4 �` d Southold, NY 11971 Telephone: 631765-1938 � ��" � ".�� ' k 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: March 15, 2022 Re: LWRP Coastal Consistency Review for JAMES W. KOPHEN TRUST, c/o GLENNA RYAN SCTM# 1000-77-1-3 Jeffrey Patanjo on behalf of JAMES W. KOPHEN TRUST, c/o GLENNA RYAN requests a Wetland Permit to remove 90 linear feet of existing deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing, and with a raised height of 12" above existing; remove existing concrete steps and replace in same location with natural stone steps, overall dimensions approximately 10'x8'; remove all dead and non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall, and replace with new low-growing native plantings. Located: 760 Oak Avenue, Southold. SCTM# 1000-77-1-3 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 EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "B" which states: Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); 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 f F014. -13 John G. Stein,Chairperson 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., March 9, 2022 the following recommendation was made: Moved by John Stein, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of JAMES W. KOPHEN TRUST C/O GLENNA RYAN for the removal of 90 If. of deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing and a raised height of 12" above existing. Remove existing concrete steps and replace in same location with natural stone steps, overall dimensions approx. 10'X 8' as shown on plans. Remove all dead and non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall and replace with new low growing native plantings. Located: 760 Oak Ave., Southold. SCTM#77-1-3 Inspected by: John Stein The CAC Supports the application and recommends the trees remain and that there be no cutting of the natural native vegetation. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith, President Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President QS;`C,.,• `p ; P.O.Box 1179 John M.Bredemeyer III !; Southold,New York 11971 Michael J.Domino Telephone(631) 765-1892 a Greg Williams a �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only _ Coastal Erosion Permit Application f Wetland Permit Application Administrative Permit Amendment/Transfer/Extens'on E]Zempleted ceived Application; ♦'df=- ceived Fee: $ Z5V..f Application: 1•/`{•ZZ Incomplete: SEQRA Classification: Type I Type II Unlisted N"e"gative Dec. Positive Dec. Lead Agency Determination Date: — �ordination:(date sent): E C, E Q W `E LWRP Consistency Assessmet.,Fo�rm.Sent: all� VOCAC Referral Sent: 3 ✓Date of Inspection. ,7,7,--- JAN 14 2022 Receipt of CAC Report: ,Technical Review: ✓ Public Hearing Held: 1 Bo•ZZ' Board �F of Trustees Town Resolution: Owner(s)Legal Name of Property(as shown on Deed): James W. Kophen Trust c/o Glenna Ryan Mailing Address: 760 Oak Ave. Southold, NY 11971 Phone Number:. 413-626-1491 Suffolk County Tax Map Number: 1000- 77-01-03 Property Location: 760 Oak Avenue, Southold See location Map (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Jeffrey Patanjo Mailing Address: P.O. Box 582 Bohemia, NY 11716 Phone Number: 631487-5290 Email: JJPatanjo@gmail.com C� 3�z1 zz. Board of Trustees Appli_=�ion GENERAL DATA Land Area(in square feet):. 11 ,200 Area Zoning: ReS. Previous use of property: Res ' Intended use of property RAS. 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 providecopy of decision. Will this project require any demolition as.per Town Code or as determined by theBuilding Dept.? . ElYes _ No, Does the structure (s) onproperty have a valid Certificate_of Occupancy? Yes=No Prior permits/approvals for site improvements: . Agency Date X 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): See attached RE: 760 OAK AVE -SOUTHOLD SCTM No. 1000-77-01-03 PROJECT DESCRIPTION Project includes the removal of 90 LF of existing deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing and a raised height of 12" above existing. Remove existing concrete steps and replace in same location with natural stone steps, overall dimensions approximately 10' x 8' as shown on plans. Remove all dead & non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall and replace with new low growing native plantings. Board of Trustees Appli ;ion. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations See attached { Area of.wetlands.on lot:4 250 square feet Percent coverage of lot .2.2 Closest distance between nearest existing.structure and upland edge of wetlands: o feet. Closest distance between nearest proposedstructure_and upland edge of wetlands . 1 feet Does the1 'roject involve excavation or filling? No ❑ Yes If yes,how much material will be excavated? Cl1a . cubic yards n/a . How much material will be filled?. cubic yards Depth of which material will.be removed or deposited: -Cl�a feet Proposed slope,throughout the.area of operations. 0-4 Mariner in which_material will be-removed or deposited. Cl/a 7. Statement of the effect, if any, on the wetlands and tidal waters of the town:that may result by. reason of suchproposed operations (use attachments if appropriate): There will-be a positive effect on wetlands due to construction since any future erosion,will be limited. Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I 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: 760 Oak Ave-Southold Project Location(describe,and attach a location map): 760 Oak Avenue-Southold Brief Description of Proposed Action: Project includes the removal of 90 LF of existing deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing and a raised height of 12'above existing.Remove existing concrete steps and replace in same location with natural stone steps,overall dimensions approximately 10'x 8'as shown on plans. Name of Applicant or Sponsor: Telephone: 413-626-1491 James W.Kophen Trust c/o Glenna Ryan E-Mail: glenna55ms@gmail.com Address: 760 Oak Ave. City/PO: State: Zip Code: Southold NY 11971 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: El a NYSDEC/NYSDOS/ Town of Southold Trustees 3.a.Total acreage of the site of the proposed action? 0.289 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.289 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban [—]Rural(non-agriculture) ❑Industrial [:]Commercial ( Residential(suburban) ❑Forest ❑Agriculture []Aquatic ❑Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES 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:Name-.Goose Creek,Name:Peconic Bay and Environs,Reason:Significant coastal fish&wildlife habitat, ❑ 171eason: roe pu is health,water,vegetation, scenic eau gency: ou o own Or, 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES ❑✓ I ❑ b.Are public transportation service(s)available at or near the site of the proposed action? ❑✓ 1 ❑ c.Are any pedestrian accommodations or bicycle routes available on or near 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: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO I YES If No,describe method for providing wastewater treatment: 0 ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 7 ❑ b.Is the proposed action located in an archeological sensitive area? ❑ f LJ 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: 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 ® 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? Piping Plover ❑ ❑✓ 16.Is the project site located in the 100 year flood plain? NO YES TTFM- 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? ❑.NO []YES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: LJNO AYES Page 2 of 3 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 YES solid waste management facility? If Yes,describe: 21 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: (v� ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE REST OF MY KNOWLEDGE Applicant/sponsor name: Glenna Ryan Date: Signature: d PRINT FORM Page 3 of 3 .a.•.d-a.wVn*;S P.SSItSSlIIC!!!. !LC B.Cau"a--J •o.wlrvnowe►.v. .•r..rvmlr.v•v.v...... •.• ...., u..v. •n..•v.•v.....t, questions in Part 2 using f ` Formation contained in Part I and other materials r-`--ted by the project sponsor or otherwise available to the , wer. When answering the questions the reviewer d be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed actions No,or 4Ydoderate small to large impact impact may may occur 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? El 3. Will the proposed action impair the character or duality of the existing community? 1 4. Will the proposed aetion have an impact on the environmental charactersstics that caused the establishment ofa Critical Environmental Area(CEA)? (—► E--I 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate Q f reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: E 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, 0 El waterbodies,groundwater,air quality,flora and fauna)? 10, Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? It. Will the proposed action create a hazard to environmental resources or human health? Q 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 ifthere 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 fart 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. Pail 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 considerate potential for short-term,long-term and cumulative impacts. ElCheck 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 inform and analysis shave,and any supporting documentation, titat the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President _ 1 Print or Type blame of Responsible Officer in Lead Agency Title of Responsible Officer ^f RPennnc;hle Officer in Lead Aeenev 3ipnature of Preparer(if different from Responsible Officer) EAF Mapper Summary Report Monday, June 04,2018 8:12 PM Disclaimer: The EAF Mapper is a screening tool Intended to assist ^. a r tr00 a10tr ci3a�2 project sponsors and reviewing agencies In preparing an environmental assessment form(EAF).Not all questions asked in the EAF are answered by the EAF Mapper.Additional Information on any EAF 700 � 9£I fg question can be obtained by consulting the EAF Workbooks. Although 7 the EAF Mapper provides the most up-to-date digital data available to < - ry7314700s ROS 1 DEC you may also need to contact local or other data sources in order to:xQt�2 0c�-54 � 77u0f3��0r100ri S t- substitute foain tr agency determinations.not provided by the pper.Digital data is not a '-70C-2 3-4060'.7sr+10300-110 2 st t0 240-3000--U-00200 cj f'x� tr 10C!350tt} t7t30ZG01+X007700.,-46�5-11�s0'J�?C�0�20G-1rv0+1 C►ttwr� ►�lontreat � 7?1)€+ Nom :X000 350 00 FQ0 2gis7t3`70G 300 IS+ct}2is ` (, Toraarto 770E f0 15UCr0 r002ti0 A(tts�s. s t f � i'r 74U,'�rJO 1.1Gii0 �x1. E3stG�� F o'fr tis 3e5g607 09 1tsU rt01 t�2s?4U1,77.t� 3413 u0c}07rt) 3Cs4 2240�� Atbir 80 fi0l? ScJO{t. t 71311 1 '2 f ' r ` i8t?EU 5r�aj't.0r,s�0t�etrQtt ' BrEtcn r 770 ;10KaSlr , 7e r0 2 �J 28 {s'{ 7 ,..," 7 Pt?rCfdtttdtlCft ? U t v 1A000r 30x1.1 rrw---V-3s?ract`7 0 23Uq� CIi eFaJd 'in ! ' v, v6[1Ef%}(�1 Ei:i3 Cs r� s :4 t�evz 74vCs 70'}=S0t7css T0�3 ��vl,l=arrCl�trdY�crg� _UZI;�2 '3tlittvi�tcrgh SsLr Esri Csrmu+ KcrFs; r i7hsrtsr i{OPd 2��0 + is tCoiwnraac tr�Ctetirrr#� IPJ^REfs*ENT: 7_f {3i try t +dEJ[! -,� R!L 4 .7-00-:i0,i^F t�Te �cxrtrr a cry srry�t e 5 P t'PCsr t=ser�apar FTETI UsL-C«rrahfsii}tfi0 1 crC,;I:7 1+1- Esv 'f20rc . elnnair Ina;hcr¢1�Cr8P:Farr t r r r wati i,fta`^t Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7[Critical Environmental Name:Goose Creek, Name:Peconic Bay and Environs, Reason:Significant Area-Identify] coastal fish&wildlife habitat, Reason:Protect public health,water,vegetation, &scenic beauty,Agency:Southold,Town of,Agency:Suffolk County, Date:3-9- 90, Date:7-12-88 Part 1 /Question 12a [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] Yes 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 11 Question 16[100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form- EAF Mapper Summary Report I } Board of Trustees Applic`.___=:ion AUTHORIZATION (Where the applicant is not the owner) Glenna Ryan I/We, , owners of the property identified as SCTM# 1000- 77-01-03 in the town of Southold New York,hereby authorizes Jeffrey Patanjo 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 YOwne s gnatur Property Owner's Signature re . .. SWORN TO BEFORE ME THIS DAY OF CM ID -er 202 1 Notary Public REBECCA A LUCAK Notary Public-State of New York No.01 LU6386882 Qualified in Suffolk County My commission Expires Feb.04,2023 Board of Trustees Applies__}ion AFFIDAVIT Glenna Ryan BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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 Pr 6 O , er Signature of Property Owner SWORN TO BEFORE ME-THIS,. _ DAY OF "_A__.0 eM �e_r 020 Lot- 4", LI (/L Notary Public REBECCA A LUCAK Notary Public-State of New York No.01 LU6386882 Qualified in Suffolk County my Commission Expires Feb.04,2023 7 1 APPLICANU/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Soulhold's Code of Ethics prohibits:conflicts of interest on the part of town i fficers:and employees The purpose of this formis to provide.information which can alert the-town of possible conflicts_ of interest and allow it to take whatever action is necessary.3o avoid same. YOUR NAME: ,Ryan,Glenna (Last name,first name,.Viiddle 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): JJA)the owner of greater than 5%of the shares of the corporate stock of the applicant EL (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 th' 9 day of c• 202 i Signature- ^vv Print Name Glenna Ryan Form TS 1 l APPLICANT/AGENTLREPRESENT T'—T TRANSACTIONAL DISCLOSURE FORM The fownof Southold s Code of Ethics atohi6tts conflicts of interest b,64he bait of tow ffcers and emaloyees The auraose of this form is to provide inforrnatton:whieh-can=alert the town of oossibleconfliets�ofinterest acid alfow it to:take:wh`atever.action rs rtecessarvA6 avoid<same; YOUR NAME .Paonjo (Last name,first name,apiddle initial,unless you are applying in the name of someone else or otherentity,such as a company.If so;indicate the other . person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tait.grievance Building Variance Trustee N ✓ Change ofZone Coastal Erosion Approval of plat Mooring . Exemption from plator-official.map Planning N Other (If"Other'',name the activity.)....Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officefor employee` of the.Town of Southold? "Relationship"includes by blood,marriage,of 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/agenttrepresentative)and the town officer oremployee.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,chi 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 corporation); C)an officer,director,partner,or employee of the applicant;or _D)the actual applicant. - DESCRIPTION OF RELATIONSHIP Submitted this 0/2 021 . = Print Name.;JreyPa4t eio Form TS-I Board of Trustees Appl; ition PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME& SCTM#: NAME: Ad STATE OF NEW YORK COU NTY.O.F SUFFOLK ' at being duly sworn, deposes and says that on the' day of deponent mailed a truecopy of the Notice set forth in the.Board..of Trustees Application,directed-to-each.of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the Haines of said persons are the address of said persons as.shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by_CERTIFTED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of 320 Nntary Public March 16, 2022 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: JAMES W. KOPHEN TRUST c/o GLENNA RYAN 760 OAK AVE-SOUTHOLD SCTM No. 1000-77-01-03 AFFIDAVIT OF POSTING Dear Trustees: Attached, please find Affidavit of Posting for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290 or email JJPatanjo@gmail.com. Very truly yours, ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 zctz- Glenn Goldsmith,President �'CStFFOj/(� Town Hall Annex A.Nicholas Krupski,Vice President , 54375 Route 25 Eric Sepenoski o ` " P.O. Box 1179 Liz Gillooly "' Southold,NY 11971 o �;,, Elizabeth Peeples y�jOd �ap 'y Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JAMES W. KOPHEN TRUST, c/o GLENNA RYAN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING �D CD b Fly U11�TV =�''1 '(J" dR. � ^; D HSA: i =D DML 'T T' 15'F'DiRM d 1V— IG "' _ I ''0 L� ?`ER I, residing at/dbaP.C 'bpu 582- Soherr)j a �J 11�I l0 being duly sworn, depose and say: That on the S day of AWC)f- , 2022, I personally posted the property known as �O O DaNk PUP SOLAR-nlr) Q Q 11C)711 by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, March 16, 2022. Dated:'-+p�C,h �U . 20-2-2- (s nature) Sworn to before me this I l0 day ofv4g_V.,2022 JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01 G E6418131 Qualified in Suffolk County Not • rublicWj My Commission Expires 06-01-2025 March 8, 2022 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: JAMES W. KOPHEN TRUST c/o GLENNA RYAN 760 OAK AVE-SOUTHOLD SCTM No. 1000-77-01-03 AFFIDAVIT OF MAILING Dear Trustees: Attached, please find Affidavit of Mailing along with certified receipts for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290 or email JJPatanjo@gmail.com. Very truly yours, )effrey Patanjo P.O. Box 582 Bohemia, NY 11716 Board of Trustees 'Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIIL RECEIPTS APPLICATION NAME & SCTM#: Iow NAME: ADDRESS: 1000-77-1-4 1000-77.-1-20.1 Daniel J Mcgovern Thomas&Arlene Carney Catherine Lucarelli ! 805 Oak Ave 138 5th Ave ! Southold, NY 11971 Kings Park, NY 11754 —� 1000-77.-1-2--- --- ------- --- - I� --- --- -- - - - --_- --- --- 1000-77.-1-15 l Thomas M &Caryn M M'azzarelli Peter L& Loretta E Cimino 15 Hidden Hollow Ln 725 Oak Ave Millwood, NY 10546 Southold, NY 11971 i r STATE OF NEW YORK COUNTY OF SUFFOLK , egr a %tG nyb ,residing at Pa`& nz — UL4 1171(0 , being duly sworn, deposes and says that on the $ day of fMArfh , 20 22. deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names;that the addresses set.opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that'said Notices were Mailed at the United States Post Office located at ��L�M► ( a1� - that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIP . /1"V *46 ture Sworn to before me this Day of MojCAF , 202-2- _ JESSICA L. GEREMJNA NOTARY PUBLIC-STATE OF NEW YORK N o.01 G E6418131 Qualified in Suffolk County My Commission Expires 06-01-2025 Postal / 'Service ■ , M Domestic Mail Only Domestic MWI Pnly For livery information, t our wwmusps.com Ir &7% -\\�jj {i �7q5{� j1�^,`i �•Website Ir _ __)� ''pati _ }it7'� j�p�Jf r-� OFF SJ ✓ Al 4; �� �.1 ti.:..� F• r U E �l I'm'"A r"- ertified Mail Fee �� �`�9 j Certified Mall Fee Extra Services&Fees.(check box,add lee es epprop e) Extra Services&Fees(checkbox,add fee as appropriate ❑Return Receipt(hardcopy) $ N O j AR _8 rtOrt rl ..� rq ❑Return Receipt(hardcopy) $ r ❑Return Receipt(electronic) $ �Z�6 pLc LLa � 1:3 ❑Return Receipt(electronic) $ C Posstt6ark C7 E3 ❑Certified Mall Restricted Delivery $ e�C{ Herer� 0 ❑Certified Mall Restricted Delivery $ Hde�. p 0 Adult Signature Required $ `a 4 �4 CJ El Adult Signature Required $ Q []Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ O Postage `�UCP? r] Postage S co ca V ruu 1000-77-1-4 rw rT o-. s Daniel J Mcgovern Ir $ 1000-77.-1-15 ra Catherine Lucarelli Peter L& Loretta E Cimino -------------- a 138 5th Ave r-- $ 725 Oak Ave 2 Kings Park, NY 11754 c Southold, NY 11971 --------------- I I 1 1 1 .11•I• — :d 0 0 . 111 TM ■ Postal ■TIFIED © ■ CERTIFIED o ■ Domestic Mall Only mLn .. OnlyQ- r%- Certified Mail Fee (� Certified Mail Fee °� nfl $ riAR � 1v{i Extra Services&Fees(checkbox,add fee as apprc riat� -`��� D p ❑Return Receipt(hardcopy) $ p�Lr�ExtraServices&FeeS(checkboxetld/eeasappropn eJ � �Retum Receipt(hardcopy) $ - � 0 ❑Retum Receipt(electronic) $ � p pOstrtterkrq - 0 Retum Receipt(electronic) $ Postma� I C) ❑Certified Mall Restricted Delivery $- ✓I�rT pU 1:5lq reCertified Mail Restricted Delivery $ Q ,�{'.'I GGGGGG„� � ❑Adutt Signature Required $ 'r] ❑Adult Signature Required $ A —`� 2W �� � E]Adult Signature Restricted Delivery$ ��/� �6 []Adult Signature Restricted Delivery S %` 0 Postage 0 Postage G� �4V C13 $ � CIO $ To Use ru 1000-77.-1-20.1 ,,, Tr 1000-77.-1-2 USPS rr $ Thomas &Arlene Carney F s 805 Oak Ave Er 15 Hidden Hollow Ln Si; - si Millwood, NY 10546 '--------------- r` Southold, NY 11971 Uli c --------------- NUTICE 01= HL".mARINC NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 (\/lain Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: JAMES W. KOPHEN TRUST, c/o GLENNA RYAN SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove 90 linear feet of existing deteriorated concrete rubble bulkhead and replacement with new natural stone boulders in same location as existing, and with a raised height of 12" above existing; remove existing concrete steps and replace in same location with natural stone steps, overall dimensions approximately 10'x8'; remove all dead and non-native plantings between existing upper concrete retaining wall and proposed replacement natural stone wall, and replace with new low-growing native plantings. Located: 760 Oak Avenue, Southold. SCTM# 1000-77-1-3 TIME & DATE OF PUBLIC HEARING : Wednesday, March 16, 2022 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP�CONSISTENCY ASSESSMENT.FORM A. INSTRUCTIONS 1;�: All applicants for pertruts* including Town of. Southold agencies; shall. complete this CCAF for proposed actions thaf_art sUbjedt:to:the Town of Southold Waterfront C' istency.Review Law: Thus. 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 Buildang.Permits and other ministerial_permits:not located:within;the Corital`Erosion Hazard Area: 24; Before answering the questions in- ction :Se .C; the pteparer''of tl ' form should;review the exempt minor action"list;policies and.explanations,of each:policy contained in thie Town:of Southold Local Waterfront Revitalization:.Program- A.::proposed; action. will be evaluated as to its significant: beneficiate and adverse.effects u on the coastal area: which uiclude all of Southold Town 3;< If any question ul Section:C on thus form is answered "yes" or ``no", then the proposed.action will affect the.achievement of the LWRP policy standards and.conditions contained m the:consstencg review law. Thus each.answer must.be explained:in detailting;both.supnorlinw and non supp� facie Tf an action cannot be certified as consrsterit unth the LWRP policy`s`tandards and conditions,it shall notbeundertalcen.. . A copy,of tlie:LWRP is available.in thiewfollowing places: online at the.Town of Southold';s website(soutlioldtown.northfork.net),the Board of Trustees,-Office, the.Planning Department; all local.liliraries:and he Town Glerk's.office.. B: DESCRIPTION OF SITE::AND:PROPOSED ACTION 77 01 03 SC .M#' 760 Oak Ave - Southold PROJECINAME:... .: .. The Application.has been submitted.to..(check appropriate::response): Town Board ❑; Planning Board❑ B:uilding:Dept:: ❑ Board of Trustees .�✓ 4. Category of Town of Southold agencyaction(check appropriate response): (a): Action undertaken directly by Town'ageiicy(e:gi capital El construction;planning activiiy;:agency.regulation,land:transaction) (b) Financial.assistance(e.g. giant,loan,subsidy) ;(e); Permit;approval,.license,-certification:. Nature and extent of action: See attached Location'faction;"760 Oak Ave.Southold Site acreage.b.25 Present-land use:Res: Present zoning classification:Res,...., 2'.. . If..an application for the proposed action has been filed with the Town of Southold:agency, he following: inforniati6n shall be provided. (a) Name of applicant:Ja Kophen a"Ryan mes.W.. Trustc/'.Glenn (b) Mailing.address-. 760 Oak Ave Southold,"NY 11071 is (e) Telephone nuzriber.'1�I-ea.Code_ 413 626=1491 (d): Application"number;:if any: 7. Will the action be directly undertaken;require funding; or:approval by a state or federal agency? Yes. No'❑ Ifyes;which state."or federal agency` NYsoEc" rvYsoos Co Evaluate the.project'to the,following policies by analyzing howahe.project wi�ill further.supp.ort.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: DE-ELOPED_COAST P:OLICY;: Policy l: Foster a Pattern development in the Town of Southold that enhances.community character; preserves open space, makes..efficient use of infrastructure, makesbeneficial,use of a"coastal location; and..', minimizes adverse.effects of development. See LWRP.Section III='Policies;`.Page 2 for evaluation criteria: 7Yes No. Not Applicable , Project is consistent with neighboring area'and makes beneficial use of coastal property preservation. . . " Attach additional sheets if necessary. Poliicy:"2: "Protect .and preserve historic and archaeological resources of.the Town of. Southold. See LN RP SectionIII-Policies Pages 3.through 6 for evaluation criteria" ."Yes:❑ No ❑✓ Not Applicable" Na Effect. Attach additional sheets if necessary Policy 3. :.Enhance,visual quality and protect scenic resources throughout'the Town of Southold. See LWRP.Section;I11-Policies_Pages'6 through 7.for, evaluation criteria : ✓� ;Yes ❑ No❑.Not Applicable Prolect`p6o ides new'visually appealing bulkhead to replace deteriorating concrete wall 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 1 1 Yes ❑ No ❑ Not Applicable. Project protects againsfloss of land'by replacing deteriorated:bulkhead. 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:.161hrough,21 for evaluation.criteria Yes 0: No Not Applicable. Project improves water quality by limiting erosloh due to_new bulkhead insfall 0n. 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 .❑✓ Not Applicable No Effect: 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-F—]No[;7] Not Applicable No:Effect. . 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; Pages34 through 38 for evaluation criteria. 0 Yes 0 No ❑✓ Not Applicable No Effect: 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. ❑ Xe No Not Applicable No Effect: Attach additional sheets 4i necessary WORKING COAST POLICIES 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. El '❑ No ✓❑ Not Applicable No Effect: Attach additional sheets if necessary Policy. 11. Promote sustainable use of living marine resources in Long Island Sound, the Pecome Estuary and Town waters. See LWRP Section III_Policies; Pages 57 through 62 for evaluation criteria. F Yes F] No. ✓l Not Applicable . No Effect. 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. Yes 0 No Not Applicable No Effect.. 77 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 ❑✓ Not Applicable No Effect. Jeffrey Patan�o A gen PREPARED BY TITLE... 9 DATE 10/20/21 . January 11, 2022 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 D E P.O. Box 1179 Southold, New York 11971 RE: JAMES W. KOPHEN TRUST c/o GLENNA RYAN Town 760 OAK AVE-SOUTHOLD oa d of T uste Boars! of Trustees SCTM No. 1000-77-01-03 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 ata&-gr48 5Z,9® or email JJPatanjo@gmail.com. Very truly yours, ), pft'e— Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716