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HomeMy WebLinkAboutTR-10148 Glenn Goldsmith, President ®F S0 Town Hall Annex A. Nicholas Krupski,Vice President ®� ®01® 54375 Route 25 P.O. Box 1179 Eric Sepenoski J�B Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples y® Fax(631) 765-6641 c4U6VT1,� ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2175 C Date: September 11, 2024 THIS CERTIFIES that the removal of the large cracked boulder that slid down the bluff and breached and damaged the existing bulkhead by placing the cracked boulder on the beach; repair of±20' of damaged previously permitted retaining timber wall,• backfilling behind repaired retaining wall; and planting beach grass in repaired area, At 355 Glen Court, Cutchogue Suffolk County Tax Map#1000-83-1-4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 1, 2022 pursuant to which Trustees Wetland Permit#10148 Dated May 18,2022,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 the large cracked boulder that slid down the bluff and breached and damaged the existing bulkhead by placing the cracked boulder on the beach; repair of±20'of damaged previously_permitted retaining timber wall,• backfilling behind repaired retaining wall; and plantingbeach each grass in repaired area. The certificate is issued to BIRCH HILI5PROPERTY OWNERS ASSOCIATION, INC. owners of the aforesaid property. Authorized Signature \..._ -,s Glenn Goldsmith, President tv So Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President � ` P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples ® - Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: q 110 1.2 q INSPECTED BY: tj - K(''a"' Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1st day of construction % constructed Project complete, compliance inspection COMMENTS: V ` u•��' Gf GWS. It oK. +0 (5501 , CERTIFICATE OF COMPLIANCE: :7 � Inc. = " •;;�,, .� birch Lan&j eutchogupNew York 111935 -November 23, 2022 Elizabeth Cantrell, Senior Office .Assistant Town of Southold Board of Trustees 54375 Route 25 = P.O. Box 11.79 Southold, NY 11.971 RE: Birch Hills Property Owners Association, Inc 355 Glen Court, Cutchogue, - New. York (SCTM #1000-83-1-4) Dear Ms . Cantrell: Barbara Ripel forwarded me the attached e-mail from you dated November- 18, 2022 regarding ,Wetland- Permit 'No. 10.148 . To update your- file, Barbara. Ripel is no longer President 'of the Association as she has moved out of the area. By default, . I . will be the contact for th-e completion of this -project. In case .there was some miscommunication I am enclosing a copy of the letter Barbara ,Ripel wrote to the Mr. ''Goldsmith dated August 15, 2022, a copy of which is enclosed. I contacted the contractor Garrett Lake of Jon Lake. and Sons Property Management Inc. He has informed me the plantings are not finished as he was not able to get them completed. He estimates they will be completed by late spring. If you have any- questions, do not hesitate .to contact me. Very truly yours, (� ((� BIRCH HILLS PROPERTY OWNERS DL�, ly ASSOCIATION, INC. DEC 1 2 2022 By Southold Town Richard F. Lark, Treasurer Board of Trustees %rchWills `Property Owners cAssociatior -j,Inc. �� ,.� •, birch Lane, (?utchogue�, New York u935 August 15, 2022 p Eta E 0 V E Glenn Goldsmith., President Board of Town Trustees AUG 2 F 2022 Town of Southold 54375 Route 25..- .P.O. Box 1179 Southold Town Southold, NY 11971 Board of Trustees RE: Permit No. 10148 Birch Hills Property Owners Association, Inc. 355 Glen Court, Cutchogue, New York (SCTM #1000-83-1-4) Dear Mr. Goldsmith: The damaged bulkhead has been replaced and the boulders relocated pursuant to the terms of the permit. However; the plantings are impractical at the present time. This will be accomplished at a later date when the weather conditions favor germination. In the interim the bare area has been stabilized with straw mulch (see attached photograph)_. Very truly yours, BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC. - Barbara Ripel, P sident. JON LAKE AND- SONS PROPERTY MANAGEMENT INC. By Garrett Lake, President 1fekw `eta K7"K .r r .��Y��, .s+ ti AUG 2 . : Southoi Board of A`fi s f AW Glenn Goldsmith, President 'of SoN- Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice Presidents /. . P.O. Box 1179 Eric Sepenoski ` ? Southold, New York 11971 Liz Gillooly C") `+ Elizabeth Peeples Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELO01! INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction '/2 constructed When project complete, call for compliance inspection, ro "A fi fi•,9g4t. ed, ,�'' �•;'=n"°¢'t ° d'ds. -ei',§rt0 i66dra AU9'°vtp}*p E�taSa £ti -.c�aee449 4 ...r4'as ai- �4�4 ,.. tI BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD NEW YORK � 1 PERMIT NO. 10148 DATE: MAY 18,2022 a ISSUED TO: BIRCH HILLS PROPERTY OWNERS ASSOCIATION,INC. PROPERTY ADDRESS: 355 GLEN COURT, CU_TCHOGUE SCTM#: 1000-83-1-4 '° � yi tag.. AUTIIORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 18, 2022, and in ' f ' consideration of application fee in the sum of$250.00 paid by Birch Hills POA and subject to the Terms and Conditions as stated in the Resolution the Southold Town Board of Trustees authorizes and pen-nits the "t following: Wetland Permit to remove the large cracked boulder that slid down the bluff and breached and ` i damaged the existing bulkhead by placing the cracked boulder on the beach; repair±20' of damaged previously permitted retaining timber wall; backfill behind repaired retaining wall; g P y P g � P g � and plant beach grass in repaired area; and as depicted on survey prepared by Nathan Taft b� mM Corwin III Land Surveyor,last dated March 15 2022 and stamped approved on May 18 2022. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed,and these 6g� presents to be subscribed by a majority of the said Board as of the 18th day of May,2022. r ' r t� sew - � q ,^ ✓ o" a O a ' a3 j j n\ M113 �y�'R .' i i •eta �a \ 1 -03 ✓ ¢� l�r:i`��'A _v i! ,� ��S�`.' ,a+�,� .J ��� � p /'- ,�e � r tl �� '�+ Uj � ��.�. • � "`. 1 �, .�,✓`i �'��"} i 1' � r.r '�°Jl� '..?.�LL,.1 � T�''^��� 6 �'q�.��e t ,� r *� �9v "�1 e, TERMS AND (CONDITIONS The Pennittee Birch Hills POA at 355 Glen Court, Cutchogue,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Pennittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President ® ® � Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 Eric Sepenoski i t Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples y® Fax(631) 765-6641 U 115 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 23, 2022 Bridget P. Lark, Secretary Birch Hills Property Owners Association, Inc. 295 Vista Place Cutchogue, NY 11935 RE: BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC. 355 GLEN COURT, CUTCHOGUE SCTM# 1000-83-1-4 Dear Ms. Lark: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 18, 2022 regarding the above matter: WHEREAS BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC 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 April 1, 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, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 18, 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC to remove the large cracked boulder that slid down the bluff and breached and damaged the existing bulkhead by placing the cracked boulder on the beach; repair ±20' of damaged previously permitted retaining timber wall; backfill behind repaired retaining wall; and plant beach grass in repaired area; and as depicted on survey prepared by Nathan Taft Corwin III Land Surveyor, last dated March 15, 2022, and stamped approved on May 18, 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: $50.00 truly yo rs I Glenn Goldsmith President, Board of Trustees I GG/dd %rch .Wills `Property Owners cAssociation�,Inc. ,. *, 13irch Lane, (?utchogue-1, New York II935 June 22, 2022 Glenn Goldsmith, President Board of Town Trustees Town of Southold 54375 Route 25 - P.O. Box 1179 Southold, NY 11971 RE: Birch Hills Property Owners Association, Inc. 355 Glen Court, Cutchogue, New York (SCTM #1000-83-1-4) Dear Mr. Goldsmith: The work under Permit No. 10148, dated May 18, 2022, issued to Birch Hills Property Owners Association, Inc. will commence ' on Juhy �°�, 2022 . Very truly yours, BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC. C'EE Barbara Ripl, Pre ident w 'S ld JON LAKE AND SONS PROPERTY MANAGEMENT INC. By Garrett Lake, President I . 11 �,;%: q<;< ,yr.$, �r'K, .n.b # ,.r ,� 1 v. c,max - ;� 4, - I'll v'S7� ., r a•' ''t+`�' y 1 } r'? 3 r t' .'ti-1 1 ,� a. ay... R°r,^7Y h5,ut tti,,.. Y,' F" k � S', t `•` k' - ,tib' n :f,;rq', ` .kms ` •, L .. �t' KK .4 l y, , a V ` .y1.11 GG � V i w, c a.14 ° : y t. .° IXISTING BOULDER LOCATION d S _ i ' " t �, r ". K �, �'Y,'4~ i TO BE MOVED BY EXCAVATOR � '' �y�,b a �'+ 3 4' GALVANIZED TIMBER BOLTS EL 12.0' , , r` 7 4t { y' k ti ra f {' ," �.1, 5. f $- ,{ k ° , _ I{�. ,�I, v I ___r I _1 BACKFILL WITH APPDXIMATELY 20 cu. yds. OF CLEAN SAND ? '"a, ,x a,. *m i�' , ; . ?_, ,^,•• , �I� „�,+ l r'' & PLANT BEACH GRASS AT 1 FOOT ON CENTERS £s,; "i7� n` , ,: i"';x- :.:' 1 ___) EL 6.o' 13-.:.. PROPOSED BOULDER LOCATION -.e—1" GALVANIZED TIE ROD ' �3 := ' n , ,.� " y '�, IT- *" "1� y " "% �4 1 � ` ����` ";,It' "fig>� x ,t, �' - > M l•���` `% ,,Z. ��,r� Ilt IXISTING GRAD 3 � ":.4 r . I r o, ' ` 5 ,\ s„ jr• 'p .� " DEADMAN �11HIGH WATER EL 4.0 r 11 1Y r s 1. s �' a l\, P'% /� 1 3 CO ;, I f s ` (''fix` I e 14 I . t - _ ,r ` c �• "% Z, t': 4,, ,'b4. I. y'1t "�,# 'Y `4 , . ..,`�v� rr. / � 11 I LOW WATER EL 0. XI .11 ^+Ae 11 ' g ,y� '♦ .{ a„ - .�4, *r „Y",-�„�,,I'" 4"r ^•t I w _"b � 1 ��, 3" X 14' ACO TONGUE & GROOVE SHEATHING s l i. �^ � "' ". ',,''- t 'f r, ,t s� d {} p ,. '1' •a .1#: _i'�4 y . > ? s .�' ., 3. r _ 3F -, t`' R" •4k` . fyw w, y� at,l;, � I '' '',ISR _ w' *, _ '- .."1: w. U.fr ,, , „i o-• -i -+ c.' m`t } } ~' 4'• b,m"° - ",. i- .+wa?rbs,t"4•'" j'^^'.�, `,n- x'•' .A `y. 10' X 16' PILING q',- r M: m'.t ( '` fir. $ K.1, ��' x i T� � DETAIL A—A ' 4' ., . � , x° .:s 1. � E• yli, •, "a'` r i r�'.«w aR v y *r„ .i", y Y, c ay,7, It 1 - - 1_1 I = a ° ' ' tl,.. - w "•+ ,'-.+.A.'•3 „aI' ,'� ., 'E' p .,9,""^,";F�+ :'..a+.'°t ', , 4 - ,,.r".."'ti+. ';,+'. CROSS—SECTION VEIW F , , 11 I .> „ 4 Q �} ��' `� °. rix SCALE 1"=10' �d •+ .' r4 �.� r' 4 • .> ,+ %`"°, ' ��•' w q; "a j •.ry. �:>r, i,;r° a r " ,: ,°4 j, x � r rf_ k t .a,_ :,'Y s •.,'r°s-• ,',,. `•ytr';p,,W 's,.. , `v .: �, "+�7,1". t yr .�'P rr''` t, ,. 3'*',>, - � :b., k�'. � . ,.",�,�e,ti•+ °`r.:- _.,� "` :n,r"' .�: 'j .,,,�.'�''.,,3�,$ ti'� �'.. a 6w %'.,F'a,,, ' NOTES: ��a. 4 Ya' , A. ` n .<°..,,� '• � ,+ ."r . - 1. PURPOSE: TO REPAIR EXISTING BULKHEAD � '� " i a a `1„.� " t ' , "/ �`°} 2. DATUM: APPARENT LOW WATER .11 3. TIMBER TO BE CCA TREATED .,. y . ,%, <* �,� 4:� ;, �.' 4;F *,, 4. PORTION OF BULKHEAD TO BE REPLACED WILL BE CONSTRUCTED " ( ' ''°` ° " / -,.'`t e •" ' ri , r'r '1 y.r.y;;,,`, .,e•` ,s .,%•s ,•";h4,d`? "a •� `i ii, k n` '"� .. �, IN AND IN—LINE WITH EXISTING BULKHEAD _ t� "' l _ wry",zF _# .,4. 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LOCATON MAP I--,' yo // 10 4011, ti� C . -/ SCALE 1"=100' '_�// Sk�oP J � pro - �0 °F ego fif JN6 / 10 eOJ,gL of 0 9 � -/ /' / / //° 2°�, Op 4- \,�$;0i- Q °��FAo V°cA�°N ,j // °�, // \ * \ �P Oma' 0�5� ,A •'i` �.�•O �G� \AGN _ // •�� // QR\�G - o �e�/ �o•�lj- LOT 40 . / ` 6'S / �9 s !y /__,_ / ��'� . / o � �/ N � / ce // I-­' Alm �. IT. 0000 v o�0 ''i� °j;G � SURVEY OF 69.26 �Yl� �og��N�/- - PARK AND PLAYGROUND N 11 ,?o �' -/ -0 �"o `'o . o - �V1 MAP OF / -�-0°fes �`����o '` so, S6d�y� APPROVED BY BIRCH HILLS 'L �c� .N � ' FILE No. 4908 FILED JULY 19, 1967 >• .- - �',�.� �/'� BOARD OF -� r�USTEES SITUATED AT / / LOT 3 ' 1 0 e� ..•..`• '' . l I / - -/' O ��a� o/ ,� TOWN OF SOl THOLD / ,� ...'. . :: ' .. .4 DATE m lS 2t� ,� `l TOWN OF SOUTHOLD . OpSG,. . ��. .. 6' /" .� , ,-� /' . . -, . .. ,'' ✓ 4 UFFOLK COUNTY, NEW YORK �� S 6° - �o o'• ��.. -. �\\ � E__ ° ii S.C. TAX No. 1000-83-01 -04 ,/ o ���� 6001D 5. lip '���� SCALE 1 "=30' �/ LOT 2 yoo• /' �� , ` APRIL 8 1999 ` JUNE 5, 2021 UPDATE SURVEY TO SHOW AREA OF DAMAGED BULKHEAD • �Y� ���0 �Q MARCH 15, 2022 ADD ADDITIONAL NOTES AND DETAILS / -is �t �� o ° .. ,4 / ' . ;...e. . . A . ` . AREA = 39,960 sq. ft. (TO TIE LINE) 0.917 ac. LOTOf NOTE: FENCING & GATES ARE NOT SHOWN. UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO: SECTION 7209RFSTHE NEW VIOLATION RK STATE EDUCATION LAW. BIRCH HILL PROPERTY OWNERS ASSOCIATION COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR • n EMBOSSED SEAL SHALL NOT BE CONSIDERED o TO BE A VALID TRUE COPY. Cx boy _ ' CERTIFICATIONS PERSON F HEREON SHALL RUN �" �' (�sal� ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND ,'� LENDING INSTITUTION LISTED HEREON, AND n TO THE ASSIGNEES OF THE LENDING INSTI— APR — 1 2022 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. e THE EXISTENCE OF RIGHT OF WAYS ytio AND/OR EASEMENTS OF RECORD, IF 6d'S Southold Town ANY, NOT SHOWN ARE NOT GUARANTEED. a V41-1, 4 t Board of Trustees E60101\QE �/� \�0 11 �_ Nathan Taft Corwin III � °� �" �.� 1� � Land Surveyor i '".' „' # "i , - Successor To: Stanley J. Isaksen, Jr. L.S. I I : i ,'�_' _ * Joseph A. Ingegno L.S. { ; ; Ji I Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS � ,•'�cr+_1r'" N .S. Lic. No. 50467 1586 Main Road P.O. Box 16 I---___, - Jamesport, New York 11947 Jamesport, New York 11947 99-261A �VSOFFOL,��O Glenn Goldsmith, President Town Trustees A Nicholas Krupski, Vice-President y 54375 Route 25 Eric Sepenoski o P.O. Box 1179 Liz Gillooly ��j®® �ao�� Southold, NY 11971 Elizabeth Peeples Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: BIRCH HILLS PROPERTY OWNERS ASSOCIATION Please be advised that your application dated April 1, 2022 has been reviewed by this Board at the regular meeting of May 18, 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) 1St Day of Construction ($50.00) %Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: _f TOTAL FEES DUE: $ 50.00 b�,3�'2 � BY: Glenn Goldsmith, President Board of Trustees NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ' Facility DEC ID 1-4738-02331 ® MAY 18 2022 PERMIT Southold Town Under the Environmental Conservation Law (EL Board of Trustees Permittee and Facility Information7 I Permit Issued To: Facility: BIRCH HILLS PROPERTY OWNERS BIRCH HILL PROPERTY OWNERS PARK ASSOCIATION INC c/o BARBARA RIPEL GLEN COURT 295 VISTA PLACE CUTCHOGUE,NY 11935 CUTCHOGUE,NY 11935 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 708:6 NYTM-N: 4545.9 Latitude: 41'02'15.4" Longitude: 72°31'06.1" Project Location: Long Island Sound Authorized Activity: Reconstruct damaged bulkhead in-place of existing bulkhead;relocate boulder seaward of reconstructed bulkhead. All work shall be done in accordance with the plans prepared by Nathan Taft Corwin III, last revised 03/15/2022,and stamped'NYSDEC Approved'on 04/21/2022. KLL Permit Authorizations Tidal Wetlands-Under Article.25 Permit ID 1-4738-02331/00003 New Permit Effective Date: 4/21/2022 Expiration Date: 4/20/2027 N YS]DEC Approval By acceptance of this.permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL,all applicable regulations,and all conditions included as part of this. permit. Permit Administrator:LAURA F STAR,Deputy Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY 11790-3 09 Authorized Signature: Date /.2.1 Page 1 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility-OW ID..14739�02331 i Permit Components [ C E Q V' 9 NATURAL RESOURCE PERMIT CONDITIONS MAY 1 8 2022 GENERAL CONDITIONS,.APPLY TO.ALL,AUTHORIZED PERMITS Southold Town Board of Trustees NOTIFICATION'OF OTHER.PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply fo the Following- Perriiits; 'TIDAL WETLANDS � 1., ConWifiance'With Plana .All activities authorized by'this permit must be.in.sfddt confoTmaiiae witli the approved.plans submitted by the applicant or-aplilicant's agent as-part-of the permit application. Such approved plans were prepared by Nathan.Taft Coryvin III,last-revised 03/15/2022.. 2. Post Perinit Sign The-pexrnit sigiri enclosed-with this-.pohnit shall be posted in-a-conspicuous Iopati on.on the worksite and adequately protected from the weather. 3. Notice of Cobnniiencement At least 48.hours pri&-to cornmeI16-eineritof the project,the permittee and contractor shall si_gn:and-re€urn i e.top portion of the.enclosed no.tification form certifying:that-they are fully aware of-aa-id urideistand all teens and conditions of this permit. Rrithin 34 days.of completion of project,the.bottom portion of-the form must also be signed and returned,.along with photographs:of the completed work. 4. No Equipindat.below Apparent High Water .Equigrdeot operation below(seaward)apparent high water is strictly prohibited_ l 5:. Storage Qf E.quipment,Materials Th6 storage-of construction equipment and rhaterials shall be confined within the project work area and/or upland areas.greater.than-75 linear feet from.-the tidal. wetland boundary. 6. CoMainEgposed,.Stocl piNd-Soils Alldisturbed areas where"soil will be temporarily exposed or stockpiled for longer than 48 hours shall be,contained by a continuous.line of staked.haybales-/silt curtains(or other:NYSDEC approved device`s)placed on the seaward.side.between"the-fill and the wetland.or protected buffer area.. Tarps'are authorized-to supplement-these.approved methods. 7. No Disturbance to Vegetated Tidal Wetlands There shall'be no-disturbance.to vegetated tidal wetlands oi•,pxotected Buffer areas as a result of the-permit'tedactivities: 8. Install,Maintain Erasion.Controls Necessary erosion control measures;"i.e.;straW'bales, silt fencing,etc.,are to be placed on the downslope edge of airy disturbed area This sediment barrier is to be put in place before any disturbance of the.ground occurs and is to be maintained in good-and firnctional.condition until thick vegetative eover is established, 9.. Maintain Erasion Controls Alf-erosioii control devices shall be maintained in good and f Retrial E condition until the-project has been completed and the:area has.been stabilized. Page 2.0-7 D EC E # NEW YORK.STkTE DEPARTMENT OF ENVIRONMENTAL CONSERVATION .Fiteffity-DEC ID 1-4-73842331 MAY 2022 la.NVOOdPreservatives Southold Town R. Pressure treated wood used for construction of in-water structures i=4 rd e Stees treatment process approved(stamped orothbtwise marked as certified)'by the American Wood Preservative.Association. b. Wood treated with.Penta6hlorophenol-(P.CP)must n6tBa.-used-in marine bra&-igh watets. W6bd treated with PCP must be aged in the open air for at least three months:priorto-in-water-use. , Q. The use of creosote.treated wood is-prohibited both in the water and upJanclarcas. d. Chromated Coppet per Arsenate.(CCA)pressure.treated-wood must-be clean.and free oft.CA-surface. . deposits. Wood with surface d6pqslts*niu§t'be-washed f6k at least 5 minutes under-r4nning water prior to use. The washing must.occut'greater-than I OOr feet landward.ofaq regulated wetlaiid and/or water body.. (Note".B."below for handling wash Water.) -p. Any wood such as sawdu�t,or wash water-must-not enter any water body,including .Andg . debris. ing wet or protected buffer 11. No Runoff'OV-drorTh-roughliiilkheitdt)r-iiitd'Wetland' There Aalfbe*iib-dig'charge of runoff or other effluent over or through any bulkhead.or.9horeline stabilization structure or into any'lidal wetland or protected buffet area. 1z. Excavation forBul.kheadAtruciure: Prior to any construction orkemovat of bulkheads and'other shOrelifte*bilization structures all backfiIl.-shEi.j,1 be-exc&v4ted landwdrd-of the.structure and retained-!io as.not to:enter,the waterway,-tidal wetland or.protected buffer area. No Seawaird Extension of Bulkhead 'The new bulkhead shall be-constructed in place of the existing bulkhead with no seaward extension of the outermost bulkhead face: 14. Bulkhead Height The new bulklicadheight shall not exeteed.the height.ofthe.adjacent bulkheads. 15. No Structures o'n Bulkhead No peftnagent structures shall be installed ori sha authorized-bulkhead -without first.obtainir�g-.-wrltteri-department.approvalpermit,-modificafiori, ametidment.). 16. Filings at-Property Lines Flilffigp-shalt not: -a. extend.latemUy b.eyond prop lines,erty b. inlerf&e with.navigation,or c. interfeire with other landowners ripaiian rights, 171 No Structures on Pilings No structures,other than.structures specifically authorized by this pttmit,-shall be constructed on pilings without further authorization from Th6 depA;imentbenn% modification arameodmem), - I*. Grade to Match That.Adfacent to-Bulkhead All fill must be graded: match to mthe elevation of the J. . . . d I land imm6diat6Iy-adjdoeAftd-the bulkhead. 'Page 3 of 7 NEW*YORKSTATE DEPARTMENT OV-ENVIROXMENTAT .CQNSERVATION 'Facility QEC ID 33.1 backfilling All.periphetal berms,.cofferdams,,rock-'revel-mentg,seawalls,gabionsi bulk]:Yeads'oi other approved shoreline-stabilization structures shall be.-completed-prior to placement of an fill y material.behind subli. structures, 20. "Clean Fill Onl -11 fill l-sh I y A il .. al consist oftlean sand,:gravel,or soil (not asphalt-slag,flyash, broken conctete or deffidlitioil debris),. 2.1. No.Beach Excavation V or Fill No excavation of the peach isAuthori=d for-the,pui gose-of obtaining fill dt-stone3halerials. 22. Vegetate All Disturbed Areas. The permittee Aall..teivegetatedll eXjY6s&d* facbs,and disturbed areas to piev:6nt soil erosion prior to the project completion or expiration-date of this permit,whichever comes first. tl No Dredging or Excavation No dredging; excavating or other alteration.of shoreline or underWater aieas,is authorized by this permit,nor shall issuance of this.permit be construed to suggest that the Department,will.i8sue.a-permit-for-suth.activities in the future. 24.. No Consiraction Debris in Wetland or Adjacent.Area Any debris-or excess.material.-from :construction oflfiis project-shall be completely. removed froni the adjacent area(bpla4d)and ien oy&d to an approved'upland-area-for disposal. 'Nod d=ebris-is is pernfitted in wet-lands and/or-protected b'uffe' r areas.. '25. Miit6fials DisOosed at.Upland Site Any d i e1no lition debris, excess cOnstructi6n.materials, and/or excess excavated materials shall-be immediately and completely disposed of in-an authbrized solid Wd.ste Management facility.These materials-shall be suitably-stabilized as not to re-enterany water body, wetland or wetland-.adjacent area. ;0. State Noi.Liahle for Damage. The 8tafe of New York'shall M; no case be liable for any-damage or injury,to the structure or work herein erbin aLitl.iorized which may be caused by or t&8ult from future.operations . undertaken*by S.tatq:for the conservation or improvemeni of navigation, or far other puOoses,..and-no. claim cirright ioconi*pensatio'nshallaccrue from any such-damage. .27, Precautions Against Contamination of Waters. All necessary piec-zkfti0h9-shall be taken'to -preclude confaminatio.n of any wetland or waterway'by suspended-solids, sediments, uels, solv6ilts-, tubficAnts, epqxy coatings,.paints,.6611crete .,leachate ur 'any..Other environmentally deleterious•materials associated-with the project. U. State May Require Site Restora.tion If:upon the expiration or revocation of this permit,the project h,er"e'*by-autti(itized..hag'ndtbeen completed,the applktht shall;withbiit expense to-the State,.and to such extent and.in such iime and manner as:the Department.of Environmental Conservation may lawfully require..reindve.all or any portion of the u"ncOinpleted structure-or filland:xestore thesite.*W its former condition. No claim shall-be made-against the-State of New.York on account of any such .re,movW or alteration. E C' E P V E M AY 1 8 2022 Southold Town -Page.4 of-7 Board of Trustees NEW YORK STATE DEPARTMENT.OF.ENV.IRONMI;NTAL-CONSERVATION:. . ..... ... . .. ......._........ .. ..... Facility DEC ib 1-4.738-42331 -29. State May Order Removal or Alteration of Work Tffuture operations by the State.of New York.. require an:alteration in the position of the structure.or work herein-ai thorized, or-if, in-the opinion of the. Department of Environmental Conservation it shall-cause unreasonable obstruction to the free navigation of:said-waters.or tlaod flows or,eridaiiger,the hearth, safety Qr wCMie of the people..of the State, or.-cause- loss.or-destruction.of the naturalresources ofthe State,the-owner may be ordered by the Deparwiciit,to temove or alter the.-structural.work,obstructions, or:hazards-caused thereby-without.expense to the State, and<if, upon the'expiiatibh or revocafion.ofthis permit,-the;:sttiueture,fill,ekeavatiori, of other rnodif cation'of the watercourse hereby authorized shall not be completed,the owners, shall,-without- expense ithoutexpense to the Statex-arid-to such extent and in:such time:and.niatiner as-the Department..of Environmental Conservation may require,xern.ove.all or any portion of the uncompleted`structure or fill and restore to its former condition.the-navigable and flood capacity of the.watereourse. No:claim shall be made against the State:ofNew York on account.of any such.removal.or.alteration. I 3Q. Seeding,Disturb.ed..A►reAs- .All areas of soil disturbance resulting from the approved-project.shall b6 I stabilized with appropriate vegetation (grasses,'etc.) imixiediately followiilg project completion or prior I to permit.expiration,whichever comes first.. If the project site remains inactive for more than 48 hours f or:planting.is impractical dueto.the season,then the area shall be stabilized with straw or hay mulch.or ' Jute niattirlg until weather conditions favor gerinW--tion. (2 �n r j 15 l� L.0 i GENERAL CONDITIONS -Apply,to ALL Aothofized. ts-MAY � � 2 22 1,i � Southold Town 1. acility:Ins eet�iori bY-Tbe.Department The.permtted site ox.facilitY�includirt^�: �'. Ioarc�� ,�rn�tees s subject to,inspeciion-at reasonable hours.and'.intervals by an authorized.representative of the:Department. of:EnAronmen#al Conservation(the DepattmenO to determine whether the permittee:is'c%4plying with this permit and the ECL. Such repres..entative.may order the work suspended pursuant to ECL 71-031 and$APA 401(3). 1 The permittee shall provide a person to accompany the-Department's representative:during an inspection E to.lhe.permit.area when requested by the..Department. I s A.copy of this permit,irieluding-all-referenced maps,drawings:and special.conditions, must be-available for inspection by the'Depaitnenvat all times.atthe project site,or facility. Failure.-to produce-a copy of tine permit u",request.by a Deparhnent.representative is a violation of this permit, E f z. Relationship of this Perinifto Other Department Orders art.&Detcrminatiorts Unless expressly provided for- the De aernent`issuance of this pen-nit does.not.modi ! p . : . .. . Y� p.. � , p fy,supersede.or rescind.any:order � or detormiriation previously issued by the Depart ont or any-of the terms;conditions:or requirements contained.-in such order or determination. 3, Applications For Permit Renewals,Modifications or Transfers The permittee must submit a :separate-written application to the Departmeh far perhiit.renewal, modification-or transfer,of this permit. Sueh.application must include any forms-or supplemental information the Department.requires. Ariy'renewal,rhodification or transfez grantedby the Depaitment must be-in writing. Submission of applications for permit renewal;.modification or transfer.art to be submitted:to, 1 Page S of 7 E E {r NEW YORK-.STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Wow Facility DEC ID 1-4738-0233.1 Regiional Pei-mit Administrator- Ny.S.f).E'C'Regjon I.R.Padquariers SUNY @ Stony BrookJ50 Circle Rd 0' Stony Brook,NVF1 79.0 -5409* 4.. Submission of Reiiewal.Application The permittee must submit a penewal.aDplication at least.30 days.before permit expiratioti "for the--followin g peftnit aUth0tizations:Tidal Wetlands. S. Permit Modifications,. guspensions and RevocatioAsi by the Department The.Department reserves the riglitto.exercise all'available..authority to-modify,suspend of tovoke"thisperim''it. The. grounds for-modification, suspension or.revocation.,include:- .a, materially false or ihaccuratc:statementg in the permit application otsupporting papers; b. .failure`by the permittee to comply-with any terms orionditi6hs.oft&-.penn.it; .6. exceeding the scope of the pr—cot asdegoibed in th6 permit application; 01 d. jae*ly-.4iscdVoted material information or a.rn.ater.ial change in environmental. relevant w techublogor'applicabk law-(it tegul..ations since..the issuance-of the existing permit; liaiice.Witb.pievious'ly'isslied permit conditions, orders ofthe commissioner,.loner,ativ provisions of tbe-tnvironmental Conservation Law or.tegulatioii.s of the Departi-nent-related to the.permittedactivity.. G. Permit Transfer Permit9.Are transferrable unless specifically`prohibited by statute.regulation or another permit condition. Applications for permit transfer Aouldbesubmitted.-prior to actual transfer-of ownership: NOTIFICATION-OF OTHER PERMITTEE OBLIGATION S Item Ac Permittee Accepts Le`pl Responsibility-and Agrees to 1xidem fifficafi6ni Tho-perraitte..e,excepting.slate-,or.federal agencies,expressly agrees to indemnify and hold harmless:the Department Of Envirobftiental Coifiser.vdti. on.of the State of New York,its representatives,employees;, :and agents ("DEC")-for all claims, suits.,actions,and damages,to-the.extent attributable. ' *to the permitte&s acts-or orni.ssions in connection with.the permittee's undertaking.ofactivities in connection with, of operation and maintenance of,the facility offacilities authorized by-the permit whether in compliance or not incompliance with the.-terms and-conditions of the-perm it. :This indemnification-does hot'-exteftd.to any claims,-suits, actions,.or damages.to the-extent Att.fibutable.to DEC's oWn.jiegligebt or -intentional acts or ondisgions, or to any claims,suits, or actions naming the,DEC and arising.under Articlo 78 of the New York Civil Prktice Laws and Rules or any citizen suit-or civil rights provision under federal dr.state la' w'' s'. D E E M AY 1 8 2022 Page 6 of 7 Southold Town Board of Trusteps­ NEWYORK STATE.DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DECAD 14738-02331 Item B.:Permiftee's-Contract6ys to Comply w1th'Permit The pprinitted i" responsible for'inform*'ilig.its-i'nd6pehOent contractors,ergplbyces, agenU and assign -(if their responsibility to comply with this per1ilit;including-611special conditions.-while acting as the pdrniittee's ageni w"ith respect to thaDermitted activities, and such persons.shall be.qubjectto:the same: sanctifins-f6'r violations efthe Environmental Conservation.Law as-those pfegctibod for t6perxxiitteo. 1.t0m'C: .Pe'rmittetR6s Responsible for Obtaining:Other R0quir"e'd Permits..Therpermittee is responsible f6r obtaining any other permits; approvals, lands, easements and rights-of-, Way-that rhaybo required out the abti�itie�'thftt are authorized b thi's ,permit. '-it , 1. y permi Item D:No Right to Trespass.or.Interfere-with Riparian Rights This-permit does not-convey to the periuittee any right-tb trespass upon the lands of interfere With the riparian rights of others in-order to perform the-permitted work nor does it authorize,the impairment-of any figlits,.titlq,of interest in teal or personal proper ty. ,held-or vested ilia person not a Darty to the permit. A` E fr M AY 1 8 2022 Southold Town Board of Trustees "Page.7 of 7 r �-m CR°SS�YC�MNI VFIW •v•- � '� - i IMIN Q� / 0) 0 sp / CL O / r+` CD /] °+ I TON'— / / ♦ SURVEY OF PARK AND PLAYGROUND MAP OF BIRCH HILLS 7• / / i <11 Fu xe.w°e rxt°�uEr F,uer `9 SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK oat / . C� S.C. TAX No. 1000-83-01-04 S SCALE 1'=30' / - APRIL 8,1999 S �uNF s.Mci�u�l—p1C TOrmi"nN°Wu HDITSum°�G0EZ.LxNUO uu.»s» °� NPT6 rcxa«c a carts ASF NOT sxowx. _ BpCN NiLL PRCPFxT'OWNEgS 4950GAiNN1 ♦ dr e Miemnnnv"=TL= �r NUDE APPowA9P8178U6 :'4"=ur P9Yfle'vr a• ........c Nathan Taft Corwin IN »: Land Surveyor , . Y' .x i. l 5 / 1012 0 2.241 4 fit... _�. ti � • �� Glenn Goldsmith,President £", , f /(� Town Hall Annex �y, t A.Nicholas Krupski,Vice President � �`> 54375 Route 25 P.O.Box 1179 Eric Sepenoski Liz Gillooly `y ° Southold,NY 11971 Elizabeth Peeples ` Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/time: i 747/'7--?rCompleted in field by: BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC. requests a Wetland Permit to remove the large cracked boulder that slid down the bluff and breached and damaged the existing bulkhead by placing the cracked boulder on the beach; repair±20' of damaged previously permitted retaining timber wall; backfill behind repaired retaining wall; and plant beach grass in repaired area. Located: 355 Glen Court, Cutchogue. SCTM# 1000-83-1-4 Type of area to be impacted: Saltwater Wetland Freshwater Wetland _'3�,,Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: __�e 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 K N, l rupski ° E. Sepenoski _,>­ L. Gillooly . Peeples �i IXISTING BOULDER LOCATION TO BE MOVED BY EXCAVATOR—__111- 3/4- GALVANIZED TIMBER BOLTS EL r12.0'11'� BACKFILL WITH APPDXIMATELY 20 cu. yds. OF CLEAN SANDPROPOSED BOULDER LOCATION & PLANT BEACH GRASS AT 1 FOOT ON CENTERS—1' GALVANIZED TIE ROD EL 6.0 o• ;1rr pp -� IXISTING GRAD cr 3:HIGH WATER EL 4.0 DEADMAN ri 30 a 60. x x !.t W 4 ► 3" X 14' ACQ TONGUE & GROOVE SHEATHING x a DETAIL A—A 10" X 16' PILING `r » CROSS—SECTION VEIW SCALE 1"=10' NOTES: 1. PURPOSE: TO REPAIR EXISTING BULKHEAD 2. DATUM: APPARENT LOW WATER 3. TIMBER TO BE CCA TREATED 4. PORTION OF BULKHEAD TO BE REPLACED WILL BE CONSTRUCTED IN—PLACE AND IN—LINE WITH EXISTING BULKHEAD 1g� 0 ` t / A� lip LOCATON MAP SCALE 1"=100' 155 SO g°�� E° ° ��a 00. , o ��ti� 001.. cr ell //° °61 ° � .yQ� `��� eG g°`0VL �/ •,�cj \G R\aG \G �'. oA ,0�y a��G o LOT(4 C3 i i SURVEY OF /� N0 ro7•�V W. B��N�/, - , �� PARK AND PLAYGROUND �o o .� MAP OF 04 ` so, S6d��y BIRCH HILLS FILE No. 4908 FILED JULY 19, 1967 LOT 30 SI T UA TED A T °F CUTCHOGUE �A �e TOWN OF SOUTHOLD �' / •���' �' :��,;� SUFFOLK COUNTY, NEW YORK 0 Q kv •'�J '�S �G• \\\moo _�c\N S.C. TAX No. 1000-83-01 -04 joo\> ° SCALE 1 "=30' °d °� eP " APRIL 8, 1999 LOT z0 : " JUNE 5, 2021 UPDATE SURVEY TO SHOW AREA OF DAMAGED BULKHEAD ° �t G°�e , GHQ MARCH 15, 2022 ADD ADDITIONAL NOTES AND DETAILS o AREA = 39,960 sq. ft. (TO TIE LINE) 0.917 ac. LOTO1 NOTE: FENCING & GATES ARE NOT SHOWN. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF CERTIFIED TO: SECTION 7209 OF THE NEW YORK STATE BIRCH HILL PROPERTY OWNERS ASSOCIATION EDUCAnON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR °moo EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN 4) TO THE PEON FOR WHOM7nDECEIVF. USNLY PREPARED, ANDON HIS BEHALFTTO THEE SURA TITLE COMPANY, GOVERNMENTAL AGENCY AND TONT EGASS INSTIGN EIS OFON I STEED LENDING INSnD- APR — 1 20n TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. .y0 THE EXISTENCE OF RIGHT OF WAYS Southold Town AND/OR EASEMENTS OF RECORD, IF Board ofTnmtees ANY, NOT SHOWN ARE NOT GUARANTEED. Nathan Taft Corwin III `E of "E"'`'`° Land Surveyor ger Ar y z �. Successor To: Stanley J. Isaksen, Jr. L.S. Joseph A. Ingegno L.S. Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 'ihlq' OFFICES LOCATED AT MAILING ADDRESS Lic. No. 50467 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 99-261A Y' a r v STAYAWA Y � ' t�� CQUt"rc?A' C�'JUrro�►' CAUT= l 4 EXHIBIT 1 (3/8/21) �+. � x',V • lam_ �` � '.' �,� �� � .. �� •� � � r.- ..-r.r �� ' .♦r"1•/` � �, ..�•`� � �= �� � �4♦+� ., i ♦ „� 4.�Y �„* � r+� �•� �� � A��:. �t+� � 4:+n.. �1!��`,:�!'�4 t r.�1+ ��.Vit.++ -+ �* �(j �+ x r t r ALA— M yy !� �.� � ` �, s'f `�r �( _ � • � '� ,'��14 � h w _ ! •y s op rl r• �1 t lw p . x.•Y 1 }•♦ •�l i� f� > �. 4 'O►(r jKli 1r "Work. IZ ION y. Y�r� t �1 g r r r M 4 _ I pp :t is I 1 r . T i f EXHIBIT 4 (3/22/22) tr y i y � 01-1 } F 9�14 �taw Awl i� r {4QIh( t - at "Yo r '..♦, i..@(ia; F�M� aJ `` z.`S .• Ul Via* "1 'w�Nii_aY•-1 Y����Vr.1 � _ � � �Vf p r.i 4.i JA ► iL r a IL IL � p .: ° EXHIBIT 5 (3/25/22) k axe6 ick E •..� Y ^;' ,\o"Y `^.' wl WE W Dia R \ MCssm .n "kl� z UN SGH.D 9 FU Ak < e N 4" .... 1Ya t0 ♦y +. m as r r �, cs• oz 142 .'.�` P .q• Y.61 t, r. ' 2 tr.nk> s tzt J'�• wnr'•gxm`�r"`wi.s :. .''r C;...°:z el Is + J e. IY A 4 >7 �co�Nlro vw'rau �( A r" y a♦ �,qa.t�- , _ ,:�' A„n J`\• lea ./ ! .G;p,1', a' �`'„a �9^.,. .b 't � ,,�' S '�` r f ,�•.\ msonev.r..+s. 'Yf a �9 Q4�; a ; a, —C, 9 r rya. !•wa\. \'K,�^ 14 14 MTA 4 otot,.a 41 FOR tt'.NO OR PCt.NO GOq ' \\ - ELL 3EGN0 SEESEC NO. 65EC.N0. CE.EO.NO `\� � � - Jio CIWB3 OWet-0p9 DAFa IAt➢ M6 OYOtf( ` � � F ,�' � �' L ,•.o ' - "'” '" — -' - -swCOUNTY OF SUFFOLK ii raorice K :� „K„a tsoo srcrnxx No. U -^ —�.— ••+ wru.au �; - I:eal Property Tax 9'enice Agency E . rkl w«Nr�lxz.wravaloa uN as�iNr q N _ _ _ _ ^• �� am iw..1—d•..er(�new W E aw6fqulBerEn FJ „k`°i, mwxa aWnaLD 00V9 lar) .. P OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex �� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 � u b� 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: May 9, 2022 Re: LWRP Coastal Consistency Review for BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC SCTM# 1000-83-1-4 BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC. requests a Wetland Permit to remove the large cracked boulder that slid down the bluff and breached and damaged the existing bulkhead by placing the cracked boulder on the beach; repair 120' of damaged previously permitted retaining timber wall; backfill behind repaired retaining wall; and plant beach grass in repaired area. Located: 355 Glen Court, Cutchogue. SCTM# 1000-83-1-4 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. I could not locate a permit for the bulkhead. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: The Honorable Lori M. Hulse, Attorney John G. Stein,Chairperson aria 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., May 11, 2022 the following recommendation was made: Moved by John Stein, seconded by Shannon Wright, it was RESOLVED to SUPPORT the application of BIRCH HILLS PROPERTY OWNER'S ASSOCIATION, INC. to remove large cracked boulder that slid down the bluff and breached and damaged the retaining wall. Placed cracked boulder on beach. Repair 20' of damaged timber retaining wall and backfill behind repaired retaining wall and plant beach grass in repaired area. Located: Beach area of park and playground, Birch Hills POA. SCTM#83-1-4 Inspected by: John Chandler, John Stein, Shannon Wright, Maggie Merrill The CAC Supports the application with the Condition the removal/relocation of the boulder from the shoreline is in compliance with NYSDEC regulations. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,mice President 54375 Route 25 ��" �� ; P.O.Box 1179 Eric S'epenoski Southold,New York 11971 ' Liz Gillooly Elizabeth PeeplesTelephone(631) 765-1892 - - .. Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only 22 �e —//Coastal Erosion Permit Application rj E U E 0 V! E Wetland Permit Application Administrative Permit Amendment/Transfer/Extensi n A P R - 1 2022 Received Application:' Received Fee: $ ZSV,DO ld Town Completed Application: oZ� Board oTruste Board of Trustees Incomplete:._ SEQRA Classification; Type I Type II Unlisted Negative Dec. Positive Dec., Lead Agency Determination Date:. �oordination:(date sent):._ _ ? WRP Consistency As ss ent Form Sent:. 5 Z2 �AC Referral Date of Inspection:_ �/0,2_?�. •__ Receipt of CAC Report: Technical Review:, �Public Hearing Held: - 'L Resolution: -- Owner(s)Legal Name of Property (as shown on Deed): Birch Hills Property Owners Association, Inc. Mailing Address: 295 Vista Place, Cutchogue, NY 11935 Phone Number: (631) 786-6883 Suffolk County Tax Map Number: 1000 - 83 .- 1 - 4 Property Location:,_Beach area of -park and playground, Birch Hills Property Owners Association, Inc. , 355 Glen Court, Cutchogue, New York (LILCO Pole #4) (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): ___.- - N/A Mailing Address; Phone Number:. Email: COA ZZ,.,, Board of Trustees Appli(; ion GENERAL DATA Land Area(in square feet): 0.917 acres (39,960 square feet) Area Zoning: R-40 Previous use of property: park and playground Intended use of property: park and playground Covenants and Restrictions on property? x Yes 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? Yes No Not applicable Prior permits/appfovals for site improvements: Agency Date Board of Southold Town Trustees Wetland and Coastal Erosion Permit #5012 June 24, 1999 NYS DEC Permit Number 1-4738-02331/00001 August .9, 1999 Board of Sod-t-holdTown Trustees Emergency Wetlands Permit No. 9874E April 21, 2021 (no work done, 90 days expired) 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: N/A Project Description (use attachments if necessary): Remove large cracked boulder that slid down the bluff and breached and damaged the retaining wall. Place cracked boulder on beach. Repair 20-1feet of damaged retaining timber wall and back fill behind repaired retaining timber wall and plant beach grass in repaired area. :oard of Trustees Applicata:, WETLAND/TRUSTEE LANDSAPPLICATION DATA Purpose of the proposed operations: Remove cracked boulder .to eliminate. hazard. and-place on beach. Area of wetlands on lot_ 0 square feet Percent coverage of lot:. 0 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? 0 cubic yards How much material will be filled? 20 _cubic yards Depth of which material will be removed or deposited: 8 feet and placed behind repaired bulkhead Proposed slope throughout the area'of operations: zero degrees- at bottom of 45° bluff Manner in which material will be removed or deposited: clean back..fill will.-be brought in from Duck Pond Road access to beach area. Damaged retaining wall material will be removed and reconstructed. 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): None Board of Trustees Applicat COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Remove large cracked boulder that' slid down the bluff and breached and damaged the retaining wall Place cracked boulder , on beach. Repair20±feet of damaged retaining timber wall and back fill behind repaired retaining timber wall and plant beach grass in repaired area. Are wetlands present within 100 feet of the proposed activity? No x Yes Does the project involve excavation or tilling? No x Yes If Yes,how much rnaterial will be excavated? 0 (cubic yards) How much material will be filled? 20— (cubic yards) Manner in which material will be removed or deposited: Will be brought in by a payloader from Duck Pond Road access to beach area Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) None NOTE: Exhibit 1 - Photo dated 3/8/21 Exhibit 2 - Photo dated 3/8/21 Exhibit 3 - Photo dated 3/22/.22 _.— Exhibit 4 - Photo dated 3/22/22 Exhibit 5 - Photo dated 3/25/22 61 Z20 Appendix B Short F.nvirontnental Assessment Form Instructions-f6r Completiu� Part 1--Project Information. The applicant or project sponsor is responsible for the completion of d'art 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'l 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: Birch Hills Property Owners Association Inc. Boulder Removal Project Location(describe,and attach a location wrap): 355 Glen Court, _Cutchogue, New York (SCTM -#1000-83 � Brief description of Proposed Action.. Remove large cracked boulder to eliminate hazard, place boulder on beach. Name of Applicant or Sponsor: Telephone: 631-786-6883 Birch Hills Property Owners Association, Inc. E-Mail.,ripelbd@optonline.net Address: 295 Vista Place CityPO: State: j Zip:Code: Cutchogue NY i[ 11935 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, i 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 orfunding from any other governmental Agendy? NO- `YES If Yes,list agency(s)narne and permit or approval.' NYSDEC Tidal Wetlands and Southold Town Trustees Wetlands, El U' 3.a.Total acreage of the site of the proposed action? 0.917 acres b.Total acreage to be physically disturbed? 27 acres sq. f t. e.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.917 acres 4. Check all land uses that occur on,adjoining and near the proposed action. C]Urban ❑Rural(non-agriculture) ❑Industrial [:]Commercial ❑Residential(suburban) Cl Forest ❑Agriculture (Aquatic EMOther(specifv).Lon_g Island Sound- ❑Parkland beach 'area Papel of 4 S is`the proposed action, NO YES 'NVA a.A permitted use under the zoning regulations?- b. egulations?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- Long-Island Sound F_ I LXJ S. a.Will the proposed action result in a substantial increase in traffic above present levels? N.fl .YES: Ut b.are public transportation service(s)available at or near the site of the proposed action? c,Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does'the ro used action meet or exceed'the state energy ? F F rgy code requirements. NO _,YES... proposed q g s and technologies; I the ro used action wtlhexceed requirements,describe design feature • N/A � L"J 10. Will the proposed action connect to an existing public/private water supply? NO :YES If No,describe method for providing potable wafer N/A 11.Will the proposed action connect to existing wastewater utilities? IN :.YES If No,describe method for providing wastewater treatment: N/A 12. a.Does the site contain a structure that is listed oneither the State or National Register of Historic NO YES Places? (—._�. b.Is The.proposed action located in an archeological sensitive area? Ix 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? X. l 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, ®Shoreline ❑Forest ❑Agricultural/grasslands M Early mid-successional ® Wetland El Urban EJ 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? 16.Is the project site located in the 100 year flood plain?. NO YES • . X 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? D NO AYES . b.Will storm water discharbes be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ONO AYES . _....... - Page 2 of 4 IS.Does the proposed action-include construction or of ier activities that result in the irnpottndment of NO YES water or other liquids-(e.g.retention pond,waste lagoon,dam)? 1 ryes,explain purpose and size: 1.9.Has the site,of the proposedaction or an adjoining property been the location of an active or closed' NOYES' solid waste management facility? If Yes,describe: j� - 1-1 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 �._ E] X (� E I AFFIRM THAT THE 1NFORMA.TION PROVIDED ABOVE IS TRUE AND ACC4I'RATE TO Till BEST OY MY KNOWLEDGE Birch Hill's Property Owners Association, Applicant/spo sorname, nc. By Barba ' Ri' e , President Date- -3/25/22 ; Si;naturen fG Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of thefollowing questions in Part 2.using,the information contained in Part l 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't-cave 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 l 1. Will the proposed action create a material;,onflictwith 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? 3. will the proposed action impair the character or duality 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 affect existing infrastructure for mass transit,biking or walkway? 6. Wili'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 I private-water supplies? EJ b.public Cprivate wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? '}, 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 r � r No,or Moderate Smallto large impact ' impact May may occur occur 14. Will the proposed action result in.an increase in the potential for erosion,flooding or.drainage problems? D° 11,.Will the proposed'action create'a_hazard to environmental resources or human health? ❑ El Parti-Determination of significance. The lead Agency is responsible for the completion of.Part 3. For every question in Part that was answered"moderate to-large impact may occur",or if ihere isa' 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 holy 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 ifyou have determined,based on the informatiori aril 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. QCheck this box if you have determined,based on the information'and analysis above,and any supporting documentation that the proposed action will not:,result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead'A gencg }.date President Prini or Type Name or Responsible Officer in Lead'Agency Title of'Responsible Officer. _ __........ ..m....... :.......,� Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 0'f4 .,.-� 6j3irch .Rills Troperty Owners cssociatio ,- Inc. MAN - �� Ma j3irch._Laney, j?utchogue-', New York -11935 April 11, 2022 Diane'-DiSalvo, Clerk Board of Town Trustees Town of Southold 54375 Route 25 - P.O. Box 1179 . Southold, NY 11971' RE: Birch Hills Property Owners Association, Inc. 355 -Glen Court, Cutchogue, New York (.SCTM #1000-83-1-4.) Dear Ms . DiSalvo: Pursuant to your request in connection with the above-- captioned bove-captioned application, I am enclosing an original and three copies of the required authorized. If there is anything further you. need, do .not hesitate to contact me. Very truly- yours, BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC. Barbara ipel Pres dent E I V E SPR 1A 2022 Board ofTrusWes • i .� n 93irch .Wills `Property Owners clssociation-j,Inc. birch Lanu, (?utchoguu, New York 11935 April 7, 2022 TO: Board of Town. Trustees, Town of Southold RE: Birch Hills Property Owners Association, Inc. Wetlands Permit Be advised that Barbara Ripel is authorized by Birch Hills Property Owners Association, Inc. to represent the Association in conjunction with Richard F. .Lark in making application to the Board of Town Trustees, Town of Southold for a permit to remove a large boulder and repair the existing retaining wall on Association property. Very truly yours, Birch Hills Property Owners Association, Inc. By Bridg P.. Lark, Secretary Board of Trustees. Applicat . AUTHORIZATION (Where the applicant is not the owner) Uwe, Barbara Ripel, President of Birch„Hills Pro erty Owners Association„ Inc. owners-of the property identified as SCTM# 1000- .83-1-4 _ in the town of Cutchogue _._ ,New York,hereby authorizes Barbara Ripel and ...... Richard F. Lark to act as my agentsand handle all necessary-v�jork.involved with the application.process for permit(s)from the Southold. Town Board of Trustees for this property. B' ch Hills rty.0wne Associa ion, Inc. y By ..... B __ Property Owne S' ature Property Owner's ignature Barbara Rip 1, resident Richard F. Lark; Treasurer SWORN TO BEFORE ME THIS . . 25th . . DAY OF March -,.20,22 Notary Public BARBARA DIACHUN Notary Public, State of New York No 01 D14635190-Suffolk County Commission Expires Oct.31,20,)0 Board of Trustees Applin ;ion AFFIDAVIT BARBARA RIPEL and RICHARD F. LARK . 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. BIRC HILLS PROPERTY OWNERS ASSOCIA ION, INC. By y Signature of Prope O er Signature of Property caner Barbara Ripel, Pres ent Richard F. Lark, Treasurer SWORN TO'BEFORE ME THIS. 25th DAY OF March ) 20 22 Notary Public BARBARA DIACHUN Notary Public, State of New York No 01 D14635190-Suffolk County Commitollon Expires Oct.31,20 9-2 APPLICANT/AGENT/REPRESENTA'ITIVE TRANSACTIONAL,DISCLOSURE FORM The Town of•Southold-9-code of Ethics Drohibits conflicts of interiist on lite gatjof tuW oflic&r%and em Novae§.The numgse rif this form is to ni ovidi inforntntiiin uhiah can alert the town pf pos4i le eonflicis�of interest and allow it to t, ."Whntevcr action is necessary to avoid same. YOURNAME. Birch Hills Property Owners Association, Inc, by Richard F. Lark, Treasurer (Last name,firstname,.riddle 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 Approvalof plat _ Mooring Exemption from plat or official map Planning Other (If"Other',name-the activity:) Do you personally(or through your company,spousei sibling,prarent;or child)have a reli donship K ith anyofficer or employee of the Town of Southold? "Relations*'includes.by.blood,Irlarringe,or business sett rest `•`Business interest'means a business, including..a pattit*ryhip,_trt Which the town t�f)kcer or employed has even a partia9:`o+�nurship-of,(or cmpIbyment by)a W401'4ttion in which tW toW.n officer or employee owns more than 5°in ofthe.shares. 'YES 'NO X _ 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 applicantlagenttrepresentative)and the town officer or employee.Either check the appropriate Iine A)through D)and/or describe in the space provided: The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater'than'5%ofthe shares of the corporate stock of the applicant. (when the applicant is a corporhtion);. i3)the legal or beneficial owner of any interest in a non-corporlie entity.(when`the applicant is nota corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. . DESCRIPTION OF RELATIONSHIP Submitted this 25th day c _M rch 2022 Signature a Print Name Ikichard F. Lark Form TS I Treasurer APPLICANT/A.GENT/REPRESENTATIYE TRANSACTIONAL DISCLOSURE FORM The Town of,SouthoWs Code bf Ethics orahibitc contligts of interest on Che part of town 6ffrcers and emnlovees.The nnrnose:of this fit m:is to roviile rrination whigh.can alert the town of ossible copAlcts Qf interest and-allow-it to.ta a whatever tion is. necess=to.avoidsame. YOUR NAME: Birch Hills Property Owners Association., ,Inc. by Barbara Ripel, President (Last name,first name,4iiddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"0thee7,name the activity.) Do you personally.(or througli your company.spouse sibling;parent;or child)have a relationship with any officer nr employee of lie Town of Southold?,"Relationship'`includes by bland,marriage,or business interest_"Business interest mems a business, including a paruiersh p,jn which the.town officer or emplbyee;has eWri a partial ownership of(Pr employment by)a,corpordtion in which the town officer orciriployed,owns:moredimi 311*of the shares. YES __ NO X 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/ageot/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,of child is(check all that apply): A)the owner of:greater than,5%of the shares of the corporate stock of the applicant (whenthe appiican[iisa corporation)*,. l3)the legal or tieneficiul owkr of';any interest in at non-corporate entity(when the appllcMt isnot a corporation), �)an officer,director,partner,or employee of the applicant;•or D}the actual applicant" DESCRIPTION OF RELATIONSHIP Submitted thi 25 th day of ch , M 22 n Signature L Print Na e Baia. Form TS l President Glenn Goldsmith, President SUFFQ(,Y r Town Hall Annex A. Nicholas Krupski, Vice President 54375 Route 25 Eric Sepenoski4-��� y�c'; CD = P.O. Box 1 179 Liz Gillooly Elizabeth PeeplesSouthold,NY 11971 yh ¢' pb �y Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BE ADVISED — AS PER CHAPTER 55 NOTICE OF PUBLIC HEARINGS Failure to submit the following originals to this office by or no later than 12:OOPM the day prior to the scheduled Public Hearing for your application will result in a postponement of said application. This office WILL NOT contact you to request said information: • All original white & green certified return receipt mail receipts stamped by U.S.P.S. • Completed original Proof of Mailing Form Failure to submit the following originals to this office by or no later than 12:OOPM the day of the scheduled Public Hearing for your application will result in a postponement of said application: Original Affidavit of Posting form — DO NOT COMPLETE SAID FORM UNTIL THE GREEN SIGN HAS BEEN IN PLACE ON THE PROPERTY FOR AT LEAST SEVEN (7) FULL DAYS. Sign the form on the eighth day that the green notice of hearing sign has been up on said premises. All green signature cards related to said application that were returned to your office should be either dropped off in our "Trustee drop box" or mailed into our office whenever they are received. These cards are not required prior to the Public Hearing, unless specifically requested for by this office. This specific requirement is subject to change. Board of Trustees Applir'--`ion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NA1N � �jro r f 7r eS NAME: plea S,, go 4kke- 7 Qc--.�n g c4- �- Z-e- C d /�ar1 es PeJs-i�5 6�- �raf e rf y Tx Mal /0vwl be-rs STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of . 20 Notary Public Ulrc�, .Wills Property Owners cAssociation- Inc. : �_ ;;� •� birch Lane, (?utchoguu, Newyork 11935 May 10, 2022 Diane DiSalvo, - Clerk Board of Town Trustees Town of Southold 54375 Route 25 - P.O. Box 1179 Southold, NY 11971 . RE: Birch-Hills Property Owners Association, Inc. 355 Glen Court, Cutchogue, New York (SCTM #1000-83-1-4) i Dear Ms . DiSalvo: In connection with the above-captioned application which is scheduled for a public 'hearing• on May 18, 2022, I am enclosing the Proof of Mailing of Notice with attached green signature cards and certified mail receipts. Also . enclosed is the Affidavit of Posting. If there is anything further you need, do not hesitate to contact me. Very truly yours, BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC. By -6 Bridgeta. Lark, Secretary J Glenn Goldsmith,President s�FFO(,�c Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Erie Sepenoski co P.O.Box 1179 Liz Gillooly Gy ! Southold,NY 11971 Elizabeth Peeples d � y� Telephone(631)765-1892 x� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of BIRCH HILLS PROPERTY OWNERS ASSOCIATION INC. COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING ( (�'.ZCi &M7111 HS'IAII'1 ' IIE X, ;1 EI;SFI'� llfV' THDA 'Old ' I, RICHARD F. LARK , residing at AM 550 Birch Lane, Cutchogue, New York 11935 being duly sworn, depose and say: That on the27thday of April , 20 22,•I personally posted the property known as 355 Glen Court, Cutchogue, New York (SCTM #1000-83-1-4) 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.,May 18,2022. Dated: May 9, 2022 • z (si ature) kichard F. Lark Sworn to before me this gth day of May 20 22 Notary Public BARBARA DIACHUN Notary Public, State of New York No 01 D14635190-Suffolk County Commission Expires Oct.31,20aa �.` Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: Birch Hills Property Owners Association, Inc. (SCTM #1000-83-1-4) NAME: ADDRESS: Bryan Joanne M Revoc Trt 255 Glen Court, Cutchogue, NY 11935 David Sack 445 Glen Court, Cutchogue, NY 11935 RFL Properties LLC P.O. Box 973, Cutchogue, NY 11935 STATE OF NEW YORK COUNTY OF SUFFOLK BARBARA DIACHUN , residing at 875 School House Road, Cutchogue, New York 11935 , being duly sworn, deposes and says that on the 29th day of April , 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 Cutchogue, New York , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this 10th Barbara Diachun Day of May , 20 22 Notary Public RICHARD F LARK Notary Public,State of New York No.02LA7432500 Qualified in Suffolk County lomm.Expires August 31,20.22 BIRCH HILLS PROPERTY OWNERS ASSOCIATION, Inc. (SCTM #1000-083 . 00-01 . 00-004 . 000) 1000-083 . 00-01 . 00-003 . 000 ® 0 ® { ® ® W01 �VMLniF.aPF i�pry} ! h a Complete items 1,2,and 3. A. Signature ® Print your name and address on the reverse X M Agent so that we can return the card to you.-' ®Addressee Attach this card to the back of the mailpiece,, B. Received by(Printed me) C. Date f Delivery or on the front if space permits. 11-,22- 1 1. Article Addressed to: Is elivery address different f m item 1? s ES,enter delivery address below: ❑No Bryan Joanne M Revoc Trt 255 Glen Court Cutchogue NY 11935 3. Service Type ❑Priority Mail Expresso DI • MIN U1 HM111I I N I �I I�I M N ❑Adult Signature ❑Registered MallTM ❑Adult Signature Restricted Delivery [3 Registered Mall Restricted Certified Mail@ Delivery 9590 9402 5756 0003 8327 19 ❑Certified Mail Restricted Delivery O Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation 2. Article Number(transfer from service label) n� :. a nn u-4 ❑Signature Confirmation }7;�1}8 �3 0t'9 0000 iV�4j7_ 6619 � ' ` t�stricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1000-083 . 00-01 . 00-005 . 000 7 0. • 0 0 0 0 �`,a ��� 'fie•.. 11•Com letezitem"s 1,2,and 3: S12Jnature 9-Print your name and address.on the reverse ` '-1. ®Agent = so that we can return'the card to you. . ,-! � ®Addressee ® Attach this card to the back of the mailpiece, JA".Received f y(Pdnted Name) C. D e of Delivery or on the front if space permits. - 2-2— 1. Article Addressed to: D. Is delivery address different from item 1? E3 hles If YES,enter delivery address below: ®No David Sack 445 Glen Court Cutchogue NY 11935 3. Service Type ❑Priority Mail Express@ ❑Adult Signature ❑Registered Mall TM ❑Adult Signature Restricted Delivery 13R gistered Mail Restricted 9590 9402 5756 0003 8327 26 0 Certified Mail@ Delivery R ❑Certified Mail Restricted Delivery 13 Return Receipt for ❑Collect on Delivery Merchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT"' _ ❑Signature Confirmation 70]t8 '�9`D `D 0 0 0 4 7 n 7 Lit 8;6 ``:. ricted'IDelivery s t Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1000-083 . 00-01 . 00-025 . 000 y- COMPLETE. SECTION • • • + • ■ Complete items'7,_2,and 3. • s ■ Print your name and address on the reverse Agent so that we can return the card to you. E3Addressee ■ Attach this card to the;ack of the mailpiece, D• Receive by(PpbName) C. D e of elivery or on the front if space permits. /ail y A6Li &.5 02— 2 2— 1. Article Addressed to: D. Is delivery address different from item 1? 10 Y ds If YES,enter delivery address below: ❑No RFL Properties LLC PO Box 973 Cutchogue NY 11935 3. Service TypeIII ❑Priority Mail Express®191 I I II I I I IIII IIII 1 1 1 1 1 1 II ��I f II I ❑Adult Signature ❑Registered Mall El Signature Restricted Delivery ❑ReeggRistered Mall Restricted, Certified Mail® gellvery 9590 9402 5756 0003 8327 33 Certified Mall Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise 2. Article-Number-Cl-ransPer'fLom se/Vice labeq ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm ❑Signature Confirmation Restricted Delivery dp PS Form 3811,July 2015 PSN 7.530-02-000-9053 Domestic Return Receipt BIRCH HILLS PROPERTY OWNERS ASSOCIATION, Inc. . (SCTM #1000-083 . 00-01 . 00-004 . 000) 1000-083 . 00-01 . 00-003 .000 ' • CERTIFIED oRECEIPT DomesticEr I CU " � I V"PTNI TIA . r. ...w Certified Mail Fee > ;+� Extra Services&Fees(checkbox add tee aif ❑Retum.Receipt(hardcop» $ +''t C ❑Return Recelpt(electronlc) $ %fl_nrj Postm li ED ❑Certified Mall Restricted Delivery $ •lk f� w=". - Her C3 []Adult Signature Required $ _ ® ❑Adult Signature Restricted Delivery$ J C3 Postage $0.58. v Total Postage and F $ o38 \ �, cO Sent To a Bryan Joanne M Revoc Trt p Street andApL No.;or Pb Nox Ko. tti 255 Glen_Court------------- -a------... - -= --:--- City Stat lP+41 utchogue NY "11935 1000-083. 00-01. 00-005 . 000 T. F- U.S. Posial S'ervice� CERTIFIED MAIV RECEIPT D Domestic ru -0 � p Certified Mail Fee ' lti $ 'c ¢. N. F_ldra Services&Ee@S(checkbox,edd a $ C-%4[3 Return Reeipt Hardcopy) &Q • ❑RaWrn Recelpt(electronic) $ in_1 tl i i Post ar{t {y� C-3 ❑Certified Mail Restricted Delivery :$ fi,i►t] t "�' HeK '01- 0 []Adult Signature Required $ _ Q7 %.. .� []Adult Signature Restricted Delivery$ C' stage 0 O Total Postage and F 04 to Sent To t-q . . _ David Sack --------- p-- ------- = ---=------- ------------------------------------ 1 3 Street and qpt.No.,or Pb Boz No: r- ---------------4 __ len__Court ==--------------------- Cty,State,Z(P+4L --` ---=�--------- ii%4h.gue' NY 11935 P&Form 380.0,April 2015J i 1000-083 . 00-01 . 00-025 . 000 ' ovice ® o M Domestic m L _n U ' o d OCertified Mail Fee $ 75 �`- $ �1 t: �- Extra Services8, 8 Fees(check hoX add fee pry{, fe •` 'y 7 ❑Return Receipt(hard copy) $ °tir-� )- Cy ED ❑Return Receipt(electronic) $ PostArk - � r-3 ❑Certified Mail Restricted Delivery $_ I-{_(�i( ^�` e _ N ❑Adult Signature Required $ rk t�r•-{v(.$--•-I--- - N _ Q. IM ❑Adult Signature Restricted Delivery$ ® Postage $0.58 Ir $ CJ Total Postage and FfeT,° $ t 38� Sent To RFL Properties LLC -----9 --•---------------=--=----- ---------------------------- street andApPtO oBox CirySte4e----,---------------------------------------------------------------------- 'Futchogue NY 11935 i , NOTICE OF HEARINGI NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: BIRCH HILLS PROPERTY OWNERS ASSOCIATION INC. C. SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove the large cracked boulder that slid down the bluff and breached and damaged the existing bulkhead by placing the cracked boulder on the beach; repair ±20' of damaged previously permitted retaining timber mber wall; backfill behind repaired retaining wall; and plant beach grass . p g sin repaired area. Located: 355 Glen Court, Cutchogue. SCTM# 1000-83-1-4 14 TIME & DATE OF PUBLIC HEARING: Wednesday, May 18 2022 y — 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 BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete thin CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information-used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permit4 not located within the Coastal Erosion HazardArea. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A propbsed action. will be evaluated as to, its si ui�c it bgugf ficial and advoise effectsupon the coastal area(which includes all.of Southold TeiN 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be eanliined in detail,listhig both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaketa. A copy,of the LWRP is available in the following places: online at the Town.of Southold's website (southoldtown.northfork.net), the Board of Trustees Office,the Planning Department; all local-libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM#' 1000 83 1 - 4 PROJECT NAME -Birch Hills Property Owners Association, Inc. Boulder Removal The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees"0 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity,agency regulation,land transaction) (b) .Financial assistance-(e.g.grant,loan,subsidy) (c)- Permit,approval,license,certification: Mature and extent of action: Remove large cracked boulder that slid down the bluff and breached and damaged the retaining wall. Place cracked boulder on beach. Repair 20 feet of damaged retaining timber wall and back fill behind repaired retaining timber wall and plant beach grass in repaired area. Location of action: 355 Glen 'Court, Cutchogue New. York Site acreage: 0..917 acres Present Jand use: _park and nlaveround Present zoning classification; 4740.. . 2. If an application for the,proposed action has been filed with the Town of Southold agency, the following inforrnation shall be provided: (a) Name of al3plieant Birch Hills,._Property Owners Association, Inc. (b) Mailing address: P.O. 'Box 1241, Cutchogue, NY 11935 (c) Telephone number:Area Code( )- (631) 734-6807 (d) Application number,ifaay Emergency Wetlands. Permit No. 9874E Will the action be directly undertaken,-require funding;or approval by a state or federal agency?.. Yes x No Wyes,which state or federal agency? NYSDEC C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further.each policy. Incomplete.answers will require that the form be.returned for completion., DEVELOPED COAST`POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community-character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of.development. See.LWRP.Section III-Policies;Page 2 for evaluation criteria. Yes E No' [] Not Applicable Eliminate hazard of cracked boulder and 'repair damaged bulkhead Attach additional sheets if necessary Policy. 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section 111-Policies Pages 3 through 6 for evaluation criteria Yes No 0. Not Applicable 4 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold: See LWRP Section III—.Policies Pages 6 through 7 for evaluation criteria Fj; Yes F1'No 0 Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natuiral resources from flooding and erosion. See L Section III—Policies Pages 8 through 16 for evaluation criteria Yes No Not Applicable Eliminate hazard of hanging cracked boulder and repair damaged bulkhead. to prevent erosion. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑' Yes ❑ .No 1 n 1 Not Applicable 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. F F 1- Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section In — Policies Pages 32 through 34 for evaluation criteria. Yes Q No Not Applicable Attach additional sheets if necessary Policy 8. Minimize ,environmental degradation in Town of Southold from solid waste and hazardous substance's and wastes.. See LVVW Section III—Policies; Pages 34 through 38 for evaluation criteria. �-1 Yes No 0 Not Applicable 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. YO No Not Applicable Attach additional sheets if necessary WORMING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses.in suitable locations. See LWRP Section UI­Policies; Pages 47 through 56 for evaluation criteria. ❑.Yes ❑. No 0 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable. use of living marine resources in, Long•Island Sound,, the Peconic Estuary and Town waters. See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria. Yes ❑ No X❑ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages. 62 through 65 for evaluation criteria. Yes ❑ No 0 Not Applicable Attach additional sheets if necessary. Policy 13. Promote appropriate use and development of energy and mineral resources. See LNVRP Section III—Policies;Pages 65 through 68 for evaluation criteria. Yes 0 No ❑X Not Applicable Birch Hills Prop rty Owners Association, Inc. PREPARED B 'TITLE. President DATE 3/25/22 ar ara Ripfl 93irch .wiiis Troperty nauners clssociation..�,.Inc: r G� �` •,.� .� 5irch l.4ne..s,. eutchogiue�, Newyork ug35 March 28, 2022 Glenn Gbldsmit.h, President Board of Town Trustees Town of Southold 54375 Route 25 - P.O. Box, 1179 Southold, NY 11971 RE: Birch Hills Property Owners Association, --Inc. .. 355 Glen- Court, Cutchogue,. New York' ' (SCTM #1000-83-1-4) Dear Mr. 'Goldsmith: On behalf of Birch . Hills Property Owners Association, Inc. , I am enclosing an original and three copies of the following: 1,. Application to the Board of Town, Trustees, Town of Southold . 2. General Data with, Covenants and Restrictions 3. : Wetland/Trustee Lands Application -Data 4 . Coastal Erosion Application Date with Photos . Dhort Environmental Assessment Form APR 2022 6 uthorization of - Barbara Repel, President 'of irch -Hills Property Owners Association, Inc Southold Town . 7 . WAP Consistency Assessment Form Board of Trustees 8 . Applicant/Agent/Representative Transactional _- Disclosure Forms of Barbara Ripel; President r and Richard F. Lark, Treasurer of Birch Hills . Property Owners Association, Inc. ib Glenn Goldsmith, President -2- March 28, 2022 Board of Town Trustees 9. Affidavit of Barbara Ripel, President and Richard F. Lark, Treasurer of Birch Hills Property Owners Association, Inc. 10 . Survey of Park and Playground, Map of Birch Hills, with. Location Map by Nathan Taft Corwin III Land Surveyor last dated March 15, 2022 11. Check payable to Town of Southold in the amount of $250 . 00 for the filing fee If there is anything . else you need, do not hesitate to contact me. Very truly yours, BIRCH HILLS PROPERTY OWNERS ASSOCIATION, INC. arbara 1A66 1, President P.S. If you are unable to reach me, please contact Richard F. Lark (631-734-6807) or e-mail-him at attys@larkand'folts.com.