HomeMy WebLinkAboutTR-10357 Glenn Goldsmith,President Qf sorry Town Hall Annex
54375 Route 25
A.Nicholas Krupski,Vice President ��� ®l® P.O Box 1179
Eric Sepenoski l Southold,New York 11971
Liz Gillooly Telephone(631) 765-1892
Elizabeth Peeples ®�� �� Fax(631) 765-6641
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BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
2050C Date: July 26, 2023
THIS CERTIFIES that construction of a proposed 4' wide x 95' long fixed pier with thru-flow decking
and two(2) 10" dia. cca tie-off piles:
At 2300 Hobart Road, Southold
Suffolk County Tax Map#1000-64-3-5
Conforms to the application for a Trustees PermW heretofore filed in this
office Dated November 28, 2022 pursuant to which Trustees Wetland Permit#10357
Dated April 19, 2023,was issued and conforms to all
the requirements and conditions of the applicable provisions of law. The project for which
this certificate is being issued is for construction of a proposed 4' wide x 95' long fixed pier with thru-
flow decking and two(2) 10"dia. cca tie-off piles.
r
The certificate is issued to Mark&Ann Schaefer owner of the aforesaid
property.
Authorized Signature
Glenn Goldsmith, President ,� ®F S0�j�� Town Hall Annex
A. Nicholas Krupski,Vice President ®� � 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold,New York 11971
Liz Gillooly
Telephone(631) 765-1892
Elizabeth Peeples Fax(631) 765-6641
00UNTI,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DATE OF INSPECTION: 7/261
INSPECTED BY: Cad
_ Ch. 275 Ch. 111
INSPECTION SCHEDULE
Pre-construction, haybale line/silt boom/silt curtain
1 st day of construction
% constructed
Project complete, compliance inspection
COMMENTS'
A)rvw c-4— CII-NIQa,CGdY It ( V
)VnC I vd12 vwn - 4v,r-F fou 4f_� 41-
CERTIFICATE
CERTIFICATE OF COMPLIANCE: Ok -6 t`55v-� .
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Glenn Goldsmith, President �®� S®UTown Hall Annex16®� 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
'Cou TI,��
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
BELOW
INSPECTION SCHEDULE
Pre-construction, hay bale line/silt boom/silt curtain
1st day of construction
% constructed
u When project complete, call for compliance inspection;
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT NO. 10357 DATE: APRIL 19,2023
ISSUED TO: MARK&ANN SCHAEFER
PROPERTY ADDRESS: 2300 HOBART ROAD,SOUTHOLD
SCTM# 1000-64-3-5
AUTHORIZATION
d
Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold anin
accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 19, 2023, and in
consideration of application fee in the sum of$250.00 paid by Mark&Ann Schaefer and subject to the Terms
and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the
following:
Wetland Permit for construction of a proposed 4'wide x 95' long fixed pier with thru-flow
decking and two (2) 10" dia. cca tie-off piles; and as depicted on the revised site plan prepared
by Jeffrey Patanjo last dated April 20,2023,and stamped approved on April 25,2023.
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 day and year first above written.
V3
Y
K,&
...........
TERMS AND CONDITIONS
The Permittee Mark&Ann Schaefer, residing at 2300 Hobart Road 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. That the said Board will be notified by the Permittee of the completion of the work
authorized.
9. That the Permittee will obtain all other permits and consents that may be required
supplemental to this permit,which may be subject to revoke upon failure to obtain same.
10. No right to trespass or interfere with riparian rights. This permit does not convey to the
permittee any right to trespass upon the lands or interfere with the riparian rights of others
in order to perform the permitted work nor does it authorize the impairment of any rights,
title, or interest in real or personal property held or vested in a person not a party to the
permit.
Glenn Goldsmith,President ®f S0 Town Hall Annex
A.Nicholas Krupski,Vice President ®� ®�'® 54375 Route 25
P.O. Box 1179
Eric Sepenoski Southold, New York 11971
Liz Gillooly
Telephone(631) 765-1892
Elizabeth Peeples Fax(631) 765-6641
®��COU61�,��`
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
April 25, 2023
Jeffrey Patanjo
P.O. Box 582
Bohemia, NY 11716
RE: MARK & ANN SCHAEFER
2300 HOBART ROAD, SOUTHOLD
SCTM# 1000-64-3-5
Dear Mr. Patanjo:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, April 19, 2023 regarding the above matter:
WHEREAS, Jeffrey Patanjo on behalf of MARK & ANN SCHAEFER 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 November 28, 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 recommended that the proposed application be
found Inconsistent with the LWRP, and,
WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront
Revitalization Program to the greatest extent possible through the imposition of the
following Best Management Practice requirements: the submission of revised plans and
project description; and
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on January 18, 2023 and April 19, 2023, 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 for the mitigating factors and based upon the Best Management
Practice requirement imposed above, the Board of Trustees deems the action to be
Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5
of the Southold Town Code, and,
RESOLVED, that the Board of Trustees approve the application of MARK & ANN
SCHAEFER for construction of a proposed 4' wide x 95' long fixed pier with thru-flow,
decking and two (2) 10" dia. cca tie-off piles; and as depicted on the revised site plan
prepared by Jeffrey Patanjo last dated April 20, 2023, and stamped approved on April
25, 2023.
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: $1070.00
Ve r ly your
&11'_WY
Glenn Goldsmith
President, Board of Trustees
GG/dd
EXISTING VEGETATED WETLANDS AS IDENTIFIED BY N 38031'20" E
J. PATANJO ON SEPT.9,2022 22.00'
EXISTING DOCK i N 42°24'40" E 176.77'
—I.
$ so o I �Z
EXISTING CONC. WALL
PROPOE(TYPICAL OF 2) IE I f ELEV: 6.0
-OF i GARAGE APPROVED BY
.
w q :BOARD-O
1-1 F IrUSTEES
FRAME � � � � - _
W I I oO TOWN OF SOUTFiOLD
+ EXI TING JETTY DWELLING h ¢ Qi
#2300 MP,eitr 2�' 2oz
o W 3
*� m _.
IPRaPOSED 4'WIDE X 95'FIXED�PIER. a SHED j DRIVEWAY
PROJECTED PIER LINE OF Al;DEPKING-TO BE�,,60%THRIb-FLOW
NEIGHBORING DOCKSFOR ENTIRE LINGT9.ALL PILES TO BE I ,
\I HAND-DRIVEN OR JETTED ONL`. �' 42024'40" W 168.53
`r S 38031'20" w
+ *
zs.00' LOCATION MAP
N N EXISTING DOCK
ANY ACCIDENTAL DISTURBANCE TO •• -�
WETLANDS SHALL BE RESTORED TO N.T.S.
EQUAL OR BETTER CONDITION SITE PLAN48
a..:.::......:::.
SCALE: 1"=30'
o S
N
N j!
G
1Betxedon`
,•� w �-i ' .Estates` >' '
� .,North Fork�.
Southold
10 10
P ROPOSED 4 WIDE X 95' LONG DOCK i eiang'etos f , n
$ RU-FLOW DECKING 95'- $ APR 2 fl 2023
r PROJECT
PROPOSED 8"0 CCA PILES P.
-LOCATION
6 6
Southold Town
Board of Trustees fd.
4 4
APPROXIMATE M.H.W, EL 2.5±—
— — — — — — — —
2 — — — � 2
0 APPROXIMATE M.L EL O.Of—
PREPARED BY: PROPERTY OWNER:
_2 MIN. 4.5' OVER WETLANDS _2 JEFFREY PATANJO MARK SCHAEFER
P.O. BOX 582 ANN SCHAEFER
-4 EXISTING GRADE -4 BOHEMIA, NY 11716 28 ORCHARD FARM RD _25 WATER DEPTH REFERENCED TO MLW AS
631-487-5290 PORT WASHINGTON, NY 11050 MEASURED BY JOHN GERD HEIDECKER, L.S.
-6 -6 JJPATANJO®GMAIL.COM
Proposed Permit Plants SCALE:
NOTES: AS NOTED
TYPICAL SECTION 1. LOT AREA: 14,712 S.F. / 0.337 ACRES PROPOSED PLAN, DETAILS AND DATE:
N.T.S 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: LOCATION MAP 12-19-22
ANTHONY W. LEWANDOWSKI, LAND SURVEYOR 3-21-23
P.O. BOX 448 2300 HOBART ROAD 4-20-23
SOUTHOLD, N.Y. 11971 SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY SHEET:
LATEST DATED: FEBRUARY 28, 1997 TAX MAP NO. 1000-64-03-05 1 OF 1
April 20, 2023
Town of Southold Trustees
Town Hall Annex Building
54375 Rte. 25
P.O. Box 1179 qn
Southold, New York 11971 ® E V
RE: MARK&ANN SCHAEFER APR 2 5 2023
2300 HOBART RD-SOUTHOLD
SCTM No. 1000-64-03-05
REVISED PLANS Southold Town
Board of Trustees
Dear Trustees:
Attached please find four copies of revised plans based on comments addressed at the
April 19, 2023 public hearings. Plans have been revised to remove two of the tie-off
piles.
If you should have any questions or require anything further, please do not hesitate to
call me at 631-487-5290.
Very truly.yours,
9 P'<r'
Jeffrey Patanjo
P.O. Box 582
Bohemia, NY 11716
�'gUffO(/rc0
Glenn Goldsmith, President ��o Gy Town Trustees
A Nicholas Krupski, Vice-President H z 54375 Route 25
Eric Sepenoski o P.O. Box 1179 -
Liz Gillooly 4,, ao�� Southold, NY 11971
Elizabeth Peeples '�` Telephone (631) 765-1892
Fax (631) 765-6641
-- -- - - - --- BOARD OF TOWN TRUSTEES - - - -- - - ---
TOWN OF SOUTHOLD
TO: MARK &ANN SCHAEFER c/o JEFFREY PATANJO
Please be advised that your application dated November 28, 2022 has
been reviewed by this Board at the regular'meeting of April 19, 2023 and your
application has been approved pending the completion of the following items checked
off below.
xx Revised Plans for proposed project-
SILT FENCE Inspection Fee ($50.00)
1 It Day of Construction ($50.00)
%Constructed ($50.00)
x Final Inspection Fee ($50.00) -
x Dock Fees ($3.00 per sq. ft.)
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.
You will receive your permit upon completion of the above.
COMPUTATION OF PERMIT FEES:
4'x85' fixed dock = 340sq. ft. x $3.00 = 1020.00
TOTAL FEES DUE: 1070.00 �� �� /o
BY:
BY: Glenn Goldsmith, President � � co'
Board of Trustees 4,43X3-&,o-
C)
1 Ol
Glenn Goldsmith,President ��..- cOGy Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
0
Eric Sepenoski P.O.Box 1179
Liz Gillooly �y • ��� Southold,NY 11971
Elizabeth Peeples �Olr �a' Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Datefrime: 4&1 In Completed in field by: a. (;off as�•���
Jeffrey Patanjo on behalf of MARK&ANN SCHAEFER requests a Wetland Permit to construct
a-proposed 4' wide by 78' long fixed dock with Thru-Flow decking; a 30" wide by 14' long
aluminum adjustable ramp; and 6' wide by 20' long floating dock situated in an "L" configuration
and supported by two (2) 10" diameter piles; dredge approximately 10 cubic yards of spoils from
area surrounding proposed floating dock to obtain a minimum of 36" of water at low tide and
deposit spoils off-site at an approved landfill. Located: 2300 Hobart Road, Southold. SCTM#
1000-64-3-5
Ty 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: 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. K pski E. Sepenoski
L. Gillooly E. Peeples
t
Glenn Goldsmith,President �o��g _SCO Town Hall Annex
A.Nicholas Krupski,Vice President < 54375 Route 25
Eric Sepenoski y ? P.O.Box 1179
Liz Gillooly �y • ��� Southold,NY 11971
Elizabeth Peeples � 'r �a '� Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: Completed in field by: �• I II ��
Jeffrey Patanjo on behalf of MARK & ANN SCHAEFER requests a Wetland Permit to
construct a proposed 4' wide by 78' long fixed dock with Thru-Flow decking; a 30" wide
by 14' long aluminum adjustable ramp; and 6' wide by 20' long floating dock situated in
an "L" configuration and supported by two (2) 10" diameter piles; dredge approximately
10 cubic yards of spoils from area surrounding proposed floating dock to obtain a
minimum of 36" of water at low tide and deposit spoils off-site at an approved landfill.
Located: 2300 Hobart Road, Southold. SCTM# 1000-64-3-5
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: _g__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.:
r C e �.
Present Were: k G. Goldsmith k N. Krupski E. Sepenoski
X. L. Gillooly _E. Peeples
� „„Siff•_ �� � +
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Mark&Ann Schaefer
2300 Hobart Road,Southold
SCTM#: 1000-64-3-5
r 1/11/23
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March 23, 2023
Town of Southold Trustees
Town Hall Annex Building
54375 Rte. 25
P.O. Box 1179
Southold, New York 11971
RE: MARK&ANN SCHAEFER
2300 HOBART RD -SOUTHOLD
SCTM No. 1000-64-03-05
REVISED PLANS
Dear Trustees:
Attached please find four copies of revised plans and a project description for the above
referenced project. Plans have been revised to remove floating dock, ramp and
dredging to meet the Boards comments and concerns.
If you should have any questions or require anything further, please do not hesitate to
call me at 631-487-5290.
Very truly yours,
Je rey Patanjo
P.O. Box 582
Bohemia, NY 11716
b -- }k
a I.
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MARK&ANN SCHAEFER
2300 HOBART ROAD-SOUTHOLD
SCTM No. 1000-64-03-05
PROJECT DESCRIPTION Revised 3-21-23
The project includes the construction of a proposed 4'wide x 95' long fixed pier with thru-flow decking,
and four(4) 10" dia. cca tie-off piles.
• ' M A 1 2 7
2023
`- - - EXISTING VEGETATED WETLANDS AS IDENTIFIED-BY- N 38031'20" E
J. PATANJO ON SEPT.9,2022 22.00' 1
EXISTING DOCK I N 42"24'40" E 176.77'
N ta +
_\l
p EXISTING CONC. WALL
PROPOSED 10"DIA.CCA TIE I w t;� `r ELEV: 6.0 i GARAGE
-OFF PILE(TYPICAL OF 4) ` +,`
+ + I
* I + 1-1/2 STORY q
A N o \ I a
FRAME -.�..�.�..�-...�.�--
* EXI TING JETTY i DWELLING Q4 ��
+ o I #2300 A F li �M a F'-, r _ s ,3 f
o
Ow rrl •3e, .Ei i
I: a I I al o MAR� 2 7 2023
N I o
, ;
PROPOSED 4'WIDE X 95'FIXEDIPIERr 4- a SHED I DRIVEWAY
PROJECTED PIER LINE OF ALS DEKINGNTO BE,60%THRIV-FLOW
NEIGHBORING JOCKSN FOR EIVIRE L`€NGTIf-ALL PILES TO BE — I — — —
\I HAND-DRIVEN OR JE17ED ONLY. .� � S 42"24'40„ W 168.53'
is * o I ��
S 3803120” W
N EXISTING DOCK
25.00' LOCATION MAP
ANY ACCIDENTAL DISTURBANCE TO
WETLANDS SHALL BE RESTORED TO N.T.S.
EQUAL OR BETTER CONDITION SITE PLAN
SCALE: 1"=30'
a f
r
t!
or s *,
10 10 'r 26 �' 6oC Ia rt
PROPOSED 4 WIDE X 95' LONG DOCK
RU-FLOW DECKING 95, 9+, .... f
$ a "PROJECT
PROPOSED 8"0 CCA PILES TYP.
LOCATION,
6 6N,
44
r
APPROXIMATE M.H.W. EL. 2.5±-
2
.5t
0 APPROXIMATE M.L EL O.Of— — — — — — — _ — — 0
PREPARED BY: PROPERTY OWNER:
MIN. 4.5' OVER WETLANDS -2. JEFFREY PATANJO MARK SCHAEFER
—2 P.O. BOX 582 ANN SCHAEFER
EXISTING GRADE—,,_ BOHEMIA, NY 11716 28 ORCHARD FARM RD WATER DEPTH REFERENCED TO MLW AS
—4 —4 631-487-5290 -2.5
PORT WASHINGTON, NY 11050 MEASURED BY JOHN GERD HEIDECKER, L.S.
—6 �• • , JJPATANJO�GMAIL.COM
Proposed Permit Plass SCALE:
NOTES: AS NOTED
TYPICAL SECTION 1. LOT AREA: 14,712 S.F. / 0.337 ACRES PROPOSED PLAN, DETAILS AND DATE:
2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: LOCATION MAP 11-19-22
N.T.S 2-20-23
ANTHONY W. LEWANDOWSKI, LAND SURVEYOR
X 448 2300 HOBART ROAD 3-21-23
P.O. BON.Y. 11971 SOUTHOLD, TOWN OF SOUTHOLD
SOUTHOLD,
SUFFOLK COUNTY, NY SHEET:
LATEST DATED: FEBRUARY 28, 1997 TAX MAP N0. 1000-64-03-05 1 OF 1
' s
Glenn Goldsmith,President ��� + COG Town Hall Annex
A.Nicholas Krupski,Vice President �� y�c 54375 Route 25
0
Eric Sepenoski P.O.Box 1179
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: Completed in field by:
Jeffrey Patanjo on behalf of MARK & ANN SCHAEFER requests a Wetland Permit to
construct a proposed 4' wide by 78' long fixed dock with Thru-Flow decking; a 30" wide
by 14' long aluminum adjustable ramp; and 6' wide by 20' long floating dock situated in
an "L" configuration and supported by two (2) 10" diameter piles; dredge approximately
10 cubic yards of spoils from area surrounding proposed floating dock to obtain a
minimum of 36" of water at low tide and deposit spoils off-site at an approved landfill.
Located: 2300 Hobart Road, Southold. SCTM# 1000-64-3-5
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: 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. Krupski E. Sepenoski
L. Gillooly E. Peeples
Qty FIVE
NOV 2 8 2022
Sot oidlown
Board of Trustees1,�0�
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to ma survey is&*Wm of
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educa ON
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Unauthorized alteration or
addition to this survey is a
violation of section 7209,
HEIDECKER LAND SURVEYING subdivision 2, of the New York
State Education Law. Copies of
this survey map not bearing
the land surveyors inked or
embossed seal shall not be
considered to be a valid copy.
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NOTES
xI I ANNOW I I woftft 1 f 1. FIELD WORK WAS CONDUCTED OCTOBER,
'0a'8 x.0 ?Q, 2022 BY HEIDECKER LAND SURVEYING, PLLC
x j6 J AND ALL MEASUREMENTS WERE TAKEN ON
x10�46 x'0 THE GROUND.
Gy Oe �O 2. NORTH ARROW IS BASED UPON GPS
,01 OBSERVATIONS CONDUCTED BY HEIDECKER
x i LAND SURVEYING, PLLC.
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METERS JOH GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 050719 DATE: SHEET N0.
FEET 751 COATES AVENUE NOVEMBER 1, 2022 BATHYM[ETRIC SURVEY 1 OF 1
SECTION 64—BLOCK 3—TAX LOT 5 PROJ. NO.
HOLBROOK, NEW YORK 11741 DRAWN BY: B.M.
0 20 40 60 80 2300 HOBART ROAD 22HLS100
(631)=772-9604 CHK BY: J.H.
GRAPHIC SCALE 1" = 20' heidecker@heideckerls.com TOWN OF SOUTHOLD CAD FILE:
SCALE: 1"= 20' 1SUFFOLK COUNTY NEW YORK
22HLS100FP.DWG
EXISTING VEGETATED WETLANDS AS IDENTIFIED BY N 38031'20" E
J. PATANJO ON SEPT.9,2022 22.00' 1
PROPOSED 3'WIDE X 14'LONG EXISTING DOCK N 42024'40" E 176.77'
ALUMINUM HINDGED RAMP — —
PROPOSED 6'WIDE X0'LONA
FLOATING DOCK SUPPORTED = > u EXISTING CONC. WALL
WITH 2.10"0 CCA PILES " -+• r ELEV. 6.0 I GARAGE
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PROPOSED 4'WIDE X 76'FIXED IPIER. •` e SHED DRIVEWAY
PROJECTED PIER LINE OF A14 DEPKINGaTO BE,THRU-FL(WW y _
NEIGHBORING DOCKSFOR ER6TIRE LNGThb — — — — Southold Town
Board of Trustees
u N I S 42°24'40" W _ — 168.53'
S 38031'20" W
0 o N N N EXISTING DOCK 25.00' LOCATION MAP
PROPOSED DREDGING OF APPROXIMATELY 10 CY OF SPOIL N.T.S.
TO LIMIT OF 36"BELOW M.L.W.TO BE REMOVED OFFSITE T SITE PLAN
OFFSITE LANDFILL IN TIGHTLY CLOSED TRUCK BODIES.TH RE
WILL BE NO PLACEMENT OF DREDGE SPOILS ON THIS PRO R SCALE: 1"=30' r 48
tit
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taae�e�:,' Southold �n, ,(a` `gay' �. �� rai`",r4 'rrumJ ire°
10 10
PROPOSED 4' WIDE X 78' LONG DOCK
RU—FLOW DECKING clan`gc�o s n
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PROPOSED 8"0 CCA PILES
6 PROPOSED 3' IDE X 14' LONG Ery C�',;
ALUMINUM HIND ED RAMP
4 PROPOSED 6' WIDEX 20' LONG FLOA ING DOCK 4
APPROXIMATE M.H. EL 2.5f— —— — ——— — .'a u F
2 —— — — — —— — — — — i 2
0 APPROXIMATE M.Uh EL O.Of— 0
PREPARED BY: PROPERTY OWNER:
—2 MIN. 4.5' OVER WErLANDS -2 JEFFREY PATANJO MARK SCHAEFER
P.O. BOX 582 ANN SCHAEFER
EXISTING GRADE BOHEMIA, NY 11716 28 ORCHARD FARM RD WATER DEPTH REFERENCED TO MLW AS
-4 -4 631-487-5290 PORT WASHINGTON, NY 11050 2.5 MEASURED BY JOHN GERD HEIDECKER, L.S.
JJPATANJO@GMAIL.COM
NOTES: Proposed Permit Plans SCALE:
AS NOTED
TYPICAL SECTION 1. LOT AREA: 14,712 S.F. / 0.337 ACRES PROPOSED PLAN, DETAILS AND DATE:
N.T.S 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: LOCATION MAP 11-19-22
ANTHONY W. LEWANDOWSKI, LAND SURVEYOR
X 448 2300 HOBART ROAD
P.O. BOSOUTHOLD, TOWN OF SOUTHOLD
SOUTHOLD, 8 11971
SUFFOLK COUNTY, NY SHEET:
LATEST DATED: FEBRUARY 28, 1997 TAX MAP N0. 1000-64-03-05 1 of 1
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MAILING ADDRESS:
OFFICE LOCA'T'ION: "� P.O.Box 11 1
Southold,NY 11971
Town Hall Annex
54375 State Route 25 Telephone: 631 765-1938
(cor.Main ltd.&YOUngs Ave.) �'
Southold, NY 1.1.971
LOCAL WATERFRONT REVITAL'DTION PROGRAM
TOWN OF SOUT
MEMORANDUM
To: Glenn Goldsmith, President
Town of Southold Board of Trustees
From: Mark Terry, AICP
LWRP Coordinator
Date: January 17, 2023
tency Review for MARK&ANN SCHAEFER
Re: LWRP Coastal Consis
SCTM# 100064-3-5
an"o on behalf of MARK ANN SCHAEFER requestskias betide by 4nd itto construct a
long aluminum
Jeffrey Pat 78' long fixed dock with Thru-Flow decking,
proposed " wide by 20' long floating dock situated in an "�L'" configuration and supported
adjustable ramp„ and 6'wlde by roximately 10 cubic yards of spoils from area surrounding
by two (2) 10'" diameter piles; dredge appow tide deposit spoils off-site at
Off-
proposed floating dock to obtain a minimum Road, Soutoldwater tSCTM# 1000-64-3-5
p roved landfill. Located: 2300 l-lobart
an app
Waterfront Consistency Review of the
The proposed action has been reviewed to Chapter 268, Policy
he LWRP Consistency Assessment Form
Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) y
Standards. Based upon the information providedon standards provided
tion
submitted
to this department, as well as the records availableand listed ipolicy standan s pro that
the proposed actions are INCONSISTENT'with the LWR
below.
Policy
6. Protect and restore the quality and function of the Town of Southold ecosystem
6.3 Protect and restore tidal and freshwater wetlands. Southold Town Board of
A. Comply
with statutory and regulatory requirementS of the S
Trustees laws and regulations for all arldros Patent and other lands under their
jurisdiction permit
1. Comply with Trustee regulations and recommendations as set forth in Trustee
conditions
ro osed dock meets the following requirements
The applicant fails to prove that the p p of the Southold Town Code:
§ 275-11 Construction and operation standards C. 2 (d)
applications. Before issuing a permit for a dock
(d) Review and approval of dock app of the following
structure, the Trustees shall consider whether the dock will have any
harmful effects:
[2] Whether the dock will unduly interfere with the public use of waterways for
swimming, boating, fishing, shellfishing, waterskiing and other water-dependant
activities;
A net loss in public use of waterways is expected due to the construction of such
a structure in/on public waterways.
[5] Whether the dock will cause degradation of surface water quality and natural
resources;
What is the expected draft of a vessel rnoored at the ro osed dock`s Insuffioient
water depths could result in bottom scarring �turbidi�tand_loss in�Marin�es e�cies,
[7] Whether the dock will result in the destruction of or prevent the growth of
vegetated wetlands, seagrasses including eelgrass (Zostera marina) and
widgeon grass (Ruppia maritima) or shellfish;
The introduction of a dock structure (piles) will, result in a net loss of shellfish
habitat. Ananswer to this uestion has not been rovided.
[III Whether the cumulative impacts of a residential and commercial dock will
change the waterway or the environment and whether alternate design,
construction, and location of the dock will minimize cumulative impacts; and
The construction method has not been identified. 275-11 Construction and
operation standards re wires that all interfidal construction and excavation
employ- the installation of a silt boom that will retain all suspended sediments
within the immediate roiect area.
[12] Whether adequate facilities are available to boat owners and/or operators for
fueling, discharge of waste and rubbish, electrical service and water service.
The answer to this question has not been Provided.
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: Honorable Lori Hulse, Attorney
Town Hall,53095 Main Rd.
John G. Stein,Chairperson P.O.Box 1179
Lauren Standish,Secretary
Southolds 1^Y l 1971
1"cicphouc(631)765-1889
"►�
Fax ka31' TG�S-18 3
Conservation Advisory Council
,rown of Southold
At the meeting of the Southold Town Conservation Advisory Council held on Wed.,
January 11, 2023 the following recommendation was made:
Moved by John Stein, seconded by Inga Van Eysden, it was
RESOLVED VED to SUPPORT T the application of MARK & ANN S HRAEFER for the
construction of a 4°X 78' long fixed pier with thru-flow lings, Dredge approx.aluminuming, 30"X 14' long 0cy, of
ramp and ' 20" floating dock supported by 2-10 p g
from area surrounding proposed floating dock to obtain a min. 3 �a of water at low
spoils
tide and deposit spoils off-site and at an approved landfill,
Located: 2300 Hobart Ind., Southold, SCTM#64-3-5
inspected by: John Stein, Inga Van Eysden
The CAC Supports the application contingent on an approval by the NYSDEC.
Vote of Council: Ayes: All
Motion Carried
Glenn Goldsmith, President Q S®(f J Town Hall Annex
y® 54375 Route 25
A. Nicholas Krupski, Vice President oma® �O P.O.Box 1179
John M Bredemeyer III c Southold,New York 11971
Michael J.Domino G Telephone(631) 765-1892
Greg Williams �® ® ,�� Fax(631) 765-6641
lyCou ,�
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
This Section For Office Use Only ECEIVE
Coastal Erosion Permit Application •
Wetland Permit Application
Administrative Permit NOV 2 8 2022
Amendment/Transfer/Extension
4 Received Application: I I.Z$•ZZ
--Received Fee: $ ZO- Soutiold Town
—Completed Application: Board of Trustees
Incomplete:
SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
oordination:(date sent):
-- LWRP Consistency Assessment Form Sent: a-3
CAC Referral Sent:
—Date of Inspection: �1 l(•
Receipt of CAC Report:
Technical Review:
Public Hearing Held:
Resolution:
Owner(s)Legal Name of Property(as shown on Deed): Mark&Ann Schaefer
Mailing Address: 28 Orchard Farm Rd., Port Washington, NY 11050
Phone Number: 516-603-7097
Suffolk County Tax Map Number: 1000- 64-03-05
Property Location: 2300 Hobart Rd. Southold, NY 11971
See location map
(If necessary, provide LILCO Pole#, distance to cross streets, and location)
AGENT(If applicable): Jeffrey Patanio
Mailing Address: P.O. Box 582 Bohemia, NY 11716
Phone Number: 631-487-5290 Email: JJPatanjo@ mai1.com
�SZ)
IZI21 1z
oard of Trustees Applicat," -i
GENERAL DATA
Land Area(in square feet): 14,712
Area Zoning: Res
Previous use of property: Res
Intended use of property: Res
Covenants and Restrictions on property? ❑ Yes 0 No
If"Yes",please provide a copy.
Will this project require a Building Permit as per Town Code? ❑ Yes 0 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 _RV( 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.?
es _�✓ _No
Does the structure (s) on property 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 project description
MARK&ANN SCHAEFER
2300 HOBART ROAD-SOUTHOLD
SCTM No. 1000-64-03-05
PROJECT DESCRIPTION:
The project includes the construction of proposed 4'wide x 78' long fixed pier with thru-flow decking,
30"wide x 14' long aluminum ramp and 6'wide x 20' long floating dock supported by 2—10" dia. piles.
Dredge approximately 10 CY of spoils from area surrounding proposed floating dock to obtain a
minimum of 36" of water at low tide and deposit spoils off-site and an approved landfill.
_®ard of Trustees Applicat' --i
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
See attached project description
Area of wetlands on lot: 0 square feet
Percent coverage of lot: 0 %
Closest distance between nearest existing structure and upland edge of wetlands: ® feet
Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet
Does the project involve excavation or filling? E _No ® Yes
If yes, how much material will be excavated? 8 cubic yards
How much material will be filled? 0 _cubic yards
Depth of which material will be removed or deposited: 1'S feet
Proposed slope throughout the area of operations: 1-4
Manner in which material will be removed or deposited: Clam Shell Bucket on crane
Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by
reason of such proposed operations(use attachments if appropriate):
There will be no effect on wetlands due to nature of project and added thru flow decking on fixed pier.
Short Environmental Assessment Fort
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 1 based on
information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as
thoroughly as possible based on current information.
Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the
lead agency;attach additional pages as necessary to supplement any item.
Part 1—Project and Sponsor Information
Name of Action or Project:
2300 Hobart Rd-Southold
Project Location(describe,and attach a location map):
2300 Hobart Rd-Southold
Brief Description of Proposed Action:
Construct 4'x78'fixed pier,3'x14'aluminum ramp,6'x20'floating dock and 8 CY of dredging as shown on proposed plans.
Name of Applicant or Sponsor. Telephone:P 516-603-7097
Mark&Ann Schaefer E-Mail
skatal@aol.com
Address:
28 Orchard Farm Rd
City/PO: State: Zip Code:
Port Washington NY 11050
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 government Agency? NO YES
If Yes,list agency(s)name and permit or approval:NYSDEC/Army Corps/Town of Southold Trustees ❑ R
3. a.Total acreage of the site of the proposed action? 0.337 acres
b.Total acreage to be physically disturbed? o.ol acres
c.Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 0.337 acres
4. Check all land uses that occur on,are adjoining or near the proposed action:
5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial 0 Residential(suburban)
❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify):
❑Parkland
5. Is the proposed action, NO YES N/A
a. A permitted use under the zoning regulations? ❑ R] ❑
b. Consistent with the adopted comprehensive plan? ❑ Fv] ❑
NO YES
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty,
If Yes,identify: Agency:Suffolk County,Date:7-12-88 ❑ ❑
NO YES
8. a. Will the proposed action result in a substantial increase in traffic above present levels? Fv] F1
b. Are public transportation services available at or near the site of the proposed action? ❑
c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑
action?
9. Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
Z ❑
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 YES
If No,describe method for providing wastewater treatment:
n ❑
12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES
which is listed on the National or State Register of Historic Places,or that has been determined by the ❑
Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the
State Register of Historic Places?
b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ R1
archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory?
13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency? ❑
b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:
4'x78'fixed dock,3'x14'ramp&6'x20'floating dock
i
14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply:
O Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional
✓❑Wetland ❑ Urban ❑✓ Suburban
15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES
Federal government as threatened or endangered?
Common Tem,Piping Plover,... ❑ ❑✓
16. Is the project site located in the 100-year flood plan? NO YES
17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES
If Yes, Rl ❑
a. Will storm water discharges flow to adjacent properties? ❑✓ ❑
b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑✓ ❑
If Yes,briefly describe:
18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES
or other liquids(e.g.,retention pond,waste lagoon,dam)?
If Yes,explain the purpose and size of the impoundment: ❑ ❑
1.9. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES
management facility?
If Yes,describe: El
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe:
I CERTIFY THAT THE INFOR TION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicant/spo sor am • Mark& n Schae Date: II fb ZL
Signature Title:Owners
nnura- �-i+ne■ _ _ __
Part 2-Impact Assessm The mead Agency is responsible for the compli of Part 2. Answer all of the following
questions in Part 2 using t Formation contained in Part 1 and other materials suumitted by the project sponsor or
otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my
responses been reasonable considering the scale and context of the proposed action?"
---FN or Moderate
,< small to Inrge }
impact impact
may may
occur occur
1. Will the proposed action create a material conflict with an adopted land use plan orzoning -LJ
regulations?
2. Will the proposed action result in a change in the use or intensity of use of land? 0 1J El
3. Will the proposed action impair the character or quality of the existing community? ❑
4. Witt the proposed action have an impact on the environmental characteristics that caused the
establishment of Critical Environmental Area(CEA)? E
5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ �}
affect existing Infrastructure For mass transit,biking or walkway? { J
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate r]reasonably available energy conservation or renewable energy opportunities?
7. Witt the proposed action impact existing: ❑
a.public I private water.supplies?
El
b.public/private wastewater treatment utilities? El
8. Will the proposed action impair the character or quality of important historic,archaeological, E]architectural or aesthetic resources?
El 4. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, f— 1
_ waterbodies,groundwater,air quality,flora and fauna)? f..d.,j
El
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
problems?
IL Will the proposed action create a hazard to environmental resources or human health? E-1 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 if there is a need to explain why a particular
clement of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency detennined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-tern,long-term and
cumulative impacts.
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 information and analysis above,and any supporting documentation.
that the proposed action will not result in any significant adverseenvironmental impacts.
Town of Southold-Board of Trustees
Name of Lead Agency Date
President
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency - Signature of Preparer(if different from Responsible Officer) I
EAF Mapper Summary — Ipon uesday, November 15, 2022 8:56 PM
Disclaimer. The EAF Mapper is a screening tool intended to assist
y — 68– ",Pryr` Jassessment form(EAF).Not all questions asked in the EAF are
M project sponsors and reviewing agencies in preparing an environmental
3
ti64-a,T 4
answered by the EAF Mapper.Additional information on any EAF
question can be obtained by consulting the EAF Workbooks. Although
the EAF Mapper provides the most up-to-date digital data available to
DEC,you may also need to contact local or other data sources in order
to obtain data not provided by the Mapper.Digital data is not a
substitute for agency determinations.
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`Part 1 /Question 7 [Critical Environmental ;Yes
Areal
;Part 1 /Question 7[Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health,water,
,Area- Identify] �veg_etation,&scenic beauty,Agency_Suffolk County, Date:7-12-88 `
)Part1 /Question 12a [National or State R- No
Register of Historic Places or State Eligible
Sites]
Part 1 /Question 12b [Archeological Sites] ;Yes
iPart 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 j
'Endangered Animal]
;Part 1 /Question 15 [Threatened or 1Common Tem, Piping Plover, Least Tem
Endangered Animal- Name]
;Part 1 /Question 16 [100 Year Flood Plain] 'Yes
;Part 1 /Question 20 [Remediation Site] sYes
-bard of Trustees Applicat a
AFFIDAVIT
Mark & Ann Schaefer BEING DULY'SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN
ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT
ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE
BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES
AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF
GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE
TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE
CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO
INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION,
INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF
TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE
COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL
EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM
OF THE PERMIT.
Signature of Property Owner SignWwe of Property Owner
SWORN TO BEFORE ME THIS I�p DAY OF 'tAQJ Qfnbe,( ,20 2
otary Public GIUSEPPINA BRUSCA
Notary Public-State of New York
N0.01BR6242032
Qualified in Queens County
My Cornmission Expires May 31, 2023
,--,oard of Trustees Applicat i
AUTHORIZATION
(Where the applicant is not the owner)
I/We Mark & Ann Schaefer
owners of the property identified as SCTM# 1000- 64-03-05 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.
I
Property Owner's Signature Ap6perty Owner's Signkure
SWORN TO BEFORE ME THIS (0 DAY OF 1 (-) QjYvj LQ✓ ,20 2 2
GIUSEPPINA BRUSCA
Notary Public-State of New York
Notary Public N0. 01BR6242032
Qualified in Queens County
My Commission Expires May 31, 2023
APPLICANT/AGENUREPRESENTATIVE
TRANSACTIONAL DISCLOSUIM FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on_the.yart of town.officers and employees.The purpose of
this form is to provide information which can alert the-town of_possible.conflicts_of_interest and allow it to take whatever action is
necessary to avoid some
YOUR NAME: Schaefer,Mark
(Last name,first name,.giiddle 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%❑ofthe shares.
YES 1 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):
-0_A)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(whet,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 f Y 2027-
Signature �— —
Print Name Mark chaefer
Form TS 1
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURX FORM
The Town-of Southold i Code of Ethics prohibits-conflicts of interest on-the part of town afFicers and employees.The purvose of
this form is to provide information which can alert the-town-of possible conflicts-of-interest and allow it to take whatever action is
necessary to avoid same,
YOUR NAME: Schaefer,Ann
(Last name,fust name,.ryriddle 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.)
Tax grievance Building
Variance Trustee v
Change ofZone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other'',name the activity.) — —
Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee
of the Town of Southold? "Relationship"includes by blood,marriage,or business Werest."Business interest'r 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 --W
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold—
Title or position of that person —
Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check
the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
F— A)the owner of greater than 5%of the shares of the corporate stock of the applicant
f1 (when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity(when the
9—D)
applicant is not a corporation);
C)an officer,director,partner,or employee of the applicant;or
the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted —
Signature v
Print Nam Mn S ae er _
Form TS l
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORINT
The_Town of.Southold s Code of Ethics prohibits.conflicts of interest on-the part of town officers and emnloyees The puroose of
this-form is to provide information which•can alert the town of-oossible-conflicts-of-iriteresf and allow it to take whatever action is.-
necessary
s-necessary to-avoid,same.
YOUR NAME: Patanio,Jeffrey
(Last name,first name,.ytiddle 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.)
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 1
If you answered"YES", complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold_
Title or position of that person
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check
the appropriate line A)through D)and/or describe in the space provided.
The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply):
A)the owner of greater than 5%of the shares of the corporate stock of the applicant
la (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
Submittedt 'j 11/1 0
Signature. I Mtln
Print Name Jeffrey Patan
Form TS 1
I ,
. Board of Trustees Applica__jn
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
APPLICATION NAME & SCTM#:
NAME: mJ iGtGen To !� SS:
6q '3- iy
3 -
6 y� ey
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
January 18, 2023
Town of Southold Trustees
Town Hall Annex Building
54375 Rte. 25
P.O. Box 1179
Southold, New York 11971
RE: MARK&ANN SCHAEFER
2300 HOBART RD-SOUTHOLD
SCTM No. 1000-64-03-05
AFFIDAVIT OF POSTING
Dear Trustees:
Attached please find affidavit of posting for above referenced project.
If you should have any questions or require anything further, please do not hesitate to
call me at 631-487-5290.
Very truly yours,
effrey Patanjo
P.O. Box 582
Bohemia, NY 11716
Glenn Goldsmith,President o�Q I/( Town Hall Annex
A.Nicholas Krupski,Vice President �� y� 54375 Route 25
Eric Sepenoskiti a P.O.Box 1179
Liz Gillooly o Southold,NY 11971
Elizabeth Peeples 41, �a�� 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
MARK& ANN SCHAEFER
COUNTY OF SUFFOLK
STATE OF NEW YORK
AFFIDAVIT OF POSTING
DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED
INPLA CE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC
HEARING DATE— COMPLETE THIS FORM ONEIGHTH DAY OR LATER
82bei1, .1tiLe 1 '�P(AC3n 1 Q , residing at/dba P.Q. Box 582-
being
ng duly sworn, depose and say:
That on the S day of 1 , 20 2Z4 I personally posted the property known as
� 1 ba r-- R6, LA3cd l , iju IP-1k
by placing the Board of Trustees officia 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,January 18,2023.
Dated: 4arx-xk $ 12®Z 3
(si at46)
Sworn to before me this JESSICA L. GEREMINA
it day OfJ)otr)20 2 �1 NOTARY PUBLIC-STATE OF NEW YORK
No.01GE6418131
Qualified in Suffolk County
My Commission Expires 06-01-2025
N -Pu
ti
C
January 10, 2023
Town of Southold Trustees ® rra p W E
Town Hall Annex Building l� u 1�/
54375 Rte. 25
P.O. Box 1179 JAN 1 2023
Southold, New York 11971
RE: MARK&ANN SCHAEFER Southold Town
Board of Trustees
2300 HOBART RD-SOUTHOLD
SCTM No. 1000-64-03-05
AFFIDAVIT OF MAILING
Dear Trustees:
Attached please find affidavit of mailing and certified returns sheets.
If you should have any questions or require anything further, please do not hesitate to
call me at 631-487-5290.
Very truly yours,
ffrey Patanjo
P.O. Box 582
Bohemia, NY 11716
JAN 1 8 2023
Southold Town
Board of Trustees
Board of Trustees 'Application
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
APPLICATION NAME & SCTM#: h • ('04
NAME: ADDRESS:
1000-64-4-9 1000-64-3-6
Neville John C
Bayoneto Victoria
1520 Founders Path 2380 Hobart Rd
Southold, NY 11971 Southold, NY 11971
- ----- 1000-64-3-14
Gobic Agata H
- -
----' -1235 15th St
1000-64-4-4 1000-64-3-4 Sarasota, FL 34236
Gobic Agata H Penney William A
1235 15th St Penney Robin E r -
Sarasota, FL 34236 351 N Shore Rd
Spofford, NH 03462
STATE OF NEW YORK
COUNTY OF SUFFOLK
PCG-fin Q , residing at '? O x 532 P's ham i a
being duly sworn, deposes and says that on
the G day of jan', nt-cam , 202,S, 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
7rahm-()adalp_tib'_ , that said Notices were mailed to
each of said persons by CERTIFIED MAIL/RETURN RECEIPT
! gnature
Sworn to before me this /10
Day of 0_un , 20 22:3, JESSICA L. GEREMINA
NOTARY PUBLIC-STATE OF NEW YORK
No.01 GE6418131
Qualified in Suffolk County
My Commission Expires 06-01-2025
of
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U.S. Postal Service
CERTIFIED MAII " RECE'IPT
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Penney William A i rus0,,� Gobic Agata H
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rc3 351 N Shore Rd � r- Sarasota, FL 34236 1----------
_ ----- -
Spofford, NH 03462 ---------------------
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U.S. Ptittal Service"' U.S. Postal Service-
CERTIFIED MAIL@ RECEIPT C3 CERTIFIED MAILP-ROCEIPT"
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$ 1000-64-46' ni Neville John ii,
ru
Ns' Bayoneto Victoria rt' 2380 Hobart Rd
1520 Founders Path C3
r- -Southold, NY 11971 ------------------
Southold, NY 11971 ---------------
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000-64-34-4.3s
ru ru GobiC Agata H
C3 1235 15th St
17- -----------------
Sarasota, FL 34236 - -----------------
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I - I - -tAlkING
INU' TIL I t
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: MARK & ANN SCHAEFER
SUBJECT, OF PUBLIC HEARING: For a Wetland Permit to construct a proposed
4' wide by 78' long fixed dock with Thru-Flow decking; a 30" wide by 14' long
aluminum adjustable ramp; and 6' wide by 20' long floating dock situated in
an "L" configuration and supported by two (2) 10" diameter piles; dredge
approximately 10 cubic yards of spoils from area surrounding proposed
floating dock to obtain a minimum of 36" of water at low tide and deposit
spoils off-site at an approved landfill. Located: 2300 Hobart Road, Southold.
SCTM# 1000-64-3-5
TIME & DATE OF PUBLIC HEARING: Wednesday, January 18, 2023 — 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
1
Town of Southold
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for
proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This
assessment is intended to supplement other information used by a Town of Southold agency in
making a determination of consistency. *Except minor exempt actions including Building Permits
and other ministerial permits not located within the Coastal Erosion Hazard Area.
2. Before answering the questions in Section C, the preparer of this form should review the exempt
minor action list, policies and explanations of each policy contained in the Town of Southold Local
Waterfront Revitalization Program. A proposed action will be evaluated as to its ssinificant
beneficial and adverse effects upon the coastal area(which includes all of Southold Town).
3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each answer must be explained in detail, listing both supporting and non-
supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# 64 _03 _ 05
PROJECT NAW 2300 Hobart Rd., Southold, NY 11971
The Application has been submitted to(check appropriate response):
Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑✓
1. Category of Town of Southold agency action(check appropriate response):
(a) Action undertaken directly by Town agency(e.g. capital ❑
construction,planning activity,agency regulation,land transaction) ❑
(b) Financial assistance(e.g. grant,loan,subsidy)
(c) Permit, approval, license,certification: O
Nature and extent of action:
See attached project description
Location of action:2300 Hobart Rd.,Southold,NY 11971
Site acreage:0.337
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, the following
information shall be provided:
(a) Name of applicant:Mark&Ann Schaefer
(b) Mailing address:28 Orchard Farm Rd.,Port Washington, NY 11050
(c) Telephone number: Area Code 51"03-7097
(d) Application number,if any:
Will the action be directly undertaken,require funding, or approval by a state or federal agency?
Yes 0 No❑ If yes, 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 F] No F] Not Applicable
Project is consistent with neighboring properties.
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section III—Policies Pages 3 through 6 for evaluation criteria
❑ Yes 0 No W1 Not Applicable
1
No effect
Attach additional sheets if necessary
Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See
LWRP Section III—Policies Pages 6 through 7 for evaluation criteria
❑ Yes ❑ No V Not Applicable
No effect
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
❑ Yes ❑ No ❑✓ Not Applicable
No effect
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 ❑✓ Not Applicable
No effect
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 LNM Section III—Policies; Pages 22
through 32 for evaluation criteria.
❑Yes ❑No ❑✓ Not Applicable
� 1
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 ❑Nolv—(] 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; Pages 34 through 38 for evaluation criteria.
❑Yes ❑ No 17 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.
❑✓ Ye❑ No❑ Not Applicable
Project allows for access to waters for boating and fishing activities.
Attach additional sheets if necessary
WORKING COAST POLI4-5
Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in
suitable locations. See LWRP Section III–Policies; Pages 47 through 56 for evaluation criteria.
❑Yes ❑ No R Not Applicable
No effect
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 17 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 ❑ No❑✓ Not Applicable
No effect
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 W1 Not Applicable
No effect
PREPARED BY Jeffrey Patanjo TITLE Agent DATE 11/15/22
November 19, 2022 r„`
Town of Southold Trustees
Town Hall Annex Building
54375 Rte:25 - NOV 2 8 2022-
P.O.
022P.O. Box 1179
Southold, New York 11971 go�thold. m _;
Board of 7h ,�
RE: MARK&ANN SCHAEFER
2300 HOBART RD-SOUTHOLD
SCTM No. 1000-64-03-05
APPLICATION FOR PERMIT
Dear Trustees:
We hereby submit one (1) original and three (3) copies of the proposed plans,
application, and check for permit approval for the above referenced project.
If you should have any questions or require anything further, please do not hesitate to
call me at 631-487-5290.
Very truly yours,
Je rey'Patanjo
P.O. Box 582
Bohemia, NY 11716