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TR-10345E
1 I ` I Glenn Goldsmith,President ®� S®UT� Town Hall Annex A. Nicholas Krupski,Vice President ,�®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoskit Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® ,® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 10345E Date of Receipt of Application: March 31, 2023 Applicant: Lawrence Tuthill SCTM#: 117-5-46.4 Project Location: 945 Orchard Street, New Suffolk Date of Issuance: March 31, 2023 Date of Expiration: 90 Days from Date of Issuance Reviewed by: Board of Trustees Project Description: Install 3'x3'x3' sandbags (7 total) along 20 feet of roadside. Findings: The project meets the requirements for issuance of an Emergency Wetlands Permit as determined by the Board of Trustees. The issuance of an Emergency Wetlands Permit allows for the operations as indicated in the application and on the project plan dated March 30, 2023. Special Conditions: A full Wetland Permit must be obtained within ninety (90) days in order to conduct any further activity on the property. This is not a determination from any other agency. Glenn Goldsmith Board of Trustees S.OUTHOLD ...TRUSTEES No. 10 94e;o E Issued To l ' Da#e Address 9� ORCAW �, ww Sofro" THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHALD, W.Y. 11971 TEL.: 765.1892 VOW PROJECT SCOPE EMERGNCY ACTION PERMIT CURRENT CONDITION ` TO RE-ESTABLISH ROADWAY PROTECTION AS A RESULT OF 'at NEW TIDAL EROSION CUTCHOGUE UNDERMINING THE ROADWAY HARBORiSUB-STRUCTURE. ADD APPROXIMATELY ~ 7 SANDBAGS ALONG - kj. % } "= APPROXIMATELY 25 LINEAR FEET OF BLOWN OUT BANK IMMEDIATELY SEAWARD OF *�. I -4. " '' THE ROADWAY. ADD SAND BAGS AS A TEMPORARY PROTECTION BARRIER ■ s� , _y > LOCATION PLAN CURRENT CONDITION i -ORCHARD ST NEW SUFFOLK,NY • 1 Description • R : '- � � TUTHILL STREET Roadway Re-Construction 945 ORCHARD ST, rn v < Q� ` . NEW SUFFOLK , NY 11968 v SCTM - 1000-117.-5-46.4 Prepared by: Dave Bergen + Ken Quigley Site e Plan Date: MARCH 30, 2023 Drawing: Scale: AS NOTED Al Glenn Goldsmith,President riF SU(/1Town Hall Annex A.Nicholas Krupski,Vice President ,`O� �01� 54375 Route 25 P.O. Box 1179 Eric Sepenoski - . l Southold,New York 11971 Liz Gillooly G Q Telephone(631) 765-1892 Elizabeth Peeples • O �� Fax(631) 765-6641 BOARD.OF TOWN TRUSTEES TOWN OF SOUTHOLD . This S - ---X ection For Office Use Only____ ---. EMERGENCY.PERMIT APPLICATION Coastal Erosion.Permit Application ' `+ Wetland Permit Application Administrative Permit i, MAR 3 1 K23 Ainendment/Transfer/Extension X Received Application: 3•X2.3 j j-- Re c e iv e d Fee-. $ 60. kk Completed Application: . 3l� Incomplete: SEORA Classifcation: .Type I Type II . Unlisted. Negative.Dec. Positive Dec. Lead Agency.Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report:. Technical Review: Public Hearing Held: Resolution: . l . . tt . Owner(s):Legal Name'of Property (as shown on Deed): �aL� re�►e e T<:.`t. �+ l J ...Mailing—Address: p Y- 6 a, �'re a 9 14 Phone Number: - 2 7 - 4 VrZ) Suffolk County.Tax Map Number- 1000 — ( 1 7r_ Property Location: (+'5- (If (If necessary, provide LILCO Pole#,'distance to cross streets, and location) AGENT(If applicable): oc .0 f d Cr r cue:1) Mailing Address: l d O C 4 t c� L --Phone-Number:._�. _' _ '$ I-_T--3 -� _.-_ .. .___Email: � cq, v e I�e h-7 � � Board of Trustee• )plication GENERAL DATA Land Area(in square feet): Area Zoning: M 2- Previous use of property: we, g Intended use of property: 5 ce u-i <-- Covenants Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes e"No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes -No Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date T r,,,j ,s -7'1 1n o1=c l tt 7,36 6 17 /�7 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? o Yes If yes,provide explanation: r f Project Description(use attachments if necessary): c,L e X-•3 X 1 55 -� s Board of Trustee pplication WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: co InJ Gt Area of wetlands on lot: d square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: ® feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No 5" '► b -SYes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 3 l Manner in which material will be removed or deposited: G ✓r 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): / 1' �oSC -I C d'® � tee. a. LiJ� -y.c- 'r _ 1,�4 41, Ar �y -;f 'w fa Ai OF r ` y n r 1� ry J Board of Trustees Application AUMORMATION (Where the applicant is not the owner) IIWe,-- 1 W�C�I1 C1Z_ �A t owners of the property identified as SCTM# 1000- •60 6�= L96 Jtthe town of U��ta New York,hereby authorizes C-' v = ^'' to act as my agent and handle all necessary work involved with the application process for permits)from the Southold Town Board of Trustees for this property. Al Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS—Qq DAY OF W" ,20 Xaa�� HEATHER V.GRAHAM Notary Public,state of New York No.02GR6324990 Notary Public Qualified in Suffolk county commissionExpires -17/ 1 // 1 Board of Trustees Application AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARK TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS ,1 DAY OF IV\ 20 HEATHER V.GRAHAM Notary Public, State of New yb* Notary Publ No.02GR6324990 Qualified in Suffolk-County Commission Expires �-/iF/Z-62,9 .APPLICANUAGENUREPRESENNATIVE TRANSACTIONAL DISCLOSURE,FORM The Town of Southold's Code of Ethics Prohibits conflictR of interest on the part of town officers and employees,The nurPose 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. YOURNAME: V`i�i4� -G1tPyl.C2 (Last name,first ndme,Griddle 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 Tnrstee �- Change ofZone Coastal Erosion Approval ofpiat Mooring Exemption from plat or official map Planning Other (lf`Otb&,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 intewsr means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a cotpotation in which the town opcer or employee owns more than 5%of the shares. YES Iq NO F If you answered"YES",complete the balance ofthis formanddate andsign where indicated. Name of person employed by the Town of Southold Et 1' e,3 Title or position of that person T O W+n J U SSC Z Describe the relationship between yourself(the applicant/agent1representativey 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): f2A)the owner of greater than 5°/a of the shares of the corporate stock of the applicant _nB) (when the applicant is a corporation); the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)j4 an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this q da of AA �G� 20, Signature Print Name LAW re.st.C1L.— A&=TV — Form'IS I I i TRANSACHONAL DLSCWS=FOIA The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dari oftown officers and employees The nurvose of this form is m aro jde information which can alert the town of passible conflicts of interest and allow it to take whateveraction is necessary to avoid same: YOUR NAME: l..i (Last nam% name,middle initial,unless you are applying in the name of someone else or other entity,such as a company_If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply_) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval ofplat 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 ofthe 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 a nployce 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 F— NO R If you anssvered"YES;complete the balance of this form and date and sign where indicated. Name ofpmson employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the appliriiaVagent/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(cheat all that apply): f1A)the owner of greater than 5°/a of the shares of the corporate stock of the applicant = (when the applicant is a corporation); B)the Iegal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)]4 an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thi day of p - c 20?.a.a Signature 6 . Print Name Form TS I MAR 3 1 2023 + Box 1008 r Cutchogue, NY. 11935 March 31,2023 Southold Town Trustees Town Hall Annex 54375 Rt. 25 Southold, NY. 11971 Ref: Emergency Permit Request-Tuthill Tax map# 1000-17.-5-44 945 Orchard St, New Suffolk Dear Trustees: I am respectfully submitting to you a request for an emergency permit for the Tuthill property, specifically the access road on fot 17.-5-44. As the pictures demonstrate,severe erosion occurred during the last nor'easter which started to undermine the road. This road allows for access to one residential house and many docks including the dock used by the Cutchogue Fire Department for their fire/rescue vessel. The property is zoned M1. We are requesting the placement of large sandbags along approximately 25 feet of road frontage to hold the road in place until such time as a full permit can be obtained for a revetment. Thank you for your consideration. Please do not hesitate to contact me at 516-848-6438 should you have any questions. Sincerely, David BergAgent for Tuthill R-1 6 6 99nao $ arw9Bf _ .9�wz f n, (507 �_� /•\,' ar —'! �0 �• 1 _g, 21 31 4' SOR PCL NO 09iTAc 250) .% ' n `*4 EESEC.NO / " 'y f690M11 Q0 O+N I.tA(cl 1.1 I 0901-10 8 a` U�2 TU FHILL remf3 a RD. 1w1 04-1i la � y�% a 20.1 ve a m yO4 °11t.za Olit zo.2 t moo is k iiA 1 f Ir r 6, :W P t9- 2,yyc1 M FOR PCL NO. � ` 0 132n 111A(c) - �11A(c)"'�m1 Qp a O it ry I 12 tII SEE SEC.NO. as O J 11601001 • 10 p a 53 m 21eA 4' �0 0 15� ai 16i 1].3 t17 . � w 1 V �e 1 _16° 1)d R�xc �y5 .x5 aAAlclO 511A B BB a 9 z- p w $ n m 1J tZ 2"54 >: x tea° aP 121 ,9 c I� CUTCHOGUE 1,9z `�� III _ 5a• 11a , r 16B - 9. 'n ° 14.1 V 14sI ,5Ah1 m � etl"°`• ga.z2 ., ¢ 1 1$ -zo _ O R P• m- zt x —� s 4. m :1) HARBOR NO Snlcl u�s ''C° ul 4 ,n 2 $� 3,� x'1'O lN0 ti•_m °' ...�¢wimxww E' we " � 9 1pup¢sut w YJAlcI sad. q0A J5 I1/ F15HEA 8/`Nawcl" m - .�p,�5� _ an30. xp 360 �n l �p! n2 z tat 30. 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