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TR-10400
Glenn Goldsmith, President ��®F S®U� 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 CCUTi, 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 Whenjroect complete, call for compliance inspection; P p P X11>1LI'm Y.X 2 BOARD OF SOUTHOLD TOWN.TRUSTEES r. SOUTHOLD, NEW YORK N, PERMIT NO. 10400 DATE: JUNE 14,2023 ISSUED TO: CYNTHIA DGHEIM PROPERTY ADDRESS: 58670 C.R. 48,GREENPORT SCTM#.1000-44-4-4 AUTHORIZATION 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 June 14, 2023, and in consideration of application fee in the sum of$1250.00 paid by Cynthia Qgheim 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 the for the existing two-story dwelling with a 918sq.ft. footprint and 97sq.ft. concrete covered porch; as-built±3' to 41 wide concrete slab/walk surrounding the perimeter of the dwelling; as-built vegetation and tree clearing on the property; and to install a split-rail fence landward of the area of freshwater wetlands on the property; and to establish and perpetually maintain an approximately 11,194.35 square foot area seaward of the split-rail fencing to be a Non-Disturbance Buffer area; and as depicted on the survey prepared by Joshua R. Wicks P.L. S., received on June 30,2023, and stamped approved on July 3,2023. 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. �pS 40 4%, J TERMS AND CONDITIONS i The PermitteeCynthia Dgheim residing at 58670 CR 48 Greenport, 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 36 months,which is considered to be the estimated time required to complete the work involved, but should,circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit.. Glenn Goldsmith,President ®F S®�/�� Town Hall Annex A.Nicholas Krupski,Vice President ��� ®l® 54375 Route 25 P.O. Box 1179 Eric Sepenoski J�[ Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples @ Fax(631) 765-6641 ,BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 3, 2023 Timothy Cloughen 3 Manorview Way Manorville, NY 11949 RE: CYNTHIA DGHEIM 58670 C.R. 48, GREENPORT SCTM# 1000-44-4-4 Dear Mr. Cloughen: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 14, 2023 regarding the above matter: WHEREAS, Timothy Cloughen on behalf of CYNTHIA DGHEIM 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 28, 2023, 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 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 14, 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, 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, 2 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 CYNTHIA DGHEIM for the for the existing two-story dwelling with a 918sq.ft. footprint and 97sq.ft. concrete covered porch; as-built t3' to 4' wide concrete slab/walk surrounding the perimeter of the dwelling; as-built vegetation and tree clearing on the property; and to install a split-rail fence landward of the area of freshwater wetlands on the property; and to establish and perpetually maintain an approximately 11,194.35 square foot area seaward of the split-rail fencing to be a Non- Disturbance Buffer area; and as depicted on the survey prepared by Joshua R. Wicks P.L. S., received on June 30, 2023, and stamped approved on July 3, 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: $50.00 Very truly yours, G14 LbsmidA4_t_4y President, Board of Trustees GG:dd JOSHUAR. WICKS P S DROAD (C. R. 48 ) suRvEyEb BY:JAM. DRAWN BY:J.R.W. JOB N .:JRW2�i-c4pNORTH P.O. BOX 59:9 Center Moriches, N.Y. 11934 0 JUN 3 020 ]D 200.00 JbshuaRWicksi@gmail.com 59025P05"' E #631-405-8106 -N GRAPHIC SCALE Southold Town Eoj'jc OF MUSIC CoNr.WALX 0 1 2 3 Board of Trustees -------— (60). --Nc�cm CH-CH -0" 04-CIN -CH '3 OK �LA. ........ ................ op CONCI Ae5MOM0019, OWN OF 50UMO '24,4' CONC' e AfFaK COUNTY NEW YRK PORN 'O 13.6' 1�f C) cd cq 2 S Y. 35.9Suffolk County fax Map Na: FR. RES,, C) #58670 - 1000-0-t-1,00-0-1.00-0091,000 PA-ft 5UNW:1M 8/03/2021 AL. 7.4!' LF19A1W 5UMY: 9/2022 UPPAW 5LM:912212022 09ATfl7 5UMY:61121202-5 E- E, 5W I 3.0' AD 27.71 GUARANTEED TO. PROPOSED SPLFF RML FE 2D.IyX10-0' 0 0- W CYNTHIA DGHEIM & GIUSEPPE GIATRAKRIS FO 4. FIRST AMERICAN TITLE INSURANCE COMPANY IV BENTLEY ABSTRACT INC BA—FA-1276 /WOODED cf) I AWA V a LO 'IT cr) AREA TO .REMAIN LOT AREA NATURAL & UNDISTURBED D APPROVED BY Z�i '11,194,16 S.F.) 41.-425.82 S.F. BOARD OF -1 RUSSTEE co 0.96 ACRE(S) TOWN OF SOUTHOLD j_ O�Wmi F E SET LDAT:E-0:j-at q . . ........ S R 2020 RE ....... . ........ TAX LOT 3 go *9-- 214.26 ' S 59025 5 W04 0. 061'01 -LA CIHECKED- (1)UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND,SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209,SUB-DIVISION 2, OF NEW YORK STATE EDUCATION LAW. W ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE-TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION. (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED,BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS,INC. THE CERTIFICATION IS LIMITED 70 PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED,TO THE TITLE COMPANY.TO THE GOVERNMENTAL AGENCY,AND TO THE LENDINGANSTITUTIGN LISTED ON THIS I( BOUNDARY SURVEY.MAP.(4)THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE. (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED. IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED 13Y THIS SURVEY. (6) THE OFFSET(OR DIMENSIONS).SHDW:NHEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, ADDMONS TO BUILDINGS,AND ANY OTHER TYPE OF CONSTRUCTION. (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY. (9)THIS SURVEY WAS,PERFORMED WITH A TRIMBLE S8 ROBOTIC TOTAL STATION. (9) THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD IFANY. NOT SHOWN ARE NOT GUARANTEED. �Qg�FF©(,-eo Glenn Goldsmith, Presidento Gy<x Town Trustees. A Nicholas Krupski, Vice-President y z 54375 Route 25 Eric Sepenoski o ® P.O. Box 1179 Liz Gillooly Southold, NY 11971 Elizabeth Peeples 'x` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: CYNTHIA DGHEIM c/o TIMOTHY CLOUGHEN Please be advised that your application dated April 28, 2023 has been reviewed by this Board at the regular meeting of June 14, 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) 1St Day of Construction ($50.00) 'h Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) X The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $_50.00 BY: Glenn Goldsmith, President 2� Board of Trustees Glenn Goldsmith,President �D��SUFf k�,OGy� Town Hall Annex A.Nicholas Krupski,Vice President .� 54375 Route 25 0 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • o�`r Southold,NY 11971 Elizabeth Peeples � �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: ? Completed in field by: ffi-,U�P1CVl QeeieS T" Timothy Cloughen on behalf of CYNTHIA DGHEIM requests a Wetland Permit for the existing two-story dwelling with a 918sq.ft. footprint and 97sq.ft. concrete covered porch; as-built ±3' to 4' wide concrete slab/walk surrounding the perimeter of the dwelling; as-built vegetation and tree clearing on the property; and to install a split-rail fence landward of the area of freshwater wetlands on the property. Located: 58670 County Road 48, Greenport. SCTM# 1000-44-4-4 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.: 'FlaaaC. _ J Present Were: VG. G smith VIN. Krup i ✓ E. Sepenoski L. Gillooly �/E. Peeples --��gg ROAD (C. R. 48) JOSHUA WICKS P.L.S. NORTH1.._g 5URVEYED BY:J.R.W. DRAWN BY:J.R.W. JOB NO.:JRWzx-o43o 1&d!Yl JI 1 1 1 P.O. BOX 593 200 ��' Center Moriches, N.Y. 11934 V JoshuaRVPicks®gmail.com N 59025'05" E #631-405-sloe GRAPHIC SCALE EDGE OF PAVEMENT - CONK-WALK 0 1 '3o' tB0) 3 T9o) _ � 4 I in A(s AMOMOO�,VIM OF 562WHaV PSB p 5LrFaK 60UfY,,MW YOM 4? O RES 35.9' Suffolk Ca4nN lax Map Na; i I 4586701 1000-044,00-04.00-00-4,000 PATE 51t?}/�Y�17: l/0'!V 2021 coNc '{" UPPMT P 5URVEY:5f 9/2022 UPPAtI9 5TV�Y!9122/2022 ®{ I a UPPA1W 5UGFY:61121 2023 { SCALE:I"-30' � N 1 F 27.7 GUARANTEED TO: yi' I PeaPGsm sour RaE FE. ^r Pf),G'x10.O' Cxa CYNTHIA DGHEIM& GIUSEPPE GIATRAKRIS TION �. FIRST AMERICAN TITLE INSURANCE COMPANY o' BENTLEY ABSTRACT INC. I I BA—FA-1276 1 %q I /AWAFEA OODED✓ cYj LO Q I cY) o I AREATO REMAIN vi LOT AREA O NATURAL & UNDISTURBED sa.as 41,425.82 S.F. 0.95 ACRE(S) I /s w Wau + L p Vie` ''€ TAX LOT 3.1 ` f a }fig q I j s 214.26' � l � E� f—'� , '05" W S 59025 f D j , 4,Ta5?BeiAIND--� N CK- (1 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MPP BEARING A LICENSED LAND GURVEYORG SEAL IS A VIOLATION OF RECTOR 7209,SUB–DIVISION 2,OF NEW YORK STATE EDUCATION LAW.(2)ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR's EMBOSSED SEAL ARE GENUINE TRUE ANO CORRECT COPIES OF THE SUR.EY4B-5 ORIGINAL WORK PND OPINION.AN TO T'ATIONs ON THIS BOUNDARY SURVEY MAP USIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH ME CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED UY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SU ss CRS,INC.THE CETIFCAYON IB LIMITED TO PERSONS FOR WHOM THE BGUNOMY SURVEY MAP P>PREPARED.TO THE TRUE COMPANY,TO THE GOVERNMENTAL AGENCY,AND TO THE LENDING INSIRUTION 1151ED DN iH1B BDUNDPRY SURVEY MM.(4)THE CERTFICATIONS HEREN ME NOT TRANSFERABLE.(5)THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFFEN MUST BE ESTIMATED. IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN.THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY Tils SURVEY.(B)THE OFFSET(OR DIMENSONS)SHOWN HEREONFROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES,RETMNING WALLS,POOLS,PATIOS PL4MiNG AREAS,ADORIONS TO BUILDINGS,AND ANY OTHER TYPE OF CONSTRUCTION.(])PROPERry CORNER MONUMENTS WERE NOT SEF AS PMT OF THIS DUE—UG THIS SURVEY WAS PERFORMED WITH A TRIMBLE SB ROBOTIC'OTA"STAIpN..(4D THE EXISTENCE OF RIGFR OF WAYS M.,SR EMS MED—OF RODDED 11 ANY,NOT SHOWN ME NOT GUARMTEED- �` OF Glenn Goldsmith,President �o��S �COGy Town Hall Annex A.Nicholas Krupski,Vice President :c 54375 Route 25 0 Eric Sepenoski 4 ,? P.O.Box 1179 Liz Gillooly �y • o�� 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: Timothy Cloughen on behalf of CYNTHIA DGHEIM requests a Wetland Permit for the existing two-story dwelling with a 918sq.ft. footprint and 97sq.ft. concrete covered porch; as-built ±3' to 4' wide concrete slab/walk surrounding the perimeter of the dwelling; as-built vegetation and tree clearing on the property; and to install a split-rail fence landward of the area of freshwater wetlands on the property. Located: 58670 County Road 48, Greenport. SCTM# 1000-44-4-4 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 D (C. R. 4 � � JOSHUA R. WICKS P . L S ® NORTHROA SURVEYED BY:1.R.W. DRAWN BY:J.R.W. JOB NO.:1RW21-0430 P.O. BOX 593 200-00 ' Center Moriches, N.Y. 11934 N 59025 ,05„ E JoshuaRwicks(e?gmail.com coNC. CURB UQN° #631-405-8108 GRAPHIC SCALE EDGE OF PAVEMENT CONC.WALK O i z nor aC a+ M =OH —0H —0x o —aC =aC —on—0n _ �_ (30) (60) (90) SAKE 0 (1) \(3� co �. �.�.5.3.9...f............ ouoioy PPOPEP000 I ` � �I SITUATE 11 4a.o o f o /may iI AE WMOMOQU�,TOWN OF 5OUTHOLb 5UFF011K COUNTY, NSW YOM i 1,24.4' • � CONC. � o �t Q MAINTAIN EXISTING i y POR136 '�41 o Suffolk Couaq Tax Map No,; CONCRETE WALK a N2 ST . 35'9 FR. Rbb' 0 -0144.00-04.00-004.000ON GRAbE APPRox 58670 9 570 SF I W.. ;s�: . m# II 4.0 :"'.:a:. 4, ,:.:.:: A j PA1� SUPMYEf7: 11/03/2021 s.a2 o i "' UPPATN2 5UI,\V: 05/0912022 UPPATW 5UFMY: 09122/2022 1.1 ii I � � SCALE;; I"=30' C6 h a ' GUARANTEED TO: CYNTHIA DGHEIM & GIUSEPPE GIATRAKRIS ......— — FIRST AMERICAN TITLE INSURANCE COMPANY 27.7` BENTLEY ABSTRACT INC. i 2o.o'X1o.o' WOODED , w BA—FA-1276 AREA �� ti°' CONC. FOUNDATION (Z;ocb� 9 PROPOSED SPLIT I co RAIL FENCE W I co v O I co o' 1 #� u LOT AREA ) I G (TYP•) # 41,425.82 S.F. CY) I 0.95 ACRE(S) #5 SET HOUSE(First floor only) 918 SF sErXC ON WALL CONC. COVERED PORCH 97 SF ��oF NEW y AX LOT 3.1 214. 26 I s APR 28 2023 - 1 S 59°25 '05" W 1 �O. 05102 SAND CHECKED BY: (1) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUB-DMSION 2, OF NEW YORK STATE EDUCATION LAW. (2) ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION. (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP W SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC. THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED,TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE LENDING INSTITUTION LISTED ON THIS H BOUNDARY SURVEY MAP. (4) THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE. (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED. IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. (6) THE OFFSET (OR DIMENSIONS) SHOWN HEREON 0 FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION. (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY. (8) THIS SURVEY WAS PERFORMED WITH A TRIMBLE S8 ROBOTIC Z TOTAL STATION. (9)THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. o \ I \ J \ CA) = I N Q oI 1 I HOUSE (First floor only) 918 SF 32. ' CONC. COVERED PORCH 97 SF I 44.0' o 1. I I31 CONC. o oO 24.4 PORCH MAINTAIN EXISTING W 01 _.a 13.6 CONCRETE WALK '� � � ° STY. a N 2 35 .9 ON GRADE APPROX '/ FR. RES .13.7 I F `� �570 S . � co cr> 12.67 .E N - I GO N o - - / 10.5' .4'i 35.0Ln AC. 1 I4.0I tea . .4 1 .41 ' 42 o 15. I � I 9 O I I jf 3: 1 APR 2 8 2023 1 Bn�, - - 1 � I . >r 1 J R� li 'kti}a�• r-� �� �� bJ - i �►'' � say wr� �M� ��( s�W��t�'!f `' � YrI j4^ xv� �� h� / ���� �I'1■WY j-�� ---�� �._j - - - I RR��C N4 Zt', MOW yy � I I� t (� 4i[til USA {gip' d - I II r I - v I i II i Re eom m xias w.uae tdao 11.74.01 b m Fa' COUNTY OF SUFE ts`�t+ u3 �_e♦e r� I 4 � OFOR PLL NO " 6 w INa 3 3 ' 9 ® � y* a couNrr �+ ' 'f6 awFFau rs4 � y 48 �,s1 yys qa COURTv of wFFau T 9eE BeG NO.06} 10' i N� 9 Eora„�u� -�- "'• r pt) _•" _O r� --t°•-- r�.� --�-- °^� NOTICE �9 � COUNTY OF SUFFOLK © eK ff aou.Ran SECTwN NO y� =Real Property Tax Service Agency r M A +vc+w fM F�� P PROPERTY MW Za OFFICE LOCATION: ?- MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631765-1938 ee Southold, NY 11971 � P LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: June 12, 2023 Re: LWRP Coastal Consistency Review for CYNTHIA DGHEIM SCTM# 1000-44-4-4 Timothy Cloughen on behalf of CYNTHIA DGHEIM requests a Wetland Permit for the existing two-story dwelling with a 918sq.ft. footprint and 97sq.ft. concrete covered porch; as-built±3'to 4'wide concrete slab/walk surrounding the perimeter of the dwelling; as-built vegetation and tree clearing on the property; and to install a split-rail fence landward of the area of freshwater wetlands on the property. Located: 58670 County Road 48, Greenport. SCTM# 1000-44-4-4 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 as-builts are INCONSISTENT with LWRP Policy 6.3 and, therefore, INCONSISTENT with the LWRP. 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 „�, + 1lfr f fid,f John G. Stein,Chairperson co Town Hall,53095 Main Rd. Lauren Standish, Secretary P.O.Box 1179 Southold,NY 11971 AL 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 on Wed., June 7, 2023, the following recommendation was made: Moved by John Stein, seconded by John Chandler, it was RESOLVED to SUPPORT the application of CYNTHIA DGHEIM to maintain concrete slab on-grade, with 100' by 2.16' proposed walk, obtain C.O. for existing house 918 sf., concrete covered porch 97 sf., and proposed split-rail fence on the south side. Located: 58670 North Road, Greenport. SCTM#44-4-4 Inspected by: John Stein, John Chandler, Inga Van Eysden Vote of Council: Ayes: All Motion Carried Maim Diane From: DiSalvo, Diane Sent: Tuesday,April 18, 2023 9:36 AM To: Irealtorcyn@gmaiI.com' Cc: McGivney,Julie Subject: 58670 North Road, Greenport Attachments: 20230418091918.pdf Town Trustees would like you to submit a full Wetland application which should include the house and porch (total square footage),walkway around the house, split rail fence along south side of property at Trustee flagged line; with a non-disturbance area seaward of the fence,with a berm on the east side (see attached field notes from 10/12/22). They have also asked that if you are doing anything within the lawn area,to include that in your project description. Please refer to the instructions on our Wetland application checklist. The fee for a wetland permit is$1,250.00. 1 will leave the Administrative application along with check and photographs that you dropped off in the office on April 14 for you in our Trustee bin which is located outside our glass doors for you to pick up.—along with a blank copy of our Wetland application. (You may be able to use some parts of the Administrative application to substitute into the Wetland application). We are currently accepting applications up until May 5, 2023 to head toward our June 14, 2023 Trustee Board Hearing. Should you have any questions, please do not hesitate to contact us. pL'avk,e pisaLvo o f f bce Ass�sta vLt southotd TOWV�Trustees P.O. gox 2275 'Southold, NY 11971 i J Glenn Goldsmith,President 1 :{' j` Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President P.O.Box 1179 Eric Sepenoski i.. Southold,New York 11971 Liz Gillooly cn.• Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Of �4 ---- Coastal Erosion Permit Application "s',; Wetland Permit Application Isl ,F Administrative Permit 'FOR 2 8 2023 Amendment/Transfer/Extension y.yg.Z3 - X Received Application: Received Fee:.$. . Zarb. B,a 'of i2t�,, es Completed Application;, •?AL3 ` Incomplete: SEQRA Classification: Type I Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date:- Coordination:(date sent)- -LWRP Consistency As ssment Form Sent: - CAC Referral Sent:: a Date of Inspection:_ 'Z Receipt of CAC Report. Technical Review: _ -Public Hearing Held, Resolution: Cynthia Dgheim Owner(s) Legal Name of Property (as shown on Deed), 58670 North Road, Greenport, NY 11944 Mailing Address: Phone Number: 718-344-7136 Suffolk County Tax Map Number: 1000 - 44-04-004 Property Location: south side of north road - 1539 east of Albertson (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Timothy Cloughen Mailing Address: 3 Manorview Way Manorville NY 11949 ,.-.. .._....Phone Number:' 631-255-78 ,.5.,. .Email: tm.cloughen@,gmail.com cr' dx� _/a41 a-3 Board of Trustees Applic on GENERAL DATA Land Area(in square feet):, 41427.39 sf Area Zoning: R80 Previous use of property.,,-., 1 famliy residential Intended use o£ roe 1 famliy residential p P rty:. 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 _'No If"Yes", be advised this application will be reviewed_ by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes .. x No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the:Building Dept.? Yes x No Does.the structure(s) on property have a valid Certificate of Occupancy?„ x Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever.been revoked or suspended by a governmental agency? No x Yes If yes, provide ekplanation:_ Project Desen'ption.(use attachments if necessary); Miantain concrete slab on grade encroaches on with 100 foot requirement by 2.16 ft. proposed walk 97.84 feet from wet lands administrative determination required. obtain co for existing house 918 sf Concrete.covered,porch 97.pf,.,Pro posed.split„rail fence south._side_ . , Board of Trustees Applin+_ ,on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed.operations:.Miantain concrete slab on grade encroaches on with 100 foot requirement by 2.16 ft. proposed walk 97.84 feet from wet lands administrative determination required. obtain co for existing house 918 sf Concrete covered porch 97 sf. Proposed split rail fence south side. Area of wetlands on lot:*., 6602.56 square feet Percent coverage of lot: 15.9 ojo Closest-distance between.nearest existing structure and upland edge of wetlands: .103.4 feet' Closest distance between nearest proposed structure and upland edge of wetlands:... 97.84 feet Does the projectinvolve excavation or.filling? No x Yes 14 3 .If yes,howm. material will be.excavated?. yd cubic yards How much material will be filled? 6.0 yd' cubic yards Depth of which material will be removed or,deposited: removed feet Proposed slope throughout the area of operations;... ,.less than 2% Manner in which material will be removed or deposited:.,.. ... legally carted of through soil and sand distributor 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 i f appropriate): The existing concrete walk,will have-no effect on-the existing wetland area, 61720 Appendix B Short,Environmental Assessment Form �nsfi=irctious'f�ar'�i>rrimrileti��. Part I.-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 furtherverifcation. .Complete Part.1 based ominformation 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: Proposed concrete walk on grade Project Location(describe,.and attach a location map): 58670 North Road, Greenport, NY 11944 Brief Description of.Proposed Action. Proposed concrete walk on grade approx. 570 sf Name of App ... .. . or631-255-7845 Timothy Clou hen c/o Cynthia D heim tm.cloughpn@gmail.com Address; 3 Manorview Way City/PO: state: Zip Code: Manorville NY J 11949 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 . x. may be affected in the munici all and proceed to Part 2. If no,continue to question 2. y :p P ` ;. . P. .... ...., 2. Does the proposed'action`require a permit,approval or funding from any other governmental Agency? No I.YES.: If Yes,listagency(s)name and permit or approval: LxJ. : 3.a.Total acreage of the site ofthe proposed action? 0.95 ...._acres b.Total acreage to be physically disturbed? 0.013__ "acres c..Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban 0 Rural(non=agriculture) [3Industrial E]Commercial. ®Residential(suburban) ❑Forest ❑Agriculture -MAquatic (]Other(Specify): .- ❑Parkland 5. Is the,proposed action, NO_ : YES. N/A-. a. A permitted use under.the,zoning regulations? Q ��''''""� x L1. c b.Consistent.with the adopted comprehensive plan? Q x:: 6. Is,the proposedaction,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.: 8• a.Will the ro osed action result in a substantial increase in traffic above resent levels? P P P ` .NO Fygs. X: b.Are public transportation service(s)available at or near the site of the proposed action? x:. c.Are any pedestrian accommodations or bicycle routes available on or near.site ofthe.proposed action? _ 9.Does the proposed action meet or exceed the state energy code.requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the ro osed actibn connect town existing ublic/ rivate water.sa R P g P P PP y NO. i.;YES. If No,describe method for providing potable water:_ n/a slab on..grade 11.Will the:proposed action conneefto existing wastewaterutiiities? NO:., YES. If No,_describe:method for providing"wastewatertreatment: n/a Slab On grade 12. a.Does the site contain a structure that is listed on either the,State or National Register Of Historic NO YES -Places? b.Is the proposed action located in,an archeological sensitive area? ❑` ... X. 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 federal,state or local agency? x b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? x If Yes,identify the wetland or waterbody and extent of alterations in square.feet oracres- .. 14. Identify the typical habitat types that'Occur on,or:are likely to.be found on the project site. Check all that apply: ❑Shoreline..' ElForest ❑Agricultural/grasslands :[OEarly mid-successional 0 Wetland [l Urban ®Saburtian I S.Doesthe site of the proposed action contain any species of animal,or associated habitats,listed NO YES .` by the State or Federalgovemment as threatened or endangered? 1 b.Is the project site lopated in`the 100 ear flopd 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? FX1N0 (]YES b.Will storm Water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes;briefly describe: ONO []YES ..:. ..:...:........ ..::.: _..:.Page 2 oi• .. ,. . 18.Does the proposed action include construction or other activities that result in the,impoundment of NO YES.:' water orother liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size:. Li . . .. .. .. t:. 19.Has the site of the proposed action or an adjoining:property beenthe location of an active or closed NU' YES solid waste.management facility? If Yes,describe. 20.Has the site of the proposed action or an adjoining property been the subject of retnediatioii(ongoing or NO YES completed)for hazardous waste? If Yes,describe:. I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name:_ . .. Timothy Cloughen ,, Date: . :. ..04-12-2023. Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all:of.the.following questions in Part 2.using.the information contained in Part 1 and other materials submitted by the project spomor.or .otherwise available.to the reviewer. When.answering the questions the reviewer should be guided by the concept"Have,my responses been reasonable consideringthe scale And context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 7. Wi11.tFie proposed'action create a iijateri:Tcoriflict with an adopted Land use plan:orzoriing regulations? El El- proposed g intensity t 2: Will the ro osed action result in a change in the use or intense of use of land9. rEl 3. Will the proposed action impair the character or quality of the existing community? � f. :.I [l 4. Will the proposed:action have an impact on the environmenW..characteristics that caused the establishment:of aCritical Environmental .,Area. CEA? . x 5. Will the proposed action result in an adverse change in the existing.level of traffic or CJ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action.cause an increase in the use of energy and it fails to.incorporate reasonabl :available.ener conservation or renewable ener ...opportunities?,..., L-- 7. Will the proposed action impact existing: x a.public/private water supplies? b:'public/Private wastewatertreatment utilities? 8. Will the proposed action.iritpair the character or quality of important historic,:archaeological, Architectural or aesthetic:resources? Q 9. 'Will the proposed action'result in an adverse change to natural.resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? L---i Page.3..of 4 _ .. No,or Moderate : small to-Nrge - impact impact may may .occur occur 10.'W ill the proposed action result in an increase in the potential for erosion,_flooding or drainage (` E-1 " 'j problems? U j. _l l 1.'Will the proposed action create a hazard to environmental resources or human health? Part.3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may,occur",or if there is a need to explain why a particular element of the proposed action may or,will not result in a significant adverse environmental impact,please completeTart 3. Part 3 should,insufficient detail,identify the impact,.including any measures or design elements that have been included by the project sponsor to avoid or'reduce impacts. Part 3 should also explain'how the lead agency determined that the impact. may or will not be significant.Each potential impact should be.assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term.and cumulative impacts, Check this boxafyou have determined,based on the information and analysis above;and any supporEing:documentation, that the proposed action may result in one or more potentially large or significant adverse;impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, ' that the proposed action will not result in any significant adverse environmental impacts. -Town of Southi60-Board of Trustees .. Name of Lead Agency bate 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) PRINT.:..::... P. 4o f 4 age' APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE,FORM The Town of Southold's Code-of Ethics prohibits conflicts of interest on the part of town officers and employees.The puraose of t rm I's Lo provide information which can alert the town of possible conflicts of mtctest and allow jtso take whatever action is necessary to avoid Same. r` YOURNAME: _ Timothy Cloughen tU, �'� s (Last name,first name,.rpiddle 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 l 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 ipterest."Business interest'means a bus'mess, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than,5%of the shares. YES NO . if you answered"YES",complete the balance of this form and date and sign where indicated. \ Name of person employed by the Town of Southold Title br 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 (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 coiporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Subrri tteiihi d / V „ ,••- ;: ;;`._`, Signature Print e 16412x&)- Form TS I tKo;Q � ` wkH ' to Sttfbltt`'Cetrnhi Commrssron bores 8/28/20 ` Board of Trustees Applica ,5n AFFIDAVIT Cynthia Dgheim 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 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. .1 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. Signat a 'f Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS... L ,DAY OF. 20 `S�PTEpF4Dawn Johnson Notary Public,State of New York *; PUBLICa NO O1J��3�9OS3 _ Qualified in Suffolk County Notary oumnlmopP Conannission]Expires 10/11/20 =loard of Trustees, ,Applica. ' )n AFFIDAVIT (7n LAS-e Gx n-} ,�� I�S_ BEING DULY SWORN DEPOSES ANb AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO'INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS o"t g DAY OF , 20 a3 Notary Public BARBARA H.TANDY Notary Public,State Of New York No. 01 TA6086001 Qualified In Suffolk County 5. Toa Commission Expires esPFOM0 ` '1 Board of Trustees Applice -on AUTHORIZATION (Where the.applicant is riot the owner) I/We; Cynthia Dgheim , (cL owners.of the property identified as SCTM# 1000-. -4404 004:. .'. in the town,of Southold ,.New.York,hereby authorizes,,. Timothy Cloughen to act as my agent and handle all necessary work involved with the application.process for permit(s) from the Southold Town � (. BARBARA H.TANDYLi"-� Board of Trustees for this property. Notary Public,State Of New York No. 01 TA6086001 Qualified in Suffolk county Z.7 Commission Expires PropertyO is Si nature PropertyO.wne?s Signature . 41 SWORN TO BEFORE ME THIS DAY OF,.&it. . . ... . DawnJohnson :`NOTARY; Notary Public,State of New Fork >*: PUBLIC `=No O1JC3i9053 Not T . ub11C ,% Qualified in Suffolk County Commission Expires 10/11/20-37q APPLICANUAGENUREPRESENTATM TRANSACTIONAL DISCLOSURE FORM =The Town'oPSouthold's Codi 'of Ethics nroiiiliits conflicts of interest-on the�part of town off cern and emiil6ce§.The numose'of -iNis form o provide informafio►rwliic6 can olert'ttie•town'ofipossi_ :conflicts':ofintcrast`and,allow.al taaake whatever aehan-1s necessary to avoid':same. YOUR NAME:.=Timothy Cloughen (Last name,first name,.rpiddle 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 o Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"OtheC',name the activity.) Do you pei's9jiall"J'-through youn company,sponse,sibling,pare t,or Afld)aiave a;relutionsiiip,witlfany officer ar i#mpi6yce of the'io%yq'of 9ouNiold? "Relationship"includes:by blood;rijarnage-o-r business n eresL-Business ii�teicst"tncaiis:%�usiness, including a parinersftip;in which the toiyn:vfliczror,emliloyee ha :even°:a partial ownership of(or,employmentby,1_4 pgrporation in which the•toxin officer or employee'owns••pore than�5P/q of the shares. YES NO if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold_ Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 9& of, Q�•� _'�k�. . Signature Print Name, ' go2 M. ®itANOi Notary Public-State of-:New'York No. 02SRSOIGM Qualified in SuffeW.County / -- Commission Expires-8/2-3/2b'1eN Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME: ;SS: /y- y- 5--. � 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 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: Cynthia M. Dgheim - Taxmap: 44-4-4 NAME: ADDRESS: i Taxmap: 44-2-17 Tax Map: 44-2-18 Tax Map: 44-2-19 Arslanyan Onnik Levin Rachel S Suffolk County Arslanyan Araksi 11220 Soundview Ave 330-Center Dr. 58525 CR 48 Southold, NY 11971 Riverhead NY 11901 Greenport, NY 11944 Tax Map: 44-3-1 Taxmap: 44-4-5.1 Andreadis Katherine SV Greenport LLC Andreadis Nikolas c/o Eagle Pt Hotel Partners ' 15-01 145th PI 372 Court St Fl 2 Whitestone, NY 11357 Brooklyn, NY 11231 STATE OF NEW YORK COUNTY OF SUFFOLK Cynthia M. Dgheim , residing at 58670 County Road 48 Greenport NY 11944 , being duly sworn, deposes and says that on the 5 day of June , 2Q__23 ,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 8801 5th Ave, Brooklyn NY 11209 ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Z Signature f Sworn to before me this _ Day of - 20---1`2 LISA"YpA I Notary Public,State of New York No.01 SY6168200 Notary Public Qualified in Kings Cou ty i My Commission Expires Glenn Goldsmith,President %dFF0t/( Town Hall Annex A.Nicholas Krupski,Vice President „�� Gym 54375 Route 25 Eric Sepenoski o ` P.O.Box 1179 Liz Gillooly o Southold,NY 11971 Elizabeth Peeples 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 CYNTHIA DGHEIM COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING . DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ONEIGHTH DAY OR LATER I, p 1%lidfl4hliq /wry) , residing at/dba S76 70 aoi4Ae4/ q8 Ny being duly sworn, depose and say: 441 That on the � day of 9slelk— , 2C& , I personally posted the property known as o /QC/ LI-P by placing the Board of Tilustees official noticing poster where it can easily be seen fro 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,June 14,2023. Dated: tS� e� �- -3 (sig e) Sworn to before me this '/-day o 20 41� LISA kSYPA Notary Public,State of New York K�;L, No.01 SY6168200 Gtualified in Kings Coun Notary Public My Commission Expires COMPLETECOMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X 13Agent so that we can return the card to you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. Recce* ed by Pr' t Name) C. Date of Delivery or on the front if space permits. vC 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes 5c/ �4 I k— n n If YES,enter delivery address below: ❑No 95 0 A7 ekkew IV V/ 3. 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Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery ❑Insued Mail ❑Insured Mail Restricted Delivery (over$500) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt y,, 'U.S. Postal Service U.S. Postal Servicem l CERTIFIED, , oRECEIPTCERTIFIED MAILP RECEIPT Domestic Mail,Only Er I. • ru ru a ru Wh i 7r s -LL3 � . 3: �€ y€ 3''', f 2' ti €>:• y- Certified Mail Fee $4.101 la n 9 c Certified Mail Fee $4 .- a .1 _ h�� '�yf� J rl l rq $ ^G ��( ( rU Extra Services&Fees(check box,add .mate) ``l (�. rl- Extra Services&Fees(check box,add fee ¢w� p ,r� ❑Return Receipt(hardcopy) $ fly?f!!t v� �f') I Return Receipt(hardcopy) $ Q ❑Return Receipt(electronic) $ 1 I Illk' Q ❑Return Receipt(electronic) $ �,47Jj p PostrkZ. 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OWNER(S) OF RECORD: CYNTHIA DGHEIM SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing two-story dwelling with a 918sq.ft. footprint and 97sq.ft. concrete covered porch; as-built ±3' to 4' wide concrete slab/walk surrounding the perimeter of the dwelling; as-built vegetation and tree clearing on the property; and to install a split-rail fence landward of the area of freshwater wetlands on the property. Located: 58670 County Road 48, Greenport. SCTM# 1000-44-4-4 TIME & DATE OF PUBLIC HEARING: Wednesday, June 14, 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 Town of Southold ] WRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants 1for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Water&ont 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 secl`addo—h..:w ll 1!b .evaluated..:as_..t -..its -sr cant "beneficwTI&Mve96 efFecU u `onAie.coastal area which`neludes` ill.of Southold"I`o°vt ii` 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: g.Wth.s'up o :a ..nnd suortin :fa+cts. If an action cannot be certified as consistent with the',WRP policy standards and conditions,it sltalX.not lae udideitalcen. 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# . 04 ,; -_ 004 PROJECT NAME.._ Maintain concrete walk and CO for existing house 47 The Application has been submitted to(check appropriate response): Town Board El Planning BoardF ] Building Dept. 0 Board of Trustees 1. Category of Town.of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency.(e.g. capital El construction,planning activity,agency regulation,.land transaction) (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval,license,certification: x, Nature and extent of action: Maintain concrete walk 570 SF and obtain CO for house 918 sf , Wood covered porch 97 sf concrete..rear.steps..6 sf..Proposed split,rail.fencesouth.side . Location of action: 58670 North Road, Greenport, NY 11944 . ...... . Site acreage: 0.95 Present land use: 1 family residence Present zoning classification: R80 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: Timothy ...... Cloughe.n , ... 3 Manorview Way, Manorville NY 11949 (b) Mailing address: (c) Telephone number: Area Code O 6317255-7845 Will the,action be directly undertaken,require funding, or approval by a state or.federal agency? Yes U No.D. If yes,which state or federal cricy 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. :DEYELOPUD 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 LJ No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve. historic and archaeological resources. of the Town of Southold. See LWRP Section JR. Pages 3 through 6.for evaluation criteria Yes,E]. No l..^J Not.A hcable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect,scenic,resources throughout. the Town of Southold. See 'LWR.P Section HI.—Policies Pages 6 through 7 for evaluation criteria E Yesi'Ej Wo Fx_1 Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. -Minimize Ioss of life, structures, and natural resources from flooding and erosion. See LWRP Section III Policies Pages 8 through 16 for evaluation criteria :Yes 11 No 0 Not Applicable .Attach additional sheets if necessary Policy 5. `Protect and improve water quality and supply in the Town of,Southold. See LWRP Section:III —PoliciesPages 16 through'21 for evaluation criteria Yes No ❑x 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 HI:—Policies;Pages:22 through 32 for evaluation criteria. 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 ...No Not Applicable Attach additional sheets ifnecessary 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.Q-Yes L..INo 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. i Noa Not,Applicable. Attach additional sheets ifnecessary WORKING COAST POLI.--:ES .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. ED:Yes ED No 0 Not Applicable Attach additional sheets if necessary Policy 11. Promote :sustainable use of living marine resources in Long Island Sound, the Pet Estuary and Town waters. See LWRP Section III-Policies; Pages'57 through 62 for evaluation criteria. Yes ;.0. No 0 Not Applicable Attach additional sheets lfii6cissa Policy 12. Protect:agricultural Iands in :the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65`for evaluation criteria. Yes 'C] NOE] Not Applicable 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 0 Not Applicable PREPARED BY Timothy Cloughen TITLE agent DATE 04-21-23