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HomeMy WebLinkAboutTR-10394 Glenn Goldsmith, PresidentTown Hall Annex �'� ��54315 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 ® ay® Fax(631) 765-6641 C'ou 11 � 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 1s' day of construction y '/2 constructed `� When project complete, call for compliance inspection, �,gy&,,. _ <gmRR J a - l r�... m A-1.1 .99iP ,',neaR.f!Ot�Pbms'r�'='-'. \::�,emR ,A!! - 110 0__ VER • TV 90J�01''_11 x R BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 10394 DATE: JUNE 14,2023 "` ISSUED TO: D.M.BASILICE REVOCABLE TRUST ..... ...... PROPERTY ADDRESS: 3255 BAY SHORE ROAD,GREENPORT SCTM# 1000-53-6-8 AUTHORIZATION and in Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold 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 D.M. Basilice and subject to the Terms and & Conditions as stated in the Resolution, the Southold Town Board of 'Trustees authorizes andpermits the following: Wetland Permit to remove existing 75long wood bulkhead and dispose of materials offsite; construct a 75 linear foot long vinyl bulkhead in same location with two (2) 10' returns and elevated 18" above existing top of bulkhead; total of new bulkhead to be 95 linear feet; provide approximately 22 cubic yards of clean fill to bring grade of new top of bulkhead; install and perpetually maintain a 10' wide non-turf buffer along the landward side of the new bulkhead and plant with native vegetation or substitute sand or stone; and as depicted on the site plan prepared by M.A.Kimack,dated April 12,2023,and stamped approved on June 14,2023023.. rp , IN WI I NESS WHEREOF,the said Board of Trustees hereby causes 4ts Co orate Seal to be affixedand these presents to be subscribed by a majority of the said Board as of the day and year first above written. CID Fi TERMS AND CONDITIONS The Permittee D M Basilice Rev. Trust 3255 BU Shore Road 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 dues 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 ®� SQ � Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski 8 Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples ® �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 16, 2023 Michael A. Kimack P.O. Box 1047 Southold, NY 11971 RE: D.M. BASILICE REVOCABLE TRUST 3255 BAY SHORE ROAD, GREENPORT SCTM# 1000-53-6-8 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular,meeting held on Wednesday, June 14, 2023 regarding the above matter: WHEREAS, Michael Kimack on behalf of D.M. BASILICE REVOCABLE TRUST 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 24, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of D.M. BASILICE REVOCABLE TRUST to remove existing 75' long wood bulkhead and dispose of materials offsite; construct a 75 linear foot long vinyl bulkhead in same location with two (2) 10' returns and elevated 18" above existing top of bulkhead; total of new bulkhead to be 95 linear feet; provide approximately 22 cubic yards of clean fill to bring grade of new top of bulkhead; install and perpetually maintain a 10' wide non-turf buffer along the landward side of the new bulkhead and plant with native vegetation or substitute sand or stone; and as depicted on the site plan prepared by M.A. Kimack, dated April 12, 2023, and stamped approved on June 14, 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 Ve truly your , Glenn Goldsmith President, Board of Trustees GG:dd 10^DIAM.PILINGS +-2.04 +-2.26 +-2.12 +-2.11 +-2.10 +-1.95 +-1.77 +-1.63 +-1.63 T.6 FT.O.C. 20'WIDE TOP CAP � +10 FT.EI. (NEW) +-1.82 +-2.12 +-1.96 +-1.95 +-1.93 +-1.75 +-1.57 +-1.39 +-1.39 j 10 FT.WIDE NON TURF BUFFER co +- +-1.78 +-1,73 r +8.5 FT.EL.(EXISTING) +-1.59 +-1.98 1.82 +-1.55 +-1.36 +-1.18 +-1.14 ;3"X S"BACK BOARD r FILL AREA SHOREGUARD CL9900 VINYL SHEATHING +-1.37 +-1.84 +-1.68 +-1.62 +-1.53 +-1.34 +-1.16 +-0.98 +-0.90 I +-1.15 +-1.70 +-1.55 +-1.45 +-1.32 +-1.14 +-0.96 +-0.78 +-0.66 1"X 14+1-GALV.TIE ROD +2.4 FT.EL MHW +-0.92 +-1.50 +-1.41 +-1.29 +-1.12 +-0.94 +-0.76 +-0.57 +-0.41 +&A FT.EL. i 0 +- - +-0.37 +-0.1 8'DIAM.DEADMAN +-0.70 +-1,28 +-1,27 +-1.10 ,92 + 0 .74 +-0.55 iui 6 FT.O.C. +-0.42 +-0.34 -0.48 -0,73 -0.56 -0.40 -0 NOTE:HELICALS MAY BE SUBSTITUTED FOR i j 0.00 FT.EL.MLW \/ I SUPPORT SYSTEM ' +0.36 +0.22 +0.1 +0.25 +0.48 +0.71 +0.85 + / /\/ I 8'DIAM.DEADMAN j WHALER I CON-T) +1.33 +1.08 +0.97 +0.91 +119 +1.42 +1.50 +1.44 + CROSS SECTION : TYPICAL DETAIL MHW (2,4') FOR BULKHEAD & SUPPORT 2 +2.20 +2.10 +2.13 +2.15 +2.09 +2.03 + SCALE:ONE INCH=3 FEET MHW 2.4' 29 30 2 3.4 3.4 3.5 lUr=0.J uT APPROVED'. BY Q"BOARD OF I RUST-EES TOVVh! OF-SO.UTHOLD DATE SuN� 1�{ Zoz3 PROPOSED 75 FT.VINYL BULKHEAD PROPOSED 10 FT.NON TURF BUFFER IN PLACE WI TWO(2) 10 FT.RETURNS RAISED 18'ABOVE EXISTING TOB. - 95 FT.TOTAL BASILISE DM REV. TRUST Df 5 r - 3255 BAYSHORE ROAD,GREENPORT SITE PLAN -- SCALE:1 INCH=20 FT. PROPOSED NEW VINYL BULKHEAD APR 2 4 2023 r WITH NONTURF BUFFER .<, r By: M.A. Kimack Dated 4/12/2023 Glenn Goldsmith, President ��° °y Town Trustees A Nicholas Krupski, Vice-President ti i 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz Gillooly y�j ao�� Southold, NY 11971 Elizabeth Peeples �1 '�` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: D.M. BASILICE REVOCABLE TRUST. c/o MICHAEL KIMACK Please be advised that your application dated April 24, 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. Revised Plans for proposed project— SILT FENCE Inspection Fee ($50.00) 1St Day of Construction ($50.00) / %Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 3,23 TOTAL FEES DUE: $_5.0.00 • ?o BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President O\O �,OG Town Hall Annex A.Nicholas Krupski,Vice President �� y< 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 DatelTime: Orli Completed in field by: jr, Michael Kimack on behalf of D.M. BASILICE REVOCABLE TRUST requests a Wetland Permit to remove existing 75' long wood bulkhead and dispose of materials offsite; construct a 75 linear foot long vinyl bulkhead in same location with two (2) 10' returns and elevated 18" above existing top of bulkhead; total of new bulkhead to be 95 linear feet; provide approximately 22 cubic yards of clean fill to bring grade of new top of bulkhead; install and perpetually maintain a 10' wide non-turf buffer along the landward side of the new bulkhead and plant with native vegetation or substitute sand or stone at owner's discretion. Located: 3255 Bay Shore Road, Greenport. SCTM# 1000-53-6-8 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.: EdikiA r Present Were: G,9pIdsmith N. Krupski E Sepenoski L. Gillooly . Peeples D.M.Basilice Revocable Trust - 3255 Bay Shore Road,Greenport SCTM#: 1000-53-6-5 6-7-23 ?~ ma y' .. • .� .1 a .�'� _ - i,� 1 .Ilk. tip .,.Ott.z ti'�.3F; � • ar �•.�r�J�t `���{y/ 1 �� ���� / tel! •� `` � � �Y ,� ��, � �'� j '- I•� '� « - 'V! _ +'Y✓�.it\ •,� ..lair`" y• �n' .SIIS._/ ,�� / / ��'� ` tel`_ , � 7J/(/j\+\I-],n( 1w t 1 Glenn Goldsmith,President o\�gUtfQ(,�COG Town Hall Annex A.Nicholas Krupski,Vice President �� yc 54375 Route 25 0 Eric Sepenoski 1' ? P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples �Ol �a' Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: Michael Kimack on behalf of D.M. BASILICE REVOCABLE TRUST requests a Wetland Permit to remove existing 75' long wood bulkhead and dispose of materials offsite; construct a 75 linear foot long vinyl bulkhead in same location with two (2) 10' returns and elevated 18" above existing top of bulkhead; total of new bulkhead to be 95 linear feet; provide approximately 22 cubic yards of clean fill to bring grade of new top of bulkhead; install and perpetually maintain a 10' wide non-turf buffer along the landward side of the new bulkhead and plant with native vegetation or substitute sand or stone at owner's discretion. Located: 3255 Bay Shore Road, Greenport. SCTM# 1000-53-6-8 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 SURVEY OF PROPERTY N A T GREENPORT TO WN OF SO UTHOLD SUFFOLK COUNTY, N. Y. 1000-53-06-08 SCALE. 1'--�20 JANUARY 4, 2010 PL STAKE SET NOVEMBER 3, 2010 (PROP. GARAGE) 6 STAIRS APRIL 29, 2011 (FOUNDATION) °l 56 OCTOBER 22, 2020 Vol V 06 PL STAKE SET y•O3thf �' _..t 9` Th 00 y m APR 2 4 2023 PAVER PATI �� Cc:. y BUILDING 2 PIPE 52 21 BRICK COLUMN 1 FR TIG �0 r PA O ROW OF EVERGREENS N 1 S���E 20 2O0 0 \ y GP f �� J �o� CONI. SEA WALL 7c - .Ne KEY N i4 74L� WALL 1.2'N = OOD ® _ REBAR 1(p � QoRd R ONE � h TIMBER END LINE� O.L. = STAKE 7A . OUT \ ® = TEST HOLE SHOWER '�r® � Oyf 1 � • = PIPE ® = MONUMENT ` VO 5 G Ike. TIMBER END e G�Ro = WETLAND FLAG `?a 9 FEN END G�pGE 0.5'N �., = UTILITY POLE 0 10m 9a�o 0Q\--, GARAGE MN O9GARAGE ` PIPE 5 Vol �$ CERTIFIED TO: ��OF NE_�yr FLOOD ZONE FROM FIRM 36103C0159H x f ME P>. Map Effective Date: September 25, 2009 0cA _ VINCENT BASILICE 0 ( J BAHNA BASILICE J ,a LOT NUMBERS REFER TO "AMENDED MAP A — — t .a,.•c�. PECONIC BAY ESTATES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE AS FILE NO. 1124. ANY ALIERA77ON OR ADDITION TO THIS SURVEY IS A VIOLATION ISLAND VIEW LANE UC. NO. 49618 OF SEC77ON 7209 OF THE NEW YORK STATE' EDUCA770M LAW. P YORS, P.C. EXCEPT AS PER SEC77ON 7209—SUBDMSION 2. ALL AREA= 10,848 SO. FT. (631) 765-5020 FAX (631) 765-1797 CERT7RCA770NS HEREON ARE VAUD FOR THIS MAP AND COPIES P.O. BOX 909 THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED TO TIE LINE 1230 TRAVELER STREET SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 � --416 10"DIAM.PILINGS +-2.04 +-2.26 +-2.12 +-2.11 +-2.10 +-1.95 +-1.77 +-1.63 +-1.63 16 FT.O.C. 20WIDE TOP CAP +10 FT.EI. (NEW) +-1.75 +-1.57 +-1.39 +-1.39 10 FT.WIDE NON TURF BUFFER +-1.82 +-2.12 +-1.96 +-1.95 +-1,93 , - - ------ ly +-1.59 +-1.98 +-1.82 +-1.78 +-1.73 +-1.55 +-1.36 +-1.18 +-1,14 .3^X G"BACK BOARD +8.5 FT.EL.(EXISTING) --- FILL AREA SHOREGUARD CLS960 +-1,37 +-1,84 +-1.68 +-1,62 +-1.53 +-1.34 +-1.16 +-0.96 +-0.90 VINYL SHEATHING i +-1.15 +-1.70 +-1.55 +-1.45 +-1.32 +-1.14 +-0.96 +-0.78 +-0.66 j 1"X 14^+1-GALV.TIE ROD _ +-0.92 +-1.50 +-1.41 +-1.29 +-1.12 +-0,94 +-0.76 +-0.57 +-0.41 +2.4 FT.EL MIM j +3.4 FT.EL. -0.70 0.70 +-1.28 +-1.27 +-1.10 +-0.92 +-0.74 +-0.55 +-0,37 +-0,1 8'DIAM.DEADMAN , 16,8 FT.O.C. -0.42 +-0,34 +-0.48 +-0.73 +-0.56 +-0.40 +-0 NOTE: MAY BE SUBSTITUTEDITUTED FOR 0.00 FT.EL.MLW \/ I SUPPORT SYSTEM +0.36 +0,22 +0.1 +0,25 +0.48 +0.71 +0,95 + /\/ I i'DIAM.DEADMAN +1,33 +1.08 +0.97 +0.91 +1.19 +1.42 +1,50 +1,44 + $�/ WHALER I CONT) CROSS SECTION : TYPICAL DETAIL MHW (2,4') o FOR BULKHEAD A SUPPORT 2 +2.20 +2.10 +2.13 +2.15 +2.09 +2.03 + \ SCALE:ONE INCH=3 FEED MHW 2.4' 29 30 32 3.4 3.4 .3.5 PROPOSED 75 FT.VINYL BULKHEAD PROPOSED 10 FT.NON TURF BUFFER- IN PLACE WI TWO(2) 10 FT.RETURNS RAISED 18^ABOVE EXISTING TOB. 95 FT.TOTAL BASILISE DM REV. TRUST 3255 BAYSHORE ROAD,GREENPORT SITE PLAN APR 2 4 2023_]c SCALE:1 INCH=20 FT. PROPOSED NEW VINYL BULKHEAD f_::' , Y WITH NONTURF BUFFER By: M.A. Kimack Dated 4/12/2023 PECONIC BAY 0 10 20 HEIDECKER LAND SURVEYING L I I I I I I 30 nI METERS +-2.71 +-2.68 +-2.61 +-2.60 +-2.59 +-2,56 +-2,38 +-2,37 +-2.36 +-2,36 FEET 0 20 40 60 SO = +-2,49 +-2,54 +-2,45 +-2,44 +-2,43 +-2,36 +-2,18 +-2,12 +-2,12 GRAPHIC SCALE 1" 20' +-2.26 +-2.40 +-2.28 +-2.27 +-2.26 +-2.16 +-1.97 +-1.88 +-1.88 +-2,04 +-2.26 +-2,12 +-2.11 +-2,10 +-1.95 +-1,77 +-1.63 +-1.63 7 e n +-1.82 +-2.12 +-1.96 +-1.95 +-1.93 +-1,75 +-1.57 +-1.39 +-1.39 ! APR 2 4 2023 `r c +-1,59 +-1,98 +-1,82 +-1,78 +-1.73 +-1,55 +-1,36 +-1,18 +-1,14 +-1,37 +-1,84 —1.68 —1.62 —1.53 —1,34 —1,16 —0.98 +-0,90 NOTES +—1,15 +—1,70 —1.55 —1,45 —1.32 —1.14 —0.96 —0.78 —0,66 1. FIELD WORK WAS CONDUCTED SEPTEMBER, 2022 BY HEIDECKER LAND SURVEYING, PLLC AND ALL MEASUREMENTS WERE TAKEN ON THE GROUND. +-0.92 +-1.50 +-1.41 +-1,29 +-1,12 +-0,94 +-0,76 +-0.57 +-0,41 2. NORTH ARROW IS BASED UPON GPS OBSERVATIONS CONDUCTED BY HEIDECKER LAND SURVEYING, PLLC. 3. ELEVATIONS SHOWN REFERENCE MEAN LOW +—0,70 +—1.28 +—1.27 +—1.10 +—0.92 +—0.74 +—0.55 +—0.37 +—0.1 WATER (MLW) VERTICAL DATUM. MLw c +-0.42 +-0.34 +-0.48 +-0,73 +-0.56 +-0.40 +-0 + / +0.36 +0.22 +0.1 +0,25 +0.48 +0,71 +0.85 + , \/ +1.33 +1.08 +0.97 +0.91 +1.19 +1.42 +1.50 +1.44 + g\\/ MHW (2.4') \�\ `SOF NEw +2.20 +2,10 +2.13 +2.15 +2,09 +2.03 +I 29 3.13 3.2 GRAVEL WOOD BULKHEAD TOP=8.5' GRAVEL Al, 050-7�oj ,J4� F� LAND S'F SECTION 563—BLOCK 6—LOT 8 �� O /J Unauthorized alteration or 7�/j�/ addition to this survey is a *REVISED ON 12/1/2022 TO CORRECT SCALE BAR violation of section 7209,New JOHN G D HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 050719 DATE- State 2, of the New York State Education Law. Copies of BATHYMETRIC SURVEY this survey map not bearing 751 COATES AVENUE the land surveyor's inked or HOLBROOK, NEW YORK 11741 SEPTEMBER 14, 202 SHEET N0. embossed seal shall not be SECTION 563-BLOCK 6-TAX LOT 8 1 of 1 DRA considered to be a valid copy. (631)-772-9604 WN BY: B.M. PROJ. N0. CHK BY: J.H. 3255 BAY SHORE ROAD 22HLs63 jheidecker®heideckerls.com TOWN OF SOUTHOLD CAD FILE: SCALE: 1"= 20' SLTFFQJ K COUNTY- NFW VnPV 9?14s=m,nwc _ PECONIC BAY HEIDECKER I +-2.71 +-2.68 +-2.61 +-2.60 +-2.59 +-2.56 +-2,38 +-2.37 +-2.36 +-2.36 +-2,49 +-2.54 '+-2.45 +-2.44 +-2.43 +-2.36 +-2.18 +-2.12 +-2.12 +-2.26 +-2.40 +-2,28 +-2.27 +-2,26 +-2,16 +-1.97 +-1.88 +-1,88 +-2.04 +-2.26 +-2.12 +-2.11 +-2.10 +-1.95 +-1.77 +-1.63 +-1.63 +-1.82 +-2,12 +-1.96 +-1.95 +-1.93 +-1.75 +-1.57 +-1.39 +-1.39 1,59 +-1.98 +-1,82 +-1.78 +-1.73 +-1.55 +-1.36 +-1.18 +-1.14 +-1,37 +-1.84 +-1.68 +-1.62 +-1.53 +-1.34 +-1.16 +-0.96 +-0.90 +-1.15 +-1.70 +-1.55 +-1.45 +-1.32 +-1.14 +-0.96 +-0,78 +-0.66 +-0.92 +-1.50 +-1.41 +-1.29 +-1.12 +-0.94 +-0.76 +-0.57 +-0.41 +-0.70 +-1.28 +-1.27 -1,10 +-0.92 +-0.74 +-0.55 +-0.37 +-0,1/ /\\\/ -0.42 +-0.34 +-0.48 -0.73 +-0,56 +-0.40 +-0 + \\/\\ +0.36 +0,22 +0.1 +13,25 +0.48 +0.71 + .B5 + +1.33 +1,08 +0.97 +091 -1.19 +1.42 +1.50 +1,44 + MHW (2.4) \ +2.20 +2,10 +2.13 +2.15 + +2.03 + MHW 3.4 3.4 3.8 .6 3.8 is GRAVEL WOOD BULKHEAD TOP=8.5' GRAVEL SECTION 563-BLOCK 6-LOT B Unauthorized alteration or addition to this survey is a violation of section 7209, J0 subdivision 2, of the New York 75 State Education Law. Copies of this survey map not bearing HC the land surveyor's inked or embossed seal shall not be (6• considered to be a valid copy. jhc .ice` �.n � • • '�''�4.l.�/ fir»'AA -R m Mbasilice Residence _ Taken Oct.30,2022 Looking ESE r. S _ _ i+�..._=���►�. i +ter . sea Y -w. �v y ws .► IV It �; Z'ti f �� � � � 5 r -day l ' x.��:� •, ':R`�r.�. t A&, {2)Basilice Residence �� Taken Oct. 30,2022 Looking North � '��lY .Y rtss - _._`yam► __ter" _ �'_' Axl!", - "+ � •• - '!. , .�. ,:-.. -z. ;,,.-_' �. .` - 4,,�� it � $ �' 0 n 1 O •� a �, (3)Basilice'Residence , Taken Oct.30,2022 w Looking NE A •I�, �f 1, ` (4)Basilice Residence Taken Oct. 30,2022 Looking SE w A4 a -Sw- .r-rD.rgs.,i' r. •i.�_ ,". 4'r'� �:t� :";T:� t.i �.�, 1r • X, TT 07 4j Se.� r '� :!G'/K;T,,7L.�S �4i'f t_ '•t!�L.A.�1 'L.'�`� r Ali�,��` J� iO�'•ar', i►�`."r. " . �� a ._ (5)Basilice Residence j Taken Oct. 30,2022 Looking NNW a i %* Aft i (6)Basilice Residence Taken Oct. 30, 2022 A. �� a.�t�, f.� ) � ���p �' Looking WNW w.� +�- 7 _ r -yr �J ��i}iTIS. tiw - �, ^� � �1 .a r• {lf •�r� =�y'�• ^� '�••iyy�--_ ~'tet." yt:., _ •• �� •*�• : �;*� ��� .- ''��� .,.M�2f0�221'10l 30 07 56 - oft �w .. �� . - _:.• •. : h _:QCs r ••� - Taken.. '� Looking NNW w Taken Oct. 30,2022 Looking SSE J tt� t i' i Basilice Residence Legend Write a description for your map. 3255 Bay Shore Rd VA, 4 -T. "011 Untitled Map Legend BASILICE RESIDENCE 3255 Bay Shore Rd 1 044 �i� gat' w:`�'�.. 'S'�.�: � _ "� �1�•._ •. M INV ~h 1Y i'rr ,'� ,�,;... �'•.`R`. 'jl. :' � � .��� �vim' _��# t � x a ,aa, o3 1 n.0, vK•/ A� f 't^.v,,....j MHTCN. LINE }'. 1Nc, • aEQRt SSE r�io 3'W'X03 o- tP1101 � fi' Q �BourN0.G,.yy •,a.. ..a4M. ," �. O'i aP05 ri $ P,�Y/ f-OR Aft.. ama, - couNrraG WGGnIt _ nu � �-0�a�a rowp.a swrNan , s roan oG sou,Nuw ., � $ ;„ Ir VA o-1 z � �-�,k..: aa� ♦, K t HW �-�.„ao n 1P z a rrr;' ! J1 rovm oG 0136 a `7 !• 4 °V�,,' j �h w. 'rs ^: ss is. � O , 'sd ')+ •� ,, .. � i � � b1o,p�,,,,^> r •.�- ,"fit� . ss't'> o'ys� A o q , rb s/f� pS ,' y r•, x .� Y h�..fy .ate, V. �`.,.y� ,�/,y,.. �a'f'�,yy./'.a .4, yy`. �`G �. � y t•..�, t'aycgy"yt 4 _ �' y a12, MaA(G) `5. •`'Y���s S "O �b !. i T.S <'�'y S �•9 <iS .f� �P' fi a9'.# ._ � ��,J•P 41 r,S 2.1 —, COUNTY OF SUFFOLK�0 notes Ems_ _ --• _ �� eU _.....�. —�. ..,10- $ I:eal Rap<rry T-Bernce Agency W _ - osa .«rw or r S wp9ov iu 9NrE/c,Bcv OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 " 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 13, 2023 Re: LWRP Coastal Consistency Review for D.M. BASILICE REVOCABLE TRUST SCTM# 1000-53-6-8 Michael Kimack on behalf of D.M. BASILICE REVOCABLE TRUST requests a Wetland Permit to remove existing 75' long wood bulkhead and dispose of materials offsite,construct a 75 linear foot long vinyl bulkhead in same location with two(2) 10' returns and elevated 18"above existing top of bulkhead, total of new bulkhead to be 05 linear feet;: provide approximately 22 cubic yards of clean fill to bring grade of new top of bulkhead; install and perpetually maintain a 10'wide non-turf buffer along the landward side of the new bulkhead and plant with native vegetation or substitute sand or stone at owner's discretion. Located: 3255 Bay Shore Road, Greenport. SCTM# 1000-53-6-8 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 action is CONSISTENT with LWRP Policy 6.3 and, therefore, CONSISTENT 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 %%3f FDt4r ea John G.Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary r P.O.Box 1179 i Southold,NY 11971 r►` 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 Maggie Merrill, seconded by Shannon Wright, it was RESOLVED to SUPPORT the application of BASILICE DM REV. TRUST to remove existing wood bulkhead (75 If.) and dispose of material offsite. Construct 75 If. of new vinyl bulkhead in same location with two (2) 10' returns. New bulkhead to be elevated 18" above existing top of bulkhead. Total new bulkhead will be 95 If. Provide approx. 22 cy. of clean fill to bring grade to new top of bulkhead. Furnish 10' non-turf buffer landward of new bulkhead. Plant with permissible vegetation or substitute sand or stone at the owner's discretion. Located: 3255 Bayshore Rd., Greenport. SCTM#53-6-8 Inspected by: Maggie Merrill, Shannon Wright The CAC Supports the application with a 10' non-turf buffer planted with native vegetation. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President Town Hall Annex A. Nicholas Krupski,Vice President , 54375 Route 25 '� `' �f P.O.Box 1179 s k:. t, �,. , John M. Bredeme er III + ``� � `$��`1�� Southold New York 11971 Michael J.Domino • c ;`±�' 1� �. � 5 Telephone(631) 765-1892 "° ."� 1'a Fax(631) 765-6641 Greg Williamsa , R(��( �.r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application- Wetland Permit Application f ` APE 2 4 2023 Administrative Permit Amendment/Transfer/Extension Received Application: 27 23 Received Fee: $- 125170. —' - ------ Completed Application: 3 Incomplete: SEORA Classification: Type I Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): K LWRP Consistency Asse sm nt Form Sent: j a _ --X/Date AC Referral Sent: a� �3 of Inspection: 7 2 ro R I s r o K Receipt of CAC Report: Technical Review: I f Public Hearing Held: . 40•/ .Z M o sio Ex o, o__ Resolution: Owner(s) Legal Name of Property (as shown on Deed): BArU&l CZ bM ill t'-QU Mailing Address: rl Z Hpyz'.e�y '0'e AL 80 Phone Number: -0- 22 7 6, Suffolk County Tax Map Number: 1000 - '5,9- L06- a tq _ Property Location: �2; 5 )3,4YJWDR.2r ,�1> &Z6E V8LZ1Q/r-/(l Y (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): R/ C/ 014-1- . /¢ kz�rl—z Mailing Address: ,e-0e GSC /Qq:Z f'6 U714 OLS A/-Y ll ?7l Phone Number: 6-14 64'8- 6807 Email: Hk1N1W&;2 . 1&EkZZC AQV,-""r- Board of Trustees Application GENERAL DATA Land Area(in square feet): Zo, ��8 Area Zoning: 4 Previous use of property: /P, "/AL DNE jF4& Intended use of property: j5X1 E&- Z7 1— dN,if- -4E4 1-114 Covenants and Restrictions on property? Yes _No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes `�( No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes 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 — No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date M42 O. d 6 6--Q- VZ 26 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 51� No Yes If yes, provide explanation: Project Description(use attachments if necessary): fj S' Ql�1 D� r/JLL OWZAd(9 Basilice DM Rev. Trust: Project Description Remove existing wood bulkhead ( 75 LF) and dispose of material offsite. Construct 75 lin ft. of new vinyl bulkhead in same location with two (2) ten (10) ft. returns. New bulkhead to be elevated 18 " above existing top of bulkhead. Total new bulkhead will be 95 LF. Provide approx. 22 cu. yds. of clean fill to bring grade to new top of bulkhead. Furnish ten (10 ) ft. non turf buffer landward of new bulkhead. Plant with permissible vegetation or substitute sand or stone at the owner's discretion. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: CA'S ji5, Je T AIASP Area of wetlands on lot: C7 square feet Percent coverage of lot: O % Closest distance between nearest existing structure and upland edge of wetlands: 446 feet Closest distance between nearest proposed structure and upland edge of wetlands: 20 feet Does the project involve excavation or filling? No X Yes If yes,how much material will be excavated? cubic yards 7 — How much material will be filled? �,37 cubic yards 7 Depth of which material will be removed or deposited: feet ! — Proposed slope throughout the area of operations: < 7o Manner in which material will be removed or deposited: yi�C�yO� AA1V A�RQ NT ieM,0 40- -k5e 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): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing. Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part.l. 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: Project Location(describe,and attach a location map): Y9 RAP" Brief Description of Proposed Action: J',E �i�s'C�PI PT-!ON �l1LC o%t/�r!/G Name of Applicant or Sponsor: Telephon _ 6 G 7 Address: 90- 90)e 1647 City/PO: State: Zip Code: P/1 VzN D 4.4; /! ?/ I.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 {u may be affected in the municipality and proceed to Part 2. 1 f no,continue to question 2. AA-- 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: A/YSP,t- c 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? Q mm acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2_z4Racres 4. Check all land uses that occur on,adjoining and near the proposed action. E]Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial 14 Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 ol'4 Basilice DM Rev. Trust: Project Description Remove existing wood bulkhead ( 75 LF) and dispose of material offsite. Construct 75 lin ft. of new vinyl bulkhead in same location with two (2) ten (10) ft-. returns. New-bulkhead to be elevated 18 " above existing top of bulkhead. Total new bulkhead will be 95 LF. Provide approx. 22 cu. yds. of clean fill to bring grade to new top of bulkhead. Furnish ten (10 ) ft. non turf buffer landward of new bulkhead. Plant with permissible vegetation or substitute sand or stone at the owner's discretion. 5. Is the proposed action, NO YES �N/A a.A permitted use under the zoning regulations? ❑ X Q b.Consistent with the adopted comprehensive plan? ❑ El 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: _ � F-1 3. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies- ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: _A/A �J'( ❑ 11.Will the proposed action connect to existing wastewater utilities? 11NO YES If No,describe method for providing wastewater treatment:„ Q(f� _ X ❑ ........................... ......... ............................................... 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? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? {�' ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. ratify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Id7Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban %Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? NZ1 ❑ 16.Is the project site located in the 100 year floodplain? NO YES 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 now to adjacent properties? ❑NO ❑YES ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO DYES Page 2 of 4 1 S.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size; ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe:r _n 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: VN ❑ i AFFIRM THAT THE INFORMATION PROVIDED ABOVE 1S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: / �A: C..� Date: 4� 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 sponsor or otherwise available to the reviewer. When answering the questions tate reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? L__I 3. Will the proposed action impair the character or quality of the existing community? F 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? El 5. Will the proposed action result in an adverse change in the existing level of traffic or Elaffect 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 reasonably available energy conservation or renewable energy opportunities? El 7. Will the proposed action impact existing: a.public/private water supplies? b,public/private wastewater treatment utilities? F-1 0 S. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, F]waterbodies,groundwater,air quality,flora and fauna)? Page 3 o f 4 No,o►• Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? ❑ ❑ 11. 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 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 determined that the impact may or will riot 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. OCheck 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 adverse environmental impacts. Town of Southold-Board of Trustees _............... __._---_..__..___ _-_ -.--._._•._ __ --- -_-.._. -......._.....--..._._-..._....... _ Fame of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer m._............--.__.............. ......._.. ........................................._..............._...._.—.__-__.....__............_......_........._..-----..........._ Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT page 4 of 4 Board of Trustees Application AFFIDAVIT ZoeL1a'72.=f BEING DULY SWORN- DEPOSES WORNDEPOSES AND AFFIRMS THAT HF,/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE.TO THE BEST OF HIS/HEF;KNOWLEDGE AND BELIEF,AND THAT ALI, WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION ANI)AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE: APPLICANT AGREES TO HOLDTHE',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 I-RUSTEES,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 ,D/jiVN.v B,LS/C/c4 )WVS-72 S WORPN' TO BEFORE MF THIS / /-4DAY OF U� _, 20 2 2 Notary Public MICHAELA.KIMACK Notary Public,State of New York No.02KI5056823 Qualified in Nassau County Commission Expires March 11,2026 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) Owe, --- IJAMA/.� owners of the property identified as SCTI\4# 1000-_ in the town of' �R� N�opr New York,hereby authorizes 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. --u- WL 0� 11, -- — Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS !hDAY OF 20 ZZ Notary Public MICHAEL A.KIMACK Notary Public,State of New York No. 02KI5056823 Qualified in Nassau County Commission Expires March 11,2026 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Fthics prohibits conflicts of interest on the Hart of town pf(icers and omplQyecs.The purpose of this fora;is to provide informnlion which can alert the town of'possible conflicts of interest agd allow it to take whatever action is nec•zssnr;Ljn avoid sane. YOURNAME: �/II�S�/L/ 009&N14 (Last name,first name,itiddle 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 -K Change of'Lone Coastal Erosion Approval of plat Mooring Exemption from plater official map _ _._ Planning _ Oth.r (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"mewls a business, incl udin.g a partnership,in which the town officer or employee has even n partial ownership of(or employment by)a corporation in whicli the town oM..er or employee owns more than 5"!0 of the shares. YES NO X� If you answered"YES",complete the balance of this form and date Ind sign where indicated. Name ofperson employed by the Town of Southold Title or position of that person Des.ribethe relationship between yourself(the applicant/agent/repr(,sentative)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 ol'grcater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); E)L'te 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_I }a�y�,o�f 20 - Signature_—btyri"" t Print Name _ �/� _ Form TS I APPLICANT/AGENT/REPRESENTA.TIVE TRANSACTIONAL DISCLOSURE FORM The Town of Soutbold's Code of Ftliies prohibits cati#licf5 of itttetest oli the parGsiftowri taffcers and emnlavees The nuroose�of this form is to provide inf6rmail6ft which can alert"thelown ofgossible conflicts of interest and allow it to take whatever action is necessary toavoid same. YOUR NAME: ISI VA C1G M6 C LL (Last name,first name,qiiddle 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,(orthrough your company,spouse;sibling,parent,or child)have a relatiionship.with:any offccr or employee of the Town:of Southold? "Relationship"includes by blood,sigafriage,,or business;interest."$usiness interest"means a business, including a partrieistiip,:in which the town officer or employce;has even,a partiiil"ownership of(or employment fiy).a corporation in which the town officer.or employee owns more than`5%of the,shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person. Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of thc;shnres of the corporate stock of the appl„imit (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 Zay of -� /L 20 Signature Print Name Form TS 1 r Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL/RECEIPTS APPLICATION NAME NAME: S3- 6 ' g s-3 - 6 - 5-3 -5 3 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 MAILIRETURN RECEIPT. Signature Sworn to before me this Day of . 20 Notary Public Glenn Goldsmith,President SUFFOLA, Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski H z P.O.Box 1179 Liz Gillooly G 4 Southold,NY 11971 Elizabeth Peeples 'y�l 0� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 11 BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of D.M. BASILICE REVOCABLE TRUST 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 ON EIGHTH DAY OR LATER I, 6U L-ZIAZ-L A Al/l`'1,4C1e, residing at/dba p O- gOj%C )D 4 7 SIJ dr.-VOW Al,y. !l YZI being duly sworn, depose and say: That on the�,'ad ,ay of %7V& , 2a-3, I personally posted the property known as 125.5 R y.1 /�L OtO.. G.P�.�iVPORZ_ by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,June 14,2023. Dated: JViN.6 !A7 ZaZ3 (signature) Sworn to before me this , 'day of,,V W 20 23 DIANE DISALVO 4�v/"" NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Notary Public Qualified In Suffolk County My Commission Expires April 30. 20 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: *'Y - 7 �/-�i� 3' VICky v'4 AAs ,f-z 83 eo sr•, 8�zuo Yiv, 5-3_6 _ 9 � '�r ��/,vG lz Lro. 74 �,�O,��w�Y, i o e6 �3-6 - 38,� s5254NHlA'/ 90�J Sy�D ow GC�iV -WAY 9 frE,��v �' v�N ��a�r�'�v �0�0 ,FAY,rhl 944 21 le,= «v. rkvs7_ STATE OF NEW YORK COUNTY OF SUFFOLK , iJ/C/Il��l �CI�.d C�(G , residing at Pa. /SOX 1047 YZV_ WWW XX l f , being duly sworn, deposes and says that on the day of jT U/1/4 , 203 , 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 -PO U -IV 11Zh , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this �h Signature Day of J�U/II,L� , 2029 DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK GID1475593 Notary Public Qualified in Suffolk County My Commission Expires April 30, 202& Postal e o IbERTIFIED oRECEIPT .. r—1 Domestic Mail Only m r 11971 Bro6k;iyn► �Y 11?39 ' U? F - sem, r ^ `d ✓ i t� �i c Certified Mail Feet.1 ci ;, Y 07 ro CertifledMail Fee $4.15 0971 r•1 $ add fesas9PPiq�ate) �' /I]] 1T Extra Services&Fees(check box, p V $ _ $—r�s� �. ,�. ❑Return Receipt(hardcopy) t,l( � � �� Postmark,' Services&Fees(check box,add roe rfp?6 ate) y. $i L.fJU r1 Return Receipt(electronic) $ Here .7 ❑Return Receipt(hardcopy) $ '('� -` ❑ tkll 1111 +•.j'+ i m• e4., t, C] Certified Mall Restricted Delivery $ _ _ t ❑Return Receipt(electronic) $ �J—= '�' .-PAsgq ,.�". ❑ �•t} fIt} 1 � �au� I', '�11 'J{ E•� 1��I � ❑Adult Signature Required $ Certified Mail Restricted Delivery $ � -�tj 1, ( ; I� ❑ '�Lr.r-r V <- "� i ~ Adult Signature Restricted Delivery C3 ❑Adult Signature Required $ �2 ❑ y , ��J.�Jy [ ❑Adult Signature Restricted Delivery$ -� �f'L��.; 0 Postage $1J,6,j .� _06105/21'I2Z' -' O Postage 7 ;�.4T,_.---.-.-`,L:�:f u-1 $ +,,?'; _._Z. ;:t\,r, $ $0.6� � ' m T' t g RE Ltd`■ m Tt 66/65/102 o Brent lin $ Jame �/icky Vavas $ n, 74 Broadway ru S 152 83rd. St. ------------------ y9 r- Amityville, N.Y. 1170 N Brooklyn, N.Y. 11209 --------------I "• :rr Postal ■ s - ® MAIL@ RECEIPT Domestic Only M r-RDomeStiC Mail Only rrl - rruu Gre,d- 7"LuY 1,r941 rti a -D (;� ren ,'L' ,i9 1 01; ( ` Certified Mail Fee tir !r"ili bt -... i a $ X4.1 471 .p Certified Mai(Fee 5 �1971 0" Extra Services&Fees(check box,add lea &p i gi(ete). 07 r-9 $ +' 117 ❑Return Receipt(hardcopy) $ 1+.I-I IJ > Extra Services&Fees(check box,add/ee eaapprpl� t0) , ❑Return Receipt(electronic) $ $0-00 1 Posi ark ❑Return Recelpt(hardcopy) $ Y�CC�r LL�r - El Certified Mail Restricted Delivery $ ' +f-T.UU Postmark- C-3 — Here- ❑Return Receipt(electronle) $ C3 El Adult Signature Required $ t , Lit O 1 IIII Here CC C7 ❑ Certified Mail Restricted Delivery $ []Adult Signature Restricted Delivery$ ❑Adult Signature Required $ ,.�1. III ,` M 5 2023` - �UtV LUG I O Postage c-; E]Adult Signature Restricted Delivery$ Uri $0,63 '• /t4�; o P--•--- $U.63 m ' -�06/_0572023 Ln 9 Sean cKay A.605/�026 " � Stern &� n Zanten"211�REQLiv: Trust 8.13 M ;Tl:y -- _,' Sarah Eras- Benton - = = ru 3080 Bayshore road ru 9031 Shadow Glen Way ---------------•------ d Greenport, N.Y. 11944 C3 Fort Myers, FL. 33913 --------------------- COMPLETE THIS rr ,rr• -- ---- , sECTION ON I-SENDER:COMPLETE THIS SECTION - A. Signature ■ Complete items 1,2,and 3. ��Ul 12Agent ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. g, Received by(Printed Name) C.f at o elivery ■ Attach this card to the back of the mailpiece, _ or on the front if space permits. D. Is delivery address different from item 1? L-1Yes Brent Sterling RE Ltd. If YES,enter delivery address below: ❑No 74 Broadway Amityville, N.Y. 11701 �N Service Type ❑Priority Mail Express® IIIIIIIII IIII IIIIIIIIIIIIII III IIIIIII'll III III ❑Adult Signature ❑Registered Mail" Adult Sign � ature Restricted Delivery ❑Registered Mail Restricted =ri ertified Mai(® Delivery T'q ❑Certified Mai(Restricted Delivery ❑Signature ConfirmationTN 9590 9402 8201 3030 8291 85 ❑Collect on Delivery ❑Signature Confirmation -i Restricted Delivery ❑Collect on Delivery Restricted Delivery 2. Article Number(Transfer from service label) ❑Insured Mail •fail Restricted Delivery 7021 0350 0001 9187 6358 0) Domestic Return Receipt a PS Form 3811,July 2020 PSN 7530-02-000-90b3 --- -ti. NOTIL-:LM OF HL'AIIING 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: D.M. BASILICE REVOCABLE TRUST SUBJECT OF PUBLIC HEARING: For a -Wetland Permit to remove existing 75' long wood bulkhead and dispose of materials offsite; construct a 75 linear foot long vinyl bulkhead in same location with two (2) 10' returns and elevated 18" above existing top of bulkhead; total of new bulkhead to be 95 linear feet; provide approximately 22 cubic yards of clean fill to bring grade of new top of bulkhead; install and perpetually, maintain a 10' wide non-turf buffer along the landward side of the new, bulkhead and plant with native vegetation or , substitute sand or stone at owner's discretion. Located: 3255 Bay Shore Road, Greenport. SCTM# 1000-53-6-8 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 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. Ppoposed action will bei evaluated as to its significant beneficial andadverse 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 Mlain&d in detail,;listing both supporting and non- suoporti dg 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#PROJECTNAME_ 4Q)--;l RjCV 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: Nature and extent of action: Basilice DM Rev. Trust: Project Description Remove existing wood bulkhead ( 75 LF) and dispose of material offsite. Construct 75 lin ft. of new vinyl bulkhead in same location with two (2) ten (10) ft. returns. New bulkhead to be elevated 18 " above existing top of bulkhead. Total new bulkhead will be 95 LF. Provide approx. 22 cu. yds. of clean fill to bring grade to new top of bulkhead. Furnish ten (10 ) ft. non turf buffer landward of new bulkhead. Plant with permissible vegetation or substitute sand or stone at the owner's discretion. f Location of action.:— ,HA Y.I/S oF-,E �� Site acreage: Present land use: ��S'/1��NTI�L ©A1,6 )t5iq M>L Present zoning classification: — 4 a 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: e 961 C4 (b) Mailing address: 2 /y QAI�MR 252 ®R , (c) Telephone number: Area Code (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No If yes, which state or federal'agetzcy? 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 ❑ No ❑ Not Applicable _ AJEW GULL P12) VQ- )T EieO- 1Q1U AND /0.1-1 Ok; ��"/V.E /C/A1 US _ O� �1 C .�1J'T.¢L L O C47 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 ❑ No Z Not Applicable 7-0 WIL-f AFPKZCA770Ad 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 0 Not Applicable 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 S through 16 for evaluation criteria Yes ❑ No ❑ 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 —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ZNot A pllieable C Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable .PQ 4I CY A11A rip 777145 AMUC.4 r/Qit/ 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 ❑ NoNot Applicable Soucy 7717k) 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 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. ❑ YeO No W'Not Applicable E01-ICY 9 N/A YVlS AAPZZC.4T//".) Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III--Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No O Not Applicable All Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—PoIicies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ NoFK7J-' Not Applicable POI/ CV t Z A 727 !S A PPZZ CA 77,Q V 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,1 Not Applicable pn/-/cYl� N A Ta l APP//0,4r,�OZZ PREPARED BY TITLE6 6Q7_ DATE W / ZZg