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TR-10430
Glenn Goldsmith, President �f so Town Hall Annex ®� 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax (631) 765-6641 Comm 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 1 st day of construction '/2 constructed Whenect j rocomplete, call for compliance inspection; p BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 10430 DATE: JULY 19,2023 ISSUED TO: MARJORIE GROSS PROPERTY ADDRESS: 2699 LAUREL WAY,LAUREL SCTM# 1000-121-4-12.2 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 July 19, 2023, and in consideration of application fee in the sum of$1250.00 paid by Marjorie Gross 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 existing 193sq.ft.waterfront platform with±3'x5l stair treads and stringers to water and±3'x2.6' landward stair treads and stringers; existing 324sq.ft. waterfront platform with two ladders to water and an upper landward 105sq.ft. platform with 100sq.ft. of stair treads and stringers on easterly side; a 42sq.ft.wood bridge connecting the two p platforms; replace approximately 816sq.ft. of decking and stair surfaces to be re-decked using new 5/4x6" planks fastened with stainless steel fasteners;with the condition of the use of open grate decking; that no treated lumber can be used and no tree removal; and as depicted on the R site plan prepared by Preston Drafting Service,dated April 24,2023 and stamped approved on July 19, 2023. IN WITNESS WHEREOF,,the said BoardofTrustees hereby causes its Corporate Seal to be affixed, and these first above written. presents to be subscribed by a majority of the said Board as of the day and year f ca ........... TERMS AND CONDITIONS The Permittee Marjorie Gross. residing at 2699 Laurel Way Laurel,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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. c Glenn Goldsmith, President ®f S®�� Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly -41C Telephone(631) 765-1892 Elizabeth Peeples � �@ Fax(631) 765-6641 C®UNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 26, 2023 Kathie Gottlieb 25 Schumacher Pond Rd. Barryville, NY 12719 RE: MARJORIE GROSS 2699 LAUREL WAY, LAUREL SCTM# 1000-121-4-12.2 Dear Ms. Gottlieb: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 19, 2023 regarding the above matter: WHEREAS, Kathie Gottlieb on behalf of MARJORIE GROSS 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 May 10, 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 6.1 & 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the use of thru-flow decking and no treated lumber; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 19, 2023, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of MARJORIE GROSS for the existing 193sq.ft. waterfront platform with ±3'x5' stair treads and stringers to water and ±3'x2.6' landward stair treads and stringers; existing 324sq.ft. waterfront platform with two ladders to water and an upper landward 105sq.ft. platform with 100sq.ft. of stair treads and stringers on easterly side; a 42sq.ft. wood bridge connecting the two platforms; replace approximately 816sq.ft. of decking and stair surfaces to'be re-decked using new 5/46" planks fastened with stainless steel fasteners; with the condition of the use of open grate decking; that no treated lumber can be used and no tree removal; and as depicted on the site plan prepared by Preston Drafting Service, dated April 24, 2023 and stamped approved on July 19, 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: $1727.00 VervAruly yours m Glenn Goldsmith President, Board of Trustees GG/dd M,AY 1 0 2023 S. 3 0 42' 85,0, N. 150 58'50"W 17.8' FENCE \110 cd T_ c\j o 04 GAP�A GE PARCEL Z ////// N.23" 12' 50" E 13.0' House SHORE LAUREL LAKE LAUREL LAKE 10" EXISTING 1 PLATFORMS TO BE NOTE: RE-SURFACED SURVEY IS AFTER 1981 SURVEY BY PROPERTY SURVEY 2 RODERICK VAN TUYL P.C. LAUREL, TOWN OF SOUTHOLD SCALE: N.T.S. LOCATION MAP SCALE: N.T.S. 2 "b M/ > - - - - - - - - - - - - - X> SHORELINE /M x Ce) \//\//\//\//\//\i N (2)2XIO 'hb "b N % GIRDERS cl) '0<\ cl (D X X4 P/,\\/ (D -xZ WATER \�/M �10<\�IM\ \Z�/ WATER - V LEVEL0000l-11 I x LEVEL 'Z PLATFORM#1 Kx M lvZ > 1p /> 193 S.F. LAKE LAKE //\//\//\//\/\//\//\//\//\//\//\//\//\//\//\//\//\//\//\/,. . . . \/\,X, x PLATFORM BED BED #3 105 S.F. EXISTING 4 X 4 EXISTING 4 X 4 SUPPORT PILINGS SUPPORT PILINGS lq'�10_7" BOARD OF RUSTEES, TYP. TYP, cv TOWN OF SOUTHOLD 16'61, y_/ STEPS 100 S.F. ELEVATION 1 DATEELEVATION SCALE: 1/4"-V-0" Tauf 1q , zoz- �.�4 SCALE: 1/4"-1'-0 BRIDGE 42 S.F. 7 PLATFORM #2 324 S.F. r .......................... SCOPE OF PROPOSED WORK: 1. REMOVE EXISTING WATERFRONT T.O. SHORELINE PLATFORMS SURFACE BOARDS AND BULKHEAD cl) REPLACE WITH 5/4X6 IPE(SUPPORT .3" S 4 co FRAMING IS TO REMAIN WATER LEVEL UNCHANGED) 1.1. PLATFORM#1-193 S.F. 1.2. BRIDGE-42 S.F. LAKE BED 1.3. PLATFORM#2-324 S.F. 1.4. PLATFORM#3- 105 S.F. -+/- 100 S.F. 1.5. STEPS Xl 2. REBUILD STEPS TO WATER WITH DOCK PLAN 1 EXISTING 4 X 4 MATERIAL SPECIES AS NOTED SCALE: 1/4" l'-O" 1\ -�3 SUPPORT PILINGS ABOVE. TYP. ELEVATION SCALE 1/4"-1'-O" PRESTON DRAFTING PO E30X 252 DATI APPRMM YULAN NY 12792 OF, 0 FOR PERMIT -24-23 SERVICE 6168851021 DOCK IMPROVEMENTS 2699 LAUREL WAY MATTITUCK,N.Y.11952 M"IE owo GENERAL SPECIFICATIONS S-6 Iserol AS NOTED doe No. 121.004 401111 Glenn Goldsmith, President Town Trustees A Nicholas Krupski, Vice-President _ 54375 Route 25 co Eric Sepenoski P.O. Box 1179 Liz Gillooly y.�j ao'� '� Southold, NY 11971 Elizabeth Peeples ' � r Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: MARJORIE GROSS c/o KATHIE GOTTLIEB Please be advised that your application dated May 10, 2023 has been reviewed by this Board at the regular meeting of July 19, 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) - x Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Platform #1 = 193sq. ft. x $3.00 = 579.00 Bridge 42sq.ft. x $3.00 = 126.00 Platform #2 324sq.ft. x $3.00 = 972.00 TOTAL FEES DUE: $1727.00 BY: Glenn Goldsmith, President Board of Trustees ��2(0 t, X.zz"azrL Glenn Goldsmith,PresidentffFCOq Town Hall Annex A.Nicholas Krupski,Vice President �R� 54375 Route 25 Eric Sepenoski y ,? P.O.Box 1179 Liz Gillooly �y • Obi` Southold,NY 11971 Elizabeth Peeples sc Telephone'(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: .1 iZ O_�r Completed in field by: C, Kathie Gottlieb on behalf of MAJORIE GROSS requests a Wetland Permit for the existing 193sq.ft. waterfront platform with ±3'x5' stair treads and stringers to water and ±3'x2.6' landward stair treads and stringers; existing 324sq.ft. waterfront platform with two ladders to water and an upper landward 105sq.ft. platform with 100sq.ft. of stair treads and stringers on easterly side; a 42sq.ft. wood bridge connecting the two platforms; replace approximately 816sq.ft. of decking and stair surfaces to be re-decked using new 5/4x6" ipe planks fastened with stainless steel fasteners. Located: 2699 Laurel Way, Laurel. SCTM# 1000-121-4-12.2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: I/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 w/N. Kru ski �/ E. Sepenoski L. Gillooly ./E. Peeples 7 Ar +�� ,•' � .,u, 7.1•.`_.4 i _''' _ ,�`' 1�;��-,t�`� �/•y�,,�T' _ 'LTi! . . .y� ••� �,j[ a "Y �. ' •tit .••�. ,a,L+� (r;�'� , �4. t :• '` _'�•� ".r .� wow .411 :- �.� �, ani � �� � r_ � 2 ${ /�.,• ._ ��. • I r t- s1 f+ ti � tiS E3 G' 7 / 12 /2023' 1 lit��-' . ` ti r� O(� Glenn Goldsmith,President SIN) UFFCOG Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski y P.O.Box 1179 Liz Gillooly �y • O��h` 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: Kathie Gottlieb on behalf of MAJORIE GROSS requests a Wetland Permit for the existing 193sq.ft. waterfront platform with ±3'x5' stair treads and stringers to water and ±3'x2.6' landward stair treads and stringers; existing 324sq.ft. waterfront platform with two ladders to water and an upper landward 105sq.ft. platform with 100sq.ft. of stair treads and stringers on easterly side; a 42sq.ft. wood bridge connecting the two platforms; replace approximately 816sq.ft. of decking and stair surfaces to be re-decked using new 5/4x6" ipe planks fastened with stainless steel fasteners. Located: 2699 Laurel Way, Laurel. SCTM# 1000-121-4-12.2 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 t1f1AF'. 'Off' P.,Q-0A527"Y PI ` .:o -�_�,� �,� •,'.•.;��� :� , MAY � '�-�,;- :,�_«,�,,.•_,. 0 2023 �';.�!'. rTS�:�'•�• ':y�«'� ' �.�.. - ,. I B6a��.71•T,u5t3F� •� ! �. ��•-��y: "�`, �.. • . F< w�_� . �' •'.gam 'a � ' ' _ j �;� . i Al fj .49 ,a ;�!: .g 1" f� rr1` 65: sha. ri .Gry G�.ilrs Tdx. I .. f. 1 04 `w afA MO �T� O UT �A• ! ADDITION" - RIxED 11ERA ONO AD -' r R .�" M4 +3.'G , '^i? :,�� .r-;•.7s. SURVEY IS A VIOLAYNkJ OF R. SE CT10 7 N Y STATE r•. N z oali rAT `. f_ r C . � I 09 OF THE NEW !i+' EDUCATION LAW 1 • COPT F T 1 V INr FSO NS Ua T a S FY KAP N'7 BEA t t THE LAnro w.rYo�•s L`�:D_.AL OR y if• 1 EM C {OSSLD SEAL_HAL - BE t .,EO • ;P sEd Ih.1 CO`IS'D� A .vE CCFY. . ,p• -S .; •r• GUARAI41E1-S IMICAT'6 HER:vy SHALL RUN ONLY to TNT 0:40H f3r. WH':m MESUAV { - •- ;-•:.,,,�-� '} r�� ,r.. IS IIIIAFLD, A.S OA NIS MpIALF TO "It'. TiTL£CCfAFALY,G JVEn1:tA:?.lAt i.C;zNCY A LENDING INST:TLM'.7 1 USIED H:MN.AbID TO THE ASSIGt4ms CF nlE U.N. .K; INSYF i Tbi:UN.GUARAi•liEES APENOT IRANSFE::AW 1- - l?Y TO ADOMONAI 04STITUTIONS OR SL7BSEOUf .... .. .... .. .... -s_ .uarvt X391 S. 63o 42,50" N. 150 58'50"W 17.8' FENCE Z/ 1101 d o to N N r PARCEL w / o N G / n A M AGE / o N - � Z HOUSE N.23° 12'50"E 13.0' j U / LAUREL SHORE LAKE s LAUREL LAKE 'o 2�4 EXISTING 10�29� PLATFORMS TO BE NOTE: RE-SURFACED SURVEY IS AFTER 1981 SURVEY BY RODERICK VAN TUYL P.C. LAUREL,TOWN OF SOUTHOLD LOCATION MAP 1 PROPERTY SURVEY 2 SCALE: N.T.S. S_2 SCALE: N.T.S. S 2 m ur Rw are PRESTON DRAFTING Y�A°NY 12792 /t l DP 0 FOR PERMIT 42423 SERVICE 5168851021 M AY 1 0 2023 DOCKIMPROVEMENTS 2699 LAUREL WAY MATTITUCK,N.Y.11952 • 0�0 imc Board of knlces opo no. --- LOCATION MAP AND SURVEY S-2 sCME AS NOTED I Joe mm 121.004 \`. SHORELINE PLATFORM#1 193 S.F. \�.� co h % ^ti .� PLATFORM #3 �\ 105 S.F. .� lq,� .co 16=61, \ STEPS+/_ 100 S.F. BRIDGE 42 S.F. PLATFORM #2 \ 324 S.F. fi SCOPE OF PROPOSED WORK: 1. REMOVE EXISTING WATERFRONT PLATFORMS SURFACE BOARDS AND REPLACE WITH 5/4X6 IPE(SUPPORT FRAMING IS TO REMAIN UNCHANGED) 1.1. PLATFORM#1-193 S.F. 1.2. BRIDGE-42 S.F. 1.3. PLATFORM#2-324 S.F. 1.4. PLATFORM#3-105 S.F. 1.5. STEPS-+/-100 S.F. 2 --S - DOCK PLAN 2. REBUILD STEPS TO WATER -1lUIT i,a'� �'- ra_. . �� PRESTON DRAFTING PO BOX 2S2 MATERIAL SPECIES AS NQTED;---�''- .-rT�,ar k SCALE: 1/4°=1'-0" S_3 ABOVE. Ur � o o n YULAN NY 12792 ABOVE. ! €' DP 0 FOR PERMIT 42¢43 SERVICE 5188851021 � I DOCKIMPROVEMENTS 2699 LAUREL WAY MAY 1 0 2023 MATTITUCK,N.Y.11952 DECK PLAN S-3 Board 0. I=z AS NOTED Jim mm 121.004 \ \j\\j j\jj\/j\`\j\�/j�/jam/j�/j\�/j\�/j�//\\�/��/j\�/ fV 2 2 X 10 M /\/i\����/i\/i\/i\����/i\/i\//\\\�\�/i\�/i�/i�//\\�/i\��\�/ /i//i//i//i\/i\\�i//i//i//i\/�\� M GIRDERS - CID \� \ice\\/i\/i\//i\/%\//%/i\��/i\%/i\��/i\�/%� co �\��/%?/%\�%�%\//%i\�/%/ /i\�i��i/`\�i��i�\�i�\��\//��i�\�i/`\�i/`\�i`�i� \�i�\/i��i��i�/�\�, WATER WATER �\�/&</'\x/:\/i\/i\/%��/i\/%/i\/��//\\/%\//i\/i��/i\/i\/i\//�\�/i\\//i\�/i��/��/%�/%�/%�/ i��/`��/i\��/i\\/i\\//%/i\//\�/%/i��/i\\\i��/v i'�/i\�/ice/i\\�/i\\�//\\�/i\�i/; r< \ LEVEL LEVEL / � + LAKE LAKE //\\///\\////\\\////\\\\ \////\\\//�/\\ BED\//\�\/i \ BED \�i/`W/�/V/<i//\�// \ / / /\\\/iiii`\moii`\moi iii`\moi`\�O//\\///K/\\\� \\i\`i\`i\`i\`i\`\`\`\`\`\`\`\\\'`\' \. �/ r / / / / / \�\�\\�\\\\/\\/ \\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\/\\< EXISTING 4 X 4 EXISTING 4 X 4 SUPPORT PILINGS SUPPORT PILINGS TYP. TYP. ELEVATION + ELEVATION 3 SCALE: 1/4"=1'-0' SCALE: 1/4'=1'-0' T.O. SHORELINE BULKHEAD - `e' WATER LEVEL ID LAKE BED //`i/\i/\i/\i/\i/\i/\i/\i/\i/\i/`, �i/\//\i/\i/\� rr/\i/\i/\i/\i/ti �i/\i/\i/\i/\� r�/\i/\i/\i\i/\i/�i/\i/\i/\i/\i/\i/\\i`i\i\i/\� ✓\i/\i\i/\i\i\ ✓\i\i\`i\`i\`i\` �i\`i\`i\\i\`i\`i\` '`i\`i\`i\`i\`i\`i\`� �i\`i\`i\\i\`i\\i\`i\`i\`i\`i\`i\`i\i\\i` EXISTING 4 X 4 IF SUPPORT PILINGS t i<i TYP. moms PRESTON DRAFTING POB-252 MAY 1 0 2023 ! °� �, 51686YULAN NY 12792 f ELEVATION 2 OP 0 FOR PERMIT 4-24.23 SERVICE 5188851021 i 1 DOCKIMPROVEMENTS f SCALE: 1/4•=r-0" s� 2699 LAUREL WAY ! MATTITUCK,N.Y.11952 Baar6 a�Tr�s:sGsTME ELEVATIONS S-4 JWAE AS NOTED Ijw"m 121.004 7 r Q)t M AY 1 0 2023 S. ...... 3042's 85.0, NIS N. 150 58'50"W 17.8' FENCE Z7 It, VI- :r-_ 0 clq C14 C14 ie) G ARAGe PARCEL /House N. 230 12'50" E 13.0' SHORE LAUREL LAKE LAUREL LAKE 10" EXISTING PLATFORMS TO BE NOTE: RE-SURFACED SURVEY IS AFTER 1981 SURVEY BY PROPERTY SURVEY 2 RODERICK VAN TUYL P.C. LAUREL,TOWN OF SOUTHOLD SCALE: N.T.S. LOCATION MAP SCALE: N.T.S. X\% \X SHORELINE /X� FO 0 j C14 (2) 2 X 1 Ce) GIRDERS CD ce) 1771717 X 0 (0 >;�\ " >/X/ WATER '/77777�\// WATER XV �M�71777� X� 0 LEVEL PLATFORM X/ I x 0y\\\ S '0y\� 193 S.F. .1p I LEVEL �\A M/ LAKE #I LAKE x y_/ BED • x 1 1,�l PLATFORM BED Y/\X Xl \0 #3 v x x EXISTING 4 X 4 lq 105 S.F. X, ,� SUPPORT PILINGS 10 EXISTING 4 X 4 SUPPORT PILINGS TYP. co TYP. ry 16,61, STEPS +/- 100 S.F. ELEVATION 1 ELEVATION SCALE: 1/4"-V-0" SCALE: 1/4"-V.0" BRIDGE 42 S.F. PLATFORM #2 324 S.F. SCOPE OF PROPOSED WORK: 1. REMOVE EXISTING WATERFRONT T.O. SHORELINE PLATFORMS SURFACE BOARDS AND BULKHEAD c REPLACE WITH 5/4X6 IPE(SUPPORT co FRAMING IS TO REMAIN WATER LEVEL UNCHANGED) 1.1. PLATFORM#1-193 S.F. 1.2. BRIDGE-42 S.F. LAKE BED 1.3. PLATFORM#2-324 S.F. 1.4. PLATFORM#3- 105 S.F. 1.5. STEPS-+/- 100 S.F. 2. REBUILD STEPS TO WATER WITH DOCK PLAN 1 EXISTING 4 X 4 MATERIAL SPECIES AS NOTED SCALE: 1/4"=V-0" SUPPORT PILINGS ABOVE. TYP. 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Box 1179 54375 State Route 25 ' Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: July 17, 2023 Re: LWRP Coastal Consistency Review for MAJORIE GROSS SCTM# 1000- 1 21 . — LI — �-L• 2 ,, Kathie Gottlieb on behalf of MAJORIE GROSS requests a Wetland Permit for the existing 193sq.ft. waterfront platform with ±3'x5' stair treads and stringers to water and ±3'x2.6' landward stair treads and stringers; existing 324sq.ft. waterfront platform with two ladders to water and an upper landward 105sq.ft. platform with 100sq.ft. of stair treads and stringers on easterly side; a 42sq.ft. wood bridge connecting the two platforms; replace approximately 816sq.ft. of decking and stair surfaces to be re-decked using new 5/4x6" ipe planks fastened with stainless steel fasteners. Located: 2699 Laurel Way, Laurel. SCTM# 1000-121-4-12.2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with LWRP Policy 6 therefore, INCONSISTENT with the LWRP. 6.1. Protect and restore ecological quality throughout the Town of Southold. Although the ecological complexes and individual habitats of Southold continue to support large assemblages of plants and animals, over time, human activity has fragmented, or otherwise impaired many of the significant habitats. The impacts that generally result from the construction of fixed dock structures include: Vegetation (Physical Loss) • Structure placement • Construction practices Qetting) • Chronic shading Wildlife (Physical and Functional loss) • Loss and/or impairment of habitat • Disruption of habits and migration patterns (structure and activity) The materials of the dock decking could be improved to lessen the impact to submerged vegetation. 6.3 Protect and restore tidalandfreshwaterwetianas. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The dock (referred to in the older surveys) is oversized and not compliant with the standards. 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 ,�'%UfFIIt� John G.Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary , P.O.Box 1179 + " Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., July 12, 2023, the following recommendation was made: Moved by Caroline Burghardt, seconded by John Stein, it was RESOLVED to SUPPORT the application of MARJORIE GROSS to replace comprised dock planking with new 5/4 X6" IPE planks fastened with untreated stainless steel fasteners. Located: 2699 Laurel Way, Mattituck. SCTM#121-4-12.2 Inspected by: John Stein, Caroline Burghardt, Maggie Merrill Vote of Council: Ayes: All Motion Carried I Modified Project Description for EC rE, :'+ •i .t TUCK DOCK RESURFACING project M AY 1 6 2023 2699 Laurel Way — Mattituck,NY 11952 The project named Tuck Dock Resurfacing consists of an initial phase wherein—816 square feet total of existing and degraded dock surface planking material (untreated 1"x6" cedar plank) is removed from 2 waterfront platforms (193 and 324 sq. ft) and their connecting bridge (42 sq. ft.), an upper platform to easternmost dock(105 sq. ft.), stair treads above and east of upper platform (-100 sq. ft.) and stair treads and stringers to western dock(52 sq. ft.), all of which locations are noted on survey and dock plan documents provided. All removed materials—cedar planks and metal fasteners—will be carefully and appropriately bagged, loaded and transported to the Southold Transfer Station on the same day of removal or the next nearest open day. New 5/4x6"ipe planks (untreated) fastened with stainless steel fasteners will then be installed by licensed Coastal Contractor Northwood Homes/Joseph S. Gottlieb (permit#0195) as per plans submitted with this application and rendered by Preston Drafting Services. Only surface planking will be removed and replaced as project frame has been deemed suitable and stable for continued use. The square footage of new material installed will be substantially the same as that removed as there are no structural additions/subtractions envisioned for this proj ect. The project Tuck Dock Resurfacing poses a minimal to zero disruptive environmental risk to aforementioned property and its adjacent lake and wetland areas. Affirmed by Kathryn M. Gottlieb (agent) for Marjorie Gross (property owner). May 15, 2023 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION "T^rar Q, cr'-rn/rjj• NAME: ..zbu_•T-TU,n�-G�� ���.G,/�..�_V.i��W I��s�n STATE OF COUNTY OF ¢ses and says that on the � J T ;d a true copy of the Notice set fort] -ie above named persons at the ; ._".s.._�,..�.`��""'"""~sses set opposite the names of said �Y =��" `y-.r_�_-3 ` " " �� ��A" �= s � g- - -ent assessment roll of the Town of 5�.��_� e�-a -=�p _ -- —= =k.._ ��z.. _ �� ,z?ost 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 NOTICE OF HEARING 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: MARJORIE GROSS SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 193sq.ft. waterfront platform with ±3'x5' stair treads and stringers to water and ±3'x2.6' landward stair treads and stringers; existing 324sq.ft. waterfront platform with two ladders to water and an upper landward 105sq.ft. platform with 100sq.ft. of stair treads and stringers on easterly side; a 42sq.ft. wood bridge connecting the two platforms; replace approximately 816sq.ft. of decking and stair surfaces to be re- decked using new 5/4x6" ipe planks fastened with stainless steel fasteners. Located: 2699 Laurel Way, Laurel. SCTM# 1000-121-4-12.2 TIME & DATE OF PUBLIC HEARING: Wednesday, July 19, 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 Glenn Goldsmith,President r �OS�EEOLk Town Hall Annex A.Nicholas Krupski,Vice President f��0 Gym 54375 Route 25 Eric Sepenoski I�o ` P.O.Box 1179 Liz Gillool ; ;# Southold,NY 11971 Y 1`�'y O! Telephone(631)765-1892 Elizabeth Peeples ,,'rfp� $ r Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MARJORIE GROSS 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 SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE THIS FORM ON EIGHTH DAY OR LATER 4� i I, 41 Aie ,residing at/dba being duly sworn, depose and say: That on the l [qday of 5 u� , 20 13 ,I personally posted the property known as a('Pqq cwt;! Oul , �- 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,Julv 19,2023. Dated: (signature) Sworn to before me this day of 19"'20a3 oy Public ,_.._�,�. ... .—.,.,.>u_._._:_.....__....,.�.,,...__,..,y....,.f y JACKIE L.THOMAZ t 1 Notary Public,State of zNew York >11:�I o co' 6A s No.01TH0003257 Qualified In SULLIVAN County I Commission Expires 03!21120 -1 . Q s � Postal c3 CERTIFIED MAIL@ RECEIPT Ir Domestic Mail QnlY m •Mipolai t, a . ru w ia043 Y• 1 •. 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APPLICATION NAME & SCTM#: I" &rro '-6 NAME: ADDRESS: Li Sk/\4 i 0ctn4 -f-P"s o `P� 1 01 X51, -p ie ' ► Nti/ t�� 52-- <lC) -box l `jq, STATE OF NEW YORK COUNTY OF SUFFOLK o , residing at �"'r"Q 'i V ( , being duly sworn, deposes and says that on the 1 l-tl day of20_2�L 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 k'5 `L� �. 3 ,that said Notices were mailed to each of said persons by CERTIFIED MAIVRETURN RECEIPT. Signature Sworn to before me this 7 `� Day of j `J - 20 Tia NICHOLAS E. SIMONCELLI Notary Public, State of New York Qualified in Erie County otar ublic Reg. No. OIS16431483 My Commission Expires April 4, 2026 Glenn Goldsmith,President �o� Ur�� Town Hall Annex A.Nicholas Krupski,Vice President `,`O �r'�,'t 54375 Route 25 P.O.Box 1179 -Eric Sepenoski Southold,New York 11971 Liz Gillooly G ,� Telephone(631) 765-1892 Elizabeth Peeples BOARD OF TOWN TRUSTEES MAY 1 0 2023 TOWN OF SOUTHOLD This Section For Office Use Only Board of Trustees Coastal Erosion Permit Application X Wetland Permit Application Administrative Permit _ Amendment/Transfer/Extension Received Application: -.�.—�eceived Fee: Completed Application: .5 J&P, Incomplete: SEQRA Classification: Type I__ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: v oordination:(date sent): WRP Consistency As,pgssmynt Form Sent: CAC Referral Sent: � $ Date of Inspection: • 2.23 Receipt of CAC Report: __Technical Review:_ Public Hearing Held: --7,l .Z3 Resolution: Owner(s) Legal Name of Property (as shown on Deed): Marjorie Gross Mailing Address: 220 Manhasset Ave., Manhasset, NY 11030 Phone Number: 516-238-5454 Suffolk County Tax Map Number: 1000 - 12100-0400-012002 Property Location: 2699 Laurel Way, Mattituck, NY 11952 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Kathie Gottlieb Mailing Address: 25 Schumacher Pond Rd., Barryville, NY 12719 Phone Number: 516-241-69.15 Email: northwood@frontiemet.net _ loard of Trustees App*1 n GENERAL DATA Land Area(in square feet): 24,829.2 Sg ft Area Zoning: Residential R-80/210; contiguous to Open Space and Rec(protected)and Surface Waters Previous use of property: residential single family dwelling Intended use of property: same _ Covenants and Restrictions on property? ___❑_Yes _E _No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? _❑ _Yes I 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 _Z_No If"Yes", please provide copy of decision. is project re any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date Town of Southold Board of Trustees March 21, 2007; permit#6551 NYSDEC(repair failing retaining wall) completion approval June.12, 2007 I ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_�No_n Yes If yes, provide explanation: Project Description(use attachments if necessary): The project named Tuck Dock Resurfacing consists of an initial phase wherein existing and degraded dock surface materials(untreated cedar plank)are removed from 2 waterfront docks and adjoining bridge of which location is noted on provided survey. All removed materials(Incl.cedar planks,metal fasteners)will be carefully and appropriately bagged,loaded and transported to the Southold Transfer Station on that same day or the(see attchd) ,oard of Trustees Appl& n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: replace significantly compromised dock planking so as to ensure safe water access/dock-based recreation appropriate to single family residential dwelling. Area of wetlands on lot: 0 square feet Percent coverage of lot:.0 % Closest distance between nearest existing structure and upland edge of wetlands: 1 0 feet Closest distance between nearest proposed structure and upland edge of wetlands:�0 feet Does the project involve excavation or filling? LJ No Yes If yes, how much material will be excavated?_ cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): There will be no foreseeable effect on the wetlands due to proposed operations. Proiect description attachment for: Tuck Dock Resurfacing- next nearest open station day. New 5/4x6" ipe planks fastened with untreated stainless steel fasteners will then be installed by licensed Coastal Contractor,Northwood Homes/Joseph S. Gottlieb (permit. # 0195) as per plans submitted with this application and rendered by Preston Drafting Service. The project Tuck Dock Resurfacing poses a minimal to zero disruptive environmental risk to aforementioned property and its adjacent lake and wetland areas, oard of Trustees Appfat ;j AUTHORIZATION (Where the applicant is not the owner) _ UWe, Marjorie R. Gross owners of the property identified as SCTM# 1000-12100-0400-012002, in the town of Southold ,New York,hereby authorizes.Kathryn Gottlieb I 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. Property wner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS . / DAY OF 20 3 �1:�z •`Si'EPNt'NM4CGRATIr�..._�.,�_.. Notary Public Notary Public-State of,New York !` N0. 01;b1C6133UG3 Qualified in Suffolk Count v�y Commission Expires QW/r7C card of Trustees Applt` _1 AFFIDANW V l �Yi Yb5 BEING DULY SWORN - DEPOSES AND AFFIRMSMA HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED:PERNIIT(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. 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. Signa a of Property Own Signature of Property Owner. SWORN TOBEFOREME THIS DAY OP 20 --•�---rte,.<����..a;,.:��`"�,-.:.��._ r STEPHEN MCGRATH Notary Public-State of New York Notary Public NO.0iM Suffolk o Qualified in Suffolk Cou My Commission Expires —'' APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURI�FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the cart of town officers and emylovees.The puraose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Gross, Marjorie, R. (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance " Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership-of(or employment by)a corporation in which the town officer or employee owns more than 5%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): _aA)the owner of greater than 5%of the shares of the corporate stock of the appiicsnt � (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 23rd day,of Ma 2o23 SignaiuieL,<g — �►^"�� Print Name Marjori R. Gross Fonn TS I APPLICANT/AGENT/,REPRESENTATAT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics_nrohibits"conflicts of interest on the part of townofficers`and emnlovees.The nuraose of this form is to provide information which can alert the town of possible conflicts of interest and allow"it to take whatever action is necessary to avoid Baine. YOURNAME: Gottlieb, Kathryn, M. (Last name,first name,jpiddle initial,unless you are applying in name of someone else or other entity,such as a company.if so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through-your company,spouse;sibling,parent;or child)have a relationship with any officer or employee of the Town of Southold? "Reiationship"includes by blood,marriage,or business interest."Business interest"means a business, including a,partnership,'in which the town officer or.employce 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 n 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,oir child is(check all that apply): f,A)the owner of greater than 5%of thc.shares of the corporate stock of the applic;tnt ,[ (when.the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the 7Rapplicant is not a corporation); C)an officer,director,partner or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 19th day of N1 . 2o23 Signature_ AA Print Name Kathryn M. o et Foran TS 1 ' APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southoid's Code of Ethics-prohibits conflicts of interest on the part oftown officers and emnlovees.The nuraose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Gross, Marjorie, R. (Last name,first name,-ipiddle initial,unless you are applying in the name of someone else or other entity,such'as a company.If so,indicate the other person's or company's name.) NAME-OF APPLICATION: (Check all that apply.) - Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map• Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood;marriage,or business interest."Business interest"means a business, including a,partnership,in:which the.town officer or employee has even a,partial ownership-of(or employment by)a corporation in which the town officer or employee owns more than 5%(if 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): f2A)the owner of greater than 5%of the shares of the corporate stock of the appii,c#at = (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); _R C)an officer,director,partner or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 8t y of May - .2o23 Signature Print Name Kathryn M. Gooeb Fonn TS I 61Z20 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'I. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;.attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: Tuck Dock Resurfacing Project Location(describe,and attach a location map): 2699 Laurel Way, Mattituck, NY 11952 Brief Description of Proposed Action: A contained-, 2-phase project that involves an initial phase of removal and appropriate dis- posal of degraded, untreated cedar dock planks and used fasteners. New 5/4x6" ipe plank• ing will be installed by a licensed Coastal Contractor using stainless steel fasteners. Name of Applicant or Sponsor: Telephone:5.16-241-6915 Kathryn Gottlieb E-Mail:northwood@frontiemet.net Address: 25 Schumacher Pond Road City/PO: State: Zip Code: Barryville I NY 112719 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 a 1:1may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: 01 . NYS DEC/Freshwater Wetlands Permit 3.a.Total acreage of the site of the proposed action? 0.015 acres b.Total acreage to be physically disturbed? n acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.57 acres 4. CheI land us at occur on,adjoining anpiar the prop9sr4action. Urban L.JRural(non-agriculture) Industrial Commercial @❑Residential(suburban) Forest [:]Agriculture Aquatic QOther(specify): 0Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ✓ F1 * b.Consistent with the adopted comprehensive plan? `/ " IEl 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: a ❑ 8. 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: F]n/a 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: it/a ❑ ❑ 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: _n/a ❑. ❑ 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.- 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 fbet or acres:. 14: ntify the-typic bitat types that oc n,or are likely to be found on 1---loject site. Check all that apply: Shoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ✓ 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, a. Will storm water discharges flow to adjacent properties? E]NO aES n El b.Will storm water discharges be directed to established conveyance systemsan m drains)? If Yes,briefly describe: [1ff 0 �i'ES Page 2 of 4 18.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: � ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: _ ❑ I AFFIRM'THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name:-Katbryn M. Gottlieb Date: May 8, 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 I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"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? ❑ 3. Will the proposed action impair the character or quality of the existing community? El F] 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El 1:1affect 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 a reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? El' 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or 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 E ❑ 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 not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box 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. EICheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Town of Southold MRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building ,Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A_Proposed__action .will, be. evaluated as to its si 'ficant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards.and conditions contained in the consistency - review law. .Thus, each answer must be.explained in details listing both supporting and non-, supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTNW 12100 _0400 _.012002 PROJECT NAME Tuck Dock Resurfacing 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 iransaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: ' A contained,2-phase project initially requiring the removal and appropdate.disposal of degraded ° untreated,cedar dock planks and used fasteners. New 5/4x6"ipe planking will be installed by a licensed Coastal Contractor using stainless steel fasteners. Location of action: 2699 Laurel Way, Mattituck, NY 11952 Site acreage: •57 ac Present land use: single family residential dwelling Present zoning classification: residential R-80/210 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: Kathryn Gottlieb (b) Mailing address: 25 Schumacher Pond Rd., Barryville, NY 12719 (c) Telephone number: 5162416915 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0 No❑ If yes,which state or federal agency?NYS DEC 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 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 FV1 Not Applicable 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 ❑ Not Applicable As Laurel Lake is accessible to the public,this action will improve the appearance of a dock structure visible to passersby. 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 Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑'Yes ❑No F Not Applicable Attach additional sheets ifnecessary 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 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. ❑ Ye❑ No 0 Not Applicable 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 J 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 0 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No Ft/-] 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. E]Yes ❑ No❑✓ Not Applicable PREPARED BY Kathryn Gottlieb TITLE project applicant DATE May 8, 2023