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Home My WebLink AboutTR-10452 Glenn Goldsmith, President ®� 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 ® y® Fax(631) 765-6641 COUNTI BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed When project complete, call for compliance inspection; TERMS AND CONDITIONS The Permittee Madeline Dostal residing at 540 Lesters Road Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice-,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That�the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will'obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President ®F S0 Town Hall Annex A. Nicholas Kru ski,Vice President ®� ®� 54375 Route 25 p � ® P.O. Box 1179 Eric Sepenoski ! f Southold,New York 11971 Liz Gillooly da � Telephone(631) 765-1892 Elizabeth Peeples � Fax(631) 765-6641 C®Ui�fl,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 1, 2023 Michael A. Kimack P.O. Box 1047 Southold, NY 11971 RE: MADELINE DOSTAL 540 LESTERS ROAD, MATTITUCK SCTM# 1000-114-7-9 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 16, 2023 regarding the above matter: WHEREAS, Michael Kimack on behalf of MADELINE DOSTAL 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 June 5, 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 August 16, 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 MADELINE DOSTAL to remove 209 linear feet of existing wood bulkhead with 6' return and wood staircase; construct a 209 linear foot long vinyl bulkhead in same location and same top elevation with a 10' long return on the westerly property line; backfill new bulkhead with approximately 40 cubic yards of clean fill; establish and perpetually maintain a 10' wide Non-Turf buffer along the landward edge of the bulkhead with one layer of jute (2,090sq.ft.) fastened with 6" spikes and planted with American beach grass one foot on-center; and to install a new 3'x4' staircase in same location as existing; with the condition to establish and. perpetually maintain a 10' wide non-turf buffer landward of top of bank and a non-disturbance buffer seaward of top of bank; and as depicted on the revised site plan prepared by Michael A. Kimack, received on September 1, 2023, and stamped approved on September 1, 2023. Permit to construct and complete project will expire three years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, 0 Glenn Goldsmith President, Board of Trustees GG:dd i 'f''�''' NOTE:INSTAL[.NELICAL SCKEVV AT DISCRETION MA1 / /TUCK CREEK�.j�' ` s� OF CONTRACTOR AS MAY BE NEEDED LW. . • • • • •• A-A _ T X 10"MARINE GRADE TOP BOARD ♦♦ •. V/ W- •'• •. • w _ •3"X8"HACK BOARD . ' • �' •• . BACKFILL WITH CLEAN FILL ' ••• SEA GRASS '• •' • S TO°45W RE 21214 77E LINE MLW PLACE ONE LAYER OF JUTE O 16 �_ • •r. .. .��. �'. . .: . . . . . .,tN. .. . . .• • "• "- EL. """'"�'�"�' VAfJ AM.BEACH GRASS PLANTED M 443 NO , - r -� x6•$6 N'k•#ITf - - - 1 FT.O.C.(TEN FT.NON TURF BtN'FER) HW 7E 7.35 7BH2 NG NG0.42 �t�s7PHYAP 111 �`+'?BL ..26 .2S 75fGEL 3.85 NG '1',77MG 04557NG 4.23 toe 7�TW TBF4AP7.28 '"°�'�x seZxaAR NNW ~ .34-1 TTN .33 ' N i-DIAM.PRESSURE TREATED'+ . MW'10AM 05J�lN23 6.08 ' 8. NQ 6 x 7.34 PR INGS AT i FT,o.0 . D E U NG 11 _� 7.3 8.nb- t- T. 20TOE f!Y 0 g 2 >OF bump t ^ .94 6,92 TWO(2)ROWS OF s-Xs• f OFF w • 20.17 """ � PRESSURE TREATED WHALERS 12 .., T•X 1!FT.+1-GALV-TIE ROD a _.r.. - 78P OF BLUFF+ , AT SDC(0)FT.O.C. ' 9 .' .01 1� �� .2ry T23,31 TOP ?2.48 170P •+a.le MHW TOEVC 10.00. % "' x0 26.41 �V. 4 oQ 25.2 . . . , No 24.9 Kg8 2"9 TQPVO 11.62x _..-- .... ••^ '24-30 4. 2451 T NO DISTUBANCE BUFFER SEAWARD OF , 79 f1P • 2140 TOP r 3( ITOP OF BANK TO NEW BULKHEAD. P • . rOP 64 T ESTABLISHED AFTER AMERICAN BEACH SHOREGUARD SG 480 ' 22. � 13 �� tjO PLANTINGS LANDWARD OF NEW BULKHEAD. VINYL SHEETS , % •�O ,,p %25• U, PERMITTED EXISTING STAIRCASE(S)AND WALKWAY THROUGH • G920•09 7.j.0 1`��•1tr �+� r 83 Nax 4i� AREA TO BULKHEAD NON DISTURBANCE . 0.16 MLW 'o ' { 'Go 22.4( t$ i RS 23 WDpP , ZZ 22 9 .86 � ��¢ 24,E qY •. 8"DIM L PRESSURE TREATED •. orf , 22 x2G 23 vX _�,6�,}� .• �yE_ 24.66 x 28.02 G Ten(10)ft.NON TURF BUFFER DEADMAN®!51X(t)FT:O.C. p 1 G0 �!(� YY�+" N b�LO U� LANDWARD OF TOP OF BANK • �' �,... r DIAM.PRESSURE TREATED ��„• \ RRM 2292 :s .+ 60.Z OEADMAN WHALER (CON?) 2715 Ift CE7INRP 29 68��4 •Y'Nf2E� 0- 0 g G� 24.49 % �` EC2&� 4 24.05 1 STORY �E� . 3 , !Zt OAR 111 20 -- - - •�._ \N ' ��. -__pit)._ ,z.� 2 �� a `�' ,� '`'� -.�.-- •. -------------- , . .._� � �.. ?-vim - ----�»- - -- w.A _...-.._. `6PW"SECTI MI TYPIOAt'DETARL-1- - SCALE:1 INCH-20 FEET PORTION OF SURVEY ' SCALE:1 INCH=20 FEET - OVE+8.82 EL. .+7.23 FT.EL :. - ---- --- - :.. -- --- _ 7.28 EV '1 ,i- i ® 1 ' -- - REPLACE FT.X 4 FT.STAIRCASE BOARD OF ICUSTL f:S IN SAME LOCATION -ADJ.BULKHEAD TOP OF NEw BULKHEAD To MATCH EXISTING WN OF $OUTHOLD . DATE I a20 '. +4.77 FT.EL. +4+43 FT.EL. _... - +0.47 FT.EL. /A5 FT.EL. '• - I - - .• 309 LF e /• _ . _...... ' - i TYPICAL ELEVATION LAYOUT DOSTAL PROPERTY . .' .' • � SCALE- INCH=ZO FEET - _ .. PROPOSED REPLACEMENT OF EXISTING BULKHEAD IN PLACE _ 10 LF RETURN • By:Michael A.Kimack bated:May 22,2023 57 LF 152 LF CERTIFICATION X308 LF I Hereby certify that this is a partial Template of the survey of this property ' . _ ._.V,13_ _ __, _.__- ry _ __ ', by G&A Land Surveyor dated May 4,2423 No details or features whkh bear upon this application have been omitted. t+ SEP A-A TYPICAL BULKHEAD LAYOUT SCALE:1 INCH=30 FEET Michael A.Kimack,AgeM . M 2023 Rev.August 17,2023 Glenn Goldsmith, President ��o �� Town Trustees A Nicholas Krupski, Vice-President y z 54375 Route 25 Eric Sepenoskic '* P.O. Box 1179 Liz Gillooly Southold, NY 11971 Elizabeth Peeples �l '� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: MADELINE DOSTAL c/o MICHAEL A. KIMACK Please be advised that your application dated June 5, 2023 has been reviewed by this Board at the regular meeting of August 16, 2023 and your application has been approved pending the completion of the following items checked off below. xx Revised Plans for proposed project— SILT FENCE Inspection Fee ($50.00) 1st Day of Construction ($50.00) % 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: q•�Z � l TOTAL FEES DUE: $ 50.00I�v� BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President Town Hall Annex O G A.Nicholas Krupski,Vice President a y< 54375 Route 25 Eric Sepenoski N ,?? P.O.Box 1179 Liz Gillooly �y • 0�� Southold,NY 11971 Elizabeth Peeples �hrz � Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: ;�'' e�% Completed infield by: G` Michael Kimack on behalf of MADELINE DOSTAL requests a Wetland Permit to remove 209 linear feet of existing wood bulkhead with 6' return and wood staircase; construct a 209 linear foot long vinyl bulkhead in same location and same top elevation with a 10' long return on the westerly property line; backfill new bulkhead with approximately 40 cubic yards of clean fill; establish and perpetually maintain a 10' wide Non-Turf buffer along the landward edge of the bulkhead with one layer of jute (2,090sq.ft.) fastened with 6" spikes and planted with American beach grass one foot on-center; and to install a new 3'x4' staircase in same location as existing. Located: 540 Lesters Road, Mattituck. SCTM# 1000-114-7-9 Type of area to be impacted: Saltwater Wetland Freshwater Wetland /Sound Bay Part of Town Code proposed work falls under: JChapt. 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.: OR Present Were: ��G. Goldsmith �N. Krupski A Sepenoski L. Gillooly AE. Peeples �. ,'�f_ _ � "tom` 1'_ � ;,;1 '• � �if y JFI = til .� ..- 1. - i � •�r.-, �. � � ' � 111 1 k .�: •!•w1 ` � •• A, r cj vim• s _ . yri r �' .. :firir _ " �• �.I� 1 1 ' . . pr 8% 8 /2023 14 , 05 Iw �S ' ' _ Glenn Goldsmith,President O\va CDS Town Hall Annex A.Nicholas Kru ski Vice President '�� y<'`: 54375 Route 25 p a Eric Sepenoski W T, P.O.Box 1179 Liz Gillooly �y -V Southold,NY 11971 Elizabeth Peeples �Ol 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 MADELINE DOSTAL requests a Wetland Permit to remove 209 linear feet of existing wood bulkhead with 6' return and wood staircase; construct a 209 linear foot long vinyl bulkhead in same location and same top elevation with a 10' long return on the westerly property line; backfill new bulkhead with approximately 40 cubic yards of clean fill; establish and perpetually maintain a 10' wide Non-Turf buffer along the landward edge of the bulkhead with one layer of jute (2,090sq.ft.) fastened with 6" spikes and planted with American beach grass one foot on-center; and to install a new 3'x4' staircase in same location as existing. Located: 540 Lesters Road, Mattituck. SCTM# 1000-114-7-9 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 MAP OF DESCRIBED PROPERTY LOCATED AT MATTITUCK TOWN OF SOUTHOLD, ' c CO. OF SUFFOLK, ST. OF N.Y. SCTM NO. 1000- 114 - 07- 09 JUN - 5 2023 OWNERS:DIETER DOSTAL B :oard of Trustees yP +- SCALE9 20' "_ MADELINE DOSTAL LOT AREA = 31,503.9 S.F. ACRES= 0.72 ^,,' ?s 4 �-• ' S08 9 T�, / a/f � • kc Q _ AC.-ASPHALT rn ,. '961 BK:BRICK POINT rpTfl�11000 w .`,� \ ` r1F</NF BLD:BUILDING p0'ce rC. ;;, 'xx 1Gr946 1' 10.o1r� "s2 O4F�eU</�y CF:CURB FACE <p __ .. _ . 938 r� Fq 0¢s CSE:CRAWL SPACE ENTRY ^= _-„_ 4 p T C^18.14 �,�,�y�'` -_.� -- �.,.,,- TOE OF BLUFF �"�_ r`689 33 T�''/ EREDGE OF PAVING os 15.47 z _ - 8 92 e x ETW.•EDGE OF TRAVELED WAY - _ ' 22.79 f_= 3_cV` -- __ go4 023 r, , EX.=EXISTING N 22.79 '"?2.80 ?„ `� 734 r FD:FLOATING DOCK r 20.09 20 - 22i - - "'��s4 rc� '"`s r '- p 044p- r,-,� x 7. LT:LOW TIDE @ TIME OF SURVEY T O r,21.12 ��122.067; � �- - G7 iso ?5 rF/ n'.^o . Cn 1Z hIc, 7/- 2 42 M.0.:MARK OUT GF 22.41 TO"22.17 - -, _ - _ - _ �� X26.. , NG:NATURAL GROUND n22 5 _ a a. 3 22 �P Z283 '2284 _ --- -_ 14 - 7.g7rC 679 '4 °0.1e?'Ss x T.., . OT. OIL TANK �'' nrPx , - CJ PCC:CONCRETE TOP t. 22.81 t.'T r T BLUFF 67 9 (=PROPOSED) s. ��. 22.91 t;T r ?34p Tc.� 20 __ `- 8? 890�✓ ,7^ l„ G. PWA:PUBLIC WATER AVAILABLE s, ^ N x22.x4 2385E- �� F.,r�o 2430- _ 22 PWF:POST WIRE FENCE •..' x C` 22.85 '�--7,2s 8o V rC,. f<_ '.`( f 24.51 -BR/CK SG:SEA GRASS �• o t, SRF:SPLIT RAIL FENCE SSMH:SEWER MANHOLE o ??e? •WELL : A,y .. __I k...1 f x 25.31 V-_ -, x. _ _ 23.67 ,. zs.ez P'A' r��" 25.81 2542 ?0O1v 23.83 NO x jr�� 25.80 �3 2331 r�;;: r r TBH:TOP OF BULKHEAD �, ur` ?� I_Z't'24.00 r'., t,;v� e,• oo �� ZO C.., 21.19 x G �� !°_..- ati ?Zq OR IBM:TO BE MOVED o xw� \ �; �- ,1, �s o7 2s.ss G �• �� 252a ra 8 x O ry z179 ::- '/ x 25.13 t13 TBR:TO BE REMOVED O �, �, / ,<24.48 _,_,i WooD ..j TC: TOP OF CURB °O C- �� r.,,, r-- zse, = DECK s� TE: TRASH ENCL. c: �.? ��?3 � -?Sr�/, ( - _F 26.94:--),-,'i P�i TG:TOP OF GRATE _ `N 45 40,'-? 2388., . ;, i^ 5- _EXTENDED E,q� TH:TEST HOLE o t ,I� o�RE�o c E. 24.051,;_; x 27.15 _ , 24 ✓ ;:, • 60.2 + .66-.�y_r, TSW.• TOP SEA WALL VN 99"' - TW. TOP OF WALL I I N 1 STOR yF�M J x 2502;; ryy ! ... . U; c, n WIFENCE: WROUGHT IRON �'° x 20.06��' �� ,' �"� � OwELL. E q r Z5 11 NO, 540 lcf` ` a 1 Ur r: �VQI $( •F 23.14 N' � co cA cbv N 19.28 f G,'r Ct �rc" r'c"G -,: hi ? r, ^ ry� iri GAR 99.12 ,- ,: f �: 5 \,.... g6.. 1 N _23'2 48. ^• ' �' 12. 19.88' ^ p9 E�`.t2. 1 ry o 1 yL 20.1 1 Y� a �� :2296 S`-�' ' 23 3g tI ' E'% ``?27 0;f' 24.75,- ~ z�oz Y 2!5.05 PCC,,.� �} x`t ■ =CONC.MONUMENT 16 19.5-. ,r � 1 '';lr t ,.. _ zow 1 ,y16�s.,(j t --,24.22 `E[', 27,p1?;�- f Pt_U 17.23 t - `g _!{ ,20.20 F,:.� xiur ?�`• 3 3 -r �� fi,l , 8 f`_ ;n ' n 2 � `L 9 r�9• �- - e , 4 ? ..I �-`, 245 ` 24.86e" `EiGEgvE-� ) -l� 3� 1. ® 1"IRONP/PE G, •`19 5 C',. 2 1 25.16 E. i - g x Eg f'C'r' \ _O o._ �� 24 4 a.5` - e..r:::,T {�T`A' ti IGG` x rn 20.64^'�,^ F 24.74�? ?4 ,S1 SURVEYED:17 FEB.2023 / RNEp� 4 53 24.65 FG: � REVISION:04 MAY 2023:MLW pVE ' a E 1 F 1 C " F'23 _ C.� / _ O g. �, 6, C GRA 93 - ,.-._.-. _ . �ti / • ^ 20.26 1 \ .�, , s� �. FCC 20.85 t 21.231 _ - VEL pRNE. 399 A rw e_ LJ ' �' l 5 �; $ ELEVATIONS SHOWN HEREON ARE BASED S ,a _ `' <7. ?� ' ?' l vc. UPON MEAN LOW WATER VERTICAL DATUM. 52EST TO RD• �o �`, `V3. As doe o,% ry/ ?3 r:"-- - �Y S� - W O J` F' ^ '" 23.81 O ,4R; / �� SHO'P P 23.52 x 23.76 t,rC NOTE. THIS SURVEY IS NOT FOR TITLE PURPOSES, 21.39 t"-;^ / �� w�1p? 23.75 x 24.28 1 .Y 10.x.-°' 23.96h'F x 24.25 SHu^P 24.11 • 23.60 )A x 24.97 t;-� 73 y v C x QF NE x 2458 t'.? O x25.58 tzr x THE OFFSETS ORDIMENSIONS SHOWN HERONFROMTHE PROPERTYLINES TO 1C,'D 26.6 THE STRUCTURES ARE FOR A SPECIFIC PURPOSE$USE.THEREFORF-THEYARE 0 8 NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON � 0�E OF FENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT. UNAUTHORIZED ALTERATIONS ORADDmONS TO THISSURVEYISA VIOLATION OF LAND SU E -N LIC. 50869 SECTION 7209SUBDN/SON 20 OF THE NEW YORK STATE EDUCA77ONLAW COPIES P.O. BOX 704 RIDGE, NY 11961 OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR ' EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BEA VALID TRUE COPY 631.849.4750 CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM 774E SURVEY IS PREPARED, AND ON THEIR BEHALF TO THE TITLE COMPANY,GOV- ERNMENTAGENCY AND LENDING INSTITUTION LISTED HEREON- CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. NO RESPONSIBILITY IS ASSUMED BY THE UNDERSIGNED FOR ANY SURFACE, SUB- SURFACE,AERIAL EASEMENTS,SUBSURFACE U77UTIES AND/ OR STRUCTURES IN OR OUT OF EASEMENTS IF SO PROVIDED. , NOTE:INSTALL HELICAL SCREWS AT DISCRETION �/4I' V C� CREEK - OF CONTRACTOR AS MAY BE NEEDED MLW - - :• � • • ��_+ A-A �1 •• _2'•X 49-MARINE GRADE TOP BOARD Nil �/• '�. . -�_ �� 3-X 9-BACK BOARD • 41 • ' • . , BACKFILL WITH CLEAN FILL SEA GRASS ' ' • . S?'0°45'50'E 21214 TIE LINE - - - - MLw - PLACE ONE LAYER OF JUTE O 1 E • • .1f f. . •�1 ,t„• . . . . . • • '• r +7.29 FT.EL. "' W1 AM.BEACH GRASS PLANTED 0 • ��x635 NAU1h Tiauo&M 1 FT.O.C.(TEN FT.NON TURF SUFFER) MIgW 4.43 NG X35 7BH2 G NG0.42 „� asz TAY34P 7BH28L 7.26 29 78HE! 3.85 NQ 1.77 NO 0.45 NG G 44 TSH TBHAP 1.28 +"�°'" ass>voAP MHW 7.34 TW 0.23 N - MHWI0AMQ5,lAN23 6.08 8.87 NG NG671* 76H 7.34 TBNAP o N NG7.37 X 79 inos4 8"DIAM.PRESSURE TREATED'. WOODEN BULKHEAD NG8.86 2% NG-111v ' "v,97 TOE •--:- .- •8.60..TOE PILINGS AT 6 FT.O.0 .61 NG x TOE7.90 r TOE 7.67 .20 pE 7bE OF4h MML 7.18" �. -.._ �._ ... �.,. ...-.. -.... S-Q-'1.., -- -- . = r 8.28 - r 'L J _•_.. .� --` 7.94 8.92 TO TOE9.04 10 .--^' '` --'" TWO(2)ROWS OF 8-X8- _ �.-' --- PRESSURE TREATED WHALERS 8 ayyo t+�q� r.. �,�. r "" 20.17 C 20:01 VC �0 �^ TOE BLUFF ^.-'... 2 ,,... ---• `- 4 --- 7VP OF BLUFF AT SIX(6)FT.O C. TIE ROD n. A g 38 TOE - ..--- 1 a '"'" • �'�•.. ~" CMFI)24.23 23,31 TOP 2248 TOP TOEVC 1000 TOE 9.48 01 roE.x _ � _ •r.-- r w .N -- . x ..-•- ''- .- ma""""r 4 8 .r .i / ... `"xTOp +5.08 MHW 20 TOPVC 11.62x �6 4• xT rs3 POS ",..,.,,,, �,,,, ,,, �,,r•�" Z �11.62 -top 24' SO�g6�2y 60 �•� . � 22.80 TS ---' "'`• �,,, ..--- x ..;-. 24. 6 l � 22 79 WIjA r BLUFF 23.40 TOP / 24.30 TOP x 25.31 HG 2206 roP -; "2�84 TOP T� G . SHOREGUARD SG 450 x ZO 23.85 B� 23.60 % x2613 N VINYL SHEETS , x 17 L�, GBZO,�pPZ1'1Z 41 TpP2PQ,�y�ryti0f HTS BRICK 2393 NOx �` : o.00MLw O S1 e� N►QPP xti G ZZ � Z.�15 g�Z3.2,� 6 Z�}Op B �'� �q�/ 8"OIANI.PRESSURE TREATED %22.64 x2G gKAP 23' 18.0 r. 24.66 25,02 I1G DEADMAN O SX(6)FT.o.C. co \ �, `` Ga O .� OE �b�oNUEO` ` 8-DIAM.PRESSURE TREATED FB� 2vojo 6.94 DEADMAN WHALER (CONT.) RRTEL 22.92 2e 60.2 27. 5 O o m T CETWAP r 23 0 EMA* THRE \ 24. 24. NG iNE ry. J 1 _ GB 2119 x ` EC23.4o C• 99 NG 1 S7.ORY F� M m°d 3 p�L - � R GAR ' �p �C•j ^' -..._.-. _ N W 20 \N u' N0. N N 12.4 2k0 ^' •. , - __ �9 r Y � 1 00 5 � CA ,.: --'-tib• `•_,.,.__-.�.....;.� - _ Z6 -4N -' - ,-_- --..-�. - ,r.._.__._:,. �.T_.�__._ _ ._�_. _ ----- __�.._ CROSS SECTION., TYPICAL DETAIL SCALE:1 INCH=20 FEET PORTION OF SURVEY ! SCALE:1 INCH=20 FEET - Et +8.82 EL. +7.23 FT.EL. +7.29 EL. f i - - _ REPLACE 3 FT.X 4 FT.':TAIRCASE -- - -� -- "' IN SAME LOCATION ! ADJ.BULKHEAD TOP OF NEW BULKHEAD TO MATCH EXISTING •> - i UN - 5 2023 i ++045 FT.EL. '+1.77 FT.EL. +4.43 FT.EL. +0.47 FT.EL. {; 209 LF A A --- - -- - _ DOSTAL PROPERTY TYPICAL ELEVATION LAYOUT { SCALE:1 INCH=zo FEET PROPOSED REPLACEMENT OF EXISTING BULKHEAD IN PLACE - 10 LF RETURN By:Michael A.Kimack Dated:May 22,2023 i S7 LF 1S2 LF CERTIFICATION I Hereby certify that this is a partial Template of the survey of this property :209 LF by G&A Land Surveyor dated May 4,2023 No details or features which bear upon this application have been omitted. - TYPICAL BULKHEAD LAYOUT SCALE:1 INCH=20 FEET Michael A.Kimack,Agent, May 22,2023 \ ITSAve CRF Its, ✓-� X26 4 "- �� 6 " a� •r S6jIVG 3839 L 8 _ ��8 0. � 6j��•.. 4 s"0°4s• — — z s i ��A/C 14 ZOO 162:t `-.........,-\.�. 1Op1�D:= \. [� --_ _ 9.38 T" �� P 15.47. TOE OF• F � �8 �� ,r,68 X33'L'; BLUE 6 14. 8.92; D _ TS 2273 � �53'�'%S •� _ - _ __"_"'-- _ 22.80 02 - � 22.79 i✓ ` .94 '?� 7.33 hey 64?a 4 c 9.44,-, - _ r !22.06 r ve�' _ _ �. 7Z YG.-2217 =� - - _ -. _ v2 . 2284 - 4 42 %'JF 797 2281 17 r` T TOP OF BLUFF `� 2291TgcT 1B �_ >.2264 \ / '23 85`'it,� yh, 24 r 2285 —_�_Z _�23 80 _.. 3p BR/C 24.51 . _ `._ ` �• /\ 929 T. K -�. ` 9 WELL :Ji 25.31 `��24.23 ? J� P23 J712162 a;:;,, „,- 25.81 --"2542` - _= -= 21.19 x `?Sy�r^ �ps;24.00 23.83 P:r., :. q 31;�p`�"T8 .,rt:;; 25.80 3 23. 01 16 26.86 .._.o G9D94ZZ Oic 1 ��f W ;` ✓ _°g 2 e9'�' ?�WOOD�a 25.13 div C�'' 25.24 ,VG ; SPECK-"a+; ,26.94x/',., ..-le V k y t w ,rrx r _ r_ IdAft (1)Dostal Property Taken May 15,2023 Looking SE IIIA y 771 a: 1 _ ' ` r (2)Dostal Property Taken May 15,2023 Looking SE a s- _ is• i- +�L 4 77 Iq3)Dostal Property Taken May 15,2023 Looking SE r ,w _ a .t r r . 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'\ T ow _ COUNTY OF SUFFOLK� N NW ICE ate— »,• _ IQ Pwealaperry T D¢rrice Agency W wnnewr m,nn suets v �,y saun,ao J an t-K�a nrt „w 114 aaw,. ——a—— .. :e w e uo .ue gFia n,uamr rvt sgvc,F nvrcr P ,n UA° wuat n ,q Cou To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 10, 2023 Re: LWRP Coastal Consistency Review for MADELINE DOSTAL SCTM# 1000-114-7-9 Michael Kimack on behalf of MADELINE DOSTAL requests a Wetland Permit to remove 209 linear feet of existing wood bulkhead with 6' return and wood staircase; construct a 209 linear foot long vinyl bulkhead in same location and same top elevation with a 10' long return on the westerly property line; backfill new bulkhead with approximately 40 cubic yards of clean fill; establish and perpetually maintain a 10' wide Non-Turf buffer along the landward edge of the bulkhead with one layer of jute (2,090sq.ft.) fastened with 6" spikes and planted with American beach grass one foot on-center; and to install a new 3'x4' staircase in same location as existing. Located: 540 Lesters Road, Mattituck. SCTM# 1000-114-7-9 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 the LWRP. The following should be considered: 1. Minimize impacts on the spartina spp. 2. Minimize disturbance to the vegetated slope. 3. Turbidity controls are recommended. 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 �'�fF 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., August 9, 2023, the following recommendation was made: Moved by Carol Brown, seconded by John Stein, it was RESOLVED to SUPPORT the application of MADELINE DOSTAL to remove 209 If. of existing wood bulkhead with 6' return and wood staircase. Construct a 209 If. vinyl bulkhead (in same location and top elevation) with a 10' return on the westerly property line. Backfill new bulkhead with approx. 40 cy. of clean fill. Establish a 10' non-turf buffer landward of new bulkhead with one layer of jute, 2090 sf, fastened with 6" spikes and planted American Beach Grass 1' OC and install a new TX 4' staircase (12 sf.) in same location. Located: 540 Lester's Road, Mattituck. SCTM#114-7-9 Inspected by: Carol Brown, Maggie Merrill The CAC Supports the application with retractable steps at the base of the staircase, the work is conducted at low-tide, and the buffer behind the bulkhead is retained. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,Presidents Town Hall Annex , 54375 Route 25 A.Nicholas Krupski,Vice President A .` ., � .. �,. P.O. Box 1179 Eric S'eperioski Southold,New York 11971 t ; Liz Gillooly ' e,Z' Telephone(631) 765-1892 Elisabeth Peeples f✓/, �` t Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Seetion'I♦or'Olee Use Only Coastal Erosion Permit Application OF ) r Wetland Permit Application Administrative Permit Amendm entlTransferlExtension JUN - 5 2023 gompleted eceived Application: .eceived Fee:Application: Z3 Board o.Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent):.. X LWRP Consistency.Assessment Form'Sent:, �,�l.lc�-3 X CAC Referral Sent: ?ja-(P� _Date of Inspection: $•8'•23 Receipt of CAC Report:,: Technical Review: X Public Hearing Held._. Resolution: Owner(s) Legal Name of Property (as shown on Deed):, & L! Q DSiri L Mailing Address: d Fk71AYR0jZ 416dLe Phone Number: . Suffolk County Tax Map Number: 1000 Property Location: q� A TT/7ZZCAf N.Y 1/ 5-z (If necessary, provide LILCO.Pole#; distance to cross streets, and location) AGENT (If applicable):'- Mailing pplicable):'Mailing Address:., P_Q AUX' 1047 SD /Y f/9ZZ Phone Number:, 6ZZ6 .6 50- 6 6.d 7 Email.: Cv-( jot Board of Trustees Applin ,ion GENERAL DATA Land Area(in square feet): 1 Area Zoning. ., Previous use of property l_ 6 "H&y Intended use of property;; D/V.e O�F:.Q /y/G 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 )C 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 projectrequire a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes _ ,�C No Does the structure (s) on property have a valid Certificate of Occupancy? _Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation:. Project Description (use attachments if necessary);, - -. DOSTAL PROJECT DESCRIPTION Remove 209 LF of existing wood bulkhead w/6 ft. return and wood staircase. Construct a 209 LF Vinyl Bulkhead ( in same location and same top elevation )with a ten ( 10 ) ft. return on the westerly property line. Backfill new bulkhead with approx. 40 cu. yds. of clean fill. Establish a ten ( 10 )ft. non turf buffer landward of new bulkhead with one layer of jute ( 2090 SF ), fastened with 6" spikes and planted with Am. Beach Grass @ one ( 1 )ft. O. C. Install a new 3 ft. x 4 ft. staircase ( 12 SF ) in the same location Board. of Trustees Appli< ion WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: LVZA16W V/ANL Area of wetlands on lot:. . square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: '7 Closest distance between nearest proposed structure and upland edge of wetlands: - feet Does the project involve excavation or filling? X. No Yes If yes, how much material will be excavated? NOME cubic yards How much material will be filled?- -40 cubic yards �B Depth of which material will be removed or deposited: Z- :5' feet Proposed slope throughout the area of operations: ICZA 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): a ' j6�;r DN 44��'L/�/ ,�s J70651CZE1V7-- 12fs Al 617 20 Appendix B Short Environnzental Assesment Forni Instructions f6r Completing. Part d -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 1. You may.also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1'-Project and Sponsor Information Name of Action or Project: J Project Location(describe,and attach a location map): 1,55Me Brief Description-of Proposed'Action: Za'C2XP71,CAI �GCL DGlJ/�]/G Name of Applicant or Sponsor: Telepah�on �! - a '7 Address: " �. 7 City/PO: State: Zip Code: 1 W Oe /1971 L Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NQ . . YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2.. If no,continue to question 2. 2. Does the proposed action require a permit,approval'or funding from any other governmental 'Agency? NO YES If Yes, list agency(s)name and permit or approval: F ®. Al k5P6C 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? O"(j acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? A0.7Z_Zcres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial gResidential (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify),:; ❑Parkland Page 1 of 4 DOSTAL PROJECT DESCRIPTION Remove 209 LF of existing wood bulkhead w/6 ft. return and wood staircase. Construct a 209 LF Vinyl Bulkhead ( in same location and same top elevation )with a ten ( 10 ) ft. return on the westerly property line. Backfill new bulkhead with approx. 40 cu.yds. of clean fill. Establish a ten ( 10 )ft. non turf buffer landward of new bulkhead with one layer of jute ( 2090 SF ), fastened with 6" spikes and planted with Am. Beach Grass @ one ( 1 )ft. O. C. Install a new 3 ft. x 4 ft. staircase ( 12 SF ) in the same location 5. "Is the proposed action', NO YES '. N/A a.A permitted use under the zoning regulations? nd b.Consistent with the adopted comprehensive plan? 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 doesIt adjoin,a state listed Critical Environmental Area? NO_ YES If Yes,identify:., V1 F 8. a.Will the proposed action result in'a substantial increase in traffic above present levels? NO .. YES. " D b.Are public transportation service(s)available at or near the site of theproposed action? a . c.Are any pedestrian accommodations or bicycle.routes available on or near site of the proposed action? " 9.Doesthe proposed action meet or exceed the state energy-code requirements? NO YES If the proposed action will exceed requirements,describe design features and technolo�s;� ,2r M 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: /01 ILEI ::❑ 11."Will the proposed action connect to existing wasfewater utilities? NO 'YES If No,describe method for providing wastewater treatment: Al LAJ 12, a.Does the site contain a structure taut is Iisted 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: I.". " 14. Identify the typical habitat types that occur on,or are likely to be found'on the project site. Check all that apply: " Shoreline ❑Forest E]Agricultural/grasslands O Early mid-successional Weiland O Urban Ksuburban 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 YES If Yes, a.Will storm water discharges flow to adjacent properties? [-1 NO OYES " b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,.briefly;describe: ONO OYES Page 2 of 4 18.Does the proposed action include construction or'otheractivifies tliai result in the'impoundinent 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:. ---------------- 26.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO XES . completed)for hazardous waste? If Yes,describe: , C AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name:,: .. C' Date: Signature;; Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer•dl of thefoflowing 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 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? a ---------- 2. Will the proposed action result in a change in the use or intensity of Use of land? E a 3. Will the proposed action impair the character or quality of the existing community? _ F l 4. Will the proposed action have an impact on.the environmental characteristics that caused the establishment of a CriticalEnvironmental Area(CGA)? ❑ �: .5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing.infrastructure-for mass transit, biking or walkway? T 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? D �' 7. Will the proposed action impact existing: a,public/private water supplies? f7 El b._publicl/,private wastewater treatment utilities? E1 8. 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, waterbodies;groundwater,air quality,flora and.fauna)? F' 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 problems? a.. 1 l. Will the proposed action create a Hazard to environmental resources or human health? D ❑ Parti-Determination of significance. The.Lead Agency is responsible for the completion of Part 3. For every question in Part Ithat 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 measutes.or design elements that have been included by the projectsponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact mayor will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the_potential for short-tern, long-term and cumulative impacts. Check this box if you have determined;based on the mforrriation and analysis above,'and any supporting docittrtentatioti, that the proposed action may result in one or more potentially large or sign ificant'adverse impacts and an environmental impact statement is required. F1Check this box ifyou 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 Narne of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title ofResponsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer,(if different from Responsible Officer) PRINT� Page 4 of 4 Board of Trustees Appli -.ion AUTHORIZATION (Where the applicant is not the owner) �1-�-� ,E DOLL ,_ ------------------�._.... owners of the property identified as SCTM# 1000-&4— �— 9 in the town of S New York, hereby authorizes & 4 A 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 Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS g DAY OF_ �/(J�f,32 y 20 23 Notary Public MICHAEL A.KIMACK Notary Public,State of New York No.02KIS056823 Qualified in Nassau County Commission Expires March 11,2026 Board of Trustees Applin '-,.ion AFFIDAVIT _ L Al-- BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF ' GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner HA 9361-IMI E SWORN TO BEFORE:ME THIS _ DAY OF .SAV 4( ,4)? . 2023 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 Ethics prohibits conflicts of interest on t e per!of town officer and em I ees,The u PSL..- p W2se of this forni is to Provide information which can alert the town of possible conflic necessary to avoid same. is of iitterest and allow it to take whatever action is YOUR NAME: dd S'T/1/ MQdll/Il� (Last name,first name,.rpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee 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 chile!)have a izlationship 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 6A a corporittion 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,os•child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applic,1111 (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 Submi.ttedtN_j2 day of f 20 Form TSI 3 Signature Print Name Q — APPLICANT/AGENUREPRESENT'ATIVE . TRANSACTIONAL DISCLOSURE FORM :The Town of Southoldts Code of Ethics.prohibits conflicts of interest on the cart oftownrofficers and emaloyees.The nurvose of: this form is to grovide information which can aleft tlie.town of possible conflicts.of interest and allow.it to take;whatever acfion.is necessary to avoidiame: YOUR NAME: (Last name,first name,diddle initial,unless you are applying'.in the name of someone else or other entity,such as a company.If so,indicate ihe: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 (lf"Other',name the activity.) Do you personally.`(or through,yourcompany,spouse;sibling,parent,or,child)have a re'lationship,with,any officer or employee of the Town of Southold? "Relationship"includes;by,blood;marriage,or buin ess interest:"-Business interest"means a;business, including a pattnership;°in which the''town o�ctror employce.has even.a.partial ownership of(or employment by)a corporation in which tht.town officer or employee owns more than.5%6f.tbe shares. YES �.,.�._. NO n 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 appliccont � (when the applicant i s a corporation); B)the legal or beneftial 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 Sub'mi'tted this 2 day of 20Z9 Signature Print Name H .0 Fonn TS 1 Board of Trustees Appli�a`�ion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: i� - 7 - q � lLiJ '�' � STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of . 20 Notary Public Glenn Goldsmith,President � fat/r Town Hall Annex A.Nicholas Krupski,Vice President „�� Gym 54375 Route 25 Eric Sepenoski ti a P.O.Box 1179 Liz Gillooly o • Southold,NY 11971 Elizabeth Peeples y6j ,�0� � Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MADELINE DOSTAL 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 SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE THIS FORM ONEIGHTH DAY OR LATER I, M/C//.q5L A, !e1W C/L , residing at/dba /P O. 6'jQ 1C 164 160x&040 N- being duly sworn, depose and say: That on the,4#day of A V6. , 20f3, I personally posted the property known as .�10 4�5r7_ s- 2/. H,47?7y Cie 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,August 16,2023. Dated: �UG• �,�`, ZD23 (signature) Sworn to before me this /,fes day of9UG20 Z3 DIANE DISAL NOTARY PUBLIC-STATE OFF NEW YORK Notary Public No, O1 D1475593 Qualified In Suffolk County My Commission Expires April 30, 20zW Postal I • •ttal Service -I 'OERTI ® O ■ ■ f, "■ . A . ■ DoMestid 4W Only Domestic Malf,C)nly LnY �, '.r.; -'' .��' i .�a..�3 -,fes-^,_�..• ."'" {.�P �I ` �'.• � -.. � i '��,.5. 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'i��' Here-� .❑Certified Mall Re'sVlcted Degve - $ "' r ”, - k y, - ' � ❑Adult Signature Requlred', ` $` C3 ':❑Adult Signature Requlrr�d�: $ l�'T�';• �� ,i. O Adult SI nature Restricted O,elivery �^ _ I [:]Adult Signature Restrlcted Oeltvery$': W O Postage ��yy��t�yy;� S Postage 1 9 'a+ `:8:;5.�.•i'`t v'•: _.- r.Y MT. C3 C3 �••i i 473a First street ti 165 Lesters Road ti ' N ------------------------- y Brooklyn, N.Y. 11215 •---------------------- $ Mattituck, N.Y. 11952 N 010,AP 61201 S PSN 7530-02�000-9047 for Instructions � . •oice CERTIFIED o RCERTIFIED ECEIPTo RECEIPT Ln Domestic Mail Only r_3 Dom estic Mail Only �- . -• FesterJOI ac 10 ,,('yr %"i ( €, Z:.,,,,•li '3' r€ k "*:_;��,. ` ';- j:,� `(-!1 =a:�...'.` •s..li (t4 ""..i€...:. �i ii �`• U�;J-';.a-.:«'». .?,w.t t,•,r. K".::=a`•i �,i T. • w ;[1971 G' ' _ Certified Mail fee'$4.35 M., Certified Mall Fee, ?r.�r�' yr '0971,1 ? 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M o '`, Albert R tti..J, :; o T ._.-.,'. $8.80 - - -•- .� i $' s,;-;:Arima L. -Pope S Rye Brook N.Y. 10573 10 Valley View Drive --------------------------- ru a s y ' Ramsey, N.J. 07446 1`- c Board of Trustees Application PROOF OF MAILING OF NOTICE LJ 0jx-14z .— ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: /6100- ,(j q-- 7- q NAME: ADDRESS: rlh"Vle f'z YAW TessFp 4 73 Z r 1 Zr7's_T 6,edd/Z`yNN,y ,l2/s jcv�r �,e�v��v��G 6 s !/q-1-4 h.4r��-Uc�, AV 14, ?-9 AG,8��7" !ZA tr> g20, J,e, AvY0&14y W"6ol 111- 7- 1 4AIA1.4 ,vim o� 44 STATE OF NEW YORK COUNTY OF SUFFOLK /C A ."_z A. e1114 Cjl , residing at 047 ro/J,W(1j0/IG y l by , being duly sworn, deposes and says that on the day of 1Z&Ij S7 , 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 S'azzlv Q[.o , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. ova Signature Sworn to before me this 1541, Day of /W&&S?' , 203 DIANE DISALVO fi kA�T NOTARY PUBLIC-STATE Of NEW YORK No. GID1475593 Notary Public Qualified In Suffolk County My Commission Expires April 30, 20Z& - " ING 0 L_ I= N T1 E 0,F Ht:Am I 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: MADELINE DOSTAL SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove 209 linear feet of existing wood bulkhead with 6' return and wood staircase; construct a 209 linear foot long vinyl bulkhead in same location and same top elevation with a 10' long return on the westerly property line; backfill new bulkhead with approximately 40,cubic yards of clean fill; establish and perpetually maintain a 10' wide Non-Turf buffer along the landward edge of the bulkhead with one layer of jute (2,090sq.ft.) fastened with 6" spikes and planted with American beach grass one foot on-center; and to install a new 3'x4' staircase in same location as existing. Located: 540 Lesters Road, Mattituck. SCTM# 1000-114- 7-9 TIME & DATE OF PUBLIC HEARING: Wednesday, August 16, 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 L 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:ErosionHazard 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--containedin the Town of Southold Local Waterfront Revitalization Program. A proposcd' aetion::-will :b&'.evaluated:as.to, its. 'si ufcant benefBial-:and.adyerse effecis.upon:;tlre coastafarea(wliiGhincludesall of:Southold:Towti 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. ","ITh tis;,'each"',,aUt We , must:t e:'e plaineii iii detail; listing both "supporthige. fid"lion= sup,{ortiva=:facts: If an action cannot be certified as.consistent with the LWRP policy standards and conditions,it sliall:no"t be.uiirierfaken.: 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# _C ;; -; tv 9, PROJECT NAME. 0-TDr,�,G. :.; A,-W ,�(,f ��D The Application has been submitted to(check appropriate response): Town Board El Planning Board❑ Building Dept. El. Board'of Trustees L 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: DOSTAL PROJECT DESCRIPTION Remove 209 LF of existing wood bulkhead w/6 ft. return and wood staircase. Construct a 209 LF Vinyl Bulkhead ( in same location and same top elevation )with a ten ( 10 )ft. return on the westerly property line. Backfill new bulkhead with approx. 40 cu.yds.-of clean fill. Establish a ten ( 10 )ft. non turf buffer landward of new bulkhead with one layer of jute ( 2090 SF ), fastened with 6" spikes and planted with Am. Beach Grass @ one ( 1 )ft. O. C. Install a new 3 ft. x 4 ft. staircase ( 12 SF ) in the same location R Location of action: Site acreage: 7Z. Present land use:. .. Nn L.. O-N '41y1ZY Present zoning classification:. 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 applicantt _ ZM pe,41 N/z47'- (b) Mailing address: �� .//y,�� S'r�' 44 Al..,E_ (c) Telephone number: Area Code ®_ (d) Application number, if;ariy;° Will the-action be directly undertaken,require funduig, or approval by a state or-federal agency? YesC] NOX If yes, which state or federal agency? 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 CO-'ST`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 LWR.P.Section III—Policies; Page 2 for evaluation criteria. aYes Noto Not.Applicable P&ICY / !1' APPI-lCygrWE 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 R Yes R' No ® Not Applicable BOG/Cy AV/Ar0 7`151/1' APAP e/c r/(M/ Attach additional sheets if necessary, Policy A. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP.Section IH—Policies Pages 6 through 7 for evaluation criteria 0 Yes 0, No,� 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 8 through 16 for evaluation criteria Yes !=' No Not Applicable AIZ I !34V«164� LAND A-�P a1r Egz-ri o 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 PK'Not Applicable SOL/cys` N/A �o e4YZ0A77DN 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. F- Yes No No_ __dplicable Pa 11 C. 6 ni/A r 10 7HLSPRL/ Attach additional sheets if necessary- Policy ecessaryPolicy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. 0 Yes E:No O Not Applicable POLI CY ? N/A r-0 V)/J' AP A-41 CA 67OA/ Attach additional sheefs'"if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LV-/RP Section III—Policies; Pages'34 through 38 for evaluation criteria. O'.Yes 17]'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. Q Y.eoNo® Not Applicable Attach additional sheets if necessary WORKING COAST POLh%. 1FS 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. O Yes No, Not Applicable CDU Com/0 / T" g7V1S AV,&/[A1`1CA1 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 49 Not Applicable PC211V /l N/,4 ro ➢ /1',, /�,�1�Cf}770N 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 .0 No� 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. ,1 Yes F-I. No,® Not Applicable iy,/ Z4CJS .4/�.n(/CA T/til/ PREPARED By /V A. K/&AM TITLE- A60 DATE Sr ��