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TR-10450
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 ® ��® Fax(631) 765-6641 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 '/z constructed When project complete, call for compliance inspection; MIMI BOARD OF SOUTHOLD TOWN TRUSTEES ft wv SOUTHOLD,NEW YORK k, PERMIT NO. 10450 DATE: AUGUST 16,,2023 ISSUED TO: I.MARKOTSIS IRREVOCABLE TRUST c/o IRENE MARKOTSIS PROPERTY ADDRESS: 6540 MAIN BAYVIEW ROAD, SOUTHOLD SCTM# 1000-78-5-12 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in 01 accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 16, 2023, and in consideration of application fee in the sum of$1250.00 paid by Irene Markotsis and subject to the Terms,and I" Conditions as stated in-the Resolution, the Southold Town Board of Trustees authorizes and permits the following: k� Wetland Permit to remove and replace in-place 103 linear feet of deteriorated bulkhead and a 10 linear foot long return with new vinyl bulkhead and return,and to raise the height an additional 18"above existing; and to install and perpetually maintain a 15' wide Non-Turf Buffer along the landward edge of the bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo,dated-June 2,2023,and stamped approved on August 16,2023. � IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year first above written. J nam TERMS AND CONDITIONS The Permittee I Markotsis Irrev Trust c/o Irene Markotsis residing at 6540 Main Bayview Road, Southold, 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 ®� s®��� Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski l l Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples � �� Fax(631) 765-6641 Iron BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD l - - August 24, 2023 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: I. MARKOTSIS IRREVOCABLE TRUST c/o IRENE MARKOTSIS 6540 MAIN BAYVIEW ROAD, SOUTHOLD SCTM# 1000-78-5-12 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 16, 2023 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of I. MARKOTSIS IRREVOCABLE TRUST c/o IRENE MARKOTSIS 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 29, 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, in accordance with Chapter 268, said application was found to be Exempt from 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 J premises in question and the surrounding area, and, WHEREAS, the Board has considered all the'testimony and documentation submitted concerning this application, and, 2 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 approve the application of I. MARKOTSIS IRREVOCABLE TRUST c/o IRENE MARKOTSIS to remove and replace in-place 103 linear feet of deteriorated bulkhead and a 10 linear foot long return with new vinyl bulkhead and return, and to raise the height an additional 18" above existing; and to install and perpetually maintain a 15' wide Non-Turf Buffer along the landward edge of the bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, dated June 2, 2023, and stamped approved on August 16, 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 VeXus, 0 Glenn Goldsmith President, Board of Trustees GG/dd NOTE: REMOVE EXISTING BULKHEAD STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN PROPOSED FIR TIMBER TOP CAP THE EXACT SAME POSITION AS EXISTING. FEC I PROPOSED 20' LONG 10" BUTT MAIN BAYVIEW ROADDPROPOSED 3"X6" REAR WALE CCA TREATED TIMBER PILE, 6' O.C. 9 2023I PROPOSED 6"x6" CCA TOP, MIDDLE & BOTTOM WALE S 59001'00" E 160.00 -_---- APPROXIMATE M.H.W. EL. 2.5t B Southold o Trus[ee ROPOSED 8" P G PILE EXISTING BULKHEAD o PROPOSED 8" TIP CCA PILE, TO BE REMOVED IN III APPROXIMATE M.LW EL 0.0t 0 6' O.C. 8' LENGTH. BOLTED ITS ENTIRETY. III Z\j TO LAY-LOG WITH 3/4" III 01 GALVANIZED THRU-BOLTS. o v PROPOSED 16' LONG 1" DIA. OI I GAM TIE ROD, 6' O.C. L _ :zli, /� W PROPOSED 16' LONG CLOC � t(�/ W/W 9900 VINYL SHEETING c+ � ,y�•b .Y W W b ra �W W TYPICAL SECTION N.T.S. Y W c ' w� ��—VEGETATED WETLANDS AS IDENTIFIED BY J. LOCATION MAP PATANJO ON MAY 5,2023 N.T.S. 1 STORY WI _'YOARD O� 1 RUST ES PineNeck�d� �, � a � � O ¢ A o n i Custer �s! ®FC{/�'' I9p-'�-1y g` _ _ -SOUH1 1 i 1pa 3 -,' Cleary/eW rf m b PROPOSED 103 LF OF VINYL BULKHEAD DAT AtlGusT' )(r� 2-po 2 STY o (IN SAME EXACT LOCATION AS EXIST.) = '" O FRM. HOUSE N i cl PROPOSED 15 WIDE NON-TURF BUFFER c,e��ea 00 a p M.H.W&M.L.W.ALONG BULKHEAD FACE Ma i � Maay.vicW Roa Paving 2 'BaYblp ' q Stone GARAGE p N` d �Rd c,ber[Y.0 Drive Cobble Stone Curb PROJECT — — — — — — — LO.CATION:_ A i' N 59001,00" W 160.00 PROPOSED 10 LF BULKHEAD RETURN SITE PLAN (IN SAME EXACT LOCATION AS EXIST.) SCALE: 1"=30' NOTES: Proposed Bulkhead Permit Plaw 1. LOT AREA: 28,657 S.F. / 0.658 ACRES AS NOTED 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: DATE: PROPERTY OWNER: PREPARED BY:; PECONIC SURVEYORS, P.C. PROPOSED PLAN 6-2_23 MARKOTSIS IRREV. TRUST JEFFREY PATANJO JOHN T. METZGERP0BOX 909 6540 MAIN BAYVIEW ROAD 145 WILLIMSBURG ROAD P.O. BOX 582 • . (AKA N5 WILLIAMSBURG ROAD) SOUTHOLD, NY 11971 BOHEMIA, NY 11716 1230 TRAVELER STREET SOUTHOLD, TOWN OF SOUTHOLD JJPATANJO@GMAIL.COM SOUTHOLD, N.Y. 11971 SUFFOLK COUNTY, NY SHEET: DATED: JULY 14, 2004 — ADDITIONS TAX MAP NO. 1000-78-05-12 1 of 1 r I.Markotsis Irrev.Trust 6540 Main Bayview Road,Southold ' SCTM#: 1000-78-5-12 8/8/23 i Ic it 1� . . - - .... tom, +,•'- 1 r� .J `rR 13 1 r Glenn Goldsmith,President �OOG Town Hall Annex A.Nicholas Krupski,Vice President —,'` y< 54375 Route 25 Eric Sepenoski y ? P.O.Box 1179 Liz Gillooly �y • p�� Southold,NY 11971 Elizabeth Peeples � aa Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: �B 2,bo Completed infield by: a17,9 , PecQ� Jeffrey Patanjo on behalf of I. MARKOTSIS IRREVOCABLE TRUST, c/o IRENE MARKOTSIS requests a Wetland Permit to remove and replace in-place 103 linear feet of deteriorated bulkhead and a 10 linear foot long return with new vinyl bulkhead and return, and to raise the height an additional 18" above existing; and to install and perpetually maintain a 15' wide Non-Turf Buffer along the landward edge of the bulkhead. Located: 6540 Main Bayview Road, Southold. SCTM# 1000-78-5-12 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: v- 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.: J , Present Were: ✓G. Goldsmith Krups i E. Sepenoski L. Gillooly Peeples ��g11fF0(,��0 Glenn Goldsmith, President ,moo Oy Town Trustees A Nicholas Krupski, Vice-President H = 54375 Route 25 Eric Sepenoskic ^' P.O. Box 1179 Liz Gillooly �.pj® ao�� Southold, NY 11971 Elizabeth Peeples �( 'Y` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: I. MARKOTSIS IRREV. TRUST c/o JEFF PATANJO Please be advised that your application dated June 29. 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. _ 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.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 q.��•2 BY: Glenn Goldsmith, President l� Board of Trustees Glenn Goldsmith,President ��sr COGy q Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski ? P.O.Box 1179 Liz Gillooly �y • o� �y 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: Jeffrey Patanjo on behalf of I. MARKOTSIS IRREVOCABLE TRUST, c/o IRENE MARKOTSIS requests a Wetland 'Permit to remove and replace in-place 103 linear feet of deteriorated bulkhead and a 10 linear foot long return with new vinyl bulkhead and return, and to raise the height an additional 18" above existing; and to install and perpetually maintain a 15' wide Non-Turf Buffer along the landward edge of the bulkhead. Located: 6540 Main Bayview Road, Southold. SCTM# 1000-78-5-12 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 ECEIVE -- s. 29,01,E MA/N BA yVjE 9sow ��A® JUN 2 9 2023 Aft[F SON "1---.__�� - S,59,0/X00 a� f Southold Town Board of Trustees ppWD f /60 00, i O \ O ® , m a rot a NNW : 4 i 40 SURVEY OF PROPERTY AT A YI:E' vIc TOWN (OF SOUTHOLD - ,6 SUFFOLK COUNTY 9n•r — 05 a 1,D 74905 - 12 MAS? 20, 1998 ' o .dun® 9, 2004 � ;V. s9 n, °p/,00s�F - i /E'0,O0, N/O/F STAN LEy AREA = 28,6.57 sq.ft. o,r- Eyvo ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEP!' YORK STATE EDUCATION LADY EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICA11ONS HEREON ARE VALID FOR 'TNS MAP AND COPIES THEREOF ONLY IF WHOSE$1 NA''TURE APP ARTHE H REONESSEO SEAL of THE SURVEYOR C NO. 49618 ADDITIONALLY TO COMPLY WITH SAID LAPP THE TERM 'ALTERED BY' E/eya bolls are z'o Al,(;.V. PECONIC MUST BE USED BY ANY AND ALL SURVEYORS UTXJZING A COPY (516) 765 OF ANOTHER SURVEYORS ASAP. TERMS,SUCH AS 74SPECTED'AND �c o00 Zp�� A g /EL $� �iARA. 'BROUGHT-TO-DA TE'ARE P/DT NV COMfPLIANCE Pl7TH T1fE LAS: C P. 0. BOX 9.0 F�2M CoMM�MITY_JD�sr16L A/v 1230 TRA VELERf STREET ''3 ra 8 13 0079 D SOUTHOLD, N.Y. 11971 85-390 NOTE: REMOVE EXISTING BULKHEAD STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN PROPOSED FIR TIMBER TOP CAP EXACT SAME POSITION AS EXISTING. EC 6 IV E PROPOSED 20' LONG 10' BUTT MAIN BAYVIEW ROAD PROPOSED 3"X6" REAR WALE CCA TREATED TIMBER PILE, 6' O.C. JUN 2 9 2023 PROPOSED 6"x6" CCA III TOP, MIDDLE & BOTTOM WALE S 59001'00" E 160.00 ' Southold Town II APPROXIMATE M.H.W. EL 2.5t Board olTrustees TIP I I CCA LAY—LOG PILE I EXISTING BULKHEAD PROPOSED 8° TIP CCA PILE, TO BE REMOVED IN APPROXIMATE M.LW EL O.Ot CA 0 6' O.C. 8' LENGTH. BOLTED ITS ENTIRETY. III Z'13 TO LAY—LOG WITH 3/4' I I CA GALVANIZED THRU—BOLTS. IT o V I I PROPOSED 16' LONG 1' DIA. GALV. TIE ROD, 6' O.C. ' D-----PROPOSED 16' LONG CLOC tZI9900 VINYL SHEETING + � �•L W W W TYPICAL SECTION N.T.S. I IW iW c� VEGETATED WETLANDS AS IDENTIFIED BY J. LOCATION MAP PATANJO ON MAY 5,2023 N.T.S. txj 4a 1 STORY W Pine Neck 6 y Q I W I �p3 : CUS[er Ave, -- b � y W PROPOSED 103 LF OF VINYL BULKHEAD 0 2 STY o (IN SAME EXACT LOCATION AS EXIST.)00 o FRM. HOUSE },,: p PROPOSED 15'WIDE NON-TURF BUFFER 0 0 $ M.H.W&M.L.W.ALONG BULKHEAD FACE N Baymew Roa Paving 8ay�, GARAGE Stone .a. e,yRti s E , Drive 6 " Cobble Stone Curb PROSECT', dr"BaYyje LOCATION N 59001 00 W 160.00 laraftingtAktets,;' 1 PROPOSED 10 LF BULKHEAD RETURN : ` .''```r p =.:,. . _7. SITE PLAN (IN SAME EXACT LOCATION AS EXIST.) SCALE: 1"=30' NOTES: Proposed Bulkhead Permit Plans SCALE: 1. LOT AREA: 28,657 S.F. / 0.658 ACRES AS NOTED 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: DATE: PROPERTY OWNER: PREPARED BY: PECONIC SURVEYORS, P.C. PROPOSED PLAN 6-2-23 MARKOTSIS IRREV. TRUST JEFFREY PATANJO JOHN T. METZGER 6540 MAIN BAYVIEW ROAD 145 WILLIMSBURG ROAD P.O. BOX 582 P.O. BOX 909 (AKA 145 WILLIAMSBURG ROAD) SOUTHOLD, NY 11971 BOHEMIA, NY 11716 1230 TRAVELER STREET SOUTHOLD, TOWN OF SOUTHOLD JJPATANJO@GMAIL.COM SOUTHOLD, N.Y. 11971 SUFFOLK COUNTY, NY SHEET: DATED: JULY 14, 2004 — ADDITIONS TAX MAP NO. 1000-78-05-12 1 OF 1 6540 Main Bayview Ave , �,;� t. 4Legend ► ' 6540 Main Bayview Rd AKA 145 Williamsburg Drive-Southold �6540 Main Bap Tev i •ti- ... � .. -fib-,z�+; •.< f 4. Aj _ t a` wv 7 • � T Q i t wF - n :b 0,: -...._.: F 't 30 a6 W.N {: 'A r nwws '• ,..._ o¢ <a SLEEPY HOLLOW r rom+w Y s i 0� n ' ... l° ,u6 toc .'9, a ��, . ti•..� ._.baa ..._¢_ s, :z z r ':=za xe r "5fr. 1 ,,a 4 - �. r a° a b. 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Crk�a W csm. t ov nc sountoio - wosi.eaexrw 078 w � OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex �� �° P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) ' Southold, NY 11971 Telephone: 631765-1938 �� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 10, 2023 Re: LWRP Coastal Consistency Review for I. MARKOTSIS IRREVOCABLE TRUST, c/o IRENE MARKOTSIS SCTM# 1000-78-5-12 Jeffrey Patanjo on behalf of I. MARKOTSIS IRREVOCABLE TRUST, c/o IRENE MARKOTSIS requests a Wetland Permit to remove and replace in-place 103 linear feet of deteriorated bulkhead and a 10 linear foot long return with new vinyl bulkhead and return, and to raise the height an additional 18" above existing; and to install and perpetually maintain a 15' wide Non-Turf Buffer along the landward edge of the bulkhead. Located: 6540 Main Bayview Road, Southold. SCTM# 1000-78-5-12 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 EXEMPT from LWRP review. 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 John G. Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary r 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 Chandler, it was RESOLVED to SUPPORT the application of MARKOTSIS IRREV. TRUST C/O IRENE MARKOTSIS to remove and replace 103 f. of deteriorated bulkhead and 10 If. return in same location as existing with new vinyl bulkhead and raised height of 18" above existing. Install 15' wide non-turf buffer landward of proposed bulkhead. Located: 6540 Main Bayview Rd. (aka 145 Williamsburg Rd.), Southold. SCTM#78-5-12 Inspected by: Carol Brown, Maggie Merrill The CAC Supports the application with a 15' non-turf buffer planted with native vegetation. Vote of Council: Ayes: All Motion Carried Glenn Goldsmith, President dQ csi,Q(/J�. xx�LL Town Hall Annex z V f, A. Nicholas Krupski,Vice President `��.. r0�, 54375 Route 25 z P.O.Box 1179 John M.Bredemeyer III 16 ` r_ Southold,New York 11971 Michael J.Domino ? ; C,– Telephone(631) 765-1892 Greg Williams " S ©j Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit —mac Amendment/Transfer/Extension V Received Application: (0129.4-3 Received Fee: $ P0. Completed Application: 7, •23 Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: `, _�Coordination:(date sent): TOE 0 E I Y E -�✓✓LLLWRP Consistency Ass ssment Form Sent: g d-.3 AC Referral Sent: /Date of Inspection: •8�2� _ JDD UN .2 9 2023 Receipt of CAC Report: Technical Review: Southold Town Public Hearing Held: 8�ro of Trustees Resolution: Owner(s)Legal Name of Property(as shown on Deed): Markotsis lrrev.Trust c/o Irene Markotsis _ Mailing Address: 145 Williamsburg Rd. Southold, NY 11971 Phone Number: 631-765-2643 Suffolk County Tax Map Number: 1000- 78-05-12 Property Location: 6540 Main Bayview Rd (aka 145 Williamsburg Rd) See location map (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT (If applicable): Jeffrey Patanjo Mailing Address: P.O. Box 582 Bohemia, NY 11716 Phone Number: 631487-5290 Email:JJPatanjo@gmail.com 'B APplicat__n oard of Trustees GENERAL.DATA Land Area in square feet):-28-6,57.: Area Zoning: Res: Previous use:of er ro Res P P.. ty� Res Intended use of property: ::. - Covenants and°Restrictions on ro rt ? ✓ p pe y ❑ Yes if"Yes'.','please_provide`a copy::. :.Will:this ro'ect require.a'B.uildin Permit as erfiown C. ❑ Yes 0 :No P. J.. g .. p WIT S'%be advised this application will.be reviewed by the Building.Dept prior to.a.Board.ofTrustee review, and Elevation.Plans.will be required: Does`this project require:a variance from the Zoning Board of:Appeals?. .❑ Yes `. If"Yes",please'.pro.vide:copy of decision Will`this project require any demolition as per Town Code or as-determined-by the Building Dept:? es F/ _No Does:the.structure:(s) on property have a valid Certificate.of Occupancy? ✓ Yes No n . . . pi Prior.permits/approvals for site.improvements:.. Agericy .:. Date X. No prior permifs/approvals for sit e.improvements. Has any permit/approval ever:been revoked.or.suspended by a governmental agency? ❑✓ No ❑ .Yes If yes,provide explanation: Remove;&Replace 103 LF of deferiorated bulkhead and 10 LF.return in same location : Pr9jectDescri tion use attachments if riecess P a'Y)� as existing with new vinyl bulkhead and raised height of 18"above:existing.Install.15'_wide non-turf buffer landward of.proposed bulkhead..: Board ofTrustees: Applical=—._n WETLAND/TRUSTEE.LANDS APPLICATION DATA . .Purpose of the:proposed operations:. : .Rei move 1.Q3-LF of:deterioratedbulkhead and 10 LF',return:in:Sante location. as,existing with new vinyl bulkhead and raised height.of 18"above existing:Install 15'wide non-turf buffer landward of proposed bulkhead. 600... Area.of.wetlands:on lot; square feet. Percent:covera ga of lot: 2.07 .% Closest distance between nearest exisdri structure and u land ed a of wetlands: 0 feet g P g . Closest distance between nearest proposed structure and upland edge,of wetlands:..feet. Does the.:project involve excavation or filling? ❑� `._No ❑ Yes If es `how'much material will be excavated? N/A cubic ards Y . � Y,. N/A How much material will be filled? cubic yards N/A Depth of which material will bexemoved or deposited: feet Proposed p g osed slo a throughout the area of operations: N/A ,. Mariner in which material will'be P removed.or de osited:..:N/A . .:. Statement of the effect, if any,on the wetlands and tidal.waters of the townthat may'result:bY reason of.such proposed operations use.attachments if appropriate): Wetlands will:be protected during construction at all times.Bulkhead sheeting will be removed to avoid disruption and new sheeting:will;be vibrated in with no open trenching or disruption:to.wetiands.:. :: Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part i—Project Information. The applicant or project sponsor is responsible for the completion of Part L 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 currernly available. U additional research or investigation would be nee6Ww filly respnndio any item,please mw;er 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: 6540 Main Bayview Rd(aka 145 Williamsburg Rd) Project Location(describe,and attach a location map): 6540 Main Bayview Rd(aka 145 Williamsburg Rd) Brief Description of Proposed Action: Remove&replace 1031f of existing bulkhead and 10 If return with new vinyl bulkhead in same location as existing. Name of Applicant or Sponsor: Telephone: 631-765-2643 Markotsis Irrev.Trust clo Irene Markotsis E-Mail: sidlemon@msn.com Address: 145 Williamsburg Rd. City/PO: State: TIZ, p Code: Southold INY 71 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 ❑ 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 government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/Town of Southold Trustees ❑ 3. a.Total acreage of the site of the proposed action? 0.658 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.658 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Pagel of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ W1 ❑ b. Consistent with the adopted comprehensive plan? ❑ --1 ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ Lr 1 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Corey Creek,Name:Peconlc Bay and Environs,Reason:Significant coastal fish&wildlife habitat, If Yes,identify: Reason:Protect public health,water,vegetation,&scenic beauty,Agency:Southold,Town of,Agency:Suffolk ❑ aunty, ... 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YESM-/ F-1b. Are public transportation services available at or near the site of the proposed action? M7 ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 21 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑✓ ❑ 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO J YES v&W'his listed oniheNational or State Register of HistoricYlaces,or that has been determinedby the. ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ ❑✓ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 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: Page 2 of 3 1 EA= Mapper Summary 1=1oport Monday, February 13,2023 10:00 PM Disclaimer: The EAF Mapper is a screening tool intended to assist ;` project sponsors and reviewing agencies In preparing an environmental �,1 1 assessment form(EAF).Not all questions asked in the EAF are 7a.=r 2}' # -.7 .-7-,1.9 1' t answered by the EAF Mapper.Additional Information on any EAF 78. 7- i s 7. ' question can be obtained by consulting the EAF Workbooks. Although $•-7- ( the EAF Mapper provides the most up -Io-date digital data available to DEC,you may also need to contact local or other data sources in order to obtain data not provided by the Mapper.Digital data Is not a `�,�..,,,•T �^••.,,., ., substitute for agency determinations. .` �A�" tr, r 78.-7-32.'10 i _ 13, t -J r'` - - .r .73.-5-6� ,..v;. . y _ 7a.-t-=1=i 2' *.p s �s, 3`La'ti :n '4 P' y.i V R y c> wJ. ,�. ..s�.c�,. '{.CSX x y.. . Will li(" -Viz. all s 78- 7" 0 3 3 t � �' t.. :l3'aytCu .:.:: t tt 79 . .. 7B-n5 . l 6-13I1 i_8;-x-14 ,sPt�r9ricrrc« 4' �h. h -•7 �1 78" , C1-� 7 - .q; ,._ .:: 4i` ..., •,.7C�stim..'. - .'Phil^i!�}phia atn9n9;l�G5 tt�iC2ifi' A414CREM P1'.d .IJI n=Esij a ,�tt P.tE11 �3rt China(li0144,onar;Esiit r -011j: %4'V- ti J, a��.P IEfi<<.Esn. liut3(Honctt<an_. :Esn Kort;Esri fllrailatliD� l ti g094�sirstre�tt lap zoEtitiib c+ls`an i ( lg�r -yNlji t►t�ity ;�1rinOi� tiS a t�lap:cnr►tnf> r t``'}4}({{i�Gi5 is2t Comtnuii r: .Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7[Critical Environmental Name:Corey Creek,Name:Peconic Bay and Environs, Reason:Significant Area-Identify] coastal fish&wildlife habitat, Reason:Protect public health,water,vegetation, &scenic beauty,Agency:Southold,Town of,Agency:Suffolk County, Date:3-9- 90, Date:7-12-88 Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15[Threatened or Bald Eagle, Piping Plover, Least Tem Endangered Animal-Name] Part 1 /Question 16 1100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form- EAF Mapper Summary Report 1 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 ❑Agricultural/grasslands ❑Early mid-successional OWetland ❑ Urban ©Suburban 15. Does the site ofthe proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? Bald Eagle,Piping Plover,... ❑ 21 16. Is the project site located in the 100-year flood plan? NO YES 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a ❑ a. Will storm water discharges flow to adjacent properties? W-1 ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑✓ ❑ If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES 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 CERTIFY THAT.THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 1/ Applicant/sponsor/name: 1129n e, Date: G Z Z 3 Signature: Title: X J\ e PRINT FOR Page 3 of 3 joard of Trustees Appli.cat:�_'., AFFIDAVIT Markotsis I rrev. Trust 01° A �c fiBEING 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. J. I I _j I J1?A hl-Z= >gnature of roperty Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF ��ric- ,20 2 3 JEFFREY J. PATANJO NOTARY PUBLIC-STATE OF NEW YORK No.01PA6418869 No-taiV Public Qualified in Suffolk County My Commission Expires 06-21-2026 3oard of Trustees Applicat�Lvn AUTHORIZATION (Where the applicant is not the owner) I/We, Markotsis Irrev. Trust 010 Z tent AA.*r 149tsts owners of the property identified as SCTM# 1000- 78-05-12 in the town of Southold .New York,hereby authorizes Jeffrey Patanjo 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. Aoperty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS a' DAY OF �✓ nt ,20 2 3 JEFFREY J. PATANJQ NOTARY PUBLIC-STATE OF NEW YORK Not4 Public No.01 PA6418869 Qualified in Suffolk County My Commission Expires 06-21.2026 APPLICANT/AGENT/RE-PRESENTATIVE.. TRANSACTIONAL DISCLOSURE FORM The`Town.ofSiiutholda:;Code:of ethics orohibits:conf)icts ofinterestott theaaR�ofaoiwn gfBcecs and'emoloyees The nuroose of` : :.. this form is to provide information.whk&can alert`thetown ofpossi6leaconthicts of it teiest:end allow:itao take whatever action is:. , 13esgssaii_t&av o"id,same:. YOUR.NAIvIE: Markotsis,Irene .. (Last name,first naive;.giiddle initial,.unless you ace applying`:in:ibe'name,of someone else or otherentity,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 ofZone . Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Ofher'',name the,activity.) Do,you personal ly.(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 ofriceror employee has evem.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 ofthis form and date and signwhere 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): LJA)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal:or beneficial owner of any interest in a non-corporate entity(when the applicant.is not a corporation);: C)an officer,director,partner;or:employee of ihe.applicant,.or . _D)the actual:applicant. DESCRIPTION Ot RELATIONSHIP Submitted t a day.o �hf, .. 2025 Sigo tuie� �.: PttintName N(� .. JN1 Fof ffi.TS 1 APPLICANT/AGENT/REPRESENTATIVE.: TRANSACTIONAL DISCLOSURE.FORM The:Town,o£Soitthold::.s;Code:ofEthicsarohibtts.cortiluets:of.mterekwytlie•part"of:town�f kers-and'emnloyecs:.TEie:puroose..o this form is to`providi� e infdrmitidii" hich=cati,Wif.the.fown f ooss!6!e co�icts-of-iiiterest--and allow_if>to take`:wtiatevertaction'is` necessarifo avoid;same:. YOUR NAME: Patanjo,,Jeffrey, (Last,name,first name,:griddle initial,unless you are applying in the tiame of someone else or otherentity,such as:a company.If so,indicate"the other person's or company's name.) NAME OF APPLICATION: (Check all that apply) ' BuildingTaxgrievance Variance. Trustee µ Change ofZone_ Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (1V Othee;name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee ofthe:Town of Southold?:"Relationship"includes by blood,itrarriage;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 56k.of the shares:` YES NO 2J. .; . 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.oremployee:Either check the.appropriate line.A)through D).and/or describe:in the space provided.; The.town officer or employee or his or her.spouse;"sibling,parent;or child is(check all that apply): A)the owner'of greater than 5%of the shares of the corporate stock.of the applicant fj (when the applicant is a corporation); B)the legal:or beneficial owner of any interest in anon-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 OP RELATIONSHIP Submitted this 5/ 4/20 Je re Pari o Print Name r_.t..r _......:. , ' .:. ,...�.. .. .'. Forin"TS.1 - Board of Trustees Applicazion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: 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 bcfore me this Day of 20 Notary Public 1 , 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: I. MARKOTSIS IRREVOCABLE TRUST, c/o IRENE MARKOTSIS SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove and replace in-place 103 linear feet of deteriorated bulkhead and a 10 linear foot long return with new vinyl bulkhead and return, and to raise the height an additional 18" above existing; and to install and perpetually maintain a 15' wide Non-Turf Buffer along the landward edge of the bulkhead. Located: 6540 Main Bayview Road, Southold. SCTM# 1000- 78-5-12 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 August 16, 2023 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: MARKOTSIS FAMILY TRUST CIO IRENE MARKOTSIS 145 WILLIAMSBURG DRIVE-SOUTHOLD SCTM No. 1000-78-05-12 AFFIDAVIT OF POSTING Dear Trustees: Attached please find the Affidavit of Posting for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Glenn Goldsmith,President Town Hall Annex* A.Nicholas Kru ski,Vice.President : 54375 Route 25 Eric Sepenoski P.O.Box 1179 Liz Gillool �%:. "' Southold;NY 11971 Y p �. •�; p Tele hone 631 765-1892 Elizabeth Pee les . P ): : Fax(631)765=6641 BOARD OF TOWN TRUSTEES TOWN OF:SOUTHOLD BOARD OF.TRUSTEES: TOWN.OF SOUTHOLD In the Matter of the Application:of I MARKOTSIS IRREVOCABLE TRUST,c%MENE..MARKQTSI5 COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING: DO NOT.COMPLETE_THIS FORM.b7V=:.THE:POSTING HAS:REMAINED INPLACE FOR AT LEAS.T.SEVENDAYS PRIOR TUTHE.PUBLIC:. HEARING DATE= COMPLETE THIS FORM ON EIGHTH DAY OR:LATER. 1,. ��tan,W ,residing at/dba r 0 e4e�m tet (V`-t ?j "7) 6 being duly sworn,depose.and:say: That:on the day.of A vq�vt ,WP-13, I personally posted the property known.as. by placing the Board of Trustees official noticingposter where;it can:easily be..seen from the street;and that I havechecked to.be.sure the noticing poster;has remained in.place fora full seven days immediately preceding:the date of the:public hearing:Date.of:hea"ng.noted.thereon to be heid.WednesdgL AiigustIC 2023. Dated: $ I I L I 1 2 3 ( gnature) Sworn to,before ine,this. 1(p day of FtAq 20a3 JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01GE6418131 Qualified in Suffolk County My Commission Expires 06-01-2025 a. lic August 8, 2023 Town of Southold Trustees Town Hall Annex Building ® C 1111 54375 Rte. 25 U P.O. Box 1179 Southold, New York 11971 AUG 1 6 2023 RE: MARKOTSIS FAMILY TRUST CIO IRENE MARKOTSIS 145 WILLIAMSBURG DRIVE-SOUTHOLD Southold Town Board of Trustees SCTM No. 1000-78-05-12 AFFIDAVIT OF MAILING Dear Trustees: Attached please find the Affidavit of Mailing and return receipts for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, OX+— Afrey Patanjo P.O. Box 582 Bohemia, NY 11716 TIM, Postal Service. U.S..Postal Service CERTIFIE-D'MAIL0 RECEIPT CERTIFIED MAILo,R.ECEIPT IT11 Di6triestic Man Only M Domes6c Mail Only M Er M C3 Sou VP Ny il I ri" ZS'111'� P'l Dob '--i� +jr Certified Mail Fee Certified Mail Fee "7 r-1 k"f :'r 1`t Er $ ru Extra Services&Fees(check box,add fee*.Ta M Extra Services&Fees(checkbox,add fee Zlepfipt6pfiate) ❑Return Receipt(hardcopy) M ❑Return Receipt(hardcopy) $ 44 f I.1111 ❑Return Receipt(electronic) $ rl:Q ril-I l') Postmark 1-3 -3 El Certified Mail Restricted Delivery $ ri re M El Return Receipt(electronic) $ Postma I- 'Pei %H6 - D Certified Mall Restricted Delivery $ ostm, C3 1?1'91?(9 He, C3 ❑ El Adult Signature Required $ 00 C3 $ El Adult Signature Required C3 ry E]Adult Signature Restricted Delivery$ []Adult Signature Restricted Dellve $ C3 Postage r3 Postage66 T" $0 6 6 t0l. -3 1000-78-7-9 Chilton AMA1000-785 5,016; ru Orioli Victor S rruu Chilton Laura ru C3 ------------------- C3 6320 Main Bayview Rd ------------------- 86 Belden Ave Southold, NY 11971 ,_________________ Dobbs Ferry, NY 10522 ----------------- PS Form 3800,April 201 5'PSN 75W02n=-9047 See Reverse for Instructions N TIM U.S. stal Sery iceTM U.S. Postal PoService -CERTIFIED MAILO RECEIPT CERTIFIED MAIL@ RWEIPT C3 Domdstic Mail Only N Domestic Mail gply 43 Er- "0 For delivery information,visit ourvebsite at wwwwsps.com1k 1:0 r3 fl, V, fi 571 li MIR t(' • Q C0 CO L I r-q Certified Mail Fee Certified Mail Fee t 71 7 i Er 117 $ ru Extra Services&Fees(check box,add fee,,I,-� 6p,,1a1;'1 11-11-11 Extra Services&Fees(check box,add fee Vapor'4p'fiats) 15 b El Return Receipt(hardcopy) $ r Ipprl r El Return Receipt(hardcopy) $ Cl rl 1� 1\ �('I M El Return Receipt(electronic) s Postmark �Oostmarlk Her. $- + M E]Return Receipt(electronic) $ I C3 El Cortified Mail Restricted Delivery r-3 F1 Certified Mall Restricted Delivery $ re C3 []Adult Signature Required $ Cl E]Adult Signature Required $ r-3 []Adult Signature Restricted Delivery$ C:3 []Adult Signature Restricted Delivery$ Postage =1 Postage C3Gil $ 1000-78--5-13 :5 1000 225 W1lJi`aJM$burg Dr LLC $ ru Groeneveld James ru s c/o Law Office David Jannuzzi I'Ll . 250 Williamsberg Rd ------------------ ru 8 13235 Main Rd I------------ C3 Er3- Southold, NY 11971 r Mattituck, NY 11952 FS Form 3800,April�0115 PSN700-02-000-90-47. Se�e Rieversejor Instructions: Board of Trustee's 'Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: �?CJ� " �l� -5--12 NAME: ADDRESS: 1000-78-5-8 1000-78-5-7 Groeneveld James Orioli Victor S 250 Williamsberg Rd 6320 Main Bayview Rd Southold, NY 11971 Southold, NY 11971 1000-78-5-13 1000-78-7-9 225 Williamsburg Dr LLC Chilton Alexander c/o Law Office David Jannuzzi Chilton Laura 13235 Main Rd 86 Belden Ave Mattituck, NY 11952 Dobbs Ferry, NY 10522CV - I AUG 1 6 2023 i Southold Town STATE OF NEW YORK Board of Trustees COUNTnY�OF SUFFOLK , residing at I�I7, ,c , 7 10y)c lick .N)u into , being duly sworn, deposes and says that on the— day of f,RC1ij,4- , 20 23 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at Fg(rn i02claLa , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. S' ure Sworn to before me this Day of Icl Q%,t:5)- , 20. 9-3 JESSICA L, GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No,01GE6418131 771�� Qualified in Suffolk County Notary ei c V MY Commission Expires 06-01-2025 Town of Southold LWRP,CONSISTENCY.ASSESSMENT;FORM.. A. INSTRUCTIONS 1:.... All applicants for permits* including:.Town of Southold agencies;:.shall.complete this CCAF for proposed actions.tliat,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`forrn:should review the exempt minor.action list;policies and:explanations of each.policy contained in the.Town.of Southold Local Waterfront Revitalization Program. A:..nroaosed..:action:will be: eVralua#ed as :to `its si tiificarit beneficial and adverse a ects u on the coastal`area. which incl des all of Southold Town 3; If any question:in Section.0 on_this forin is answered "yes".:or"no"; then the proposed action will affect:ahe achievement:.of the LWRP policy,standards and:.conditions contained in;the consistency review Jaw.. Thus .each answer..must e.ex lained in.detail...listin :b th supportingand..non- .. : sutiportiinn::faets :.'If an'acuon cannot be certified as;consistent yv!th the LVWRP policy standards and conditions;it shall_riot be undertaken. A copy of the LWRP.is:available in the following places: online af-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 seTM# 78 05 w12 PROJECT NAME 6540 Main Bayview Rd aka 145 Williamsburg Rd.). :.:::.;:....... . . . . ..... . .: .:. ..... . . The Application has been submitted.to(check appropriate response):. Town Board El. Board❑ Building Dept. ❑ Board of_Trustees :❑✓ 1. Category of Town.of Southold agencyaction(check appropriate response): (a) Actionundertalceh directly by:Town agency_(e.g:capital. ❑ construction,planning activity, agency regulation,land transaction) (b) Financial assistance(e.g.grant,loan; subsidy) (c) Perniit,approval,license;certification: Nature and.extent of action: 4. 7. Remove & Replace 103 LF of deteriorated bulkhead and 10 LF return in same location as existing with new vinyl bulkhead and,raised height of 18"above existing.Install 15:wide non-turf buffer landward of proposed.bulkhead. i Location of action...6540 Main Bayview.Rd aka 145 Williamsbur Rd. Sit 0 658 e<acr�age .. • Present land.use:. Res.: . Present.zoning classif cafion:..Res ....:... 2: If an application for the proposed action,has been filed with the.Town.of Southold agency,.the'following. : information shall be' provded: Cant:.Mark6%:1s rrw Trust. Markotsis (a) Name of appli (b) Mailing address:. 145 burg Rd Williams Southold,NY 11971 r . 631-765-2643 `. c ele Thone n C).: P... .. umber: Area Code.: `.`.:._.. ........ :;. :.... (d) Application number;.if any: Will the. action be directlyundertaken,require.fumding;or approval by a sfate or federal agency? Yes ❑ No❑ If yes, which state or federal agency NYSDEc C. Evaluate the project to the following policies by analyzing how_ the.projeet.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, . AEVELO.PEW COAST...POLICY.: '.Policy,L Foster a pattern`:of development in the Town of Southold that enhances:community character; preserves open space, makes.efficientuse of infrastructure, makes.benefic al 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 . . ❑ . ❑. Project is consistent with.neightioring homes and makes beneficial use of property to:proteot a ainst erosion arid.loss of land Attach additional sheets if necessary Policy. 2.. Protect and*. preserve..historic and archaeological:resources of.the Town of Southold..'See LWMP Section III:.-Policies Pages 3 through 6.for evaluation criteria ❑ Yes ❑ No N. A licable PP No effect 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 nn Yes n No .Not Applicable Lam. . . . No effect. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. MinimizeJoss of life, structures, andnatural resources from flooding and erosion. See:LWRP Section I1I. Policies Pages:8,through 16 for evaluation criteria. . Yes No. . .Not Applicable Projectprotects against loss:of valuabie'�e and damage to subject and surrounding residences: Attach additional sheets if necessary Policy S. .Protect and.improve water quality and:supply in the Town of.Southold. See LW-RP Section III. Policies Pages 46 through 21for evaluation criteria ❑ Yes 0:No ❑] Not Applicable No effect Attach additional sheets if necessary. Policy 6. Protect:and.restore the.quality and function of the Towne of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. :See LWRP Section 1117 Policies; Pages+22 through 32 for evaluation criteria, ❑Yes ❑No.❑✓ NotAppiicable No-effect' Attach additional sheets'If necessary Policy7. :Protect and improve`air.quality .in the Town of Southold. See LWRP,Section III=Policies Pages:32 through 34 for evaluation criteria. a Yes No �/ Not Applicable o0 No effect' ..: 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 0 No ❑✓ Not Applicable No.effect PUBLIC COAST POLICIES. Policy,9.:. Provide_for'publie access to,.and recreational use of, coastal waters, ,public lands, and public. resources of the Town of Southold.. See LUMP Section.III-Policies; Pages 38.through.46 for evaluation, criteria. Xe, .No❑ Not Applicable Project provides.for accessto.waters for fishing:and recreation activities as.the intended use property Attach additional sheets if necessary. WORKING COAST POLICIES Policy:10. Protect.Southold's water-dependent uses and.promote siting of new Wateridependent uses.in . suitable locations. See LWRP Section.III-Policies; Pages47.through 56 for evaluation criteria. Yes.: No ✓ :Not Applicable ❑ ❑ No effec4 . . F . 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. 0 Yes:❑ No❑✓ Not Applicable. No effect Attach additional sheets if necessary Policy 12. Protect agriculturallands in the Town of Southold. See LWRP Section III-Policies; Pages 62 through 65 forevaluation criteria. ❑Yes ❑ No❑✓ Not Applicable - No effect Attach additional sheets if necessary Policy .13., .Promote appropriate use and development:of energy. and .mineral resources. See LWRP. SectionII1=Policies;.Pages 65 through 68 for evaluation criteria. . ❑Yes.D No Not Applicable. No effect YJOre Pa.ta. njo : Agent. PREPARED.BTITLE 'DATE 02/10/23 . June 20, 2023 ti D q V E Town of Southold Trustees JUN 2 9 2023]0 Town Hall Annex Building 54375 Rte. 25 Southold Town P.O. Box 1179 Board of Trustees Southold, New York 11971 RE: MARKOTSIS FAMILY TRUST C/O IRENE MARKOTSIS 145 WILLIAMSBURG DRIVE -SOUTHOLD SCTM No. 1000-78-05-12 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716