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HomeMy WebLinkAboutTR-10498 Glenn Goldsmith,President �d" `n Ira Town Hall Annex A.Nicholas Krupski,Vice President .e 54375 Route 25 co Eric Sepenoski ? P.O.Box 1179 Liz Gillooly y • Off Southold,NY 11971 Elizabeth Peeples lv Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: David Bergen on behalf of ARCHIVIST CAPITAL RE 70 PARK LLC requests a Wetland Permit to remove and replace in-place the functional wood groin beginning at Mean Low Water and extending landward to proposed terminal end; new groin to be ±66' in length; elevation of new groin to be no more than 18" above grade on down drift (west) side; groin to include 6' vinyl C-Loc sheathing with 10" diameter piles, 10' in length, with 10" batter piles on down drift (west) side of groins, 6"x6" stringers and aluminum grate cap; terminal seaward end to include four (4) 10" diameter pilings. Located: 70 Park Avenue, Mattituck. SCTM# 1000-123-7-2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples ��� 'L� � DLV 0 CT - 5 2023 Sntrthaldbikm fjrn.,-Ij OfTR1�Cf,S _ S.C.T.M.# DISTRICT 1000 SECTION 123 BLOCK 7 LOT 1, 2 & 3 GpAVEI ORNENAY PARK AVENUE GATE BELG.BLOCK CURB N '00' E sWM 120 00' W.M wIOg6.99' Sb 120.00' 83I 9 N 85°31'00"E PIPE 1-3 169.5 5' �3 O z N 85°31'00°E m� LAND N/F OF O zos GRAVEL PATRICIA CAREY o m 8 Z 'I;;;?: 357 '^ O GARAGEa I 1.5'E ..............::. 0.8 Q C 8 r R1 z f COURT 9� LAND N/F OF o MARY EISENSTEIN LAND N/F OF g ARCHIVIST CAPITAL RE 70 PARK LLC LAND N/F OF R SUSAN NORRIS z 6.1'W GRAVEL DRIVEWAY SONDgTGE o CURB o e`` _ 0 2w OELG,BLOCK CUR ( _ �-1 LAND N/F OF u U DEIRDRE SOKOL ...K1ICHEN,::::'6. 3 . GEN DP 10 1 3U 213:.P 198. CSE 'a'E pQEM GRAVEL DRIVEWAY MA 0 POOL P INGRGuNU POOL A6.3 IN 0 6 AO 6 K' ' f COVERED PORCH x .... DRAIN m Y. 231 1 9 BILCO 717' 2 O 0.8'E PATIO 1 8 PIPE TOP OF SANOEDGE OF LAWN COV D cTID FLP 7.1'W WOW DECK &ALC.OVER DECK 3 5'E "A TOP G BNIKiEDC£OF�� - AWOOD ..-..�,.r.roEora a _._ � TOP OF BATiKIE STEPS _.._._.._..ern..-.-.._..-..- EDGE OF REACH CRASS �e LANDING EDGE OFEIFACHGRASS 0 4Etl WOOD BULKHEAD gP tOEO` .eo "�.y1C¢tPs O __ _ o ... MHN 2.5�______— 2 _ _--_ ________— — �� — MHV2.5 o T;LJ 120.70' 120.55' S 87 52'30"W ------ ---------- TIE LINE ---------M.Wo-o------------- - --- _ - �������7I. 587°24'10 W ---- ---- ------ Anwo.o Mlwoo g SS 8 56'42-NT TIE LINE ____________ I «e, GREAT PECONIC BAY THE WATER SUPPLY, WELD DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATTQVS AND OR DATA OBTAINED FROM OTHERS. AREA: ELEVA77ONDATUM: MLW0.0 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 15 A NOLAAQV OF SECRON 7309 OF THE NEW YORK STATE EDUCATXW LAW. COPIES OF TINS SURIFY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RAN ,e ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF 7O THE RILE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSITIURGN LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSRTURN/,GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES ADDIDOINAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS ^" ANO/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSYCALLY ENDENT CW THE PREMISES AT THE 77ME Or SURWY SURVEY OF: CERTIFIED TO: MAP OF: FILED: SITUATED AT: TOWN OF. KENNETH M 110YCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Boz 153 Aquebogue, New York 11931 FILE/ SCALE: DATE- N.Y& USC.NO. 030882 PHONE(691)298-1588 TAX(691)298-1566 u„c 1-10"PILING TO BE -24"ABOVE MHW (1)NEW 6"X6"WALERS DOWNDRIFT SIDE PAAA A�ua.�� LOCATION PLAN 4-GROIN END PILINGS TO BE 10"DIA NEW 10"PILINGS-TYP-UNLESS OTHERWISE NOTED as N 5°31'00"E wM 120 00 " aw qg NEW CORRUGATED VINYL SHEATHING 120.00' 1•oa6. PERFORATED FIBREGLASS CAP RK j / ENTIRE LENGTH NEW 10"BATTER SUPPORT PILINGS "`� tx '^ O w NAS DOWNDRIFT SIDE ONLY O POIN E: I 2 NEW 6"X6"WALERS LAND WF OF ry� -MATTITUCK NY ( ) PATRICIA CAREV� 'UFF` 2 o I I UP-DRIFT SIDE mn E am Ewnr 8 �;p UctuRE'ass'-o^�- z ' �* o 20 Cn p TVP ' -- 70 PARK AVENUE - - A MATTITUC� NP = TEWS U1No wF OF PROJECT DESCRIPTION a MARY EISENSTEIN REMOVE AND REPLACE IN PLACE FAILING,FUNCTIONAL WOOD GROIN IN 1 PROPOSED GROIN PLAN ITS ENTIRITY.THE NEW GROIN SHALL BEGIN AT MLW AND EXTEND LANDWARD TO CURRENT TERMINAL END AS DEFINED BY Al Scale:5'=1'-0" 0' 5' 10 w VEGATATION. ELEVATION OF NEW GROIN TO BE NO MORE _ THAN 18"ABOVE GRADE ON DOWNDRIFT(EAST)SIDE. GROIN TO ~/ ST1y0CTURE=18Y-0'1 INCLUDE 6 FT"C-LOC"VINYL SHEATHING WITH 10 INCH PILES,10 INCH " AH`N TO NE,p{iEST BATTER PILES,10 FT IN LENGTH,6 FT ON CENTER,6"X 6"STRINGERS ON 6`0"^ BOTH SIDES, WITH FIBREGLASS GRATED CAP ENTIRE LENGTH. 4 s. . QI Bwss I WATERSIDE END OF GROIN TO INCLUDE 4-10 INCH PILINGS. MHW m 2.5! - LAND N/F OF ALL AS PER PLANS DATED-OCTOBER 1,2023 MLW - ARCHIVIST CAPITAL RE 70 PARK LLC 0,0 II II II II II II � � II If II II II II II II II II II II II II II II II II j 11 1V1 IV) as S3 11 II 1�l v AT Vw 11 11 V V V LAND N/F OF DEIRDRE SOKOL r2 PROPOSED GROIN ELEVATION 9e NOTES Al scale:s'=V-0• - NEW �.: 15.7 - 0' S' 0 ccrx ao�- 1, MEAN LOW WATER-MLW IS DEFINED TO BE 0,0 AS INDICATED ON SITE w.s SURVEY DRAWINGS BY KENNETH WOYCHULK LAND SURVEYING,INC 2. LITTORAL DRIFT GOES EAST TO WEST W (� 3. LANDWARD END OF PROPOSED GROIN TO NEAREST STRUCTURE IS 139'-0"+/- _ 1' SEAWARD END OF PROPOSED GROIN TO MHW IS 20'-0"+/- (D 0'-0"+/-O MEAN HIGH WATER-MLW(AHW)TO NEAREST STRUCTURE IS 185'-0"+/- 1 ••Fy T.S — ..—.. 'I.5 — 1 + $ __ TANK J TANK ��PIPE raravaa«�auxN fw CFI TW+7. TERMINAL END OF NEW GROIN TO NUS ase BFB GRASS BW 5.5 CH GRASS Le. nr avaeu«� BEGIN BEYOND EXISTING GRASS BFJ\ 1 STAIRS oraraa --_._ VEGATATION a na 8 1' /J -` as mf�arsuaauss � .�,.._—� .w„ n -:r �cFW-9H — I f- ew<o B 9 ,�°°�.�,�"° ' OCT 5 ± d) CD 2023 Z �_ BW Q.B W3. w 1 7W K. t1 ---------T17/i 23___ ________ 1 W T eW♦ —��--• ����� ��� NIW1.5 `F`--v ., a,._ .:. _--------- -- ; 58'7°52'30" ire J::1(! .,;, ., _ 12070' `'' /2.5 r--- F25 ------ ------- :e ss7°za'lo--- I---- -------- wa.o------------- ---- w5o-- — _ -_- ------ Board,- -s o RY, f WIE LINE �� END OF NEW GROIN TO IE LINE 1 0"551 0 LIFT S875� -'° J ------ — s _H Archivist Capital RE70 Park, LLC STOP AT MLW AS DEFINED J m Do BY SITE SURVEY .W 0.0 ---- ----- T.32 tL ry -Y GROIN Construction N O z w-11 PROJECT 70 Park Avenue Mattituck, NY 11956 o LITTORAL DRIFT 2 LI RAL DRIFT � SCOPE AREA SCTM - 1000-123.00-07.00-002.000 W EAST TO WEST ± q1 EAS TO WEST 3 BW z Prepared by: David Bergen and Ken Quigley g -° BW.2.5 /LITTORAL DRIFT w EAST TO WEST Q Construction Scope Plans Z r� PROPOSED GROIN PLAN �4 EXISTING GROIN PLAN Date- SEPTEMBER 30, 2023 Drawing: °x Al Scale:29=1'-O" Al Scale:20'=V-0" —�� 5 SITE SURVEY_— Scale: As Noted w 0' 10' 20' 0' 10' 20' Al Scale:40'=T-0" 20 40' 80' Al U V) i, S'.. 9/29/23,8:11 AM 50 Park Ave-Google Maps Gtr gle Maps 50 Park Ave / .7,--� IOCD p Pond New Suffolk Ave Love Lurie Kitt,hot� K KNot th Foo k A Ik.AvO c FPr Poughnut Company Niw.Sotio o v Mattitucke s Mettit Ck MattituckAirport•21N The North Fork# Community Theatre New Sultotk Ave t�2^AF d nnrq Larrmrr Fir Epic Nall a Teledyne r Mattituck �� �p Pie Services �aor r 4 Temporarily closed a Blue Sa U PP a 0 2� q � 2i 90^9ekW Statbualta «OL . '.cfericon Grill E 4a7km Aire Krause.Rd "%6,s 0 perk Ave K P a Magic Fountain Mello Tile R+ P Strong's Marine Fish The Fork Go Lyle °� az Map data 02023 500 ft https://www.google.com/maps/place/50+Park+Ave,+Matdtuck,+NY+11952/®40.9870567;72,5247838,15.99z/data=!4m6!3m5!1 sOx89e891 e2617d 14bf:Ox404c 17fa9789798c!8m2!3d40.9824056!4d-72.5193504!16s%2Fg%2F11 c5dm_. nae +auw mmm § $EE SEC NO Its SEESEC NO+15 `,+\ SEESEO NO 115 1a1xm I 061eet w rMTCN _ 11NE 3A NAICN ONE u•tw uN[ osx+.at wwi"i z i ( 33 _ w FeEc Non d, m1 FON Fa NO maem o d ew nst,ar5 f m.1om sEssec NO DR loxia • e 1 x Ja E . +>•2sm tow 11 pr.pdp FON K,NO 1 \ >1 • "^^A3 S2aMfl e l I AI.I LMIc) a tl t L� �. SEE SEL NO xx-o5ms _ \' N 60UTNOlO 9 e�� °A xx O 1py1,1 b ' n ourwrnw.un GREEN IN �e As sr e r 4 .B3 p hal e , .r 1 25 131 - 9,N A4A 23 3 61 JAA ° PMW' ea \M1 A © 3 a - M1 ° S w �1 wt Np • ��. �,�� . xp.1 o i 3e '•' U Icl a \,D.0 ' <O8 ppµcl a\e•\ y rry\ 1 PE�DRIc gpY GRFJ' iw iE E ""' _ ,,• — —_ ,,,,,•,.� ——,,•—_— _,_ ——„—— NOTICE COUNTY OF SUFFOLK © x °omIIO1n SECTION NO �'l Real Property Tax Service Agency v 123 N o.� _ ,ww,_ �.w� nc.tNrw..rN�e.Nrnw1 M r r o V rr tNcrw 1M PROPERTY IMP Glenn Goldsmith,President ��, .S Town Hall Annex A.Nicholas Krupski,Vice President y 54375 Route 25 P.O.Box 1179 Eric$e enoski P Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �,. 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 _ ` OCT _ Amendment/Transfer/Extension 5 2023 e X Received Application: X Received Fee:$ I ZSR. th'o)Id Tovin i Completed Application: 10•Ss sorT Board of TR1S:P,P.S Incomplete:. SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): X LWRP Consistency Assessment Form Sent: CAC Referral Sent: t a 0 Date of Inspection: Receipt of CAC Report: _ Technical Review: Public Hearing Held: _ //•L5•Z . Resolution: Gt MA-L- Owner(s)Legal Name of Property (as shown on Deed): Archivist Gapit*Re 76 Park LLC Mailing Address: 805 SW Broadway STE 2750, Portland,OR 97205 Phone Number: 917-572-4957 Suffolk County Tax Map Number: 1000- 123•-7-2. Property Location: 70 Park Ave, Mattituck, NY (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): David Bergen Mailing Address: Box 1008, Cutchogue, NY 11935 Phone Number: Ema&-G;A a 516-848-6438 � ,0) -13 Board of Trustees Application GENERAL DATA Land Area(in square feet): 1.6 ac 69,696 sq. ft Area Zoning: R � Previous use of property: residential Intended use of property- residential Covenants and Restrictions on property? —flYes _FV] No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? flYes [VNo If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? YesR✓ No If"Yes",please provide copy of decision. WrULfhis project r any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s)on property have a valid Certificate of Occupancy? Yes_E]_No Prior permits/approvals for site improvements: Agency Date ❑ No prior permits/approvals for site improvements. Has any permittapproval ever been revoked or suspended by a governmental agency?_Z_NoE Yes If yes,provide explanation: Project Description(use attachments if necessary)- see attached Archivist 70 Park Project Description Remove and replace in place functional wood groin beginning at MLW and extending landward to proposed terminal end. Elevation of new groin to be no more than 18" above grade on downdraft(west)side. Groin to include 6 ft.Vinyl C-Loc sheathing with 10 inch piles, 10 ft in length,with 10 inch batter piles on downdraft(west)side of groins, 6"X 6" stringers and alu- minum grate cap. Terminal seaward end to include 410 inch pilings. All as per plans dated October 1, 2023.. Board of Trustees Appllcatlon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To provide shoreline protection;prevent beach erosion and protect bluff from erosion Area of wetlands on lot: Cr.5.JyQ square feet Percent coverage of lot: 12— % Closest distance between nearest existing structure and upland edge of wetlands: Z a feet Closest distance between nearest proposed structure and upland edge of wetlands: c7 feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated?_ cubic yards Hour much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): will have a positive effect to prevent beach erosion and provide beach material stabilization plus bluff stabilization 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 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 Archivist Cap LLC 70 Park AVe Jetty Reconstruction Name of Action or Project: 70 Park Avenue Corp Jetty Reconstruction Project Location(describe,and attach a location map): 70 Park Ave, Mattituck, NY Brief Description of Proposed Action: Remove and dispose of existing functional, but failing jetty. Construct new jetty starting at MLW and going landward V feet, in place C6 Name of Applicant or Sponsor: Telephone:917-572-4957 Archivist Cap Re 70 Park LLC E-Mail:smarsh@archivistcapitol.corr Address: 805 SW Broadway STE 2750 City/PO: State: Zip Code: Portland OR 197205 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 governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ NYDEC, NYDOS, USAGE, Southold Trustees 3.a.Total acreage of the site of the proposed action? 1.6 acres b.Total acreage to be physically disturbed? s 1 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.6 acres 4. Che I land us at occur on,adjoining anar the prop action. Urban "Rural(non-agriculture) Industrial Commercial ✓❑Residential(suburban) Forest [:]Agriculture ✓ Aquatic QOther(specify): Parkland Page 1 of 4 5. Is the proposed action, NO YES I N/A a.A permitted use under the zoning regulations? ✓ 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 does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: n LJ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO VES. b.Are public transportation service(s)available at or near the site of the proposed action? 4✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? v1 FT 9.Does the proposed action meetor 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 site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b. Is the proposed action located in an archeological sensitive area? ✓ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO. . YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:. proposed work is reconstruction of a functioning exisitina structure in place 14. ntify the typic bitat types that oc n,or are likely to be found on t roject site. Check all that apply: ✓ Shoreline Forest Agricultural/grasslands Early mid-successional ✓ Wetland Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, [:]NO ❑ a.Will storm water discharges flow to adjacent properties? ES b.Will storm water discharges be directed to established conveyance systemstiO ff an�- f n drains)? If Yes,briefly describe: ES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: � ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? if Yes,describe: � ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorname:.kl�� . d .y_ � Date: !0 �^ Signature: 1,7. -✓ Part 2-Impact Assessment The Lead Agency is responsible for the completion of Part 2. Answer all ofthe-following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions 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 F]regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking orwalkway? ❑. ❑ 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? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? El ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, E]architectural or aesthetic resources? El 9_ Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage a problems? El 11. Will the proposed action create a hazard to environmental resources or human health? El ❑ Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applii .ion AUTHORIZATION (Where the applicant is not the owner) I/We, Al2CHovwr CN9,,Ts L- ?e ']0 Nex LL C owners of the property identified as SCTM# 1000-_ 1 z 3 . �. in the town of New York, hereby authorizes �A� g6jF1V 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. Pro rty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS_ DAY OF 4Uel , 20A--'72-- OFFICIAL STAMP JULIA LOUISE MCALIASTER Lary Public NOTARY PUBLIC-OREGON COMMISSION NO.1037678 MY MISSION EXPIRES JULY 08.2027 Board of Trustees Appli+ -.ion AFFIDAVIT Al2mi,%Ss Cm TfIti fE 70 ?Nev- , LLC BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. 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 Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF S- , 20 S-) OFFICIAL STAMP JULIA LOUISE MCALLASTER Notary Public NOTARY PUBLIC-OREGON COMMISSION NO.1037678 MY COMMISSION EXPIRES JULY 06,2027 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The nurnose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same.H YOURNAME: mj1ST CAPrSBL ll 7b ?hay, . u (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood, marriage,or business interest."Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO FFT 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 applicant = (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of tnE„Ofif 20 2 3 Signature Print Name AV4U MhrjV 6jF1L Form TS 1 APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics wohbits"conflicts of interest on the part of town officers an4emoloms_, ,The pum se of this form is to provide information which can alert the town ofpossible conflicts of interest and allow it to take whatever action is necesM to avoid same_ YOURNAME: David Bergen (Last name,firstname..rpiddle initial;unless you are applyingin 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 (lf"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee. of the Town of Southold? "Relationship'includes by blood;.marriage,or business interest.`Business interes&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,56%of the shares. YES y. NO F_ 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 Self ` Title or position of that person Boat Operator 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 the apply): JJA)the owner of greater than"5%,of the shares of the corporate"stock of the applicant EI (when the applicant is a corporations B)the legal or beneficial owner of any interest in a nonmcorporate entity(when the applicant is not a corporation); C)an officer,director,partneri,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this!_day of 2024 Signature ._p , Print Name Dawd Berge Form TS 1 " Board of Trustees Appl - -%tion PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: 1 S k�c-,-c,evi `?3 1��� 1 - agi 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 bcforc me this Day of ; 20 Notary Public INUTI- Lt U `1 H 't'A 'KING 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: ARCHIVIST CAPITAL RE 70 PARK, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove and replace in- place the functional wood groin beginning at Mean Low Water and extending landward to proposed terminal end; new groin to be ±66' in length; elevation of new groin to be no more than 18" above grade on down drift (west) side; groin to include 6' vinyl C-Loc sheathing with 10" diameter piles, 10' in length, with 10" batter piles on down drift (west) side of groins, 6"x6" stringers and aluminum grate cap; terminal seaward end to include four (4) 10" diameter pilings. Located: 70 Park Avenue, Mattituck. SCTM# 1000-123-7-2 - TIME & DATE OF PUBLIC HEARING: Wednesday, November 15, 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 ASSFsSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Watmftnt Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Rwept minor exempt actions including Building Permits and other ministerial permits not located widen the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list.policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed.action will :be, evaluated as to its significant beneficial and adverse effects upon the coastal.area(which includes-all of Southold Town) I If any question in Section C on this fors is answered "yes"or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the cxinsistency review law. Thus. each answer must be explained in detail, listilm both suyPortin8 and non su®uortine facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places:online at the Town of Southold I 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# 1000- ,123.7 _2 PROJECT NAME 70 Park Corp Jetty Reconstruction The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees V] 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) Perin;approval,license,certification: O Nature and extent of action: remove existing,functional but failing jetty and replace in place with new jetty I- 1 Location of action: 70 Park Ave,Mathtuck,NY Site acreage: 1-6 ac present land use- residential Present zoning classification: R 2. If an application for the proposed action has been filed with the Town of Southold agency, the following infom�ation shall be provided: (a) Name of applicant: Archmst Cap Re 70 Pk LLCi (b) g address: 805 SW Broadway STE 275o,Portland,OR 97205 (c) Telephone number. 917-572-4957 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 21 No❑ If yes,which state or federal agency?USACE,DEC,DOS C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of developmentin the Town of Southold that enhances community character, Preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development: See LWRP Section III--Policies; Page 2 for evaluation criteria. a✓ Yes F1 No Q Not Applicable Project will enhance the property owner's ability to engage in water related activities such as fishing and swimming along the shoreline The Protectwd matntam the mtegnty.of the beach through erosion prote0on 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 EJ Yes 0 No RI Not Applicable Attach adddlOna]sheets Jli I��i.�.'�/ __ _ _ Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH—Policies Pages 6 through 7-for evaluation criteria ✓❑ Yes ❑ No❑ Not Applicable It wilf not impact the visual quality as it is replacement of a structure already in place,but will support the prevention of shoreline erosion hence protecting scenic resource. Attach additional sheets if necmary NATURAL COAST POLICIES Policy 4. hfillhiize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section IH—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No❑ Not Applicable The Wdsiting jetty has been in place for a significant number of years. The area beach and dune has acclimated to the existence of - -.. - - - _._..._- the structure: our proposal is to maintain the structure,which will not cause any increase in erosion or flooding at the site. Attach additional sheets if necessary Policy& Protect and improve water quality and supply in the Town of.Southold.See LWRP Section HI —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ ro No 1 allot Applicable Attac ''onal sheets ifnecewmy Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies;Pages 22 through 32 for evaluation criteria. ❑ Yes ❑No 0 Not Applicable Attach additional sheets ifnecessazy Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III— Policies Pages 32 through 34 for evaluation criteria. F1 Yes [—]No Not Applicable Attach additional shuts ifnecessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies;Pages 34 through 38 for evaluation criteria. ❑Yes F] No C.1 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. 0 YeLl No❑Not Applicable Project will maintain beach resulting in a net gain of beach access and enjoyment for the homeowner and individuals walking the beach below the high tide mark. Attach additional sheets if necessary =� t WORIONG COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ✓❑Yes ❑ No❑Not Applicable The oroiect will allow the residents to enjoy waterdenendent activities aio0gtai shoreline Attach additional sheets ifnecess" Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable Attach additional sheets ifaecessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. Yes ❑ No Not Applicable Attach additional sheets ifnecessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No Not Applicable PREPARED By David Bergen Trn,E Agent DATE to <Y/L Box 1008 Cutchogue, NY. 11935 October 4 , 2023 ® (C Southold Town Trustees Town Hall Annex CT 54375 Rt.25 :7520]2M30 Southold, NY. 11971 Southold Town Dear Trustees: Board of Trustees Please accept this wetland application for the removal and replacement of the functional groin for Archivist Capitol-70 Park Ave. Please note that this proposal is to remove Enclosed you will find: Wetland Permit Application -Copy of LLC signature page Short Environmental Assessment Form Authorization Form Owner Affidavit Applicant Transactional Disclosure Form Agent Transactional Disclosure Form LWRP Consistency Assessment Form Construction plans Property survey Color photographs Site location map -Application Fee in the amount of$1250.00 Thank you for your consideration of this application. Please do not hesitate to contact me at 516-848-6438 should you have any questions. Sincerely, David Berg n,Agent for Archivist Capitol 70 Park