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TR-10512
Glenn Goldsmith, President ®��®� S®���®� Town Hall Annex Vn 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric SepenoskiEAL Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples a® Fax(631) 765-6641 IN 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 % constructed When project complete, call for compliance inspection; ti"� ,f,•9�fYY y'°z'v ,�. "'a ��+'r'• '�'„,r �:`,�L'+'+y' e'�-t;� `�'.`.;'e P9�� `..+�. ,�.v°;�'�+P� 1�•' .`.,' `�sv "{v'v-•,�.•-'� �.�t«`, a'r4'.''�-.�n v:,;x '��• ',:". '. n A i? a� "• '� fill, t r` �.m➢4"4'£:'y#8�+'':'T�y1T,.ewl.,'T,'r'^cg'fi ''vv�''.'",.Zc'i4..''.�''.s.u''£'£"=.Gti:ga� rev"y,s.=..5" a?T.d",'r.,n""a','.��'2�'�2A.,�L'•'�Z+P.3?�54"`.'3:YY+�,dY:.""�Fl".LA'?tLT!r..t3'S'8'.2`.t*'''..EHIA'f:rv�"'^.a...f''•�4'.U..mw'SY' ."'*..,1J"'_:G4'SCY�'A.« �£d,'m,.,'''"' s�� ,, BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK Y !, <It•,YF•� .r � •, ' PERMIT NO. 10512 DATE: DECEMBER 13,2023 `� r< _ ISSUED TO: JANICE H.ZIEGLER&KARL A. GROSKAUFMANIS PROPERTY ADDRESS: 112 WINDJAMMER DRIVE.SOUTHOLD SCTM# 1000-71-2-11.5 '• AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting,held on December.13, 2023, ? t and in consideration of application fee in the sum of $2500.00 paid by Janice H. Ziegler & Karl A. a = Groskaufinanis and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board r^: of Trustees authorizes and permits the following: ; Wetland Permit to maintain and perform as-needed-ordinary and-usual maintenance on as- built Yx12' hinged ramp and 61x20' floating dock situated in an "I" configuration; and as depicted on the survey prepared by Kenneth M.Woychuk,Land Surveying PLLS,dated July 11,2023,and stamped approved on December 13,2023. .r4 - 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. . F OgUfFQJ CD coo Y S',• rr J .� er 1 t a yr+}..`:Ls F G A,� PyA - � _i�V ,••t *�. .a R � � �Yn�'i 9sg��# f:n•.r".� 41 ;6r, ' +..".".54,.�..� �y •"44.°F.�•fd,,.n '''a,; ,.,.,�,#.�r.>` `•�Yw. f�?:,9 .?-.. _.e <,+•-.s?.i .�, .L. �.'.4i TERMS AND CONDITIONS The Permittee Janice H. Ziegler&Karl A. Groskaufmanis residing at 112 Windjammer Drive, 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-'d'amages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith,President �`�®v so Town Hall Annex ®V� ®� 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 a® Fax(631) 765-6641 c®uri BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 15, 2023 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: JANICE H. ZIEGLER & KARL A. GROSKAUFMANIS 112 WINDJAMMER DRIVE, SOUTHOLD SCTM# 1000-71-2-11.5 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 13, 2023 regarding the above matter: WHEREAS, En-Consultants on behalf of JANICE H. ZIEGLER & KARL A. GROSKAUFMANIS 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 October 31, 2023, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 13, 2023, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JANICE H. ZIEGLER & KARL A. GROSKAUFMANIS to maintain and perform as-needed ordinary and usual maintenance on as-built 3'x12' hinged ramp and 6'x20' floating dock situated in an "I" configuration; and as depicted on the survey prepared by Kenneth M. Woychuk, Land Surveying PLLS, dated July 11, 2023, and stamped approved on December 13, 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: $ 518.00 V truly yours, Glenn Goldsmith President, Board of Trustees GG/dd S.C.T.M. NO. DISTRICT: 1000 SECTION: 71 BLOCK: 2 LOT(S): 11.5 APPROVED BY / ;`BOARD OF 'i RUSTEES a / TOWN OF SOUTHOLD / S6_ O s/M�,yo DATE Dscbwt 13� wo 0SI0,1 N`%�/ OF PILINGS 0�C,' S ° `���� 0 00. MO/V4 °N/P .. F��•••:•:• _Q 40 0 / gT / 9g.N S -1.9 WELL �7 ZQ � T �. It 6Sl o •. 3�MIo -1.2 � � � l 0SF y0 -2.7 F� OOH A_ o \ �S70.It Z / 'Y -3.2 / \\ ,q �9Na �� � O /�\\ R/GyT \�oo0F It l \\ OF `SO -3.0 oo, �• \\\oFwgy Jj \ / -4.3 \\\ SgSSOC pR0 / \\ NC �v Q7 0.5'� 4C -4.3 ��qT: \\ �ZyO= // // It i- \ �9F ��//�c �tiIA \ l It N%q F OF OCT 3 1 2023 // \\\✓G<<COF -2.1 a / // M%1R44 Board 0,TRIS'80S - 240 o \\\ v� l l 41N `\\ -4.0 .... /NOS% It Op 11 1 774E WA7ER SUPPLY WELLS, DRYWES AND \\ ..... %"Y440 �Q / / LOCA77ONS SHOWN ARE FROM RELD�OBSERVA ONSOOL <C O \ / / AND OR DATA OBTAINED FROM OTHERS. 0 \\� / AREA: 749.76 SQ.FT.or 0.02 ACRES ELEVATION DATUM: MLW 0.0 UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A WOLA710M OF SECTION 7209 OF THE NEW YORK STATE EDUCA770M LAW. COPIES OF THIS SURVEY \•' MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN \ ONLY 70 THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF 70 THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION \ Rq LISTED HEREON, AND 70 THE ASSIGNEES OF THE LENDING INS777U770N, GUARANTEES ARE NOT TRANSFERABLE \M,o THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES 70 THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERE0770M OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS -4.4 \ AND/OR SUBSURFACE S7RUC7URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY aF: DESCRIBED PROPERTY CERTIFIED TO: JANICE ZIEGLER; \ MAP OR \ FILED: SITUATED AT: SOUTHOLD Town OF. SOUTHOLD ]KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK �f Professional Land Surveying and Design #' P.O. Boz 159 Aquebogue, New York 11991 FILE # 223-92 SCALE. 1"=101 DATE: JULY 11,2023 N.Y& USC. NO. 050882 PHONE (891)298-1688 FAX(891) 298-1588 o��SOFFO(/(coo Glenn Goldsmith, President ,� y Town Trustees A Nicholas Krupski, Vice-President y z 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz Gillooly A � ao�� Southold, NY 11971 Elizabeth Peeples o� ' ` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ZIEGLER/GROSKAUFMANIS c/o EN CONSULTANTS Please be advised that your application dated October 31, 2023 has been reviewed by this Board at the regular meeting of December 13, 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) 111 Day of Construction ($50.00) Y2 Constructed'($50.00) x Final Inspection Fee ($50.00) - PAID x Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 3'x12' ramp = 36sq. ft. x $3.00 = 108.00 6'x20' floating dock 120sq.ft. x $3.00 = 360.00 TOTAL FEES DUE: 468.00 BY: Glenn Goldsmith, President Board of Trustees �2 ��� Glenn Goldsmith,President SyO�v" COG a Town Hall Annex A.Nicholas Krupski,Vice President �� y< 54375 Route 25 Eric Sepenoski y ? P.O.Box 1179 Liz Gillooly �y • ��� Southold,NY 11971 Elizabeth Peeples �Ol �¢, Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 12 0 2 Completed in field by: 1i7.a� n ?etbl a En-Consultants on behalf of JANICE H. ZIEGLER & KARL A. GROSKAUFMANIS requests a Wetland Permit to maintain and perform as-needed ordinary and usual maintenance on as-built 3'x12' hinged ramp and 6'x20' floating dock situated in an "I" configuration. Located: 112 Windjammer Drive, Southold. SCTM# 1000-71-2-11.5 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay V 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.: S�raia h�anK Present Were: •✓G. goldsmith N. Kr pski ✓ E. Sepenoski L. Gillooly E. Peeples Glenn Goldsmith,President y""0 "ea' Town Hall Annex A.Nicholas Krupski,Vice President ��� y< 54375 Route 25 Eric Sepenoski w ,? P.O.Box 1179 Liz Gillooly �y • 0��' Southold,NY 11971 Elizabeth Peeples � �a, � Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: En-Consultants on behalf of JANICE H. ZIEGLER & KARL A. GROSKAUFMANIS requests a Wetland Permit to maintain and perform as-needed ordinary and usual maintenance on as-built 3'x12' hinged ramp and 6'x20' floating dock situated in an "I" configuration. Located: 112 Windjammer Drive, Southold. SCTM# 1000-71-2-11.5 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 S.C.T.M. NO. DISTRICT: 1000 SECTION: 71 BLOCK: 2 LOT(S): 11.5 / O / 4 / 5�s l S6St o SSM°N�OtiiF m � �SI� <�b'/N of 0�0 PILINGS °GTO/ TR(iST N �. -2.0 o� 5o�0' MONM°�IF° 4- -3.0 O.... :::::::.... h /�C�R�/ OV��O� <G V :.6 �OgT.::•:•::•::•::":.... 9g NT -1.9 WELL l ,to 3x/Mp -1.2 j -3.2 MFTFR \F/Vc �� l �^' o 0 \ s000'o'F Allp so -3.0 OP OP / -4.3 \\ RSq S°SSA O oa \\\q� 010 / \\\\ c/gTo�FR�' <v Jvz 11 N -0.°s / \\ -2.2 \\ 210 NO Nic° / \\ qac✓G Vic° MA \ ✓qM F -2.1 OP FR O THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL \\\ / AND ORLOCA NDATAOWN ARE FROM OBTAINED FROMf7ELD 07HERSS£RVATONS F' OCT 3 1 -` -4.0 :. :........ 2023 \ / AREA: 749.76 SQ.FT.or 0.02 ACRES £LEVAnoN DATUM: MLW O.O ............•.•.•.•... -4.3 ...... UNAUTHORIZED AL7ERA77ON OR ADD177ON 70 7HIS SURVEY IS A WOLA770M OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD 7RUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY 70 7HE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF 70 7HE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS717U77ON US7ED HEREON, AND 70 THE ASSIGNEES OF 7HE LENDING INS777U770N, GUARAN7EES ARE NOT 7RANSFERABLE. THE OFFSE7S OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY UNES TO 7HE S7RUC7URES ARE FOR A SPECIFIC PURPOSE AND USE 7HEREFORE THEY ARE \ NOTIN7ENDED TO MONUMENT THE PROPERTY UNES OR 70 GUIDE THE ERECTON OF FENCES, ADD17IONAL STRUCTURES OR AND 07HER IMPROVEMEN7S EASEMENTS -4.4 AND/OR SUBSURFACE S7RUCTURES RECORDED OR UNRECORDED ARE NOT GUARAN7EED UNLESS PHYSICALLY EVIDENT ON 7HE PREMISES AT 7H£ 77ME OF SURVEY \ SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: JANICE ZIEGLER; \ MAP OR \ FILED: SITUATED AT: SOUTHOLD TowN OF: SOUTHOLD SUFFOLK COUNTY, NEW YORK KENNETH M NOYCHUK LAND SURVEYING, PLLC Professional Land Surveying and Design 6th P.O. Hoz 169 Aquebogue, New York 11931 FILE # 223-92 SCALE: 1"=10- DATE: JULY 11,2023 N.Y.S USC. NO. 050882 PRONE (831)298-1588 FAX(891) 298-1688 -E ZIEGLER& KARL GROSKAUCJS. 112 WINDJAMMER DRIVE,SOUTHOLD r -ANEW Figure 1. Looking northwest toward canal over existing ramp and flout;and adjacent groin to north. W7 -Iy PW t' J ,+t r ` ...n ....- 17 r Figure Z. Looking southeast front canal over existing ramp and float. 'E ZIEGLER& KARL GROSKAW"IS. 112 WINDJAMMER DRIVE.SOUTHOLD l ,PAU 4i14 .. r yl+ .....sur •- '� O.lt.�. ' , . v. h , r Ra Figure 3. Looking southwest over subject dock(foreground)and similarly situated neighboring flouting docks to south. Y _ 112 Windj4mml �•_.r !� y s as vq .� Oe A l figure 4. .1 erial view of sub,jest and neighboring docks present in June 2021,prior to applicants'purchase of property. !mage by Google Earth. ,a.a9o, maan 9s9s,a w.taw N fl e , a a15ER]� SOUTHOLD aAY �4 _ W 0,D.43 N BA 27Ncl 1 a 8 H -..' �� A� F�A• .12 �` 1•Ncl `' B 10 8 V �] w ,0.1 ip4c1 �� � N.WIWSN a14 OR � Ot m \v :sem IE •'�'� "• -' — ------ — —— —— NoncE -o+uA '.L COUNTY OF SUFFOLK © x o p 9EcrM RO c•�„�,,,'� —�— nll v� ---- __'-- m 1 -rl Real Property Tax Service Agency yar° Nrs. —•— o. ., u.w� r .-- M xxxa 071 0..w.. x> w. �xinaw w —__— --.-- e.......--w.-- rnw yN P ]] an rmciw 1000 PROPERTY— 4 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 Cow LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: December 11, 2023 Re: LWRP Coastal Consistency Review for JANICE H. ZIEGLER & KARL A. GROSKAUFMANIS SCTMt# 1000-71-2-11.5 En-Consultants on behalf of JANICE H, ZIEGLER & KARL A. GROSKAUFMANIS requests a Wetland Permit to maintain and perform as-needed ordinary and usualmaintenance on as-built 3'x12' hinged ramp and 6`x20'floating dock situated in an °"I" configuration. Located: 112 Windjammer Drive, Southold. SCTM## 1000-71-2-11.5 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with. LWRP Policy 6.3 and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Torn Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The as-built structure was constructed without Board of Trustee review or permit. 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: Damon Hagan, Assistant Town Attorney �S F FQ 14r 1 John G. Stein,Chairperson Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., December 6, 2023, the following recommendation was made: Moved by Carol Brown, seconded by John Stein, it was RESOLVED to SUPPORT the application of JANICE H. ZIEGLER & KARL A. GROSKAUFMANIS to maintain and perform as-needed ordinary and usual maintenance on as-built 3'X 12' hinged ramp and 6'X 20' float. Located: 112 Windjammer Dr., Southold. SCTM#71-2-11.5 Inspected by: Carol Brown, Caroline Burghardt, Maggie Merrill Vote of Council': Ayes: All Motion Carried .�,® U f 517 Town Hall Annex Glenn Goldsmith,President 54375 Route 25 A.Nicholas Krupski,Vice President ,`C` ��� P.O.Box 1179 Eric S'epenoski J* Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 coulm,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only. Coastal Erosion Permit Application �—Wetland Permit Application ¢ ` Administrative Permit OCT 3 " Amendment/Transfer/Extension 2023 - Z4—Received]��Received'Fee: eceived Application: l9, 3!•23 $ 2 •ompleted Application: /0. 3l• 6csniof ;"'',,.,; �F Incomplete: SEQRA Classification: Type I Type 11 Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): k LWRP Consistency Asse sm nt Form Sent: 10- JY CAC Referral Sent: k Date of Inspection: 12•(0• Receipt of CAC Report: Technical Review: Y Public Hearing Held: Resolution: Name of Applicant Janice H.Ziegler&Karl A.Groskaufmanis 2904 Brians Hill Lane Address Oakton,VA 22124 Phone Number: 703 622-3595 " Suffolk County Tax Map Number: 1000 - 71 -2- 11.5 Property Location: 112 Windjammer Drive, Southold (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road,Southampton,NY 11968 Phone:631-283-6360 coj 33 i Board of Trustees AP cation GENERAL DATA Land Area(in square feet): 750 sf Area Zoning: R-40 Previous use of property: Vacant parcel improved with bulkhead and dock Intended use of property: No change Covenants and Restrictions: Yes X No If"Yes", please provide copy. Will this project require a Building Permit as per Town Code? Yes X No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s)on property have a valid Certificate of Occupancy Yes X No Prior permits/approvals for site improvements: Agency Date Wetlands Permit No. 6493 (bulkhead) 11-15-06 Wetlands Permit No.6656(dock) 6-20-07 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No X Yes If yes, provide explanation: Wetlands Permit 6656 for dock was suspended due to applicant's failure to provide revised project plans and pay application fee. Project Description (use attachments if necessary): Maintain and perform as-needed ordinary and usual maintenace on as-built Tx 12'hinged ramp and 6'x 20'float,as depicted on survey prepared by Kenneth M. Woychuk Land Surveying,PLLC,dated July 11,2023. Board of Trustees Applic '-on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To obtain authorization for,and perform as-needed ordinary and usual maintenace on,existing floating dock and ramp connected to bulkhead. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 oio Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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): See attached addendum. STATEMENT OF EFFECT FOR JANICE H. ZIEGLER& KARL A. GROSKAUFMANIS 112 WINDJAMMER DRIVE SOUTHOLD,NY SCTM#1000-71-2-11.5 The applicants are seeking permission to maintain an existing floating dock and ramp hinged to an existing corrugated vinyl bulkhead, which was authorized by Wetlands Permit 6493 in 2006. In response to a separate application by the previous property owner in 2007,the Board of Trustees resolved to approve Wetlands Permit No. 6656 for a ramp and floating dock. However, issuance of the permit was conditioned upon payment of application fees and submission of revised plans depicting a proposed upweller the applicant indicated would be attached to the dock. As these conditions remained unsatisfied in 2013, the permit was suspended as incomplete at that time.Nevertheless, a review of historic aerial images indicate the ramp and float were installed by the prior owner between October 2008 and September 2009, where the dock remained in June 2021, when the applicants purchased the property. Learning that dock maintenance and repair work requires having a permit in their . name and that the dock was not properly permitted, the current owners are seeking to secure a permit. To that end, the existing dock conforms to the dimensions of the previously authorized dock and to the "pier line" of the six (6) other similarly situated floating docks located along the bulkheaded easterly shoreline of the canal (see Figure 4). As the north side of the dock is physically separated from the neighboring property to the north by a wood groin on that property, only the south side of the float is useable for dockage, and it has both sufficient space (7 to 8 feet between the float and southerly property line) and water depth(2.7 to 3 at mean low water). Maintenance of the existing dock would thus cause no changes to or have any adverse impacts on existing navigational conditions or otherwise affect the public and recreational use of the canal; would not create a "fragmentation of ecological communities" along the developed shoreline, nor result in the physical loss, degradation, or functional loss of ecological components; or otherwise adversely impact the adjacent tidal wetlands or surface waters of Southold Town. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-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 I-Project and Sponsor Information Name of Action or Project: Ziegler&Groskaufmanis Dock Project Location(describe, and attach a location map): 112 Windjammer Drive,Town of Southold, Suffolk County; SCTM#1000-71-2-11.5; Brief Description of Proposed Action: Maintain and perform as-needed ordinary and usual maintenace on as-built 3'x 12'hinged ramp and 6'x 20'float,as depicted on survey prepared by Kenneth M. Woychuk Land Surveying,PLLC,dated July 11,2023. Name of Applicant or Sponsor: Telephone: 703-622-3595 Janice H.Ziegler&Karl A.Groskaufmanis E-Mail: janiece.ziegler@dentons.com Address: 2904 Brians Hill Lane City/PO: State: Zip Code: Oakton VA 22124 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. X 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: X 3.a. Total acreage of the site of the proposed action? 0.02 acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.02 acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑Rural(non-agriculture) ❑ Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture ®Aquatic ❑ Other(specify): ❑ Parkland Page 1 of 4 1 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 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: Name: Peconic Bay and Environs, Reason: Protect public health,water,vegetation,& scenic beauty,Agency: Suffolk County, Date: 7-12-88 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 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: N/A 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N/A 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological sensitive area? X X 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? X b. Would the proposed action physically alter,or encroach into,any existing wetland or water body? X If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 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 ® 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? X 16. Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge,either from point or non-point sources? YES If Yes, a. Will storm water discharges flow to adjacent properties? ❑NO❑YES b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES 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: X 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: X 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: X I AFFIRM THAT THE FORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor n o ert E.He=ann, Coastal Mgmt. Specialist Date: October 30,2023 Signature: Part 2-Impact Assessment.The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land?, 3. Will the proposed action impair the character or quality of the existing community? 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 or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 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 r , No,or Moderate small to large impact impact may may occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance.The Lead Agency is responsible for the completion of Part 3.For every question in Part 2 that was answered"moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part I 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. Name of Lead Agency Date 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) Page 4 of 4 BURGUNDY! CHAROONNA m CT DR Park 39 RDI '° °Q / \\� T�PON _ y� C it y LONG C EEK 0 F f,:dds I ° Pond j ryENNECOTt E °00 O "� r fO MOCKINGBIRD Camp Ouinipet (Methodist) 'eldyO�'F As Vine 9O J 2 m / Je nings Pt �� .� qOC Y POINT .38° �° pNNS�p ! loll-irypnd,t,nu'°e°� °F9�c°Q'0p vR° r1 \ Southold Sta ' As Ncis SOC �``O �T BI �CEDON C..!1l L 1 % �® Town N SS °Q 1Park r 00 A ° 3 �A SV ,Li y DgLWS 7N Southold ��Q°N HIl1 MLORgRM YF2f �� D~ Founders R JJ HIS 'g N\Gy ° Ro Q� ° `=?; �\J� Landing \it4 0 Harper Pt '• ti` rTtzk �, •-,_` Suffolk County Nagstrom Map#44 RA Y •�,. � .. _±2,000' JOCKEY CREEK DR •�O / OJ�v 1 n a . PINEII,JECY 0 OEQN Z PO H Y� � Site(Acces via U`N 9 OQ��t ylG RO COR I5S0 o i 9 m'a So thold Subject property) LA i CUGTER Iz v N 2 'r' 0 YC - old p Custer c3g�— L 0 3� �y Lqr RT ®11 NAA SH�LIfl Um' RStitUte CLEAQVIEW HARBOR CLEARN ox ti .t � J �o F�0 R L,G AV IN 3 SLEEPY o xo p 0 �•� d° O SCHOON DR W Paradise -' Pont . PP° GLENN i. ---� m /moi w Q 00 �'': 0: LAKE OR m LENN Al �4 GREAT HOG 5a sauaRE �� i RINECK GGEfl Av 36 g o ¢ s Yvl m wW a 9Ff suo ue�y BAYVIEW M,TA m l m RD r LEETyAR Dy E c EW o�¢ I M son mCCy99Oiy p S 2 'ark \G�yW AST 3 ol ev 3( ' clecicSal Ced�a Bea h MroW 3e ae eC DAR °gKWooB ' CDun4Par BEACH ANT �r✓OS 2 R o a2 N E�q (` \1 Cedar Beach PL tyFsr CT Q,�u° aQ C I� 1 / Point .. HOG NECK `I"�EB� � W�� y�f11t�/�s 35: SON=� o <� POINi �RO BA Y .. 72°25'30'. - "72"24'00'., .}. - 72'23'15'• .` .. 15• _ L3 - M3 - .N3• .03 .: Joins Map 52'. Inc. i�: 2�Hagslrom Map Company I c Board of Trustees Applies-. .ion AUTHORIZATION (Where the applicant is not the owner) I/We Janice H.Ziegler owners of the property identified as SCTM# 1000- 71-2-11.5 in the town of Southold New York, hereby authorizes En-consultants 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. N/A dP erty Owner's Si ar�uProperty Owner's Signature Janice H.Ziegler �J SWORN TO BEFORE ME THIS DAY OF fqOi ev, ,20 otary Public NOTARY PU'BLIC,STALEOATY V F NEW YORK Registration No.OIVA6446450 QualMied in Bronx County Commission Expires January 23,2027 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Karl A.Groskaufmanis �a owners of the property identified as SCTM# 1000- 71-2-11.5 in the town of Southold ..New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Boa of rustees for thi ro e N/A r e Owner'rSigWe Property Owner's Signature Groskaufmanis SWORN TO BEFORE ME THI DAY OF '�'� N tary Public Stacey B.Simmons NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 S14800112 Qualified in Bronx County Commission Expires August 31,2025 Board of Trustees Appli",_ion AFFIDAVIT Janice H.Ziegler 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. C N/A Sign ure of Propprty r Signature of Property Owner Ziegler SWORN TO BEFORE ME THIS DAY OF RO(-C-✓1 320 e) 2 KATY V VALIENTE NOTARY PUBLIC,-STATE OF NEW YORK N'ttare Public Req1&qft11on No.oivA644mo Qualffied in Bronx County Commission Expires January 23,2027 Board of Trustees Application AFFIDAVIT Karl A.Groskaufmanis BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUI'HOLD 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 WE'T'LAND OR COASTAL EROSION PERMIT I UED BY THE BOARD OF TRUSTEES DURING THE TERM OF T ERMIT. C N/A nature of Pro rty Own Signature of Property Owner OF A.Groskaufmanis SWORN TO BEFORE ME THIS�.DAY OF G dA— ,20� Notary r ublic :PUBLIC, =COWY ons FNOTARYF NEW YORK800112ountyst 31,2025 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the oart of towse of tbisfdrmisfoprovide inforination which can alert the town of IMssible conflicts icts ofmterest and allow it to take whatever action is necessary to,aypid same. YOUR NAME: Ziegler,Janice H. (Last name,first name,;riddle 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 X 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 of ecr'or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business.interest."Business interest"means:a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agcnt/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater.than 8%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the.legal ortieneficial owner of any interest in a non-corporate entity(when the applicant isnot a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP /'J1r Submitted this 2,'�' day of 12411- 61- 20Z3 Signature Print Name Jdnice H.Ziegler---' Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part df town officers and emplovecs.The purpose of thi§:fbrm is to,provide inf6rination which can alert the town of ssible co flicts of interest.and allow itto take whatever action is necessary to avoid same. YOURNAME: Groskaufmanis,Karl A. (Last name,first name,iriddle 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 A 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? "Relationsliip"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)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,tJcneficial own.d of any interest in a non-corporate entity(when the applicant is not a corporation); G)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this o 20� Signature Print Nam ar ro wrrnanis Form TS 1 APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emplovees.The purpose 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. YOUR NAME : Herrmann, Robert E. (Last name,first name,middle 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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit X X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 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 i Submitted this 3� day of October,20 23 Signature Print Name Robert 'T Herrmann t: Uim HtA 'KING I I , NUTIL 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: JANICE H. ZIEGLER & KARL A. GROSKAUFMANIS SUBJECT OF PUBLIC HEARING: For a Wetland Permit to maintain and perform as-needed ordinary and usual maintenance on as-built 3'x12' hinged ramp and 6'x20' floating dock situated in an "I" configuration. Located: 112 Windjammer Drive, Southold. SCTM# 1000-71-2-11.5 TIME & DATE OF PUBLIC HEARING: Wednesday, December 13, 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 I BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Glenn Goldsmith,President �0�gOFFn1,rc Town Hall Annex A.Nicholas Krupski,Vice President �� Gym 54375 Route 25 Eric Sepenoskiy z P.O.Box 1179 Liz Gillooly o • Southold,NY 11971 Elizabeth Peeples P, �� Telephone(631)765-1892 ` .- ¢d Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JANICE H. ZIEGLER& KARL A. GROSKAUFMANIS COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLA CE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGHTH DAY OR LATER I� Robert E. Herrmann , residing at/dba En-Consultants 1319 North Sea Road, Southampton, NY 11968 being duly sworn, depose and say: That on the 6f&Fday of December , 202213 , I personally posted the property known as 112 Windjammer Dive, Southold, NY. SCTM #1000-71-2-11.5 by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,December 13,2023. Dated: (signature) Sworn to before me this 13th day of Dec. 20 23 NIM H . STEPHENS . NOTARY PUBLIC STATE OF NEW YORK COMMISSION NO . 5015931 4arbic QUALIFIED IN SUFFOLK COUNTY EXPIRES AUGUST 2 , 205 t : COMPLETE THIS SECTION • • ON DELIVERY 0 Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X• ❑Agent so that we can return the card to you. Addressee ■ Attach this card;to the back of the mailpiece, B. Received by(Prince e) C.Date of Delivery or on the front if space permits. C 'M.6--A 71F Article Addressed to: D. Is delivery address different from item 17 0 Yes If YES,enter delivery address below: 0 No Simon Living Trust 5 Lucille Lane 3. Service Type ❑Priority Mail Express® - Old BethpEl Adult Sinature 13 istered MallTm age,NY 11804 C3 Adult Signature Restricted Delivery ❑Registered Mall Restricted: — O t:ertified Mail® Delivery❑Certified Mail Restricted Delivery ❑Signature Confiirmation- �- ❑Collect on Delivery ❑Signature Confirmation 2. -" --�-�—--- -- -�-n ❑Collect on Delivery Restricted Delivery. Restricted=Delivery ' 7022 3.330 0001 3299 3409 Restricted Delivery PS Form 3811,July 2020 PSN 7530-02-000-90 53 Domestic`Return Receipt a y NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Janice H.Ziegler&Karl A.Groskaufmanis SCTM# 1000-71-2-11.5 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Maintain and perform as-needed ordinary and usual maintenace on as-built 3'x 12'hinged ramp and 6'x 20'float,as depicted on survey prepared by Kenneth M. Woychuk Land Surveying, PLLC,dated July 11, 2023. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 112 Windjammer Drive, Southold 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wed,Dec. 13,2023 @ 5:30PM;Town Hall Meeting Room,53095 Main Rd,Southold You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Janice H.Ziegler&Karl A.Groskaufmanis PROPERTY OWNERS NAME: 2904 Brians Hill Lane MAILING ADDRESS: oakton,VA 22124 PHONE #: 703-622-3595 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road,Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: #1000-71-2-11.3 5 Lucille Lane Simon Living Trust Old Bethpage,NY 11804 #1000-71-2-1.1 & 11.4 PO Box 1327 Harbor Lights P O A Southold,NY 11971 #1000-71-2-11.2 1725 York Avenue,Apt.21-F 240 Windjammer LLC New York,NY 10128 c/o Alan Bernstein STATE OF NEW YORK COUNTY OF SUFFOLK Robert E. Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being duly sworn, deposes and says that on the 5th day of December ,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 w7e mailed at the United States Post Office at Southampton , that said Notices were Mailed to each.of said persons by (certified)(ragjs4evoci mail. i Robert E. Herrin Coastal Managment Specialist Sworn to before me this 5th KIM H . STEPHEN S .day of December ,20 23 N O T A R Y P U B L I C STATE OF NEW YORK: COMMISSION NO . 5015931 OUALIFIEO IN SUFFOLK COUNTY otary Pub EXPIRES AUGUST 7-. ZOZ- . • i o RECEIPT Er CERTIFIED p Dbivestic Mall Only � I M .- o- Q' Certified Mail Fee m $ Extra Services&Fees(check box,add fee as appropriate) rlr +..� ❑Return Receipt(hardcopy) $ p ❑Return Receipt(electronic) $— b�DECPostmark C3 ❑Certified Mail Restricted Delivery $ f°D , r}{<re2 E O E]Adult Signature Required $ J (J E]Adult Signature Restricted Delivery$ p Postage J �! M $ Mru 9 Simon Living Trust C , 5 Lucille Lane ---------------- Old Bethpage,NY 11804 .................. MAIVAECEIPT Domestid M Er Q' Certified Maj(Fee ru M $ Extra SeNices&Fees(check box,add fee as appropriate) V ❑Return Receipt(hardcopy) $ 0/. F` +y E-3 ❑Return Receipt(electronic) $ C �+Postmark F p ❑Certified Mail Restricted Delivery $ $ i[l " r q 1 p E]Adult Signature Required � U�`y' , ¢ []Adult Signature Restricted Delivery$ E:3 Postage M $ $ ru sent ro Harbor Lights POA li � Siieer2 PO Box 1327 -------- crry,sr: Southold,NY 11971 CEIRTIFIED MA R s ■ MT Q- .. m M Ir Er Certified Mail Fee ru M $ p Extra Services&Fees(check box,add fee as appropriate) Q r.-'91 ❑Return Receipt(hardcopy) $ y i p ❑Return Receipt(electronic) $ � Postfrlark �a C3 ❑Certified Mail Restricted Delivery $ ,~' DEC—"�e2023 : C3 E]Adult Signature Required $ h qi ❑Adult Signature Restricted Delivery$ M Postage 1 M Total Poste I ru senrro 240 Windjammer LLC 3 _________ c/o Alan Bernstein shear and: 1725 York Avenue,Apt. 21-F c;ry,state, New York,NY 10128 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significan beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southol dtown.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# 71 - 2 _ 11.5 PROJECT NAME Janice H.Ziegler&Karl A.Groskaufmanis The Application has been submitted to (check appropriate'response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) ❑ (c) Permit, approval, license, certification: Nature and extent of action: Maintain and perform as-needed ordinary and usual maintenace on as-built 3'x 12'hinged ramp and 6'x 20'float,as depicted on survey prepared by Kenneth M. Woychuk Land Surveying,PLLC,dated July 11,2023. Location of action: 112 Windjammer Drive, Southold Site acreage: 750 sf Present land use: Vacant parcel improved with bulkhead and dock Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Janice H.Ziegler&Karl A.Groskaufmanis (b) Mailing address: 2904 Brians Hill Lane Oakton,VA 22124 (c) Telephone number: Area Code 703-622-3595 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ® No❑ If yes, which state or federal agency? NYSDEC,USAGE,NYSDOS C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ❑ Yes 1:1No ® Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ®Yes ❑ No ❑ Not Applicable i LWRP CONSISTENCY ASSESSMENT FORM ADDENDUM FOR JANICE H. ZIEGLER & KARL A. GROSKAUFMANIS 112 WINDJAMMER DRIVE SOUTHOLD, NY SCTM#1000-71-2-11.5 LWRP Policy 6 The applicants are seeking permission to maintain an existing floating dock and ramp hinged to an existing corrugated vinyl bulkhead, which was authorized by Wetlands Permit 6493 in 2006. In response to a separate application by the previous property owner in 2007, the Board of Trustees resolved to approve Wetlands Permit No. 6656 for a ramp and floating dock. However, issuance of the permit was conditioned upon payment of application fees and submission of revised plans depicting a proposed upweller the applicant indicated would be attached to the dock. As these conditions remained unsatisfied in 2013, the permit was suspended as incomplete at that time. Nevertheless, a review of historic aerial images indicate the ramp and float were installed by the prior owner between October 2008 and September 2009, where the dock remained in June 2021, when the applicants purchased the property. Learning that dock maintenance and repair work requires having a permit in their name and that the dock was not properly permitted, the current owners are seeking to properly permit the dock. To that end, the existing dock conforms to the dimensions of the previously authorized dock and to the "pier line" of the six (6) other similarly situated floating docks located along the bulkheaded easterly shoreline of the canal (see Figure 4). As the north side of the dock is physically separated from the neighboring property to the north by a wood groin on that property, only the south side of the float is useable for dockage, and it has both sufficient space (7 to 8 feet between the float and southerly property line) and water depth(2.7 to 3 at mean low water). Maintenance of the existing dock would thus cause no changes to or have any adverse impacts on existing navigational conditions or otherwise affect the public and recreational use of the canal; would not create a "fragmentation of ecological communities" along the developed shoreline nor result in the physical loss, degradation, or functional loss of ecological components; or otherwise adversely impact the adjacent tidal wetlands or surface waters of Southold Town. - SEE ATTACHED ADDENDUM- Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes FIN o® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES l t A Policy 10. Protect Southo water-dependent uses and promoic biting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of,living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable' r PREPARED BY TITLECoastal Management Specialist DATEoetober3o,zoz3 Robert E. e n Amended on 811105 �F� At EN-CONSULTANTS October 30,2023 -� Town of Southold L_. Board of Trustees 54375 Main Road Post Office Box 1179 OCT 3 9 2023 Southold,New York 11971 Re: Janice H.Ziegler&Karl A. Groskaufmanis 112 Windjammer Drive, Southold - SCTM#1000-71-2-11.5 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland Permit Applications including: a) Authorization&Disclosure Forms; b) Short Environmental Assessment Form; c) LWRP Consistency Assessment Form. 2. Photographs. 3. Four(4) surveys prepared by Kenneth M. Woychuk Land Surveying, PLLC, dated July 11,2023. 4. Application fee of$2:;`500.00. I hope this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Sincer 1 r Rob4E. ann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsuitants.com environmental consulting