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HomeMy WebLinkAboutHoffman, Herbert & Susan Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Wednesday, December 21, 2022 1:59 PM To: 'JJPatanjo@gmail.com' Subject: Hoffman; SCTM# 1000-66.-3-10 application Jeff, Regarding the application referenced above the application cannot proceed without written authorization from the underwater land owner Frost Road Associates LP submits a letter authorizing the bulkhead rebuild,dock and dredging. At this time the application is postponed from a public hearing agenda. �����i �aficeB2 Senior Office Assistant Town of Southold Board of Trustees Office: 631-765-1892 Email: elizabethc@southoldtownny.gov i IS%G DOCK EXISTING VEGETATED WETLANDS AS IDENTIFIED BY \ J. PATANJO ON SEPT.9,2022 PROPOSED MAINTENANCE D DOING OF APPROXIMATELY \ N 73°00 00" E 291 98 `z * 45 CY OF SPOILS TO Be PLACP LANDWARD OF PROPOSED BULKHEAD _ _ _ _ \ ROPOSED 10'WIDE NON-TURF BUFFER Z. STONE DRIVEWAY PROPOSED 15'BULKHEAD RETURN meSNpRS��NE PROPOSED 30 WIDE X 14 LO G * STORY FR. ALUMINUM HINDGED RAMP - \ N pQQpS� Y * * ; •o HOUSE & GARAGE �' \ `D # 1605 PROPOSED 10'LONG X 4'WIDE\ " , N C) FIXED PIER W/THRU-FLOW DECKI G * 3 PROPOSED 6'WIDE X 20'FLOATING O , DOCK SUPPORTED WITH(4)10'0 1` GREENHEART PILES b w * N � \ r3 w REMOVE EXISTING BULKHEAD IN ENTIRETY - o �N N UN PROPOSED n IF OF VINYL BULKHEAD(IN 1 * * co " E E SAME EXACT LOCATION AS EXIST.)\— - � — — — — — — — — — EX. BULKHEAD TOP=5.7' - NOV 2 2 2022 c� S 73000'00" W 228.95' N 63' fV V CONNECT TO EXISTING BULKHEAD SITE PLAN S° °I°T° , Board of Trustees SCALE: 10=30' o PROPOSED 4' WIDE X 10' LONG FIXED DOCK LOCATION MAP WrrH THRU—FLOW DECKING ON ENTIRE SURFACE N.T.S. PROPOSED M GAP PROPOSED BULKHEAD NOTE REMOVE D MING MU(HM PRaPGgn 9d LONG it B= Po`��Raa d PROPOSED 30'WIDE X 14' LONG ALUMINUM HINDGED RAMP µo I IRE NE�w Bu�ixHF�D PRGPO=r&REAR WALE Gu�wTLO�Gmrn Mr,e a - 1 D IN THE F]UDT SAME POSRION UUM.s Or OF Dana spars PROPOSED 6 WI X 20' FLOATGLLKNEAD HEART PILES AND PA=HEIGHT OF 1e• WARD OF PROPOSED Surruncru 1111H GREE a: 8 PROPOSED GRADE PROPOSED Em ca 'jl - E=NG GRADE WALE cnP•OF -- - %...: 6 PROPOSED W LONG Is M GALT.,� RDA E'QQT7 ll�t �r .,�c I M 4 - "4, r •�"� - - - FPFFOXW E IMM a.Tat __________= N'PR01a19E ILL. EL 0.°kTO SE Mo IN - i3,,. - ,\�o�..• - - 's - x, 0 M.LW EL.oft –2 ro ;. ' Poaa PROJECT. PROPOSED MAI UMCE DREDGING FAPPROXIMATELY -L,OCA'I'ION 45 CY OF SP011 S TO BE PLACED L NDWARD OF y;o -- -4ROPOSED — M BELOW M.LW. AaGPGSEn m•"No Qoc 0900 MR SHEEMG TYPICAL SECTION - PIER TYPICAL SECTION - BULKHEAD N.T.S. N.T.S. PREPARED BY: NOTES: JEFFREY PATANJO Proposed Permit Plans S1 AL30' 1. LOT AREA: 7,600 S.F. / 0.175 ACRES P.O. BOX 582 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: BOHEMIA, NY 11716 PROPOSED PLAN DATE: DONALD J METZGER, PECONIC SURVEYORS, P.C. 631-487-5290 11-19-22 P.O. BOX 909 JJPATANJO@GMAIL.COM & LOCATION MAP 1230 TRAVELER STREET PROPERTY OWNER: >6O5 ARSHAMOMAQUE AVENUE SOUTHOLD, N.Y. 11971HERBERT & SUSAN HOFFMAN SOUTHOLD, TOWN OF SOUTHOLD DATED: SEPTEMBER 1, 2021 53 THE SERPENTINE SUFFOLK COUNTY, NY SHEET: ROSLYN, NY 11576 TAX MAP N0. 1000-66-03-10 1 OF 1 Unauthorized alteration or addition to this survey is a violation of section 7209, subdivision 2, of the New York /Li State Education Law. Copies of HEIDECKER LAND SURVEYING this survey map not bearing the land surveyors inked or embossed seal shall not be considered to be a valid copy. X X - 1 .3 X -1 .2 -1 .1 X -1 . 1 X -1 .0 X - 1 .1 X -1 . 1 X -1 .9 X _2. 0 X -2.0 X -1 .9 X _ X - 1 .6X X - 1 . 1 NOTES 1 .8 -1 .5 1. FIELD WORK WAS CONDUCTED SEPTEMBER, 2022 BY HEIDECKER LAND SURVEYING, PLLC AND ALL MEASUREMENTS WERE TAKEN ON THE GROUND. X 2. NORTH ARROW IS BASED UPON GPS X -2.5 -2. 5 X -2 X -2.5 X -2. 4 X -2.4 X -2.3 X -2.2 LANDOBSERVATIONS SURVVEYING,CONDUCTED BY HEIDECKER 3. ELEVATIONS SHOWN REFERENCE MEAN LOW WATER (MLW) VERTICAL DATUM. X X -2. 7 X -2.7 X -2.6 X -2.6 X -2.7 -2. 7 X _2.7 X -2.8 X X -1 .6 X - 1 .6 X -1 .7 X -1 .9 X - 2.1 -2.3 x _2. 5 X -2.8 X -1 . 4 X -1 . 4 X -1 . 4 X _1 . 3 x - X -1 . 5 X _ X - 1 . 3 1 . 4 1 .5 X X -0.3 -0.3 - 0.3 X -0.3 X -0.5 X -0. 9 X -1 .0 MLW= 0. 0now rV EIE 2 2 2022 MHW= ` JOHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 050719 DATE: BATF A METRIC S V AV V E 1 1 OF 10 WOOD BULKHEAD TOP= 5. 7' 751 COATEATES AVENUE SEPTEMBER 12, 2022 HOLBROOK, NEW YORK 11741 DRAWN BY: B.M. SECTION 66-BLOCK 3-TAX LOT 10 PROJ. NO. (631)-772-9604 CHK BY: J.H. #1605 ARSHAMOMAQUE AVENUE 22HLS62 jheidecker@heideckerls.comTOWN OF SOUTHOLD CAD FILE: SCALE: 1"= 10' SUFFOLK COUNTY, NEW YORK 22HLS62FP.DWG �yl 1605 ARSHAMOMAQUE AVENUE SURVEY OF PROPERTY �.�, N AT SOUTHOLD g, TOWN OF SOUTH6LD SUFFOLK COUNTY, N. Y. }Z 1000-66-03-10 SCALE 1'-30' D�+ SEPTEMBER 1, 2021 i `rte LaT 19 2 '; • roE` CER77RED To: CORE 777LE.SERVICES O HERBERT HOFFMAN AND SUSAN HOFFMAN N?3.0�00 a ,Ar O { UBS BANK USA pY vr_ 5104 5. D ECEI OT 20 s°� Av. Q�- N O V 2 2 20` a=MONUMENT Q�J` '� o`'� , A LOT NUMBERS REFER TO 'SNAP OF BEII�UON ESTATES M r 54� }OIG Town BLOCK 2'RLEO IN 7HE SUFFOLK COUNTY CLERICS OFFICE �'QQ {a i �� !tet Board of Trustees ON MARCH 14f946 AS RLE N0. 1472 s7�b .•L AREA=7,6W SQ Fl: s DoT N.Y.S. UC, NO. 49618 .Y.S. LIC, NO.' 051132-01 i ANY AL 7ERA 77ON OR AODRION'To THIS SURVEY IS A WOL PECONIC SUYOBS 77ON _ OF SECTION 7209OF THE NEW YORK STATE EDUCA77ON LA W. . P.C. ` EXCEPT AS PER SE0770N 7209—SUBDIVISION 2- ALL CER77RCA770Ns (631) 765-5020 FAX (631) 765-1797 HEREON ARE,VAUD FOR THIS MAP AND COPIES .THEREOF ONLY IF P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED. SEAL OF THE SURVEYOR 1230 7RA VELER STREET WHOSE SYGNATURE APPEARS HEREON. SOUTHOLD, N.Y. 11971 NICKLE`S s �OgUFFQ(�.coG � s John G.Stein,Chairpersony 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., January 11, 2023 the following recommendation was made: Moved by John Stein, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of HERBERT & SUSAN HOFFMAN for the removal and replacement of 79 If. of existing timber bulkhead with new vinyl bulkhead and 15' return in same location as existing and raised to height of 18" above existing top cap. Construct proposed 4'X 10' long fixed pier with thru-flow decking, 30"X 14' long aluminum ramp and 6'X 20' floating dock supported by 4-10" dia. pilings. Dredge approx. 45 cy. of spoils from the area surrounding proposed floating dock to obtain a minimum of 30" of water at low tide and deposit spoils landward of proposed bulkhead. Provide a 10' wide non-turf buffer landward of proposed bulkhead. Located: 1605 Arshamomaque Ave., Southold. SCTM#66-3-10 Inspected by: Caroline Burghardt, John Stein The CAC Supports the application with a 10' non turf buffer planted with native vegetation. Vote of Council: Ayes: All Motion Carried 7�+ a Glenn Goldsmith, President r����'Sp(/J' -r., Town Hall Annex A. Nicholas Kru 54375 Route 25 ski,Vice President O l p 1� �yi P.O.Box 1179 John M.Bredemeyer III JL .,j Southold,New York 11971 Michael J.DominoO Telephone(631) 765-1892 t Greg Williams i,�O v Fax(631) 765-6641 1 P4UNT`�,�� ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use OnnN Coastal Erosion Permit Application .. _._ E_&_Wetland Permit Application Administrative Permit Amendment/Transfer/Extension 2 2 2022X Received Application:Received Fee: $ wnCompleted Application: 12.2•ZY of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: ____Coordination:(date sent): �WRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: 1 Z Receipt of CAC Report: Technical Review: Public Hearing Held: �l Resolution: Owner(s)Legal Name of Property(as shown on Deed): Herbert&Susan Hoffman Mailing Address: 53 The Serpentine, Roslyn NY 11576 Phone Number: 516-524-2590 Suffolk County Tax Map Number: 1000- 66-03-10 Property Location: 1605 Arshamomaque Ave.,Southold, NY 11971 See location map (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Jeffrey Patanjo Mailing Address: P.O. Box 582 Bohemia, NY 11716 Phone Number: 631-487-5290 Email: JJPatanjo@gmail.com Board of Trustees Application GENERAL DATA Land Area(in square feet): 7,600 Area Zoning: Res Previous use of property: Res Intended use of property: Res _ Covenants and Restrictions on property? ❑ Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? ❑ Yes ❑✓ 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 ✓�No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? =Yes _ ✓❑�_N0 Does the structure (s)on property have a valid Certificate of Occupancy?=Yes VNo Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓❑ No ❑ Yes If yes,provide explanation: Project Description(use attachments if necessary): See attached description HERBERT&SUSAN HOFFMAN 1605 ARSHAMOMAQUE AVE-SOUTHOLD SCTM No. 1000-66-03-10 PROJECT DESCRIPTION: The project includes the removal and replacement of 79 LF of existing timber bulkhead with new vinyl bulkhead and 15 LF return in same location as existing and raised height of 18"above existing top cap. Construct proposed 4'wide x 10'long fixed pier with thru-flow decking,30"wide x 14'long aluminum ramp and 6'wide x 20' long floating dock supported by 4—10"dia.Greenheart piles. Dredge approximately 45 CY of spoils from area surrounding proposed floating dock to obtain a minimum of 30" of water at low tide and deposit spoils landward of proposed bulkhead. Provide a 10'wide non-turf buffer landward of proposed bulkhead. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: See attached description Area of wetlands on lot: 180 _ square feet Percent coverage of lot: 2.3 % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? _No ❑✓ Yes If yes, how much material will be excavated? 45 cubic yards How much material will be filled? 45 _cubic yards Depth of which material will be removed or deposited: 2'5 ^feet Proposed slope throughout the area of operations: 1-4 -- Manner in which material will be removed or deposited: Clam Shell bucket on crane Statement of the effect, if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): There will be no effect on wetlands due to location of project,all precautions will be taken to protect existing wetlands adjacent to the work area. Board of Trustees ,Applica, &w-n AI+'FMA'VIT Herbert & Susan Hoffman 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 WORD 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 RE,QUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property O ner SWORN TO BEFORE ME THIS I5+h DAY OF M ou em beR 202 Notary Public Notdq► afta1NewYak NO OlGEMU971 Quditd!n Noaeov MyCommt daXp1�0 ► g06 Board of Trustees Applica ion i AUTHORIZATION (Where the applicant is not the owner) I/We Herbert & Susan Hoffman owners of the property identified as SCTM# 1000- 66- 3— in the town of Southold ,New York,hereby authorizes Jeffrey Patanjo to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. P operty Owner's Signature Property Owner's S' nature SWORN TO BEFORE ME THIS 16+J1 DAY OF N©V e M b e r , 20 2 a Joi L GENEUM Notary Public Fmv y Fubnc-Sta#�a Now loalc NO.01GE61X4971 adi"In Nassau CmInIon Expires Igi ki 10 0 as APPLICANUAGENU/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Soulhold's Code of Ethics prohibits conflicts of interest on.the part of town officers and employees.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: Hoffman,Herbert (Last name,first name,.Vriddle initial,unless you are applying in the name of someone else or otherentity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building ✓ Variance Trustee ✓ Change 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 W] 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 applicantlagent/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): 0_A)the owner of greater than 5%of the shares of the corporate stock of the applicant EJ (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(whet►the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or _D)the actual applicant. DESCRIPTION OF RELATIONSHIP �� u Submitted this day of202 L--- Signature , Print Name HerbertHoffman Form TS I 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 purpose of this.form is to provide information which can alert-the-town-of possible conflicts-of-iriterest.and allow it to take whatever action is. necessary to avoid same. YOUR NAME: Hoffman,Susan j (Last name,first name,.middle initial,unless you are applying in the name of someone else or otherentity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply,) Tax grievance Building Variance Trustee Change 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,rgarriage,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 EL (when the applicant is a corporation); B)the legal or-beneficial owner of any interest in a non-corporate entity(wheel the q_D) applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 11/09/2022 _ Signature_ �' w Print Name Susan Hoffman Fotm TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics 0ohibits-conflicts of interest on-the pait-of.town officers and employees.The ouroose.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; Patanjo,Jeffrey (Last name,first name,.Viiddle initial,unless you are applying in the name of someone else or otherentity,such as a company.If so,indicate the other person's or company's name,) NAME OF APPLICATION: (Check all that apply.) Tax grievance -. .. Building Variance Trustee ✓ Change 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 ...0 .. 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): T—]_A)the owner of greater than 5%of the shares of the corporate stock of the applicant f1 (when the applicant is a corporation); B)the legal orr-benefiicial owner of any interest in a non-corporate entity(whets 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 09/19/202 _ Signature Print Name ieffjPafanjo _ - Form TS 1 I Short Environmental Assessment.Form Part I -Project Information 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 answu as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 1605 Arshamomaque Ave-Southold Project Location(describe,and attach a location map): See location map Brief Description of Proposed Action: Remove and replace 79 LF of timber bulkhead with new vinyl bulkhead in same location as existing and added 15 LF return on north side of property. Construct 4'x 10'fixed pier,30"x14'aluminum ramp,6'x20`floatlng dock supported with 4-10°dia.piles and dredge 45 C from area surrounding floating dock and use spoils landward of proposed bulkhead. Name of Applicant or Sponsor: Telephone: 516-524-2590 Herbert&Susan Hoffman E-Mail: herbhofi53@gmail.com Address: 53 The Serpentine City/PO: State: Zip Code: Roslyn NY 11576 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name,and permit or approval:NYSDEC/NYSDOS/Army Corps/Town of Southold Trustees ❑ 3. a.Total acreage of the site of the proposed action? 0.17 acres b.Total acreage to be physically disturbed? 0.02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.17 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ® Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑✓ El- b. b. Consistent with the adopted comprehensive plan? ❑ 7 ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES ❑ F1 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency:Suffolk County,Date:7-12-88 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YESF71 Elb. Are public transportation services available at or near the site of the proposed action? FZ ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO I YES If the proposed action will exceed requirements,describe design features and technologies: 1Z 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑✓ ❑ 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ® ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Southold Bay-Fixed dock 40 SF,ramp 35 SF,floating dock 120 SF Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: OShoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional m Wetland ❑ Urban m Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? 16. Is the project site located in the 100-year flood plan? NO YES ❑ a 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, 0 ❑ a. Will storm water discharges flow to adjacent properties? a M b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑__ If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: 19. Has the site of the proposed action or,an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: 7 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: r7i F] I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: Herbert&Susan Hoffman Date: �`l cS ' OZ Oot vZ Signature: / j G� QyJners PRINT FORM Page 3 of 3 Part 2-Impact Assessm The Lead Agency is responsible for the compli - of Part 2. Answer all of the following questions in Part 2 using i formation contained in Part I and other materials fitted 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 i small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? }� 3. Will the proposed action impair the character or quality of the existing community? l❑—i ❑ 4. W ill the proposed action have an impact on the environmental chmacteristics that caused the establishment of Critical Environmental Area(CEA)? L_I 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? El Ll b.public I 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)? E m l El 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 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 detennined 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-tern,long-term and cumulative impacts. (� Check this box if you have determined,based on the information and analysis above,and any supporting documentation, f—J 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 1 Print or'f ype 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) EAF Mapper Summary Report Wednesday,November 2,2022 10:09 PM Disclaimer: The EAF Mapper Is a screening tool intended to assist • .... .., :;:_..::...:: :.: . ';=:.`':' Project sponsors and reviewing agencies in preparing an environmental assessment form(EAF).Not all questions asked In the EAF are ci{;ut y answered by the EAF Mapper.Additional Information on an EAF _ Y question can be obtained by consulting the EAF Workbooks. Although ., ug the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources in order to obtain data not provided b t _ p y he Mapper.Digital data is not a substitute for agency determinations. iLi. ^Ia M -3-19 Y. _ sr_ .. �fr.-.�i'r It , .:• .)-y. ''�i.SS;;tEN1.._:. +. P tJ4j.-.A-'I� .. •.s.' ) .ffn'_ .. lk dttli(I .�J5G4, hteltl'.agdtl+FFt�tEilTt� ttR. Il:Esfi ji ate,t'.'tEn Ean�tul»• ti p" t r.. . ..'; z ,f r -Pattsburgh, P'hlfitdAphk �: r r, N {6G!ri rF an j,.Esjir.: 1gF.'I ir.V(I�:,i.'fl Esti)ajaah-,I:'IETT Esn.thnka.IHr n_q K ncili;.E t 4Esri'Miailnn�[+�3iil p��Stt� TvtaK,�n�itnla rs,.ati i h�wiS'tls?f�_dmliiuriitG G"ri,Er �riStrc�kitta'_ iitni,! 4. p 0?,,q ti�J3u#rit����taa���_ I� _s.r._otttxtiru : Ec^ Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7 [Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health,water, Area-Identify] vegetation, &scenic beauty,Agency:Suffolk County, Date:7-12-88 Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or No Endangered Animal] Part 1 /Question 16[100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Site] No Short Environmental Assessment Form-EAF Mapper Summary Report i 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 sip ficant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- suppotting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 66 --03 _ 10 PROJECT NAME 1605 Arshamomaque Ave. - Southold The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees ❑✓ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: See attached description Location of action:1605 Arshamomaque Ave.-Southold,NY 11971 Site acreage:0.17 Present land use: Res Present zoning classification: Res 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:Herbert&Susan Hoffman (b) Mailing address:53 The Sepentine,Roslyn,NY 11576 (c) Telephone number: Area Code 516-524-2590 (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 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. 7Yes ❑ No ❑ Not Applicable Project provides a functional bulkhead bulkhead consistent with the project location and and provides for a new boat docking facility making beneficial use of the coastal property for boating,fishing and recreation activities. 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 7 No ✓❑ Not Applicable No effect Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑✓ Yes ❑ No❑ Not Applicable Project provides for a new visually appealing bulkhead and dock on the property. 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 Project provides for a new bulkhead structure on the property which will reduce property erosion and loss of land. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ZNot Applicable No effect 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 No effect 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 ❑NoFv(] Not Applicable No effect Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable No effect 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. ❑✓ YeD No❑ Not Applicable Project provides for access to waters for boating,fishing and recreation activities. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable No effect 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 No effect 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 No effect 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 No effect PREPARED BY Jeffrey Patanjo TITLE Agent DATE 11/09/22 i J November 19, 2022 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: HERBERT&SUSAN HOFFMAN 1605 ARSHAMOMAQUE AVE-SOUTHOLD SCTM No. 1000-66-03-10 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application, and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, J ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 p E C E I V E NOV 2 2 2022 Southold Town Board of Trustees r Photo 1 (9/2022) K Y��� 11111 .ruf `,�_ yid!• M yr v Photo 3 (9/2022) i 1 t. I f 1 ♦ � ' Photo 4 (9/2022) W-1 +aaoa:... 'sl n.wa 1e psis. 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