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TR-10599
Glenn Goldsmith, President �F SO - Town Hall Annex ®� ®� 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 15t day of construction '/z constructed When project complete, call for compliance inspection; Glenn Goldsmith,President ®F Sa Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski l Southold,New York 11971 Liz Gillooly eoa Telephone(631) 765-1892 Elizabeth Peeples � Fax(631) 765-6641 C®UINI,e`` BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 2, 2024 David Bergen PO Box 1008 Cutchogue, NY 11935 RE: ARCHIVIST CAPITAL JACKSON, LLC 410 JACKSON STREET, NEW SUFFOLK SCTM# 1000-117-10-3.5 Dear Mr. Bergen: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 15, 2024 regarding the above matter: WHEREAS, En-Consultants on behalf of ARCHIVIST CAPITAL JACKSON, LLC 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 March 14, 2024, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings,and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 15, 2024, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, 2 WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of ARCHIVIST CAPITAL JACKSON, LLC to replace in-place existing failing wood groins; Western groin replacement of approximately 23' landward of existing vinyl groin; Eastern groin replacement approximately 20' landward of existing vinyl groin; groin project limited exclusively to landward portion of groins with equipment limited to use of small excavator, access by barge, and using 6' vinyl C-Loc sheathing with 8" piles 10' in length, 6' on center, 6"x6" stringers and aluminum open-grate cap; both groins to be replaced on grade, same as existing failing groins; revegetate any disturbed areas using Cape American beach grass; construct a new 10'x15' deck on grade just landward of the 20' contour line; perpetually maintain vegetated non-turf buffer seaward of edge of clearing; and as depicted on the site plan prepared by David Bergen and Ken Quigley, last dated May 31, 2024, and stamped approved on July 2, 2024. 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$50.00 per inspection. Very truly yours, 4-- 4" Glenn Goldsmith President, Board of Trustees GG/ec �'�y`�'4 .� F•, �Yt .$i•Y !S 4�i9Ip,,• r;,�, ; � -,.,. � '$ ��.. 'f,3::. }c,x .g yY s, ;,{., r", .y� `� '". - o w•� ^~. �3' ?. ,' ,:Y"r f�::� ;,: �'�9." '•lr`-� rJ o,..'•. ��i, J c�:..; ,T�"",� c 'fir •.,a �.eam. .��r�-, ���rts _sa�u���;�^zr�s3�ms����ks;�:�a�tpx,���:z�^�sczfi�. *o-�s�y ;�xsz�• .t;, Y, t s,. i • BOARD OF SOUTHOLD TOWN TRUSTEES "s SOUTHOLD,NEW YORK PERMIT NO. 10599 DATE: MAY 15,2024 { ISSUED TO: ARCHIVIST CAPITAL JACKSON,LLC PROPERTY ADDRESS: 410 JACKSON STREET,NEW SUFFOLK . . , SCTM# 1000-117-10-3.5 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ti accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 12,2024, and in T consideration of application fee in the sum of$1,250.00 paid by Archivist Capital Jackson,LLC and subject to i+ the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: u=� Wetland Permit to replace in-place existing failing wood groins; Western groin Y replacement of approximately 23'.landward of existing vinyl groin; Eastern groin - replacement approximately 20' landward of existing vinyl groin; groin project limited ' exclusively to landward portion of groins with equipment limited to use of small excavator, access by barge, and using 6' vinyl C-Loc sheathing with 8" piles 10' in length, 6' on center, VxV stringers and aluminum open-grate cap; both groins to be ' replaced on grade, same as existing failing groins; revegetate any disturbed areas using Cape American beach grass; construct a new 101x15' deck on grade just landward of ' ti. the 20' contour line; perpetually maintain vegetated non-turf buffer seaward of edge of Y� clearing; and as depicted on the site plan prepared by David Bergen and Ken Quigley, last dated May 31,2024, and stamped approved on July 2, 2024. ~ f r'; 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 written above. ., a �, •x " CA y 3�, � � '•• ��c;-�m- ,�ia�<era:<2� ��1:�&isrisa�csr,`�n�a-ram` sir:zs>�x::�,�s�o�r��iss���ar. a�ss.. �`i, � �.. � ,,r r � ;�� .�'"v,� ,•r LY�i :5 „: �IJ/� R.,.,. �ta ,ll��-1' .a=;` �', - k .��� � TERMS AND CONDITIONS The Permittee Archivist Capital Jackson LLC 410 Jackson Street New Suffolk,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. NEW 6"X6"WALERS-BOTH SIDES NEW 8"PILINGS-TYP-UNLESS OTHERWISE NOTED LOCATION PLAN NEW CORRUGATED VINYL SHEATHING ✓q G' EXISTING GROIN LENGTH-6T-0'«/- , m r EXISTING TO REMAIN-6T-D'«l- NEW-REPLACE IN PLACE-20'-0'+1- � ��•Q0� �SON y V O 410 JACKSON AVENUE NEW SUFFOLK,NY 6-D• o `y- TYP 1 PROPOSED GROIN PLAN - WEST - ' Al Scale: 1"=641 ------ -_ 0' 5' 10, - NEW 6"X6"WALERS-BOTH SIDES Is PROJECT DESCRIPTION NEW 8"PILINGS-TYP-UNLESS OTHERWISE NOTED '-ahaNEW CORRUGATED VINYL SHEATHING REPLACE IN PLACE FAILING LANDWARD PORTIONS OF EXISTING, EXISTING GROIN LENGTH-W4*-/- { I _ FUNCTIONAL WOOD GROINS AS AN EFFORT TO EXISTING TO REMAIN-sr-0«/. _ NEw-Re+ucelNaLncE-ss m./- — MAINTAIN PROPERTY.WESTERN GROIN REPLACEMENT APPROXIMATELY 23 FEET LANDWARD OF EXISTING VINYL -4 O ___ _ I --- GROIN,EASTERN GROIN REPLACEMENT APPROXIMATELY 20 FEET O _ �_y' o` LANDWARD OF EXISTING VINYL GROIN. m o I 'al PROJECT LIMITED EXCLUSIVELY TO LANDWARD PORTION OF GROINS. z TYP ------- CONSTRUCTION TO BE ACCOMPLISHED WITH z. 2 _ PROP ED GROIN PLAN -EAT R U THE REMOVAL OF EACH GROIN LANDWARD OF VINYL GROINS RO OS S (SEE PLANS FOR DETAILS),WITH EQUIPMENT LIMITED TO USE OF Al Scale: 1"=5'-0" o' s 10' I a a — ' _+ o`o SMALL EXCAVATOR. NOTE: iu ___ o o` ACCESS WILL BE BY WATER VIA BARGE. "' •'' E NO VEGETATION WILL BE DISTURBED BY MACHINERY ACCESS. TOP OF NEW REPO pCE N PLACE GCE �a d GROIN W=20E LA GROIN'E'=23'-0'*/- - � ; ..� s GROINS TO CONSIST OF 6 FT VINYL C-LOC SHEATHING WITH 8 INCH o`E_, ' PILES 10 FT IN LENGTH,6 FT ON CENTER,6"X 6"STRINGERS AND EXISTING TO REMAIN 6'-0" ' ,'^„ 3 W GROIN_W=br-0:EL '*I- GROIN'E'=ST-0'+ TO NEW GROIN s i -E^-3EW GR E ALUMINUM OPEN GRATE CAP.BOTH GROINS TO BE REPLACED ON M=iro•I- o` o r j GRADE,SAME AS EXISTING FAILING GROINS. a: Io � 'Kg INCLUDE NEW 10'x15'WOOD DECK AT GRADE LOCATED AT aqg ELEVATION+20.00+/- v I A I ROVED BY -- ESTABLISH A"NO MOW"ZONE AS INDICATED ' "' ESTABLISH 4'-0"WIDE WALKING PATH THROUGH NO-MOW ZONE ITL ' d _ .N _ BOW OF TRUSTEES rvN �1u ANY EXISTING VEGETATION WHICH MIGHT BE DISTURBED BY J I n CONSTRUCTION WILL BE REPLACED WITH CAPE y U wl V TOWN OF SOUTHOID AMERICAN BEACH GRASS. v I n ALL AS PER PLANS DATED-MAY 31,2024 DATE j W C)aN 3 R IN ELEVATION - EAST AND WEST SIMILAR § NOTES Al Scale: 1"=5'-0" 0' 5' 10' ? 1. MEAN HIGH WATER-MHW IS DEFINED ON SITE SURVEY AS TIE LINE I i •m.�z � 419 � I NEW 10'x15'WOOD DECK AT GRADE 2. LITTORAL DRIFT GOES EAST TO WEST 3. LANDWARD END OF PROPOSED GROIN TO NEAREST STRUCTURE IS: 396-0"+/- FOR EAST GROIN AND 401'-0"+/-FOR WEST GROIN 4-0 SEAWARD"WIPE' � � '� �i I �. 15- � `_ SEAWARD END OF PROPOSED EAST GROIN TO MHW IS 32'-0"+/- �, SEAWARD END OF PROPOSED WEST GROIN TO MHW IS 12'-0"+/- Uf/OtWQ3 P4?y-`��/ J•tB.55 NEW 10'x15'WOOD DECK �y 10'x15'WOOD PLATFORM AT GRADE -- - - i ON GRADE o o F Z NEW NON-TURF - --------- �I o` --- I / T y� "NO MOW"ZONE µ• --«, a a. WOOD DECKING OVER NEW - i i 1 1 i i �` \ .gip. =" 00 NON- Y�tUBAN�E' ^� 1 i i _ —+a' WOOD STRUCTURE o o Z ZONE a ie �L 1 h \ \ _=1 yY NEW NON-DISTRUBANCE ZONE 4"x4"ANCHORING 8 - _ 1 3! R RE POSTS ,+�'+' .I i _ i�b// ac , I p - _ I `e"_•...__-'-_'^----_-' l` ar �`` y 2UE K(h ----- _ J - Np�Q _ ARCHIVIST CAPITAL RE JACKSON, LLCU. z ______ ---- __ _ _ N��4ft _ __ — GROIN Construction ` • ' - -> e' 'kr w .,E/ -- 33 410 Jackson Street, New Suffolk, NY 11956 a k N 4 D TAIL `'Zr' '"� ' t -� SCTM -1000-117-10-003.005 W -------- -- Al scale: 1"=4'-0" o' z' a' 6' s1 ' 'w1�Nis— J ,�E" = EAST GROIN ,'-- A c �z'3' -' 24"vl "W" -WEST GROIN Prepared by: David Bergen and Ken Quigley w L 0 AL p ES� O C TIE LINE ALONG ��T P G"F� 5.2 Negro'1"W wa, W — E___ l i APPROXIMATE AHW n q r� �C e p U 11}� die e Construction Scope Plans TIE LINE ALONG q Y LITTORAL DRIFT Z GREAT EGONK; UA Y APPROXIMATE ALW EAST TO WEST Date-MAY 31, 2024 Drawing: 4 SITE PLAN _ JUG 6_ SITE SURVEY � Scale: As Noted Al Scale: 1"=40'-0" yyy w Al Scale: 1"=30'-0" o' s so' so' C o' 20' ao' 60' Al TEST HOLE DATA Snl Lthnl,J r..._ ^ _ So I UTHOLD - • , No e �c� 1 la �C �. a ,r �- 1 - :r , ssue:. , _ C. 0 , A �0 1 , - THIS. NOTICE -M�US'Tlf, D1-SPLAYE�D -DU:RING _CO_N`STRUCTIOIV : ; TOWN:TRUSTEES OFF:ICE.TO:WN OF SOUTHOLD D; XY 11971 T OL N .; H .. , SOU s E L.` Glenn Goldsmith,President �o��SUFFO(,�00, Town Hall Annex A.Nicholas Krupski,Vice President 0 54375 Route 25 Eric Sepenoski ,� P.O.Box 1179 Liz Gillooly �y • o!� Southold,NY 11971 Elizabeth Peeples ! '�a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: b b Completed in field by: David Bergen on behalf of ARCHIVIST CAPITOL JACKSON, LLC requests a Wetland Permit to replace in-place existing failing wood groins; Western groin replacement of approximately 23' landward of existing vinyl groin; Eastern groin replacement approximately 20' landward of existing vinyl groin; groin project limited exclusively to landward portion of groins with equipment limited to use of small excavator, access by barge, and using 6' vinyl C-Loc sheathing with 8" piles 10' in length, 6' on center, 6"x6" stringers and aluminum open-grate cap; both groins to be replaced on grade, same as existing failing groins; revegetate any disturbed areas using Cape American beach grass; construct a new 10'x15' deck on grade just landward of the 20' contour line. Located: 410 Jackson Street, New Suffolk. SCTM# 1000-117-10-3.5 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: V/1,6apt. 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 tp•I.fw o&,k �& �("4 t' a /(. Ke-to JA u Present Were: ✓ G. Ggldsmith Kru Ski y E. Sepenoski L. Gillooly E. Peeples NEW 6"X6"WALERS-BOTH SIDES LOCATION PLAN NEW 8"PILINGS-TYP-UNLESS OTHERWISE NOTED NEW CORRUGATED VINYL SHEATHING ✓gCkS olIV EXISTING GROIN LENGTH-U4r-l- S)7 NEW_REPLACE IN PUCE-2U'-0'H- AVENUE O C 0 J EXISTING TO REMAIN-4T-0"•/• r 41AKSN AV 0 `���/y f 4"SUFFOLK,NY O v� °ro --- m O cor ° A TYP " 1 PR POSED GROIN PLAN- WEST Al Scale: 1"=5'-O" - 0' S NEW 6'X6"WALERS-BOTH SIDES ; " PROJECT DESCRIPTION NEW 8"PILINGS-TYP-UNLESS OTHERWISE NOTED o"+¢ NEW CORRUGATED VINYL SHEATHING REPLACE IN PLACE FAILING LANDWARD PORTIONS OF EXISTING, FUNCTIONAL WOOD GROINS AS AN EFFORT TO EXISTING GROIN LENGTH-80'-0-H- \ I = MAINTAIN PROPERTY.WESTERN GROIN REPLACEMENT EXISTING TO REMAIN-5T-0"+/- _ NEW-REPLACE IN PLACE-2_T4r4/• ;� APPROXIMATELY 23 FEET LANDWARD OF EXISTING VINYL m r I r-- ---1-__ :i GROIN,EASTERN GROIN REPLACEMENT APPROXIMATELY 20 FEET �_ a' r c LANDWARD OF EXISTING VINYL GROIN. O PROJECT LIMITED EXCLUSIVELY TO LANDWARD PORTION OF GROINS. O� .. �0 _' -°"�� '� v� CONSTRUCTION TO BE ACCOMPLISHED WITH M z 5'-0^TYP t -------iLp_ __ '" _ E THE REMOVAL OF EACH GROIN LANDWARD OF VINYL GROINS I " 2_ (SEE PLANS FOR DETAILS),WITH EQUIPMENT LIMITED TO USE OF 2 PR P ED GROIN PLAN -EAST i a'h ; ,+' o o SMALL EXCAVATOR. Al Scale: 1"=5'-O" 0' S' 10' H � _ c ACCESS WILL BE BY WATER VIA BARGE. NOTE: p I ; ��1• E NO VEGETATION WILL BE DISTURBED BY MACHINERY ACCESS. O m l � a�anr .. TOP OF NEWIN To BE N PUCE GRADE O_^. _ r O 2REPL GROIN'E•-23 0-+l y ",�, GROINS TO CONSIST OF 6 FT VINYL C-LOC SHEATHING WITH 8 INCH GROIN^N•= E-2 PILES 10 FT IN LENGTH,6 FT ON CENTER,6"X 6"STRINGERS AND m. •3 EXISTING TO REMAIN sT-0•*/- s-D• .o ;' 'a °" E ALUMINUM OPEN GRATE CAP.BOTH GROINS TO BE REPLACED ON 47'41•*1- GROIN'E'= AHW TO NEW GROIN s,D• ' GROIN-W= •E--37-0•�l- _ GRADE,SAME AS EXISTING FAILING GROINS. w=iz a•/ ;u �. r r INCLUDE NEW 10'x15'WOOD DECK AT GRADE LOCATED AT 2adr_ ".°x` ELEVATION+20.00+/- Y ANY EXISTING VEGETATION WHICH MIGHT BE DISTURBED BY CONSTRUCTION WILL BE REPLACED WITH CAPE N834,3 W.W -----. AMERICAN BEACH GRASS. M., 2.3.20' ALL AS PER PLANS DATED-MARCH 8,2024 o II II II III II h II II II I �V� _./ NOTES 11 1 1. MEAN HIGH WATER-MHW IS DEFINED ON SITE SURVEY AS TIE LINE 3 P P D R IN ELEVATI N - AST AND WET IMILAIR Al Scale: 1"=5'-O" ? 12. LITTORAL DRIFT GOES EAST TO WEST o s 10' ; I ; " 4q 3. LANDWARD END OF PROPOSED GROIN TO NEAREST STRUCTURE IS: NEW 10'x15'WOOD DECK 396-0"+/- FOR EAST GROIN AT GRADE AND 401'-0"+/-FOR WEST GROIN SEAWARD END OF PROPOSED EAST GROIN TO MHW IS 32' SEAWARD END OF PROPOSED WEST GROIN TO MHW IS 12'-0"+/- ---'' ,.• i ; NEW 10'x15'WOOD DECK 10'x1 F WOOD PLATFORM •' i ( AT GRADE ON GRADE E Z ----'/' c �N'-\ �I I E_ o°+ WOOD DECKING OVER $j -- i I I c°a°'i Z i i i I E /ii ma's-\ \\\_ -'p' WOOD STRUCTURE ,o - - \ E 4"x4"ANCHORING POSTS ". I l l LI.I ---_ co __ �+ r - ; ; ARCHIVIST CAPITAL RE JACKSON, LLC U_ ---________ _ , W _ GROIN Construction N - N ____- _ - N�6y;4S"w ro-�/ - 410 Jackson Street, New Suffolk, NY 11956 0 --- e � _ l SCTM - 1000-117-10-003.005 w (Q" k4 �DE K DETAIL z •w " I _g -- E' EAST GROIN------ ale: 1"=4'-0" 0' z' 4' e' ~ Nes�'' ¢ ° N ~-- "W" - WEST GROIN Prepared by: David Bergen and Ken Quigley W J �s LU LU LITTORAL DRIFT b TIE LINE ALONG £q T PEC 4r'kk 5 z5 NB B.9!-"w ¢ /EAST TO WEST ( n E C E I V E Construction Scope Plans ——_ W / ——E_ / \ APPROXIMATE AHW I4JDD aV�C 9q y /LITTORAL DRIFT Z ——_ \\—TIE LINE ALONG 3 GR�ft r APPROXIMATE ALW EAST TO WEST Date-MARCH 8, 2024 Drawing: co t(:UNIt; CiAT MAR 4 �24 Scale: As Noted111 *4� ITE PLAN 6 A1 Al Scale: l"=40'-0" o' zo' 40' soTEST HOLE DATAScale: 1 =30'-0" 0' 1s 30 60' _ - Sotmlatd TOWn Board of Trustees g66 L/NC Oq PAEAR3 Sal 04 OQr K'soN . e - `�'°F1 RI TREFT NEpGE 19, s.re -`---- v a)p -------- n 5 / aSP n E HALF AY WRLOCK y CONCRETE APR \ N i DRY 1' E a i `22�9rJ CARAOC 7 / I I ♦ / I 1 ' 1♦/ 1 / { I ry I / ` I c .J_ C 22.1]1 1 / C / C I-L.I 1 1 9fl°• �y STONE DRIVEWAY 421 / 2 STORY Boo cc 94 " ♦8•- _-_ ! FRAME HOUSE C 3 I ?--- ear sITOWER __ L- 1 a GRATE / 1/ pAPARO S(} O // EST p 4 6+ O / TE _'1 Q 21 T « % N " PA TT.NOTE BSI / -= Q Q .O l! e.e2 STORY e._. L a I WIRE FENCE / I " MEE�OU$E Q \'e'6.•�o eT•-a _ BRICK 0 C J V I 1 (!1 I I Q O 0 r 1 \\\oC T 7 1 ORY 1\ �'W3 (p FRAUE O Li S �/ p�-HWSE ,`\ WAiE11\ \\ sa L- _2 POd1� "22.9 \ VALVE \\\\ \ t0 ° 4•, EO//O 2as ' SHOWER I \\ I \ Y \ I \ 1 y 1 \ FEN SLATE PATIO I M4N! } Pool a s N8343'101 W 3 n!y 23.20' --— ^�� °99• kr 1\ I \ V) l 1 l 1 \ l 1 \ \ I I 1 N 0 1 1 1 \ I v._ I I I l 1 I I 1 / I I ! I f l � -- \ � 1 ~Ta Op l ! L FLAG L POLE c O 0 -___---__ltl-�♦ I 0 . I W 1a 99 --'-J `\ �: (7 Q cr) C T- /�♦ __-Iz-! /.' �i/.leas O ;Fw�______� I I IT IyANp i 1n-�`1 I % TIE ale - � �>t+E FENCE ♦ / i'10 1 1 1 1 \` zprvE N>67 4�S„W PR 1 2024 7:�: 8MA4 �9 ,9;: g r '02! Southold Town 578 81' Ns Board ofTrustees n?41 `` W GRFq T �94E4Nf SSO' .24R N pFC 5.2S sls I3'W DATE: SEPT. 2$ 2022 OA' JOB N0: 2022-356 'Y A ERTIFIED TO: Survey for: (7 y CARCHIVIST CAPITAL RE JACKSON. LLC ARCHIVIST CAPITAL RE JACKSON, LLC At New Suffolk Town of TEST HOLE DATA Southold AUG. GEOSERVICES AUG.22.2022 0 Suffolk County, New York EL-21.8 0.0 ...+, MIXED SAND, \{[� LOAM,GRAVEL 0.5 •v S.C.T.M.: 1000-117.00-10.00-003.005 DAVID H. FOkrLSpP 1F'AS.L.S. #50234 ao 0 40 SANDYY SI BROWNLT ML FOX LAND SURVEYING I JD 64 SUNSET AVENUE SCALE:1"=40' WESTHAMPTON BEACH, N.Y. 11978 (631) 288-0022 NOTES: UNAUTHORIZED ALTERATION OR ADDITION TOET I oR-K sin 1. AREA = 106,139 S.F. PALE BROWN SP E SAND EouTMETII.°AH L"4''COP1«'•°F T"ofl LOR nosOSEopsA"'" 2. ■= MONUMENT FOUND, = STAKE FOUND. / SHALL NOT BE�CdniSDEREO TO 6E AO OR TRDE COPY. _ 3. REFERENCE DEED L. 12835 P. 602 E PEenF:Ei TO THE coMPATNsrscovEenNLeoNini riOo+cl 4. ELEVATIONS REFERENCED TO N.A.V.D. (1988). A59GN OF"111101 THE LENOINLS11 Sn-ON"CERTIFICATIONS 5. THIS PARCEL IS WITHIN ZONE X & AE 8 FLOOD ZONE AS 17.0 ARE NOT IFIAN9FERARLE TO AR SDOI�T SEc T O no O RS SHOWN ON FIRM PANEL 36103CO501 H DATED 09/25/2009. DWG: 2022-356 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION - FaMity 1)EC''1D_1-4739=04115. PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: . - ARCHIVIST CAPITOL JACKSON LLC ARCHIVIST CAPITOL JACKSON LLC 805 SW BROADWAY 410&484 JACKSON ST(2 LOTS COMBINED TO BECOME I LOTASCTM 1000-117-10-3.5 STE 2750 NEW SUFFOLK,NY 11956 PORTLAND, OR 97205 Facility Application Contact: DAVID BERGEN PO BOX 1008 CUTCHOGUE,NY 11935-1008 (631)548-3707 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 711..984 NYTM N:.4540.577 Latitude: 40°59'19.8" Longitude: 72°2847.9" Authorized Activity: Remove and-replace a landward section of 2 existing groins. All authorized activities shall be done in strict conformance with the attached plans prepared by David Bergen and Ken Quigley, dated 11/2023, and stamped NYSDEC Approved on 2/26/2024. Permit Authorizations Tidal Wetlands- Under Article 25 Peanut ID 1-4738-04115/00006 New Permit Effective Date: 2/26/2024 Expiration Date:2/25/2029 Water Quality Certification - Under Section 4 11 -Clean Water Act Permit ID 1-4738-04115/00007 New Permit Effective Date: 2/26/2024 Expiration Date:2/25/2029 Excavation & Fill in Navigable Waters- Under Article 15,Title 5 Permit ID 14738-04115/00008 New Permit Effective Date: 2/20/2024 Expiration Date: 2/25/2029 Page I of 7 NEW 076-WALERS•BOTH SIDES NEW S•PILINGS-TYP-UNLESS OTHERWISE NOTED �-- •"' •�,. aftt LOCATION PLAN NEW CORRUGATED VINYL SHEATHING SD oaaaw :�7' S EI"BTNO TO REYl1N-�d.R - ti t"„� y " D 4 ^- °Y.•il::I.'.^:-� •i"' .s{j.:any';.' T"r�P �t i j �_ yL>,j.,k:5;;3-;%>� .;r3;,�«•,•..�,:,',Yi€Et y,;r.. .il d `'. wi;:^yP, i+L:-i.,`;:'$�:,.-I. r�,'[,'R',:`s•".'''ir'iYaJ`.'•YJ?�..„ �( D GROIN P PROPOSE AN-W T t 9 ` t.. :,ti ::• . 's - s„,: if:r=' c>X Al scale:1"=6'-o" " PROJECT DESCRIPTION 0' 6' 10' -..,--�� ' NEW 67(6°WALERS-SOTH 6IDES �'` NEW S°PIUNGS-TYP-UNLESS OTHERWISE NOTED y' REPLACE IN PLACE FAILING LANDWARD PORTIONS OF EXISTING, NEWCORRUGATED VINYL SHEATHING i FUNCTIONAL WOOD GROINS AS AN EFFORT TO srwaa isN -w.rc MAINTAIN PROPERTY,WESTERN GROIN REPLACEMENT - e ewsn oTo N•6r w q ! 5 APPROXIMATELY 23 FEET LANDWARD OF EXISTING VINYL fn �W •� _ GROIN.EASTERN GROIN REPLACEMENT APPROXIMATELY 20 FEET >.'a LANDWARD OF EXISTING VINYL GROIN. _ _ _ _ _ _ _ _ ���• ""„ ,,.,°. E•'3 PROJECT LIMITED EXCLUSIVELY TO LANDWARD PORTION OF GROINS. If O CONSTRUCTION TO BE ACCOMPLISHED WITH rW THE REMOVAL OF EACH GROIN LANDWARD OF VINYL GROINS $o (SEE PLANS FOR DETAILS),WITH EQUIPMENT LIMITED TO USE OF SMALL EXCAVATOR. , L ACCESS WILL BE BY WATER VIA BARGE. LL \PROPOSED GROIN PLAN-EAST j a NO VEGETATION WILL BE DISTURBED BY MACHINERY ACCESS. Al Scale:1"=64" 3 ° GROINS TO CONSIST OF 6 FT VINYL C-LOC SHEATHING WITH B INCH 0' 6' 10 •ro j' ) � •' F PILES 10 FT IN LENGTH,6 FT ON CENTER,6•X S°STRINGERS AND N07E. ..."PAW it ALUMINUM OPEN GRATE CAP.BOTH GROINS TO BE REPLACED ON GRADE,GAME A3 EXISTING FAILING GROINS. ANY EXISTING VEGETATION WHICH MIGHT BE DISTURBED BY ,�„ •vµ tl----j_�—sj�—__l, �M CONSTRUCTION WILL BE REPLACED WITH CAPE yr.+zwr• _ 1p� /;_: AMERICAN SEACHGRASS, _ _ I I •;�� 1 ggtl -\-N41'�3'10•W . 23.Zo' _ ALL AS PER PLANS DATED-NOVEMBEFi 30,2023 NOTES _ tl, - ;••t�� �-. �/ Y - -- 1.MEAN HIGH WATER•MHW IS DEFINED ON SITE SURVEY AS TIE LINE .Z LNTORAL DRIFT GOES EAST TO WEST 3.LANDWARD END OF PROPOSED GROIN TO NEAREST STRUCTURE IS: �31 PROPOSED GROIN ELEVATION- A T AND W T I�I AR .� 39W-1-FOR EAST GROIN 1 Scale:l�6'-G" f AND 401'-0'+/-FORWEST GROIN 0• 6' 10' ( SEAWARD END OF PROPOSED EAST GROIN TO MHW IS 3T-0°N- • SEAWARD END OF PROPOSED WEST GROIN TO MHW IS 17-0'M- — --'-- — _ PROJECT SCOPE AREA 410 JACKSON LLC -Applicant GROIN Construction W El I �, 410 Jackson Street,New Suffolk,NY 11956 SCTM -100D-117-10-003.005 ,� �"E"=EAST GROIN RAL DRIFT y --- & °z�r• •• , "W"-WEST GROIN Prepared by:David Bergen and Ken Quigley EASTTO WEST 1Ar �C_ ITIE UNEALONO Re J '^a�'4,, S6o 24rw `N , �APPROXIMATEAHw C ATpfCO9..,g �s.xY TMUNEALONG Construction Scope Plans GREAT PECONIC SAY APPROXIMATE ALW e`I Y as� Date-NOVEMBER 30,2023 Drawing: A�1 �e -31-ND" o• 1 S Al SITE SURVEY o Scale:As Noted S Al a 20 40' so, ' 44 r, y �t,L f f i f A•i'i � r 111T Y y 1 .v f. F _ _ -iC� _ ✓ate ! '�-+'1 1 1 3 ♦ a r E-er AL7734 TMM OR ADMIT N TD M SMEY IS A MULAT)MV ,�F SE I M 7M9 W 7MNEWT MIN STATE EMICAMW LAW. EXCEPT AS P47R SECTM 7M9-sMrimm A;ALL C£RTFrA 170M A MM AM VALID FOR 7t1 MAP AND COBS M EOF MLY F � Aw mw anSIDEeaves BEtff ME ANYMMSED SEAL GF 7?ESYRVEYt AMTIL MLLY 70 COMMY WIN SAID LAW YEPOV-ALTMED BY !M'BE V D BY ANY AND ALL SIIMEYMS UWAZM A COPY OF AiD97Y�StOnSVORS MOM YOW SEM-AMEMED-AND lIRGQl O-70-DATE-AIM MOT AN CI AFU MLE•Wro 77C LAI9. S B3.4370-k- P50-00• ' N f dONA 7 NA INCALDWEU DI t � o ' Q 0 9 101F 'm .JCS r D04 JR Z tr b Ql! co hl P.y p�a 1 �q O �\ ffi t- /'J 38, 0t Lu at CL ® j o SURVEY SHOWING JET7ES qs' AT NEW SUFFOLK SUW00(_COUNTY N. Y IL 1000 - 117 - 70 - 3.:l -1'• = 30. MAR 21, 2003 s4 P MO. 49616 COsYP �•- v� P L Ai N °f 4 LL- m f 41 ex IeCAP i4t ���a0 ttt C.`O. 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GdSTELLO Mx.1�1NE COl+tTRd►CTiNfa CORK MEQUON, WI $$®92 2 124- GrtEr=MPOtt,wj-Q NY 1 e94+ C46+JAGKSON ST.B NEW 5O FFOt_.K,MY) .4p3e) 4 a 7-I IOj43 — — ®G-r 92s 2002 Cam- 2-3 A: w, '1, i IT M 3 1 # r :f 1- Y V 'r e y _ L - 1-4 ;, h f � / � q i •v •moo o ✓ ` WW !p7m ' 1 _ a ./ - .. � _• r:: - _.ter J _ y 9/29/23.8:36 AM 410 Jackson St-Google Maps Go ale as 410 Jackson St n ` Gsorpa Rd . yf Old Cove Yacht Club Inc e PatNdaBRd r - orchard 5t Case Rd m KaurosRd , Min NewAVe New Suffolk Ave tl a legapds€ f; TttP Th, At Suflolk � g � �` Galley No New Suffolk a Mainst i oiacn N6w Suffolk Ave West Creek Jackson St New Suffolk Beach o g[e North Race R Map data©2023 500 ft https://www.google.com/maps/place/41 O+Jackson+St,+Mattituck,+NY+11952/Q40.9898721,-72.4830055,15.87z/data=14m613m5!1 sOx89e891 a43c97e7I I:Ox5032d38b4ab41bc5!8m2!3d4O.9897913!4d-72.4799247!I6s%2Fg%2F11 c 1 df ro aa, w o)asm 1 wnN uNE ontaos 3 _ _ awt.,o a, oruia p�� t.t,ycl ,�i won] V�a TUTHILL RD. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 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: May 14, 2024 Re: LWRP Coastal Consistency Review for ARCHIVIST CAPITOL JACKSON, LLC SCTM# 117-10-3.5 David Bergen on behalf of ARCHIVIST CAPITOL JACKSON, LLC requests a Wetland Permit to replace in-place existing failing wood groins; Western groin replacement of approximately 23' landward of existing vinyl groin; Eastern groin replacement approximately 20' landward of existing vinyl groin; groin project limited exclusively to landward portion of groins with equipment limited to use of small excavator, access by barge, and using 6' vinyl C-Loc sheathing with 8" piles 10' in length, 6' on center, 6"x6" stringers and aluminum open-grate cap; both groins to be replaced on grade, same as existing failing groins; revegetate any disturbed areas using Cape American beach grass; construct anew 10'x15' deck on grade just landward of the 20' contour line. Located: 410 Jackson Street, New Suffolk. SCTM# 1000-117-10-3.5 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 CONSISTENT with the Policy Standards and, therefore, is CONSISTENT with the LWRP. 1. It is recommended that the Board determine if the two groins can be easily passed by the public walking along the foreshore. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Honorable Lori Hulse, Attorney Caroline Burghardt,Chairperson zo Town Hall,53095Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 L , ►" Telephone(631)765-1889 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., May 8, 2024, the following recommendation was made: Moved by John Chandler, seconded by Shannon Wright, it was RESOVLED to SUPPORT the application of ARCHIVIST CAPITOL JACKSON LLC to replace in-place failing landward portions of existing, functional wood groins as an effort to maintain property. Western groin replacement approx. 23' landward of existing vinyl groin. Eastern groin replacement approx. 20' landward of existing vinyl groin. Groin project limited exclusively to landward portions of groins. Construction to be accomplished with the removal of each groin landward of vinyl groins. Access will be by water via barge. Groins to consist of 6' vinyl C-loc vinyl sheathing with 8" piles, 10' in length, 6' on center 6"X 6" stringer and aluminum open grate cap. Both groins to be replaced on grade, same as existing failing groins. Any existing vegetation which might be disturbed by construction will be replaced with Cape American beachgrass. Build new 10'X 15' deck on grade landward of 20' contour line. Located: 410 Jackson Street, New Suffolk. SCTM#117-10-3.5 Inspected by: Shannon Wright, John Chandler Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President ��� � 54375 Route 25 P.O.Box 1179 P Eric e enoski Southold,New York 11971 Liz Gillooly . Elizabeth Peeples � Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office ce Use Only E C E I V E Coastal Erosion Permit Application Wetland Permit Application Administrative Permit MAR 14 20 Am end ment/Transfer/Ext nsi n Received Application:i �a- � _ _Received Fee:$ D SSS'^w^ � �Owd TNstees Completed Application: S: 2- Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): , LWRP Consistency Assessme t F.prm Sent: 5 3 ay CAC Referral Sent: Q Date of Inspection: Receipt of CAC Report: _Technical Review: Public Hearing Held: Resolution: Owner(s)Legal Name of Property (as shown on Deed): Archivist Capitol Jackson LLC Mailing Address: 805 SW Broadway STE 2750, Portland,OR 97205 Phone Number: 917-572-4957 Suffolk County Tax Map Number: 1000- 117.-10-3.5 Property Location: 410 Jackson St, New Suffolk, NY (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): David Bergen Mailing Address: Box 1003, Cutchogue, NY 11935 Phone Number: 516-848-6438 Email,:davebergen78ftmaii.com C�. 1 Board of Trustees Application GENERAL DATA Land Area(in square feet): 2.45 ac 106,722 sq. #t Area Zoning: R `f'D Previous use of property: residential Intended use of property: residential Covenants and Restrictions on property? Yes _Z_No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes Fvl' 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? JD_Yes J�J_No If"Yes",please provide copy of decision. is project r:J��7NO y demolition as per Town Code or as determined by the Building Dept.? Yes Does the structure(s)on property have a valid Certificate of Occupancy? Yes_D_No Prior permits/approvals for site improvements: Agency Date _S 71 ® No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?]j]_NoD Yes If yes, provide explanation: Project Description(use attachments if necessary): see attached Archivist Capitol Jackson LLC Replace in place failing landward portions of existing, functional wood groins as an effort to maintain property. Western groin replacement approximately 23 feet landward of existing vinyl groin. Eastern groin replacement approximately 20 feet landward of existing vinyl groin. Groin project limited exclusively to landward portion of groins. Construction to be accomplished with the removal of each groin LANDWARD of vinyl groins(see plans for details), with equipment limited to use of small excavator. Access will be by water via barge. Groins to consist of 6 ft vinyl C-Loc sheathing with 8 inch piles 10 ft in length, 6 ft on center, 6"X 6" stringers and alu- minum open grate cap. Both groins to be replaced on grade, same as existing failing groins. Any existing vegetation which might be disturbed by construction will be replaced with Cape American beachgrass. Build new 10 ft X 15 ft. deck on grade just landward of 20 ft contour line. All as per plans dated March 8, 2024. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: to provide shorline protection; prevent beach erosion and protect bluff from erosion. Deck to provide seating and recreational area. Area of wetlands on lot: 2 square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands:_ feet Closest distance between nearest proposed structure and upland edge of wetlands:_ feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? 0 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 0 feet Proposed slope throughout the area of operations: minimal Manner in which material will be removed or deposited: NA Statement of the effect,if any, on the wetlands and tidal waters of the town that may result by reason.of such proposed operations (use attachments if appropriate): Will support and protect existing dune, bluff and beach. No impact on tidal waters. 61 Z20 Appendix B .Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Archivist Cap Jackson LLC Groin Reconstruction and Deck Construction Name of Action or Project: Same Project Location(describe,and attach a location map): 410 Jackson St, New Suffolk, NY Brief Description of Proposed Action: Partial remove and dispose of existing functional, but failing groins. Construct new groins starting at end of previously reconstructed groins, landward and in place. Construct a 10 ft X 15 ft. new deck on grade. Name of Applicant or Sponsor: Telephone:917-572-4957 Archivist Capitol Jackson LLC E-Mail:smarsh@archvistcapitol.com Address: od 805 SW Brmdway STE 2750 City/PO: State: Zip Code: Portland OR 97205 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO. . YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ a NYDEC, NYDOS 3.a.Total acreage of the site of the proposed action? 2.45 acres b.Total acreage to be physically disturbed? < 1 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2.45 acres 4. Che 1 land us at occur on,adjoining an ar the propqw4 action. Urban Rural(non-agriculture) Industrial Commercial ✓Residential(suburban) Forest ❑Agriculture ✓Aquatic ❑Other(specify):, Parkland Page I of 4 5. Is the proposed action, NO YES NIA a.A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? :BIVI-11 6. Is the proposed action consistent with the predominant character of the existing built or natural NO. YES. landscape? j ✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO f YES If Yes,identify: ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO J,YES b.Are public transportation service(s)available at or nearthe site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? V/ 9.Does the proposed action meet or exceed the state energy code requirements? NO .YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES , If No,describe method for providing potable water: ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b.Is the proposed action located in an archeological sensitive area? ✓ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO . YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ✓ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: ]4. ntify the typic bitat types that oc n,or are likely to be found on t�roject site. Check all that apply: riShoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban BSuburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ✓ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, ON DYES ❑ ❑ a. Will stone water discharges flow to adjacent properties? O ✓ b.Will storm water discharges be directed to established conveyance systems pff an f-ATn drains)? If Yes,briefly describe: O ES Page 2 of 4 18.Does the proposed action include construction or other activities'that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: R 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: a ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES. completed)for hazardous waste? If Yes,describe:, . I--T1 ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorname: David Bef en,Agent Date: _3 Z� 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 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. W hen 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 I. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 11 El 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 a a establishment of a Critical Environmental Area(CEA)? S. 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? El 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? EJ 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? S. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? El F-1 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 1 l. Will the proposed action create a hazard to environmental resources or human health? Q Q Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. FJCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 -'oard of Trustees Applicai `a AUTHORIZATION (Where the applicant is not the owner) I/We, Akw\v15r QN R' 1 Psi- KE "iN ckSON U-c- , owners of the property identified as SCTM# 1000-. 1I a — 1®—S v5 in the town of so,-T va-9 . New York, hereby authorizes P AN f i lea iFpJ to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS ZLe DAY OF S J Y) W 20 2,5 OFFICIAL STAMP JULIA LOUISE MCALLASTER NotaryPublic NOTARY PUBLIC-OREGON COMMISSION NO.1037678 MY COMMISSION EXPIRES JULY 06.2027 "oard of Trustees Applicai a AFFIDAVIT :yRr-y-S4-j 0 LLc— BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Sign Ara of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS 2-tt 44-` DAY OF S eqf e.M{��� , 201,3 OFFICIAL STAMP otary Public JULIA LOUISE MCALLASTER qr NOTARY PUBLIC-OREGON COMMISSION NO.1037678 MY 60M VISSION EXPIRES JULY 08,2027 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emolovees.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: A e cw t 51 Che rsFrt. AF°' c l l C (Last name,first name,4iiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood, marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO Fr— 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): fjA)the owner of greater than 5%of the shares of the corporate stock of the applicant E[ (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this Z514 day of SFrt�rOFie. 2093 Signature_ _ Print Name 5y—f"fn.i Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL(DISCLOSURE FORM The Town of Southold's Code.ofEthics Prohibits conflicts of interest on the yartoftown officers and employees.The numose of this form is to provide information_which can alert the town of gMible conflicts of interisland allow it to take whatever action is necessary to avoid same. YOUR NAME: David Bergen (Last name,firstnamte,Viddle initial,unless you are applyingin the name of someone else or other entity,such as a company.If so,indicate the other pemon'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 Fy] NO 11 If you answered-YES;complete the balance of this form and date and sign*where indicated. Name of person employed by the Town of Southold self Title or position of that person Boat Operator Describe the relationship between yourself(the applicant/agenthepresentative)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): JJA)the owner of greater than 5%of the shares of the corporate stock of the applieept Ja (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner',or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this `6 day f 20 Signature 1 Print Name David Berge Form TS 1 „,ard of Trustees Applicatj'!”. _ ' PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: ll7 - /o II7- 16) ` - 1 17 - /O 1 ►19- 7 - a 1 1 7 11 1 f5 1 STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: �"� �►��:��s �� � d' � G «�� LC NAME: 4ADDRE�S/S: q 1 `s io - R .1,c`-G4 Lit "lo1.1 l jL .� ✓ 11�t G.Dtt�ctiey...s"� 6 C 1 l 6�014 If STATE OF NEW YORK COUNTY OF SUFFOLK � �� � �-�e E residing at q ,6-- z being duly sworn, deposes and says that on the j day of y 202 deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at ..j/_(. I y/ � , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. �`2 Signature Sworn to before me this /3 Day of . 20 7` JOHN A. MAKI Notary Public- State of New York No.01 MA6164838 Qualified in Suffolk County Notary Pub l" My Corninission Exp, 04/30/202•7 f . r� ®„ ro rU > 1 •, ru Gal din ! p{PAY 1 Certifled Mail Fee t c M ! 9 c � Certified Mail Fee ��„�)� tt�}..,,_{ fT1 $ $ 61l e.� m $ c: CO Extra Services&Fees(check box,add fee as a$rnp ;1 e0 Extra Services&Fees(check box,add fee apttpp„r"te) ❑Return Receipt(hardcopy) $ ❑Return Receipt(hardcopy) $ ' fU ❑Return Receipt(electronic) $_ A1.7 ,ft,� $l l„1_ll l t-- ostmark --- Rost ark ❑Return Receipt(electronic) $ ® ❑Certified Mail Restricted Delivery $— P!t,�l,•f_I jH 1 ® []Cenified Mail Restricted Delivery $_.. l.L„.Ili 1 �'r .•')A Jere O Adult Signature Required $ 1! 1•i!`1 l 0 ` ® ".-a-.r„ .' Adult Signature Required $ ❑Adult Signature Restricted Delivery$ (]Adult Signature Restricted Delivery$ � Postage r- g� Postage r` $ � r- i i� p!1;0 21;24 To 0 o and Fees !fit l r! ,ri t! —U T6tAPo7 ge and Fees $ ('t i Sent To ru Sent To (1J ------- C>- r t` ` rU I _ P�C -_� - _4e-�_�. ------------ --p SPreotandAt No or t7oxNo. _____......._____ pV�y """'"" (� Street and Apt No(°�PO Box No : _[d m r < F c Z "� ��1 � _ "- ------- ---------- City,State, IP+4 e�s— '------------- Ciry�State, .PP A AA Alp'{• ,, 1®� fA !P 6AP:{• ru M SEE= oru n ru — r Certified Mail Fee $4.4•� "!-It) _5 Certified Mail ? — rO Extra Services&Fees(checkbox,add fee a. nrk rlr'�te) a] t r Extra Services&Fees(check box,add fee a �rq�j)te) ❑Return Receipt(hardcopy) $ r' _ `., . (�„1•I l f ' , El Receipt(hardcopy) $ ® []Return Receipt(electronic) $ PoStm2rk'' rU ❑Return Receipt(electronic) $_ a``"'°'-' Postmark ©Certified Mail Restricted Delivery $� -({,,. 1_f.,_. Here El Certified Mail Restricted Delivery $ Here p ©Adult Signature Required $__.., j, .jaJ"!._ �^�k 1=3 E]Adult Signature Required $_.• j�{,_f'if i cpE []Adult Signature Restricted Delivery$ b. �° "" ,) t�o []Adult Signature Restricted Delivery$ O Postage 11„�r 3 M Postage [� }fi„�?t, 05/03/2094 T e and Fees !"g Tot.t 11a�,ge and Fees u„ $ $ FU Seni To rU Sent To ^� 'v - -- s t 6 -------------------". n' t�. r-t F r(____.._,_"_..._.--.__- _-_-_____ G7 Street and ApP No.,or PO Box No Street and A t No or PO Box No. .y City,St re,ZIP•4� v �_ -.___-___ �• City SPate,ZIP+4 6 - ."--..-_......_--__ __ _ Glenn Goldsmith,President "g1�F�OC� �~, Town Hall Annex A.Nicholas Krupski,Vice President y)Ss ��� ? 54375 Route 25 Eric Sepenoski h cm P.O. Box 1179 Liz Gillooly u� Southold,NY 11971 Elizabeth Peeples ` ©� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD -------------------------7------------------------------------- In the Matter of the Application of ARCHIVIST CAPITOL JACKSON, LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE- COMPLETE THIS FORM ON EIGHTH DAY OR LATER residing at/dba being duly sworn, depose and say: That on the day of �'1.< , 20,4 I personally posted the property known as L.L C 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, May 15, 2024. Dated: (signature) Sworn to before me this 131"day of M, 20 JOHN A. MAKI @% Notary Public-State of New York No. 01 MA6164838 Qualified in Suffolk County My Commission Exp,04/30/202,7 Nota ublic NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: ARCHIVIST CAPITOL JACKSON, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to replace in-place existing failing wood groins; Western groin replacement of approximately 23' landward of existing vinyl groin; Eastern groin replacement approximately 20' landward of existing vinyl groin; groin project limited exclusively to landward portion of groins with equipment limited to use of small excavator, access by barge, and using 6' vinyl C-Loc sheathing with 8" piles 10' in length, 6' on center, 6"x6" stringers and aluminum open-grate cap; both groins to be replaced on grade, same as existing failing groins; revegetate any disturbed areas using Cape American beach grass; construct a new 10'x15' deck on grade just landward of the 20' contour line. Located: 410 Jackson Street, New Suffolk. SCTM# 1000-117-10-3.5 TIME & DATE OF PUBLIC HEARING: Wednesday, May 15, 2024 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 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 significant 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 Mlaiined in Beta' listing both sunportina and non suouoi i e 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# 1000 _117.10 _3.5 PROJECT NAME Archivist Capitol Jackson Groin Reconstruction and Deck Construction 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: 0 Nature and extent of action: remove existing,_functional but failing landward sections of groins and replace with new groin extentions at grade; construct new deck i Location of action: 410 Jackson St, New Suffolk, NY Site acreage: 2.45 ac Present land use: residential Present zoning classification. R 10 - 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nance of applicant: Archivist Cap Jackson LLC (b) Mailing address: 805 SW Broadway STE 2750, Portland,OR 97205 (c) Telephone number: 917-572-4957 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 21 No❑ If yes,which state or federal agency?, DEC, DOS C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of 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 1LWRP Section III--Policies; Page 2 for evaluation criteria. ❑✓ Yes ❑ No ®Not Applicable Project will enhance the property owner's ability to engage in water related activities such as fishing and swimming along the shoreline The project will maintain the integrity of the beach through erosion protection 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 ® 1 Not Applicable Yes ® No 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 It will not impact visual quality but the partial groin replacement will support the prevention of shoreline erosion hence protecting the scenic bekeh,dune and vegitated bluff. b�oG 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 n. Yes ❑ No ❑ Not Applicable The exisitng groinds have been in place for a significant number of years. The area beach,dune and bluff has acclimated to the existence of the structure. Our groin replacement proposal is to maintain the structure which will not increase the present level, if any,of flooding at the site. 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 Attach addition 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 n Not Applicable Attach additional sheets ifnecessary 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 L I Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies;Pages 38 through 46 for evaluation criteria. 0 Ye❑ No❑Not Applicable Project will maintain beach resulting in a net gain of beach access and enjoyment for the homeowner and individuals walking the beach below the high tide mark. Attach additional sheets if necessary 1 WORDING 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. 0 Yes ❑ No ❑Not Applicable The project will allow the residents to enjoy water_dependent activities aloha the shreline 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 iffnecessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. 0Yes ❑ No FV1 Not Applicable PREPARED RY David Bergen _TITLE Agent DATE i Box 1008 Cutchogue, NY 11935 March 14, � Southold Town Trustees Lam, E U L� Town Hall Annex 54375 Rt. 25 VAR 1 d 2024 Southold, NY. 11971 Southold Dear Trustees: Board Of Trustees I am respectfully submitting to you the attached application packet for Archivist Capitol RE Jackson LLC for the partial replacement of two permitted groins and a new deck located at 410 Jackson Street in New Suffolk . Enclosed you will find: Wetland Permit Application DEC Permit dated 2/26/24 Trustee Permit#5749 LLC Documentation Short Environmental Assessment Form Authorization Form Owner Affidavit Applicant Transactional Disclosure Form Agent Transactional Disclosure Form LWRP Consistency Assessment Form Site construction plans Property survey Color photographs Site location map -Application Fee in the amount of$1100.00 as a$150 presubmission fee was paid on 8/4/23. Thank you for your consideration of this application. Please do not hesitate to contact me at 516-848-6438 should you have any questions. Sincerely, David Berge Agent for Archivist Capital Re Jackson 1