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TR-10623
Glenn Goldsmith, President ``�®F so Town Hall Annex A. Nicholas Krupski,Vice President ,`OVA ®�® 54375 Route P.O. Box 1179 Eric Sepenoski J [ Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples � Fax(631) 765-6641 cOUf�,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2169 C Date: August 27, 2024 THIS CERTIFIES that the as-built renovations of the existing Education/Hatchm Building, At 10273 North BMiew Road, Southold Suffolk County Tax Map#1000-79-5-20.12 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 15, 2024 pursuant to which Trustees Wetland Permit 910623 Dated August 14,2024,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the as-built renovations of the existing Education/Hatchely Building. The certificate is issued to PECONIC LAND TRUST owners of the aforesaid property. Authorized Signature Hobson, Thomas From: rGoldsmith;GI ne n Sent: TuesdayLAu usf 27;202 11:27 AM To: Hobson,Thomas Subject: Re: 10273 Bayview Road - Peconic Land Trust ZYg[r^pa-go afead an;issue.��he:,C oflC We were all out there on field inspections last month and everything looked fine. Thanks! Glenn From: Hobson,Thomas Sent:Tuesday,August 27,2024 9:27:40 AM To:Goldsmith,Glenn Subject: RE: 10273 Bayview Road -Peconic Land Trust Hi Glenn, I haven't gotten a response on this. Does�cc e LandTx�ust need a final inspection for the as-built work? Nothing has changed since field inspections. Can I go ahead and issue the Certificate of Compliance? Tom From: Hobson,Thomas Sent: Friday,August 16, 2024 8:58 AM To: Peeples, Elizabeth<elizabethp@southoldtownny.gov> Cc:Goldsmith, Glenn<glenn.goldsmith@town.southold.ny.us> Subject: 10273 Bayview Road- Peconic Land Trust Hi Elizabeth, I wanted to check with you about the permit we just issued to Peconic Land Trust for the as-built renovations/additions to the shellfisher building at 10274 Bayview Road, Southold. Are we going to require a final inspection or is it okay to issue the C of C since the work has been done and the Trustees saw it at field inspections? Thomas Hobson Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631)765-6641 1 Glenn Goldsmith,President ®f so/h. Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski ! 1 Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 16, 2024 Dan Heston Peconic Land Trust 296 Hampton Road Southampton, NY 11968 RE: 10273 NORTH BAYVIEW ROAD, SOUTHOLD SCTM# 1000-79-5-20.12 Dear Mr. Heston: -' The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 14, 2024 regarding the above matter: WHEREAS, Dan Heston & Jacqueline Wilson on behalf of PECONIC LAND TRUST 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 May 15, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the benefit of a shellfish hatchery in this building and the issuing of a permit; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 14, 2024, at which time all interested persons were given an opportunity to be heard, and, 2 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 project complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVE the application of PECONIC LAND TRUST Permit for the as-built renovations of the existing Education/Hatchery Building; and as depicted on the plan prepared by Robert I Brown Architect, P.C., last updated on May 8, 2024, and stamped approved on August 14, 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. Very truly yours, Glenn Goldsmith President, Board of Trustees GG/ec TRUSTEES SOUTHOLD .. Is sued To. Date 9114I2y Address.' lo2l3 Not, Ra�v►ew , So�`�oll THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION .TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD. N.Y. 11971 TEL.: 765.1892 "AT41-It 2 •,jii• p� ,'� ............. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 10623 DATE: AUGUST 14,2024 ISSUED TO: PECONIC LAND TRUST PROPERTY ADDRESS: 10273 NORTH BAYVIEW ROAD, SOUTHOLD SCTM# 1000-79-5-20.12 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 14,2024 and in consideration of application fee in the sum of$2.500.00 paid by Peconic Land Trust and subject to the Terms 0 and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install a 3'x14' aluminum ramp leading onto a 6'x20' floating dock situated in an "L" configuration and secured in place with two (2) anchor pilings; '5 install two (2) tie-off pilings; and re-deck existing permitted 4'x1201 fixed dock with Sure-Step open grate decking; with no significant seaward encroachment due to the "L" shape of the float; and as depicted on the site plan prepared by Costello Marine Construction Corp, received on May 1,2024, and stamped approved on August 14, 2024. 9 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. CM COD 411 __J TERMS AND CONDITIONS The Permittee Peconic Land Trust, 10273 North Bayview Road Southold New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. EXISTING EXISTING EXISTING EXISTING 34"x4G" 34"x4G" 34"x4G" 34"x4G" CASEMENT CASEMENT CASEMENT CASEMENT WINDOW WINDOW WINDOW WINDOW 'PROVED BY BOARD_ OF TRUSTEES - I TOWN OF. SOUTHOLD — I DATE �'�S Il.� �Da.`l I co W p E C E to U N MAY 1 5 2024 X Sw.00la Town Mod ofTfu*ft I I � I PECONIC LAND TRUST SHELLFISHER PRESERVE 10273 NORTH BAYVIEW ROAD SOUTHOLD, NY /30G8 08 MAY, 2024 EXISTING SCALE:1/4"=i-o" 34"x4G" Robert I. Brown CASEMENT WINDOW Architect, P.C. ACCESSOICY BUILDING (BUILDING #7) in Bay @riAve. arhite t NY - into nbrownarchitec m.; �^•,•. �- 631-477-9752 F I K5T 1=LO O K PLAN U LESSACTING LATION DEBTHE LAW FOR ANY PE N. LICENSED ARCIIN AN TO ALTER ANY FFEM ON •. THIS DRAWINGING IN ANY WAY.ANY IORIZED ALTERATION MUSC BE NOTED,SEALED. AND "l•Q G.�e SCALE: I/4" = I'-O" DESCRIBED IN ACCORDANCE WFFH TI IE LAW y, AS BUILT - Glenn Goldsmith,President ��o�pS�FFO(,�coGy� \ Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski o ,? P.O.Box 1179 Liz Gillooly �y • ��� Southold,NY 11971 Elizabeth Peeples �Ol � �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field- Inspection Report Date/Time:J,jI j` EV_4 Completed in field by: @*IU6 eA PQf I S Dan Heston & Jacqueline Wilson on behalf of PECONIC LAND TRUST, INC request a Wetland Permit for the as-built renovations of the existing Education/Hatchery Building. Located: 10273 North Bayview Road, Southold. SCTM# 1000-79-5-20.12 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: V G. G dsmith N. 7E! ki �E. Sepenoski �L. Gillooly Peeples EXISTING EXISTING EXISTING EXISTING 34"x4G" 34"x4G" 34"x4G" 34"x4G" CASEMENT CASEMENT CASEMENT CASEMENT WINDOW WINDOW WINDOW WINDOW 22'-2" I I I I Q w D_ p ECEIV � b I o L/ N MAY 1 5 2024 I � Southold Tovm pfTrustL" I I � I PECONIC LAND TRUST SHELLFISHER PRESERVE 102.73 NORTH BAMEW ROAD SOUTHOLD, NY V30G8 o8 MAY, 2024 EXISTING SCALE:1/4" =i-o" 34"x4G" Robert I. Brown CASEMENT WINDOW Architect, P.C. AC C E S S O f�Y BUILDING (BUILDING #7) zo5 Bay Ave. Green t NY into@ribrownarchitec m f•...,s=�r-:-?, Rc�*,,� 631-477-9752 ;; � b:t FI K5T FLOOK PLANUNLESS IT IS A VIOLATION OFTHE LAW FOR ANY PE N„ ED ARCH FECr,T ALTER DIRECTION OFO LICENSED ARCHITECT,W ALTER ANY ITEM ON THIS DRAWING IN ANYWAY.ANY AUTFIORIZED ALTERATION MUST BE NOTED,SEALED,AND a �3 SCALE: I/4" = I'-O" DESCRIBED IN ACCORDANCE WritTI fE LAW AS BUILT _777 7 F J,of.-n`d S-u7`Vclyors, Riverhead, , 7 -100 0,strander',Avenue, i. tiling 5[672-�-2303'- 7-T —7- Alden 111' Professional Engjn�c-r ;t-�Land S�t' �e'yor H award IF. Young,' Land S,t4rveyor .- 0 Tharnas C. WotpIerf,Prof�qajaxIt at EyWinee�,r -Abru zo, Land Slmjc-yor Kenneth F. n no 9 nr W Or for ------------ y Merl Ober d Herrinan p CL ERVIE -T I HEREBY CERTIFY THAT ALL LOTS SHOWN ON ,TH!S PLAT COMPLY'.. S80 WITH THE REQUIREMENTS-OF THE BUILDING, ZONE IOIRDI'NANCE.OF, THE 1 ;9 3 IN INN TOWN OF SOUTHOLD. IT 4:� 114" 11 00 75' 7 1 HEREBY CERTIFY THAT THIS '.MAP WAS MADE-. BY ACtUAL SURVEYS 0 X COMPLETED 0 'POSM6N8 ARE�ICORRECML� -- E SHOWN THUS: a ACTUALLY-EXIST AND THEIR 'TEST + JUNE 1,, 1993 AND THAT ALL CONCRETE MONUMENtS 0 -GEODETIC DETAIL$:.ARE CORRECT. in TE3?g /< SHOWN AND ALL DIMEINISIONAL ,AND 01Z R TCS P's T WELL+, 000, 207.25' 7-7 W 9. f. K1 ht KENN'ETH. F. ABRUZZO.' N.Y.S. LIC. NO. 499§9,. 252.90, 1? In- 1 � . IL3 94 t 444 s.' \of S1406 31 t, C6, sub 3 A `b%4'9 T-THIS SUBDI\ASION PLAWHAS BEENiAP '30.00-- THIS IS TO CERTIFY THA 00 061 PROVED v, v v- I t BY 11HE P�ANIN!NG BOARD OF SOUTHOLD.' '13�44 _ 1% __j 0 IDRIVEVJ!�, LE _i. . .1i I I I - A12170.0q L-,-I016Ak,-, k ST W r1HAIRMAN DATr_ OF APPROVAL co LOCATION MAP 30 0 AD SCALE. I =600' Rz Oss 00 TIE IN: cr -9 4L -j 0 '?7ct,7 ,- M (a A DECLARATION OF COVENANTS AND RESTRICTIONS HAS 13EM FILED cy 1.S.86024*02"E. 597.82' c; .0 15 p 0 2�S.SGO56%1"E. 387.3e IN THE SUFFOLK COUNTY CLERKS OFFICE,I N L18ERII1'1t05C 0(peo 3.N. 80 33*49"E� 1091.15' -8 IIN HSER Ov , cy J40 in now 0 Ed U itioiII�B' 0 0 , g LEA THEVATER SUPPLY AND SEWAGE DISPOSAL FACILITIES FOR ALL LO TS C. W/ DEVELOPMENT SHALL COMPLY WITH THE STANDARDS AND !EQUIRE-' C Nr' Poo ert "urman THIS 3 Z �Ob Or t6rMerly 111,10 90-3 a SOL 970 Tefryp) MENTS OF THE SUFFOLK,COUNTY DEPARTMENT OF'�HEALTH. c4rcjj S:J100561 N194 6148 57 THOMAS C. WOLPERT. N.Y.S. P.E. LIC. NO Ow n :b,' or forrn r do W -1y 8 ck LOOM L -,OCR jr now, or, f P10 r CL'U01 A ul A.FjOck Umes C.a-'rrneqy,* jf" -0 Trici 60 00 .3 N i3 .8p 130YIe a BLEND 10 56 A 4: y DA fj EW y U0. O�WNER/DEVELOPER: V6 cret L wo K. PLOCK, ET, tka*-� ANNA COW, AL 9 C4r 45�HOBART'ROAD a4s, 0) Of N.Y. 11971 SOUTHOLD, TT' 'RIGH ILG 45 :AREA WAY� 19 E L noW. 0 or Ljrrnerl� to Robe r t IL Man jjL SITE- DATA: L 40 OJ6� V 1 TOTAL 'AREA ..21. 77,33 ACRES 5 7 2. TOTA OCT. OF' LOTS' LAW Uj CD 0 3 ZONIKIS UH DISTR-ICT' RESIDENTIAL LOW: DENSITY R 40' J50LA-T 14OLD EiA Is I N W t III'. -7 Pb 11010 Ores PROPERTY UK Inc., A p Of' eydo ah WILL SUfflk -coUnty FV4SHED OR ADE File 1 Im Ulm. 82 GAL. F1.RISKED.. OR ADE—, 0. 2'MAX STORAGE TANK FINAL -PLAT � T HOUSE HOUSE MAP: OF 4� 00 SO.FT. SIDE WALIL Af" tfACH=POOL 'SHELLFISHER PRESERVE: , TE ST HOLE NO.I TEST"HOLE NO. TEST HiOL' E No.3 b a.Mp PLOCK FL TAW 0 UTHO D` _BAYVIEW: Town 0 _;AR K BROWN 0: 900 CAUAN GROUND WATER, BROWN BROWN SEPTIC TAW LOAMY SI At: SANDY IIIdAm SAND LUAU Suffolk County, 'N ew York ---------- LOAMY BROWN a NPALIE BROWR POOLS 5, SAM ;n UEACKNO PALCIROWN MEDIUM r *AER CLAYXY 20.2' 13,G.p M. Suff. Co. Tax Moo: OOQ 7!1�TO SABO. ROA SUBMERSIBLE PUMP COARSE Oupm $AND z------ cistr;ct S -SAND WATER GROUND CLAY EY 9.7. PALE BROWN WATE R PAL E BROWN -TYPICAL, WELL DETAIL TYPICAL PLOT PLAN TYPICAL SEWAGE*DISPOSAL SYSTEM TO, WA.TM,� TO COARSE 2"0" (USE 3POOL SYSTEM) CL1111 V._COAII �SAND GCT 4,1 994 'MAY, 24, 994 APR- 28 1 9m, JAN. 28,1994:� 93 DATE:-JUNE 28,19 50 0 to i0o SCALE '.'J!�_j 00' '0 908 JOB NO. AND SHEET N Cr.':* 6F .5 5017 IFrew nn • 1 i • 1 1 . J r �.: 40% ------------ a {� u b n t$( T4 rz-1w ' J ta,sar of mr '� °x at 8' •ni' ,xaaoz O 8. 11 .'r s", �[O BAY t M J 0411JA \O w n 0 b .•cJ M w `wtLJ ma40J ea>m T.a1101 06J1Lc tt Y r+Wcl o-1w K 'mac) Icrt•VMSc1 ~ • Jl, - ¢ 13 - � 3B Y w " O m.,0 sq �\ 1, rJ n •i > ,J t0 ,� � 36 ~ w tr Sa 11MM µTE1R " b ~ w d 06T/A6 O—r—e%5rs \1 ipc) c J Ic ", '�^a n1,:�^ . 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Y`r P 7M� PROPEftTr OFFICE LOCATION: _,: zO ',,'` MAILING ADDRESS: Town Hall Annex P.O.Box 1179 4. .:. 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) '_' Telephone: 631 765-1938 Southold, NY 11971 # ? ►0. __. �'y0 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: July 10, 2024 Re: LWRP Coastal Consistency Review for PECONIC LAND TRUST, INC SCTM# 1000-79-5-20.12 Dan Heston &Jacqueline Wilson on behalf of PECONIC LAND TRUST, INC request a Wetland Permit for the as-built renovations of the existing Education/Hatchery Building. Located: 10273 North Bayview Road, Southold. SCTM# 1000-79-5-20.12 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with policy 6.3 of the LWRP. 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 o�ogu�Fe��.�o Caroline Burghardt,Chairperson y Town Hall,53095Main Rd. Lauren Standish,Secretary rR P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., July 10, 2024, the following recommendation was made: Moved by Carol Brown, seconded by Inga Van Eysden, it was RESOVLED to SUPPORT the application of PECONIC LAND TRUST, INC. for the as- built renovation of the education/hatchery building. Building dimensions are approx. 30'X 22' or 660 sf. Building was insulated and resided. Egress windows and new roof were installed and the electrical service was replaced in 2015. Located: 10273 North Bayview Road, Southold. SCTM#79-5-20.12 Inspected by: Carol Brown, Nancy May Vote of Council: Ayes: All Motion Carried Glenn Goldsmith,President QS 01/p, Town Hall Annex ski,Vice President �$ �f 54375 Route 25 A.Nicholas Kru p t '�'� � � P.O.Box 1179 Eric Sepenoski [ [ Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples + , Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD i M AY• ;1 5 202424 _ I This Section For Office Use Only Sc �h�I�Pvn Coastal Erosion Permit Application BCB9drdfdTr1T tftMs K Wetiand Permit Application Administrative Permit Amendment/Transfer/Exten ion `� �i Received Application: �7j a X Received Fee: $ a t S o o—F ;, �L �c Completed Application: S1)S )H Incomplete: - SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: -'1 S/24 4 k CAC Referral Sent: 4/ 0 3 4 X Date of Inspection: — Receipt of CAC Report: _Technical Review: K Public Hearing Held: - s�"Pon J-tea Ak� Resolution: d Owner(s)Legal Name of Property (as shown on Deed): Peconic Land Trust, Inc. Mailing Address: 296 Hampton Road,Southampton,New York 11968 Phone Number: 631-283-3195 Suffolk County Tax Map Number: 1000- 79-5-20.12 Property Location: 10273 North Bayview Road, Southold, New York, 11971 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Dan Heston/Jacqueline Wilson Mailing Address: 296 Hampton Road,Southampton, New York 11968 Phone Number: 516-381-4489/631-506-1210 Email: Jwilson@peconiclandtrust.org or senJ- Board of Trustees Application GENERAL DATA Land Area(in square feet): 59,5901 Area Zoning: R-40 Previous use of property: Education and Aquaculture Intended use of property: Education and Aquaculture 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 _nNo 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. is project re any demolition as per Town Code or as determined by the Building Dept.? Yes T71No Does the structure(s) on property have a valid Certificate of Occupancy? Yes_Z_No Prior permits/approvals for site improvements: Agency Date Many for the property but not this structure ❑✓ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_Z_No_E] Yes If yes,provide explanation: Project Description(use attachments if necessary): As-Built Renovation of theEducation/Hatchery Building. The buildings dimensions are approximately 30ft. x 22ft. or 660 sq.ft. (see As-Built Drawing). The building was insulated and resided. Egress windows and a new roof were installed and the existing electrical service was replaced in 2015. i r ' Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Rehabilitation of the Education/Hatchery Building Area of wetlands on lot: 1 290 square feet Percent coverage of lot: •2 % Closest distance between nearest existing structure and upland edge of wetlands: 120 feet Closest distance between nearest proposed structure and upland edge of wetlands: 34 feet Does the project involve excavation or filling? �✓ No Yes If yes,how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any,on the wetlands and tidal waters of the town that may result by reason.of such proposed operations (use attachments if appropriate): No effect on the wetlands and tidal waters of the town 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. if additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l-Project and Sponsor Information Peconic Land Trust-Shellfisher Preserve Name of Action or Project: As-Built Renovation of the Education/Hatchery Building Project Location(describe,and attach a location map): 10273 North Bayview Road, Southold (Lat 41°02'52.9" N Long 7202346.3"W) Brief Description of Proposed Action: As-Built Wetlands Permit with Trustees approval and CO The As-Built Education/Hatchery Building is approximately 660 sq./ft. The building was insulated and resided. Egress windows and a new roof was installed and the existing electrical was replaced. Name of Applicant or Sponsor: Telephone: 631-283-3195 Peconic Land Trust E-Mail:jwilson@peconiclandtrust.cg Address: 296 Hampton Road City/PO: State: Zip Code: Southampton NY 111968 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 Elmay be affected in the municipality and proceed to Part 2. If no,continue to question 2. IVI 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: ❑ 3.a.Total acreage of the site of the proposed action? 13.68 acres b.Total acreage to be physically disturbed? IVA acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 13.68 acres 4. Che I land us at occur on,adjoining an ar the propqw4 action. Urban Rural(non-agriculture) Industrial Commercial ❑Residential(suburban) Forest [:]Agriculture ✓Aquatic ❑✓ Other(specify):Aguaculture Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? ✓ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ✓ 7. 1s the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: W1 ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ✓ 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: l 4. ntify the typic bitat types that oc n,or are likely to be found on tl—roject site. Check all that apply: ✓ Shoreline Forest Agricultural/grasslands Early mid-successional ✓ Wetland HUrban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, ZI ^ ❑ a.Will storm water discharges flow to adjacent properties? O ES b.Will storm water discharges be directed to established conveyance systems ff an m drains)) If Yes,briefly describe: ZO Li'ES Page 2 of 4 t 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: 7 ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: a ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Peconic Land Trust-John v.H. Halse Date: plA y CP10 oZ� Signature: V'. Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the•following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning (� ❑ regulations? I - 11 2. Will the proposed action result in a change in the use or intensity of use of land? I ' ❑ 3. Will the proposed action impair the character or quality of the existing community? I � I ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? pr] 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 I • I ❑ reasonably available energy conservation or renewable energy opportunities? I��I 7. Will the proposed action impact existing: I if I ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? �^ El 8. Will the proposed action impair the character or quality of important historic,archaeological, Fv,,] ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 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 I I problems? 11. W it l 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 determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer,in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT John v.H. Halsey(President- Peconic Land Trust) 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. Sikoune of Property emmer Signature of Property Owner SWORN TO BEFORE ME THIS /0 771 DAY OF '� ,20 a_ - in" Notary Public ROBIN L.mms :'aoowr': R8gWAft/01WM20775 •; 'N5, ; *llmmWm Ex $ kq*18,2025 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) UWe, John v.H. Halsey-President-Peconic Land Trust owners of the property identified as SCTM# 1000-79-5-20.12 in the town of Southold ,New York,hereby authorizes Dan Heston and Jacqueline Wilson 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 rty Owner's Signa a Property Owner's Signature SWORN TO BEFORE ME THIS DAY OFF ,20 a`7 Notary Public ,0'�,,,, ROBWLHARRIS ,, Registration#Q1HW2077$ Quaml0&t(*County My CamYs"Expkes am Iluga 0.2025 APPLICANT/AGENUREPRESENTATI VE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town otlicers and emnlovees.The numose of this form is to provide information which can alert the town of possible conflicts of interest and allow Into take-whatever action is necessary to avoid same. YOURNAME: Halsey,John v.H.(President-Peconic Land Trust) (Last name,first name,Middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) 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 Wetlands Permit(as-built) (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 51010 of the shares. YES M _ NO 7 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): J,A)the owner of greater than 5%of the shares of the corporate stock of the applicant _n (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,partnei,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this ,`day of lq4-Y 20_ay Signature. Print Name Form IS 1 Glenn Goldsmith,President �Q00F04�o Town Hall Annex A.Nicholas Krupski,Vice President �� Gym 54375 Route 25 Eric Sepenoski y z P.O.Box 1179 Liz Gillooly p Southold,NY 11971 Elizabeth Peeples 4,, �a Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of PECONIC LAND TRUST,INC. COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING ADO NO7'TGOHPlETE�THIS F'OHI--Z71�T-1T'HEOST_l-NGFIAS;REMAII•ED IN`PLEA[@EvFORrAiTaLEAST3SEYE-N-W,A-I'�'PRIOR=-!T-O=THE_P-UBLIC r HEARING DA�7-'E=GOMPIETE.T.-HIS-FORM ON EIGHTH�`DA4�OR�LAxTER;, I, i , residing at/dba Pe c,h Load I ljj being duly sworn, depose and say: That on the),5 day of J q , 20),�, I personally posted the property known as 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,August 14,2024. Dated: (si nature) Sworn to before me hi D EjVE //-"'�ay of 2002 D AUG 2024 -31 [� L�d otary Public ROBIN L.HARR13 ON NO=%Public-State of New%* � eg.No.01HA642077s Qualified In Suffolk County *Cwwdwlw Egl=Aught 16,2Q2j Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Peconic Land Trust- Shellfisher Preserve SCTM#: 79-5-20.12 APPLICATION NAME & SCTM#: As-Built Renovation of the Education Building NAME: ADDRESS: Michael&James Collura 1 Joy Dr.Manhasset Hills,NY 11040 (#79-5-20.10) Virginia Principi PO Box 1248, Southold,NY 11971 (#79-5-20.11) Joseph&Mary Ellen Logiudice 10995 N.Bayview Road, Southold,NY 11971 (#79-5-20.14) Town of Southold PO Box 1179, Southold,NY 11971 (#79-5-20.15) Charles &Lynn Hill 477C Heritage Hills, Somer,NY 10589 (#80-3-20) Raydon Shores Prop.Assn. PO Box 1693, Southold,NY 11971 (#80-3-21.1) John&Laura Helf PO Box 255,Peconic NY 11958 (#80-4-21) Anthony &Mary Ann Costagliola 280 9th Ave.Apt. 15D,New York,NY 10001 (#80-4-22) Southold Holdings 123 LLC. 550 Grove Drive, Southold,NY 11971 (#80-4-23) C Dylan Sherwood&Mara Lieber 661 Lincoln Place Apt. 50,Brooklyn,NY 11216 (#80-4-25) r I I STATE OF NEW YORK COUNTY OF SUFFOLK ' Jacqueline Wilson residing at 296 Hampton Road ; Southampton,NY 11968 , being duly sworn, deposes and says that on the_25 day of July 20 24 , 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 16 Ponquogue Ave., Hampton Bays, NY 11946 that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. � gnat e Sworn to before me this _ Day of 20 r.._..- p E E1 Vi AUG 7 2024 r Nota y Public ROBIN L HARRIS Southold Town Notm Public-State of NewYo k &"ofThist S Reg.No.01HA6420775 Qualified In Suffolk County ft Commission E*=Augud 16,2025 ■ • Postal 1 Service" O ■ , O ■ ■ ■ , . 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Michael&James Collura °" PO Box 255 CO. sve3r.an,; :,,,:.,::,-. . 1 o Drive ------------------ ! 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MR :rr rr •rr.r. Postal ■ / mstal Service ' ° m MA IV RECEIPT Domestic Mail Only Domestic Mail Only Ir ra t� Sot,4g1_0,�<f�Yt)11�9�71 • � Sotithfilds' I�Ysti�r9�1 e,: . a i , . ��V , l..•: �L, .:.,� J.:1 .3 », atiM•, Certified Mail Fee Certified Mail Fee 5 cos85 + r J Extra Services&Fees(check box,add -te) M�' � � rU Extra Services-&Fees(check box,eddtee ro tom) � M ❑Return Recelpt(hardoopy) $ 1J J�t 4( �� C7 ❑Return Receipt(hardcopy) $ •�" <, CJ ❑Return Receipt(electronic) $ in-on Z Postmi r O ❑Return Receipt(electronic) $ +j• +�+ k— %stmark ❑Certified Mail Restricted Delivery $ $0 r1QQ_ © He� M1 ❑Certified Mail ResWded Delivery $ (7 11�1 Qs , ,U Herb []Adult Signature Required $ M. 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For delivery information,visit our website at www.usps.com". 43 C13 �3—y�of�7 A'I�WI Zr�,17-1 7f 61M ou Certified Mall Fee $4.85 Certified Mail Fee $4.85 t4-in c13 ru ru Extra Services&Fees(check box,add fee 6$FAprqj0te) Extra Services&Fees(check box,add fee a prly(yte) C3 0 Return Receipt(hardeopy) $ 0 C3 0 Return Receipt(hardeopy) $ ❑Return Receipt(electronic) $ $L1.LIU Po M. 0 ReturnRecelpt(electronic) $ nn- 0 , CO ❑[3 certified Mall Restricted Delivery $ $0.00 V--Certified Mall Restricted Delivery $ III-CIA Ple? P- []Adult Signature Required $ E3 Adult Signature Required $ $0 00 rU []Adult Signature Restricted Delivery$ ru [3 Adult Signature Restricted Delivery Ln Postage Ln Postage $0.73 10 $0.73: r-3 $ 07 C3 $' '07 219-ti. 4 rq go endFees r-q TcW§!opge and Fees TOW099 C3 $ C3 IS Sent'n Sent To Er -------- Anthony&Mary Ann Costagliola I Er Joseph&Mary Ellen Logiudice ca g6uif-45,ca Street' 280 91 Ave.Apt 15D 10995 N.Bayview Road Ln ----------- Ln Er New York,NY l000l Er Southold,NY 11971 PS Form 3800,January 2023 PSN 7530-02-000 9047 See Reverse�tor Instructions j PS Form 3800,January 2023 PSN 7530-0 000-9047 See Revf U.S. Postal Service'" U.S. Postal Service" @ CERTIFIED MAIL@ RECEIPT Er CERTIFIED MAIL RECEIPT co Domestic Mail Only 43 Domestic Mail Only rq For deliver mation,visit our website at www.usps.comO. r-q ,y infor CO Br "y J 121&,,, ook190: 4 cc Southoldr!W 41971,F r Certified Me"Fee Certified Mail Fee $4.85 Sf 1\1 y ;b 46 $4.85 46 CQ 99 $ni as&Fees(check box,add fee a$ S IV -9 ca L Its) ru Extra Services&Fees(check box,add fee --St—M r-3 []Return Receipt(hardoopy) $ C3 []Return Receipt(hardcopy) $ E]Return Receipt(electronic) $ fi Pos a% E]Return Receipt(electronic) hn. ostm rk ❑ V $0 11) C3 0 Certifled Mall Restricted Delivery $ 0-11 C3 E]Certified Mail Restricted Delivery He rl— 117. E]Adult Signature Required $ &A E]Adult Signature Required ru Delivery$ (u 0 Adult Signature Restricted Delivery []Adult Signature Restricted Lr) Postage Postage $0.73 C3 C3 r=i $ — 264 C-1 Total Postage and Fees Total Postage and Fees r- $9.68 171- $9.68 C3 $ E3 $Sent To' Virginia Principi San, Dylan Sherwood&Mara Lieber L-------------- ir —-------- C93 il�g i ca Street andAp-t.---No.-,, PO Box 1248 Ln 661 Lincoln Place Apt.50 Ln Er Southold,NY 119-71 1�r Ci Brooklyn,NY 11216 ------------------------- 111110 mom 1�01 i4OTICE 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: PECONIC LAND TRUST, INC. SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the as-built renovations of the existing Education/Hatchery Building. Located: 10273 North Bayview Road, Southold. SCTM# 1000-79-5-20.12 TIME & DATE OF PUBLIC HEARING: Wednesday, August 14, 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 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: PECONIC LAND TRUST, INC. SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the as-built renovations of the existing Education/Hatchery Building. Located: 10273 North Bayview Road, Southold. SCTM# 1000-79-5-20.12 TIME & DATE OF PUBLIC HEARING: Wednesday, July 17, 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 )ard of Trustees Applicati PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: �9 -S- ao, 10 ,?0 - 3 - �0 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 720 Notary Public 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 simificant 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- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places:online at the Town of Southold's website(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 -79-5 -20.12 PROJECT NAME As-Built Renovation of the Education Building 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: As-Built Wetlands Permit with Trustees approval and CO The As-Built Education/Hatchery Building is approximately 660 sq./ft.The building was insulated and resided. Egress windows and a new roof were installed and the existing electrical was replaced. I Location of action. 10273 North Bayview Road,Southold,NY Site acreage: 13.68 acres Present land use: Aquaculture,education,aquatic,shellfish hatchery Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Peconic Land Trust (b) Mailing address: 296 Hampton Road,Southampton,NY 11968 (c) Telephone number: 631-283-3195 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? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No ❑Not Applicable This project enhances community character,preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development.The shellfish hatchery which the Education Building is a part of,is a water dependent use and the community will benefit by the increased numbers of shellfish available. The shellfish hatchery is a water dependent use and the community will benefit by the increased numbers of shellfish available to the community along with cleaner water. Shellfish are efficient filter feeders that help remove excess nitrogen from waters. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ✓❑ Not Applicable r 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 This project will restore deteriorated and remove degraded visual components at Shellfisher Preserve with the restoration of the Education Building. 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 This project will protect life,structures,and natural resources from flooding and erosion hazards with the renovation of the Education Building. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ❑✓ Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. 7 Yes ❑No ❑ Not Applicable I 4 This project is designed to result in no degree of adverse wetland impacts and will not impact coastal fish and wildlife habitat. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No❑✓ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No ✓❑Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria.✓❑ Yet n l No❑Not Applicable This project will provide for public access to, and recreational use of, coastal waters, public lands, anr� public resources of the Town of Southold. Attach additional sheets if necessary i 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 M.—Policies; Pages 47 through 56 for evaluation criteria. 0 Yes ❑ No ❑ Not Applicable This (Zroiect protects existing wateadependent uses_ The shellfish hatchery which the education b uit lding is part of and the aquaculture businesses are a water-dependent use. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. 0 Yes ❑ No❑ Not Applicable This project promotes managed harvest of shellfish originating from uncertified waters. PI_ock Shellfisher Preserve in Reach 7, is a land-based center for the managed cleansing of shellfish. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable PREPARED BY Jacqueline Wilson TITLE Stewardship Manager DATE 5/6/2024 I PECONIC LAND TRUST March 15,2024 To: Town of Southold EBo Board of Trustees Southold Town Hall Annex 54375 Main Rd. ZdpA P.O.Box 1179 Southold,NY 11971 Town rustees RE: Wetland Permit Application fl Education/Hatchery Building Plock Shellfisher Preserve- 10273 North Bayview Road, Southold,NY SCTM#: 1000-79-5-20.12 Dear Board of Trustees: Enclosed please find 4 copies(1 original and 3 copies)of the Wetland Permit Application and supporting documents with a check in the amount of$2,500.00 to cover the Town of Southold Board of Trustees Wetland Permit Application fee for our Education/Hatchery Building at Shellfisher Preserve, location referenced above. Should you have any questions or require additional information,please do not hesitate to contact me at iwilson@peconiclandtrust.org and(631) 283-3195,extension 143. Sincerely yours, Oak,,42M?L�' Jacqueline Wilson Stewardship Manager Enclosure