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HomeMy WebLinkAboutTR-10710 Glenn Goldsmith,President ®r SO/I 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 a® Fax(631) 765-6641 c"®U�9Ty,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #2256 C Date: June 11, 2025 THIS CERTIFIES that the construction of a 4'x32' fixed dock with 4' wide by 20' long fixed "T"section at seaward end including landward stems up and steps down to fixed T section;with all decking Thru-Flow type material, At 600 Glenn Road, Southold Suffolk County Tax Map#1000-78-2-24 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 2, 2024 pursuant to which Trustees Wetland Permit#10710 Dated November 13,2024,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 construction of a 4'x32' fixed dock with 4' wide by 20' long fixed"T"section at seaward end including_landward steps up and steps down to fixed T section,• with all decking`Thru-Flow type material. The certificate is issued to 600 GLENN LLC owners of the aforesaid property. Authorized Signature i Glenn Goldsmith,President "p���*V so Town 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 ® a® Fax(631) 765-6641 cOUNTi BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Io INSPE ED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1st day of construction % constructed Project complete, compliance inspection COMMENTS: l G OY �K12 CERTIFICATE OF COMPLIANCE: 4�C ®�Glenn Goldsmith, President so Town Hall Annex ®�� �ey®� 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 C®UNTV,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction % constructed When project complete, call for compliance inspection; S�fFO(,� Glenn Goldsmith,President OHO COG Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski y z P.O.Box 1179 Liz Gillooly Southold,NY 11971 Elizabeth Peeples y� p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Jeff Patanjo on behalf of 600 Glenn Road LLC TO: Please be advised that your application dated August 2. 2024 has been reviewed by this Board at the regular meeting of November 13, 2024 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) %Constructed ($50.00) X Final Inspection Fee ($50.00) X Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection Fee = $50.00 ?a Dock Fees = 120 square feet @ $3 per square foot = $360 C hV_ 1l TOTAL FEES DUE: $ 410.00 BY: Glenn Goldsmith, President Board of Trustees Glenn Goldsmith, President �®F s0(/,� Town Hall Annex A. Nicholas Krupski,Vice President ,`®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski J�L Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ®�� y® Fax(631) 765-6641 c®UIVT`l,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 3, 2025 Jeffrey Patanjo PO Box 582 Bohemia, NY 11716 RE: 600 GLENN, LLC 600 GLENN ROAD, SOUTHOLD SCTM# 1000-78-2-24 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 13, 2024 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of 600 GLENN, 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 August 2, 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 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: pull dock back to 7' from Mean Low Water; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 18, 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, z 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 600 GLENN, LLC to construct a proposed 4'x32' fixed dock with 4' wide by 20' long fixed "T" section at seaward end, including landward steps up and steps down to fixed T section; with all decking to be a Thru-Flow type material; and as depicted on the site plan prepared by Jeffrey Patanjo, received on January 24, 2025, and stamped approved on January 31, 2025. Permit to construct and complete project will expire three years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $ 50.00 Very truly yours, 0 Glenn Goldsmith President, Board of Trustees GG/ec p n{ai.Y.. ..,� ", .re• "n. •w°. :�!'�'7�::"'y''" 'tf5"Afil� "i'b�4'7r'r.4hTd�''"� ` �"'" AYG;.�e LYT'' T, ri".'', ,y+...lt •'N? (7) _ rR BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK DATE: NOVEMBER 13 2024i PERMIT N0. 10710 s ISSUED TO: 600 GLENN ROAD LLC PROPERTY ADDRESS: 600 GLENN ROAD, SOUTHOLD SCTM# 1000-78-2-24 0 a: e 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 November 13.2024, t 1� and in consideration of application fee in the sum of S1,250.00 paid by 600 Gleen Road LLC and subject to the �' 3 Terms and Conditions as stated in the Resolution,the Southold Town'Board of Trustees authorizes and permits Ra - the following: Wetland Permit to construct a proposed 4102''fixed dock with 4' wide by 20' long s �> fixed "T" section at seaward end, including landward steps up and steps down to fixed a. ' T section; with all decking to be a Thru-Flow type material; and as depicted on the site 'r plan prepared by Jeffrey Patanjo, received on January 24,2025, and stamped approved on January 31,2025. , 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. . yX ",%gpFFO(�cOG u � . : .� CA ' d a TERMS AND CONDITIONS The Permittee 600'Glenn Road LLC, 600 Glenn 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. 10 00-PROJECT 10 :S=Wd Gulf LOCATION PROPOSED 8"0 CCA PILES (TY .) P. Neck.Rd" -P1neN - p _ & Ra 41 Custer Ave y7a -PROPOSED THRU-FLOW DECKING ON ENTIRE PIER 8 a. f aea, !"Ave.. . PROPOSED 4 WIFE X 20 36' PROPOSED 4' WIDE X 32' LON FIXE? PIER APPROVED BY 6 „ " 6 BOARD OF i RUST THRU-FLOW DECKING �6 oaP -TOWN OF SOUTHOLD 4 M.H.W. EL. 2.40± �^ �d,,, F s � � � � -DATE �\' 1 1^ - g�h/ew h' yF s V c jo�5 2 Ry 6 � d Bayv,6t_ 0 M.L.W E.L. .0.00± 0 LOCATION MAP EXIS ING GRADE N.T.S. -2 -2 -4 -4 TYPI AL SECTION N.T.S. IPIER LINE PROJECTION INCLUDING EXISTING DOCK TO 233.43' NORTH AND FOLLOWING SHORELINE DUE TO FACT ITHERE ARE NO ADJACENT DOCKS TO SOUTH �9,51 '10" E _-�'- I ' 2 5 WATER DEPTH REFERENCED TO MLW AS N __��-+' MEASURED BY JOHN GERD HEIDECKER, L.S. x x Y. x x I -3.30 -3.94 -3. 4 -2.67 -�0.77 31 _ r + + + (,,1 I � + + + + + Imo; r I x 3.19 x 4.14 X 313 2.70 x-�0.79 `26 1- + + + + + + I I 0 NOTES: i I + + FLAGGED WETLAND NE • I 1. LOT AREA: 25,337 S.F. / 0.58 ACRES x x x rl x Ib Z-6 I+ + + + + + + -3.37 -3.79 -3^O 2.68 f I + + + + + + + M 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: EXISTING NEIGHBORING DOCK r{-o I+ + + + + + + I m x 3.79 x 4.37 X 51�-2.55 X��B C. 3 f TIDAL WETLAND BOUND Y SECCAFICO LAND SURVEYING PC 1 pp + + AS DELINEATED BYJOHN ERD � O 500 MONTAUK HIGHWAY II J� N + + HEIDECKER N.Y.STATE ND $ EXISTING RESIDENCE I o MORICHES, NEW YORK 11955 X 3.79 X 4.23 X 1.61 x 2.62 %9.97;2.52 l+ + + + + SURVEYOR ON MAY 6,z0z I lb SURVEY LATEST DATED: 11/15/2023 x x I x + + + + o - -3.90 -4.54 475 2 9 r I 757 0 - � 2.64' _ + PROPERTY LINE + + v t + + + + + + + + + o PREPARED BY: PROPERTY OWNER: N X 3.83 x 4.25 x .62 2.65 x 04 3.85 PROPOSED 4'WIDE X 32'L NG FIXED PIER WITH T WIDE I ' � 63' + � JEFFREY PATANJO 600 GLEN ROAD LLC x 3.99 x 4.19 x 3.27 z.46 , z.88 `+ + + +TO BEOTHRU FL W TYPET S D END.ALL DECKINGF R ENTIRE PROPOSED PIER. I P.O. BOX 582 3 SANDIE LANE V \ NY I + + -+ + + + + _ 6331 E487 52901716 MANORVILLE, NY 11949 + + + + + + + _ -3.87 -4.25 -3.4 T WIDE HAND-CLEARED PATH TO PROPOSED _ w 0 + F + DOCK THROUGH NON-DISTURBANCE BUFFER _-r- JJPATANJO@GMAIL.COM 242.I W %4.02 X4.27 j3.4�1 X0.21 2.89 t t + t t + I V x x I x + + + + + + -- -3.91 -4.19 13.2R 2.02 x 0.18 3.04 I + + + + + + + - co I I + + + + + + _+ - LIMIT OF EXISTING 50 WIDE x 4.12 x 4.67 �3.51=T2.13 0.1P 3.16 I _+�_=�+ �" VV NON-DISTURBANCE BUFFER qDD PTopoSed PeT'I]'Lit Plans Si AL30� s16TL 4.15 4.52 3.59 �716 -(1.54 3.38 3.10 SITE PLAN, TYPICAL DO SECTION D 6/07/2024 BAN 2 A 2U0 AND LOCATION MAP 10/13/2024 I10/30/2024 I _ 600 CLENN ROAD 01/16/2025 I Sauiholc Fown SOUTHOLD, TOWN OF SOUTHOLD 8caro' of Trustees SUFFOLK COUNTY, NY TAX .MAP N0: 1000-078-02-24 SHEET: I 1 OF 1 R U ES I. . T _S1. SOUTH O� Ln No. Issued To Goo GN#.nn- ?-oa �� Date �� /- Address ' Goo t0g4 [__t..-500tm0��. THIS.NOTICE MUST BE DISPLAYED DURING CONSTRUCTION .TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.:' 765-1892 January 19, 2025 Town of Southold Trustees Town Hall Annex Building P.O. Boxt 1179 © E W Southold, New York 11971 I - RE: 600 GLENN ROAD LLC !� JAN 2 4 2025 600 GLENN ROAD, SOUTHOLD, NY SCTM No. 1000-78-02-24 So, hoI "-rown . "APPLICATION REVISIONS Board or 1 rustees— Dear Trustees: Attached pleased find four copies of revised plans based on comments received at the latest public hearing. Plans have been revised to represent the 50' non-disturbance buffer, existing house and proposed pool which were"permitted under#10571. If you should have any questions or require anything further, please do not hesitate to call me on 631-487-52K Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Glenn Goldsmith,President COGy.� Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski Cn ,? P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples ��l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time:Wove Completed in field by: 10-k2abC� Jeffrey Patanjo on behalf of 600 GLENN, LLC requests a Wetland Permit to construct a proposed 4'x32' fixed dock with 4' wide by 20' long fixed "T" section at seaward end, including landward steps up and steps down to fixed T section; with all decking to be a Thru-Flow type material. Located: 600 Glenn Road, Southold. SCTM# 1000-78-2-24 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.: av o doG� Me 2 °A a n (�(�a UV Id VhA G IQn-A S 4 Ce vSV Present Were: v/G. oldsmith N. Krupski V____E. Sepenoski L. Gillooly V.E. Peeples GLENN ROAD SURVEY OF LOT 8 EDGE OF PAV NT MAP OF WEST CREEK ESTATES EP9.oa EP9.45 EP9.es EXISTING WATER MAIN EP9.5e EP9.56 SITUATE AT SO- WINDED +CL9.30 +CL9.58 (50' WIDE) -al?.73 +CL9.78 +CL9.83 TOWN OF SOUTHOLD EP8.93 EP9.33 EP9.47 EP9.67 EP9.59 SUFFOLK COUNTY, NEW YORK U P EDGE OF PAVEMENT NYTc� .... ,,,. OVERHEAD WMES �0 S 88®31'30" E 100�VC4 4 FILED: 08/19/1963 MAP No. 3848 584.10' lO' w $z' 'ozz d o S.C.T.M. No. 1000-78-02-24 O LOT AREA = 25,337 S.F. �0 ELEVATIONS PER NAV88 DATUM e� hit 8A I as e� cv, 0, GUVMW OR CERTIRMONS ARE NOT TRANSFERABLE UNDERGROUND LmL7hm O FASENENIS NOT SHOWN AND UTILRY POLE LOCATIONS ARE NOT GUARAMEED. C I A THE OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES I WOODED I Q 'a ARE FOR SPECIFIC PURPOSE AND USE THEREFORE ARE NOT(MENDED TO CODE THE O I O ERECTION OF FENCES, RETAINING-WALLS, POOLS, PATLOS, PLANTING AREAS, Cr A I ww Q ADDRION TO BUILDINOS AND OTHER CONSTRUCTION.THE MTENCE OF RIGHT W aJ , OF WAYS, WETLANDS AND/OR WOWENIS OF RECORD, IF ANY,NOT SHOWN CARE NOT GUARAWM 4 't UNAUTHORIZED ALTERATION OR ADDITION TO IRIS SURVEY IS A WOLA770H OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BE RNG THE LAND SURVEYORS SIGNATURE AND RED m OR EMBas m SEAL SHALL �• 1 M I I NOT BE CONSIDERED A TRUE VAUD COPY. �y ~ LOT 8 I ALL LOGOIONS OF AND DISTANCES TO waLS AND CESSPOOLS ARE BY LOGITIONS •L 8+ I FROM HOMEOWNER$ Al1D OBSERVA770NS ANDI 0R INFO 77ON OBTAINED FROM x C I I OTHERS SINCE MOST ARE NOT VISfBLE THESE LOCATIONS AND DIMENSIONS CANNOT DE CERAFlED. 4 . Qq '�• TEST BORING a I g I w c, D BROWN LOAM OL I "N• BROWN OLT ML D {� • x I 3' OW / 15' 'II �• �'� k�I I �, - SSE1 AD P A U G 2 C2e 0S24 o WATER IN PALE SOuftd Tow MIX. I BROWN NE SAND sP 60a7d QTNS[ 35' TOTAL I 17' I I�2o' wA7ER ENommitED m,BELow suRFACE By MDDNNN GEOMENCE f✓3�.� �''., ,✓ . �'[, � ��4G of — `' SECCAEIC0 LAND SURVEYING PC 500 Montauk Highway ;.�,>.• _ — — — Moriches, New York 11955 :2...,. ...o. 1 EDGE OF WATER Phone: 631 878—0120 Phone 631 728-5330 4s, __ _Q 7. I,= pseccafco@optonline.net 'SAND•'' _: CANAL PER FILED MAP Pat C. Seccat7co. PLS Pat T. Seccaflco. PLS N 82*46,40" NYS Lid. No. 051040 NYS Lic. No. 049287 1i15.0' LAND NOW OR FORMERLY OF copyright — 2023 Seccafico Land Surveying PC PROJECT No. 64981 SCALE: 1" = 30' DATE: 1012412023oLr ADDED�M� AT rR�F y�oFTT�1E�s dI0��RN.G�ER y g Unauthorized alteration or addition to this survey is a violation of section 7209, subdivision of the New York State Education Law. Copies of HEIDECKERILAND SURVEYING this survey map not bearing the land surveyor's inked or riembossed seal shall not considered to be a valid copy, 'D SECTION 078.00-BLOCK 02.00-LOT 024.000 +3.37 +3.34 +336 + wFr 3.38 + �qNo I1 3.39 +3. 2.26 a2¢0 4 + 51 + 2.16 + UNe ft i "'3' 3 80 + `0.77 M�+: 0.0p. 2i +2.64 + 3 82 +3.79 + 8�0 `0.79 2.853 + , I ' +2.88 + 3' 3 + 2 67 + 1.08 +0.97 + 0 ` w� `82 +2.89 + 80 95 + � 3.0 2.70 +2.6g + `0.91 +0.g3 + / Mcw,°oo � 4 +3 16 +3 38 + 2.55 + -0 53 ,+� v, 3.74 _ 2 62 + Z'40� ` + 3.63 + 3.51 + 2.57 +2.65 + 21 �0.18 -0.13 ftPOWN + -3.6 + 2.20 + `3.94 + 1 '3.75 + 2.46 2.04 +2. W +3.7 + `3.62 02 +2.13 + + 9 -4.37 + -3.27 +3 42 + 2.16 `3.30 + S T `4.23 + -3.46 + -3.19 +3 37 + C/� `4.54 -4.25 + -3.25 +3.51 + 3 `3 79 + `4.19 + 59 -3,79 + PANA 25 +`3.90 + +`3.83 / 4 19 +4.67 +399 + L` 4.52 E C E I V E s i 3.87 +4.02 + 3 + �i 91 _4 12 + . 4.15 AUG 2 2024 Southold Town BmI d otTtustees 0 10 20 30 \ METERS FEET \ 0 20 40 60 80 GRAPHIC SCALE 1" = 20' OF NEW NOTES �Q HE% 1. FIELD WORK WAS CONDUCTED APRIL, 2 2024 BY HEIDECKER LAND SURVEYING, PLLC AND ALL MEASUREMENTS WERE �. TAKEN ON THE GROUND. p JOHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 050719 DATE: BATHYMETRIC SURVEY SHED NO. 2. NORTH ARROW IS BASED UPON GPS P.O. BOX 135 MAY 6, 2024 OBSERVATIONS CONDUCTED BY HEIDECKER #600 GLENN ROAD PROD. NO. LAND SURVEYING, PLLC. / N °� AQUEBOGUE, NEW YORK 11931 DRAWN BY: B.W. 3. ELEVATIONS SHOWN REFERENCE MEAN CFI ° 05011 �� (631)-772-9604 cHK BY: J.H. WEST CREEK CANAL 24HLS21 LOW WATER (MLW) VERTICAL DATUM. SFD L A ND TOWN OF SOUTHOLD CAD FILE: jheidecker®heideckerls.com SCALE: 1"= 20' SUFFOLK COUNTY NEW YORK 24HLS21FP.DWG � . . w war PROJECT 10 10 d� N aNe :,.;: reN LOCATION $ PROPOSED 8"0 CCA PILES (TY .) $ �,• .:. :.: X:: y�, �c Custer'Ave''� ' ~ 5, PROPOSED THRU-FLOW DECKIN ON ENTIRE PIER aeaviA PROPOSED 4 WIDE X 20 36' PROPOSED 4' WIDE X 32' LONG FIXED PIER 6 �r .. , THRU-FLOW DECKING xOaM D' F-11 4 �' s•. s M.H.W. EL. 2.40f g a; Pw :BapYtety` 0 M.L.W EL .0.00± 0 LOCATION MAP EXIS ING GRADE N.T.S. ,. IL 4 -4 -4 TYPI AL SECTION N.T.S. IPIER LINE PROJECTION INCLUDING EXISTING DOCK TO 2,33.43' NORTH AND FOLLOWING SHORELINE DUE TO FACT ITHERE ARE NO ADJACENT DOCKS TO SOUTH - 51 11011 E _ _ -- I x_25 WATER DEPTH REFERENCED TO MLW AS I N_ 1- - - MEASURED BY JOHN GERD HEIDECKER, L.S. x x x x x � _t- -3.30 -3.94 -3. 4 -2.67 -I0.77 .31__ I v f2.70 Iw r I x 3.19 x 4.14 %3.8II 3 �2.700,79 2.26 I �j NOTES: FLAGGED WETLAND LINE 1 -o Ci 1. LOT AREA: 25,337 S.F. / 0.58 ACRES I -3.37 -3.79 '�3I5 O 2.68 x T x f EXISTING NEIGHBORING DOCK v �� l i Z 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: x x x x .� TIDAL WETLAND BOUNDARY -� SECCAFICO LAND SURVEYING PC -3.79 -4.37 -3�51^�2.55 ��s '3 I AS DELINEATED BYJOHN GERD m O 500 MONTAUK HIGHWAY HEIDECKER N.Y.STATE LAND I m MORICHES, NEW YORK 11955 -3.79 -4.23 -�.61 --2.62 -L97-2.52 SURVEYOR ON MAY 6,2024 I b SURVEY LATEST DATED: 11/15/2023 x x x ld x I l x WOODED I -3.90 -4.54 - .75 72.57 -0.91 2.64 PROPERTY LINE I v O N 'A3.83 834.25 % .62 2.65 "-oOW 2.8s ' PROPOSED 4'WIDE X 32'LONG FIXED PIER WITH 4'WIDE I PREPARED BY: PROPERTY OWNER: JEFFREY PATANJO 600 GLEN ROAD LLC x 'A 'Ax 10' x 1 X 20'LONG T-SECTION AT SEAWARD END.ALL DECKING I P.O. BOX 582 3 SANDIE LANE c -3.99 -4.19 13.27 I .46 I.83 2.85 1 TO BE THRU FLOW TYPE FOR ENTIRE PROPOSED PIER. - BOHEMIA, NY 11716 MANORVILLE, NY 11949 x 3.87 "-4.25 x 3.4 x- x --- 631-487-5290 =- _ 42 31 JJPATANJO@GMAIL.COM W -4.02 -4.27 I-3.4>�I • i0.2 2.89 b -_--j IV x 'A iF -3.91 -4.19 3.2� 2.02 �0.1Q 3.04 --_ w %4.12 %4.673.51=72.13 "0.1� 3.16 I J--�0'r W Proposed Permit Plans SCALE: x x T x - S 16 28 ® VU V DATE: -4.15 -4.52 �3.59 84 3.38 3.�o SITE PLAN, TYPICAL SECTION 06/07/2024 I NOV - 4 2024 AND LOCATION MAP 10/13/2024 /2024 600 GLENN ROAD I SOUTHOLD, TOWN OF SOUTHOLD Southold Town SUFFOLK COUNTY, NY Board of Trustees TAX MAP NO. 1000-078-02-24 SHEET: f1l OF 1 * � �� ( � r .i� � 1 '►�� Ste.' 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I +m,+w..n,.v a.. ` F 3�rax�cwnv�wtrptama�rn N mil' •N1°` soutNOEo078 p r.._ __• _ wean___..__ —__— w.y.. 111) ..- P ,® ar 8 OFFICE LOCATION: " MAILING ADDRESS: Town Hall Annex "* P.O.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 To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: November 12, 2024 Re: LWRP Coastal Consistency Review for 600 GLENN, LLC SCTM# 1000-78-2-24 Jeffrey Patanjo on behalf of 600 GLENN, LLC requests a Wetland Permit to construct a proposed 4'x32' fixed dock with 4' wide by 20' long fixed "T" section at seaward end, including landward steps up and steps down to fixed T section; with all decking to be a Thru-Flow type material. Located: 600 Glenn Road, Southold. SCTM# 1000-78-2-24 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 the LWRP. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. Navigation of the waterbody could be negatively impacted when a boat is moored at the end of the dock. The width of a representative vessel is not provided. A certain width of the navigable channel should remain free and clear of potential obstacles. What is the distance to the opposite shoreline with a vessel moored? Further, a net loss in public use of waterways is expected as a result of a dock in/on public waterways. The construction of this proposed, private residential dock structure on public trust lands and/or waters would result in a net loss of public recreational use of such waters. The proposal to construct a dock in this location is inconsistent with this policy. 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 October 30, 2024 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 FIRD E P.O. Box 1179 Southold, New York 11971 NOV - 4 2024 RE: 600 GLENN ROAD LLC 600 GLENN ROAD, SOUTHOLD, NY Soui-holea Town SCTM No. 1000-78-02-24 Board of Trustees APPLICATION REVISIONS Dear Trustees: Attached pleased find four copies of revised plans based on comments received from NYSDEC. Plans have no major revisions other than shifting the proposed dock to the south to allow for additional separation from the dock across the canal. As such, the previously submitted project description remains current. If you should have any questions or require anything further, please do not hesitate to call me�on 631-487-5290. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: 600 GLEN ROAD, LLC 600 GLENN ROAD-SOUTHOLD SCTM No. 1000-78-02-24 PROJECT DESCRIPTION -REVISED Project includes the construction of a proposed 4' wide x 32' long fixed pier with 4' wide x 20' long T-section at seaward end, including steps up and down, all with thru-flow decking. ECEIVE OCT 1 7 2024 Southold Town Board of Trustees October 14, 2024 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 FR E C E 0 Y E P.O. Box 1179 Southold, New York 11971 0 CT 1 7 2024 RE: 600 GLENN ROAD LLC 600 GLENN ROAD, SOUTHOLD, NY Southold Town SCTM No. 1000-78-02-24 Board of Trustees APPLICATION REVISIONS Dear Trustees: Attached pleased find four copies of revised plans and project descriptions for the above-mentioned project. The proposed project has been revised to remove references to floating dock and ramp and not keeping entire fixed dock within property line as recommended in your October 2, 2024, email. If you should}have any questions or require anything further, please do not hesitate to call me on 631-487-5290. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Wednesday, October 2, 2024 12:11 PM To: JJPatanjo@gmail.com Subject: FW: 600 Glenn Road LLC; SCTM# 1000-78-2-24 Attachments: 20241002120656.pdf Jeff, In reviewing this application further it has been determined that the proposed floating dock is situated on the property owners lot across from this lot(seethe attachments). When this area was subdivided this specific area had a canal dredged out for them and property owners on either side of the canal own a certain amount of the underwater lands, as shown on a survey and the original subdivision. Without the property owner's consent to place a structure within his property lines this application as submitted cannot proceed. You will either have to get written permission from the property owner or pull the proposed back to be shown completely in the 600 Glenn, LLC property. ECza6eth Cantreff Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631) 765-6641 From:Cantrell, Elizabeth Sent:Wednesday,October 2,202411:34 AM To:JJPatanjo@gmail.com Subject:600 Glenn Road LLC;SCTM#1000-78-2-24 Jeff, In reviewing the application and plans two things are missing from the plans. A Pier Line of the closest neighboring docks and the proposed piles with diameter that will secure the floating dock. Please submit revised plans depicting the Pier Line and how many proposed float securing piles with diameter as soon as possible. ECaza6eth Cantreff Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631)765-6641 1 p.F-t bi. �T °13L+5FvarPg=am /' '\ 1 lQ�•'�yCy IS Gb,yiw E/duYe•fioPaesianl 6yYne.•r H'�5 , Bto� Renee e.Ta,e.aY,N¢«I N. L • Rcirort Gtrom.b.N<Plh«t Om ry /s?aqr 4j5;,'c!e� t HEALTH PE�ARr?-TW USEp� o TC '`,6eae APPf,OVED 6Y f� oT. �,_ .'"��m.oP <p�•� BOARD OF iRUSTEES TOWN OF SOUTHOLD A �AST!¢ zo�m J�TEST HOLE /' ,Inv w _ �60:�; .z •xw. ,{`�/yA I`•xx-•99 `'`cb s " •mIl _ SURVEYORS OM"FIGATION T•I'CNE¢'HY CERnFY TO STATC OF WE ODOR.I vne E Qi EIRINO TNAT T105 difLVE Y:15 PfFCPFRID IN F9lH • 6 OF :�rr J�?� 11Nyy'�� M!/JT O/-RU:TLE FOR L+W,RVEYS - 9� f LE T IL'K TORK SiATL AJ�OGIATION tff �)•O y o`c .,wTCR v,�w ♦•Y u h`.'9�a. �' - t/'nYIMr.•t,Sf `., o a � Ay `�• %� e� � raw.N. ,u <sao''-' r.,Ly9'r�" Zn- R/Jm FLPD.IofOGR •.\ .N,,�°.�, SURVEY FOR SITE DATA '�. / �0� E5TA7E OF THEODORE A. EIRM AREA=40,012 so.FT. •VEFRIGAL OATLM =NAV.nATU+PRDDJ ai Southold,Town of Southold c •sc Pwon IHwNPrre RATc rnr rAm.ND.9elo3ccleD H LAsr �Q. SvPPolk County,Nsw York HATED sEPr.]D,]Dw. �yY% ADJACENT AREA LOT C.OVERA6E • cTr•rx Ta sRq.Fm/4ATER •9FT -L`</ AD.ucENrP r,'.IT�m eo.Fr. EIUILDINS PERMIT 5URVEY +_ Ra+%R OP nEDROOMS IDE9teN LCNJA:LIRI •9 �• PROPOSED -2930 54 FT.=15.9ffi - MpLNLY.REQUIRED VA OW15 CAPALnY .4GG 6P1 - 3 STORY PRAFR HOUSE.6ARA6E I m 2 PROVInC-O'/A WTPv GAPKITY .EOO GPL County TOZ Fbp o..,:I GbO s.,a.-Ib ..02 tc: Ib.4 5 LEKNIN&SYSTEM PPO'ARED •E00 5P3WA NOTM PI0.D 5URVEY rgFPLCiED Jde]R]OID LEAGHIN6 6ALLLY9 P�tOVIDPD •916 STSWA I-ifE CM9 5NA1-L°E T1pDCL CO,�MAHJrAGNRED BY MA'Ff�AR© —Y"]OID •,A•rYenATw IRwennoN srsTEM To eE InsTALLeD io raNrroN r-uncLerw ID^ ENGINEER'S GERTFIGATION Rvcore of Rovlelon9 PROPOSED LAiel AISa/oR PL%I14`S. ].iNe 0291EN ENEI`2E�PWIGLC+A USA RE=RESLVTAT�A!m I IfCFE➢Y LERT¢'f TU.T TI¢WATER SLPR /OR RCGO¢D°P REVISIONS DAIS SLDC RC^FCSaTAnJvS 9uaLL OE�RV2 iNE InSTA:lA DISMAL s--tw r—-5 PNO.£Li D6.6,1ED AqT 2']q99 `""CERTAIN AREAS °r Tlc a.To Aw LEAcwNG srsTrn APPRO AL FRor TIA OR IRIDER 1•IY DIREOTION.GAS®UPON A THREE PRIOR To EALKPdI,. 6NDf OF TIC'bOl4 912 AND TIEtA:+,ALL' 'G�.)3;ILDlNe- 'T-DdTG -GJs'1tD.2D9 WOOD3TG REMAIN •byib SO.Ff 9.THE SYSILw START UP 1TLL EE GOFffLLKD If,OCR TI.E FKILITIC5,AS PROPCCD,LOtSLRM, TfC$A'f'dJCC.GTriL\� •1MITIM OEPPRTMENT GP!@N.TN 56LVIL[5 T ARDS jN I LD1P�� y •N.00D9 TO GC LLCAF'^D •I]1]]SO.PT D:RPGT SM=RVI`JOY OF A f WILLEAN U34 RErR13CMATIV=' EFFECT A4 0P W.DATE - a •LAYBULAND9'..APE `O,TOT 5O.R 4.PN CxEGUTGD OPERATION AND'P-A ANLE OO 10 t1 T A k •PROPOSGO GEIYEEV TNC MAINTENANCE PROJIDER AND PROP«RT'OWER >. 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Lauren Standish,Secretary P.O.Box 1179 • '� Southold,NY 11971 y'jlpl �.a0� Telephone(631)765-1889 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Tues., October 15, 2024 the following recommendation was made: Moved by Shannon Wright, seconded by Inga Van Eysden, it was RESOLVED to SUPPORT the application of 600 GLENN ROAD LLC c/o DAVID ROBERTS for the construction of a 4'X 20' long fixed pier with thru-flow decking, 3' X 14' aluminum ramp and a 6'X 20' floating dock. Located: 600 Glenn Rd., Southold. SCTM#78-2-24 Inspected by: Carol Brown, Nancy May, Shannon Wright The CAC Supports the application and recommends the docking facility does not extend beyond the pier line. Vote of Council: Ayes: All Motion Carried Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Wednesday, October 2, 2024 12:11 PM To: JJPatanjo@gmail.com Subject: FW: 600 Glenn Road LLC; SCTM# 1000-78-2-24 Attachments: 20241002120656.pdf Jeff, In reviewing this application further it has been determined that the proposed floating dock is situated on the property owners lot across from this lot(see the attachments). When this area was subdivided this specific area had a canal dredged out for them and property owners on either side of the canal own a certain amount of the underwater lands, as shown on a survey and the original subdivision. Without the property owner's consent to place a structure within his property lines this application as submitted cannot proceed. You will either have to get written permission from the property owner or pull the proposed back to be shown completely in the 600 Glenn, LLC property. El za6eth Cantrell Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631)765-6641 From:Cantrell, Elizabeth Sent:Wednesday,October 2, 202411:34 AM To:JJPatanjo@gmail.com Subject:600 Glenn Road LLC;SCTM#1000-78-2-24 Jeff, In reviewing the application and plans two things are missing from the plans. A Pier Line of the closest neighboring docks and the proposed piles with diameter that will secure the floating dock. Please submit revised plans depicting the Pier Line and how many proposed float securing piles with diameter as soon as possible. ECza6eth Cantreff Administrative Assistant Town of Southold Board of Trustees Phone: (631) 765-1892 Fax: (631)765-6641 1 �il,r ee;' J°` .Y ''0• °• a1w 27 -t o ,� [ 1= ,rrl,r•�Sf a0 � W csT GKccK n s° U $ r0° ,frur' •z8 L ` ESTNTcs s° r' .+'•' '<6^b '29 s" o°'s.� n,t h a° W. 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(� °—_ A Thi.1 aar•n Mr— (2)_•TYPicu/Lal L yo.,/ _EGA—N— T• JJJ jll yf' ��f 60o sAG.scvric TRruK +_ a•( .S�r x. _ _ L ....w 'cv\v ,r.�r LI,n,r Ir vn.•:.i1,�:i rr`"r,. i \j ' ``\ �6j`<'dh., �Bt-93�ote I��a-� .00 at•o�Iae.A.e�.w.Rvorroaa.Ne,.ro-Klwol e / tel.691.TT�909 Io:.e51 T]TDI49 c9.�"'e /o„ o6nt+eyangemgWee-Wgcom 4..�,. L, g of youzzg 1 � 6 �e'9� �o� IlPrvmtl K Yomg.Lma Seveycr N /% �$'AF f 4�ihh`7 rroma>e.ytblpere.Prone>Ww1 Erglro I `\ ��„� /Oq` Dwglw E.Atlwn>,Prornn>lanol EyM1aer Il ``\ nq e�tp�e Robert L.Tct.MUltoct bAA �` �6�4 OB • I Rebart Strom>q,A•cFRect E c A S a .s.sw I �, / Y d n> ry �ST /S?�9• �'"h/`o��ho. HEALTH DEPARTMENT USE A` /1 Arc.5' shy/ r"'>�n,n \ .\ I'"`�-` w7 ✓:'n>. '�� °U j !G 1 F 7 t2 i 4 fR AdL PPROVED 61' — A > spcc07 r BOARD OF 12USTEE5 > "� µ,t r ,, "-- e TOWN OPSOUTHOLD / .m '> •._ `" __ IAI'E TESTo>.wLE ..✓�"'f-�.. r�+l� / d>,l' SURVEYOR'S CERTIFICATION �i �''•'D sK>[u 1p 'e \\ •1NE HE EBY CERTIFY TO ESTATE OF TM EO DO RE A. EIRiNG THAT TN15 X4VEY wA5 PREPARED IN E WITH ` J Oe N" Q le s��lo&� • \ THE LOGE Or PRACTICE FOR LAND XRVEY9 - ry ,t_ o� .ry•'4�L/ �.\ apRK�S TAT[AY IATION OF PRO=E S�' ✓r0 Ec FDceMo•u.c a'r typo.* '� Y e.u. a "� � M1.j�.^-L �11VH�.t/. i(... �O HOYIA¢D W.YoM,N.Y'. B95..L.5.NO.4 3 2a' '� •ITLVE TLUND 11• 'Y ' ,�•� tANo'> \�0� /.' ?� / d eW aa•„ SURVEY FOR SITE DATA ESTATE OF THEODORE A. EIRING AREA=40p12 50.FT. •VERTLAL DATUM •NAV.DATN(19BB) oC SO d,Town Of BOVtITOILI •�FLOOD INSUR.VlLE RATE MAP=AN3 NO 36105LOIB6 H LAST �` Suffolk folk Govnty,New York DAh-D SE-.25,3009. ADJACENT AREA LOT COVERAGE •DEPTH TO b¢QAIDWATER •9 FT �(� Ap,uLETrr A¢EA.n�B3 so.FT. BUILDING PERMIT SURVEY •NNBLR OP BE-1DESIGN CWNALEM) '9 PROPOSED MIWMM REONC I/A OWT5 CAPACITY .4p0 bAL 3 STo-FRAME HOUSE a bARbE •],930 SO FT..le 9R 2 PROVIDGD I/A OWTS LAPAOITY OOO GAL NOTES OM Cty To.Mop —,1000—TB —03 - 18 4 3 LEALHRYS srsi[M aEon¢FD .Boo SFswA •LEALHINb bALLLI'S PRtNDED .316 SFSW4 PREPD .pLY ORS,Sole �__oWTE sHAu Es ncD[L co+a MAH�rAcnm[D Br EN6INEERS CERTIFICATION •NJfOMATIL IRRIbATION SYSTEM TO BC INSTALLED TO I-- NJILLEAN J54 RecorQ Of ReV191OnS PROPOSED LArot ANplO¢PLAMINGS. E DLSIbN ENG K TUJILLCAN USA RCmRCSCN.-T ,-0 I HERFBr CERTIFY THAT THP WATER^ P_Y /OR be RCLGRD OP REVISIONS OATC SCOHS RE�FCSD.TAT S SHALL OBSERVE THE INSTALLATION DISPOSAL SYSTEMS)FOR I THIS CERTAIN AREAS Or Tt�CWTS ANO LCALHNG SYSTLM.APPROVAL FROM ALL pq UNDER MY DIRECTION.BASED UPON A RE _I_t:D'TrOT.CVb � ��NGF Ir THREE PRldi'O BACK•ILL. S,VJY OF THE SOL,SITE AVD b R fqA rT101JS,ALLY\� P ATA 030 rALILITIES,AS PROPOSM,LONE ORM T THE SUI?dJC-LOUITY'^�, AMe O a�lylt55�RMIT DATA N�]9�3031 •WOODS TO REMA'N •e,545 SO.R 5.Tom_SYBTGM START UP W'LL BC COMP-CTCD M'JC¢TEE pEpggTMENT OF HEALTH SERVICES LO �Ok9TANDARD$N _ BUF g o WDPJS TO BL LLEA_ •13A33 50.FT DIRELY SRCRVI5104 OF A FUJIGLEM'U54 REPRCS[N*ATI VE EppEGT Pb OF-15 DATE. t •LAFPVLANOSLAPE .e.T01 50.rT 4 M C%EGJT[D O_RATLI!ANT>°.AI TJIANCC CONTRACT I • PROPOSCO B'Trl`EV THE MAN,ENANCE PROVIDCR M9 PROPERTY Ov.NCR ?,�'�. Ir.I-' j HOST 6E XBM 9(TO 1NE Si�O l'WNT:'pEPARTMCNT Of ( 50 O 9 50 IOO 19'J f Ng15E •I¢�O`'0.R. HEALTH SERVICES(5LD )P¢1LR i0 APPROVAL O^TFE ItA �. .. GARAGE .-4 SO FT. OWTS¢EbISTRATON e"THE S;D•a IN AGLORD0.NLC WITH MOY(ARD w Y .N.YS.L. ND.45Boge \�•-r-':%.� 5C0 6.I•• 50, FRONT PECK •334 5d.FT. ARILLE'9 a TtG 5Ur-T0.0 C.CT.N'Y SANITA¢Y LODE. �'+�i� ,UB I:O,3016-013] THOMAS L.WOLPE¢T,NYS.PL.NO.614B3 � B•LK p[CK •536 50.:T. 5 ARLw—TO VCRr`•FIMSH•1>FLOOR ELE ClICS). DOJiGLAS E.Av0.M5,N,YS PE.NO.6089T DWG.]0I6_013]_bp I OF 3 �` Town Hall Annex Glenn Goldsmith,President 1Q ;�vi`z!�. �� Q 54375 Route 25 A. Nicholas Krupski,Vice President ac;Q fa. i, P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J.Domino Zat, „ elephone_(63�) 765-1892 Greg Williams RMC(I 31)[r5T6A" AUG - 22024 BOARD OF TOWN TRUSTEES a TOWN OF SOUTHOLD Southold Town This Section For Office Use Only F Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extensi �Received Application: , �;..4-4 Received Fee: $ 1,X wk FIne mpleted Appli ti n:omplete: a- SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): _ LWRP Consistency A! e �entF�orm Sent: _CAC Referral Sent: ��(( 'l Date of Inspection: I 1 _Receipt of CAC Report:-"01V Technical Review: _Public Hearing Held: , 11 /?✓ ? Resolution: Owner(s)Legal Name of Property(as shown on Deed): 600 Glenn Road LLC c/o David Roberts Mailing Address: 3 Sandie Lane, Manorville, NY 11949 Phone Number: 631-905-4789 Suffolk County Tax Map Number: 1000- 78-02-24 Property Location: 600 Glenn Road-Southold See location map (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): Jeffrey Patanio Mailing Address: P.O. Box 582 Bohemia, NY 11716 Phone Number: 631-487-5290 Email: JJPatanlo@gmail.com t�r� Sew.}- I RE: 600 GLEN ROAD, LLC 600 GLENN ROAD-SOUTHOLD SCTM No. 1000-78-02-24 PROJECT DESCRIPTION Project includes the construction of a proposed 4' wide x 20' long fixed pier with thru- flow decking, T wide x 14' long aluminum ramp and a 6' wide x 20' long floating dock. : .:Bch_"_.3. of: Trustees 'Application G ENERAL DATA H 337 Land Area(in,square feet)..;: — R Area Zoning. e S Previous use of property: Vacant erVa Intended use of ro t Ca t p P — . Covenant on property,.. . ❑ "" Yes. . .❑ No.. . If.. Yes please provide a copy._ Will this project require a Building Permit as per Town Code_? ❑ Yes ❑✓ No If"Yes" "be advised.this application:will.:be reviewed by.the Building Dept:..prior"to.aBoard ofTrusteereview -arid Elevation Plans:will be required. . Does`ihis project;require avariance from the Zoning Board o ppea s ❑ e . If."Yes",.please provide:copy of 46cision. Will"this project require any demolition.as.per.Town.Code or as determinedby"the Building Dept:?. [�'Yes �❑✓ No Does"the Afticiure.(s)"on property have a valid Certificate of Occuparncy. Yes Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals f6r.site improvements: Has any permit/approval,euer been revoked or suspended by a governmental agency .❑✓ . "No ❑ '.Yes, If yes,provide.explanationf. Project Description(use attachments if neces See attached descri Lion nary).... . P . Bc 3. of Trus"tees "APPlcatjL on: WETLANDITRUSTEE.LANDS"APPLICATION_DATA ::.Purpose of the proposed`operations::: See attached description 2358.s.f: Area.of:wetlands on lot: . square:feet Percent coverage.of lot: %. Closest distance between nearest existing:structure and upland edge of wetlands. feet Closest distance:be'twee'n nearest proposed structure and upland edge of wetlands: 0 feet Does.the.project involve excavation or filling?. No Yes . es;.how much material..will be:excavated? cubic yards Haw much material will.be filled? N/ cubic yards: Depth of which material:will be.removed.or deposited: N/A feet Proposed slope.throughout the area of operations: . 2� Manner.in which material:will be removed or.deposited: / _ Statement of the.effect; if any, on the wetlands.and tidal waters";of the�towri that:may result by reason of.sueil:proposed operations:(use attachments if.appropriate): There will'be a effect on wetlands due to installation of.thru=flow decking and hand installation of all:P osts ao support pier. r Short Environmental Assessment Form Part 1 -Project Information 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 Name of Action or Project: Propsoed Pier at 600 zenn Road-Southold Project Location(describe,and attach a location map): 600 Glenn Road-Southold Brief Description of Proposed Action: Constrict proposed 4'x 20'fixed pier,Tx 14'aluminum ramp and 6'x 20'floating dock. Name of Applicant or Sponsor: Telephone:P 631-905-4789 600 Glenn Rd.LLC c/o David Roberts E-Mail: david@djcustomhomes.com Address: 3 Sandie Lane City/PO: State: Zip Code: Manorville INY 111949 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/Town of Southold Trustees ❑ 3. a.Total acreage of the site of the proposed action? 0.582 acres b.Total acreage to be physically disturbed? .001 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.582 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 s 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? El RI ❑ b. Consistent with the adopted comprehensive plan? ❑ Fv-1 ❑ 'NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ ✓❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Goose Creek,Name:Peconic Bay and Environs,Reason:Significant coastal fish&wildlife habitat, If Yes,identify: Reason:Protect public health,water,vegetation,&scenic beauty,Agency:Southold,Town of,Agency:Suffolk County,D... ❑ ✓❑ NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑ ❑ b. Are public transportation services available at or near the site of the proposed action? ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? RI 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: ❑ F 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: RI F-1 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the El of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 6WO'floating dock,TxW ramp and 4WO'fixed pier. Page 2 of 3 { t 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: 0Shoreline ❑ Forest ❑Agricultural/grasslands ❑Early mid-successional ✓❑Wetland ❑ Urban ❑✓ Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? El RI Long-eared Bat,Ba... 16. Is the project site located in the 100-year flood plan? NO YES ❑ ❑✓ 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑� ❑ a. Will storm water discharges flow to adjacent properties? ❑ 1-1— b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ✓❑ ❑ If Yes,briefly describe: 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ .1.9. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: 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 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name: 60 Glenn Road LLC c/o David Roberts Date: 6 z z�a L Signature: / Title:Owner PRINT FORM Page 3 of 3 Part 2-Impact Aumme" The 4ad A9000Y IS responsible hr the questions in Pan 2 using the ink, Answer all of the fbilowing Jon contained in Part I and other materials submh�� the Project sponsor or otherwise"able to the revwvj:_. Nhen answering the questions the mvlgwer Should*guided by the concept"Wave my responses been reasonable considering the scale and coamia of the Proposed action?" No,or Moderate small to large Impact impact MAY may occur occur 1. Witt Posed UAMU38 www a Tnwnal cOntlim With an adopted land use plan 0 �On ro , Ing 97 at,1::; : regulations? Z Will the pro action result in a change in the use or intensity of use of land? r Ing V-!-�EIIE� N 3. Win the pmposed action impair the character or quality ofthe existing community? 4. Will the proposed action have an impact an the environmental 01111=teritft that caused the establishment ofa Critical Environmental Aria(CEA)? 5. Will thO pwposed action mult in an adwise change in the existing level of tmfflc or affect eXISCIASO h1huftcture for mass transit:biking or walkway? 6. Will the proposed=don cause an increase in the use ofeneW and it toils to Incorporate lemnall]Y available an=conservation or renewable ene W oppulualties? F-1 El 7- Will the proposed acdon impact exisfiW 1 a.public/pdvw waogrsuppfies? b.Public/private wastewater treatment utilities? 8- Will the proposed WOOD IMPOIr the chatacter or q '"'Ity of important historic,arclineplogicsI, architectural or L3 t—]—] 1 9. Will the proposed action molt 19 an adverse change to"aural wak nwour= Wateftdies,groundwater.air quality,flora and fauna)? 10. Will tho proposed action result In an increase in the for drainage iY problem? L114, potential f erosion,flooding 6r drainage Il. Will the proposed action create a hazard to envitonmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the con*letleyi of Perri 3. For evely question in Part 2 that was answered"moderate to Imp Impact may O cur',Or if there 4 a need to explain why a particular element of the Proposed action may or will not result in a significant adverse envlronmehtal impact,please complete part 3. 14 Part 3 should,In sufficimt.detail,identify the impact including any measures or design jlcmeWts that the PrOjed sponsor to avoid or reduce impacts. pan 3 should also explain how the lead ageney de have been inc uded by tamined that the Impact MAY Or volt I not be signif1cattL FAch potential impact ShOUld be assessed considering its setting,Otobabillty ofowuMn& duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-tenn,long-term and cumuhti"Impacts. C-, this test iryou inure determined,basadon the information and analysts abo%;*,and any supporting documentation, that the proposed action may mutt in one or more potentially large or significanvadverse Impacts and an enviTOMMIal!MPVA Mteftml is caquitp.& Check this box if you have determined,based on the information and analysis abo%and any supporting documentation.0 that the Proposed action will not Milk:in any significant adverse environmental impacts. Town Of 800wid-Bow OfThatees Name of Lead Agency 'Date presidentLWA ' I Print or Type Name of Rasponsib7le iiir p8"q 'Fitle OfRaponsible&k� Signature of Responsible Officer in Lead Age' Signature re OrPreparer(if different from Responsible Officir) Ir EAF Mapper Summary Re` ,_,'t Tr, lay, June 20, 2024 9:31 PM Disclaimer: The EAF Mapper is a screening tool intended to assist ! J project sponsors and reviewing agencies in preparing an environmental '_78$.2'4'{`� f assessment form(EAF).Not all questions asked in the EAF are 3:'1 78; 1=T5' 78 7$:-2=5 answered by the EAF Mapper.Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although the EAF Mapper provides the most up-to-date digital data available to - ----�-.-�� • �.,.,;-� i p � DEC,you may also need to contact local or other data sources in order to obtain data not provided by the Mapper.Digital data is not a f ,. . substitute for agency determinations. 78.:2:2:9+78 c2-22 _ -. 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Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /Question 7 [Critical Environmental Name:Goose Creek, Name:Peconic Bay and Environs, Reason:Significant Area- Identify] coastal fish &wildlife habitat, Reason:Protect public health,water, vegetation, &scenic beauty, Agency:Southold, Town of, Agency:Suffolk County, Date:3-9- 90, Date:7-12-88 Part 1 /Question.12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] No Part 1 /Question 13a [Wetlands or Other Yes Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15 [Threatened or Yes Endangered Animal] Part 1 /Question 15 [Threatened or Northern Long-eared Bat, Bald Eagle Endangered Animal -Name] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report E � rd of Trustees Applicatio AFFIDAVIT 600 Glenn Road LLC c/o David Roberts 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. ignature of Prope er Signature of Property Owne SWORN TO BEFORE ME THIS DAY OF ,20 Notary Public ANDREW BAAL Notary Public-state of New York N0.01BA6395488 Qualified in Suffolk county 0 Z My commission Expires Jul 29, P � rd of Trustees Applicatio AUTHORIZATION (Where the applicant is not the owner) I/We, 600 Glenn Road LLC c/o David Roberts owners of the property identified as SCTM# 1000- 78-02-24 in the town of Southold ,New York, hereby authorizes Jeffrey Patanjo to act as my agent and handle all necessary work involved with the application process for_permit(s) from the Southold Town Board of Trustees for this property. Pr erty wner's Si to Property Owner's Sig ture 5V SWORN TO BEFORE ME THIS DAY OF ,20 2_t_ ANDREW BAAL CHoCt:ar Public-State of New York No.01BA6395485 Notary PUb11C alified in Suffels l 29 7 mission Exp' APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town.of.Southold's Code of Ethics prohibits conflicts of interest,on the part of towoOfficers and employees.The purpose of .this farm is to provide informafion which can alert-the town_of_oossible_conflicts_of_interest and allow itdo take whatever action is; necessary to avoid same. YOUR NAME: Roberts,David (Last name,first name,.griddle 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 11. NO W] If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold_ Title br 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): ELA)the owner of greater than 5%of the shares of the corporate stock of the applicant EL (when the applicant is a corporation); , B)the legal or beneficial owner of any interest in a non-corporate entity(whets the Rapplicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this ay of. Ott, 202 Signature O Print Nam avid obey s Form TS 1 APPLICANUAGENT/REPRESENTATIV TRANSACTIONAL DISCLOSURE FORM : The'>'owno£Souihold:a:Code.ofEth-ies prohibtts<coiati6f :dfinteresf•.on he<gait:of:Town officers and'emaloyees`.Ihe:niii iosa.of: ... tttis`farrii is to tsofantere roirtdeunfarrriation w N'tO hich-'can,alecf:the town�of'"P osiib1&6rifltegfand aliow_it to takd'whateveractiori%is. necessB .avot so Patanjo�4gTeY:::.,,. YOUR NAME.` .:.. (_Last name,first name,.giiddle initial,unless you are applying-inthe 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'gr'ievance Building Trustee Variance ✓ Change ofZone Coastal Erosion Approval of lat. 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 offices or erriployee of the.Town:ofSouthold?:"Relationship!' by blood,marriage,.or,businessinterest "Business:interest"meansabusiness,: including a partnership;;iri which the town officer or employee has even a partial ownership of(or.employment by)a corporation'., in which the town.oeicer or employee owns more than 5%of the shares: YES ❑• NO �.--: »W :. If you answered"YES",complete the balance of this form and date and'sign where indicated. Name of person employed by the Town of Southold: Title or position of that person Describe the relationship between yourself(the applicant/agentlrepresentative)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 or her.spouse,sibling;,parent,or'child is(check all that apply): the owner of greater than Aof the shares of the corporate stock of the applicant (when the applicant:is a corporation),:: . B)the legal or•beneficial'owner of any interest in anon-corporate eniity(whee the E.. applicant.is not a,corporation); C)an officer;direct(r,partner,oremployee of the applicant;or _D)the actual applicant.. DESMIPTION OP RELATIONSHIP ..:.....no-:,_:.......�. Submitted this 0.7/05/2024 :Print Name•ie .r rani°... Fotin TS a Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: AT)r1RFeS. 7 �- a - 23 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 November 5, 2024 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box1179 E C E I V E Southold, New York 11971 NOV 1 2 2024 RE: 600 GLENN ROAD LLC 600 GLENN ROAD, SOUTHOLD, NY SCTM N0. 1000-78-02-24 Southold Town Board of Trustees AFFIDAVIT OF MAILING Dear Trustees: Attached please find original Affidavit of Mailing and return receipts for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, J ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 a Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#:_I CQ)-18 -2-2 L4 COC G d-eln LX NAME: ADDRESS: 1000-78-2-23 500 Glenn R I 1000-78-2-25 d LLC I 515E 89th St Apt 4B Jellett Margaret Irry Trust New York, NY 10128 I 700 Glenn Rd ; Southold, NY 11971 1000-78-2-18.4 Firing Theodore A I : 1000-78-2-16 c/o Stephen Gutleber Harney William H III 259 Carlton Ave Matthews Anne Brooklyn, NY 11205 :4015 Main Bayview Rd - - - - - Southold, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK c ,residing at `,C')_2)()x .4582- In i (D , being duly sworn, deposes and says that on the Jt day of NOS _ , 202g, 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 �carrni r�c1a1� , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT r"tr e Sworn to before me this Day of O-%)Overr+hey , 20�� JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01 GE6418131 Qualified in Suffolk County j� My Commission Expires 06-01-2025 Ne!S Postal TM CERTIFIED o . m Postal o RECEIPT TIFIED .m Domestic Mail Only E- rr- ra Domestic r- Er Er Br tt For delivery information,visit our website at wwmuspsxo� 'Certified Mail Fee Er VP F VC I AL MS L " ru $ 4.85 © /I/�; �� l Certified Mail Fee . r, Extra Services&Fee s(checkbox,add fee _ate)' ��19 Jj ra ❑Return Receipt(hardcop7� $ '/ -, FKdra Services&Fees(check box,add lee 0 ❑Return Receipt(electronic) $. ( A t �t ;Q ❑Return Receipt(hardoopy) $ �v'•+'-' / W '1_I a Eil,} l —5 :Fastm5k (] ❑Return Receipt(electronic) $ �I I_fll�l�I p,Ov —SPostmark_n d ❑Certified Mail Restricted Delivery $ I Here p ❑Certified Mail Restricted Delivery $ d;fl fl l i I ,`d Here 0 �❑Adult-Signature Required $ — _ ' [I Adult Signature Restricted Delivery$ ='°r-rU O ❑Adult Slgriature Required $ —� p Postage �1. ` ❑Adult Signature Restricted Delivery$ 1000-78-2-18.4 U705/2024 .� j /fi5f2il? rus 41``�rg Theodore A ff q%78-2-25 ti ' c/o Stephen Gutleber fru Jellett Margaret Irry Trust - - -- ------------- r` 259 Carlton Ave ru, 700 Glenn Rdr` Southold, NY 11971 Brooklyn, NY 11205 ------------ PS Form 3800, 000-9047 See Reverse „0•, Postal Postal OCERTIFIED MAIL6RECEIPT CERTIFIED MAIL@RECEIPT oil Inj Domestic Mail Only IT r` �_ 4 �s VON� L - Sot owe ifs]• ,. rl Certified Mail Fee P F � � L Ur nJ TIL $ =Oc 117�r ' N Certified Mail Fee 1 -! —.�^otfMr R'1 Extra Services&Fees(checkbox,add fee .PP ate) �0 R,� ,•.`'` Er $ ( ) �9p Extra Services&Fees check box,add fee a ate ❑Return Receipt(hardcopy) $. �i I J.arI C /./!' ❑Return Receipt(hardtop» $ 1 1..i. O ❑Retum Receipt(electronic) $ • �Yf 1 ir��;,� PostmarK a Sri I �ti� Post ark v,� I� ❑Return Receipt(electronlc) $ n r (] ❑Certfied Mall Restricted Delivery $ Here �, NOlI 4 �U24 Q ❑Adak Signature Required $' ,=e- i' ,�I,.I, V. EZI [I Certified Mall Restricted Delivery $ k IV V 'H�'e_ (� �1,�"1•(rj {`rr N0V- ,5 r('1;4 1 t []Adult SlgnaWre Required $ UI ❑Adult Signature Restricted Delivery$ r, - (4J I' []Adult C3 ge' � Signature Restricted Delivery$ 0 , :. /r Postage Posta $0 a.7 10.73 M I g �CIh? ?� ; 1000-78-2-1 21; +?• r7�' f I'd�0-78-2-23 --" ruyaey William H III n 500 Glenn Rd LLC :. , ru • Matthews Anne 515 E 89th St Apt 4B rr%- 4015 Main Bayview Rd - -- New York, NY 10128 -'" """""" z Southold, NY 11971 :00 April 2015 PSN 7530-02-000-9047. PS Form :00 April 2015 PSN 7530-02-000-9047 November 13, 2024 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 600 GLENN ROAD LLC 600 GLENN ROAD, SOUTHOLD, NY SCTM No. 1000-78-02-24 AFFIDAVIT OF POSTING Dear Trustees: Attached please find original Affidavit of Posting for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, 9 C-ov��� Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Glenn Goldsmith,President g11FF04�o Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski ti z P.O.Box 1179 Liz Gillooly o g Southold,NY 11971 Elizabeth Peeples '1701 �a�p 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 600 GLENN,LLC COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING ADO HAS4REMA Z NED I1VPIACEF`� ��` ASTSE-YENDAY,S PRIOR�rTO vTHEPUBLIC :HEARIN FDA-TE,=% ATER I,J2 f� a-Q� o , residing at/dba?.0,7Rx 58Z1kho-WO N 4 ,.11—]1 La being duly sworn, depose and say: That on the 4j day of hlNembtl , 202�, I personally posted the property known as (000 C'9!-erg n 2aon Sou-1±xpAd , rJ�-I 119-1 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,November 13,2024. Dated: NOvemn oev, Sworn to before me this p3day of NQi202q JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.01GE6418131 Qualified in Suffolk County Not64bliy My Commission Expires 06-01-2025 , 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: 600 GLENN, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a proposed 4'x32' fixed dock with 4' wide by 20' long fixed "T" section at seaward end, including landward steps up and steps down to fixed T section; with all decking to be a Thru-Flow type material. Located: 600 Glenn Road, Southold. SCTM# 1000-78-2-24 TIME & DATE OF PUBLIC HEARING: Wednesday, November 13, 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 Town of Southold LWRP:.CONSLSTENCY: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 Water&dnt Consistency Review Law. This... assessment:is:intended'to :supplement :other in,formation used by a Town of Southold agency:in: `imking:a determination of'consistency. *Except minor exempt actions.:including Building Perini#s and other ministerial permits notlocated 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..Towri of:Southold`Local Waterfront Revitalization: Program: A:.:nronosed.._actio will: be:°60iiak as:to its significant beneficial and adverse effects u on the coastal°area. which incl a">ah of:Soutliold.Town 3 Tf.any.question.in Section_C on thus.forin:is answered "yes" or._"no";alien.th a propose d`action will, affect:the:aehievement..of the LWRI'.policy.standards:and conditions.contained in the consistency review-law. Thus, each answer._muit.-be.exDlained:in::detail;aistinz.both supnortine-,_and.non- atitpp6 g-fads::'If.ari:.action:cannot tie cerfified.as:doiisistent viiith the IiWRP policy staridaids and conditions;;rt:sliall;notbeuridertaken: : A copy.of the:LWRP:is available:iri:ahe following places:online:at the::Town:of-Southold`.'s website (southoldtownnorthfork.net),the Board.of Trustees Office,the Planning Department,,all local libraries.and the Town.Clerk's office.: B:.. DESCRIPTION OF::SIT)±::AND PROPOSED:ACTION 78 02 24. SCTM#. 600 Glenn Road Southold PROJECT NAME..::_.:. .:.._.. . The Application has been submitted.to(check appropriate response): Town Board Planning Board :Building Dept. Board.ofTrustees.. 1. 'Category of Town of Southold:agency action.(check-.appropnate response): (a) Action:undertaken directly:by.Towri:agency:.(e.g: capital construction;planning activity;agency regulation,land transaction) (b) Financial assistance(e.g.grant;loan;subsidy) (c) Permit,.approval'lic.erise;:certificatibn: Nature and.extent of action: See:attached Location ofactiori;. 600 Glenn Road•-Southold . . .' Site acreage;0.582 Present land use:Vacant Present zoning-classification::Res 2. If an application for the proposed action has been filed with the Towri of.Southold agency; the following. information shall be:provided; (a) Name of applicailt:600.Glehn.Road LLC clo David.Roberts (b) Mailing address:3 Sandie Lane, Manorville,NY 11949 (c) Telephone nuniber: A�rea.Cbde. . 631-9054789 .... erfany( ): Application num bi Will the action be directly.undertaken.require funding;or'approval by a stale or federal agency? Yes ❑✓ : No O If yes, which state.or''.federal agency?.NYSoeC: C. Evaluate the project to the:followingpolicies 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. wa DEVELOPED.:COAST':POLICY.. . Policy 1. Foster a pattern;of development in the Town.of Southold that.enhances.community.character, preserves open space, makes.efflcient use''of infr8structire, makes beneficial,use of'a coastal location, and. minimizes adverse effects, of development:. See LWRP:Section III Policies;:Page 21or evaluation. . criteria. 7Yes` No Not Applicable Project is consistent with neighboring homes. 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 through6.:for evaluation criteria 0 Yes ❑,No:Q✓ Not Applicable No effect .. Attach additional sheets if necessary, Policy .3. Enhance visual `quality and.,:protect scenic resources .throughout the Town of Southold. See LWRP Section III=Policies Pages 6 through 7 for evaluation criteria ❑ .Yes ❑. No Not Applicable No effect _. Attach additional"sheets ifhecessary 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 0.. � . ..� Yes. No NoV Applicable .. Attach additional sheets.ifnecessary. Policy;5. .Protect and..improve.water quality and supply:in.the.Town of:Southold. See LWRP Section III - Polic— ies Pagesl6 through,21 for,evaluation criteria Yes F—].No �Not.Applicabile - 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 ZWRP:Section III Policies; Pages..22 n through.32 for evaluation criteria: Yes No ✓ Not A licable El 0 pp No effect' Attach`additional she"ecessary Policy`7. . Protect and improve air:quality.in the Town.of,Southold. See MRP.Section III .—Policies . Pages 32 through 34 for evaluation:criteria Yes No �/ Not Applicable ❑ 0 No effect' . o Attach additional sheets if necessary Policy 8. Minimize environmental degradation iq Town of:Southold from. solid.waste and hazardous substances and wastes: ~See LWRP_Section III-Policies;Pages 34 through 38 for eyaluation criteria: Yes ❑ No ❑✓ Not Applicable No effect. PUBLIC COAST POLICIES Policy.9. ..Provide for public access to,'and recreational use of,:coastal waters,.public lands, find'public_. `resources.of the Town. of:Southold. .,.See LWRP Section.III:—Policies;.Pages:38 through 46 for.evaluation. criteria. El �✓ Xe No Not Applicable Project.provides for access to waters for continued fishing and recreation activities as the.intended`use of.propeity:"` Attach additional sheets If necessary I WORKING COAST POLICIES. Policy lo. Protect Southold's water-dependent uses and promote'siting_.of new.water-dependent uses in . " suitable,locations. :See LWRP Section.III' Policies; Pages:47 through'56 for evaluation.criteria.; Yes__ No ✓ :Not Applicable ❑. . No effect Attach additional sheets if necessary Policy 11. Promote `sustainable use.:of living marine resources in Long Island.Sound, the Pecon c: Estuary and Town waters. See LWRP Section III-Policies; Pages 57.through 62 for evaluation criteria. . : . 0 Yes ClNo,.O✓ Not Applicable; No effect . .Attach additional sheets if necessary Policy 12. Protect agricultural lands:in the Town of Southold. See LWRP Section Ill-Policies,Pages 61 through65 for,evaluation-criteria. ❑Yes 0 N- o*W1 Not Applicable oe Attach additional sheets if necessary Policy._13. Promote.appropriate use .and, development of:energy.and mineral:resources.. See LWRP Section Ill,,-Policies'; Pages 65 through 68 for evaluation criteria. ❑Yes.❑ No ❑✓ Not Applicable . :No effect ... : : ..... Jeffrey Patan Agent 06i19i24 PREPARED BY: . ; TITLE DATE i July 20, 2024 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 AUG - 2 2024 Southold, New York 11971 RE: 600 GLENN ROAD LLC Southold Town Board of Trustees 600 GLENN ROAD, SOUTHOLD, NY SCTM No. 1000-78-02-24 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application, and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours,, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 NEW YORK STATE DEPARTMENT OF STATE DIVISION OF CORPORATIONS,STATE RECORDS AND UNIFORM COMMERCIAL CODE FILING RECEIPT ENTITY NAME: 600 GLENN LLC DOCUMENT TYPE: ARTICLES OF ORGANIZATION ENTITY TYPE: DOMESTIC LIMITED LIABILITY COMPANY of NEW�.• DOS ID : 7087297 •.��, 0% FILE DATE: 09/22/2023 • FILE NUMBER : 230922002660 '` TRANSACTION NUMBER : 202309220002733-2459588 EXISTENCE DATE: 09/22/2023 �w� DURATION/DISSOLUTION: PERPETUAL ;, &XCEisio �+ • COUNTY: SUFFOLK '.•�r�E.NT 000 SERVICE OF PROCESS ADDRESS : THE LIMITED LIABILITY COMPANY 3 SANDIE LANE, MANORVILLE,NY, 11949,USA ELECTRONIC SERVICE OF PROCESS EMAIL ADDRESS : N/A FILER: DALAL ASSOCIATES CPAS P.0 600 SHAMES DRIVE, WESTBURY,NY, 11590,USA SERVICE COMPANY: PREMIER CORPORATE SERVICES INC. SERVICE COMPANY ACCOUNT : PT You may verify this document online at: http//ecory.dos.ny.gov AUTHENTICATION NUMBER: 100004358947 TOTAL FEES: $210.00 TOTAL PAYMENTS RECEIVED: $210.00 FILING FEE: $200.00 CASH: $0.00 CERTIFICATE OF'STATUS: $0.00 CHECKJMONEY ORDER: $0.00 CERTIFIED COPY: $10.00 CREDIT CARD: $0.00 COPY REQUEST: $0.00 DRAWDOWN ACCOUNT: $210.00 EXPEDITED HANDLING: $0.00 REFUND DUE: $0.00 STATE OF NEW YORK DEPARTMENT OF STATE I hereby certify that the annexed copy for 600 GLENN LLC, File Number 230922002660 has been compared with the original document in the custody of the Secretary of State and that the same is true copy of said original. WITNESS my hand and official seal of the ••••... Department of State, at the City of Albany, OV NEW ..• on September 22, 2023. O ' i4lc r n�iav_.sva- C: '•.;�7N O�••.= Brendan C. Hughes •••••••••' Executive Deputy Secretary of State Authentication Number.100004358949 To Verify the authenticity of this document you may access the Division of Corporation's Document Authentication Website at htt`_n_/%m doc nv= ARTICLES OF ORGANIZATION OF 600 GLENN LLC Under Section 203 of the Limited Liability Company Law FIRST: The Name of the limited liability company is: 600 GLENN LLC SECOND: To engage in any la-%vful act or activity within the purposes for which limited liability companies may be organized pursuant to L"united Liability Company Law provided that the limited liability company is not formed to engage in any act or activity requiting the consent or approval of any state official; department, board, agency, or other body without such consent or approval first being obtained. THIRD: 'The county, within this state, in which the office of the limited liability company is to be located is SUFFOLK FOURTH: The Secretary of State is designated as agent of the limited liability company upon whom process against the limited liability company may be served. The post office address to which the Secretary of State shall mail a copy of any process against the limited liability company served upon the Secretary of State by personal delivery is: THE LIMITED LIABILITY COMPANY 3 SANDIE LANE MANORVILLE, NY 11949 FIFTH: The limited liability company is to be managed by: One or more members SIXTH: The existence of the limited liability company shall begin upon filing of these Articles of Organization with the Department of State. SEVENTH: The limited liability company shall have a perpetual existence. EIGHTH: The limited liability company shall defend, indemnify and hold harmless all members, managers, and former members and managers of the limited liability company against expenses (including attorney's fees, judgments, fines, and amounts paid in settlement) incurred in connection with any claims, causes of action, demands, damages, liabilities of the limited liability company, and any pending or threatener{ action, suit, or proceeding. Such indemnification shall be made to the fullest extent permitted by the lags of the State of New York, provided that such acts or omissions which gives rise to the cause of action or Filed with the NYS Department of State on 09/22/2023 Filing Number.230922002660 DOS ID:7087297 proceedings occurred while the Member or Manager was in performance of his or her duties for the limited liability company and was not as a result of his or her fraud, gross negligence, willful misconduct or a wrongful taking. The indemnification provided herein shall inure to the benefit of successors, assigns, heirs, executors, and the; administrators of any such person. I certify that I have read the above statements, I am authorized to sign these Article of Organization, that the above statements are true and correct to the best of my knowledge and belief and that my signature typed below, constitutes my signature. DAVID ROBERTS (Signature} DAVID ROBERTS, ORGANIZER 3 SANDIE LANE MANORVILLE, NY 11949 Filed by: DALAL ASSOCIATES CPAS P.0 600 SHAMES DRIVE WESTBURY, NY 11590 Filed with the NYS Department of State on 09/22/2023 Filing Number.230922002660 DOS ID:7087297 �!IRDEPARTMENT OF THE TREASURY IRS INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 09-22-2023 Employer Identification Number: 93-3558109 Form: SS-4 Number of this notice: CP 575 B 600 GLENN LLC BRUCE LIFTON MBR 3 SANDIE IN For assistance you may call us at: MANORVILLE, NY 11949 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EINJ . Tae assigned you EIN 93-3558109, This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please contact us at the phone number or address listed on the top of this notice. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be' assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear-off stub and return it to us. Based on the information received from you or your representative, you must file the following forms by the dates shown. l Form 1065 03/15/2024 If you have questions about the forms or the due dates shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year) , see Publication 5381 Accounting Periods and Methods. We assigned you a tax classification (corporation, partnership, estate, trust, EPMF, etc.) based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2020-1, 2020-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue) . Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and-does not need to file Form 8832. (IRS .USE ONLY) 575B 09-22-2023 600G B 9999999999 SS-4 IWORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. • Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is 600G. You will need to provide this information along with your EIN, if you file your returns electronically. Safeguard your EIN by referring to Publication 4557, Safeguarding Taxpayer Data: A Guide for Your Business. You can get any of the forms or publications mentioned in this letter by visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676) . If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notice. If you write, please tear off the stub at the bottom of this notice and include it with your letter. Thank you for your cooperation. Keep this part for your records. CP 575 B (Rev. 7-2007) ---------------------------------------------------------------------- - Return this part with any correspondence so we may identify your account. Please CP 575 B correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 09-22-2023 ( ) _ EMPLOYER IDENTIFICATION NUMBER: 93-3558109 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE 600 GLENN LLC CINCINNATI OH 45999-0023 BRUCE LIFTON MBR 3 SAM1Z LN MANORVILLE, NY 11949