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HomeMy WebLinkAboutTR-10671A Glenn Goldsmith, President QF so Town Hall Annex A. Nicholas Krupski,Vice President P.O.54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly �, Telephone(631) 765-1892 Elizabeth Peeples • y® Fax(631) 765-6641 cou 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 1 It day of construction % constructed When project complete, call for compliance inspection-, Glenn Goldsmith,President SO Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ���v ®�® P.O. Box 1179 Eric Sepenoski A l�L Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples • a® Fax(631) 765-6641 COMM� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10671A Date of Receipt of Application: October 28, 2024 Applicant: Nicole Najafti & Samuel Cooper SCTM#: 1000-31-16-8 Project Location: 2400 Bay Avenue, East Marion Date of Resolution/Issuance: November 13, 2024 Date of Expiration: November 13, 2027 Reviewed by: Board of Trustees Project Description: To remove section of wood deck planks and revegetate with native coastal plants including American Beach Grass, Northern Bayberry, and Panicum Virgatum. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Katherine Wilcenski; received on October 28, 2024, and stamped approved on November 13, 2024. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. pzvwx 'ex-� Glenn Goldsmith, President Board of Trustees 2400 E3A)"' AVENUE EAST NARION/ NY LANDSCAPE DESGN DRAWN BY: K. NILCENSKI UPDATED: 10.18.2024 275 American beach gross SCALE 1"=5' 8 SHENANDOAH SWITCH GRASS 93 sq . f t. SF (o F.OTSTRAHLBUSCP SNITCH GRASS WOOD BULKHEAD _ PLANTER ` ° °°°O •° ° ° O °•°' °• . . o O° O O �O APPROVED BY ° °o ° 0 0 : ° , .°. ° 0 o°o , .°. 0° � . O °.° ° ° • ° ° co° ° . °°' $ ° ° ° o ° •o o° ` • 00 0o o° ' •o o o o•o0 0o ° o° oBOARD OF I RUSTEES °o0 ° o o ° ° o o ° ° oOTOWN OF SOUTHOLD o ° ° O oo ° ° o, ° O ° ° ° Oo , ° ° ° 0 o o o4o° ° • ° �o DATE ° ° °° o° ° °o o °• o ° ❑ ° • . o OUTDOOR SHOWER °.° .- o. - I— °o 0 105 sq. ft. SF o . j •o 0 ` ° NOOD DECK °° ° o o ° 1 RESIDENCE a, ° ° o - ° AI ° ° ° o • °. 0 o• o 00 - '° ° . o o o o • ° Oo ° o oo ° o o o o o +` °o. -- o o ° ° o o 0 o o. o IV 77��77 1 L I O I NATIVE STONE �3 sq. t. SF WOOD RAILING AROUND D PEA GRAVEL WITH EDGE NG ---; �, PEA GRAVEL WITH EDGE NG EDGE OF PAVEMENT 5 BAYBERRY OCT 2 P Souul,.,_ 2 EASTERN RED CEDAR Board of Trust^,�F (o SALT BUSH Key Oty Botanical Name Common Name Trees Bh (o Bocchoris holimif olio SALT BUSH Jv 2 Juniperus virginiana EASTERN RED CEDAR Shrubs Np 5 1"lyrica pennsylvannica BAYBERRY Ornamental Grasses NATIVE STONE FOR PATH - Ab 275 Ammophila brevili ulato American beach gross M. PVR ( Ponicum virgatum 'Rotstrohlbuschl ROTSTRAHLBUSCH SWITCH GRASS PvS 8 Ponicum virgatum 'Shenandoohl SHENANDOAH SWITCH GRASS . 3 SOIUITHOL-D .TRUSTIEES No. lb' 011A Issued Address ayoo Sat, Avir%Atj Easy M.G � on .THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION .TOWN TRUSTEES OFFICE, TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL. 765-1892 5URV�, �:? SI`'VAVal 7 "' Fta`'NI RION SUIt+'OI N1"f, NY W. M1�Ml��S+�li.��lt�iruiyii!+f 1'�pujNiny I'orrnor•ly OF pOltz 0(\�0OC C tc a i p % o cNI d t / 9 J NOTES. MONUMENT FOUND AREA=2,299 sF or 0.05 acres JOHN C. l:j14`1,i1,148tJ ND SURVEYOR 6 BAST MAIN STRI0C1' •- '' N.Y.S.LIC.NO.502M GRAPHIG SCALE I"= 20' RIVERHEAD,N.Y.-1lWll- .- ___ 369-8288 Fax 369-1 lq'i ltil11`4!i reVahnWropboxl02W2102-308,pm f Glenn Goldsmith,Presip,__`F �o�OCOGy Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 Eric Sepenoski y P.O.Box 1179 Liz Gillooly k o41, a�`�Y` Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/TimeJ Z Completed in field by: �- Katherine Wilcenski on behalf of NICOLE NAJAFTI Ili SAMUEL COOPER requests an Administrative Permit to remove section of wood deck planks and revegetate with native coastal plants including American Beach Grass, Northern Bayberry, and Panicum Virgatum. Located: 2400 Bay Avenue, East Marion. SCTM# 1000-31-16-8 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 Ty "f Application: Wetland Coastal Erosion Amendment �/ Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Goldsmith N. Krupski �� Sepenoski L. Gillooly E. Peeples(/ 1 : 1 ' i ' Facing NW 4 • 10.28.2024 Facing SW Proposed area to move y "�yr-.�✓' � - �•4 Oa p f`��1��'��-�j�'I�ifs f _ path replant f _ nE,e• ,♦r'a NAl'On ENE a•aui C sr — ns n� tiv 's. - Z Z\ •� wnx. _ \ i. a..urcn — — � 0�'� , 11 W ';' u� , d �n °��< BEE BEG NO na ♦ , l ' w � fi•� O a7' ��°° y'Aaa � n.la n.n �1a w T$ a^. a�a N,.,.;3"� • '.ra t1� '»A �s•,�,� u�b'�vci 5 tt / 06taa0 _ JM �,.••d nA ��w • 9. _"�^ ��,`,a ,wwd vmnn 11 ►~ •� a , `J • a• S n.n a $ asx m� S�; it♦ � � e b s n�a °♦aN ''A. is '�� p0' • �/,: o-aax �\t � na �� p t a• a s a vT a � O �naoi .$` n.n na • i �,y, �d r m r •= • ao tam � ' t� p a • •: s n.p tas � xo MI1M " J la n y • z.r �oe-aw „ � wi � • n �•MI a a t���� ti���. oaa �' ' n• w 03]-0, t0.1 � wt • ��` • to x 11 saad `..\ 0�`! � ` O a t1N'� � • r • n � asA �% OS-a1.7 3 •1 w 101 a ` A tlll(c) ♦ •aka Ot ' b a OMEN oboe 1 s♦ NN ♦� 'p d yeas aAA oAK't •t �. i as �•"" d A + ♦ ` x�v` 9, n t�,z wBawm+onm, ryW ....•� y?' � t s o'"pD s osm iT {,'' ,'a n.at n d e ' •� • ,�]<1 ♦♦ ® es taas,e au • � a lol � �. p TwN 6•o,ltnalD f� �.: .,, ,`g, d �ye. •• �, , MARION LAKE `' f ,_. =.� g 43 •�' 4 yt r ,' ti ",ins, -.�,;;.. � ,`, .. ` � O o s �, a b •,, 9, e awl.:iu A t -0 S © 2` ! ♦♦y � � 1© ^ b z �� ° @ ♦ O .e,s � � • � e. IIIARION LAIC t O tk NN PLl.elO 11 IA ad`d • b� Y 9 v"� n a !f �' aEF BEO-Np. p„ �dmma. Y ♦ x ,.� -'"� � ''f ♦ ±pQ,a: b oaooz ao �ti s •` w. '� y ea♦ e�'•� r • • eN O'Y' Ix: ^TM°�'"•�•�+ ••®••••"•�°• „" — •,•," " COUNTY OF SUFFOLK© N ] CE K '�, ro taw SE—No E ,,...1_-- -- �"'� '�— -- —�— •• „y RealProperty T•:Service Agency YY ]niamwawir wKKnTONwmE Y .+.+ twuaNtxn N ,,,,y-- -- _-- -- v "• 30a6.tsOrotx.e•rMllJOI 9iiPouvaaanT.x,wamue,En N 031 , A o �+—'--•-- ---"-- � ---- ...�. a� •• a Kim e�T�Em..;'. ° .. d MAILING ADDRESS: OFFICE LOCATION: Town Hall Annex "' P.O.Box 1179 54375 State Route 25 i Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) -1938 Southold, NY 11971 Telephone:631 765 _ • : 4;' J 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 NICOLE NAJAFTI &SAMUEL COOPER SCTM# 1000-31-16-8 Katherine Wilcenski on behalf of NICOLE NAJAFTI & SAMUEL COOPER requests an Administrative Permit to remove section of wood deck planks and revegetate with native coastal plants including American Beach Grass, Northern Bayberry, and Panicum Virgatum. Located: 2400 Bay Avenue, East Marion. SCTM# 1000-31-16-8 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 CONSISTENT with 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 i � I Glenn Goldsmith,President o��OF SOUjyol Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 Eric SepenoskiL JL Southold,New York 11971 Liz Gillooly Us Elizabeth Peeples . Q Telephone(631) 765-1892 Y Fax(631) 765-6641 �l'��4UNTl��i��. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Q E ' V E - • Coastal Erosion Permit Application Wetland Permit Application R,[ - Administrative Permit 0CT 2 8 2024 _—Amendment/Transfer/Extension Received Application: SoWwldTown Received Fee: $ IBoardofTNs6eea Completed Application: Incomplete: . _ SEQRA Classification: Type I__ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _ _—Coordination:(date sent): LWRP Consistency Assessment Form Sent: CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): Nicole Naiafti / Samuel Cooper = Mailing Address: 139 Sackett St apt 2, Brooklyn, NY 11231 Phone Number: 650.224.5266 G Suffolk County Tax Map Number: 1000 - Property Location: 2400 Bay Avenue East Marion, NY 11939 (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): Mailing Address: 0_ l� Y G� `GG�� A,L,-7,1w.4 kq Phone Number: 631-375-8021 Email:solsticegardenco@gma.il.com Board of Trustees Applici, on GENERAL DATA Land Area(in square feet): .05 acres Area Zoning:Coastal Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions on property? Yes __Z_No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes _RLNo 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 _2]_No If"Yes", please provide copy of decision. W' his project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure(s) on property have a valid Certificate of Occupancy? Yes F-1_No Prior permits/approvals for site improvements: Agency Date ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?-z—No ❑ Yes If yes, provide explanation: Project Description (use attachments if necessary): Home built in 1910 as per owner. Purchased home in 2021. R�-rnoye_ Sc��pn, © Woo Acc.L Mr\y,. ��VP4e-Tt - Q CO�S � �ta�� C1 n� n^en`c�n b�C-� �I SS � 5 M i `Board of Trustees Applic-, on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:,,Proposing to remove section of-'-wood'deck planks to revegetate with native coastal;plants°including American Beach Grass, Northern Bayberry and Panicum virgatum. Area of wetlands on lot: •05 acre square feet Percent coverage of lot: 100 Closest distance between nearest existing structure;_and upland edge of wetlands: 0 -feet Closest distance between nearest proposed structure arid-upland edge of wetlands: 0 feet Does the project involve excavation or filling? ❑I'\`.: No ✓ Yes If yes, how much material will be excavated? 0 -cubic yards How much material will be filled? -3 cubic yards Depth of which material will be removed or deposited:**34 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: will be deposited by wheelbarrow and shovel. 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): Our hope and goal is to reintroduce a space for native:coastal plants to thrive, reduce coastal erosion, and improve water run off quality, as well as improve ecological habitat. 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 1 -Project and Sponsor Information Name of Action or Project: Coastal Revegitation Project Location(describe,and attach a location map): 2400 Bay Avenue East Marion, NY Brief Description of Proposed Action: Propose to remove existing wooden planks and replace with native coastal species. Name of Applicant or Sponsor: Telephone:631-375-8021 Katherine Wilcenski E-Mail:solsticegardenco @ gmail.corr Address: 11930 Main Road City/PO: State: Zip Code: East Marion NY 11939 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 ❑ F may be affected in the municipality and proceed to Part 2. if no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: ED 9 3.a.Total acreage of the site of the proposed action? .05 acres b.Total acreage to be physically disturbed? 250 SF acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 05 acres 4. Che I land use` at occur on,adjoining an ar the prop action. Urban [ Rural(non-agriculture) Industrial Commercial ❑✓ Residential (suburban) Forest [:]Agriculture ✓Aquatic QOther(specify): 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. is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: Z ❑ 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: 14. ntify the typic bitat types that oc n,or are likely to be found on tt�-project 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, a. Will storm water discharges flow to adjacent properties? E]NO DYES b. Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes, briefly describe: (7NO ES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond, waste lagoon, dam)? If Yes,explain purpose and size: ❑ ❑ 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: _ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Katherine Wiicenski Datel 0.23.2024 Signature: _ Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsoror otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ i. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a. public/private water supplies? b.public/private wastewater treatment utilities? S. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9_ Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur' 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑, problems? El 11. Will the proposed action create a hazard to environmental resources or human health? iEl 1:1 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. EJCheck 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 ApplicC In AFFIDAVIT 5c"A V-Q- Co n'�'c V,- - 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. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS—�DAY OF 20 q �� Notary Pub c DIANA F�t/1h1:;�£CI II NOTARY PUBLIC,State of Now Yprit No.OIFR628323% Qualified In Kings County COMMISSIon Expires Juno 3,20.A5 t•.,,,•SnRta, yk�.'i�.a�ay...m.i a.wtc.m..+.�n.�-----•���..._�_..-_... ..._..,,.,,.., i .. _.---^^ ...••,o„LWI+i..:.�� r Board of Truntea® Applioatloa AUTHORIZATION (Where the applicant 6 not the owner) I/We, Sam Cooper owners of the property identified as SCTM# 1000-2400 Bay Avenue in the town of East Marion New York, hereby authorizes Katherine Wilcenski to act as my agent and handle an necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. _ Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS . DAY OF � ,�,P ,20 c/� I Notary Public DIANA FRANCHCH11 NOTARY PUBLIC,State of Nev., ' No.01 FR6283237 Qualified In Kings County Commission Expires June 3,2,) �� APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics.prohibits conflicts of interest on the part of town officers and employees.The nurvose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to'take whatever action is necessary to avoid same. YOURNAME: Katherine WilcenSki (Last name,first name,qniddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate_the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other-',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes-by blood, marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even.a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than.5%of the shares. YES NO 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): _aA)the owner of greater than 5%of the shares of the corporate stock of the appticant = (when the applicant is a corporation); B)the legal or-beneficial owner of any interest in a non-corporate entity(when the 14applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 20 Signature _ Print Name Katherine Wilcenski Form TS 1 t 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 si ii ficant beneficial and adverse effects.upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. ,Thus, each answer must be explained in detail,_listinLy 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# - PROJECT NAME 2400 Bay Avenue Revegetation 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: We are proposing to remove the existing wood path and replace with native coastal plantings. Location of action: 2400 Bay Avenue East Marion, NY 250SF planting bed Site acreage: .05 Present land use: Residential Present zoning classification: Residential 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: (b) Mailing address:_ (c) Telephone number: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No I-VI 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. a Yes ❑ No ❑ Not Applicable The plan we are proposing will reintroduce native plantings to a coastal residential lot that is currently mostly plant-less. We are proposing to utilize the limited amount of outdoor space as a planting bed filled with native coastal species. 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 0 No Z Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ✓❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria 0 Yes ❑ No ❑ Not Applicable The coastal native planting buffer we intend to plant will improve water quality and soil structure, and prevent erosi on._ -- - - - - Attach additional shie—ti 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 New native plantings should assist in improving quality of runoff water, and improve water soil retention Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes ❑No ❑ Not Applicable New native plantings to replace wood walking path will improve the biodiversity and ecological function of this property. 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 increasing plant mass and quanities should assist in improved air quality. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable 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. ❑ Ye❑ No 0 Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No Z Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No ❑ Not Applicable PREPARED BY Katherine Wilcenski TITLE Landscape Designer DATE 10.23.2024