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HomeMy WebLinkAboutTR-10785 ��Z� so Town Town Hall Annex Glenn Goldsmith, President ®� 54375 Route 25 ® p,0, Box 1179 A. Nicholas Krupski, Vice President Southold, New York 11971 Eric Sepenoski Liz Gillooly c9� Telephone (631) 765-1892 a0 Fax (631) 765 664 L Elizabeth Peeples BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OFT HE. BOARD T ES CKEDOFF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE AC BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1" day of construction '/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith,President OS .049, 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 Shannon Wright on behalf of Roger Tobebush Family Trust TO: Please be advised that your application dated August 21. 2024 has been reviewed by this Board at the regular meeting of May 14, 2025 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 Dock Fee = $492 @.ft . q 164 s $3 per sq.ft.) ( TOTAL FEES DUE: $ 542.00 CGAk. �C66 BY: Glenn Goldsmith, President Board of Trustees En -`r'W r4etoo�� 'e lle, y' °!° .�'y�'1116-41"dob "( �•n ^FS'�13E7RL13��;��ak�e.�:�.:aac. em-..rscs,:r'rr�:�::s ,.^ .;::.'�}xrss4�u: ��,��: ss:»� : ��srsnsa�a'� � �:;� �\ BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK y 1 f PERMIT NO. 10785 DATE: MAY 14, 2025 - .. •.;el as gyp': a ISSUED TO: THE ROGER D. TODEBUSH FAMILY TRUST PROPERTY ADDRESS: 1130 WEST CREEK AVENUE, CUTCHOGUE SCTM# 1000-103-13-9 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in a , accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 14,2025,and in consideration of application fee in the sum of 1 250.00 paid by THE ROGER D.TODEBUSH FAMILY TRUST and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of e . N' Trustees authoruzes and permits the following: 'x yr Wetland Permit to remove existing 3'x8' steps, 4105' fixed catwalk and 31x4' steps and replace in same location construct proposed 31x8' steps to a proposed 41x61' fixed catwalk with 4' wide steps down to a proposed 51x20' seaward fixed 'IT" section; install 3'x4' steps off north side of catwalk; existing 12.2'x12,4' attached upper deck to remain = r undisturbed; with the condition that the entirety of the dock; including the "T" section, be open-grating or thru-flow decking; and as depicted on the site plan prepared b ` g; P P P P Y . Jeffrey Patanj o received on June 2 2025 and stamped approved on June 3 2025. 4, 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. f OgOFFQItC o CA eAm _ Liz Gillool —Absent _ _ 4++rrx'3✓ `�:t+r7r'z°%'.T,'✓.c ,?:+.z[err'a3.;Z;.rY?LLS�"isr.;,. `,.'r, 'a7LGBfrtlS�rt.rir?7st��r Y.e'"vducs aw crr. ,,t7fr.[°r5'irrsa9"k�° `rm'Xz'datt'r`i. t5.t7ttLt+7�tA:..?im-ci zr. "r xh�,ra'� r: ie;e,es. a e.,9xw_ r?.r;&;.T•eW �^ .."ied !° .,' '"� ..:se ! ,•.. � ..;re e . ,a' !°r ? d e9 e�/ ,; Z ti TERMS AND CONDITIONS The Permittee THE ROGER D. TODEBUSH FAMILY TRUST, 1130 West Creek Avenue, Cutchogue,New York as part bf 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. v r .+ 0 PIER NOTE i; I PROPOSED DOCK FOR NON-MOTORIZED USE ONLY JUN 2 2025 PIER LINE OF NEIGHBORING PIERS _ �98.4 I BOTTOM OF BANK Southold Town Board of Trustees j. 1 W W W 77033'40 I —.--� SHED I O r, W _T - WIN. F1 I h l(� W .41 = -fir I WELL GEN ❑ I ►`7 CO (� WLF#1 HVAo HOVAC Q �+ Q4 -1.63 -':-1.42 1. �. 1 -0.680.03 �'0`oWy.s$ � w) 00 2 STORY 64 47 FRAME HOU S E -0.63 0.10 o .III I i' FF.EL. 2O. GRAVEL DRIVEWAY II Q.6 w lyi —1.54 —�1.53n anjr a, ROCK REF. WALL —4 1 1. WLF I I / WOOD STONE WALK I w —�1.39 #�� I DECK ` I w 41 Q� MIN.'117 —0.69 �.10 '�((j 62 W W W W 4/i i ZONE X w IS Iw 1.79 v. w I w 1.4 —1.16 '�0.83 140.68 WLF#3J — —— — ' �.S 84 OS'40 — —— APPROVED BY 1 • EXISTING 12.2 X 12.4 UPPER DECK TO REMAIN 1.61 ' 138 1 19 0 89 UNDISTURBED BOARD OF i r�USTEES 8"DIA.PILES 8'o.C. 0.03 �0.65 EXISTING 10 WIDE NON—TURF BUFFER .TOWN OF SOUTHOLD THRU-FLOW DECKING LANDWARD LIMIT OF TIDAL WETLANDS 4"X6"STRINGERS(TYP) REMOVE EXISTING 3'X8' STEPS, 4'X35' FIXED DOCK&3'X4 AS DETERMINED BY SUFFOLK SITE PLAN DATE (TU� 10 as ENVIRONMENTAL CONSULTING ON ' STEPS AND REPLACE IN SAME LOCATION WITH NEW 4X61 DECEMBER 28, 2020. SCALE: 1"=20' 4' FIXED DOCK WITH STEPS DOWN TO NEW 5'X20'T-SECTION AND 3'X4' STEPS ON SIDE. ALL DECKING ON ENTIRE DOCK SHALL BE THRU-FLOW. APPROX.M.H.W. PROPOSED 4'WIDE X 61'LONG FIXED DOCK WITH THRU-FLOW EXISTING 12.2'X 12.4'UPPER DECK TO APPROX.M.L.W. DECKING OVER ENTIRE LENGTH REMAIN UNDISTURBED 3"X8"GIRDERS LOCATION MAP PROPOSED 8"C A PILES(TYP.) REMOVE ND REPLACE 3"X8"CROSS BRACING N.T.S. 10 PROPOSED 4'WI E STEPS EXISTING TX8'STEPS 10 TYPICAL CROSS SECTION PROPOSED 5'WI E X 20' ' N.T.S� r ✓ 8 T-PORTION FIXEDDOCK-7/ / 8 D 6 / PROPERTY OWNER: PREPARED BY: P9gdshq`ltx IP � - / 6 TODEBUSH RD FAMILY TRUST JEFFREY PATANJO '�, 460 W. BARRY AVE — APT #2W P.O. BOX 582 cut nogu2 �OFleck Flsh_e / BOHEMIA, NY 11716 �) ��each) 4 ¢ CHICAGO, IL 60657 _ ^�QOC�rc\�� � 631-487-5290 JJPATANJO@GMAIL.COM e s 2 2 d P SCALE: �,. � � _.._.._.._.._.. .._.. _.. . _ _.. .._. _ - EXISTING GRADE Propose Permit Plans AS NOTED 5 L 0 - - - G DATE: ------ 5-2-24 PROPOSED PLAN 8-1-24 a PROJECT _2 —2 1 1-13-24 1130 WEST CREEK AVENUE 11-26-24 7 � OCATION CUTCHOGUE, TOWN OF SOUTHOLD 12-18-24 2-1-25 00 _¢ _¢ SUFFOLK COUNTY, NY 5-20-25 olkpve 0P0 TYPICAL DOCK SECTION SHEET: r N.T.S' TAX YAP N0. 1000-103-13-09 1 OF 1 Glenn Goldsmith,President A`�®F S®lA�� Town Hall Annex �" ® 54375 Route 25 A. Nicholas Krupski,Vice President �® �® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples • �� Fax(631) 765-6641 ®�ycoU�rrK,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 4, 2025 Shannon Wright 105 Town Creek Lane Southold, NY 11971 RE: THE ROGER D. TODEBUSH FAMILY TRUST 1130 WEST CREEK AVENUE, CUTCHOGUE SCTM# 1000-103-13-9 Dear Ms. Wright: The Board of Town Trustees took the.following action during its regular meeting held on Wednesday, May 14, 2025 regarding the above matter: WHEREAS, Shannon Wright on behalf of THE ROGER D. TODEBUSH FAMILY TRUST applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated August 21, 2024, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the dock is within the pier line and does not extend any further seaward than neighboring docks; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 19, 2025, and again on May 14, 2025, 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, 2 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 THE ROGER D. TODEBUSH FAMILY TRUST to remove existing 3'x8' steps, 4'x35' fixed catwalk and 3'x4' steps and replace in same location construct proposed 3'x8' steps to a proposed 4'x61' fixed catwalk with 4' wide steps down to a proposed 5'x20' seaward fixed "T" section; install 3'x4' steps off north side of catwalk; existing 12.2'x12.4' attached upper deck to remain undisturbed; with the condition that the entirety of the dock, including the "T" section, be open-grating or thru-flow decking; and as depicted on the site plan prepared by Jeffrey Patanjo, received on June 2, 2025, and stamped approved on June 3, 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, Y Glenn Goldsmith President, Board of Trustees S OU TR U- S rro, 1 THOL.D �BS Issued T0' .9%0#Aer'VoAe,%7>%^sN, % TrusT Date t14 1aS Address. ��30 �re,s`+ c �e,��c Aye, � ,�� c�.a5%e THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,7'OWN OF SOUTMOLD SOUTHOLD; N.Y. 11971 TEL.: 765.1892 PECEIVE o is PIER NOTE V � PROPOSED DOCK FOR NON-MOTORIZED USE ONLY l,.�AY 7 2025 F PIER LINE OF NEIGHBORING PIERS 198.43' Southold Town I ' BOTTOM OF BANK I r, Board of Trustees _ W W W ^/ 33'40 VWE /VSHED � Q��r i I N ❑WLF#1iI / C63 42 117 lc� I / I —0.68 0.03 �0.6 ,� * w l i I I z I i 2 STORY ' W W Y �� I W Q W 11 1 I I m � � I -1.64 �.47 �� �1 Z ; �� �a I �x' FRAME HOUSE W —1 1 0.63 1- 0.10 �0.6$ ��k W (2D - I o I �/ \� I I F.F.EL. 20. 1 GRAVEL DRIVEWAY (y' -1.54 '��1.534-1 ,- ROCK RET. WALL w 1.54 �1.39 1.17 W �WLF#� i ; / DECK / \1 STONE WALKLU ZONE X I w 10 MIN. 0.69 =p.10 ( 62 � - � g LL79, L- -- - -- -- -- -- -- -- -- 6 S 84'08'40„ N -- -- -7-9 7 8-11 —1.1 s1 .83 0.68 EXISTING 12.2' X 12.4' PPER DECK T REMAIN .38 a 1 19 � UNDISTURBED 8"DIA. PILES 8'O.C. 0 89 *0.03 -"0.65 EXISTING 10 WIDE NON-TURF BUFFER THRU-FLOW DECKING LANDWARD LIMIT OF TIDAL WETLANDS 4"X6"STRINGERS(TYP) REMOVE EXISTING 3'X8' STEPS, 4'X35' FIXED DOCK&3'X4' AS DETERMINED BY SUFFOLK SITE PLAN STEPS AND REPLACE IN SAME LOCATION WITH NEW 4'X61' ENVIRONMENTAL CONSULTING ON SCALE: 1"=20' 4' DECEMBER 28, 2020. T" FIXED DOCK WITH STEPS DOWN TO NEW 5'X20' T-SECTION AND 3'X4' STEPS ON SIDE. ALL DECKING ON MAIN PORTION APPROX. M.H.W.__ SHALL BE THRU-FLOW. PROPOSED 4'WIDE X 61'LONG EXISTING 12.2'X 12.4'UPPER DECK TO APPROX. M.L.W. FIXED DOCK WITH THRU-FLOW __ DECKING OVER ENTIRE LENGTH REMAIN UNDISTURBED 3"X8"GIRDERS LOCATION MAP PROPOSED 8"C A PILES(TYP.) REMOVE ND REPLACE 3"X8"CROSS BRACING N.T.S. 10 PROPOSED 4'WI E STEPS EXISTING 3'X8'STEPS �� 10 TYPICAL CROSS SECTION 8 PROPOSED 5'WI E X 20' 8 N.T.S T-PORTION FIXEDDOCK / t O D 6 / 6 PROPERTY OWNER: PREPARED BY: tN\ I MY R p p V I O / TODEBUSH RD FAMILY TRUST JEFFREY PATANJO 6utchogue �f `Ne�k R 460 W. BARRY AVE — APT #2W P.O. BOX 582 �� v' 4 4 CHICAGO, IL 60657 BOHEMIA, NY 11716 �i��� 631-487-5290 04, ,����� JJPATANJO©GMAIL.COM 2 APPROX_.._........ .._.. _.. . _ _.. .._. _ 2 "-' EXISTING GRADE SCALE:Pm posed Permit Plans AS NOTED �a APPROX. M.L_W: � — � DATE: c1 - � ------ - - - C PROPOSED PLAN 8-1-24 j PROJECT -2 - -2 1130 WEST 11-13-24 CREEK AVENUE 11-26-24 LOCATION CUTCHOCUE, TOWN OF SOUTHOLD 2-1-2 24 -1-25 SUFFOLK COUNTY, NY —4 —4 TYPICAL DOCK SECTION SHEET: dk AveJ N.T.S TAX MAP NO. 1000-103-13-09 1 OF 1 ♦ ylot, 1 •� . Lit / 11 .30 W Creek Ave , Jt• /♦ • �� i *� • � �� __ f •_ ate,. r I� w a Y + ♦•1 �. .y c t r #940 a . PERMIT #1876 1 E, I I Y I I I I I 1 tJ IJ i 1130 WEST CREEK AVENUE Southold Town CUTCHOGUE, TOWN OF SOUTHOLD Bord of Trustees SUFFOLK COUNTY, NY TAX MAP NO. 1000-103-13-09 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 cou , LOCAIC. WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: March 19, 2025 Re: LWRP Coastal Consistency Review for THE ROGER D. TODEBUSH FAMILY TRUST SCTM# 1000-103-13-9 Shannon Wright on behalf of THE ROGER D. TODEBUSH FAMILY TRUST requests a Wetland Permit to remove existing 3'x8' steps, 4'x35' fixed catwalk and 3'x4' steps and replace in same location construct proposed 3'x8' steps to a proposed 4'x61' fixed catwalk with 4' wide steps down to a proposed 5'x20' seaward fixed "T" section; install 3'x4' steps off north side of catwalk; existing 12.2'xl2.4' attached upper deck to remain undisturbed. Located: 1130 West Creek Avenue, Cutchogue. SCTM# 1000-103-13-9 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 LWRP Policies and, therefore, INCONSISTENT with the LWRP. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. The dock will extend further into public waters, thereby hindering the use and access of such waters, impacting bottomlands and marine benthic species. The water depth at the terminus of the dock is shallow and could result in impacts from the operation of a vessel (not shown). The 151.28 square foot deck is oversized and attached to the stairs. 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 Glenn Goldsmith,President 11 Sckl, ,w."'F Town Hall Annex A.Nicholas Krupski,Vice President �`- 54375 Route 25 Eric Sepenoski P.O.Box 1179 Liz Gillooly "`� Southold,NY 11971 N0'j "�'' Telephone 631 765-1892 Elizabeth Peeples p ( ) Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 311'z 7 Completed in field by: Shannon Wright on behalf of THE ROGER D. TODEBUSH FAMILY TRUST requests a Wetland Permit to remove existing 3'x8' steps, 4'x35' fixed catwalk and 3'x4' steps and replace in same location construct proposed 3'x8' steps to a proposed 4'x61' fixed catwalk with 4' wide steps down to a proposed 5'x20' seaward fixed "T" section; install 3'x4' steps off north side of catwalk; existing 12.2'x12.4' attached upper deck to remain undisturbed. Located: 1130 West Creek Avenue, Cutchogue. SCTM# 1000-103-13-9 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.: — See a 10 � kouwn/ ,S 4--,K yes jJ"S Present Were: G. Goldsmith ✓N. Krupski Sepenoski 4 L. Gillooly ✓ E. Peeples Dvy PIER NOTE MAR - 7 2025 PROPOSED DOCK FOR NON-MOTORIZED USE ONLY PIER LINE OF NEIGHBORING PIERS ' Southold Town Board of Trustees BOTTOM OF BANK - /V 77'JJ _ WIN. I h I WELL T GEN F9F] ❑ I �O ;F 1 WA . WA1 I I i I HVAC O HVAC "y —1.63 f�.. 1 iol42 1.17 o.s8 .03 �o.s 062�`� wa CO z 2 STORY RF4ME HOUSE -1.64 47 I F.F.EL. 2O. GRAVEL DRIVEWAY.10 06� 'I ww I -1.54 -�1.53 -1. I.A 1 ROCK RET. WALL LU WOOD STONE WALK 1.54 JNLF#2 DECK 15r��4 -0.69 � ZONE X LU-�. 91.17 1 Q MIN. 4.10 62 79 -1.16 0.83 .140.68 WLF#3-e -- — -- S 84'08'40" W- -- -- -- -- -- -197.81 ' 1 . EXISTING 12.2 X 12.4 UPPER DECK TO REMAIN 1.61 -�1.38 1 19 UNDISTURBED 8"DIA.PILES 8'o.C. ° 89 �0.03 0.65 EXISTING 10' WIDE NON-TURF BUFFER THRU-FLOW DECKING LANDWARD LIMIT OF TIDAL WETLANDS 4"X6"STRINGERS(TYP) REMOVE EXISTING 3'X8'STEPS, 4'X35' FIXED DOCK&3'X4 AS DETERMINED BY SUFFOLK SITE PLAN STEPS AND REPLACE IN SAME LOCATION WITH NEW 4'X61' ENVIRONMENTAL CONSULTING ON SCALE: 1"=20' 4' DECEMBER 28, 2020. f T" FIXED DOCK WITH STEPS DOWN TO NEW 5'X20'T-SECTION Da AND 3'X4' STEPS ON SIDE.ALL DECKING ON MAIN PORTION SHALL BE THRU-FLOW. PROPOSED 4'WIDE X 61'LONG APPROX.M.H.W. FIXED DOCK WITH THRU-FLOW EXISTING 12.2'X 12.4'UPPER DECK TO APPROX.M.L.W. DECKING OVER ENTIRE LENGTH REMAIN UNDISTURBED YX8"GIRDERS LOCATION MAP PROPOSED 8"C A PILES(TYP.) REMOVE ND REPLACE 3"X8"CROSS BRACING N.T.S. Li 10 PROPOSED 4'WI E STEPS EXISTING TX8'STEPS �� 10 N Ga �� PROPOSED 5'wl E x 20' , � TYPICAL NROSS SECTION S� 8 T-PORTION FIXED DOCK-7 / 8 A�`O� D / PROPERTY OWNER: PREPARED BY: '�P -. 6 / 6 TODEBUSH RD FAMILY TRUST JEFFREY PATANJO -utch a �� -� s 460 W. BARRY AVE - APT #2W P.O. BOX 582 9 Neck F.ishe NY 11716 z ° O a 4 4 CHICAGO, IL 60657 BOHEMIA, 631-487-5290 JJPATANJO@GMAILCOM 2 . . 2 —31� _.._.._.._.._.. .._.. _.. ._ _.. .._. _ _. EXISTING GRADE g b - Proposed Permit Plats SAS LNOTED I ❑ 0 APPROX...M:�_W: ._. — 0 — — DATE: __r.; ------ PROPOSED PLAN 5-;-2 -2 -2 4 PROJECT _ 13-24 rr 1130 WEST CREEK AVENUE 11-26-24 �vk)q OCATION CUTCHOCUE, TOWN OF SOUTHOLD 12-18-24 _4 _4 SUFFOLK COUNTY, NY 2-1-25 IfolkAVe. ❑1 TYPICAL DOCK SECTION TAX MAP NO. 1000-103-13-09 SHEET: N.T.S 1 OF 1 ORK Department of KATHY HOCHUL STATE Environmental Governor Conservation BEAN MAHAR Interim Commissioner January 31, 2025 ® v E MAR - 7 2025 Roger Todebush Southold Town PO Box 5 Board of Trustees Cutchogue, NY 11935 Re: Permit No. 1-4738-04843/00002 Facility:1130 W Creek Ave, Cutchogue, NY SCTM# 1000-103-13-9 Water Course: Wickham's Creek Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit for the referenced activity. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions, please contact us at the below address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of Construction. Sincerely, �r Mary acKinnon Deputy Permit Administrator/EA 2 cc :Shannon Wright, Bureau of Marine Habitat Protection, File Division of(Environmental Permits, Region 1 50 Circle Road, Stony Brook, IVY 11790 1 dec.ny.gov I dep.r1@dec.ny.gov 1 (631)444-0365 i NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ® �n Ury Facility DEC ID 1-4738-04843 PERMIT MAR - 7 2025 Under the Environmental Conservation Law E L Permittee and Facility Information Board of Truste s Permit Issued To: Facility: ROGER TODEBUSH TODEBUSH PROPERTY PO BOX 5 1130 W CREEK AVEI1000-103-13-09 CUTCHOGUE,NY 11935 CUTCHOGUE,NY 11935 Facility Application Contact: SHANNON WRIGHT 105 TOWN CREEK LN SOUTHOLD,NY 11971 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Principal Reference Point: NYTM-E: 712.395 NYTM-N: 4542.841 Latitude: 41°00'32.8" Longitude: 72°2827.5" Project Location: 1130 W CREEK AVE WATER COURSE: WICKHAM'S CREEK Authorized Activity: Remove existing 3'x8' steps, 4'x35' fixed dock and 3'x4' steps. Replace in same location with new 4'x6l'fixed dock with steps down to new 5'x20' "T" fixed platform section and 3'x4' steps on the side of dock. All work must be done in strict accord ance with the plan prepared by Jeffrey Patanjo last revised 12/18/2024 and stamped NYSDEC approved 1/31/2025. Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-04843/00002 New Permit Effective Date: 1/31/2025 Expiration Date: 1/30/2030 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL,all applicable regulations, and all conditions included as part of this permit. Permit Administrator:MARY A MACKINNON, DEPUTY REGIONAL PERMIT ADMINISTRATOR Address: NYSDEC Region 1 Headquarters SUNY @ Stony Brook150 Circle Rd Stony Brook,NY 11790 -34 9 L Authorized Signature: l"y �G � G' Date Page 1 of 7 1 ' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION i Facility DEC ID 1-4738-04843 Distribution List SHANNON WRIGHT Bureau of Marine Habitat Protection MAR File _ 2025 Mary MacKinnon Southold Tom,n 00ard of Trustees Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS I. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project,the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Jeffrey Patanjo last revised 12/18/2024 and stamped NYSDEC approved 1/31/2025. 4. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland)and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 5. Materials Disposed at Upland Site Any demolition debris, excess construction materials, and/or excess excavated materials shall be immediately and completely disposed of in an authorized solid waste management facility. These materials shall be suitably stabilized as not to re-enter any water body, wetland or wetland adjacent area. 6. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. Page 2 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION � Facility DEC ID 1-4738-04843 7. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 8. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation(grasses, etc.)immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 9. Maintain Erosion Controls All erosion control devices shall be maintained in good and functional condition until the project has been completed and the area has been stabilized. 10. Contain Exposed,Stockpiled Soils All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales/silt curtains(or other NYSDEC approved devices)placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 11. Incidental Disturbance to Vegetation It is the responsibility of the applicant to remedy any incidental disturbances resulting in damage or removal of wetland vegetation. Upon completion of construction activities, any disturbed areas shall be planted with the appropriate marsh vegetation. Please contact the Bureau of Marine Habitat at(631)444-0295 for more information. 12. Clearing For Boardwalk The ground area cleared for construction of a path or boardwalk is limited to a maximum width of six feet. The path or boardwalk itself is limited to a maximum width of four feet. 13. Dock, Catwalk Size Dock or catwalk shall not exceed 4 feet in width and shall be a minimum of 4 feet above grade(as measured from ground to bottom of dock/catwalk decking) over tidal wetland areas. 14. Wood Preservatives a. Pressure treated wood used for construction of in-water structures must have undergone a treatment process approved(stamped or otherwise marked as certified)by the American Wood Preservative Association. b. Wood treated with Pentachlorophenol (PCP)must not be used in marine or brackish waters. Wood treated with PCP must be aged in the open air for at least three months prior to in-water use. c. The use of creosote treated wood is prohibited both in the water and upland areas. d. Chromated Copper Arsenate(CCA)pressure treated wood must be clean and free of CCA surface deposits. Wood with surface deposits must be washed for at least 5 minutes under running water prior to use. The washing must occur greater than 100 feet landward of any,regulated wetland and/or water body. (Note "E." below for handling wash water.) e. Any wood debris such as sawdust or wash water must n ter body, including wetlands or protected buffer areas. ® 14 E MAR - 7 2025 age 3 of 7 Southold Town Board of Trustees NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04843 15. Catwalk Decking-60% Open Space The catwalk decking shall be constructed of fiberglass grating with a minimum of 60%open space to reduce shading impacts. 16. Dock Pilings The dock shall be constructed with maximum piling dimensions of 4 inch by 4 inch for the catwalk and 6 inch diameter pilings for the float. 17. Docks at Property Lines Docks/catwalks/floats must not: a. extend laterally beyond property lines, b. interfere with navigation, or D 2 C E nn c. interfere with other landowners riparian rights. U 18. Pilings at Property Lines Pilings shall not: LIAR - 7 2025 a. extend laterally beyond property lines, Southold Town Board of Trustees b. interfere with navigation,or c. interfere with other landowners riparian rights. 19. No Structures on Pilings No structures, other than structures specifically authorized by this permit, shall be constructed on pilings without further authorization from the department(permit, modification or amendment). 20. Stairway Design Projects involving the repair or replacement of an existing stair way or walkway, or sections thereof shall not exceed the width of the existing structure as depicted on the approved plans or a maximum of four feet whichever is greater. 21. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation,or for other purposes, and no claim or right to compensation shall accrue from any such damage. 22. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if,upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. Page 4 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04843 23. State May Require Site Restoration If upon the expiration or revocation of this permit,the project hereby authorized has not been completed,the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 24. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments,fuels,solvents, lubricants,epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials associated with the project. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps,drawings and special conditions,must be available for.inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator D U 2 NYSDEC Region 1 Headquarters v L�, SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NYl 1790 -3409 MAR - 7 2025 4. Submission of Renewal Application The permittee must submit a renewal pplicati.ri-at.lea t 30 days before permit expiration for the following permit authorizations: Tidal We lands. Southold Town Page 5 of Board of Trustees 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION show Facility DEC ID 1-4738-04843 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions,orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. D SCE VE MAR -E720:225]0 Southold Town Board of Trustees Page 6 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-04843 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee,excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents("DEC")for all claims, suits, actions,and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the pennittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: 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. ECE E =IAA 7 2025 Southold Town Board of Trustees Page 7 of 7 CORK Department of _ N STATE Environmental N O L" Conservationcc , o rr- U) 0 NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator SHERRI AICHER s Permit Number: 1-4738-04843/00002 NYSDEC Region 1 Environmental Permits 50 Circle Road Stony Brook, NY 11790-3409 Expiration Date: 1/302030 Email: dep.r1@dec.ny.gov Note: This notice is NOT a permit PIER NOTE PIER INE OF NEIGHBORING PIERS PROPOSED DOCK FOR NON-MOTORIZED USE ONLY L Iy 80110M OF DANK --__---- - .. AyyY. yWJ Wy'y.r�1 ,•�r•ft•tI 3W-wa'W•" ;iIi lIT IiI I r;II�;i-II //�itm,`\_�j IT I " N 77�'3'3�i 4` 0 at! E 4wYLINLL. �N SHED �. rt _ 1.._I.: _IIIL '--1.63 FH1 IVACOIM i 42 -1.17 11-0.68 ;AH r 70 I I 47 R ..03 OUSE1 .63 100.6$ 20.1 cWU NEWAY ?y' -,.5a 53 ROCKRET.WALL - — 1.54 =i.39 1.15x -----S-TO-NE—WALK WORD WYyFI2 DECK IIN1.17 i--0.6910I M 0 y6.6 2 7g --------z— - t Iv .83 WLFN3 0.66 S 8408¢O � 79781' ^I EXISTING 12.2'X 12.4'UPPER DECK TO REMAIN ,.61 �A_k36 *I.,y *089 x UNDISTURBED 8"DIA.PILES 8'o.C. 0.03 *0.65 -EXISTING 10' WIDE NON-TURF BUFFER NYSDEC THRU-FLOW DECKING LANDWARD IE OF TIDAL WETLANDS APPROVED AS PERTERMS 4"X6"STRINGERS(TYP) REMOVE EXISTING 3'X8'STEPS,4'X35'FIXED DOCK&3'X4' AS DETERMINED D BY SUFFOLK SITE PLAN STEPS AND REPLACE IN SAME LOCATION WITH NEW 4'X61' ENVIRONMENTAL CONSULTING ON AND CON ITIIONS OF OECEMUER 28,2020. SCALE: 1-=20' PERMI a T NO•r y ��^ FIXED DOCK WITH STEPS DOWN TO NEW 5'X20'T-SECTION / 3/ A AND 3'X4'STEPS ON SIDE.ALL DECKING ON MAIN PORTION SHALL BE THRU-FLOW. PROPOSED 4'WIDE X 61'LONG APPROX.M.H.W. EXISTING 12.2'X 12.4'UPPER DECK TO APPROX.M.L.W. FIXED DOCK WITH THRU-FLOW DECKING OVER ENTIRE LENGTH REMAIN UNDISTURBED 3"X8"GIRDERS LOCATION MAP _ _ _ REMOVE ND REPLACE 378"CROSS BRACING N.T.S. PROPOSED 4'WI E STEPS EXISTING 3'X8'STEPS 10 — 10 PROPOSED! ---- TYPICAL CROSS SECTION �\' \ 8 'WI E X 20' _ N.T.S�: 1\, \, T-PORTION FIXEDDOCK f 8 may..,., I ---- -- ---- — -- \�;- f _ PROPERTY OWNER: PREPARED BY: \�\CLu1i✓u l`�'�:%a^< £ 6 -- / __ —. 6 TODEBUSH RD FAMILY TRUST JEFF BOX REY P582NJO }t e \)y\�R yh t f 460 W. BARRY AVE - APT2W P.OBOHEMIA, NY 11716 4 7 4 CHICAGO, IL 60657 631-487-5290 5. JJPATANJO®GMAIL.COM 2 —APPR J�77 —— EXISTING GRADE Proposed Permit Plans SAS LNOTED -- 1} DATE: ----- ----- `� E'ItQ11E T 2 ----- PROPOSED PLAN 5-2-24 +'I 2a -2 1130 WEST CREEK AVENUE 11-213-24 CUTCHOCUE, TOfYN OF SOUTffOf.D 12-t8-24 (\ ri1_ ¢ ,-- I]Ut�l, -4 _4 SUI'FOLK COUNTY, NY SHEET: meavc TYPICAL DOCK SECTION TAX MAP N0. 1000-103-13-09 , OF , N.T.S Unauthorized alteration or addition to this survey. is a violation of section 7209, subdivision 2, of the New ILJ York State Education Law. Copies of HEIDECKER LAND SURVEYING this survey map not bearing the land surveyors inked or P`ER embossed seal shall not be considered to be a valid copy. F 1 1E Ln IAA - 7 2025 +0 48 O Southold Mown 65 a 1 51 '3 � Board of Trustees - O 0 08 0 W 24 O 0 +1.62 � + 03 0_1.48 69 W +_1 0 0 O +,1.�3 +-p68 +1 66 ? pECK 1• ,1$ +_1,63 1 + (). 68 cA +-2.04 oo +-1•g1 +-1.81 +,1.21 0 94 R O +,2.04 +_1 g4 +_1.88 +_1.4-7 - PEE � +,2•p1 +,1 g6 +_1 64 + 0.08 O + +_1.85 +_1�3 +,014 9 +,2•p3 +,1 g4 2• _1.95 +_1.85 +_19 +_1 80 0 +,1 83 +_1.2 •62 �4 +1 19 2 �+ O +-2•p5 +,1 g5 +_198 +,1 85 +_1.54 0 A0 0 m cOo +-2.03 +,1 g2 +_1.84 +,1.�2 +_069 y� -77 .O +' p3 +-2.05 +,1 g3 +,1.85 +_1�2 +_1 11 0+2. 2 +-1.89 +_185 +_1.11 +_1.39 +0.65 v 1 O +,2p5 +,1 86 +_1.87 +_1�9 +,1.54 + A4� m +,2�4 +-2.01 +,1.8g +_ .19 + �0 + 83 v 6 5 1 .1 ,0 �n +_2� +_1 9 +_1.82 +_A.-7 4 +_1 A6 \ , +_2 05 +-2.p3 +_1.83 +,1 g1 +_1.88 +,1 g9 +_1 19 +_139 +,1 59 +_1.41 +, 86 +, �1 +, 68 + 1• 1. 1• +-2.06 +-1.95 + - +, p5 +-2.03 +,1 99 +_1.89 +_1.81 +,2A6 +,1 g8 +,1 91 -{-,1-78 +_1 64 +.1�8 +,1 8� +,209 +,2A4 +.1 98 +_1.86 +,1 g1 +,1 81 +,1 g4 +_1.54 +.1 40 +_2 01 +_2.06 +,198 +_1.81 +_1.6� +_2.15 +_1 95 +_1 86 +_1.81 +,2.04 +_2.03 +_1.88 +_1 84 +-1 g2 +,2•p0 +,1 88 +_1.91 +_1.86 +,1 90 +,1.92 +,1 95 +,1 92 +,1 93 +,2.06 +,2 p9 +,1 86 \` +,2.09 +_1 93, +,?_A 6 +,2 06 +_2.1� +_213 0 10 20 30 +_2A1 METERS FEET m0 20 40 60 80 GRAPHIC SCALE 1" = 20' NOTES O F NEW F , 1. FIELD WORK WAS CONDUCTED APRIL, GJ FC, 2024 BY HEIDECKER LAND SURVEYING, PLLC AND ALL MEASUREMENTS WERE 1 TAKEN ON THE GROUND.2. NORTH ARROW IS BASED UPON GPS rp��p rye JOHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 050719 DATE: BA Y HYME Y RIC SURVEY SHED NO. OBSERVATIONS CONDUCTED BY HEIDECKER P.O. BOX 135 MAY 6, 2024 LAND SURVEYING, PLLC. lj o� AQUEBOGUE NEW YORK 11931 •#1130 WEST CREEK AVENUE PROJ. N0. DRAWN BY: B.W. , 3. ELEVATIONS SHOWN REFERENCE MEAN �Fjjj 0 050�� ��� ( )631 , S CREEK 24HLS20 LOW WATER (MLW) VERTICAL DATUM. SF� LAND 5� CHK BY: J.H. CUTCHOGUE-TOWN OF SOUTHOLD CAD FILE: jheidecker®heideckerls.com SCALE: 1"= 20' SUFFOLK COUNTY NEW YORK 24HL520FP.DWG tt ,..a, � � Y. t Y �'+� y + !: ''� :r• •.a �, �4^����tl 't��\4\ .r. •`;+'�,yt '"' tr �,�(( _fit ,y� 'h��°'•'� :! �,,ss��t,fii:, .� � - - w i1i.,°�T 7 L +�� � � Y��Tv, l•1 F�I�,.' 1 ,�.. 4�• t ` -YL � e� 1 J Y) 1 Photographed August / Facing East; _ of dock * ,'4 � ' �'�+ yam_.. ,a._:�'�•K. F. a�w ��+� A ':•\+ '�5�� it.,�. ,�, M••f� •I r,�///•���I.. � �� ,�� ' �,• ,a `fro• •``�. it X1F!'c i r• Stairs are severely damaged R'7w a ♦ ~ /10, Photographed August / • Facing West; from Upper Deck { 0 Photographed August 4pm Facing - from D• , ' W i � M! y '1 undisturbed) WE Depar ent.of Office of ®epal-t�eAt 1tORK „s,, TATE Eaavirontraeritat (�enelral5enrices ofState Conservation US Army Catpa c!Engtneers� JOINT APPLICATION FORM For Permits for activities activities affecting streams,waterways,waterbodies,wetlands, coastal areas, sources of water, and endangered and threatened species. You must separately apply for and obtain Permits from each involved agency before starting work. Please read all instructions. 1. Applications To: >NY$Department of Environmental Conservation ❑ Check here to confirm you sent this form to NYSDEC. Check all permits that apply: ❑Dams and Impound- ❑✓ Tidal Wetlands ❑ Water Withdrawal ❑ Stream Disturbance ment Structures ❑Wild, Scenic and ❑ Long Island Well ❑ Excavation and Fill in ❑401 Water Quality Recreational Rivers Navigable Waters Certification* ❑ ❑ Incidental Take of Coastal Erosion Endangered/ ❑✓ Docks, Moorings or ❑Freshwater Wetlands Management Threatened Species Platforms *See Instructions(page 3) >US Army Corps of Engineers ❑ Check here to confirm you sent this form to USAGE. Check all permits that apply: ❑✓ Section 404 Clean Water Act ❑Section 10 Rivers and Harbors Act Is the project Federally funded? Yes ✓ No If yes, name of Federal Agency: General Permit Type(s), if known: Preconstruction Notification: Yes No >NYS Office of General Services ❑ Check here to confirm you sent this form to NYSOGS. Check all permits that apply: ❑✓ State Owned Lands Under Water ❑ Utility Easement(pipelines, conduits,cables, etc.) ❑✓ Docks, Moorings or Platforms >NYS Department of State ❑ Check here to confirm you sent this form to NYSDOS, Check if this applies: ❑Coastal Consistency Concurrence 2. Name of Applicant Taxpayer ID if applicant is NOT an individual Roger Todebush Mailing Address . Post Office/City State Zip PO BOX 5 �Cutchogue NY 11935 Telephone 773-230-7862 1 Email rtodebush@pequash.com Applicant Must be(check all that apply): ❑✓ Owner ❑✓ Operator ❑ Lessee 3. Name of Property Owner if different than Applicant Roger D.Todebush Family Trust Mailing Address Post Office/City State Zip PO BOX 5 Icutchogue NY 11935 Telephone 773-230-7862 Email rtodebush@pequash.com For Aaencv Use Only . Agency Application,Number: JOINT APPLICATION FORM 04122 Page 1 of 4 JOINT APPLICATION FORM—Continued. Submit this completed page as part of your Application. 4. Name of Contact/Agent Shannon Wright Mailing Address Post Office/City State Zip 105 Town Creek Lane Southold NY 11971 Telephone 516-498-7096 Email wrightexpedite.northfork@gmail.com 5. Project/Facility Name Property Tax Map Section/Block/Lot Number: Todebush Family Dock Replacement 1 11000-103,13-9 Project Street Address, if applicable Post Office/City State .Zip 1130 West Creek Ave lCutchogue NY 11935 Provide directions and distances to roads, intersections, bridges and bodies of water Town Village City County Stream/Waterbody Name Southold I ISuffolk I JWickham Creek Project Location Coordinates: Enter Latitude and Lon itude in degrees, minutes,seconds: Latitude:41 - 00 ' 32.4 Longitude: 72 ° 6. Project Description: Provide the following information about your project. Continue each response and provide any additional information on other pages. Attach plans on separate pages. a. Purpose of the proposedproject: To remove,replace and upgrade existing dock therefore maintaining the property's historic creek access. b. Description of current site conditions: Existing wooden 3'x8'steps,4'x35'fixed dock and 3'x4'steps on site are damaged and hazardous to utilize.A permitted,upgraded,existing 12.2'x 12.4'upper deck sits atop the deteriorating dock. c. Proposed site changes: Remove existing wooden 3'x8'steps,4'x35'fixed dock and Tx4'steps.Replace in same location with new 4'x61'fixed dock with steps down to new 5'x20'T-section and Tx4'steps on all sides.All decking on main portion to be thru-flow.Existing 12.2'x 12.4'upper deck to remain. d. Type of structures and fill materials to be installed, and quantity of materials to be used (e.g.,square feet of coverage, cubic yards of fill material, structures below ordinary/mean high water,etc.): Fixed dock with through flow decking.Dock will sit above mean high water line. e. Area of excavation or dredging,volume of material to be removed, location of dredged material placement: o dredging or excavation propsed. f. Is tree cutting or clearing proposed? ' Yes If Yes, explain below. ✓I No Timing of the proposed cutting or clearing (month/year): Number of trees to be cut: 10 Acreage of trees to be cleared: 10 JOINT APPLICATION FORM 04122 Page 2 of 4 JOINT APPLICATION FORM—Continued. Submit this completed page as part of your Application. g. Work methods and type of equipment to be used: turbidity curtain will be installed prior to any work.Existing dock,stairs and deck will be removed via land.New stairs and dock will then be installed,followed by the replacement of the upper deck.Construction via land and boat. h. Describe the planned sequence of activities: turbidity curtain will be installed in the water first.The existing deck,stairs and dock will then be removed.The new stairs and dock will then be installed along with the T-section..The turbidity curtain will be removed at the completion of the project. i. Pollution control methods and other actions proposed to mitigate environmental impacts: A turbidity curtain will be installed prior to the commencement of any construction or structure removal. j. Erosion and silt control methods that will be used to prevent water quality impacts: turbidity curtain will be installed prior to the commencement of any construction or structure removal. k. Alternatives considered to avoid regulated areas. If no feasible alternatives exist, explain how the project will minimize impacts: No feasible alternatives exist.The family has enlisted the help of an esteemed local marine contractor to ensure the project is built professionally and with consideration for the local wetlands.The contractor is familiar with dock building in our local regulated waterways and wetlands,and has proposed the use of a turbidity curtain at this site to minimize environmental impacts resulting from construction. I. Proposed use: 0✓ Private ❑Public ❑Commercial m.Proposed Start Date:I permit dependent Estimated Completion Date: 1permit dependent n. Has work begun onproject? Yes If Yes, explain below. ✓ No o. Will project occupy Federal,State, or Municipal Land? ✓ Yes If Yes, explain below. No Surface waters of Wickham Creek will be utilized,and the dock will not extend to the pier line. p. List any previous DEC, USACE, OGS or DOS Permit/Application numbers for activities at this location: Army Corps of Engineer application#76-389;approved q. Will this project require additional Federal, State, or Local authorizations, including zoning changes? ✓ Yes If Yes, list below. — No Town of Southold Board of Trustee's Wetland Permit will be required for this project. JOINT APPLICATION FORM 04122 Page 3 of 4 _ 1 JOINT.APPLICATION FORM—Continued. Submit this completed page as part of your Application. 7. Signatures. Applicant and Owner(If different) must sign the application. If the applicant is the landowner,the ijouvvioui attestation form can be used as an electronic signature as an alternative to the signature below,if necessary. Append additional pages of this Signature section if there are multiple Applicants, Owners or Contact/Agents. I hereby affirm that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. Permission to Inspect - I hereby consent to Agency inspection of the project site and adjacent property areas. Agency staff may enter the property without notice between 7:00 am and 7:00 pm, Monday - Friday. Inspection may occur without the owner, applicant or agent present. If the property is posted with"keep our' signs or fenced with an unlocked gate, Agency staff may still enter the property. Agency staff may take measurements, analyze site physical characteristics, take soil and vegetation samples, sketch and photograph the site. I understand that failure to give this consent may result in denial of the permit(s)sought by this application. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the NYS Penal Law. Further, the applicant accepts full responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C., Section 1001 provides for a fine of not more than $10,000 or imprisonment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, conceals, or covers up a material fact;or knowingly makes or uses a false,fictitious orfraudulent statement. Signa. turp of Applicant Date Applicant Must be(check all that apply): �Owner Operator ❑Lessee Printed Name Title i bD 1-3US Signature of Owner if different than Applicant) Date Printed Name Title Si nature of Contact/Agent Date 8/12/ ®Z Printed.Name Title For Agency Use Only DETERMINATION OF NO PERMIT REQUIRED Agency Application Number (Agency Name) has determined that No Permit is required from this Agency for the project described in this application. Agency Representative: Printed Title Name Signature Date JOINT APPLICATION FORM 04122 %R> Page 4 of 4 OF!6W ', aEEAEG NO. .- 'tT,,.- �\ : •q a, \ \V-, � ` zanaa �! nwrcN f.D1E -r ,\• \ >is. \ \:h -rfi ;�• \ ' \< • -',, \\,.-;�• ^..\ (,\'\2': t v\ ,.,::\ .. r .'\' �,'\ `Or\a .aos: \ �`''. \ix z C\\'' `,�. a` \ ",'`\�` \�ti• + oa'.s .l ..`'+,. 01 f aeoz "*-�.� f�,\„ •'"v ,•,� \. ` \,, �x. \. - 4'.. 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M , � D m^�--•-- wn --v.— �___� uiwr (21) eoe, o SIF WIMYTA%fNJ6 WAiB!ED p —_-- rt .nrr�.ucmasrM unc p x w.� 5 saa�ssDcv .K v CC# : C24-45812 z COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK The Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 09/30/2024 under Liber D00013266 and Page 642 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 09/30/2024 SUFFOLK COUNTY CLERK 0 VINCENT PULEO SEAL � 0E V `t 0 CT 3 2024 SoumwdTown BaNd ofTrustm I IIIIIII IIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII IIIIII IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 09/30/2024 Number of Pages : 5 At: 03 :46:15 PM Receipt Number : 24-0121739 LIBER: D00013266 PAGE : 642 District: Section: Block: Lot: 1000 103 . 00 13. 00 009 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25 . 00 NO Handling $20 . 00 NO COE $5.00 NO NYS SRCHG $15 . 00 NO TP-584 $0 . 00 NO Notation $0 .00 NO Cert.Copies $6.25 NO RPT $200 . 00 NO Fees Paid $271 .25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County RECORDED Number of pages -i'024 15ep 30 03 a 46 e 15 PM INCENT PULEO CLERK OF ,SUF 'tll_K l:Ul_ih$TY This document will be public L DOOO13 66 record. Please remove all P 642 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20: 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County) Sub Total 5 Spec./Add. EA-5217 (State) TOT.MTG.TAX Dual Town Dual County — Held Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit � Mansion Tax The property covered by this mortgage is Certified"Copy or will 'be improved by a one or two NYS Surcharge 15. 00b family dwelling only. Sub Total - YES or NO Other ` Grand Total If NO,see appropriate tax clause on page# of this ins Mt, 5400022 1000 10300 1300 009000 4 Dist. 10C ) 5 Community Preservation Fund PTS Real'Property R�� 111111111111111111111 cwH Consideration Amount $ 0.00 Tax Service Agency CPF Tax Due $ 0.00 Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land Karen A. Hoeg, Esq. TD Twomey, Latham, Shea, Kelley, Dubin & Quartararo, LLP TD, PO Box 9398 Riverhead, NY 11901 TD Mail to: Vincent Puleo, Suffolk County Clerk 7 Title Comipan-v Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recordin & Endorsement Page This page forms part of the attached Declaration of Covenants made by: (SPECIFY TYPE OF INSTRUMENT) Roger D. Todebush The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. (over) ii-0104..10I08kk DECLARATION OF COVENANTS THIS DECLARATION made this 41�day of August, 2024, by ROGER D. TODEBUSH, residing at 1130 West Creek Avenue, Cutchogue, NY 11953, hereinafter referred to as, "DECLARANT(S) " : W I T N E S S E T H WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on 1130 West Creek Avenue, Cutchogue, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 103 , Block 13, Lot 9 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees" ) pursuant to 'Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 19' "vegetated non-turf buffer" adjacent to and landward of the top of bank as depicted on the site plan prepared by Creative Environmental Design dated August 14, 2023, and stamped approved on 8/16/2023 ; and WHEREAS, the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as follows : 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained a 15, • "vegetated non-turf buffer" landward from the top of bank as defined by Chapter 275 of the Town Code, to wit: "A designated area where turf grass, pesticides and fertilizers are not permitted. " and as depicted on the site plan prepared by Creative Environmental Design dated August 14, 2023, and stamped approved on August 16, 2023 , see Schedule "B" attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this day of August, 2024. ROGER D. TODEBUSH a ' STATE OF NEW YORK ) COUNTY OF SUFFOLK ) ss: On the IfL" day of August, in the year 2024, before me the undersigned, a Notary Public in and for said State, personally appeared ROGER D. TODEBUSH, personally known to me or proved to me on the basis of satisfactory evidence to be the individual (s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the , same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the individual (s) acted, executed the instrument. otary Public JAY P.QUARTARAR® (Votary Public,State of New York No.02QU5055695 Qualified in Suuffoli<County Commission Expires February 20,2a 2 SCHEDULE A ALL that certain plot, piece or parcel of land, -with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, at a place known as Fleet's Neck, in the Village of Cutchogue, County of Suffolk and State of New York, bounded and�deacribed as• Eollows: c� BEGINNING at:armonument on the westerly side of West Creek , Avenue marking the intersection of the southerly side of land formerly now or formerly of Christopher M. Groocock and Gloria G. Groocock and the northerly side of the premises about to be described herein; and from said monument running thence South 3' 56' 20" East along the westerly side of West Creek Avenue 65.0 feet to land now or formerly of Gekee Y. Wickham and Thomas Wickham; running thence along said last mentioned land South 84' 08' 40" West 197.81 feet to the high water mark of Wickham's Creek; running thence along the high water mark of Wickham's Creek on a tie line of North 1° 58' 35" West a distance of 42.31 feet to land now or 'formerly of Christopher M.. Groocock and Gloria G. Groocock; running thence'along said last mentioned land North 71' 33' 40" East 198.43 feet to the westerly side of West Creek Avenue to the point or place of BEGINNING. TOGETHER .WITH the use in common with others of a right of way thirty-five (35) feet in width as now marked out at a point about five hundred (500) feet southerly from the premises conveyed to•Ottomar J. Gebhardt and wife, by deed recorded in the Suffolk County Clerk's Office in.Liber 2075 of Deeds at Page 595 and extending from the westerly line of West Creek Avenue at right angles thereto .about fifty (50) feet to West Creek. BEING AND INTENDED TO BE the same premises as conveyed to the party of the-first part by deed dated December 21, 2020 and recorded in the Suffolk County Clerk's Office on February 26, 2021 in Libor 13092 Page 715. 12"HWUA ae WALL AR LM Da5T KAPLE SAPlTYS vaa Uf nmrrao,mnw 6'HGH PA EL FfNCE LP PROPOSM SCREEN PLANTS c r 4 '/3 PJf . — � 8N11Ra5 Q \ µ NZ �\\ � � :• � .PROPOSED• � ACTUALLOCAT&S GRAVEL DRIVEWAY t— — \ TORCH LSl \ N PUWTNCT \\ \ \\\ GASH T17. DST ExKTwa w OODc xonr usrae U \\\ WNC°IarOEL DECK ; o oi3o 'o'"o'o•o'c"ocCo 13L 5T.FLAG ON CONCRETE PROPOSED SOZEEN PLANTS 100'MX FROM tYcTL* 75 DAM FROM wERMM STORY FRAME HOUSE APPROVED BY 90ARDOF TRUSTEES TOWN OF SOUTHOLD ' DATE Av�rtt' iF ZtP9 1130 WEST CR B<Avg,CuTcwajE,NY 5cfw 1000-103-13-09 Revision #: Scaler```r �" Landscape Plan: 8-12-23 Landscape Design by: David Cichanowicz ire i aus t a zon — _,.__ n/A Alnfln7 .1„ - In, - TnriI°hi ish Creative Environmental Design b a d T - i e 3 v 4 ail �t MAR — 7 2025 llull own Board of Trustees %F RESOLUTION 2025-54 Z�y� CPPh' ADOPTED DOC ID: 20943 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2025-54 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON JANUARY 7,2025: RESOLVED that the Town Board of the Town of Southold hereby accepts, with regret,the resignation of Shannon Wright from his position as a member of the Conservation Advisory Counsel; effective immediately. Denis Noncarrow Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: Brian O. Mealy, Councilman SECONDER:Anne H. Smith, Councilwoman AYES: Doroski, Mealy, Smith, Krupski Jr, Doherty, Evans Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Thursday, December 5, 2024 9:54 AM To: 'WrightExpedite.Northfork@gmail.com' Subject: Todebush; SCTM# 1000-103-13-9 Good Morning, Thank you for dropping off the revised plans. I am sorry to say that Jeff did not update the verbiage on the side view. Also,the side view states stairs up to landward deck to be removed &replaced,your description does not. Please correct either the plans and/or written project description and submit four sets of the revised. Sincerely, Efza6eth Cantreff Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631)765-6641 From:Cantrell, Elizabeth Sent: Friday, November 22,2024 3:04 PM To: 'WrightExpedite.Northfork@gmaiLcom'<Wright Expedite.Northfork@gmaiLcom> Cc:Standish, Lauren<Lauren.Standish@town.southold.ny.us>; Goldsmith, Glenn <gienn.goldsmith@town.southold.ny.us>;Johnson, Benjamin<benjaminj@southoldtownny.gov> Subject:Todebush;SCTM#1000-103-13-9 Good afternoon, Thank you for informing this office that the application is to be tabled at this time due to NYSDEC modifications to the plan. Please be advised that after speaking with the Town Attorney's office the Board of Trustees are also requesting that this application be postponed for a review by the Southold Town Ethics Board in order to determine if there is a possible conflict of interest with a current CAC member submitting applications to this office. Once the Ethics Board renders a determination,this office will reach out to you. Sincerely, ECzza6eth Cantrell Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631)765-6641 i Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Friday, November 22, 2024 3:04 PM To: 'WrightExpedite.Northfork@gmail.com' Cc: Standish, Lauren; Goldsmith, Glenn;Johnson, Benjamin Subject: Todebush; SCTM# 1000-103-13-9 Good afternoon, Thank you for informing this office that the application is to be tabled at this time due to NYSDEC modifications to the plan. Please be advised that after speaking with the Town Attorney's office the Board of Trustees are also requesting that this application be postponed for a review by the Southold Town Ethics Board in order to determine if there is a possible conflict of interest with a current CAC member submitting applications to this office. Once the Ethics.Board renders a determination,this office will reach out to you. Sincerely, ECiza6eth Cantreff Administrative Assistant Town of Southold Board of Trustees Phone: (631)765-1892 Fax: (631)765-6641 1 . .......................................................................................................................................................................................vo.lvelkwber Soarot Triustaes.......... .............................. .......... ............. ............... .......... ..... ..... ..... ..................................................................................................... .............................. ........... .................................. f efri h-O.L.S.........an- tai-ffi toe apptc..CoLt.�..Of)............ . ....pro.c.e.s.s ..........1;:.k. Should b.e........i.n.c.tud.e.d on re I evant corrv. . . . . ace. t cm d. /\N �ponda. . al-pective troume!sboot,,.1� .1.r..c C.Ltion ........... ..........on.......... 1zhe the i s............. . ........... avait.l abie. b. -phone......ar ..,e mac..[ ..q a .t.............542 70 (o qr...........4.r.; .............................................................................................................................. .................................................... .....................I......................................... ..hlahle..........�.o..Lk.)............................ ....... .✓ ........................................................... c --10 1 ....................................I............... ... ............. ... ........... ......... .. ........... .. ......................... .......................S h-o-hn- ar,, ..............I'll,........ ............*"**.*..........1*11............. ................................................................................................................................................................................................................................................. ............. ...............I........................... .............................. ..............................................I..........I.-I...........I............. .............. f F— ...................................................................................................................... L .................................................................................................................... .... ........................................... ................... ............................................................................................................. Nov ........................................4 ZIM ..............................I.................................................................................................. .............. I Sc vvn ...............I............................................................................................................... .................... ........................................................................................................................................................................................................................................... Glenn Goldsmith,President Town Hall Annex IN 54375 Route 25 A.Nicholas Krupski,Vice President 't % P.O.Box 1179 Eric Sepenoski aw A jW ISouthold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples a ` Yo.j;� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application D E E . Wetland Permit Application Administrative Permit —Amendment/Transfer/Extension AUG 21 2024 jQ Received Application: Received Fee: $ Comleted Application: MIA—Is� SO>l�IOtdTOYYtI P PP00defTrt,sW Incomplete: SEIRA Classi icati• : Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): _ LWRP Consistency Asse sment Form Sent: ? 02 CAC Referral Sent: _Date of Inspection: 31A�a5"_ Receipt of CAC Report: Technical Review:_ _ Public Hearing Held: Resolution: Owner(s)Legal Name of Property (as shown on Deed): Roger D.Todebush Family Trust Mailing Address: PO BOX 5, Cutchogue, NY 11935 Phone Number: 773-230-7862 Suffolk County Tax Map Number: 1000- 103.-13-9 Property Location: 1130 West Creek Ave, Cutchogue, NY 11935 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Shannon Wright _ Mailing Address: 105 Town Creek Lane, Southold Phone Number: 516-498-7096 Email: rtodebush@pequash.com C�'Jvt 3,7) v e lard of Trustees Applicats_.mil GENERAL DATA Land Area(in square feet): .12,196.8 sq. / 0.28 acre _ Area Zoning: R-40 Previous use of property: single family residence Intended use of property: single family residence Covenants and Restrictions on property? 21 Yes =NO If"Yes", please provide a copy.. Will this project require a Building Permit as per Town Code? ✓IYes Jallo 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 _Z_No If"Yes", please provide copy of decision. his project rend 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 Z_No Prior permits/approvals for site improvements: Agency Date Trustees#10048 Aug. 17, 2023/Dec. 15, 2021 Trustees#1161 Jul. 12, 1976/Dec. 13,2017 Army Corps of Engineer#76-389 Jun. 8, 1976 ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_No_Yes If yes,provide explanation: Project Description(use attachments if necessary): Removal of existing damaged Tx8'steps,4'x35'fixed dock, and 3'x4'fixed stairs.Replace in same location with new fixed dock extending 4'x6l'with steps to new 5'xW T-section and TA steps on all sides.All decking on main portion of dock to be thru-flow. Existing permitted 12.2'xl2.4'upper deck to remain. -Aoard of Trustees Applicat' WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: to remove, replace, and upgrade the existing_ dock, therefore maintaining the property's historic creek access. Area of wetlands on lot: 639 square feet Percent coverage of lot: 5.2 % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? 21 No Yes If yes,how much material will be excavated? n/a cubic yards How much material will be filled? n/a cubic yards Depth of which material will be removed or deposited: n/a feet Proposed slope throughout the area of operations: n/a Manner in which material will be removed or deposited: n/a Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): Minimal impacts to the wetlands are expected as a result of this project. A turbidity curtain will be utilized during construction to minimize disturbance. The dock will be well behind the pier line and the utilization of thru-flow decking will promote marine life, and serve to be an upgrade from the existing dock. 61 Z20 Appendix B Short Environmental Assessment Form Instructions ror 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 I -Project and Sponsor Information Name of Action or Project: Dock Replacement and Extension for Roger D. Todebush Family Trust Project Location(describe,and attach a location map): 1130 West Creek Ave, Cutchogue Brief Description of Proposed Action: To remove existing 3'x8'steps, 4'x35'fixed dock, and 3'x4' fixed stairs. Replace in same location with new fixed dock extending 4'x61'with steps to new 5'x20' T-section and 3'x4' steps on all sides. All decking on main dock to be thru-flow. Existing 12.2'x12.4' permitted upper deck to remain. Name of Applicant or Sponsor: Telephone:773-230-7862 Roger Todebush E-mail:rtodebush@pequash.com Address: PO Box 5 City/PO: State: Zip Code: Cutchogue NY 111 .35 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ■ DEC, ACOE 3.a.Total acreage of the site of the proposed action? 0.28 acres b.Total acreage to be physically disturbed? e.1 onoq { acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? All acres 4. Che 11 land us at occur on,adjoining an ar the propcp4 action. Urban Rural(non-agriculture) Industrial Commercial QResidential(suburban) Forest Agriculture MAquatic QOther(specify): Parkland Page I of 4 5. Is the proposed action, NO YES NIA a.A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? 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: 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 wiI I exceed requirements,describe design features and technologies: not applicable: dock replacement 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: not applicable; dock replacement ❑ 11.Will the proposed action connect to existing wastewater utilities? 1,NO YES If No,describe method for providing wastewater treatment: not applicable; dock replacem 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 fbet or acres:The groposed dock would extend 20' be and the M.L.W. of Wickham's Creek and utilize t ru- ow de-minim-ize dusturbances to creek wildlife-. 14.rUfntify the typica Lbabitat types that ocopmon,or are likely to be found on t"roject site. Check all that apply: Shoreline I Forest Agricultural/grasslands LJ Early mid-successional ✓ Wetland Urban ✓Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed LNO YES by the State or Federal government as threatened or endangered? ✓ 16.Is the project site located in the 100 year flood plain? YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO U, If Yes, a Will storm water discharges flow to adjacent properties? RINO DYES ❑✓ El b.Will storm water discharges be directed to established conveyance systems ff anf-fm drains)? If Yes,briefly describe: ONO ES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO I YES water or other liquids(e.g.retention pond,waste lagoon,dam)? 1f Yes,explain purpose and size: —!_���.�_��_`�--_-_____--�y- ^. .__ -_-_- --------�- � ❑ 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: W ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponso me: R omer T U h Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur i. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the El ❑ establishment of a Critical Environmental Area(CEA)7 S. Will the proposed action result in an adverse change in the existing level of traffic or El ❑ 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? ❑ ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 r 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? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 � ' `Board of Trustees Applica,---')n AFFIDAVIT ' 1 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 I / DAY OF °v S 7 ,,20 SETH G BANK Notary PubIFC Notary State of New York ry Public- NO,01BA6427783 Qualified in Suffolk County MY Commission Expires Jan 3, 2026 'Board of Trustees Applic , 'on AUTHORIZATION (Where the applicant is not the owner) I/We, Roger Todebush owners of the property identified as SCTM# 1000-1 03.-13-09 in the town of Cutchogue ,New York,hereby authorizes Shannon Wright to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS c DAY OF u�'� ,20 2 s m ENotary H G BANK Notary Public Pub1BA6427783ic-State of ewYorkn Suffolk County Expires Jan 3,2026 APPLICANUAGENU/REPRE SENTATI VE TRANSACTIONAL DISCLOSURE FORM e-Togn ofSouthol&sCodc of f o on and f ihis form is'to provide inforinationwtiich kan alert the town of possible conflicts of intemeand allow It iQ take whateveraation is ne ce q s m y to ayoidsamo. YOURNAME:. RO!QXQ-ff- (Lwf name,.first name,jriddle initial,unless you are applyingin 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 Zane 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 ofSouthoid? "Relationship"includesty 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 510K 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 br position of that person Describe the relationship between yourself(the applicant/agent/repmsentative)and the town officer or employee.Either check the appropriate line A)through D)and/or descdbe in the space provided. The town officer or employee or his or her spouse,sibling,gent,or child is(check all that apply): A)the owner of Smaterthan 5%ofthe shares of the corporate stock of the applicant _a (when the applicant Is a corporation); B)the-legal or beneficial owner ofany-interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,d metor,partnei,or employee of the applicant;or D)the actual applicant. ° DESCRIPTION OF RELATIONSHIP Submitted this day of 20„: Signature Print Name Form IS 1 AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. nn L YOUR NAME• •(Last name,first name,middle initial,q&ss you are applying iddie name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit_ Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) S a Planning 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 b)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of 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 a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant as DESCRIPTION OF RELATIONSHIP r W 4(i sow Submitted this day of ,2m . Signature Print Name 3oard of Trustees Applicati,_ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: LADDRESS: /o ,3 - i3- l0 /03 _ / 3 . ) , 3 - 13 - 3CD 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 MAILIRETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & S CTM#: NAME: ADDRESS: ChWsbpher4 Gloria. Goo OCCV- (m30 W. Cteer- live; Cutchoque,' +03 +3-8 4 Th�m�,s d�S t c�l�at� 1230 W. CreeK hue.,'PO BOA q28, C�tckloque" iV3 - 13 -4 C04'" & 11J roar-5 10-c. Trust. 01BE5 W. Clreak Rve../ql-7 C'atVl2r;tom► v�., aGrC4nge,IL W5 5 �(est Cre�K Ave. �rrust 12�i� i� Creey- Ave.�� fax 2C�5, Cutclrnw , +1q3 -F C� CE VE ]b, MA -L RR 1 4 2025 STATE OF NEW YORK Southold Town COUNTY OF SUFFOLK Board of Trustees 51 cL n n n ct I r: h t ,residing at -4 t2 i v(-e C n— �f PI a i n t/;1"I)�f�/I pin:5�5 , being duly sworn, deposes and says that on the day of :V26r-0 , 20-25, 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 4S6,��b a(cl 1 ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of N") AAC E ,20 c- 5 CONNIE D.BUNCH Notary Public,state of New YorK, No.01BU6185050 � �w�N p_ Qualified In Suffolk County C.V� Commission Expires April 14,2,9�� Notary Public Postal U.S. Postal Service" 9 RECEIPT tr) CERTIFIEDDomestic Ej s. 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C3 C3 ❑Certified Mail Restricted Delivery $ $Ile Ill �" ❑Certified Mall Restricted Delivery $ - f erOVs0 er8 11 i,l;il.{ rU ❑Adult Signature Required $ tr0 ill, �'[ ru ❑AdultSignatureRequired $ ✓ r Q'1 to �I `flfl:u ul ❑Adult Signature Restricted Delivery$_ O Ln ❑Adult Signature Restricted Delivery$ sd' Postage r Postage �j p $0°!u Q � p i1^ y, F.�_Ik S .� I i� $ ;� i li2.112 •`r... i rl $ 4 r,,• T tat Po go and Fees J. ^ Total Postage and Fees 1-1,;711/'202a O $ •4 O $ Q' Sent' Cr Sent To Q 1,e_en r cotes - - tan mt.No., - - � U1 Street and t.No.,or PG oxAfo. - r=0 Street and Apt No.,or Box No. � � • ' I C`a1ai°o�r, .-- ye- ---------------------- - � `P O e4K 9�_ ------- Q' c/%mare, /P��-----=-- --- City State,Zpw 52 CI :•. r •r ••••r• i Glenn Goldsmith,President oSOFFOI/'COG Town Hall Annex A.Nicholas Krupski,Vice President ,� y� 54375 Route 25 Eric Sepenoski y P.O.Box 1179 Liz Gillooly p Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD E C E --------------------------------------------------------------- In the Matter of the Application of MAR 1 9 2025 THE ROGER D. TODEBUSH FAMILY TRUST COUNTY OF SUFFOLK Southold Town STATE OF NEW YORK Board of Trustees AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGHTH DAY OR LATER I, :h a n n n,,\ Jli o kt— , residing at/dba �; CA v�nrca. -?l being duly sworn, depose and say: That on the day of -Re r'Ch , 205, I personally posted the property known as 11'3 P' UO C re( - kye, 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,March 19,2025. Dated: (signature) Sworn to before me this day of V4 20a�— Kim E.Fuentes Notary Public,State of New York Qualified in Suffolk County UC.#01 FU4811709 Not Public Commiesion Expires April 3 b-1 0 NOTICE OF HEARINGI 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: THE ROGER D. TODEBUSH FAMILY TRUST SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove existing 3'x8' steps, 4'x35' fixed catwalk and 3'x4' steps and replace in same location construct proposed 3'x8' steps to a proposed 4'x61' fixed catwalk with 4' wide steps down to a proposed 5'x20' seaward fixed "T" section; install 3'x4' steps off north side of catwalk; existing 12.2'x12.4' attached upper deck to remain undisturbed. Located: 1130 West Creek Avenue, Cutchogue. SCTM# 1000-103-13-9 TIME & DATE OF PUBLIC HEARING: Wednesday, March 19, 2025 — 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 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 siugr ficant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting.and non- 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# 103. _13 _09 PROJECT NAME Dock Replacement NOT LOCATED within Coastal Erosion Hazard Area 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: Replacement of existing dock to upgraded thru flow dock extending 20 feet beyond the M.L.W. of Wickham's Creek, with 5'x20' T section and Tx4' steps on all sides. Location of action: 1130 W. Creek Ave Cutchogue Site acreage: 0.28 Present land use: single family residence Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Roger Todebush (b) Mailing address: PO Box 5, Cutchogue (c) Telephone number: 773-230-7862 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes R1 No❑ If yes,which state or federal agency?approval of DEC and ALOE C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ❑✓ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 0 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 ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No UNot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑No n Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No❑✓ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No 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. ❑ YeEl No❑✓ 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❑✓ 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 0 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 Shannon Wright TITLE DATE 8.21.2024 E C UK 0 PIER NOTE DEC 4 2024 PROPOSED DOCK FOR NON-MOTORIZED USE ONLY PIER LINE OF NEIGHBORING PIERS —_ Solf"Id Town BowdofTftstm I BOTTOM OF BANK 77033,40„ E N WIN. _T I l(� > I WELL GEN I ►`7 �O WLF#1 I I i HVAC 0 HVAC 0 �+ iol 1.4263 .03 �0.6 w 2 STORY o X FAM HOUSE1.64 47 _.Wo � � ; EI.10 0 P F . . ..6$, GRAVEL DRIVEWAY 'I aWW' c� X 1.54 _ ` ROCK RET. WALL � ` w ►� 1I.4. , ! WOO STONE WALK WLF#2 , I \ -- -- —— --�I Wo DK1.54I391.17 61 ZONE X1O' IN . =P ,O NY2 �.7s Lu � JZ -- -- -- -- -- --59 WLF#3 5 8408'40„ W6 X0.83 4 0.68 TI EXISTING 12.2'X 12.4' UPPER DECK T0 REMAIN 1.61 '�-,1.38 UNDISTURBED 8"DIA.PILES 8'o.C. 119 0.89 --0.03 _0.65 EXISTING 10' WIDE NON—TURF BUFFER THRU-FLOW DECKING LANDWARD LIMIT OF TIDAL WETLANDS 4"X6"STRINGERS(TYP) REMOVE EXISTING 3'X8'STEPS, 4'X35' FIXED DOCK&3'X4 AS DETERMINED BY SUFFOLK SITE PLAN STEPS AND REPLACE IN SAME LOCATION WI_T_H_NEW_4'X61' ENVIRONMENTAL CONSULTING ON SCALE: 1"=20' 4' -- - - — DECEMBER 28, 2020. FIXED DOCK WITH STEPS DOWN TO NEW 5'X20'T-SECTION Do AND 3'X4'STEPS ON SIDE. ALL DECKING ON MAIN PORTION SHALL BE THRU-FLOW. APPROX.M.H.W.—— PROPOSED 4'WIDE X 61'LONG REMOVE&REPLACE EXISTING 12.2'X 12.4' APPROX.M.L.W. FIXED DOCK WITH THRU-FLOW ——————— DECKING OVER ENTIRE LENGTH UPPER DECK IN SAME LOCATION AS EXISTING 3"X8"GIRDERS LOCATION MAP REMOVE ND REPLACE 3"X8"CROSS BRACING N.T.S. 10 PROPOSED 4'WI E STEPS EXISTING 3'X8'STEPS 10 PIT TYPICAL CROSS SECTION OffPROPOSED 5'WI E X 20' N.T.S` 8 T-PORTION FIXE DOCK-78 O D / PROPERTY OWNER: PREPARED BY: TODEBUSH RD FAMILY TRUST JEFFREY PATANJO ogue �D Fl���� �e 460 W. BARRY AVE - APT #2W P.O. BOX 582 6utch 0� 'r>, i 4 4 CHICAGO, IL 60657 BOHEMIA, NY 11716 `cam ,�00 631-487-5290 JJPATANJO@GMAIL.COM a EXISTING GRADE Proposed Permit Plaw AS SCALE: 5 ❑ 2 �] 0 APPROX. M.L.W. 0 " ------ ------- DATE: PROPOSED PLAN 5-2-24 Ca PROJECT -2 -2 8-1-24 �r ff30 WEST CREEK AVENUE 11-13-24 ti• ,)� _j.LOCATION CUTCHOCUE, TOWN OF SOUTHOLD 11-26-24 DOD —4 —4 SUFFOLK COUNTY, NY' SHEET: Ho -IIlk Ave [� �, TYPICAL DOCK SECTION TAX YAP NO. 1000-103-13-09 1 OF 1 N.T.S 0 PIER PIER LINE OF NEIGHBORING PIERS IBOTTOM OF BANK G I o—� SHED C� O WW W w w —�— ,, y w w •w -�—r-'— — WIN. v w^ v F� WLF#1 I I i �' I WELL HVAC 0 HVAC F1 ❑ I 9' 1.63 —I.42 —0.68 0.03 �0,6t W �,421-) 2 STORY I "`1.64 wh47 .21 v W ' wpwI I I ' I FAME HOUSE I � 2.63 0.10 . W w F.FEZ. 20. 1 GRAVEL DRIVEWAY I 94 1.54 0.7 0.9wJli i �\,0� / 53 —1. 4 �i ROCK RET. WALL w X 1.54 WOOD/ i STONE WALK 39 DECK. 1X .69 � Ww . � .10 V62 ZONE Xjg II ww i/ I —� � 1 9 1.16 0.83 .14 -, WLF#3 S 84'08'40'� W 197.81 0 68 1� I REMOVE &REPLACE EXISTING 12.2'X 12.4' '`-1.61 *4138 1 19 o$g X UPPER DECK IN SAME LOCATION AS EXISTING 0.03 *0,65 EXISTING 10 WIDE NON—TURF BUFFER LANDWARD LIMIT OF TIDAL WETLANDS REMOVE EXISTING 3'X8'STEPS,4'X35' FIXED DOCK&3'X4' AS DETERMINED BY SUFFOLK N LA STEPS AND REPLACE IN SAME LOCATION WITH NEW 4'X61' ENVIRONMENTAL CONSULTING ON SCALE. 1 SITE PLAN FIXED DOCK WITH STEPS DOWN TO NEW 5'X20'T-SECTION DECEMBER 28, 2020. AND 3'X4'STEPS ON SIDE.ALL DECKING ON MAIN PORTION SHALL BE THRU-FLOW. PROPOSED 4'WIDE X 61'LONG REMOVE&REPLACE EXISTING 12.2'X 12.4' FIXED DOCK WITH THRU-FLOW UPPER DECK IN SAME LOCATION AS EXISTING DECKING OVER ENTIRE LENGTH LOCATION MAP REMOVE ND REPLACE N.T.S. 1 O PROPOSED 4'WI E STEPS EXISTING 3'X8'STEPS �� f� f] I� 10 ® LS u L�, PROPERTY OWNER: Apo yyx 1 TODEBUSH RD FAMILY TRUST `. { F �� 460 W. BARRY AVE — APT 2W PROPOSED 5 WI E X 20 N 4 rt w, q 8 T-PORTION FIXE DOCK / 8 NOV6 CHICAGO IL 60657 f * V C. ' / 0 PREPARED BY: r ash a�-�• , 6 s �q 6 JEFFREY PATANJO } "1 / Southold Town P.O. BOX 582 Cutc o ue �� ��!•--�-� 9 FleetsJJe k ; Fn Board of Trustees BOHEMIA, NY 11716 2 �seacn) 4 / 4 631-487-5290 �a & Cy / JJPATANJO@GMAIL.COM x ti _.._.._.._.._.._ _.._.._.._.._.._.. EXISTING GRADE 2 Proposed Permit Plans SCALE: v APPROX. M.L.W. — AS NOTED — _. _.._ IT PROJECT "' PROPOSED PLAN DATE: —2 5-2-24 8-1-24 -2 1130 WEST CREEK AVENUE OCATION CUTCHOGUE, TOWN OF SOUTHOLD —4 _ SUFFOLK COUNTY, NY o�kq TYPICAL DOCK SECTION 4 SHEET: N.T.S TAX MAP NO. 1000-103-13-09 1 OF 1 Unauthorized alteration or addition to this survey is a violation of section 7209, subdivision 2, of the New York State Education Law. Copies of HEIDECKER L''AND SURVEYING this survey map not bearing the land surveyor's inked embossed seal shall not be P1ER considered to be a volid copy. 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FIELD WORK WAS CONDUCTED APRIL, _ � - 2024 BY HEIDECKER LAND SURVEYING, PLLC AND ALL MEASUREMENTS WERE TAKEN ON THE GROUND. ' JOHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 050719 DATE: BATHYMETRIC SURVEY SHEET NO. 2. NORTH ARROW IS BASED UPON GPS OBSERVATIONS CONDUCTED BY HEIDECKER P.O. BOX 135 MAY 6, 2024 OF 1 LAND SURVEYING, PLLC. lj AQUEBOGUE, NEW YORK 11931 #1130 WEST CREEK AVENUE PROJ. NO. 3. ELEVATIONS SHOWN REFERENCE MEAN 4 o, 050�1 ��O DRAWN BY: B.W. LOW WATER (MLW) VERTICAL DATUM, T, 5��� (631)-772-9604 CHK BY: J.H. WICKHAM'S CREEK 24HLS20 L AND jheidecker®heideckerls.com CUTCHOGUE-TOWN OF SOUTHOLD CAD FILE: SCALE: 1"= 20' SUFFOLK COUNTY NEW YORK 24HLS20FP.DWG A U G 2 2024 mix Southold Town Board of Trustees PIER LINE OF NEIGHBORING PIERS t W W W BOTTOM OF BANK �r¢On E — -----� — Lll w I O • W W W W W W 7T3 � - ❑ ;� o �-- SHED O O WELL WAC OHVAC 03 'bhki.s1;W'�`o�2rj W�W��j j I I �♦ i 2 STORY I w 1.64 �.47 *1.z1 X X WWW w �•W O W't T'�m I ;■� FRAME HOUSE w o.s3 0.10 yb.6Q y W y F F EL. 20.1 GRAVEL DRIVEWAY I !1„ %1.54 _�.5J .!� W �• W W �f I I I ' �R. i 4 p 0.9 ROCK RET.WALL ` I t 1.54 �.39 1 1 ,� W W W WWOOD g WLF#2 i i DECK `�� STONE WALK O.ss =p.ro yI16 W W W r ZONE X L �.79 x i.59 141 �1.16 %0.83 -1.14 }0.68 wLFQ3 Lc.L_ --'-- --- S 8408r40" yy------------------197.81'J a t� REMOVE&REPLACE EXISTING 12.2'X 12.4' UPPER DECK IN SAME LOCATION AS EXISTING 0.89 +0.03 .10.65 EXISTING 10 WIDE NON—TURF BUFFER LANDWARD LIMIT OF TIDAL WERANDS REMOVE EXISTING 3'X6'STEPS,4X3V FIXED DOCK&3%4' AS DETERMINED BY SUFFOLK 31T8 PLAN STEPS AND REPLACE IN SAME LOCATION WITH NEW 4'X61' ENVIRONMENTAL CONSULTING ON SCIUE:1,-20' FIXED DOCK WITH STEPS DOWN TO NEW 5'X20'T-SECTION OECEMBER 28,2o2a. AND 3%4'STEPS ON SIDE.ALL DECKING ON MAIN PORTION SHALL BE THRU-FLOW. PROPOSED a'WIDEX 61'LONG FIXED DOCK WrTH THRU-FLOW REMOVE&REPLACE EXISTING X 124 DECKING OVER ENTIRE LENGTH UPPER DECK IN SAME LOCATIONN A A S EXIST ING LOCATION MAP REMOVE D REPLACE N.T.S. 1`} 1 O PROPOSED V WI E STEPS EXISTING 3'X8 STEPS i 10 PROPERTY OWNER: TODEBUSH RD FAMILY TRUST 'A, 460 W. w < PROPOSED6WI X20 CHICAGO,�ILRY AVE 0657 —APT 2W 8 T-PORTIONFIXE DOCK-76 PREPARED BY: /4z, , I 6 JEFFREY PATANJO is t ��-•'J h 6 1 P.O. BOX 582 ZZ 4 BOHEMIA, NY 11716 t"*c 1,.6 JJPATANJO®GMAILCOM 631-487-5290 + tit i®i 2 _.._.._:_._•..• _.._.._.._.._.._ _._.._.._.._.._ _.._.._ 2 4 1 � r IXISfING GRADE SCALE .. .. Plb�OS9d' AS NOTED ±, li � i i 0 APPROX:.M:�W: .._.._.._.._.._.._ — 0 j ------ DATE------ - PROPOSED PLAN 5-2-24 PROJECT _2 _2 a-1-24 1130 WEST CREEK AVENUE r4 j}�ty�f LOCATION CUTCHOBUE. 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T J JOHN GERD HEDECKER N.Y.STATE LAND SURVEYOR VC. 050719 IM7E: BATHYMETRIC SURVEY S HEET OBSERVATIONS NORM ARROW I9 CTED UPON GCS �pSL f'7% l P.O.BO%135 MAY 6,2024 #1130 WEST CREEK AVENUE 2.NMARW IS R SE LiU ON GPLaR / LAND SURVEYING,PLLr_ \�L N \c1 p@ AOUEBOGUE,NEW YORK 11931 DRAWN BY:B.W. 3.EIEVATKNIS SHOWN REFERENCE MEAN Ft °•05�j�v;� (031)-772-9604 CHK BY:J.H. WICKHAM'S CREEK CAD Law WATTR(ulv�vERnc1L LNTUM. JD LAND SCIh0de�rohaid-kM..- ' 2D' CSr OGUCOUNTYONEW jYORK�