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Applicant:David Cichanowicz
1425 Arshamomaque Av,Southold, NY
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i Waterway:Petty's Pond
Township:Southold \�A o u a
�qp�A 1 , ; ' ! ' L� f� ��� County: Suffolk "F-o!n Consultation!to Conpfetcon"
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Date:September,2024
Drawing Number: of 3
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Applicant:David Cichanowicz
ray 1425 Arshamomaque Av,Southold,NY
Nj Waterway:Petty's Pond
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County: Suffolk Cat?!pl�tion"
,Trmn Consu(tatimi to
Date:September,2024 "
Drawing Number: of 3 631-369-9445 .
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Applicant:David Cichanowicz
1425 Arshamomaque Av,Southold, NY > ;
Waterway:Petty's Pond , �.
Township:Southold .......
g o n 4
County: Suffolk _`yrp.._____..
Date:September,2024a 3 1 o-�y om CansuCtatian to Com letion"
Drawing Number:3 of
Glenn Goldsmith, President Town Hall Annex
A.Nicholas Krupski,Vice President 54375 Route 25
Eric Sepenoski ; P.O.Box 1179
Liz Gillooly ��' Southold,'��p�.! � 5
71
76 Telephone 1892
Elizabeth Peeples p ( )
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: Mare it 2 6 Completed in field by: Mi", 2 P4tb�CA
Cole Environmental Services on behalf of DAVID CICHANOWICZ REVOCABLE
TRUST & V. CICHANOWICZ REVOCABLE TRUST requests a Wetland Permit to
construct a 76 linear foot low-sill bulkhead with top to be +0.13', constructed using 10"
diameter king & batter piles 6' on-center; install a 15' long north return and connect to
proposed low-sill bulkhead to south; install a proposed line of 1,000 to 1,200 pound
boulders ±7' landward of low-sill bulkhead; proposed dredging up to 10' seaward of low-
sill bulkhead to a depth of-2.5'; ±20 cubic yards of dredge spoil to be used for backfill
with ±7.8 cubic yards of clean sand to be used as supplemental fill; existing permitted
dock to be dismantled as needed for construction and reassembled; existing vegetation
to be removed and replanted to the greatest extent possible with additional native
vegetation to be planted landward of low-sill bulkhead as needed. Located: 1425
Arshamomaque Avenue, Southold. SCTM# 1000-66-3-16
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.:
D114A bar L 6 r ci 11 bu � rc v t e a
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Present Were: ✓G. Goldsmith N. Krupski E. Sepenoski
-- L. Gillooly E. Peeples
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Applicant:.David Cichanowicz
1425 Arshamomaque Av,Southold,NY ,
v Waterway:Petty's Pond
/
Township:Southold ' s"1 04-
County: Suffolk
:T,om Cmuuftatlon to Comp&tion-
/ •J ��i_ Date:September,2024
/ Drawing Number: t of Z 631-369-9445
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Applicant:David Cichanowicz r
1 �q Southold Town 1425 Arshamomaque Av,Southold,NY
ov Board ofTrustees Waterway:Petty's Pond }'
o Township:Southold �..
County: Suffolk
SUf3SEGT Date:September,2024 ��omConsttCtatian to CompCetion"
t= P �c Drawing fVumber: 2 of 2 631-369-9445
SHORELINE MAP
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Date: 15 June 2024 W E
Amended: 4 Sept 2024 s ��
Town: Southold s
'�'%Ilffnllr ('.minty' NY
Datum: ML1N
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ROBERT H. FOX
P. 0. BOX 366
AQUEBOGUE, NY 11931
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.411)etC J.Knipski;.President. O� �G T i Hall ":`:'; ..
J0 HDIT apfel;Vise'President 53095:Maui bad",
_. _Jim: King ....
Q" P.O.Box:1;`179
!i Martin H.Gariell O' Southold,.lVew:York=21911
I; Peter Wenczei. Telephone;E5I6J T61892.
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Fax'(516J 765=1$2�;:: ':•:::.:,....
BOARD'OF TOWN_TRUSTEES
l�ar6h 28, 1996 TOWN OF SOUTHOLD
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: :'JANlES _E�T�GERA>:;1}
Proper-T..Seruces
�r �ii-ehflgie. '1+1Y <1r935 ..
`Re: .DAVIID� CICEMOWZC
y
Dear Mr:..:g .tZgerald,
The :.folorang ;action Baas taken:.by the Board of ,Trustees',at. their
t` to I gu ar: .meet. .44 of.March .27,. '1996
RESOLVED;that ,:the &authold Town Board. of:, Trustees :grant 'an
#i Amenclaient.. ta::P t 4&3: to .move the 'entire strEicture in. a
northerly.:e Irecti0ii and• about 2 r s iorteri:the `fixed .walkway
Shorten rot 16�.. oI2.'from a om hte ramp:f '
j Located r. `:14.25 ^Arshamonioque Ave:t Southold.
fl
If you have any questions, please feel free to .calf, our. office.
Very truly Yours.,,
Albert. J: -Krugki, Sr..
Pkesident' Baatd," of Trustees
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Bor Of : Outhold Town Trustee Eb
S4UTHOLD, NEW YORK «�►
PERMIT N:O: ... :"!............... DATE. ....6.1.29:1.95
t � . 'ISSUEDO .........DAVI.._CIC a'WI.Gz:................................ .......................'T ��.
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' Pursuant to;.the'.:provisions of 'Chapter b 15.of the Laws, of.=-
f the State of'.New YoFk; i 893;.and >Capter 404:of:fhe Laws of e' '
Y State-of New York.1;952; aMd the' Southold..Tawn 'Ordinance:'en-
k R ( fi led.. REGULATING. AND THE PLACING OF OBSTRUCTIONS :s
IN:`AND ':0N1 TOWN WATERS AND 'PUBLIC LANDS and fhe. . a
REMOVAL OF,SAND, GRAVEL OR OTHER tv1ATERlALS: FROM..' I
tom° LANDS UNDER TOWN. WATERS;" and in accordance with. the y
t Resolution of The Baard.adopfed at.a meefing'held on .....6/.•29/.95:.... t
' f 19.,.95..,; and .in consideration of the sum':of $ 825.,00 paid by r
-T og -. .... eruic...s.... ..D.AV. IC:H lVOW CZ. st"
er T S e fax � ...C ... ...
SouthQ%d........................................................... N. Y. ,and subject .to the:
" Terms and 'Conditions listed on the' reverse -,-side hereof,
a of Southold Town Trustees authorizes and permits .the following:
To 'co truct a 3'X351 fixed open walkway, a 3'X161. hinged : A r`
ramp, a. a 6'X201 float with 3- 2--pile dolphins to secure floatin :X
+; r z.
dock. etty's Pond
all in accordance with the det ailed.specifications as presented in
,. the originating application. 'r
( IN. WITNESS'WHEREOF, The said Board of. Trustees Mere- - t;
by causes its Corporate Seal to be affixed, and.these presents to
be ,subscribed by a majority of the said 'Board as of this date.-.. -'
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425 Montauk Highway
East Quogue, NY 11942
Environmental Consulting (631)369-9445
Wetland Project Management
PHOTO SHEET
1425 ARSHAMOMAQUE AVE
SOUTHOLD, NY 11971
SCTM No.: 1000-066.00-03.00-016.000
ALL PHOTOS TAKEN ON 06/01/2024
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Cantrell, Elizabeth
From: Kate Rummel <kate@coleenvironmentalservices.com>
Sent: Friday, February 21, 2025 4:14 PM
To: Cantrell, Elizabeth
Cc: Chris Cole; Cole Environmental Services
Subject: Signed Neighbor Permission Letters - 1425 and 1505 Arshamomaque Ave - Cichanowicz
and LaGrega
Attachments: Signed Neighbor Permission Letter- 1425 Arshamomaque Ave - Cichanowicz.pdf;
Signed Neighbor Permission Letter- 1505 Arshamomaque Ave - LaGrega.pdf
Hi Elizabeth,
I hope all is well. Attached are letters from the President of Frost Road Associates LP granting permission to both Dave
Cichanowicz and Andrew LaGrega for the proposed work. Thank you.
Have a great weekend!
Kindly reply all.
Kate Rummel
Principal
Cole Environmental Services, Inc.
425 Montauk Highway
East Quogue, NY 11942
631-369-9445
CES Website
ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders
or unexpected emails.
1
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Board of T ustees
Town of Southold FEB 2 1/ 2
P.O. Box 1 79
Southold, NY 11971 Southold Town'
Board of Trustees
To Whom It May Concern, --
i
I,John J. Mckles Jr.,am the President of Frost Road Associates LP, Frost Road Associates LP is
the owner of the property known as SCTM No.: 1000-066.00-03.00-015.000. Frost Road
,Associates LP grants permission to David Cichanowicz,to dredge, construct a low sill bulkhead,
and recons ruct a dock as needed within our property boundaries.
h A))C k•t/=S cJ�
Property O ner's Name Property Owner's Signature
STATE OF N'EW YORK
I
ss.. j
COUNTY 01 SUFFOLK
On the ? J day of i�cj , , in the year 2 5L before me,the undersigned, a Notary Public in
and for said State, personally appeared JOHN J.NICKLES JR.
personally known to me or proved to me on the basis of satisfactory evidence to.be the
individual(sl whose name(s) is(are)subscribed to the within instrument and acknowledgeo to
me that he Ishe/they executed the same in his/her/their capacity(ies), and that by his/her%their
signature(s) on the instrument,the individual(s) or the person upon behalf of which the
individuals acted, executed the instrument.
PENNY'LOUISE MAFFETONE
NOTARY PUBLIC;STATE OF NEW YORK
Registration.No.01 MA6402379
Notary blic Qualified in Suffolk County
commission Expirgs Decemper 30th,2027
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Carol Brown,Chairperson y - Town Hall,53095Main Rd.
Lauren Standish,Secretary P.O.Box 1179
• 'F Southold,NY 11971
Telephone(631)765-1889
Conservation Advisory Council
Town of Southold
At the meeting of the Southold Town Conservation Advisory Council held on Wed.,
January 8, 2025 the following recommendation was made:
DAVID CICHANOWICZ to install a 76 If. low sill vinyl bulkhead with a 15' return to the
north, connecting with proposed low sill on adjacent property to the south. Proposed line
of 1,000-2,000 lb. boulders 7' landward of low sill. Proposed dredging up to 10' seaward of
low sill to a depth of-2.5'. 20 cy. of dredge spoil to be used for backfill. 7.8 cy. of clean
sand to be used as supplement fill. Existing dock to be dismantled as needed for
construction and reassembled. Existing vegetation to be removed and replanted to the
greatest extent possible. Additional native vegetation to be planted landward of the low sill
bulkhead as needed.
Located: 1425 Arshamomaque Ave., Southold. SCTM#66-3-16
Inspected by: Carol Brown, Nancy May
A quorum.was not present, however the property was inspected and those present do not
support the construction of a bulkhead in this area and recommend the applicant work
with Cornell Cooperative Extension on establishing a living shoreline.
1 1
i
Cantrell, Elizabeth
From: Cantrell, Elizabeth
Sent: Tuesday, December 31, 2024 9:18 AM
To: 'Cole Environmental Services'
Cc: David Cichanowicz
Subject: Cichanowicz Revocable Trust; SCTM# 1000-66-3-16
Good Morning,
Unfortunately this application must also be postponed from a public hearing for submission of a signed written
authorization from the underwater land owner(s)to construct a bulkhead and a dock as both proposed projects will be
encroaching or on the underwater land owner(s) property. Again the mailing address of the current owner(s) is:
Frost Road Assoc. LP
P.O. Box 877
Southold, NY 11971
Be advised that a full review of the application will be performed after this authorization letter is submitted.
Eliza6eth Cantrell
Administrative Assistant
Town of Southold
Board of Trustees
Phone: (631)765-1892
Fax: (631)765-6641
i
r
Town Hall Annex
Glenn Goldsmith,President '
� �� • ' r 54375 Route 25
A.Nicholas Krupski,Vice President
i P.O.Box 1179
Eric Sepenoski � V Southold,New York 11971
Liz Gillooly o Telephone(631) 765-1892
Elizabeth Peeples
Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
This Section For Office Use Only - - —
C k
_Coastal Erosion Permit Application
_X_Wetland Permit Application
Administrative Permit OCT 2 2 2024
_Amendment/Transfer/Exte sio
�(J—Received Application: 10 � Y
Received Fee: $ t o5b _ $gOfTrusi>%
`Completed Application:^� &
Incomplete: la
SEQRA Classification: Type I__ Type II Unlisted Negative Dec. Positive Dec.
Lead Agency Determination Date:
Coordination:(date sent): _
� LWRP Consistency Assessment Form Sent:
/'
'(� CAC Referral Sent: 1 a'�Xq
Date of Inspection: a �5
_Receipt of CAC Report:
_Technical Review:
Public Hearing Held:
Resolution:
Owner(s) Legal Name of Property (as shown on Deed): David Cichanowicz U JO cr.W c —�-v�
Mailing Address: P.O. Box 160, Peconic, NY 11968
Phone Number: 631-445-4875
Suffolk County Tax Map Number: 1000 - 066.00-03.00-016.000
Property Location: 1425 Arshamomaque Ave,Southold, NY 11971
(If necessary, provide LILCO Pole#, distance to cross streets, and location)
AGENT (If applicable): Cole Environmental Services
Mailing Address: 425 Montauk Hwy, East Quogue, NY 11942
Phone Number: 631-369-7112 Email: Info@ColeEnvironmentalServices.com y
a1
425 Montauk Highway
East Quogue, NY 11942
Environmental Consulting (631)369-9445
Wetland Project Management
Project Description
David Cichanowicz
1425 Arshamomaque Avenue
Southold, NY 11971
SCTM: 1000-066.00-03.00-016.000
Proposed 76 linear foot low sill vinyl bulkhead. Top to be+0.13'. 10" king&batter piles 6'OC. :t5'
return to the north,connecting with proposed low sill on adjacent property to the south. Proposed line
of 1000-1200 lb boulders±7' landward of low sill.
Proposed dredging up to 10'seaward of low sill to a depth of-2.5'. ±20 cubic yards of dredge spoil to be
used for backfill. ±7.8 cubic yards of clean sand to be used as supplement fill.
Existing dock to be dismantled as needed for construction and reassembled. Existing vegetation to be
removed and replanted to the greatest extent possible. Additional native vegetation to be planted
landward of low sill as needed.
www.ColeEnvironmentalServices.com
Board of Trustees Applii ioa
GENERAL DATA
Land Area(in square feet): 19,602
Area Zoning: R-40
Previous use of property: Residential
Intended use of property: Ressdential
Covenants and Restrictions on property? Yes _ _No
If"Yes", please provide a copy.
Will this project require a Building Permit as per Town Code? Yes [0 No
If"Yes", be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review
and Elevation Plans will be required.
Does this project require a variance from the Zoning Board of Appeals? Yes _Z_No
If"Yes", please provide copy of decision.
his project re 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=No
Prior permits/approvals for site improvements:
Agency Date
DEC: 1-4738-01169/00001 Modified 03/05/1996
DEC: 1-4738-01169/00002 10/16/2995
❑ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency? I y I No_a Yes
If yes, provide explanation:
Project Description (use attachments if necessary): Please see attached project description.
Board of Trustees Applil, ion
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: To protect against further erosion by stabilizing the
shoreline, while minimizing the impact to the environment and maintaining riparian rights.
Area of wetlands on lot: 470 square feet
Percent coverage of lot: 20 %
Closest distance between nearest existing structure and upland edge of wetlands: 125 —feet
Closest distance between nearest proposed structure and upland edge of wetlands: NSA feet
Does the project involve excavation or filling? 0 No ✓ Yes
If yes, how much material will be excavated? +20 cubic yards
How much material will be filled? ±27.8 cubic yards
Depth of which material will be removed or deposited: 2.5 feet
Proposed slope throughout the area of operations: +30
Manner in which material will be removed or deposited: Typical dredging and
construction equipment to be used to to dredge and deposit clean fill as proposed.
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 effect on wetlands and tidal waters. Silt fencing and turbidity curtain to used during
construction. Proposed low sill bulkhead will protect the shoreline while establishing
additional wetlands. Backfilled area to with planted with mix of native plant species
further preventing erosion, filtering stormwater, and adding to the biodiversity of the area.
7
617.20
Appendix B
Short Environmental Assessment Form
Instructions for Completing
Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses
become part of the application for approval or funding,are subject to public review,and may be subject to further verification.
Complete Part l based on information currently available, if additional research or investigation would be needed to fully
respond to any item,please answer as thoroughly as possible based on current information.
Complete all items in Part 1, You may also provide any additional information which you believe will be needed by or useful
to the lead agency;attach additional pages as necessary to supplement any item.
Part 1 -Project and Sponsor Information
Name of Action or Project:
1425 Arshamomaque- Low Sill Bulkhead
Project Location(describe,and attach a location map):
1425 Arshamomaque Ave., Southold, NY 11942
Brief Description of Proposed Action:
See attached project description.,
Name of Applicant or Sponsor: Telephone: 631-369-9445
Cole Environmental Services E-Mail: Info[a_)ColeEnvironmentalServices.com
Address:
425 Montauk Hwy
City/PO: State: Zip Code:
East Quogue NY 11942
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: ❑ .�
NYSDEC, NYSDOS, and ACOE
3.a.Total acreage of the site of the proposed action? Q,45— _acres
b.Total acreage to be physically disturbed? UlU,3 acres
c,Total acreage(project site and any contiguous properties)owned
or controlled by the applicant or project sponsor? 0•45 _ acres
4. Che I land usat occur on,adjoining an ar the prop action.
Urban L_JRural(non-agriculture) MAquatic
Industrial Commercial ✓ Residential(suburban)
Forest ❑Agriculture QOther(specify):•
Parkland
Page l of 4
r
t
5. Is the proposed action, NO YES N/A
a.A permitted use under the zoning regulations?
b.Consistent with the adopted comprehensive plan?
6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES
landscape? ✓
7. 1s the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES
If Yes,identify:_PecQnic_Ba.y_andt�v.r_Q� ,�r� tegul_ata_r_y Zic�al_We �a. s�s:Aea_.
Z
8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES
b.Are public transportation service(s)available at or near the site of the proposed action?
c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action?
9.Does the proposed action meet or exceed the state energy code requirements? NO YES
If the proposed action will exceed requirements,describe design features and technologies:
10. Will the proposed action connect to an existing public/private water supply? NO YES
If No,describe method for providing potable water:MA — Z ❑
11.Will the proposed action connect to existing wastewater utilities? NO YES
If No,describe method for providing wastewater treatment: .NSA Z ❑
12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES
Places? / _H:
b. Is the proposed action located in an archeological sensitive area?
13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES
wetlands or other waterbodies regulated by a federal,state or local agency? _
b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody?
If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres:. _ _.
Pe_t>tws pgnd n.d a.PPnoY.m_ately 76_Q square..feet.
14. sntify the typic bitat types that occ2an
n,or are likely to be found on tI -project site. Check all that apply:
Shoreline Forest Agricultural/grasslands Early mid-successional
✓ Wetland Urban Suburb LJ
15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES
by the State or Federal government as threatened or endangered? Bats _ .__.— n
16.is the project site located in the 100 year flood plain? NO YES
17.Will the proposed action create storm water discharge,either from point or non-point sources? NO _
If Yes, stormL!.1`" DYES
a ❑
a. Will storm water discharges flow,to adjacent properties? O
b. Will storm water discharges be directed to established conveyance systems f'fan m drains)?
If Yes,briefly describe: ONO LJYES
Page 2 of 4
a
18. Does the proposed action include construction or other activities that result in the impoundment of NO YES
water or other liquids(e.g.retention pond, waste lagoon, dam)?
If Yes,explain purpose and size: �,.. a ❑
19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES
solid waste management facility?
If Yes,describe: ❑ .
20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES
completed)for hazardous waste?
If Yes,describe:,__ ❑
I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE REST OF MY
KNOWLEDGE
Applicant/sponsor name Chris Cole, Cole Environmental Services _ Date:10/18/24
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
1. Will the proposed action create a material conflict with an adopted land use plan or zoning
regulations? E
El 1
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)?
5. Will the proposed action result in an adverse change in the existing level of traffic or
affect existing infrastructure for mass transit, biking or walkway?
6. Will the proposed action cause an increase in the use of energy and it fails to incorporate �; ❑
reasonably available energy conservation or renewable energy opportunities?
7. Will the proposed action impact existing:
a.public/private water supplies?
b.public/private wastewater treatment utilities?
S. Will the proposed action impair the character or quality of important historic,archaeological, Elarchitectural or aesthetic resources?
9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑
waterbodies,groundwater,air quality,flora and fauna)?
Page 3 of 4
No,or Moderate
small to large
impact impact
may may
occur occur
10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage
problems? ❑ El
11. Will the proposed action create a hazard to environmental resources or human health?
Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every
question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular
element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.
Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by
the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact
may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring,
duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and
cumulative impacts.
❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action may result in one or more potentially large or significant adverse impacts and an
environmental impact statement is required.
EJCheck this box if you have determined,based on the information and analysis above,and any supporting documentation,
that the proposed action will not result in any significant adverse environmental impacts.
Town of Southold-Board of Trustees
Name of Lead Agency Date
President
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer)
PRINT Page 4 of 4
425 Montauk Highway
East Quogue, NY 11942
Environmental Consulting (631)369-9445
Wetland Project Management
Project Description
David Cichanowicz
1425 Arshamomaque Avenue
Southold, NY 11971
SCTM: 1000-066.00-03.00-016.000
Proposed 76 linear foot low sill vinyl bulkhead. Top to be+0.13'. 10"king&batter piles 6'OC.- Is'
return to the north,connecting with proposed low sill on adjacent property to the south. Proposed line
of 1000-1200 lb boulders±7' landward of low sill.
Proposed dredging up to 10'seaward of low sill to a depth of-2.5'. ±20 cubic yards of dredge spoil to be
used for backfill. ±7.8 cubic yards of clean sand to be used as supplement fill.
Existing dock to be dismantled as needed for construction and reassembled. Existing vegetation to be
removed and replanted to the greatest extent possible. Additional native vegetation to be planted
landward of low sill as needed.
www.ColeEnvironmentalServices.com
ti '
Board of Trustees Applic_z_ on
AFFIDAVIT
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 caner Signature of Property Owner
SWORN TO BEFORE ME THIS J'�)"O.DAY OF p��,)
otary Publi PENNY LOUISE MAFFETONE
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01 MA6402379
Qualified in Suffolk County
Commission Expires December 30th.2e27
Board of Trustees Applic�__ : Lon
AUTHORIZATION
(Where the applicant is not the owner)
I/We, � c4y 1 d l it LYl Q.I�DI�t>I G7�
owners of the property identified as SCTM# 1000- 066.00-03.00-016.000 in the town of
SOUTHOLD ,New York, hereby authorizes
COLE ENVIRONMENTAL SERVICES 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 Own e nat a Property Owner's Signature
SWORN TO BEFORE ME THIS DAY OF 2
rb0
Notary Publi PENNY LOUISE MAFFETONE
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.01 MA6402379
Qualified in Suffolk County
Commission� Expires December 30th,2027
I
I
APPLICANT/AGENUREPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The'Town of Southol I's Code of Ethics prohibits conflicts of interest on the part of gown officers and emplovees The nurdase of
this form is top to
rovide inforination which can alert the wn of possible conflicts of interest and allow it to take wha0ever action is i
gecog to avoid same
C tGl-�-��f>W�G2 1 l7
YOUR NAME: i
(Last name,first name,Aniddle initial,unless you dre applying in the name of
someone else or other entity,such as a company.If so,indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee X
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other'',name the activity.)
Do you personally.(or through your company,spouse,sibling,parent,or child)have a relationship with anyofficcr or etployea
of the Town;of Southpid? "Relationship"includes.by.blood,mirriagd,or busmcss riterest"Business Interest"-means:a'business,
including a.partnership,in which the townofflcer onemnloyee bias even u;pardal ownership of(oroemployment by)a corporation
in which the town.oiliceroc employee owns morn than MA of the shares.
YES NO
If you answered"YES",complete the balance of this form and date and sign where indicated.
Name of person employed by the Town of Southold,
Title or position of that person,
Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check
the appropriate line A)through D)andlor 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 than 5%o:of the-shares of the corporate stock of the applicant
(whewthe applicant is a corporation);
B)the Iegal orbeneficial owner of any intc0s. in a.non-corporate entity(when the
applicant is not:a corporation);;
C)an officer,director,partnei;.or employee.of the applicant;or
D).the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this o2 3 f 20 a/
Signature
Print Name - L 1r�
Form TS 1
\, I
> oard of Trustees Application
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
APPLICATION NAME & SCTM#:
NAME: ADDRESS:
66 - 3 - 00--
66 - 3- 9
6 - a - aq
Cob - D - 36
STATE OF NEW YOR
COUNTY OF SUFFOL__
, 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 120
Notary Public
" ING
LE 'All
NOTI ' I= 0 F HI:
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.
OWNERS) OF RECORD: DAVID CICHANOWICZ REVOCABLE TRUST & V. CICHANOWICZ REVOCABLE TRUST
SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 76 linear foot low-sill ;
bulkhead with top to be +0.13', constructed using 10" diameter king & batter piles 6' on-center;
install -a 15' long north return and connect to proposed low-sill bulkhead to south; install a
proposed line of 1,000 to 1,20.0 pound boulders ±7' landward of low-sill bulkhead; proposed
dredging up to 10' seaward of low-sill bulkhead to a depth of -2.5'; ±20 cubic yards of dredge
spoil to be used for backfill with ±7.8 cubic yards of clean sand to be used as supplemental fill;
existing permitted dock to be dismantled as needed for construction and reassembled; existing
vegetation to be removed and replanted to the greatest extent possible with additional native
vegetation to be planted landward of low-sill bulkhead as needed. Located: 1425
Arshamomaque Avenue, Southold. SCTM# 1000-66-3-16
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 significant
beneficial and adverse effects'upon the coastal area(which includes all of Southold Town).
3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus, each answer must be explained in detail,, listing both supporting and non-
supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and
conditions,it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# 1000 -066.00-03.00_016.00
PROJECT NAME 1425 Arshamomaque-Low Sill Bulkhead
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:
Please see attached project description.
Location of action: 1425 Arshamomaque Ave.,Southold, NY 11942
Site acreage: 0.45
Present land use: Residential
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: David Cichanowicz
(b) Mailing address: P.O. Box 160, Peconic, NY 11958
(c) Telephone number: 631-445-4875
Will the action be directly undertaken,require funding,or approval by a state or federal agency?
Yes ❑ No❑✓ If yes, which state or federal agency?
C. Evaluate the project to the following policies by analyzing how the project will further support or
not support the policies. Provide all proposed Best Management Practices that will further each policy.
Incomplete answers will require that the form be returned for completion.
DEVELOPED COAST POLICY
Policy 1. Poster 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.
ayes ❑ No ❑ Not Applicable
The proposed project is in keeping with the character of the community. The proposed project prevents further erosion while establishing additional wetlands,
which mitigates any potential adverse effects,and will help to improve the health of Petty's Pond.
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
a Yes ❑ No ❑ Not Applicable
Proposed work Is in keeping with the`---; .acter of the area.Disturbance will be minimized to the greatest extent possible.
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
The establishment of new wetlands and the proposed addition of native plantings behind the low sill bulkhead will enhance the visual quality of the area
while providing vital habitat to marsh birds,and will protect the health of the waterway by filtering pollutants found in stormwaler.
Attach additional sheets if necessary
NATURAL COAST POLICIES
Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP
Section III—Policies Pages 8 through 16 for evaluation criteria
❑✓ Yes ❑ No ❑ Not Applicable
Proposed low sill bulkhead and boulders,and establishment of additional wetlands with native plantings will help minimize loss of structures and protect
natural resources from flooding and erosion.
Attach additional sheets if necessary
Policy S. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III
—Policies Pages 16 through 21 for evaluation criteria
❑✓ Yes ❑ No ❑Not Applicable
The proposed project Includes the establishment of additional wetlands with native plantings which will help protect and improve water quality in
Petty's Pond.
Attach additional sheets if necessary
Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including
Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22
through 32 for evaluation criteria.
7 Yes ❑No ❑ Not Applicable
The proposed project includes the establishment of additional wetlands behind the low sill bulkhead which will help protect and
restore the quality and function of the local ecosystem.Native plantings include mix of Spartina alterniflora, Spartina patens, Iva
frutescens,and Baccharis halimifolia.The establishment of native plantings will help prevent pollutants from entering the waterway,
further protecting the quality of the wetlands and waterway.
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 0 Not Applicable
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.
❑ Yes ❑ No ❑✓ Not Applicable
PUBLIC COAST POLICIES
Policy 9'. Provide for public access to, and recreational use of, coastal waters, public lands, and public
resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation
criteria.
❑ Ye❑ No❑✓ Not Applicable
Attach additional sheets if necessary
WORIaNG COAST PO ;uaES
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❑✓ 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
Agent,
PREPARED BY Chris Cole TITLE Cole Environmental services DATE 10/9/24
i
425 Montauk Highway
East Quogue, NY 11942
Environmental Consulting (631)369-9445
Wetland Project Management
Project Description
David Cichanowicz
1425 Arshamomaque Avenue
Southold,NY 11971
SCTM: 1000-066.00-03.00-016.000
Proposed 76 linear foot low sill vinyl bulkhead. Top to be+0.13'. 10"king&batter piles 6'OC. 16'
return to the north,connecting with proposed low sill on adjacent property to the south. Proposed line
of 1000-1200 lb boulders±7' landward of low sill.
Proposed dredging up to 10'seaward of low sill to a depth of-2.5'. ±20 cubic yards of dredge spoil to be
used for backfill. ±7.8 cubic yards of clean sand to be used as supplement fill.
Existing dock to be dismantled as needed for construction and reassembled. Existing vegetation to be
removed and replanted to the greatest extent possible. Additional native vegetation to be planted
landward of low sill as needed.
www.ColeEnvironmentaIServices.com
1/1Aontauk Highway
East Quogue, NY 11942
(631)369-9445
Environmental Consulting uww.ColeEnvironment ilServices.com
Wetland Project Management
October 18, 2024
Town of Southold
Board of Trustees
54375 Main Road
P.O. Box 1179
Southold, NY 11971 914 E
Re:1425 Arshamomaque—Low Sill Bulkhead .
O r T 2024
David Cichanowicz
� �
1425 Arshamomaque Avenue
Southold, NY 11971 Board Booard of Trustees
SCTM:1000-066.00-03.00-016.000
To Whom It May Concern,
Client seeks to install low sill bulkhead connecting to proposed low sill bulkhead on neighboring property to the
south with additional boulders and native plantings to stabilize the shoreline.
Please find the enclosed items:
1. Application fee of$1,250.00 check#7820
2. 4x Application
3. 4x Project description
4. 4x SEAF Form
5. 4x Authorization form
6. 4x Agent authorization
7. 4x Transactional disclosure form
8. 4x Shoreline Map by Robert H. Fox last revised 9/4/2024
9. 4x Site plans created by Cole Environmental Services dated September 2024
10. 4x Photo sheet
Should you need anything further, please do not hesitate to contact us.
Sincerely,
-Ido�e
Summer Looney
631.369.9445
Info@ColeEnviron rentalServices.com I Cole Environmental Services, Inc.