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TR-10744
���� ����� Town Hall Annex Glenn Goldsmith, President ® 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 COUNT`I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICECHECKED-OFF OFFEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction % constructed When project complete, call for compliance inspection; Glenn Goldsmith, President a SO � Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O.Box 1179 Eric Sepenoski J�[ l Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �� �� Fax(631) 765-6641 C®u ,N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 3, 2025 Jeffrey Patanjo PO Box 582 Bohemia, NY 11716 RE: RAYMOND THEK 2105 BAY SHORE ROAD, GREENPORT SCTM# 1000-53-4-13 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 19, 2025 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of RAYMOND THEK 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 January 24, 2025, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 19, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, 2 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of RAYMOND THEK to remove and replace 85 linear feet of existing timber retaining wall with new vinyl retaining wall in same location as existing; with the condition to establish and perpetually maintain a non- disturbance buffer seaward of the pertaining wall with a 4' wide access path to the water; all as depicted on the site plan prepared by Jeffrey Patanjo, received on March 24, 2025, and stamped approved on April 2, 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 truI yours, Glenn Goldsmith President, Board of Trustees BOARD OF SOUTHOLD TOWN TRUSTEES _ '>.•,y ,' SOUTHOLD,NEW YORK PERMIT NO. 10744 DATE: MARCH 19,2025 ISSUED TO: RAYMOND THEK : ..� PROPERTY ADDRESS: 2105 BAY SHORE ROAD, GREENPORT ' r } SCTM# 1000-53-4-13 AUTHORIZATION ® Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on March 19,2025, and in a consideration of application fee in the sum of$1,250.00 paid by Raymond Thek and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: x Wetland Permit to remove and replace 85 linear feet of existing timber retaining wall with new vinyl retaining wall in same location as existing; with the condition to '. establish and perpetually maintain a non-disturbance buffer seaward of the pertaining wall with a 4' wide access path to the water; all as depicted on the site plan prepared by d on March 24 2025 and stamped a Jeffrey Patan�o, receive proved on April 2, 2025.P P IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, H and these presents to be subscribed by a majority of the said Board as of the day and year written above. W. F E iz Gillooly—Absent Ag �c 14 *gam •F„ • ` r . .vsa,. , .aa; d'r.'rT�J73' �L7T"37�.$'dm`44�� .,, u enu &'3� '�iZ `�� � TERMS AND CONDITIONS The Permittee Raymond Thek,2105 Bay Shore Rad Greenport New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released.from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this 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. 9. That the said Board will be notified by the Permittee of the completion of the e work authorized. 10. 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. 11. 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. MEET EXISTING RETAINING WALL I N 45*4720 E _� i� .329.670 I - - - - - - - - - - - - - - - - - -�- - - - - -r-- Al 44'12'40- W PROPOSED 85 LF OF VINYL RETAINING S 2447i43- E WALL(IN SAME EXACT LOCATION AS 19.87'; 1 CHIMNEY 21.37 STEPS EXISTING) i� I 1 AREA SEAWARD OF RETAINING WALL TO 1 STORY REMAIN NATURAL AT ALL TIMES POND i O �I �0 DRIVEWAY FRAME RESIDENCE " I w cn r MAINTAIN 4'WIDE PATH TO WATER I N N lV 6171;30" W d 56.57' - - -+ - - wi — — I LU S 45'43'40"' W 97.01' I � MEET EXISTING RETAINING WALL APPROVED BY - BOARD OF 1 RUSTEES SITE PLAN SCALE: 1"=30' 'TOWN OF SOUTHOLD DATE PROPERTY OWNER: - l RAYMOND THEK ---_--! 63 DORCHESTER DR. NOTE BASKING RIDGE, NJ 07920 REMOVE EXISTING RETAINING WALL IN ITS PREPARED BY: ENTIRETY AND INSTALL NEW RET. WALL IN THE EXACT SAME POSITION AS EXISTING. PROPOSED PATANJO PROPOSED FIR TIMBER TOP CAP P.O. BOX 582 i r PROPOSED 10' LONG 10" BUTT BOHEMIA, NY 11716 PROPOSED 3"X6" 31-487-5290 CCA TREATED TIMBER PILE, 6' O.C. J PATANJO@GMAIL.COM - ✓ } REAR WALE r r ' NOTES: PROPOSED 6"d" CCA 1. LOT AREA: 23,678.99 S.F. / 0.544 ACRES TOP AND BOTTOM WALE "°`° 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: ,✓_ _ :�5 PROPOSED 8" TIP CCA EXISTING RETAINING iii ® JOSEPH INGEGNO, LAND SURVEYOR " `34. LAY-LOG PILE WALL TO BE REMOVED I I i SURVEY DATED: OCTOBER 24, 1997 m - „ IN ITS ENTIRETY.-----, MAR ?_ 4 2025 PROPOSED 8 TIP CCA PIIDIA. 6' O.C. 8' LENGTH. BOLTE . TO LAY-LOG WITH 3/4 GALVANIZED THRU-BOLTS. i �i Southold Town �� Board of TrusteesLE: SCALE: w PROPOSED 16' LON Proposed Permits AS NOTED ,. GALV. TIE ROD, 6' O.C. PROPOSED 10' LONG, m + 425 SHOREGUARD VINYL PROJECT r h 5; PROPOSED PLAN, DETAIL DATE: E16-25 AND LOCATION MAP LOCATION 03-20-25 TYPICAL SECTION 2105 BAYSHORE ROAD LOCATION MAP N.T.S. CREENPORT, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY N.T.S. SHEET: TAX MAP NO. 1000-53-004-13 1 of 1 USTEE -,R S SOUTHOL.D .T NO. ' '14 4 Issued To' . . �^e� Date_ 3�S Address alo �� SIMts , ftoaI, c re+t�pe1`T THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN 4F SOUTHOLD SOUTHOLD, N.Y. 11977 TE L.: 765-1892 March 20, 2025 Town of Southold Trustees ® � � � � 11n Town Hall Annex Building V 54375 Rte. 25 P.O. Box 1179 MAR 2 4 2025 Southold, New York 11971 RE: RAYMOND THEK Southold Town 2105 BAYSHORE ROAD-GREENPORT, NY Board of Trustees } SUM No. 1000-53-004-13 AFFIDAVIT OF POSTING Dear Trustees: Attached please-find revised plans reflecting 4' path to water and allowing seaward area to remain natural. If you should have any questions or require anything further, please do not hesitate to call me on 631-487-5290. Very truly yours, �Qxe--�� Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 Glenn Goldsmith,President ,;� ' Town Hall Annex A.Nicholas Kru ski Vice President ' p , 54375 Route 25 Eric Sepenoski CIO P.O. Box 1179 Liz Gillooly ' ` ,; Southold,NY 11971 Elizabeth Peeples 0-14 Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 114dyi�A 7-6X Completed in field by: ir, a�kA Jeffrey Patanjo on behalf of RAYMOND THEK requests a Wetland Permit to remove and replace 85 linear feet of existing timber retaining wall with new vinyl retaining wall in same location as existing. Located: 2105 Bay Shore Road, Greenport. SCTM# 1000- 53-4-13 Type 9f area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay work II under: � t. 275 Cha t. 111 other Part of Town Code propose '.wo falls p p Type of Application: I/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.: r' , I Present Were: G. Goldsmith +'�E.✓ Krup, ki E. Sepenoski L. Gillooly -"I-. Peeples frr"� rrz{! U ua V now _ \s `' p W 0) z / L919 w i 5l b / O z V BAN 2 4 0 Southold T°w0 w IS Bird of Trustees Q a � oP t0 i � f•, 1 ST,0R:FRAME ri a i ,+' Q w o MorE % r 0 a SITE' SURVEY0wz a OF ° LOT 35 & P/0 LOT 36W AMENDED MAP A" OF ° 4A.' :.fir':: ,'`• PECONIC BAY ESTATES FILE No. 1124 FILED MAY 19, 1933 cc m ¢ 0 i �� �`��ro=. aa,• ,�/ ":i �r SITUATED AT ° 8o ARSHAIviOMAQUE d o TOWN OF:SOUTHOLD a o SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-53-004-13 > > >> SCALE 1" = 20' a Off/ r FILE NO.: anErwm er""`''asE"'u'°e°"° A_DEM CUR `( .., i l/itA H.gYEYOH MTFD OCf3,1B91. 1-aoz AREA = 23,678.99 sq. ft. y^=20 _ (TO TIE LINE) 0.544 aC. DWG.NAME. 1 SITE PLAN o - PROPOSED ALTERATION TO EXIST. ARNOLD RESIDENCE DWG.No, GREENPORT = NEW YORK A.SITE MEET EXISTING RETAINING WALL J 1 N 45'4720" E _� /� 329.67' J N 44'>240" GY PROPOSED 85 LF OF VINYL RETAINING S 2447143" E J b 21.37' CHIMNEY WALL(IN SAME EXACT LOCATION AS 19.87'�/ \ STEPS EXISTING) 1 STORY ' POND DRIVEWAY FRAME RESIDENCE I w O r CO N 6171'30" W b 56.57' S 4543'40" W I 97.01' I MEET EXISTING RETAINING WALL i SITE PLAN SCALE: 1"=30' PROPERTY OWNER: RAYMOND THEK 63 DORCHESTER DR. NOTE: BASKING RIDGE, NJ 07920 REMOVE EXISTING RETAINING WALL IN ITS ENTIRETY AND INSTALL NEW RET. WALL IN PREPARED BY: THE EXACT SAME POSITION AS EXISTING. JEFFREY PATANJO PROPOSED FIR TIMBER TOP CAP P.O. BOX 582 BOHEMIA, NY 11716 ' " ° PROPOSED 10' LONG 10" BUTT 631-487-5290 PROPOSED 3 X6 CCA TREATED TIMBER PILE, 6' O.C. JJPATANJO@GMAILCOM r" 4 , REAR WALE rY NOTES: III PROPOSED 6"x6" CCA 1. LOT AREA: 23,678.99 S.F. / 0.544 ACRES TOP AND BOTTOM WALE yP'O,Y0e1 II 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: PROPOSED 8° TIP CCA III JOSEPH INGEGNO, LAND SURVEYOR EXISTING RETAINING III SURVEY DATED: OCTOBER 24, 1997 LAY—LOG PILE WALL TO BE REMOVED I I I ` IN ITS ENTIRETY. PROPOSED 8" 11P CCA PILE, II 6' O.C. 8' LENGTH. BOLTED I I I 4. TO LAY—LOG WITH 3/4" I / t GALVANIZED THRU—BOLTS. I \ PROPOSED 16' LONG 1" DIA. I I �� SCALE: J GALV. TIE ROD, 6 O.C. Proposed Permits AS NOTED a PROPOSED 10' LONG, DETAIL p1-16-25 ` � • �``� �`� �"` 425 SHOREGUARD VINYL 1 D TE: PRbJECT ;L PROPOSED PLAN, LOCATION LJAN 2 4 2025 AND LOCATION MAP i TYPICAL SECTION, 2105 BAYSHORE ROAD LOCATION MAP N.T.S. Southold Town IT GREENPORT, TOWN OF SOUTHOLD L Board of Trustees SUFFOLK COUNTY, NY N.T.S. SHEET: TAX MAP NO. 1000-53-004-13 1 OF 1 I f f y y a" • a =y :i 1 J x- f 1 Photo 2 (7/2024) � t Photo a f Photo 4 (7/2024) o.uD, .>:;4' ..__..._ i. ,' ..%' W•..., sEE SEc rw ae of-t30t ( ':SRO - WtLH lwE aaJaa2 � ,e� .. S N I 9EE SEG.NO. 3,� LY �c•./ ta1,@ TOVN� MSQB-00e ,."SO O � 1e.IR 'S0 1 ?� T IeA;cl r o J Q� t SFF SaG..wno. tD� UfuYTV tr A,NT(Mc n B� ' �iD iaw.oE SOUfM04� t0 IDe LnwV OE SbJTwalD . a. 11.z cwrciarasuF sanwn �.. 0iuu }� )LVeI �t• J:r IeNcl 33 owo-.3 N:gyp. iu Al. a- • 3'4 r D 'V1YIry .`�^ ; .y aouTNOID:• Qe A 777 g'v raw or sartrao 3 o ��,•• n � V . OWH OFeWrr10LL •.9�` � gPEy 'l+ 1 PPl J4 � e 0 1 �b 4 \ ' F ' • o^aeme„anuxr�cr `�..... ._ A .. 4, � 4, �} vog If, N" 4'* Q: lu tii $ Mc, y Im 41 T.SiZP�y ♦, t.. a MwraeF sac rlo.wl sFa sac No asI `°!F _ no�, ,wc ,:, ^ :J ..e� COUNTY OFSWFOLK© o J — —_ "'"`•—mod _ O -- .... ,,... R I kiope i t' ntce.lpene) mmnunww�wrrmro v>� r vxw aa,na)e 053 10 --- mtUNr mn)nw�wrin ff M ' „ nevi exaearr rti.eaves N,xv 'a°' OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Sox 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: March 17, 2025 Re: LWRP Coastal Consistency Review for RAYMOND THEK SCTM# 1000-53-4-13 Jeffrey Patanjo on behalf of RAYMOND THEK requests a Wetland Permit to remove and replace 85 linear feet of existing timber retaining wall with new vinyl retaining wall in same location as existing. Located: 2105 Bay Shore Road, Greenport. SCTM# 1000-53-4-13 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with LWRP Policies and, therefore, CONSISTENT with the LWRP. It is recommended that a vegetated buffer be required landward of the wetland to further policy 6. 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 4. Glenn Goldsmith,President . Town Hall Annex A.Nicholas Krupski,Vice President �' ' 54375 Route 25 P.O.Box 1179 Eric S'epenoski Southold,New York 11971 Liz.GilloolY Telephone(631) 765-1892 Elizabeth Peeples r C ., Fax(631) 765 6641. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application � EC` EIVE Wetland Permit Application Administrative Permit Amendment/Transfer/Ex nsion ' JAN 2 4 2025 Received Application:,. Received Fee ��) Southold Town Completed Application: A .316 Board of Trustees Incomplete: _ SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _ Coordination:(date sent): . _LWRP Consistency Assessment Form Sent: _7. ItS— :CAC Referral Sent: Aj 1pr _Date of Inspection:__ a Receipt of CAC Report:.:.._ _Technical Review:,_ __*_Public Hearing Held: . 'r I Resolution: •� — . Owner(s)Legal Name of Property (as shown on Deed): Raymond Thek — Mailing Address: 63'Dorchester Dr., Basking Ridge, NJ 01920 Phone Number: 908-922-9078 Suffolk County Tax Map Number: 1000 - 53-04-13 Property Location: 2105 Bayshore Road, Greenport, NY 11944 See location reap (If necessary,provide LILCO Pole 4, distance to cross streets, and location) AGENT(If applicable): Jeffrey Patanjo Mailing Address:. P.O. Box,582 Bohemia, NY 11716 Phone N:umber: ..631-487-5290 Email: JJPatanjo@gmail.com RE: RAYMOND THEK 2105 BAYSHORE ROAD -GREENPORT, NY SUM No. 1000-53-004-13 PROJECT DESCRIPTION Project includes the removal and replacement of 85 LF of existing timber retaining wall with new vinyl retaining wall in same location as existing. Board of Trustees Application GENERAL DATA Land Area(in square feet) 23,678 __ Area Zoning:- Res ` Previous use of property:, Res Intended use of property.,a Res Covenants and Restrictions on property? Yes _Z_No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes .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 4Zoning Board of Appeals? =Yes _�No If"Yes", please provide copy of decision. W' his project re any demolition as per Town Code or as determined by the Building Dept.? Yes q✓ No Does the structure(s) on property have a valid Certificate of Occupancy? Yes F-1_No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description(use attachments if necessary):,.See attached Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: See attached Area of wetlands on lot: 1250 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: 10 .. feet Does the project involve excavation or filling? ❑✓ No Yes If yes, how much material will be excavated? n/a cubic yards How much material will be filled?, n/a cubic yards Depth of which material will be removed or deposited: n/a feet Proposed slope throughout the area of operations: 0-5 Manner in which material will be removed or deposited: All work to be;performed with excavator 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): There will be a positive effect on wetlands due to reduced erosion and sedimentation due to eroding retaining wall. Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available, If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name of Action or Project: 2105 Bayshore Road Retaining Wall Project Location(describe,and attach a location map): 2105 Bayshore Road-Greenport Brief Description of Proposed Action: Remove and replace 85 If of timber retaining wall with new vinyl in same location as existing. Name of Applicant or Sponsor: Telephone:P 908-922-9078 Raymond Thek E-Mail: rthek@lowenstein.com Address: 63 Dorchester Dr. City/PO: State: Zip Code: Basking Ridge NJ 107920 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC/Town of Southold Trustees ❑ ❑✓ 3. a.Total acreage of the site of the proposed action? 0.544 acres b.Total acreage to be physically,disturbed? 0.02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.544 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ .Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 i 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ a ❑ b. Consistent with the adopted comprehensive plan? ❑ 0 ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ ✓❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency:Suffolk County,Date:7-12-88 ❑ W1 NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑ b. Are public transportation services available at or near the site of the proposed action? Fv/� ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ action? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑✓ ❑ 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the El of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13, a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ 7 b.Would the proposed action physically after,or encroach into,any existing wetland or waterbody? 7 L❑1 If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: ®Shoreline ❑ Forest ❑Agricultural/grasslands ❑Early mid-successional ZWetland ❑ Urban m Suburban W 1 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? El ❑ Northern Long-eared Bat,Le... 16. Is the project site located in the 100-year flood plan? NO YES ❑ ❑✓ 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑✓ ❑ a. Will storm water discharges flow to adjacent properties? ❑✓ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? W1 ❑ If Yes,briefly describe: s r Y J.. :i S1L 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ .1-9. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: [7] ❑ 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 ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name; ymond Thek Date: 11.3 Signature: Title:Owner PRINT FORM Page 3 of3 a Part 2-1m et A�smost �Law / pia fey is tfl+a for the tmmple#e�.� �� Answer all of the following questions in Port 2 using the i' iatton eontalned in Part t and other materials sol- ,I by the proms sponsor or otheewlse"able to the rev- When at>swering thequestions dw reviewer sit::.....r;a gulded by the ooncept"Hmre my* responses beei'reasonabtea considering the scale and context of tin:proposed action?" s War Moderate i small to large lEnpaet la►puct may may ' occur Occur t. Will the proposed action creft a material oonftict with an adopted fiend use plan orlmming r+egtttatlarts? 2. Will the proposed action result in a change in the use or intensky of use of land? r"( 3. Will the proposed action impair the character or duality of the exisiing community? {" itt....i 4. Will the proposed oodon have an impact on the envk=nentai cbsmftristics thin tamed the E'—i ID estabtiSbment ofa Critied Environmental Area(CRA)? LJ a S. Win the proposed action result in as adverse change in the exibang level oftmffle of �# affect existing Infrmtructore lbrm w transit,biking or walkway? 6. Will the proposed action cause an increase in the use ofene W and tt faits to fnvorpprate I—'t IreasoneW avallable gM conservation or renewable ens o ariunities? i }' 7. Will the tt. wie! &O WOW �plies?( to b.putblic/private wastewater treatment utilities? . #� a. Will the proposed au"impair the chatnow or quality of-imimrmnt historic,archaeological, atrlttt�tuasi es aeattret�a rrr$mtr+ces2 � � ► 9. Wilt the proposed seBan mutt in as adve ftrse change to natural mourms(e g,wed"s, (� �. watetbodies,swundwater.alr quality. m and fauna)? L. l 0 ' 10. Will the proposed action result in an !increase in the potential for erosion,flooding 4r drainage �W7-7- prablents? � � p 'i "'�...."..'.._' Will the proposed anion create a hazard to environmental resources or baman health? nq ' Pt►rt 31-fletetminsiloun of slgo6firvrnm. TM Lend Agency is sesmnsiMe for the completion of N4 3. For every question in Part 2 that was answered"moderate to large impact may occur`.or if there is a neat!to explain why a particular #� element of the proposed action aw or will not mutt in a signrf cant adverse envirunmer�tai impact,please complete Part S. Pert 3 should,ht sufd"ioiatt detail,WeWiY thw impact,Including any measures nr design 41etnents that have been inotuded by the project sponsor to avoid or reduces imparts. Part 3 should also explain how the lead dgency detect b*d that the impact Wray or will nut be sigt►+tii�ttt. 1 pOtetrtiad ittipasx slzassld fret cosrsfderlrtg its sing.protsitJty ct€seesssrings I duration,in"ersibft,geographic scope and magnitude. Also consider the potential far shot't "n,don frterm and !6 '� ctaanttatiVe itnpauus. ; i r; l:� r i l.'• 1' Ctiecic tbLa box if you(rave determined,based 0.i ttis ittfbrmatfott and analysis above and any 9txut►ng doeumentatEorr, ' that the proposed action Wray result in one or nun potentially large or signifieantiadvene impacts and an ' environtrmUd Impact stadesrtent is mgvkv& € Check this box if you have determined,based on the ittfornuttlon and Walyais above and any supporting dacumettt tick i; that the proposed action will not result in any stgrtific"t adverse environmental impacts. { Towne M scuatold•Bowd of'Craetees Name of Latta Agency 'Date Print or lWe Name of Responsible UK=in LOCI Agency' 'title of Rgponsible Officor • Siyratttre offtp=(if different From ResponsOe L?fcer) t �: 5lgaature of Responsible tafficer 1n Lead Agency . ...� c EAF Mapper Summary Report Sunday, January 12, 2025 10:06 PM Disclaimer: The EAF Mapper is a screening tool intended to assist xg a' j Piz ' x k t�'; project sponsors and reviewing agencies In preparing an environmental < ,, +* �� }z' . 5 ,i z assessment form(EAF).Not all questions asked in the EAF are ' } v5 answered by the EAF Mapper.Additional information on any EAF e fi k �, £ question can be obtained by consulting the EAF Workbooks. Although { % F� { ; the EAF Mapper provides the most up-to-date digital data available to Y Y ma you DEC, also need to contact local or other data sources In order T ,"� �r�`y����q, -,,��� to obtain data not provided by the Mapper.Digital data is not a i substitute for agency determinations. 1'k " kt�F�3' ,�� 4 f• 7A.k .t4`a nil A fa '(1 4 a+ ,, b t k • :spa `', x� ` -s st ' Yt kf 4 r aAPs 1W_ r• ZVIi•' , '' aar€.:ru» H} sf f } fi�+4 r r a. y �$ 2 q j :..i ',a7 G3F �,b .S y,fie.,N �y SRC '�. 'tl S*X 4 k Y }"'bx.,,,� Yis --` `,.: ..; G��'. k,7-•CLt� atAJf'� 3L:+ Ld,,Y i7t'Ypy -..,4 'a - r�i.Ttid_JI ��17 ` 5 `f= t . � "tt3t �,IF uL!P tC�if Rtrfvttistt, lvtptt ?F1a #t1 � }2f ' #sr {t ?? #•ttit tit ' ss r s ; 1 `1! iPart 1 /Question 7 [Critical Environmental ;Yes i ;Part 1 /Question 7[Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health,water, Area- Identify] 'vegetation, &scenic beauty,Agency:Suffolk County, Date.7-12-88 !Part 1 /Question 12a [National or State No 'Register of Historic Places or State Eligible 'Sites] `;Part 1 I Question 12b [Archeological Sites} Yes i ;Part 1 /Question 13a [Wetlands or Other ;Yes-Digital mapping information on local and federal wetlands and !Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. ['^a:..._...rs,i,.+.n.P.....-..................».«n..—.__..«...,.....rv....nw............n...,.....�...._..-.......-...._...:;;.......;,.>.x.«...:_..u:.,....Fr...n,...x:,-...................._......:.«....«.:..._»-rrv,....,..«.,..«.-_a:......».a,........x..-.:........:..._....,..........-,,..........,+._..........;_.._...«...._-.._..E Part 1 /Question 15[Threatened or lEndangered Animal] v i `Part 1 /Question 15[Threatened or Northern Long-eared Bat, Least Tern, Piping Plover, Common Tern jEndangered Animal-Name] _.. _- __.....M. _._,.....w.,._,_.,._.... _....-_...._._.r._ . ._ ^_.-.....e... ..._.._- __.__. . ._._ ,Part 1 /Question 16[100 Year Flood Plain] Yes 'Part 1 /Question 20[Remediation Site] No t_...............-..._...._.................__..........._....._.._......................_.... __..............................._......----..........__......_....... ..................__._.__....__._......... Short Environmental Assessment Form - EAF Mapper Summary Report 1 Board of Trustees Application AFFIDAVIT Raymond Thek _ ....BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) 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 PER VIIT(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. gnature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS, DAY OF 2025 Notary Public `( -coMrn KAREN MAXWELL 'O NOTARY PUBLIC �G�eL 10 STATE OF NEW JERSEY 2 -'l4$- 2026 MY COMMISSION EXPIRES JUNE 3,2026 -.4RSE Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Raymond Thek owners of the property identified as SCTM# 1000-53-04-13 _ _in the town of Greenport ;New York, hereby authorizes" Jeffrey Patanjo Jo act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. roperty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THISL DAY OF ZI&A , Notary Public WREN 44 KAREN MAXWELL ENO rq NOTARY PUBLIC STATE OF NEW JERSEY C/eL I G MY COMMISSION EXPIRES DUNE 3,2026 `G ,3,2026• �FRSE� APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM the'Town of Southold's Code.of•Ethics arof ibits conflicts of interest on the'cart of town officers-afi&emalotees.The nurroose.of' this`form;is,t&p'rovide information which 6if alert the town.ofnos"sible conflicts.of interest-and aitow it to take whateveractionis necessary,Wavoid same: ; YOUR NAME: Thek;.Raymond (Last name,first name,4ilddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (if"Other',name the activity.), Do you,,persanally ,(or'throughkyour.company,spouse:sibling,parent,or child):have a;relationship.with any officer or employee of the Town of Southold? "Relationship"includes°by blood marriage,qr°business interest."$usiness iriteiest"means:a;bus'sgess, including a partnership,'in-which the town,o�ceror employee-has even;a paruaGow,nership:of(or employmentby)a-corporation` in which the town:ofGcer or employee owns more than 5%of the shares. YES n . NO n If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): fjA)the owner of;greater than S%o of the shares of the corporat(stock of the applicant _n (when the applicant is a corporation); B)the legal or tienef cial 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. DESCRIPTION OF RELATIONSHIP Submitted this day of A"� 20 1,. Signature Print Nam . aymond Thek Fonn TS I APPLICANT%AGENUREPRESENTATIVE. TRANSACTIONAL•DISCLOSURE CORM Ttie Town.oESotiflold`s Code of:luthics.yrotii5its conflicts of interest on<the uart'of town<oflicers:and emnloyees..The puroose of.. this_forin is to provide inforriiatton.vrhleh cari sa16rf.tfi6-of n>of aossiblii co6fff6d of interest and allow it to take whatever action is necessacu to avoid same, :YOUR NAME Patanjo Jeffrey: (Lasf,name;firstname,.iriiddle initial unless you are applying tnthe.name of someone else or ottierentity;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' ✓ 'y Change ofZone... Coastal Erosion ;Approval of plat Mooring Exernptton:from plat orofficial.rriap — Planning :Other. (lf"Other',name the activity:) Do you personally,(or through your company,spouse,sibling,parent,or child)have a relationship with any officer.or employed•. of the:Town of.Southold? 'Relationship".includes'by blood;njazriage;or.titisiness interest "Business;interest"means a business, includng:a partnership,in'which the townoffcer oremployee has even a partial ownership of(or.employment by)a:corporation in which'the town.oflFceror employee owns more'than 5%ofthe shares. ... YES _ . .,. ❑ ..�.,.: NO :..,W. .• . If you ans��eyed"YES",complete the balance of this form and date and sign where indicated .Name of person employed.by the Town of Southold .� Title or posifion of that person Describe.therelationship between yourself(the applicant/agent/representatrve)and the town officer oremployee..Either check. the appropriate line A)through D):and/or describe in the space provided. The town officer or employee or his or herspouse,sibling,parent,of child is(check all that apply}: A)the owner of greater than.5%o of the.shares of the corporate stock of the.apphcanf {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 DESCIMPTIM Or RELATIONSHIP �. $ubmttfed this 0 20/2025 �-- PrintName:. io �ertrey atanio Form TSa Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: s'3 I S3- q- 1 53 - y- 53 - y- a � STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public March 12, 2025 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 ® (C E W .E P.O. Box 1179 Southold, New York 11971 LIAR 1 7 2025 RE: RAYMOND THEK 2105 BAYSHORE ROAD-GREENPORT, NY Southold Town SCTM No. 1000-53-004-13 Board of Trustees AFFIDAVIT OF MAILING Dear Trustees: Attached please find Affidavit of Mailing and certified receipts for the above referenced project. 11 If you should have any questions or require anything further, please do not hesitate to call me on 631-487-5290. Very truly yours, effrey Patanjo P.O. Box 582 Bohemia, NY 11716 r Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#:/M)_1 5__0Vq-/3 � NAME: ADDRESS: 1000-53-4-26.1 1000-53-4-12Mautner Richard W Forni John Mautner Marie F 2140 Bay Shore Rd 2055 Bay Shore Rd Greenport, NY 11944 Greenport, NY 11944 1000-53-4-14 1000-53-4-27 Rengifo Robert Weiss Daniel A Collins Sara Weiss Donna M 116 E 66th St Apt 8B 271 Andrew Ave New York, NY 10065 East Meadow, NY 11554 STATE OF NEW YORK COUNTY('��OF SUFFOLK / , residing at 02,�, �.2Lf /17/ , being duly sworn, deposes and says that on the /:2 day of lI"Q,-,-6I') , 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 Cj o , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 0 Sig afure Sworn to before me this /�- Day of -al-cio , 202,5- JESSICA L. GEREMINA NOTARY PUBLIC-STATE OF NEW YORK No.o1GE6418131 Qualified in Suffolk County My Commission Expires 06-01-2025 No �' is Postal ' • . t3 ■ MAIL CERTIFIED C3 Domestic Mail Only ra ' • r`- • • S.Come.. r`- ;m va , "' r,�,a�., "I 1� Certified Mail Feeru r'1 Certified Mail Fee ti '•\ rn $ ` m I ru $ ro date) ( `/] Jl't Extra Services&Fees(checkbox,add fee as eppropdate),.I u add fee as app P .. , ❑Return,Receipt(hardcopy) $ Extra Se Fees(check box, $— Y- I i 'Postmark'' ❑Return Recelpt(harcicoPY)' Pbstmafk „❑Retum ReceIPt(electronic) $— , 1 , t \ Here a, ❑Return Recelpt(electrorflo) 1 t�l,- Mere (,� 1❑Certified Mall Delivery $ ` ` 0 ❑Certified Mafl Restrcted Delivery $'�-�� O�� -' I 0 []Adult Signature Required $ ❑Adult Signature Required ❑Adult Signature Restricted Delivery$ O I C3 Postage' ❑Adult Signature Restdcted DelveN$ /9 S" a Postage _-: r 9 ' 1000-53-4-12 i' ; Mautner Richard W m T. 1000-53-4-26.1 0 ' Mautner Marie F _ �ru ' ,. io $ Forni John o '' 2055 Bay Shore Rd o' s 2140 Bay Shore Rd r� Greenport, NY 11944 Greenport, NY 11944 f ,- i Postal Postalo RECEIPT ERTIFIED MAILRECEIPTTIFIED o Domestic mail • nly Cc') Domestic Mail only r%- ,�'" r II rq� Certified Mall Fee , r q Certified Mail Fee' 7J 5: ru Y 35 nJ $ " '�� M ,Extra Services&Fees(check box,add fee as appropdate)�+ I m„ Extra Services'&Fees(check box,add fee as appropdate) '� S' ❑Return Receipt(hardcopy) . ' ,/'-,�� $ \ � Po maikf,0, ❑Return Recelpt(hardcopY) Postmark 0 .❑Return Receipt(electronic). $ i �. - He Return Receipt(electronic) $ Here r '❑Certified Mail Restricted Delivery $_:.,,r _ 0'• ❑Certified Mall Restdcted Delivery $ $��. '' ,,r i[] ❑Adult Signature Required t,.,t, , f., •, ❑Adutt Signature Required $' []Adult Signature Restricted Delivery$ []Adult Signature Restricted DellSm$ ,r Y O Postage ,. _a $, 1000-53-4-27 r ,-.�t,r��! i I m 4-14 �Pf9U'I� r�,$ Weiss Daniel A I Rengifo Robe rt ti so Weiss Donna M ti ? Collins Sara ______________ 271 Andrew Ave --`-I----`----- c3 116 E 66th St Apt 86 r� East Meadow, NY 11554 t New York, NY 10065 :rr r rr ,,,•r• :rr r r, ,�r•r• i .Y 6 J March 19, 2025 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: RAYMOND THEK 2106 BAYSHORE ROAD-GREENPORT, NY -SCTM No. 1000-53-004-13 AFFIDAVIT OF POSTING Dear Trustees: Attached please find Affidavit of Posting for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me on 631-487-5290. Very truly.yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 1.1716 l Glenn Goldsmith,President �0S11FF04CO Town Hall Annex A.Nicholas Krupski,Vice President �� G% 54375 Route 25 Eric Sepenoski ti 2 P.O.Box 1179 Liz Gillooly o Southold,NY 11971 Elizabeth Peeples 41- �a Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of RAYMOND THEK COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING 11 i a, O PLAEiYiE �IS'1�F ) 'll����►TIL ;o:�` �.SOWIMNGU IAS�RE� P�fflp LNG DATA--GQIVIPL-``�T�TI_IIS�FQ1=V'�E���I°. DA�� R��Af�E I, Je- , residing at/dba Ll being duly sworn, depose and say: That on the/() day of/Y2�1roh , 2025, 1 personally posted the property known as by placing the Board o 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 Wednesdav, March 19,2025. Dated:/brC e) 1 R, 2626 (sig ature) Sworn to before me this JESSICA L. GEREMINA /q day of AcK20 ZS NOTARY PUBLIC-STATE OF NEW YORK No.01 G E6418131 Qualified in Suffolk County My Commission Expires 06-01-2025 t Px[ ,NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: RAYMOND THEK SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove and replace 85 linear feet of existing timber retaining wall with new vinyl retaining wall in same location as existing. Located: 2105 Bay Shore Road, Greenport. SCTM# 1000-53-4-13 3 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 CONSISTENCYI 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. t 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 toz .its. sipufcant beneficialand"ddyerse.6ff6cts,,-upon:the coastal,area(, hichincludes all.of'Southold Town1. 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,,mtigt:;he,:explained rm detail, ai'stin� both.sunporting and non.,,; su porting facts. 'If an action cannot be certified as consistent with the LWRP policy standards and conditions,it sha1T•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# 53. -04 , 13 PROJECT NAME 2105 Bayshore Road, Greenport, NY 11944 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) (e) Permit,approval,license,certification: Nature and extent of action: See,attached . ,• f Location of action: 2105 Bayshore Road, Greenport, NY 11944 Site acreage: 0.544 ' 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.applacarift Raymond Thek (b) Mailing address: 63 Dorchester Dr_Basking Ridge, NJ 07920 (c) Telephone number: 908-922-9078 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes-a No❑ If yes,which state or federal agency? NYSDEC 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 Project provides fors new retainingwall.to protect against loss of,land:and.erosion„of the waters. Attach additional sheets if necessary Policy 2. Protect and preserve historic and .archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria Cl Yes 1:11 No Not Applicable No effect. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑`No❑ Not Applicable Project'provides anew visually.appealings horeline on the subject property. .,.., ,. .. , .. ., .. ... 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 D=No El Not Applicable Project provides a stabilized shoreline and:protect against loss of land and erosion. Attach additionalsheets 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 E; Yes ❑ No .❑✓ Not Applicable No effect. • 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 FINo �/ Not Applicable No effect Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies P Pages 32 through 34 for evaluation criteria. ❑ Yes No Not Applicable No effect. 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. 0 D W .' Yes No Not Applicable No effect. t 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.Y60 No 0 Not Applicable Project provides continued use of waters and adjacent area by way of new retaining,wall,and steps dw 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 LWIRP Section III= Policies; Pages 47 through 56 for evaluation criteria. ❑'Yes `❑ No Not Applicable No effect., Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LW12P Section III Policies; Pages 57 through 62 for evaluation criteria. ❑Yes.0 No Z Not Applicable No effect..., . ...... . t Attach additional-sheets-f 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 No effect. n Attach additional sheets if necessary' w Policy 13. . Promote appropriate use and development of energy and mineral resources. See LWR.P Section III—Policies; Pages 65 through 68 for evaluation criteria. Yes ❑ No❑✓ Not Applicable No effect. PREPARED BY J. Patanja T'ITL,E Agent DATE 1-5-25 January 21, 2025 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 C �� P.O. Box 1179 FDD Southold, New York 11971 RE: RAYMOND THEK JAN 2 4 2025 2105 BAYSHORE ROAD-GREENPORT, NY 'o- -Fown SCTM No. 1000-53-004-13 QOnrC� Cf'�rustees APPLICATION FOR PERMIT Dear.Trustees: Attached please find four copies of proposed plans, application, photos and check for the above referenced project., Please review and comment as required prior to placement on public hearing agenda. If you should have any questions or require anything further, please do not hesitate to call me on 631-487=5290. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 i