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HomeMy WebLinkAboutParsons, Kathryn M. Trust Hobson, Thomas From: Hobson,Thomas Sent: Monday, November 4, 2024 9:33 AM To: 'gjustl02l5@aol.com' Cc: Cantrell, Elizabeth Subject: Parsons - Fishers Island Hi Glenn, We are in receipt of the application for a Wetland and Coastal Erosion Permit for Parsons on Fishers Island. Since they are two single and separate lots,with two separate owner names,they will have to be broken up into two separate applications(and therefore an additional$2,500). Also,upon review,I don't see J. Geddes Parsons name listed as owner of either parcel in the Town records. Lot 2.2 is under the name"Kathryn M. Parsons Trust"and 3.1 is"Anything For The Children,LLC"(see the survey section of the plans you submitted with the application). We'll need articles of incorporation or other proof that Mr. or Mrs.Parsons are able to sign for/represent the property. Nonetheless,we will have Eric do a site inspection when he visits Fishers Island on Saturday so that it doesn't get delayed for that reason. Thomas Hobson Administrative Assistant Town of Southold Board of Trustees " Phone: (631)765-1892 Fax: (631)765-6641 1 OFFO( Glenn Goldsmith,President OGy� � Town Hall Annex A.Nicholas Krupski,Vice President .� 54375 Route 25 Eric Sepenoski * ,x P.O.Box 1179 Liz Gillooly �A • 0�41F� Southold,NY 1.1971 Elizabeth Peeples l �� Telephone(631)765-1892 Fax(631)765-6641 i Southold Town Board of Trustees Field Inspection Report Date/Time: MAOY Completed in field by: JMO Enivornmental on behalf of KATHRYN M. PARSONS TRUST $ KATHRYN M. PASONS requests a Wetland Permit to install approximately 245' of shore protection by removing and stockpiling existing boulders on the damaged slope; excavate approximately 4'; install geotextile filter fabric; install a stone filter layer consisting of 3" crushed stone; install boulder slope consisting of 4' minimum rock and fill voids with crushed stone as needed; establish and perpetually maintain a 10'wide buffer of native vegetation between the top of the new stone slope and edge of existing lawn. Located: 1596 Brickyard Road, Fishers Island. SCTM#.1000- 1 0-5-2.2 & 3.1 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: land Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: `--'Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: p ® Y �iYJ� f�vT ell AXWV,6��, J % Present Were: G. Goldsmith N. Krupski �Sepenoski L. Gillooly E. Peeples Ix 1.PIPE 39-, o N/F (FOUND) O Draw ng CoPYil9ht 02015 N: 165.33 :�i x ,� }�T 1`� m TURKEY HOUSE LLC W: 3045 33 CIII! �i -Is' v , j sa '` ar. , 'e'y,• a 39-2 •(�M 1- ,; y v"ssssg.' r.; s'gy r r'xh 1 `"''� r, -',4_1 a- \ fr. \ / ,fW '4 _U e, i ^,' "tb'^ c.�,. .'$ ,,�3 ' , ', s ( �'�a'�r ^r H',,-^£d„�.,: X ,,,:,g,,�+ioA,Y` _ S 5Q 51g• t fE „ is �' A x ¢ > y tee, y. ;' 39-5 S /� i t iy" 1�, if�t, t 'fb . 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'�`d""'. 1 pyy�4F}TV v� :< �✓ ^ $b �� r" •A <sm Bar- � Ma,1 � <3 >�xA �d. � Y c�' a V G� g �B,Y % 3`M?kJ�.. �t.. a , , . •' � O40-16 1-1 gg .' y�� t C ems' y� '. p d• A P,Y, R',4 K.>f;£w •, i " s •k s�s= a ,. J. GEDD ES PARSONS :,d'' Yr 'J :aN. ^4- �a •4 F e�r t'a i. 5.v'. b� �4 ' w - ztt� a S/ N. i �• L . `# ` > M ,G-,6 1596 BRICKYARD ROAD , .W ti � �p /9� / IMAGE 1 IMAGE 2 �� '""° ,,�., ,,�t3 FISHERS ISLAND, NY / ' w ti� o /eA is > NOL ASSOCIATES LLC �\ ,�, o 0 s6\ �.-I 5/ oo LOCATION MAP SCALE 1 =400 \e. S:67.40 N 26'58'50" W ass\.10. , , \� 6 W:3583. 13 112.30 1a A �'• F yeti + _ T E L-249.71' 3 h �� I V A L=g4•� 1$o f MAP �,,I::FERENCES P R o � ARMOR LAYER 1. "P:-AN OF PROPERTY TO BE CONVEYED BY SUZANNA VON DER SCHULENBERG /^ h R O A D TO THOMAS W. BUCKNER, FISHERS ISLAND, NEW YORK" SCALE: 1"=40' JULY 19, / � LESS THAN WEIGHT DIMENSION o 0 BY WEIGHT LBS FT. N/F 1991 13Y CHANDLER, PALMER AND KING. 0 (MIN.) 390 1.33 X TURKEY HOUSE, LLC y/ 15 1250 1.97 \ NOTEr' KEY MAP SCALE 1 =1 00, 85 6140 3.34 \ COASTAL EROSION LINE 1. THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED 100 (MAX.) 12520 4.23 \ HEREC�N. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO 289.6 ' BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGA(.�EMENT. S 4504'30" E WF FWW4— \ \ 2. IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS �" PROVIDE 10' WIDE WF ACTIN+' UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM � ' I-,;, BUFFER OF NATIVE IN ANY WAY. +'r �, y VEGETATION BETWEEN . 4 % y - �• ..•: 10 10 y y - TOP OF NEW STONE \,'� � 3. ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYORS SIGNATURE IIt (I , " 1. �, BOULDER SLOPE PROTECTION i EXISTING I 41 5031'30" E y ( SLOPE AND EDGE OF LAWN ELECTRIC . ' TOP OF BANK I _V TRANSFORMER - + +N ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND 4' MIN. DIA. ROCK AT TOE (07-2021) . GRADE y y ^� � �� 8 ,TIDAL-GRASS .. .. ... ... ......... .. _-. -,... ..- -.,.., . .,.... -.. _.... _ ... . .,.,,...- ......,....I. _,. 8 y / - ", -- OP AND � I TOE OF SLOPE I' y SURVEYOR , 20� / A ll I' (07-2021) i -- — REMOVE AND STOCKPILE y y / /� i 1 24" O�VEC = T K l 4. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC `.`',� - " ` `'y SECTION 1 i f o1 TWIN \ -__ 6 _ „ ....._..... .. .... .._ , ., .-, . _... ____, _.-.,., _. ,,. .__;.•._.•_,. _ ._,,._., ,,.. _. ,_, .,._„ ,3. .. _,`_ "....,. " ...,.."-....., ,_ - _. _ .... 6 y �� � , C - o,' SURVEY TRIANGULATION STATION "NIN" ~ .�. . EXISTING BOULDERS y ( -) ) I ON DAMAGED SLOPE. , / / �_ MAPLE' ' 10' BU P RICER I _V `;L: ", -�� -_--6� 5. SHE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, � LACE FABRIC. ONE I/ / % = SH \\ 4 _.,._,,... ... ..,.-.,.. _,.._.....,,._...."._,,.,.,_..,.. ;..... 4 PROVIDE NEW BOULDER y y / A- � SECTION 10, BLOCK 5, LOT 2.2 AND LOT 3.1. PROVIDE FFER OF FILTER LA AND AT1VE VEGETATION BETWEEN / � � � _ TOP OF NEW STONE SLOPE SLOPE PROTECTION. y y 0+00 / / � ' `�� �' � --` ^ '., ._. AND EDGE OF LAWN 2 I I- , IT IS A VI TION OF LAN FOR ANY PERSON,UNLESS THEY ARE 2 ,_.__.-_ , ,,, ',j...,..._._ I.. ,l .;,....._ .-_. ' . . - ,_. " ._ -., , _ - AREA AT TOP OF SLO i 6. AREAS. LOT 2. ( . 1t ACRE ) LOT .44f ACRES)�' , 1.a L 9 LAND 11, „1. :,I'',,,- ,�11 `,, -,w, _,'I. � FILL VOIDS ALL WORK FROM LAWN � 2 1 ACRES), 3 1(4 S ACTING UNDER THE DIRECTION of A LICENSED PROFESSIONAL r., � PE TO y �. I:,O I C ~� (S �-—�% 4 /- SURVEYOR TER ITEM IN ANY WAY IF AN�ITF]I�L BEARING THE Y'S': i. E AS LMIT y I -. 0 �_ ��� ,� \ 7. SITE IS LOCATED IN ZONING DISTRICT R-120. aqI" ARCHITECT,LANDSCAPE ALTERING, 1 0 .......___,... ,-._..._........I _...-.... . - _- .. ....__.. .. ........ ..... )" . -.,:..::;;` ? . ...__.__._--. _._.,._.__ ..... . _._- _..._ _.... .. .. ... .... .. 0 y I LJ, S' ^ i SURVEYOR SHALL STAMP THE DOCUMENT AND INCLUDE THE IN SLOP I DISTURBANCE OF jj NECESSARY (SEE XL WETLAI ) y I 1 (j ��0+6 r PROVIDE MIRAFI FW-700 GEOTEXTILE ROVIDE 3" DIA. CRUSI°ED y y I I I °w / �__-J ll 1 �/ \ ,� 8. THIS PROPERTY IS IN FLOOD ZONE AE10, AE9 AND ZONE VE12 A''S SHOWN OF NOTATION OF��ALTERATION.FOLLOWED�SPECIFIC DE�� FILTER FABRIC OR EQUIVALEN TYP. ' STONE FlLT�JZ LAYER , I / • .f r ^� r .�+to r MIN` Tr,�nr10 CF cn ITL,� t n��t tr T� ►I, 3cn 1 Z of THE ALT,7tA71ON. r I ( FEMR LO'O:: N'SUrZA''10AC Rr IFE SOU .,.,.ILC C+.•:',i,:SUM: + ! ,91 -2 -2 APPROXIMATE LIMITS _V / ( i / OAK • �a ^N v'"=""'`�`� T10i `v "' O OF TIDAL WETLANDS y i' I �, � lv \ � PANEL. 19 OF 1026 MAP SUFFIX: H MAP NUMBER 36 i 03C0019H MAP REVISED [:: I I n � rn y O G 2 V^ __/ �, SEPTEMBER 25, 2009. Lti 6 cD cD / ' I ` r'_, o O AC k-O, 0+00 SECTION T 0+60 MARSH y y ; ; l so s' ��` 14 14 / EXISTING y y / tr i /+I. I' 1 \ / y y In + / 8� 12 _,.--- ...__.,--...-...__._-,-_-.___ ---...___>W_.,._>..._._._._._-_ ,_. ...___ -__.__... f_._._..."_. . ._"......,. _...__.___...__._._,_.._...... _. ...__. .... . .... .. .. .. .... _. .. - _...i ..... . 12 y y y / i 1 I l ` �c�'ry 311 ,/ GRADE �O TOP OF SLOPE � y / 8 c BOULDER SLOPE PROTECTION f / EE SEPTIC TANK '`4 -• 4' MIN. DIA. ROCK AT;TOE (07-2021) y y y '/, % / �_ 9 �. ___ _.._. ___._W_____,".._.._.____- _-- ."_ _._..______. ___. ......._-,-...__..__. ._,..-_;..,_._.,.. __.....I _._-. . . ........i._ �.'...�- _ y y SECTION 2 _v I - / '� 10 ; 10 y I , TIDAL GRASS I E y _V �V,v / OF FL�O �9 8 T07-2021 OE LOk'E..._..-__.. _.r._ .. __. . 8 y y �!1 �'11 / / UMR' \ ( ) i 4 y / I ri�/ , ° / ./ ZONE E1'�0 3" (R: C `,°.-. I _._. y / l, t - 18" TREE l \(�, 6 ,»- .... -,. ._. .. 6 y y 0+60 l l! f ° CHERRY �- �y� I' PROVIDE 10 BUFFER OF zi. y _V ';( / `� N 33'58'30w W, 7 4 .._ ---_._. ,. _ .._ - . .. . "! .,_.. __. ... .._ I.._ _,__-. . . .. . ... , . . . TOP!OF NEW STONE SLEO'EE -. ._. _. - .... _._.,...'-. . . 4 EEN y y y �.4 f + 0 /t. / 87.86' l i I �� I "- AND EDGE OF LAWN -5 / 2p'o,83 I-,' / \ \ SEPTIC (� .`_ll-,I,->, -- ;;,J- ,i! \=. _.__ �, , y /� : / ^ \ LOCATION �� �? \ , 2 _. . ... . .._ ,,_ ?` °<err_.__._ _ N SLOPE AS _. ........._.--_..____.__..... .. ........._ _._.- _.__. -._ ._. ........_ 2 4g10 0 W y y /I nr / / ./ - �l �J w f3 y / �� r,, -; NECESSARY ? N '_'� y //// / � o / \ `�. � , �s. _ ,,, ., 0 PROVIDE MIRAFI FW-700 CEO _,.._- - ROVIDE 3 DIA. CRUSHED 0 y BRUSHLINE y i/'/`/ FILTER FABRIC ORE IVALENT TYP. i STONE FILTER ;LAYER (TYP,) /; i, i I �7 \ 4;/ y i ,1l l - / STONEWALL \ z � N o °,n° REMOVE AND STOCKPILE y _V i r /!�/ / / / / '`bl No. Submittal I Revision d. B Date APP Y � � a; o o ANY EXISTING BOULDERS y // "/ QQ ON DAMAGED SLOPE. y y I ' / /, �w PLACE FABRIC, STONE -y ' `'l / - I � 0+00 SECTION 2 0+60 FILTER LAYER AND y _V / �_/ I --13f "v . , l I 1 1 o PROVIDE NEW BOULDER y , ',1 �- N SLOPE PROTECTION. ;�� / , ( ' Y 0 U ALL WORK FROM LAWN it lI I . U Z Z co AREA AT TOP OF SLOPE TO y I l f A; I I � � (' W W LIMIT DISTURBANCE OF -y _V _- I 1 " \ . \ \ \ 0 -o I,- TIDAL WETLANDS �///-` �� 11.1 10 , 10 (SEE X-SECTIONS) I y / /r r �°� ERRY'\ , \.\ \ _ 11 m o BOULDER SLOPE PROTEC710N I TOP OF BANK EXISTING y �/IJ \ —13-, ' 4' MIN DIA. ROCK AT TOE -(07-2021) GRADE SECTION 3 /�I \ \ \ 8 I . zo .___ ,_._-_-,-_---.�,..,�..,.__-„__„-...,.-. .__ ,-._._._.".____...-._-..., _.,...,..,.__-. _._-..__._.,,,_,_ _ _. .-..._, _„_,_„,„ .. , _ _,.._. _ . ,.... 8 y S I \ 7 — ' TOE OF SLOPE y s � \ 0 6 __.... ,,. . (07-2021)__..._...,___' ,,,��__�,,._. € 6 I � I I � �` I ,;MAPLE � I if 1: -� CL y ��I - TIDAL GRASS / ; PROVIDE 10' BUFFER OF y ' ; . J o %._-__.. _....j ...___ ,.,_ .. _, _ .. ,_ _ _ AND EDGE ATIVE OF LAWN SLATION ETYYEE ` •� ,, \ _ _.___. . STONE OPE 0-�e o ,I 'J„, , 11I'" ' ,FILL VOIDS y �� \ \ � COASTAL EROSION LINE Southold To Q :':' IN SLOPE AS 1 Town rr - X:q. t_ NECESSARY, ,__..._.-_____,_-,.,., _.__ �_, _.. __,. ,_..__.. ,... ... .. _. ���,\ \ , 8cutrdofrrt,st�es PROPOSED SHORE c� -� � PROVIDE MIRAFl FW-700 GEOTEXTILE { PROTECTION Of FILTER FABRIC OR EQUIVALENT(TYP.) 1 f -PROVIDE 3 DIA. CRUSHED i ���� `�� ��� \ \ m STONE FILTER LAYER ; - �.�;:�\.s - col -2 -2 y PROVIDE 10' WIDE �`1_,1' \ ,N BUFFER OF' NATIVE ``' ' VMS OF In rn ao d \ Ln 00 N Co N .+ \`.� ". .Xr � .� � � r VEGETATION BETWEEN � '.. \ o TOP OF NEW STONE •\ 6" 2ONF q� SOD Designed By: Drawn By: Checked By: vim, SLOPE AND EDGE OF LAWN �'`1 �REE 0 0+00 SECTION 3 0+60 LEGEND RHS RAC RHS 6 - Issue Date: Project No: Scale: oU) - 40, MARSH PROPERTY LINE 08-16-2021 071526 AS NOTED N ,rs2 PROJECT LIMITS - \ EDGE OF PAVEMENT EDGE OF GRAVEL -----------'-- of HOR. SCALE IN FEET EXISTING CONTOUR ——— 12 0- 5 0 5 10 30 15 0 30 60 Drawing No.: STONE WALL 5 0 5 10 SCALE: 1" = 30' NOW OR FORMERLY N/F SHEET 1 OF 1 k; VER. 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S,M - ,_au,.x..uu.x• BP k 23P 5.3 - ep9,?A93.* ��� � 4U✓VD r..E �F�'k''�> \\'+..'.use, \ t ..._ "" FERRY O.8� O Y a� COUNTY OF SUFFOLK k_1 WME R 1 Pr pony 14 5 ce Agency v w M ,w ur 89UTMOLD 01 0 Glenn Goldsmith,President }' , iQ�l' Town Hall Annex t� 54375 Route 25 A.Nicholas Krupski,Vice President 1 "1 P.O.Box 1179 Eric SepenoskijrSouthold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application NOV 1 2024 Administrative Permit __Amendment/Transfer/Extension Received Application: Smftld Town Received Fee: Completed Application: Incomplete: _ SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Assessment Form Sent: _ CAC Referral Sent: Date of Inspection: Receipt of CAC Report:— __Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): J.Geddes Parsons Mailing Address: 4 Palm Trail, Hobe Sound. FL 33455 Phone Number: 631-788-7050 Suffolk County Tax Map Number: I 000 - 10-5-2.2 & 3.1 Property Location: 1596 Brickyard Road, Fishers Island (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable):JMO Environmental Consulting/Glenn E. Just Mailing Address: P.O. Box 447, Quogue, NY 11959-04447 Phone Number: 631-653-0607 Email:just10215@aol.corp __ Applicant proposes to install approximately 245, of shore protection by removing and stockpiling existing boulders on the damage slope; excavate approximately 4'; install geotextile filter fabric; install a stone filter layer consisting of 3" crushed stone; install boulder slope consisting of 4' minimum rock and fill voids with crushed stone as needed; provide a 10' wide buffer of native vegetation between the top of the new stone slope and the edge of lawn. Ord of Trustees Applicatia- GENERAL DATA Land Area(in square feet): Lot 2.2 (83199.6), Lot 3.1 (193406.4) _ Area Zoning:R-120 Previous use of property: Single family dwelling Intended use of property: Single family dwelling Covenants and Restrictions on property? Yes _ _No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? ElYes _allo 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. is project reojuzq 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 ZNo prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_a No_n Yes If yes, provide explanation: Project Description(use attachments if necessary): Please see attached __.-'Lrd of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Shoreline protection Area of wetlands on lot: 25,100 square feet Percent coverage of lot: na % Closest distance between nearest existing structure and upland edge of wetlands: 77 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? ❑ No ✓ Yes If yes,how much material will be excavated?425 cubic yards How much material will be filled?425 cubic yards Depth of which material will be removed or deposited: 4 feet Proposed slope throughout the area of operations: 1:3 Manner in which material will be removed or deposited: Backhoe 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): As proposed there should be no negative impacts upon wetlands or tidal waters. Ord of Trustees Applicati('. COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Shoreline protection Are wetlands present within 100 feet of the proposed activity? No n... Yes Does the project involve excavation or filling? No Yes If Yes,how much material will be excavated?,425 (cubic yards) How much material will be filled?425 (cubic yards) Manner in which material will be removed or deposited:. Backhoe Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) There should no increase of erosion or adverse effects on natural protective features on the,subject property or neighboring properties. 61 Z20 Appendix B Short Environmental Assessment Form Instructions for.Comnleting Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part l -Project and Sponsor Information Name of Action or Project: Shore protection Project Location(describe,and attach a location map): 1596 Brickyard Road, Fishers Island (Location map enclosed) Brief Description of Proposed Action: Please see attached Name of Applicant or Sponsor: Telephone:631-788-7050 J. Geddes Parsons . E-Mail:c/o dburnham@rrgarden.net Address: ' 4 Palm Trail City/PO: State: Zip Code: Hobe Sound FL 133455 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: ❑ Southold Town Trustees & N.Y.S.D.E.C. 3.a.Total acreage of the site of the proposed action? 6.35 acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 6.35 acres 4. Che I land us at occur on,adjoining an ar the prop action. 0Urban L:JRural(non-agriculture) Industrial Commercial OResidential(suburban) Forest [:]Agriculture Aquatic [:]Other(specify): Parkland Page 1 of 4 Applicant proposes to install approximately 245, of shore protection by removing and stockpiling existing boulders on the damage slope; excavate approximately 4'; install geotextile filter fabric; install a stone filter layer consisting of 3" crushed stone; install boulder slope consisting of 4' minimum rock and fill voids with crushed stone as needed; provide a 10' wide buffer of native vegetation between the top of the new stone slope and the edge of lawn. I 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? El F1 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? � 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: Fishers Island Sound ❑ F.-1 8. a.Will the proposed action result in a substantial increase in traffic above present levels? h- ElYES b.Are public transportation service(s)available at or nearthe 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: ❑ R1 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO' YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. ntify the typicaikabitat types that oc n,or are likely to be found on At&9roject site. Check all that apply: ✓ Shoreline Forest Agricultural/grasslands LJ Early mid-successional ✓ Wetland Urban ESuburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed k' I by the State or Federal government as threatened or endangered?16.Is the project site located in the 100 year flood plain?17.Will the proposed action create storm water discharge,either from point or non-point sources? If Yes, ❑ Ela. Will storm water discharges flow to adjacent properties? ❑NO YES ✓ b. Will storm water discharges be directed to established conveyance systems f an m drains)? If Yes,briefly describe: rl�O YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe:, ❑ I AFFIRM THAT THE IPWOLRMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/am n E t Date: — -� Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions-the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 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 of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or a El 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? El 1:1 7. W ill the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? El 0- 8. Will the proposed action impair the character or quality of important historic,archaeological, El architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ a waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 I 1 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? 0. EJ 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. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 ward of Trustees Application AFFIDAVIT . G�i►n I !•n r 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 PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature UProperty Owner SWORN TO BEFORE ME THIS DAY OF Ocro,6ElP- , 20GLI Notary Public State of Florida Carol Louise Almelda My Commission llll Exp ior'osi2o2s Notary Public C �oa Board of Trustees Application-) AUTHORIZATION (Where the applicant is not the owner) I/We,_ (1.CD p4-f &60^6 owners of the property identified as SCTM# 1000-10-5-2.2 & 3.1 in the town of Fishers Island ,New York,hereby authorizes JMO Environmental Consulting to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property O er's Sigfiature SWORN TO BEFORE ME THIS Y`M DAY OF C o r- ,20a-(/ _ Notary Public State of Florida I& Carol Louise Almelda My commission III) HH 1$1699 Exp.1010512025 Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town oLs—outhold's C de of EthiS4 orobibijisconflicts of interest on the vart of town officers and employees,The e qf this form is vide information which can.alert the to wn of nossible co flicis of-i T st and allow it o take w1wever action i necessatyto avoid same. c,� YOURNAME' 0 F C�-TaK�—VV (Last name,first name,iri dl� a initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning _ Other _ (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the Town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than.S%of the shares. YES NO If you answered"YES",complete the balance ofthis 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 appiicantlagendrepresentative)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): 12A)the owner of greater than S%of the shares of the corporate stock of the applicant _❑ (when the applicant is a corporation); ,_B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partnne%or employee of the applicant;or D)the actual applicant.. DESCRIPTION OF RELATIONSHIP Submitted this day of 26_Z-7 Signature Print Name Forrn TS I " APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibitsconflicts of interest on the part.of'town,officers and,emnlovees.The purrvose of this-form issto provide information which can alert the town_of possible conflicts of interest and allow it to take.whatever action is necessary to avoid same. YOURNAME: Just, Glenn, E. (Last name,first name,ipiddle initial,unless you are applying'in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you personally'(orthrough your company,spouse,sibling,parent;or•child)have a relationship with any officer employee of the Town of Southold? "Relationship"includes by blood,marriage or business interest."Business interest"means abusiness, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the'town officer or employee owns more than I5%of_ie shares. YESF 1-1 NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): fIA)the owner of greater than 5%of the shares of the corporate stock of the applicturt � (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. DESCRIPTION OF RELATIONSHIP Submitted thisWabof 2024 SignaturePrintNa Fonn TS I l i Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed,action will be evaluated as to its si ificant beneficial and.adverse effects.unon 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-exnlained in detail, listine both supporting and non- suaporting 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. i B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 10 ..5 -2.2 & 3.1 PROJECT NAME Shore protection 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 Applicant proposes to install approximately 245, of shore protection by removing and stockpiling existing boulders on the damage slope; excavate approximately 4'; install geotextile filter fabric; install a stone filter layer consisting of 3" crushed stone; install boulder slope consisting of 4' minimum rock and fill voids with crushed stone as needed; provide a 10' wide buffer of native vegetation between the top of the new stone slope and the edge of lawn. Location of action: 1596 Brickyard Road, Fishers Island Site acreage: 6.35 Present land use: Single family dwelling Present zoning classification:Single family dwelling 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: J. Geddes Parsons t (b) Mailing address: 4 Palm Trail Hobe Sound, FL 33455 (c) Telephone number. 631-788-7050 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑✓ No❑ ff yes,which state or federal agency?N.Y.S.D.E.C. f 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 The proiect will not impact_the character of the community. It is felt that the proiect is consistent with this policy 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 21 Yes ❑ No❑ Not Applicable I The project will have no impacts on any historic or archaeological resouces. It is felt that the project is consistent with this policy 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 project will not impact the visual quality or scenic resources. It is felt that the project is, consistent with this policy. 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 FV Yes ❑ No ❑ Not Applicable The project will not result in the loss of life, structures or natural resources from flooding or erosion.'-lt iifelt that the project is consistent with this policy. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑✓ ro Yes ❑ No I ]Not Applicable The project will not impact the quality or supply of water in the Town of Southold. It is felt that the project is consistent with this policy. Attach addil-donal 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. 0 Yes ❑No ❑ Not Applicable The project will not negatively impact the quality or function of ecosystems in the Town of Southold or Significant Coastal Fish and Wildlife Habitats or wetlands. It is felt that the project is consistent with this policy. Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No❑ Not Applicable The project will not impact the quality of air in the Town of Southold. It is felt that the project is consistent with this policy. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation.criteria. ❑Yes .❑ No 0 Not Applicable The project does not involve solid waste or hazardous substances or wastes. It is felt that this policy is not applicable to the project. 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.0 YelnnJ No❑ Not Applicable The project will not impact public access to, or the recreation use of, coastal waters,public lands or public resources of the Town of Southold. It is felt that the project is consistent with this policy. Attach additional sheets if necessary r WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑✓ Yes ❑ No ❑ Not Applicable The project will have no impact upon the Town of Southold's water-depenent uses or the siting of new water-dependent uses It is felt that the proje�tls consistent with this policy 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. a Yes ❑ No❑ Not Applicable The project will not impact the sustainable use of living marine resources. It is felt that the rrooiect is consistent with this policy. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No Z Not Applicable The project does not involve agricultural lands. It is felt that this policy is not applicable to the project. 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 The project does not involve the use or.development of energy.or mineral resources. It is felt . that this policy is not applicable to the project. PREPARED BY Glenn E. Just TITLE Agent DATE 10-30-24 J JA40 EN RoNMENTAL CONSULTING P.O.Box 447 QuoGUE,NY n959 63MB-0607 October 31, 2024 I just wanted to get this in before Eric's trip to Fishers Island. I have attached one set of plans (my working copy) I will have additional ones next week and get you copies. Best- Glenn o :S(Olutftld N V E 1 2024 Townnrs6ees