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TR-10770A
®�� Town Hall Annex Glenn Goldsmith, President �� ®� 54375 Route 25 ® P.O. Box 1179 A. Nicholas i, Vice President Southold, New York 11971 Ericric Sep Sepenoski Liz Gillooly C Telephone (631) 765-1892 Fax (631) 765 6641 Elizabeth Peeples �� a® BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OFT H T ES BOARD OF TRUSTEES OFF 72 HOURS PRIOR TO COMMENCEMENT OF THE A BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction 1/2 constructed When project complete, call for compliance inspection-, Glenn Goldsmith,President ®F S0 Town Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski J 1�6 Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples � Fax(631) 765-6641 C®UNT`l,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10770A Date of Receipt of Application: April 9, 2025 Applicant: Richard & Kathleen O'Toole & Erin Doherty SCTM#: 1000-145-2-7 Project Location: 760 Peconic Bay Boulevard, Laurel Date of Resolution/Issuance: May 14, 2025 Date of Expiration: May 14, 2028 Reviewed by: Board of Trustees Project Description: As-built, in-kind/in-place reconstruction of 10.4' x 26.2' attached deck, with new 5'x26.1' steps in place of previously existing semi- circular seaward deck protrusion and two sets of steps. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Scalice Land Surveying, received on April 9, 2025, and stamped approved on May 14, 2025. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees SYMBOL LEGEND APPROVED BY C) MONUMENT (0 MANHOLE TEST HOLE 0 I.P. /I.B. FNDND M 'A"—INLET TREE I.P. /I.B. SET 112 "B"—INL-T ® SHRUB BOARD OF 1 RUSTEES *�� SPOT ELEVATIONS ® YARD INLET 0 BOLLARD COLD UTILITY POLE ® YARD INLET WETLAND FLAG "TO.WN OF, SOUTHOLD GUY WIRE ® ELECTRIC METER CANT. CANTILEVER UTILITY POLE W/UGHT © GAS METER FE.FENCE DATE f �� 0 LIGHT POLE ® WATER METER MAT.MASONRY SIGN pd GAS VALVE PLAT.PLATFORM --0 PVC FENCE(PVC) in WATER VALVE W.W.WINDOW WELL 3 STOCKADE FENCE(STK) B/W BAY WINDOW —X— CHAIN LINK FENCE(CLF)O/H OVERHANG C/E CELLAR ENTRANCE — WIRE FENCE R/O ROOF OVER FIRE HYDRANT D.C.DEPRESSED CURB A/C UNIT : ® CROSS CUT G.O.L.GENERALLY ON LINE 0 STAKE O/L ON LINE R.O.W.RIGHT OF WAY Oo FM LOT 2 ./ry o m TAX LOT 8 S!/°53,00��� ASPHALT \`CONC.& \GARAGE 3a 5' WOOD FEN. AR DRV DRIVEWAY STK FOFJt�I — ^3\� l 6' OCKADE 2.1' _ _ _ _ 1' 4 3 END. " FND. — RI F?r RBR. °f MOH. 495.24 r(1 \QJG + S7K I S BLDG— —— —— n ,,n 4'STOCKADE FEN �0.3'V WO D 1.3 o f \ �\. 1 o �y► �) \ 4 FEN FEN 4!STOCYAD FEN 6,6' FEN. 0.1' .23'2� �0.3'3.1' FEN. 1.4' 19�$' .\Z7\o 20\2' \Q 1 p,8 .8' E N FEN. 30 "B LDING © BRICK 503 ► �0• \ \ \'\,roR�Y\ \ L G RAGE v0 � 37 T 1 �^ W 'Ad M FRAM REESIDENQE \\ n 23.0 x SHOWER + a \ \ \ \ p \ ` �sQ \\c�.°,Sit �z s,.o a\\ \\ \\ s�RY \ \;; W Wm „ FM LOT 3 •C O� O `�'� \ �9.2 \• 20.2 6 o o \ \ TAX LOT 7 cl to O \ PLAT. O Fi^ \ \ \ \\R \ \� \ �N N 3 o O �{ �^ to�W� q2 "N' am '` m \ \ d '\ \ \ t0.4' a y �o 06 4 S2 GENERATOR WOOD FEN. O N18°04F30»� �DRV 40.5' 2.6'f 494.12� GRAVEL 3.2' W \ I DRIVEWAY I ~ I FM LOT 4 �OOI_ ' ! TAX LOT 6 T`0 LAUREL LANE APR 9 2025 Southold Town LOT AREA GRAPHIC SCALE BDard of Trustees 26,376.89 S.F. 40 0 20 40 0.61 AC. GUARANTEED TO: RICHARD L. OTOOLE AND KATHLEEN D. OTOOLE, HUSBAND AND WIFE ERIN DOHERTY 4 03 11 2025 REVISED SURVEY MC JTS ❑• ( IN FEET ) FIDELITY NATIONAL TITLE INSURANCE SERVICES; 3 02 28 2025 UPDATED SURVEY MC JTS 1 inch = 40 ft. 2 12 19 2023 REVISED SURVEY MC JTS 1 12 15 2023 UPDATED SURVEY MC JTS REV DATE DESCRIPTION `/� BY CHK NE'�!�/}-O\ 760 PECJURAY BOULEVARD, LAUREL, NEW PROPERTYK 11948 �P PEL J. SC ,pSCALICE TAX MAP N0. LOT 3 \�f- 1000-145.00-02.00-007.000 MAP 3 DUDLEY PARK �.; JOB No.S19-2405 * * l a n d surveying FILE DATE: 09/17/1928 MAP NO. 212 l% No!050a°' o� m jslandsurvey.COm P:631 -957-2400 DATE SURVEYED: 10/14/2019 LAUREL, TOWNUATE OF SOUTHOLD F�sF� LAND S� �� 1 South Bay Avenue, Islip, NY 11751 DR.:MC CREW.:JM SCALE: 1" = 40' SUFFOLK COUNTY, NEW YORK (1)UWAAMOR®ALTEDATON OR ADDITION TO THS SURVEY MAP MARRO A UCE SED LAND SURVEYORS SEAL VS A MUTATION OF SECTOR Yew,sm-omwN t of NEW YORK STATE EDUCATION LAW.(2)ONLY muNwRY SURVEY MAPS wim THE sum'Ewas EMBOSSED SEAL ARE GEWHE TRUE AND CORRECT WPM of THE smVEYORIS ORIGINAL WORK AND OPINION.(3)CFRnFmwnma ON THS BOUNDARY SURVEY uw S=FY THAT THE MAP was PREPARED w kcoeawoE Wrm THE atauNr EKmwe CODE of Pw�cncE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOOkION OF PROFESSONAL LAND SURVEYORS,W_THE CERTDTCAION IS HOOTED TO PERSONS FOR MOM THE BOUNDARY SURVEY MAP a PREPARED,TO THE TmE COMPANY,TO TEE COVEnRmTrAL AGENCY.AND TO THE LENDING DsmunON LISTED ON TINS BWARANT SURVEY MAP.(4)THE CERTUICATIONS NEREM ARE NOT MCEFI IAmE(A)THE IDEATION OF UNOEHOROum OAEmVo¢xrs OR EHOTaaOOErns ARE NOT ALWAYS KNOWN AND OFTEN MIST BE ESTIMATED. E ANY UNDERGROUND 904MEUDM OR ENCRN B DUST UST OR ARE SHOWN.THE OIPAW KT EMENTS OR FNCROWEMB ARE NOT COVERED BY THS SURVEY(6)THE OFFSET(OR COMMONS)MOM IEMON FROM THE STRUCTURES TO TIE PROPERTY LINESOR ARE F A SPECMC Rn80SE AND USE AM TNER69RE ARE NOT D(ENDED TO GUME THE ERECIMN OF FENCE,RTAKNO W,W$P0015.PATIOS R tS ANIOIA AREAS.ABOMO ID EIRDINC%MID ANY oMER TYPE OF C@6nLIDRCN,M PROPF7nY CORNER MONUMENTS IEEE NOT SET AS PART OF TM SURVEY.(B)THS SURVEY WAS PERFORM WITH A SPECTRA FOCUS 30 NURCYC TOLL STATION.(9)THE MSrENCE OF RIGHTS OF WAY AND/OR ncnmnc OF RECORD W ANY.NOT SHOWN ARE NOT GUARANTEED.(10)IF THS SURVEY WAS PREPARED WTWUT TINE BEN17TIT OF A TTILE REPORT,TT¢E asnacE Of ANY COAOPEnS RESIIOCTAI$EASEMENTS ANO/OR RIOBS OF WAY OF RECORD,IF ANY,MAY NOT BE SHOWN OR AOOR65ED AIA ARE NOT 4LARANIFFD. so � UTHOL D .1 Rl.UISTEES \No. 10 0110 A Issued To F �:�, �o�,�,rM Date. liq «� Add,esS e._.�_cm.� gIV�, �.4ur�� THIS NOTICE MUST 'BE DISPLAYED DURING CONSTRUCTION .TOWN TRUSTEES OFFICE XOWN OF SOUTHOLD SOUT,HOLD; N.Y. 11971 TEL.: 765-1892 � gUfFO�K Glenn Goldsmith,PreSiacnt �p�0 ea Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 CM Eric Sepenoski y P.O.Box 1179 Liz Gillooly �y • p� Southold,NY 11;971 Elizabeth Peeples lu Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: SA2125 Completed infield by: G. �a 1asM En-Consultants on behalf of RICHARD & KATHLEEN O'TOOLE & ERIN DOHERTY requests an Administrative Permit for the as-built, in-kind/in-place reconstruction of 10.4' x 26.2' attached deck, with new 5'x26.1' steps in place of previously existing semi- circular seaward deck protrusion and two sets of steps. Located: 760 Peconic Bay Boulevard, Laurel. SCTM# 1000-145-2-7 Typ of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: ZChapt. 275 Chapt. 111 other Typg of Application: Wetland Coastal Erosion' Amendment J Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: ✓ G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples r SYMBOL LEGEND El MONUMENT FND (0 MANHOLE TEST HOLE ® I.P. /I.B. FND 09 "A"-INLET TREE ® I.P. /I.B. SET EM "B"-INLET SHRUB ,.DssS SPOT ELEVATIONS 8 YARD INLET ® BOLLARD CZ), UTILITY POLE 0 YARD INLET ® WETLAND FLAG >-- GUY WIRE 10 ELECTRIC METER CANT. CANTILEVER UTILITY POLE W/LIGHT ❑G GAS METER FE.FENCE LIGHT POLE ❑W WATER METER MAS.MASONRY SIGN N GAS VALVE PLAT.PLATFORM PVC FENCE (PVC) D4 WATER VALVE W.W.WINDOW WELL V- STOCKADE FENCE (STK) B/W BAY WINDOW —x— CHAIN LINK FENCE (CLF)O/H OVERHANG C/E CELLAR ENTRANCE WIRE FENCE R/O ROOF OVER FIRE HYDRANT D.C. DEPRESSED CURB Z A/C UNIT ® CROSS CUT G.O.L. GENERALLY ON LINE �L STAKE CA ON LINE R.O.W. RIGHT OF WAY O� FM LOT 2 000 TAX LOT 8 ` C+ CONC. & GARAGE DRV S>7"53'00"E ASPHALT DRIVEWAY STK �� GAR. GAR 'i 2.1' — — — — — — 0.1, 41 28.3 4 31 :FND" - - - RB '•:"BRICK ::'_ MON=: FND. , QUO + STK STK BLDG FEN, y FEN FEN�4' S70CKADE�FEN 6.6'+ Lei 0/H •"� 4' STOCKADE FEN t AR 23 2' - tFEN 4 WOOD R•+ ,f f] ,f -) MOM. 5I J5.25I ("n -e [ �( 1 �0.3 b FEN. 0.1' 0.3' FEN. 1.3 0 1 3 1 6 �.1� lY_ 22 3.1' FEN. 1.4' 19:5' R 7.T o 20.2' 8,1•, 21 0 _ o \p$1( 28z-g• 1 FRAME W N 3 o BUILDING BRICK •a. W ° � 1 STORY N GARAGE'N iv w y r y� N FRAME RESIDENCE N 23.0' 0 0 SHOWER a v 48.0' 10.4oD 0!CA `J -#760 - 6.5 \1 U O `C 1s.2 �. 20.i' �.8.1'� s.z `l�o N N QYm FM LOT 3 80 \�� W D\ v GRAVEL 1 I STORY Td o 2 '� (� 5 3.0' PLAT. O/H_ < '1 �. 1,, •0• FRAME RESIDENCE N 3 o TAX LOT 7 c'G_ cl\D � — 42 — . --•— m — / N / L — — — GRAVEL I rn •a O o - .�— .DRIVEWAY r d o Q o _ — �- 60.5' 10.5 p� d o IN .GRAVEL [d 17J �d SNr a IZAQ DRV "DRIVEWAY. _ _ q DRV N ^ '>� O \ FND -�3.7. —— _ '_ = — — — — — — — — — — — — — J GENERATOR N > WOOD FEN. 5 r 0 RBR. �1.T m UO \ I o As DRV S e\\ /� / I DRIVEWAY WAY I N>8 04 30 W 1.0• 2.6' \\ 494,/2 W I FM LOT 4 TAX LOT 6 CID - I � ® rpD ECEI�e �Y�jELAUREL LANE A PR 9 2025 GRAPHIC SCALE ao 0 20 ao Southold Town LOT AREA GUARANTEED TO: Boarg of Trustees 26,376.89 S.F. "Y RICHARD L. OTOOLE AND KATHLEEN D. OTOOLE, HUSBAND AND WIFE 0.61 AC. ERIN DOHERTY IN FEET ) FIDELITY NATIONAL TITLE INSURANCE SERVICES; 1 inch = 40 ft. 2 1 1T�7-C23{ R•EVI:SEi? SRE Y MC JTS 1 112/15/20231 UPDATED SURVEY MC JTS REV I DATE I DESCRIPTION BY CHK &OF NEW SCA-L-1-CE - - - - -SURVEY OF -PROP-ERTY - - - `P PEL J• so O,� � SUFFOLK TAX MAP NO. 760 PECONIC BAY BOULEVARD, LAUREL, NEW YORK 11948 �r 1000-145.00-02.00-007.000 LOT 3 MAP OF o I a n d surveying JOB No.S19-2405 DUDLEY PARKFILE DATE: 09/17/1928 MAP NO. 212 mjslandsurvey.com P:631 —957-2400 DATE SURVEYED: 10/14/2019 SITUATE LAUREL, TOW SOUTHOLD 1 South Bay Avenue, Islip, NY 11751 DR.:MC CREW.:JM SCALE: 1" = 40' SUFFOLK COUNTY, NEW YORK F� LAND S�� (FOR LAND T)UNAU HOM2ED ALTERATION OR ADDRION TO IRIS SURVEY NAP BEARING A LICENSED LAND SURVEYOR'S SEAL.IS A VIOUTION OF SECTION 720ICATION IS UNITED TO 9,SUB-DMSION 2,OF NEW YORK STATE EDUCATION LAW.(2)ONLY BOUNDAR SURVEY MPPS W H THE SURVE VR'S EYBOSSEO SFA ME GENUINE TRUE AND CORRECTCOPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION.(D)CERTIFICATIONS ON N6 BOUNDARYSURVEYMAP SIGNIFY SURVEY IS TITLETHATTHE MAP WAS pREPMED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE ESTNATEO.5URVEYS IF ANY UNDERGROUPTED ND IMPROVEMENTS ORTHE NEW YORK �ENCROCAMON OF OACHMENTS MIST OR PROFESSIONAL ARE LAND SHOWN,THEIMPRCVVEMENTS ONORS.INC.THE E ENCROACHMENTS ARE NOTPCOSVERED FOR WHOM THIS SURRVEY.O(6)THE OFFSET(OP OMENSIOPNS)SHOWN HERE,�CCNNMiNET51RUMRES TO GOVERNMENTAL AGENCY,AND i0 THE LENDING NSIrt URT SEA ON THIS D THEREFORE SURVEY W. TE THE TO GUIDE THE HEREIN PRE NOT ES.RUNNING (S)THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROA CHMENTS AND A OTHER NOT ALWAYS KNOWNCONSTRUCTION. AND OFTEN MUST RT 0 fit0 THE PROPERTY.Vo ARE FOR A SPECIWA PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE F ANY N OF FENCES,TMCTIDG WALLS,P00L5,PATID6 PIANTWG AREAS,ADDITIONS IF BUILDINGS,AND ANY OTHER TYPE E C➢N AND MEN.(l)ROPEEE CORNER MONUMENTS WERE NOT SET AS PART OF TH5 SURVEY.(B)THIS SURVEY WAS PERFORMED mIH A SPECTRA iOCUS OO ROBOTIC TOTAL STATION.(S)NE EXISTENCE OF RIGHTS OF WAY AND/OR FlSEMENIS OF RECORD IF ANY.NOT SHOWN ARE x0i GUARANTEED.(T O)6 TH6 SURVEY WAS PREPARED WITHOUT THE BENEPR OF A TITLE REPORT.ME E>�NCE OF ANY COVENANTS,RESTRICTIDN6,EASEMENTS AND/OR WGHI6 OF WAY OF RECORD.IF ANY,MAY NOT BE SHOWN OR AOOpE55E0 AND ARE NOT GUARANTEED. f RICHARD& KATHLE _ YTOOLE & ERIN DOHERTY,7601 --JNIC BAY BLVD.,LAUREL 'L� ♦'� � f �p {�1, '� �,f .�� r� Figure 1.Aerial view of subject dwelling(center) and previously existing deck in March 2007. Image by Google Earth. It IV AL 111111 r _ r Figure 2. View of previously existing deck in November 2024. Note semi-circular seaward protrusion of deck footprint and two sets of steps. s �• 4Filia war•+��� ��� �.'+wA k � • / saw Al IN 1. �'i.�t:'.� i�d• ,i ate. / I I I / I I / •l // I 1 1 I I / 4, }� ma 10 .y. l •t.. •�ifr Jam" 49. yam` , %-. :• I '"i,. +/,�.- .! y� P / / / - f / 641 ; O' �y 1• , s 0 (� 1 b a' QfJ G <� IkO � '^^•'�^ •' •� - -- --a-- --^-- nonce COUNTY OF SUFFOLK © x a soun�oLocT'ce� `�^•- —�— I�'I "� - -- Real Property Tax Service Agency v o.�.. o ,� u,.lro. ,. - ---- --•-- .�,.--•.-- "�'ny.y':P�i.• P Joao PROPEfltt IMP E OFFICE LOCATION: y-A� rfJ�r, MAILING ADDRESS: Town Hall Annex ' s, �z P.O.Box 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 MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: May 8, 2025 Re: LWRP Coastal Consistency Review for RICHARD& KATHLEEN O'TOOLE& ERIN DOHERTY .SCTM# 1000-145-2-7 En-Consultants on behalf of RICHARD & KATHLEEN O'TOOLE & ERIN DOHERTY requests an Administrative Permit for the as-built, in-kind/in-place reconstruction of 10.4'x 26.2'attached deck, with new 5'x26.1' steps in place of previously existing semi-circular seaward deck protrusion and two sets of steps. Located: 760 Peconic Bay Boulevard, Laurel. SCTM# 1000-145-2-7 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 as-built structures are INCONSISTENT with LWRP Policies and with the LWRP. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction I. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The as-built structures were constructed without a Wetlands Permit. If the action is approved, it is recommended that the buffer be vegetated 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 Glenn Goldsmith,President " l Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 P.O.Box 1179 Eric Sepenoski C Iii Southold,New York 11971 Liz Gillooly en Elizabeth Peeples � � Telephone(631) 765-1892 Fax(631) 765-6641 lcoulm � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application ?< Administrative Permit =APR9 Amendment/Transfer/ExtensiD. �c Received Application: 'A N I 3-Received Fee: $ 5 00- 0 b Southold Town Completed Application: 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: d�•� CAC Referral Sent: X Date of Inspection: o Receipt of CAC Report: Technical Review: _'J�Public Hearing Held: 1`'( Resolution: Name of Applicant Richard&Kathleen O'Toole&Erin Doherty 55 Locust Street Address Floral Park,NY 11001 Phone Number: (jA 352-0685 Suffolk County Tax Map Number: 1000 - 145-2-7 Property Location: 760 Peconic Bay Boulevard,Laurel (property is located on north side of Great Peconic Bay Boulevard,+/-787'east of Laurel Lane) (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road,Southampton,NY 11968 Phone:631-283-6360 Board of Trustees Applic ion GENERAL DATA Land Area-(in square feet): 26,376 sf Area Zoning: R-40 Previous use of property: Residential,single-family dwelling Intended use of property: No Change Covenants and Restrictions: Yes X No FI-A If"Yes", please provide copy.Will this project require a Building Permit as per Town Code? Yes NoIf"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Tand Elevation Plans will be required. S Does this project require a variance from the Zoning Board of Appeals Yes No 4, If"Yes",please provide copy of decision. H Will this project require any demolition as per Town Code or as determined by Building Dept. Yes No Does the structure(s)on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date Southold Wetlands Permit No. 10725 2/12/2025 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): As-built,in-kind/in-place reconstruction of 10.4'x 26.2'attached deck,with new 5'x 26.1'steps in place of previously existing semi-circular seaward deck protrusion and two sets of steps,as depicted on the survey prepared by Scalice Land Surveying,last dated March 11,2025. `:m rd of Trustees Applicati ' - WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To obtain a Town Wetland Permit for existing reconstructed deck and steps. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 °% Closest distance between nearest existing structure and upland edge of wetlands: 50' feet (previously existing deck) Closest distance between nearest proposed structure and upland edge of wetlands: 50' feet (existing reconstructed deck) Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): A Town Wetland Permit is sought for an existing attached waterside deck,which was reconstructed in place of a previously existing,aging deck that was present at the time the applicant purchased the property in 2023. Based on aerial photographs,the previously existing deck was constructed prior to 2007,at least 16 years prior to the applicant's purchase. And based on a recently updated survey,dated March 11,2025,the existing deck maintains the same dimensions as the prior deck and remains set back the same 50-foot distance from the bulkhead,based on a survey showing the previously existing deck,dated December 19,2023. A comparison of the two surveys shows that the only material change to the deck was the construction of a single set of 5-ft wide steps in place of what was a semi-circular seaward protrusion of the deck's fooprint and two separate sets of steps. As the reconstructed deck thus essentially maintains the same deck footprint that has existed for at least 18 years,and a 17-foot wide non-turf buffer was recently required as a special condition of recently issued Wetlands Permit.No. 10725,maintenance of the deck will have no adverse impacts on the quality or function of the adjacent tidal wetlands or waters of Peconic Bay. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1.Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: O'Toole Bulkhead Project Location(describe,and attach a location map): 760 Great Peconic Bay Boulevard,Laurel,Town of Southold, Suffolk County,NY,SCTM# 1000-145-2-7;property is located on south side of Peconic Bay Boulevard,+/-787'east of Laurel Lane,location map attached. Brief Description of Proposed Action: As-built, in-kind/in-place reconstruction of 10.4'x 26.2'attached deck,with new 5'x 26.1'steps in place of previously existing semi-circular seaward deck protrusion and two sets of steps,as depicted on the survey prepared by Scalice Land Surveying, last dated March 11,2025. Name of Applicant or Sponsor: Telephone: 516-352-0685 Richard&Kathleen O'Toole E-Mail: rotoole@related.com Address: 55 Locust Street City/PO: State: Zip Code: Floral Park NY 11001 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. X 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: NYS DEC X 3.a.Total acreage of the site of the proposed action? 26,376 sf acres b.Total acreage to be physically disturbed? N/A c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 26,376 sf a'I �I ..V-4'r 4. Check all land uses that occur on, adjoining and near the proposed action. D, ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial 0 ❑Forest ❑Agriculture ®Aquatic ❑ Other(specify): g� ❑Parkland f� ti i Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 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: Name:Peconic Bay&Environs,Reason: Protect public health,water,vegetation, &scenic beauty, Agency: Sultolk County, Date: 7-12-88 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 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: N/A 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A. 11.Will the proposed action connect to existing wastewater utilities? NO YES If No, describe method for providing wastewater treatment: N/A 12.a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b. Is the proposed action located in an archeological sensitive area? X 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? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 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 ® Wetland ❑Urban ® Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge,either from point or non-point sources? YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO❑YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑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: X 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: X 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: X Ji I AFFIRM THAT THE INFrVffMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: R emnann,Coastal Management Specialist Date: March 27,2025 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 I 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 establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11.Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance.The Lead Agency is responsible for the completion of Part 3.For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part I 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. Name of Lead Agency Date 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) Page 4 of 4 4 v 94 y i ' 72 3215 'S k j C3 7a.t } 7'2°31 30 - D3 72 30 45 ' 3 72 30 00 nOf �3 sy sryFs� PJ Q.OPD 9��., :� NEW SUFfp1.1C �. �Py� CUProN DD q m � ..:9Q�� �O�.may... Fym r 2FMATTITUCK yo �HOP`ON s n pJEN 'r en•¢ AVENUE 6 FO,Ni o O o o o o ems m 'P MlpplE O v s�= m 9a TRR 48 s OR25 s o��( Mattituck C r/, Lieb Family 'o Q e` mo cENtEa st Marratooka Pt Cellars �< 5 \S Airport !q O pV �•3 � y 0`9 CAMP Mt EOIA Park mda � a�Oy 9L see o FyG� ao n QED .�� �'t•.� Qa: .'� ODD MNN F? �'� pD el Mattituck District y° O Lalce E f Park Laurel Park Peek r o gc Cr N.Y Area cam Mattituck 25 \y� a�Qo St�a 9°�9s C` ►YC O ti�SS 9G 0P � ,O fI011C `' �pC Daug ers of Amer, �9 2 9 P �N ey o `9QTpO QVP '➢O O <9G9��OFO 09 �IP�O O 59(ACCE55 VIA �Q 50jJ cf MOMM 9 � �p GREAT PECONIC B4 i Board of Trustees Applicf}�,on AUTHORIZATION (Where the applicant is not the owner) i I/We,_ Richard L. O'Toole owners of the property identified as SCTM# 1000 145-2-7 in the town of Southold New York, hereby authorizes En-Consultants 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. N/A Property Owner's Signature Property Owmer's Signature Richard L. O'Toole SW ORN TO BEFORE ME THIS DAY OF (�O��-P �,, , 20 Z. Notary Public MARIA PRIKAS GANLEY L y Public-State of New YorkNO.01PR5003Z06 ualified in Suffolk County mission Expires Oct 19, 2026 Board of Trustees Appl�ca: �-.fin AUTHORIZATION (Where the applicant is not the owner) I/Wei _Kathleen D. O'Toole owners of the property identified as SCTM# 1000- 145-2-7 in the town of Southold .New York,hereby authorizes En-Consultants 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. N/A Property Owner's Signature Property Owner's Signature Kathleen D. O'Toole 0 SWORN TO BEFORE ME THIS } DAY OF ����' ,20 Z C Notary Public RICHARD L. O'TOOLE (Votary Pubiic. State of New York No. awe C L d C,�-3 v a 2 oualified in Nassau County Commission Expires Jupe30, 202 Board of Trustees Applica-;.-'-fin AUTHORIZATION (Where the applicant is not the owner) i I/We Erin Doherty owners of the property identified as SCTM# 1000-. 145-2-7 in the town of Southold -.-'New York,hereby authorizes En-Consultants 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. N/A Property Owner's Signal6re Property Owner's Signature Erin Doherty SWORN TO BEFORE ME THIS % S s DAY OF POW11 J— ,20. Z, o y C— Notary Public RICHARD L. 0100LE Notary Pwbttc. State of New York No, 4 ()Z(j L �Z 61'uarf*ed in Nassau Ccurrry E)&pyres Junw-t 20.�� ' $oard of Trustees App1ica4,`-'o,n AFFIDAVIT Richard L. O'Toole 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. U N/A Signature of Property Owner Signature of Property Owner Richard L. O'Toole SWORN TO BEFORE ME THIS DAY OF I-P�,, �P f , 20 e2 L Notary Public ENotary PRIKAS GADo c-State of1PR50032inSuffolk n Expires O _ 13oard of Trustees Applicat-fin AFFIDAVIT Kathleen D. O'Toole BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner Kathleen D. O'Toole SWORN TO BEFORE ME THIS `'� S r DAY OF wit�.�°ti �''" , 20 Z \ Notary Public . r i Nmiry ti�i:,�c State of"��., � Y �fb. �`, No Z /^� Tpp�ys�j„'. ��/��!{^p,+�Y (^ 1�..:� 14 :j� r' !•SC3U Cp.'O�la�T11j� ' '1..4�t I"�1 �iJ J�11 .t 1 ;_ �V 1.rr lCr ai �'L.�_ - 1...��t�i�liJ.:.��. .�.�w �Z; !UC e--10.^r.^-- �ioard of Trustees Applicai. ` .;a AFFIDAVIT Erin Doherty _ 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. N/A Signature of Property ON@ner Signature of Property Owner Erin Doherty f SWORN TO BEFORE ME THIS 4 DAY OF 1°'� , 20 -1 y TC Notary Public g10HAQ® L '01'on:-t Notary Pot �-We of Ne.v'Vvrk No 4 GAF 3U Z�G 4, APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest n the Hart of town officers and emnlovees Thr nurvnsP of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same YOUR NAME: O'Toole,Richard L. (Last name,first name,Middle 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 X Change of Zone Coastal Erosion Approval of piat 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"mearts a business, including a.partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name ofpemon employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/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): L2A)the owner of greater than 5%of the shares of the corporate stock or the applicant f2 (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 this ~day of N` 20 Signature y 4 ice— Forth TS 1 PrintName Richard L. O'Toole .. APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The mmme of this form is to nrovrde mformation which can alert the town of possible conflicts of interest and allow It to take whatever action is necessary to avoid same YOUR NAME: O'Toole,Kathleen D. (Last name,first name,itiddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent;or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%ofthe shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space prodided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): f2A)the owner of greater than 3%of the shares of the corporate stock of the applicant _n (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 __jj�,D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this° day o 20 Signature Print Name Kathleen D. O'Toole Form TS I APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's.Code of Ethics prohibits conflicts of:interest on-thearart of town officers and•employees.The numose of this form is to provide information which can alert the town of Possible conflicts of interest and allow It to take whatever action is. necessary to avoid same. YOUR NAME: Doherty,Erin (Last name,first name,itiddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent;or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interese'means a business, including a partnership,in which the town officer-or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): _nA)the owner of greater than 5%0 of the shares of the corporate stock of the applicant _n (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,partnei or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP, Submitted this 1 day of ("JJVRv(- 20,L Signature �-6 Print Name Erin Doherty Fonn IS ] �' J , - APPLICANT/OWNER TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME : Herrmann, Robert ,E. (Last name,first name,middle 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.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit XXX Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X 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) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or •D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this 27 h day of March ,ail 25 Signature Print Name Robert E. Herrmann 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 nig ficant beneficial and adverse effects upon the coastal area (which includes all of Southold Town) If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy'standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 145 - 2 - 7 PROJECT NAME Richard and Kathleen O'Toole&Erin Doherty The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 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: VN Nature and extent of action: As-built,in-kind/in-place reconstruction of 10.4'x 26.2'attached deck,with new 5'x 26.1'steps in place of previously existing semi-circular seaward deck protrusion and two sets of steps,as depicted on the survey prepared by Scalice Land Surveying,last dated March 11,2025. _ Location of action: 760 Great Peconic Bay Boulevard,Laurel Site acreage: 26,376 sf Present land use: Residential,one-family dwelling. Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Richard and Kathleen O'Toole&Erin Doherty (b) Mailing address: 55 Locust Street Floral Park,NY 11001 (c) Telephone number: Area Code 516-352-0685 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No® If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ®Yes ❑ No ❑ Not Applicable Approval is sought for an existing attached watcL-__1eck,which was reconstructed in place of a previously a a,aging deck that was present at'the time the applicant purchased the property in 2023.Based on aerial photographs,the previously existing deck was constructed prior to 2007,at least 16 years prior to the applicant's purchase. And based on a survey dated March 11,2025,the deck maintains the same dimensions as the prior deck and remains set back the same 50-foot distance from the bulkhead, based on a 2023 survey of the previously existing deck.A comparison of the two surveys shows the only material change to the deck was the construction of a single set of 5-ft wide steps in place of what was a semi-circular seaward protrusion of the deck and two sets of steps.As the reconstructed deck thus essentially maintains the same deck footprint that has existed for at least 18 years,and a 17-foot wide non-turf buffer was recently required as a special condition of recently issued Wetlands Permit No. 10725,maintenance of the deck will have no adverse impacts on the quality or function of the adjacent tidal wetland ecosystem,consistent with Policy 5. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No,Z Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ❑ Yes FIN o® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's�,tir,ter-de endent uses and promotes,, �JQ of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 54 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ElNo ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY ITLE Coastal Management Specialist DATEMarch 27,2025 Robert E. Amended on 811105 EN CONSULTANTS March 27,2025 REQUEST FOR AN ADMINISTRATIVE WETLANDS PERMIT Town of Southold Board of Trustees � � 54375 Main Road �Vu►3 Post Office Box 1179 Southold,New York 11971 �,�� APR 9 2025 Re: Richard and Kathleen O'Toole,and Erin Doherty 760 Peconic Bay Boulevard, Laurel Southold Town , SCTM#1000-145-2-7 Board of Trustees Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Photographs. 2. Four(4)Wetland Permit Applications including: a) Authorization&Disclosure Forms; b) Short Environmental Assessment Form; c) LWRP Consistency Assessment Form. 3. Four(4)surveys prepared by Scalice Land Surveying, last dated March 11, 2025. 4. Application fee of$500.00. Also included for reference is one(1)survey prepared by Scalice Land Surveying, last dated December 19, 2023,which depicts the prior deck configuration. I hope this information shall allow you to process our permit request. Should any additional information be requi please do not hesitate to contact our office. Sinc rely, Robert E. Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsuitants.com environmental consulting