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HomeMy WebLinkAboutTR-10798 S Town Hall Annex Glenn Goldsmith, President �� ®� 54375 Route 25 ® P.O. Box 1179 A. Nicholas Krupski, Vice President Southold, New York 11971 Eric Sepenoski Liz Gillooly Telephone (631) 765-1892 Fax (631) 765 6641 Elizabeth Peeples BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CH EC _BE INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 sc day of construction '/2 constructed When project complete, call for compliance inspection; a ♦ �'e � si -� iV�. f` a°a'�1. }�. '9 ii Y' ea a ` - -t e 9 `�.,.. a' i 1 / .:�' � f 11 a a rP 1/rr ,a / rrr l ,"fit +'PR r - ," / r• C -s .> �ItillJ��1�'S'•L'�!�::.'1' ,T,�'2z' �7 nmE2h' 2'f!ucrrr.er.ca•rcn.,�� 7rccovmromf�_soxcnsi'y. U'sssr s•� rmr;3,,,,,,��m rm�n. .S�f''Z'3:�.t1'tt n'w.,xm����L'£�`T r.C� � ��.F BOARD OF SOUTHOLD TOWN TRUSTEES - 'SOUTHOLD,NEW YORK PERMIT NO. 10798 DATE: JUNE 11,2025 ISSUED TO: TBL PLUS TWO,LLC PROPERTY ADDRESS: 5295 NASSAU POINT ROAD, CUTCHOGUE 3 r } a SCTM# 1000-111-9-13 r � ' AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 11,2025,and in consideration of application fee in the sum of$1,250.00 paid by TBL Plus Two,LLC and subject to the Terms q and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: .- _; Wetland Permit to replace in-place 124 feet of existing bulkhead with new vinyl ,r r bulkhead; temporarily remove and replace in-place post construction existing , permitted 41x4' cantilevered platform with 41x8' retractable stairs, existing permitted 4'x20' walkway behind bulkhead, and existing davit stair lift; all as depicted on the site _ F plan prepared by David Bergen & Ken Quigley, received on April 16, 2025, and - =§ s stamped approved on June 11,2025. j IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year written above. _ 6�rf s OgpFF1?t*, E' f " aa� i+a TERMS AND CONDITIONS The Permittee TBL Plus Two, LLC, 5295 Nassau Point Road Cutchogue New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months, which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to / maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. ' N 78°3620"E '` 330.00' , FENCEALONG NNE N 9.65 DRAW yj 3 y N � I Q gELG.BLK.COPB y $ � ;. 5295 NASSAU PT, R©, (� CEL,,gR LL I, CUTCHOGUE, NY Pi:f8:ai?i>:4;16.4'„.e WOOD STN DNGS z I, P�'_ :•::2.: ..:.,.: m o }`�',_ NASSAU t0 :::�: :�: :�: :�::::� 31.1'::�:•:....•. GATE NEW'SUFEO K DRAW DRAW WOODSTA 1 J ': i� LANDWGS 1 NY II 1', LITTLE 3 , � PECONIC r� r STONE WALK B ;:. 11NG : :::R"E;: ::f0.9• :: :...:.:...::::::.:::.::.::.::.>:.>:.:: :.:::. :: o aRAWo m PROJECT DESCRIPTION N �2 .•..GARAGES:•:..�....:...::.:.•::::.:.•:.•:::::::: :::: ::•r:•:•: 'E p 3.a:::� :•.: :•r:•�:•:.: CO 1 :::IT•:•::� o Z z :.s 3 O y g m Q8 N 6 . d� 9 .. F pc- C, CO��D"CN..•.• •9' j "' 3 Remove and REPLACE IN-PLACE failing wood BULKHEAD with an 0 6Hp R A w overall length of 125 ft+/- g �G4S GATE' - .. g $ ~ ' Lny Project consists of: 4'ESTATE FENCEALONG WOOD M.WALL MON. m Bulkhead Replacement O.P°N FMCS Remove and put back in place-Cantilevered Beach Access Stair Platforrr 1>F S 78°36'zo"w 33s.00' m and Retractable Wood Stair G" LITTLE PECONIC BAY ROAD Relocated Stair Lifting Davit Bulkhead to include use of'C-Loc'vinyl sheathing with 1 Pr 12"pilings,6'-0"on center,6"X 6"walers,vertical deadman with Al 0' 20' 40' 1 horizontal lay logs or helix screws for backing system with fiberglass 1 I grated cap along the entire length. 1 Platform landward of Bulkhead to be removed and replaced in same location and without being attached to bulkhead. 3 EXISTING/PERMITTED RETAINING WALL TOE OF BLUFF SLOPE Al EXISTING/PERMITTED STAIR All per plans dated April 15,2025 I EXISTING LANDING-REPLACE IN PLACE 1 EXISTING PLATFORM-NEW POSITION nrA. E V E REINSTALLED STAIR LIFTING DAVIT -- SEPARATED FROM BULKHEAD 'iL Jt9� 1 REINSTALL WOOD STAIRS L 4'x4'CANTILEVERED � ��CS AND CONVERT TO RETRACTABLE PLATFORM-REPLACED IN PLACE `REMOVE LIFTING DAVIT APR 1 6 2 Proved Site Plan Southold Town d Boar of Trustees Al 0' 8' 16' _ EXISTING 4'X6'CANTILEVERED PLATFORM WITH F RETRACTABLE ALUMINUM STAIR-REPLACED IN PLACE Z EE NEW 12"PILINGS@ 6-0"cc a C9 NEW FIBERGLASS GRATING CAP OVER VINYL SHEATHING APPROVED Z MEAN HIGH WATER-MHW IS DEFINED TO BE 1.2'AS INDICATED ON SITE Q�Q NEW CORRUGATED VINYL SHEATHING SURVEY DRAWINGS BY KEN WOYCHUK LAND SURVEYING,PLLC o -.BOARD OF i RUSTEES N EXISTING STAIR LANDING- 1n TW 5.1 + - - REMOVED AND REINSTALLED IN PLACE- TOWN OF SOUTHOLD Goldman -Applicant J EXISTING o SEPARATE FROM BULKHEAD LL LL NEW PILINGS TO SUPPORT STAIR LANDING X DATE ,� �n� 11 aC Proposed Bulkhead Re-Construction N N TEMPORARY EXCAVATION. ( 5295 Nassau Point Road, Cutchogue, NY 11935 0 NEW"DEADMEN"AND"LAYLOGS' SCTM 1000111 913 BW 0.0'+ — NEW 16'-0"TIE RODS-TYP. I Prepared by: David Bergen and Ken Quigley ALW g IV EXISTING a 1 _ _II NEW 6"X6" OUS WALERS w - CONTINU- , - - T Construction Scope Plans z WE - - - - LOW TIDE DEPTH 3: , - ! Date-April 15, 2025 Drawing: 3 Typical Bulkhead and Return Section Scale:As Noted 6moA 1 a Al 0' 5' 10' O 1n Glenn Goldsmith, President OF SOU} Town Hall Annex ®� ®� 54375 Route 25 A. Nicholas Krupski,Vice President O P.O. Box 1179 Eric Sepenoski ! Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples • a0 Fax(631) 765-6641 cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 18, 2025 David Bergen Sol Searcher Consulting PO Box 1008 Cutchogue, NY 11935 RE: TBL PLUS TWO, LLC 5295 NASSAU POINT ROAD, CUTCHOGUE SCTM# 1000-111-9-13 Dear Mr. Bergen: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 11, 2025 regarding the above matter: WHEREAS, Sol Searcher Consulting on behalf of TBL PLUS TWO, LLC applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 16, 2025, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 11, 2025, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, 2 ' WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of TBL PLUS TWO, LLC to replace in-place 124 feet of existing bulkhead with new vinyl bulkhead; temporarily remove and replace in-place post construction existing permitted 4'x4' cantilevered platform with 4'x8' retractable stairs, existing permitted 4'x20' walkway behind bulkhead, and existing davit stair lift; all as depicted on the site plan prepared by David Bergen & Ken Quigley, received on April 16, 2025, and stamped approved on June 11, 2025. Permit to construct and complete project will expire three years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.0.0 Very truly yours, .to. Glenn Goldsmith President, Board of Trustees S �HO'L - OU,T11 , TR U� S, TE- ES rro. 1 n lssued .To._ ,T%L Q1u5 two t-LE-,' 'Date G/il /aILS �c Address.5aa5 �(�ss4� Qa:�-` Rid, Cw �,�,,� THIS NOTICE MAST BIEL DISPLAYED DURING CONSTRUCTION .TOWN TRUSTEES OFFICE,TOWN OF SOIFTHOLD SOUTHOLD, N.Y. 11971 TE L.: 765-1892 Glenn Goldsmith,President �o�� �oGy Town Hall Annex A.Nicholas Krupski,Vice President c co54375 Route 25 Eric Sepenoski a ,? P.O.Box 1179 Liz Gillooly �y • o!� Southold,NY 11971 Elizabeth Peeples �Ol �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Daterrime: 3 zS Completed in field by: N David Bergen on behalf of TBL PLUS TWO, LLC requests a Wetland Permit to replace in-place 124 feet of existing bulkhead with new vinyl bulkhead; temporarily remove and replace in-place post construction existing permitted 4'x4' cantilevered platform with 4'x8' retractable stairs, existing permitted 4'x20' walkway behind bulkhead, and existing davit stair lift. Located: 5295 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-13 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: V Chapt. 275 Chapt. 111 other Type of Application: v Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modificat'ons/Conditions/Etc.: ,,.( �t�- � ��w�� .� Ib lvfd - �t'4 �o �Q f u►ta✓-d Present Were: �-/G. Goldsmith `/ N. Krupski L E. Sepenoski L. Gillooly l/ E. Peeples ............. :.::.:....:..:.::..:. N 78°36'20"E 330.00' n w t M FENCEALONGUNE JJ N ::•:12B'S: o ` BELG.BM Wiffi DRAIN u_l 5295 NASSAU FT, RD, CUTCHOGUE, NY �, Pt ::::1B.P::: :•:a:!66.:n' CELLpR� eft �;:?::?::: : >::• 31.1::::;::•:•:. GATE NASSA.OINT O o 3 G D NEWLIFE K D RAw wN w 0 0 1 3 S .::::::21•'••:�-:��:: :�:�:::�'��::��::::::::::::::�:��:�:� TAB$ r� V M S .Q: `'r:`:iF':i is i7'E e.i';: 1 NX • III LITTLE I LAND STONE WALK F7 .°::.=:•DK!HIWG ::` „� g n� _ 3 8/.8' o .:a I :as2B51:E'::;: m 25 N S m' SS :sf: - m PROJECT DESCRIPTION c ..:: DRAINO w N `4y GARAGE:::::`: • �" � g 3�9:::�:•>:..: G CD1 O 2! 0 2 4.. . a 3 O z t m � y d� 9 o •.::.cis°�;: E;-.:�::::: ::�::::�>::•>:•' w t ::::� - ryq�•,,``•`•�'-" - o;.•;;,:_:,,;::::=�:��=-'°`�`•�°° � w 2 Remove and REPLACE IN-PLACE failing wood BULKHEAD with an w DATE overall length of 125 ft+!- g �G4S 3 $ 1Z Project consists of: S ESTATE FENCEALONG WOOD REF.WALL MON. m Bulkhead Replacement U. °N ENCE Remove and put back in place-Cantilevered Beach Access Stair Platforry D.P S 78036'20"W 33s.00' m and Retractable Wood Stair `�" LITTLE PECONIC BAY ROAD Relocated Stair Lifting Davit Bulkhead to include use of'C-Loc'vinyl sheathing with 1 Project 12"pilings,6'-0"on center,6"X 6"walers,vertical deadman with Al 0' 20' 40' 1 horizontal lay logs or helix screws for backing system with fiberglass 1 1 grated cap along the entire length. 1 1 Platform landward of Bulkhead to be removed and replaced in same location and without being attached to bulkhead. 3 EXISTING/PERMITTED RETAINING WALL 1 TOE OF BLUFF SLOPE Al EXISTING/PERMITTED STAIR All per plans dated April 15,2025 1 1 EXISTING LANDING-REPLACE IN PLACE 1 EXISTING PLATFORM-NEW POSITION REINSTALLED STAIR LIFTING DAVIT —— SEPARATED FROM BULKHEAD D E O N V E REINSTALL WOOD STAIRS J 4'x4'CANTILEVERED 07:) AND CONVERT TO RETRACTABLE PLATFORM-REPLACED IN PLACE `REMOVE LIFTING DAVIT 125'-0"+/- APR 2 2 Project Site Southold Town Al 0, B, 16' --- - - _ EXISTING 4'X6'CANTILEVERED PLATFORM WITH 1- RETRACTABLE ALUMINUM STAIR-REPLACED IN PLACE Z NEW 12"PILINGS@ 6'-0"oc NEW FIBERGLASS GRATING CAP OVER VINYL SHEATHING Z MEAN HIGH WATER-MHW IS DEFINED TO BE 1.2'AS INDICATED ON SITE ¢� NEW CORRUGATED VINYL SHEATHING SURVEY DRAWINGS BY KEN WOYCHUK LAND SURVEYING,PLLC O w N_ EXISTING STAIR LANDING- rn TW 5.1'+ - REMOVED AND REINSTALLED IN PLACE- EXISTING o SEPARATE FROM BULKHEAD Goldman -Applicant U_ Z) NEW PILINGS TO SUPPORT STAIR LANDING Proposed Bulkhead Re-Construction N TEMPORARY EXCAVATION. 5295 NaSSau Point Road, Cutchogue, NY 11935 0 AHW— — — — NEW"DEADMEN"AND"LAYLOGS' SCTM 1000111 913 BW 0.0'+ - - - NEW 16-0"TIE RODS-TYP. Prepared by: David Bergen and Ken Quigley w NV ALW EXISTING aT� E NEW 6"X6"CONTINUOUS WALERS W Construction Scope Plans Z - - - LOW TIDE DEPTH Date-April 15, 2025 Drawing: Cn (?A T ical Bulkhead and Return Section Scale:As Noted A 1Cn Al 0' 5' 10' O S.C.T.M. N0. DISTRICT. 1000 SECTION: 111 BLOCK: 9 LOT(S): 13 ECEIVE DD APR 1 6 2029 I � I � Southold Town LAND NIF OF I Board of Trustees _ FUNDA II '•:::�2•STY FRM.•.:;:•::;:::' _� N 78036'20"E :•.GARAGE:':::':'' 330.00' =11 w — — — FENCEALONGLINE w o N o17 N 9.8'S J CD o I N 3 o V) N I DRAIN 0 SELG.BLK.CURB a4 O m I ^Y co 3 w U N CELLAR ENi LL M 18.0'::::::c.;'16.4'.::n WOOD STAIR DINGS o z 31.1 GATE I w Q _ w I w pr' O 3 ti DRAIN x DRAIN WO m 0 D I a n � ��:.21.0�..:•�.::.::.�.:•':::•:::�•:�:�:•�:':::::.::'::�.:::':::'.::::::::: STAIRS+ _ ::::;::�::::�:�:�:•:�:•:•:•:• ::. O LANDINGS I r W.M. w o m m o I V w A :25.'.•.. 2STYFRM..•:•:::':.:.,.' o z 0 a m STONE WALK o m.:::::::SWELLING: „� ' 81.8' `W, ti O 00 v 10, O 00 ir DRAIN w N R9� •::GARAGE 0 CD I O 3.0'::::::....•. w a a 3 O z m J U �pN G 269 :.:m 76.0.•.:: ::.:.:::::.:::.:•.:..•.:.::::'� zi, u� •' � W Z Np� gJ� COVERED PORCH A PgQ ��VG. O SHOWER o W I o o Luz z (pGgS GATE IX 3 0 IU2 N N co X vi ESTATE FENCE ALONG WOOD RET.WALL MON.U. 3 m ——— 4' ^ N U.P. S 78036'20"W 335.00' GUY � m LITTLE PECONIC BAY ROAD (25'WIDE-NOT IMPROVED) - - - - - - - -- - - - - -- - 1 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL I I LAND NIF OF AND OR DATA SHOWN ABED FROM OMRELD OBSERVA77ONS I I ROBERT&LISA LEHNERT I AREA: 41,175 S.F.or 0.95ACRES ELEVA77ON DATUM.. NAVD88 I UNAUTHORIZED ALTERA770N OR ADD177ON 70 THIS SURVEY IS A WOLA71ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN I ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO 774E 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU770N LISTED HEREON, AND TO 774E ASSIGNEES OF THE LENDING INS177U710N, GUARANTEES ARE NOT 7RANSFERABLEE, I THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES 70 THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC71ON OF FENCE% ADD17IONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 77ME OF SURVEY SURVEY OF: DESCRIBED PROPERTY of Nett/ CERTIFIED To: AARON GOLDMAN; MAP OF: �PqN M' W0rrOp FILED: y�2 oG Ir SITUATED AT- NASSAU POINT r Y Ir TOwN OF. SOUTHOLD SUFFOLK COUNTY, NEW YORK ��s o50882 �� KENNETH io 1POYndIK LAND SURVEYING, PLLC F J Professional Land Surveying and Design N P.O. Box 153 Aquebogue, New York 11931 FILE #225-38 SCALE 1"=30' DATE: MARCH 18,2025 N.Y.S usc. No. F50BB2 PHONE (631)298-1588 M (681) 298-1688 James F.King,President *0f soujyo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q • �O Telephone(631)766-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0907C Date: September 20,2013 THIS CERTIFIES that the construction of 4'x24' stairway leading to a 4'x8' platform, a 4'x16' stairway leading to a 4'x8' platform,a 4'x16' stairway leading_to a 4'x8' platforin'to a 4'x18' stairway to a 4'x20' walkway at top of bulkhead,a 4'x4' cantilevered platform to a 4'x8' stairway ending at the beach At 5295 Nassau Point Road,Cutchogue,New York Suffolk County Tax Map# 111-9-13 Conforms to the application for a Trustees Permit heretofore fled in this office Dated September 3,2004 pursuant to which Trustees Wetland Permit#6016 Dated October 20,2004,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of 4'x24' stairway leading to a 4'x8' platform,a 4'x16' stairway leadin to a 4'x8' platform,a 4'xl6' stairwa leadin to a 4'x8' platform to a 4'xl8' stairwa to a 4'x20'walkway at top of bulkhead,a 4'x4' cantilevered platform to a 4'x8' stairway ending at the beach. The certificate is issued to ARNOLD BARTON owner of the aforesaid property. ryC M ' thorized Signat e Board Of Southold Town Trustees SOUTHOLD, NEW YORK ct PERMIT NO. ... .................. ....._. DAl'E: ...O.__..........20..,....2004 ISSUEDTO -.....AR(VOLD-.8AR7ON..................................................-....-............_.................... ' Pursuant to the provisions of Chapter 615 of the laws of the.State of New York, I893; and Chapter 4d4 of-fhe laws of-'the State of New York 1952; and fhe Southold Town Ordinance on. -„`REeVL-A11NG-AND HE--P�CM-.QF�O SUUC ... --- IN AND ON TOWN WATERS AND PUBLIC LANDS and-4 REMOVAL OF SAND, GRAVEL-OR OTHER MATERIAW40M LANDS.UNDER TOWN•WATERS,". and in accordance wit the Resolution of The Board adapted at a meeting held on d -AQ....... 2004_...:., and in consideration of the sum of.$2 SU JQ......._. paid by A_nnotd Ba ton � of^....__Cu�cho�ue~.....�.__ '••_......:'.-.,,. •.' N.•Y. and. subject #o.the Temps and Conditions �hsted on the reverse side hereof, of Southold Town Trustees authorizes and permits the foloi ing: Wetland Perm@ to construct it 4'x 24'stairway leading to a 4'x 8'platform,a 4'x 16'stairway leading to a 4'x 8'platform,a 4'x 16'stairway leading to a 4'x 8'platfonn to a 4'x 16'stahway to a 4'x 2o' J walkway at top of existing bulkhead,a 4'x 4'cantilevered platform to a 4'x 8'stahway ending at the ti beach and all as depicted on the plans prepared by Costello Marine Contracting Corp,last dated October 21,2004. 41 in accordance with the detailed specificafroas as pre nf*d in •the originating w1kation. IN WITNESS WHERE, The said Board of Trusfees hare- by causes its Corporate Seal to be affated, and thm present: to 6e subscribed by h majority of the said $card as of 4W data- .. c�1FFD� en Potiwo 4 � w44Q t6tu I abb e + - l �i11''L6 Pq�a�rrc �./Y Aao^ 4 is 4'A�.rlfaRrrt Ew'r.,Ot+i T tyua ocli!(Ab -------------- 18 �- .'Jh'IvR�vtY ------- _____- *7-44gWAY 40! __ _ _ - go.?, p�p�sp•Ried' AL. --..._� +2f.' -_-....___na.rt�coanq - v.ts - - $Y,aptM/AY t �ttdP•4'+c.'�'♦ R�yif iN/N�Cr'7 Zl / / i/ / FrrisJaav4 P�� 3' ?.fir/o -2.n.&AIV vc s `c a tort r529s �5�41�I?O/NT:�oi�0 rest': A4 Y. �C�,µtyr,.rtlyGwQ�R Cb.ilr/Lt ss �iwever AI ap4o. ftsv, ocr s r� ?!o,not -Sig*4- SN�Ef' 2 of� .;t�l b/dtS Q.a�od�b'd �• �►O�.L��S ss D aC' ce�srr�r,� mils K tj ` 7.. •• _ 14 `3 f a•o-•�� �r7�srq. osra+�rai+ cr»orrs .�.y'� 2 � V � �voltri1g71 so�•sr� (i�,wn.sw.rs> O ew{ p� yi 40"AN-1004W c+rraGs "r �y.►r�s ityPv+a►ir.�.s %Dvd na -7-f ?���� �`'�i� pl ��►o v w ,I6Tp M �y d MAY 1 9 2025 -�.1 Southold Town APR 2 3 202s REQUEST R AIM TION for Y_p Ip utEW•vosnYOuxnMv'C D ent of oard o gi nM rrar_wettand Btkf d RepXEWelEGIO WdhDred&gGewral fiNitIRONi IENTAL P Conservation Underthe Emruonmental Conseriation Law 8—�3i ti S%o*ct*5 ;Ott 4L Telephone Email 1-5-279-6092 ug0di*@generalatlari6ccoin' Mailing Address Post Office City State Zip IS t E tt5th St,Apt 7A, N7f 10028 ((ccne&all that appal plicant Must I* l_! � Operator Lessee is NOT a htdID i� ual):applicant 2-Name of Property Owner(if differmtt than Applicant) Telephone Email Stephanie and Aaron Goldman I 1415-279-6M I.goldmanggeneraladanticcom Maahing Address Post Office City State Zip — 110028 151 E.85thSL pt7 NY it v r1 Goritaet'/Agent Name Telephone Email David Bergen 1 151&848-6438 daveb&ge678@gmaiL om. Mailing Address Post Office City State Zip Box1�8 Ctutchoguc Q 11935 —� 4.Project/FacrTuty Ham JTBL Plus Two iLC bulkhead replacement Project Location—street address,bf appricabte,or provide directions and distances to roads,bodges and bodies of.water_ 5295 Nassau Point Rd,Cutchogue,NY 11935 Take Rt 25 east to Cutchogue,Rt on Eugenes Rd;Rt on Skunk Lane to Nassau Point Rd to house Property Tax Map Section 10110-111.-9-t3 Prod /1t25 �ma� 120125 Block I Lot Number Date Completion Date Town! ! Y Southold/Cutchogue St eamfWaterbody Name rlljtdi Peconic Bay County ISuffolk Name of USGS Quadrangle Map Location Coonfinates:Enter NYTMs in kilometers OR LatitudelLongitude In deg w-%minutes,seconds NYTM—E NYTM—N Latitude I N40 59 48574 Longitude IW7226 24-942 &Description of Project Listany previous DEC Permit lApptication numbers mractiivities atthis location: Replace in place failing 124fL bulkhead. Remove prior to construction cantilevered platform and retractable stairs with day-it and put back in place post construction &CertiScation. I have read this pemtitand will construct this project in compliance u ttt the terms and conditions of the pemdt and the Ertviromnentat Conservation Law and appli able regulations.I understand that any false or inaccurate statements made in the application for this permit are purdshable as a Class A misdemeanor.Asa condition of dit permit I accept felt legal responsibility Wall damage direct or indirect of Wv atever nahufe and by whomever suffered arising out of the project described herein and agree to indemnify and save harmless the state from suits actions damages and costs of every name and description resulting from this project If applicant ppl' is not the owner troth must sign the application.If you are subrmWing this application electronically you may print your name and check the box that ate the app r�opmtyatiwterinfieuofpmvlarganoriginalt4natuie. Sin Printed Name Date ❑BY u3tecing this box, t certify that 1 am the Aaron Goldman( � Ai::�K G ,&= respo�leApplicant of OwnerX4 Printed Name Date By checking Oft bm certify that i am ftte S responsible Owner Si nature of Acientl Contact Printed Name Date n David Bergen No work is authorized unlit the perinUtee receives am signed a.—*-2—can wrr ar rimumn7ernw cm mvar=rr Rev_10122 I N�►Yo RK Depafbnentof Part 2—PROJECT AUTHORIZAMOH BY NYSDEC Rev.1=2 �. tcavir�onmenta! for OP-122401 Tidal Welland Bulkhead Conservation Replacement With Dredging General Permit For NYSDEC Use Only Use of General Permit GP-1-22-001,Tidal Welland Bulkhead Wdh Dredging General Permit for the project described on Part 1—RequestforAuthorization is AUTHORIZED. EfFecEive Date of Expiration Date of FF,` Authorization 1-1 /2--1 1'20 Authorization Additional Information and/or Conditions ❑ Use of General Permit GP-122-001,Tdal Wetland Bulkhead With Dredging General Permit for the projectdescnbed on Part 1—Request forAuthorization is NOT AUTHORIZED. AddMonal Information NYSDEC Author zation Authorized r. : Date Signature IML 4 Z Z Printed Name o, DEC Perms iD FI—973 f —(73)&j$foo� We v tt m� en , o► r. rx 8AA Address NYS Delrartment of Envitonmentat Conservation F,•I Region 1 R j SUNY @ Stony Brook 50 Cirele.Drive J Stony Brook.NY t t790-3409 L V 15 TI-10 ,4 1 -L 37- `r r • Lr � •� fG`l � 0 �� �' �L� 5GC ���cd� �8 r+•S�dGC '�o"C7dl T L LL �4 (� �-(zs � a j f Ey u i I� CLY..> A Hy AR- - _ 1 fY C O�C 6+'tiG-CJ Li f( '10M z rd: a i uC+ k LA L�k c cr Cy • K,Y•KM ��� ly�r --�— — _��— wwrw•n•Ilwllwr•rr � •a+♦w• IY •••�•Iw♦s�•a G wfa w• PMWM VIW f u ------------ 41 t • \ • • \ It • p� a c w w a ! y✓ � r y M •� � • « r r r .�- • • « a � ff r ✓ a • '7f11� a ♦ ✓ d /fir_ .. I fJ ✓ • +•�. r d a « ■ r, ✓ dw \ (ram " ✓w n. 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N.+eTwCwE U s.uean vR a1 Pr N nrT S LK K i li z..1 -.1; ue�xr.�•. +00° SECTNN NC e :.",�___ ___ __ „• —_— w _ oslNoxla«o µ ,a�HasTIE M apuTNOLp 111 ,wnwr wnnTa.e.®wanc p..... • B NFN PTMIiv to T9NxE/®a�' � OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone:631 765-1938 Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: June 3, 2025 Re: LWRP Coastal Consistency Review for TBL PLUS TWO, LLC SCTM# 1000-111-9-13 David Bergen on behalf of TBL PLUS TWO, LLC requests a Wetland Permit to replace in- place 124 feet of existing bulkhead with new vinyl bulkhead; temporarily remove and replace in-place post construction existing permitted 4'x4' cantilevered platform with 4'x8' retractable stairs, existing permitted 4'x20' walkway behind bulkhead, and existing davit stair lift. Located: 5295 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-13 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the LWRP. 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 J d I Glenn Goldsmith,President Town Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 P.O.Box 1179 Eric$epenoski W. Southold,New York 11971 Liz Gillooly cm_ Telephone +c� phone(631) 765-1892 Elizabeth Peeples Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only CEIVE Coastal Erosion Permit Application t6l y Wetland Permit Application Administrative Permit A P R 1 6 2025 Amendment/Transfer/Ex sion =Received Application: . oZ� Southold Town Received Fee:$ 01. Board of Trustees Completed Application: a 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): TBL Plus Two LLC Mailing Address. 151 E. 85TH ST,APT 7A, NY,NY 10024 Phone Number: 41.5-279-6092 Suffolk County Tax Map Number: 1000- 111.-9-13 Property Location: 5295 Nassau Point Rd, Cutchogue, NY 11935 (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): David Bergen Mailing Address: Box 1.008 Cutchogue, NY 11935 Phone Number: 516-848-6438 Email: cs j e.n 7o a. "Ca�en t�� Hoard of Trustees Application GENERAL DATA Land Area(in square feet):_52,272 Area Zoning:;R. 40. . . . .... .. . .... . Previous use of property: residential Intended use of property: residential. Covenants and Restrictions on property? =Yes �_No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? ID—Yes lNo 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 __No If"Yes",please provide copy of decision. Wril�his project reankie any demolition as per Town Code or as determined by the Building Dept.? Does the structure(s)on property have a valid Certificate of Occupancy? Yes�D­No Prior permits/approvals for site improvements: Agency Date TR 6016;5688 10/10/04; 1/22/03. TR 6106;8245 1 1/20/05;.7/1.7/13.. TR 6519 1124/07 ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? FV-] No�Yes If yes,provide explanation: Project Description(use attachments if necessary):.Replace in place 124 ft bulkhead; Remove 4'X4' cantilevered platform and 4'X8' retractable stairs and exisitng davit stair lift, alt to be put back in place post-construction. Remove and replace in place existing permitted 4X20 walkway behind bulkhead. g Board of Trustees Application WETLANDfI RUSTEE LANDS APPLICATION DATA Purpose of the proposed operations. to replace failing bulkhead Area of wetlands on lot: 0 square feet Percent coverage of lot:.0 Closest distance between nearest existing structure and upland edge of wetlands: U feet Closest distance between nearest proposed structure and upland edge of wetlands:.0. . feet Does the project involve excavation or filling? 0 No Yes If yes,how much material will be excavated? cubic yards How much material will be filled?. cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: NA .... 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): Structure will prevent erosion into Little Peconic Bay. Buffer behind bulkhead will prevent runnoff into Little Peconic Bay 617.20 Appendix B Short Environmental Assessment Form Instructions for.Comnletina Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part T=Project and Sponsor Information TBL Plus Two LLC Bulkhead and Walkway Replacement Name of Action or Project: TBL Plus Two LLC Bulkhead Walkway Replacement Project Location(describe,and attach a location map): 5295 Nassau Point Rd, Cutchogue, NY 11935 Brief Description of Proposed Action: Remove and replace in place failing bulkhead. Remove for construction existing Cantilevered platform, retractable stairs and stairs davit, put all back post construction. Remove and replace existing permitted 4X40 walkway behind bulkhead, putting back in place in back of bulkhead, not attached to bulkhead. Name of Applicant or Sponsor. Telephone:415-279-6092 TBL Two Plus Two LLC E-Mail: _ agoldman@general Address: 151 E. 85th St, Apt 7A atlantic.com City/PO: -7State: Zip Code: NY, NY 10028 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 finding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ' NYDEC, NYDOS 3.a.Total acreage of the site of the proposed action? 1.2 acres b.Total acreage to be physically disturbed? �01 ...... acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.2 acres 4. Che&a 11 land us at occur on,adjoining an ar the pro action. Urban Rural(non-agriculture) Indus a, Commercial. Q✓ Residential(suburban) Forest ❑P►griculture ✓ Aquatic QOther(specify): Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ✓ b.Consistent with the adopted comprehensive plan? V 6. Is the proposed action consistent with the predominant character of the existing built or natural NO .. YES landscape? 14/11 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO.. . YES... 1 If Yes,identify: Little P.econic Bay ❑, 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES V FT b.Are public transportation service(s)available at or near the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: NA ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO' IYES If No,describe method for providing potable water: IF] 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: NA ❑ ❑ 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., qVES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b.Would the proposed action physically after,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. ntif the typic bitat types that ocUlsu n,or are likely to be found on tl"roject site. Check all that apply: ✓ Shoreline Forest gricultural/grasslands Early mid-successional ✓ Wetland Urban burban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed RNO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? If Yes, ^ ^ a Ela.Will storm water discharges flow to adjacent properties? O ES b.Will storm water discharges be directed to established conveyance systems ff an drains)? If Yes,briefly describe: LNO 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: Fv] ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES. completed)for hazardous waste? If Yes,describe:. ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name:Pay id Bergen. 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 Elregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? El 3. Will the proposed action impair the character or quality of the existing community? 11 El 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? El 5. Will the proposed action result in an adverse change in the existing level of traffic or El ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate El reasonably available energy conservation or renewable energy opportunities? 7. W ill the proposed action impact existing: a.public/private water supplies? El b.public/private wastewater treatment utilities? a 8 Will'tecturalorsesctiion impair the.tic resources?characteror qua lityofimportanthistoric,archaeological,archi ❑ a 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, Elwaterbodies,groundwater,air quality,flora and fauna)? El Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? El 'El 11. Will the proposed action create a hazard to environmental resources or human health Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-tern,long-term and cumulative impacts. FJCheck 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. QCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applica-L" i AFFIDAVIT Stephanie and Aaron Goldman 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 RMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE IT. Signat 06operty Owner 4Sature of Property Owner SWORN TO BEFORE ME THIS L� �h DAY OF I 20 Z5 Notary Public ;`, .._ }, .:fig r4;I. .. . �•' ASO YASHVI N PATEL .r ..:9 .uet-.,;_ . .. :,• a=' Notary Public-State of New York NO.01PA6405476' Qualifted in New York County My Commission Expires Mar 9,2028 _.�, rd of Trustees Applicatio'-,__ AUTHORIZATION (Where the applicant is not the owner) I/We, Stephanie and Aaron Goldman owners of the property identified as SCTM# 1000-111.-9-13 in the town of Southold ,New York, hereby authorizes David Bergen to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trust or this property. Property ne\?,,,' i g n a t u r e P Owner's Signature SWORN TO BEFORE ME THIS DAY OF I , 202,5 otary Publ' YASHVI N PATEL Notary Public-State of New York NO.OIPA6405476 Qualified in New York County My Commission Expires Mar 9,2028 �.ux. >_ :. _T.u,.,,, ,_ •4,•.,,....Es_.wx rwa:1,: N'5t:.:n.b�a•;:s..Fn.aiz.-e-s:gn.t:7.mpg• .� ..p�-.cy_ r.s..fi. ,-soard of Trustees Applicat', _ o AUTHORIZATION (Where the applicant is not the owner) I/We, Stephanie and Aaron Goldman owners of the property identified as SCTM# 1000-111.-9-13 in the town of Southold ,New York,hereby authorizes David Bergen 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. f Property Owyner's Signature Prkpartf Owner's Signature SWORN TO BEFORE ME THIS Li DAY OF F 1 ,20 \,-Notary-Publlic YASNVI N PATEL Notary Public-State of New York NO.OIPA6405476 Qualified in New York County My Commission Expires Mar.9,2028 �. > , ;w „� : • .� � >r 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold'.s Code of Ethics prohibits conflicts of interest on the part of town officers andemnlovees.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. YOURNAME: Stephanie and Aaron Goldman (Last name,first name,iriddle 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 interesf'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 F 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): 12A)the owner of greater than 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 corporation); Q an officer,director,partner or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Iir Submitted thi 1 day of n�` 20 Z Signature Print Name Form TS I 4�4 Ltq-T1'v APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Soutliold's.Code of Ethics prohibits conflicts of inteteston the ion-oftown officers and employees:The cum=of this form is W provide information which can alert the to of riossible conflicts of hitenistand allow it to take.whatever action is neces$ary to avoid same: YOUR NAME: David Be[gen (Last name,first name,.riddle initial,unless you are applying inthe 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 n:lationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,mane,or busuress interest"Business interest means:a business, including a partnership,:io which the town offroer or employee has evens partial ownership of(or employment by):a 60rpoiation in which this town officer or employee owns more than 5°Jo of the shares. YES R. NOIf 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 fine A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,of child is(check all that apply): fIA)the owner of greater than-Wo of the shares of the cerporate'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,partnei,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 16 day of A P-� 20 Signature 4\- r Print Name David Bergen. Form TS I Soard of Trustees Applica, ,)n PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: 111 - 9- 0- I11 . 9 icy STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#:"F 13`L `ems �wr�{ C/ G',:D a -01 enoca - ion .-� � � �3 NAME: ADDRESS: T ` ; rr Ile oxs�� L�:��-<� n c it-refs nPfr-> A f_ / / � � 7 Ni r e v, G f?'Q T T ""-j 6�+a sl a�-y t� G �G r d�•� `t T�.r In l �U o rGz..f,3 � FCo JULN 9 2025 STATE OF NEW YORK Southo►duown Board of Trustees COUNTY jOF SUFFOLK �'d d r'J e e , residing at ,n `l , being duly sworn, deposes and says that on the a day of C , 20 2 S , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAIVRETURN RECEIPT. n_,o (a Signature Sworn to before me this Day of 20 T 02-5 JOHN MAKI Notary Public r A of New York No. 01 M A1616483$ Qualified i' 'Suffolk County Notary P lic My Commiss 4` xp• 04/3Q1�CO27 �.�. � I Postal Service" PostalTM CERTIFIED , ■ ■ ■ , . t3 RECEI,PT Domestic Mail 0,?ly MEr Er m I + 1For delivefy visit our.website at WWWAISPS.COM". 34 t V ryl roq a ' (U ;' .„ ? 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Article Number(Transfer from service label) ❑Collect on Delive Restricted Delivery d Signature i Restricted Delivery Confirmation ❑Insured Mail. 0 2 2 ;16 7,2 0 0 0 2 . 8342 3924 ❑Insured Mail Restricted pelivery: r I 'SFOrm i I (over$50o) I ,JI„IlY 2020 P$N 7530 02-600-9053 - Domestic Return Receipt i Glenn Goldsmith,President gt1FF0[,��0 Town Hall Annex A.Nicholas Krupski,Vice President ;��� Gy 54375 Route 25 Eric Sepenoski ti i P.O.Box 1179 ' Liz Gillooly p Southold,NY 11971 Elizabeth Peeples ��jpl �a0� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- dt-� In the Matter of the Application of L TBL PLUS TWO,LLC JUN 9 2025 COUNTY OF SUFFOLK STATE OF NEW YORK Southold Town AFFIDAVIT OF POSTING Board of Trustees �DO'�1 OAT COMPLE E_THIS'=FOR1VI-UN IL THE PO,Sy M-A C,�►N AS1► ' I, residing at/dba y,2 being duly sworn, d pose and say: That on the i day of e.�, ` , 20';1 , 1 personally posted the property known as .---.fit,j j �j _ 1 //` i•�4- F`c- 'sue c'3 . �� ( t5 �c,rn; co ca:cc` ce O V�73�. P cD C by placing the Board Trustees official noticing poster where it can easily be s e�om the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,June 11,2025. Dated: i (signature) Sworn to before me this 9Aday of vv",� 20 Z<- JOHN A. MAK.1 Notary Public-State of New York No. 01 Suffolk Qualified in Suffolklk County My Commission Exp. 04/30/202"7 Not Public i NOTICE OF - HEARING, NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: TBL PLUS TWO, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to replace in-place 124 feet of existing bulkhead with new vinyl bulkhead; temporarily remove and replace in-place post construction existing permitted 4'x4' cantilevered platform with 4'x8' retractable stairs, existing permitted 4'x20' walkway behind bulkhead, and existing davit stair lift. Located: 5295 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-13 TIME & DATE OF PUBLIC HEARING: Wednesday, June 11, 2025 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office _until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCYASSESSMENT 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 lie evaluated.. as- to its sini beneficial and adverse effects:upon the coastal area(which includes all of Southold Town). 1 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. :Thuss each-answer must:be earnlained in details liistin both supporting and non suoporturg,fads. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places:online at the Town of Southold's website(southoldtown.northfork.net),the Board of Trustees Office,the Planning Department; all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 .111.-9 _13 PROJECT NAME TBL Pius Two LLC Bulkhead and Walkway Replacement 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: a Nature and extent of action: Remove and Replace failing_124' bulkhead and.permitted.walkway. Remove-for construction cantilivered platform, retractable stairs and stairs davit, putting back post-construction Location of action: 5295 Nassau Point Rd,Cutchogue, NY 11935 Site acreage: 1.20 Present land use: Residential Present zoning classification: R-40„ 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of Applicant: TBL Plus Two LLC (b) Mailing address: 151 E.85th St Apt 7A, NY, NY 10028 (c) Telephone number: 415-279-6092 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0 No❑ If yes,which state or federal agency?NYDEC, NYDOS 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 LNM Section III—Policies; Page 2 for evaluation criteria. ayes1:1 No Not Applicable Prevents property.erosion and.allows access to beach 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 RJ 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 F✓ 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 0 Not Applicable Protects owner's property and neighboring properties from erosion and runoff into the bay Attach additional she 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 oot Applicable Will replace current treated lumber bulkhead with vinyl. Maintains existing non-turf buffer behind structure. Attach addritonal sheets ifnecessary 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. W] Yes [:]Non Not Applicable Project will replace exisitng,failing bulkhead to protect against erosion and runoff into Little Peconic Bay 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 0 No❑✓ Not Applicable Attach additional sheets if necessary Policy S. 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 11 No 0 Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies;Pages 38 through 46 for evaluation criteria.YeD No El Not Applicable Retractable stiars will maintain public access to shoreline Attach additional sheets if necessary i WOREING 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 Provides owner with:access to beams 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 0 Not Applicable ..... . ... . ...... Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No ✓❑ Not Applicable PREPARED BY David Bergen TITLE Agent DATE 2 Box 1008 Cutchogue, NY. 11936 : April 16, 2025 ® E C E U El Southold Town Trustees Town Hall Annex APR 16 2025 54375 Rt. 25 Southold, NY. 11971 Southold Town Board of Trustees Dear Trustees: 1 am respectfully submitting to you the attached application packet for a wetland permit for the TBL Plus Two LLC bulkhead and walkway replacement project, located at 5295 Nassau Point Road, Cutchogue, NY . Enclosed you will find: Wetland Permit Application Short Environmental Assessment Form Authorization form Owner Affidavit Applicant Transactional Disclosure Form Agent Transactional Disclosure Form TBL Plus Two LLC Documentation LWRP Consistency Assessment Form Property survey -Sitelconstruction plans Color photographs Site location map -Application Fee in the amount of$1250.00 Thank you for your consideration of this application. Please do not hesitate to contact me at 516-848-6438 should you have any questions. Sincerely, a-,-e t 'David Berg Sol Searcher Consulting Agent for TBL Plus Two LLC