Loading...
HomeMy WebLinkAboutTR-10819 i Glenn Goldsmith,President �o�0S11FF0(,�c0O Town Hall Annex A.Nicholas Krupski,Vice President y� 54375 Route 25 0 Eric Sepenoski W ,? P.O.Box 1179 Liz Gillooly 1iy • o�� Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 1 a ZS Completed in field by: Sol Searcher Consulting on behalf of FUNDA ILGIN requests a Wetland Permit to replace in-place existing 100 foot long wood bulkhead with new bulkhead using vinyl sheathing, 12" diameter pilings 6' on-center, horizontal and vertical lay-log backing system, and 6"x6" whalers; remove remaining parts of old cantilevered deck extending seaward from bulkhead, not to be replaced; and to establish and perpetually maintain a 10 foot-wide non-turf buffer along the top crest of the bluff. Located: 5095 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-12 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code propose work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: —/—Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: JA V, Lw�,.4 Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples SURVEY OF LOT 34 AMENDED MAP A OF NASSAU POINT OWNED BY NASSAU POINT CLUB PROPERTIES, INC. FILE No. 156 FILED AUGUST 16, 1922 SITUATE CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-1 1 1 -09-12 Lr 2 STORY ���D „_ N�O�F OINT► LLC HaaOUS W�p pECK 3 SCALE 1 —20 TER NASSAU P � O � DECEMBER 15, 2022 AUGUST 21, 2023 ADD TOTPOGRAPHICAL SURVEY LOT Op y AREA = 32,368 sq. ft. �N X -7,2 LTI522 y (TO TIE LINE 0.812 aC. t dt BULKHEAD) , x 53.0 � 52.0 CERTIFIED T0: ... " Funda Ilgin or his designee East Coast Abstract, Inc. (Title No. ECA48743) AmTrust Title Insurance Company s� ��� °\ \ \ 6` \ 51.4 11 as oil3� \ \ \ TEST HbL E 1 52.0 x �j x \ Na 36 2 \ \ \ \ \ \ ` \ \ \ \ \ \ 1 I I I 5 .5 k 2.3x I (1) I \ \ \ \ 1 \ \ \ ti 1 (� o \ \ 1 x Z \ ' x 67.a \ �, m " Gym I 1 \ \ \ \ \ \ \ \ \ \ 8\ ? x I I 4 .66.2 A" Tam 01 X`1.4 OR j' 1 —_ g O o O / � 1 1 � 1 1 \ '� � .• •: . • ..�: �.; . � "`gym ��.x � X5 j.9 — — _ x� 1 1 1 \ \ \ 1 1 1 WOOD gr _. _ _A— do LANDING OF J� j != CaNC. 4 �1.4 x r O1D�OOµp I I 1 ,N �: .i•.: _t WINDOW __2 �. ; •.�..r %•» MIEU 2^d 5fOp C U 69� �LpT , 1 1 ( \ '':•;:";'`''.; ,,• 2 daR� ' w000 K s. Q ` s: .'' ` '''+ ' ^ HANG W000�11E �n m 32C3 $rJ BRICK N VAtA FRA oovo , 2 STORYE ! `►� Fs. COTfAGE/GARAGE ET65 EEO AL 00. 617.0 1 1 e V I � � ' / � 1 � s2•a I � ` � . �18�g8, �4.0' 13.85. x I 0 E�CTR►C 67� / GUY �¢ _ _ / I o1111111 _ o — �avERHEAb WIRES o O , oT� i TREES air CYPRESS ..a X6 WIRES i —��FyE !a%h �ry • c `E 4y _ ?L-`_ -- .r- r { ii LOT S5 APR 2 9 2025 — • ' f �� w Tygp LLC 0 2� TBL pLVS Sa�thold Tovdn 5 ecarct afTrJ�tees Z N TEST HOLE DATA N -+ PREPARED IN ACCORDANCE WITH THE MINIMUM W (TEST HOLE DUG BY McDONALD GEOSCIENCE ON AUGUST 15, 2023) STANDARDS FOR TITLE SURVEYS AS ESTABLISHED `j BY THE L..IAL.S. AND APPROVED AND ADOPTED O o' FOR SUCH USE BY THE NEW YORK STATE LAND s MIXED SAND & LOAM TITLE ASSOCIATI``j`,%ljj j1////// �` `6 G9 O�� PALE BROWN FINE SAND (Sp) ten'T�o . � 0461 . .� C P E a� qN ,aQ'� . s Yt�� itd a— N.Y.S. Lic. No. 50467 I�T� �,1 TOUNAUTHORIZEDSURVEY ALTERATION TI ADDITION Nathan Taft Corwin III �� � TO THIS SURVEY IS A VIOLATION OF 0• T S• SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. Land Surveyor 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 198$ DATUM COPIES OF THIS SURVEY MAP NOT BEARING EXISTING ELEVATIONS ARE SHOWN THUS:xx-X THE LAND SURVEYOR'S INKED SEAL OR EXISTING CONTOUR LINES ARE SHOWN THUS: XX — — — — XX EMBOSSED SEAL SHALL NOT BE CONSIDERED Successor To: StanleyJ. Isaksen, Jr. L5. F.FL. — FIRST FLOOR TO BE A VALID TRUE COPY. Joseph A. Ingegno LS. G.FL. — GARAGE FLOOR CERTIFICATIONS INDICATED HEREON SHALL RUN T.B. — TOP OF BULKHEAD ONLY TO THE PERSON FOR WHOM THE SURVEY Title Surveys — Subdivisions — Site Plans — Construction Layout B.B. - BOTTOM OF BULKHEAD IS PREPARED, AND ON HIS BEHALF TO THE T.W. - TOP OF WALL TITLE LENDING INSTITUTION GOVERNMENTAL AGENCY LISTED HEREON, AND D PHONE (631)727-2090 Fax (631 727-1727 ) B.W. - BOTTOM OF WALL TO THE ASSIGNEES OF THE LENDING INSTI- OFFICES LOCATED AT MAILING ADDRESS TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE P.O. BOX 16 THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road James port, New York 11947 AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 P ANY, NOT SHOWN ARE NOT GUARANTEED. E—Mail: KorwinWaol.com Al t'S Elm E 1r318 710' N1- N Iloilo -ftZ W 00 1­4 ;E111 C 7 NY '4 fj�i 4?v R NASSAI 41a DINT ADD/MAINTAIN EXISTING rn NE U 10-4-NON-TURF PUFFER PNJ At& 'Atu 0 1 69- M MelIN111 I 1-3 ILOT PROJECT DESCRIPTION Z wwD 0 -67- ——— — 8 Remove and REPLACE IN-PLACE failing wood BULKHEAD with an 1 Z overall length of 100 ft+ Cq REMOVE existing Cantilevered platform. ADD/MAINTAIN existing 10'-0"NON-TURF buffer at top of Bluff 66 ry/ Elm.- S 78*36'20" W '08329.85' nip Project consists of: Bulkhead Replacement Bulkhead to include use of'C-Loc'vinyl sheathing with 1 Promect Scope Plan 12"pilings,6'-0"on center,6"X 6"walers,vertical deadman with A�l 0. 20' 40' horizontal lay logs or helix screws for backing system with fiberglass grated cap along the entire length. All per plans dated April 28,2025 Al Z TOE OF BLUFF SLOPE EXISTING/PERMITTED RETAINING WALL U U U U L) U T) U U U 0 D) C E L -----REMOVE EXISTING CANTILEVERED PLATFORM 100'-0"+/- A P R 2 9 2025 2 Promect Site Plan �Al 0. 81 16' Southold Town Board of Trustees Z Ix EL NEW 12"PILINGS@ 6'-0"oc NEW FIBERGLASS GRATING CAP OVER VINYL SHEATHING MEAN HIGH WATER-MHW IS DEFINED TO BE O.O'AS INDICATED ON SITE NEW CORRUGATED VINYL SHEATHING SURVEY DRAWINGS BY NATHAN TAFT CORWIN LAND SURVEYOR LU IN U) TW .1 + - EXIS5TING Ilgin -Applicant U_ . . . . .. + + Proposed Bulkhead Re-Construction X TEMPORARY EXCAVATION. 5095 Nassau Point Road, Cutchogue, NY 11935 0 = SCTM - 1000-11 l.-9-12 F- W AHW "DEADMEN"AND"LAYLOGS' > + . . . NEW BW 0.0'+/- NEW 16'-0"TIE RODS-TYP. Prepared by: David Bergen and Ken Quigley EXISTING NEW 6"X6"CONTINUOUS WALERS W ALW W Construction Scope Plans <Z LOW TIDE DEPTH 3: Date-April 28,2025 Drawing: 0 Cn Typical Bulkhead and Return Section Scale:As Noted Al U) 5' co LY � 9 20 25 Jh-) E G E LV L-7 FE: MA 1EUVLDSouthold Town DA 2025� RiMdlltA410N floc _� pREGIfJ :iIt Ger�ra!Putt>it tifTi4L I?Ef2MITS undertheGuntarnnenWC LawArtuites2S&t5 Tekphm Emay _ t31-831-1740 Umlia9Aditw PadotficeCdy - ��-j'_�T4 t001liid 11935�+ 2-NameofPrapaVOww#Fdiffawttfl mApp ka* Te%phane Bras some Ma 9 Adds Past 010m City state ZP 3.t lAgev*Kmtte Tetepbom Emol David 5I6gRg6g3g daveg�78@�msnt- UIM9 Postomo2Q3y S�ate�Ztp Baer IOQ8 (by�gII0 ® I1935 4.Projeetf fm�y 1Karna �g;n IBulldtead Replacement Ftojedt+oration-slreeiaddms.�a ort�rasiide aocl,es%rwd%bftes=dbofesafvjzft: 5U95Nasael'bi@tRd,Co�ae,NY11935.TOkraRt2SravotJoonFs3td,rt.a�S�ki�etoN�eFb'sitRdtoa�hess OIft*tt tm I I4Qlf-Ili_-}-l2 MW /1/25 /30P15 TM"Ivt9 WIcay So opus small afe[bodyKMW ' Fkp*cBay Coemty Suffolk ftMcfUSGS(Zwdran_cftM* t o�tttott ErXatNYi Ms in taioatefers OR Loug@ude ion degrees.ntbmtea seconds tMM-E NM-HI Latitude Nod S9-4SS74 Longitude W72262441452 5i. ptianQfProjm* liAmVp f]6CFeimitiApplcafoanrsmdmmfbiracgvhiesetit&facaffm Removeandrepbmingtsoe-i-100feetaifailing wood bnWheadmplm-,a sa= Rye of uldcwxdIeveredd=ksWortshud= &Ceufcaftt. I have readdit permit coed will cargoudeb project fn CompfarWvft the>tem s and=tMarm of the permit and the Br&�t ConservarLiDaLawandapWaftmiundemtmdWaMbimerkmcetnmftsftMmxmbmaftinftapplicadmforthbpmftampurMabtease AAsa�coredan of#&permit I scoWfuR" rarrsW4foralidamaged&ector hWhed whatever natmsWby whwomsuffewd arising outafihe pajectdesu bed herein and agree tonWemifyandambamillm the stda tromstids 0,radwregm and cosfsofevaryname end desaip5mr n Imm flan pt tfappRcardisnottheaumbofltnugaiigntheappkaFoLffymam g6aftehchodcdyyouuWpintyorrnamemdahei*Meboxthat cett'Sesytruare fire respons�le orpropeitynumesltttsenofprn�ugan� . Sbis One of Crgrrt ®� 9 Forted Name Date 1 aeTSty drat I aan the —n& responsible Appfir�nt naltneofowner Ruled Nance We aaff�anntlt�e :_ � t— _..- rieo+d�r time of eM/ Ftinbed Name Date _ .z Novtaedci�a�leot �fherer�v+esffiesi�al �,� i �entatof Pad Z'PROECtAU Ti U BY Cor�ervate fnr GP—224M Tfdat Wagand BulkheatdN�YSDEC r Reptaaement vw&Dig cienom Peanut For NYSDEC Use only Use of C�Perrot GP 9-� -m,TM tl gait Vft P descibed on Part 9— forAuU n is AUTHORIZED Efib*m Date-of f�errn ficr the AugwdzWon5 �. Hof AdMiong� mv Auffmiftaftn n �Gerteral Pemu GP -coat,raes v111�BMwad wft Me&OV General Sennkfor&a on Part 1.—RequeaftAuffiorkaftnisWr LUTNOROM Add%onwL AedhariZecl NYMMC Author�on - b oar 5 �. We DEC t ID — ? -ate'7 7 d Addrem af �� f cc sm fop so chvienaive SMrBmok,NY 11790-3409 1� "�F,..,,,}ice a� .� �d5k��RC�Sf�iT�•� � ils `.'�"� ` ,L�i �� yy. � `R'� 4���R� 9�� a•� �,� � . )w d ,s ; 1 (1.7 �1) 6, C4 1 (c - -e, � °X AM r �cZ [3 cc ! s - hr � a ° ai°' �'._ , T'4nr.gyt� f� x � ♦ .�.� .1`,'S y s'�,. � .`� jz �°L e, � �y;, �+ t,, �r;� �' y,yr t � � - s . � � 'e • � w�. y�? � y+/°.- � !��' ti s Tit J 9.7"�'`.?'4'��`p�w� �' .✓� `� �'. a � +��\\.,d�`�-. > . �t sw1��, a cz 'tWga. "� ��xt_ ..�=..u�o ' .. R. e r ,p- •' y e y � '®A •m.-\4 .,,, ; p,,Ma,+^ oso - - � .s z-�� N a$.^. r � .D a rZ �v � '�A vv"• t� .;.+�. r„ r+• ,�� -n v� ° 2 2. ^s •r s 4 _ s • � •e •�..+ z#w w �` \� ��\ \�� z zz°u "'TTY' ,° t° iF z.x t roLq� X tl , �r s ss w m oz s I �{ y s, ..•. i �°• a 1:...a"i p.aT Y,y ''„,. � ��\� 1 \��`\'\��\\ ry s 10, mi'.2u : , ;1 w, ii4�6 - a °s»� �.E ,,,,ate w �r.�t' ' r.,«,(8) '•s•� „ 4 ''., \ of r.z� ,,.xe,.,� • ���a ,« `> 7A T Npr. r a E � E „'• r •,` lry. 1N 1.-, 16E.2a C,l. > a s i� 1 WgL—:...q4 ,y� ° M ♦ �..'1- �Sif 4 a rj P?1'l« tt.yo • ,aw _r "q x- A �� w is - 4F °,^s - ,r '�1 �ut CLF Vie, �3 . \. J •.. lW °_• ti�l a �- ' P- '} ��� ,> t kl « 'PL • ! e Jg, ,.eµ, e 7 - .^ ,..a �"-•e a•¢ �E ,e �, ,z :. o ____ s oot'E .' »__-4i rrdY"_. s' y i', 4 iT }ts �~,`♦ '"• ®s E �� �' 4•• *,�♦ ,. J �,O A .. ; _.. a�is 1,., %S E? q °S � _ .r 9 t,,y.A- •, T' ,�'"" 's s-m .. .y ♦ pl AA,4Y. .N, Y .p S•v ._-____... _._ J "-9" r, E to �E � ���' h•,. 4 �,.. �x'&a�> 9• Q- te- C, ;, 6 ''� 1 \ ,Y 4 M1 z w f y - emu"• p s m ..tY az O r, .- . v w z. . , ,�, � � If+ar U •'`+' \ z�•�1' >.et 9 .. i mt a t wnt.- ll•.z ° ..(.� p '. , __ 9 '2Wd1 ,+. T. ...,�,.,>« 'J a .. , a• zsk) w �`e s 21e ,,,.s .e z> >d;: ��•+"�.�, x . 5 • �, M ,a �� , �P ° 's �t'wJ y ' p€Eaw� s �• ' w r u � y .<.a a--• •,sx ". �'• t} • ., ,9r E 4 WOx'wc, 1 >c ka rf vk� 4 z+, ° a sz.�� a1�+4• •„ 5t < v .• 4 ^'e,W`,: ,i(� ., -,^ He,4 «,sa �._„ors,_^ 'E___-�r.-♦J • e 2-4 R9t(cl •S \`., y �, [ aT ca pcc r�o -?B „.., —, a - - — _ COUNTY OF SUFFOLK O NOTICE s ---- M ..c,va t000 ,on ra U '�°"` -_�_— z,xa >A Real Prup—)T ice age urmrwrb.z,aw+tui ar°an v -- N �� SECT E wn� _ _ __ „♦ ___ W psmanotDr.M'eotign°z 1HE °c °ppTp ��� A . ___—� $ NE,i MSBtn TM 9BtlYE.,®a.Y a r.1.J �0�,.,��Yf l• . OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex F, �- ''.0- �, P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) Telephone:631 765-1938 Southold,NY 11971 r ► • YO LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: July 11, 2025 Re: LWRP Coastal Consistency Review for FUNDA ILGIN SCTM# 1000-111-9-12 Sol Searcher Consulting on behalf of FUNDA ILGIN requests a Wetland Permit to replace in-place existing 100 foot long wood bulkhead with new bulkhead using vinyl sheathing, 12" diameter pilings 6' on-center, horizontal and vertical lay-log backing system, and 6"x6"whalers; remove remaining parts of old cantilevered deck extending seaward from bulkhead, not to be'replaced; and to establish and perpetually maintain a 10 foot-wide non-turf buffer along the top crest of the bluff. Located: 5095 Nassau Point Road, Cutchogue. SCTM# 1000-111-9-12 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 Glenn Goldsmith,President ( +i' Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President _ :Z Eric$'epenoski P.O.Box 1179 .. Southold,New York 11971 Liz Gillooly Elizabeth Pee les Telephone(631)765-1892 p `� � Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application _Wetland Permit Application Administrative Permit Amendment/Transfer/Extension _Received Application:. a�� _Received Fee:S ! _Completed Application:. a-IO d- Incomplete: SEQRA Classification: Type I Type Ii Unlisted Negative Dec.. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): . E LWRP Consistency A sessment Form Sent: S D CAC Referral Sent:!J Date of Inspection: APR 2 9 2025 Receipt of CAC Report: ' _Technical Review: _Public Hearing Held: Southold Town Resolution: Board of Trustees Owner(s)Legal Name of Property(as shown on Deed): Funda II 'on Mailing Address: 1000 Haywaters Rd,Cutchogue, NY 11935 Phone Number: 1-631-831-1740 Suffolk County Tax Map Number: 1000- 111•-9-12 Property Location: 5095 Nassau Point Rd, Cutchogue, NY 11935 (If necessary,provide LILCO Pole#,distance to cross streets,and location) AGENT(If applicable): David Bergen, Sol Searcher Consulting Mailing Address: Box 1008, Cutchogue, NY 11935 Phone Number: 516-848-6438 Email:davebergen789gmail.com c (0 Board of Trustees Application GENERAL DATA Land Area(in square feet): 38,333. Area Zoning:_R-40 Previous use of property: Residential Intended use of property' Residential Covenants and Restrictions on property? _aYes `No If"Yes",please provide a copy. Will this project require a Building Permitas per Town Code? Yes n✓_ No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? JD_Yes No If"Yes",please provide copy of decision. VJiU4Ws project reamire any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure(s)on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date TR 5619 1/24/07 ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No�Yes If yes,provide explanation:.. . . Project Description(use attachments if necessary): Replace in place+-100ft of failing wood bulkhead with new vinyl sheathing, 12" pilings Von center, horizonal and verticle laylog backing system plus 6"X6" whalers, remove remaining,parts of old cantilevered deck extending seaward from bulkhead, install 10' non-turf buffer at top of bluff Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:.replace in place failing bulkhead to prevent erosion and. runoff into the bay plus protect owner and neighbors property. Area of wetlands on lot: U square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands:_0. 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: 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): Will support tidal wetlands in the prevention of erosion and runnoff into Little Peconic Bay 6I Z20 Appendix B Short Environmental Assessment Form Instructions fhr Coritnleting 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 I-Project and Sponsor Information Ilgin Bulkhead Replacement Name of Action or Project: same Project Location(describe,and attach a location map): 5095 Nassau Point Rd, Cutchogue, NY Brief Description of Proposed Action: Remove and replace in-place +-100 ft of failing bulkhead. Remove portions of old cantilevered platform which extends seaward from bulkhead, install 10 ft. non turf buffer at top of bluff Name of Applicant or Sponsor. Telephone:631-831-1740 Funda Ilgin E Mail sukruilgin@hotmail.com Address: 1000 Haywater Rd City/Po:: State Zip Code: Cutchogue NY 11935 l:Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, N0_ _ .YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that El be affected in the municipality and proceed to Part 2. If no,continue to question 2. ny 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: . W-1. 3.a.Total acreage of the site of the proposed action? .81 acres b.Total acreage to be physically disturbed? c 01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? •81 acres 4. Cho 1 land us occur on,adjoining an ar the pmpqsr4 action_ Urban Rural(non-agriculture) Industrial Commercial ✓❑Residential(suburban) Forest ❑Agriculture ✓Aquatic Elother(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? ✓ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO— YES. landscape? W 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:.Little.PeconiC Bay ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ✓ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO -YES If the proposed action wil I exceed requirements,describe design features and technologies: NA �. 10. Will the proposed action connect to an existing public/private water supply? NO . YES If No,describe method for providing potable water: F ❑ 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? ✓ 1I a.Does any portion ofthe site of the proposed action,or lands adjoining the proposed action,contain NO.. YES wetlands or otherwaterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres-. 14. ntify the typi bitattypes that o n;or are likely to'be found on oject site. Check all that apply: ✓ Shoreline Forest Agriculturallgrasslands Early mid-successional ✓ We Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed I by the State or Federal government as threatened or endangered?16.Is the project site located in the 100 year flood plain?17.Will the proposed action create storm water discharge,either from point or non-point sources? If Yes, a Will storm water discharges flow to adjacent properties? [:]NO []YES b.Will storm water discharges be directed to established conveyance systems ff an drains)? If Yes,briefly describe: N0 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: ✓❑ 'F1 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:_DaAd Bergen Date: LZ 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? F1 2. Will the proposed action result in a change in the use or intensity of useof land? El 3. Will the proposed action impair the character or quality of the existing community? El 4. Will the proposed action have an impact on the environmental characteristics that caused the a establishment of Critical Environmental Area(CEA)? S. 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 available energy conservation or renewable energy opportunities? 9. 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? El El 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 Boa of Trustees Application .AFFIDAVIT _ F�-� - ..1 �_.� BEING DULY SWORN UP ES AND AFFIRMS THA HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS cR DAY OF ..20 o1S - �Cl Notary Public BARBARA H.TANDY Notary Public,State Of New York No. 01 TA6086001 Qualified In Suffolk County zJ Commission Expires `�S• �a� ;.: Boil of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, �' 14 -4 `__ owners of the property identified as SCTM# 1000-. -_ ` _ in the town of New York,hereby authorizes c� to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF _ 20.,a57 Notary Public SAMARA H.TANDY Notary Public,State Of New York No. 01 TA6086001 Qualified In Suffolk County J.�S: -,)oa7 Commission Expires #M0 / APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Coee.of Ethics:prohibirs conflicts.of Were.don the part'of town officers aed;employees.The puroose of this farm is to provideinforination which cari.Wert the.town of possibluonflicts.of.innteiest endailow it m'take.whateyeraction is necessary to avoid same: YOUR NAME: -—rd G 11 n (Last name,first nAe,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 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:orchild)have'd relationship with any ofl7ceror etrrploYee_ of the Town of Southold? "Relationship"includes'by blood,marriage,or t usli"interest:"Business interest.'-'means:a business, including a,pa tnership,in which the town offceror employee has event partial ownership of:(or employ_ment'by)a corporation in which the town officer or employee.owns-mom thdn.5%•ofthe shares. YES NO if you answered"YES",complete the balance ofthis form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the 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 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); —R C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted'this day of 20 Signatu r Print Name Form TS 1 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURIK FORM Tire Town of Southold's Cam of Ethics.nrohibits'confl cts.of interestoo the cart oftown offlKrs and emWdovr m The w mse of this form`is m provide inforinatioitwhich can skathe town of ear ible conflicts of interest anlalliiwlttrir take whatever action is necessary to avoid same: YoUR NAME: .David Bergen (bast 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 frvm plat or official map Planning Other (If"Other,name the activity.) Do you mall ;(or your company, ttse sitilin y personally y through yo parry,spo ., g,parent;or child)have a relationship with any officer or employee ofthe Town of Southold? "Relationship"inchides by blood,marriage,ar bue- interest'Business interur means a:business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)atmrpomtion in which the'town officer or employee owns more than.5%ofthe shares. YES NO n If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent.or child is(check all that apply): fIA)the owner of greater than 5%ofthe shares of the corporate stock ofthe applicant = (when the applicant is a corporations B)the legal or beneficiai owner of arty interest in a non-corporate entity(when the applicant is not a corporations C)an officer,director,partner,or employee of the applicant;or D)the actual appiicam. DESCRIPTION OF RELATIONSHIP Submitted this of R a• 20—L4�' Signature Print Name David ! Form TS 1 B< . ,;3 of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: 1M NAME: 111 - q - � 3 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 Boat ' of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: " d 6 NAME: ADDRESS: M GR fJ 0.W1-,., n r r (2 ems_" 576 EG E IV Ent. JUL 1 1 2025 1 LLU))) Southold Town Board of Trustees STATE OF NEW YORK COUNTY OF SUFFOLK a#— eq residing at a,-,-Fe;� Po w CAI ce e— n Lf `` , being duly sworn, deposes and says that on the day of V , 20Z'r', 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 ut old; that said Notices were mailed at the United States Post Office located at C G � a n , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature ` Sworn to before me this Day o 720 Q� CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 �P Qualified x Suffolk County c' Commission Expires April 14,2—Q.a Notary Public 9589 D710 5270 3113t0751 39 9589 0710 5270 3113 0751 46 n, ur ��► � -o us A C. 0 m� o.❑❑❑❑❑ m uy^ m@ �M ES CD. o �I CD3 3� a �D • . 3�� • ...n�'� • ■ ID 0 •��Y N '�' n0�5� v w z m win v. .� x 'r N ; 1' CHO` `4 o of -3 dp m w r � SSE L L - - -------- - --------- - — — — — 9589 0710 5270 3113 0751 53 N DELIVERY COMPLETE THIS SECTION 0 40 COD • - rn;l. y w Q c A.Signature ' ° o m z 9 9w d i complete items 1,2,and� %�z �•... gent N� v, �, m a 3 i - .. ='�'+ m name• ■ Print your name and address on the reverse ` ❑A dress n ® a a m N so that we can return the card to you. l zip w a a a a B. Received by(Printed Name) C. D to f Deli ry ? ■� o T m s T mCn ■ Attach this card to the back of the mailpiece, _ or on the front if space permits. io ° -3, 1. Article Addressed to: D. Is delivery address different from item 1? ❑ s f` ,cp m e ACl cn -if YES,enter delivery address below: ❑ o r - ,� z - Ts7'° CD e, i R F. i `P� e 3. Service Type ❑Priority Mall Express@ I C ❑Adult Signature Cl Registered Mallm III III�II l�li I'll l�lll lllll IIIIIIII IIII flll III ❑Adult Signature Restricted Delivery O Registered Mail Restrictedl � Y ,. rtified Mail® Delivery C T]Certified Mail Restricted Delivery ❑Signature Confirm } 9590 9402 9108 4225 2043 06 ❑Collect on Delivery [:I Signature Confirmation H [3 Collect on Delivery Restricted Delivery Restricted Delivery I 2. Article Number(transfer from service label) ❑Insured Mail "J< ' -- ❑Insured Mail Restricted Delivery € , �q t 4 6 \ over$50D) s 589 0� 1� ++5270 \31+13\ 07� �, c ��� j ` 1 t+ •+ t+ ` ' Domestic Return Receipt PS Form 3811,July 2020 PSN 7530-02-000-9053 1 Glenn Goldsmith,President �;o0%sFF0i t Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski y i P.O.Box 1179 Liz Gillooly p Southold,NY 11971 Elizabeth Peeples 4,, Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD � --------------------------------------------------------------- In the Matter of the Application of r� JUL 1 1 2025 FUNDA ILGIN COUNTY OF SUFFOLK Southold Town STATE OF NEW YORK Board ofTrustees AFFIDAVIT OF POSTING 'DONOTCOMPLETE-THIS FORM UNTIL THE POSTINGHASIGIAINED INPTAC-E FOR A-T LEAS-T-SLR-V-ENDAYS PRI0,k-T0 THE-PUBLIC HEARING DATE COMP-LETS TIIIS FORM ON EIG --H DA rOR-L-ATE I, e_-!!1 e0 , residing at/dba '7-C 2a f- ll�.y,Sd �►:At Cu4 n t being duly sw0A, depose and say: That on the day of �� , 20Z'-5�, personally posted the property known as En cy r.:r P -74 by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,July 16,2025. Dated: n (signature) Sworn to before me this 11+{1 day of —, ,1 20 CONNIE D.BUNCH Notary Public,State of New York n No.01 BU6185050 .Qualified in Suffolk County v l """rr �`l/►� Commission Expires April 14,2—D� Notary Public , 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: FUNDA ILGIN SUBJECT OF PUBLIC HEARING: For a Wetland Permit to replace in-place existing 100 foot long wood bulkhead with new bulkhead using vinyl sheathing, 12" diameter pilings 6' on-center, horizontal and vertical lay-log backing system, and 6"x6" whalers; remove remaining parts of old cantilevered deck extending seaward from bulkhead, not to be replaced; and to establish and perpetually maintain a 10 foot-wide non-turf buffer along the top crest of the bluff. Located: 5095 Nassau Point Road; Cutchogue. SCTM# 1000-111-9-12 TIME & DATE OF PUBLIC HEARING: Wednesday, July 16, 2025 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town files) which are available online at.www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed.action.will be evaluated.. as to its significant beneficial and adverse effects-upon the coastal area(which includes>all of Southold Town). 3 If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. .Thus, each answer must:be.:explained in,detail,;.listens both supporting and non- suDUorting.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 Cleric's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 -9 -12 PROJECT NAME 119in Builkhead 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: 0 Nature and extent of action: .Remove and replace.in place +-100 ft..of,failin .bulkhead. Remove old portions of cantilevered,platform seaward of bulkhead. Install 10 ft. non turf buffer at top of bluff Location of action: 5095 Nassau Point Rd,Cutchogue, NY 11935 Site acreage: -81 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'applicarit:.Funda Ilgin (b) Mailing address: 1000 Haywaters Rd,Cutchogue, NY 11935 (c) Telephone number: 631-831-1740 — 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 LWRP Section III—Policies; Page 2 for evaluation criteria. ✓❑Yes ❑ No ❑Not Applicable Prevents property erosion and run-off into bay... . 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 0 Not Applicable r 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 Prevents bluff failure allowing for vegetated bluff to remain. Attach additional sheets 9necessary 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 Q Not Applicable Protects owner's property and neighboring properties from erosion and runoff into the bay .. Atdach 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 Oot Applicable Will replace existing treated wood structure with vinyl, Removes old,failing,existing partial cantilevered platform. Install non-turf buffer at top of bluff Altach ad&dojWif 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 Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III— Policies Pages 32 through 34 for evaluation criteria. ❑ Yes No ✓❑ Not Applicable 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. 0 Yes ❑ 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. YeEl No❑Not Applicable Removal.of old portions of cantilevered platform will allow for public access along shoreline Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III.—Policies; Pages 47 through 56 for evaluation criteria. ✓❑Yes ❑ No ❑Not Applicable Once new bulkhead is in glace.it will allow for the future installation of stairs down the bluff and to the beach with appropriate future permit applications. 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 ifnecessary 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 DATES 0 -� � l Box 1008 Cutchogue, NY. 11935 April 29,2025 Southold Town Trustees Town Hall Annex 54375 Rt. 25 Southold, NY. 11971 Dear Trustees: I am respectfully submitting to you the attached application packet for a wetland permit for the replacement of the Ilgin bulkhead located at 5095 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 LWRP Consistency Assessment Form Property survey -Site/construction 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, n 'k' 13 David Bergen Sol Searche Consulting P:APR E 8 Agent for Ilgin 2 9 2025 Southold Town Board of Trustees