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TR-10830
Tow,. Ha:. Annex SO(/� �� �3 7 5 Rowe 25 -79 G:e,^ Goids ,. n. P:'s:3e^c ti�� ¢�� P O Box : I ��,.O�K:, P:e,:ae.._ dew Yo.'n !,9�` A �,:�^J:a� Y ^ 7 v 63:) ;05 392 Er:c �eper.osk. ;� b Te.e� o V [L:z [•r.!:00-v �: c � 10314 1 of 664: E::za�e.". Peed•'= BOARD OF TOWN -TRUSTEES TOWS OF SOUTHOLD SOUT14OLD TOWN BOARD OF TRUSTEES RUST YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OFT OFFEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES BELOW INSPECTION SCHEDULE Pre-construction. hay bale line/silt boom/silt curtain day of construct,on 2 constructed l When project complete, call for compliance inspect'or'• s "•�♦ C..'.[� .. ii�•�0 � :'1�'e°e'" Ie° 4k � fti?{ d�,e`D'" .."QO°° .. ,fie e9 'I o :s.'�.v,e'f'f 4 rf�r •-gb' /'0 ava°4'1 ps•�a _ .{- 4M�et Per l b�a'ry fl'�,r.''a q H td°PO' -.4. y :� �2'iaslt»5:':�'A.S"S�".s.�1�Si>_ rb "y':r'p,�f''.'..k��'ve,`'�.1P:4T..b14?b!?.'�%'J.U'�,^.,t,Y',3a'�:.£::;+d5:a...tZ.>.v..'u:4i%.S1:S.t�,:1'' •'.r e°F.145'{"L!yr,,''c'.'.':a4S'�e-76P::'Pi.'ye.'.�..:.1,��'2T.�,;11'Glv9.",$.Y.:t7:.4..5...Y�4...n;6yl�f:R:J.2.da%Q>&2G6'+.'3T..,>.g«�:.5!'&u.�..��.S''ctT..3is BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK t > ' b- PERMIT NO. 10830 DATE: AUGUST 13,2025 `; = ISSUED TO: 1420 SMITH DRIVE, LLC �= PROPERTY ADDRESS: 1420 SMITH DRIVE SOUTH, SOUTHOLD 5 rya' SCTM# 1000-76-3-10.1 qri `_ xyF AUTHORIZATION b Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in - �' • \. •s {�_ accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 13,2025, and { in consideration of application fee in the sum of$1,250.00 paid by 1420 Smith Drive,LLC and subject to the = t Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a dock consisting of a 41x12' fixed dock using 8" diameter °P'P Y pilings and Thru-Flow decking with a 3 x12 aluminum ramp to a 6 x20 floating dock installed off the west side of the fixed dock and secured with two (2) 12" diameter pilings; install water and electric to the dock; and to install a 4' wide permeable access •Z> e path through the non-turf buffer to the dock; all as depicted on the site plan prepared by Ken Quigley, received on May 30,2025, and stamped approved on August 13, 2025. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, ':' b � e and these resents to be subscribed b a majority of the said Board as of the day and year written above. �f P Y j h' Y Y ' g 4 °6 / ,�*� Off' gpFFQ(,�cp _ /'aN - � �' PP°,a� ✓ CA Op -kk- y�lpl �O _ a ,. fi: �7T�rti7't�f7d.F7'+FAT{7,-,Yfr n'f°YS"+i"C'Yi"F 'Cf "f•7-f2YC!a7nieA A") '�P;pniA3 � '"iRl't7`M.+�if2f�'!'4�` .fi�inT'�3"f7?YCtIN•YF'3:'FY"1'R'�f7ITa't47vt'S'S'•"'i'aA'?'.'t�,544X"tAY[�Cee� -P77 f+Y7dST+�3t':9S'S'k�.�"5jC7n'et.�?ie&PN".7.i."v �� :. �.. `�..�._.__...-•.�.� be •.- �, 4 Y a., .-:-. A i�, •••:n b1���4 1 n.. �a; im as e4 b1°a+" .. . 1-r.. ade�eR E•L+Pa •, -!'^,..s��eilj ;• 'r.,t` rr�4�Z dy,ba° r( s^rd'. eis a ;T: e 4,e�Q� �. �'S3... �++:o!�•°.o.^�.•i.. TERMS AND CONDITIONS The Permittee 1420 Smith Drive,LLC, 1420 Smith Drive South, Southold 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. i v N LOCATION PLAN i i 4' WIDE PERMEABLE ACCESS PATH I �� _------- ----------------�___ \� THROUGH NON-TURF BUI=FER -_ --- -- - tr -- - PIPE D -- -- __-_ _ of e SOUTHOLD SHE -_-- _ 2 68p��p'pp„ FDG RIV T _=---------_ -_ E F OF 's�Ul' 25 LTE \ �� MENr .I� R'� BAY _--- - �` s f� \\ vFF - ISLAND 0.9E -Buffs" G URF O O U G a . \ t Z n�ISO.Op� = Z' i� - 1420 SMITH DRIVE N��" SEX -- - O w ��� --- E - --- SOUTHOLD, NY I W.M. PE Q 1 -_ -- NOTE: r, F v ._ .- --._-_ _ _ - _ _� � _ - EXISTING DRIVEWAY _-'--_� _---- ---- --X - ------- _--' -- - IMPERMEABLE URFACE HOGS ° , - _ N- 2. 15 - :I OG TO BE REPLACED. NECK 6- -2.0 9 x - ------- -""---- ---- -- - - , ---- ---- - ----2 -'- ------ 65. c LITTLE_ -+ _ - - __------ - _--'- -- - - �SHED ( i ,�. TTLE PECONIC 00 '_ -p - -- --- .0 8 - - I r,7 BAY a--° X _ _ _ X -7 NOTE: GREY ZONE INDICATESLU l Cr _---�- X -0. 69 1 .2 ____X o �.45 _ :I --6- - - - 9 CHANNEL DEPTHS : - 0----oX _0x6�-0_6 -------------------------------- _2• SURVEYED + PROJECT DESCRIPTION W Ui 1 ' ---- -� ---- 1 - 6 GREATER THAN 30 AT MLW. J G _. Q •0 __ _ ' °.a'w PROVIDE A NEW FIXED PIER -4'-0" x 12'-0" WITH X G R E " INGROUND 0 3 __-- 3. - LP GAS 0 X 3 GUY WIRE 8" PILINGS AND FLOW THRU DECKING, TO A X _ - - - X - 1 :18------X -0.31 _ - - 1 .57 -2.89 X -2.72 VIEW 4'X12' PIER z1.5';:;:;:;. ELEC 12'-0"x 3'-0"ALIUMINUM GANGWAY TO A _ --=- .9 3 _ -0.4_ 4--------- x - 1 .31 "-"-- 8 X -2.9 7 - r rn�1zR 6'-0"x 20'-0" FLOAT ANCHORED BY 2-12" PILINGS v •.. ------ ---------- X - 1 .9 0 NEW 3'X12' -'cFiOE: LOT 43 X -2.27 p X X -2. to6 NOTE: EXISTING FULL HEIGHT BULKHEAD, EXISTING LOW-SILL BULK HEAD X X___- a-•-�1 --2.6 X _2.34 ALUMINUM RAMP AND 10-0 NON-TURF BUFFER APPROVED UNDER SEPARATE PERMIT X - 1 .9 2 x o- 2. 68 X --2.6 6 X -2.04 NEW 6'X20' FLOATER /COVERED 2iaHF ; . 1 .4 7 �PDFr X .43 x _2,59 + V4'ITH 24.6' :::;::i313'yi o w S� 1.51W 4' WIDE PERMEABLE ACCESS PATH X -2.36 X - 1 .623. : : N X -2. 1 1 2 - 12" PILINGS 2s>yFRAr�E : THROUGH NON-TURF BUFFER WELLING ;:;i::;:. X a ,- - 1 .68 X - - a 2.20 �. r X -2.3 5 -2.4 8 - 27DECK 2.2 AlA 1 1 . 61 12.1 . -, X _ X -2.59 x -0.45 H �o0r ALL AS PER PLANS DATED - MAY 28, 2025 ?t' •:•:��. ErvrLCSED 99 !�31.5,.. f a Po cEiraa o rJ � X -2.24 - 1 .86 X - 1 . 62 X -0.28X -0.09 _,'-- 1.6'E co ' ���,I 3 o r X - '-_- - EL 6.2 EL 2G2� X -2.49 0.7 2 _-------- _- ,---- 2.5 4 x -2. 6 7 -2.7 5 x -- --------- - �; -� n So�rtnDl°lown X _ x -0.6 5 X 0_� -------- H- __ ___-- _,-- ti _ _�- ---- _ N_ N Beam?of Tn�sf^es x 2. 6 9 X -2.3 2 1 .6 9 -0.8 5 x 0. 13 x 0..5 --0_ � _ ----------- -- 2. 60 X -2.40 X -2.44 x _ x - 1 .09 = X 0.06 - ���1-�__---____- _- ----------------------_- - - CO 1.TE� �3yp,kk 1 �� FLAG PO' F� �� -2.5 3 1 .9 9 X -0. 15 (,�(/�X- �1 _--'- _ ___________ O i S�0`VYDI9N�fILED MAP 0 *t 5.3 6.0 S 57 N -'-' � TW 4.1 �� TIMBER �6 a X - 1 .8 5 X 1 .9 4 X - 1 .5 4 '-' X 0�; _ _ a-- _ TW 4.7 - 3-- TN15.3 t c 6,° WOOD BULKHEAD .00 X -0.53 -- - - _ ---- --- - '/ CONC.BLOCK L Bu ,nb:•.I'.') EXISTING WETLANDS ; nc 3 7 WOOD IYH'�AD 1'�I' X 1 .41 x - 1 .22 - D-82_ ---- MARSH (SLANG; 3.5 �'E _ - - - ------ " X - 1 .06 _ X -0.22 ; -----_ m= _ ---z_3-- - =7s_ X 1 .35 0 t'Is ____ _ _.-___�_o_---_ oo, .07 -0.8 3 ;' X; 0�8 - - _s �sy'so" TIE L �PeR EED- -- ` S 47O 0,0o' W � AL X X -0.77 /N - _ - _-� 84.48 CAl� X 0. 7;'�;�,; _ t D RED GE X -0. 64 -0. 66 --- � EXISTING WETLANDS 6o`�1DTH BOUNDRYAND MHW AT 2.8' 1 PROPOSED DOCK N EXISTING PERMITTED A 1 Scale: 1"=10'-O" LOW-SILL BULKHEAD-TW 2.1' MLW SHORLINE 0' 10, 20' 3 Existinq Site Survev Plan I A 1 Scale: 1"=30'- " - 0' 15' 30' 60' APPROVED BY 3' x 12' Aluminum BOARD OF I RUSTEES 12" Pilings Gangway 8" Pilings supporting 4'-0"x12'-0" Fixed Pier TOWN OF SOUTHO D 6' x 20' floating Dock Flew-Thru Decking DATES u - z z_ TOP OF Q UPPER BULKHEAD 6.0' 0 W N _J MHW 2.8' - - - - TIT - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1, -�_-=�-- 1420 Smith Drive, LLC Applicant TOP OF 2. I, _ _ _ _ _ - ,� LOW SILL - -- - - - - - - - - - -- - - -� M BULKHEAD 00 PROPOSED BULKHEAD N MLW RENOVATIONS O wBOTTOM rih -3'-0" I I I_I I I_I I I-I I I-I I I 1420 Smith Drive' Southold NY 11971 �- - - -III I III I I III III I_I I_I I_I -III-III=1 I_=_I I_t -1 I_ SCTM 1000 076 003 010.1 w I I I=1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I=1 I I-1 I I-1 I I=1 l ill-1 I I-1 I I-1 I t-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I=1 I I-1 I I-1 I I-i I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I =1 I =1 11= I I- -- �_--� I _ I I I __ I I I I III I I I I_II-I I � -1 I-1 I I-1 I I-1 I I-1 11-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 11 =11 I-1 I I-1 I I-1 I I-1 I-1 I I-1 I I-1 I I-1 I-1 -1 -1 I I-1 I I-1 I I-1 I I-1 I-1 I -1 I I-1 I Ed I -1 =1 1= 1= -1 = I = _ - _ _ _ _ - _ = - __ II I III III_III_ III-III-III_III I_III_III �I ,II III-III-1I_I-1_II_III_III_I _ W _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ = I I I III = I I I-III-III-I I_I I I_I I_I I_I Pre ared b : Ken Quigley 0f =1 I I-I I I_I I I_I I I_I 11=1 11=1I 1=1I 1=1 I I-I I I-1 11=1I 1=1 I I_I I I -I 11=1 I I_I I I_I I I_I I I_I I_I I I_I 11=1 I-1I 1=1I 1-I 11=1I 1-I I -I I I-III-I 11-1 I I-1 I -III -1 -1 -111-I 11-I I-1 I I-I 1-1I I_I I I- _III-1 I-111_I I -1 -1 -_I _-- - _ _ - - - - p Y 9 Y lil III II11 illl III III Q III=1 -1 =1 I -1 I-1 I-1 I -1 -1 I -1 -1 I =1 -1 I -1 -1 III-1 -1 -1 -1 I I-III-1 I I-1 -1 -1 -1 -1 I -1 -1 -1 I-1 -1 -1 -1 -1 I -1 I I I-1 I I-1 I-1 -1 -1 -1 -1 -1 I =1 -1 -1 -1 I- III- I- =1 1- _ - _ - _ II III-_II _I_- III III_ II_ II_III_III_III_ !�'!!�' �' '�' !!!-!!!-!!-!!!�!!-!!! -111-III-III=111-III-11I-11I-11I-11I-11I- II- -1 =1 - _ _ _ _ = - _ = _ _ _ = _ _ _ - _ - - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ = I III I I I I I_I I-I I I_I I-III-III _III_III_I I_I I I_I I_I I-I I_I I I_I I_ III-I I_I -I I_I I I I__I ;I I_I __I I___I I _III-i i_I i I-I_ z I_I I I_I I I-I I I_I I I_I I_I -I I_I I f_I I_I I_I I_I I I-1 I -I III-I I_I I_I I I-1161611 I_I I I_I I I-I I I_I I I-1 -1 _ _ _ - - = = _III III III III III I t I_: III III_ III I_I I_I I_I I- -1 11►_1 1-111-..I-1 1_1 1_I I-11 f-III- I I_1 1 1 1 1 11 11. -_ ,,_i l _I I_„ -I„ , 1_I -1 1 Construction Scope Plans o - I Date - May 28, 2025 Drawing: � Scale: As Noted w 2 oc Elevation Q A l Scale: 1"= 4'-0" Al U 01 2f 41 8' cn Glenn Goldsmith, President ®0 S®li�� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ,L®� ®�® P.O. Box 1179 Eric Sepenoski ! Southold, New York 11971 Liz Gillooly c/a Telephone(631) 765-1892 Elizabeth Peeples �� Fax(631) 765-6641 CouNN,N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 14, 2025 Cole Environmental Services 425 Montauk Highway East Quogue, NY 11942 RE: 1420 SMITH DRIVE, LLC 1420 SMITH DRIVE SOUTH, SOUTHOLD SCTM# 1000-76-3-10.1 Dear Ms. Rummel: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 13, 2025 regarding the above matter: WHEREAS, Cole Environmental Services on behalf of 1420 SMITH DRIVE, 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 May 30, 2025, 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 August 13, 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, 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, 2 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 1420 SMITH DRIVE, LLC to construct a dock consisting of a 4'x12' fixed dock using 8" diameter pilings and Thru-Flow decking with a 3'x12' aluminum ramp to a 6'x20' floating dock installed off the west side of the fixed dock and secured with two (2) 12" diameter pilings; install water and electric to the dock; and to install a 4' wide permeable access path through the non-turf buffer to the dock; all as depicted on the site plan prepared by Ken Quigley, received on May 30, 2025, and stamped approved on August 13, 2025. Permit to construct and complete project will expire three years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, Glenn Goldsmith President, Board of Trustees w USTEE SOUTHOL.D .TR - s No. 10830 lssued ,To'.1Ll.)'o Sc"*-q\ tr'p)rL;p Date W/i 3/* Ad d ress dyad s "''Y+V, *b,.;ve sou`IAN , so�, ,ola THIS. NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOLITHOLp SOUTHOLD, N.Y. 11971 TEL.: 765.1892 Glenn Goldsmith,President �o�pSUFFO(,�COp, Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 0 Eric Sepenoski W ,? P.O.Box 1179 Liz Gillooly �y • 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: 'WLS Completed in field by: EV,7A6" NtDleeS Cole Environmental Services on behalf of 1420 SMITH DRIVE, LLC requests a Wetland Permit to construct a dock consisting of a 4'x12' fixed dock using 8" diameter pilings and Thru-Flow decking with a 3'x12' aluminum ramp to a,6'x20' floating dock installed off the west side of the fixed dock and secured with two (2) 12" diameter pilings; install water and electric to the dock; and to install a 4' wide permeable access path through the non- turf buffer to the dock. Located: 1420 Smith Drive South, Southold. SCTM# 100-76-3- 10.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: -V/LChapt. 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.: Present Were: v/G. Goldsmith ✓ N. Krypski ✓ E. Sepenoski L. Gillooly ✓ E. Peeples LOCATION PLAN i ----, �\ 4' WIDE PERMEABLE ACCESS PATH PIP _ - THROUGH NON-TURF BUFFER _ S --------------------- _ __-- ------ - \ _ RIV S HOLD p eoc�oF SOUT EL E -------_` ' \ - 8 F p��Meror Thy 'L6 BAY ISLAND _ i 11 - - - X�STING N 00 ---- - \ - O = 2 \\EX,S \��\ Z R'1S�'0�' uP o 1420 SMITH DRIVE JY SOUTHOLD, NY ------ O _----- j - • - , \ - - "--' ---- EXISTING DRIVEWAYs `a \ `• �.."■-" - -- ------ CONFIGURATION---- --- --------------------- 0 -_- __ CONFIGURATION IS I� HOGS _ x N_ --'- --_'-' IMPERMEABLE SURFACE y' --- 2. 1 5 3 41- _-__ - TO BE REPLACED. NECK -- - - !: \ `` !�_ _ \,\ /. =� O --- -2.6 12. ., LITTLE _ _ \ / _ -- - - SHED t\i j `` O" ,- � o PECONIC , .0 8 '' - r� BAY -_- ---- -- _- X _ _ - x - -7 NOTE: GREY ZONE INDICATESLU -_�- x -0. 69 1 .2 ____x- o -2.45 3 ` ---- _-- 0.60 ____----- - _ SURVEYED CHANNEL DEPTHS z I PROJECT DESCRIPTION X �J ---------------------------------- _ - GREATER THAN 30" AT MLW. w INGROUND - - -1 - - - - - --- O L X 6 LP GAS P. _-- - - '-- •03 -3• X _ -� o o.s'w PROVIDE A NEW FIXED PIER -4'-0" x 12'-0" WITH X - 1 . 18'"-'"_x - 1 .57 X -2•72 3 GUY WIRE 8" PILINGS AND FLOW THRU DECKING, TO A X -0.31 - _ -2.89 NEW 4'X12' PIER 2,.5' ELEC. 12'-0"x 3'-0"ALIUMINUM GANGWAY TO A ME>Fr, 6'-0"x 20'-0" FLOAT ANCHORED BY 2-12" PILINGS _ --=� -2.9 7 - -0 -4-- x - 1 .31____---- ""- X _ 1 .9 0 8 x X _ NEW 3'X12' :GARAGE ------- X -2.2 7 p 2. GF 7.0::::�. LOT 43 X -2. 6 A UMINUM RAMP NOTE: EXISTING FULL HEIGHT BULKHEAD, EXISTING LOW-SILL BULK HEAD X =�T7--X---^ a-'-FT1 X -2.34 1C'6 AND 10'-0" NON-TURF BUFFER APPROVED UNDER SEPARATE PERMIT X - 1 .9 2 X o--2.6 8 X -2.6 6 X -2.0 4 NEW 6'X20' FLOATER ,CO�•EHE� I_273.I1 :: ::• .21 SHE,):: 1 .47 OW P0� m: X .43 x -2.59 + - V'��'ITH 24,6' :;:31.3'is i ;;,o :::::i s i i`ri:c i i:i i 5.6 1.5'W 4' WIDE PERMEABLE ACCESS PATH X 2.36 X - 1 . 62 X - 2 - 12" PILINGS :: 2srrFRaME : THROUGH NON-TURF BUFFER 2. 1 1 _ - :�� : X 1 .68 L8.0 ...2.45 �. _ 2.2� -2.20 X 1 . 14 w:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :: loo . X -2.3 5 -2.4 8 -� Al X - 1 . 61 ::::: 27.0' ::::: '' 10...: :.:. .' I I r X -2.59 rn X - ��H X _ 0.45 _ �E°0T IlY I . ..... ' 12.1' ::. DECK :::::::::::::::::::::::::::::::a, Evaoseo AS PER PLANS DATED- MAY 28, 2025 ' - 1 .86 X - 1 . 62 _ - -- � ' 31.5' _: _.. X - X - 0.0 9 L6'E co cJ t 2.24 0.2U EL EL m i -2.49 , X -0.72 -' -,_- - MAy 3 0 2.5 4 x -2.6 7 X -2.7 5 X__0 y68----------- --- -''-"- -'- U; x " 1 . 69 _ 0:5-3------- -------------- -2. 6 9 x -2.3 2 -0.8 5 X -0. 6 5 X 0. 13 x 0,.-5X _ _ ---------- oard 1 fT si X - '` 0: �-� . _ Id1€�RB __ Board of Trust^ns N � X x -2.44 N = x 0.06 X --Q:B __-11------- � �_- 2.6 0 2.40 X - 1 .9 9 X - 1 .0 9 �� � -" -------------------------- e-- `\ X -0. 15 X' j I --_ 1.7'E �31 -- _ FLAG POL I� ��5 0+� i SH0V1�I 9N fiLED•MAP b N-- --$- LL nF 6A S57 TW4.1 N� TIMBERW ri,.h0 X - 1 .9 4 - 1 .5 4 _ --- X -1 .0 - Tw4.1 - TW 5.3 t 6 X - 1 .8 5 _ - "� - - _-' ---.-- -_ _- ---`At n,3.7 Op BULKHEAD .00 X -0.53 ----- --- - WOOD X ---- • 0� _ a CONC.BLOCK WA L �� _ n J A ' X -1 EXISTING WETLANDS ! a,3% WpOD P'JLKNE�� - X 1 .41 _ x - 1 .22 -0.2 8:�2:_____-- MARSH ISLAND 1� --- -------� 1 .06 X - 1 .35 X 2%' %0 �2 Z- .07 Q %x , 0 X -0.7 7 X -0.LJ 3 j n/ ,L.r9 �y� 'S0=' TIE LIP&PM EED 84-.48' x -0.66 n ;g - �j�j v r) G n EXISTING WETLANDS 6ow�oTN BOUNDRYAND MHW AT 2.8' 1 PROPOSED DOCK CONSTRUCTIONIE= EXISTING PERMITTED Scale: 1"-1 0'-O" MLW SHORLINE Al LOW-SILL BULKHEAD-TW 2.1' 0' 10' 20' 3 Existina Site Survey Plan • q 1 Scale: 1"=30'- ' 0' 15' 30' 60' 3' x 12' Aluminum 12" Pilings Gangway 8" Pilings supporting 4'-0"x12'-0" Fixed Pier 6' x 20' floating Dock Flow-Thru Decking z z UPPER BULKHE 6.0' W N I � J MHW2.8' - - - - - - - - - - - - - - - - - - - - - - - - - - - - -L - - - - - 2.1' - TOP OFll� _ -F--��- 1420 Smith Drive LLC - A li �- LOW SILL -- - - - - - - - - - -- - - - - - - - - - pp can .a. M o.0 PROPOSED BULKHEAD N BULKHEAD N MLW +� RENOVATIONS a 0 BOTTOM -T-O" W =1 I =1 I = 1 =1 I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I III=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=III=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I=1 I I I=1 I I=1 I I=1 I I=1 I I=1 I t=1 I I=1 I I=1 I I=1 I I I I=1 I I=1 I I=1 11= 1 I -I - 1=1'I� 'I- _ - _ _ � III-III - I I I I I _ _ _ - _ _ - _ - - _ _ _ _ - - - - _ - - - - - - __ - - _ _ - __ I I II- II III I-11-III-III-III-_III-._III- -1 - Ed [-1 = 11= =1 =1 I I=1 =1 I I=1 =1 I El 11=1 I =1 I 1=1 I 1=1 I 1=1 I I-1I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I 1=1 I El I 1=1 I =1 11El 11El I 1=1 I 1=1 I 1=1 I 111=1 11El 11=1 11=1 I 1=1 I 1=1 I I=1 11=1 11= III=1 I =1 =1 I =1 1= =1 I_- = _ - -- = - - 1 = 1420 Smith Drive Southold NY 11971 ~ I I I I _ I I I I I _ I I I, III ,III, III III III III I C I I , III-III-III-III-III-III-III=1 I I-III-I I I_I I I-III-III-III=1 I I II_III=1 I I_III=1 I I_III_III_i I I-III-III-III-III-III_I I I_I I I_I I I-I I I_I I I_I I I_,I I_I I I I-III-III-I I I_I I I-III=1 I I-I I I_I I I=1I_I I I_I I I_ ._III-III-I I I_I I L__I I�--III �I.-I I I__I I I__I I I_I I I-III_ _ _ _ _ - -1 - -1 I- I- I -1 -1 I -1 I -1 -1 -1 -1 -1 -1 =i -1 I I=1 I I-1 I-1 =1 -1 l -1 I -1 -1 I-1 -1 =1 I =1 I -1 I- III- I-1 -1 I-1 -1 -1 I -1 - 1 - - -1 -1 -1 - - - - =1 = _ _ _ _ - - - - LU -III-I I I_I I I_I I I III I I III I I I I _ _ I I I _ I I I I I I I I I I I I III I I III ,i I I I I_I\I_,I I_I�I-I I I_I I I_I I I_I SCTM 1000 076 003 010.1 w � w I I I_I I I I I III III I I I I I I I I I _ _ _ I I I I I I I III I I III I I I_I I_I I III III III_ i lLI_I�I 1111, 111 III III III III III-I I I_I I I_ =1 = 1 -1 1=III-III=III=III=III=III=III=III=III=III=III -III-III-III-III-III-III-III-III-III=III=III-III=III-III=III-III-III-III=ill-III _III=III-III=III=II -II = 11=III= 1 = _ - - - _ ' _' --11 = - 1_ - - _- - = Prepared by: Ken Quigley I I I I I I I I I _ I I I I i-III-I I I_I I I I I-I I I� I I I I. III I I I_I I I-III III I =1 11=1 I-1 I -1 11=1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I I=1 I I-1 I I I I-1 11=1 I I-1 I =1 =1 I I-1 11-1 I-1 I I-1 I I-1 I I-1 I I-1 11-1 I I-1 I I-1 I I-1 I I-1 I-1 I I-1 11=1 I I I-1 11=1 I -1 1= I I- I - I 1=1 = I- - 1= _ _ - _ _ _- I- = -i = - _ -I = = Q I I I I I I I I I I III I I I I III III_ _i I I-�I I-III-i I\III 111 III-_I I I I I I I I I I_�I II I I- =1 - 11=1 I I-1 11= 11=1 11=1 I I-1 I I-1 I I-1 I I-1 I I-1 I I-1 I -1 I I= =1 I I-1 I I=1 I I-1 I I-1 I-1 I I-1 I El I I-1 I -1 I I-1 I -1 I I-1 I I-1 I I-1 I I-1 I I-11 I-11 -1 I I-1 I =1 I I-1 I I-1 I I=1 1= = I =1 I-1 =1 = - _ _ _ = i I I I I _ _ _ I III I I I I I I I I_I I I_I I I_I I I I I_I I II I II I-1 I I-1 11=1 I- -1 I -1 -1 I-1 I I-1 I I-1 I I-1 =1 I-1 I I-1 I I-1 I I-1 -1 I I-1 I I-1 I I _ _ _ _ _ _ _ _ _ _ _ =1I I-1I1= -1 -III--1 1=1I =1I1=1I I-1I I-1I1=1I I-1I I-1I I-1I I-1I I-1I I=1I I-1 -1 - _ _ _ _ _ _ _ = 1= I- _I I, I I III! I-I I_I I_I I_ III III III III-III-I I I_I I I-III-I I I_I I I_I I I_I I I _ _ III I I _ � I _ _ _ _ _ _ _ _ _ _ _ _ _ I IIII_III_I I I_I I I-III-I I I_I I I-1 I I_I I�_ I I I_I I I-I I I_I I I I I_I I I-I LI_I_I--_ I I-1 I�-I I I_.I I_I,I_I I I_I I I_I I I_I � _ =1 I= = I = -1 =1 I I-1 I -1 I I=111=111- 11-11 -1 I I I=1 I I=111-Ill=1 I 1=1 I I=1 I I=1 I I=III=III=1 I=III=III=III=III=1 I I=III=III=1 I I=III=1 11= I IE] 1- 1-1 - - -1 - =I - I- _ _ _ _ _  _ -- 1 = _ _ _ - Construction n st ru ct i O n Scope e Plans I I , III I III = _ _ _ = _ = _ _ = _ _ _ _ _ _ _ =1 = _ _ -1 =1 = I_I -1 = _ _ III III III I I I_I 11-I -I I_ I 1-I 1_I I_ L,\ . T _ I__l l l_I 1\I 1-1 1-1 1_ p o -1 1=III-III-III-III-111-III-III-I I I_I I I_I I I-III-I I I_I I I- �-III_III-III-III-I i I_-I I I_I I I_I I I_I I I-III I I III-I I I_I I I I I I I I I. I I I I III_ ,_III-III-III=1 I I-III=1 11=1 I I-1 I I=1 I I-1 I-1 I I=111_III_III-III_,I I_III-III--_I I_I�I_I I I-_III__=11I_i I.-__II I-I - _ I- -III=11 I-III-1 I-III-11 -1 -11 I-III-1 -1 I-III-III-1 -1 -1 I -1 I -11 -1 I -1 I=1 -I = 1 - - 11-1 I- - - -1 - _ _ _ _ _ _ - _ - _ _,' 1 _ _ _ _, III III III I I I I III III III I I III-I I_I I I_I -I I_I I_I I I_I I_. I III l l l___I -_I L_I I_I I_I -I I_I I_ cn - I III-III-III-III-III-III-III -III-III-III-III-I I-1II-111-I1I-I1 -III--III MIFF, t-III-III-111-111-III-III-111-111-III-III-II --111-III-III-III-III-III-III-III -III-III-III-I --III--III-III-. I-III-III -I Date - May 28, 2025 Drawing: 2 Dock Elevation Scale: As Noted Q f q 1 Scale: 1"= 4'-0" U ' A 1 � 2 4 i c� S.C.T.M. NO. DISTRICT: 1000 SECTION: 76 BLOCK: 3 LOT(S): 10.1 l•. r � U.P. Alip 1,245.SS �j PIPE Ar lJ�TY I 2.0E 3�oO��� FO OFp �® c� Gf A�MEn✓T 7s r2� R�JS U.P. 0.2N D.0p. i L=76.62' ;uY _ 0.1'S •41 IPE O O W �. Ax � O ' S.6'S 5.�3'S I A q t= • �' I m Ui -P 65.6' SHED v m «, I a I 3 I LLB'' a U.P. o GEN, i LOT 47 `i CONC.DRIVEWAY ..GARAGE,o, �,:,:. ......•ram LOT 43 1Q.6' ..•.•.•:•it ...•.•::•:•.•:•:•:•:.::•:.;•;.;:.; � 24.6' ::::31,3':;::;::::;: :•: 38.3':=: :':: ::::::':':::'N i 0.5'W - ::::lJ1NtLLI1Vla 7i l•{CU::::::::::::::::::::::::::::::•;;:;:, - � ;:•12.1 :::: oEcx f ::::' o, ENC OSEU ROOT 1 - P CELLAR !z EL 6.2 5}INER EL 6.1 ! o 20'vFXO '0N i n ANNN�RO*NCE ii-= ---AryU�/Z00Clin, V r� , ._•ate- _ `'EEO& ` iv i V 20P✓ ........... �\ �2pI✓E -..-_s1RY 6) FLAG POLE �.60, AS SHOWOW "EO MAP ._.._.._.._ .__MODFj� TE V/ \ >5.3 -- S 57°10'10°W... 5.5 , AEACTIOUNDARy BR WALL 0.2'W ' o TW TN 4.7^` yr--3-- - TW 5.3 ��•�, 72 - ' o '-r_� _.._.._.._.- CONC.BLOCK uN L INTAINED YARDILAWN ` - MMN EL 1.0 -------- EDGE OF MA ^^R _ -z� _. nn AUUKNEPD q�1 W.1.3'-__ - MMN1.0 a -— TW 2.0 78.0 TW 2.0 7000, 011 W __S 5�i9'5011 W 8 S CA� [Fu I __ JII�(ifGE�ERDEED 84.48' �D} _^ ���� V TH M AY 3 0 2025 Southold Town MLW SHO RUNE Board ofTrustees FEMA MAP#36103CO166H THE WATER SUPPLY, WELLS, ORYWELLS AND CESSPOOL REVISED 09-25-23 LOCARONS SHOWN ARE FROM FIELD OBSERVAT70NS AND OR DATA OBTAINED FROM OTHERS. AREA:37,376.70 SO.FT. or 0.86 ACRES ELEVATION DATUM: _NAVD88 UNAUTHORIZED ALTERA77ON OR ADDIT70N TO THIS SURVEY IS A V70LA77ON OF SEC77ON 7209 OF THE NEW YORK STATE EDUCA77ON LAW. COPIES OF 774IS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUC7URES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON 77-IE PREMISES AT THE 77ME OF SURVEY SURVEY OF: LOTS 44-46 INCL. OF 1W CERTIFIED TO: 1420 SMITH DRIVE LLC; MAP OR GOOSE NECK � �N wow �:1p FIDELITY NATIONAL TITLE INSURANCE COMPANY; FILED: NOV. 22, 1948 No. 1663 SITUATED AT:BAY VIEWO TOWN OF:SOUTHOLD 17 SUFFOLK COUNTY, NEW YORK �,f, �� KENNETH M WOYCHUK LAND SURVEYING, PLLC cS' 050882 JQ- Professional Land Surveying and Design N P.O. Bog 153 Aquebogue, New York 11931 FILE #223-132 SCALE: 1 "=30' DATE: SEPT. 10, 2023 x N.Y.S. L1SC. N0. 050882 PHONE (631)298-1588 FAX (631) 298-1588 425 Montauk ental ServicesEast • •,ue, NY 11942 Environmental • 369-9445 Wetland Project Management PHOTO 1420 DRIVE SOUTH SOUTHOLD, • SCTM No.: 111 1 . 11 1 11 1 1 11 ALL PHOTOS TAKEON 08/20/24 PHOTO 1—AERIAL FROM ABOVE AAA- - � s Ys�-- � �•,r 1, '`, ` ` SWUM y r,j, a . .r'L� �■,• �ice_ '`' �•• i Cole Environmental Services -AERIALPHOTO 2 .O ABOVE r `w_ .`�-•is�, ,i f •HOTO 3—AERIAL FROM • FACING NW ... _�� ole En' nm SB ■ •'$ •�` ' � •�t '.� , `.y 'fit• 1 xf- ■HOTO 5—AERIAL FROM w Cole En 'ronmental Se 'es PHOTO • GROUND LEVEL FACING SW x cy q� PHOTO • irES wnmeotal Services PHOTO GROUND LEVEL FACING SE . y, ... fq z PHOTO 9-AERIAL FACING NE •L . �� ,�'� •art+ .�y�Y .. v OSfSAe \ a l � p ^. A aIE r i 1 1 1 . ..' ` °.,i I� � •,i i�.I + \`,ate t Lr,.. ` _ - .�'... r #I Ok," �+vv� Ns "u a\ f r T W � IY r V ,y \ .• A �.w.w !!� °' %I fkM1.b wd ♦Q-r �. `gr w�/�. CF y '�� \\ '`";� � $ � r w � a W r w d a ♦ -.! �!� ,. - a, !ws vm vw w:mc:a BLS :•�. •.- :v ---_ COUNTY IC NOTICE K `f�� c1w f00n SECiICNW auPenyO K enue iRe�y Y C F SUFFO M Q76 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: August 7, 2025 Re: LWRP Coastal Consistency Review for 1420 SMITH DRIVE, LLC SCTM# 1000-76-3-10.1 Cole Environmental Services on behalf of 1420 SMITH DRIVE, LLC requests a Wetland Permit to construct a dock consisting of a 4'x12' fixed dock using 8" diameter pilings and Thru-Flow decking with a 3'x12' aluminum ramp to a 6'x20' floating dock installed off the west side of the fixed dock and secured with two (2) 12" diameter pilings; install water and electric to the dock; and to install a 4' wide permeable access path through the non-turf buffer to the dock. Located: 1420 Smith Drive South, Southold. SCTM# 1000-76-3-10.1 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. It is recommended that any buffer be vegetated. 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 i l f• Glenn Goldsmith,President Soo Town Hall Annex xx.. .�V'' A. Nicholas Krupski, Vice President j'i, aAi 54375 Route 25 P.O.Box 1179 Eric,5epenoski iiily . ; Southold,New York 11971 Liz Gillooly Elizabeth Peeples gI `�; ,�tt���,• Telephone (Ei:31) 765 1892 Fax(631.) 765-6641 BOARD OF TOWN TRUSTEES TO'JJN OF SOUTHOLD This Section For Office Use Only � �� k�- �� h- Coastal Erosion Permit Application _X—Wetland Permit Application MAY 3 0 2025 j6Aministrative Permit Amendment/Transfer/Exten ion � Received Application;_v�,2p�.� Southold Town AReceived Fee: $ Board of Trustees Completed Application: jarcomplete: SEQRA Classification; Type I Type IT Unlisted Negative Dee, Positive Dec. T_,ead Agency Determination Date: _Coordination:(date sent): if ILWRP Consistency Ass Assas ment Form Sent: CAC Referral Sent: --T•4--)ate of inspection:___ a+'J LZ.eceipt of CAC Report:�V _,_Technical Review:___ Public Hearing Held: .- . Resolution: Owner(s) Legal Name of Property (as shown on-Deed): 1420 Smith Drive LLC� _ Mailing Address: 1420 Smith Drive South, Southold,NY 11971 i Phone Number: 631-484-4100 Suffoll.County Tax Map Number: 1000 - 076 00-03.00-010.001 Property Location: 1420 Smith Drive South,Southold, NY 11971 (If necessary, provide LILC:O Pole#, distance to cross streets, and location) AGENT(If applicable): Ccle Environmental Sewices Mailing Address: 425 Montauk Hwy, East Quogu3,_NY 11942 Phon:. Number: 631-369-9445 �r Email: Info@ColeE:nvironmentalServices.com c seA� 7��` ram -Board of Trustees App1i(:ataosi GENERAL,DATA Land Area(in square feet): 37,376.70 Square Feet Area Zoning: R-40 Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions on property? J-1_Yes _2_No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _Yes No If"Yes",be advised this application will be reviewed by the Building;:Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? =Yes W1 No If"Yes",please provide copy of decision. Lpis project re any demolition as per Town Code or as determined by the Building;;Dept.? L—Yes i`lo Does the structure(s) on property have a valid Certificate of Occupancy? 7 Yes EL-No Prior permits/approvals for site improvements: Agency Date Trustee Permit No.6367 05/17/06 Trustee.Permit No.7207 11/18/09 Trustees,Permit No. 10713 1/15/25 0_No prior permits/approvals for site improvements. Has any permit/approval ewer been revoked or suspended by a governmental agency? Iy C_ No_n Yes If yes, provide explanation: Project Description (use attachments if necessary): Proposed dock wit a 4'x 12' pier with 8" pilings and thru flow through decking, to a 'Ird:'x3' aluminum gangway to a 6' x 20' float'Nith two (2) 12" g:iglings. 4' wide permeable access path through non-turf buffer_Water and electric to be connected to dock. Board of Trustees Applic:atavi3 '%VETLAND/TRUSIFEE LANDS APPLICATION DATA Purpose of the proposed operations: To maintain safe riparian access to the waterways. Area of wetlands on lot: 360 square feet Percent coverage of lot: 10.4 oio existing Closest distance between nearest existing structure and upland edge of wetlands: —.65 feet Closest distance between nearest proposed structure and upland edge of wetlands:0 feet Does the project involve excavation or filling? No --D-- Yes If yes,how much material will be excavated? cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: NSA feet Proposed slope throughout the area of operations. N/A Manner in which material will be removed or deposited: N/A, _..� Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason.of such proposed operations (use attachments if appropriate): The effect on the wetlands will be minimal. The proposed deck will be built using open grate decking which will allow light to penetrate &rough and allow vegetation to grow beneath the structure. 617.20 Appendix B .Short Environmental Assessmer!t Form Instructions for Corti letin Part I -Project Information. The applicant,or project sponsor is responsible for the completion of Part 1. Responses become part ofthe application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based o-i 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 Par 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: 1420 Smith Drive Mouth- Dock Project Location(describe,and attach a location mfap): 1420 Smith Drive ;>outh, Southold, NY '11971 Brief Description of Proposed Action: Proposed dock vri-th a 4'x 12' pier wilh 8" pilings and thru slow through decking, to a 12'x3' aluminum gangway to a El' x 20' float with two (2) 12" pilings. 4' wide permeable accelss path through non-birf buffer. Water and electric to be connected to dock. Name of Applicant or Sponsor: Telephone: 631-369-9414.5 Cole Environmental Services E-Mail: Info@ColeEnvironrrientalServices.com Address: _ 425 Montauk Hvlryy City/PO: State: f Zip Code: East Quogue NY 11942 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any o!her'governmental Agency? NO YES If Yes, list agency(s)name and permit or approval ❑ z NYSDEC 3.a.Total acreage of th,.-site of the proposed action? UN acres b.Total acreage to be physically disturbed? 0.01 _ acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.86 • acres 4. Cher I land us °at occur on,adjoining an tr ,ar the prop action. Urban ��Rural(non-agriculture) m lndustria{ Commercial ❑✓ Residential (suburban) Forest E]Agriculture Aquatic Other(specify):,_ Parkland Page I of 4 5. Is the proposed action, I�0 I YES N/A a.A permitted use under the zoning regulations? 11107 b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural t YES landscape? 7. Is the site of the proposed action located in,or toes it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:__PeCS)CIIC:Be_y_at�dn_v_iro».;� ❑ 'W 8. a.Will the proposec,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? Rvf c.Areany pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the sta-:e energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: - ❑ a �10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: __ _ ___ ❑ 11.Will the proposed a,,tion connect to existing wastewater utilities? _ NO YESI If No,describe inethod for providing wastewater treatment: Dock does not require walstB- water treatment. ILA sygtEp_p e\tiously aapproved o—r ho_use 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? 1� _Located In Archaeological Buffer Area 13.a.Does any portion ofthe site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other wraterbodies regulated by a f:deral,state or local agency? b.Would the proposed action physically alter,oi•encroach into, any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: I Goose Gr_eek_.-_ 14. ntify the typic IIIbitat types that occ n,or are likely to be found or,tl,e project site. Check all that apply: Shoreline Forest Agricultural/grasslands Early mid-successional ✓ Wetland o Urban ✓ Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? Bats 1_ Ij 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed a:t,ion create storm water discharge,either from point or non-point sources? [PO'_ If Yes, a. Will stone water discharges flow to adjacent properties? ❑NO ❑YES Z El b.W ill storm water discharges be directed to established conveyance systems ff an m drains)? If Yes,briefly describe: nNo YES Page 2 of 4 IS.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, was•:e lagoon,dam)? If Yes,explain purpose and size: __� ___._ -.'-M— .,_^____��_,^ � ❑ 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,describer 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 TH E BEST OF MY KNOWLEDGE Chris Cole, Cole Environmental Services Applicant/sponsor narnr,: Date:5/29r'25 Signature:_0-iud-61-34 Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 usin;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 reasona)li;considering the scale and context of the proposed action?" Nb,or Moderate small to large impact impact may may occur occur l. Will the proposed acdon create a material cowl ict with an adopted land use plan or zoning regulations? I_� ❑ 2. Will the proposed a.clion result in a change in the;use or intensity of use of land? I__� ❑ 3. Will the proposed action impair the character or quality of the existing community? I__� ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the h� ❑ establishment of a Critical Environmental Area(CEA)? J 5. Will the proposed action result in an adverse change in the existing level of traffic or (__� ❑ affect existing infrastructure for rnass transit,biking or walkway? 6. Will the proposed action cause an increase in the:use of energy and it fails to incorporate IN� ❑ reasonably available energy conservation or renewable energy opportunities? _ 7. Will the proposed action impact existing: IY� ❑ a.public/private water supplies? _ b.public/private wastewater treatment utilities? I_ ❑ S. Will the proposed action impair the character or quality of important historic,archaeological,_ I__� ❑ architectural or aes}:hetic resources? f 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, =❑ ❑ waterbodies,groundwater,air quality,flora and Fauna)? J Page 3 of 4 No,or Moderate sinkill 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 �7 ❑ problems? `11. Will the proposed action create a hazard to environmental resources or human health? C] El Part 3-Determination of significance. The Lead Agency is responsible fa-r the completion of Part?. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explai 1 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 suffici.-nt detail, identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Pa;'t 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,lone;-s:erm and cumulative impacts. Check this boa if you have determined,based the information and analysis above,and any supporting documentation, 17 that the proposed m ion may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. 0 Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of h.esponsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Praparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT Gary J. Salice &Anne Salice, members of 1420 Smith Drive LLC BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY�OUNCIL,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. Si re roperty Owner Signature of Property Owner SWORN TO BEFORE ME THIS `J?l DAY OF ;20 Notary Public ABIGAILA.WICKHAM NOTARY PUBLIC,STATE OF NEW YORK Registration No.52-4642871 Qualified In Suffolk County Commission Expires September 30,2025 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) Gary J. Salice &Anne Salice, members of 1420 Smith Drive LLC I/We, owners of the property identified as SCTM# 1000- 076.00-03.00-010.001 in the town of Southold New York,hereby authorizes COL ENVIRONMENTAL SERVICES 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 O er's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF ,,20: rV' A JL A, Notary Public ABIGAIL A.WICKHAM NOTARY PUBLIC,STATE OF NEW YORK Registration No.52-4642871 Qualified in Suffolk County Commission Expires September 30,2025 i APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethirs hibifs'conflicts of interest,on'the part offown=o"ffiddrs und.emfte-es.The"nui�nose•of thus form wto'provide inforinadon which can alert the town^of possible eonfliets'of interest:and allow it to take whatever action�s i nPcessarv'to avoid same. Gary J. Salice &Anne Salice, members of 1420 Smith Drive LLC YOURNAME: (Last name,first name,spiddle initial,unless you are applying in:the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring - Exemption from plat or official map Planning Other (If"Other'',name the activity.) Do you persooally..(or through yb0 company;spouse,sibling,parent,or-child)have a relationship•with any'officer oremployee of the Town;of Southold? "Relationship"includes by blood,rnarrtage,or business interest "Business interest"meansa business, including a partnership,in.which the town ofticec'oncmployee hris.even a partial ownership of(or<employmeril'by)'a,corporation in which the to wn,oPlicer,or employed o i+ns morg.than i6!6 of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold, Title or position of that person Describe'thc;relationship between yourself(the applicatltlagent/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)`,tlte owna�'of greater than 5%:6f:theshares of the,corporate stock of the applicant (wheivthe applicant is a.corpora ton), I3)the legal or beneficial.owner of any interest in a'.non-corporate entity(when the applicant is not,a corporation); officer,director,partner,or-employee.of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this-31 f ZO a-S Signature Print Name Form TS 1 APPLICANTMiGENT/Rr',PRES. rATI'V7E TRANS ACTIONAL DISCLOSITFU-44 FORM . f � h e�f 1?t restsrst tll s eo �^ts of intcresl mt tl�e p�ri�:i5wn offic�r�and emplaye Ttre it oii'h .. 1 fpe"fawn of Southolt3d` - i_.2i _- . ltirc fa Is ti;arovide+infor' a ia�wh�ch c.tt aierk ftto ttwn ofxsottsle"c'orillicts'afr3'trte��*s alir�3ril t�z talfo;*a�+3ntgwermafion�s ._.._ ,...,. .. YOURNAiYig �Lnrr.St��1�,r Coe � ��e �n✓ironrnen�a�: Se�y�:Ces (Last names firsfneene, iddle initial,unless you are"applytn `inthe name of someone e'ise'or other entity,such as a company.If so,indicate,the;other person's or company's name;)" NAME OF,Q Pi'LIOATION' (check ail that apply.) ,4 r: 'Tax grievance Building Variance L_ Trustee X Change of'Zone ti Coastal Erosion Approvel of plat Mooring - Exemption from plat oroMbial map Planning Other (it``Other%name,the activity.) !Do you�per'it. 11 ar,through:yout irompany,sport ,siiihng,�aeuntu or chid)ttaw. rolattonsftiP,w�th auy tltr�t�or employee; of the rl'own;of Snuthiitd? "Retatlpnslarp,>rnclud s b ":blood,tttacit55 q-�or En�&rpess B rest: Bu�rnessilnterest nt�i�ans a fsitstbe;ss including a'partttersli p,!n�"dtiich the t6Wi6flicer or cmiilayee his eVLn p rt9a1 oiEpietstup of(ox en7plb t rtlwh�ry a cUrporatton: in which the`tciwft oftcecrii employ rrkrathe `�!'i ofthe shares. YES NO If you answered"YES';.complete the balance,af this form and date and sign where indicated. Name of person 6rnployed.by the Town of Southold^ Title or position of that person,_ C}escrils"thott 1'atiwnshrp f livaen y ore Self(the atalshtlatlagnf/representative)and t12e town off cer or employee o Either check the'itppto�ritiV line A)thr+aQl.! )ap..,4(describo In her sp ce Pro vided. The town offie er oremployee or his or her spouse,sibling,parent,or child is(check all-that apply): ����)ii e dWt}e;,pf gr cater rJiAn 5%fof the s b4ts of'the corporate stock of the teppltcaiit " (yheuta;oPpbteatit tssieoiorallora),, A. b�`i1St iit'a on-corporate entity(wheh the 1)}the icgal tir�en�flctal�owaer of f' . !► flppltc�trt�s net z+co�ratton}, C};aiiiiofFcer„drulqr4 p rrtncr,,orreniplaec.aftlre'apf�ltcant;or, _ `D)the actual applicant. DESCRIPTION OF RELATIONSHIP SuhwnitCed` is -! _day of �a 20'_ SignatureCol :. Print Name. Chrl ---- lE+orm TS 1 Board of Trustees Applic ,- 'on PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM"- NAME: ?— „ j 310 ,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 MAILIRETURN 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#: 19 2-0 SM1-Nn Dy-1V P— SC)Ufi"), SGJcyvg#:IC�00 -'I(0-3-10 . 1 NAME: ADDRESS: 37- 3 AUG 1 3 2025 Southold Town Board of Trustees STATE OF NEW YORK COUNTY OF SUFFOLK �C1E-Q P-LAMMO , residing at 5 V� V\f0. d DnVe ECI S , being duly sworn, deposes and says that on U , 20 2-S, deponent mailed a true copy of the the 1J day of ,��.1 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 ECKt QU OGI�I t? N , that said Notices were mailed to Y each of said persons by CERTIFIED MAIL/RETURN RECEIPT. VWV Signature Sworn to be e me this Z Day of fi 20 2 ALISON A FAY NOTARY PUBLIC,STATE OF NEW YORK j Registration No.01FA6415288 Qualified in Suffolk ouryty� �MycommissiomExpires /5 2 Nota ub Postal ServicePostal Service W CERTIFIED MAIL@ ■ ■ CERTIFIED O ■ ■ i rrV Domestic Mail Only' Domestic ru rXI co=[3 For delivery information,visit our website at www.usps.corrio. For delivery information,visit our website at www.usps.como. M Certified Mail Fee k c ;17 7 m Certified Mail Fee c �fl 114 7 P ua., II,ltu, fU In s Ln CI Extra Services&Fees(checkbox,add/ dare) ' p Extra Services&Fees(checkbox,'edd f6s ,A, ❑Return Receipt(hardoopy) $ I ❑Return Receipt(hanicopy) $ r-1 ❑Return Receipt(electronic) $ I I I I i rp'+ i tmark r 1 ❑Return Receipt(electronic) $ •Iff Sim CI ❑Certified Mail Restricted Delivery $ O 1.��� ere O ❑Certified Mall Restricted Delivery $ re CI ❑Aduit Signature Required $ - FC []Adult Signature Required $ r - CI ❑Adult Signature Restricted Delivery$ "{" ` F3 ❑Adult Signature Restricted Delivery o (M I Postage'�gl`I jut Postage = frl $ - I,1�/'jl/ryllr� mIfIROW }age and F 4, ' FYl T t�1 Posfa�e and F g TIMOTHY&`I�1�4(9A LLOWELL m $ ° '" GR OR &MIKAL A TY ER ru Sent To Sent To ru 1280 SMITH DR S rNiF P� _ Stiee[andApt:No.;' sireeiandApiivo.;' SOUTH 11971 SOUTHOLD, NY 11971 Ciry,State,ZIP+4® City,State,ZIP+4�' PS Form 11 April 2015I 1 10 •,4 :I I 1 ,• 111•I. TM TI Postal ■ • stal Service 0 ■ RECEIPTCERTIFIED MAILCERTIFIED MAILP :C0 Domestic Mail Only �.. Domestic Mail Only li • [] •r delivery information,visit our website at www.usps.com". Q D V1.EI ' L US rn Certified Mail Fee e ru $ �n•ii ! F� 119 7� Certifled Mail Fee r,-3Q I19�2 Ln Extra Services&Fees((check box, d fee aadd�pt�e) U 'Ny 1 CI F I I,) Ct Extra Services&Fees(checkbox,add tee ) ❑Return Receipt(hardco ) $ ❑Return Receipt(hardeopy) $ '� ❑Return Receipt(electronic) $ I I,flfl stma k .' ` C3 ❑Ceitified Mall Restricted Delive $ ^ � Here r� ❑Return Receipt(electronic) $ Q PoS ark ❑Adult Signature Required $ r0~5 CI ❑Certifled Mail Restricted Delivery $ ,�IJiJ— Here FC ❑Adult Signature Restricted Deliv $ "u" CI ❑Adult Signature Required $ FC ❑Adult Signature Restricted Delivery$ j CI Postage I t J,n Postage M T".posta� ED e end F 7r m T tql o st�ge and rn $ ern't PPTO 44774� DA RUSSELL m IF EMI &R - T S f IT ru I Sent To SiieefendApt:No.; 1375 SMITH DR S BOW E3 ru 0 St�eef anrlApt:No.; F. SOUTHOLD, NY 11971 SOUTHOLD NY 11971 Ciry State,ZIP+4 City gists;Z/P;pPS-Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions r :rr COMPLETE • COMPLETE • ON ' I ■ Complete items 1,2,and S. A. Signatur , 1 ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee . ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. '"t of Delivery or on the front if space permits. I 1. Article Addressed to: D. Is delivery address different from item 19 ❑Yes - If YES,enter delivery address below: ❑No DAVID&SONDRA RUSSELL 1375 SMITH DR S SOUTHOLD, NY 11971 3. Service Type ❑Priority Mail Express® ❑Adult Signature ❑Registered MaiITM ❑Adult Signature Restricted Delivery t]Registered Mail Restricted IIIIIIIII IIII IIIIIII�II IIII III I IIIIIIIIIII III El Certified Mail® Delivery � 9590 9402 8172 3030 4114 88 ❑Certified Mail Restricted Delivery ❑Signature Confirmation*" ) ❑Collect on Delivery ❑Signature Confirmation 2. Article•Number(Transfer from service label) •_ _ ❑Collect on Delivery Restricted Delivery Restricted Delivery +-�— -r-r-: +- i; j!�Insured Maill ; I • i 2 2 3 3 3;•Q p 11 Q y h 5' ¢; t ;I ❑Inrsured Mall`Restrieted l eliyery i {[[ (over$500)- V J I PS Form 3811,July 2020 PSN 7530 02-000-9053 Domestic Return Receipt 4 t e COMPLETE • ON'DELIVERY COMPLETE • i A. Signature ■ Complete items 1,2,and 3. E3 Agent ■ Print your name and address on the reverse X ❑Addressee.I so that we can return the card to your B. Rece' ed by(Printe a'me) C. Die 9f Delivery ■ Attach this card to the back of the mailpiece, f� I or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: 13 No TIMOTHY&:MARGARET HOLLOWELL 1280 SMITH DR S. j SOUTHOLD, NY 11971 5 l 3. Service Type ❑Priority Mail Express® I, II I IIiIII IIII IIIIiII�II IIII III I I IIIIIII 1111111 ❑Adult signature ❑Registered Mail"m ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted B(Certified Met Delivery ❑Certified Mail Restricted Delivery ❑Signature Confirmation'" i 9590 9402 8172 30.30'4114 57 ❑collect on Delivery ❑Signature Confirmation ❑Collect on Delivery Restricted Delivery• • Restricted Delivery I 2._Article Number(Transferfrom service labe),�,.,L;� ] s t i t d �7 InsuredfMail t j i,l j f 122 33Q= QDQ `.023 y82 : , t ❑(over$60MOjilRestrictedDeliJery : G S, Domestic Return Receipt PS Form 3811,July 2-020 PSN 7530-02-000-9053 Glenn Goldsmith,President �Qg�FFO(K�o Town Hall Annex A.Nicholas Krupski,Vice President �� GR� 54375 Route 25 Eric Sepenoski y z P.O.Box 1179 Liz Gillooly p Southold,NY 11971 Elizabeth Peeples y6j�1 �a4� 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 ` 1420 SMITH DRIVE,LLC AEG 3 2025 COUNTY OF SUFFOLK STATE OF NEW YORK Southold Town Board of Trustees AFFIDAVIT OF POSTING OM,- EAI M'V F,tQ t ��T IE OSRII�ViG ASS E�AItN IT P �R TO Th�E IBLI� ° L DAT O fPL ATE h'WOWM I, V-U M yV I 0 , residing at/dba E W 0-d G e Vy Oo d D n V e, Q0(StQUoqueiN Z being duly sworn, depose and say: That on the 4-'Iy of AU J U C� , 20 Z5, I personally posted the property known as 142-0 Sryijfh rD ve Souk--1j , Sou-f-j01d, N �d ( ioi `l l 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,August 13, 2025. Dated: (signature) Sworn to *20?-3 e me this i ALI ST A FAY NOTARY PUBLIC,,STATE OF NEW YORK 12+ -day of Registration No.OIFA6415288 0 Qualified:in.SuffolkCoun q My Commission.Expires I Z P , 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: 1420 SOUTH DRIVE, LLC SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a dock consisting of a 4'x12' fixed dock using 8" diameter pilings and Thru-Flow decking with a 3'x12' aluminum ramp to a 6'x20' floating dock installed off the west side of the fixed dock and secured with two (2) 12" diameter pilings; install water and electric to the dock; and to install a 4' wide permeable access path through the non-turf buffer to the dock. Located: 1420 Smith Drive South, Southold. SCTM# 100-76-3-10.1 TIME & DATE OF PUBLIC HEARING: Wednesday, August 13, 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 CONSISTENCY ASSESSAENT FORM A. INSTRUCTIONS I. 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, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCT:MI# 1000 _076.00-03.00-010.001 PROJECT NAME 1420 Smith Drive South-Dock The Application has been submitted to (check appropriate response) Town Board ❑ Planning,Board❑ Building Dept. ❑ Board of Trustees � I. 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) f❑ (b) Financial assistance(e.g. grant,loan,subsidy) ll (c) Permit,approval,license,certification: I�� Nature and extent of action: Proposed dock with a 4'x 12' pier with 8"pilings and thru flow throug i decking,to a 12'xT aluminum gangwap Q:)a 6'x 20'float with two(2) 12" pilings.4'wide permeable access path through non-turf bufflsr.Water and electric to be connected. Location of action: 1420 Smith Drive South, Southold,NY 11971 Site acreage: 0.86 - 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: Cole Environmental 85ervices on behalf of 1420 Smith Drive LLC (b) Mailing address: 425 Montauk Hwy, East Quogue, NY 11942 (c) Telephone number: 631-369-9445 A Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes W No❑ I If yes, which state or federal agency? NYSDEC C. Evaluate the project to the following policies by analyzing how the project will furthersupport 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. FYes El No F Not Applicable The fixed dock makes beneficial usa of the environmental and coastal resources and is keeping with the character of the local community and Town as a whole.The proposed dock supports a water dependent use. 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 I_] Yes ❑ No 7✓ Not Applicable Attach additional sheets if necessaryar 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 171 Yes ❑.No ❑ Not Applicable The proposed dock will be open grate decking,which will encourage vegetation to grow underneath.The proposed project dock is in keeping with other dock structures in the community. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystwas including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section 1111—Polities; Pages 22 through 32 for evaluation criteria. 71 Yes ❑No ❑ Not Applicable i 1 t The proposed dock will have then flow decking and allow vegetation to grow bene:a':h. _ Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No ✓❑ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No LJ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lant's, and public resources of the Town of Southold. See LMIRP Section III—Policies;Pages 38 through 460or evaluation criteria. ❑ Ye:LJ No Lr 1 Not Applicable Attach additional sheets if necessary WORDING 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 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No ✓❑ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III-Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No® 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 IZI Not Applicable PREPARED BY Chris Cole TITLE Agent DATE 5/29/25 425.Montauk Highway M East Quogue, NY 11942 Environmental Consulting (631)369-9445 Wetland Project Management May 29, 20,15 Town of Southold Board of Trustees 54375 Main Road P.O. Box 1179 Southold, NY 11971 Re: 1420 Smith Drive-Dock 1420 Smith Drive LLC 1420 Smith Drive South, Southold, NY 11971 SCTM: 100 C-076.00-03.00-010.001 To whom it may concern, Client seeks obtain a wetland permit for installation of a clock with thru flow decking and '.wide permeable,access path. E CG E I �I E jJ ' I Please find-:he enclosed items: �~ d MAY 3 0 2025 1. Application fee of$1,250.00 2. 4x Application Southold Town 3. 4x SEAF Form Board of Trustees 4. 4x LWRP Consistency Assessment Form 5. 4x Affidavit,Authorization,&Applicant Transactional Disclosure Form(1 orginal,3 copies) 6. 4x Agent Transactional Disclosure Form (1 orginal, 3 copies) 7. 4x Operating Agreement 8. 4x Photo sheet 9. 4x Survey by Kenneth IVI.Woychuk of Professional Land Surveying revised 9/25/23 10. 4x Construction Scope Plans by Ken Quigley revised 5/28/25 Should you need anything further, please do not hesitate to contact us. Sincerely, Summer Looney Info ColeEnvironmental'Services_c:om Cole Environmental Services, Inc. M,ww.ColeEnvironments IServices.com