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HomeMy WebLinkAboutThe D.B. Robinson Revocable Living Trust Cantrell, Elizabeth From: jjpatanjo@gmail.com Sent: Tuesday, September 16, 2025 3:22 PM To: Cantrell, Elizabeth; Hobson, Thomas Subject: 915 Mill Creek Road - Southold Please postpone the application for Robinson D.B. Rev. Living Trust 1000-135-3-37.There are major revisions to the submission and revised plans are being prepared. Once complete, we will send in revised plans and project description for your review. Thank you. Jeff Jeffrey p °r,anj P.O. Box 27 Farmingdale, NY 11735 631-487-5290 JJPatanio@gmail.com ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. 1 Glenn Goldsmith, President ��� UF�O( �� Town Hall Annex A.Nicholas Krupski, Vice President ' � -4 54375 Route 25 Eric Sepenoski P.O. Box 1 179 Liz Gillooly 4- Southold,NY 11971 Elizabeth Peeples �1 � �' " Telephone(631) 765-1892 Fax(63 1)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: I0 Completed infield by: Jeffrey Patanjo on behalf of THE D. B. ROBINSON REVOCABLE LIVING TRUST requests a Wetland Permit to remove existing 100 linear foot long concrete bulkhead with steps to beach, and construct a new 100 linear foot long vinyl bulkhead with 5'x6' steps to beach in same location as existing; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 915 Mill Creek Drive, Southold. SCTM# 1000-135-3-37 Type f area to be impacted: Saltwater Wetland Freshwater Wetlan Sound Bay Part of Town Code propose ork 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.: Ac-6 -6-e- 6Y-K,7 cA-,V' f--nc cZ tS Ise � c-� 1 e r eL C(4 Present Were: ✓ G. Gol lth N. ski E. Sepenoski Kr Gillooly E. Peeples _ a _ , - EXISTING BULKHEAD I 139.00' _ N 83"0` E MEET EXISTING BULKHEAD , p 1_44 Qbp R A I G A S I I PROPOSED 5'x 6'STEPS TO BEACH A I ` IN SA ME LOCATION AS EXISTING 'N 1 4 R G L I 1 W Z STORY FRAME DECK I 1 I DWELLING o r W NO. 9 15 0 1. 1 r/) V N I Z 1 f1� I PORCH DRIVEWgy WALKWAY 1 0 oI � BLOCK CURB PROPOSED 100 LF OF VINYL BULKHEAD — 0 (IN SAME EXACT LOCATION AS EXIST.) �Al mI — — m \ - - - - -�. PREPARED BY: PROPERTY OWNER: JEFFREY PATANJO ROBINSON DB REV TRUST ! P.O. BOX 27 53 DESAI CT REMOVE DUSTING BULKHEAD STRUCTURE IN FARMINGDALE, NY 11735 ITS ENTIRETY AND INSTALL NEW BULKHEAD FREEHOLD, NJ 07728 —5290 IN THE EXACT SAME POSITION AS EXISTING. PROPOSED FIR TIMBER TOP CAP 6 JJPATANJATANJO@GMAIL.COM PROPOSED 16' LONG 10" BUTT E C E E NOTES: RPROPOSED EAR WALE 36" CCA TREATED TIMBER PILE, 6' O.C. 1 LOT AREA: 12,542.43 S.F. / 0.288 ACRES PROPOSED TOP CAP EL. 5.0t SEP — 5 2025 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: i i i PROPOSED 6"x6" CCA RODERICK VAN TUYL, P.C. PROJECT SURVEYORS 7 TOP AND BOTTOM WALE LICENSED LAND SURVEYO Southold Town GREENPORT, NY 11944 < LOCATION,: i i Board of Trustees SURVEY DATED: SEPTEMBER 20, 1982 PROPOSED 8" TIP CCA /)3 EXISTING BULKHEAD LAY—LOG PILE TO BE REMOVED IN c�Q�a PROPOSED 8" TIP CCA PILE, ITS ENTIRETY. : �`-• :� ,°.�, i 6' O.C. 8' LENGTH. BOLTED APPROXIMATE M.H.W. EL 2.5t SCALE: TO LAY—LOG WITH 3/4 i Pm posed Permit Plans 1'=20 GALVANIZED THRU—BOLTS. i //� �� APPROXIMATE M.L.W EL. O.Ot DATE: PROPOSED 16' LONG 1° DIA. PROPOSED PLAN DETAILS AND 05/30/2025 GALV. TlE ROD, 6' O.C. PROPOSED 12' LONG, 09/01/2025 LOCATION MAP 425 SHOREGUARD VINYL 915 MILL CREEK DRIVE TOWN OF SOUTHOLD LOCATION MAP TYPICAL SECTION SUFFOLK COUNTY, NY N.T.S. TAX MAP NO. 1000-135-3-37 SHEET: N.T.S. 1 OF 1 if AD + 11:1 ly *.Y,� •s .k�.� ,_ ;:8.. as%'t 1 f100e 9 1 IV. 4110't& *",satt ac4 level WAS for. 'h'0 t troy a" A. $� KAAM4 in t"A! ux I i�� 4,40 V E 04M VOW FPr �j 'I 7JU L 1 5 2025 k p. SOUthold Town takes EXISTING BULKHEAD 139.00'_ _ If I II A N E MEET EXISTING BULKHEAD \ O i ECEIVE W W RETA NI G A LS I I m I Op QR I I JUL 1 5 2025 ETAI I L S I I \ I !��, \ I Southoid Town o W ^S� r >- 112 1 Board of Trustees rW Z STORY FRAME DECK I 1 DWELLING o o � NO. 915 0 0 1. I N Ck PORCH z I. m m DRIVEWAy WALKWAY \ oIo \ BLOCK CURB ,�,. o PROPOSED 100 LF OF VINYL BULKHEAD z W (IN SAME EXACT LOCATION AS EXIST.) N83 rnI \ �z 166,010' PREPARED BY: PROPERTY OWNER: JEFFREY PATANJO ROBINSON'DB REV TRUST NOTE: P.O. BOX.27 53 DESAI CT REMOVE EXISTING BULKHEAD STRUCTURE IN FARMINGDALE, NY 11735 FREEHOLD., NJ 07728 ITS ENTIRETY AND INSTALL NEW BULKHEAD 631-487-5290 IN THE EXACT SAME POSITION;AS EXISTING. PROPOSED RR TIMBER TOP CAP JJPATANJO@GMAIL.COM PROPOSED 16' LONG 10" BUTT PROPOSED 3''X6" CCA TREATED TIMBER PILE, 6' O.C. NOTES: 1. LOT AREA: 12'542.43 S.F. / 0.288 ACRES REAR WALE PROPOSED TOP CAP EL. 5At 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: r " n x' I I RODERICK VAN TUYL, P.C. "14P ` I '.� PROPOSED 6"x6" CCA a�cFTrOCT* I '!• TOP AND BOTTOM WALE GIREENPORTCENSED �NY 1ND �1944 ORS Ro.. LOCATION w I I SURVEY DATED: SEPTEMBER 20, 1982 a ,;;IM..1' .vim"' ^G;° "i A - ' y �° PROPOSED 8 TIP CCA EXISTING BULKHEAD I ' ,r LAY—LOG PILE TO BE REMOVED IN a� ITS ENTIRETY. PROPOSED 8." TIP CCA PILE, e III 4 creekp �` " - 6' O:C. 8' LENGTH. BOLTED SCALE: rive APPROXIMATE M.H.W. EL 2.5t TO LAY—LOG WITH 3/,4° i �f Pmposed Permit Plans 1"=20' GALVANIZED THRU—BOLTS. I �� PROPOSED 16" LONG 1" DIA. I I �/? jAl// ram �, T APPROXIMATE M.L.W EL O.Of ED DATE: cALv. TIE Roo, s' O.C. PROPOSED PLAN, DETAILS AND 05/30/2025 PROPOSED 12 LONG, LOCATION a � MAP 425 SHOREGUARD VINYL 915 MILL.CREEK DRIVE TOWN OF SOUTHOLD LOCATION MAP SUFFOLK COUNTY, NY N.T.S. TYPICAL SECTION TAX MAP NO: 1000-135-3-37 SHEET: N.T.S. 1 OF 1 t. Photo , w £j. s Photo �P e I a * : 1 S A S 1 9' '• . Ao' ah a t, �srfi�M�-dk�'f•y�.��rZ �fS wq'"'�'a E"tl�,' i ,,.JT,'I' � � ff),� 4y. ✓Ya.i<it ,3�,�a a Txsw 05 psm ✓ .•\ SOUNDESEc. SLMD ; \ G �"� '• LON _ `043 PD sick, o \ pest„'' •, T P :, ' tpMTH F�ORx BEpGM ' \. s�E SEctnN x, r � 9 CY � ♦ p � 49, O3 a\ $ p2 sv♦ a _ 3r ll. 1 V DR. 9 x \ 44 rpq Y ...,.. ----- W. — ---- ,....,. ——a—— ——•— WTlcE ri COUNTY OF SUFFOLK C x SOU7„OLD sEcnoN w0 o,......�,,.. -- --- ..,�.• � ..a..v --„-- +..,,,•, ., _.-. —""" Real Property Tax Service Agency r E e.....wr -•.•�:—.• .�u.w� �. ^�.r�.. -- Ewa.. . — raee..�--a M� — zsauucow,r,u.wP sworn a, CauntY Gmwr NrvNrNw NY 11Nt M , •�o� to � 135 O .. xa .. �x, .'i1� h _ a _—•__ p,.....--a-- .� r �:• p �' iwc w tppp PROPERTY WP Glenn Goldsmith,President Q ) Town Hall Annex A.Nicholas Krupski,Vice President 4 ' (.� ' 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631)765-1892 Elizabeth Peeples ,yo Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application bi _Wetland Permit Application - Administrative Permit JUL 1 5 2025 Amendment/Transfer/Exten ion Received Application:. JS o1- . Southold Town Received Fee:$ Board of Trustees Completed Application- Incomplete:..... . SEQRA Classification: Type I! Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: __Coordination:(date sent)::. _LWRP Consistency VAssessent Form SentsCAC Referral Sent:Date of Inspection: Receipt of CAC Report: f2 _. Technical Review: Public Hearing He12 . . . Resolution: Owner(s)Legal Name of Property (as shown on Deed): Robinson DB Revocable Living Trust c/o Gregory Robinson, Mailing Address: 53 Desai Ct.,Freehold, NJ 07728 Phone Number: .._732-491-5073 Suffolk County Tax Map Number: 1000 - 135-3-37 Property Location:,915 Mill Creek fted,Southold, NY_11971 See location map (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable):- Jeffrey Patanjo Mailing Address! P.O. Farmingdale,Box 27 Fin dale, NY 11735 _ Phone Number: _631-487-5290 Email: JJPatanjo@gmail.com --. Cameo se�� 01/3/Zs J RE: ROBINSON DB REVOCABLE TRUST 915 MILL CREEK DR. -SOUTHOLD SCTM No. 1000-135-3-37 PROJECT DESCRIPTION Project includes the reconstruction of existing 100 LF concrete bulkhead with new vinyl bulkhead in same location as existing and installation of a proposed 10' wide non-turf buffer landward of bulkhead. J Board of Trustees Appli(, ;'ion GENERAL DATA Land Area(in square feet):.101018 Area Zoning:..Res Previous use of property: Res Intended use of property: Res Covenants and Restrictions on property? —ayes [V/ No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? E—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 _Z_No If"Yes", please provide copy of decision. his project r=-NO y demolition as per Town Code or as determined by the Building Dept.? Yes Does the structure(s) on property have a valid Certificate of Occupancy? Yes F-1 No Prior permits/approvals for site improvements: Agency Date ❑✓ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_Z_No_n Yes If yes, provide explanation: . . Project Description(use attachments if necessary). See_attached Board of Trustees Applic __ .ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations. See attached Area of wetlands on lot: 630 square feet Percent coverage of lot: 6•.2 - _ Closest distance between nearest existing structure and upland edge of wetlands: !10 feet Closest distance between nearest proposed structure and upland edge of wetlands: 10 feet Does the project involve excavation or filling? 0✓ No El Yes If yes, how much material will be excavated? n/a cubic yards How much material will be filled?. n/a cubic yards Depth of which material will be removed or deposited: n/a feet Proposed slope throughout the area of operations: 0-5 Manner in which material will be removed or deposited: All work to be performed with excavator 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): There will be a positive effect on wetlands due to reduced erosion and sedimentation due to eroding bulkhead. Short Environmen al Assessment Form Part 1 -Proj ct Information Instructions for Comaleting 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 maybe subject to further verification. Complete Part 1 based on information currently available. If additional research or investigg tion 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 aj iy item. Part 1—Project and Sponsor Information Name of Action or Project: 915 MITI Creek Road-Southold Project Location(describe,and attach a location map): 915 Mill Creek Road-Southold Brief Description of Proposed Action: See attached description Name of Applicant or Sponsor. Telephone: 732-491-5073 Robinson D13 Revocable Living Trust c/o Gregoiry Robinson E-Mail: gregory.robinson98@gmaii.com Address: 53 Desai Ct. City/PO: State: Zip Code: Freehold INJ 107728 1. Does the proposed action only involve the legislative adopt on of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the propose 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 g from any other government Agency? NO YES ff Yes,list agency(s)name and permit or approval•NYSDEC/To vn of Southold Trustees ❑ 3. a.Total acreage of the site of the proposed action? 0.23 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? 0.23 acres 4. Check all land uses that occur on,are adjoining or near the I roposed action: S. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial ❑✓ Residential(suburban) ❑Forest ❑ Agriculture [] Aquatic ❑ Other(Specify): ❑Parkland Pa e 1 of 3 7 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ Z ❑ b. Consistent with the adopted comprehensive plan? ❑ R ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ 0 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: ❑ NO YES 8. a. Will the proposed action result in a substantial increase n traffic above present levels? 21 ❑ b. Are public transportation services available at or near t ae site of the proposed action? a ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed . �. action? 9. Does the proposed action meet or exceed the state energy cc de requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/priva a water supply? NO YES If No,describe method for providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatn Lent. 12. a.Does the project site contain,or is it substantially contigu us to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the a ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for ❑ archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or 1 mds adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state er local agency? ❑ a 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 alteratio as in square feet or acres: Page 2 of 3 14. identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: (Shoreline ❑ Forest ❑Agricultural/grasslands ❑ arly mid-successional O Wetland ❑ Urban ✓❑Suburban 15. Does the site of the proposed action contain any species of miimal,or associated habitats,listedby the State or NO YES Federal government as threatened or endangered? ❑ ❑ Piping Plover,Northern Lon... 16. Is the project site located in the 100-year flood plan? NO YES ❑ 0 17. Will the proposed action create storm water discharge,eith from point or non-point sources? NO YES If Yes, ❑ a. Will storm water discharges flow to adjacent prop es? ❑ b. Will storm water discharges be directed to establi ed conveyance systems(runoff and storm drains)? ❑✓ ❑ If Yes,briefly describe: 18. Does the proposed action include construction or other acti 'ties that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: t� ► I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE �• Applicant/sponsor/name: regory Robi n Date: Signature: Title:Trustee PRINT FORM Pa e 3 of 3 f Part2• t .t lmpa�Aea� The Lied Ate►lfs iri►r the caaple�-. ", ,1�'art Z.Arawer atl4fthe foliovvt»g ' q�ti�he ltiat2 ttabtg tia' -rntatlon onmalned in Part t other m�ieJs a BEY rim ptt;�aat sppaaoror avapairla b rho rt` _ ,�. Witgt atsstivering the Eta mViewat _1 ra gtdthd by the eotmapt"Hats try t+aspartsas6mtn acxgtsidartng**sob andamudu ct t*pmpusedac6n7" } ordera� t small to lama 4tptet hwet , t may may omr oaernr t. W tl�ptgpoaed a,�iaa e a nta<ariei c0ailrct with adopted 3artd use phtn or Wing 2. WID titsIxopos3d actin tnaalt in aehop in the um or i ky of weof km d? I 3. Wip fire proms t enon imps r ft chat ew4r queli i of•dtn strafing om mtmiw?# ' 4. WM ffia ptoposW aatlon have eft ltnpaet on tiro elivbwm tntd chscaatedrI a that 49ed the estabiisitntent ofe Ct Eavironmoml Ara(CHAP 1 0 ' S. WM thepa"Mad acton molt in an advem change kth DO)tbft tevai ofttaft ox �''`'� now st ilabginfrroImch"lhr mm book k bikk+osor wq1 _ _ L..,i 13 Fr. Will the proposed action cause art lncream is the use of orgy and It tilts to invarpi�rctta {'� �, rnaaotta61 avaitalete atioa orraao+ereble hies? ! L....i!!t F. WIN thtpropneed acdon it axlslSW .. _ . ' b.pblk/prirmtswaatewater#t+tatAnast t><ilitl"? 1 & ,WIN the pMosed aid=hnpeir tho dtaxawor qtm*o important hlspotic,archeeitiogioal, L.,J�""' at�,iteotaraioraestlttttr�s`t ` (� 13 }� 9. will tha pmpww adim, tomtit in an ads chow 40 U (e g..w aunt% t""1 a i wate�Wh s.gtohtadNratar.apt'quetlty,flacm and fatm)4 L t !� 10. Will titq pmpaftd actlote teauit in an ltttmaese In the pm diel forerutaittn,flooding r drainage o o 11. Will W proposed ac don cme a bamd tit n ' mources or bttmatt 1t 7 $j hyt3-DowmbwdoaofslpffimnmMwLudAtolAW reaps Me*r tMe atmptalnofR+lrt3. RorevM iquestion in Pats 2 thatwas amwared'�nodemte to latga mi or cut°,or iftlure 4 a nerd tit explain why a perticnler I alumm of the posed'action may or will not result In=W=edvem onvtamo imparc�please eomolem Part 3. Part 3 shouK ire sttf8icientdaWk idmttW die lropact,in grey ateestt ardosign > that have best Ltetudad by h1 the pn�jeet spantar tR i11PDii1 i!r mdttee lenp8e�a. PaeE 3 also axpbdn hour the lead qpW detattnined that the UVWt f may or MR not beSIPWCMIL Racb powfim# simnM �lt8�tlittg;pto�ilifir of 8eC8trlt� durathtn.itrauctsibft powni is sm"and mrtgnitudt. A o mWdwthe ptmetttlet fop dta*urm.longterm aril a ctmmhttive Impacia. i Chick this box if you have daWmlaed,Wa on the eft attar anst:;ym above.and any aptoMnSdacumontptiOO. ttrat tha pmpwW aattan mq cemdt in eat ormm p tond*1WV orsiguificantadvaae Impacts and an attvvh�tenlal�Est fs�rlrod. t Check this box if you#mve dttterntIu4 basal an the itt bmmdon and analysis ebovb.and OW suVpat3ing dcoamen d1w that the proposed aabo w#il neat tmult in airy sigai odv m envimnmanW lmga u $3 �� Town a►t Snut-Bos_M otllue0aes ..... ,.,._._._. ... . ._ — } ldetrtettPltad Agcatcy �.-Avr Pmsidant 9�tte of Rr�pontiibte�!#�oei . . Print or`I)tpe Nero of Rtspottsib a©W iii i.ead tcit 5 of Respaoat'ble offfea in Lead Ateticy t3igttaitrre oCPtoperer(il=diffetettt from Resport let}lfica) EAF Mapper Summ .i.,, Report ` '` Wednesday, May 28, 2025 9:58 PM Disclaimer: The EAF Mapper is a screening tool intended to assist - # 3 7" project sponsors and reviewing agencies in preparing an environmental `NI :- h assessment form(EAF).Not all questions asked in the EAF are - answered by the EAF Mapper.Additional information on any EAF 15 3 �� - �X question can be obtained by consulting the EAF Workbooks.Although f the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources to — $st confirm data provided by the Mapper or to obtain data not provided by the Mapper. A ' t4n k: j Southofi� k d , v TarotStb I35 3 a t. lin �Rostltor7vn ,w i t ig Drtl3t,f61a i *"" s ; x Avl rY t�Ktn. Y ; t . � -.._ :rSnr?s E�rrHEfist;armi�t,USS;I$trrr IP1�5Eifr` . t� tttes Esra HERE t= It��U5G5*fn:r3rarapJi? eEP,X tIT FxhfiGpr FsJaRpr f tETt zEsal; lid,l� E1 J6pafJ;J I��t*Est,CHlritr,p 1crF fry It� ES:J, -E to �Har t a gl TI Korey Efr/ � 1 iJ.�GC r 0,P&Str >ti�fc p cta,iri utters a'at 1 ��i aRc�_itiG`, ,f*# pe 5 ie'i�t s art utck atr #c� �,f5 + . 135 3 40 " wln�CIS VS CfYJI Ist ia3y User td � t'it? sEsrl'r hFS `" Part 1 /Question 7 [Critical Environmental No ��-- Area] I Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] � _ Part 1 /Question 12b [Archeological Sites] IYes j Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local, New York State, and federal Regulated Waterbodies] wetlands and waterbodies is known to be incomplete. Refer to the EAF i -,Workbook. Part 1 /Question 15[Threatened or Yes S Endangered Animal] 4Part 1 /Question 15[Threatened or Piping Plover, Northern Long-eared Bat, Loggerhead, Kemp's or Atlantic Endangered Animal-Name] Ridley, Green Turtle, Leatherback _��� ���__ Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 Board of Trustees Applii,_,_,'Lon .AFFIDAVIT:.. Robinson DB Revocable Living Trust BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. ign re f roperty Own r Signature of_ roperty Owner SWORN TO BEFORE ME THIS S DAY ORJ1)n1 e ,-20 Z . JILL ABERNATHY NOTARY PUBLIC OF NEW JERSEY commissign 50/60313 N blic y omm i—mon taOnss OP612026 Board of Trustees Appli�,_eton. AUTHORIZATION (Where the applicant is not the owner) I/We, Robinson DB Revocable Living Trust owners of the property identified as SCTM# 1000,135-3-37 in the town of Greenport ,New York,hereby authorizes Jeffrey Patanjo 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. Prope er' Signature Property Owne s Signature SWORN TO BEFORE ME THIS . ZO` DAY OF JU r}-e_ ,20 Z S t�W�WY o is [C OF NIUMMY'ion Expires 5/2612026 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM t The Town of Southbld's Code of Ethics Drohibits•conflicts ofinterest on-the Dart-oftown officers and employees.The puua se of this form-is to provide information which can'A thud town of.possibie conflicts of nuterqsf'and allow tt to take whatever action'is necessary to=avoid wine:. YOUR NAME::.Robinson, Gregory (Last name,first name,diddle initial,unless you are applying m 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"OtheC,name the activity.) Do you personally ,(or through;your company,spouse;sibling,parent;:or child)Fiaue'a relationship with any officer or employee of the Town of Southold? "Relationship"includes by'blood;titiarriage,.or business interest-"Business interest''means.:a business, including a'partneiship-in which the town officeror employce;has even a;partiai ownership of(or employment by a:corporation in which the-iown oflricer 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): _LLA)the owner of grease than 59/w,of the:shares of the corporate,stock of the:applipggt_ ]a (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 T day of 20 Signature:: Print Name Gregory Robinson Fonn IS I APPLICANT/A GENUREPRESENTATI I TRANSACTIONAL DISCLOSURE CORM The Towtt.of Soufho#d`s Code of Ett►cs nroluflts conflats.of interest on the part of town{%[facers and emnloyees The pt�r�ose of tl i§foam iIs to proirt'de infomiation.which-can=alert the ta�vn�of bossible.:Eon#�reis�of+nferest'and' 1Qw at to:fake wh'ateveract on is . . pecessary ao avtitd same YOUR NAME Patanio Jeffrey .` . I. l ... (Lasf,name;first natne;;gxtddle initta(,unless you are applyiing tnthe.name:of. someone else:or otherentity,such as a.company.,If so;indicate the other' person's or company'sname:) NAME OF APPLLCATIONf (Checltall that apply) :: Tax gr .rq;e Building . Variance .. Trustee : ✓ Change 6f266e Coastal Erosion ;Approval of plat Moonng Exemption from:piatorofricial map Planning:' 11.1 .. ::Other (If"Other*%name the activity:) Do:you personally(or through your company;apouse;'sibling;parent,or.child)have a relationship with any.offieeror employee ofahe Town of Southold?:"Relationship-,includes , blood;rtja. ge;.or business interest `Business interest'means a business Ii including:a>pattnership;to which the townofficer or:employee has even a partial ownership of(or.employment by):a'corporation iri which tlie.tawn:ot cer or emploYEe ow, s:more'than m ofthe,shares YES ��. _ NO. : - ifyou answered 'YES :cornMete the balance of this form and date and sign where tndicated . .. . Name of person employed by the:Town ofSouthold :Title or osition.ofthat person . .. . Describe he relationship between yourself(the applicant/ageI.n#lrepresentatrve)and[he town officer or employee Either check. ahe appropriate fine A)ahrough D)and/or describe;in the space provided:. The town officeroc employee or his or her spouse sibling,parent,or child is(check.all that apply): �. A):the owner of greater than 5%of the shares of the corporate stock of the applicant � (when the applicant is a corporation); ... the legal or b. Icial owner of any interest in a non-corporate entity(wheat the. applicant:is not a corporation), Cyan officer Airector,partner or employee of the applicant or D)the actual applicant ;DESC.TUPTIM OF RELATIONSHIP -. - .., .. . . Submitted this 07L(�4/2025 Si [[attire J . �.: PrirtName';�efr�yPta�io Foam TS a Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ^r-)nR F.q. 364 13S 3- 3�- 135 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 September 9, 2025 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: ROBINSON DB REVOCABLE LIVING TRUST 915 MILL CREEK RD, SOUTHOLD, NY SCTM No. 1000-135-3-37 AFFIDAVIT OF MAILING Dear Trustees: Attached please find Affidavit of Mailing and return receipts for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, Jeffrey Patanjo P.O. Box 27 Farmingdale, NY 11735 E Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: J000— 13Y-3" 3-1 Th-e ®_ •__6• 42.1n.5"A NAME: ADDRESS: � tvt ✓a -�jtvS l 1000-135-3-36.1 845 Mill Creek LLC 160 W 88th St Apt 1 New York, NY 10024 1000-135-3-38 Milcetic Wendy Milcetic Paul 46 Birch St Port Washington, NY 11050 ,�� ���...s 1 1000-135-3-42.3 d Bours Living Trust 660 Mill Creek Dr _Y,e Southold, NY 11971 COUNTY OF SUFFOLK p yx 1-u M ( � , residing at �'>e a i q �,livl_ �a 1 C, AJ''� 1 7 3 , being duly sworn, deposes and says that on the day of _ SCPfxl�,(2 ^— , 20 7S�, 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 :FG ie"1 1 ri eyI4 'C , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. -If i1e,V 71 gn re Sworn to before me this Day of StjPTffi PC 20_ar .��1 —Gfo�' 4,�'': STATE ti7 1 OF NEW YORK NOTARY 2 %Qualified in SuRo{k County/ �20% 01GE6418131�/^�` � c taiy Pu is -0 ^� , ,n Certified Mail Fee ru ru $ r-9 Extra Services&Fees(check box,add fee as appropriate) El Return Receipt Qiardcopy) C3 ❑Return Receipt(electronic) $ postmark rp C3 ❑Certified Mail Restricted Delivery $ r-3 Adult Signature Required $ C3 Adult signature Restricted Delivery$ C3 Postage Ln Ir C3 i 000-I 35-3-36.1 845 Mill Creek LLC ru 160 W 88th St Apt 1 M ------------------ r- New York, NY 10024 Rj X' 7 _n Certified Mail Fee ni ru $ rq Extra Services&Fees(-heck box,add fee as approonate) E]Return Receipt(he copy) $ �' , ) :), , -"'I"��' , Postmark -3 (electronic) $ E]Return Receipt(electronic) Certified Mail Restricted,Delivery $ Cl Here. []Adult Signature Required $ E:3 E]Adult Signature Restricted Delivery,$ r-I Postage Ln Ir 000-135-3-38 Milicetic Wendy . n.j Milcetic Paul M --------------- r�_ 46 Birch St Port Washington, NY 11050 rn _n ru Certlfled Mail Fee ru $ appropriate) r-q T)Tr- Services&Fees(c eck box,add fee as Return Receipt(hardooPY) $ Postmark. Return Receipt(electronic) $ � !—, " -, , 1 Here C M3 Certified Mail Restricted Delivery $ C3 Ej Adult Signature Required $ EM3 Adult Signature Restricted Delivery$ postage Ln C3 1000-135-3-42.3 ­9 Bours Living TrUit ---- ------------- ru c3 1660 Mill Creek Dr ------------- SOUthold, NY 1,1971 IN OTICE 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: THE D. B. ROBINSON REVOCABLE LIVING TRUST ,-- SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove existing 100 linear foot long concrete bulkhead with steps to beach, and construct a new 100 linear foot long vinyl bulkhead with 5'x6' steps to beach in same location as existing; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 915 Mill Creek Drive, Southold. SCTM# 1000-135-3- 37 TIME & DATE OF PUBLIC HEARING: Wednesday, September 17, 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 ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A ;proposed action -will be- evaluated as to..its si `gtuficant beneficial.andtadyerse effects;upon'the coastal>area(.wli ch includes-all.of Southold'_Townl. 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 defad, listing.both supportu>ii; and non.: suppong facts: If an action cannot be certified as consistent with the LWRP policy standards and rti conditions,itshAmot be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 135 3 -;.37 PROJECT NAME 915 Mill Creek Dr.-Southold 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) ❑. (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: See attached - Location of action: 915 Mill Creek Dr.,Southold,NY 11971 Site acreage: 0.23 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: Robinson DB Revocable Living Trust c/o Gregory Robinson (b) Mailing address: 53 Desai Ct., Freehold, NJ 07728 (c) Telephone number: 732-491-5073 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes-❑✓ No❑ If yes,which state or federal agency? NYSDEC 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. RV( Yes ❑ No ❑ Not Applicable Project provides for a new bulkhead to protect against.loss of land and erosion of the waters. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No❑✓ Not Applicable No effect. 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 7 Yes ❑, No Not Applicable Project provides a new visually appealing shoreline on the subject property. ------------ 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 Z. Yes 0 No❑.Not Applicable Project provides a stabilized shoreline and protect against loss of land and erosion. X&61ii&616naf 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 El Yes. No IV N of Applicable No effect. Attach additional sheets if necessary " Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes No Not Applicable No effect Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes 0 No 0 Not Applicable No effect. Attach additional sheets if-necessary-- Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes No ✓❑Not Applicable 4_ No effect. 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. YeLl No 0 Not Applicable Project provides,continued use.of.waters and adjacent area by way,of new bulkhead and steps down 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 No-'effect. 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 No effect. i 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 No effect. .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 ❑ Now] Not Applicable No effect. PREPARED BY J. Patanjo , TITLE Agent DATE 5-10-25 r° July 7, 2025 2 D IS Town of Southold Trustees Town Hall Annex Building Jul 15 54375 Rte. 25 P.O. Box 1179 r . Southold, New York 11971 Southold Town Board of Trustees RE: ROBINSON DB REVOCABLE LIVING TRUST 916 MILL CREEK RD, SOUTHOLD, NY SCTM No. 1000-135-3-37 APPLICATION FOR PERMIT Dear Trustees: Attached please find four copies of plans, application and necessary papers for proposed project approval. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, 0 095�7 Je rey Patanjo P.O. Box 27 Farmingdale, NY 11735