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J.C. Neville Revocable Trust
October 1, 2025 r Town of Southold Trustees Town Hall Annex Building ® C E 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 OCT - 3 2025 RE: NEVILLE JC REVOCABLE TRUST '` Southold Town 2380 HOBART RD-SOUTHOLD Board of Trustees SCTM No. 1000-64-03-06 APPLICATION REVISIONS Dear Trustees: Attached, please find four copies of revised plans and project description for the above referenced project. Plans have been revised to more clearly identify the bulkhead returns and include proposed batter piles along the bulkhead face. If you should have any questions or require anything further, please do not hesitate to call me at 631-487-5290. Very truly yours, ffrey Patanjo P.O. Box 27 Farmingdale, NY 11735 JC NEVILLE REV. TRUST - 2380 HOBART ROAD -SOUTHOLD SCTM No. 1000-64-03-06 PROJECT DESCRIPTION-REVISED 10-1-25 I I The project includes the removal and replace existing timber bulkhead with 75' new vinyl bulkhead in same location as existing and 10' bulkhead return on north end and a 6' return on south end. New bulkhead to have batter piles on the seaward face placed at 6'on center along entire length. Provide a proposed 10'wide non-turf buffer along new bulkhead limits. i OCT - 3 2025 Southold Town Board of Trustees a r Y r F { t i. P .! f..♦i 1� �'. Is� Mir Ate � r� IL.i OCT — 3LL 5 • Southold Town ,r Board of Trustees r4 '�- � ��`` Div 'C�.���.: �'�► i rO nO luth 4 r • • • \' of Trustees rk BULKHEAD To REMAIN IV 42 24'40" E 168.53' N 39 46'32" W 4000 S 38:3120" W -- -- -- -- -- -- -- -- -- -- -- I O 25.00 I PROPOSED 10 L.F.BULKHEAD RETURN ASPHALT DRIVEWAY q EXISTING DOCK EXISTING Q I =1 I• DWELLING a � IV50'>328" E M I i� I #2380 W I ,h •• 2.00 I i e�. � CAI � N 69 48'16" W N PROPOSED 75 L.F.OF VINYL BULKHEAD WI I W BATTER PILES ALONG SEAWARD FACE O I 1 D.00 • I (IN SAME EXACT LOCATION AS EXIST.) Q I I PROPOSED 10 WIDE NON-TURF BUFFER [� N 41 J6'S8" W ' LANDWARD OF PROPOSED BULKHEAD S 5148'04" E 26 J8 11 PROPOSED 6 L.F.BULKHEAD RETURN 12.00 I tI \ -- EXISTING STONE S 4224'40" W 172.90 BULKHEAD TO REMAIN r S 38'3120" W -SITE PLAN 20. 10 SCALE: 1"=20' LOCATION MAP N.T.S. J ' NOTE: ® �Qr �a r , REMOVE EXISTING RETAINING WALL IN ITS Sr; � ENTIRETY AND INSTALL NEW BULKHEAD IN ` 8-out ofi ld THE EXACT SAME POSITION AS EXISTING. PROPOSED MR TIMBER TOP CAP OCT - 3 2025 PROPOSED 16 LONG 10 BUTT CCA TREATED TIMBER PILE 6' D.C. PROPOSED 3"X6" PROPOSED GRADE Southold TOWrI REAR WALE Board of Trustees PROPOSED TOP CAP EL. 4.0f �Ra y rounaers PROPOSED .6"x6" CCA - TOP AND BOTTOM WALE H+irRtl - T0'i,"Crf x e III PROPOSED 16' LONG 10" Burr PREPARED BY: PROPERTY.OWNER: CCA TREATED BATTER PILE, 6' O.C. I i I JEFFREY PATANJO JC NEVILLE Revocable Trust ` a PROJECT , III PROPOSED 8" TIP CCA P.O. BOX 582 2380 Hobart Road III EXISTING BULKHEAD Tx LOCATIC)N TO BE REMOVED IN LAY-LOG PILE BOHEMIA, NY 11716 Southold, NY 11971 APPROXIMATE M.H.W. EL. 2.5f III ITS ENTIRETY. PROPOSED 8" TIP CCA PILE, 631-487-5290 Jul 6' O.C. 8' LENGTH. BOLTED JJPATANJO@GMAIL.COM TO LAY-LOG WITH 3/4" - _- -_-- -- - _ - APPROXIMATE M.L.W EL. O.Of full, GALVANIZED THRU-BOLTS. NOTES: Proposed Permit Playas AS NOTED SCALE: � r v PROPOSED 16' LONG 1" DIA. ' GALV. TIE ROD, 6' O.C. 1. LOT AREA: 14,319 S.F. / 0.329 ACRES PROPOSED PLAN, DETAILS AND DATE: PROPOSED 12' LONG, 2. PORTIONS OF PLAN FROM OWNER PROVIDED SURVEY LOCATION MAP 7-4-25 425 SHOREGUARD VINYL LATEST DATED: FEBRUARY 4, 1992 9-1-25 2380 HOBART ROAD 10-1-25 TYPICAL SECTION SOUTHOLD, TOWN OF SOUTHOLD N.T.S. SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-64-03-06 1 of 1 i Glenn Goldsmith, President ,� � �� Town Hall Annex A.Nicholas Krupski, Vice President 54375 Route 25 Eric Sepenoski P.O. Box 1 179 Liz Gillooly �� Southold,NY 11971 Elizabeth Peeples Telephone(631) 765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 9 )IL12,3 Completed infield by: Jeffrey Patanjo on behalf of the J. C. NEVILLE REVOCABLE TRUST requests a Wetland Permit to remove and replace existing timber bulkhead with 75' long new vinyl bulkhead in same location as existing; and to install a 10' long bulkhead return at both ends; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 2380 Hobart Road, Southold. SCTM# 1000- 64-3-6 Type area to be impacted: Saltwater Wetland Freshwater Wetla/Chapt. d Sound Bay Part of Town Code proposed ork falls under: 275 Chapt. 111 other Type of Application: ✓ Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: '_y Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: vd - ✓cam; cc� , Present Were: G. GqWsmith N. Krup i . Sepenoski ►O L. Gillooly . Peeples I.C. Neville Rev Trust 240j Hobart Road. S • • rr. w � dp r� ��'• r �'.N tat� �.,.,.,'� .^.^ '�� .^`:._. ti w i . r �y 1 J.C. Neville Rev Trust 80 Hobart Road, Southold 000 •4 • F d r 4 _� ,.:�, ,• / it �I _ .. r �7. 1'l MEET EXISTING BULKHEAD I PROPOSED 10 L.P.BULKHEAD RETURN N 42 24'40" E 168.53' /V 3946'32" GY -- -- -- -- -- -- -- -- -- -- -- -- -- , , 40.00 1 O �I S 383120" w I i 125.00 . r 1 EXISTING DOCK 1 EXISTING ASPHALT DRIVEWAY (.a SWELLING I N 507328" E �� 1 I #2380 Q •, 2.00 I ► I d. a C� w �. E C E W1 E ® N 69 48'16" w r PROPOSED 75 L.F.OF VINYL BULKHEAD I w 0 10.00 / ' (IN SAME EXACT LOCATION AS EXIST.) SE P - 5 2025 � I IO I PROPOSED 10'WIDE NON-TURF BUFFER Southold Town N 4136 58 w . LANDWARD OF PROPOSED BULKHEAD Board of Trustees i S 51'48'04" E 26. 18 1 PROPOSED 10 L.F.BULKHEAD RETURN 12.00 I -J -- -- S 42'24'40" w -- -- -- -- -- -- -- -- -- 172.90 MEET EXISTING BULKHEAD i S 383120 w SITE PLAN , 20. 10 SCALE: 1"=20' LOCATION MAP N.T.S. f NOTE- REMOVE O y EXISTING RETAINING WALL IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN7y o THE EXACT SAME POSITION AS EXISTING.ISTING. �� utholtl PROPOSED FIR TIMBER TOP CAP ri`fQso"arora` r �5�R� 4k PROPOSED 16' LONG 10" BUTT a� rwxnrarta 4 CCA TREATED TIMBER PILE, 6' O.C. �Y'scvaMiar , PROPOSED 3"X6 PROPOSED GRADE PROPOSED TOP CAP EL. 4.0t REAR WALE PROPOSED 6"x6" CCA �teh $ �qa rnunaere� t TOP AND BOTTOM WALE 9 III g r 96Rkz e m A� u fi III ----------------- W//RU J5�04 PREPARED BY: PROPERTY OWNER: ill JEFFREY PATANJO JC NEVILLE Revocable TrustrPROJECTw�rW III EXISTING BULKHEAD PROPOSED 6" TIP CCA P.O. BOX 582 2380 Hobart Road TO BE REMOVED IN LAY-LOG PILE BOHEMIA, NY 11716 Southold, NY 11971 � Diu III 631-487-5290 ,. �� .., ...,,; .,�r„. N �,� �' <�•7 APPROXIMATE M.H.W. EL 2.5t I 11 ITS ENTIRETY. PROPOSED 8" TIP CCA PILE, 6' O.C. 8' LENGTH. BOLTED JJPATANJO®GMAIL.COM TO WITH 34' APPROXIMATE M.L.W EL. O.Of L � � I i GALVANIZED LAY-LOG T RU-BOLTS. SCALE: PROPOSED 16 LONG 1" DIA. NOTES: Proposed Permit Plans AS NOTED GALV. TIE ROD, 6' O.C. 1. LOT AREA: 14,319 S.F. / 0.329 ACRES PROPOSED PLAN, DETAILS AND PROPOSED 12' LONG, DATE: 425 SHOREGUARD VINYL 2. PORTIONS OF PLAN FROM OWNER PROVIDED SURVEY LOCATION MAP 7-4-25 LATEST DATED: FEBRUARY 4, 1992 9-1-25 2380 HOBART ROAD TYPICAL SECTION SOUTHOLD, TOWN OF SOUTHOLD N.T.S. SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-64-03-06 1 of 1 ti a op ARE4 = 14,2; 84 t Q* s 4i3o. t0 ale 6Re � ECPVLF � N vp �.�` , �` �p'� r' �� �'0 F JUL 1 7 9n 5 Old r a Southold Town a. Board of Trustees '���,. 4af'�� S[lRVEY FOR 4a�2yj� p� JOHN C NEVILLE & VERONIC) � A T SOUTHOLD TOWN OF SOUTHOLD _ SUFFOLK COUNTY, N.Y. Q 1000-64- 03-06 4 Scale: 1"= 30" Sept. 4, 1992' R 'Zi a k `E �• CERMIED Tos z +�, JOHN C. NEVILLE • �� ( o r� SAS\p' VERONICA J. NEVILLE •3b000 n!69•g9;4 y \9 CHEM/CAL BANK aA9 Z• /aor •,�\\� J,5' �o n L O T NUMBERS ARE REFERENCED TO SUBDIVISION MAP OF FOUNDERS ESTATES =1 - "'�Qd FILED MAY 10,192T AS MAP NO. 934 Prepared in accordance wilh the minimum �q standards for 111le surveys as established 4 1 The L.LA.L.S and approved and adopted for such use by The New York Slale Land F ° Tile Associalion. Al ��� MEET EXISTING BULKHEAD N 4224'40" E 168.53' N 39'46'32" W -- -- -- -- -- -- -- -- -- -- -- -- -- , 40.00 ' l� TS 38;3120" W I '� i 7 00 (O r I EXISTING DOCK I EXISTING ASPHALT DRIVEWAY q _� I DWELLING N 50.1328" E '5�1 I I #2380 h 2.00 I I I h o Q4 CD N 69 48'16" W r PROPOSED 75 L.F.OF VINYL BULKHEAD I (010.00 W (IN SAME EXACT LOCATION AS EXIST.) ' Q O PROPOSED 10'WIDE NON-TURF BUFFER I N 41:36 58 W I I LANDWARD OF PROPOSED BULKHEAD S 5148'04" E 26.18 I 12.00 I I ' S 42 24'40" W 172.90 MEET EXISTING BULKHEAD -T` S 38'3120" W Q" SITE PLAN 20. 10 ' SCALE: 1"=20' LOCATION MAP ' JUL 1 7 2025 I N.T.S. Southold Town r , Board of Trustees o �o NOTE: ?y _ REMOVE EXISTING RETAINING WALL IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN is ,ya PROPOSED FIR TIMBER TOP CAP THE EXACT SAME POSITION AS EXISTING. PROPOSED PROPOSED 16' LONG 10" BUTT a � i,)( CCA TREATED TIMBER PILE, 6' O.C. �smmota` ' PROPOSED 3"X6" PROPOSED GRADE aa a ` PROPOSED TOP CAP EL. 4.0f REAR WALE do z PROPOSED 6"x6" CCA ' Founders TOP AND BOTTOM WALE II III PREPARED BY: PROPERTY OWNER: IiI JEFFREY PATANJO JC NEVILLE Revocable Trust PROJECT . EXISTING BULKHEAD PROPOSED 8" TIP CCA P.O. BOX 582 2380 Hobart Road = ' LAY—LOG PILE BOHEMIA NY 11716 '' LOCATIQN III TO BE REMOVED IN Southold, NY 11971 III ITS ENTIRETY. PROPOSED 8" TIP CCA PILE, 631-487-5290 APPROXIMATE M.H.W. EL. 2.5f 6' O.C. 8' LENGTH. BOLTED J.JPATANJO@GMAIL.COM %) j TO LAY—LOG WITH 3/4" APPROXIMATE M.L.W EL. 0.0t / 7� I I GALVANIZED THRU—BOLTS. SCALE: 7� ���>�� /\' `�\ ,"` PROPOSED 16 LONG 1" DIA. NOTES: Proposed Permit Plans AS NOTED PROPOSED 12' LONG, GALV. TIE ROD, 6' O.C. 1. LOT AREA: 14,319 S.F. / 0.329 ACRES PROPOSED PLAN, DETAILS AND DATE: 425 SHOREGUARD VINYL 2. PORTIONS OF PLAN FROM OWNER PROVIDED SURVEY LOCATION MAP 7-4-25 LATEST DATED: FEBRUARY 4, 1992 TYPICAL SECTION 2380 HOBART ROAD SOUTHOLD, TOWN OF SOUTHOLD N.T.S. SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-64-03-06 1 OF 1 Photo rtn t , s .i. Photo 3 (9/2022) r Photo 4 (9/2022) .Y eP� •\ ��� \ �a � ��e., �, 4� i t ro �� �a� `3�,/� 4 4 fit i s a '.r m ty� w f a ;O�2Cy ht us O � \ j � t9y S i' r .r � � /� f m isl .• n / , a r F n � r , f ♦ � t6 y_ a -...---• lb 00 xx u 1. t' � •� f 1 ...._ \ r r {der r _ _.._ I r 3 COUNTY OF SUFFOLK© r Tkt 6 .w;� _ _ _,,,,.,_ ____ ,� ,, , Feal I§�In•r, T � 1Kcnc, .ro,e+u�x.�,ue a+ r Lnd ix Nwu d &ague mein iu wP e�Uiw1M, i1 1p DOUIIbyD QO c Q 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 Cc: Honorable Lori Hulse, Attorney From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: October 8, 2025 Re: LWRP Coastal Consistency Review J. C. NEVILLE REVOCABLE TRUST, SCTM# 1000-64-3-6 This application is to remove and replace existing timber bulkhead with 75' long new vinyl bulkhead in same location as existing; and to install a 10' long bulkhead return at both ends; and to establish and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. 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 proposal is CONSISTENT with the LWRP provided the following is required to meet Policy 6: 1. Require turbidity controls during construction. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. � i Town Hall Annex Glenn Goldsmith,President 4a +fj 54375 Route 25 A.Nicholas Krupski,Vice President Y P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeplesyo .' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application , ECEIVE _Wetland Permit Application j Administrative Permit I�J Amendment/Transfer/Extension JUL 17 Received Applicajion: l ::iReceived,Fee: $ Southold Town completed Application: Board of Trustees Incomplete: . SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LWRP Consistency Asse sment Form Sent: CAC Referral Sent: _Date of Inspection: a Receipt of CAC Report: A_ _ Technical Review: __)(.,___Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): JC Neville Revocable Trust Mailing Address: 2380 Hobart Road, Southold, NY 11971 Phone Number: 516-909-5197 Suffolk County Tax Map Number: 1000 - 64-3-6 Property Location: 2380 Hobart Road - Southold See location map (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): Jeffrey Patanjo Mailing Address: P.O. Box 27 Farmingdale, NY 11735 Phone Number: 631-487-5290 Email: JJPatanjo@gmail.com CCAJ ��3ja� Board of .Trustees APPlica'J Dn GENERAL DATA Land:Area(in square feet).. 1 4 319 Area Zoning Res . 77 Previous use of property, Res ..:. Intended use of property.-,.._Res Covenants and Restrictions on property?: Yes : No If"Yes" pleaseprovide a copy. Will this pro�eet require a Building Permrt as per Town Code? : Yes::., o If' Yes";.be advised this application will:be reviewed by the Building Dept.prior to.a Board of Trustee review and Elevation Plans will be.required. Does this project require a variance`from the Zoning Board of Appeals Yes _No If :Yes please provide copy of de" cision: WrW4his project r- any:j.demolition as per..Town Code or as determined by the Building Dept,? Yes ✓ No. Does thentrueture(s):on property have a valid'Certificate of Occupancy?. YesNo 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, ✓�No�Yes; If:yes, provide explanation Project Description (use attachments if necessary) Remove and replace existing timber bulkhead with 75' new vinyl bulkhead m same location as existingand.10' bulkhead return on both ends Provide a proposed 1.V wide non-turf buffer.along:new bulkhead replacement 16ard of Trustees..APpl ca` ).n WE:TLAND/TRUSTEE LANDS APPLICATION DATA.. Purpose of the proposed operations: Remove and`replace existing timber bulkhead wlth 75' newvmyl bulkhead in same.location as existing and:10' bulkhead return on both ends Provide a proposed 10'wide:non=turf buffer aiong:new.bulkhea.. replacement. Area of wetlands on lot .� . .. square feet Percent coverage of lot1/0 Closest distance:between.nearest existing structure:and upland edge of wetlands 1 feet Closest distance between nearest proposed structure and upland.edge of.wetlands 1 ,.feet Does the project involve excavation or filling? No Yes If yes, how much material will be`excavated� n�a _cubic yards How much material wll.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 1.-5 -777 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.t*own that may result by reason ofsuch proposed operations(use attachments if appropriate) There will.be a positive effect'on wetlands.due.to reduoed erosion and sedhiantation-due to failing bulkhead.: . f. Short Environmental Assessment Form Part 1 -Project Information Instructions for Com>pletine Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject-to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I—Project and Sponsor Information Name of Action or Project: 2380 Hobart Rd-Southold Project Location(describe,and attach a location map): 2380 Hobart Rd-Southold Brief Description of Proposed Action: Remove&replace existing 75 LF bulkhead and 10 LF returns on both sides In same location as existing. Name of Applicant or Sponsor: Telephone:p 516-909-5197 JC Neville Revocable Trust E-Mail ' lauraljbdesigns@aol.com Address: 2380 Hobart Road City/PO: State: Zip Code: Southold NY 11971 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 a 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 other government Agency? NO YES If Yes,list agency(s)name and permit or approval:NYSDEC I Army Corps 1 Town of Southold Trustees ❑ 3. a.Total acreage of the site of the proposed action? 0.329 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? 0.329 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial 0 Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland po"re.. I of,i 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑ 21 b. Consistent with the adopted comprehensive plan? ❑ ❑ a NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Name:Peconic Bay and Environs.Reason:Protect public health,water,vegetation,&scenic beauty, If Yes,identify: Agency-Suffolk County,Date:7-12-88 Fbel NO YES S. a. Will the proposed action result in a substantial increase in traffic above present levels? ❑ ❑ b. Are public transportation services available at or near the site of the proposed action? Fv� ❑ C. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed Elaction? 21 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 0 ❑ 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 action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: a ❑ 12. a.Does the project site contain,or is it substantially contiguous 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'ofHistoric 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 lands adjoining the proposed action,contain NO -YES wetlands or other waterbodies regulated by a federal,state or 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 alterations in square feet or acres: �U1W? J. 14. Identify the typical habitat types _r Iccur on,or are likely to be found on the pro,; bite.Check all that apply: ®Shoreline ❑ Forest ❑Agricultural/grasslands ❑Early mid-successional ❑✓Wetland ❑ Urban 0 Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑ ❑ Common Tam,Piping Plover, 1d. Is the project site located in the 100-year flood plan? NO YES ❑ 21 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a ❑ a. Will storm water discharges flow to adjacent properties? 1 ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑✓ ❑ If Yes,briefly describe: 18. Does the proposed action include construction or other activities 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: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/name.- JC Neville Revocable Trust Date: Signature: 1. !, / <,/-, e Title:owner r j PRINT FORM pa�,,<.-3 of 3 'r P*rt2-&*WAmmam Mm Lad AgmayIa mpamlWibrogtompan rtZ Atrswerattioftbeibtbvving q�ht l�ett�uabrg the titur aotimitred fin Part I sett other matqiAls by"plied lierdt or ;• attrecwlse at►ailalde to ate reel®, -VIltte�r�ihequ9re rerriewecebOr _k_-.guid+�bj►�ea►tcept"Haa►e� tuaa�taeringthe sate aruteontexcof t�pmi aedonT" x r. # l�ia,TIIWdrsmaIMPmayfto 1. win the pmpmw aftaeeae a to arias aoa ct wtth au adopoed l +d use pian�r oUlm 2. WttlthePr POOd ut on nak iA a tdtaW ht the trsaor irrtwityr of useof Fend? 3. VA the pmpaSat aw=kap*the&at MWar oft of ttte awing gem tttur w.� 4. W31 the pmpond attOa have art bVM On the ec►trhmentat chamotert a that and the estabtishmam afa titieal 13trvir:►nme;ntai ht+ tCBA}? ED 0 S. Win ft soon melt in an OdVem d=p lntheort'istfing lkwai*ttdhof drW exift mabucoma lbr mass bw*bwjw or vY 1 _ _.,_.p. __.. .,....._.,. s 6. Will IN Proposwd nod=cacao an taom m in the on af"ergy and h thus to t+�arNpirmte ._ w a f reason an►altabieen as rvasia ormWmd to items? # 0 0 7 WiOftpmpmdacftn $t /prt�raupptfe� - ' b.pablls/privabmwssoewatertreaun W UtttiOW? ?# L Will do paposed uft hnqjdr the agar qm thq of blark-at+"'04glOsi, i m ormsdtct�eumo 0 1 } 9 Wtll the paapftW =Olt ig as ad3a =change Oo naturw res0umm(e- we"n i% Cl + bodims,@=Rdvwbr.dlr guaiity,Mora and fam)4 U I; to. Witt the pwpoted actla n teautt In an iaaram in Ma poLer W forenosion,flooding 6r drainage �' t 1. WNl tha purposed emtiort cute$haasrd to er►vlrt resOurcea ar Frtrattan t�itk? Polrt3j-D�oar eY el�rlt7r mme i4'iue LWA Agnew b rrspoufte lbr tb» For ' qumdon inPwt$tlmwasarrm*and"moderatoto , QO of Part a i .. urge impact�orxau�.or tftirete q a arealtDexPlalmwy rt wiry apamcular aletnem of tAe W aposmi action m1ky ar will rmt mutt in a siwbloaat savese envlronmead Imps jstease oomptare tit 3. Past 3 ahmdd.htmrfi"ratentdaWL fdodry she Lnpu%kcWft any rates order Otmeris that fume hear included by the PmjM slmrjOr tQWMdrmdueo hspattL Putt3 sho>Uelse upWn how the lead o aacy Ompdned donticbVm 'f trtay or w)tl net Ira slfl=A Bub pourAw trr"INV Oro t duration.irmveesib IW.pographlo stop and traag�aitnde. AL*eonsht+erthe pa l*short long-term wnd T atmtgb*e ImpeatL ¢ 3. ..a i CM*flits G i 310%lm%m determits�' 0.4 and ataalysls atur*Find mW mpMW a&documabdon. �; filet ttus proposed ectior► result Inoneorrrrore pOtentislly large or ssgdificantadverse tmpags ar►d ao snvtro»eieaazel 1mp�t smrt is regtrbed- Me*thiv bu Wpo#taus dme"bmd.based on the inkmmft and analy&OW0.and aq awpPOtttng dacumaatarton. a *doe Pad collar will Intl mult to any sigai# "t adverse"Vim maw IMPa U t ' V46ofUd ft"ey f I;*ace Print ar Type 1Vame of RaapOniAc' ui i as Ageim �+ nt Nitta Of R4*VOnsibta DFt W i Stgnatate of PmpOnaihia dfdmr irr L W Agmy - 1 Sipabrre ofPteparcc ti dil�arent from Responsible€?Aiiar� j EAF Mapper Summary Sport leesday, November 15,2022 8:56 PM fttlailwier.' The EAF Mapper is a screening tool Intended to assist "4-4 project sponsors and reviewing agencies in preparing an environmental i assessment form(EAF).Not all questions asked in the EAF are answered by the EAF Mapper.Additional information on any EAF -4. question can be obtained by consulting the EAF Workbooks. Although 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 in order to obtain data not provided by the Mapper.Digital data Is not a substitute for agency determinations. Tc.t fired: k.t X 41 -4- wa E I},Btf.j I.� 44,; WE�ji Jarin IAET1.. -3n Clwi'i x,H.z1,t't,j Vc-aly-BII)AII.WEn,.E.A.C116%-W 1),a 1: f"It 4W I nd th;i-GI S'U se 1,I';Obil'i It 11 Lt--nl i1 Part 11 Question 7 [Critical Environmental Yes Area] Part I /Question 7 [Critical Environmental Name:Peconic Bay and Environs,Reason:Protect public health,water, Area-Identify] vegetation,&scenic beauty, Agency:Suffolk County, Date:7-12-88 Part 1 /Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 11 Question 12b [Archeological Sites] Yes Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete.Refer to EAF Workbook. Part I /Question 15[Threatened or Yes Endangered Animal] Part I /Question 15[Threatened or Common Tem, Piping Plover, Least Tern Endangered Animal-Name] Part I Question 16[100 Year Flood Plain] Yes Part I Question 20[Remediation Site] Yes Short Environmental Assessment Form- EAF Mapper Summary Report ,--hoard of Trustees Applica - - ,>n AFFIDAVIT JC Neville Revocable Trust BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signa re of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS5 DAY OF JUG-t/1� , 20a-� 0°P§1'5noF.,, Dawn Johnson NOYAtiY`•;. Notary Public,State of New York Notary blic I*,au�uc ;' No OIJ06349053 Qualified in Suffolk County Commission Expires 10/11/20 2� _)oard of Trustees Applica��` an AUTIIORIZATION (Where the applicant is not the owner) I/We, JC Neville Revocable Trust owners of the property identified as SCTM# 1000-64-3-6 in the town of Southold ,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 Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS a DAY OF , 20 `\`pgpTE�pUb�i� Dawn Johnson ......'.. �Notary public,State of New York N07ARV`. { Nota blic rueuc ` 'No OIJ06349053 u R Qualified in suflblk County Conunission Expires 10/11/202-6' APPLICANTIAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Prohibits conflicts of interest on the part of town officers and employees.The.Puraose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is, necessary to avoid same. YOUR NAME: Neville, John (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally,(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest`means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer of employee owns more than 5%of the shares. YES NO 1— 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)- EA)the owner of greater than 5%of the shares of the corporate stock of the applicant _E (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partnei or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this y of 20'4�!;I- Signature _ Print Name Jo eville i Form TS I APPLICANT/AGENT/REPRESENTMY TRANSACTIONAL:DISCLOSUK FORM. The`Cown.nf_Southold's Cocle.of Ethics oioht6 is ieees`and emblby 'The truroose of thrs farm rs.to provide'nfocrr►ataon<which can alert:the.t6w. i o possiwe=eontliets of interest end:altow tt:to fake whateverac'tion necessary to:avord Barite. `YOUR NAME. . Fatanio Jeffrey (Last name,first`name,Diddle initial,unless you are applying in the name of someone else:or:other entity;such as a cornpanyc.If so,indicat$thc`other person's or company's name;) NAME OF APPLICATION:.(Check all that apply.):: Tax grievance Building. Variance.. Trustee. ✓ `'Change ofZone Coastal Erosion . Approval of plat. :Mooring Exemption:from`plat.orofficial'map . Planning Other (If:'Other" name the'acttvity;) Do you personally(onthrough your company;spouse;sibling,parent,or child)have a relationship with any officer or.employee of the Town of Southold?-"Relationship"includes by blood,igarriage,or.business interest_"Business:interest"means a:business, including a partnership,in which the town officer or employee has eveit.a:partial ownership of(or:employment.by)a corporation in.which the town;offcer or.employee.owns,more than 5%of.tfie shales YES •>— ,,_ NO If you answered"YES",complete the balance.otthis form and'.date and sign where indicated. Name of person employed by the Town of Southold G Title.or position ofthat person: Describe the.relatio.nship_between yourself(the_applicant/agepUrepresentattve)and the town officer.oremployee.Either check the appropriate line A)through D)and/or describe'in the space provided. The town officer or:employeeor 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.apphcant � (when the applicant is a corporation);' B)the.legaloi beneficial owner of any interest in anon-corporate entity.(wheat the, applicant_is.nota corporation); C)an officer;director;partnei,or employee of the applicant or. D)the actual applicant:. DESCRIPTION OFRELATIONSHII' . eazn ..Wwv..w "•+w+.+.�+i«.x-n...x..+r%>rd r4r::.::�..oa.w..:rr.»mw+n.ro..•n u.:. ..iawmia..+Mr+f++rn�— '.sa+t.+•<++m!n?.+vr+ranuusi ins,:- .,a»M.« Submitted this 1 _ Sr ature �t4 1� Print'Name`:.�e y atanjo Form TS I :.. Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ��;�•GG/��' f�� �T7 � 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 120 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: NEVILLE JC REVOCABLE TRUST SEP 1 0 2380 HOBART RD-SOUTHOLD SCTM No. 1000-64-03-06 I . ----..... 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 Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#:I40p-Lq-&-I, C- IJcvl)1c Izev NAME: ADDRESS: 1000-64-3-5 1000-64-4-9 Schaefer Mark Bayoneto Victoria Schaefer Ann 1520 Founders Path 28 Orchard Farm Rd Southold, NY 11971 Port Washington, NY 11050 1000-64-3-7 Warke V Revoc Trt 1000-64-4-10 Simitch A Revoc Trt Moralishvili Anthony 286 Midline Rd 505 8th Ave Ste 2202 Freeville, NY 13068 New York, NY 10018 z A SE P7� � STATE OF NEW YORK COUNTY OF SUFFOLK (r�f C" ��.. A n i fl , residing at t4[An, ! 1-7 3 , being duly sworn, deposes and says that on the day of Sc �fi M yc ti.- , 20 2 �, 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 a f A4 i Ka 014 CC , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETUR RECEIPT. igi t Sworn to before me this Day of SClr�llAl �j 20� '�i' STATE�F�y,; i Of NEW YOR _ � NOTgRV p� K � 'GIF6418131 to iblic --------------- 0 y EMEMEDIMMIlm M Er Gil; -n P �Y ol Certified Fee Mail F ru :A A? ru Certified Mail Fee ni $ ru $ r-q Extra Services&Fees(Che k box,add too as appr6p 1a) rq Extra Services&Fees(checkta) I , box,add fee as appro Return Receipt(hardcopy) $ E]Return Receipt(hardeopy) $ 71a ED E]Return Receipt(electronic) $ Posf�T ark ED rJ Return Receipt(electronic) $ P 9 Po�tmerk E]Certified Mail Restricted Delivery $ 1j,-H, 'L ore C3 F1 Certified Mail Restricted Delivery $ s H re_, [:]Adult Signature Required $ r-3 ❑Adult Signature Required $ C3 E]Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ Postage Postage Ln Ln Ir 1000-64-3-5 C3 1000-64-4-9 Schaefer Mark r'9 Bayoneto Victoria nJ Schaefer Ann ----------- ru ------- ----------- C3 1520 Founders Path r- 28 Orchard Farm Rd ------------- Southold, NY 11971 Port Washington, NY 11050 C:3 ne o -n -n 'I 1 777 U Certified Mail Fee niCertified Mail Fee V nu ni s ru $ Extra Services&Fees(check box,add tee as appropriate) r-q Extra Services&Fees(check box, E❑:1 Return Receipt(electronic)a dd fee as OPPMPrlata) Return Receipt(hardoopy) $ El Return Receipt(hardoopy) $ 1:3 Postmalfk- Postmark" E:3 E]Return Receipt(electronic) $$ E3 El Certified Mail Restricted Delivery $ Here �,�Hql`0:1 E3 [:]Certified Mail Restricted Delivery C3 0 Adult Signature Required E3 E]Adult Signature Required $ E3 E]Adult Signature Restricted Delivery$ E3 Delivery$ M Postage E3 Postage U-) U- Ir M 1000-64-3-7 m 1000-64-4-10 r-q Warke V Revoc Trt r-q Moralishvili Anthony ru -------- ni Simitch A Revoc Trt 505 8th Ave Ste 2202 --------------------- 286 Midline Rd ---------------- New York, NY 10018 Freevilie- NY 13068 September 17, 2025 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: NEVILLE JC REVOCABLE TRUST 2380 HOBART RD -SOUTHOLD SCTM NO. 1 000-64-03-06 AFFIDAVIT OF POSTING Dear Trustees: Attached please find Affidavit of Posting 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, J ffrey Patanjo P.O. Box 27 Farmingdale, NY 11735 Glenn Goldsmith, President �� Yiffl(� Town Hall Annex A.Nicholas Krupski, Vice Presidents 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz Gillooly Southold,NY 11971 Elizabeth Peeples �� ��� 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 11 } J. C. NEVILLE REVOCABLE TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVENDAYS PRIOR TO THE PUBLIC HEARING DA TE— COMPLETE THIS FORM ON EIGHTH DA Y OR LA TER I, c ��fcN �'"�"''t.� a residing at/dba x a 7 being duly sworn, depose and say: That on the day of sg�i�"�r� 2025",'I personally posted the property known as 117-7/ 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, September 17,2025. Dated: 00 sl a 55 r•M's q�j i. Sworn to before me this STATE K�� _ / OF NEW YORK � day of 20 = i NOTARY PUBLIC _ ►QualKed in Suffolk County/ j� \ 01GE6418131�/ IQ of U lc 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: J. C. NEVILLE REVOCABLE TRUST SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove and replace existing timber bulkhead with 75' long new vinyl bulkhead in same location as existing; and to install a 10' long bulkhead return at both ends; and to establish and perpetually maintain a 10' wide non- turf buffer along the landward edge of the bulkhead. Located: 2380 Hobart Road, Southold. SCTM# 1000-64-3-6 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; shah,complete this CCAF for proposed actions.&A.are subject to the.Town of:Southold.Waterfront Consistency Review Law. This assessment Is intended to upplement otherinormation used by.a Town of Southold agency:in making a'determination of.consistency *:&Wept minor exempt actions :including Buildin Permits.: and other m:rusterial,permits not located:within the Coastal Erosion hlazard Area: 2 Before answering the questions in Section C„the prepares of this:.form._.should review the exempt minor'action.list; policies and explanations of eachpolicy contained in.the Town.of Southold Local Waterfront Revitalization Program: A ;proposed action will be evaluated :as .to :its ;smuficarit.. ber►efieial and adverse::effects.. non;khe coastat area{vyhich includes all.of.Southold Towri}: 3 If.any question in Section C:on this fornri is answered "yes".or "no':, then tine proposed action will :affect the'.achievement of.tle LWRF policy standards and conditions.contained m the consistency review law Thus,:each answei must pe 0,trained �n detail, Xrstu�g 6ot1� supporting and non. suago,�tinlr facts If an action cannot be:certified as consistentwith the LWRP`policy`standards and Wa con ditions,.itshall noC�be undertaken. A copy of the LWRP is available in the:following places online atthe Town of Southold's website(soutli6. own.north net), the Board of Trustees;Offfice, the Planning Department,all :. loci ibraries and:the_Town Clerk's office B. DESCRIPTION OF SITE AND:PROPOSED ACTION: SCTM# 64 43 ,�06 PROJECT NAME:236dafne-Ma fin Road, Southold , NY:11971 Toe Application has been submitted to (check appropriate response)' Town Board ❑ Planning Board❑ Building Dept.. ❑ . Board of Trustees. 1. Category:of.Town of Southold agency action(check appropriate response):` (a):' Action undertaken directly:by Town.agency(e.g capital ❑ construction,planning activity,agency regulation,land transaction) j-1 (b):. Financial assistance(e g grant,loan,subsidy) L�J (c) Permit,_approval,license,certification a Nature and extent of action, Remove and replace existing.aimber:bulkhead with 75'of new vinyl:bulkhead and 10".return on both side.s:.and install proposed,.10'wide non-turf buffer along;bulkhead . '' i'. .. . J Location of acttori: . 2380 Hobart Road;Southold, NY 11974 ,. Site acreage , 0.317 Presentaand use:. Residential Present.zonin classificatton R 40 g 2 If an applii er proposed action has peen filed wnth`the Town of:Southold agency; the.following;: informatiowshall be proviw. ded: (a) Name:of'"applicant:' J6 Neville Revocable Trust (b) Mallingaddress 2380 Hobart-Road,.Southold; NY 11971 (c) ;Telephone number; 518 909 5197 Will the action be directly undertaken,require fiiridmg;or approval by a state or:federal.agency Yes ✓ No If.yes,which state or federal agency? IVYSDE.0 I Evaluate the protect to .the following policies by'analyzing how the project will further support or noY 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 developmenthl:the Town of Southold that.enhances:community character, preserves open space:makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimlzes adverse effects 6t-development. See LWRP.Sechon III PoLciles; Page 2 for evaluation criteria. ayes ❑ No ❑.NotAPPLcable P.rojectproyides for a:hew:bulkheadao:protect agaigst loss:of la6d and erosion.of the:waters.:This work.does not,contribute.to;new,development Attach additional.sheets if necessary Policy 2Protect and preservehistoric and: archaeological resources of the ,:Town; of Southold. See LWRP.Section III :`Policies:Pages 3 throug4`6 for evaluation criter><a: . Yes El No❑✓ Not,Applicable No effect.. Attach additionalsheets if.necess MY Policy.3._ Enhance:visual quality and.protect'scenic resources throughout the Town of Southold. See LWRP Section III—:Policies'Pages 6:through 7 for evaluation.criteria Yes ❑ No Not Applicable Project provides a new visually appealing,bulkhead on fheaubject property: Attach additional sheets if necessary - NATURAL COAST POLICIES: Policy 4. . Minimize loss of.life,.:structure s, and`naturai resources:from flooding:.and:erosion: See LWRP r. Section III Policies Pages 8 through 16.for evaluation criteria. Yes: ... No 1. Not Applicable- Project provides a new buikhead,to replace the existing deteriorated bulkhead and.protect against foss of land and erosion. 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 No.effect. Attach a, itiona sheets_i necessary Policy 6. Protect and restore:the.quality and function of the Town of Southold ecosystems .including :Significant:Coast al Fish and Wildlife Habitats and wetlands ; '.See LWRP Section III L Policies•, Pages 22:, through 32 for evaluation criteria. Yes No �/ Not Applicable Q as No.effect. Attach additional sheets if.necessary Policy.7.., Protect,and improve :air. quality in the Town of SoutLold..�See LWRP Section III —:Policies. Pages J1 through'34 for evaluation.criteria: Yea No Not.Applicable No effect �ittach additional sheets if necessary Policy 8: . Minimize environmental degradation in Town of:Southold from solid waste and hazardous substances and.w 4stes ,See LW"'Section* -Policies; Pages 34.through 38 for evaluation criteria. Yes LJ No Lr J.Not Applicable No effect PUBLIC COAST:POLICIES Policy,9.� Provide,for public access,.to, and recreational:use of, coastal.waters,,publk lands, and public resources of the Town of:Southold.,�See LWRP Section IlI .Policies; Pages 38,through 46 for evaluation criteria. Yet No 0 Not Applicable Project provides continued use:of waters and adjacent area byway of new updatetl`bulkhead Attach additionalsheeis if necessary WORKING COAST POLICI' Policy 10 Protect Sou'th6l,d.s'..water-depe*nde'n't.us.es and promote siting of new`water:dependent uses in:. suitable locations See LWRP Section IIL-Policies; Pages 47 through 5616r evaluation criteria. Yes No: ✓ Not Applicable No.:effect.;. Attach additional sheets if necess. arY Policy:.11. Promote sustainable use of living marine .resources in Long Island Sound; :.the Peconic Estuary and Town:w .. ... :See LWRI' Section III=Policies;.Pages 57,through 62:for a.valuation criteria.' J. Yes. .❑. No ✓ Not Applicable ,: No effect...L. :.•. ., 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 d6ol6pwnt.of energy 'and mineral resources.. See LWRP . Section.III--�mPoIjcie6,-r Pages 6S hrough 68 for'evaluation criteria Yes ❑ No ❑✓ Not Applicable No effect. PREPARED BY J: Pafanjo TITLE Agent TE 04 10=25:.. DA July 12, 2025 Town of Southold Trustees Town Hall Annex Building [r 2 54375 Rte. 25 L� �' P.O. Box 1179 Southold, New York 11971 JUL 1 7 2025 bb, RE: NEVILLE JC REVOCABLE TRUST 2380 HOBART RD-SOUTHOLD Southold Town Board of Trustees SCTM No. 1000-64-03-06 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application, and check for permit approval 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, Par— Jeffrey Patanjo P.O. Box 27 Farmingdale, NY 11735