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HomeMy WebLinkAboutTR-10840A n Sa� T,wn Hall Annex �� ��®� Glen Goldsmith, President Z 54375 Route 25 P.O. Box 1179 A Nicholas Krupski, Vice President Southold, New York 11971 Eric Sepenoski 111F Telephone (631) 765-1892 Liz Gillool_v ;� • �® Fa-x (631) 765-6641 Elizabeth Peeples UNT�,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE RD OF TRUSTEES U F 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES BELO INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 15' day of construction '/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith, President �`�®F S®u�� Town Hall Annex V� ® 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski J Southold, New York 11971 Liz Gillooly � �r Telephone (631) 765-1892 Elizabeth Peeples �� ,� Fax(631) 765-6641 c®m,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10840A Date of Receipt of Application: August 26, 2025 Applicant: Steve Donadic SCTM#: 1000-56-5-37 Project Location: 1071 Bay Home Road, Southold Date of Resolution/Issuance: September 17, 2025 Date of Expiration: September 17, 2035 Reviewed by: Board of Trustees Project Description: Ten-Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Steve Donadic, received on August 25, 2025, and stamped approved on September 17, 2025. § 275-5 Permit procedures: (i) Cutting of common reed (Phragmites australis) to within 12 inches of the soil surface landward of the wetland boundary. This does not include mowing to ground level. Special Conditions: No other vegetation is permitted to be cut on the property without further review. Do not disturb any native vegetation during the hand cutting of Common Reed (Phragmites australis), including but not limited to; Eastern Red Cedar (Juniperus virginiana), Northern Bayberry (Myrica pensylvanica), Marsh Elder (Iva frutescens), and Groundsel Bush (Baccharis halimfolia). Inspections:'The approved operations must be commenced within three (3) years from the date of the resolution. The permittee is required to request a Trustee inspection upon completion of the initial cutting. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. 4 Glenn Goldsmith, President Board of Trustees all REVISIONS•. GRADE NYSDEC "ADJACENT AREA" SITE DATA 4/12/19 5% MAX ,` SLOPE RESIDENCE CLEAN OUT HEAVY DUTY AND LOCKING 10/1/19 E.F. GRADE EL.9.5 CAST IRON COVER TO GRADE LOT COVERAGE TABLE SCTM # 1000-56-5-37 12/19/19 3 4" SANITARY INCH PER FOOT TOPGRADE EL. 9.2 GRADE EL. 9.2 SITE AREA TOTAL: 20,211 sf 1/7 " WASTE PIPE 4" WASTE LINE PITCH 1 4 INCH GRADE EL. 7.5 GRAVEL DRAIN CLEAR NV EL. 8.69 LEACHING LEACHING LEACHING LEACHING '2 PROPERTY: 1071 Bay Home Rd /2020 PER FOOT INV L. 7.94 Jc/8/2020 TYP FROM BUILDING GALLEY EY GA I FY CAl I FY GALLED ADDRESS Southold NY 11971 INV EL. 8.44 EP TANK INV EL. 7.77 SITE AREA UPLAND FROM REINFORCED GONG _ ? :_ ' TIDAL WETLAND BOUNDARY: 18,114 sf OWNER: Steve 6/8/2020 - :'4 MIK: Donadic, Marica Donadic RETAINING WALL ciJ ;. 9/2/2020 Ln 180 Bayview Rd #4 ® 2 HORIZ. AND '�I AREA CALCULATIONS FOR SITE AREA - ---------- - - - =�-• -- =•��_= ��::__::=' _ .:' ':•;�,�`.' --------- --H._��-fix�� _ Manhasset,_ _ _ „t_.._ _ _ asset, NY 11030 2 #4 ® 12" VERT. GROUNDWATER---, STRUCTURES PROPOSED PERCENTAGE HO USE 8 A 2 q 5f ELEV TION E .6 13 8 L. 3 4q SI TE:ITS: 2+ 021( R-� 7 sf, 0 LIQUID APPLIED T .4641 acres PROVIDE SOIL ANCHORS STRUCTURES 155 sf 0.1595 IG P CH RS T 6 LAYER OF CLE AND RP OOF N TE R WA SEPTIC TANK FOR ANCHORING BENEATH LEACHIPOOLS � DECKS• 544 sf 2gOY ZONING: R-40 INTO SUBGRADE / WAI_"AY5: 3(64 sf I A4% GRADE TOTAL 3044 sf Iq.4190 SURVEYOR: PECONIC SURVEYORS, PC ALL LEACHING P LS SHALL BE PLACED IN 1230 TRAVELER STREET ACCEPTABLE CHING SOILS AS APPROVED 12' WICK A TEST HOLE EXCAVATION "SITE AREA U ND FROM TIDAL WETLANDS L BY TH 1 . EXCAVATION IS TO BE 0 SOUTHOLD, NY 11971 HOLE INSPECTION TO BE BOUNDARY (NY5 EG ADJACENT AREA AND TOWN O CO TINUED A MINIMUM OF 6'-0" INTO PERFORMED BY THE SCDHS „ LICENSE #49618 Bay OF SOUTHOLD BUIL BLE LAND) �- SUI BLE MATERIAL AND BACKFILLED AS FOR EACH WICK HOLE. DATED 01-5-19 DETA D. CUTTING RINGS MAY BE REQUIRED. WICK HOLE Home FILLED WITH CLEAN SAND 'AND GRAVEL ,040 3'-10" M / ACCEPTABLE APPROXIMATE LOCATION OF ��� \ z REINFORCED Rd LEACHING SOILS ACCEPTABLE LEACHING SOILS GONG 2-2 12 (50 BELOW EXISTING GRADE) �� \J� FOOTING W/ Ar #4 ® 12„ LOCATIV M SANITARY SEPTIC SYSTEM PROFILE ( LEACHING GALLEYS J� �P° O.G. AND NOT TO SCALE` co RETAINING WALL DETAIL h F�J d Haag (N.T.S.) a NEIGHBORING RESIDENCE NEIGHBORING RESIDENCE NEIGHBORING RESIDENCE Bay Beach LLC Steve Donadic, Steve Donadic, yo�P `o�?0�r 1055 Bay Home Rd Marica Donadic Marica Donadic 'hod a PROPOSED 1000-56.-5-35 200 Willow Pt Rd 300 Willow Pt Rd a m LEACHING UBLIC WATER 1000-56.-5-32 1000-56.-5-3 Fo �0 ROAD 30' RIGHT OF WAY PUBLIC WATER PUBLIC WAT fb GRADE EL.9.2 a � GRADE EL. 6.3 �, �� �/� N 0 F ROP05ED NEW UNDERGROUND 0 .a PRIVATE ELECTRIC LINE ,! Willow Pt Association Inc a �c 535 Bay Home Rd �. ROAD .,PROPOSED NEW WATER � SITE �► \ ���i : ROPOSED WATER METER • 3 ; ;xy\y , . ; . :. ;; 1000-56.-5-42.1 EL 6.6 EL 6.2 PROOF CONCRETE a a; HIGHEST EXPECTED ;�\%> "'M' ':` " PUBLIC WATER IN STREET •� �� � � , � � •� , TEST HOLIESROP05ED NEW UNDERGROUND RETAINING WALL FOR A GROUNDWATER :3` .�;, ,:�.... _ - -�Y..'_ _:. ELEVATION {EL. 3.6) ;�\� ' EL + 5.4 PUBLIC WATER NEE SANITARY SYSTEM o . = 108.27 B,4 54 T + + N44 53 40 E +65 HO1,.lE 6.6 ROPOSED NEW i CONVEN 6' LAYER OF 5•1 TIONAL SEPTIC SYSTEM FORA � +6. +6.1 3 BEDROOM RESIDENCE HOLE i�i;�i`\'ii';��%''%%>r�,;,,,_• ", -;;.,,;i�� �, ' CLEAN SAND PROPOSED NEW TER' �. � 2, +Q•O FLOOD T TEST BENEATH 00 GO GRE ZONE X O 1250 GAL SEPTIC TANK (ST) ANCHORED INTO SUBGRADE O PROOF CON ORE - \ � \ � LEACHING 5 TW = GLEANDUT RETAINING WALL FOR G G q•O I -4 GALLEYS SANITARY 5Y5TE1�1 (�, TEST HOLE DATA 10 /31 / 18 •�- 5.4' V y• .'L"6 •.G (6) 8.5 FT x 4.�5 FT x 2.0 FT LEACHING GALLEY (LG) ELEV. f+ LOOD (5) 6.5 FT x 4.'15 FT x 2.0 FT FUTURE EXPANSION EXPG U - - - ( ) 1 0 FT. DARK BROWN LOAM OL PROPOSED NEW IGK ZONE LINE GALLEY O V LG ZONE AE m►n LEACHING = HD SEE a�ETAI I ELEV 6 I ' 2'� WICK L QLG \ LO PAR �PXP� co , 1.8 FT. BROWN CLAY CH Q HOLE ! LAYER OF GLEAN SAND BENS 1 � � �r + ..., ^ ATH LEACHING POOLS AREA 1, :�,; :- oo WATER IN PEZVIOU5 GRAVEL DRI - "��`; 48 FT. BROWN CLAY CH & CL 'Cr 0 V ST 5 O = LEAN OUT - ---� WATER IN BROWN FINE .,,. %. NEIGHBORING - " Yi`' %>i;:/ i%i'%/ OPOSED NE �' E 2 q.0+ TO MEDIUM SAND SP /. /��i .•,i,i�< 'i, %� a 5 XISTING NEIGHBORING 54 FT. U ER�RQU]�D 6.1 6.5 �5 ( S, NITARY SYSTE 1.8 FT !:'%;!/���!>;":'':: , %\f 15 FT IGR- SURFACE -WATER Bowr ;:�LA n u o Tw ✓ [ BELOW SURFA LEACHING GALLEYS FOR I I STORMWATER RUNOFF FROM G +10.0 `I ROPOSED NEW �ONGRETE . I ENCOUNTERED ELEV +3.6' PRO 0S D 2 FLOORS RETAINING WAL `i"i'/\.- •i >\;'' ,,i`. ;; > BUILDING STRUCTURE AND L DRIVEWAY TYPICAL II RErSIDENG� 3 BEDROOMS --� r ' -' 1 CALCULATIONS NO BASEMENT +8.4 At ''�`' Z. G G FLR ELEV +10.0 DRAINAGE 1�I A G E C A �1 1 NEIGH o 6. TOTAL GRO55 FLOOR I BORING RESIDENCE PROPOSED NE I + Greenba \' \\' '\ UNDERGROUND I.5 THIGH "� AREA : p AREA OF RESIDENCE EAST/\.\//\ice' �ii. F U 3,323� 6 4 I Ste hen R coN M '� LEACHING GALLEYS WITH +5.4 Ma Greenbaum ►'y I DRY WELL AREA x RAINFALL x RUNOFF FACTOR CAST IRON DRAINAGE INLET _ o �, \,�\,�r\\,\\.�,,. I Home Rd „� .,` / � r _ TYPICAL �`� 1000-56.-5-38 1,508 SF x (2/12 FTC x I.O 252; GU. FT. a o \ ,� �\ \ PUBLIC WATER Ij. a z /��,\,�/,\/\/\/ / ;/�r�r,�itt. PROPANE TANK UNDERGROUN 6.5 �i %... AREA OF RESIDENCE WEST W ;i:!.\/i.�/\\/!�\%\�i��-` C; \<�\ I I p I I it '; DRY WELL AREA x RAINFALL x RUNOFF FACTOR w 'ram%\ �<';;�;': � ; : r\\ (DY`� Now 1,508 SF x (2/12 FT,) x I.o = 2521, GU. FT. a N <`•\,<��' <"���<��\\/ \\, ' I PROPOSED NE I.1 a W• N = v r .r, \. /\\., \ I I ��Z. F AY.`� ; \ UNDERGROUND DISTRIBUTION �►'' o I AREA OF DRIVEWAY ' BROWS CL i,, / r,./ / J M /�i / •'< /\�r�\ice/�, I \`;`Y>rkj`g� CL):�,� �; / /� I I I CHAMBER TYPICAL +6.5 N I-• o �T N I DRY WELL AREA x RAINFALL x RUNOFF FACTOR Q r\, O �; TATION "BAMBOO" OBE XISTING VEGE %> G N REMOVED, REMOVE ALL ROOTS A D (DkV 1551 5F x (2/12 FT) x 0.1 = 226 GU. FT. N W. \ \\ \ \ EXISTINGY 501E REPLACE WITH G N TOTAL CU. FT. RE5IDENGE d DRIVEWAY = 150 G 4.1 LEAN-SA U. FT. ',� O USE: (15) 8' x 1.5' HIGH LEACHING GALLEY IGHBORING \\' N IGHBORING RESIDENCE '7 G NO WALL m r'C� o +5.0 ROP05ED NEW 12 " VIA GOIR LOGS (15) 8' X 1.5' LEACHING 6ALLEY = 187 CU. FT. Iregory John P Trust I `,� r O 5 FEET WIDE ANCHORED WITH PROVIDED REGiUIRED 1355 Bay Home Rd I I4 �] N r 5' WOODEN STAKES AND GALVANIZED 787 CU. FT. > 73o CU. FT. 1000-56.-5-36 \ -4 Z -1 G Z -•- s�, GABLE LANDSCAPE EARTH ANCHORS m [t1 F N E W APPROXIMATE LOCATION OF STEPPING S NE m �; P��O YOB ACCEPTABLE .LEACI-ING SOILS ON GRADE m .:� FLOOD (50 BELOW EXISTING GRADE) 0 ;�;;; GRADING A5 5HOWNZONE AE o' �� • < Z. FLOOD ZONE LIN $ �-� 1► 'F(l: ' I 1 WICK HOLE FILLED WITH 4.1 CLEAN SAND AND GRAVEL PROPOSED NEW 12 DI GOIR LO 75 5 FEET WIDE p FLooD WICK HOLE PROFILE ANCHORED WITH WOODEN 11 � zl°�8 STAKES AND GALVANIZED r?C"?:3`Cn,v'ti'v;• >:� 's.�,t�• ZONE LINE T NO: NOT TO SCALE : �; �" .,. \" ,`.N.' LOOP o GABLE LANDSCAPE EARTH .� �.< , , .^ ^;. PROJECT ANCHORS EL 5.1 1805 DRAWN PLANTINGS IN VEGETATED NON DISTURBANCE BUFFS LANTS PLANTED BETWEEN GOIR LOGS '`� r... �"`'" "'fUT Dlstl_hlls spir-ata - Soltgross �` Distichlis splGata - 5altgrass - _� XISTING NEIGHBORING 515A WAL CHECKED BY: * Rosa rvgoso - Rugoso Rose VEGETATED NON DISTURBANCE BUFFER * Ponlcvm omarum - Bitter ponlcgross EL 4.7' +PROVED BY TS Vocalnivm ongustifollum - Low bush blueberry 5chlzachyrlum scoporium - Little bluestem * Prunus moritimo - Beach plum 18 FT WIDE * Spartina patens - SaltmeadoW grass ANDWARD EDGE OF TIDAL BOARD OF •I RUSTEES DATE: GOIR LOGS BEACH WETLANDS AS DETERMINEDTOWN OF SOUTHOLD - 2/28119 BY SUFFOLK ENVIRONMEN,'AL SCALE: NEW TOPSOIL 6" DEEP 5 FT WIDE CONSULTING, INC. - ' r 1" = 20' - 0" EXISTING 501L TO BE EXCAVATE OPOSED NEW 12 DIA GOIR S39 30'53"IN DATE C �� I �� y-- DOWN TO 56" BELOW NATURAL LOGS 5 FEET WIDE ANCHORED 108.89' I �!-=-'' ►' k' SHEET TITLE: GRADE, REMOVE ALL EXISTING WITH WOODEN STAKE5 AND AN HIGH WATER MARK sj VEGETATION "BAMBOO", ROOTS AND GALVANIZED GABLE TIE LINE XISTING SOIL, REPLACE WITH GLEAN SAND LANDSCAPE EARTH ANCHORS ROCK JETTY I • ; u� 2 5 ?��5 I SITE PLAN HEN FINISHED &RAVE 6.0 FT. \\-EXISTIN(5 ROP05ED E L065 PIS' EXISTING NATURAL &RADE 4.1 FT. ROOK JETTY N W 12 " DIA GOIR t' +,I --- a =_�� _,,. -t�-_I,�' ,�` ';�' � ��,�L '..�,�I�, �'- �, �;�� y- FEET WIDE ANCHORED WITH EXISTIN& NATURAL GRADE S. FT. �<�; WOODEN STAKES AND GALVANIZED _ GABLE LANDSCAPE EARTH ANCHORS 6SOUTHOLD BAY ROUND WATER 5.6 FT. OL TER 56 FT. - �, GROUND WA . - EXCAVATED GRADE OIL �FJCGAVATED 6RADE I ` V YYE _ �- SHEET ELEVATION 2.0 FT. ' /; / ;�r/\; ; ;�i /%%'!/ ;',';:%;��'j" /�''/ ' �i\',//:;,; //% /��/ / 1�VATIo N0: / TUBBEDA�fIJRL<5�IBGRADE \! ' \i �/ � i ;��I /\/�\/� E F •I T i I XISTING 501L TO BE EXCAVATED n' -.- n - - -� COIR LOG & NON DISTURBANCE BUFFER DETAIL &VOINN RADE, Tit 36" BE ALLEX1 TIN GRADE, REMOVE ALL EXISTING SCALE: 1 99 = 20'-0" (N.T.S.) VEGETATION "BAMBOO", ROOT5 AND TRUSTEES SUBMISSION 501L, REPLACE WITH GLEAN SAND NYSDEC SUBMISSION - SCDHS SUBMISSION o T T Us S R TEE Noe �ogtiv A Issued Tin SSeve _"Donad;c Date 9 /1, +IA5 . . Address- THIS, NOTICE MUST BE pISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 , TEL. 765=1892 Glenn Goldsmith,President p�0 COG Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski * , P.O.Box 1179 A Liz Gillooly �y • ��� Southold,NY 11971 Elizabeth Peeples �Ol far Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: I's I L5 Completed in field by: I� STEVE DONADIC requests a 10-Year Maintenance Permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand, as needed. Located: 1071 Bay Home Road, Southold. SCTM# 1000756-5-37 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: v dhapt. 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/Mo ifications/Conditions/Etc.: --`t4 -Ar VL_1►'�"��" i vim" c( V ca r-e 4- -1 C 106'.C_ i &-L C/N. keo t •VL. 1 " C US !ire 1 Present Were: G. 96Idsmith N. Krupski E. Sepenoski �/ L. Gillooly E. Peeples r • 4 �.n .a r l� q f• r + ' • 4 Y }tom. ' t y .t - �r� ;i ':ram: ` ' -� '�� �� ��� �'' • ! ���=•a_ _ _ � ;,: i, ' �^ �` + lam."�� ��--^� 5 ,�y���`-•��';'� / I� Y`' 1, ;�it .i n I r. t'A � a _ .1 SEC NO SEE SEC.NO.M '�iN iCn NE Ot plirc0" : Mn ` xo rnar I Oa-0C q 10 a^ .� a4'.fH�O,un {} P>.e NJY 39IAr 3.N + 4 ososas ,. st r TONN 0)a)a5 �`- fi i SWtNDi.O � v\ " M19 Fovrtrsmrwu .a as � �. a] 'i. � •.. ` revFirwexrrourrAa:ad ).Sa �:_ ,... +� C n'�^�JF S v' ; � OS-0-0 DO 2?A COUNttK5ufF0.a e e ,M� SDNI 09M08 M1x�s E°.D , ] 1113 OtMM .O9 x 1 4'f,B M1 .._�:' i n • - •'�y,LL� �' �.rygu'^O, ,� Z FF, tl M1M1 .�L M1 I e115 of.9 �+) `' _ y ``.-r✓� ' ' s>A b . ,, f 4!,r_6_S•' ...� NO J i,. Oag Q ab y'{ xcvn _ . 2 � ;6�,1 yl)Ncl � �.� `•� {n�icawrvw>w t A`eErEoaLN]roav]T a. > OF—Z- 's'` TOYM2 �r• '•\.) ..Ju9Nlxo p"bx�"�>ril'i� p}g�+AF"ti Wow a'+D o• 9, w 1 y"`. .'�` ewes tens Fp 2b_� r ,q' ,a - ". .n a s 4 O ,, 5h,l -"SAP b� £•� ��q� y.,� ...n xo,5.•c� \ lA6 4a r fORivl NO LINE b_ SEESEC�NO.Oa6 g L �^ �•�=•^•o — - r' COUNTY OF SUFFOLK© Nonce e — ,...� _ O '.. —�-- .,�... ,....a R al E' I,. 1 Age-y W ncN v N. eOlmloln«M�.9e___ _ w N m•.�__ _ w a... ,,,. , .,J.\9llwl IUPG9mFiE0 M ,vw -� w 856 OFFICE LOCATION: d "" yO MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold,NY 11971 '�' i (cor.Main Rd. &Youngs Ave.) cn,• ye ;i G @, Telephone:631765-1938 Southold,NY 11971 s 1V �O 4 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD c To: Glenn Goldsmith, President Town of Southold Board of Trustees cc: Honorable Lori Hulse From: Heather Lanza, AICP, Planning Director LWRP Coordinator Date: September 15, 2025 r Re: LWRP Coastal Consistency Review STEVE DONADIC SCTM# 1000-56-5-37 The application referenced above is for a 10-Year Maintenance Permit to hand-cut Common Reed (Phragmites,australis) to 12" in height by hand, as needed. 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; EXEMPT. The proposal 10 year maintenance permit to hand-cut Common Reed (Phragmites australis) to 12" in height by hand is EXEMPT from LWRP CCR. T Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. ^ , Glenn Goldsmith,President Town Hall Annex�y,� '•. ��� A.Nicholas Krupski,Vice President4� 1�', 54375 Route 2�i P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only n E C E B V E y Coastal Erosion Permit Application D) Wetland Permit Application 'Y�-Administrative Permit AUG 2 5 2025 Amendment(Transfer/Extension 11 Received Application: 7 Z5 Southold Town _ZReceived Fee:$. aj V, . D b 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 Assessment Form Sent: CAC Referral Sent: Date of Inspection: ex m) Receipt of CAC Report: Technical Review: _Public Hearing Held: ._ 0x k Resolution: Owner(s)Legal Name of Property (as shown on Deed): Steve Donadic 1071 Bay Home Road, Southold NY 11971 Mailing Address. Phone Number: 917-509-8825 Suffolk County Tax Map Number: 1000-56-5-37 Property Location: 1071. Bay Home Road, Southold NY 11971 (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): M ckn \f Mailing Address: RA 9711501 0"&t R oc k r,✓e Phone Number: 917-509-8825 EmaiijohnnY@0onadic.com.. t a 2 Board of Trustees Applical'-.—Cl DATA Land Area(in square feet):20,217 Area Zoning:R-40 Previous use of property: Lot Intended use of property: Residential Covenants and Restrictions on property? —ayes =No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? LiYes 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 _2_No If"Yes",please provide copy of decision. is project re any demolition as per Town Code or as determined by the Building Dept.? Yes ✓nyo Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date Town of Southold 09.19.24 Board of Trustees 10.28.20 ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_2_No_n Yes If yes,provide explanation: Project Description(use attachments if necessary): 10 year maintenance permit to trim the phragmites between back lawn and beach Board of Trustees Applicai�,;%;�x WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Trim phragmites along,beach Area of wetlands on lot: 1,443 square feet Percent coverage of lot: 7% % Closest distance between nearest existing structure and upland edge of wetlands: 75 ft feet Closest distance between nearest proposed structure and upland edge of wetlands:75 ft feet Does the project involve excavation or filling? P11 No —Q Yes If yes,how much material will be excavated? WA cubic yards How much material will be filled? N cubic yards Depth of which material will be removed or deposited: , 14 A feet Proposed slope throughout the area of operations: NdA Manner in which material will be removed or deposited: //h 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): 617.20 Appendix B Short Environmental Assessment Form Instructions f6r.Completing Part I-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 I. 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 l-Project and Sponsor Information Steve Donadic, 1071 Bay Home Road, Southold NY 11971 Name of Action or Project: Maintenance Permit to trim phragmites along back lawn/beach Project Location(describe,and attach a location map): 1071 Bay Home Road, Southold NY 11971 Brief Description of Proposed Action: Application for 10 year maintenance permit Name of Applicant or Sponsor: Telephone:917-509-8825 Steve Donadic E-mail johnny,@donadic.com Address: 1071 Bay Home Road City/PO: State: Zip Code: Southold I NY 11971 I.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. Does the proposed action require a permit,approval or funding from any other governmental'Agency? NO YES If Yes,list agency(s)name and permit or approval: F 3.a.Total acreage of the site of the proposed action? 0.4641 acres b.Total acreage to be physically disturbed? 0XI322 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.4641 acres 4. Che I land us at occur on,adjoining an ar the prop9WAaction. Urban Rural(non-agriculture) Industrial LJCommercial ©Residential(suburban) Forest Agriculture HAquatic QOther(specify): Parkland Page 1 of 4 -- 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? WT b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES-, landscape? ✓ 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: 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO _ YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ✓ El- 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: oa 10. Will the proposed action connect to an existing public/private water supply? NO •; YES If No,describe method for providing potable water: 1 1.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment:, 21 12: a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ✓ b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO,. YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ✓ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. ntify the typic bitat types that oc n,or are likely to be found on tl�-project site. Check all that apply: 14 Shoreline Forest Agricultural/grasslands Early mid-successional ✓ Wetland 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? M. 16.Is the project site located in the 100 year flood plain? NO' YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO ., If Yes, a.Will storm water discharges flow to adjacent properties? []NO DYES �✓ b.Will storm water discharges be directed to established conveyance systems ff an drains)? If Yes,briefly describe: 50 YES Page 2 of 4 1 S.Does the proposed action include construction or other activities thaf result in.the impoundment of NO YEs water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size:. 19.Has the site of the proposed action or an adjoining property been the location of an.active or closed NO YES ` solid waste management facility? If Yes,describe ., 20.Has the-site efthe proposed action or an adjoin ng.property been the subject of remediatior! ngoing or completed)for hazardous waste? If Yes,describe: :. El I AFFIRMTHAT THE INFORMATION PROVIDED ABOVE IS TRUE:AND ACCURATE TU THE BEST OF'.MY' KNOWLEDGE Applicant/sponsorn j�n : $teUe.D: nadlG Date07/28/25 „ Signature.,F Part 2-•Impact Assessment: The Lead Agency is responsible for the completion of Part 2.-Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted.by the.prgject sponsor 9r ' otherwise available to the.reviewer. When answering_the"questions the reviewer should be guided by the concept"Have:.my responses been reasonable considering the scale and context of the proposed:action? No,or Moderate small to large impact impact may may. occur occur 1. Will the proposed aetion.create:a material.conflict tyith an.adopted land use plan or zoning:; . regulations? - 2. Will the proposed action.result ina change in•the use or:intensity,of use of.landT 3. Will the proposed action impair.the character or quality of the existing community? 4. Will the prpposed acpon Iiave an impact on the environmental characteristics that caused the 17-1 establishment ofa Critical Environmental Area(CEA)? 5.' Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? El El E=Will propased action cause an iherease in the use of energy and it fails to incorporatel avaitable:ener conservation,or renewable energ ,o .`ortunities? IJ 7. Will the proposed action impact existing: a.public/private water supplies? . b public/private wastewater treatment utilities? 8: Will the'proposed action impair the character or quality of important historic,archaeologrca1, architectural or aesthetic resources? aEl 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3.of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? ' 11. Will the proposed action create a hazard to environmental resources or human health? El Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts.. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based-on the information'and analysis above,and any supporting documentation, ` that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. DCheck 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 Naine of Responsible Officer in Lead Agency 'Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature ofPreparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Applica`—,4n ri AFFIDAVIT i 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. p j 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 !I CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO j INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, 41 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 I( EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM ; OF THE PERMIT. Al Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF 3,20.25 4 I BARBARA ZYCH r; ' j Notary Public-State of New York I !. No.01ZY6205445 j Notary Public ._ Qualified in Queens County I !I1 commission Expires May 11,2029 i it I; S 'u I Bo&td ;of 'Trustees^ Applica�:.s�n • AUTHORIZATION th (Where a applicant is not the owner) r r .. . . `Steve Donadic I/We, _. „ I owners of the ro ert identified as SCTM# 1000-56-57 7 p p Y m the own o � Southold ,New York, hereby authorizes Michele Jud �to'act as myagent-and handle'all, necessary work involved with the application process for permit(s) from the Southold Town . Board of Trustees for this property. x 4 e (i f , Property Owner's Signature. Property Owner's fSgnature its . SWORN TO'BEFORE ME THIS -'_DAY OF W; , 2Q.2- ak 13ARBAkA ZYCH I- Notary Public-State of New York J— 'Qualified in Queens County ' Notary PUb1iC Commission Expires May 11,202— • r APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southpld's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The nurnose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: Steve DOnadic (Last name,first name,4)iddle 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 ofplat Mooring Exemption from plat or official map Planning Other (lf"Other",name the activity.)Maintenance Permit 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 or employee owns more than 5%of the shares. YES F-1 NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or desclbe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): 12A)the owner of greater than 5%of the shares of the corporate stock of the applicant -n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the 7Rapplicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this "d _20SS Signature -- Print Name.. Form 717S 1 ��_ 1 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 .uroposcd action: will be_ evaluated.as .to .its si ifidarit beneficial and adverse effects.unon the coastal area(which includes all of Southold Town). 1' If any question in Section C on this form is answered"yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards,,and conditions contained in the consistency A review law. 1,Thus..each`answer.nmust be-explained in detail, listing both supporting and'non- supportine 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 5 r SCTM#1000 4 56 :-5737 PROJECT NAME 1071 Bay Home Road 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: .Application for.Maintenance Permit `"g'0 <<"d 6r,.N Q"-m t Location of action: 1071 Bay Home Road Site acreage: 0.4641 acres 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: Steve Donadic (b) Mailing address: 1071 Bay Home Road, Southold NY 11971 (c) Telephone number:. 917-509-8825 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? 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. t Incomplete answers will require that the form be returned for completion. C 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 LVW Section III—Policies; Page 2 for evaluation criteria. ❑Yes :❑ No ✓❑Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LNW Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes❑ No ✓❑ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No❑✓ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria k ❑ Yes ❑ No Not Applicable a - _ 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 ONot Applicable 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 Attach additional sheets ifnecessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III—Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No ✓0 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. G 0 Yes El No Z Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies;Pages 38 through 46 for evaluation criteria. ❑ YeD No Z Not Applicable 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 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No❑ Not Applicable PREPARED BY Michele Jud TITLE Project Manager DATE 07/25/25