Loading...
HomeMy WebLinkAboutTR-8949 kJr o� �l John M. Bredemeyer III,President �� SOTown Hall Annex/yam Michael J.Domino,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski G ® Telephone(631) 765-1892 Charles J.Sanders 'O a Fax(631)765-6641 4y('' UNT`(,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction . / Y2 constructed V Project complete, compliance inspection on� Z M1 Fez BOARD OF SOUTHOLD TOWN TRUSTEES A SOUTHOLD, NEW YORK K PERMIT NO. 8949 DATE: JANUARY 18 2017 f "M ir == � � = f ISSUED TO: A. L. & S. BOERA REVOCABLE TRUST PROPERTY ADDRESS: 2170 OLE JULE LANE, MATTITUCK SCTM# 1000-122-4-9 AUTHORIZATION A Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on January 18, 2017, and in consideration of application fee in the sum of$250.00 paid by A. L. &S.Boera Revocable Trust and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and A permits the following: & Wetland Permit to remove and replace 60 linear feet of existing bulkhead in-place using vinyl sheathing and raise the height an additional 6"; add 15 cubic yards of clean sand fill landward of proposed bulkhead; remove and replace existing 4'x6' timber platform in-place; and to install and perpetually maintain a 101 wide non-turf buffer along the landward edge of the bulkhead; and as depicted on the revised site plan prepared by Jeffrey Patanjo,dated February 7, 2017,and stamped approved on February 14,2017. t V ik IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. $ tj TERMS AND CONDITIONS The Permittee A. L. & S. Boera Revocable Trust 2170 Ole Jule Lane,Mattituck,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Pen-nit should be retainer indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. h r aNuu1ri' 7hC JUIW¢:hcCd�$tcP • - 'q�,., ?. f�`F. Mtod�. ,.` a Tr,i 4. .. -} , e7.W!y Hn1Y � '- - . ••.�r>r PROPOSED TOP CAPS PROPOSED 15 CY CLEAN '` `s", % ` SAND FILL LANDWARD OF PROPOSED 25' LONG 10" BUTT 'CCA TIMBER PILE, 6O.C. BULKHEAD - - PROPOSED CCA 3"x6" REAR CLAMP ` -- PROJECT LOCATION MAP APPROXIMATE M.H.W. EL 2.5i ! o j PROPOSED 6"x6" CCA i TOP, MIDDLE & BOTTOM WALE ii PROPOSED 8" TIP CCA ? APPROXIMATE M.LW EL 0.0t LAY—LOG PILE i PROPOSED 8" TIP CCA PILE, 6' EXISTING BULKHEAD TO BE O.C. 8' LENGTH. BOLTED TO ITS ENTIRETY.EVED IN M LAY—LOG WITH 3/4" GALVANIZED THRU—BOLTS. PROPOSED 16' LONG 1" DIA. GALV. TIE ROD, 6' O.C. / / / / / / / / / NOTE: REMOVE AND REPLACE EXISTING I _ APPROVED BY ' ! FEB 1 4. 2017 BULKHEAD IN SAME LOCATION AS EX S6ING WITH EXISRAISED HEIGHT =`BOARD OF TRUSTEES a sol rel�i t�»{n F PROPOSED 16' LONG CLOC TOWN .OF SOUTHOLD `',3 ��__„___13 01 of 9000 VNYL SHEETING TYPICAL SECTION A—A DATE , 14, @01.� N T.S. 1 -- .—*LKUEAD PERMIT PLANS SCALE: AS NOTED PROPOSED SECTION & DATE: LOCATION MAP 10-25-16 2-7-17 2170 OLE JULE LANE MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP N0. 1000-122-4-9 z of z I � ! t ' m FEB 1 4 2017 tf ' Southold To,•rn ` 5 Z — ..,.33�X40"E o I — calor 01 ----_ _ KRAUS _LANE F� EXISTING TIMBER BULKHEAD TO BE REMOVED O W O PROPOSED 60' LONG VINYL BULKHEAD IN SAME W LOCATION AS EXISTING DETERIORATED BULKHEAD ' #2170 m REMOVE AND REPLACE EXISTING 46' FIXED TIMBER PLATFORM 1 STORY p FR. RESIDENCEO N O MHW do MLW ALONG FACE OF BULKHEAD CA O PROPOSED 10' WIDE NON—TURF BUFFER , W N72.30�, m ci 30"W I o o� o 210.001 10.00 PROPERTY OWNER: BOERA A, L & S REVOCABLE TRUST 603 PALM DRIVE LARGO, FL 33770 BULKHEAD PERMIT PLANS SCALE: i NOTES: PREPARED BY: 1 -20 JEFFREY PATANJO PROPOSED PLAN DATE: 1. SITE PLAN PREPARED FROM SURVEY PREPARED BY: 106 HEWITT BOULEVARD 10-25-16 RODERICK VAN TUYL, PC CENTER MORICHES, NY 11934 2-7-17 GREENPORT, NY i 631-484-9332 2170 OLE JULE LANE DATE SURVEYED: JAN 6 1981 i JPATANJO@OPTONLINE.NET MATTITUCK, TOWN OF SOUTHOLD 'I SUFFOLK COUNTY, NY SHEET: I TAX MAP NO. 1000-122-4-9 1 OF 2 *oF SOUry Michael J.Domino,President �o� Ol0 Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders CA Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A.Nicholas Krupski '�c®UNT`1,� ' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 18, 2017 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: A. L. & S. BOERA REVOCABLE TRUST 2170 OLE JULE LANE, MATTITUCK SCTM# 1000-122-4-9 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 18, 2017 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of A. L. & S. BOERA REVOCABLE TRUST, applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated November 28, 2016, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public'Hearing was held by the Town Trustees with respect to said application on January 18, 2017, at which time all interested persons were-given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 L t WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of A. L. & S. BOERA REVOCABLE TRUST to remove and replace 60 linear feet of existing bulkhead in-place using vinyl sheathing and raise the height an additional 6"; add 15 cubic yards of clean sand fill landward of proposed bulkhead; remove and replace existing,4'x6' timber platform in-place; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead; and as depicted on the revised site plan prepared by Jeffrey Patanjo, dated February 7, 2017, and stamped approved on February 14, 2017. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, � - , Michael J. Domino President, Board of Trustees MJD/dd � s �� John M.Bredemeyer III,President OQF S�UTjfrOl _Town Hall Annex Michael J. Domino,Vice-President '` O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith JIF Southold,New York 11971 A. Nicholas Krupski ® Telephone(631) 765-1892 Charles J.SandersFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Daaa 17 TO: �L. S P_k R.CJX6&9 TP-US-r �O 16�fk � �ATA-0Z Please be advised that your application dated NOV O's-1 Zoe(© has been reviewed by this Board at the regular meeting of trm (8$6 U11 and your application has been approved pending the,completion of the following items checked off below. i -r- P V Revised Plans for proposed project (Sft,14161 Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) Y2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded,with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary., You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ &ACD 1 BY: John M. Bredemeyer III, President Board of Trustees Ij IZ t v79 ��r„.�ij��-7��'�r'— "sem• � 1 k. B \ \ 1 ` LAC4:T�. 94 ! 'WAUTHORrZED ALTERATION OR ADDITION t _ FO THIS SURVEY IS A VIOLATION OF - ^,�; �'• - {'`~ ' ' SECTION 7209 OF THE N_W YMK STATE \ EDUCATION LAW. 1 j. ~�•1 `E �' +. j COPIES O*T;!:S SL' :Y. AP NOTuEARIkG i THE ,D EMBOSSID E `•` - I:_i L�GGI SIDERED + TO BE A VA' j i 1 11 +C l .� F l GUARANTZLS F :'..T-� •✓�J f�Kf (�}P''�H� IVyvI`f:r��. ONLY X;- TAd'"'UN 4.._ IS FRE,AR, TITLE cot.,.- < moi:.%+. t 4,• f <i. LENDING S\_',-i 1 -- -- -- -- -- 70 THE ASSIG`:.L t' f ON L W'S lt,0 f -- NOV 2 8 2016 !_J.T''c_- ;_' "Y' _,4_-�.�—�. F + �'^ .',''� ,' - ` % 1 i?. Ir.✓ E +; Southold Town �..___.• __- --------•---_��_ - 8 f TTUS IC. . Lrf.�_ `� :' k•.�_ �%1� `1 t l_i�•7 ��_1 �"! , I T-) L L. -At-s is .3- �.��F t 't't��t•� - 4��!f`1 ;.;�� r l 1�1:: T74, d`' 2i �J of T-)L-4 John M. Bredemeyer III, Preside 1 �OSUFFOIp�O Town Hall Annex Michael J. Domino, Vice-President ���o G�� 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o ® Southold, NY 11971 Charles J. Sanders' ti p� Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD II Date/Time: 1 /10/1--7 1: 16 Completed in field by: Jeffrey Patanjo on behalf of A. L. & S. BOERA REVOCABLE TRUST requests a Wetland Permit to remove and replace 60 linear feet of existing bulkhead in-place using vinyl sheathing and raise the height an additional 18"; add 15 cubic yards of clean sand fill landward of proposed bulkhead; remove and replace existing 4'x6' timber platform in-place; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 2170 Ole Jule Lane, Mattituck. SCTM# 1000-122-4-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1.' Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: '50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment ✓Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Q��C. icn �)eeA c Present were: /J. Bredemeyer M. Domino G. Goldsmith N. Krupski V C. Sanders Other Page 1 of 2 John M. Bredemeyer III, d� Presi \ r o��SufFO(�-�oG Town Hall Annex Michael J. Domino, Vice-President y 54375 Route 25 Glenn Goldsmith ti - Southold, NY 11971 A. Nicholas Krupski o Charles J. Sanders Telephone (631) 765-1892 Fax (631) 765-6641 �'azz�rcdl� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffrey Patanjo on behalf of A. L. & S. BOERA REVOCABLE TRUST requests a Wetland' Permit to remove and replace 60 linear feet of existing bulkhead in-place using vinyl sheathing and raise the height an additional 18"; add 15 cubic yards of clean sand fill landward of proposed bulkhead; remove and replace existing 4'x6' timber platform in-place; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 2170 Ole Jule Lane, Mattituck. SCTM# 1000-122-4-9 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: .D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: R. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 L. ' S. .• Revocable Trust j2170 Ole l ' 111 �'%•� •• ii . 1.1/10/17 . ... 4' _ �__ M► '���.IAS a � R��1��/ � /, � � w/, � ... Mae-M = •, , � .ow F 4. _ z - � X14 ` `*4 •�-��\�� /!-_ - +S � -_.. - ,- i� a Photo 1 Photo 2 Nnv '' ij Southold Town B of TriiqtAPS a Photo 3 Photo 4 HI I E0 � E DD O`S Z 8 ?016 Southold Town ar Tru SEE SEC NO SEE SEG NO 114 �2Otd yg gC,N°tH Nlatae! w 25 � P � -MATCH —___NNE ar M�ATCN.t 11N e » 24 s fl]A14 _ S 20A g 64 ♦4�R ^ G d d), — 12ut 1%°f sotmmn �2 5.3 101 O » 01�TM I91 15 ' $ 23 14 90 ho^W OLENIE' e i 3 d .0 5 id 3 n 9 fl1 ,] Pt' ♦ e P A' v I� ,]Al°1no 34 1 SA�c) 27M 252 z4a B 'U"'r 9C�6fSWfi✓ 21 d m0 ,�- �i \ S B i O 32 I � '0�♦ ei�•ary@4 a m " � o » ., � � p.�+ 5 3fi.d \ 9 »- � '��♦ by sen �` dd y� "s 1z y 13®t 10'-yfi=ae 1�i9 30 31 3z'2 ' 18A I aj 143A(c) L 1 ] • 9 c E a x m B n 4 � R—us RO FM ti 3 �1 BP M1�4 � � RC » r� » 3ei 1couNnoT�� B 3r _ 35 I - FOR PCL NO cye� �e fi as 39 B J /4]+ O\\ X10 g 35 40 r.• I'IIJ Sm 5 EC NO l21.05000 5 N 6' a� 8 t 9 ' a / 144 a L� ♦94.(� 13] v�v 42 1 A, 3,♦P e e gyp,•♦ $♦♦ / _ 18]) + d e d•�' 14b ,p $ a k ]19 z �' 1P e A-0 �� �,9 e °ar • � e�'.�J4, M1� p�t/r, w I ``�� � A ♦��/� I `^ ge tD s,a�8 d41 L• a C 7" � / \ © f.$, ( �♦ a 70 i`t.0 ry'` a� 3 e 1]BA(c)]3' WATERA 101111Y ��\ny / N \ S1Al'✓ T 13 p •I � p>e+c1 r�L $ �/ >,a 13�(c) \ f L /� ]29 T 14 9 •/ $ O`t' ' TOWN OF M /J eOg SGS p- $ moa ,�♦�� yQ-. �4 Ca ` ],5 l > ae Tx3 1.3� N .e FORP 110 q Bb - 94 £ e 9 21 s�EGO NO A l c07 Iy' �oQ'e fib � 10A(c) 51 8A ' uI @ ��♦ Q� ♦ m_ d ♦ 1 \ �T' � e Sac\ ♦4a1- By � a m.� ♦ e 3�a g z pip ». Nzssvax B• G" $ —rzcae4ta / `I .� n HATCH -----------------�----_--------_—_---NNE uxE / C do SEESEC NO 1z8 �NOTEIW��AP`—N BLOCK,xTwmN P COUNTY OF SUFFOLK © E 1az 1zz 1O''^"'� SOUTHOLD SECTION NO ' RealPropertyTax SerinceAgency r X22 "�At "-.�.n:.w.�¢,T,s.........,.. ...y,..-. ..-'m`a"xx; -xR�sa-;�.:m'ars>•.a"st�?xa�,m.Y°„'�, t'^e:.. _ - _ _ _ - - - _ __ _ - - __ P d.r t i ~� SEE SEC NO 115 February 7, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 [1, V E !!� , P.O. Box 1179 _ �1 J Southold, New York 11971 r t�? �L9 FEB 1 4 2017 ! RE: 2170 OLE JULE LANE-MATITUCK, NY SCTM No. 1000-122-4-9 ! Southold Town REVISED PLANS Dear Trustees: Attached, please find four (4) copies of revised plans based on comments received during the January public hearing. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Je2Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 OFFICE LOCATION: ®��®F S®Ury®� MAILING ADDRESS: Town Hall Annex h ® P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) G Telephone: 631765-1938 Southold, NY 11971 P ® Fax: 631 765-3136 C®UNTY,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: January 17, 2017 Re: LWRP Coastal Consistency Review for A. L. &S. BOERA REVOCABLE TRUST SCTM# 1000-122-4-9 Jeffrey Patanjo on behalf of A. L. & S. BOERA REVOCABLE TRUST requests a Wetland Permit to remove and replace 60 linear feet of existing bulkhead in-place using vinyl sheathing and raise the height an additional 18"; add 15 cubic yards of clean sand fill landward of proposed bulkhead; remove and replace existing 4'x6' timber platform in-place; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 2170 Ole Jule Lane, Mattituck. SCTM# 1000-122-4-9 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the below listed Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. -r t ��Og�pFFOtk�a� Peter Young,Chairman y -� Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 11, 2017 the following recommendation was made: Moved by Greg Williams, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of BOERA AL&S REVOCABLE TRUST for the removal and replacement of 60 If. of deteriorated timber bulkhead with new vinyl bulkhead in same location as existing as raised height of 18". Supply 15 cy. of clean sand fill behind proposed bulkhead from upland sources. Remove and replace existing 4'X 6' timber platform in same location as existing. Located: 2170 Ole Jule Lane, Mattituck. SCTM#122-4-9 Inspected by: Peter Young The CAC Supports the application, however, there is no justification for raising the bulkhead. There is a concern that the raised height will set a precedent for the neighboring bulkheads. Vote of Council: Ayes: All Motion Carried John M. Bredemeyer III,President O�� son? 01, Town Hall Annex O Michael J.Domino,Vice-President 54375 Main RoadP.O.Box 1179 James F.King,Trustee N _bc Southold,New York 11971-0959 Dave Bergen,Trustee YpQ Charles J.Sanders,Trustee 0 Telephone(631) 765-1892 ' l�COW Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only (� _oastal Erosion Permit Application flD E `� E 8 Wetland Permit Application y _Administrative Permit / Amendment/Transfer/Extepsion NOV 2 8 29016 X eceived Applicatio : I lreceived Fee:$ 2�tmompleted Application: 17— Southo TbTawn Incomplete: a of Tru e s _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent): j I ;�?'LWRP Consistency Assessment Form: 1 CAC Referral Sent: I7-aZZ11t'D Date of Inspection: ' 1110,17 _Receipt of CAC Report: Lead Agency Determination: Technical Review: 5 v7'�Public Hearing Held: i l d_7 Resolution: l Name of Applicant: 0e er®. Aj S /2cycoti.61e TrvST Mailing Address: b o 3 Pa Cm Of• G r g o , EL 33-7-70 Phone Number: '7c;7- _5-02-97)1 Suffolk County Tax Map Number: 1000- /a A •y-g Property Location: .21-10 of e- TSI c Lw a-e 5Pc D'reC+i!j o.lr.SS 4':rcm- KrKvS Q-d• (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: 1 0 6 1-1�,,��-f--p g IvQ . (��n•�-�r AAvf iches_ tj� 11939 Phone: 631 • y % y •9 3 3a_ 5� , 1 Board of Trustees Appli' ion GENERAL DATA Land Area(in square feet): Area Zoning: Xe S Previous use of property:, rtes Intended use of property: Res Covenants and Restrictions on property? Yes ✓ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes V*"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 ✓ No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? _Yes ✓ No Does the structure(s) on property have a valid Certificate of Occupancy? ✓Yes No Prior permits/approvals for site improvements: Agency Date NIA 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): 5« &-t+e, c keJQ eb*S C CA-h.,, r. i Zf Boera A, L& S Revocable Trust 2170 Ole Jule Lane Mattituck, NY 11952 SCTM No.: 1000-122-4-9 Project Description Project includes removal and replacement of 60 LF of deteriorated timber bulkhead with new vinyl bulkhead in same location as existing and raised height of 18". Supply 15 CY of clean sand fill behind proposed bulkhead from upland sources. Remove and replace existing 4'x6' timber platform in same location as existing. 4 Hoard of Trustees Apply, :ion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: S---- 4-I-+,ae-h a k deg-C,01247" Area of wetlands on lot: square feet Percent coverage of lot: ,_% Closest distance between nearest existing structure and upland edge of wetlands: 35, feet Closest distance between nearest proposed structure and upland edge of wetlands: -65- feet Does the project involve excavation or filling? No ✓ Yes If yes, how much material will be excavated? 1W cubic yards How much material will be filled? /.r cubic yards Depth of which material will be removed or deposited:_ feet Proposed slope throughout the area of operations: 3 90 Manner in which material will be removed or deposited: SK ief s Tce 2 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): -T4erG w'l) be AW r►cgo,1lye Qf-�ea4-. �.so-iyG el:,Ftc+ wd) kc Short.Environmental Assessment Form Part Y o Project Information Instructions for Completing 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 1 -Project and Sponsor Information Name of Action or Project: 01170 ole. -J'Wle- Gw„e- 16vC1b7e & Project Location(describe,and attach a location map): 5<c Coca-r1V.,7 tW i Brief Description of Proposed Action: Q{4t-ov,e A& r014e-e bo Lt= ®i-r drl`erl-rA+Eecl b,,LKke&j0 wte� Ofw vi-,,l (- 4;,..(JC4th M StintL tv-4"n -,& a.S -e-Af.S7iny *kpk ratSeR h to9h-F mF 16 " above Plug /3-C4 mr✓ Glyda 94fad P-11 C44-PwarX m(- 1paLYAea4. ,fdeMOVe 4nA k4;4.6ee yIN-!®1 Name of Applicant or Sponsor: Telephone: 7a7 5 0" a -11-711 Q o era 1, s 2 cd v aex 61 a -re S E-Mail: V"v et" e e v . Own Address: &0-3 P4," AIL - City/PO: State: Zip Code: a,r b 51— 337-74P 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ® Er 1%)1s9BG NYS 0 $ -r'%.,n o F SpL'Jrk®lX 'rr-bfieS 3.a.Total acreage of the site of the proposed action? V. 365' acres b.Total acreage to be physically disturbed? O. O 31 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.36 l' acres 4. Check all land uses that occur on,adjoining and near the proposed action. �/ Urban 0 Rural(non-agriculture) ®Industrial ® 5 Commercial Residential(suburban) ❑Forest ®Agriculture ®Aquatic ®Other(specify): ®Parkland Page 1 of 3 I i � 5. Is the proposed action, NO YES N/A a.A pennitted use under the zoning regulations? 2 b.Consistent with the adopted comprehensive plan? ❑ LJ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? El 1 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:Name:Peconic Bay and Environs, Reason:Protect public health,water,vegetation,&scenic beauty, Agency.Suffolk County, a e; - - g/ 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES 2 El b.Are public transportation service(s)available at or near the site of the proposed action? 2 ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? R" 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: ® El 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: [2r 11 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? V b.Is the proposed action located in an archeological sensitive area? 211 El 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? El Z 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: L� 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 El 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? 21 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 YES 1f Yes, E a.Will storm water discharges flow to adjacent properties? ❑NO ®YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: NO ❑YES Page 2 of 3 J � 1 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 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: Rr 11 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: 0 I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: I��� ®40 Signature: PRINT F®RM Page 3 of 3 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g_retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 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 of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? E 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 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,archaeological, ❑ architectural or aesthetic resources? 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? FI 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,insufficient 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. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmeimpacts. nts Town of Southold-Board of Trustees / Name of Le Agency / ate o wt- ryl v �/r President r Print of-/Type N me of Res onsi e Officer in Lead Agency Title of Responsible Officer Signature of Resp sible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 EAF Mapper Sumin. / Report I l Sunday, October 30, 2016 8:37 PM Disclaimer: The EAF Mapper Is a screening tool intended to assist protect sponsors and reviewing agencies in preparing an environmental `4;`f-• '12 2 0 0-5 44-3 006 assessment form(EAF).Not all questions asked in the EAF are ti• " r --; —" answered b t F22,40 k�0 v440, '12204 5 t.0 8(r40 —- i y the EAF Ma pper.Additional information on any EAF 1 y question can be obtained by consulting the EAF Workbooks. Although 'I 22'04 5 00-0000 the EAF Mapper provides the most up-to-date digital data available to V '"'� '-� ' li 12X+0,00.7400 4, DEC,you may also need to contact local or other data sources in order ,,2,264 444-76C,Oi-2240-500-• 004 it i + to obtain data not provided by the Mapper.Digital data is not a substitute for agency determinations. - _I —7.J112200-400-44-008 IN12-200-4.00404C(' I<r,,l9s,ss h ,', -, ,• i- ,%,av ., rte_-._._..«.�-.._.-.., _,..._ ;, ., d, ' Cltlav t tdoettrca9 M 240-540-,10001'12200--1•GO du"004000 1 :1i1 Irl 2C�Q ?j,0�1-0044� r ; Toroilto i, •;�;, r: ,, • s,(ifc ... 1--'—" II 1 ,1 i,- ?. 1-11'11154i° ,;.�I:1]fl•°:LI']I; , � ,Yu , 122101 4Gi+=4t"'40'1 r122�0-X00='I 100+0 "•7 it 12200-4'r0-354 rd ,J" }a' Il i; ,'I,'•4 `RSPY:frTP° ;x-122'60-500-'13007 - _ I z',,Uetlalt rl c'Boctan J 'I z20.4,40))"-i'z,rro4• `, s ' - ` ' � BIspan, p' �. - ':,fi,I'l�u�5vr41• 1=;.Ii.r ,r,7 '`tl' F" Pfrstenourgs',Esei,1HERE,,Die- me:USGS,4001224� FO .'1 i � ' 3° - ntFrrar"12200:tI '14JCCt: ItiC,PE1vEiii,'Fiti13e= i9l9n"34000 v1ETl EpltrJlur(kl a ei,t �Pr'hE. ce ;12260= ;15COfJ,_ _ Kees,IE'�rh'r��'il'�i�t�,S1i�3prnyL drs,hlCCy r�Q eC11111ill 11�' ;'' :Ce L' #jrrs�_slyl8[aS Interme �;122Gt'r`_•(�t"_p,��^•tr �tP,1s centciQiutcl artls3�iFr; 12'2'06-440-'161x56 .* p �' Ih�,REP:4EPtT'P 3IRCali E;ri;' 122v0 500-1 Community 4.0 {(;£., J'220q- 0"-32nClii_ 3 Iclrin,�ti' � jq(7gf� 61ETI.Esri;China"Hcn6 4Y 7x•111-6-}J�VII la'�'�- _I Part 1 /Question 7 [Critical Environmental Yes Area] Part 1 /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 Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] No 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 1 /Question 15[Threatened or No Endangered Animal] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report �. John M. Bredemeyer III, rresidentti� co�;�; Town Hall Annex Michael J. Domino, Vice-President �� 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski oy �� Southold, NY 11971 Charles J. Sanders ��ol �� 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 A. L. & S. BOERA REVOCABLE TRUST COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, J f-�� IPI-havilb,residing at/dba I to -kew &yA (2- (BVI ow �� 11+54 being duly sworn, depose and say: That on the dl day of J , 2011, I personally posted the property known as 21�o nl � JL) LAvie- by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday,January 18, 2017. Dated: ) I ig re) Sworn to before me this day ofr f Cl,1W201'7 Notary Public Lodann Patanio� Notary_Public State of�Vew York Qualified in Suffolk County No:01PA6150861 Commission Expires 08/07/20j�? r S PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: � � Addres W� Isis Tug �U _k � _�� • V►1--- ��---- 7015 1730 0001 0903 2492 Lt . l'naftr�1I0115,�, �Dbi 1 7015 1730 0001 0903 2508 1.c70,uu 5f 61. F/ew RavI dol L)�eir /foo i ' 7015 1730 0001 0`903 2485 --' [CJO-e A . 7015 1660 0000 0995 0331 STATE OF NEW YORK COUNTY OF SUFFOLK , residing at10112 =1 -' I i /c C m �� , being duly sworn, deposes and says that on the day ofdA& / I- 20 I�, deponent mailed a true copy of the Notice set forth in the Board of trusteed Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set �r opposite the names of said persons are the address of said persons as shown on the current assessmen xoll of the Town of Southold; that said Notices were mailed at the United States Post Office at /L 11kr�QY1 CWL5 ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this Day ofd ))U 20�/ v � Notary Public LonannPatan1'o� Notary Public State of�Vdw Yolk Quaed in Suffolk County No:01 PA61 Commission 1res 08f07/2011) 1 f _ TM . ® I Postal 0CERTIFIED . ■ CERTIFIE,: MAIL Ln 1 ■ ■ Ie • i IDomestic Mail Only m . FLO'Ak _. m •,1 P`Fl KY" NY''�.:�ft t1 t hiATTIi U�s i 3 Certified Mad Fee $3�30 � �0 34� Certified Mail Fee $3.30 A` ��(t Er _ 1 ErJuJ _l An ,v\f ,7 Extra Services&Fees(cheek box,add fee p ate) c`j ,9( I� Extra Services&Fees(check box,add fee s rb ate) .� Y J ❑Return Receipt(hardcopy) $ _ f' _'},�" ,y ❑Return Receipt(hardcopy) $ a�(� )�(•r"•' .� �e� O ❑Return Receipt(electronic) $ f ) �( �4- P ark 0 ❑Return Receipt(electronic) $ Fy CDU (� P0�9r1� O ❑Certified Mail Restricted Delivery $ i'` ere O ❑Certified Mad Restricted Delivery $ A la,-,1N (' re 0 []Adult Signature Required $ / 'O E]Adult Signature Required $-- ii—ttf� / (� []Adult Signature Restricted Delivery$ qa� O ❑Adult Signature Restricted Delivery$ O Postage07.47 > g�Cs� i O Postager,.47 Q Total Postage and Eggs Total Postage and Fees rq $ X6.77 �� ,a $ $3.77 LJ I Sent T, Sent To O S----------------------- et anYA p--t-. O o tV. O Street and /jLrl �t /y��POBpx�IfV ( Ij J�j' [I �^ C�.State. P e r"""'®�C LL////ll` �'�r= j= - t erre-/ ® I e Ir /VVI City, ------ ta � •• 1 11 •11.,, J ) :•• 1 11 111•1 -i ■ ® - Postal m ClEiiTIFIEDWAIL� . ■ CO CERTIFIED MAIL@!-RECEIPT !C3 ru DomiilSv&�Mail only Ln Er ru • MATTI 7 MATT 'TU4'iY 11• , �, $ertifed Mad Fee 0934 M Ir °30 O Certified Mad Fee0630 O Extra Services&Fees(checkbox,add fee p O ❑Return Receipt(hardcopy) $ Extra SeNICeS&Fees(check box,add fee,@ygp,�,�flwlriate) j Q pt(electronic) $ ��Ogjo k ❑Retum Receipt(hardcopy) $ �IJ°-'-' P� ,� Return Receipt f ❑Return Receipt(electronic) $ _( _�_) /�tmark 'p ❑Certified Mail Restricted Delivery $ L ❑Certi£�ed Mail Restricted Delivery $ /,Here I O E]Adult Signature Required $ O P ❑Adult Signature Restricted Delivery$ O ❑Adult Signature Required $ (�� O Postage + ❑Adult Signature Restricted Delivery$ �i� , M $0$ $0.47 J O $Postage $IJ■47 � � i Total Postage and Fees aX�7 2017 U- M )i $3.77 Total Postage and�Feg s $ $ $3.77 u7 Sent To r�b5 u I Sent To -----------� u ----------c----------------- ��/t Street an t r P B Nq. -reeferre------ �d O Street and t. or P x o. - - _ � � Ci ,State, ® � �ry _ ry -------------�----- -=--------erre-.--- i City,State, 1 1� -- 1) 1 1 e 1 1 a 1 1 1 •1 II••1 _. l PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS e-A 7L Name: STA'L'E 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 there 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 at that said Notices were mailed to each of said persons by CERTIFIED AMM/RETURN RECEIPT. Sworn to before me this Day of , 20 i Notary Public January 10, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 2170 OLE JULE LANE -MATITUCK, NY SCTM No. 1000-122-4-9 AFFIDAVITS Dear Trustees: Attached please find original affidavits for mailing and posting as required for permit applications. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, q- P,: Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 INOTICE' 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: A. L. & S. BOERA REVOCABLE TRUST SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove and replace 60 linear feet of existing bulkhead in- place using vinyl sheathing and raise the height an additional 18"; add 15 cubic yards of clean sand fill landward of proposed bulkhead; remove and replace existing 4'x6' timber platform in-place; and to install and perpetually maintain a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 2170 Ole Jule Lane, Mattituck. SCTM# 1000-122-4-9 TIME & DATE OF PUBLIC HEARING : Wednesday, January 18, 2017 — 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 for inspection prior to the day of the hearing during normal business days between the hours of B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 1 Board of Trustees Appli 'ion 1 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. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner SWORN TO BEFORE ME THIS_� DAY OF 101fefi"t/ 20_j�e i 0 MAUREEN CANCELINO `=? MY COM MISSION#FF995103 "''•'agr;F; EXPIRES May 23,2020 (407)398-0153 FbndallolaryServlce.com < Board of Trustees Appli, :ion AUTHORIZATION (where the applicant is not the owner) I, �v QTS residing at &03 Fk c, Y ),L _ (print name of owner of property) (mailing address) w e , �L 3 37`7 d do hereby authorize J c Fire (Agent Pa t"A n 1 to apply for permit(s)from the Southold Board of Town Trustees on my behalf. OA (Owner's signature) l� APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnlovees.The nuEaose of this form is to provide inforination which can alert the town of possible conflicts of interest and allow it to take,whatever action is necessary to avoid same.. YOUR NAME: (Last name,first name,rpiddle initial,unless you are applying in the name of i someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check al l that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring i 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'rown of Southold? "Relationship"includes by blood,trtarriage,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%or the shares. / YES NO ✓ ' If you answered"YES",complete the balance of this forth 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 i the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (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,partner„or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted th' �, day of %"Jw 200 ,Signature Print Name rio D Form TS 1 I t APPLICANT/AGENT/REPRESEN'TAmw TRANSACTIONAL DISCLOSURE FORM �! The Town of Southold's Cade of thics prohibits conflicts of interest on the mart of town officers and emnloVees.Tfie ramose of this form is to Dr vide infodnation which can alert the town of possible conflicts of i1dMat and allow it to take whatever action is necessary to avoid same. YOUR NAME: VA.'C e.W) o 70�G F,64-6,A 1 (Last name,First name,ipiddle initial,unIJss 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 ; riance Trustee Ch ng 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 or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): ! a A)the owner of greater than 5010 ofthe shares of the corporate stock of the applicant (when the applicant is a corporation); Bpthe legal orbeneficial owner of any interest in a non-corporate entity(when the ! applicant is not a corporation); i Cj an officer,director,partner,or employee of the applicant;or D)the actual applicant. i DESCRIPTION OF RELATIONSHIP Submitted this day af 1O°v 200 1 b Signature Print Name me—ril�+ ., 17 Form TS i f Town of Southold LWRP CONSISTENCY ASSESSMENT FORINT A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon.the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be MMMW in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROTECT NAME ;t l 7 0 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Location of action: v1 1 y v J L Tv l e- L A. e- 0 Ala-t--h+1111-!L ' AJ q Site acreage: 61. 3 6 Present land use: tZtsiWcv%+,ap. ( _ Present zoning classification: l2cs`�en�-,k.0 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: Bytra. ,A L 5 Rrvve.;,,bl e --r,,s-r (b) Mailing address: 60? PA L ri Or. (c) Telephone number: Area Code( ) 7 A 7- S (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes R No❑ If yes, which state or federal agency? A)J s bee___ C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ✓ZNot Applicable 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 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 Puree.-- Provides rVX ✓'5V&(lw a0eeo-1.4s bvueheeA 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 S through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable r® eek rol-ecl% &j wj)%St Gosl ®/-* 4,owil Gigue •L-m eresl®i Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes .❑ No ❑Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ �r Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes No Rr 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 evaluatiop criteria. ❑ Yes 0 No 2Not 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. Er Yef] No❑ Not Applicable Attach additional sheets if necessary /' l ') r WORKING COAST POLICIES J 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 5Not 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. ElYes El No u Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands-in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No�1 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 PO-rot_ - ' TITLE A.a a n+- DATE 1)'S 1(� November 19, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 r�. P.O. Box 1179 Southold, New York 11971 u '` NOV 2 8 2016 RE: 2170 OLE JULE LANE - MATITUCK, NY SCTM No. 1000-122-4-9 Southold Town APPLICATION FOR PERMIT Board of Trustees 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 631-484-9332. Very truly yours, :— Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934