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HomeMy WebLinkAboutTR-9125 Glenn Goldsmith,President QF SO�TTown Hall Annex Michael J. Domino,Vice-President ,`O ��� 54375 Route 25 P.O.Box'1179 John M. Bredemeyer III l�[ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams a0 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1691C Date: February 12, 2020 ,THIS CERTIFIES that the removal and replacement in-place of approximately,85 linear feet of existing timber,bulkhead with vinyl bulkhead; incidentally dredge 5' wf&area•adjdcent to bulkheW"to a maximum depth of 4' MLW and use approximately 10 cubie yards of sand/silt=stioil'as backfill adjustith`e location and reduce the size of the reconstructed dock platform to 4 5?x5':in liewof 4.5'x7'; reattach=existing 2.5'x9' ramp and 5'x16' floating dock to remain; and to,eliminate-the.proposed 10'x20' deck landward of the bulkhead; construct as-built 5'x11' walkway to the dock platform; and to establish and perpetually maintain a 10' wide non-turf buffer along newly constructed bulkhead, with the condition of the installation of ftwells for theug tt, ers approaching the bulkhead; At 975 West Hill Road, Southold Suffolk County Tax Map#1000-70-4-25 Conforms to the application for a Trustees Permit heretofore'filed in this office Dated October 13,2017 pursuant to which Trustees Wetland Permit#9125 Dated November 15, 2017,was issued'and Amended'on May 15, 2019 and Amended again on February 12, 2020 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal and replacement in-place of approximately 85 linear feet of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5' wide area adjacent to bulkhead to a maximum depth of-4' MLW and use approximately 10 cubic yards of sand/silt spoil as backfill; adjust the location and reduce the size of the reconstructed dock platform to 4.5'x5' in lieu of 4.5'x7'; reattach existing 2.5'x9' ramp and 5'x16' floating dock to remain; and to eliminate the proposed 10'x20' deck landward of the bulkhead; construct as-built 5'xl 1' walkway to the dock platform-, and to establish and perpetually maintain a 10' wide non-turf buffer along newly constructed bulkhead;with the condition of the installation of drywells for the gutters approaching the bulkhead. The certificate is issued to Sen&Leslie Olsen owners of the aforesaid property. IV pt ut ori igna ure Glenn Goldsmitl esident �Q Cp Town Hall Annex Michael J. Domino, Viuu-�esident ,�® �y��\ 54375 Route 25 John M. Bredemeyer III o '` P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Greg Williams y � � Telephone Fax (63192 ) 765 6648 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: , p n Completed infield by: aAe_4 En-Consultants on behalf of SEAN & LESLIE OLSEN requests an Administrative Amendment to Wetland Permit#9125 to adjust the location and reduce the size of the reconstructed dock platform to 4.5'x5' in lieu of 4.5'x7'; and to eliminate the proposed 10'x20' deck landward of the bulkhead construct as-built 5'x11' walkway to the dock platform. Located: 975 West Hill Road, Southold. SCTM#: 1000-70-4-25 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: aj Z'.�2-0 tep In 1044 Sto«Q�.,} ��b✓aro� I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski ,�ZG. Williams Other EN-CONSULTANTS February 26, 2018 Board of Trustees E C E I V E Town of Southold P.O. Box 1179 MAR w 2 2018 Southold,NY 11971 Attn.: Elizabeth Cantrell Southold Town Board of Trustees Re: Sean&Leslie Olsen,Wetlands Permit 9125 Dear Ms. Cantrell: t In I satisfaction of Term and Condition #8 of the captioned permit, the required Declaration of Covenant was recorded in the Office of the Suffolk County Clerk on February 16, 2018. A copy of the recorded document is enclosed for your file. X tfully yours,ep Enclosure ca: Sean&Leslie Olsen 1319 North Sea Road I Southampton,New York 11968 p 631283.6360 f 631.283.6136 www.enconsuitants.com environmental consulting • CC# : C18-6369 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A PASCALE, Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 02/16/2018 under Liber D00012950 and Page 510 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 02/16/2018 SUFFOLK COUNTY CLERK JUDITH A.PASCALE SEAL PpFr--= V _ 2 2018 I Soy%l-Town ________�car�nF Trustees SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 02/16/2018 Number of Pages : 10 At: 09:29 : 42 AM Receipt Number : 18-0029877 LIBER: D00012950 PAGE : 510 District: Section: Block: Lot: 1000 070 . 00 04 . 00 025 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $50 .00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15 . 00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $6 . 50 NO RPT $200 . 00 NO Fees Paid $296 .50 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT K BILL JUDITH A. PASCALE County Clerk, Suffolk County DIE CEVE LBAR - 2 2018 outfhold Town _ Board of Trustees a ] ` 202 I"F.'.'b 16 Number of pages 0 ?`JD*(i i 1 i:,; FA`=C-;PL CLFPI%' CSF SLIPFC-U' f"004-11 This document will be public L D`-'09329 0 record. Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee 0. Mortgage Amt. 1.Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Spec./Assit. Notation or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX �10Dual Town Dual County R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit +�j� �+ Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO _ Other Grand Total If NO, see appropriate tax clause on page# of this instrument. 4 Dist. 10C 3573767 loo0 07000 0400 025000 5 Community Preservation Fund Real Property RPSM� I��Ill�lllll�lulll�l� Consideration Amount $ Tax Service Ill�ull Agency 09-FEB-18 CPF Tax Due $ Verification Improved Satisfactions/Discharges/Releases List Property Owners Mailin if E 6 RECORD&RETURN TO: D j Vacant Land TD En-Consultants LIAR — 2 2018 1319 North Sea Road TD Southampton,NY 11,968 outholdT00 TD B and of Trus e s Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Declaration of Covenants made by: (SPECIFY TYPE OF INSTRUMENT) Sean Olsen The premises herein is situated in Leslie Oslen SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold Town of Southold In the VILLAGE Board of Trustees or HAMLET of Southold BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over T T DECLARATION OF COVENANTS THIS DECLARATION made this S day of ''�fy ,2018,by Sean Olsen&Leslie { Olsen, 12 Musket Lane,Darien,CT 06820,hereinafter referred to as"DECLARANTS": WITNESSETH: WHEREAS, DECLARANTS are the owners of certain real property located at 975 West Hill Road, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 70,Block 4, Lot 25, which is more particularly bounded and described as set forth in Schedule"A"annexed hereto,hereinafter referred to as the Property; and 1 WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold(hereinafter the"Trustees")pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted;and WHEREAS,the DECLARANTS therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities;and WHEREAS,on November 15,2017,the Trustees approved the application and issued a permit with terms and conditions;and WHEREAS, the issued permit, terms and conditions of the permit, as well as the project plan prepared by En-Consultants, last dated December 12, 2017, and stamped approved on December 14,2017, upon which the permit is based,are annexed hereto as Schedule`B;'and D E C U! E MAR - 2 2018 Southold Town Board of Trustees WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a ten-foot wide "non-turf buffer" be established and maintained landward of the bulkhead, as depicted on the project plan prepared by En-Consultants,dated December 12, i 2017,and stamped approved on December 14,2017; i I ' i 4 NOW,THEREFORE,the DECLARANTS do hereby covenant and agree as follows: I 1) Upon the substantial completion of the aforementioned permitted activities there shall be I established and perpetually maintained landward of the bulkhead on the subject premises a ten-foot wide "non-turf buffer" as defined by Chapter 275 of the Town Code, as depicted on the project plan prepared by En-Consultants, dated December 12, 2017, and stamped approved on December 14,2017. 2) The DECLARANTS shall at all times comply with the Terms and Conditions of the permit, a copy of which is attached hereto in Schedule`B"annexed hereto. 3) These covenants shall run with the land and shall be binding on the DECLARANTS,their heirs,assigns,purchasers,or successors in interest and may be modified only upon resolution of the Board of Trustees. (THIS SPACE LEFT BLANK INTENTIONALY) D �- i i MAR - 2 2018 Southold win 2 Bpard of Trustse IN WITNESS WIEREOF, the owner has duly executed this instrument this day of 2018. j Sean lsen Leslie Olsen STATE OF ss: COUNTY OF ' °�Gtr'r 6w(d On the day of 'Fe in the year 2018,before me the undersigned, a Notary Public in and for said State,personally appeare f Sean Oisen personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual or the person on behalf of which the individual acted,executed the instrument. ' Notary Public NANCY BONILLA MY COMMISSION EXPIRES 31 202 LIC STATE OF �t 1 COUNTY OF fes,;, ss: On the S day of �;rVq te , in the year 2018,before me the undersigned,a Notary Public in and for said State,personally appeared Leslie Olsen personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,and that by her signature on the instrument, the individual or the person on behalf of which the individual acted,executed the instrument. D E C N v E Notary Public MAR - 2 2018 NANCY BONILLA N0TARYPUBLIC ; MY COMMISSION EXPIRES MAY 31,2021 Southold Town ard of Trus e s SCHEDULE A ALL that certain plot,piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk, State of New York, shown and designated as and by the Lot Numbered 4 on a certain map entitled,"Map of Calves Neck"and filed in the Suffolk County Clerk's Office on 2/15/72 as Map number 5673, said lot being more particularly bounded and described as follows: BEGINNING at a point on the southerly side of West Hill Road where the same is intersected by the division line between Lots 3 and 4 as shown on the aforesaid map, said point or place of beginning being at the northwesterly corner of premises herein to be described. RUNNING THENCE from said point or place of beginning along the southerly side of West Hill Road the following two courses and distances: 1) South 88 degrees 52 minutes 40 seconds East, 85.00 feet; 2) South 68 degrees 53 minutes 50 seconds East, 31.95 feet to the division line between Lots 4 and 5; RUNNING THENCE along said division line South 18 degrees 02 minutes 10 seconds West 232.34 feet; RUNNING THENCE North 86 degrees 51 minutes 20 seconds West, 75.00 feet to the division line between Lots 3 and 4 first above mentioned; and THENCE along said division line North 07 degrees 55 minutes 50 seconds East, 232.20 feet to the southerly side of West Hill Road,the point or place of BEGINNING. JJD E C E � V E l MAR - 2 2018 Southold Town— Boar ownBoard of Trustees 5c IiED[1L� B � �„''"��-""'� ` 11` "r {iNi r�� ,�..uri�r Y� 1s.�' +�' `t' i�T •.d`�•�;,� r�'a;`�: °�°' .Y � ��; :..,. ». ....d[C '.1 :.a 1� :e -►., 'r •r, + ,. c•rt e .. i:r-v+ f .� ( l I" r ___._�..__ ...4:�'�.;i^..;7,.L?!L`a�x�8`s`w,.,,.s:L:.t2..�...-i'.GG:sti::"."'b,7r—'..,..:.,'`.1...�5,'..v^-LL^.-"tb.�Gfi.L'.."_9J.a.:..3..•,MLR { BOARD OF SOUTHOLD TOWN TRUSTEES ?. SOUTHOLD,NEW YORK 6,f PERMIT NO. 9125 DATE: NOVEMBER 15,2017 ' Y ISSUED TO: SEAN & LESLIE OLSEN PROPERTY ADDRESS: 975 WEST HILL ROAD.SOUTHOLD 1'r t SCTM#1000-70-4-25 ' AUTHORIZATION f ; Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in a' a accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 15. 2017, and in consideration of application fee in the sum of$250.00 paid by Sean& Leslie Olsen and subject to the ' , Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits f the following: ; 4 Wetland Permit to remove and replace in-place approximately 85 linear feet of existing timber bulkhead ., with vinyl bulkhead; incidentally dredge 5'wide area adjacent to bulkhead to a maximum depth of4' '� "• Yj 1 MLW and use approximately 10 cubic yards of sand/silt'spoil as backfill; reconstruct in-place existing 4.51x7'seaward platform attached to bulkhead and reattach existing 2.51x9'ramp and 51x16'floating ; dock to remain;construct an 8'x20'on-grade,open-grate deck landward of bulkhead;and to establish t •. fa and perpetually maintain a 10'wide non-turf buffer along newly constructed bulkhead;with the condition of the Installation of drywelis for the gutters approaching the bulkhead;,all as depicted on the ' revised site plan prepared by En-Consultants,dated December 12,2017,and stamped approved on December 14,2017. �;- ,• 1 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. i•� Charles J. Sanders Glenn Goldsmith-Absent A r s. MAR - 2 2018 . , 1 `it � :' 1 - .. "R;f T ,,-�r,"s.',1..,-�r-.^•.^.e;.,. "�f'...:.�.'.a' .tr,::^;^-�--• "s^,. -'"t-;.:""�-'+_fi.:':C.,v. �`+�� �, \ � A iii »�,• �..,,,,_-,. 's'-�� TERMS AND CONDITIONS The Permittee Sean&Leslie Olsen residing at 975 West Hill Road Southold New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following; l. 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 I an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. b. 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, D E 0. VE MAR - 22018 Southold Town B ar Tru e So-UTHOLD . I , TRUSTEES Ivo. 1125 n � a m sued To�K Date Address 975 w. lhuw +eD., %ililillil,rr�acp THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SbUTHOLD; N.Y. 11971 TEL.: 765-1892 Southold HS Grp 4M(ACa55 VIA 56Cf kergerPr PROPERTY&CANAL PYLMF61E) APPROVE® BY «�x BOARD OF I RUSTEES TOWN OF SOUTHOLD DATE UGcffhAR- if, ?,0r7 a ,. $ So DILL R®AD — 5uffdk Gnfq H&pI rom M 4q Z000' � 1 - _ DEC 1 4 2017 1 o I (n P 99 = 30' SouUi;�ld Toti�n ' Cioa t Tnrsh.es ' Q Notes; WELLI) Pirpose;Replace and maintain existinq functional In l\\ bulkhead f�r flood&erosion control (� 2) Vatam�XW 3) Approx,10 c4 5"/silt spoil to 6e IncldentaJly LP TANKS dredged from 5,wide area adjacent to bddkhead and used as 6ackflll(sit ajitain to 6e/deplo4ed around dredge'Tea) 0 4) New bulkhead to be consFiucted with vlryl sheathing 0 2 STORY A treated structural tlm6er5,and hot-dipped tib DWELLING p galvanized steel hardware;replacement platform to PROP G' be constructed with open-orate decking DRYWELL Q 5) Project plan based on land Survey prepared by Jahn C. PROP. G' Phlers Land 5urveyar,last dated 9-5-17 DF_CK DRYWE 6) Plan and crossvlew diagams are schematic In nature and are Intended od y to establish project location,scope, PROP. 8'x 20' ~PATIO and 65Ic construction details for perm&rq purposes, ON- RADE DECK �V and are rot Intended to serve as or subst&&for (O EN-GRATE) erl or construction plans for construction Rw5e5 �) 'rGpe9oc 5 W.Noll Koad,Southold; X. +85' TIMBER BULKHEAD �+ 10 - -425 x TO BE REMOVED AND REPLACED + (IN-PLACE) WITH VINYL BULKHEAD t- _ -� _ — APPROX. BACKFILL LIMIT MAR 2 2018 ADJ. BLKHD. g� I � I't X-33. NONTURF BUFFER o Southold Town �� t�7UlTANTS 10' -491 — '44' -44"x in -35"x s B and of Trustees 13]9 ORTH SEA ROAD 53^ x_60"x-53� x yo MPTON, NY 1 ]968 Ex. 4.5'x 7'PLATFORM 5'x 75' AREA TO BE I CIDENTALLY 631-283-6360 To are -CONSTRUCTED IN DREDGED TO A MAX DEPTH OF -4'MLW PLACE( TTACH EX, 2.5',5' (APPROX 10 CY 5 0/51LT SPOIL RAM #,5'x I G'FLOAT) TO BE USED A5 B KFIL) ROP05EP PU,KHEAP kE1'tK MENT CANAL (JOCKEY CREEK) FOt 5EAN ANP I E%IE 0I 5% 76' E) 1g ON CANAL. TO JOCKEY CftK, -=®®D 50UTNOLR 5UPFOLK COUNTY, NY N/F C & P. BALONEY \ 5HEET I OF 2 10'317, 12-12-11 i i f f 6 I i 5� 11ON THM IN-FACS PULUAP FMAaM f i 'f5'PLATFORM f0 PE PEC0N5TRUCTED IN PLACE 2"CAP APPROX,A;'EA OE/a i L T-61 DAMP 0 PEMAIN C PEAffACH fO NEW PLATPOPW <APPROX 10 CY 5P0IL) � f--10' 1 MOP.B PECK 5' x 16' PLOM f0 FEMAIN I �t 4"x 6" fOP CLAW' MNW-21-6" lb' ,NLW-Of,0" 10" LAYLOG 5'x 15' AREA fO 6E INCIDENTALLY C 3) 6"x 6"WALES 44 DI;EDGE 7 f0-41 MLW 8 DPAfIMAN . 00 -h'MLW (APPR0X.10 CY SAND/51M PROP VINYL P[ KIfAP IN + 9'PER PLACE OF EX,11AWER DLU. 5/8"x 10"x 18' VINYL�ATNIN6 10" x20' PILES(6'O.C.) D ErrA E DEC 1 4 2017 MAR — 2 2018 L— wilco Sautr,t,ul'Toti1n Southold Town BOW ,t}` Boar of Trustees L ROP05W PLLKN�An WPLAG�M�NT 1319 PlOET�1SEA , �� �0�SCAN ANn L�5L1� OLS�N SOUTHAMPTON, NY i 196 ON CANAL TO JOCKEY CW, 631-28 3-6360 5OUTNOLP, WOLK COUNTY, NY 5H�ff 2 OF 2 10-3Hl r Glenn Goldsmith,President �QF SUUrTown Hall Annex Michael J. Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III l Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631)765-1892 Greg Williams �� Fax(631) 765-6641 UM BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 13, 2020 Robert E. Herrmann En-Consultants 1319 North-Sea Road, Southampton, NY,,11968, RE: SEAN & LESLIE OLSEN 875 WEST HILL ROAD, SOUTHOLD `SCTM#: -1000-70-4-25 Dear Mr. Herrmann: The following action was taken,by;thp.Southold Town;Board-o_f Trustees at their Regular Meeting held on Wednesday, February,.12„2020.., RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9125 to adjust the location and reduce the size of the reconstructed dock platform to 4.5'x5' in lieu of 4.5'x7'; and to eliminate the proposed 10'x20' deck landward of the bulkhead; construct as-built 5'x11' walkway to the dock platform; and as depicted on the site plan prepared by En-Consultants, last dated January 16, 2020, and stamped approved on February 12, 2020. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 1 Glenn Goldsmith President, Board of Trustees GG/dd l - 0 x.�A Je• C pPQ K�� �Cl� n�i D Av Southold \\�e�o wu MioFgyy yFc D 90 �' � � `•r� � SIT>;(ACCESS VIA SL16J�C1 "��"� Harper Pt PROPERLY 9 CANAL 6Y 6AP,6E) - Geek JAPE 2 8 2020 m JCCKE9 CREEK AN OA O y SOLltholdTown a f Tril 5 ry HS NP,S`� y� P9 —Pn ,�-- APPROVED Y = eus� Nus N NYC qr� WE s old�o Custer�gFgp�yy � HILL ROAD um Institute FG- 3 B®ARS OF T FG- BOARD � � - 5uffolk County Hagstrom Map 44 TOWS! OF S U H LD 1" - +2000' ®ATE FFRV � ZoZO 15' 15' 0 1 " = 30' 0 WELL+ Eb I) Purpose;Replace and maintain existing functional IN bulkhead for flood&erosion control V 2) Datum;MLW LP TANKS3) Approx,10 cy sand/silt spool to 6e incidentally �W dredged from 5' wide area adjacent to 6alkhead ❑ �V and used as 6ackf ll(sit curtain to 6e deployed 2S TO around dredge area) O DWELLING �O `}) New bulkhead to 6e constructed with vinyl sheathing• PROP 6' treated structural t,11,1661-5,and hot-dipped DRYWELL galvanized steel hardware;replacement platform to ti PROP 6e constructed with open-date deckinq D RYWELL 5) Project plan 6a5ed on land survey prepared 64 John C• NDECK ,e Ehlers Land 5urveyor-,last dated 9-5-17 6) Plan and crossview dlaq-ams are schematic in nature PATIO w and are Intended only to establish project location,scope, X. +(55'TIMBER BULKHEAD \ and basic construction details for permittinq purposes TO BE and are not Intended to serve as or substitute for REMOVED AND REPLACED engineering or construction plans for construction purposes (IN-PLACE) WITH VINYL BULKHEAD I+ 7) Property location;975 W.Hill Road,Southold; PROP. 5'x I I' x}25 WOOD WALK SCtM#1000-70- +5 _ APPROX. BACKFILL LIMI E N - CONSULTANTS ADJ. BLKHD. +I NONTl RF BUFFER + 11' 1319 NORTH SEA ®, x 0' _ �� SOUTHAMPTON,49" y — — — x ✓ , NY 11 968 IOC _ +4.5 -44.. � -35" \6C 53" x x 53° MLIV mw �y0 631-283-6360 -GO" -57"x EX 4 5'x 7' PLATFORM RECONSTRUCTED 4 5' 5'P TFORM AND 2.5'x 9' RAMP TO BE AND RELOCATED 2 5'x 9' MP ppOPO5�P PULKHW PMAC�M�NT REMOVED* RELOCATED EX. 5'x I G' FLOAT TO REMAIN FO� 5M ANP LME OL5�N CANAL JOCKEY CREEK) 5' x 75' AREA TO E INCIDENTALLY ON CANAL TO JOCKEY CV �K, I;+76' WIDE) DREDGED TO A AX. DEPTH OF -4'MLW EBB (APPROX 10 C SAND/SILT SPOIL 50U1"HOL19, 5UFFOLK COUNTY, NY ELLOOD TO BE USED A BACKFILL) 5HETf I OF 2 I0'3'I1, 12-12-11 N/F C. & P. MALONEY \ �-8'19, I'I6-20 5FCTION THFU IN-FLACF PULMW FVLACMW I'' - 10, L44, (&VApJ 4.5'PLATFOFM TO 6E FECONSfP, D I ON 2'' CAP EA5f 51PE OF FLOAT ApPI?OX.AP.EA OF/6ACKF LL 2'-6" pAMP f0 6E pELOCATED f0 EAST SInE OF FLOAT (AFROX,10 CY 5POIL) �+ n f----10' P1,0P. WALK 5' x 16' FLOATfO FfMAN 4" 6" TOP CLAMP MNW= 2'-6" ul 06, TIE 1 MLW- 0'-oll 10" LAtO6 5' x 15' PMA fO 6E INCIPENfALLY C 3) 6" x 6" WALES 3 -49,� 17pE1207 f0-4' MLW P. 60t -4'WW (APPPDX,10 CY 5"/51Lf) 8" MAPMAN Gp�57" MOP.VINYL PLLKHEPV IN +9' PEN. � PLALE OF EX,fIM6Ep f�I K1 7. 3/8" x 10" x 18' VINY,51�ATHING 10" x 20' PILE5(6 O.C.) E N - CONSULTANTS "28 1319 NORTH SEA RD. SOUTHAMPTON, NY 11965 631-X53-630 ppOPO5�P PIKHM9 FMAC�M�NT rustees FOP 5M ANP [,Mt OL5�N ON CANAL TO JOCKEY C, K 5OUTHOW, 5UFFOLK COUNTY, NY 5H��f 2 OF 2 10-3-11, 12-12-11 3-6-19, 1-16-20 Glenn Goldsmith, President q sorry Town Hall Annex Michael J.Domino,Vice-President �O ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ S 1}e1d Nasar York 11971 A.Nicholas r Kru ski cn sc 11 f r' f~' rl - P G lei o ((L31I_)7,65-189% I t� Greg Williams SAN 2 8 2020 BOARD OF TOWN TRUSTEES Southold ToYvn TOWN OF SOUTHOLD Board of lrust,;es APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE: January 17, 2020 PROPERTY OWNER NAME: Sean & Leslie Olsen MAILING ADDRESS: 12 Musket Lane, Darien, CT 06820 PHONE: 203-202-7958 AGENT En-Consultants I ADDRESS 1319 North Sea' Road,:Southampton, NY 11968 PROPERTY LOCATION 975 West Hill Road. Southold j TAX MAP NO. 1000-70-4-25 I En-Consultants for Sean Olsen Administrative 9125 I/We request an Amendment to Permit# To adjust the location and reduce the size of the reconstructed dock platform i o x 5 (instead of 4.5 x 7'); and to eliminate the proposed 10' x 20' deck landward of the bulkhead in favor of a 5' x 11' walkway to the dock platform, as depicted on the project plan prepared by En-Consultants, i last dated January 16, 2020. i i I 1 Signed by: Robe Herrmann ' Coastal Managment Specialist J 4 EN-CONSULTANTS ADMINISTRATIVE AMENDMENT REQUEST January 17, 2020 rill � � l`� 11 �,7 E Town of Southold u Board of Trustees JAN 2 8 2024 Post Office Box 1179 Southold,New York 11971 Southold lvm aar l of fi ntoes Re: Permit#9125 975 West Hill Road, Southold SCTM#1000-70-4-25 Dear Board of Trustees: Please accept this letter as a request to administratively amend the above referenced permit as described on the enclosed Letter of Request for Amendment. Enclosed for review are correspondence explaining the modification request, application for Letter of Request for Amendment, four(4) copies of the project plan prepared by En- Consultants, last dated January 16, 2020, and a check for the amendment fee of$50. SinkCe . , i RoHerrmann Coastal Management Specialist /khs Enc. l 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 wwwenconsultants.com environmental consulting Sean and Leslie Olsen j 975 Hill Rd W Southold,NY 11971 5164551200 Sean Olsen@gmail.com t November 19,2019 D �__�_ rl• ' Southold Town Trustees Attn:Greg Williams NOV 2 0 2Q19 Lei 54375 Main Rd Southold,NY 11971 Sauthcldinjdn Board o;�r�stees Dear Mr Williams Pursuant to our conversation today, I am writing to let you know that we've decided to forgo the construction of the 10'x 20' platform as described in our amended permit application. We have decided instead to construct a smaller Tx 16'walkway and will not be adding to it. Best regards, Sean Olsen fa, Glenn Goldsmitl, esident o�OSpFFQ(k p Town Hall Annex Michael J. Domino, Vice4(resident ¢,�� y� � 54375 Route 25 John M. Brede'meyer III o '` P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Greg Williams y�o� Telephone (63692 ) 765 66431) 8 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time:� ��0 2�2� ; , n Completed in field by: En-Consultants on behalf of SEAN & LESLIE OLSEN requests an Administrative Amendment to Wetland Permit#9125 to adjust the location and reduce the size of the reconstructed dock platform to 4.5'x5' in lieu of 4.5'x7'; and to eliminate the proposed 10'x20' deck landward of the bulkhead construct as-built 5'x11' walkway to the dock platform. Located: 975 West Hill Road, Southold. SCTM#: 1000-70-4-25 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 L/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/standar/ds: P-1-4CCL., S &A' .45 46�Z, "I 1,01)s&_ ESV z i, 16AS S�to�eQ�,� 1 cE`v✓ctit� I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other w s i S - r Jr 04 ilik Jf f 1w 4i IL r i. ti •F ViN o `'' Michael J.Domino,President so�Ty Town Hall Annex John M.Bredemeyer III,Vice-President ,`O ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith #[ [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 �yCOUNT`1,� BOARD OF TOWN TRUSTEES May 15, 2019 TOWN OF SOUTHOLD Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: SEAN & LESLIE OLSEN 975 WEST HILL ROAD, SOUTHOLD SCTM#: 1000-70-4-25 Dear Mr. Herrmann:. The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 15, 2019. RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9125 for the reconstruction of existing 4.5'x7' seaward platform on east side of float; reattach existing 2.5'x9' ramp to platform on east side of float; locate the approved on grade open grate deck on east side of float; and to increase the 8'x20' on-grade open grate deck to 10'to align the landward edge of the deck with the landward limit of the 10' non-turf buffer; and as depicted on the site plan prepared by En-Consultants, dated March 8, 2019 and stamped approved on May 15, 2019. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency., If you have any questions, please do not hesitate to contact this office. Sincerely, j Michael J. Domino President, Board of Trustees MJD/dd a 0 LA $OU[h01d HILL M/DF H$ 9�s\G� S 90 WQ CrPf 517 (ACC�55 VIA SLLUCT Harper Pt PWPIl M&CANAL 6Y PAU) Ik CDEEK DR 3 1f `' AN MAR 1 2 2019 I i o 9 9 COR N i m o is O SO CUSTEFl y PV3 v^y N 9 S ARPA g�tF���✓y,;q p� M q YG ,,R E `BY old Custer�ct�aHVEw 63ID1 9! WES HILL ROAD �m InstHute �� Ny x ti V �s BOARD OF 1 Sunk County HmArom Map- 4 TOWN OF SO H LD 1" - +Z000' DATE rn,� 15' tu U-1 15' 15' z `r' 1 " = 30' O WELL Fb Notes; C\ 1) f urpose:Peplace and maintain existing functional [� LP TANS bulkhead for flood&erosion control 2) Datum:MLW �W 3) Approx,10 cy sand/silt spoil to 6e incidentally ❑ �V dredged from 5'wide area adjacent to bulkhead O 2 STORY q and used az backfill(5!t curtain to 6e deployed DWELLING CO� around dredge area) PROF 4) New bulkhead to 6e constructed with vinyl sheathing. DRYWE� �� treated structural timbers,and hot-dipped PROP. G' galvanized steel hardware;replacement platform to DRYWELL 6e constructed with open-orate decking DECK 5) Project plan based on land survey prepared 64 John C, PATIO Pklers Land Surveyor,last dated 9-5-I1 X/ I O'x 20 W (9) Plan and crossview diaorams are schematic in nature ON-GRADE DEC �t and are intended only to establish project location,scope, (OPEN-GRATE) �X and basic construction details for permitting purposes EX -I-85' TIMBER BULKHEAD and are rot Intended to serve as or substitute for TO E REMOVED AND REPLACED 1+ engineerinq or construction plans for construction purposes (I -PLACE) WITH VINYL BULKHEAD 7) Property location:915 W.Hill Koad,5a&ld; AP OX. BACKFILL LIMIT SCtM#1000-70-4-25 ADJ. BLKHD. NONTURF BUFFER of 20 I o X-33" r EN-CONSULTANTS _ q0 /0' -49" 53 _. _ =44" -35X y 1319 NORTH SEA ROA® " MLW% O V X-60"x 3 _57"x SOUTHAMPTON, NY 11968 EX 4 5'x 7' PLATFORM RECONSTRUCTED 4.5' 7' P TFORM 631®283-6360 AND 2 5'x 9' RAMP TO 5E AND RELOCATED 2 5'x 9' MP REMOVED f RELOCATED EX. 5'x I G' FLOAT TO REMAIN ppOP05�19 P I UAn \MACMNT CANAL JOCKEY CREEK 5' x 75' AREA TO E INCIDENTALLY DREDGED TO A AX. DEPTH OF -4'MLW FOP, SCAN ANP 1.�51.1� OI,S�N X76' NIDE) EBB (APPROX 10 C SAND/SILT SPOIL ON CANAL TO JOCKEY Cp��K, FLOOD TO BE USED A BACKFILL) 50UTHOLP, 5UFFOLK COUNTY, NY N/F C. & P. MALONEY 5H��T I OF 2 I0-5-17, 12-12-17, 3-8-19 F2 :1y i MAR 1 2 2019 Board-1)[12 5�C110N THPI IN-P�AC� 6UI.KHW PVAaM%f 1'' - 10' L44' (&VAr") 4 5'PLATFOPM TO PE MCON5TFUCTEi7 ON 2" CAP EA5f 5117E OF FLOAT APPPDX,AP.EA OF/PAC LL 2'-6" DAMP TO PE pELOCAT O TO EA5f 51M OF FLOAT APPPIOX 10 CY 5POIL) f—--10' PpOP•O'PECK 5' x 16' FLOAT TO PEMAIN Fes—1 � 4" 6" TOP CLAMP MHW- 2'-6" TI�pOD MLW= O'-o" 10" LAY06 3 „ 5' x 75' AFEA f0 PE INCIPENTALLY (5) 6" x 6"WALE5 49„ 17E;EZE7 f0-4' MLW P 601 -4'MLW (APPPDX.10 CY 5AN17/511,f) 8" PEA17MAN Gp�-57" PP,OP VINYL 13LL"Al?IN +9' PEN• PLACE OF EX.TIM6Ep MW. 3/8" x 10" x 18' VINYL 5HMTHIN6 10" x 20' PILE5(6' O,CJ EN-CONISULTANTS 1319 NORTH SEA ROAD SOUTHAMPTON, NY 11963 631-283-6360 MOPO5�P MUM VLAaMf FOP 5M ANP LME OL5�N ON CANAL TO JOCKEY CP,� K, 5OUTNOI,P, 5UFFOLK COUNTY, NY 5H��f 2 OF 2 10-3-11, 3-8-19 Michael J. Domino, Preside O�Q COG% Town Hall Annex John M. Bredemeyer II1, Vice-President �� �,,,�y 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 N 2 A.Nicholas Krupski Southold,NY 11971 Greg Williams 'yp� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: !Yjh En-Consultants on behalf of SEAN & LESLIE OLSEN requests an Administrative Amendment to Wetland Permit#9125 for the reconstruction of existing 4.5'x7' seaward platform on east side of float; reattach existing 2.5'x9' ramp to platform on east side of float; locate the approved on grade open grate deck on east side of float; to increase 8'x20' on-grade open grate deck to 10' to align the landward edge of the deck with the landward limit of the 10' non-turf buffer. Located: 975 West Hill Road, Southold. SCTM#: 1000-70-4-25 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� 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 4 • 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: A I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: J. Bredemeyer ✓ M. Domino G. Goldsmith N. Krupski G. Williams Other d Michael J.Domino,Presiaent �O^� FO��-� Town Hall Annex John M. Bredemeyer III,Vice-President yd d�� 54375 Route 25 q Glenn Goldsmith P.O.Box 1179 Southold,New Fork 11971 A. Nicholas Krupski d Telephone(631) 765-1892 Greg Williams �� �,-'-F-ax j(-631-)-76&664-1__ BOARD OF TOWN TRUSTEES `{' MAR 1 2 2019 TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT DATE March 8,2019 OWNER Sean&Leslie Olsen PHONE 516-455-1200 ADDRESS 12 Musket Lane,Darien,CT 06820 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton,NY 11968 PROPERTY LOCATION 975 West Hill Road,Southold TAX MAP NO. 1000-70-4-25 I/We En-Consultants for Sean&Leslie Olsen request an Amendment to Permit# 9125 to authorize reconstruction of the existing 4.5'x 7'seaward platform on the east side of the float(rather than m-place);to reattach the existing 2.5'x 9'ramp to the reconstructed platform on the east side of the float;to locate the approved on-grade,open-grate deck on the east side of the float;and to increase the 8'width of the 8'x 20'on-grade,open-grate deck to 10'to align the landward edge of the deck with the landward limit of the 10' non-turf buffer,all as depicted on the project plan prepared by En-Consultants,last dated March 8,2019. Signed By:_JL= Robert E.HeVnann,Coastal Management Specialist Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) l/We9 Sean Olsen owners of the property identified as SCTM# 1000- 70-4-25 _W in the town of Southold ,New York,hereby authorizes _ o _ En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A Prop O er's Signature Property Owner's Signature Sean OI SWORN TO BEFORE ME THIS DAY OF 120 Notary Publi Mp► CO N®TARY PUBL�C MY COMMISSION EXP► oV.30,2097 Bard of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Leslie OlsenTy�V���y___ owners of the property identified as SCTM# 1000P 70-4-25 in the town of Southold New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permits) from the Southold Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature Leslie Olsen SWORN TO BEFORE ME THIS _�� _ DAY OF 'A L-- , 20 0,-7. Notary Public e ROBERT L RIGILANQ Rotary Public Connecticut My Commissibn Expires Aug 31, 2021 i1vlby 1 Board of Trustees Application County of Suffbltc N York r State of� cKJ- Sean Olsen 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 TOWN 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(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature,Sean Olsen SWORN TO BEFORE ME THIS DAY OF 20-L;7 t No&zXfiUWiC MAVEL,YN BL.ANCO NOTARYPUBLM MY COMMIS81ON EXPIRES NOV.30,2017 Cc�nwte x-/171'$� Bard ®f Trustees Application County of Suffew— P'4'ra �, Q State of New-Y- tc c I c v Leslie Olsen 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 TOWN 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(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature, Leslie Olsen SWORN TO BEFORE ME THIS c� DAY OF -.2201-1 ROBERT L RIGILANO Notary Public Connecticut My Commission Expires Aug 31, 2021 Notary Public - APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FOM T e .vn 3tr�rt old' ode of t iProbibitsconflicLsof interest n tf o overt f rs Qd gmp-lmmDo u is f rm is to JTr0Vjd0 iftflOnniltiOn wh"ch cnn aldrt the tolvn of noSSiblei of i est and allow it to take whatcyer action necessary to avoid same. YOUR NAME: Olsen,Sean (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company,If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance _ Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you 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 k 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)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 this i day Of s9 / 200 Signature Print Name SaRolsp Form TS 1 s APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM T h2 Jos of S u ol&s C de of^t i rs 'b' co fl' is f'i to st ntlle Rart-ghowa offlM and employces.The purpose of thisfom is to vwiO_infinTmAtion which can Alert the town of Vqs_s:i_bjg conflicts dinterost and a low it EQ e whatewr action i nemm y tr avid Same. ` YOUR NAME: Olsen, Leslie (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you 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): i 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 noncorporate 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 this ?-4 day of, 200 SignatureWP—4 Z, 5 Print Name LesliB Olsen Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSIURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same YOUR NAME Herrmann, Robert F (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION (Check all that apply) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X 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)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 this & y of MARCH 200119 Signature Print Name - E. He rum Form TS 1 U , 617.20 Appendix B Short Environmental Assessment Form Instructions for 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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1 You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project- Olsen Property Project Location(describe,and attach a location map): 975 West Hill Road,Town of Southold,Suffolk County,NY, SCTM#1000-70-4-25;property is located on south side of West Hill Road,+/-366'east of Wells Road„location map provided. Brief Description of Proposed Action: Administratively amend Wetlands Permit No. 9125 to authorize reconstruction of the existing 4.5'x 7'seaward platform on the east side of the float(rather than in-place);to reattach the existing 2.5'x 9'ramp to the reconstructed platform on the east side of the float;to locate the approved on-grade,open-grate deck on the east side of the float;and to increase the 8'width of the 8'x 20'on-grade,open-grate deck to 10'to align the landward edge of the deck with the landward limit of the 10'non-turf buffer,all as depicted on the protect plan prepared by En-Consultants,last dated March 8,2019. Name of Applicant or Sponsor- Telephone: 203-202-7958 Sean&Leslie Olsen E-Mail sean.olsen@gmail.com Address: 12 Musket Lane City/PO: State: Zip Code: Darien CT 06820 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. X 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: DEC,COE,DOS X 3.a Total acreage of the site of the proposed action9 22,295 sf b.Total acreage to be physically disturbed? +/-3,000 sf c.Total acreage(project site and any.contiguous properties)owned or controlled by the applicant or project sponsor? 22,295 sf ; 4. Check all land uses that occur on,adjoining and near the proposed action ❑Urban ❑ Rural(non-agriculture) ❑Industrial ❑Commercial N Residential(suburban) ❑ Forest ❑Agriculture N Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a A permitted use under the zoning regulations? X b Consistent with the adopted comprehensive plan? X 6 Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape9 X 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, and scenic beauty, Agency: Suffolk County,Date: 7-12-88. X 8 a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 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- N/A 10 Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water- N/A 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N/A 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b. Is the proposed action located in an archeological sensitive area? X 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? X b Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 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 ❑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 X 16. Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge,either from point or non-point sources? YES If Yes, 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)9 If Yes,briefly describe: ❑NO❑YES Page 2 of 4 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: X 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: X 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: X I AFFIRM THAT THE INF MATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Ro E.Hen-mann,Coastal Management Specialist Date: March 8,2019 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations9 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? 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 affect 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 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? 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 I 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. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 - -_ _ - _ "-_ _ - _ _ __i__,� +Fn�k'�;., =t4:rd- - -;.y-n..; w:i^.. a;{�,+ ri�r''ar•,�� -,:t.�' ,}s„e��,...�i. _ .�.�� .:,t _ w4 - - ,1 q'fi :'R'.:ix".f' '"k`..Jw Le.'a..�iA�ti t'(.`._ 14* t `tt -.-h �-•_i::..,.:�. ,�'„ t=,t.��...'{':`%:=`f`s� '�.n... �f,'� � - '-,I:ip; 5xL- ':;ri,. c:_ +-92'PB't5•s =K„i'>t` _v`<ef Z'-25'.._.{` Gti �.�•' ��`Im"'se,t �`�� �.+i u., ,.3`�5r,y�ty'7E"�4'+�f0'¢E"e... t',�';� -,_72°13"1 i _,�i;� -:•:>k' ifwJb.s' .�tw,,,w.`-'.�:lg.,�,J cl,''�. .i: -.4- F...�'.- 'sY `;i:ti. �-.�,.`sn�v_:`�:..'- _ 61 48 25 25 p3shamompck T m � 9�6�m e o Hashanioin ick Pt �pNp ` -� Pond w• in d � r O BURGUNDY D MAY C9 f i,4 Ci OR 2 °� ° �` Park i• DA .o oAF o �la � vyyN e° LONG o � � a F Bi dds tt ° Pond MOq(INGBaiD O 'yY 9� OF eld yO�rF 9� F; Vine ° Je m 0 0 � 0 i OPO 25 S ,5,C1PV Hippodrome Southold Pond q0 Sta i ® Ho r° 90 l °� Iry orgy, �D BI EDON ffi ��°sty ty SOa:.t t S 1' 7Tu OLD s � ate " Southold Founders, HS 10 Landing "sMwE 517 (AM55 VIA 5{Jf3Jl CT Harper PF > PM&CANAI.13Y 13AU) reek C�7 BAY JOOIOii GiEEK DR `O O °° ^ c r Cem �! pon N C SO EPS RO H 0� - i CUSfHi'�' m PV z s G t $O hold - � Y _ Park So oltl Custer Indlan Mu 'm InstAutearngwsv 9 z S o NAReo w AV t OffpY ---”---- - *vv OMEH R s N yo SCounty H.1,Vom Map.4,4 °AeRo 0R °° a Lip. sy RF 20001 wa ¢o _ OQ Ll, V a a KE OR °O m H West"C > y Cyan v N � h c RDBI m ca o ryoR� a GREAT HOG 5 mcg LA 00•� °e°fir ° � � z y NECK Av Q = h 1 z Mr y e mR [a BAYVIDU 5 ° UH b �'f �y 3 RO i b{g me son tv Park Cored Creek $ e� Bea h Al A,,M„- 3Q aQ/�CF DAR_,�,�agv000 Cou ,Par a EN-CONSULTANTS ADMINISTRATIVE AMENDMENT REQUEST March 8,2019 -77 Town of Southold ^ , Board of Trustees Post Office Box 1179 Southold, New York 11971 MAO 2 2019 € 1 Re: Permit#9125 �,��;_��;711-1.1--_.� ,� I 975 West Hill Raod, Southold `--- ------�aL--`"�L! SCTM#1000-70-4-25 Dear Board of Trustees: Please accept this letter as a request to administratively amend the above referenced permit as described on the enclosed Letter of Request for Amendment. Enclosed for review are a copy of Permit#9125, application for Letter of Request for Amendment, four(4) copies of the project plan prepared by En-Consultants, dated March 8, 2019, and a check for the amendment fee of$50. Since y, Robert . Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 1 p 631.283.6360 1 f 631.283 6136 www.enconsultants.com environmental consulting �OF S0Vry Michael J.Domino,President 0. Town Hall Annex 0 John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.SandersC07 41C Southold,New York 11971 Glenn Goldsmith O • �O Telephone(631) 765-1892 A.Nicholas Krupski if'CO IN��� Fax(631) 765-6641 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 '/Z constructed Project complete, compliance inspection }+ d ` f BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9125 DATE: NOVEMBER 15,2017 k ISSUED TO: SEAN &LESLIE OLSEN 4 PROPERTY ADDRESS: 975 WEST HILL ROAD, SOUTHOLD A SCTM# 1000-70-4-25 AUTHORIZATION 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 November 15, 2017, and in consideration of application fee in the sum of$250.00 paid by Sean & Leslie Olsen and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: q Wetland Permit to remove and replace in-place approximately 85 linear feet of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5'wide area adjacent to bulkhead to a maximum depth of 4' MLW and use approximately 10 cubic yards of sand/silt spoil as backfill; reconstruct in-place existing 4.5'x7'seaward platform attached to bulkhead and reattach existing 2.5'x9' ramp and 5'x16' floating ' dock to remain; construct an 8'x20' on-grade,open-grate deck landward of bulkhead; and to establish and perpetually maintain a 10'wide non-turf buffer along newly constructed bulkhead; with the condition of the installation of drywells for the gutters approaching the bulkhead; all as depicted on the revised site plan prepared by En-Consultants,dated December 12,2017,and stamped approved on J) December 14,2017. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, s ;- and these presents to be subscribed by a majority of the said Board as of this date. OBUFFO(/- A'a CSG o (_/_C'har1es__J' Sanders COD ` Glenn Goldsmith-Absent 1XI171" Ii vz TERMS AND CONDITION— The Permittee Sean & Leslie Olsen residing at 975 West Hill Road, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 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 Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. 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. Michael J.Domino,President OF SOUry� Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Charles J. Sanders Southold,New York 11971 Glenn GoldsmithG Q � p Telephone(631) 765-1892 A.Nicholas Krupskiy00U O Fax(631) 765-6641 � NTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 15, 2017 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: SEAN & LESLIE OLSEN 975 WEST HILL ROAD, SOUTHOLD SCTM# 1000-70-4-25 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 15, 2017 regarding the above matter: WHEREAS, En-Consultants on behalf of SEAN & LESLIE OLSEN 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 October 13, 2017, 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 proposed action to remove and replace in-place approximately 85 linear feet of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5' wide area adjacent to bulkhead to a maximum depth of-4' MLW and use approximately 10 cubic yards of sand/silt spoil as backfill; reconstruct in-place existing 4.5x7' seaward platform attached to bulkhead and construct an 8'x20' on-grade, open- grate deck landward of bulkhead be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the reattachment of existing 2.5'x9' ramp and 5'x16' floating dock to remain, be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program policy to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 15, 2017, at which time all interested persons were given an opportunity to be heard, and, 2 M} WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of SEAN & LESLIE OLSEN to remove and replace in-place approximately 85 linear feet of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5' wide area adjacent to bulkhead to a maximum depth of-4' MLW and use approximately 10 cubic yards of sand/silt spoil as backfill; reconstruct in- place existing 4.5'x7' seaward platform attached to bulkhead and reattach existing 2.5'x9' ramp and 5'x16' floating dock to remain; construct an 8'x20' on-grade, open-grate deck landward of bulkhead; and to establish and perpetually maintain a 10' wide non-turf buffer along newly constructed bulkhead; with the condition of the installation of drywelis for the gutters approaching the bulkhead; all as depicted on the revised site plan prepared by En-Consultants, dated December 12, 2017, and stamped approved on December 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: None Very truly yours, Michael J. Domino President, Board of Trustees 5 U RV EY Of LOT 4 N AS SHOWN ON A CERTAIN MAP ENTITLED ' MAP OF CALVES NECK FILED IN THE SUFFOLK COUNTY CLERKS OFFICE ON 2/15/72 AS MAP NO. 5673 51TUATE : 5 ,�A C0UTHOLD Yil TOWN : 50UTHOLD 5U FEOLK COUNTY, NY S 5URVEYED 08-21 -2014 UPDATED 09-05-2017 5UFfOLK COUNTY TAX # 1000 - 70 - 4 - 25 CERTIFIED T0: SEAN OLSEN LESLIE OLSEN CHASE BANK, N.A. FIDELITY NATIONAL TITLE INSURANCE SERVICES LLC. VVA �(_fST HILL COAD asphalt roadway CONCRETE CURB �C [ u ' P' '8 °5 2'40"E 85.00 POLE S�8°s I \\ Q3� O 1D - 3 S ,/ EEC 3 2017 •19 1 I I Souihnld Town Q I oar Tr im =1 W 161, O �I LOT 4 I I PROPANE NEO O I TANKS WELL (Y� nl 22.2 CV N Q PORCH - •� — s.a� !'98f N m - - -- m I G 4 N SSP - - --- O IG,G U J AC m 2 STONY to Ga' LO O m F O\ t� RAME HOUSE � - * GARAGE w O w° 0 55.3 J ad FRAME DECK J_,5149.7 0 0 �N STONE PATIO BELOW DEC I I N m' �I LU Uj ° to X33WOOD BULKHEAD -49"x 44" X44" -35"X -53" X-53" n' Ln WOOD G'PL x-57" OV O PLATFORM Skl6'FLOAT t� Lb O o If CANAL n C() � � X ------------ (5G05 112011W 75.00' LAND NOW OR FORMERLY Of. GEORGE H. WELLS ESTATE WATER DEPTHS RECORDED DURING LOW TIDE ON JUNE 13, 2017 "Unauthorized alteration or addition to a survey NOTES: mop bearing a licensed land surveyors seal is a violation of section 7209,sub-division 2, of the ® MONUMENT FOUND JOHN C. E H LE RS LAND SURVEYOR � of �u�ty New York State Education Law" ® NAIL FOUND ��Q't��G•EH/_�NO Only copies from the original of t surveyor'survey "� marked with an original of the land surveyor s o SPLIT RAIL FENCE stomped seul ahull be considered to be valid hue copies' Area = 22,295 Sq. Ft. G EAST MAIN STREET N.Y.5. LIC. NO. 50202 * "Certifications indicated hereon signify that this survey was prepared in accordance with the ex- Area = 0.5 1 18 Acres RIVERHEAD N.Y. 1 1901 3G9-8288 Fax 3G9-8287 y tog Code of State for Land Surveys Professional� t� by the New York State Association of Professionoi ii_ �� Land New Said certifications shall run only GRAPHIC SCALE I = 30 longl5landlandaurveyor.com 0 O� to the person for whom the survey is prepared, /-� and on his behalf to the title company,governmen- tsn 5202 V tal agency and lending institution listed hereon, and C o the assignees of the lending institution Certifica- 1 4-1 77 O D Sv tions are not transferable to additional institutions - ..- Southold \ fcX 51M(ACa55 VIA 51113)QCT PPOPEM&CANAI,P Harper Pt p: /APPRO" JED B Y6AP,L+ ) r i {eek eN BOARD OF 1 RUSTEES TOWN OF SOUTHOLD DATE,I� ' COR N 5 � o ? � �� 0P • 'f 1+' pc-c �tF, e.1�120(7 oldm WE S I BILL ROAD Custer �� y i um Institute ao m Suffolk County Hagstrom Map-1-4 2000' o DEC 1 4 2017 ? uJ z o I 191 — 30' Surhold Town Board 4(rust es Q Notes; WELL 1) Purpose;Peplace and maintain existinq functional !� bulkhead for flood&erosion contra 2) Patum;MI W [D5) Approx,10 04 sand/silt spall to 6e incidentally V k9 dredged from 5'wide area adjacent to wkhead [� LP TANS aid used as 6ackfill(sit adtam to 6e deployed �W aramd dredge area) ❑ 4) New bulkhead to 6e constructed with vinyl sheathing. C 2 STORY treated structural timbers,and hot-dipped DWELLING O galvanized steel hadware;replacement platform to PROP. G' be constructed with open-crate decking DRYWELL �� 5) Project plan based on land survey prepared 6y John C, PROP GEhlers Land Surveyor,last dated 9-5-19 DRYWEL 6) Plan and crossview diacfams are schematic In nabue DECK ,Q and are intended ordy to establish project location,scope, and basic consction ditti etails for permnq purposes PROP. 8'x 20' PATIO tru ON- RADE DECK and are rot intended to serve as or substitute for W (0 EN-GRATE) st, encitwerinq or construction plans for construction purposes 9) Property locatwm,995 W.Hill Road,Southold; h�0 EX. +85'TIMBER BULKHEAD 5C%#1000-10-4-25 X� TO BE REMOVED AND REPLACED 1+ (IN-PLACE) WITH VINYL BULKHEAD _ _ _ APP_ROX_BACKFILL LIMIT �y y^ �e ADJ. BLKHD. g' 20 o EN-CONSULTANTS x 33" NONTURF BUFFER+ q 10 -44" -44"x -35"x °� e 1319 NORTH SEA ROAD -53° x-GO" -57' x-53" ,CLW/a�Hw `�tia SOUTHAMPTON, Nle 11968 EX 4 5'x 7PLATFORM 5' x 75AREA TO BE I CIDENTALLY 631-283-6360 TO BE CONSTRUCTED IN DREDGED TO A MAX DEPTH OF -4'MLW PLACE ( TTACH EX. 2.5'x 9' (APPROX 10 CY SA D/SILT SPOIL RAMP 5'x I G'FLOAT) TO BE USED ASB KFILL) P�OP05�P PUMAP la,�pLAaMf CANAL (JOCKEY CREEK) FOS 5M ANn 1,f5LI� OL5�N L+76' WIDE) EBB ON CANAL TO JOCKEY CkM, =OOD 50U1�IOL , 5UFFOLK COUNTY, NY N/F c. & P. MALONEY \ 5H��f I OF 2 10-3-11, 12-12-11 5� 110N THFU IWFt ACS PIUAP VLAaMf III - sol FLATFOU TO P3 1?ECON5TFZUCTEI7 IN PLACE 2"CAP ApPpOX.MEA OF/a LL 2'-6" DAMP TO MMAIN( WfACH TO NEW PLATFOPW APPpOX.10 CY 5POIL) fl X10' PPOP. 17ECK 5' x 16' FLOAT TO 9MA1N r~8'--i 4" x 6' TOP CLAMP MHN- 2'-6' x 16' �EpOb MM- 01-011 10" M06 3 „ 5' x 75' AREA TO 6E INCIMNTAlY (3) 6" x 6" WM5 ag PM' 196E12 TO-4' MLW P. [3 -4'WW (APPPDX.10 CY 5ANP/511,T) 8" MAV[2MAN 5 --► �� MOP.VINW131"Al2 IN +9' PEN. PLACE OF M 11M P,PLKNI7. M1.5 3/6" x 10" x 15' VIfATNIN6 10" x 20' PILE5(6' O.C.) ol �+I ,� Jf EN-CONSULTANTS PPOP05ftn P I UA19 lVLACMNT 1319 NORTH SEA ROA® FOP 5M AW L. 5LE O15�N SOUTHAMPTON, NY 11968 ON CANAL fO BOXY CMK, 631-283-6360 50UTHOW, 5UFFOLK COUNTY, NY 5H��f 2 OF 2 10-3-I1 Michael J. Domino, Pre '' L.: Town Hall Annex pit tj �gUFFO1KC John M. Bredemeyer, ll[, Vtce-President o� °G , 54375 Route 25 Charles J. Sanders P.O. Box 1179 Glenn Goldsmith `o Southold, NY 11971 A. Nicholas Krupski ti y o� y' Telephone (631) 765-1892 Fax (631) 765-6641 L BOARD OF TOWN TRUSTEES TOWN OF SOUTHOJLD TO: 0IFAS-CO3VSIk.1AVT,,5 Please be advised that your application dated ©C7- 13 100 I'l has been reviewed by this Board at the regular meeting of AfOV 154 Z-017 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Q� 9�a�9e Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) Final Inspection Fee($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) I/ 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 complet-ion o the above. W �— COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ — N- — BY: Michael J. Domino, President Board of Trustees SUFFQcx Michael J. Domino, Presic O�Q COG rm •Town Hall Annex John M. Bredemeyer I11,Vice-Wcauuent �`1` y� 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ?� p!� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: J `� Completed in field by: CAU��s S� En-Consultants on behalf of SEAN & LESLIE OLSEN requests a Wetland Permit to remove and replace in-place approximately 85 linear feet of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5' wide area adjacent to bulkhead to a maximum depth of 4 MLW and use approximately 10 cubic yards of sand/silt spoil as backfill; reconstruct in-place existing 4.5'x7' seaward platform attached to bulkhead and reattach existing 2.5'x9' ramp and 5'x16' floating dock to remain; construct an 8'x20' on-grade, open-grate deck landward of bulkhead; and to establish and perpetually maintain a 5' wide non-turf buffer along newly constructed bulkhead. Located: 975 West Hill Road, Southold. SCTM# 1000-70-4-25 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 f\Z 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: \)") - i? �&VVL ,v L c C_Ile el Present were: Bredemeyer \-/M. DominoG. Goldsmith L-, /N. Krupski 7C. Sanders Other Page 1 of 2 Michael J. Domino,Presi o��SUFFO(,��OG T Town Hall Annex John M. Bredemeyer III,Vice-Fr6siaent � - 54375 Route 25 Charles J. Sanders y z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ?� ® p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: En-Consultants on behalf of SEAN & LESLIE OLSEN requests a Wetland Permit to remove and replace in-place approximately 85 linear feet of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5' wide area adjacent to bulkhead to a maximum depth of 4 MLW and use approximately 10 cubic yards of sand/silt spoil as backfill; reconstruct in-place existing 4.5'x7' seaward platform attached to bulkhead and reattach existing 2.5x9' ramp and 5'x16' floating dock to remain; construct an 8'x20' on-grade, open-grate deck landward of bulkhead; and to establish and perpetually maintain a 5' wide non-turf buffer along newly constructed bulkhead. Located: 975 West Hill Road, Southold. SCTM# 1000-70-4-25 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 I 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: B. 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 rF ti C � F i Sean&Leslie Olsen 0 'rr' 975 West Hill Road,Southold SCTM#: 1000-704-25 11-8-17 1 - f - .x • If' ,d aS � 4f - :'Si•-'rte.W a yy/ � ? j-fArr— � a i ♦ f �s ! AI e� Y f � L_.,t T° f .,1�""�� fit•° 1. Y ,/a . Ak' yys�° "�•V '��Ir;ii�rl ,1 .,, ,a. 'yup .�� 1• � ,r ��,. x �"� .• ,. ' -- • • gar ear a �1tr�'{/ Y `r � .��, k/ 1� }_ • �ti� ? r .t L .r•• �1 f Sr 1�+ Y y. 1;�. {.. `{•;' ', ! r'1"°, ,fir r 9♦�r'i�': i^' J��r �! °y'� :����. r � 4 rR @ er. ,L,, +r �yx R� !,.') ate'T iw a. �,� 1;iy.,o,� • � ',. ����ixlC�• .U1.1��r, e� ��1.y,�j�ilr —�'� / +w �f'.�r ,. for i "t'` yM..: _ �ae1►��', :!f eft �:� .. "'yi.���..� 175 West Hill Road,Soudiold 1000-70-4-25 A �'• • ` • V `F 11X". �• ,�1 1� +'\ ,• oor e -,..I4. •: Y _vA �' ,fit 1 +:i,1 "A s -, yP ♦ +` * � � �`��►. 1n • r � / , �1'f 'w *a ,.r+n•'.,�. its•�'# .,1 � r w"�'' 00 61, r • r4 1 y 1 •1. , f , • _ { .� 1 � r -s. , 4 , / ► t lo. rl , =r r SEAN Ar4i)LESLIE OLSEN,975 W.HILL ROAD,SOUTHOLD to i m r � P� Figure 1. Looking east at face of westerly end of existing timber bulkhead to be removed and replaced(in-place) with vinyl bulkhead,at area to be incidentally dredged,and at existing fixed dock platform to be reconstructed in place. e I Figure 2. Looking east over top of existing bulkhead and fixed dock platform to be replaced in place(and existing ramp and float to remain);and location of proposed on-grade deck landward of platform. SEAN Anvil LESLIE OLSEN,975 W.HILL ROAD.SOUTHOLD spin— VP r i q.`.- I' n Sv * .si � o z Figure 3. Looking west over top of existing timber bulkhead to be removed and replaced(in-place) with vinyl bulkhead,and at area to be incidentally dredged. & 72 L3 KIM I, TRW 48 25 25 6 'Mom .. ........ Hash 7' m Hashamomuck Pond T1 CT R 4 10 R Park NG P", 'd mocomm ld V,m Je4n, 48 25 Souft", Hippodrome Pond is Hi Sx BI EDON rk SOUTHOLD -1k South 1111 Founqers, HS Landiing 59(Xa55\AA 5wlcr M M&CM&13Y L3AW MIER 0 Cem so Old Nark did C u te 5uffdk Ca�Ha,*om Map 4-4 Fit 2000' RAW1 6 c LAKE V' GREAT HOG LA NECK ra BAYVIEW Buw RD rk Creek �'E DAR Cc Pad 2 314A1.) 101 31 21 -3 42 Of g 6B In 5'9m y w e . &2 63 71lb '01 aaAlq 21 VA 202 ONO NO nl .5 A.) 199 19.10 191] 19,x 1911 e) 17 2 3V2 I ;5 SOUTHOLD �A P41 117A(.) IIA(.) BOWER/IA' • as 1pN= ]12 ''/— m 494 +APIC) 9+ m 31 3 b 3J Q BAY Is 7 3 4121" TOM OF SOUni0i-O 13 C - 3f F • 71 7 4 7A z:2L NO, 13 01 K 50 OLD SECTION NO L NOTICE COUNTY OF SUFFOLK E E '21 A Real Property Tax Service Agency y 070 E —----- A IWO — ® eounry center Rlremue,xY tt9ot 5t N P PROPERTY IMP D c - EN-CONSULTANTS December 12, 2017 Mike Domino, Chairman Board of Trustees Town of.Southold P.O. Box 1179 Southold,NY 11971 Re: Sean and Leslie Olsen, 975 W. Bill Rd., Southold Dear Mr. Domino: As requested at the public hearing held on the captioned application on November 15, 2017, please find enclosed three (3) copies of a project plan prepared by En-Consultants, last dated December 12, 2017, which has been revised to depict (2) six-foot diameter drywells and an increase in the width of the proposed non-turf buffer to 10 feet. Should you require any additional information before the permit can be issued, please let me know. Res ectfully yours, CC E Q V E Robert . Herrmann Coastal Management Specialist �1 D EC 1 4 2017 Southold Town Board ;us`ees 1319 North Sea Road I Southampton,New York 11968 1 p 631283.6360 1 f 631.283.6136 www.enconsultants.com environmental consulting OFFICE LOCATION: ®��®f ® �® MAILING ADDRESS: Town Hall Annex °` �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CA Southold, NY 11971 �� Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: November 14, 2017 Re: LWRP Coastal Consistency Review for SEAN & LESLIE OLSEN SCTM# 1000-70-4-25 En-Consultants on behalf of SEAN & LESLIE OLSEN requests a Wetland Permit to remove and replace in-place approximately 85 linear feet of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5' wide area adjacent to bulkhead to a maximum depth of-4' MLW and use approximately 10 cubic yards of sand/silt spoil as backfill; reconstruct in-place existing 4.5'x7' seaward platform attached to bulkhead and reattach existing 2.5'x9' ramp and 5'x16' floating dock to remain; construct an 8'x20' on-grade, open-grate deck landward of bulkhead; and to establish and perpetually maintain a 5' wide non-turf buffer along newly constructed bulkhead. Located: 975 West Hill Road, Southold. SCTM# 1000-70-4-25 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 actions to remove and replace in-place approximately 85 linear feet of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5' wide area adjacent to bulkhead to a maximum depth of- 4' MLW and use approximately 10 cubic yards of sand/silt,spoil as backfill; reconstruct in-place existing 4.5'x7' seaward platform attached to bulkhead construct an 8'x20' on-grade, open-grate deck landward of bulkhead; and to establish and perpetually maintain a 5' wide non-turf buffer along newly constructed bulkhead are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP provided the following is considered. The proposal to reattach existing 2.5'x9' ramp and 5'x16' floating dock to remain is recommended as INCONSISTENT. No permits were found for the structures in Town records. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. og�yFFO�,� 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)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., November 8, 2017 the following recommendation was made: Moved by Keith McCamy, seconded by John Stein, it was RESOLVED to SUPPORT the application of SEAN & LESLIE OLSEN to remove and replace (in-place) approx. 85 If. of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5' wide area adjacent to bulkhead to a max. depth of-4'MLW and use approximately 10 cy. sand/silt spoil as backfill; reconstruct (in-place) existing 4.5'X 7' seaward platform attached to bulkhead and reattach existing 2.5'X 9' ramp and 5'X 16' floating dock to remain; construct an 8'X 20' on-grate, open-grade deck landward of bulkhead; and establish a 5' wide non-turf buffer along newly constructed bulkhead. Located: 975 West Hill Rd., Southold. SCTM#70-4-25 Inspected by: John Stein, Peter Meeker, Keith McCamy The CAC Supports the application with the Condition of a 10' non-turf buffer landward of the bulkhead. Vote of Council: Ayes: All Motion Carried guf Fn(,�to John M.Bredemeyer III,President Town Hall Annex Michael J.Domino,Vice-President54375 Main Road GO P.O.Box 1179 James F.King, Trustee d Southold,New York 11971-0959 Dave Bergen,Trustee A1A� �' Telephone(631)765-1892 Charles J. Sanders, Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only 1Coastal Erosion Permit Application V Wetland Permit Application Administrative Permit _Amendment/Transfer/Extension Received Application: 10,13,17 Received Fee: 26 MO Completed Application 10,17,17 _ Incomplete R{� COr; � VVI E SEQRA Classifica ion: -�C—,—,0T E v Type I Type II Unlisted Coordination: (date sent) 3 l� ®CT 1 2017 LWRP Consistency Assessment Form ` AC Referral Sent: 10.x.1 _Date of Inspection: 11, -( _ Einar a Receipt of CAC Report: oaut a ee TruTown Lead Agency Determination: r /Technical Review: _Public Hearing Held: /145-47 Resolution: Name of Applicant Sean&Leslie Olsen 12 Musket Lane Address Darien,CT 06820 Phone Number: g131 202-7958 Suffolk County Tax Map Number: 1000 - 70-4-25 Property Location: 975 West Hill Road,Southold Property is on south side of West Hill Road,+/366'east of Wells Road. (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road, Southampton,NY 11968 Phone:631-283-6360 w ��a�1 Board of Trustees App Xtiori GENERAL DATA Land Area(in square feet): 22,295 Area Zoning: R-40 Previous use of property: Residential,one-family dwelling Intended use of property: No Change Covenants and Restrictions: Yes X No If"Yes", please provide copy. Will this project require a Building Permit as per Town Code? Yes X 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 X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s)on property have a valid Certificate of Occupancy Yes No Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description(use attachments if necessary): Remove and replace(in-place)approximately 85 if of existing timber bulkhead with vinyl bulkhead;incidentally dredge 5'wide area adjacent to bulkhead to a max.depth of-4'MLW and use approximately 10 cy of sand/silt spoil as backfill;reconstruct(in-place) existing 4.5'x 7'seaward platform attached to bulkhead and reattach existing 2.5'x 9'ramp and 5'x 16'floating dock to remain; construct an 8'x 20'on-grate,open-grade deck landward of bulkhead;and establish a 5'wide non-turf buffer along newly constructed bulkhead,all as depicted on the project plan prepared by En-Consultants,dated October 3,2017. Board of Trustees Applici ;)n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To replace and maintain existing bulkheading for flood and erosion control. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 o% Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? +/-10 cubic yards sand/silt dredged spoil How much material will be filled? +/-70 cubic yards backfill(on-site dredged spoil and upland soils) Depth of which material will be removed or deposited: -4 feet MLW Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: Approximately 10 cubic yards of combined spoil and excavated upland soil will be collected by a land based excavator and dumped and graded behind the newly constructed bulkhead as backfill. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The project proposes to construct a new vinyl bulkhead in place of existing timber bulkheading,which has retained and protected the property from flooding and erosion smce prior to 1977. There is no viable non-structural alternative means of maintaining and protecting the upland portion of the property in its current location,so without replacement and maintenance of the bulkhead,the subject and adjacent properties would be exposed to flooding and erosion damage. In addition to providing the ecological benefits associated with replacing a treated timber bulkhead with untreated vinyl sheathing,the project includes replacement of the existing dock platform with a platform constructed with open-grate decking. The project also proposes a new 8'x 20'on-grade deck on the landward side of the bulkhead,but this deck will also be constructed with open-grate decking and more than half of it will be located within the limits of a 5'non-turf buffer to be established adjacent to the newly constructed bulkhead. And the localized,ephemeral effects of the proposed incidental dredging to recover lost upland material(to be retained on site as backfill)will be contained by a silt curtain. Therefore,the project will effectively maintain the existing conditions along this bulkheaded canal shoreline without any change in or significant adverse impact on the adjacent unvegetated tidal waters of Jockey Creek. - 617.20 Appendix B Short Environmental Assessment Form Instructions for 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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: Olsen Bulkhead Project Location(describe,and attach a location map): 975 West Hill Road,Town of Southold,Suffolk County,NY,SCTM#1000-70-4-25;property is located on south side of West Hill Road,+/-366'east of Wells Road„location map provided. Brief Description of Proposed Action: Remove and replace(in-place)approximately 85 if of existing timber bulkhead with vinyl bulkhead;incidentally dredge 5'wide area adjacent to bulkhead to a max.depth of-4'MLW and use approximately 10 cy of sand/silt spoil as backfill;reconstruct(in-place)existing 4.5'x 7'seaward platform attached to bulkhead and reattach existing 2.5'x 9' ramp and 5'x 16'floating dock to remain;construct an 8'x 20'on-grade,open-grate deck landward of bulkhead;and establish a 5'wide non-turf buffer along newly constructed bulkhead,all as depicted on the project plan prepared by En-Consultants,dated October 3,2017. Name of Applicant or Sponsor: Telephone: 203-202-7958 Sean&Leslie Olsen E-Mail: sean.olsen@gmail.com Address: 12 Musket Lane City/PO: State: Zip Code: Darien CT 06820 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. X 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: DEC,COE,DOS X 3.a.Total acreage of the site of the proposed action? 22,295 sf b.Total acreage to be physically disturbed? +/-3,000 sf c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 22,295 sf 4. Check all land uses that occur on,adjoining and near the proposed action ❑Urban ❑ Rural(non-agriculture) ❑Industrial ❑Commercial ® Residential(suburban) ❑Forest ❑Agriculture N Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 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, and scenic beauty, Agency: Sutfolk County,Date:7-12-88 X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action9 X 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: N/A 10.Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N/A 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? X X 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? X 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: Approximately X 375 sf bottom area of Jockey Creek will be temporarily disturbed by incidental dredging to recover lost upland material. FF 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 ❑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? X 16. Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? YES If Yes, 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 4 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: X 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: X 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: X I AFFIRM THAT THE rert RMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: E.Hemnann,Coastal Management Specialist Date: October 4,2017 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning / regulations. 1/ 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? 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 affect 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 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? 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 I 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. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the py ;ose do ill t result in,any sigwflcant adverse environments imp ts. aS Name of L adrAgency V Date 6 o - ezu�- Print or pe Na of Re Zsib�Agency Title of Responsible Officer Signature of Respor1fible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 t Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) jY 3 fI/We, Sean Olsen A owners of the property identified as SCTM# 1000- 70-4-25 -- _�.. in the town of Y { s Southold ,New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. N/A Prope4 O nees Signature Property Owner's Signature Sean OI f SWORN TO BEFORE ME THIS F DAY OF ,20 Notary Publi y�A��,LY@�l BL�►NO® N0,r jy pUBLIC MY COMMlSS10 �k OV.30,2017 C� �1171'�S Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) 1/Wei Leslie Olsen owners of the property identified as SCTM# 1000- 70-4-25 in the town of Southold New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A Property Owner's Signature Property Owner's Signature Leslie Olsen SWORN TO BEFORE ME THIS a DAY OF �L_ , 20 ( � Notary Public ROBERT L RIGILANQ Notary Public S, CunoeetIcut y, My Commission E�pues Aug 31, 2021 x s 1 Y ' Board of Trustees Application r _ E County of Sti fbik I r t State of Nark r,n c.�► C�tL i t Sean Olsen 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 k 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 TOWN 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(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. f - Signature Sean Olsen SWORN TO BEFORE ME THIS DAY OFF F t G E F r Yrrryww+• r+w. { No&qLPubfic E M"ELYN BLANCO NOTARY PUBLIC MY COMMISSION EXPIRES NOV.30,2017 Board of Trustees Application County of SuffeW, Pa, F, •�� State o£New-Ynr Leslie Olsen 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 TOWN 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(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature, Leslie Olsen SWORN TO BEFORE ME THIS v� DAY OF APR-,L ,201 ROBERT L RIGILANO , Notary Public - Connecticut My Commission Expires Aug 31,2021 _ Notary Public - 'i i APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM e S ti� ld' Co_d o i h' " co c fie ant r -o 0 't r i vid At ca own i I tli i v` e v e " � t � le - - YOUR NAME: Olsen,Sean (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company,If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply_) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from'plat or official map .+ � Planning Other (If"Other",name the activity.) Do you 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 �'\ I If you answered"YES",complete the balance of this form and date and sign where indicated. k Name of person employed by the Town of Southold x 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. I The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): i f 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); Q an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 1 'day of An't 2001 Signature 00JSignature Print Name T Sean Qlsen Form TS 1 3 i i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM' Y a "I !j9q_daof Ethics KMi qgdiPjsXjUt ttte o Y d f t' w ' tow afossibL-gonflieftoiakMood allow1 a i i Y YOURNAME: Olsen, Leslie (Last name,fiirst name,middle 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.) x NAME OF APPLICATION: (Check all that apply.) Tax grievance _ Building Variance Trustee X Change of Zone _____.__. Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other of"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, 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): i A)the owner of greater than 3%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 this 24 day of. /M 1/200 L:j' Signature, Print Name Lasix Olap Form TS 1 r s APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same YOUR NAME: HPrrrrgnn, Rn]-,ort F (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION- (Check all that apply) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X 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)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 4 October 17 Submitted this y of 20�_ Signature Print Name - E. Her'ruprin. Form TS 1 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Sean&Leslie Olsen SCTM#1000-70-4-25 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Remove and replace(in-place)approximately 851f of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5'wide area adjacent to bulkhead to a max.depth of-4'MLW and use approximately 10 cy of sand/silt spoil as backfill;reconstruct(in-place)existing 4.5'x 7'seaward platform attached to bulkhead and reattach existing 2.5'x 9'ramp and 5'x 16'floating dock to remain;construct an 8'x 20' on-grate,open-grade deck landward of bulkhead;and establish a 5'wide non-turf buffer along newly constructed bulkhead,all as depicted on the project plan prepared by En-Consultants,dated October 3, 2017. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 975 West Hill Road, Southold 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wednesday,November 15,2017 @ 5:30 p.m. You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Sean&Leslie Olsen PROPERTY OWNERS NAME: 12 Musket Lane MAILING ADDRESS: Darien,CT PHONE #: 203-202-7958 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road,Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTI, ATTACH CERTIFIED MAIL RECEIPTS Name: Address: E.Vanbourgondien 875 Hill Road Southold,NY 11971 Ive&Marie Maretic 35 Grant Avenue Cliffside Park,NJ 07010 Patrick&Carol Maloney P.O.Box 558 Southold,NY 11971 Allison Nathel 55 W 95th Street,Apt.PHE New York,NY 10025 Town of Southold P.O.Box 1179 Southold,NY 11971 Paul Birman_ 4240 Galt Ocean Drive#2104 ,'Pa m P-- ane—pinto Ft.Lauderdale,FL 33308 William & Mary Dewey P •0. Box 10 Southold, N Y 11971 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being duly sworn, deposes and says that on the day of & UVY77 ,20 17 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southampton , that said Notices were M iled to each of said persons by (certified)(pagjatone 4 mail. Robert E.HNnann Coastal Managment Specialist Sworn to�before me this [ KIM N . STEPHEN S day of ,2017 NOTARY PUBLIC STATE 0 F NEW YORK COMMISSION N0 , 5015931 QUALIFIED IN SUFFOLK COUNTY Notary tic EXPIRES AUGUST 7 . 904a2--I i Michael J.Domino,Ix 1 C0'.dent O��SUFFQ(�-COG Town Hall Annex John M. Bredemeyer II1,Vice-President �� yam, 54375 Route 25 Charles J. Sanders y z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski 'y p! 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 SEAN & LESLIE OLSEN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS-IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, Robert E. Herrmann , residing at/dba En-Consultants 1319 N orth Sea R oad, Southa m pton, N Y 11968 being duly sworn, depose and say: That on the 3rd day of November , 2017 ,_ I personally posted the property known as 975 West Hill Road, Southold. S C T M #1000-70-4-25 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 ovember 15 2017. Dated: (signature) Sworn to before me this 15thlay of Nov2017 CAarblic K I H . STEPHENS NOTARY PUBLIC STATE OF NEW YORK COMMISSION N0 . 5015931 QUALIFIED IN SUFFOLK COUNTY EXPIRES AUGUST 2 , 20,;L.f ® s ©a ® ® ® a Q ■ ■ CO e. ® ca Ao A M Q' ra : . m e r-q ° Certified Mall Fee r q Certified Mall Fee o $ y`.pi�AP n ra $ _ Extra Services&Fees(checkbox,add tee as appropdate) C3 Extra Services&Fees(checkbox,add tee as appropriate) p_,_�� C3 El }�IV I Return Receipt(hardcopy) $ ❑Return Receipt(hardcopy) $ / �' P 7" r3 ❑Return Receipt(electronic) $ 1:3 El Return Receipt(electronic) $ / POstm Postmark 0 El Certified Mail Restricted Delivery $ (/' �• I 0 El Certified Mail Restricted Delivery $ /-� Here Herat i O []Adult Signature Required $ '-1 ❑ r-3E] Signature Required $ -i? ❑Adult Signature Restricted Delivery$9 -—T E]Adult Signature Restricted Delivery$ i r^' )J Postage --r _ Q C 0 Postage 1 ru Total—Postai 'Off/ ru Total Post fT��� $ Ive Marie Maretic ����� Sent To E. Van Bourgondien N Sent To 875 Short Hill Road r� 35 Grant Avenue .______ Mieet andAj ---- p Stieet aria Southold NY 11971 r'- Cliffside Park:'NJ 07010 City,State,Z ---- City-State .______ �� ° ... �� :ee o r . ee eee•e »„ ' r,Ie 01 _ j p FExltraf'lervlces s fU Certlfled Mall Fee$ ��HAfGyo r-q Extra Services&Fees(checkbox,add fee as appropdate) s(checkbox,addteeas appropriate)C3 ❑Return Receipt(hardcopy) $ J dcopy) $ A r3 ❑Return Receipt(electronic) $ NO Postmark � ❑Return Receipt(electronic) $ POStmar I ❑Certified Mall Restricted Delivery $ h ��ef z r3 ❑Certlfled Mail Restricted Delivery $ It- Here Q ❑Adult Signature Required $ -�� 4 .< O ❑Adult Signature Required $ fS(1rrf ' []Adult Signature Restricted Delivery$ F ❑Adult Signature Restricted Delivery$ �� n Postage 1-1 QQA 55 Q Postage r — �✓ MPau Lr) a,U S P1 O Total Posta '9fsS8 1 Binnan �ni USPS Pamela Panepinto r` Sent To Allison Nathel 0 4240 Galt Ocean Drive#2104 ------------------- p Stieefandf 55 W 95th Street,Apt.PHE _____ Ft. Lauderdale,FL 33308 ,-______----------- ` -------____- New York,NY 10025 State„ ----- �. o o � e. eee•e C`..l_"K--ta�'.l�Rly�wrd7n•.'µ!1"AiC7 �� __ _ ■ ED 8° A ru ®° C3 mom Certified Mad Fee ) ✓y t! v l v, (� t� r-q Certified Mall Fee s 1 Extra Services&Fees(check box,add tee as appropdate) ��CAI t^'1. I r-9 $ �Cl� El Return Receipt(hardcopy) $ ® ! Extra Services&Fees(checkbox,addteeasepproprtat)', ❑Return Receipt(electronic) $ ❑Return Receipt(hardcopy) $���7��,(- O ❑Certified Mail Restricted Delivery $ 69 ,tr�yP Haire rk O ❑Return Receipt(electronic) $ Postman�• E]Adult Signature Required $ (,•Pf ❑Certlfled Mail Restricted Delivery $ I Here ?rj -C El Adult Signature Required $ L1 Adult Signature Restricted Delivery$ - " C3 ❑Adult Signature Restricted Delivery$ C3 Postage r3 Postage = Totaf �s$e t�CJ C3 $ I LI S Total I tri% $ ru enr Town of Southold r._ sent Patrick&Caroi Maloney C3 lee P.O.Box 1179 ------------ �` Southold,NY 11971o sheet P.O. Box 558 ----------- ----------- r- ______ Southold,NY 11971 city,s ----------- Postal CERTIFIED o RECEIPT Irl Domestic Mail A m ra For delivery information,visit our website at wimmusps.cotnll: ra Certified Mad Fee Extra Services&Fees(checkbox,add tee as appropriate) O C3 ❑Return Receipt(hardcopy) $ O ❑Return Receipt(electronic) $ co Postmark O ❑Certified Mail Restricted Delivery $ f l%t Here I I= E]Adult Signature Required $ ° r ❑Adult Signature Restricted Delivery$ 0 Postage 1--3 Total Po ru r - Sent To William &Mary Dewey ------- P.O.Box 10 -------- Street at Southold, NY 11971 City,-Sta ---------- NUTILL UF Ht: AKING 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 : SEAN & LESLIE OLSEN SU BJ ECT OF PU BLIC H EARI NG : For a Wetland Permit to remove and replace in- place approximately 85 linear feet of existing timber bulkhead with vinyl bulkhead; incidentally dredge 5' wide area adjacent to bulkhead to a maximum depth of -4' MLW and use approximately 10 cubic yards of sand/silt spoil as backfill; reconstruct in-place existing 4.5'x7' seaward platform attached to bulkhead and reattach existing 2.5'x9' ramp and 5'x16' floating dock to remain; construct an 8'x20' on-grade, open-grate deck landward of bulkhead; and to establish and perpetually maintain a 5' wide non-turf buffer along newly constructed bulkhead. Located: 975 West Hill Road, Southold. SCTM# 1000-70-4-25 TIME & DATE OF PUBLIC HEARING : Wednesday, November 15, 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 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 70 - 4 - 25 PROJECT NAME Sean&Leslie Olsen The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 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: Remove and replace(in-place)approximately 85 If of existing timber bulkhead with vinyl bulkhead;incidentally dredge 5'wide area adjacent to bulkhead to a max.depth of-4'MLW and use approximately 10 cy of sand/silt spoil as backfill;reconstruct(in-place) existing 4.5'x 7'seaward platform attached to bulkhead and reattach existing 2.5'x 9'ramp and 5'x 16'floating dock to remain; construct an 8'x 20'on-grade,open-grate deck landward of bulkhead;and establish a 5'wide non-turf buffer along newly constructed bulkhead,all as depicted on the project plan prepared by En-Consultants,dated October 3,2017. J Location of action:975 West Hill Road,Southold Site acreage: 22,295 sf Present land use: Residential,one-family dwelling. 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: Sean&Leslie Olsen (b) Mailing address: 12 Musket Lane Darien,CT 06820 (c) Telephone number: Area Code 203-202-7958 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ® No❑ If yes, which state or federal agency?NYSDEC,USACE,NYSDOS 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. Yes1:1 No ® Not 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 1:1 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 ® Yes ❑ No ❑ Not Applicable The project seeks to construct vinyl bulkheading m the same location as existing timber bulkheading for the purpose of maintaining the property's historical method of protection against erosion and flooding. The existing,developed site has been improved with and supported by a bulkhead since prior to 1977,and there is no viable non-structural alternative means of maintaining and protecting the upland portion of the property in its current location. Without replacement and maintenance of the bulkhead the subject property would be exposed to erosion and flooding. Therefore the project is consistent with Policy 4. 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 The project is consistent with Policy 5 to the extent that the existing treated timber bulkhead will be replaced with a bulkhead constructed with untreated vinyl sheathing;the fixed platform will be reconstructed with open-grate decking;the proposed on-grade deck landward of the bulkhead will be constructed with open-grate decking;and a 5'wide non-turf buffer will be established in place of existing lawn adjacent to the new bulkhead,which can serve as both a sink and filter for surface water runoff and potential contaminants contained therein. The proposed incidental dredging within 5 feet of the newly constructed bulkhead will not adversely impact water quality because the spoil will consist of sandy/silty soils derived primarily from lost upland material;and the effects of turbidity will be localized,ephemeral,and contained by a silt curtain deployed during the bulkhead replacement and dredgmg activities. 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 The project will effectively maintain the historically existing site conditions without any change in or significant adverse impact on the adjacent tidal waters or wetlands except that the treated timber bulkheading will be removed and replaced with untreated vinyl sheathing;the existing fixed platform will be reconstructed with open-grate decking,the proposed on-grade deck will be constructed with open-grate decking;and a 5'non-turf buffer will be established and maintained along the landward side of the new bulkheading,thereby reducing lawn area and increasing buffer area for increased absorption and filtering of runoff adjacent to the waterway. And the localized,ephemeral effects of the proposed incidental dredging to recover lost upland material(to be retained on site as backfill)will be contained by a silt curtain Therefore,the project will be consistent with the Policy 6 goal of protecting and restoring the quality and function of Town of Southold ecosystems. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. Yes [—] No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No ® 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. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES { 1, f Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLECoastal Management specialist DATEoct.4,2017 Ro ert E.H Amended on 811105 i. EN-CONSULTANTS October 4,2017 p Town of Southold , E ((�v E u V E Board of Trustees 54375 Main Road OCT 1 Post Office Box 1179 2a1� Southold,New York 11971 Southold Town Re: Sean&Leslie Olsen ar o Tr s e 975 West Hill Road, Southold SCTM#1000-70-4-25 Dear Board of Trustees: In regard to the above referenced property,enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland Permit Applications including: a) Short Environmental Assessment Form; b) Authorization&Affidavit Forms; c) Applicant/Agent/Representative Transactional Disclosure Forms. 2. Survey prepared by John C.Ehlers Land Surveyor, last dated September 5,2017. 3. Project plan prepared by En-Consultants,dated October 3,2017. 4. One(1)set of site photographs. 5. Application fee of$250.00. 6. Three(3)LWRP Consistency Assessment Forms including: a) Project plan(as referenced above). I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sincere y, Robert .Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants com environmental consulting