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TR-9139
Michael J. Domino,President �QF S0(/1Town Hall Annex John M. Bredemeyer III,Vice-President ,`O� Ol0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith [ Southold,New York 11971 A.Nicholas Krupski G Telephone,(631) 765-1892 Greg Williams �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1553C Date:JanuM 29,2019 THIS CERTIFIES that the stabilization of the bluff by creating less of arg ade pitch on the slope in order to allow for better erosion control; install three(3)to four(4)rows of staked Coir Logs along each of the northerly and southerly sides of bluff, place 60 cubic yards of sandy loam throughout the slope,• install jute matting and vegetate disturbed areas using Cape American beach grass planted 6/8" on center; with the condition of providing grade pitch calculations of proposed slope; At 7325 Nassau Point Road, Cutchog•ue Suffolk County Tax Map#1000-118-4-1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated November 6,2017 pursuant to which Trustees Wetland Permit#9139 Dated December 13,2017,was issued 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 stabilization of the bluff by creating less of a grade pitch on the slope in order to allow for better erosion control; install three(3)to four(4)rows of staked Coir Logs along each of the northerly and southern sides of bluff, place 60 cubic yards of sandy loam throughout the slope; install jute matting and vegetate disturbed areas using Cape American beach grass planted 6/8"on center' with the condition of providing gLade pitch calculations of proposed slope. The certificate is issued to 7325 Nassau Point Road,LLC c/o Jeffrey Abrams owner of the aforesaid property. Authorized Signature .f Michael J.Domino,President �*0 SU(/jjfO Town Hall Annex John M.Bredemeyer III,Vice-President �O l® 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G �. � � Telephone(631) 765-1892 Greg Williams 'Ol J`coUFax(631) 765-6641 � ruT`(N� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 14 1 DATE OF INSPECTION: Ila., h V/ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: r 99 CERTIFICATE OF COMPLIANCE: so�jy Town Hall Annex Michael J.Domino,President John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith • �O� Telephone(631) 765-1892 A. Nicholas Krupski �yOUNT`l 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 / % constructed 11 Project complete, compliance inspection %-io BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9139 DATE: DECEMBER 13,2017 ISSUED TO: 7325 NASSAU POINT ROAD, LLC do JEFFREY ABRAMS tii PROPERTY ADDRESS: 7325 NASSAU POINT ROAD, CUTCHOGUE rrr SCTM# 1000-118-4-1 AUTHORIZATION r s 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 December 13, 2017, and in consideration of application fee in the sum of$250.00 paid by 7325 Nassau Point Road, LLC c/o Jeffrey Abrams and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to stabilize the bluff by creating less of a grade pitch on the slope in order to allow for better erosion control; install three(3)to four(4) rows of staked Coir Logs along each of the northerly and southerly sides of bluff; place 60 cubic yards of sandy loam throughout the slope; install jute matting and vegetate disturbed areas using Cape American beach grass planted 6/8" on center; with the condition of providing grade pitch calculations of proposed slope; and as depicted on the revised site plan Fc prepared by Creative Environmental Design,dated December 18,2017,and stamped approved on December 18,2017. 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. R U coo COP TERMS AND CONDITIONS The Permittee 7325 Nassau Point Road LLC c/o Jeffrey Abrams, residing at 7325 Nassau Point Road, Cutchogue,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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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. 10. 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 so Hall Annex John M.Bredemeyer III,Vice-President h0 lQ 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith G • Telephone(631) 765-1892 A.Nicholas Krupski 'O Fax(631) 765-6641 �y�OUNTY,Nc� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 13, 2017 David Cichanowicz Creative Environmental Design P.O. Box 160 Peconic, NY 11958 RE: 7325 NASSAU POINT ROAD, LLC c/o JEFFREY ABRAMS 7325 NASSAU POINT ROAD, CUTCHOGUE SCTM# 1000-118-4-1 Dear Mr. Cichanowicz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 13, 2017, regarding the above matter: WHEREAS, Creative Environmental Design, on behalf of 7325 NASSAU POINT ROAD, LLC c/o JEFFREY ABRAMS applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated November 6, 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 application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 13, 2017, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of 7325 NASSAU POINT ROAD, LLC c/o JEFFREY ABRAMS to stabilize the bluff by creating less of a grade pitch on the slope in order to allow for better erosion control; install three (3) to four (4) rows of staked Coir Logs along each of the northerly and southerly sides of bluff; place 60 cubic yards of sandy loam throughout the slope; install jute matting and vegetate disturbed areas using Cape American beach grass planted 6/8" on center; with the condition of providing grade pitch calculations of proposed slope; and as depicted on the revised site plan prepared by Creative Environmental Design, dated December 18, 2017, and stamped approved on December 18, 2017. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, m e Michael J. Domino, President, Board of Trustees MJ D/dd O11 O1 O1 1 1 O 1 1 11 11 1 1 I AVON 5CTM# 1 16 12' _ — - - log 20 20' 26 24 25� + 26216 � 1 \ 1 1 1 LITTLE 11 ^ 111 a 20' � 12' 10' '' b 1 16 1 I 1 1 FECONIG ELEVATION 1 BAY 1 `\ \\ , '1 'I, \ +\ \, , 111 +, ', \ , 1 1 \ ', 1 1 11 \ 1 1 1 1 \ TOP OF BLUFF 1 af .26'- \ \ \\ t II � '1 \ '1 1 + 'I 1 1 \ 1 11 1 1 , 12 WIRLOGS ' COIRWG w 2x2 x60' OAK 5TAKE5 1 \ \ 1 v 7 a a o �\ 1 p p p CORLX 20' 16' 12' 0 v e 0 v o v v \\\\ I' a a a I BOttOM OF BLUFF 23' 10' I I II I 0 7 . 71 nv v n 7 ' v Q 17 4V 11 'I 0 37' 1 CAI13EAC4, RLOG BULKHEAD '1 '1 � c ` c, ` BEACH - I Em IGH WATER LIINE I _ � I \ \ 1 1 1 II 1 I 1 i 1 \ \ I q 1 , 12, 1,,0 , 2 16 ' 1 0 1 1 1 + + 1 , I I 1 AREA TO BE FILLED /Y 1 1 1+ 1 \\ 1 , �„ 1 II I _ � f ' { APPROVED BY = ; 1 fie 10' BOARD OF TRUSTEES _ - 20' g, - 1 TOWN OF SOUTHOLD 23' , 1 DATE C) I 1 I 1 1 � 1 0 0 i; DEC 18 2017 Revision #: Scale: Landscapa Plan : Landsca a Desi n by: Dave Cichanowicz p g S19V% Date: 12/18/2017 1 /8" _ Abralno%ls ' enital De 11 1 V f- Michael J. Domino, Presia6nt , UFFo�� Town Hall Annex �o co John M. Bredemeyer, III, Vice-President 54375 Route 25,{moo oy�y Charles J. Sanders P.O. Box 1179 :2 Glenn Goldsmith oSouthold, NY 11971 A. Nicholas Krupski y� ao �' Telephone (631) 765-1892 Fax(631) 765-6641 t BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: IASL -� PUF& r LLC, 10 cmot - my Please be advised that your application dated 1116.1 7 has been reviewed by this Board at the regular meeting of 12and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction ($50.00) '/z 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) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The-following-fee-must be-paid-within 90-days or.re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ J6b� BY: Michael J. Domino, President Board of Trustees Michael J. Domino, Pi, nt of F04 s Town Hall Annex John M. Bredemeyer III,Vice-President �� ��, 54375 Route 25 Charles J. Sanders co ti z P.O.Box 1179 Glenn Goldsmith &Z, Southold,NY 11971 A.Nicholas Krupski ?� ® p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: rat��� Completed in field by: AL V LaSV� Creative Environmental Design on behalf of 7325 NASSAU POINT ROAD, LLC, c/o JEFFREY ABRAMS requests a Wetland Permit to stabilize the bluff by creating less of a grade pitch on the slope in order to allow for better erosion control; install three (3) to four (4) rows of staked Coir Logs along each of the northerly and southerly sides of bluff; place 60 cubic yards of sandy loam throughout the slope; install jute matting and vegetate disturbed areas using Cape American beach grass planted 6/8" on center. Located: 7325 Nassau Point Road, Cutchogue. SCTM# 1000-118-4-1 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: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: V J. Bredemeyer M. Domino G. Goldsmith N. Krupski �C. Sanders Other Page 1 of 2 r' Michael J. Domino,Pi .nt O�QSUFFQ(�COG Town Hall Annex John M. Bredemeyer I11,Vice President �� y� 54375 Route 25 Charles J. Sanders y a P.O.Box 1179 Glenn Goldsmith 1_� Southold,NY 11971 A.Nicholas Krupski y ® p!� Telephone(631)765-1892 ��� �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Creative Environmental Design on behalf of 7325 NASSAU POINT ROAD, LLC, c/o JEFFREY ABRAMS requests a Wetland Permit to stabilize the bluff by creating less of a grade pitch on the slope in order to allow for better erosion control; install three (3) to four (4) rows of staked Coir Logs along each of the northerly and southerly sides of bluff; place 60 cubic yards of sandy loam throughout the slope; install jute matting and vegetate disturbed areas using Cape American beach grass planted 6/8" on center. Located: 7325 Nassau Point Road, Cutchogue. SCTM# 1000-118-4-1 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: 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 I 1 7325 Nassau Point Road,LLC c/o Jcffrcy Abrams 7325 Nassau Point Road,Cutchoguc ` SCTM#: 1000-118-4-1 12/5/17 AM .f : � �' 4 #7_S • 111 r F lol.y, + �� � F • 4 `a I � .. % " .yam� f I �► � �\\ ` ._ :..�.� '�. "-�� r •-_ A� '� �+r�: YeTom.w {:1 r �,�- •y ty • • � �1 I+moi� \ C h�q'�'' `'�J`.J -Y.\ �! ? S t^'. � \'T�.' \4.! c�!y'1�. .!� t •.. 1\ .1) \ ,� �\ 9 � L� 5 �L• � r OW air � h fie V i EV' uw ar -f��,,,�'�:�sem;:-i!'.�!•'•�y►��'i��'+�►=;L.,` i, �d ._ ���..t. � .� _ R 8 N SEESEC t11 OM \ UNE 36 ws„fsdea 9 is en(e) a----- g o�'m e 1 TONTlOF my -e l9C m _ - 1 T e soI1THo(o \A it 10 97 �'4� ♦ aan(U� Ql ID • FI anA e1 t9 ^ ' 0 n °a S im•� + )I ♦m a� i T 9 m/ 42 Ns p € J AD� \ e ©rs 3 dJ ti e e B 1 , � FcoNc � • AO 9 � ;� - A '�J a�'•�g'qi'�� B O 9S. A Ryy _ � H (11) O m --�_— mw --�-- m NOTICEmu, COUNTYOFSUFFOLK © E SOIITHOLD SECTION No Real Property TaxSennceAgency r - - - —_—•-- s -- -- _ �Z •,.uH� .aN.,,� Jam° 118 pN ,>• ei•o +t m n' H J OFFICE LOCATION: ®!� ®F s® MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor. Main Rd. &Youngs Ave.) C Southold, NY 11971 �� Tel 631 765-1938 ® Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: • Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: December 6, 2017 Re: LWRP Coastal Consistency Review for 7325 NASSAU POINT ROAD, LLC, c/o JEFFREY ABRAMS SCTM# 1000-118-4-1 The Zoning Board of Appeals granted a variance (7003) for the action'on December 15, 2016. Creative Environmental Design on behalf of 7325 NASSAU POINT ROAD, LLC, c/o JEFFREY ABRAMS requests a Wetland Permit to stabilize the bluff by creating less of a grade pitch on the slope in order to allow for better erosion control; install three (3) to four (4) rows of staked Coir Logs along each of the northerly and southerly sides of bluff; place 60 cubic yards of sandy loam throughout the slope; install jute matting and vegetate disturbed areas using Cape American beach grass planted 6/8" on center. Located: 7325 Nassau Point Road, Cutchogue. SCTM# 1000-118-4- 1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards: Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Note that his property suffered erosion damage and structural loss,due to Tropical Storm Sandy. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its' written determination regarding the consistency of the proposed action. Peter Young,ChairmanH 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., December 6, 2017 the following recommendation was made: Moved by Peter Young, seconded by James Abbott, it was RESOLVED to NOT SUPPORT the application of 7325 NASSAU POINT ROAD, LLC C/O JEFFREY B. ABRAMS to stabilize the existing bluff by creating less grade pitch on slope to allow for better erosion control. Installation of staked Coir Logs as per plan. Vegetate with Cape American Beach Grass. All work to be done by hand: Located: 7325 Nassau Point Rd., Cutchogue. SCTM#118-4-1 Inspected by: Peter Young, James Abbott The CAC does Not Support the application and requests a plan with more detail including the actual final grade. Vote of Council: Ayes: All Motion Carried Michael J.Domino,President oF SU(/r� � Ol0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 Charles J.SandersP.O.Box 1179 G Southold,New York 11971 Tenn Goldsmith �� ® �� Telephone(631) 765-1592 A.Nicholas Krupski ��COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal ErosionPermit Application Wetland Permit Application Administrative Permit r S CV E Amendment/Transfer/Extension Received Application: 11,4"11 Received Fee: $ 7_5;0,00 6 2017 Completed Application: /1 Incomplete: outhold Town = SEQRA.Clasgification: Type I_ Type II Unlisted Lead Agency Determination: Board of Trns ee - _Coordination:(date sent): 12 l•17 LWRP Consistency Assessment Form Sent: CAC Referral Sent: 11.70. Date of Inspection: 1z-�5-- t Receipt of CAC Report: Technical Review: Public Hearing Held: 12-13-17 Resolution: 132\55 /VA_s5 M! 1Po;N o P_oAb LLC- C f 0 Legal Name of Property Owner(s): �� / Mailing Address: X30 uol� �� S�P I c� n SIV)V ICD94 Phone Number: I ,�--3 113- Suffolk County Tax Map Number: 1000 - -yr Property Location: " ]3a!sCLe.�El/\MW_ (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): Creative Environmental Design Mailing Address: PO Box 160 Peconic9 NY 1195 Phone Number: 6e�t- _� 34- TTa3 C,, Board of Trustees Appli :ion GENERAL DATA Land Area(in square feet): 4 i 0 1-7 Area Zoning: R-`{® Previous use of property: `���E�� Intended use of property: Covenants and Restrictions on property? Yes V No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes " No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes t/ No If"Yes",please provide copy of decision. Will this project require ny demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. / Has any permit/approval ever been revoked or suspended by a governmental agency? V No Yes If yes,provide explanation: Project Description(use attachments if necessary): q Stabilizing of existing bluff by creating less grade pitch on slope to allow for better erosion.control. Installation of staked'Coir-Logs as-per-plan. Vegetate with Cape American Beach Grass. All done by hand. j J r-- Board of Trustees Appli ;ion WETLAND/TRUSTEE LANDS APPLICATI®N DATA Purpose of the proposed operations: \D 5 � \i2� U Area of wetlands on lot: 141 10D square feet Q60LVN V�M4-Vbvs Percent coverage of lot: ID % Closest distance between nearest existing structure and upland edge of wetlands: Z6 feet AO Vo P av blLc-�V — "1�5 Closest distance between nearest proposed structure and upland edge of wetlands: _feet Does the project involve excavation or filling? No ����; Yes If yes,how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: C(' Manner in which material will be removed or deposited: 6-1— A®Y1� b 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): LOW ��� � t,�s��\� r1 �6zs 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 1 -Project and Sponsor Information Name of Action or Project: I� Project Location(describe,and attach a location map): Brief Description of Proposed Action: Stabilizing of existing bluff by creating less grade pitch on slope to allow for better erosion control. Installation of staked Coir Logs as per plan.,Vegetate with Cape American Beach Grass. All done by hand Name of Applicant or Sponsor: Telephone:b-31,-7S._7�i�3 �` t�LUj I��GZ E-Mai—Dal' Address: Creative 19ovironmental liesign PC Box 160 City/PO: C-CoTlic9 NY H958 State: Zip Code: 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 F may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 2' ❑ 3.a.Total acreage of the site of the proposed action? aerm b.Total acreage to be physically disturbed? acres c Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. � ❑ ❑ ❑ � Urban Rural(non-agriculture) Industrial ❑Commercial esidential(suburban) ❑Forest ❑Agriculture ❑Aquatic El Other(specify): ❑Parkland Page 1 of 4 5. is the proposed action, NO YE N/A a.A permitted use under the zoning regulations? ❑ M ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES El b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 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: V El 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 1 l.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.is the proposed action located in an archeological sensitive area? ❑ ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 21 14. Ideytify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®'Shoreline El Forest ❑Agri cultural/grasslands El Early mid-successional etland ❑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? ❑ 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ a.Will storm water discharges flow to adjacent properties? ❑NO DYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ONO DYES 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: 0 ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: kX ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sp so�na : tI C Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning E]regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ 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, Elwaterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage Elproblems? 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 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. F] 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 environme tal i pacts. Town of Southold-Board of Trustees 7 Name of Lea Agency I Date President A or TypA�ame f Re pon ' Officer in Lead Agency Title of Responsible Officer Signature of Re nsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT f — s ALra"lS BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. /v ature of Property Owner Signature of Property Owner SWORN TO BEFORE NE THIS -6 --DAY OF f V� ,20 t 7 Notary Public.,M, MILUSKA RIGS Notary Public-State of New York No.=1630%8 _ Qualified m-Bronx County— MY Corn mli oo Exphes7(pnT14.2018\ Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) vwe,T FF f�'6rxvrts - - owners of the property identified as SCTM#1000- - L4" in the town of u .New York,hereby authorizes �� L CI�1l 6-7 Creative Environmental Design _ P 'Roo 160 to act as my agent and handle all Peconic,STI' 11955 necessary work involved with the application process for pennit(s)from the Southold Town Board of Trustees for this property. 9r6perty Owner's Signature property owifees Signature SWORN TO BEFORE ME THIS DAY OF 20L_ o Public - {1AILU1SKA RNOSo>k X�wy No.O1R16301528 oual�ed in Bronx 014.2010 Pdy Convnfsston ExPn65 Apn APPLICANT/AGENT/REPRESENTATME TRANSACTIONAL DISCLOSURE FORM The Two of Southold's Code of Ethics prohibits conflicts of interest onthe osut q ;.'"'oflWn and cmnlovices.Themo of this form is tonrovidc inforination which can atert the town of nossible conflicts of intsmast and allow it to aka whatever a5/ion is necessnry to avoid same. YOUR NAME: Aram 8 (Last name,fust name,qfiddle initial,unless you am applying in the name of someone else or other entity,such as a company.If so,lndicata thb other person's or company's name.) NAME OF APPLICATION: ((heck all that apply.) Tax grievance Building Variance 7111stee Change ofZone Coastal Erosion Approval ofplat Mooring Exemption from plat or official map Planning Other (If"Othcf,-,name the wiry.) 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? "Itclationship"includes by blood,nwriage,or business interest."Burin=interest's means a busines4 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%orthe shams. YES NO V If you aria vered"YES",complete the balance of this form and date and sign whore ice. Name of person employed by the Town ofSouthold Title or position of that person Describe the relationship between yourself(the appficantlWat/mptesentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space prosided. The town officer or employee or his or her spouse,sibling.pamd;or child is(check all that apply): A)rho owrar of greater than 5%of the sham ofthe corporate stock of the sppllermt (when die applicant is a corporation] B)the legal or ber cfrcial owns of any interest in a non-corporate awlt (whta the' applicant is not a corporation), C)an officer,director,partnew,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted is µday of NOiltl+r fit► 200,1' Signature Print Nam ,,,off raWr c P Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM -3cM'own of&u0mld'c Code of Ethics wNbits eonflias of in an the Mgof tmm off=and cr+nloyCes The numo�c of this fotrtt i--.to provide infotinntion which can alart the tnwn of""` ible con&L%of mtaieg and allow it to(aKe Wn3tCVCr itCS14IlJ� aero to avoid sartec. YOUR NAME: (Last name,rust name. tddic 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: (tick 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,patent.or child)have a relationship with my officer or employee of the Town of Southold? "Itclationship"includes by blood,marriage.or bwancss intenst."Business interest-me=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. ya NO Ifydu answered"YES",complete the balance ofthis form and Oft and sign where kndicaoad. Name of person employed by the Town of Southold Tide or position of that person Describe the telationship between yourself(the epplicant/:gendcepsesetttative)amd the town of eer or employee.Either cbc& the eWWi We line A)through D)and/or descrjbe in the space provided. The town officer or employee or his or her spouse,sibling,patent or child is(check all that apply): A)the owner of greater than 31A of the shares of toe corporate stock of the applic ort (whca the applicant is a corporation 8)the legal or beneficial owns of any interest in a non-corporate entity(whixt tho` applicant is not a corporation); Cj an officer,director,partner,or employee of the applicant or D)the actual applicant. DESCRU T(ON OF RELATIONSHIP Submitted thisday of t}Qr h Signature Flint Name L- PA MAInA Form TS i APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE 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 pLovide information which can alert the town of ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: CA (Last name,first name,j;nidd a 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 V Ifyou 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 applicantlagent/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 Submitteof 20J2_ Signature Print Name P` Form TS 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK Creative Er;--ronmental Design residing at PO Box 160 �, being duly sworn, deposes an sdys at on e day of 20_1�7, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roLll of the Town of Southold; that said Notices were mailed at the United States Post Office at �;C__ , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. r Sworn to before me this Day of , 20 17 ►_ i Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW No. GID1475593 Qualified In Suffolk COur•1%, My Commission Expires April 30, "Itg r' RECEIPT Postal Servicer. o50 MAILF 0 o , Ma �0�l'TA R 1�Gx.�9,:FL.341t.4 t _ M 17-1 Er 0953 Er -413 09 A 00 Postage r k � n � f certified �,_ ul ` bstmark 0 Certified Fee ,i i,I_Ifl + � `' i Return Receipt Fee °j fj f p Here Postmark `rill._ C :° U (Endorsement Required) Return Receipt Fee j` Here (Endorsement Required) VU°f-111 IM Restricted Delivery Fee =c ° .0 (Endorsement Required) E:3 tom • Restricted Delivery Fee ._ m_=l I ° 1 J] (Endorsement Required) i �T - 76�� >i I° Total Postage&Fees $ �iOpria 6c $ Total Postage&Fees 12/07/2017 LrlQ Sent To ` C . �19 Call Lr) c ]tom]_ _ - ` -- - O LSento "Oh Apt.No., q -- �. Y.�__ - - -- — or PO Box No. L�� �-r :!!�C.Apt.No.; \1,BoxNo. _�©S1 ` �{ StZIP+4 ttate,ZIP+4 G (� i i :mm mm D-' m � ®. it • • - • • • WNW .. Er -0958 CUTC Er �. 14 Cr F c II9.8 � Q' Pot ¢e�' c ��\� 0 Po Certified Fee $11,l llf b J�� Postmark f7l Fee 1°QI i ° J Q '° Return Receipt t Fee ( u Certified Q !8i p P Iljl z E3 Postmark :i�`4 (Endorsement Required) ill°:: r� C3 Return Receipt Fee ° Qa -° Ni Pi[f,f it t Here O Restricted Delivery Fee (Endorsement Required) EC--�'I r�r(� rD (Endorsement Required) O Restricted Delivery Fee ° +q $I 1° i y —•�"�4�? ..D (Endorsement Required) �9sp � r=1 Total Postage&Fees $ 17-1 0 r9 Total Postage&Fees $ 1 a''S NORV( . " S FToul •_+ - - OT� Lt \� �----------------------a Sent To /"���m lti C3 S.N=`�—�------------- ------------------------------ h Sireef Api No.; �/ �J`/ ��1(` j ---------------------------------- ---- orPOBOxNO -�. �" w--___ `11511--------------------------------- 4^ � � (—_ e m - :mm mm , PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS rU �9 I. .... Name: . 1 STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20___, deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at . that said Notices were mailed to each of said persons by CERTIFIED MAWRETURN RECEIPT. Sworn to before me this Day of , 20 i i Notary Public Michael J.Domino,?,E'S'ident o��OFF04 r } Town Hall Annex John M.Bredemeyer III,Vice-President „� Gy�� 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 7325 NASSAU POINT ROAD,LLC, c/o JEFFREY ABRAMS 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, ,residing at/dba Creative Environmental Design Pe Box 160 Peconic,NY 11958 being duly sworn, depose and say: That on the Day of CW,1-jvl k,(--, 201� , I personally posted the property known as 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, December 13,2017. Dated: 12•13s17 (si ture) Sworn to before me this day of Pet-2017 Notary Public 131ANE DISAWO Mftfiy PUBLIC;•SiATE OF NEW YORK id NUTILtt: U '1�; H 'LAKING 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. OWN ER(S) OF RECORD: 7325 NASSAU POINT ROAD, LLC, C/O JEFFREY ABRAMS SUBJECT OF PUBLIC HEARING : For a Wetland Permit to stabilize the bluff by creating less of a grade pitch on the slope in order to allow for better erosion control; install three (3) to four (4) rows of staked Coir Logs along each of the northerly and southerly sides of bluff; place 60 cubic yards of sandy loam throughout the slope; install jute matting and vegetate disturbed areas using Cape American beach grass planted 6/8" on center. Located: 7325 Nassau Point Road, Cutchogue. SCTM# 1000-118-4-1 TIME & DATE OF PUBLIC HEARING : Wednesday, December 13, 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 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its si mg ficant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be 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# 4` -�_- PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval, license,certification: Nature and extent of action: Stabilizing of existing bluff by creating less grade pitch on slope to allow for better erosion control. Installation of staked Coir-Logs as per plan. Vegetate with Cape American Beach Grass. All done by hand. t, Location of action: 1 41, Site acreage: 44- Present land use: � �;�,�l� Present zoning classification: „►-I� 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: M� (b_ VpCc�v1S (b) Mailing address: I,'), l� (c) Telephone number: Area Code (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No ED/ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. 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 crite ia. Yes ❑ 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 ❑ 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 II—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable :Azk�s `-2.�jrv' 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 VYes ❑ No ❑Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significa t Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 throug 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 hrough 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 ID/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. F1YeO N, Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No [Q/Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estu ryand 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 eval ation criteria. ❑ Yes 1:1 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 TITLE R�15 o DATE