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TR-9204
Glenn Goldsmith, President ����i®F soUf ®�® Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G Telephone(631) 765-1892 Greg Williams °® ® �® Fax(631) 765-6641 c®UMI`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1839C Date: August 2, 2021 THIS CERTIFIES that the removal and replacement of existing bulkhead with 65 linear feet of new vinyl bulkhead in same location as existing; install an 8 linear foot long bulkhead return onto southerly side; remove and replace existing 4'x4' steps to beach off bulkhead; install and perpetually maintain a 6' wide non turf buffer along the landward edge of the bulkhead; and to install an 8'x8' hot tub adjacent to the dwelling connecting to an existing drywel% At 675 Windy Point Lane a/k/a 675 Private Road#12, Southold Suffolk County Tax Map#1000-87-4-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 16, 2018 pursuant to which Trustees Wetland Permit#9204 Dated April 18, 2018 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 removal and replacement of existing bulkhead with 65 linear feet of new vinyl bulkhead in same location as existing; install an 8 linear foot long bulkhead return onto southerly side;remove and replace existing 4'x4' steps to beach off bulkhead; install and perpetually maintain a 6' wide non-turf buffer along the landward edge of the bulkhead; and to install an 8'x8' hot tub adjacent to the dwelling connecting to an existing dDmell. The certificate is issued to Robert&Donna Drummond owners of the aforesaid property. Authorized Signature CC#: C22-9772 � d 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 03/17/2022 under Liber D00013147 and Page 615 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 03/17/2022 SUFFOLK COUNT/Y� CLERK JUDITH A.PASCALE SEAL 1111111111111111111111111111i111IIIII IlIIIIIIII IIII IIII 111111 IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 03/17/2022 Number of Pages : 16 At: 03:54:_28 PM Receipt Number : 22-0046529 LIBER: D06013147 PAGE: 615 District: Section: Block: Lot: 1000 087 . 00 04 .00 007 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $80 .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 $10.40 NO RPT $200.00 NO �� Fees Paid $330.40 THIS PAGE IS A PART OF THE INSTRUMENT " THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County F1 I F21 Numbbr of pages 20"2 '7 M115'%28 "11 This document will be public record. Please remove all Social Security Numbers-'- prior to recording. Deed/Mortgage instrument /Mortgage Tax Stamp Recofding Filing Stamps FEES Page,/Filing Fee Mortgage Amt. I. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation SpecAssit. or EA-52 17(County) Sub Total Spec./Add, EA-5217(State) TOT.MTG,TAX Dual Town—Dual County_ R.P.T.S.A. Held for Appointment Comm.of Ed. 5. 00 If Transfer Tax Affidavit 4 Mansion Tax The property covered by this mortgage is Certified Copy or will be improved by a one or two NYS Surcharge 15. 00family dwelling only. Sub Total Other YES or NO Grand Total If NO,see appropriate tax clause on page#—of this instrument. 4JDist. 4800979 1000 08700 0400 007000 5 Community Preservation Fund Real Property PTs SVIIIllll Consideration Amount$ Tax Service R SMI A �I III Agency (1DI-MAR- CPF Tax Due $ Verification • — Satisfactions/Discharges/Releases List Property Owners Mailing Address Improved 6 RECORD&RETURN TO: Vacant Land P19 TD '— Z) J TD TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 F Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Narne 7- WWW.SLiffOlkcauntyny.gov/clerk Title# Crs Suffolk Count y Recording & Endorsement PaLye This page forms part of the attached s0L `q Cy 7-1e) made by: (SPECIFY TYPE OF INSTRUIAENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. - 12-0101.1fl/onkk DECLARATION OF COVENANTS THIS DECLARATION made this `' day 2022 by Robert Drummond& Donna ra Drummond,residing at 675 Windy Point Lane, Southold,NY 11971 hereinafter referred to as "DECLARANT(S)": WITNESSETH: WHEREAS,DECLARANT(S)is/are the owner(s)of certain real property located on 675 Windy Point Lane, Southold, NY 11971, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 87, Block 4,Lot 7,which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; 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; WHEREAS, the DECLARANT(S) 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, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required to remove and replace existing bulkhead with 65 linear feet of new vinyl bulkhead in same location as existing; install an 8 linear foot long bulkhead return onto southerly side; remove and replace existing 4'x4'steps to beach off bulkhead; install and perpetually maintain a 6'wide non-turf buffer along the landward edge of the bulkhead;and to install an 8'x8'hot tub adjacent to the dwelling, connecting to an existing drywell. 1 WHEREAS,the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. NOW, THEREFORE,the DECLARANT(S)do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established to remove and replace existing bulkhead with 65 linear feet of new vinyl bulkhead in same location as existing; install an 8 linear foot long bulkhead return onto southerly side;remove and replace existing 4'x4'steps to beach off bulkhead; install and perpetually maintain a 6'wide non-turf buffer along the landward edge of the bulkhead; and to install an 8'x8'hot tub adjacent to the dwelling, connecting to an existing drywell; as defined by Chapter 275 of the Town Code, as detailed on permit x #9204. and as depicted on the site plan prepared by Jeffrey Patanjo, dated March 11, 2018 and stamped approved on April 18, 2018. "Exhibit B" 2) These covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs,assigns,purchasers,or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. 2 IN WITNESS WHEREOF, the owner(s)has/have duly executed this instrument this ,";/`-day of vk; Robert Drummond Donna Drummond STATE OF NEW YORK) COUNTY OF SUFFOLK) On the y,'' `' - day of �t �'��=� ,in the year 2022,before me the appeared Robert Drummond ,personally known to me or proved to me on the basis of satisfactory evidence to be the induvial(s)whose name(s) is/are subscribed to the within instrument and acknowledge to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument,the individual or the persons on behalf of which the individual(s) acted, executed the instrument f' Notary Public PATRICIA C MOORE NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 M04861668 Qualified in Suffolk County My Commission Expires June 16, STATE OF NEW YORK) COUNTY OF SUFFOLK) On the -7.¢ . day of G,. , in the year 2022, before me the appeared Donna Drummond,personally known to me or proved to me on the basis of satisfactory evidence to be the induvial(s) whose name(s) is/are subscribed to the within instrument and acknowledge to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument,the individual or the persons on behalf of which the individual(s) acted, executed the instrument i Notary Public PATRICIA C MOORE NOTARY PUBLIC,STATE OF NEW YORK Registration No.01M048610`8 Qualified in Suffolt',C nu:y- My Commission Expires Jane 15:G �".� E-Cib't A / , - � J '.R ?�• r'''r• ` ��. , (i� ~ 1;is�+• ..•f-l� ••ffa[ ._ ii.�" 1`+�... ° � :, "� f• e•,^a-fF'.3L7d1'•nNeCF:-•acxRs'^-..-z:Jr m4.ale-in!nc6r.C�'a7'Ta'�'ZTX•:+'�.'T�tiL�•Cr^icr•:CSYJD'?7.aF-•aoT.42"y:.OR'^s'�..-:.•VSs"-,7'• �lSaTti"s�'^.�•-•.�la;�•.T'!5--=Jir"tt.,if� A. k-1111111'. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK ; : # PERMIT NO. 9204 DATE: APRIL 18,2018 = a — �y ISSUED TO: ROBERT& DONNA DRUMMOND r rr PROPERTY ADDRESS: 675 WINDY POINT LANE a/k/A 675 PRIVATE ROAD-#U, f -, SOUTHOLD �,! s •� SC'TM# 1000-87-4-7 • s���A r AUTHORIZATION 'RX 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 or,April I8 2018.and in �• ) ' consideration of application fee in the sum of 250.00 aid b Robert&Donna Drummond and subject to the a `� � PP • �_P • Y ,•. Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits ?.•i the following: -� f r� Wetland Permit to remove and replace existing bulkhead with 65 linear feet of new vinyl bulkhead in rn �t same location as existing; install an 8 linear foot long bulkhead return onto southerly side; remove and replace existing 41x4'steps to beach off bulkhead;install and perpetually maintain a 6'wide non-turf buffer along the landward edge of the bulkhead;and to install an 81x8' hot tub adjacent to the dwelling, , connecting to an existing dr well• and as depicted on the site planprepared by Jeffrey Patan o,dated RZ � ` March 11,2018,and stamped approved on April 18,2018• s 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. FF04I(CP r j/l '�~•�'�•-.yLi•4FA_'"�r'•a�"t:�L`9a::GCl:JJ""ttT1Su±4:.•�ift�.^i�9-i!+'-]L:1'- ..D- � ' I.' •j.• .vL-''zdlLei'.:ry n.....t�Sx�.k e..+^ •w ..•• K \\1 �?•��a� ��.•s � EVGroi '� ., ::r. �f�� :�� � ';'s`c�h..•.�• rji,�� :.��w TERMS AND CONDIT). S The Permittee Robert&Donna Drummond.residine at 675 Windy Point Lane, Southold.Now 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 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 CIerk's Office as a notice covenant and deed restriction to the deed bf 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. I 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. f colc f 9 '~°'' `'_ - PROJECT LOCATION 4, 'q PROPERTY OWNER: ROBERT H. DRUMMOND DONNA K. DRUMMOND 106 CENTRE AVE- EAST ROCKAWAY, NY 11518 P.O. BOX 582 BOHEMIA, NY 11716 rl 631-184-9332 djpotunjoogfricit.com -PROJECT LOCATION MAP `I I N.T.S. rq mr�17�v am T=="AM F.&6 .-'f.-.'."':.';APPR0VED BY N - 'Y0A.RD OF TWSTEM ♦0% S DUTHOW E DATE fri 20jS- 7 N",j( as w.r V1. TYPICAL SECTION N.T.S. Av BULWEAD PERAUT PLANS.A04 SCALE: NOTES, PROPOSED PLAN, SECT IOff ns worm & LOCATION W 1. ELEVATIONS REFER TO NAV.D. 1988 OATU PLAN �j 675 J-JFJVATE MAD 912 2. POR11ONS OF PLAN FROM SURVEY PREPARED BY- AKA 976 wLvnr mW LANE SCALE: I"=30' JOHN MINTO LAND SURVEYOR SOUTHOLD. TOWN OF SOUTHOLD SUIPPOLK COUNTY. MY LATEST DATED JUNE 18, 2008 2'AZ AIAP ATO. 1000-87-4-7 11 OF I f P R J ECT LOCATION i PROPERTY OWNER: ROBERT H. DRUMMOND DONNA K. DRUMMOND 106 CENTRE AVE. ' EAST ROCKAWAY, NY 11518 a PREPARED BY: JEFFREY PATANJO P.O. BOX 582 BOHEMIA, NY 11716 631-464-9332 JJPatanjoogmoll.com Fv zw 12' �a+c r Burt m ME e 1 l G-lei h e f,�y r p rapt FNMRM 61 104 C= "w ION. ;AD PER'S' AMS, AS .� ED PLAN, SEMION NorED LMAY"M MAS' PRI--PATE ROAD #12 75 WINDY POINT LANE LD. TOWN OF SOUTHOLD PJF'OLK COUNTY, NY 5HrE1'. AP .NO. 1000-87-4-.7 1 of , 1 a+ r� II -. Ril PROJECT LOCATION MAP N.T.S. --__ - - ---- -- POP= 3u' RFa1R ou 1 1,P H fMFW;EP Ir 11P CCA FILE, W PPWQ= lir MG 1014 CAM ME ROM 6' --- I TYPICAL SECT N.T.S. 9 BY MU). -NOTES' PROM 1 . ELEVATIONS REFER TO N.A.V.D. 1988 DATUM 575 2. PORTIONS OF PLAN FROM SURVEY PREPARED 8Y: AKA 5' JOHN MINTO, LAND SURVEYOR so�r�SU su LATEST DATED JUNE 18, 2008 TAX M Z T i .f x ,r r 6 col?v AIZ u�r F txg N I I ; } Eg Mli,, r Al � rr • b, e .• i It WK uxxm m am •�t+ � .Y yi i,t G 4(v4 yu ++.. 9+' P /fes� �`y'�a�I� „��• � r «"! ptPLAN SCALE: 1 =34 _ ` I ommmko ism I + ' 1'k Ag-f%V � C7 i 5 .z 1 \4n I let �t N 1 �y F vo` 7, of .9 _ P,,FROVED BY �°' •: .,•°:1 BIOARD OF TRUSTEES. OF SOUTHOLD M DA Ink1, ��' •-7 _;�.'^'_'is� ' +��_ �'�y,•rs.-. � 1 6 l�xhibifi � • Stewart Title Insurance Company Title No: 42203 Schedule A Description All that certain plot,piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Bayview in the Town of Southold,County of Suffolk, and State of New York, bounded and described as follows: BEG.INNING at a monument on the southeasterly line of a 16.5 foot right-of-way at the northerly corner of land conveyed to Rita Pascua and the westerly corner of other land now or formerly of Henry C. Bunce and Gertrude Bunce; from said point of beginning; RUNNING along said southeasterly line,North 46 degrees 38 minutes 50 seconds East,65.0 feet to a monument; THENCE along land of Koke, South 18 degrees 30 minutes 00 seconds East, 143 feet to ordinary high water mark of Corey's Creek; THENCE along the ordinary high water mark of Corey's Creek,along a tie line bearing South 28 degrees 14 minutes 20 seconds West,63.97 feet to land of Rita Pascua; THENCE along said land,North 22 degrees 56 minutes 10 seconds West, 160 feet to the point of BEGINNING. TOGETHER with right-of-way 16.5 feet in width,the easterly and southerly lines of which are described as follows: BEGINNING on the westerly comer of the premises hereinabove described and running North 46 degrees 38 minutes 50 seconds East, 162.0 feet; THENCE South 64 degrees 43 minutes 50 seconds East, 199.32 feet; THENCE South 86 degrees 30 minutes 00 seconds East,50.0 feet; THENCE North 25 degrees 16 minutes 10 seconds East,459.86 feet to the southerly line of Bayview Road. Page 4 of 10 Glenn Goldsmith, President *QF SO(/�y Town Hall Annex A.Nicholas Krupski,Vice President �O� Ol0 54375 Route.25 P.O. Box 1179 John M. Bredemeyer III l�i Southold, New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 00UN1`I,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION. I INSPECTED BY: Ch. 275 Ch.. 111 INSPECTION SCHEDULE Pre-construction; haybale.line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: rte. c s. . 40CERTIFICATE OF COMPLIANCE.. � �j 4 t Michael J. Domino, President ��o�SSFF01,��oG$ Town Hall Annex John M. Bredemeyer, III, Vice-President 54375 Route 25 Glenn Goldsmith H x P.O. Box 1179 A Nicholas Krupski dy • Southold, NY 11971 Greg Williams dol , dao Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed 7 compliance Project complete, inspection; J p BOARD OF SOUTHOLD TOWN TRUSTEES 'N SOUTHOLD, NEW YORK PERMIT NO. 9204 DATE: APRIL 18, 2018 ISSUED TO: ROBERT & DONNA DRUMMOND PROPERTY ADDRESS: 675 WINDY POINT LANE a/k/a 675 PRIVATE ROAD 412, SOUTHOLD SCTM# 1000-87-4-7 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 April 18, 2018, and in consideration of application fee in the sum of$250.00 paid by Robert& Donna Drummond 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 remove and replace existing bulkhead with 65 linear feet of new vinyl bulkhead in same location as existing; install an 8 linear foot long bulkhead return onto southerly side; remove and replace existing 4'x4' steps to beach off bulkhead; install and perpetually maintain a 6' wide non-turf buffer along the landward edge of the bulkhead; and to install an 8'x8' hot tub adjacent to the dwelling, connecting to an existing drywell; and as depicted on the site plan prepared by Jeffrey Patanjo,dated March 11,2018,and stamped approved on April 18,2018. 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. co _M`� D x � I,. Z TERMS AND CONDITI S The Permittee Robert&Donna Drummond, residing at 675 Windy Point Lane, Southold,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. 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. i I , it Michael J.Domino,President ��jf So(/ljy0 Town Hall Annex Q John M.Bredemeyer III,Vice-President h O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith mith Southold,New York 11971 A. Nicholas Krupski • Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 COMM BOARD OF TOWN TRUSTEES f TOWN OF SOUTHOLD I April 18, 2018 I Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: ROBERT & DONNA DRUMMOND 675 WINDY POINT LANE a/k/a 675 PRIVATE ROAD #12, SOUTHOLD SCTM# 1000-87-4-7 I Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April!18, 2018 regarding the above matter: I WHEREAS, Jeffrey Patanjo on behalf of ROBERT & DONNA DRUMMOND, 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 March 16, 2018, 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, i I WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 18, 2018, at which time all interested persons were given an opportunity to be h'reard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, i �I 2 I i 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 ROBERT & DONNA DRUMMOND to remove and replace existing bulkhead with 65 linear feet of new vinyl bulkhead in same(location as existing; install an 8 linear foot long bulkhead return onto southerly side; remove and replace existing 4'x4' steps to beach off bulkhead; install and perpetually maintain a 6' wide non-turf buffer along the landward edge of the bulkhead; and to install an 8'x8' hot tub adjacent to the dwelling, connecting to an existing drywell; and as depicted on the site plan prepared by Jeffrey Patanjo, dated March 11, 2018, and stamped approved on April 18, 2018. 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, I i Michael J. Domino President, Board of Trustees i MJD/dd I I I ` 0 �I O\ 6�p • -76 _ I Q 0� Fri. 0O's d W E A6 a o a S riro 4 0� ' m SURVEY OF PROPERTY AT BA YVIEW m TOWN OF SOUTHOLO SUFFOLK COUNTY, N. Y. 1000 - 87 - 04 - 07 Scale 1" = 20' w Sept. 18, 1990 Jt1nl� is. 2008 it 4�1 r NOM I .•o� O �, i 0 c� N r z o 01 1, tpC'/ AREA = 10,688sq.fL ��1., ; _ ANY Ac MUrroru ORAaernar To nas.sr.�v�Y SA nx.a 770Y 0� OF RE WW YORK SATE SWAM Li0 EXCEPT AS CTW 7209-SI.BD WN 2 AG [FRTFKAIiOYS }` �� l',•_ MEMN ARE V 0 FOR TVs NAP Alm WES TMWOF ME F - - S R£SSED A SFAC OF IWS1I4V£1OR \ � Ad S_;,#1C NG. 49 S MAR 1 6 2018 , enard ut I cogq, AC 6�" PROJECT LOCATION 7 ,P� � � " " l 1 � �\ 11!" JI PROPERTY OWNER: A�V ROBERT H. DRUMMOND 19 DONNA K. DRUMMOND 106 CENTRE AVE. \ `' a�`v —^ �' Southold EAST ROCKAWAY, NY 11518 DRYWELL Appliance R PREPARED BY: JEFFREY PATANJO P.O. BOX 582 \ \ �b ~� V f '`' ',' BOHEMIA, NY 11716 631-484-9332 JJPatanjo@gmail.com I%X 1\ ` PROJECT LOCATION MAP N.T.S. PROPOSED 3*X6' PROPOSED FIR TIMBER TOP CAP REAR WALE DOSIING BULKHFAD PROPOSED 12' LONG 8" BUTT iNl ` Y CCA TREATED TIMBER PILE, 6' D.C. EXISTING BULKHEAD TO BE REMOVED -PROVED BY ENTIRELY.0 BOARD'OF TRUSTEES. APPRMNA7E&LILW.a.22% -TOWN, F SOUTHOLD OWNS vmffED wuvm AS IDENIIRED Iff > P RO!w GRAN N PMP E TOO Dmmu J.PATAWD ON 2-24-18 APPROWE ILLW EL&O:k m DWRYWELLL ON SUE DATE Aft- PROPOSED 8'TIP CCA PROPOSED 65 IF WM MILIGIFAD IN SUE LAY-LOG PILE LOCATION AS DEW PROPOSED 8W HDT-TUB PROPOSED 8*TIP CCA PILE, 6' PROPOSED 6*x C / ; \ MW ALONG FACE OF BIJLKKAD D.C. 8' LENGTH. BOLTED TO 'rBOTTOM WALE 11 LAY-LOG WITH 3/4 -PROPOSEOIP &.. LONG CLOC 9000 PROPOSED 4'X 4'HINDGED SPIRS TO GALVANIZED THRU-BOLTS. VINYL SHEETING BCH IN SAME LOCATION AS OWNG PROPOSED 16' LONG 11" DIA 6, O.C.GAILY. TIE ROD, TYPICAL SECTION V,, UK OF 6!WIDE NON-TURF VJFM N.T.S. PROPOSED 8 IF WMEW RWE URN "14 MAR 1 6 2018 BULKHEAD PERMIT PLANS. SCALE: AS NOTED OWN OM TO REMAIN UWSIU=DURING MWWM _;__ 0 PROPOSED PLAN, SECTION s0u-,hQkd )0�;,fl Q NOTES: DATE: pard of Tig"U & LOCATION MAP 3-11-18 BULKHEAD P 1. ELEVATIONS REFER TO N.A.V.D. 1988 DATUM PROPOSED 675 PRIVATE ROAD #12 PLAN 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: AKA 675 WINDY POINT LANE SCALE: 1"=30' JOHN MINTO LAND SURVEYOR SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: LATEST DATED JUNE 18, 2008 T X MAP NO. 1000-87-4 OF 1 TAX —7 r l *pF SOFT Michael J.Domino,President � yQTown Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 Charles J.Sanders P.O.Box 1179 v' �c Glenn Goldsmith Southold,New York 11971 , G � Q a A.Nicholas Krupski Telephone(631) 765-1892�i��DUNTI,N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES - - - -- TOWN OF SOUTHOLD Pat TO: OW DOAXA- W Jl uq �,O PA71hA-0 Please be advised that your application dated MA4C14 /lei'?'01� has been reviewed by this Board at the regular meeting of AfR.r l S�Z®l g and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project 4,251? Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) 'V2 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: $ 511OD �'1�� 110 BY: Michael J. Domino, President Board of Trustees Michael J.Domino,Pre; t O�Qg00 Ft?l�'�OG - Town Hall Annex John M. Bredemeyer III, Vice-President � y� 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski ar r Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: G( , )�� Completed in field by: -;4" �_ — Jeffrey Patanjo on behalf of ROBERT & DONNA DRUMMOND request a Wetland Permit to remove and replace existing bulkhead with 65 linear feet of new vinyl bulkhead in same location as existing; install an 8 linear foot long bulkhead return onto southerly side; remove and replace existing 4'x4' steps to beach off bulkhead; install and perpetually maintain a 6' wide non-turf buffer along the landward edge of the bulkhead; and to install an 8'x8' hot tub adjacent to the dwelling, connecting to an existing drywell. Located: 675 Windy Point Lane/A.K.A. 675 Private Road #12, Southold. SCTM# 1000-87-4-7 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 Surveys 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: J. Bredemeyer M. Domino G. Goldsmith t N. Krupski . Williams Other Page 1 of 2 Michael J.Domino,Pre; t o��$11FFQ(kcoG 3V t Town Hall Annex John M.Bredemeyer III,Vice-President �� �% 54375 Route 25 Glenn Goldsmith ti P.O.Box 1179 A.Nicholas Krupski O Southold,NY 11971 Greg Williams 4��d �aTelephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffrey Patanjo on behalf of ROBERT &,DONNA DRUMMOND request a Wetland Permit to remove and replace existing bulkhead with 65 linear feet of new vinyl bulkhead in same location as existing; install an 8 linear foot long bulkhead return onto southerly side; remove and replace existing 4'x4' steps to beach off bulkhead; install and perpetually maintain a 6' wide non-turf buffer along the landward edge of the bulkhead; and to install an 8'x8' hot tub adjacent to the dwelling, connecting to an existing drywell. Located: 675 Windy Point Lane/A.K.A. 675 Private Road #12, Southold. SCTM# 1000-87-4-7 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 G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 obert&Donna Drummond 675 Windy Point Lane a/k/a Private Road 912,Southold SCTM#: 1000-87-4-7 4/[1/18 K _ Ly - . : .2"" v •fie _ - �� ,� a�� ,�._ - — _ r :.raj '. � * �r ✓��nJ�' , te;' 4w a r-, . . - . f:- Jr{ Photo 3 (3/10/18) Y 4 f Photo 4 (3/10/18) �s _77— AM 7KY3/ VON All r At /. 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Main Rd. &Youngs Ave.) Southold, NY 11971 �� Telephone: 631 765-1938 Fax: 631 765-3136 COU LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: April 12, 2018 Re: Local Waterfront Coastal Consistency Review for ROBERT & DONNA DRUMMOND SCTM# 1000-87-4-7 A Board of Trustees permit for the existing bulkhead was issued in 1985. Jeffrey Patanjo on behalf of ROBERT & DONNA DRUMMOND request a Wetland Permit to remove and replace existing bulkhead with 65 linear feet of new vinyl bulkhead in same location as existing; install an 8 linear foot long bulkhead return onto southerly side; remove and replace existing 4'x4' steps to beach off bulkhead; install and perpetually maintain a 6' wide non-turf buffer along the landward edge of the bulkhead; and to install an 8'x8' hot tub adjacent to the dwelling, connecting to an existing drywell. Located: 675 Windy Point Lane/A.K.A. 675 Private Road #12, Southold. SCTM# 1000-87-4-7 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 are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP provided the following is considered: 1. Increase the non-turf buffer width from 6' to a minimum of 10'. Require that the buffer is planted with native, salt tolerant vegetation. 2. Require that impacts to the existing saltmarsh vegetation Sparfina Spp, seaward of the bulkhead be minimized during construction. 3. Clarify how the hot tub will be drained. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney L �g�yfFO�►„p Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary coo o P.O.Box 1179 Southold,NY 11971 �/ fl 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., April 11, 2018 the following recommendation was made: Moved by James Abbott, seconded by John Stein, it was RESOLVED to SUPPORT the application of ROBERT H. & DONNA K. DRUMMOND for the removal and replacement of existing bulkhead with 65 If. of new vinyl bulkhead is same location as existing, installation of 8 If. bulkhead return, removal and replacement of 4'X 4' steps to beach, installation of 6' wide non-turf buffer and installation of hot tub adjacent to residence and its' associated connection to nearby'existing drywell. Located: 675 Windy Point Lane, Southold. SCTM#87-4-7 Inspected by: James Abbott The CAC Supports the application with a 10' vegetated buffer. Vote of Council: Ayes: All Motion Carried Michael J. Domino, President VY�O�SU!/r�o Town Hall Annex John M. Bredemeyer III,Vice-President h0 lQ 54375 Route 25 P.O.Box 11 Glenn Goldsmith J�[ Southold,New York 11971 A.Nicholas Krupski G Q Telephone (631)765-1892 Greg Williams :ro, Fax(631) 765-6641 ��UUNTY,� o I�C�C�DV� BOARD OF TOWN TRUSTEES D TOWN OF SOUTHOLD APR - 4 2018 To: Southold Town Building Department BUMDYNG DEPT. Re: Verification of Building Department Permit Requirements TOWN OF SOUTHOLD SCTM#: Property Owner Name: �(�clr�l�Gn C�'� Date Sent to Bldg. Dept.: Lifill The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? Will any part of this application be considered as Demolition as described under Town Code? COMMENTS: Si ature of Reviewer Date %tf soUTy ' Michael J.Domino,President h® ®�� Town hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders �, Southold,New York 11971 Glenn Goldsmith ® �� Telephone(631) 765-1392 A.Nicholas Krupski ��'� � Fax(631) 765-6641 BOARD OF TOWN TRUSTEES ES TOWN OF SOUTHOLD This Section For'Offace Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: 3116.18 [ F- r ['7-1 ', - ; Received Fee: $ � !3 s� '' ;r_":J Completed Application: '2-0, Incomplete: SEORA Classification: Type I_ Type II Unlisted L MAR 1 6 2018 Lead Agency Determination: g Coordination-(date sent): - - - -. - ..- i �LWRP Consistenc Assessment Form Sent: r"N'` �R~ 7"- -CAC Referral Sent Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held-___'�, t Resolution: Legal Name of Property Owner(s): g o b e i-t 4. It 17 P n r'F- Mailing Address: , I Vb C'en+re- Ave - -!FASt' <Zo c-14aw".j , AJy 1/S/8 Phone Number: S/L - 9 6 0 -17 3 3 Suffolk County Tax Map Number: 1000- V - o y- 7 Property Location: &-7 S w i n d y , po o n t C u v,a - So,-,41,- 1 A. AKA Fr-V1-rte go&A- -94 17-- 51'e [ocw77®n e+Ap (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): T Ftrfc-y -rq.11 a Mailing Address: �' O ' Ig°� S Sr�- t3o4e n l a, Phone Number: 3/• b°y' 9 3 3 a- Board of Trustees Applicai n GENERAL DATA Land Area(in square feet): /D1 W Area Zoning: geS Previous use of property: Res Intended use of property: f2e$ Covenants and Restrictions on property? Yes 'll� 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 '� No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure(s)on property have a valid Certificate of Occupancy? ` Yes No Prior permits/approvals for site improvements: Agency Date ✓ No prior permits/approvals for site improvements. Inas any permit/approval ever been revoked or suspended by a governmental agency? We"No Yes If yes,provide explanation: Project Description(use attachments if necessary): Sec A 1-t rt c Robert H. & Donna K. Drummond 675 Windy Point Lane(AKA Private Road #12) Southold, NY 11971 SCTM No.: 1000-87-04-07 PROJECT DESCRIPTION: The project includes the removal and replacement of existing bulkhead with 65 LF of new vinyl bulkhead in same location as existing, installation of 8 LF bulkhead return, removal and replacement of 4' x 4' steps to beach, installation of 6' wide non-turf buffer and installation of hot tub adjacent to residence and its' associated connection to nearby existing drywell. I i I I i �I i I i Board of Trustees Appliea' m WETLAND/TRUSTEE LANDS APPLICATION DATA 1 Purpose of'the proposed operations: 5re a�-f-ac.tic� Area of wetlands on lot: i/O S square feet Percent coverage of lot: / • 3 3 Closest distance between nearest existing structure and upland edge of wetlands: D feet 1 Closest distance between nearest proposed structure and upland edge of wetlands: =® feet Does the project involve excavation or filling? No Yes 1 If yes,how much material will be excavated? cubic yards I 'How much material will be filled?_ �"� cubic yards Depth of which material will be removed or deposited: m A feet Proposed slope throughout the area of operations: M1 Manner in which material will be removed or deposited: I 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): Al l Qrd ca%, -r`v.4 s &,,11 be -m izey -E-.' 4V ft A d(Sr&,e+i®.a +0 Z'X15rl T w�-c-1a��� • P*xiS-riny -Skeels N.in Ic 10-11-eX j andQ Ntw by .(G4toLQ ghee-t'S via 'be- vi bri t,d -t® AVv� /.� r i Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully i respond to any item;please answer as thoroughly as possible based on current information. I 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. I Part 1-Project and Sponsor Information Name of Action or Project: 675 Windy Point Lane Bulkhead Project Location(describe,and attach a location map): See location map Brief Description of Proposed Action: I ; Remove and replace existing timber bulkhead with 65 LF of new vinyl bulkhead in same,location as existing,install 8 LF bulkhead return and remove and replace existing 4'x 4'steps to water.Install proposed hot-tub at rear of house and provide a 6'wide non-turf buffer i 1 1 Name of Applicant or Sponsor: Telephone: 516-86d-9738 Robert H &Donna K Drummond E-Mail: rdrumm@optonlme.net � Address: 1 106 Centre Ave City/PO: State: Zip Code: East Rockaway NY 11518 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ F7NYSDEC/NYSDCS/Town of Southold Trustees 3.a.Total acreage of the site of the proposed action? 0 245 acres b.Total acreage to be physically disturbed? 0.029 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0 245 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban [3 Rural(non-agriculture) [—]Industrial ❑Commercial ®Residential(suburban) ❑Forest DAgriculture ❑Aquatic El Other(specify): ❑Parkland Page 1 of 3 i - i 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ ❑ 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:Name:Corey Creek,Name•Peconic Bay and Environs,Reason:Significant coastal fish&wildlife habitat, Keason'Protect public health,water,vegetation,&scenic beauty,Agen_Cy.7S_0_Uffi6[d,_Town o, Arpnrv-Stiffe",ent imv E). ✓ i 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES F71 0- 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: ❑ ❑✓ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ❑ 11.Will-the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 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? E] ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Corey Creek 16 SE for stens 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: m Shoreline El Forest ❑Agricultural/grasslands ❑Early mid-successional m Wetland El Urban m 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? Piping Plover,Least Tern ❑ ❑ 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: DNO DYES Page 2 of 3 i 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: ❑ ❑ 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: Z ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ® ❑ i I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spon e• Obert H.Drummond lQ � ✓)tt , J ria ISate: ✓ J Signature: 1 ; - _ �) � L'✓'tCil�/L%��� I i PRINT FORM Page 3 of 3 18 Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 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 11regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? F] 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 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 3. Part 3 should,in sufficient detail, identify the impact,including any measures or design elements that have been included by- the ythe 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 iacts. / Town of Southold-Board of Trusteesil� q, �l f Lead�,Agency Date , �� Name J _ b lX I President Print or Type Name of Pesponsible Office in ead Agency Title of Responsible Officer Signature of Responsible O icer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 EAF Mapper Summa- leport Sunday, March 11, 2018 7:09 PM Disclaimer: The EAF Mapper is a screening tool intended to assist 780ij=50Q?7.0(CrrJ. . 7gpp�7QQ 32Q1`i ao(7,7ooWa2ooQ�s ,�_ project sponsors and reviewing agencies in preparing an environmental I/ ' 7800 900=29000,' assessment form(EAF).Not all questions asked in the EAF are u,- 78t�0.�500-12000` ' '` J _ .i�:,, r '- r"= +'�: ''-` answered b the EAF Mapper Additional information on an EAF g `��7.$00=700 43 00, v pp y 1;,._.... i,: ,. i _: p7804r9.00'311b02:, 7,800-5.00:800,0` ' • T'.'` ..7g 00-700_.-450.01' r.'," ' ti f;' question can be obtained by consulting the EAF Workbooks Although _� it� 7500-604,x003"'}j ' 1 `"` . �f-7$©� `00 r30001t7$00900-3300;1 the EAF Mapper provides the most up-to-date digital data available to 7$©0 500=1;.,- , :{ 7ai50=uo Q;`t_30, '' you may also need to contact local or other data sources in order ,-, , " POOF 0001 DEC, 780,9=5.009000.; ^'r l = c, _.78'00 ��+00='300.02'_:;78®0 o�CeO 30�©.© 78000600=1 0002- _ w.�- to obtain data not provided by the Mapper.Digital data is not a I,-' c > -� r , j = 7800-,90;1,'-3,4{}0,,'1 substitute fora enc determinations 78 0015,04' 00 0.7$0D,• 60 X40 I9 - ~j h-"� t agency ( { T'a66r 0C1=.'48©`00„ .7700 ��33002Q - -. c•r.j_ � �, .'7$t0.74C�r3;520tJSi8700-5'00-190;03+' a„84fi=_500--160007900;� 071,:7,�,-0�00r fe{� _f/: . j.- 1 ' =. - Otttitaa hlmiUcal r 7t0(Y'r.440-2�+f 0" $7".00,500;.12403$'700=5'00-:151900;�70ta=500=23006 t: .: a;w,,-,r, ;1'' _fs.._ -�0�, t 1=r ':i . 87�0i0-+5-��0-,0f=1,f',6'00_0i:'1aa70�40fcU q " "j87. bO5t0�y r 023-00r J93 . it rH` Toato,'r8700:,500 70©Q8700500-T7006 - i "_ - _0 •8700-500;23008 i i8,0b,�00-900. 8700=500 20000 �/ 0 I 'B- . fott a' l' I tr`oIt 0 i 09 -H Srif 514;210 F_RE.rt✓aimin, 51fa4�;h34! G t .�:;_ a1t Pa-00ItN*VFi•,N$Gf3n, - fr' rt; E,Gar 4fl' Saiap;_ � b min, sri„{,Thailand},hIG `}'n �i bolumbut a`=t USS Ilrrt INCREh1EN pe-ttSrtreettel p; ritributci�i;thG1500©C,i t. P. h!` n ' - --- - _ - I y FsriJapan„Iv_1ET1.' U >,t,Gcrrtmbfnnali ,cr.eii:ici rr.',-W ;f�yulna{Hang•1Ccngpi.E�ri Part 1 /Question 7 [Critical Environmental Yes Areal Part 1 /Question 7 [Critical Environmental Name:Corey Creek, Name:Peconic Bay and Environs, Reason:Significant Area- Identify] coastal fish&wildlife habitat, Reason:Protect public health,water, vegetation, &scenic beauty,Agency:Southold, Town of,Agency:Suffolk County, Date:3-9- _ 90, D__a_te_:7-12-_8.8 Part 1 /Question 12a [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a[Wetlands or Other Yes-Digital mapping information on local and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete. Refer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part 1 /Question 15 [Threatened or Piping Plover, Least Tern Endangered_Animal -_Name] Part 1 /Question 16 [100 Year Flood Plain] Yes Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report I i I 'f Board of Trustees Application AFFIDAVIT �v�er-� it ®�: re 1L- 0rv.� ®•ark' BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMffT(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 TATE SOUTHOLID TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE ROARED OF TRUSTEES HARMLESS AND>FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), )IFI+' GRANTED. Il`\T COMPLETING THIS APPLICATION,II HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENTS)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO IAV PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WIT,H THIS APPLICATION, INCLUDING A}FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ON'T'O I�It`K PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDETION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED EV THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS 11�114--DAYOFZOAVC� , 20 �b t�Itx— Notary Public Robert A.Drummond,Esq. Notary Public-State of New York No.02DR6327395 Qualified in Nassau County L Commission Expires Jul 6,204$ Bard ®f Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, o e(-r � D®�,n c._. lL PT v/""n m A S owners of the property identified as SCTM# 1000- ®y ' ®7 in the town of New Fork,hereby authorizes �� P�-r 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. Prop rty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF Q/'Gr-� ,20 Z4 Z- r Notary Public Robert A.Drummond,Esq. Notary Public-State of New York No.02DR6327W5 Qualified in Nassau County Commission Expires July 6,20J A>PPLICANTI/AGE+NT/REPRE+SE+N`li_'ATEW TRANSACTIONAL DISC iLOSU !1 FORM The Town of Southold's Code of Ethicsprohibits conflicts of interest on the part oftown officers and employees.The ourn_ose_of this form is to provide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action is I necessary to avoid same. n YOUR NAME: P C (Last name,fust name,4iiddle 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,patent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,nlarriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of/the shares. YES _ NO ✓ If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)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 RELATIONS14IP Submitted this 13 day of ��'� ` 20,S Signature Print Name Form TS 1 APPLLICANT/AGENT/RE P t +SEW11 ATI VE TRANSACTIONAL DISC lLOSU II F0M/f The'roxy of Soutiiold's Code of Ethics prohibits conflicts of interest on the pari of town officers and employees.The pnrnose 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: 1"::)t u'"i++ m-& , T)o✓7 e)t` (Last name,first name,.piddle 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)haven 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 oremployee 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/agenUrepresentative)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 share:,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 die applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thisL oof �/ 20 Signature Print Name_ ,Do oA4 Form TS 1 AP PLICAIntT/AGEI T/lEtEPR ES ENTAT 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 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: (Last name,first name,4riddle initial,unless 36u 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 iclationship 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 die shares. YES — NO r 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%ofthe shares of the corporate stock ofthe applicant (when the applicant is a corporation); B)the legal or bbenefieial 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 l 3 day of �✓t v PG 1,t 201 � Signature �=— Print Name _ oF4._. Form TS 1 Michael J.Domino;President �OSUFFO(�CO l Town Hall Annex John M.Bredemeyer Ill,Vice-President ,��� °yam, 54375 Route 25 Glenn Goldsmith y z P.O.Box 1179 A.Nicholas Krupski s fn Southold,NY 11971 Grea Williams 41 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 ROBERT & DONNA DRUMMOND COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING T.D.BE°COMPLETED'AFTER POSTING-REMAINS IN.PLACE FOR AT LEAST SEVEN DAYS PRIOR TO-THE PUBLIC HEARING DATE l 1, Jeffrey Patanjo ,residing at/dba P.O. Box 582,Bohemia,NY 11716 being duly sworn, depose and,say: That on the /t day of April ,2018 ,1 personally posted the property known as 675 Private Road#12,AKA 675 Windy Point Lane, Southold,NY 11971 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, April 18,2018. Dated: April 11,2018 Sworn to before me this day of April 2018 MARILYN S.HICKS FNOTARY PUBLIC,STA'T'E OF NEW YORK ANotaryblic gistration No.01H16365489 usned in Suffolk County ssion Expires October 10.2021 PROOF OF MAILING'OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS . Name: Address: SCTM# 1000-87-4-6 Burst CA Test Cred Shel Tr 7 Chatham Pl.,Dix Hills,NY 11746 C/O Carol Burst SCTM# 1000-87-4-8 Ghetti,Susan A 311 Andrews Rd.,Mineola,NY 11501 SCTM# 1000-78-6-17 Botka,Robert&Botka,Laura 31 Granger,Avenue,'Floral Park,NY 11001 STATE OF NEW YORK-, COUNTY OF SUFFOLK Jeffrey Patarijo ,residing at P.O.Box 582,Bohemia,NY 11716 being duly sworn,deposes and says that on the I I day of April 20 18 , 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 s 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 mailedat the United States Post - Office at n h e,m« ,.that said Notices were mailed to each of said persons by ' CERTIFIED MAM/RETURN,RECEIPT. - i Sworn to before me this Day of April 2018 MARILYN S.HICKS SNOTARY pUSUC,STATE OF NEW YORK Not Public Registration No.01H16365489 ! auanfied in Suffolk County Commission Expires October 10,2021 ) TIM TM ' • - - • -- stal Servic ■CET . ECEI ■ . , O . ■ � niI. I •I Otilk Er Er WN EMU I-q FL HU ErCertified Mad Fee s 1 Er Certified Mall Fee $3.45 Q- $ $ .75 F $ c ^ d'�� Extra Services&Fees(check box,add fee 'jpP(Wate) FJctra Services&Fees(check box,add fee �pr�- A i� ❑Return Receipt(hardcopy) $ ''"'— �j ❑Return Receipt(hardcopy) $ - -- 0 -❑Return Receipt(electronic) $ s'-r•r-rtr Postmark ❑Return Receipt(electronic) $ -P r r >.rt� POS})lfa/rk ❑Cerbfled Mail Restricted Delivery $ 1 . 1 Here,.* z 1 0 ❑Certified Mall Restricted Delivery $ $11-1711 _ A H8F9� C3 []Adult Signature Required $ Sri-Do � � r ❑Adult Signature Required $ 6' ❑Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ �l'O rt � Postage $1J 5rj 0 Postage $0.5t_I 1Y 11 U Ln Total Postage and$b.70 -04-1 201, {� Total Postage and�--- - - - - -114/11 21,118 $6.70 SCTM#1000-87-4-6 1`- Sent To SCTM# 1000-78-6-17 r-q $ ent To Burst CA Test Cried Shel Tr CoA Robert& Botka, Laura o Sfree7andApt.No., Sf�eefandApt.No,; C/O Carol Burst 1 r` 31 Granger Avenue :r` �. 7 Chatham PI. crry,sraee;Z%P+4® Floral Park, NY 11001 II ctry,srare,Z/P+4 Dix Hills, NY 11746 Postal Service CERTIFIED ! ■ ■ I� 0 Is • � MIN CO k-_ { �pj Er Certified Mail Fee $3.45 C1710 Ir $ 06 Extra Services&Fees(checkbox,add fee$tFp ppatel p C3 ❑Return Receipt(hardcopy) $ V Q -I Q ❑Return Receipt(electronic) $ • 1 /�/� Postrn b [3 Certified Mall Restricted Delivery $ / � Here [-3 ❑Adult Signature Required $ t •� �� ❑Adult Signature Restricted Delivery$ s rO Posta e $0.50 $ -o "14/11/ 17 � Total Postage and��.7�,1_ __ _J Sent To SCTM# 1000- 7-4-8 0 StYOandAW(—%, Ghetti,Susan A N Cary"State,'Z/P+4® 311 Andrews Rd. Mineola, NY 11501 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Act Name: STATE OF NEW YORK x 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 MAIL/RETURN RECEIPT. Sworn to before me this Day of ,20 i i t Notary Public 1M 1 1 April 12, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 ASR 17 2018 , P.O. Box 1179 ( } Southold, New York 11971 �---- ----- -Board u ir:_ RE: 675 WINDY POINT LANE—SOUTHOLD SCTM No. 1000-87-04-07 AFFIDAVITS Dear Trustees: Attached please find Affidavits of Mailing and Posting as required for public hearing. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 NUTILk: Uim 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: ROBERT & DONNA DRUMMOND SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove and replace existing bulkhead with 65 linear feet of new vinyl bulkhead in same location as existing; install an 8 linear foot long bulkhead return onto southerly side; remove and replace existing 4'x4' steps to beach off bulkhead; install and perpetually maintain a 6' wide non-turf buffer along the landward edge of the bulkhead; and to install an 8'x8' hot tub adjacent to the dwelling, connecting to an existing drywell. Located: 675 Windy Point Lane/A.K.A. 675 Private Road 12, Southold. SCTM# 1000-87-4-7 TIME & DATE OF PUBLIC HEARING : Wednesday, April 18, 2018 — 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 r Town of Southold LWRP CONSISTENCY ASSESSMENT FORD A. MSTRUCTIONS 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 Lazard 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 ' .icant 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 2al:ained in detail, listing both suippordang 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# T 7 - o q _ 0-7 PROJECT NAME 675' r..,,1 nfJ y ev, .,-r 6a.i e B„C-1G 4,e e d 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: 514t k Location of action: O7 r k)/.J&I Pot^r L*.tG A14 Site acreage: O -2 y f Present land use: 9---s- Present zoning classification: e-S- 2. 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: go 10,e r-t H. ` �s n n e— 1 Ar v.n -K v n (b) Mailing address: 106 etvi-t-r c .Ave- f457- 12.<<<s+ w 4.1 �,J �J It 5-18, (c) Telephone number: Area Code( (d) Application number,if any: N,A 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? rJ i SWe IN KS D041,gr"t'j 6tips C. Evaluate the project to the following policies by analyzing how the pro, ect 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. DEVELOP)ED COAST POLICY Policy 1. Poster a pattern of development in the Town of Southold that enhances community nity character, preserves open space, snakes 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. Eryes ❑ leo ❑ Not Applicable Pro le e-+ Fr®vi'?-eS 614- .4- resew buAL1-bc4,Ag4& 5f wu.f -fc #"C%q-eA I Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section Ell—Po�licies Pages 3 through 6 for evaluation criteria ❑ Yes 1:1No 2 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual duality and protect scenic resources throughout the Town of Southold. Sec LWRP Section 11g—Policies Pages 6 through 9 for evaluation criteria Yes ❑ No ❑ Not Applicable fojec+ Prov11PeA a. �lc.a �/1$ua ��y �Pp�R /hy b��l�tr�acQ -�® �►'iesfe:G, Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section FIE—Policies Pages S through 16 for evaluation criteria Rr Yes ❑ No ❑ Not Applicable ff ol` e,4 ( ro-�«-rf cc 5 titnVt` LmSs 0T Preper-�!j d-e- •�'o v�oSlo-� 4.,�? P�OrGCL�'� R,1 Ll�f. Attach additional sheets if necessary ]Policy 5. Protect and improve water quality and supply in the Town off.Southold. See LWRP Section NEI —Policies Pages 16 through 21 for evaluations criteria Yes ❑ No ❑Not Applicable prviee4 1-*K Proves wa-t"eit- Cl ya•lLo4 �y araH nf- r-,J.oeek n4en.t'.� W0. 4,eA-S Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the 'Down of Southold ecosystems including Siguni$ncaant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section Y11—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ EK Yes No Not applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See DIRE Section III — Policies Pages 32 through 34 for evaluation criteria. F-1Yes ❑ Indo Fu Not Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in 'down of Southold from solid waste and hazardous substances and wastes. See LSP Section III—Policies; Pages 34 through 38 for evaluation criteria. El Yes ❑ leo [- 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 HE—Policies; Pages 38 through 46 for evaluation criteria. YeO leo❑ loot Applicable roVc+ 2(10VIQeS SZ'a (r5 -f® w0.kri 'e- ,r ecce tt-jt,-j Mfr rjvj-h,s r Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent eases and promote seting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ED-Iqot 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, 1-1Yes 1:1No E I O Applicable Attach additional sheets if necessary PoUcy 12. Protect agricultural lanais in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes 1:1 No�7 Not Applicable Attach additional sheets if necessary ]Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section gig—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No E41NO Applicable PR EPAIEID BY ��-Y ?'ti ti p TITLE A ?r DATE 3- 13- 76 February 15, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 �~ P.O. Box 1179 Southold, New York 11971 MAR 1 6 2018 RE: 675 WINDY POINT LANE—SOUTHOLD So SCTM No. 1000-87-04-07 �__�_-____,La' -- APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Ve ZtruZlurs' Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716