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TR-9350
Glenn Goldsmith, President SOUrTown Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M. Bredemeyer III #i[ Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams '� �� Fax(631) 765-6641 �yCOUNT`I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1676C Date: January 27, 2020 THIS CERTIFIES that the removal and replacement of 25 linear feet of existingtimber imber bulkhead with-new vinyl bulkhead in-place; remove and replace existing 6' wide by±25' long timber deck in place u'sihk non-treated timber decking; and for the as-built 2.5'x12' adjustable ramp to a 6'x18' floating dock,,with the condition that turbidity controls be installed during construction; At 1725 Anchor Lane, Southold Suffolk County Tax Map#1000-71-2-25 Conforms to the application for a Trustees Permit heretofore filed in this office Dated August 10,2018 pursuant to which Trustees Wetland Permit#9350 Dated November 14, 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 25 linear feet of existing timber bulkhead with new vinyl bulkhead in-place;remove and replace existing 6' wide by±25' long timber deck ifi place using non-treated timber decking,• and for the as-built 2.5'x12' adjustable ramp to a 6'x18' floating dock; with the condition that turbidity controls be installed during construction. The certificate is issued to Jeffrey& Samantha Heidtmann owners of the aforesaid property. Glenn Goldsmith, President �QF SO(/jTown Hall Annex Michael J. Domino,Vice-President ,`O� Ol0 54375 Route 25 P.O. Box 1179 John M.Bredemeyer III l J�[ 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 DATE OF INSPECTION: / v7 INSPECTED BY:' 144 T /Ch ,27' 5 - Ch. 111 INSPECTION SCHEDULE Pre-cortstruction,haybale line/silt boom/silt curtain 1 st day of construction % constructed Project complete, compliance inspection CNIENTS: Azec Wit- CERTIFICATE OF COMPLIANCE: Michael J. Domino, President 40 y�� Town Hall Annex John M. Bredemeyer, III, Vice-Presidents <'; 54375 Route 25 Glenn Goldsmith y i P.O. Box 1179 A Nicholas Krupski �y • ��� ' Southold, NY 11971 Greg Williams �� 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 /silt boom/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; L •�Vt i'i3�.j. _ �:�(� Vis.: -••--•,�.,,..,,;: ,�\ih ���p•„ , d� � y:,, q ti'•��'r• , -h Pe'i�.,. :�a+ .,. :�^_;• .w,,,,.., ,f ,'- •_;` -:. y=rel• �i-., �' hf1,. `••3= -:.� •,;rpt ��s• '":. ,;fit .�= v ''�.�; 't'.. '\��:�Ti�k,!t�,y,+yrN�2,^.elrixr/azar[iw,ems-Gxxm+»w.l�'.mi>ztrnx��z�T�'t�'ivs'r��"4'�°RRxrfr7axuy+mxtZm°J+rycyc.'�n,*4�2';��XI��YrYY''Pr�+ete�T�,'�°��YTffS4''fvSQ?nt:�:c=»nta�rm rF+X.R:;.YCTC>'�h'^Nsg4�4x�xxr.'�. !'4r> S''T' En" ' _ r' BOARD OF SOUTHOLD TOWN TRUSTEES .J. SOUTHOLD,NEW YORK j PERMIT NO. 9350 DATE: NOVEMBER 14, 2018 ISSUED TO: JEFFREY & SAMANTHA HEIDTMANN ' r PROPERTY ADDRESS: 1725 ANCHOR LANE, SOUTHOLD SCTM# 1000-71-2-25 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in ` accordance with the Resolution of the Board of Trustees adopted at the meeting held on November 14. 2018, _1r' oand in consideration of application fee in the sum of $250.00 paid by Jeffrey & Samantha Heidtmann 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 25 linear feet of existing timber bulkhead with new :re vinyl bulkhead in-place; remove and replace existing 6' wide by±25' long timber deck in-place using non-treated timber decking; and for the as-built 2.51x12' adjustable ramp to a 6'x18' floating dock; with the condition that turbidity controls be installed during construction; and as depicted on the site plan prepared by Jeffrey Patan o dated October 22 2018 and stamped _ Al approved on November 14,2018. '~ 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 the 14 day of November,2018. nn 6olltrmith-Absent •, rel 0,� ipiiO"V'Wv rnaa0xMMYo.[e2a7,4afSa&'A.�S>1u,w��.umu„ni.uCAii,:.at<(Mei,X,:dniti+a'rinv>�laai5[e6rdFT xd�:va:u5ixriYs1`idSalz:2irir dSir�a3,s�'iSxrxWiia�:ZSi.°naxslnvbi�5,.e,Xi.4ixnxxit aAi,1.ais"ara+,.cv>a iw`�raklx�a.\Pb.,i zf3s 1;' v •„uU�:a. �:':,dn�n,W� -' �+„t Site. ,,� c`+. ar` ��.•' - po°`� r t -®-,!/ L e.'•"m�.�""”-^""`.:! •\ 1y��'..a \�y���%� yeti _ l. '`,• �� 1•\�,•, t�:;i�r� 1,1,;.. �6.x,01 114,.. ..;ill 11�•r'. °!� 1�!w. ,;d 41 e•r taf°i i1,14'.^ �iWi ti °I+1+�' • TERMS AND CONDITIONS The Permittee Jeffrey& Samantha Heidtmann residing at 1725 Anchor Lane, Southold, New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. 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. OT Michael J.Domino,President ho��QF SOTown Hall Annex yOIO John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski SOC Telephone(631) 765-1892 Greg WilliamsOl�MU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES_ TOWN OF SOUTHOLD November 14, 2018 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: JEFFREY & SAMANTHA HEIDTMANN 1725 ANCHOR LANE, SOUTHOLD SCTM# 1000-71-2-25 Dear Mr. Patanjo: The Board of Town Trustees took-the following action during its regular meeting held on Wednesday, November 14, 2018 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of JEFFREY & SAMANTHA HEIDTMANN applied to the Southold Town Trustees for a permit under the provisions of Chapter 2.75 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated August 10, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; requiring the use of turbidity controls; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on November 14, 2018, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVE the application of JEFFREY& SAMANTHA HEIDTMANN to remove and replace 25 linear feet of existing timber bulkhead with new vinyl bulkhead in-place; remove and replace existing 6' wide by ±25' long timber deck in-place using non-treated timber decking; and for the as-built 2.5'x12' adjustable ramp to a 6'x18' floating dock; with the condition that turbidity controls be installed during construction; and as depicted on the site plan prepared by Jeffrey Patanjo dated October 22, 2018, and stamped approved on November 14, 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: $100.00 Very truly yours, Michael J. Domino President, Board of Trustees MJD/dd i Michael J. Domino, r'resident Town Hall Annex John M. Bredemeyer, III, Vice-Presidents 54375 Route 25 Glenn GoldsmithP.O. Box 1179 A Nicholas Krupski yh oo� �� _ Southold, NY 11971 �l (631hone l ee Greg Williams Telephone p ) 765-1892 Fax (631) 765-6641 o Zoll' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: JEFFREY & SAMANTHA HEIDTMANN c/o JEFFREY PATANJO Please be advised that your application dated August 10, 2018 has been reviewed by this Board at the regular meeting of November 14, 2018 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project xx Pre-Construction Hay Bale Line Inspection Fee ($50.00) — (Silt boom) 1St Day of Construction ($50.00) % Constructed ($50.00) xx 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: $ 100.00 `2A BY- Michael J. Domino, President Board of Trustees Michael J. Domin' -sidentO�QSVFFO�� Town Hall Annex John M. Bredemeyer 111-,'Vice-President �� `'��,F� 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 y 2 A.Nicholas KrupskiSouthold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: -11 o V. 7 7i'D /1 Completed infield by: V�_ Jeffrey Patanjo on behalf of JEFFREY & SAMANTHA HEIDTMANN requests a Wetland Permit to remove and replace 25 linear feet of existing timber bulkhead with new vinyl bulkhead in-place; remove and replace existing 6' wide by ±25' long timber deck in-place using non-treated timber decking; and for the as-built 2.5'x12' adjustable ramp to a 6'x18' floating dock. Located: 1725 Anchor Lane, Southold. SCTM# 1000-71-2-25 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public N7of 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: r d I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredeme er V/M. Domino �G. Goldsmith ski N. Kru Y � p V G. Williams Other i PROPERTY OWNER: PREPARED BY: I PROPOSED FIR TIMBER TOP CAP JEFFREY HEIDTMANN JEFFREY PATANJO _ !, SAMANTHA HEIDTMANN P.O. BOX 582 PROPOSED 17 LON10'BUTT PROPOSED 3'X6'REAR WALE CCA TREATED nNBEGR PRE,B'D.C. 1725 ANCHOR LANE BOHEMIA, NY 11716 ._ '� S ' NOTE REMOVE EXISTING BULKHEAD SOUTHOLD, NY 11971 631-484-9332 PROPOSED r ; STRUCTURE IN ITS ENTIRETY 6'MADE DEOC F$ ',%%t AND INSTALL NEW BULKHEAD M,TH UN–TREATED DE00NG JJPATANJO@GMAIL.COM =i << IN THE EXACT SAME POSITION PROPOSED 6'x6'CCA WALE(T W.OF 3) APPRO)WE Y.H.W.B.M NOTES: P RVe;_ s ��-.r['^uaome�p6: � �- ROD. PRO6'ED,6'LONG I'DUB CALV TIE z. d ��"'� �� ,725;:Zeh Lane ? ROD. 41 B'0 C 1. LOT AREA: 1,072 S.F. / 0.02 ACRES "'r„ ' " 7 —s ;; _I1!!f " I w 0m)(IMME YLw a.0.0* 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: " '' � a� i', 'il ;A';[e _ll...,ro'Q ) EXISTING BULKHEAD / -�:( �� " e G a I TO BE REMOVED IN YOUNG & YOUNG J - v' q.p, +'qs y PROPOSED B'TIP CCA LAYL–LOG.P.ILE.;--AlITS ENnRETY91, 400 OSTRANDER AVE., RIVERHEAD NY 11901 SURVEY LATEST DATED JAN 6, 1983 ` •�""��'-- 1.. PROPOSED B'TIP CCA PIL—�•� $ 11 ILENGTH BOLTED TO LAY–L34' _ {i -...-__ r »a_ 1�` GALVANIZED THRU–BOLTS. L O C AT I 0 N MAP PRSHEEOPOSED 16'LONG 0.0C 8900 VIN. BNC I N.T.S. I, TYPICAL BULKHEAD SECTION ' EXISTING 6' X 18' FLOATING DOCK - N 20'12'20"E EXISTING 2.5 X 12' RAMP N.T.S. 25.11' CANAL c Iio I APPARENT BULKHEAD M.LW ALONG FAE OFPROPOSED 25 LF VINYL BULKHEAD s" IN SAME LOCATION AS EXISTING REMOVE EXISTING TIMBER BULKHEAD 25.00' N 25'54'50 IN ENTIRETY 25.00' x d LINE OF PROPOSED 6' WIDE UN-TREATED 0 o TIMBER DECK 0 N 25.54'50"E EXISTING SHED ;; 5' EASEMENT a 03 Ig'ajF � � � E aj I WOOD DECK -I APPROVED BY, BOARD OF TRUSTEES OCT 2 6 2018 TOWN OF-SOUTHOLD D STOSouthold TD�n FRAME RESIDENCE NCE A AND GARAGE DATE O I I iI �l0%6yt ��� X10, Bar o Tru tees • ° �'-i•, SPA Proposed Bulkhead Permit Plans SCALE: 1'=30' I PROPOSED BULKHEAD PLAN, DATE: ASPHALT DRIVEWAY = _ vC , DETAILS & LOCATION MAP 7-29-18 10-22-18 ' I 1725 ANCHOR LANE SOUTHOLD, TOWN OF SOUTHOLD N 25'54'50"W 200.00' I SUFFOLK COUNTY, NY SHEET: EXISTING RETAINING WALL TO REMAIN I TAX MAP N0. 1000-71-2-25 1 OF 1 AI o s ,o ,s u l METERS LOCUS ' HEIDECKER LAND FEET 0 10 20 30 40 GRAPHIC SCALE 1" = 10' SHELTER ISLAND SOUND J Q - Z u -2.62 _377 -387 PROJECT SITE -423. -459 ANCHOR -477 -303 -264 AI�,VE -284 -327. -409 -421 -401, -398. FLOATING DOCK N -408 -3 21 -269 -385 N.T.S. ' -313, -451, -436, -3.97, _333, •-279 .-281 N -280 -433. -403. • -3.67, -397. -471 -321, -262 .-249 , M -483 ,-248 -277. -342. -411 -469. -447. -451. -478. 1000-71-2-11 2 240 WINDJAMMER LLC FLOATING DOCK -4 80 -314 g9 -2.81, -328, -409, -471 -459, -423, -387 -304. -262. +D i i' -358 . -3 82 -411 -476, -492. -430, -398. , -314. 314, -25 9 -394, -431 -471, -486, -468, -354, -257 , -425 0 .-417 -2158 -410, -433, -466, -479, -474, -444, 1000-79-4-8 ZARA /KASNIA NO DOCK J -443 FLOATI -297 439 -471 I. -379 ,-377 - , '<oNNaI gu Q-484, -.-487, -421 _ -377, N .-281 z -358 n -369. -4 27, -4 74, -4 56, -448. -322. tl N U v NO OO N I U U -368 I 1 zF -510 o a o -3 51, -4 00, -461, -479. -485. -446. 1000-79-4-8 LL ZARA /KASNIA tet' FLOATING DOCK 6` -4 70, -370 -279. -279 -328 -302. -4 07 -419. -453. -479. -347 -4 50, -410. .-239 N -3 48 -411, -4 04, -4 49, -4 89, -455. -4 13, -277. -351, Y -327. r N Y$ -410, NOTES z -3 56 -3 91, -38.3. -413 -4 33, -4 31, 1000-71 ANN25 -2.73. 2018 BY HEIDECKER 1 FIELD WORK WAS CLAND USURVEYING CTED OCTOBER PLLC7' HEID'RdAND ALL MEASUREMENTS WERE TAKEN ON o LL o (�` + FLOATING DOCK .-3 02 THE GROUND O U 60 -430 2 NORTH ARROW IS BASED UPON GPS r N OBSERVATIONS CONOUCTEO BY HEIDECKER O LAND SURVEYING,PLLC O 3 ELEVATIONS SHOWN REFERENCE MEAN LOWER LOW WATER MLLW)VERTICAL DATUM -279 -3 68 -383. -367. -403. -426. -387. -277 -234.. -299, 92' -299. -329. -256 -321, -342. -338. -325. -315. RHHODEODE CROWEL 9-4-6 1 -2 14; -179 / L , -3 22, FLOATING DOCK -2 61 ' -1 92, -287. -3 40, -362. -345. -263. -247. -2.44, OCT 2 6 2018 •-1 77 -1 44 -200, -264, -312, -321, -332, -244, -201 -251, -215, 1 ez -251 -288. -,sa Southold Town ATING DOCK, _ -z,s ar of Tru e tOSALADINO 5 FLO -1 52 Unauthod[ed alteration or ATE add,b-to th,s su ay a JOHN GERD HEIDECKER NY STATE LAND SURVEYOR LIC a 050719 DATE BATHYMETRIC SURVEY SHEET NO vrolab-of ecbon 7209, IH OF 1 subdw,s,on 2,of the New York 751 COATES AVENUE OCTOBER 19, 2018 State Ed-t-Low Copies of HOLBROOK,NEW YORK 11741 DRAWN BY B M. ANCHOR LANE, WINDJAMMER DRIVE, PROJ NO live survey map not beanng & SCHOONER DRIVE 18HLS125 the hossedssealyahallinked 1 be (631)-772-9604 CHK BY J H. CAD FILE nsi a d to be a voila copy lheldackar®heideckerls cam TOWN OF SOUTHOLD SCALE 1'= 10' SUFFOLK COUNTY. NEW YORKlewslwr a <p/, \ C.� �j!F E AUG 10 20 �.� tis Faso h� �I�(L - o2©c, SaI ttloh,�a�.vn �l, l0�./3 �✓� �hQ ' Baar of llml cps I ✓ ��� h _/o 6Fo s . s /0/ 00 �, \�� A, •�CSV E4S n00. z r 1 `b Hr •o,tzEC 1/ SDI 4Tip•. _ . 00 m. J /'p 8E re e��a lPs, 1 �E - 4 I � hp s-s• 9c.,• , O rl 5j/ - �•, , • l`9 � 4'6SFo �,,5, os. v ti 00 / v Q� • f •6 /0' Poo Fo OS/0 , *\� l SURVEY FOR HENRY G. HEIDTMANN L OT NO. 126 12 A, "HARBOR LIGHTS ESTATES, SECT / AT SAYVIF_dv DATE. JAN. 6, /983 TOWN OF SOUTHOLD SCALE: 1 " = 3o ' SUFFOLK COUNTY, NEW YORK NO. 82- 823 V UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY 13 A VIOLATION OF SECTION 7209 OF THE `rIF OF /1611�' � NEW YORK STATE EDUCATION LAW 'A COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL M1 / 1r'�D Q' HOT BE CONSIDERED TO BE A VALID TRUE COPY �� rO fi XGUARANTEES INDICATED HEREON SHALL RUN ONLY TO E HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THPERSON FOR WHOM THE SURVEY IS PREPARED 1 AMD ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- f• � F+ M NEAREST WATER QAIM_ML± 9SOURCE OF WATER: PRIWTEZC PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED b SUFF CO, TAX R9AP DIST 1000 SECTION 079 KDCK oa LOT O07 HEREON,AND 70 THE ASSIGNEES OF THE LENDING >FTHEl1£ ARE 110 DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE ? OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR ItlSUBSEQUENT r S p THE WATER SUPPLY AND SEWiAOE DISPOSAL SYSTEM FOR 7H19 REBIDEIdCE OWNERS 7; •fir WILL CONFORM TO THE STAOARDO OF THE SUFFOLK COUNTY DEPARTMENT 0 DISTANCES SHOWN HEREON FROM PROPERTY LINES OF HEALTH SERYICE9, TO EXISTING STRUCTURES ARE FOR A SPECIFIC G APPLICANT, PURPOSE AND ARE NOT TO BE USED TO ESTABLISH ADDRESS PROPERTY LINES OR FOR THE ERECTION OF FENCES ' TEL. 4 ®a p B YOUNG a Y 400 OSTRANDER AVENUE NO P/PE OTE ❑ = STAKE U RIVERHEEAD, NEW YORK = SUED/Y/S/ONM4PF/LED/NTHEOFF/CEOFTHECLERKOF ALDEN W.YOUNG,PROFESSIONAL ENGINEERU9V SUFf'0&COUNTYON ✓UNE 8,1965ASF1LENo.4362 AND LAND SURVEYOR N.Y_S.LICENSE NO.12845 R THE LOCATION OF WFLL(W),SEPTIC TANKIS6T)®CESSPOOLS(CP)RHOWN HEREON HOWARD W.YOUNG, LAND SURVEYOR ARE F'ROC! FIELD O"ERVATIONS ANO OR DATA OBTAINED Ff M OTHERS N.Y.S.LICENSE NO 45893 ' n PAN0); & SONS. INC. )619 1725 Anchor Lane Photos i gas wii� r y a . \ 6 t t;. l Y per,. i t i I N 11=- �1fA 27 N 2$a s °ASENTA SOUTHOLD ' BAY N.per 1 t./Afcl ° s 1 ° T ° 9 t0 tic1 �s. 2"c)_.. it, \ N PMR6N ON �" \.i s� J6 >A JJ m Jt $ 30_ 29_ 20 r S \ In � a� 2. i � ' t.mvgi� • "��w urs m m EID v9 _ pq 12 9EE°4ERf " if S o icE COUNTY OF SUFFOLK © E Iv SOVIlIp.D SECTION NO n .tt,.t w I 071 w Ew nw a...ftf...�.. e 4 m OFFICE LOCATION: rjf SUy® MAILING ADDRESS: Town Hall Annex �� lQ P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY 11971 G • �Q Telephone: 631765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To- Michael Domino, President Town of Southold Board'of Trustees From: Mark Terry, Assistant Town Planning Director LWRP Coordinator Date: November 13, 2018 Re: Local Waterfront Coastal Consistency Review for JEFFREY & SAMANTHA HEIDTMANN SCTM# 1000-71-2-25 Jeffrey Patanjo on behalf of JEFFREY & SAMANTHA HEIDTMANN requests a Wetland Permit to remove and replace 25 linear feet of existing timber bulkhead with new vinyl bulkhead in- place; remove and replace existing 6' wide by ±25' long timber deck in-place using non-treated timber decking; and for the as-built 2.5'x12' adjustable ramp to a 6'x18' floating dock. Located: 1725 Anchor Lane, Southold. SCTM# 1000-71-2-25 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed actions are INCONSISTENT with the Policy Standards (Policy 6.3) and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. A Wetland Permit for the existing structures proposed to be replaced could not be located within Town records. They were constructed without Board review and a Wetland Permit. In the event the action is approved the following is recommended to further Policy 6. 1. Require turbidity controls in compliance with Chapter 275. The 5' wide easement extends over this parcel. 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 Peter Young,Chairman Q - Town Hall,53095 Main Rd. Lauren Standish,Secretary %5- 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 Mon., October 15, 2018 the following recommendation was made: Moved by James Abbott, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of JEFFERY & SAMANTA HEIDTMANN to remove and replace 25 If. of existing bulkhead with new vinyl bulkhead in same location as existing. Remove and replace existing 6' wide deck with untreated decking. Located: 1725 Anchor Lane, Southold. SCTM#71-2-25 Inspected by: James Abbott, Caroline Burghardt Vote of Council: Ayes: All Motion Carried October 21, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 DV V E P.O. Box 1179 Southold, New York 11971 OCT 2 6 2018 RE: 1725 ANCHOR LANE -SOUTHOLD SCTM No. 1000-71-2-25 Southold Town REVISED APPLICATION ar f r ee Dear Trustees: We hereby submit one (1) original and three (3) copies of the revised project plans, water depth survey and project description for above referenced project. Plans have been revised to include existing floating dock information as requested. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very trul yours, effrey Patanjo P.O. Box 582 Bohemia, NY 11716 Jeffrey&Samantha Heidtmann 1725 Anchor Lane Southold, NY 11971 SCTM No.: 1000-71-2-25 PROJECT DESCRIPTION: The project includes removal and replacement of 25 LF of existing timber bulkhead with new vinyl in same location as existing. Remove and replace existing 6'wide timber deck in same location as existing with new un-treated timber decking.As-built of existing 6' x 18'floating dock and 2.5'x 12' ramp to float. 7OCTE 2 6 2018 Southold Town 9 ar of Trustees Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Thursday,August 16, 2018 9:36 AM To: jjpatanjo@gmail.com Subject: 1725 Anchor Lane, Southold Application Jeff, Regarding the application for the Heidtmann's bulkhead,the Board of Trustees reviewed the application and believe that there is an existing docking facility on this property. As the dock and bulkhead are very old,the office cannot find any permits under any of the previous or current property owner names for said dock or bulkhead. The Board is requiring the application be modified to include the existing docking facility with dimensions, water depths, distance to the other side of the canal,the vessel to be docked to said application, and the adjacent existing docks along each side. At your earliest convenience, please submit revised plans and application to include said docking facility. 54Oka eaor�W& Senior Clerk Typist Town of Southold Board of Trustees 631-765-1892 a 1 r- _ ly. ��4� UUTy� Michael J.Domino,President �© l4 � 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 '�► a� Telephone(631) 765-1892 A.Nicholas Krupski �l�COUNTi, Fax(631) 765-6641 )BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application D E C E � iJ Wetland Permit Application 15 Administrative Permit Amendment/Transfer/Extension AUG 10 2018 Received Application: F/0,19 Received Fee: $ 00 CompletedApplicati n: ooq) Southold Town Incomplete: �� / aro r SEORA Classi kation: Type I_ TypUnlisted Lead Agency Determination: Coordination:(date sent): q�24',1 LWRP Consistency Assessment F_orm Sent: CAC Referral Sent: �H Date of Inspection: D.lO Receipt of CAC Report: Technical Review: Public Hearing Held: nCGwpe 111��1'f� Resolution: / SGr✓�a r� � IGc+ria✓!rl Legal Name of Property Owner(s): Je��'c� -I A #e Mailing Address: 1-7aS- Aela4p r & n e S o-4 4 p 1-d ( 1J J 111 -7/ Phone Number: 6 S1 ' 7'7`l- q 8 d y Suffolk County Tax Map Number: 1000- -71 Property Location: 5 ce /o e a+i o n acecSsjb(e -4-kfmv2A2e4Seincdi^( (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): �c f-e H Mailing Address: ` 0 - Q o x- 5.F J't- d o A c in t``) W1 Phone Number: 6,3 `f d y -'733 a-- ©I�JI� Board of Trustees App; ation GENERAL DATA Land Area(in square feet): /, D 7 a- Area Zoning: Re S Previous use of property: Intended use of property: S Covenants and Restrictions on property? Yes ✓ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes 1---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 "JA No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? `1� No Yes If yes,provide explanation: Project Description(use attachments if necessary): 1 "l kee ZS-ILF v F e,No4ir%q 6vc.IG1,eo R weft Aew uovNL Sw/"c- Coe-a•-!'io,J AS SN/ny . (Leeptvve- 0,,eA !ei9if, -Oki VOel G&,tG& e( J- wt' 4 JN — ?rt1-bcct d ee_4t n y Board of Trustees App," tatioii WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Rgltzous &M Q fe Place a S cif o F _?4Pjs oft b•,c.K4.ruA w,(44, Aew vtmt C_ 6„ c1Che&e-,Q iri SAMe Locce7-io-s t at �x� s?�r y fW�voac ��J� reelaec �kcst�ny 6 ` weoge d-eel� 1-,�,p d-ee !c,r y , Area of wetlands on lot: square feet Percent coverage of lot: Not % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: loo feet Does the project involve excavation or filling? t- � No Yes If yes,how much material will be excavated? A cubic yards How much material will be filled? ^-114 cubic yards Depth of which material will be removed or deposited: N(4 feet Proposed slope throughout the area of operations: '”I A- Manner in which material will be removed or deposited: A.,1,4 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): eosiftvt eF�.ec � toe -t-o redve-ecO S,rycvkcn-heA-Eco,, d-ve-- 4,p of o Sro� Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: 1725 Anchor Lane Bulkhead Project Location(describe,and attach a location map): 1725 Anchor Lane-Southold,See location map Brief Description of Proposed Action: Remove and replace 25 LF of existing bulkhead in same location as existing Name of Applicant or Sponsor: Telephone: 631-774-4824 Jeffrey&Samantha Heidtmann E-Mail: - jheidtmann2004@yahoo corn Address: 1725 Anchor Lane City/PO: State: Zip Code: Southold NY 11971 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? 7 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: ❑ ❑ NYSDEC/NYSDOS/Town of Southold Trustees 3.a.Total acreage of the site of the proposed action? 0.02 acres b.Total acreage to be physically disturbed? 0.01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.02 acres 4. Check all land uses that occur on,adjoining and near the proposed action. E]Urban E]Rural(non-agriculture) [:]Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 3 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? ❑ 21 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:Name Peconic Bay and Environs,Reason.Protect public health,water,vegetation,&scenic beauty, F1gency Suffolk our a e 1-12-89- 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 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/pnvate 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: V ❑ 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? ❑ Z b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: IZI 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland El 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? Tiger Salamander,Piping PI ❑ 21 16.Is the project site located in the 100 year flood plain? NO YES H 14 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 YES ❑ ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: No AYES Page 2 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: s ® ❑ 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 ha effrey&Samanth eidtmann Date: a Signature-: PRINT FORM Page 3 of 3 EAF Mapper Sui lary Deport ` ' Monday, July 30, 2018 5:31 PM Disclaimer: The EAF Mapper Is a screening tool Intended to assist ^' -4,.� r ^=. - -' project sponsors and reviewing agencies In preparing an environmental L' 144 115 46671 q9'-1 OnLI Ggq;9;710©.2f?q 7d1 i l' ti I assessment form(EAF).Not all questions asked In the EAF are ti `4'-•-1^ - = answered by the EAF Ma y 17'1=00=140-260,©0.7100,;1:005;1 a®00,, -7;100-200_4000- 7100-'2%- ��~ pper Additional Information on an EAF t 'L04'b �� question can be obtained by consulting the EAF Workbooks. Although _i Tt`00-117©Q 27.L?OQ, I i _'.7.100 240=1,�?03 r- - 'r k I _,__7'I 04�2 00=G00(}'�7 i00=2,00-;i 002- `-�� f the EAF Mapper provides the most up-to-date digital data available to 71.00=1,00-24040•-l' I /' -- 1. DEC,you may also need to contact local or other data sources In order i 7100=1;00=1$000 �_ �j*I04-200-20047900-2001-16004]t v v df?-22f�0�= '� t1`�,,t f- 1'1 ' to obtain data not provided by the Mapper Digital data Is not a i` -�7'1'00,20Q.- , 0 'x'1'410-200'1700© substitute for enc determinations. 7 _ J:7_tbo�i'4t1�,1�4007`J00-200=80407100=244=14404'1 ' l ; i agency �.•�f ..-I—' I i• 1' ,i " 1 4 ..v.l II 1 I7 7 00-.OD 5044 -' d' +,�'. 7100=200-1'3000 I ; I — I-. 71.00-200-'-0_000 jj " I - 794. -34bO 4 002 1,•7,900}4L 0=100 0 . 7.103 2 00=110;2t-__r- 7-'1.0©-200-18000 V a . " - , ate, _ , , - I=, fDrta'§'dra, rdoi%froil 1 _ 79�4�;300_.-6040• _ } I' 5000 104-20'002 I I - /�•''� <'t_ � =�1.40-3,444� y -- � �;--�fl_f u- L•%rl� ;t�1,-•- • .i.,, r5;•-,�fJr: 7990=30 .100(3"- g 1' ± : 790+0-�J0 45g0q -- r Q k70;k?4ri' 7900-300-'i'6601(_ 0 ld7900-400-700(1 ~ I ,� y0.2004 - �'' _ �f,-!' t _ "�' 790 0=400-3900 0.7.900'400-46000 A r 900=300-3©000 ,r----;&900 600 1 _ t�- I, Tot'unto f J.�, 1 7 900-440-1 104 f ) 1 `} 3.000` 44_12'000;79,00=400-•g 3000' 7900-•�O-47 60-� �Fds , Rochs ler I .i r, 790 0-304-3 1 00 0 t 1 °' t3u0r , 9 Y:- r 7900-4•©x-'150007900--400-I'f000• 1 : —,1- %, 1`; ' ' ' 7900-400-45000 - �,� fleirolt f ! 1, Bo ton 7910©=400-1x0007.900+1 00=1 0 004~ Fir- yvw.- - ;'f',- - o- 790Q�340 32404 r' r - - .._j ' 7900-400-'I°70` '�' = , - i 41Arnllcience 004--1.00-'17025 .. � •lL'fi,i rOliS Clevct:ttcl- fnL 7966 u(30 1 f , oi05t�dc ) t >>- v' �a2 79OOL 06-13'000 ;�, l i ' }r ? f i'rg4,. ° 1, w .`� ,1? r s ti }ra�� —1 W n ,»-• .. .. 'I��31197.rI�;,71[I. r1 •f»a i>!;'i•9k1,Esrl ChinV" Vg'1�C•r��l„�sri y �7• Sd cear7'EsrI 7900=300-34400 79od-400'-17003 `; a a lip ' €*�tLEttcr,h.'. } {pyo:- .IJ,i{71r i t J'}�?2' r ;'� �____ Columbu. 0=; US-G�atllr+# P, INCRENIENT 7949=•14„0-1,7 - " 7,900-304435000 7'000=100'1700'7= _ '`�7- n8tz trt�I S f��300 Ig00 24 0 � I:innaRs ( €, .. j,':,4_ �'1N n.FsriJapan,,k1ETl,, °I Tji 1 -L, -WA tf `tPina fHcrig 1<png):Esri' t Part 1 /Question 7 [Critical Environmental ;Yes Area] Part 1•/Question 7 [Critical Environmental Name:Peconic Bay and Environs, Reason:Protect public health, water, Area- Identify] vegetation, &scenic beauty,Agency:Suffolk County, Date:7-12-88 Part 1 /Question 12a [National Register of 'No Historic Places] Part 1 /Question 12b [Archeological Sites] 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] — — ---- Animal]- —-- - -- ---- Part -Part 1 /Question 15 [Threatened or 'Tiger Salamander, Piping Plover 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 1 otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasc--"e considering the scale and context of the propos tion?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? E D 3. Will the proposed action impair the character or quality of the existing community? 0 �4. Will the proposed action have an impact on the environmental characteristics that caused the f l 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? u El 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? 1:2 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? ` E 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 1 _ No,or moderate small to large impact impact nifty 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? FiA 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 Pail 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-teen,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 impact J/ Town of Southold-Board of Trustees Name of Lead Agency ate i �N"-a� 1 �� President Print or ype anie o es r�si i Agency Title of Responsible Officer I Signature of Responst e Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) LRINT Page 4 of 4 Board of Trustees App - eat:ion AFFIDAVIT 5A,,V-014+A C4— ��r�,L�rua��BEING DULY SWORN IDEPOSES AND AFFIRMS THAT1C S- HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALIO.STATEMENTS CONTAINED HEREIN ARE TRITE TO T HE`BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORD WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLID TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLID�ANID'THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES ANDCLAIMS 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. 00 ` ~ Gi ature of opef ty Owner 'iature of-Property Owner SWORN TO BEFORE ME THIS �� DAY OF u4k: , 20 l� Nota y P b is LORETTA LAMB Notary Public,State of New York #01 U16179883 Qualified In Suffolk County' Term Expires December 31,20,jl��(h� _ Board. of Trustees AUTHORIZATION (Where the applicant is not the owner) I/We, f-V '0(nom+ft11+Ae-%- �er00 e+na r?&I owners of the property identified-as SCTM#,1.000- -7'! - 2 - �� in the town of 5 f�o!a New York,hereby authorizes vi� D 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. Pro nets ature rop w er's i ature SWORN TO BEFORE ME THIS �� _DAY OF , 20 g Notar lic LOREiTA LAMB ...... Notary Public,State of New York _ #01LA6179883 Qualified in Suffolk County Term Expires December 31,20J!!! TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics omhibits confliafs of,intcretit on 11)"I in pf town officers and etnnlovees.The purpose of Ilifs form is to provide inform otion which cari alert the town ofipossi_bie conflieN of interest and allow it to take whatever action is neeessarto avoid same.,. YOUR NAME: (Last name,first,name,Vi dle initial,unless you ari5 applying in the name of someone else or oth6r"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 Zotie — _ Coastal-Erosion, Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',',name the activity.), Do you personally(ordtuough youi;company,spouse,sibling,patent,or child)have a iclalionship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business iniciest."llusiness interest"means a business, including a parniership,'in which the(own officer or employee lint+even a paitial-ownership of(or employment by)a corporation in which the town.oflicer or employee owns more-than•5°'o orthe shares. YES NO If you answered"YES",complete the balance of this fotm,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 yoinsclf(the appl iciuu/ateut/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 gtcater,than 5%of the shares of the corporaic,stock orthe applicant, (when the applicant is a corporation); B)the legal or beneficial owner.of any interest in a non-corporate entity(when the appliciint is not a cot poration), G)an officer,director,partner,or employee of the applicant,or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da of L t ZU ji Signature_ Print Name Form TS I TRANSACTIONAL DISCLOSURE, FORM Tlie Town of Sonthold's Code of fithics.prrrhibits conflicts of ni cret t on the oart of town o1Hcer,and cmployces.The ur ns c.of if)is form is to provide inforination which can nlert the town nf_7ml ;sihle conflicts or interest and allow it to take whatever not ion'is necessary to avoid same. YOURNAME: GQ^�M� ✓1 ShiN - 'h:�. (Lpst>name,first name,.middle initial;unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) 'NAME OF APPLICATION: Xheck 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.) ikryou personally for through your company,spouse,sibling,;parent,or chip)have a relationship-with any of icer or employee of the'fown of Southold? "Relationship"includes by blood,ntarriage,or business interest."13usiness interest"means a business, including a partnership,In which the town officer or employee has even a partial ownership of(oremployruent by)a corporation in which thc,town office)-or employee owns more than 5%_'of ilte shares. YES _ NO If you answered"YSS",,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 Dcscl ibe the t elationship between yourself(the applicant/agenVrepresentative)and.the town officer or employee.Either check the appropriate line A)th'rough.D)and/or describe in the space provided.. The town officer or employee or his or her spouse,sibling,parent,or child is',(cheek all that apply)r A)the owner of greater than 5%cif the shares of the corpor ate 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 nota corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da f 20-If Signature Print Name Form TS 1 APPLICANT/AGEN T/REFRESENTATIW TRANSAC'TIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employeeti The pumose 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 i necessary to avoid same. YOUR NAME: P���`^ —J—e rr�f e (Last name,first name,.rxriddle initial,unlefs 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.) i 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'Cown of Southold? "Itelationship"includes by blood,niarriage,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%ofthe shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. i 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 S%of the shares of the corporate stock of the applicont (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 31 dayof -J.�A t 20 Signature _ -- Print Name �• P v w� _ Form TS 1 l RE ' • CERTIFIED © dElOT © . r9 ARTIRED, •. • Er- •. • cc ru nu Sr U)4-0 k3ra f: s (1 _ a Certified Mad Fee / Certdted Mad Fee Ln $ $ // Extra Services&Fees(check box,add tee as appropriate) Extra Servlces&Fees(checkbox,add lee as appropnate) / r �,C I Q ❑Return Receipt(hardcopy) Q ❑Retum Receipt(hardcopy) $—T t ���' Y', Q ❑Return Receipt(electronic) Q El Return Receipt(electronic) $ f�)I P( 5ark C7 ❑Certrfled Mall Restricted Dell very $ ere Q ❑ Certified Mall Restdoted Delivery $ i Q ❑Adult Signature Required $ 5\ �, dere \ 0 Q []Adult Signature Required $ ` 1.i ❑Adult Signature Restricted Delivery$ \l Y .�k' Q []Adult Signature Restricted-Delivery$ 'Z Postage >` Postage �_ -n$ --- - --- Q Total Postage an,"----- -- -------- ——` Q Total Postage on( - $ $ SCTM#1000-79-4-5 y Sent To SCTM#1000-72-2-1.1 riSent Tp I o r`- : I Harbor Lights POA a Saladino, Karla Street and Apt. SYieeiana(ApENa 19 Dorchester Ct, PO"BOX 1327 r` cfrys�4ate;ziP9 Southold, NY 11971 Ctry$tafeIP+dI Farmingville, NY 11738 ,,, JTJVI Postal,Servi -e ■ • D ® . ■ Ica rU •omestip Ma • cp ru ru • r n [ it �� 15,FLr) 1 Ln Certified Mad Fee �� Certified Mad Fee G Lr) $ Lr) $ e m Extra Services&Fees(check box,add fee asapproprisT) m I Extra S6rvICe5&Fees(check box,add fee as Q ❑Return Receipt(hardcopy) $ I t' )� 0 ❑Return Receipt(hardcopy) $ Q ❑Return Receipt(electronic) $ (� ostrflark i r ❑Return Receipt(electronic) $ Postma Q ❑Certfied Mall Restricted Delivery $ , Here Q ❑Certified Mall Restricted Delivery $ \ He s Q ❑Adult Signature Required $ Q []Adult Signature Required $ ❑Adult Signature Restricted Delivery$ 4� ` ; E]Adult Signature Restricted Delivery$ Q Postage I go Postage 5 -0 $ _ ) -n $ — -- -- --- Q total Postage ant`_--- .� .,, -. .__. - I Q Total--postage $ SCTM#1000-72-2-11.2 CO IS To ' SCTM#1000-79-4-8 -0 SentTo ra A 240 Windjammer LLC Q 'Ri.0ifid-ATCY, Zara, Leah & Kasnia, Richard Q Rieeiaid-A"pti r%- p th r,- 1725 York Avenue 10 W 74 Street#7F ,----------- : crrysrare,�iRia' arysrare,zr � New York, NY 10128 New York, NY 10023 � ® _ Postal © . oREC EIPT A uI •. e ' r-9 •. • M Com`- ru _ ( ':ru r, � I Lill Certified Mad Fee `7y Ln Certified Mad Fee $ � $ a d 1r Ln 1 zr ExtraServices&Fees(checkbox,add lee asappropriate / I Extra Services&Fees(checkbox,add fee as appropnate) 4� aes(ch) 'p ❑Return Receipt(hardcopy9 $ t ❑Return Receipt(h Postmark y Q ,❑Return Receipt(electronic) $ 1 Potark ! $ / C� ❑Return Receipt(electronic) $---r— Q ' C7 ❑Certified Mad Restricted Delivery $ Here –� S Q ❑Certrfled Mail Restricted DeOvery $ C7 � _ nn,® []Adult Signature Required $ \ L Q ❑Adult Signature Required $ \ ("G Q ❑Adult Signature Restricted Delivery$ �� 1 ❑Adult Signature Restricted Delivery$_---T–\ is - Q Postage C] Postage .S\- Oj f cc $ - —-- - -- $ - � p Total Postage an 0 Total Postage ani SCTM#1000-72-2-24 $ SCTM#1000-79-4-6.1 $ Sent To co SentToZara, Leah &Kasnia, Richard r-9 Rohde, David D&Crowell,Anthony W r9 Q $ileal and Apt: Q -----RAliM 10 W 74t"Street#7F f N 195 Adams Street Apt. 9Bl criy'srar®, rP+ Brooklyn, NY 11201 ctiy,sraie;ziP+d New York, NY 10023 " PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: S?.•.� _'u'��f-Sy;.��p'C' ;q, _ ''.'#3i:,;:r.v't.; .�Y i4•.'�v�ir~,�a'' '�' ��t��q`FL--'�t?-�'`�':x;;'d'"•�-'.. �4g�+a��•:'-h�.''i..v..E uyn`'a� ...�-,fan tN��',"'� .. i,""-�;,.,4, �a,J€NN4+F.,:x6 j:�SSya pa, !" -•E*. .y ;e�' tF,ry.,,)'.^,, . �%,�o, e•'r.{�a.. yF d.'.s''.,$j'Y;�,i:.s: i��5.•'•%.x:,..',..'- SnJ 72 ' � �J3"'~;:_`_i"t� ,wn�5`�F•�3'r��7'�,:;...:ti,qu.:�a��y,,r, xi=r=4'•�i 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 MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 J Notary Public I G y PROOF OF MAILING OF NO'T'ICE ATTACH CERTIFIED MAIL RECEIPtS Name: Address: SCTM#1000-72-2-24 SCTM#1000-72-2-11.2 SCTM#1000-72-2-1.1 Zara, Leah & Kasnia, Richard 240 Windjammer LLC Harbor Lights POA 10 W 74th Street#7F 1725 York Avenue PO Box 1327 New York, NY 10023 New York, NY 10128 Southold, NY 11971 — SCTM#1000-79-4-8 SCTM#1000-79-4-6.1 SCTM#1000-79-4-5 Zara, Leah &Kasnia, Richard Rohde, David D&Crowell,Anthony W Saladino, Karla 10 W 741h Street#7F 195 Adams Street Apt. 9B 19 Dorchester Ct New York, NY 10023 Brooklyn, NY 11201 Farmingville, NY 11738 r STATE OF NEW YORK COUNTY OF SUFFOLK Jeffrey Patanjo , residing at P.O.Box 582,Bohemia,NY 11716 being duly sworn,deposes and says that on the day of November , 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 r_ 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 t A ,that said Notices were maAh of sai ons by CERTIFIED MAIL/RETURN RECEEPT. Sig tur Sworn to before me this 6-1—A 3 Day of November 2018 MARILYN S. HICKS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 HIti365489 ' Qualifies(in Suffolk County Not Public Commission Expires October 10,2021 Michael J.Domino,President O�OS '�CZ G Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 Glenn Goldsmith x P.O.Box 1179 A.Nicholas Krupski • Southold,NY 11971 Greg Williams p! Telephone(63 1)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 JEFFREY& SAMANTHA HEIDTMANN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEYENDAYS PRIOR TO THE PUBLIC HEARING-DA TE I, Jeffrey Patanjo ,residing at/dba PO Box 582,Bohemia,NY 11716 being duly sworn, depose and say: That on the &day of November ,2018 , I personally posted the property known as 1725 Anchor Lane, Soutold. SCTM# 1000-71-2-25 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing.Date of hearing noted thereon to be held Wednesday,November 14,2018. Dated: 11 !o l (sign ture) Sworn to before me this (A day of Nov.2018 MARILYN S. HICKS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01HI6365489 Notar ublic Qualified in Suffolk County Commission Expires October 10,2021 November 9, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 1725 ANCHOR LANE-SOUTHOLD SCTM No. 1000-71-2-25 AFFIDAVITS Dear Trustees: Attached, please find original affidavits of posting and mailing for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, J �ffrey Patanjo P.O. Box 582 Bohemia, NY 11716 11UTILO... uF HEL. AKIII (i NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 /lain Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: JEFFREY & SAMANTHA HEIDTMANN SUBJECT OF PUBLIC HEARING : For a wetland Permit to remove and replace 25 linear feet of existing timber bulkhead with new vinyl bulkhead in-place; remove and replace existing 6' wide by ±25' long timber deck in- place using non-treated timber decking; and for the as-built 2.5'x12' adjustable ramp to a 6'x16' floating dock. Located: 1725 Anchor Lane, Southold. SCTM# 1000-71 -2-25 TIME & DATE OF PUBLIC HEARING : Wednesday, November 14, 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 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 significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be 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# '7 1 - a - -n 5- PROJECT PROJECT NAME 17 Z S- A•v c�►�/t- G�✓�-e - S��-( �® � The Application has been submitted to(check appropriate response): �-�/ Town Board ElPlanningBoard❑ Building Dept. El Board of Trustees t"I 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: ❑i Nature and extent of action: gewtovilc Ar.(9_ Ceplwe.L pr Lf- oF .2k�s-f �rey yv✓Ua�►�ke2 wt -�� ^1e,o ' yl,vi,L t w SA MC to eA t?.o►1 A$ C* S'tl �i�►+vv L 4 n.k t gle.C,e e,}<c.S'(-i n q 61'r IV ded.IL 1-14-4 y..,, ?feA4-i61 4e-Xt tiC,— Location of action: l 7 2 Am c 4.r `t n� Site acreage: 0 -09- Present •o9- Present land use: V'*f,* "7 Present zoning classification: JU S 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: l (a) Name of applicant:_ Je�'r�gtd ¢ �-h a,r,-t-G� l���cQf'n��r!✓t (b) Mailing address: (c) Telephone number: Area Code (d) Application number,if any: 1v t 4F Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes F1 No❑ If yes,which state or federal agency? P't S 0 EL ,N Lf S 4 o S 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. 4 Incomplete answers will require that the form be returned for completion. DEVELOPED COAST[' POLICY Policy 1. foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yes ❑ No ❑ Not Applicable � .-StS�n� ��.-EG t„ffdri cQ<<24 ��j1Glf76) Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWMP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ONot Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the 'frown of Southold. See LV 1W Section III-Policies Pages 6 through 7 for evaluation criteria Z Yes ❑ No ❑ Not Applicable erg .ee,+ h-P.,Jj fdti b, LlcAc--.�L -(x, rcja14e,-- o�4ertO/4-te-& -�1 -�tin:� Std"e +.'te Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LW1211 Section III-Policies Pages 8 through 16 for evaluation criteria ITYes ❑ No ❑ Not Applicable ej!:o Nv+ Pr®�ad�s .k n ew t;v-c-Cc, ( la„c,lt-� zG �E0 nwcr,i t te- to ss v t% laKdz c -f'o .��®aroy► 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 ( �_f Yes ❑ No E]Not Applicable Are CeeA (fire,,ew -l-s of5ArwS-f- -etoScow 4nX Cede ALe-K Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal fish and Wildlife habitats and wetlands. See LWIRP Section III--Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No �Liot Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes No of 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. Elas. Yes ❑ No �I 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. nn Yeo No❑ Not Applicable A-S Finn— h�!(�lc��.�-t' �S wal( ks E✓'mss — geeeSS -&o ACc4r2irxS ef/I ., Attach additional sheets if necessary WORKING COAST FkjjuICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ElYes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section In —Policies; Pages 62 through 65 for evaluation criteria. F] Yes ❑ D- lu'No of 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 EJ'Not Applicable PREPARED BY `� • `� '^a TITLE--,* DATE - - `51-le August 6, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 �, E � P.O. Box 1179 - -= 17 Southold, New York 11971 ` RE: 1725 ANCHOR LANE-SOUTHOLD " UG 10 2018 SCTM No. 1000-71-2-25 Southold Town APPLICATION FOR PERMIT L OoaWof Trutees Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very trul Je rey Patanjo P.O. Box 582 Bohemia, NY 11716