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TR-11015
i Glenn Goldsmith,President ����SpFFO(,����� �1 Town Hall Annex A.Nicholas Krupski,Vice President < 54375 Route 25 CO Eric Sepenoski ,? P.O. Box 1179 Liz Gillooly ��, • ��� Southold,NY 11971 Joseph Finora �Ol �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report' Date/Time: Completed in field by: Creative Environmental Design on behalf of KORYN GATTA ESTRADA requests a Wetland Permit to remove approximately 100 cubic yards of soil including existing phragmites roots within the wetland area to the east, replace soil with approximately 100 cubic yards of clean sandy loam while maintaining the existing grade, and revegetate this area using various native species of plants; along the border of the lawn area and the existing 20' wide non-disturbance buffer area place boulders (50 lbs.+ each) set approximately 5' on-center. Located: 2350 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-7 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland. Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly J. Finora , I I r I I I I 1 I I r r I I r I I I 1 I I I 1 r I I N ' 1 I I I I ; I � I I I � I � I � I 1 I � I r Residence ; I I I I I I I - -------- _---_ -� Deck I I Deck Lawn \ POOH \ ,!, Spa �i LawnIM �V 109011 non disturbance area /vim v 4 SYB Plant Name Quan. Potentilla Tridentata 10 ' Little Bluestem 21 Carex Blue Bunny 23 x 1 ; Tufted Hairgras \ Ex. Oa s 18 \ Prairie Dropseed 25 Dwarf Blueberry 13 Ex. Oak Northern Bayberry 9 I 1 I O k Proposed Renovation j **Removal from site all debris within this area. •• i� **Removal of approx. 2 1/2' deep all soil and root ; matter including phagmites roots and dispose off site. non disturbance area **Deliver and grade approx. 100 cubic yards of screened Ex. O k clean sandy loam fill as planting base. Oa **Planting of proposed native plantings as per legend Existing grade to be maintained after renovation. r r � I I r Lawn ' 1 I ; I Boulder Border ; Installation of Boulders ( 50 lbs.+) set approx 5' on center at border of Lawn area, and non disturbance area adjacent to wetlands as labeled. I � I Proposed Bamboo Barrier J� non disturbance area i Lawn I non disturbance area Ex. edar` - I 1�Ex. dar t I I 1 � � I I E I V E Do I J U 1. 3 0 2026 \ J Board ofld Trustees DeepBoard of Trustees � e Revision Landscape 7 - -21000- Date: 7/30/2026 ee o e rive a uc St,ale: Lands%cape Design David C 111 - 1 ' reat'ive Environmental Desi n rPQLI)� �POUCE Southold Town Police Department ! ' As of Tue May 05 14:42:25 EDT 2026 Incident Report ' � oa CC# ___TPct 'Sector Car Incident Type Classification - SH26006964 SHPD 801 SH801 Trustee Ins ection Incident GEF INCIDENT Report Date - epon Trine. Report Day to(Occun`ed on from) une� ay, to(Occurred to) Time 05/0512026 13:20, Tue 05,0512026 13:20 Tue Usiness name and type Tom Code TJSOUTHOLD-5259 ncidaht address 2350 DEEP HOLE DR;MATTITUCK,SUFFOLK NY USA 11952 _ SSOCIATED,PERSONS Person T e:;C-Com lainant V=Vletlm E=Alded A=Arrested S=Sus ect M=Missin 'Person W=Wltness P=Person tntervlenfed O=Other er' ype Name D.Oi8: ex Race ftense 1 B NI6HOL:AS STANCU 09/1811984 IM WhiteNon-His anic Address-: Home Tel# ork Tel# ell Tel# 47 DELAMERE.ST ELWOOb New.York 11743 347 233-1214 347 233-1214 Per ype Nama D.O.B., ex Race irense 2 P KOREY ESTRADA 08/2311 9 8 5 F UnknownUnknown Address Home Tel# ork Tel# ell Tel# 2360 DEEP HOLE DR,MATTITUCK,New York„11952 (646)415-2405 (646)415-2405 NARRATIVE TPD was notified by Southold Town Trustees to inspect work occurring withouta permit at the:l/L. Undersigned:tesponded and observed Acadia Outdoors cut down three large trees in the backyard.Acadia was also observed installing top oil in the back yard." Undersigned noted thata significant amount of clearing had taken place along side the waters edge of the property where grass had been cult down and shrubs Were.cut down to the stomps. ontractor Stancu stated that he was hired by homeowner Estrada to cut down the three trees and install the top soil,but that the clearing near the waters edge was not done by his company. Undersigned advised Stancu to stop all work being done on the property until a proper permit is obtained. Estrada was advised of the same. Marine units notified. No'further action taken. Victim:did receive inromiafion on Victim's Rightsand Services ursuant to NYS'Law ❑Yes El No OFFICERS. .- ama a a , Glassifiption MANNO,LEONARDO P-1 144 Reporting officer,:Dispatched officer Name - - an Badge q Ulassdicavon SOUTHOLD PATROL Reporting unit DMINISTRATNE eletype.No ConnectedCCWs talus Status"Date Confidential ❑ Closed/cleared 05/05/2026 CoP. Reporting I Investigating Officer SH26006964 PO/11`44 MANNO,LEONARDO 134 GARCIA,ANDREW Sergeant �,Supde'T'17' leclranlealry approved r POLICE ; Southold Town Police Department , POLICE y �SHoro. As Of Monday,May 11,2026 at 08:23:29 EDT tHD o �o 4 �1 �a4 Supplementary: Supplementary Narrative '• F •��UNDED 784D :f DUtVDED 1844 . Printed by#R3 STALLBAUMER, N. Incident: SH26006964 Trustee Inspection Report: Undersigned did respond back to the I/L with M1. Upon inspection it was determined that Estrada and contractor, Stancu, were in violation of removing trees, plants, shrubs, and grass without a permit from the Southold Town Trustees. Undersigned did issue summons 0930 and 0931 to Estrada and Stancu for TC 275-5 for the same. Estrada was advised to stop all work in the area until a proper permit is obtained. No further action taken. Signatures: L. MANNO #P0/1144 (Signed with password 05/08/2026 13:34 EDT) Supervisor Approval SANDERS, GREGORY#SGT/136 POLICE Southold Town Police Department ;' POLICEi As Of Monday,May 11,2028 at 08:23:29 EDT a ' Supplementary: Supplementary Narrative '•.. �UNDE016y4 1 PoIR1pED 1646 y� Printed by#R3 STALLBAUMER, N. Incident: SH26006964 Trustee Inspection Report: Undersigned did respond back to the I/L with M1. Upon inspection it was determined that Estrada and contractor, Stancu, were in violation of removing trees, plants, shrubs, and grass without a permit from the Southold Town Trustees. Undersigned did issue summons 0930 and 0931 to Estrada and Stancu for TC 275-5 for the same. Estrada was advised to stop all work in the area until a proper permit is obtained. 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Ml \, , \. ... \ \, a , :,'V\-,.,, �,.yu..rr-, ->�vY .,.A\,-,< - a\�,= ;A�.:;,'�\.,A. ,.a�A...�,.,y:��,'a�,a \A .�a v .A: � •\ \ ,, A e M`>' 1. _ - ... .,,tm�t,>rG COUNTY OF SUFFOLK© •,N, •,.NOTICE E ,-,w. lo.. SECnMW D ,rs m wo-1K -- — --.• O ,....<.. - ,;.1 Rcal I'ropcny Ta��cnM1re.lgency wuxla,rvx*awionsw�ca r: w,N �^ —— —— ——— —— — --- . 123 n -- -_ -- -_ a w oe.. 1.('n.t<,,dn,.1D„iV„u(A,'— t11t bIFF —NFv➢t 61A1 — A`` „nor sOU1NOLD— -�- -- -- D --,-- < --..-- "' —__— ..,w w. (21) .n�.... .. ,mmu1„nmwARa � P a --- $ —SR'i4Rty T < 'So Glenn Goldsmith,President a`� �1 Town Hall Annex A. Nicholas Krupski,Vice President �� ®ti/� 54375 Route 25 P.O.Box 1179 Eric S'epenoski DjrSouthold,New York 11971 ' Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �► � Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Lj Wetland Permit Permit Application a Administrative Permit JUL 3 0 �--'� __Amendment/Transfer/Exte Sion 2026 Received Application: t� Received Fee: $� 11 k 'ee Southold Town Completed Application: Board of Trustees Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: —Coordination:(date sent): _LWRP Consistency Assessment Form Sent: 31 CAC Referral Sent: Pf Date of Inspection: Receipt of CAC Report:— N Pi _Technical Review: Public Hearing Held: too Resolution: Owner(s) Legal Name of Property (as shown on Deed): Kohn Gatta Estrada _ Mailing Address: 2350 Deep Hole Drive, Mattituck, NY 11952 Phone Number: 1-646-415-2405 Suffolk County Tax Map Number: 1000 - 123-04-7 Property Location: 2350 Deep Hole Drive, Mattituck, NY 11952 (If necessary,provide LILCO Pole 4, distance to cross streets, and location) AGENT(If applicable): David Cichanowicz/ Creative Environmental Design Mailing Address: P.O. Box 160, Peconic, NY 11958 Phone Number: 631-734-7923 Email:creativeenvdesign ahoo.com �s�n� �1asJ� I '%rd of Trustees Applicatic, GENERAL DATA Land Area(in square feet): Area Zoning: Residential Previous use of property: Residential Intended use of property: Residential__ Covenants and Restrictions on property? Yes _,4_No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes _KNo 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 'P_No If"Yes", please provide copy of decision. his project Mrin demolition as per Town Code or as determined by the Building Dept.? Yes o Does the structure(s) on property have a valid Certificate of Occupancy? Yes FlNo Prior permits/approvals for site improvements: Agency P'04 n,,,� Date �D No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? F] No Yes If yes, provide explanation: Tp W6VAF . a ����UP 44r4--V vW W Project Description(use attachments if necessary): 01, �I �►C'� ��°`'`� QV11t3V( 1vV ��CbkL S `Jvl,� LL�L�Lin —WIC,F,oil �► 1A i f s 4 YYA — W�v py c Stu, 10u Cob,(- q J c(.ea.n s Prs,�11 to►�-�,�— I/-QC �1rJ aV,PG�- a5 f`(��P(� PnJ►7"�t W/1'fl✓2 2G e& �Ct vt �,2� u (c.5 M OG1/- f6y� Sod2G�`�R13/ `C� �r' `trd of Trustees Applicatic' WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: f'fF 1 Vk DGL� cnt a Area of wetlands on lot: _square feet Percent coverage of lot: _ �� % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: j�feet Does the project involve excavation or filling? ❑ No Yes If yes, how much material will be excavated? Q cubic yards How much material will be filled?/0 C2 cubic yards Depth of which material will be removed or deposited: 2,Y feet Proposed slope throughout the area of operations: 7a -`�I.P5_-5 Manner in which material will be removed or deposited: 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): Nl�- 61 Z20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 I Project and Sponsor Information Estrada - David Cichanowicz, Creative Environmental Design Name of Action or Project: Estrada Project Location(describe,and attach a location map): 2350 Deep Hole Drive, Mattituck, NY 11952 Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone:631-734-7923 David Cichanowicz/ Creative Environmental Design E-Mail:creativeenvdesign@yahoo.c( Address: 39160 Route 25, P.O. Box160 City/PO: State: Zip Code: Peconic NY �11958 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? 0 ❑ 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: ❑ 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? ; O acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? /J acres 4. Che kall land us at occur on,adjoining an ar the prop action. Urban Rural(non-agriculture) ' Industrial ffiCommercial . Residential (suburban) Forest ❑Agriculture Aquatic QOther(specify): Parkland Page 1 of 4 5. 1s the proposed action, NO YES N/A a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? _flaEl 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: IZI ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO I 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? E 1.1 1 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: 1.0. 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? � r NO YES If No,describe method for providing wastewater treatment: N ewlw 110 L�1.L6) A ❑ 3N5r 12Yh, 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO. YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: ti 14. ntify the typic bitat types that oc n,or are likely to be found on t roject site. Check all that apply: Shoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban ESuburban 1 .Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO If Yes, ❑ ❑ a. Will storm water discharges flow to adjacent properties? JZ1 NO OYES b. Will storm water discharges be directed to established conveyance systems ff an m drains)? If Yes,briefly describe: JANO ES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO 'YES water or other liquids(e.g.retention pond, waste lagoon, dam)? If Yes,explain purpose and size: V\11 `❑ 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/spon me:.D_Vid Cf iCz/Creative Envil'onmE 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 l. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? /W a 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 (�i1 ❑ reasonably available energy conservation or renewable energy opportunities? Jam{ 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? EL 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 Elproblems? �' IL. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT Koryn Gatta Estrada BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS.. 24th DAY OF July 2*6 Commonwealth of Pennsylvania-Notary Seal Angel Manuel Urbaez,Notary Public Northampton County Notary Public My commission expires January 8,2030 Commission Number 1466185 Notarized remotely online using communication technology via Proof. Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Koryn Gatta Estrada owners of the property identified as SCTM# I000-123-04-7 in the town of Mattituck ,New York,hereby authorizes David Cichanowicz Creative Environmental Design 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. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS 24th DAY OF July 2k6 1 1 Commonwealth of Pennsylvania-Notary Seal Angel Manuel Urbaez,Notary Public Northampton County Notary Public My commission expires January 8,2030 Commission Number 1466185 Notarized remotely online using communication technology via Proof. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold''s Code of Ethics_arohibits conflicts of interest on the partoftown 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: C lc N4pf4 o c?_ (Last name,first name,ipid le initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your.company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,-marriage,,or business interest."Business interest'means a business, including a partnership,.in which the town officer employee has even a partial ownership of(or employment by)acorporation in which the town.officer or employee owns more than 5%of the shares. YES F] 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): fjA)the owner of greater than i%o of the shares of the corporate stock of the applicgn,t _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the -Rapplicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 3® a" f 20 Signature _ Print Name DcWCrC4bh9ffGWfqz, Pres. Fonn TS 1 '� ,Board of Trustees Applicat:= PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: ADDRESS: 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 their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public 3oard of Trustees Applica )n PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: ��,,� G r-• (k CLA,ro—,c) : low -f,-s _0LA NAME: ADDRESS: IOce ��eP lAo\e�r, (Yl A{-I ,Auel� l 2 3©XC `1 ff1F�_W%A�k.. ail STATE OF NEW YORK COUNTY OF SUFFOLK C r ec��c�v e, C N V��•d 1Jw�G�J�-0.� ���• � �_ , residing at 3`t�1 (�,C) � e �-5 , P,©. ?SQ x 1 Coo C1 , being duly sworn, deposes and says that on the day of 1�I k J R U K�_ , 201�,, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post,Office located at Lr--\N-6,V�C ,��� (I S , that said Notices_wc e mailed=fo each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 9 LAS E P 2026 1 S0utl7o(d Tovvn � uus ees I SA Signature Sworn to before me this Day of Sr- . 20 9 PENNY. LOUISE MAFFETONE NOTARY PUBLIC-STATE OF NEW YORK No.01 MA0047699 Qualified in Suffolk County Notary Pu Vis My Commission Expires 03-13-2030 Postal � e CERTIFIED MAIL. ■ , RECEIPT MAILT. RECEIPT M (Domestic Mail Only;No Insurance Coverage Provided) Q- (Domestic Mail Only; CO ul m ru Matrt c( i 1ij � y = M I'14�;'t la �! o7 '' A I= 0?5 Postage '� Pos�Aga, `� } u_! �Tll.r c;a .:- Certified Fee S[! I_! ► d 3 1 ZIN Certified Fee I l,f!I I a' t. _ �7�y� M' m „__ Postmark ' m E Pos irk ? p Return Receipt Fee Return Receipt Fee %'s,' Here (Endorsement Required) a I j_(,III Here C y f Endorsement Required 1, III,! J E3 1 tx s ad' � z. - .)•� � � ResttictedDeliveryFee t3 Restricted Delivery Fee •!-• j1` �/ Endorsement Re ulred ry e t 31 2 } } ( q ) � (Endorsement Required) UG C3 9 a C3 �rOn -0 t(;( 2. r . Total Postage&Fees Total Postage&Fees a A'Q/31 j'1j3 S),r m $1 1,3 u. '1. I I_6 �".ari,�aait . �. Sent To Sel)rlb IS rl Sheet,Apt.No.; ,„ a f1J ___ L� � � -- (�,---- ---------------------- r-1 or PO Box No. P�r 4 �\ �1G 0 Street,Apt:N. �/ (`_ or PO.Box No. Iti -------------- -----------�---------- City State,Z/P+4 City,State,ZIP+4 \l �j� PS Form 3800,August .r. See Reverse for Instructions PS Form 3800,August 2006 See Reverse for Instructions Postal • Postal CERTIFIEDRECEIPT CERTIFIED (Domestic MAIL. RECEIPT m e • . • . Coverage' Provided)•. I r It .� m u j ru •Ida #t &1 I1 .I !r' ' ' > r-R Postage $' I1^cv I i rt Certified Fee 0.(jl_ S I u_ n Certified Fee t ;;,'c "' Postmark m ..1__ �,.' Postmark-f,,:� C3 Retum Receipt Fee ,` 92�j tl Here Return Receipt Fee �" Here e`,\ (Endorsement Required) !t t�l l (Endorsement Required) !],f_iIt �` �A 11 f ���r V-=;+} O Restricted Delivery Fee Restricted Delivery Fee Ci 3 202�j ( Required) r)3 r Endorsement Re ) (Endorsement Required) ' C }rpz 1) O 4a s Total Postage&Fees ': L t!u ^-!.!y Total T Postage&Fees _ 5 1,�f111 Y71 m m Sent To Sent o R! r � T 1-4_ Or_-jL _�-_ � SWo.; �G_�1 Q Street,Apt.No.; ` r1 Street Apt No ^^ \tom O or PO Box No. t° �a`�____\ O or PO Box No ........C4 _J J�4 ---------- Ciry,State,2IP+4 Ciry,State,ZIP+9 M A�rl k V cAL, PS Form :.r August 2006 See Reverse for instructions r � Glenn Goldsmith,Presid �14S -rD Town Hall Annex A.Nicholas Krupski,Vice President ,�� Gym 54375 Route 25 Eric Sepenoski H x P.O.Box 1179 Liz Gillooly o s Southold,NY 11971 Joseph Finora y�9�l �.ap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ce -- BOARD OF TRUSTEES: TOWN F SOUTHOLD ----------------------------------—----- ------------------- In the Matter of the Application of S E P 9 2026 KORYN GATTA ESTRADA Southold Tovdn s COUNTY OF SUFFOLK Board of Trustee STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGHTH DAY OR LATER residing at/dba (' r _I.-V, jg�-r.��livo�.►rne�+��\ being duly sworn, depose and say: S-1 That on the 1 day of S c QIc M6c-( , 20)(� , I personally posted the property known as V-10 by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 16,2026. Dated: S -` �� 10�_c (signature) Sworn to before me this I day ofSp�T 20�-G PENNY LOUISE MAFFETONE NOTARY PUBLIC-STATE OF NEW YORK No.01 MA0047699 Qualified in Suffolk County Notary Pu 1C My Commission Expires 03-13-2030 NOTICE OF H . EARING . 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: KORYN GATTA ESTRADA SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove approximately 100 cubic yards of soil including existing phragmites roots within the wetland area to the east, replace soil with approximately 100 cubic yards of clean sandy loam while maintaining the existing grade, and revegetate this area using various native species of plants; along the border of the lawn area and the existing 20' wide non-disturbance buffer area. place boulders (50 lbs.+ each) set approximately 5' on-center. Located: 2350 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-7 TIME & DATE OF PUBLIC HEARING: Wednesday, September 16, 2026 — 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 online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES *TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its siariificant 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, listinp, both supporting and now. 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 j SCTM# 1000 _123 _04-7 PROJECT NAME Estrada The Application has been submitted to (check appropriate response): Town Board I 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: T-25 A'�1 n,� Location of action: Site acreage: i Present land use: (�S2S , Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameof'applicant:bi pf t4litLr CLn LuiC2 0,4 ClaQfy, �_ ���-1 ��-� A- . i (b) Mailing address: (�b �2 (c) Telephone number: Will the action be directly undertaken,require funding,or approval by a state or federal agency? If yes,which state or federal agency? Yes ❑ No C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LVW Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No/E] Not Applicable . - __ .. ._.. . _.. -.__- __.._.__.__.___._. Attach additional sheets if necess-ary.__ Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No Not Applicable Xttach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑NoX Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No[S� Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ti ❑'Yes ❑ No Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeLl No Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;_ Pages 65 through 68 for;evaluation criteria. ❑Yes ❑ No Not Applicable PREPARED BY David Cichanowicz/Creative Envir(TITLE President DATE