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TR-9385
Michael J.Domino,President *0 SU(/jTown Hall Annex John M. Bredemeyer III,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone (631) 765-1892 Greg Williams �O Fax(631) 765-6641 11�,oUM`I,�ct� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1599C Date: July 30, 2019 THIS CERTIFIES that the installation of a 5'x14' floating jet-ski dock to be connected directly to existing bulkhead using 2 galvanized pipe; At 490 Williamsberg Road, Southold Suffolk County Tax Map #1000-78-5-10 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 3, 2018 pursuant to which Trustees Wetland Permit#9385 Dated January 16, 2019,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the installation of a 5'x14' floating jet-ski dock to be connected directly to existing bulkhead using 2" galvanized pipe. The certificate is issued to The Wamsley Family-Trust c/o Brian W. &Dianne M. Wamsley, Trustees owners of the aforesaid property. Authorized Signature Michael J.Domino, President ��oE S0UTy0 Town Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 11 Glenn Goldsmith [ l Southold, New York 11971 A.Nicholas Krupski G Q � O Telephone (631) 765-1892 Greg WilliamsO Fax(631) 765-6641 �yCOUNT`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 7bol2ol �Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction A % constructed I� Project complete, compliance inspection. INSPECTED BY: � ' 1�41 l 415 2--lusle'r COMMENTS: l /� "� eg1.5 gS e,- lq"s "Lv ;S'e Cbl`" C CERTIFICATE OF COMPLIANCE. OO'CoFFO(,��,G c Town Hall Annex Michael J. Domino, President John M. Bredemeyer, III, Vice-President �o� y�� 54375 Route 25 Glenn Goldsmith N P.O. Box 1179 A Nicholas Krupski y • �Ay Southold, NY 11971 Greg Williams '' �oT166�a� Telephone (631) 765-1892 ' Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; J,0VVKq"PVr.V11X9-1'or-'W", MAO0 1, BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9385 DATE: JANUARY 16,2019 ISSUED TO: THE WAMSLEY FAMILY TRUST c/o BRIAN W. & DIANNE M. WAMSLEY, TRUSTEES PROPERTY ADDRESS: 490 WILLIAMSBERG ROAD, SOUTHOLD SCTM# 1000-78-5-10 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 January 16, 2019, and in consideration of application fee in the sum of$250.00 paid by The Warnsley Family Trust and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits h;x s the following: Wetland Permit to install a 5'x141 floating jet-ski dock to be connected directly to existing bulkhead using 2"galvanized pipe; and as depicted on the site plan prepared by En- Consultants,dated November 27,2018,and stamped approved on January 16,2019. 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 16'h day of January,2019. TERMS AND CONDITIONS The Permittee Wamsley Family Trust 490 Williamsberg Road, Southold,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President �OOf SUUTyolo Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone (631) 765-1892 Greg Williams 'Q Fax(631) 765-6641 �y00UNTY,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 16, 2019 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: WAMSLEY FAMILY TRUST c/o BRIAN W. & DIANNE M. WAMSLEY, TRUSTEES 490 WILLIAMSBERG ROAD, SOUTHOLD SCTM# 1000-78-5-10 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 16, 2019 regarding the above matter: WHEREAS, En-Consultants on behalf of WAMSLEY FAMILY TRUST c/o BRIAN W. & DIANNE M. WAMSLEY, TRUSTEES applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 3, 2018, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 16, 2019, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVE the application of WAMSLEY FAMILY TRUST c/o BRIAN W. & DIANNE M. WAMSLEY, TRUSTEES'to install a 5'x14' floating jet-ski dock to be connected directly to existing bulkhead using 2" galvanized pipe; and as depicted on the site plan prepared by En-Consultants, dated November 27, 2018, and stamped approved on January 16, 2019. 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: $210.00 Very truly yours, Michael J. Domino President, Board of Trustees MJD/dd S.C.T.M. NO. DISTRICT: 1000 SECTION: 78 BLOCK: 5 LOT(S): 10 F7 r- ;- - i LAND N/F '`1V I j 0C 3 2018OF I WILLIAM ZUKAS 9p�0 AOSA Box,IP s3s8.o DEPTH SOUNDINGS RECORDED ,� oo,• A* / AT MLLW ELEV 0.0 4.0'74 S89"28'30"E 126.63' }++ 1.2'N HEDGE ALONG LINE •f g" / a0 �3 2�y `' / 0 1y 01 / / 4%• �•• / �' 33•� �° C14 O a OSO, ROOF a �`' •��Q OVER a 1"� 14.1'W MON. J A O4k X30• o � '30.3'•.: •:i4 a./� .i, ••. �:� .36• :;10.2 yy :::.:. 490:.......:::.::. •'•' / �� SHOWER :::....:::::::::.:..:. :.. ... .•�•• ADO .�Q v WOOD DECK '•.• ''' ,••.. �. 14.1'W CO Q co. u -- ijM- - WOODfO'�ry'...•• O •2 5 � MON. � Mh s° ZONE X LATFORM h `S 00,O ty' " ?• Off. go OI �•o�'F•• p 00 y� co ZONE AE(EL 6) P�G `r o Q3 �My �o l hY/ UPDATE & ADD DEPTH SOUNDINGS OCT. 11, 2018 7HE WATER SUPPLY, WELLS, ORYWELLS AND CESSPOOL FIRM PANEL 166 LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS. AREA,- 23,396.91 SQ.FT. or 0.54 ACRES ELEVATION DATUM., MLLW ELEV 0.0 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF 7HE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM 7HE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF 7HE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO 774E STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADD177ONAL S7RUC77JRES OR AND OTHER IMPROVEMENTS EASEMEN7S AND/OR SUBSURFACE STRUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE 71ME OF SURVEY SURVEY OF:DESCRIBED PROPERTY CERTIFIED TO: BRIAN W. WAMSLEY; MAP OR _ DIANNE M. WAMSLEY; FILED: FIDELITY NATIONAL TITLE INSURANCE; SITUATED AT: BAYVIEW TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design f P.O. Box 153 Aquebogue, New York 11931 FILE # 13-195 SCALE: 1"=30' DATE: DEC. 2, 2013 PHONE (631)298-1588 FAX (631) 298-1588 N.YS. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk D AV iV V c SLElp yo "f — 'o O�y000 H �O GLENN S V7 m S�C1'ION TNC?U f'pOpOS�n J�1"%1 FLOA1" "v f" a �oe 9 Rp .4°•- - ; o 'e.�� y� r% tom„ �J AV PPOP Jif 5KI FLOAT _ IH1P^W 9 U 5IT(Aca55 VIA V N= 21-611 _ r; - —5G(3 C1 Pt;OP� fY) Lous o w BOARD OF rU-01 N" M TOW N"OfASOUT LD n �fi LI 9p 0 p [ } DEC me 0 ATE f ` Park A Il�r�l•�" I�L �{/ I I ---^�\ W ST `- Corvy Creek 1— Pna,ci r; C Suffdk Coiaty Nac*an Map 44 J 1" +2000' y °- N/F L. & E. LAY / Q / °q °�°�`� v � 3� 126.63' so o O Ci 2 STy FRM. �O DWELLING � ��. �0J. �� QG, �v Zq WOOD DECK w� cil 'g5:00 00 1„ = 30 ' WOOD T� T�eFR cep PLATFORM N m CONSULTANTS 1319 NORTH SEA RD. �o �� *O 4 SOUTHAMPTON, NY 11968 4 631-283-6360 Notes: 1) Purpose; In-water dockage of personal watercraft 2) Datum;ALM 3) Project plan based on survey 6y Kenneth M,Wgchuk KOPO5�P FLOATING if-5KI POCK Land 5urveyinq,last dated October 11,2018 I 4) Plan and Qosswew diaq•ams are schematic in nature FOP,TNS WAMSL�Y FAMILY 1�U5T ON ��} and are Intended only to establish project location, scope,and basic construction details for permitNriq Pp�PG�P CANAL TO COSY C CK, I I purposes and are rot intended to serve as or%6stftute 5OUTHOLP, 5UFFOLK COUNTY, NY for engineermq or construction plans 5) Property locabom 490 Willlams6erq Poad(aka 5H��f I OF 1 11-2118 Wllliam56urgh Drive),Southold;5CfM 1000-78-5-10 g�FFOL,� John M. Bredemeyer III, President oma ooG Town Hall Annex Michael J. Domino, Vice-President �� y1 54375 Route 25 James F. King y T P.O. Box 1179 Dave Bergen Southold, NY 11971 Charles J. Sanders '�.g ;' Telephone (631) 765-1892 �.' Fax (631) 765-6641 l,1s<<q 'BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: WAMSLEY FAMILY TRUST c/o EN-CONSULTANTS Please be advised that your application dated December 3, 2018 has been reviewed by this Board at the regular meeting of January 16, 2019 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) Paid Final Inspection Fee ($50.00) f x Dock Fees ($3.00 per sq. ft.) 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: 5'x14' floating jet ski dock 70 sq. ft x $3.00 = $210.00 TOTAL FEES DUE: $ 210.00af � � BY: Michael J. Domino, President Board of Trustees Michael J. Domino,President �Q� S�Ury Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� ®l0 54375 Route 25 P.O. Box 1179 South Glenn Goldsmith old,New York 11971 A.Nicholas Kx upski G Q Telephone(631) 765-1892 Greg Williams '� S �O Fax(631) 765-6641 lyCOUNT`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 17, 2019 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: THE WAMSLEY FAMILY TRUST c/o BRIAN W. & DIANNE M. WAMSLEY, TRUSTEES 490 WILLIAMSBERG ROAD, SOUTHOLD SCTM# 1000-78-5-10 Dear Mr. Herrmann: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, January 16, 2019: 1. DESCRIPTION OF ACTION: En-Consultants on behalf of THE WAMSLEY FAMILY TRUST requests a Wetland Permit to install a 5'x14' floating jet-ski dock to be connected directly to existing bulkhead using 2" galvanized pipe. Located: 490 Williamsberg Road, Southold. SCTM# 1000-78-5-10 S.E.Q.R.A. NEGATIVE DECLARATION OF ENVIRONMENTAL SIGNIFICANCE: WHEREAS, the Southold Trustees are familiar with this project having visited the site on January 8, 2019 and having considered En-Consultants plans for this project dated November 27, 2018 showing the proposed dock and water depths and a Kenneth M. Woychuk Land Surveying, PLLC survey dated December 2, 2013, revised October 11, 2018; and; WHEREAS, on January 14, 2019 the Southold Town Board of Trustees found the application of THE WAMSLEY FAMILY TRUST to be classified as an Unlisted Action Negative Decision pursuant to SEQRA Rules and Regulations. A Short Environmental Assessment Form and a field inspection have been completed by the Board of Trustees; and it is hereby determined that it will not have a significant effect on the environment; and WHEREAS, in reviewing the project plans dated November 27, 2018, and water depths it has been determined by the Southold Town Board of Trustees that all potentially significant environmental concerns have been addressed as noted herein: • Navigation: The proposed dock meets standards and does not extend beyond 1/3 across the water body. Depths for the dock terminus are within Town Trustees, New York State Department of Environmental Conservation and United States Army Corps. of Engineers guidelines and there is no recognized Federal/New York State/Town navigation channel in the immediate vicinity of the proposed structure. • Scope: The proposed dock is in an area where docks historically are used for commercial and recreational purposes; • Toxicity: The proposed dock decking shall be constructed entirely of non-toxic materials. • Scope in relation to the riparian rights of others: The plan allows a standard float design that will not impede access for small vessels at low/tide. • Scope in relation to the rights of small human powered water craft to navigate the waters adjacent to the proposed structures: At low tide a kayak might be able to paddle around this proposed structure as it projects only 7 feet into the waterbody. • Scope in relation to view shed: The seaward end of the proposed dock lies landward of all existing docks and as such the perspective will not be discernibly different from the existing view. • Environmental upkeep: The dock design projects a lifespan of 30 years, and with limited pile replacement minimizes bottom disturbance. THEREFORE, on account of the foregoing, the Southold Town Board of Trustees Approve and Authorize the preparation of a Notice of Negative Declaration pursuant to SEQRA for the aforementioned project. If you have any questions regarding the above, please contact this office. Very truly yours, Michael J. Domino, President Board of Trustees Annex Michael J. Domino,Pre it o�QSQFFO(,i"� Town Ha1l John M. Bredemeyer III,Vicere'sident �� �� � 54375 Route 25. Glenn Goldsmith o .c P.O.Box 1179 C* 2 A.Nicholas Krupski Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field b { �Q p Y En-Consultants on behalf of THE WAMSLEY FAMILY TRUST, c/o BRIAN W. & DIANNE M. WAMSLEY, TRUSTEES requests a Wetland Permit to install a 5'x14' floating jet-ski dock to be connected directly to existing bulkhead using 2" galvanized pipe. Located: 490 Williamsberg Road, Southold. SCTM# 1000-78-5-10 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: /� Present were: J. BredemeY er M. Domino /""G. Goldsmith N. Krupski G. Williams Other THE WAMSLEY FAMILY TRUST,490 WILLIAMSBURGH DR.,SOUTHOLD = :x . r � 'i i r Figure 1. Looking northeast(toward mouth of canal)along existing bulkhead at location ofproposed jet ski float. IF JC S 5 Figure 2. Looking southwest(toward head of canal)along existing bulkhead at location of proposed jet ski float. THE WAMSLEY FAMILY TRUST,490 WILLIAMSBURGH DR., SOUTHOLD i i i Figure 3. Looking south from canal at location of proposed jet ski float. 6 i :.""_y_ it t a..r�r w,r..•�...r,.�.�rflrir Y-�.�.... ,t Figure 4. Looking west across canal over location of'proposed jet ski float. 2 ry --, on J I m ens 1oD0 - M rA 4,, r r,,. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) ae Southold,NY 11971 Telephone: 631765-1938 ®�yc®UNTY,� 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: January 9, 2019 Re: LWRP Coastal Consistency Review for THE WAMSLEY FAMILY TRUST, c/o BRIAN W. & DIANNE M. WAMSLEY, TRUSTEES SCTM# 1000-78-5-10 En-Consultants on behalf of THE WAMSLEY FAMILY TRUST, c/o BRIAN W. & DIANNE M. WAMSLEY, TRUSTEES requests a Wetland Permit to install a 5'x14' floating jet-ski dock to be connected directly to existing bulkhead using 2" galvanized pipe. Located: 490 Williamsberg Road, Southold. SCTM# 1000-78-5-10 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. 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 H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 J* Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 9, 2019 the following recommendation was made: Moved by John Stein, seconded by Peter Meeker, it was RESOLVED to SUPPORT the application of THE WAMSLEY FAMILY TRUST to install a 5'X 14' floating jet-ski dock to be connected directly to existing bulkhead using 2" galvanized pipe. Located: 490 Williamsberg Rd., Southold. SCTM#78-5-10 Inspected by: John Stein Vote of Council: Ayes: All Motion Carried Michael J. Domino,PresidentsoTown Hall Annex John M. Bredemeyer III,Vice-President '�� �� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupskiy Telephone(631) 765-1892 Greg Williams ,co Fax(631) 765-6641 9 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application (— _•. -. Wetland Permit Application —7,,, Administrative Permit Amendment/Transfer/Extension DEC � 3 2018 ReceivedA lication: pp Received Fee: $ 960s00 Completed Application: I2IZ•1 f3u `_ __ Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): LRP Consistency Assessment Form Sent: 1 2.2-8'- g W CAC Referral Sent: 12.21. ✓ Date of Inspection: F r �� Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Name of Applicant The Wamsley Family Trust c/o Brian W.&Dianne M.Wamsley,Trustees Address 860 B Avenue,Coronado,CA 92118 Phone Number: 619 437-8689 Suffolk County Tax Map Number: 1000 - 78-5-10 Property Location:490 Williamsberg Road, Southold,NY 11971 (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants (If applicable) Address: 1319 North Sea Road,Southampton,NY 11968 Phone:631-283-6360 1A/ Board of Trustees plica_tiori GENERAL DATA Land Area(in square feet):23,397 Area Zoning: R-40 Previous use of property: Residential,single family dwelling Intended use of property: No change Covenants and Restrictions: X yes No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by Building Dept. Yes X No Does the structure(s) on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date Southold Trustees Waiver December 15, 1999 Southold Wetlands Permit 8454 June 18,2014 NYSDEC Tidal Wetlands Permit 1-4738-04346/00001 November 10,2014 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Install a 5'x 14'floating jet-ski dock to be connected directly to existing bulkhead using 2'galvanized pipe,as depicted in the project plan prepared by En-Consultants,dated November 27,2018. Board of Trustees Ap :�atiori WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To provide in-water dockage for owner's personal watercraft. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 o% Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A 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): The project consists only of the installation of a 5'x 14'plastic jet-ski float,which is to be connected directly to the existing bulkhead using 2"galvanized pipe. There will be no anchors employed or additional pilings driven into the water column to secure the float,and a personal watercraft such as a jet ski or waverunner will be docked only on top of the float. There will thus be no bottom disturbance;no treated materials introduced to the waterway; and no additional encroachment on the canal outside of the 5'x 14'footprint of the float,which will be located at least 15 feet from the side property line and extend no more than 7 feet into the 40'-foot wide canal,i.e.,less than 18 percent of the width of the waterway. The project will thus conform in all ways to the general"construction and operation standards" for docks set forth by Section 275-11(C)(2)and will have no significant adverse impacts on the adjacent tidal waters. 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: Wamsley Jet-Ski Dock Project Location(describe,and attach a location map): 490 Williamsberg Road,Town of Southold,Suffolk County,NY, SCTM# 1000-78-5-10;property is located at southwest end of Williamsberg Road, +/-432'south of Bayview Road,location map attached. Brief Description of Proposed Action. Install a 5'x 14'floating jet-ski dock to be connected directly to existing bulkhead using 2'galvanized pipe,as depicted in the project plan prepared by En-Consultants,dated November 27,2018. Name of Applicant or Sponsor. Telephone: 619-437-8689 The Wamsley Family Trust E-Mail. brianwamsley@me.com Address: c/o Brian w.&Dianne M. Wamsley,Trustees; 860 B Avenue City/PO: State: Zip Code: Coronado CA 92118 1. Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. X 2 Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval. USA COE,NYS DOS X 3.a.Total acreage of the site of the proposed action? 0.54 acres b. Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.54 acres 4 Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑ Rural(non-agriculture) ❑ Industrial ❑Commercial ® Residential(suburban) ❑Forest ❑Agriculture ® Aquatic ❑ Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan? X 6 Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify. Name:Corey Creek,Peconic Bay&Environs,Reason Significant coastal fish&wildlife habitat Protect public health,water,vegetation,&scenic beauty,Agency Town of Southold,Suffolk County,Date-3-9-90,7-12-88 X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9 Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: N/A 10 Will the proposed action connect to an existing public/private water supply? NO YES If No, describe method for providing potable water: N/A 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N/A 12.a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b.Is the proposed action located in an archeological sensitive area X X 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action, contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency9 X b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Jet-ski dock will X encroach over approximately 70 sf of Corey Creek. 14. Identify the typical habitat types that occur on,or are likely to be found on the project site Check all that apply. ® Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ® Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16. Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ❑NO❑YES X b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon, dam)? If Yes,explain purpose and size: X 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: X 20. Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE INF RMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: R E Herrmann,Coastal Mgmt. Specialist Date: November 28,2018 Signature: Part 2-Impact Assessment.The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning / regulations? 1/ 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5 Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, { architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g., wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance.The Lead Agency is responsible for the completion of Part 3.For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part I Part 3 should,in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts.Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude.Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Southold Board of Trustees -24 e Name of Lead Agency Dat A1ilehael J. 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'`td a'7:� „%r.": :!r`'�= i'et�_• :..e.:l� r=:.e.Y:i �•-:.Ls,st'ic.-:w.�C?-.:ro..�-A" �¢.ssi'..,..h..§�2��. „,r�•.a.s:.•r..... r� :.r s __ tom' � .« te°.Y..'-L:,o,z3:s'..u3....,..=a,:.`v:.w�i:�..z:�.;�-,..�.Y-.A:':-r..[:��+"y •.�,..,�:��".1'.a:f:� -.b.,.'v' p_ts:�::.r=�v.7.�..:� Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Brian W.Wamsley,Trustee of The Wamsley Family Trust } owners of the property identified as SCTM# 1000- 78-5-10 in the town of Southold New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A Property Owner's S(;- u Property Owner's Signature Brian W.Wamsley,Trusteee The Wamsley Family Trust SWORN TO BEFORE ME THIS DAY OF r , 201 y DERIK J.MUNDT ; N ar Public ii Commission No.2174710 z y NOTARY PUBLIC-CALIFORNIA SAN DIEGO COUNTY 0Commssion Ewes December 4,20=20 - 1 Board of Trustees Application County of Suffolk State of New York Brian W.Wamsley,Trustee of The Wamsley Family Trust BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature ,Brian W.%Wsley,Trustee The Wamsley Family Trust SWORN TO BEFORE ME THIS DAY OF—26q SZ--,20 L S/ DERIK J.MUNDT Commission No.2174710 z _ z NOTARY PUBLIC-CALIFORNIA:2 ? a SAN DIEGO COUNTY Aft"PAblic commssxm Expires December 4,2020 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Prohibits conflicts of interest on the of town-officers and employees 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 necessarto avoid same, Brian W.Wamsley,Trustee YOUR NAME: The Wamsley Family Trust (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this W da of f 2Q� Signature Print Name Br n W.Wamsley,Trustee Form TS 1 he Warnsley Family Trust Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) 1/Wei _ _ Dianne M.Wamsley,Trustee of The Wamsley Family Trust owners of the property identified as SCTM# 1000. 78-5-10 in the town of Southold _ _ New York,hereby authorizes Y En-Consultants _ _ _to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. -N/A Property Owner's Signature T Property Owner's Signature Dianne M.Wamsley,Trustee The Wamsley Family Trust SWORN TO BEFORE ME THIS - _ DAY OF _ j2 Notary Public RYAN BULLIS Notary Public,State of New York No.OIBU6372132 Gommissipn Expires March 12, Board of Trustees Application County of Suffolk State of New York Dianne M.Wamsley,Trustee of The Wamsley Family Trust BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED, IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature,Dianne M.Wamsley,Trustee The Wamsley Family Trust SWORN TO BEFORE ME THIS- - -__ __DAY OFA Notary Pub RYAN BULuS M01Y Pabi4 State of New York No.01BUS372132 Gommissipn Expires Narr;h APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM a o S" fiold's de a Et i ib' 'ka 'cts of to'st o tie of ow ern to ees Tl e "s r vid a eitt w n of negkly to avoid Maine. __- Dianne M.Wamsley,Trustee YOURNAME: The Wamsley Family Trust (Last name,first name,middle initial,unless you are appiying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance ---- -- -- Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map -_ : Planning Other (If'Other",name the activity.)- -- Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more th an 5�%of the shares. YES NO ✓-- - If you answered"YES",complete the balance of this form and date and sign where indicated. z Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagenthepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted t 's day of _- SigritiRtire Print Name Dianne M.Wamsley,Trustee Form TS 1 The Wamsley Family Trust" - APPLICANT/AGENT/REPRESENTATIVE TRANSACTI®NAI.DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: HPrrmnn TRnly-rt F (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION. (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold9 "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated_ Name of person employed by the Town of Southold Title or position of that person_ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant,or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of November 20 18 Signature Print Name Obert •�1 Form TS 1 EN-CONSULTANTS f C �� V L January 8,2019 Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold,New York 11971 Re: The Wamsley Family Trust 490 Williamsberg Road, Southold SCTM#1000-78-5-10 Dear Board of Trustees: In regard to the above referenced application,included herewith are the Notice to Adjacent Property Owner and the Proof of Mailing along with certified mail receipts attached. 4sincery, ph s Enc. 1319 North Sea Road I Southampton,New York 11968 1 p 631.283.6360 1 f 631.283.6136 www.enconsu[tants.com environmental consulting NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: The Wamsley Family Trust SCTM#1000-78-5-10 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Install a 5'x 14'floating jet-ski dock to be connected directly to existing bulkhead using 2'galvanized pipe, as depicted in the project plan prepared by En-Consultants,dated November 27,2018. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 490 Williamsberg Road,Southold 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wednesday,January 16,2019 @ 5:30 p.m. You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. The Wamsley Family Trust c/o Brian W. &Dianne M.Wamsley,Trustees PROPERTY OWNERS NAME: 860 B Avenue MAILING ADDRESS: Coronado,CA 92118 PHONE#: 619-437-8689 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road,Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. Michael J.Domino,President � QJ t4' Town Hall Annex ss OG John M.Bredemeyer ITl,Vice-President 4;� w V_ 54375 Route 25 Glenn Goldsmith y p P.O.Box 1179 A.Nicholas Krupski P17 ry Southold,NY 11971 Greg Williams ®!.0 Telephone(631)765-1892 � x Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of THE WAMSLEY FAMILY TRUST, c/o BRIAN W. & DIANNE M. WAMSLEY, TRUSTEES COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORMIS TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, Robert E. Hermann , residing at/dba En-Consultants 1319 North Sea Road, Southampton, NY 11968 being duly sworn, depose and say: That on the 3rd day of January._` , 2019, 1 personally posted the property known as 490 Williamsberg Road, Southold, SCIM #1000-78-5-10 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 Wednes January 16 2019. Dated: (signatu e Sworn to before me this 16th day of Jan 2019 4jjq2�_ KIM H . STEPHENS NOTARY PUBLIC otary i lic STATE OF NEW YORK COMMISSION N0 , 5015931 QUALIFIED IN SUFFOLK COUNTY EXPIRES AUGUST 2 , 20?'/ r Ah WIN a"1:0 ®° • C3 !ExtraService..& M ! iOAL �� IEEmI� �tF I) L �.�}� cm r��' Certified Mad Fee � �::�r9 Fee 17-1 � Extra Serturn Rece&Fees(checkbox,add/ee as appropdate) FeeS(checkbox,add lee asappropdate0 ❑Return Receipt(hardcopy) $ et a_s )) r P(h Py) $ O ❑Return Receipt(electronic) $ Pos'ma k 0 El Certified Mall Restricted Delivery $ M � El Return Receipt(electronic) $ �� � Pos{ ark I] ❑Adult Signature Required $ ( Here> 0 El Certified Mall Restricted Delivery $ 1 / sJ Here C? I r3 []Adult Signature Required $ ! 4/` Here, C) Signature Restricted Delivery$ I e p Postage O ?O '�"° ❑Adult Signature Restricted Delivery$ U.� •m $ 1g O Postage c3 Total Po i9 / p $ �n8_USpS / p Tc , PS f Sent Tos Town of Southold 1:0 e C3 Street an P.O. Box 1179 a Lester&Ethna Lay C3 SIt 111 Soifer Avenue city,Stat Southold,NY 11971 --------- c„ North Bellmore,NY 11710 -------------- ® A o ■ ® A © ® ■ m 0 —0 IQ` y o e E O" e e , �f�� �, e 1fm £'a ;' �` i r'.,11t a di U, Q' Certified Mad Fee 71 M I r9 $ ` l-_— , Q-' Certified Mail Fee Extra Services&Fees(checkbox,add fee as appropnate) ^v, r I l�` $ �!/�- �� ) \ Extra Services&FeeS(checkbox,add fee as appropdate) ` 0 ❑ Return Receipt(hardcopy) $ \` \ ❑Return Receipt(hardcopy) $ J r ❑Return Receipt(electronic) $ Postmark�� E ! Return Receipt electronic $ I V d 4 ❑Certified Mad Restricted Delivery $ w Dere n 1 C-3 ❑Certified Mail Restricted Delivery $ I ' CHtmark I � Adult Signature Required $ VIA J I ( '�fV []Adult Signature Restricted Delivery$ ` �Q1/,� C3 El Adult Signature Required $ fs' l-J Postage []Adult Signature Restricted Delivery$ I 9Postage G C3 r $Total `�.S P p $ �j 0 Total Pc Sent Cheryl L Hansen $ Peter Tagios,Jr. O Spee 305 S. Windsor Drive rrq Sent To Aletra Monfredo Tagios �`- Arlington Heights,IL 60004 1 M1 26 Amherst Road --------- City,` - cdry sra Port Washington,NY 11050 Postal servlice�m o ■ J3 •. 061 ul O Er ( r I" El-' Certified Mad Fee IEr $ Extra Services&Fees(checkbox,add fee as appropriate) _ C] ❑Return Receipt(hardcopy) $ \ C3 ❑Return Receipt(electronic) $ ! Postmark C3 ❑Certified Mall Restricted Delivery $------- �--! a�� Here r3 E]Adult Signature Required $ ) E]Adult Signature Restricted Delivery$ U 40J C3 Postage \ C3 Total Pos S � Sent To Cheryl L. Hansen Revocable Trust r3 Streetart( 305 S. Windsor Drive ------ City,stale Arlington Heights,IL 6004 _______ Unai r � I' PROOF OF MAILING OF NI CE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Cheryl L Hansen 305 S. Windsor Drive Arlington Heights,IL 60004 Cheryl L.Hansen Revocable Trust 305 S.Windsor Drive Arlington Heights,IL 60004 Peter Tagios,Jr. &Aletra Monfredo Tagios 26 Amherst Road Port Washington,NY 11050 i Lester&Ethna Lay 111 Soifer Avenue i; North Bellmore,NY 11710 Town of Southold P.O.Box 1179 Southold,NY 11971 ® 0 • a e • e I• ? ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse X EJ Agent so that we can return the card to you. ❑Addressee I ■ Attach this card to the back of the mailpiece, B. ReViv d by(Printed me) C. Date of Delivery or on the front If space permits. r 2 S 1. Article Addressed to: D. Is delivery address diffe nt froq- en`? ❑Yes If YES,enter delivery,address belgw ❑No Town of Southold 0, P.O. Box 1179 3. Service Type ❑ -rror ty Mail Express® Southold,NY 11971 ❑Adult Signature D Registered MarITM ❑0651t Signature Restricted Delivery ❑Registered Mail Restricted ! UdCertified Mail@ Delivery __ _ _ __ ,❑Certified Mail Restricted Delivery O Return Receipt for 1❑Collect on Delivery . °- I Merchandise c Grr,em A6,mhor?ranefer_frnm�on,r�e r�r en _ I n r,n DeliverysRestricted Delivery ❑Signature ConfirmationTM 7018' 0040 0 0 0 D 919 3 9087 'Mail ❑Signature Confirmation } Aad Resirlcted Delivery Restricted Delivery 0) I PS Form 3811,July 2015 PSN 7530-02-000-9053 'Domestic Return Receipt �} 1319 North Sea Road Southampton,NY 11968 being duly sworn, deposes and says that on the 8th day of January ,2019 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southampton , that said Notices were Mailed to each of said persons by r (certified)(ragkoxxvdc mail. I I RobertE. errnann Coastal Management Specialist I 8th Sworn to before me this KIM H . STEPHEN S day of January ,201 - N O T A R Y P U B L I C STATE OF NEW YORK 61 COMMISSION N0 . 5015931 jkg?�2 QUALIFIED IN SUFFOLK COUNTY Notai&j Public EXPIRES AUGUST 2 , 205V NUTILL: Uim Ht: ARING 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: THE WAMSLEY FAMILY TRUST, c/o BRIAN W. & DIANNE M . WAMSLEY, TRUSTEES SUBJECT OF PUBLIC HEARING : For a Wetland Permit to install a 5'x14' floating jet-ski dock to be connected directly to existing bulkhead using 2" galvanized pipe. Located : 490 Williamsberg Road, Southold. SCTM# 1000-78-5-10 TIME & DATE OF PUBLIC HEARING : Wednesday, January 16, 2019 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold ` - LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si nim beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 78 - s 10 PROJECT NAME The wamsley Family Trust The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) El (c) Permit, approval, license, certification: ❑ Nature and extent of action: Install a Tx 14'floating jet-ski dock to be connected directly to existing bulkhead using 2'galvanized pipe,as depicted in the project plan prepared by En-Consultants,dated November 27,2018. L " Location of action:490 Williamsberg Road, Southold Site acreage: 23,397 s.f. Present land use: Residential,single family dwelling Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: The Wamsley Family Trust (b) Mailing address: c/o Brian W. &Dianne M.Wamsley,Trustees 860 B Avenue,Coronado,CA 92118 (c) Telephone number: Area Code 619-437-8689 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ® No ❑ If yes, which state or federal agency? NYSDEC,NYSDOS,USACE C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ❑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 ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ®Yes ❑ No ❑ Not Applicable Consistent with Policy 5,the project will have no adverse impact on water quality or supply. The project consists only of the installation of a 5'x 14'plastic jet-ski float to be connected directly to the existing bulkhead using 2"galvanized pipe,and no treated materials will be introduced to the waterway as a result of the project. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ® Yes 11 No ❑ Not Applicable The proposed 5'x 14'plastic j—ki float is to be connected to the existing bulka.a.l using 2"galvanized pipe with no anchors or additional pilings used to secure the float;and a personal watercraft such as a jet ski or waverunner will be docked only on top of the float. There will thus be no bottom disturbance associated with the float installation and no treated materials introduced to the waterway; and the project will conform in all ways to the general"construction and operation standards"for docks set forth by Section 275-11(C)(2). Therefore,consistent with Policy 6,the proposed float would not cause a"fragmentation of ecological communities;" result in the physical loss,degradation,or functional loss of ecological components; or otherwise significantly adversely impact the tidal waters of the bulkheaded canal. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ® Yes ❑ No Not Applicable There will be no encroachment on the canal outside of the 5'x 14'footprint of the float,which will be located at least 15 feet from the side property line and extend no more than 7 feet into the 40'-foot wide canal,i.e.,less than 18 percent of the width of the waterway. Therefore,consistent with Policy 9,the project will not impede or otherwise interfere with public navigation or other recreational use of the waterway. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Sou...,,ld's water-dependent uses and pr6..:.ite siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLECoastal Management Specialist DATENovemberzs,zots Robert S. N=ann Amended on 811105 EN-CONSULTANTS ,'+�' a :E� It:� November 29,2018 Fn) E (,C:11,,_;, a� IF= P I Town of Southold DEC _ 3 2018 Board of Trustees a 54375 Main Road Post Office Box 1179 -n' ' -Tru Lees Southold,New York 11971 Re: The Wamsley Family Trust 490 Williamsberg Road, Southold SCTM#1000-78-5-10 Dear Board of Trustees: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Four(4)Wetland Permit Applications including: a) Short Environmental Assessment Form; b) Authorization&Disclosure Forms; c) Land survey prepared by Kenneth M.Woychuk Land Surveying,PLLC, last dated October 11, 2018 d) Project plan prepared by En-Consultants, dated November 29,2018. e) LWRP Consistency Assessment Form. 2. One(1) set of site photographs. 3. Application fee of$250.00. I hope this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sincer , Robert E. Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting