Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
TR-9400
Glenn Goldsmith,President QF S0!/rTown Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 17, 2020 Keith Neilson, PE.- Docko, Inc. P.O. Box 421 , - Mystic,,CT -06355 RE: R.B. BURNHAM III RIGHT-OF-WAY OFF PENINSULA ROAD, FISHERS ISLAND SGTM# 1000-10-4-10 Dear Mr. Neilson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, September 16, 2020: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#9400, as issued on March 20, 2019. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. , . Sincerely, lenn Gol smith President, Board of Trustees GG:dd kif Ent Michael J. Domino, President co�0 Com Town Hall Annex John M. Bredemeyer, III, Vice-President � � ti�*. 54375 Route 25 Glenn Goldsmith �W ,?t P.O. Box 1179 A Nicholas Krupski y • � Southold, NY 11971 Greg Williams � �o! , �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 %Z constructed When project complete, call for compliance inspection; Izz A BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 9400 DATE: MARCH 20,2019 ISSUED TO: R.B.BURNHAM 111 4 3 PROPERTY ADDRESS: RIGHT OF WAY OFF PENINSULA ROAD,FISHERS ISLAND SCTM# 1000-10-4-10 eal 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 March 20,2019,and in consideration of application fee in the sum of$250.00 paid by R.B. Burnham Ill and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct±66 linear feet of 41 wide fixed wood pile and timber pier of which±48 linear feet is waterward of the ARWL,including hand rails on each side,electric and water utilities; install a 3.5'x22' hinged ramp to a 6'x20' float with four(4) 8" diameter restraint piles; and as depicted on the site plan prepared by Docko,Inc.,dated August 30,2018, and stamped approved on March 20,2019; and the planting plan of Docko,Inc., received on March 12,2019 and stamped approved on March 20,2019. = 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 20th day of March,2019. PF F0Q. 14,V j r k' R WEST C- 7. 7 pl, 3 ..3,r .4 ------ do SIT . . . . . . ...... V 76 m1w . . . . . . ..... AS ERS ISLAND' Z 0 0 ROA DAMA AN ... . . . Mt li t y -v %. . . . . . z CRAIZr:13214 GRAPHIC SCALE IN YAFZ6 1000 0 1000 N/F PR' OPERTY R ofBURR��-,n CITIES. . TUM 15 NAVD'86. ...... 1.ELEVATION DA F. PROJECT NEW 2 TIDE DATA 15 TAKEN FROM 2018 NOAA TIDE PIER and FLOAT TABLES REFERENCE:WEST HAP -FISHERS t ISLAND,NEW YORK 3.PROJECT DESCRIPTION:CONSTRUCT 60±LF OF 9 4-FT WIDE FRED WOOD PILE AND TIMBER PIER OF — WHICH 48±LF IS WATERWARD OF THE APPARENT HIGH WATER UNE,INCLUDING PALS AND ELECMG AND WATER UnUTIES,INSTALL A 6-FT VADE X 20-LF PROPERTY FLOAT WITH ASSOCIATED HINGED ACCESS RAMP of BURNRAM AND RESTRAINT PILES 4.PROJECT PURPOSE THIS 15 A PRIVATE DOCK FOR RECREATIONAL BOATING 5.THESE APPLICATION DRAWINGS REPRESENT A COMPILATION OF SURVEYS FOR ENVIRONMENTAL PERMIT PURPOSES.THEY ARE NOT CONSTRUCTION tVF; MOWRTYX CONTRACT DOCUMENTS.A TOWN BUILDING PERMIT \41-cFASH91REN r MAY BE REQUIRED. G.ADJOINING PROPERTY OWNERS- NORTH: SOUTH: ELBERT M BURR JOHN K.ASHGREN 44 EMERALD GLEN ROAD 169 CONESTOGA STREET SALEM,CT 00420 WINDSOR CT 06095 61 A 11CSCALE 1• 100 100 50 0 100 PROJECT: NEW PIER and FLOAT LOCATION F95HER5 ISLAND-TOWN ofSOUTHOLD N SUFFOLK CQUNTY�NY ILEI T WATERWAY: DARBIES COVE DATE: AUGUST 3012018 -D 10 C IC 0 C6 APPLICANT RB.BURNHAM III 41i cc LV AGENT: SHEET I OF 4 DOC<0, INC. 4 6860, Keith B.Neilson,PE 0 P 0 10 Mystic,CT 06355 ESs\ 860 572 8939 FAX SW M 7569 DWG 10-10-2239 EMAL:-office9dockoxom Keith B Nelson Docko Inc 11/5/2018 303 AM Burnhom-Brc:d-[)rbsCove-permit-201e�_1B d%vq '� 1 •-30 0'� 1 45" I I ■-2-6 0.8 i L I 4x2. i - �3.0 x-2 7 ""2.7 , ppt�ROXIf�(ATE__n J - -- 7 J� .0 2.0 4 2.0 \ LINE _ :,Y x? s -02- ULIMITS of SPARTINA =- �, A-TERNIFLORA(1YP) -. x-2 6 �RROOSX� _ t 1LOTILI 4-1�{70TREFS I 7I N „-2.5 •-28 S •-3.2 FOCT I I MARSH O _ OF HIGH TIDE BUSH �N of NEW ULDER 1\,A \ \ DOCK CONCC EPTS I I 120 TREE 1.7 (TYP)and 1 BAYBERRY I3 3.1� I I I I I x 5I .I \ - 6'X13'FLI�>x x 30 61 rj 0 6 09 x-25 x I I x(24 1 11\ 1 -0 -0.- x- 3 74 NOTE THERE 19 NO COVE O \•1\s 4\ \ \ \ 9 \ \ SAV.100*FT OUT x-2 9 \ \1\ 2 02 FROM SHORE x-3.0 1 1 \ \ 20 TREE 2 x-O7 c-T.7 x-3.0 \ \ \ \ x\1 4\ \\ 0.0 ,3.0 x-2 9 x 0� 0 TREE \ \ 9 -0 4 �\ -� \ "0 1 x-2.4 \ \ \ } I ( AHWL L8,LJMITS oFSPARTINA \ \ 20 TREE�.6 i x � s 0 �\ x- B ALTERNIFLORA 0-M \ \ \ \ \ C\ \ a,/� 0.2 0 I ` Q29 \ v, \ 5 HIGH TIDE BUSH ` 1 \ \ BUOYx19.4W \ 1 18. ' � \ \ \ \ \\ 1 \ x \ ' ` . 3\ �' �.8\x 1.9 x-30 -/ 2 0 `\ .6\\. OF SEA LAVENDER(C) 12 DIA BOULDER and COMMON GLASSWORT(C) \ ry \ 17.4\� �'° 3�8 .6 \ x-i.4 x-2 5 \ x-3.1 '!' A� 4 00 Y 1 \ HIGH TIDE BUS \ �� �} 1 X19 3 x,s.s� \1 }�1.�p1 '• �-: .EXISTING COIVDITIOIVS \ G A ICScale 1•=30 iviF PROFERTY \ 17 0 - of ASHGREN 30 10 0 30 ` , x 198 SURVEY by JAMES BERNARDO LAND SURVEYING LLC x 1 s 9 /, ELEVATIONS ARE BASED ON APPARENT LOW WATER(ALV\0 PROJECT: NEW PIER and FLOAT � fr L.OGAMON: FISHERS ISLAND-TOWN oFSOUTHOLD SUFFOLK49VECOUN �NY WATERWAY: DARBIESDOVE co •5 �, ,f +� DATE AUGUST 30,2018coa \ r�r APPLICANT: R.B.BURNHAM III r ' AGENT SHEET 2 OF 4 DOGIGO, ING.068692.1 rG Keith B.Neilson.PE Mystic.GT 06355 860 572 8939 FAX 860 572 7569 DWG 10-10-2239 EMAIL-ofilc-Qdocko.com Keith 5 Neilson,Docko Inc 11/14/2018 815 AM Burnham-Brad_Drb5Gove-Permlt 2018_26 dwg - APPROVED BY BOARD'OF I RUSTEES 2.0 - . 2. PJ�pROXIMAfB:_ I _2 0 \ LOT LINE , o x 2. � ATE26, /� II'x ,2 9 x-0 2 LIMITS of SPARTINA 20j ALTERNIFLORA C1YP) AP—ER-061 2.6 - LpT LINE 1 . t 1 1 I l I x-2 5 1 I I II AHWL1.8 I ` 1 x-• ' I I I x- 8 � ! NEW GR055 TIMBER S FOR SEASONAL RAMP ORACH I x_o AREA OF HIGH TIDE BUSH SUSPENSION -7' CTYP)and 1 BAYBERRY \ 3 I I o 3 1 1 _ \ Dco�/E x 5 FLOAT 1 REMOVE \ -3 \ 1\g x �3.0 v �NEWpB�'RESTRAINT I \�\�` x .5 PILEIr) x 2 NEW X 20 PILE x_ ED FLOAT \ ' 1 Ott x-0 W x X' �. JpEO l NE�►/35'X 21 HINGED P NEW 4'WIDE PILE 5 PPORTED PIER tvh h RAl�and WACfRIC UTILITIES x-2 s -02 \ DECK EL 5-56"NAW 1-30 . s`z NEW 6'SPPORT PILE�P) \ \2P1 TREE \ 2.9 EGINNING DEGK EL 7tFT x-027 HIGH 11DE BUSH` \ CP 1 •3 00 \ \ x3.0 0.4 20TREE O.t \ \ x-24 l \ ,- x-o- x-, z LIMITS ( j \ \ PARTINA 9 AT .02 \ 4-FT �— TNI 00 \ \ ciP-2.9 DEG \ BUOY Wp H NEW PILE \ \ SUPFLORTED PER , 5 \ END DECK EL 556FT a x-30 NEW 1 \ \ x�g UTTLMFS 1 MHV�x08 \ \\ AHW,— NEW SPOT GLAh1P and \ \ 0.2 AREA OF SEA LA VM MHWL— I GR055 BRACE(" \ t 6 ` and COMMON GLA PL_AIV �/1 EW ALWL NEW 6-FT X �G\, \ Ic scow 1'=20' -I -E�FLOAT so to o so .r r_���.-•rr �-^^wfrC+ � .�Jyi-��.. --:_.F .,-.sir.. •-:-w SUPPORT�'�- uM ` u8r PILE SURVEY by JAMES BERNARDO LAND SURVEYING LLC ;y.a.x rwiti ;isyt?mak. ELEVATIONS ARE EASED ON APPARENT LOW WATER(NAVD 68) ,,,t,:.�..a�ti;>K: .��.s,-<-.. ���•'- sem-.. C A I^ ` / C` , / GRAPHICt._ PROJECT NEW PIER and FLOAT SED 1-25-19 T.O.S. L.OGATION: FISHERS ISLAND-TOWN of SOUTHOLD �,�.-• .-....�t/ HINGED RAMP CALLOUT SUFFOLK COUNTY,NY A,� WATERWAY DARBIES COVE .? 0 0 DATE AUGUST 30,2018 0 C K 0 APPLICANT: RB.BURNHAM III .. SHEET 3 OF 4 AGENT r DOG<0, INC. © X068 Keith B.Neeson.PE mwtic'Cr 00355 0$ P l'�SSIO 572 8959 FAX 860 572 7569 DWG 10-10-2239 EMAIL ofllce@docko.com Keith B.Neilson,Docko Inc 1/25/20191221 PM Burnham-Brad-DrbsOove Permit 2078 3B dwg NEW 44-7 WIDE PILE SUPPORTED PIER EWLHINCFED RAMP GRATE DECK- NEW 6-FT X r 2O-FT FLOAT SEE DETAILS BELOW _. , _ — s YiS• 'S;�^ -k fr��"T-c•-�c'�t.'<.' .�.;_:_��.'�' 's`_C:=�'r -- - •.-fit^ r SPARIINAALTERNIFLORA tiR .,-�:< <c •.w.aH. 1cS r:..sb_z-,.k.,'_ ��•,c:-rr,�',wa��t�MR�.:,. �' z'T+'.�l' a'`.C _5:,r5: .'.�BOTTOM SEDEMIM _S:SOFT SILT-�"`h�,... „ 7—• `+y -"-��•`'-:',•irk,�y;�,s�: h'��-i:'•e�«4��Se".'Sa' �5`�.5:•e:S��+'>�rri.�:~ y_�:''F+,'e"'�i�:"{•i.r t PROF=I LE SRAPHC SCALE 1'_20' NOTE DECKING-NOT CCA TREATED,HARDWOODS 20 10 0 20 MUST BE CFRTFIED BY FOREST STEWARDSHIP COUNCIL GRATE DECK OVER [�-TIDAL WETL.AIDS VEGEfATIONyI NEW 4-FT WIDE PILE SUPPORTED PIER NEW DECK EL 7fFT NEW RAILS TOP RAIL 42-IN ABOVE DECK MINIMUM(7YP) _ Z-tpr SLOPED IlV- h Tr DECK NOT TO EXCEED •''�=;;�,,>,:;,��,� -_— -Ili�--_ _-�,__ 1:10 NEW SPLIT CLAMP and CROSS BRACE(TYP) N�cC'�"_19"�,'\'1 %`• -^'��.-v'v�s i.4�T•}y,.}•Lr 4•�FT �-.yL Vh.�..r.• CC�,",5'S;AR,'':S;•,`:r,4ti.Etiry•;v.!_s-'v'i<T.s�,'t�.:=v-''�`c�am�'��1�-'`�..,�I:}:a��•y�i',-?t^-Sti!.t}+,,=••..E+;�ar�. t 4 �_ SPARTNA!.tAL•'%TE,�eN9R tN•��-I+ �- st..:'vw�'}t.11�:,2f?N,h.• � s:;�.�:. ,!r„�= -'•4 '�h GRAPHC SCALE 1'=10 -NEW 64W FLOAT 1U END DECK EL S5tFT RESTRAINT PLP I� NEW UTILITIES TOP EL 165fFT NEW 3.5-FTX 22-FT HINGED RAMP a NEW 6-FT X - _ 20-FT FLOAT AHWL 1.8 - i A-WL-1.7- - d+t�F, "%rw'`i i vK�� =`+roti x iAr•* `. l"i :clrr?- :T z a , �.,;; �;•,�;�F�.,.,..3�;:�,�-�, .NEW 8-IN PIER .L�`� �-�.:.,•u��'k;_��i4 t�•,�.'- 5•�`�.4-;rte- �- :�'=-,;ter,:;.f-sem-y =^� e`�i.�^{-'i•`•` �'•.,tiiar�"s�.,,.rt-rte 1.^at i1:, :•�:��o%2Y.<�a.••aeo ai.`�e`q��F}u .w�SUPPORTPILE(TYP `>BOTTOMS-�, <'-T �:, ,- zL,� •, RADE l' '' r4• SOFT SILT PROALE `�,1y"•;yr j�;`•:tir:ty.�4:it Sr_+;,.:^4i: �� � c'�S`,+��•:4`Ari,-; .;:-a''2n�b ;•-. - �;, SEDIMENTS; ...4,,..rf .,..;,�..,•..••x`:�e:..,1,aL.auN.^;�%. �weo.+.a>••cy�tS.'.e,'C".`ti,��a;s:,n/L��.:'�+ .kaw',�}CC't `'".'�h��'3!, �''.,,''•'^ti<�r:.s�t�s'�`• - k'G.,.-';5',._`.:-'-`^'r�.,s�- 'Sti.�"k.c v'=r:tiru h:f.,tY�'S..v.,'�:.i»�.tb.:3t:�';: '.'�Gi`..3r�'-.�..-i�.;ro.;'«.a.-.i'1`,;�•S;,�xbti-'cr P20FlL_E= DETAI L GRAPHIC SAIF 1•e 10 ELEVATIONS ARE BASED ON APPARENT LOW WATER(NAVD 88) 10 5 O 10 PROJECT: NEW PIER and FLOAT 0 _ TlaWr -FISHERS,ISLAND-TOWN asoun-fox SEI T� y I;-( rEt_, "+ i== �! 1: !'SUFFOLK COUNTY,NY g M VcTERW !DARBIES COVE DATE 'I' GUST 30,2018 -DO C IC () . AUBURNHAM III � ��;��� u:,' I ! s CANT� ��• • • AGENT SHEET 4 OF 4 r �o� INC. RO Opp Ki iffi B.Neilson.PE; �C 0 i_M ' R OfiESS1 ystic.GT O635SP 0 860 572 8939 FAX 860 572 7569 DWG 10-10-2239 EMAIL:ofilce@docko.com Keith B Neilson,Docko Inc 1VI412018 813 AM Burnham-Brad_DrbsGove_Permrt_2018 4 awg APPROVED BY BOARD OF I RUSTEES NEW PL A Nntwl S WNTM DOGWOOD BEOZY ®ATE 3 TREE 5755 5VIBURNUM TT S 200 - 2 o fCEPAR 9TREES <., .f L USNE -� 2 Z' x-Q;Z , LAS of SPpRTKA-2 A-7BWR4RA(TYP) S x-2.6 3.2 FOOTPRWS of �fOU Lchsz, S t , OF MGN TIDE SUSHID CA Ep, f � p �rr . - 1.7 41 x �CJ r A// ` d�� gyp," 1�N� .1`. -�' — -U— _ � � ��/"•� s x SAV 100AFT OUT , 2 2.9 7 � -Q.Z � FRO�'1 SHORE -3.Q 1 f � 2 / OF - „_0`7 .7 4 f -0.4 201H Z i AHi »11S.UM TS of SPARTiNA r`` �/ .�` / 71�T1�EE: f 1„ \ � .0 •x- .8 ALTt�11f�Ai�A(T1T✓� ` �• N,HIPH 1VE BUSH BUOY OF - Q .6g. OF SEA LAS ccs _ - �1 B 1 ad tmoN c-LA%wQRT(G) il l / _ TOP X7:4 , .s1 1 x�.a HsH TM , s, X20 MT-PF4)PEI=,'yl xs 10 o fF' / ofA�HGi2E,"r 30 LOCATION OF <•„ stRvEY by-w-es BERNAIW LAND SURVEYNG LLG IMSATAN H05E ,:' ,�,,'` ;ELEUrAAT�NS A1^s� C�1 fPPARENT LC7VJ WATER fpl W} paVeW 3.ro_lgDEC LOCATKft SLAM-TOVM ofSOLD F aEA AR6A,DW COUNTY,NY ` J', WATWWAY DARBES CAVE �N K tT hC.s iR�GA7K3N Ht 41 wt?ATE AUGU5T30,2m o C 0 R8.EUfZt�•1AM I • EC 01CEHE ~ d8682,1 OCKO, INC. B. PE A, C' � ,� �. !,� CT'Oaaw �D�fSSla� SM 8939 FAX 860 572 7 c�.�m DWG lG-'K7-2239 � t r > an Gc a'c M.^•2'. to`17:AM rrnh m- a 6 Gd z_ err 2G 8_ Cl •1 S i' i11 NEW PLANTINGS KEY WINTERL ; i DOGWOOD (y � BERFZI j 3 TREES 575i9F 5HADScrt' ,: barn VIBURNUM I 200t5F 5TREES __-,6ea• ,1, ,u�i ,s CEDAR - o 0 9 TREES -1.0 2.ov 1 x2 5 t.OT UNE I x .2 g =-0.2 L1MIT5 oF5PAR11NA 5 .31 ALTERNIFLORA(TYP) 7 1 t —, *-2 s 4�-IOYdXTREES N x_2.5\ x_32 x-28 MARSH � . p � �✓ Y ` I I I II A�'�-1� \ \ ORAL OF HIGH TIDE BUSH 1 R FOOTPRINTS of N BOULDER � I x_ . \ DOCK CONCEPT I/�r , 2Pl TREE 1 1.7 (TYP)and 1 BAYBERRY '3 3 1 6'X t3'pu N x x-2.5 205 11 3 4 NOTE;THERE IS NO SAV.100*FT OUT x-2.9 FROM SHORE t APPROXIMATE AREA OFASIAN'. 2 X-7 C�7 30 KN 20 TREE C x 15/ % \ 9\ 3.0 0 20 TREE \ x0.1 f� -0 4 \ - \ \\ x-2 4 \ / \ \ AHWL 1,8,OMITS of SPARTINA \ 2Q1 TREE/ x�\ s o �1\ •- a ALTERNIFLORA(lYP) �� / ,HIGH TIDE BUSH o z 0 ` Q2.s BUOY W\ \ /1APPROMMATEAREA -3.0 CLEARED CLEARED OF 2 0 `\ '6 \ OF SEA LAVENDER(G) \ IA BOULDER and COMMON GLASSWORT .2 TOP 17 4\� ��a�3�8 .6 x—t 4 x-2 5 .6 \ 00 HIGH TIDE BUSH TO�` � ` �C � �•20 �/�F�?C/STI NG GON®ITION.S GRAPFIRCSCA-E V=30' .N/F PROPEIs'fY 90 20 10 0 30 APPROXIMATE ,•• :`. Of ASHORE'-,' LOCATION OF DRIP \ !'�. SURVEY by JAMES BERNARDO LAND SURVEYING LLC IRRIGATION HOSE ELJ1/ATIONS ARE BASED ON APPARENT LOW WATER(AL" \, x / /�' PfOJEGT iVV PIED anal FLOAT REVISED36-19 DEC LOCATION: FI5HER5 Lc L' O-TOWN of SOUTHOLD r +�I CLEARED AREA,DRIP SUFFOLK COUNTY,NY WATERWAY: DARBIES COVE IRRIGATION HOSE$ ca0 DATE AUGUST 30,2018 0 C j{ 0 NEW PLAN11NG5 APPUCANT: R.B.BURNHAM III 2 � s,J 4 w AGENT SHEET 2 OF 4 DOCKO, INC. - x Ke"B.Neilson,PE O 68692-1 MY�.GT 06355 C j4 P 0 4►'S 9O�FSS10 860 572 8939 FAX 8GO 572 7569 DWG 10-10-2239 EMAIL-offlce®docko.com Keith B Neilson Docko Inc 3/12/201.9111:2 AM Burnham-Brad-DrbsCo e_Permrt_2018_2D cwc TERMS AND CONDITIONS The Permittee R.B. Burnham III, residing at right of way off Peninsula Road,Fishers Island,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. I Michael J.Domino,President �� SU(/jjyo Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President h0 l0 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G _ iQ Telephone(631) 765-1892 Greg Williamsy00U O Fax(631) 765-6641 � NTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2019 Keith Neilson, P.E. Docko, Inc. P.O. Box 421 Mystic, CT 06355 RE: R.B. BURNHAM III RIGHT OF WAY OFF PENINSULA ROAD, FISHERS ISLAND SCTM# 1000-10-4-10 Dear Mr. Neilson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 20, 2019 regarding the above matter: WHEREAS; Docko, Inc. on behalf of R.B. BURNHAM III,_applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code,. the Wetland Ordinance of the Town of Southold, application dated November 26, 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 March 20, 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of R.B. BURNHAM III to construct ±66 linear feet of 4' wide fixed wood pile and timber pier of which ±48 linear feet is waterward of the AHWL, including hand rails on each side, electric and water utilities; install a 3.5'x22' hinged ramp to a 6'x20' float with four (4) 8" diameter restraint piles; and as depicted on the site plan prepared by Docko, Inc., dated August 30, 2018, and stamped approved on March 20, 2019; and the planting plan of Docko, Inc., received on March 12, 2019 and stamped approved on March 20, 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: $50.00- Very 50.00 Very truly yours, Michael J. Domino President, Board of Trustees MJD/dd �oS0EF0j� ., Michael J. Domino, President tom° ay�� Town Hall Annex John M. Bredemeyer, III, Vice-President o 54375 Route 25 Glenn Goldsmitho P.O: Box 1179 A Nicholas Krupskiy�lj ao�„ Southold, NY 11971 Greg Williams 'y Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOL,D - 3BZZBt TO: R.B. BURN.HAM III c/o DOCKO, INC. Please be advised that your application dated November 26, 2018 has been reviewed by this Board at the regular meeting of March 20. 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)— (Silt boom) 1St Day of Construction ($50.00) '/z Constructed ($50.00) xx Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) - The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: zq`lq TOTAL FEES DUE: $.50.00 . BY: Michael J. Domino, President Board of Trustees DEPARTMENT OF THE ti—.,.Y U.S.ARMY CORPS OF ENGINEERS,NEW YORK DISTRICT JACOB K.JAVITS FEDERAL BUILDING I 26 FEDERAL PLAZA NEW YORK NEW YORK 10278-0090 !y+� V LI Lt MInP 2. 3 2019 Regulatory branch 2 11 Sou: e,d d SUBJECT: Permit Application Number NAN-2018-0. 1600-EHA Boar o;Trustee by R.B. Burnham III The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for the following activity: APPLICANT: R.B. Burnham III 40 Fifth Avenue New York, New York 10011 ACTIVITY` Construct a 4-foot wide by 66-foot longli;ked pier with a 3.5-foot wide by 36-foot long ramp and a 6-foot wide by 20-foot long float. The timber pilings would all be 8-inch diameter. The proposed structure would be elevated a minimum of 4-feet above grade as it passes through vegetated wetlands, as measured from the bottom of the stringers to the ground. The proposed structure would extend approximately 86-feet into the waterway, as measured from the mean low water line. The purpose of this project is to provide recreational mooring. WATERWAY: Fishers Island Sound LOCATION: Peninsula Road (41.261935, -72.005793), Fishers Island, Town of Southold, Suffolk County, New York As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c)(3)(A)), the applicant has certified that the activity compliestwith and will be conducted in a manner that is consistent with the approved state coastal zone management program. In order for us to better serve you, please complete our Customer Service Survey located at http://www.nan.usace.army.miI/Missions/Regulatory/CustomerSurvey.aspx. SUBJECT: Permit Application Number NAN-2018-0160 -IA by R.B. Burnham III I. _ 2 _ MAR 2 0 2019 To allow for the timely processing of the subject application, your comments are requested within 20 days of the date of this letter. If you have any questions, please contact Naomi Handel[, of my staff, at (917) 790-8523. Sincerely, E C E EDD Ronald R. Pmzon {' Chief, Eastern Section Southold Town Board of Trustees Enclosures 1 _ 30_,--'12 ---------- PROJECT: LOCATION MAP -_ ----- - --- I; — PROJECT: "NEW PIER AND FLOAT" t WATERWAY: FISHERS ISLAND SOUND as r3 Intre Id I'-• i LOCATION: FISHERS ISLAND,TOWN OF SOUTHOLD j - - -- SUFFOLK COUNTY,NEW YORK ` APPLICANT: R.B.BURNHAM III i .-60 ' t AGENT: DOCKO,INC. o� /� I l/ 102No,6-Noq h-". , •- 6p' I Fill 11 v I I ge it) 1°i }p�t l ;/ •`., / �. �,- =��fl.-_ice* :.•% I•S So,f' .`1:� I X60' �!f,�' / / \_!�r am south89 cd F \ ----- 30- "T stms 2 I 10 - 23 ` 3 p-� ``\ of°•vr- \ 37 00 Q , as f r /(aa \` r — 'i est 1t I ;ro o c 1 Harbor ms rs IRI d \ 6- n 1 11 Yarbof �` �` z •.;n� ' Silver Eep-'ove U S COAST-GUARD t .65 • ��l• ��;,. ('--_ _ �(-7I _CrOU _ __�� Gutf- } III!•\ aD� •✓ \\`-- C���\\\--'.�� D r.l\ *1`( o , •. `• f� Ir= s TER/ �ItAl i 13F _ `-�_'x�- � ��• � 11�� y=am _ Eli abe h Field i * ,ry VAIC16,(iess 2R _ .� z _ BLaCg ISLAND rer� 2" S - I '1, :�1 �`� .�I•: .� ��" .. 1 +j On¢ - l �,, ,I'„ I'•' P, }•" �:Y .„I R 111' -15 �, i. PJs:.Ns91u 11. •t`. 9Plles I ” _ ,�;�...=:; ",Y' - '�...^_ .. .:•1 Q, S}m c+,r Y' I � '•.�;3{� oas WEST HARBOR fY' ;it, �' t.; iy`(,, - `�— � ���\9' � yPA•1X 1��—JJ� � \� , 9, .gip:aF: PI1C6 e •�l t / Ir�:. s`'+ ��. _ -,-1,�:-:••�••�,� tiwre Flies SITE SITE 1`........•..... ..... 111 K i•! 0 '>'�„ •'""- � � -� - _ _ �' .�.'r._. �e Poles � FISHERS ISLANDI •r.•. 'I " _ J` • f "' `' 11��� �� 1 Y l/ M1 "9''' v :•�•�'... —�'/ pMAR ANr N11 P/06 eat t 126 126 RE1=1FIZENCE z 1 c: ' GRAW: I . = GRAPIIIG CCA1 E .. .�� ''ry VHF:>•y:+f_Gr`,:�a4G:._� - .. 1000 0 10W IN YAZOS Y, g IF PROPERTY of BURR; NOTES' ELEVATION DATUM IS NAVD88 PROJECT NEW '�2.TIDE DATA IS TAKEN FROM 2018 NOAH TIDE PIER and FLOAT TABLES REFERENCE:WEST HARBOR-FISHERS ISLAND,NEW YORK It 3.PROJECT DESCRIPTION:CONSTRUCT G&LF OF -FT WIDE RXED WOOD PILE AND TIMBER PIER OF WHICH 48tLF IS WATERWARD OF THE APPARENT HIGH WATER LINE,INCLUDING RAILS AND ELECTRIC AND WATER UTILITIES,INSTALL G-FT WIDE X 20-LF _PROPERTYFLOAT WITH ASSOCIATED HINGED ACCESS RAMPRAI of BURNHAM;` AND RESTNT PILES 4.PROJECT PURPOSE THIS IS A PRN/ATE DOCK FOR RECREATIONAL BOATING. F ?' 5.THESE APPLICATION DRAWINGS REPRESENT A ' —.X . J� COMPILATION OF SURVEYS FOR ENVIRONMENTAL - .✓,':._�'' y• `-N/F PROPERTY PERMIT PURPOSES.THEY ARE NOT CONSTRUCTION `�oFAl5HGREN -`'" > CONTRACT DOCUMENTS.A TOWN BUILDING PERMIT MAY BE REQUIRED. G.ADJOINING PROPERTY OWNERS: NORTH: SOUTH: ELBERTMBURR JOHNKASHGREN 44 EMERALD GLEN ROAD 169 CONESTOGA STREET SALEM,Cr OG420 WINDSOR;CT 06095 O�/Ef2ALL PLAN 0�c SCALS 1•=100 100 50 0 100 PROJECT: NEW PIER and FLOAT N: FISHERS ISLAND-TOWN OFSOUTI-IOLD c Lf v SUFFOLK COUNTY,NY AY: DARBIES COVE Gj v5 D AUGUST 30,2018 D 0 C K 0 * . R.B.BURNHAM III c� 1 ,{�• �; -- r J �I ENT SHEET 1 OF 4 r O Kms, INC. O 068692' �� Southold Town iW372'8939 llson,PE 0 A� p Board o Trustees06355 R P O B ROFESSIO FAX 860 572 7569 DWG 10-10-2239 EMAIL:offlceQdockmcom Keith B Nei eon,Do L-o Inc, 11/3/2018.903 AM Burnham-BrOd_Dfb5CO e_Rerm.1 2018_75 dwg ':C, r rr'_ 2 rr ti A N-2100 It-o i�o-� ftr4 f . X- � . x- I X-2.s 1 44 I x-3.0 N t ■-0.4I I , x�5 MHW 0.8 I X-2.s .4X2. I j zo �3.o X-2.7 X-2.7 - -1.0 (--2-0' - LOT LINE I , 22 .9 ''�i� x-0 2 I L1MIT5 of SPARTINA -1�1 X- _ _ ALTERNIFLORA IVP) IJpR01(IP'IP` - t A .7 �1 i --` X_28 X-Z6 IRE 4100TREES I l AH\� N ■-2.5 5 I MARSFf DRAG I I I I 1A , ` -3.2 ` -FOOTPRINTS of NEW BOULDER 51119 \ ' X_ OF HIGH TIDE BUSH� DOCK CONCEPTS I 120TREE l 1.7 . I_ and t BAYBERRY � 1111 I _ 3 5 3.1�� I I 1 1 ` �O'X 13,RD, 7.0 Cpl fb> �► � � I 0 A 6 0.9 X_2.5 X 1 1• ,_0 I -a_ X- I I \I I 3 74 W / DARBIES X 1 s 4� \ \ NOTE THERE IS NOSAV. OUT 2 \ FROM SO OGHRE x-2.9 1 \ \ \ \ \ 7 -0.2 \ \ \ X-3.0 X_ 1 ` \ 221 TREE 2. (-T.7 X-3.0 1 _ 07 0.0 \ �\ \3.0 X-2.9 X�o\ \ \ 2' TREE \ -o.o t \ \ X-2.4 -� ll L.IMrfS oFSPARTINA \ 20 TREE�� 1 X .S .9 0 X_ .8 ALTERNIFL.ORA(TYP) 5. HIGH TIDE BUSH 0.2 0 a 2.9 X194 \ 1t 1 \ BUOY w \ '\ . � ' I \ � ',1 1 x-,.\(,2 $\X39 X-3.0 OF SEA LAVENDER `�► 1 2 DIA 6661,.2E \ and COMMON GLASSWORT . 17.4 3�$ X-2.5 \ X-3.1 0.0 A, y 1 HIGH TIDE BU ` 1 ' ' 11.7 X1s.s 1 X19.3 \ \ 20 �" . EXISTING CONDITIONS 3 NF PROPERTY:° EEEEE_30 3 10 o 30 \ 170 ofASHGREN 19.8 .r'l SURVEY by JAMES BERNARDO LAND SURVEYING L.LG 1 1 X 1 s s ELEVAl10N5 ARE BASED ON APPARENT LOW WATER(ALW) PROJECT: NEW PIER and FLOAT OF NF LOCA-17101't FISHERS ISLAND-TOWN aPSOUTHOLD [� pp �, SUFFOLK COUNTY,NY KEDARBIES COVE AUGUST 30.2018 D 0 C is 0 R.B.BURNHAM III .. • �'F 1t1 SHEET 2 OF4 Vol, _ • zi ISO, I NG. 0 OAR 068692 � Southold Town �B 06� 0 R P 0 R �' DFESSI Board of Trustees 860 8939 FAX 8x05727569 DWG 10-10-2239 EMPdL;of}iceQdocka.com -61ZwKeith B Neilson,Docko Inc:11/1•x/2018 615!,Tl Burnham Broc DrbsGove_Permii 20�$_28.dwg •:�, - fi :w _<r ,,,, i,,,}� . 6"W gE�BIOZ+iw�ad ano�s9u0 Po�g wvyuun9.:.,Ind kjQ 6lOZ/�Vi�li��u�0704'uos i3 g'y ia� 6 Ol-OL oMQwm•O)POPCPa--*o 9954shii fo pjeog 69a Mra 099 w S5� umol ploi}noS 0 SS3d pb �Od � J _ 3d'u�ip '8 90 • • �O£J 33H5 tt rn ac III WdHNdn9.9Zi uwn � ,m U 0 0 Q 9='oelsnsnd i1.1 �, C J - OG' y AN;J.Nnoo;naAm�a nss � 1 N�y-a QIOH1nO5•o"0-L-aNV ISI S�GHSI=l -NOLLVD01 1t'OZ-d Pun aGd AGN 10�rMw .� s� _ r7FE, I/\ ( ) JJV321`dckWNOU399932PdSNOl1`dA313 �:;a;.---._�_, _.- :��r,.^=;=tip,. .•;�•:1�;,� �;�,<;c�,:�;,� O"n ONV-4AWS aM41 OOdVM39 S3Wdr M J.s/\zin5 �.3.UJcddnS NI-9 OL O Ol OL N- L .p��MyC -�.�y,S rV1, >� IVVIS NOWWOo Pun (du)�o1J9 SSOZPO —-mHw Puo dWV I0JJldSM3N I — IMW S3urfun o C—xM9Nd.9ld a�C�ddl \ Mid M3N �9a6'Z a— JA-V cd)`d 101-IINSRL-w 6'Z \�( x 9 `OVivuzrdds�sJawrl ° N 99�u >az ti-z—x Vo— OT— o x 3 \ oo \ \ \ HSng 90111 H01H \£ ` '� �1 #L�3>1O3Q�JNINNI�J3 6•z \ Emil z\ ( 371d l�Odd 5.9 M3N �/�. �y o�- CInHN,$55'1 )lOSCJ z°- 67-x s�unun�►� 31t/M Pu "II�TJ � o - WM a9ld o3La'Odd 371d 5C1VA,t� N I x dWH�I C13ONIH RO X AFOI1 9N ( .fix °—x 1 m —x VI 1dO7�013dd z 1 1 1 370,0ZXMSN \ �� , ti zx ' 1NIb?J15�J.9M3N� � s. -x � s*o- o'2x x ext 1 \\ �1� x £- 9AOWs?J-1Y0"id 5�f 8c lt�Q � J.TJ2i99J1�l Puy(dam �. �.I Hs NO15N3d5n5 \ ng 9Ci11 H91H�O ad d °-x I HDV*dwo H &4t IVN0SV35?JCS \ S ' I 2139WU 169020 AWN o , 97—x a z-x 97-x ` SNn ID1 t- _ (d1j)`dZlo-f31N?131-fd 1 `s 31`dWI c;ra0d l 'VNUZWdszPslJWnz'°-x 4x I 1 6 zx N 0 o z- / - a►.dw c'z-x _ o•z- � '' NEW 447- WIDE PILE SUPPORTED PER EW HINGED RAMP GRATE DECK— NEW 6-FT X 20-FT FLOAT nTY�•j ti't�„'� l 5EE DETAILS BELOW i :,r'' — i�t"c'�'•'=c',T,'��� 't`s'�+;,:n�•.,!'cC n�:A�t?..�`T�fx�k`�+dA��,.,�1-'�<pRp�t.:�../��j,� _ - - —_�JrfS•:X, a `u:�i^•_>_i%�^Srr`F �1L..TEN VIFI-VRA S':-'-moi ''�::..t; �'r•^�'�C�i� - >�i.•�.:.rt5.< ,>.�', h.4 et,'Ssrr`•->,,-•'•J- r^. ,.' h r v: 2 U•.,S� sem` Fc� 4�v�x{/ ti. Ip Y- BOTTOM SEDIMENTS:SOFT SILT GRAPHIC SCALE V=20* MOTE DECKING-NOT CCA TREATED,HARDWFOODS h 20 10 O 20 `MUST BE CERTFW BY FOREST STEWARDSHIP COUNCIL GRATE DECK OVER I�-TIDAL WETLANDS VEGETA710N__'_I NEW 4-FT WIDE PILE SUPPORTED PER NEW DECK EL 7tFT NEW RAILS TOP RAIL 42-IN �z En ABOVE DECK MINIMUM(7YP) ,u ! 15tF1 PED,DECK NOT TO Rj 1.h4,y r� < .; SPLIT CLAMP and - CROSS BRACE(TYP)— _S'S5'viyr sy . 5.`., — u.•:7�•,,•,nj,. i-,i,. .; ! ark{:4- 'a• .f 't`^F w y4-FT,, ra — ',"b.� '�,—r�a,��.',%�•i�ati,�ti3�r, 5` ����j ,*i�{.`w1.y y3e•�=.•' cYi+r'ti'%;� �;i 4'k�`�'^'-`���,y�_� CL�rVG sC�ai�•=l�£_,tL. �.w}-_' 4 4 — ',-�+rti \ r d•f '�.'! S•(.'fX.�Tr�{ii.: }:'' tY`�u`„lsy''-`�__ •'`"=�:r,+/`•=5~' ��4 J"�.`>4•'�`�sF�ti �_�i.�:'��'-'r••."= `y�•.�'u.�s �e: ,tf�'-*'.%���-nreay.T.� nr+ ? � o��W. ./_�:� r{;I,.. hx��„�`.'�.',�ti, r-�%M"'�'' •v. r�.y'w•i•zr./ak.:„� — �i4•.; h. — ai� •,SPARTINAALTERNIFL.ORA �'t �_�:S>li! ti't _.�l^r�.7AiSt�.�,,h•!v \•. .- - -. - -'- ,iln:�..\.v�ti.i��.tiRnl'•';.�2iw\lu,” r�'"Y.'F_���.i�� �i �"11YiA'e•�i'tY' P120'F!L_E DET�.IL_ GRAPHIC SCALE 1•=10' -t–NEW 6-IN FLOAT IZ END DECK EL 5.5rFT RESTRAINT PL.E TOP EL 165sFT NEW�� NEW35-FTX22-F(HINGED RAMP NEW 647X 20-Fr FLOAT AH\VL 1.8 --_ I— - - - - - - - - -- _ -- - MH ?VLOS-AVD0.0— r: ALWL-1.7_ •U'iS: sF� aiv, .`'•�z.y t,t - y�.=+. r •, y.• 1-' '\{.Ar."' h,. - `.+rii� ,�;sf., c+„ `.#.,, f,'yµ' i"ti'.i y .y'✓-�'w` rr:S:�l..�ti _.. .. .. - ;�Yrti;.r :.5,��,���-� � .a�-.^,•• z�i- .kar'%,� a 'k.,„r"`�`'�-::u .�';,;04:�.�,r�; 6-IN PER 3::,^:. �;.,.. v:: �;•e-.:.y`"-�, 2�..;.,',;,�d• 'i;`�,.'-:+M:, n'•:r::1,•,�•_. �'-S` f {�'�'�?^ _';y'.= �:yr��y�,,a�e,syc�.;>. ti... \. :'_\'•'a � ��S``�,•;�M1f,���"J'Y�' R eV�`�,' �r`��'',f�.',`�">` CSa;'G.}c.,:���a._`,-�ti'•,'-�{'�4?•v��<\��rNc-'�r�r•�•+,.,.-e .+� .?.yfy4:-1,•A:-ava•2'rY,....i: :�.1s ��+•• -'t' 1 Y. �`f•��Y�i,[ �JBt•' _yi iY if =*N-J1C..` -t.:t: • iTN:•.A4'•7:� �Y��3`, �i2F�s��iY,.,���•�;�u�,�;_ -,��TF����•5UPaORT PLE(`rYP) .;,BOTTOM SEDIMENTS:SOFT SILT; -���`i �E testi' i'- ;;i i`i'i'-+..moi'„ _ �:„'SL4'L'� ��':., .or yCw`rii b,:feKv,�`•yGR };...,ti��,-y„a y�- X4.4'-+,.:5`Sr;'�Y":.c+%';`;`.+dam�'`•r1,.,a'Y'% t+.v+--.._ •cd"�`�:s.-+.;5*:�c:.+:°c`-�ea..-¢-.t.a:.; '_�2�cLv•ua•�i:f�t_uS ,w,�f'�.LCk'•-:��. ,�l .�'�• v.. �`-'�•`i• .a-,1 S�:ti uia .»,d'y��5.��r.:,ti..t, t'c.e=�d.�"_-' �ti.u.`.5't=Z'bea;�'ec_-7.:as�.:Lfi'S;�-�',i.3.s'``sr PF20F=I L_E DETAIL_ GRAPHIC SCAM 1'=10' ELEVATIONS ARE BASED ON APPARENT LAW WATER(NAVD e8) 10 5 O 10 PROJECT NEW PIER and FLOAT Er LOCATION: FISHERS ISLAND-TOWN of SOUTHOLD SUFFOLK COUNTY,NY KEIT E C b I�W AY: DARBIES COVE �5 AUGUST30,2018 NIDO C K 0 . 2 NNT. R.B.BURNHAM III v, 1 "' ri SHEET 4 OF 41-4 _ __ _ • o GIG®, I IVIG. A8939 O 68692 B. Awn,PE �'0 A`S �Q'�FSSI NPS, Southold Town . 55 R P 860 0 Board of Trustees 8860572 7569 docko com DWG 10-10-2239 Keith B Neilson,Docko Inc 11/!4/2018 813 AM Burnham-Brad DrbsGooe_Permit 2018 4 dwg '� _ -„��•- - - Michael J.Domino,President ��OF SOUT�o Town Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith, -Southold,New York 11971 A.Nicholas Krupski s • �Q Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 21, 2019 Keith B. Neilson, P.E. Docko, Inc. P.O. Box 421 Mystic, CT 06355 RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW YORK STATE ENVIRONMENTAL QUALITY REVIEW ACT NYCCR PART 617 R.B. BURNHAM III RIGHT OF WAY OFF PENINSULA ROAD, FISHERS ISLAND SCTM# 1000-10-4-10 Dear Mr. Neilson: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, March 20, 2019: - DESCRIPTION OF ACTION: Docko, Inc: on behalf of R. B. BURNHAM III requests a - Wetland Permit to construct ±66 linear feet of 4' wide fixed wood pile and timber pier of which ±48 linear feet is waterward of the AHWL, including hand rails on each side, electric and water utilities; install a 3.5'x22' hinged ramp to a 6'x20' float with four (4) 8" diameter restraint piles. Located: Right of Way off Peninsula Road, Fishers Island. SCTM# 1000-10-4-10 S.E.Q.R.A. NEGATIVE DECLARATION OF ENVIRONMENTAL SIGNIFICANCE: WHEREAS, the Southold Town Board of Trustees are familiar with this project having visited the site on February 28, 2019, and having considered the plans for this proposed project submitted by Docko, Inc., dated August 30, 2018-showing the proposed dock and water depths at the Trustee's March 18, 2019 work session; and, WHEREAS, on March 20, 2019 the Southold Town Board of Trustees declared itself Lead Agency pursuant to S.E.Q.R.A.; and, WHEREAS, on March 20, 2019 the Southold Town Board of Trustees classified the application as an unlisted action pursuant to S.E.Q.R.A.; and, Page 1 of 2 WHEREAS, in reviewing project plans submitted by Docko, dated August 30, 2018 and water depths it has been determined by the 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 comparable to docks on neighboring properties in an area where docks historically are used for commercial and recreational purposes. • Scope in relation to the riparian rights of shellfishers: The plan allows a standard ramp to float design that will not impede access for those seeking shellfish and crustacea in season. • Scope in relation to view sheds: The seaward end of the proposed dock will not extend appreciably beyond existing docks. As such the perspective will not be discernibly different from the existing view. • Environmental upkeep: The dock design projects a usual lifespan of 30 years, with limited pile replacement so as to minimize disturbance of the bottom. THEREFORE, according to 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. Very truly yours, Michael J. Domino, President - Board of Trustees MJ D/dd Page 2 of 2 - -sad ".S' ^Y3. i 1 - � v •:^ � r ' - n._ ...-- ..\Ifk..::.t.- ..n t`-{F'"�'_f^ ..` _ _'S3.`i„�/i� -RACi`9 PHONE 631-788-7632 BOX 517 06390 FAX 631-788- 7634 March 12, 2019 Town of Southold Board of Trustees s ISLAND t �� D E C E E Attn: Mike Domino, President Re: Brad Burnham f"e 2 Dear Mr. Domino, Board of Trustees Brad and Mary Burnham purchased the cove lots depicted in the attached site plan in 2017 from Grace Hawkins. Since that time we have been slowly attacking the invasive Japanese Knotweed that had engulfed virtually the entire parcel. This invasive dies to the ground each season and can spread both by seed and rhizomes. Once the dead biomass was removed we began grubbing out the plant crowns and root systems by hand. Areas with measurable soil disturbance were seeded with annual Rye to insure soil stabilization. Only downed trees and broken branches found amongst the Knotweed were removed and then replaced with native plants. Plants included: eastern red cedars,winterberry, cranberry viburnum, arrowwood viburnum, shads, dogwoods and ferns. Over the past two years,the hand grubbing has continued and several spot treatments of the selective herbicide Speedzone (Commercial Pesticide Applicator#C1883840)were applied to help suppress the Knotweed as it appeared. A drip irrigation system was installed (supplied by an above ground blank line from the Burnham's garden) and additional native plants were added. There is no intent for lawn grasses in the area and the annual rye has pretty much petered out at this point. Some of the areas that appear to be bare earth are actually Canadian Mayflower(false Lilly of the valley) that fades out by the end of the summer. The owners goal in purchasing the lots, as described to us, was to insure the property remain undeveloped and that the invasive plants be removed and a -- natural native habitat be restored that will neither need maintenance nor fertilizers to thrive. We anticipate that we will need to continue to hand pull and monitor the Japanese Knotweed for several more years. We respectfully request that this aspect of the site maintenance be included in the new dock permit application currently before the board for the upcoming meeting. Sincerely, David C. Burnham Michael J. Domino ident O�©SVFFOj�C Town Hall Annex John M. Bredemeyer III,Vice-President ,`� ��,` ' 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A.Nicholas Krupski i Southold,NY 11971 Greg Williams '��O gyp! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �V '� 1 Completed in field by: Docko, Inc. on behalf of R. B. BURNHAM III requests a Wetland Permit to construct ±66 linear feet of 4' wide fixed wood pile and timber pier of which ±48 linear feet is waterward of the AHWL, including hand rails on each side, electric and water utilities; install a 3.5'x22' hinged ramp to a 6'x20' float with four (4) 8" diameter restraint piles. Located: Right of Way off Peninsula Road, Fishers Island. SCTM# 1000-10-4-10 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet . TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 J Ch. 111 SEQRA Type: I 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: � G .r I have read & acknowledged the foregoing Trustees comments: 4ADwner: Present were: J. Bredemeyer �M. Domino XG. Goldsmith N. Krupski �✓ G. Williams Other R.B. Burnham III Property off of Peninsular Avenue, Fishers Island %.. - Island a 4 II 1 a tl f p rf I" y5 Ps` �y 7i 1 � h �• �"ll. /��1 s •,� � t ' V f1•-� '". 41 �vv;� mp r ' > ;a may: - �., �.'"' Y. ". ... h��- � � _`�•�[.,-a.-!' ... "" w` a•�• PKC 7 F •it � , w y ' — TAX ASSESSOR'S MAP 10,SECTION 4,LOT 10 =0 0 0 m N N N N V N N N O p O N N N N-N-N�O O N O O- • O- U U O T N a`��O V P V U N U N+U O P O+0�• aoa PROJECT: "NEW PIER AND FLOAT" 000ae'o0000eoaaaaaa`N WATERWAY: FISHERS ISLAND SOUND v LOCATION: FISHERS ISLAND,TOWN OF SOU THOLD CgES�NT avE SUFFOLK COUNTY,NEW YORK sa' APPLICANT: R.B.BURNHAM III x AGENT: DOCKO,INC. N� LINE ^- Z b z �9 -s � � o �� j :•' A-1 1,p, aty'' 3 r0•.•C a .n Nn� •b�va ° s ;�tYyl� �\ps �,t_ luxe � � T � B [ \\6 I9 �� IU+PI�.�on1 [[ \ e inaa• 1 gw 'N9 .• � � p• � .�' J,,�a ``•[[ 2 rP p�, I -1 I T „ �.J" a J, . S. 135'11 f3 N Jb ti •syr' s k� N\� Oy y� 6 �,•Qt ,'4• la4`YSTERLWC I aP rlV x 33 41 O 3 `" `J �•'1s* uy N Yom/n �. s y5" So-4 in1HH3 • - �a �'�• Gyf �[• �� eY9glrf m t`,�• N �" �1q2 M A C L4 v tp � N s\\ •a R� _ _ ,NN 10 5 ` n rnu+g S 90 PtNINSULA 5,U. r{ RE) n x$ r y r ;-•N a �u g a am am `l� n• �l[O n O '4H 31VAI13d rao" s a� tovi � ..r � w - m• / �c iz ` a t s ' ' % \ 0 30-- - �' l ' LOCATION MAP ------------------ P ------- ----------- -- PROJECT: "NEW PIER AND FLOAT" WATERWAY: FISHERS ISLAND SOUND " 13� Intra Id LOCATION: FISHERS ISLAND,TOWN OF SOUTHOLD '1-R�c - SUFFOLK COUNTY,NEW YORK APPLICANT: R.B.BURNHAM III' 35 AGENT: DOCKO,INC. V. 21 _- f• I `` t. �' / 102 .tl�� rQ�6"IVoFtFr • ., '' 60 _ _' \ tDUmpling r �-•-- 1 ,19 52 60. ^8 r L� _n, 1 _-•✓!r 1l, amrr�ock � t`0; V (' S Lit l}i �. 30. ` SJ l m . ,\lam'- 32 Ilk I'��� I tri -l:;-3trt 3F* ✓�•.�`�� 10\� ,- r/ \� 23 \ j �\ \ •.�� \�\ � o y6.� �l� Hawl��Ne , 37 1 t sF \ > er r {'%fie st' �'� ,Harbor 1 \ Bea .^ ! :�7 ISI (1 sland I ` •% /;�li � HCG r'':, iJ;.J 4i� .� t I m �. 1 '� y/!�1Y_V A,--Ibof Gr •�'S `' \ ;3. 2 �,l'e1< 1, I - '• jj. .'.ic'�•���j-iii` 9 ���,\�1��•�1,�,�`!����r�i1J "�.o /'� � ,- r ,�•\ A 5 Silver Eep Gove*+1 U S COAST GUAIYD %Ci\• 65 •,\ = \ Go �\ CoU stzf, 63 - LFII:, c/ ' ••' ••!! �� \Ir, /� 1-(V .. / L� v ESR... fL\ L \ ; 53, � 11 Elizabet i Fieldy w Ide..;eas — ISLAND • PgInL. i ,`'. BLOCK 80tjr ul2,- IN D Trm. alarC Iwo -4,f -Z I'M PCL NO 112 SMSEC.No- 7 aA(C) 55 4Nit C) " M QQy 2M4 1 34 l &7 3M GOOSE MENIVIL RGU�N usm. 7N7 4 3NC) 51A(.) ----- z 51. C) 136 Z3 WEST HARBOR 100A. (GREATHARBOR) & ILEA 3A(C) 11• 15 4 to 10 bk, 3,9A 5 32 1 Z4 12 IMI 126 4-2A(c) 141 14 1z8 1221 Z8WNQ IN Go, it O.M.) U8 1131 ,4 A--I It ZIN,) 12 MS 57A -- IT �125 R. 1212 62A 4) IAP* z 2w .0815 I2tl I. I IA 32N.) -3 2 42J, &5 '04 1a2 I9NcW.) 1 SEE SEG N.I. 41 AC A 0AI.) FOR PCL NO n SEE SEC NO VI -ARRY D. A NOTICE OUNTY OF SUFFOLK K SOUTHOLD SECTION NO -� :� Cl p E (21) —————- I-- ) Rt� Rea Property Tax Service Agency Y ------- — p —E OF C..ltY—W,--d.N Y 11901 m 010 —1-010DO — A E G E F N D p —PROPERTY MAP D®Ck0, i nc. Serving the waterfront community since 1987 P.O.Box 421,Mystic,CT 06355(860)572-8939 Fax:(860)572-7569,email:office@docko.com Town of Southold c/o Mr.Michael Domino, Pres. r_� , a PO Box 1179 , V E Southold,NY 11971f 1, �J It ,V r - Re: R.B. Burnham fee Rn� f of Tri SFe March 25, 2019 Dear Mr. Domino, Enclosed please find the"Final Inspection Fee"of$50.00 for R.B.Burnham III whose permit application is dated November 26, 2018. If you require any more information,please let us know. Thank you. Sincerely, DOCKO, INC. f Candace Neilson Bookkeeper CSN:csn Enclosure File: A/R,Burnham OFFICE LOCATION: SoupP'�� MAILING ADDRESS: Town Hall Annex �j P.O. Box 1179 54375 State Route 25 L3 \ Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631765-1938 Southold,NY 11971 e®Ul ,`��� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: March 19, 2019 Re: Request for a Wetland Permit for R. B. BURNHAM III SCTM# 1000-10-4-10 Docko, Inc. on behalf of R. B. BURNHAM III requests a Wetland Permit to construct±66 linear feet of 4' wide fixed wood pile and timber pier of which ±48 linear feet is waterward of the AHWL, including hand rails on each side, electric and water utilities; install a 3.5'x22' hinged ramp to a 6'x20' float with four (4) 8" diameter restraint piles. Located: Right of Way off Peninsula Road, Fishers Island. SCTM# 1000-10-4-10 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 upoTTthe 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 below listed Policy Standards and therefore is CONSISTENT with LWRP provided the following is considered: 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. It is recommended the Board assess the dock structure to § 275-11 Construction and operation standards C. 2 (d) of the Southold Town Code; in particular: [6] Whether the dock will cause habitat fragmentation and loss of significant coastal fish and wildlife habitats, Lf' The dock structure is proposed in the New York State Significant Coastal and Fish and Widlife Habitat Area/ NYSDEC Critical Environmental Area. At the discretion of the Board of Trustees, any operations proposed in critical environmental areas (§ 275-2) may be subject to more stringent requirements than detailed in this section. Such requirements may include, but are not limited to, denial of certain operations, shortening or reducing the size of structures, and increasing the width of non-disturbance buffers. Alteration of tidal patterns in the Fishers Island Beaches, Pine Islands, and Shallows habitat could have negative impacts on the fish and wildlife communities present. Construction of shoreline structures, such as docks and piers in areas not previously disturbed by development may result in the loss of productive areas which support the fish and wildlife resources of the Fishers Island Beaches, Pine Islands, and Shallows habitat. Unrestricted use of motorized vessels including personal watercraft in the protected, shallow waters of this habitat can have adverse effects on aquatic vegetation and fish and wildlife populations. Use of motorized vessels should be controlled (e.g., no wake zones, speed zones, zones of exclusion) in and adjacent to the area's shallow waters and vegetated wetlands. (NYSDOS) (7] Whether the dock will result in the destruction of or prevent the growth of vegetated wetlands, seagrasses including eelgrass (Zosters marina) and widgeon grass (Ruppia maritima) or shellfish; [11] Whether the cumulative impacts of a residential and commercial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts, and The continued construction of dock structures within a Significant Fish and Wildlife Habitat/Critical Environmental Area will affect the public use of the area and degrade the ecological quality of the area through introduction of contaminants, disruption of marine life habits etc. .... Correspondingly, physical and functional loss to wildlife has been found to occur through the loss and/or impairment of habitat, disruption of habits and migration patterns (structure and activity) and introduction of harmful contaminants. The most common contaminant associated with docks is wood preservatives impregnated into the wood used to prolong the life of a dock. Three trace metals; arsenic, chromium and copper are the most common. These three metals have the greatest potential to increase in estuarine environments from docks (Sanger and Holland 2002). The use of treated materials should be minimized. In the event the action is approved, it is recommended that: 1. That a vegetated buffer be established to mitigate the local impacts from the dock structure to public surface waters and bottomlands. 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 r L TYI ;8 1 - zi» ................... Y^Y PHONE 631-788-7632 BOX 517 06390 FAX 631-788- 7634 1 , March 12, 2019 Town of Southold Board of Trustees A)s ISLANDS Attn: Mike Domino, President Re: Brad Burnham Dear Mr. Domino, Brad and Mary Burnham purchased the cove lots depicted in the attached site plan in 2017 from Grace Hawkins. Since that time we have been slowly attacking the invasive Japanese Knotweed that had engulfed virtually the entire parcel. This invasive dies to the ground each season and can spread both by seed and rhizomes. Once the dead biomass was removed we began grubbing out the plant crowns and root systems by hand. Areas with measurable soil disturbance were seeded with annual Rye to insure soil stabilization. Only downed trees and broken branches found amongst the Knotweed were removed and then replaced with native plants. Plants included: eastern red cedars,winterberry, cranberry viburnum, arrow.wood viburnum,shads,dogwoods and ferns. Over the past two years,the hand grubbing has continued and several spot treatments of the selective herbicide Speedzone (Commercial Pesticide Applicator#C1883840)were applied to help suppress the Knotweed as it appeared. A drip irrigation system was installed (supplied by an above ground blank line from the Burnham's garden) and additional native plants"were added. There is no intent for lawn grasses in the area and the annual rye has pretty much petered out at this point. Some of the areas that appear to be bare earth are actually Canadian Mayflower(false Lilly of the valley)that fades out by the end of the summer. The owners goal in purchasing the lots, as described to us, was to insure the property remain undeveloped and that the invasive plants be removed and a natural native habitat be restored that will neither need maintenance nor fertilizers to thrive. We anticipate that we will need to continue to hand pull and monitor the Japanese Knotweed for several more,years. We respectfully request that this aspect of the site maintenance be included in the new dock permit ;f r application currently before the board for the upcoming meeting. Sincerely, David C. Burnham 11 A Southold Town ar o Tru to -- 1 Og�pfF04 Peter Young,Chairman 4 -� Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 6, 2019 the following recommendation was made: R.B. BURNHAM III to construct 66 If. of 4' wide fixed wood pile and timber pier of which 48 If. is waterward of the AHWL, including rails and electric and utilities. Install a 6' X 20' float with an associated hinged access ramp and new restraint piles. Located: Vacant lot off Peninsula Rd, in Darbies Cove, Fishers Island. SCTM#10-4-10 The CAC did not make an inspection, therefore no recommendation was made. Cantrell, Elizabeth From: Docko Office <Office@docko.com> � ((n Sent: Tuesday, March 12, 2019 12:23 PMTo: Cantrell, ElizabethSubject: RE: Burnham PropertyAttachments: img-190312120209.pdf S Good afternoon Elizabeth, Attached please find a revised sheet 2 of 4 that shows the cleared area, the drip irrigation hose and the new plantings at the Burnham site. A signed and sealed copy of the drawing will go in tomorrows mail.Also, Race Rock Gardens, Mr. David Burnham will be emailing you a letter to be included in the application package which talks about the work that was done at this site. Please let us know if any additional information is needed for your staff review. Thank you. Best Regards, Cindy Docko, Inc. From: Cantrell, Elizabeth<elizabethc@town.southold.ny.us> Sent:Tuesday, March 05, 2019 10:40 AM To: Docko Office<Office@docko.com> Subject: RE: Burnham Property Keith, Regarding your inquiry, Mike Domino would like all clearing, planting, and irrigation that has taken place/would like to take place at the site be added to the project description, as well as a planting plan for the project prior to the March 20 meeting. It may need an updated staff review, we would have to make that determination upon review of the plans and project description. Also, please be advised that this work would also possibly require permits from the building dept. and/or zoning board of appeals. You are being advised to contact the building dept. office at 631-765-1802 regarding this work that is being performed on the vacant lot. Elizabeth From: Docko Office<Office@docko.com> Sent:Tuesday, March 5, 2019 8:17 AM To: Cantrell, Elizabeth <elizabethc@town.southold.ny.us> Subject: Burnham Property Dear Ms. Cantrell, Following up on our site visit to Fishers Island last Thursday, February 28, 1 was wondering if it was necessary and appropriate for me to revise the Brad Burnham dock application to reflect the site clearing, planting, and irrigation that has been that has taken place at the site Perhaps you could speak with Mr. Domino to see if I I should modify the application documents to include these features prior to the upcoming meeting scheduled for March 20. It is my understanding that this project would have to go through staff review again sometime in the immediate future in order to be ready for action by the Trustees at the meeting on March 20. Am I correct? Please give me a call or drop us an email and we will begin the process as you require. Thanks for your help as always. Truly yours, DOCKO, INC. Keith B. Neilson, P.E. 14 Holmes Street P.O. Box 421 Mystic, CT 06355 (860) 572-8939 2 NEW PLANTINGS KEY L c� ®rD WimEll DOGWOOD BERRY 3 TREE5 575i5F SHAD 5 T ViBURNLIM Multifold Town o CEDAR _. 9..1.E _/ f 2.oa ; \ Board of Trusi�es ,.0 P1?,1 ___ _---------- Y z s L}N>r -� Y .2 =-0.2 LPIM of SPPR7NA - S Y2 .5 4LTERNIRZRA(T M Y 2.6 4-100 TREES �3 Y—ZnS Y.—. 3.2 2.8 FOOTPRINTS of N OF HIGH TIDE BUSH DOCK CQNCEPT i.7 1 Gtidi BAl'a \ 6 X 13 Fl.rf N Y `Y-2.5 0. 0.5a 4„o l NOM iNE IS,NO FROM SHOPS t ° 2. \ Y-3.0 —07 i 0 Y f ` \ , 3.0 !o. ,UMfTS of SPA M- 4A 20 TREE 0.2 °HIGH TIDE BUSH \ BUOY v� G�f�T AREA. /Qr B\Y 1.9 Y-3.0 ,t r• CLEA12ED of 2 .o \` .6 OF SEA LAVEI C ER(� } t b BOULDER taxi COMMON GLASSWORT(G) L r� ✓ TOP 17.4 t fi. T_4 Y-2.5 HIGfi'1E BU 70 caxAa�c sGa E , ®ao 7771 tI of ASHGRE,"'!..w 20 lo 0 30 APPROMMATE LOCAn0N OF DRIP SURVEY by.JAMES LAND SURVEYWG LLC IRRIGATION HOSE ELFVATVNS ARE BASED ON APPARENT LOW WATER G°+L" LDCATiOI,k FSH9515 aAM-TOWN of SOUiNOLD 3-x-19 DEG �c�a" 1�✓1- B ARS,C fZP SUFFOLK WATERWAY: ccCNE'NY KEI Tf,''e ? FMGATION HOSE I NEW PLAN71NG5 DATE AUGUST 30,206 . j} 0 G IC 0 APPLr.A,4T R.B.BLRNF{AM M m � LU AS-ENT. SHEEP 2 OF 4 $U, DOGKO, ING. �s869Ke"B.i sm PE �9Myqtic�CT 06355 P 0� SSIOt1pti"� 860 5'72 8939 FAX 8.60 572 7569 DWG 1040-2239 EMAIL•cFT�eCst'dorkoc�n Kew 5 Ne,5or,Da-^av-4, 2015) All Blrnha: 5,=,D b Gc4e er 2J S;:D.^. Cantrell, Elizabeth From: Docko Office <Office@docko.com> Sent: Friday,January 25, 2019 12:32 PM To: Cantrell, Elizabeth Subject: Revised Burnham drawing Attachments: img-190125131902.pdf Good afternoon Elizabeth, Attached please find a revised sheet 3 of 4 showing a 22 foot ramp. I will put the original copy in today's mail. Have a great weekend. Best Regards, Cindy Cindy Bayreuther Docko, Inc. 14 Holmes Street P.O. Box 421 Mystic, CT 06355 Tel: (860)-572-8939 Fax: (860)-572-7569 office@docko.com i t } x-2.7 - - � 2.a � LOT UNE J 1.0 ' I4x2 � x .2 9 x-0.2 laP'UT'3 of SPARTINA y , MA E 1 A-TEi'NIFLORA(TIPj I I„OT tJNE 1 ` 1 x-2,6 x-2.8 x 2.5 s lNEW CRCS5 77MSER WA r x_t�$ r 5 �'' FC?R 5EA5UNAL RAMP ORACI ' --o .AREA CF HIGH TVEm BUSH � � SU-51ENSION ' • mid 1BAYBERRY L?Al�'_BIES ;. HAAT-REh1C7vE r r >�-14 X x 43.0 NEW B"RE-57 TPA IN r 0 -0 9 , x2. �! x 5 ' PILE(>7 P) `S\R , 1 ,� NEW X DC7 P1LE 5 r� � S , PP x_ , m FLOAT t� ' X-0 tts x ✓// NEV✓35'X22 Ff1NGFD P NEW 4'WIDE PALE ;F0RlW PIER wifh R�v��,�r WAMZI�c Lm mS x-2-9 \ \ !\ --0.2 r DECK P 55e NAVD 4-3 0 6,,7 1�� NL�W$• Pl ?RT PrLE 7D 1PFE_ 2.9 NIN!a DECK EL 7tFr F1 F 1 TVE BUSH r r \ r \ srrR 3`, 0.0j x —0.4 20 TREE ` \ 0.1 \ �\ \ x-2.4 ta ` t x-1.2 Ulf fS of SPARTINA ' f ,xF� r 9 0 r x-0� ALIP44F.CRA0 rPj xUt .6( \ 1 1 .0.2 r 44 -'°' 0.0 Y r r V-2.9 ' I K"FA NEVI/PH.E \ BUOY ►� SUPtX�R7F.D PER 1.5 END DECK 9L 5 6FT UrLMF-s AHWt,— NEU!SFi1T a AMPend r .2 and CUMMQN GtA GRAPHC FAL,A.fV e./!EW MHWLG12DS5 AREA OF SEA LAM BRACE(TYPJ r 1.6 , ALW. - EtAAT `.., sc,�l t•a 2a - 20 10 0 70 EW SIN vz,-ri. 1 (7YP) SllRVEY by.1PMFS BERNARDD LAPlD SU 11NG L1 G a"AwNs ARE aASED ON APPAREM Low wATER N vD w) i. i t:� r rrn v�iEw PROJECT NEW PIER and FLOAT 7CRAR•tiG 1'm lfl 1-75-19 T.Oa LOCAT�t tSLA -TOwN of-=aun- LD i-BNGS7 RAMP CAU-OUr SUFFt K Gal t ,W WATERWAY DARBUSS COVE DATE= AUGLST30.200 3 C g ,3:ai ♦ A ADEM 5!-EEr 3 OF 4 DOCK0, INC. Ke"B.NeAwm PE"Yott--CT 06355 CR �► 800 P 0 a9 FAX 86o 572 755.9 2259 E AL-of bWdockmcom DWG �-K1- Kpi•'•6.'�er!cv,r,`JCcw^,nc L'23('1?.zJ f2�i S>^`t 8.'--���-d rad_ c,.�.^.-e_�rr•^i•_2fSLs3,.,3$due3 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Thursday, December 20, 2018 1:03 PM To: 'Docko Office' Subject: RE: Goss Project (LCMG FINY LLC) Cindy, Since Keith wants the application to be in February, I will not send you the noticing paperwork at this time. When I begin working on February's agenda I will send the packet for Burnham & Goss out. Hope you have a Merry Christmas and Best Wishes for the New Year! Elizabeth From: Docko Office<Office@docko.com> Sent:Thursday, December 20, 2018 10:59 AM To: Cantrell, Eliza beth-<elizabethc@town.southold.ny.us> Subject: RE: Goss Project(LCMG ANY LLC) Good morning Elizabeth, The copy of the revised application will go in today's mail. Please review the package to be sure you have everything you need. Will the Burnham project be on the January meeting agenda? If possible, Keith would like both of our project to be on the February agenda so he only has to make one trip. Let me know if this works or not. Merry Christmas, Cindy From: Cantrell, Elizabeth<elizabethc@town.southold.nv.us> Sent:Wednesday, December 19, 2018 10:24 AM To: Docko Office<Office@docko.com> Subject: RE: Goss Project(LCMG FINY LLC) Hi Cindy, You could just mail me the revised plans,and application pages. You don't need to re-send anything that Keith did not update. Merry Christmas! Elizabeth From: Docko Office<Office@docko.com> Sent:Tuesday, December 18, 2018 4:18 PM 1 To: Cantrell, Elizabeth <elizabethc@town.southold.nv.us> Subject: FW: Goss Project(LCMG FINY LLC) Good afternoon Elizabeth, Keith has made edits to the application package and attachment pages. Would you prefer that I send you four new application packages for this project?Thank you. Best Regards, Cindy Cindy Bayreuther Docko, Inc. 14 Holmes Street P.O. Box 421 Mystic, CT 06355 Tel: (860)-572-8939 Fax: (860)-572-7569 office@docko.com From: Docko Office Sent:Wednesday, November 28, 2018 1:57 PM To: 'Cantrell, Elizabeth (elizabethc@town.southold.nv.us)' <elizabethc@town.southold.nv.us> Subject:Goss Project(LCMG FINY LLC) Dear Ms. Cantrell, Due to the modifications to the Goss project (LCMG FINY LLC )discussed, we believe that it would be best to postpone our presentation to the Board of Trustees until the January meeting. Thank you for bringing this to our attention. Please let us know if the need for further information or discussion arises. Christina Lopes Docko Inc. 94 Holmes St Mystic CT 06355 Tel(860) 572-8939 Fax (860) 572 7569 Office(@-Docko.com 2 BOARD OF TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application / Administrative Permit 1/ Received Application Received Fee. $ 7—SD 00 ---- �/ Completed Application _[�-'___` Incomplete ' r _ SEQRA Classification Type I_ Type II_ Unlisted ✓ GLFtJV _ Coordination Date:(Date Sent) LWRP Consistency Assessment Fo ! 310 ) - - -/ CAC Referral Sent Date of Inspection Receipt of CAC Report — Lead Agency Determination: Technical Review: Public Hearing Held:—� �3 Resolution: Name of Applicant: R.B. Burnham III Address: 40 Fifth Avenue New York,NY 10011 Phone Number: (2� 768-7676 x 13 Suffolk County Tax Map Number: 1000-10.-4-10 Property Location: Vacant lot off Peninsula Road in Darbies Cove (provide LILCO Pole#, distance to cross streets, and location) AGENT: Docko Inc. Keith B. Neilson P.E. (If applicable) Address: P. O. Box 421 Mystic, CT 06355 Phone: (860) 572-8939 1 Jam' Board of Trustees Application GENERAL DATA Land Area(in square feet) : 0.4 ACRE Area Zoning: RESIDENTIAL Previous use of property: RESIDENTIAL Intended use of property: RESIDENTIAL Covenants and Restrictions: _ Yes _X No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes XNo If"Yes",please provide copy of decision Prior permits/approvals for site improvements: Agency Date X 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) : Construct 66(+/-)LF of 4-FT wide fixed wood pile and timber pier of which 48(+/-)LF is waterward of the AHWL, including rails and electric and water utilities. Install a 6-FT wide x 20-LF float with an associated hinged access ramp and new restraint piles. 1 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To construct a wood pile and timber pier with a floating dock for recreational boating. Area of wetlands on lot:_1,000 square feet Percent coverage of lot: 5 % Closest distance between nearest existing structure and upland edge of wetlands: 50 feet Closest distance between nearest proposed structure and upland edge of wetlands: 50 feet Does the project involve excavation or filling: X No Yes If yes,how much material will be excavated? 1_cubic yards How much material will be filled? _1 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations:Existing grades and gradients of the uplands will not be changed. Manner in which material will be removed or deposited: There is no planned excavation or filling except for utility conduits which will be limited and backfilled immediately.Utili1y conduits will stub up at the pier and be attached to existing deck and pier framing requiring onlx minor excavation access at the house. 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): It is anticipated that there will be no adverse impacts or tidal wetlands vegetation,or tidal waters of the Town caused by this project.See attached project narrative for more detailed discussion. Board of Trustees Application COASTAL EROSION APPLICATION DATA NOT APPLICABLE Purposes of proposed activity: To construct a wood pile and timber pier with a floating dock for recreational boating. Are wetlands present within 100 feet of the proposed activity? No _X Yes Does the project involve excavation or filling? X No Yes If Yes, now much material will be excavated?_1 (cubic yards) How much material will be filled? 1 (cubic yards) Manner in which material will be removed or deposited:_ Soil materials will be neither excavated or deposited along the shore in this project except for utility trenching of an in consequential in volume. Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features.(Use attachments if necessary): There are no adverse impacts foreseen on natural protective features and no erosion or sedimentation protective measures need to be applied since there will be no structural excavation or filling, only trenching for utilities. This project is to construct a new dock facilfty for the Burnham family. The pier will be an open wood pile and timber structure which will not adversely affect water flow and circulation or established areas of vegetation. See attached narrative for more detailed discussion 617.20 *� ' ApI endix B Short Environmental Assessment Form Instructions for Completinla Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information R.B.Burnham III Name of Action or Project: New Pier and Float Project Location(describe,and attach a location map): Vacant lot off Peninsula Road in Darbies Cove Brief Description of Proposed Action: Construct 66(+/-)LF of 4-FT wide fixed wood pile and timber pier,of which 48(+/-)LF is waterward of the AHWL, including rails and electric and water utilities, install a 6-FT wide x 20-LF float with associated hinged access ramp and restraint piles. Name of Applicant or Sponsor: Telephone: 212-768-7676 x 13 R. B. Burham III E-Mail: mealy@mbbarch.com Address: 40 Fifth Avenue City/PO: State: Zip Code: New York NY 10011 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑ ❑ may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ Town of Southold Board of Trustees,Army Corps of Engineers, Department of State 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? .40 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial 5aResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic (00ther(specify): Vacant Lot ❑Parkland r Page 1 of 4 5. Is the proposed action,' ,,f �. NO YES N/A a.A permitted use under the zoning regulations?- ❑ ❑ b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 9 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: M ❑ 8. a.Will.the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? lay ❑ 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: ❑ This project will not have significant energy demands even with electric utilities and lights. 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: EJA water line(conduit)maybe run out the pier. 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ No water treatment,none required. 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? ❑ 9 b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? �/I ❑ If Yes,identify the wetland-or waterbody and extent of alterations in square feet or acres: y 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Ba Shoreline ❑Forest ❑Agricultural/,grasslands ❑Early mid-successional 12 Wetland ❑Urban 5a 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?There is eel grass growing along in a band along the shore and around the pier ❑ 16.Is the project site located in the 100 year flood plain? NO YES Yes,the dock is in open waters of Fishers Island Sound. TT M 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ ❑ a.Will storm water discharges flow to adjacent properties? ❑NO YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: E]NO []YES Page 2 of 3 18.Does the proposed air,._: include construction or other activities that r"-_ in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: � ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: R.B. Burnham III Date: Signature: Page 3 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part l 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? 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 ❑ reasonabay 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)? FA 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 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? Er 1:1 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, at 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 environmentali pacts. Town of Southold-Board of Trustees 1 Name of Lead Agency p�t Date Michael J. D o rn i n® President Print o pe Name f Responsible Officer in Lead Agency Title of Responsible Officer Signature of Respo le Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently, there�are,aspects of a project that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature, yet flexible enough to allow introduction of information to fit a project or action. Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially-large impact. The form also identifies,whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE-- Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: M Part 1 ®Part 2 ' 1 Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: 17 A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared." ®C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. `A Conditioned Negative Declaration is only valid for Unlisted Actions New Pier and Floating Dock Facility Name of Action Name of Lead Agency 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) website Date 1 PART 1--PROJECT INFOR, ;TION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject-to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and specify each instance. Name of Action New Pier and Float Location of Action(include Street Address, Municipality and County) Vacant lot off of Peninsular Avenue on Fishers Island Name of Applicant/Sponsor R.B.Burham III Address 40 Fifth Avenue City/PO New York State NY Zip Code 10011 Business Telephone 212-768-7376 x 13 Name of Owner(if different) Address City/PO State Zip Code Business Telephone Description of Action: Construct 66(+/-)LF of 4-FT wide fixed wood pile and timber pier,of which 48(+/-)LF is waterward of the AHWL, including rails and electric and water utilities, install a 6-FT wide x 20-LF float with associated hinged access ramp and restraint piles. Please Complete Eacr_.Auestion--Indicate N.A. if not apr'"'— 'ble A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas. 1. Present Land Use:-[]urban ©Industrial ®Commercial Residential (suburban) ©Rural (non-farm) ElForest ©Agriculture ©Other 2. Total acreage of project area: .40 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) 0.2acres 0.2 acres Forested 0.2 acres 0.2 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0.1 acres 0.1 acres Wetland (Freshwater or tidal as per Articles 24,25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces acres acres Other(Indicate type) acres acres 3. What is predominant soil type(s) on project site? a. Soil drainage: Well drained 100% of site ❑Moderately well drained % of site. ©Poorly drained % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? acres (see 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? 1:1 Yes ® No a. What is depth to bedrock (in feet) 5. Approximate percentage of proposed project site with slopes: X70-10% 50% M10- 15% 25% ®X 15% or greater 25 6. Is project substantial) contiguous to, or contain a building, site, or district, listed on the State or National Registers of Historic Places? 17 Yes E? No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes RNo 8. What is the depth of the water table? 0 to 2(in feet) 9. Is site located over a primary, principal, or sole source aquifer? []Yes No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? Yes &No 11. Does project site contaii, species of plant or animal life that is identi,� °as threatened or endangered. ©Yes RNo According to: Identify each species: r� 12. Are there any unique or unusual land forms on the project site?(i.e., cliffs, dunes, other geological formations? ` ❑Yes No a I Describe: ( ( 4 ' 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? 4 .y ' ®Yes ®No i If yes, explain: t e Y 14. Does the present site include scenic views known to be important to the community? ®Yes fZNo i 15. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: b. Size(in acres): 17. Is the site served by existing public utilities? ®Yes No a. If YES, does sufficient capacity exist to allow connection? ®Yes E]No i« El b. If YES, will improvements be necessary to allow connection? Yes No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ®Yes R No 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes No �f 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes �No P B. Project Description 1. Physical dimensions and scale of,project (fill in dimensions as appropriate). f F" i' a. Total contiguous acreage owned or controlled by project sponsor: 0.4 acres. r b. Project acreage to be developed: acres initially; acres ultimately. 4 .. c. Project acreage to remain undeveloped: acres. d. Length of project, in miles: (if appropriate) F< F+ e. If the project is an expansion, indicate percent of expansion proposed. 2. f. Number of off-street parking spaces existing proposed g. Maximum vehicular trips generated per hour: (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium s + Initially 0 Ultimately L Dimensions (in feet) of largest proposed structure: height; width; length. j. Linear feet of frontage along a public thoroughfare project will occupy is? ft. 4 2. How much natural material (i.e. rock, earth, etc.).will be removed from the site? tons/cubic yards. 3. Will disturbed areas be reclaimed MYes �No ®N/A a. If yes, for what intended purpose is the site being reclaimed? b. Will topsoil be stockpiled for reclamation? ®Yes ®No C. Will,upper subsoil be stockpiled for reclamation? E]Yes No 4. How many acres of vegetation (trees, shrubs, ground covers)will be removed from site? 0 acres. 5. Will any mature forest (i,__,',100 years old) or other locally-important vel lion be removed by this project? ®Yes CO No 6. If single phase project: Anticipated period of construction: 2 months, (including demolition) 7. If multi-phased: a. Total number of phases anticipated (number) b. Anticipated date of commencement phase 1: month year, (including demolition) c. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? ® Yes ® No 8. Will blasting occur during construction? E]Yes No 9. Number of jobs generated: during construction ; after project is complete 10. Number of jobs eliminated by this project 11. Will project require relocation of any projects or facilities?®Yes No If yes, explain: 12. Is surface liquid waste disposal involved? ©Yes 0 No a. If yes, indicate type of waste(sewage, industrial, etc) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? M Yes No Type 14. Will surface area of an existing water body increase or decrease by proposal? Yes No If yes, explain: 15. Is project or any portion of project located in a 100 year flood plain? 0Yes. IDNo 16-. Will the project generate solid waste? ❑Yes M No a. If yes, what is the amount per month? tons b. If yes, will an existing solid waste facility be used?©Yes EJ No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ®Yes ® No e. If yes, explain: , a s 17. Will the project involve the disposal of solid waste? ®Yes RNo a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? ®Yes ®No 19. Will project routinely produce odors (more than one hour per day)? ©Yes RNo 20. Will project produce operating noise exceeding the local ambient noise levels? RYes E]No 21. Will project result in an increase in energy use? ®Yes ® No If yes, indicate type(s) 22. If water supply is from wells, indicate-pumping capacity gallons/minute. 23. Total anticipated water usage per day 10(+%) gallons/day. 24. Does project involve Local, State or Federal funding? ©Yes No If yes, explain: X• ' 25. Approvals Required: K Type Submittal Date Southold Board of Trustees November 2018 City, Town, Village Board ®Yes ❑No ¢4¢ ' y[' pe City, Town, Village Planning Board ❑Yes © No g Y, City, Town Zoning Board ❑Yes ❑ No 3 t eKK @F@. 6, City, County Health Department ❑Yes © No C { Other Local Agencies ❑Yes ❑ No i 3 S f` Other Regional Agencies ❑Yes ® No NYS DEC November 2018 State Agencies - M Yes ❑ No NYS DOS November 2018 f. U.S.Army Corps of Engineer November 2018 Federal Agencies ®Yes ❑No G C. Zoning and Planning Information 1. Does proposed action involve a planning or zoning decision? ❑Yes No If Yes, indicate decision required: Zoning amendment ❑ Zoning variance ❑ New/revision of master plan ❑ Subdivision ® Site plan ❑ Special use permit ❑Resource management plan ❑ Other 2. What is the zoning classic! ;on(s) of the site? i } Residential 3. What is the maximum potential development of the site if developed as permitted by the present zoning? Single family residential for up to three homes. 4. What is the proposed zoning of the site? No Change 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? 3 individual single family homes 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? M Yes ©No 7. What are the predominant land use(s) and zoning classifications within a 1/4 mile radius of proposed action? All sites on Peninsula Road are either residential or open space with the exception of Pirates Cove Marina. g. Is the proposed action compatible with adjoining/surrounding land uses with a'/4 mile? 50Yes E]No g. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? 10. Will proposed action requEreJany authorization(s)for the formation of sewer vt'water districts? ® Yes ® No 11. Will the proposed action create a demand for any community provided services(recreation, education, police, fire protection? ®Yes ®No a. If yes, is existing capacity,sufficient to handle projected demand? ®Yes- ®No 12. Will the proposed action result in the generation of traffic significantly above present levels? ®Yes No a. If yes, is the existing road network adequate to handle the additional traffic. ❑Yes ®No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts, associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E Verification I certify that the information provided above is true to the best of my knowledge.- Applicant/Sponsor Name R.B. Burham III Date Signature Title Owner If the action Is In the Coastal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. Board of Trustees Application 's AUTHORIZATION (where the applicant is riot the owner) R.B. BLMMANI III residing at r 40 Fifth Avenue (print owner of property) i (mailing address) New York, NY do hereby authorize DOCKO, INC. , (Agent) MYSTIC, CT, 06355 to apply for permit(s) from the Southold Board of Town Trustees onmy behalf. z (Owner' s signature) t i Board of Trustees Application County of Suffolk State of New York R.B. BURNHAM III BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE i SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO TI-IE_ 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 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 REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. t L ► q Signature SWORN TO BEFORE ME THIS DAY OF 201 b 's, ( '� Notary Public rnARicr:a sofas N:!,-.,y PL-blic Stafe of New York \O.01 SM 41503 Qualified In New York Caurdv My CC-,1mgon Cxplres 0 OS?.� S APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE;FORM Th e Tb1vn o S nihold* deo Et i rol ibits co 'e s of inte es on the °` ce s and empto ees Tli u' 4. ` :ate the-o An of ii sih a cbnf((ct§,o n e res a alto_ it a:a:e w-:E "'e ii .Eiecessaiy to,.gyoid�a .u, , YOUR NAME: p l� n j1 �1� 2 I✓ 1- (Last name,first name,ipiddle initial,unless you are applytng,n 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 pers€rally(or through youe'company,140ouse,sibling,pireg4 or•child)have a rel;ltionshipwith'any.ofticer or entplbyee f of the Town ofSouthoid? "Relationship"includes by blood,tr#.mage;or'b'Ajfie5 4116U4.'13i15ine55.intcrask"ineatls a.bgsiness; including a partnership,inwhichthe town ofiki roremployee has evenipartialownership oftoe giiployu�entby)ttcotpum4on, in which the town officer or employed owns-more thbif-S fa of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold., _ Title or position of that person . Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 6%of the sliures of tha.corpofate stock of the•upplicont (when the applicant is a corporation); B)the legal or beneficial o)yner of any interest in anon-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 th's o 2048 Signature. Print Name s Form TS l `- PROOF OF MAILING OF i:.;rICE ATTACH CERTIFIED MAIL RECEIPTS Name: Map No. Elbert M. Burr 10.4-9.1 Doris Burr 10.-3-8.1 44 Emerald Glen Lane Salem, CT 06420 John K. Ahlgren 10.4-12.2 169 Conestoga Street Windsor, CT 06095 Susan Gail Schongan Trust 10.-3-7.1 1909 Lucinda CT Fort Myers, FL 33908-1608 STATE OF CONNECTICUT COUNTY OF NEW LONDON DOCKO, INC. , residing at 14 HOLMES STREET, MYSTIC, CT 06355, being duly sworn, deposes and says that on the _ &-_*-day of O kc1 20�, deponent mailed a true copy of the Notice set forth in the Board of Trus ees App ication, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at MYSTIC, CT, that said Notices were mailed to each of said persons by (certified) (registered)mail. IZ.ec-c Sworn to before me this Day of J.4�y7�N , 20 19 otary Public t Postalgoal un CERTIFIED MAV RECEIPT . ' iq --q C`- 1:0 Dom&stic Mail Oniy Er ru � �j Er ru to • t 1) �• 4) L=e1 L � r- Certified Mall Fee V 1 = $ 'fate) r` Certified Mall Fee S�j� � F_xtr Services&Fees(check box,add fee o9 �atumReceipt(hardcoPY) $ oC Postmark $ 0 Edre ervlces&Fees(check box,add fee - ate) Return Receipt(electronic) Here CI I etum Receipt(hardcopy) $ ❑Cerbfied Mall Restricted Delivery $ Postmark � �Aduit Signature Required $� CI ❑ Return Receipt(electronic) $ Here C1 C3 ❑Certified Mall Restricted Delivery $ ❑Adult Signature Restricted Delivery$ CI []Adult Signature Required $ CI Postage 50 []Adult Signature Restricted Delivery$ rt-1 C3 Postage �� Total postage and Fees o $ M to c/ $ T �� Total Postage and Fees -J ED S nE�To Se t To ! r P(7 Box No. ED Cl $(reetandAIPtN r-1 ---------------------------------- C`- Sir et and t tVo.,or PO Box No. �y"ate Z(P+4® ct . � SCeoS� t Ci State,ZIP+4® � l ,\ °° Com. USP�LC/ v ❑_ U) o .�N'0 0 :1, , °r .,. (n rn O y z ma o dv m g m i2 Q Q u U ❑ Zza 6 M Service"" _ ❑ C• °m N N N d0:2 0in V5 CC N .S. Postal o I d o 0117❑ ❑ ❑❑ ❑ CERTIFIED Aa ru •• o in 2 c(3 _ En T Z N DoN ru i-nv 2 v f'- Certified Mad Fee MMES CD $ I ¢ Extra Services&Fees(check box,add lee ep ata) m m m®�d 1_ ❑Retum Reoelpt(hardcopy $ 'J T?.�•'�'�O O 0 [:] Return Receipt(electronic) Postmark iI Cr-1 m c°_o cr CHere drn)60-g d% Certified Mail Restricted Delivery _cC. E3 ❑ m$[]Adult Signature Required Ig, ❑ fn ¢QUUU Adult Signature Restricted Delivery$ ❑ ❑❑❑❑D_ o M JO Y I Postage $ 11 V I cn � Total Postage and Fees91 c $ ci o 1:0 Sent T o r o rq ✓1 N cUiEr -------------- - - iii. 3tieefand Api or P�6ox LkllN. a) co rt t 0 r%- I/y1p� �-fr-b- -------------- -- ----1 L • � E - o ----��� -- "` -_ l O O \� � dam• � Id"1 � Cdy, tate.ZlP ® � n y bbeve,,c� S- >• a) kr c0 (D0.0 m z u, rn N d xV d].�tA dl_t7LVYl c v v y r y' >. COMPLETECO C3 • • • • N C � fl. J l� C'7 'r-3 -U7 0 .U+ O w O A. Si at - xC W + - ■ Complete items 1,2,and 3. KL N o -o o p r ■ Print your name and address on the reverse X �f aE E co i � 3 f?l Cr) so that we can return the card to you. g• Received by(Printed Name) i °' a� v �`' — rn m ra E ■ Attach this card to the back of the mailpiece, o a� v to LL f or on the front if space permits. �/ t r ® L ,y;,, o. o t= 1. Article Addressed to- D. Is delivery address different from Item o o ro o . -3 N, If YES,enter delivery address below U 0- N Q n— fU(IL 42,6 II I I I II IIII III I III I I I I II I II II I it II III I I III 3. Service Type 11 Priority Mail Express® ❑Adult Signature ❑Registered MaiITM ❑6211:Signature Restricted Delivery 11 Registered Mail Restricted 9590 9402 3312 7196 3467 46 ❑'Certified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM J 2. Article Number(fransfer_from setvrce labeD_ - ----- -insured Mad El Signature Confirmation 7 n 18 113 n n n 0 0 A471; 2 9 6 8 Insured Ma l Restricted Delivery Restricted Delivery t over$500) I PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I - r PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ry- Name: STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20 , deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this Day of , 20 r Notary Public i NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: R.B. Burnham III SCTM# 1000-10.4-10 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Repair and make minor improvements to an existing dock facility. Construct 66(+/-)LF of 4-FT wide fixed wood pile and timber pier of which 48(+/-)LF is waterward of the AHWL, including rails and electric and water utilities. Install a 6- FT wide x 20-LF float with an associated hinged access ramp and new restraint piles. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Right of Way off Peninsula Road on Fishers Island 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: DATE: Wednesday February 13, 2019 at or about 5:30pm 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. PROPERTY OWNERS NAME: R.B. Burnham III MAILING ADDRESS: 40 Fifth Avenue, New York, NY 10011 ---PHONE-#:(21-2)-768--7676-x-13 AGENT: Docko, Inc. MAILING ADDRESS: P. O. Box 421, Mystic, Ct 06355 PHONE#: (860) 572-8939 Enc: Copy of sketch or plan showing proposal for your convenience. Michael J. Domino, President ©.0��FFL olk ' Town Hall Annex John M.Bredemeyer III, Vice-President �43 2,A 54375 Route 25 Glenn Goldsmith N P.O. Box 1 179 A.Nicholas Krupski O Southold,NY 11971 Greg Williams ?�� �p`c r Telephone(631)765-1892 Fax(63 1)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of R. B. BURNHAM III COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN Dt1 YS PRIOR TO THE PUBLIC HEARING DATE residing at/dba being duly sworn, depose and say: I S' q That on the day of v��J✓1���, 201 1. 1 personally posted the property known as Hl 1' i lir (/= ® �' -i itis ✓✓��1 e e by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, February 13, 2019. Dated: a l9 19 Sworn to before me this I.-Y4 day of Avh� 2019 tary Public V inti 1 ' �.r- --- �� R..A�ti�v'''---y^��.� 1`1 Ilii' ?� '••''tlt\' } Q. fit �•� -' •�fi+ ,• 4- r,' ,� ' �a'p�.• - , .- NOTICE OF HEARING; NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of i�tr�- t 4-u r• Trustees at the Town Hall,53 Main Com= 095 Road,Southold,New York,co ncerning this property, OWN (S) OF URNHA RECORD: R. B. B M III ` SUBJECT OF PUBLIC HEARING' Fora Wetland Permit to construct±66 '''` r 7z- linear,r �, _ linear feet of 4'wide fixed wood pile and timber pier of which± '"� P 48 linear feet is waterward of the AHWL,including hand rails on each side,electric and water y utilities;install a jIrri r f^' i 3.5'x22'hinged ram to a 6'x20'float with four(4)8"diameter piles. Located:Right of Way off Peninsula Road,Fishers Island. SCTM#kiI ,f�tM } 3i- •+f ry i{i-} f 1000-10-4-'10 TIME&DATE OF PUBLIC w 'rrnw HEARING: 1=;q �.1 Wednesday,February ry13,2019—at or about 5:30P>M. I " _ 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 it the hours of 9 a in.and 4 p m -, c r ARD TRUSTEES S i i .• ij ` 1 i f" - ^ _ BO OF " TOWN OFSOUTHOLD*(631)765-1892 U all C'+T zkl4 yr>�►. > "ti S- r 4 :° •_` S °rte y4��R 3L' '4N fr 1 ry ►, sir' -'�' 9 \C���� A+ y` "�� - eSECTION_, • • • DELIVERY plete items 1,2,and 3. il your name and address on the reverse j' ❑Agent tat we can return the card to you. ❑Addressee B. Race ved by(P kited Name) C. at of D'live .i h,this card to the back of the maitpiece, " , 'the front if space permits. Addressed to: - D. Is delivery address different from item l? -❑ If YES,enter delivery address below: ❑,No 071• - ��` - ' - . 3. iII IIII III I III I II I I II Ii II II I II II III I I III 13 Service Type ❑PriorityRegistered Mall Express® ❑ArJu t Signature ❑Registered MaiIT"' ❑ It Signature Restricted Delivery', ❑Registered Mail Restricted'! i90 9402 3312 7196 3467 46 certified Mall® Delivery " ❑Certified Mall Restricted Delivery ❑Return Receipt for ( ❑Collect on Delivery Merchandise ❑Coliect on Delivery Restricted Delivery, ❑Signature Con firmat,onTA9 e.NumberlTransferfrom service labeD-_-��—_'—insured Mail ❑Signature Confirmation 8 .113 D ,0 0 0,P, $4 7 5:,2 6 B I Insuered Maii Restricted Delivery .Restricted Delivery ovr$500), t i; !n=3811„tJuly 2015 PSN 7530-02=000-9053'y; Domestic Return Receipt • • . . . Iplete items 1,-2,and 3. = -Si ature (your name,and address on the`reverse- _ 13 Agent lat we can return the card to you. ❑Addressee a ih this card to the back of the mailpiece;'-- Rec iv e) C.Date of Delivery l i the front if space.permits. i e Addressed to: "D. Is ellve ry address different from item 1? El Yes' if YES,enter delivery address below: ❑No Al Ill IIII IiI I III I Ii I I�I I1 C� i 1��� f* `A 3.-Service Type ' ❑Priority Mail Express® 21 IIIA IIII ❑Adult Signature ❑Registered MOM ❑A�uItS"nature Restricted Delivery 13Registered Mail Restricted' 90 9402 3312.71'96 3467 91 5,&A 13 - Delivery } - ❑Certified Mall Restricted Delivery ❑Return Recelptfor ❑Collect on Delivery, Merchandise ti 9 Number Mansfer from service label)_.__ ❑collect on Delivery Restricted Delivery_❑Signature ConflrmatlonTMr ❑Insured Mall • - ❑Signature Confinnatiori L130 0000 8475 2982 11 Insver uredMal Restricted Delivery _ Restricted Delivery n43811;July 2015 PSN 7530-02-000-9053' -? Domestic Return Receipt f i TM Postalk Service lit • . MAILT RECEIPT. rU4; s. Only .ru ) t, f rrfi;.;yyww, ;�(p7� �.q'•L• l • ;tip 4td�'vF t'#:''r. Ln r` Certified M"I Fee' ;' '�71" s„ +< c•;1, ,,!s., s .-, s-ms Extra Services&Fees(chaekbox,e ree eP 1 C� 4 FieturflROCelpt,(h`ardc6PY)„> •frks, "s'• ui„ f, , 0,.(]Retum Fiecelpt(�ectronlclM•r•�{i”�9`r•�•" �y��u8fifark OCertlfiadMallRwtrieted�eGveryt';�$`i> 7-�'rg,. O p =rpt{;,a$=f r- TH, CTO•" .. w C3 ❑AdunSlgneturaRequlred: s: t, W GAd0_§l9naWreRestrletedDe)(veh! '' pjP,ostage�,,sr,.. MA rq Total Postegeend Fees t 4 $�'S,-t;,`'$f;%?��1:vt:��,:•'..,Is 4?F".{r G.1:,r ��vY� _ _ CE3;'Sent,T4",w,:': . ,(_;,,"r -zesF.,saTr=ai �- == 0 SveetendApi ,orad§ Fl Y'.'3 :t_, S,-I't-'F. PostalCeTm CE,• . , © RECEIPT' Ln Dbmestic Mail OnlY Er ru Ln r- Certified Mail Fee Fxt services&Fees(eheak eddies date �� �' i1' p �RewniReceYpiQiaidcoPyj„-; p OFtelurn Receipt(elecCunic) ;3u S �ry� Postrn C3 OCertifl Mall Restricted Delivery„t S” e Here GN C3 padunslgnad,reRebu><ea,� c°>:,:Sx `�` �s . DAdunSlgnatureRestdctedDeftery$•' "": 'J{'�.+` "'t'�OJ9 •1 p Postage: .•. ;;�•�,,�1•. :, r++Jrs',7vs Vit. ., ,.. a r.: -`Fees`- Hry -:�.��•, `�i,�ss <<s,a> - TotalPostage,and ;,�; �O ccy,. zi., yam•• ^' rq p �ireet^and G l-d.p ox��• p'- N L_=!U � . J `! ch eiP+a®= 33al-og �( (3� ,�,•. Postal,in © RECEIPT cm' •. OnW Er Ul N Ce ad all Fee . $ 1. 4C•�1,�; 43 Extra Nlcas&Fees(check tax add fee�rap�pQe�1- ��7 Receipt-(tatdc?PY)' $r Postmark Ret�un,Receipt(electtOnic), r, .-$' t?� C3- OQertAled Man Restdcted D.1W T,,$= Jq�l� Here � C3 p Adun Signature Requlmd $ OG�Q U1 .�AdultSignatureResMctedDelivery$ mstage Po ` `, • :i D (� � Total Posteg e anti Fees $ 03 Se To" - ------------- ----------------------------------- 17-11 ------------------------------ r-r NUTILEL. Ulm HOL. AKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: R. B. BURN HAM III SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct ±66 linear feet of 4' wide fixed wood pile and timber pier of which ±48 linear feet is waterward of the AHWL, including hand rails on each side, electric and water utilities; install a 3.5'x22' hinged ramp to a 6'x20' float with four (4) 8" diameter restraint piles. Located: Right of Way off Peninsula Road, Fishers Island. SCTM## 1000-10-4-10 TIME & DATE OF PUBLIC HEARING : Wednesday, February 13, 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 y Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.Ok THE FOLLOWING ACTIONS MAY,REQUIRE THE SUBMISSION OF A Ito/ , two -I1' STORM WATER,GRADING;DRAINAGE AND EROSION CONTROL PLAN s ce Sectiono of CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORKASSESSMENT Yes- No a. What is the Total Area of the Project Parcels? I Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (S.F./Acme) (This item will include all run-off created by site ❑ b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? (S.F.I Acres) Impervious surfaces.) PROVIDE BRIEF PROJECT DESCRIPTION (ProvideAddid-aiNges-Needed) 2 Does the Site Plan and Drainage Structures Indicating Survey Show All Proposed Size 8 Location?This � ❑ Item shall include all Proposed Grade Cha ges and — "ae.r, Leto b-/-)L F -t Slopes Controlling Surface Water Flow. NOV.,. ("� 3 Does the Site Plan and/or Survey describe the erosion ❑ and sediment control practices that will be used to t/ r�� control site erosion and storm water discharges. This item must be maintained throughout the Entire -f O Construction Period. of- ` e- PrOwL hry h"A- 4 Will this Project Require any Land Filling,Grading or jj�BB� Excavation where there is a change to the Natural ,.F'UC- ra- 0-A-d- to J'fA t -;h j I b-E' S -. I h 1 Existing Grade Involving more than 200 Cubic Yards M �/ ,�_ of Material within any Parcel? �-�nj,IJ,LG�J_ ' d^L� iii D/A�� t'r6 L rj Will this Application Require Land Disturbing Activities r)CJG� �CIQSS/►�,, ',, Glkt�- Encompassing an Area in Excess of Five Thousand Fi ✓ (5,000 S.F.)Square Feet of Ground Surface? 1-f- Q11,6. 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirement: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP Is required for all Construction activities Involving soli Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to including Construction activities Involving soli disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirement of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious ❑ — for Storm Water Discharges from Construction activity-Permit No.GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the NOi.The NOI shag be Into and/or to the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. = 2.The SWPPP shag describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any Fi constructed to reduce the pollutant in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder m m compliance with the terms and conditions of this perniL In addition,the SWPPP shag Area?(This Itewm NOT Include e Irotallatlon of Driveway Aprons.) Identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine Is Answered with a Check Mark 3.AN SWPPPs that require the post-eonsW coon storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.31 Acre In area, component shag be prepared by a qualgied Design Professional Licensed in New York a Storm Water,Grading,Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Arty Building PernlL (NOTE A Check Mark(%V)and/or Answer for each Question is Required for a Complete Application) STATE OF�9%�,Cr COUNTY OF...........................................SS That I Kz::cr.1.Y l :. ..r.C.P...................being drily swom,deposes and says that he/she is the applicant for Pemlit, (Name of individual signing Document) AndthaCh)/she is the ............................ .. .. . .... .............................................................. .... ..(lhmer,CoriOracfor,Agent.Colpocele Office,etc.). Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the mann_er set forth in the application filed herewith Sworn o�to] before me this; , - / , I.X..Q ....Z-1 day of'......:.. ./P/ bP/-... Z? NotaryPublic: ..... .... /l J .......................................................... . .. .. . .............. (Signature of Applicant) FORM - Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for i 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. i . I 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 i Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Towns 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 Iaw. 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. F 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# 1000 - 10.4 10 PROJECT NAME New Pier and Float The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 2 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: 0 Nature and extent of action: Construct 66(+/-)LF of 4-FT wide fixed wood pile and timber pier of which 48(+/-)LF is waterward of the AHWL, including rails and electric and water utilities, install a 6-FT x 20-FT float with associated hinged access ramp and restraint piles. i ' Location of action: nt lot off of Peninsula Avenue on Fishers Islal- Site acreage: .40 Acres Present land use: Residential Vacant Land Present zoning classification: Residential Vacant Land 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:R.B. Burnham III (b) Mailing address: 40 Fifth Avenue, New York, NY 10011 (c) Telephone number:Area Code( )212-768-7676 x 13 (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? 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 l.. 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. M Yes ❑ No ❑ Not Applicable This new dock construction is appropriate use of a waterfront site in accordance with NYSDEC.and the DOS Coastal Management Program.Southold Local Law No.6.2004 and the Southold LWR.There will be no impairment of waterFlow or navigation. Piles and piles and rails will be 42 inches above the deck. 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 0 No RI Not Applicable The proposed project is the con; --`,,,ion of a wood timber and pile supported pier. only visual access affected by this project is at- the applicant's site and immediac-6 cighbors in this small cove with other docks ar - )idential facilities.There are no known historic or cultural facilities or characteristics in Darb!es Cove. 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 Q Not Applicable Darbies Cove is a small estuary,almost a pond except for the tidal creek flowway and accessway at the northeasterly quadrant. Passage through the entryway is partly blocked by two huge boulders in the thalweg so visitors are rare. The view of the cove is significantly shaded by trees which also limits visibility of the cove. The cove is hardly a scenic resource. Except for a few residents around the perimeter, no one can really get more than a glimpse of the cove. The proposed dock will be similar to the dock of Jim Baker across the cove. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of Iife, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ❑x- Not Applicable The new dock construction will take place in Darbies Cove and is acknowledged to be in a flood-prone area;there is no wave exposure at this site.The new pier will be built to accomodate complete submersion and resist hydrostatic uplift pressures due, r to the flooding. This dock facility will pose no threat to life-,structures, or natural resources. Attach additibnal 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 f;�]Not Applicable ' - i This project will not have any effect on suitability of or availability of drinking water on Fishers Island. The structure is to be located entirely within the area of ground water influenced by marine(salt)waters of Darbies Cove and West Harbor which makes the ground water not drinkable. Attach additional sheets if necessary l i i 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. R] ❑ ❑ i Yes No No; ;oplicable The project is consistent with this policy because the pier and dock facility are at an acceptable height above the bottom sediments to allow continued growth of what little tidal wetlands vegetation grows in the shade of shoreline trees if other conditions are suitable. In addition,the NYS DEC prepared a study showing that the proposed pressure-treated Southern Yellow Pine timber product construction materials are si iitahle for this typo of pr feet in this location .except for decking which will be of untreated Woods or composite(or plastic)materials, in accordance with Town wetlands regulations. 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 ❑ NOR Not Applicable There are no air quality issues related to this project. No emissions will be generated by the dock facility,and the period of time required for construction will be minimal. 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 R Not Applicable There is no solid waste or hazardous substances to be generated from this project.The pressure-treated wood trimmings from the dock construction will be collected and disposed of in accordance with current regulations so as to minimize harmful effects. 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. ❑ 41 No 0 Not Applicable This project is being undertaken and the pier will originate from private land. The Public Trust Lands and Waters constitutes the area between the Mean High Water line and Mean Low Water line and the resources are from the High Tide line out. These environmental resources are being protected by the design standards dictated by the NYS DEC and the Town's tidal wetlands law. The intertidal zone beneath the pier landing is sand with intermittent stone and boulders. There is virtually no public use of the waterfront in this area due to the overgrown nature of the bank and the steep slope down to the water's edge. The new construction of the pier and landware extension above the AHWL are not likely to influence or change these conditions or entice access to the site. Attach additional sheets if necessary WORKING COAST POI('--',ES Policy 14. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in i suitable locations. See LWRP Section III--Policies;Pages 47 through 56 for evaluation criteria. Q Yes ❑ No ❑ Not Applicable { This project is to construct a wood pile and timber pier with a floating dock for recreational boating which is a water-dependent use in k a suitable location. If a new higher priority water-dependent use were to require this site, it is unlikely that the proposed dock facillity i would be a significant detrement to developing such a use. f l Attach additional sheets if necessary Policy 11. Promote sustainable- use of living marine resources in Long Island,Sound, the Peconic j Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ❑X Not Applicable i This new dock facility will not be used for commercial fishing or shellfish industries or enterprises. It has been generally observed that an element of diversity in the water colonies benefits the support of small and juvenile species since it provides a site for algae growth, barnacles,small crabs,other custaceans,mollusks,and shellfish,even sponges. Reference is made to the 2000 DEC report that found pressure-treated timbers to be acceptable for construction use in marine environments. 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 This dock facility will not be used in support of any agriculture or aquaculture industries or enterprises, and it will not usurp usage of or access to agricultural lands of the Town above or below the water surface. Attach additional sheets if necessary • f Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP i Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No Q Not Applicable 1 This dock facility will not be used in support of any energy or mineral mining or processing operations. t i PREPARED BY Keith B. Neilson;P.E. TITLE Agent DATE Nov.2,2018 New York State Department of Environmental Conservation PERMISSION TO INSPECT PROPERTY By signing this permission form for submission with an application for a permit(s) to the Department of Environmental Conservation("DEC"),the signer consents to inspection by DEC staff of the project site or facility for which a permit is sought and,to the extent necessary, areas adjacent to the project site or facility. This consent allows DEC staff to enter upon and pass through such property in order to inspect the project site or facility,without prior notice, between the hours of 7:00 a.m.and 7:00 p.m.,Monday through Friday. If DEC staff should wish to conduct an inspection at any other times, DEC staff will so notify the applicant and will obtain a separate consent for such an inspection. i Inspections may take place as part of the application review prior to a decision to grant or deny the permit(s) sought. By signing this consent form,the signer agrees that this consent remains in effect as long as the application is pending, and is effective regardless of whether the signer,applicant or an agent is present at the time of the inspection. In the event that the project site or facility is posted with any form of"posted" or"keep ol�t"notices,or fenced in with an unlocked gate,this permission authorizes DEC staff to disregard such notices or unlocked gates at the time of inspection. ! The signer further agrees that during an inspection,DEC staff may,among other things, take measurements, may analyze physical characteristics+of the site including, but not limited to, soils and vegetation(taking samples for analysis), and may make drawings and take photographs. Failure to grant consent for an inspection is grounds for, and may result in, denial of the permit(s) sought by the application. I i Permission is granted for inspection of property 16cated at the following address(es): Tax#1000-10.-9.10 Vacant property off of Peninsuila Road in Darbies Cove i By signing this form, I affirm under penalty of perjury that I am authorized to give consent to ent?y by DEC staff as described above. I understand that false statements made herein are punishable as a Class A misdemeanor pursuant to Section210.45 of the Penal Law. R.B. Burnham III 1 `�• �`+ �—�l ( ( ( (� Print Name and Title Signature Date *The signer of this form must be an individual or authorized representativeof a legal entity that: • owns fee title and is in possession of t1►e property identified above; r • maintains possessory interest in the property through a lease,rental agreement or other legally binding agreement;or • is provided permission to act on behalf of an individual or legal entity�possessing fee title or other possessory interest in 1 the property for the purpose of consenting to inspection of such prope{{ttyy. Permission to Inspect Property Application Supplement 12/08 O C ISO' Inc. Serving the waterfront community since 1987 P.O.Box 421,Mystic,CT 06355(860)572-8939 Fax:(860)572-7569,email:office@docko.com November 20, 2018 9, Mr. Michael J. Domino, President - -=---=-1 Southold Board of Trustees Town Hall Annex I l— 54375 Route 25 P.O. Box 1179 Sr,urlialU lunn Southold,NY 11971 Bohr Iof Trusters Re: Burnham Property, Fishers s an New Pier and Float Dear Mr. Domino: On behalf of Mr. R. B. Burnham, we enclose herewith the additional three copies of the application in support of his permit application for a new pier and float in Fishers Island Sound on Fishers Island,NY. ➢ Three prints each of plans titled: Project: "New Pier and Float" Location: Fishers Island,Town of Southold Suffolk County,New York Waterway: Fishers Island Sound Applicant: R. B. Burnham III Agent: Docko, Inc. ➢ Three copies of the Southold Board of Trustees permit application, Transactional Disclosure Form, Erosion, Sedimentation & Storm-Water Run-off Assessment Form, Short Environmental Assessment Form, LWRP Consistency Assessment Form, Full Environmental Assessment Form (SEQR), Environmental Questionnaire,Narrative,Location Map,Tax Assessor's Map and Photographs. I trust that you will now find this application package complete and acceptable;please let me know if the need for further information arises. Very truly yours, DOCKO, INC. I 4"Au-cy"�t, Keith B.Neilson,P.E. KBN: cb Enclosure File: 10-10-2239 BURNHAM ®®CIC®, Inc. Serving the waterfront community since 1987 P.O.Box 421,Mystic,CT 06355(860)572-8939 Fax:(860)572-7569,email:office@docko.com �xilaer' Mr. Michael J. Domino,President 1 J Southold Board of Trustees Town Hall Annex 54375 Route 25 South,al,l 10,11;11 P.O. Box 1179 Onid of Ti e- Southold,NY 11971 Re: Burnham Property,Fishers Island New Pier and Float Dear Mr. Domino: On behalf of Mr. R. B. Burnham, we enclose herewith the following in support of his permit application for a new pier and float in Fishers Island Sound on Fishers Island,NY. ➢ Two prints each of plans titled: Project: "New Pier and Float" Location: Fishers Island,Town of Southold Suffolk County,New York Waterway: Fishers Island Sound Applicant: R. B. Burnham III Agent: Docko, Inc. ➢ Two copies of the Southold Board of Trustees permit application, Transactional Disclosure Form, Erosion, Sedimentation & Storm-Water Run-off Assessment Form, Short Environmental Assessment Form, LWRP Consistency Assessment Form, Full Environmental Assessment Form (SEQR), Environmental Questionnaire,Narrative,Location Map, Tax Assessor's Map and Photographs. ➢ Two checks in the amount of$250.00 payable to the Town of Southold. I trust that you will find this application package complete and acceptable;please let me know if the need for further information arises. Very truly yours, DOC O, INC. Keith B.Neilson,P.E. KBN: cb Enclosure CC: Mr. John Mealy File: 10-10-2239 BURNHAM