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Home My WebLink AboutTR-9437 Michael J.Domino,President OF SO�jTown Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 1�c0UM`I,� ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1639C Date: October 6, 2019 THIS CERTIFIES that the replacement in-place of existing 4'x38' and 6'x20' "T"shaped dock sections supported by(12) 10"diameter timber piles, and using a thru flow gated vinyl decking design, At 1200 Westphalia Road,Mattituck Suffolk County Tax Map#1000-114-7-14.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 28,2019 pursuant to which Trustees Wetland Permit#9437 Dated April 17, 2019,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the replacement in-place of existing 4'x38' and 6'x20' "T"shaped dock sections supported by(12) 10"diameter timber piles, and using a thru flow grated vinyl decking design The certificate is issued to William M.Mason&Anna Carusos,LLC c/o William Mason owner of the aforesaid property. -X�/v J L Authorized Signature i. Michael J. Domino, President ��OF SO!/j�O Town,Hall Annex John M. Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski G � O Telephone(631) 765-1892 Greg Williams ��UNT`I O Fax(631) 765-6641 ,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 10A/10) Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: co)clsv' `1 COMMENTS: OK �„c C -Q C. ncc6<A.r^ ce_ nn'I p3QSQS a►ajo� CERTIFICATE OF COMPLIANCE: g�FF01� Michael J. Domino, President Town Hall Annex John M. Bredemeyer, III, Vice-President �� y�$ 54375 Route 25 Glenn Goldsmith 'g P.O. Box 1179 A Nicholas Krupskii�y�• � Southold, NY 11971 Greg Williams , _fv, Telephone (631) 765-1892 'P Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed X When project complete, call for compliance inspection; +ei°iiii �: tiiP �rii ilii`1'i'ry+ Ne+ ri•y yii tis•'' i'+' +ri••: = iii"irr'. .'�¢�'•^'on2'•l�u�ar+,rn,�.sxnr.�.,Emn,Tl'3''�tmr„7 rc�,,,��nn.�n,�rc`a�dTPro,xns,.t7?x.nnv,lz+*.m1'7"iv.^xn.a'l":X91.fa�+ya?i�^hnylt fF1'�CF;rrw�ncn,Xt•'al+til, ,y , ` 3•r nxcn.n»�,Krmnn,;rp,,.• 1•Y Ic 3 '�'. 2:n .t✓.T^,n�T�S,u), n„ar, qg•r .,carr N her. eo eh�� i i �rr•, J=� BOARD OF SOUTHOLD TOWN TRUSTEES , t SOUTHOLD,NEW YORK s; ” PERMIT NO. 9437 DATE: APRIL 17, 2019 ` " " ISSUED TO: WILLIAM M. MASON & ANNA CARUSOS, LLC do WILLIAM :. MASON „ s PROPERTY ADDRESS: 1200 WESTPHALIA ROAD,MATTITUCK 0 SCTM# 1000-114-7-14.2 ?:r` AUTHORIZATION •„ Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in +e _r accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 17,2019, and in consideration of application fee in the sum of$250.00 paid by William Mason and subject to the Terms and x 'h Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the '= following: Wetland Permit to replace in-place existing 4'x38' and 6'x20' "T"shaped dock sections •• J•fj supported by(12) 10" diameter timber piles,and using a thru flow grated vinyl decking design; 1,+ :• ,�- and as depicted on the site plan prepared by Bulkhead Permits by Gary,Inc.,dated December ; '= 1,2018, and stamped approved on April 17,2019. +r,; ' IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, s�`•- and these presents to be subscribed by a majority of the said Board as of the 17`h day of April,2019. s' VP �- . `t"r++ �• of ,� �� y°+��; _ �' ` iu7S.).t:•iuu•uclaca•,`r�,'va4xiuChat)L•iuWl,SnuwS�U:u.)'.J.uvuSliG4.w,uuY.r..aSi.RUO�H]uA)iG)12YiLii�tvuYfi`�LitiiiilYl)ida�.RiluuA,uliaravgl\WiYailS}.t[IXiu)eAvulluuuUJSIL.,•uuaW.4i.,)1<w'ifia).,uuxa.�•?xv.v,�u.,iiJ,v.2puuJu.aiiiw.'d 1� , _ �1,. - - ice.;!. �°•.��- ''�`>;t o ° ' •}',,�J:''•' e�'' to-� •�� , .¢� ��,�« �„1ti. ,� _�/• //�Y ��:�•�., '�� .m ,. •:aEJ% '`��^ _ •,�hr••` « j. ^,,_ -,ur..' � :�r,'n,,_ �•.,fir"„-�s r�� •e�,"'cac�..�_ ,�? �maM1�/ 3''�"^s5•••r.�Rer”"^'_ `�� ..._,,_.:__�"`�==� \`�'"a.m,..n,�.m�� -�`"'�R+�mm�nnr"``- ]' =��• �e::; �1;;..- :;;;:: :;:p9•, _ .� N::° - "::.;a ,1 e:�r' - •: r I�Nv``•...`=-"'"'�;r,,, . .., e - ..A.:,::..`�. r e _ e r e rr e.:• •.� a .r e,... TERMS AND CONDITIONS The Permittee William M Mason&Anna Carusos LLC residing at 1200 Westphalia Road, Mattituck,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 n_o 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. 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVE the application of WILLIAM M. MASON & ANNA CARUSOS, LLC c/o WILLIAM MASON to replace in-place existing 4'x38' and 6'x20' "T" shaped dock sections supported by (12) 10" diameter timber piles, and using a thru flow grated vinyl decking design; and as-depicted on the site plan prepared by Bulkhead Permits by Gary, Inc., dated December 1, 2018, and stamped approved on April 17, 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: $830.00 Very truly yours, Michael J. Dom no — - - President, Board of Trustees- --- -- - - - - -- -- - MJD/dd c Michael J.Domino,President �QF so�ly Town Hall Annex O John M.Bredemeyer III,Vice-President ,`O lQ 54375 Route 25P.O.Box 1179 Glenn Goldsmith J�[ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 ol�COU ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 17, 2019 Scott Moses Bulkhead Permits by Gary 1456 66th Street Brooklyn, NY 11219 RE: WILLIAM M. MASON &ANNA CARUSOS, LLC c/o WILLIAM MASON 1200 WESTPHALIA ROAD, MATTITUCK SCTM# 1000-114-7-14.2 Dear Mr. Moses: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 17, 2019 regarding the above matter: WHEREAS, Bulkhead Permits by Gary on behalf of WILLIAM M. MASON,&ANNA CARUSOS, LLC c/o WILLIAM MASON 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 January 28,2019, and . --- - -- WHEREAS, _. _ __WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: issuance of a permit for the structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 17, 2019, at which time all interested persons were given an opportunity to be heard, and WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted . concerning this application, and, Applicant: William Mason ir, Project Site: 1200 Westhalia Road + F NEW Mattituck, NY 11952 �� J WEI,, 0 CO Proposed: Replacement of Existing �o C * b�AZ 'L1 -71YJV 3iva Pier in Same Place r JAN 2 8 2019 Scale: 1"=40' m i W (11OHinos JO NMOL Prepared by Bulkhead 2 S331S11 I �O CRI Permits by Gary inc. 2 Whaleneck Drive MddV I Merrick, NY 11566. - ---December 1,1, 2018 District:1000 Section 114 Block 07 Lot 14.2 Landward Edge of Tidal Wetlands QAs determined by Suffolk Milienos Family �O Environmental Consulting,Inc. 1100 Westphalia Rd a Note r'l hragmites MGrass&Tree area Mattituck.NY 11952 Q Q Gra ss&Tree area / Y -V- IL Y YY �� Grass&Tree area �--- �� y Y y NL 4 HVW AH W Y YY _`j'_p'o-- V -V Y ALW yyY IL y Y ! wy� �L„ Y 11 ne y y IL ` ALL y � NL Y Grass area ALW 1.5' ALW 1.5' Y y Y IL ` Prope Y NL V `� Line nY AL 6 & L Proposed replacement ofex'sdng WOW � Line Shore e ALW3.5' ALW3.S 6'x20'7 shaped piersupported by(14)10"x2S' `��{{/��/� ineMooring .� pressure treated timber pilesd even to refusal V Note(s): Mattituck Creek -Proposed deck Ing constructed with a thru flow gated design vinyl material thatallows i Width 160' forma6096 � th ghtpenetrationwianopen Town Of Southold PO Box 1179 Flood -38'Pierincludesa]i c(Cnlandboardwalk Southold,NY 11971 Property �Eb 0 thatwillalsobeconstructed vnththruflow Attn-,Board Of Trustees one .4_Ebb material Adj ace n t Sho re Line Empty Lot All hardware, nails &bolts shall be hot dip galvanized All bolt Heads &nuts will be used with cut washers `` `-i JAN 2 8 2019 CROSS VIEW All timber will be pressure treated marine grade t LProposed replacement ofexisting 4'x38'& 6`xru TWaped pieh-supporte l by(14)10"x25'' pressure treated timber piles driven to refusal Note(s): -Proposed decking constructed with a thru flow gated design vinyl material that allows R for maximum light penetration with an open E __, area of 60% s 11-P(NotTo Soale - -38'Pier includes a 3W inland boardwalk D \\\`\\\\I that will also be constructed with thru flow E N matenal c E ]8" H Existing ` nl phragmites ALW 7I LS' ExMi gsomm 2 N Ln Applicant: William Mason Project Site: 1200 Westhalia Road Mattituck, NY 11952 Proposed: Replacement of Existing Pier in Same PlaceOF NE Scale: 1"=10' Prepared by Bulkhead Permits by Gary inc. �'�J� 2 Whaleneck Drive r Merrick, NY 11566. December 1, 2018 °N`'� �R 71 A i John M. Bredemeyer III, President s�FFd[ Town Hall Annex Michael J. Domino, Vice-President _ ��` 54375 Route 25 James F. King # y ` ze'l P O. Box 1179 Dave Bergen tiDy �` Y Southold, NY 11971 Charles J. Sanders �d �a� �' Telephone (631) 765-1892 ` Fax (631) 765-6641 BOARD OF TOWN TRUSTEES �°ZZ` TOWN OF SOUTHOLD TO: WILLIAM M. MASON & ANNA CARUSOS LLC c/o BULKHEAD PERMITS BY GARY Please be advised that your application dated January 28, 2019 has been reviewed by this Board at the regular meeting of April 17, 2019 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/z Constructed ($50.00) x Final Inspection Fee ($50.00) x Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 4'x35' dock = 140 sq. ft. x $3.00 = $ 420.00 6'x20' floating dock = 120 sq. ft. x $3.00 = 360.00 TOTAL FEES DUE: $830.00 p q BY: Michael J. Domino, President : Z130 Board of Trustees Michael J. D ;"President �Q$11FF0 Town Hall Annex John M. Bredemeyer 1 1.Vice-President ��O �y 54375 Route 25 Glenn Goldsmithy a P.O.Box 1179 A.Nicholas Krupski O Southold,NY 11971 Greg Williams p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD j Date/Time: y�io/lq 2;SO Completed in field by: 1!�; Srv, ►�'�► Bulkhead Permits by Gary on behalf of WILLIAM M. MASON & ANNA CARUSOS, LLC, c/o WILLIAM MASON requests a Wetland Permit to replace in-place existing 4'x38' and 6'x20' "T" shaped dock sections supported by (12) 10" diameter timber piles, and using a thru flow grated vinyl decking design. Located: 1200 Westphalia Road, Mattituck. SCTM# 1000-114-7-14.2 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) 1,00 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment f 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: tOU&l: )0'nok rd OV W&JLnd rine. VSA �'hcu t ow dlcsc �ne� �,rou��, oy+ I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer ✓ M. Domino ✓ G. Goldsmith N. Krupski '� G. Williams Other i N SURVEY OF PROPERTY AT MA TTITUCK TOWN OF SO UTHOLD SUFFOLK COUNTY, MY i 1000-114-07-14.2 SCALE- 1 o=30' DECEMBER 19, 2012 OCTOBER 3, 2018 OCTOBER 9, 2018 F>~ENao LOT 1 004W S84'S7910"E P z �. VC FENCE FEx r'o 0� a� WIRE FEN. 184.320 CIO, -L FE 0 tcr h L WLF / SHED ACIFE �[ NIT 0.2'w / COVERED 0. PORCH . 6 y 'r BAS^ o � 43.0' P GRAVEL Z a # 2 / 13 IBRICK SLAND �O FE o o.S'w is /3 Lor f a LOT 2co V LANDWARD EDGE OF 77DAL 3 l WETLANDS AS DETERMINED BY SUFFOLK ENVIRONMENTAL 1�L DOCK CONSULTING, INC ON SEPTEMBER 24, 2018. / Guy �Re WLF pry # 4�.� I I -v -vm z m CA # 6fn v kp WZF yC fib' I t? NB6*52'45"E qQ' \ 27.81' MEAN HIGH WATER o KF EDGE OF ;Z.ANDS KF A OF CRFs Pq�MFNT # 8 3 # 9 O • c^� a ry ,,q CERTIFIED TO: NEW YORK ABSTRACT SERVICES, INC. OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY WILLIAM_ M. MASON AND ANNA CARUSOS FREEDOM MORTGAGE CORPORATION KEY JAN 2 g 2019 I = REBAR i I ® WELL ® = STAKE B = TEST HOLE ® = PIPE i = MONUMENT = WETLAND FLAG ,SOF NEW�. c-C� = U77LI7Y POLE �'�; Er?�,Q�f �Y = HYDRANT = LIGHT POLE LOT NUMBERS REFER 70 "MAP OF MINOR SUBDIVISION MADE FOR S/DNY W. OLMSTED, JR. AND ROBERT W. OLMS7E'D FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON AUGUST 30, 1990 AS FILE NO. 8994. "' LIC. N0. 49618 PCN—1 SR YO S, P.C. ANY ALTERAnON OR ADOInON TO THIS SURVEY 1S A WOLA710N OF SECTION 72090E THE NEW YORK (631) 765-5020 FAX (631) 765-1797 STATE W.EDUCA77ON LAEXCEPT AS PER SEC71ON 7209-SUBDIWSION 2. ALL CER77FICA77ONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY FSAID MAP OR COPIES BEAR THE IMPRESSED SEAL P.O. BOX 909 OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. 1230 TRAVELER STREET 12-299 SOUTHOLD, N. Y. 11971 William M.Mason&Anna Carusos,LLC 1200 Westphalia Road,Mattituck S CTM#: 1000-114-7-14-2 '4/10/19 Am 1. 1 1 r - 4 �'f.. r /, \, qJ � I.a16� � � � fig 4Fx V;aati •� � '� ,ll,�ti r� % �!�41 s'2 A .� 5r, "�' +ate, ':f•' ' �'�,,. „,. J /�. ��-j��i +Y .` I .�� r � 1y�i�},��r.'�� t�� , t7 �� l , t` `► •1-�y?P aio �iY ♦ �q p� �- •' i4. fN f I• � � 1• 1� �O�' j, { ... 1 F.I. .x - . _ r,• 'i,yY !.V y, a,�, �'$ _ Ay..�9� 01, ✓q� 1f i rn' e Ge. f J�13 t w e � °fie +i ��. a • Ct ft# ti ( y wart � i �. �,!r. .�s.rr. J!w� • �a'1 !x_ ,p+a--_. .r�....s. .. ..:�.:� `Skf t4:.'r_� ".i��A'! t- a� k �aiia lr�a :+Ri( `'-. .� �'.Y.t William M. Mason&Anna Carusos,LLC 1200 Westphalia Road,Mattituck SCTM#: 1000-114-7-14.2 f 4/10/19 � � rte.,. - � - d '`• ..K+,•r ' i w -41 aa4e 'i' '. ! ,i ,fir t yI A� x- • �.� - ,rn�. 1�' .� ._�yy,+� +.W Y - - #J , ��g'.•6 i i_.i:� , � 4�1'"I r y _� !a �-' e i �,[ ...iN'�� - ,. 'w y� 3� 7 y�l�. �'py ��- p� ,. k r t l �y � �� •s '' r..�-,.+.fir..w..a.C•^.rq'Yc +� 1�_ ,`, -,� _'�+Yr- /...�i ��+'�ov�•, \ � � 3s "i 1"s'"'{�1' � .,St+ "� ;d S �. ' 1 DEPARTMEN i-,UF THE ARMY-- � E ,C E I V U.S.ARMY CORPS OF ENGINEERS,NEW YORK DISTRICT JACOB K.JAVITS FEDERAL BUILDING 1 26 FEDERAL PLAZA NEW YORK NEW YORK 10278-0090 MAR 11 1 Southold Town r REGULATORY BRANCH SUBJECT: Department of the Army Permit Application File Number NAN-2018-01669-EKL by William Mason for Fixed Pier Maintenance in Mattituck Inlet, tributary of Long Island Sound in Mattituck, Town of Southold, Suffolk County, New York 1. PERMITTEE: William Mason 394 Old Country Road Garden City,, New York 11530 (516) 739-3090 2. On December 27, 2018, the New York District of the U.S. Army Corps of Engineers received a request for Department of the Army authorization for the repair and replacement of approximately 4-foot-wide by 38-foot-long and six-foot-wide by 20-foot-long existing T- shaped fixed timber'pier in-place. The regulated activities also include the replacement of fourteen (14) 10-inch diameter timber piles. The project is located in Mattituck Inlet, at 1200 Westphalia Road in Mattituck, Town of Southold, Suffolk County, New York. 3. The specific applicant-provided details are shown on the attached permit drawings titled "William Mason" dated February 11, 2019 prepared by Bulkhead Permits by Gary Inc., (sheets 1 through 3 of 3). 4. This determination covers only the work described in the submitted material_. Any _major_ changes in the project may require additional authorizations from the New York District of the U.S. Army Corps of Engineers. 5. Based on the information submitted to this office and accomplishment of any required notification in accordance with the applicable federal requirements, our review of the subject work indicates that an individual Department of the Army permit is not required. It appears that the activities within the jurisdiction of this office could be accomplished under Department of the.Army Nationwide General Permit Number 3 MAINTENANCE in accordance with Section 10 of the Rivers and Harbors Act of 1899 (33 U.S.C. 403). The nationwide permits are prescribed as a Reissuance of Nationwide Permits in the Federal Register dated January 6, 2017 (82 FR 1860). The subject work may be performed without further authorization from this office provided it complies with Sections A through D Number 3 MAINTENANCE; New York District regional conditions; the following, work-specific Special Conditions listed below; and any applicable regional conditions added by the State of New York. 6. Other than the work-specific Special Conditions listed below, the 2017 nationwide general permits in the State of New York, including their final regional conditions, water quality certifications, and coastal zone concurrence statements are available at: REGULA i uKY BRANCH MAR 0 8 2019 SUBJECT: Department of the Army Permit Application File Number NAN-2018-01669-EKL by William Mason for Fixed Pier Maintenance in Mattituck Inlet, tributary of Long Island Sound in Mattituck, Town of Southold, Suffolk County, New York - 2 — www nan usace army mil/Portals/37/docs/regulatory/publicnotices/Regional%2OGen%20 Perm it/PN-RB%20NAN%20 Final RegionalConditionsWQC%20CZMforNYdated%2021- MAR-2017.pdf If you require a specific paper copy, please contact our Regulator-of-the-Day at 917-790- 8511 to request one be mailed to you. Please be sure to have the above eighteen-character file number readily available when you call. 7. Work-specific Special Conditions: (A) The permittee understands and agrees that, if future operations by the United States require the removal, relocation, or other alteration, of the structure or work herein authorized, or if, in the opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause unreasonable obstruction to the free navigation of the navigable waters, the permittee will be required, upon due notice from the Corps of Engineers, to remove, relocate, or alter the structural work or obstructions caused thereby, without expense to the United States. No claim shall be made against the United States on account of any such removal or alteration. (B) The permittee shall sign and submit the attached compliance certification form to this office within 30 days of COMPLETION of the regulated activity authorized by this permit and any mitigation work required by Special Condition. (C) The permittee, and their agents, shall take actions to prevent construction materials, including debris, from/ entering any waterway to become drift or pollution,hazards. 8. Please note that this nationwide general permit (NWGP) verification is based on a preliminary jurisdictional determination (JD). A preliminary jurisdictional determination (JD) is not appealable. If you wish, prior to commencement of the authorized work you may request an approved jurisdictional determination (JD), which may be appealed, by contacting the New York District, US Army Corps of Engineers for further instructions. To assist you in this decision and address any questions you may have on the differences between preliminary and approved jurisdictional determinations, please review US Army Corps of Engineers Regulatory Guidance Letter Number 16-01, which can be found at: https://usace.contentdm.ocic.org/utils/geff ile/collection/pl 6021 coll9/id/1 256 9. This verification is valid until March 18, 2022, unless the nationwide general permits are modified, reissued, or revoked before then. This verification will in valid until March 18, 2022, if the subject work activity complies with the to cE a* pigseTugn REAR 1 1 2019 Southold Town Board�f Trustees REGULATORY BRANCH MAR 0 8 2019 SUBJECT: Department of the Army Permit Application File Number NAN-2018-01669-EKL by William Mason for Fixed Pier Maintenance in Mattituck Inlet, tributary of Long Island Sound in Mattituck, Town of Southold, Suffolk County, New York - 3 — modifications of the nationwide general permits. If the nationwide general permits are suspended, revoked, or modified in such a way that the subject activity would no longer comply with the terms and conditions of a nationwide general permit, and the proposed work activity has commenced, or is under contract to commence, the permittee will have twelve (12) months from the date of such permit action to complete the regulated work. 10. In order for us to better serve you and others, please complete our Customer Service Survey located at: http://www nan usace.army.mil/Missions/Regulatory/CustomerSurvey.aspx 11. Any inquiries should be directed to our Regulator-of-the-Day at 917-790-8511. Please be sure to have the above eighteen-character file number readily available when you call. Ronald R. Pinz r Chief, Eastern Section Enclosures (3) 1. Dated Permit Drawings 2. Completion Form 3. Preliminary Jurisdictional Determination E E V E Copies furnished: Bulkhead Permits by Gary Inc. MAR 1- 1 2019 Attn: Scott Moses .1456 661h Street soukld Town Brooklyn, New York 11219 Board of Trustees t tL.t,: ►v��1V' CV l�� U 1(e�`"�� lL. North � C E � � � MAR 1 1 2019 �C'd of Tiu�tees CU F+ % a` A.- South Applicant: William Mason Latitude: 40059'32.81"N Project Site: 1200 Westhalia Road Longitude: 72032'20.74"W , Mattituck, NY 11952 Proposed: Replacement of Existing Pier in Same Place Prepared by Bulkhead Permits by Gary inc. 2 Whaleneck Drive Merrick, NY 11566. MAR 0 8 2019 December 1, 2018 t OF Applicant: William Mason Project Site: 1200 Westhalia Road Project Plan Mattituck, NY 11952 , E C E Q � [ - 0 Proposed: Replacement of Existing Pier in Same Place Scale: 1"=40' MAR 1 1 2019 Prepared by Bulkhead Permits by Gary inc. Southold Town 2 Whaleneck Drive Board of Trustoos Merrick, NY 11566. December 1, 2018 Revised February 11, 2019 Enstln hed District:1000 Section 114 Block 07 Lot 14.2 a Landward Edge of Tidal Wetlands O As determined by Suffolk I 100 os Family Westphalia Environmental Consulting,Inc. 100 a Note:Plant life is phragmites-\L Grass&Tree area\4 Mattituck,t jY 1195522 a Grass&Tree area / .1L � -\L Y �� Grass&Tree area Y------ / MKWM Y T�4'�HTL roPe�� Y 'VVV me -'L � MLWM �1y�Y 'w�' _ V V // MMLW�1.5' MLw15' �Yy'YL�'AL ' aL., Grass area y Y L �L y� M Line°Perty Proposed replacement ofexstng 4'x3g'& �� VV Adjacent Shore / MLW3 5' MLW3.5' 6'X10'T shaped pier in same place supported MLWM Line&Mooring / by(14)10"x25'pressure treated timber piles driven to refusal / Note(s) s Mattituck Creek -Proposed decking constructed with athru s flowgated des 13n vinyl material that allows IS s Width 160 form aximumGghtpenetrationwithanopen Town Of Southold area PO Box 1179 Flood -38'Pier rin inckjdesaak4'inland boardwalk Southold,NY 11971 PcoPem , thatwilialsobeconstructedunththruflow Attn:Board Of Trustees Line c Cbb material Adjacent Shore _ �9 _ Line Empty Lot MAR 0 8 2019 All hardware, nails &bolts shall be hot dip galvanized All bolt Heads &nuts will be used with cut washers CROSS VIEW All timber will be pressure treated marine grade Proposed replacement ofexisting 4'x38'& 6'x20'T Shaped pier in same place supported by(14)10"x75'pressu re treated timber piles driven to refusal Note(s): -Proposed decking constructed with a thru R flow gated design vinyl material that allows E for ma>amum light penetration with an open S 117'(NotTo Scale I area of 60% o -38'Pier includes a 3'x4'inland boardwalk E that will also be constructed with thru flow N c material E � SHTL+4' MHW+3.5� Existing phragmiteso, 9' 15' ExatN g Bottom z•S 3S' N 90 (Jl Applicant: William Mason Project Site: 1200 Westhalia Road Mattituck, NY 11952 Proposed: Replacement of Existing Pier in Same Place Scale: 1"=10' Prepared by Bulkhead Permits by Gary inc. 2 Whaleneck Drive Merrick, NY 11566. D E C E � V E December 1, 2018 Revised February 11, 2019 M AR019 - MAR ® g 2019 Board of Trustees NATIONWIDE GENERAL PERMIT COMPLIANCE CERTIFICATION AND REPORT FORM Permit File Number: NAN-2018-01669-EKL Permittee: William Mason Location: 1200 Westphalia Road, Mattituck, Town of Southold, Suffolk County, New York MAR 0 8 2019 Date Permit Letter Issued: Within 30 days of the completion of the activity authorized by this nationwide general permit and any mitigation required in the verification letter, please sign this certification and return it to the address at the bottom of this form. Please note that your permitted activity is subject to a compliance inspection by a U.S. Army Corps of Engineers representative. If you fail to comply with the permit's terms and conditions you are subject to permit suspension, modification or revocation. I hereby certify that the work authorized by the above referenced nationwide general permit has been completed in accordance with the terms and conditions of said permit, and required mitigation was completed in accordance with the permit conditions. Signature of Permittee Date FOLD THIS FORM INTO THIRDS, WITH THE BOTTOM THIRD FACING OUTWARD. TAPE IT TOGETHER AND MAIL TO THE ADDRESS BELOW OR FAX (212) 264-4260. PLACE STAMP HERE DEPARTMENT OF THE ARMY �. NEW YORK DISTRICT CORPS OF ENGINEERS `r _ �� Y JACOB K. JAVITS FEDERAL BUILDING =' ATTN: CENAN-OP-RE MAR 1 1 219 NEW YORK, NEW YORK 10278-0090 Bad of Trustees NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY 01 Stony Brook,50 Circle Road,Stony Brook,NY 11790 P•(631)444-03651 F (631)444-0360 www dec riy.gov February 1, 2019 Mr. William Mason 394 Old Country Road Garden City, NY 11530 RE: Permit No.: 1-4738-04652/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit for the referenced activity. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of Construction. Please note, the permit sign and Notice of Commencement/Completion of Construction form are sent to either the permittee or the facility application contact, not both. Sincerely, Claire Werner Environmental Analyst C KW/Is pL E MAP 2Ol f 1 9 NEW YORK Departmentof - n"Irl STATE OF NITY Environmental OPPOpTU Conservation "`S MOM NEW YOR4 &TE DEPARTMENT OF ENVIRONME.� �L.CONSERVATION Facility DEC IDII-4738-04652 PERMIT Under the Environmental C®nservati®fi Law ECL Permittee and Facility Information Permit Issued To: Facility: WILLIAM MASON MASON PROPERTY 394 OLD COUNTRY RD 1200 WESTPHALIA RDISCTM# 1000-114-7- 14.2 GARDEN CITY,NY 11530 MATTITUCK,NY 11952 22 Facility Application Contact: D E C L� Q V E BULKHEAD PERMITS BY GARY INC C/O SCOTT MOSES 1456 66TH ST FL 2 BAR 1 1 2019 BROOKLYN,NY 11219 (516) 546-3479 Southold Town Board of Trustees Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Mattituck Facility Principal Reference Point: NYTM-E: 706.983 NYTM-N: 4540.84 Latitude: 40°59'33.0" Longitude: 72°32'21.4" Project Location: 1200 Westphalia Road - Watercourse-Mattituck Creek Authorized Activity: Reconstruct existing 4' x 3 8' catwalk with 6'x 20' "T" at seaward end in-place. All authorized activities must be in strict conformance with the attached plans stamped NYSDEC approved on 2/1/19. DEP-ART® (CKW) Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-04652/00001 " New Permit Effective Date: 2/1/2019 Expiration Date: 1/31/2024 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: SUSAN ACKERMAN,Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook, Y 1790 -3409 Authorized Signature: Date Z/,=/70\0 Page 1 of 5 NEW YOR4 ATE DEPARTMENT OF ENVIRONME L CONSERVATION Facility ITEC 4D 1-4733-04652 Distribution List BULKHEAD PERMITS BY GARY INC Marine Habitat Protection CLAIRE K WERNER �n Permit Component Dki NATURAL RESOURCE PERMIT CONDITIONS MAR 1 1 2019 southold Town ar o Tr'st— GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 4. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 5. Use of Treated Wood The use of wood treated with Pentachlorophenol or other wood treatment not specifically approved by the Department for use in wetlands and/or marine waters, is strictly prohibited in the construction of structures that will be in contact with tidal waters. 6. No Disturbance to Vegetated 'Vidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 7. Catwalk Decking- 60% Opera Space The catwalk decking shall be constructed of fiberglass grating with a minimum of 60% open space to reduce shading impacts. Page 2 of 5 NEW Y®R➢ kTE DEPARTMENT OF ENV1R®NME] L CONSERVATION Facility DEI,.a 1-4738-04652 8. Dock Reconstruction or Replacement With the exception of the use of open grate decking material, dock reconstruction or replacement shall not involve expansion or substantial modification of existing structures or facilities. 9. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 10. No Permanent Structures on Dock No permanent structures shall be installed on dock/catwalk/float without first obtaining written Department approval (permit, modification, or amendment). 11. No Structures on Pilings No structures, other than structures specifically authorized by this permit, shall be constructed on pilings without further authorization from the department(permit, modification or amendment). 12. State Not Liable for Damage The State of New York shall,in no case be liable for any damage or , injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 13. State May Order RE moval or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if,in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit,the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted stricture or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 14. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 15. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Bulkhead Permits by Gary dated 12/1/18, stamped NYSDEC approved on 2/1/19. EC EE VE MAR 1 1 2019 Page 3 of 5 Southold Town Board of Trustee NEW YOR1 kTE DEPARTMENT OF ENVIRONIVIE1 CONSERVATION Facility DEC Ay 1-4738-04652 16. Precautions Against Contamination of`maters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. GENERAL CONDITIONS - Apply to ALL. Authorized Permits: 1. )Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The pennittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terns, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator E E i NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd MAR 1 1 2019 Stony Brook, NYI 1790 -3409 4. Submission of Renewal Application The permittee must submit a enewal apP#' rustreeit least 30 days before permit ekpiration for the following permit authorizations: I idai wetiancis. _5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; Page 4 of 5 NEW YORE ATF DEPARTMENT OF FNvttt®NMET' CONSERVATION Facility DEC _— _-4738-04652 b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does' not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining ®thea-Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: 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. D E G E 0 V E 0 MAR 1 1 2019 Page 5 of 5 Southold Totten Board of Trustees Applicant: William Mason Project Site: 1200 Westhalia Road 4 :23Project Plan Mattituck, NY 11952 � > --�� Proposed: Replacement of Existing z > Pier in Same r Place Scale. 1"=40' t I 0 Prepared by Bulkhead z > Permits by Gary inc. - (2p -1 -0 2 Whaleneck ®rive s z � Merrick, NY 11566. � t � �0 December 1, 2018 �� s .—J��J�J ea Existing � hed M District.1000 Co Section 114 o Block 07 0 0 MLot 14 2 g ¢v _ Landward Edge of Tidal Wetlands y ® AS determined by Suffolk Milienos Family c - Environmental Consulting,Inc. 1100 Westphalia Rr' Q Note: Plant life is phragmites-V- Grass&Tree area Mattituck, NY 11951, Grass&Tree area //1L // V V Grass&Tree area ��.�� ff'��r`��-`�/�I�� t�r� Pro � -�V V M� tv- `.§L'" '2r k �f/� e (ire _r .� `.� G2ssarea ALW 1 5' AL W I.S. � t/ L Propel AL 15 �` _fir\LV AdiacentShore ALW3 5' ALW3 S' Proposed replacement of existing 4'x38'& A 1 FRe1 Line&Mooring 6'x20'T Shaped pier su pported by(14)10"x25' Lir$. pressure treated tmber pllesdnven to refusal r Note(s). 1 V I at`itu ck Creek -Proposed decking constructed with a thru flow gated destn vinyl material thatallows _ Width 160' formazimum light penetration with an open Town Of Southold I t area of 5076 PO Box 1179 Flood -38'Pienncludesa3k4'mlandboardwalk Southold,NY 11971 PTopeM —® thatwillalsobeconstructedwiththruflow Atfn QoardOfTrustees li �b ne b material Adjacent Shore I inp Fm ntv lot All hardware, nails & bolts shall be hot dip galvanized All bolt Heads &nuts will be used with cut washers CROSS VIEW All timber will be pressure treated marine grade 444' Proposed replacement ofebsting 4!x38'& 6'x20'T Shaped pier supported by(14)10' pressure treated timber piles driven to re Note(s): -Proposed decking constructed with a thru R flow gated design vinyl material that a Ilows E for mammum light penetration with an open S 4117'(NotTo Scale) area of 60% l -38'Pier includes a 3'x4'inland boardwalk D E ( I that will also be constructed with thru flow N \ i ` 1 ( material 18 1AHWQ !' D E C i� V E phragmrtes �' 9' ALW Exsing Bottom 2 MAR 1 1 2019 Southold Town M Board of Trustees I 0o kC) 0 0 Z Applicant: William Mason Z 0 CD Project Site: 1200 Westhalia Road CD Mattituck, NY 11952 m m Proposed: Replacement of Existing (0 � C'. Pier in Same Place -on Scale: 1"=10' Prepared by Bulkhead Permits by Gary inc. 2 Whaleneck Drive Merrick, NY 11566. December 1, 2018 e -l im IPS, ,��`li� yyr tu �_,�' � �� .► ��»dei Applicant Pier Northern View Applicant Pier Southern View r {WK �Stiw 'r� �f•.a'6eJ'f. . ' ` ;. F,;", 1+ r PIP ,! ' glzl 411 + _ t �. y�'r �k a gym.-.. .7e�-•� t '�� s� � �i' � � Applicant Rear Yard Western View Applicant Pier Western View Name: William Mason Date: November 7, 2018 Time: 2:00 PM Y- 'ra: ;..- .�, Y -. ." 4 h �-x. '.'Y•:.` Win. .mit".t. - .. .,.. 5 e SFE E[C.NO 10'/ - _, _ .Y- � A••O �D .•J n- t 11dU11 — — ' MATCH UNE O 4 ueE MATCH T uNE w ' �fORKLnO. Nxa� N1weB'! 6EE 6EGM0. FORPCL.NO w C1S�SIEC NO 4§ 5 s e o Z '�III�1 Z 1 + N 12 w rl l' 1 N m A b t I w 9 S lit •g ' /• � �•(�' W ^° d' 90A(c) b r .2 6 uNroN FREE 2 r ----I INc)-------- � O � i \\\I� •scHooLDismlcre N AhA 12 / O ._ nn I 153 - ---- '_ SOL OF SO�UR10lD ®- 2 zl S r y 5-0A(c) FST. r(_s1 � r � � / 6 . scHODGDIsrwcr -_s /,•f n) k' � S •' jga'o �5 "p1•,'n-�O,°� D - - - R r y y 9 9 I !Q 6 4,- I ) I MATRUCK DISTRICT �+!my g$ry+•OQ.- 'F � d zJ )•Mc/ ZR1 T4j •nh� O ,Fb a �e Y a�. )e, S + t?„ v 1x11 m t3Nc1 ` P _ LATHOUC 9 �° rn (n•�p.J .P� •.,'®' 1 r6^4 9 1°.K1 aF+ CHURCH 'I�b� •FS A.�b� P //�'(� r13`"'s"'_ ++ "x"� � `>, 11 E 1zg 13 �3 1141c)g L 19 ��1 �O t s m .zz3 lgpld 1 All 25146 . a -� zN g g m ccf� FOR PCL NO ,tT g 19 RO NST 1 12e O m E to 1 °' ]9A I, I SEE SEC-N �'° m �' r I 11312.15. 11 rg 161 SUFF,]LK T 8 C 5 6 g • m5 142 °t IOPFN SPTf£) G 31 g 9 m i 14.7 (OPEtt it a 42 \e a N 4� 11A PGi.J 144 FORNO FOR PGL NO 19A - f9ASM Sm \ 1II Q SEESEC NO / 29.11 >m 122.50x1° 4� G� ,$ 122.930914 145 m _ 6 C --- HNE 9 138 10A a W= --� HNE 97A(c) SEE SCTN0122 1JI a a ^ COUNTY OF SUFFOLK © K ,� sooTHOLD SECTION NO L raw. u_ ua �° u.. ___ uwtr — -- --p-- • NOTICE E E ,.�� —.�-- (21) ,� O-- ,,,,,�, —-- ""•'•- -- -- rn�w,wE.A.,N,An4KM�fe°w a� Real Property Tax Service Agency r ' of __ 1{�ff++i.�r77 ewtYlinmrR a we,NY11B41 °° "' 114 NvrYartlFt+Ptn6..- E yf� P 141 114 in xo Iwo PROPERTY MAP OFFICE LOCATION: �OF SO(/�y® MAILING ADDRESS: Town Hall Annex '`® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Q Telephone: 631 765-1938 Southold,NY 11971 • ® P ® Fax: 631765-3136 lyc.UNTY,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: April 15, 2019 Re: LWRP Coastal Consistency Review for WILLIAM M. MASON &ANNA CARUSOS, LLC, c/o WILLIAM MASON SCTM# 1000-114-7-14.2 Bulkhead Permits by Gary on behalf of WILLIAM M. MASON & ANNA CARUSOS, LLC, c/o WILLIAM MASON requests a Wetland Permit to replace in-place existing 4'x38' and 6'x20' "T" shaped dock sections supported by (12) 10" diameter timber piles, and using a thru flow grated vinyl decking design. Located: 1200 Westphalia Road, Mattituck. SCTM# 1000-114-7-14.2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records'avai[able to me, it is my recommendation that the action is INCONSISTENT with the Policy Standards (Policy 6.3) and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. A Wetlands permit for the existing dock structure was not located within Town laser fiche records. The applicant fails to prove that the action meets the following requirements § 275-11, Construction and operation standards C. 2 (d) of the Southold Town Code. In the event the action is approved, it is recommended that: 1. That a vegetated buffer be established to mitigate adverse 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 b l aguf�o�� Peter Young,ChairmanH Town Hall,53095 Main Rd. Lauren Standish,Secretary a P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Mon., April 15, 2019 the following recommendation was made: Moved by Peter Meeker, seconded by James Abbott, it was RESOLVED to SUPPORT the application of WILLIAM MASON to replace existing 4'X 38' and 6'X 20' "T" shaped pier sections supported by (12) 10" X 30" timber piles driven to refusal. Pier decking is proposed to be constructed with thru flow grated design vinyl material that will allow for a maximum light penetration with an open area of 60%. Located: 1200 Westphalia Rd., Mattituck. SCTM#114-7-14.2 Inspected by: Peter Meeker, James Abbott, Carol Brown Vote of Council: Ayes: All Motion Carried �:ri p SQC , Michael J.Domino,President �.��, Town Hall Annex John M.Bredemeyer III,Vice-President `� O 54375 Route 25 Glenn Goldsmith t P.O.Box 1179 Southold New York 11971 A.Nicholas Krupski # y ��p� , Telephone(631) 765-1892 Greg Williams �'fFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only - Coastal Erosion Permit Application JAN 2 8 2019 Wetland Penmit Application Administrative Permit �Amendment/Transfer/Extension Sous,old Town Received Application: Bard of Trustees Received Fee: $ 2-Q,00 Completed Application: ( - Incomplete: SEQRA Classification: Type I Type II ' Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: ICoordination:(date sent): 9 LWRP Consistency Assessment orm en : CAC Referral Sent: a7 /9 Date of Inspection: pl Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s)Legal Name of Property(as shown on Deed): William Mason Mailing Address: _ 394 Old Country Road,Garden City,NY 11530 Phone Number: 516-739-3090 Suffolk County Tax Map Number: 1000 - 114/07/14.2 Property Location: 1200 Westphalia Road,Mattituck,NY 11952 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): _ Bulkhead Permits by Gary Mailing Address: 1456 66th Street,Brooklyn,NY 11219 Phone Number: 917-776-3922 CA,A-' \1 ,�\�\ Board of Trustees ApF cation GENERAL DATA Land Area(in square feet): 51,863 49 square feet Area Zoning: Residential Previous use of property: Residential/Recreational Mooring Intended use of property: Residential/Recreational Mooring Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes X No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date Southold Board of Trustees Permit# 107 May 23, 1960 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): see attached 13u=ead Permits by Gary,Inc. 2 Whaleneck Drive,Merrick,NY 11566 (516) 546-3479 December 1,2018 Project Description:Applicant William Mason owns the project site 1200 Westphalia Road Mattituck,NY 11952.Forward all mail to:394 Old Country Rd Garden City,NY 11530.Proposed is replacement of existing 4'x38' &6'x20' T Shaped pier sections supported by(12) 10"00'timber piles driven to refusal.Pier decking is proposed to be constructed with thru flow gated design vinyl material that will allow for a maximum light penetration with an open area of 60%. All equipment and all material for this project will be brought in via upland by a licensed and insured contractor.This project is to provide mooring. This project is minor in nature and offers no community concern.This project is located on Mattituck Creek,in Suffolk County,Town of Southold. Adjacent property owners: Milienos Family 1100 Westpalia Rd Mattituck,NY 11952 Town Of Southold Po Box 1179 Southold,NY 11971 Attn: Board Of Trustees Should you have any questions pertaining to this matter,please call or email me at Bulkheadpermits@aol.com. Thank you so much for your consideration of this application. Regards, Scow`/"o-sa Board of Trustees Ap Lcation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Recreational mooring Area of wetlands on lot: 3729.73 square feet Percent coverage of lot: 2 % Closest distance between nearest existing structure and upland edge of wetlands: 69.6 feet Closest distance between nearest proposed structure and upland edge of wetlands: 117 feet Does the project involve excavation or filling? X No Yes If yes,how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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): Proposed project will enhance natural plant life with use of a deck thru flow material on the pier allowing 60% sunlight penetration allowing for better plant growth. Proposed will follow NYSDEC+Town of Southold regulations. 4, 617.20 Appendix B Short Environmental Assessment Form Instructions for Comnletine 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 William Mason Name of Action or Project: Mason Project Project Location(describe,and attach a location map): 1200 Westphalia Road,Mattituck,NY 11952 Brief Description of Proposed Action: Proposed is replacement of existing 4x38'&6'x20'pier sections supported by(12)10"x30"timber piles driven to refusal. Pier decking is proposed to be constructed with thru flow gated design vinyl material that will allow for a maximum light penetration with an open area of 60% Name of Applicant or Sponsor: Telephone: 516-739-3090 William Mason E-Mail: billmason@mansonandmason.net Address: 394 Old Country Road City/PO: State: Zip Code: Garden City NY 11530 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 X 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 fimding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: X 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 i or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Pagel of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: X 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: Does not apply to this projec r000sed is for residential use and enhanced mooring. X 10. Will the proposed action connect to an existing public/private water supply? NO YES [If Yes,does the existing system have capacity to provide service? ❑NO❑YES] If No,describe method for providing potable water. X Does not apply to this project,proposed is for residential use and enhanced mooring 11.Will the proposed action connect to existing wastewater utilities? NO YES [If Yes,does the existing system have capacity to provide service? ❑NO❑YES] If No,describe method for providing wastewater treatment: X Does not apply to this project,proposed is for residential use and enhanced mooring 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? X 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? X If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: rr,pjacement of existing pier,enhanced mooring 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO❑YES X b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 of 4 - - - .�-_ w- _._.. __-_ -- --- -•bio vis 1 18.Does the sed propoaction include construction or other activities that,result in the impoundment of i water or other'liquids(e.g.reteMto pond,waste lagoon,dam)?, ': if Yes,explain purpose and size EJ - .NO., t VES i 19.Has the site of the proposed action or an adjoining property,been the Location of an active or closed " .t , ! solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or'an adjoining-properly been the subject of remediation(ongoing ori completed)for hazardous waste? If Yes,describe: 1 AFFIRM (HAT'II HE INFORMATION!'ROViiDED jdSOVE aS TRETE AND'.t►CCURATE TOTHE BEST OP MV KNOWLEDGE NA40,j Aa Date: Applicant/sponsor•name' ,_ _, v Signature: Part Z-impact Assessment. The Lead Agency is responsible for the cam submitted of Part t Answer all of the fi�llowing questions in'Part 2 using the information contained in Part I and other materials submitted by the proiect sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Piave my responses been reasonable considering the scale and context of the proposed action?" No,or - Moderate . small �- to large impact ini'paict .i may may t occur occur t. Will ict the proposed action create a material conflwith an adopted land'use plan or zoning �! regulations? __ ._.. _V__ _ -__,..,.__.. _ . _. . _-__,. •-- - -- ; - action resulf in a change in the use or intensity of use of land? - i 2- Will the proposed 3, will the proposed action impair the character or quality of the existing community? w � � ET ty have an impact on the environmental ch, establishment caused the i 4. Will the proposed action ha p i establishment of a Critical Environmental-Area(CEA)? S. will the proposed action result in an,adverse change in the cxistiug levet of traffic or affect,existing infrastructure for mass transit,biking or walkway?_ _- 6. 'Will the proposed action cause an increase in the use cif energy and it fails to incorporate 6( reasonably available eneri;y conservation or renewable energy opportunities? ` LJ 7: Will-the proposed action impact existing: t' a.public 1 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- rest, hange to natutalxesour'ces(e.g., wetlands, p waterbodies,granndwater,air quality,flora and fauna)? Pace 3 of 4 . No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental imp ts. Southold Board of Trustees fi Name of Lead Agency Date Michael J. Domino C4 - Print or Type Name f Responsi 1 cer in Lead Agency Title of Responsible Officer Signature of Response a Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 - Board of Trustees App��L`ation AFFIDA`TIT j ff Ck 14 �2� `� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD'OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner 6,,.r,,m r, rl A li 3,^�3 Ail SWORN TO BEFORE ME THIS� lO DAY OF �. Za1� i ~_ Lisa M Wenchell Notary Public m V Public,stamct timU t mg6t tion No.01WEW=X Qualified to 16,20 Board of Trustees Apgyzation AUTHORIZATION (Where the applicant is not the owner) tw... .. _ _..•_�_ I/We x e� owners of the property identified as SCTM# 1000- in the town of New York,hereby authorizes to act as my agent and handle all a necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. Property Owner's Si ature Property Owner's Signature Q'►L1t4\ 11 f14,(ZZ,—,AZ 13X Ca.ACqCa-J t,t-L SWORN TO BEFORE ME THIS I� __DAY OF _ . 20_ Notary Public Lisa M Wenchell Notary Public,State of New Yak Registration No.01WE5085236 Qualified in Nassau County My Commission Expires September 15, APPLICANUAGEN7[ REPRESENTATIV E TRANSACTIONAL DISCLOSURE FORM The Town of Sonthold's Code of Ethics rohibits cont4icts a�f interest on the art of town officers nand ern rtoyu s.°Tire ur rase e�f�- this form is to provide informationa can alert the tower of 'rssihle conflicts of it;teres tinct alierey it to take evhatevcr action i, necessim to avoid same. YOUR NAME' €� (Last name,first name,*iddie initial,unless you are applying in the mmne 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 Zona Coastal Erosion N _ Approval of plat Mooring Exemption from plat or official reap Planning Other (If"Other*,name the activity.) Do you ixrsonall} for through your company, ;)Ouse.sibling,parent,or child)have.a rdatiunatup With any oftiecr or a:mlrloyee of the*)'own of Southold? "Relattonshipr includes by blood,tnarnat c.or husiraess interest."14trautr5s urterust'mcertns a business, including a partnership.in Which the(own officer or cnipleoyee las even it partial ownership of(or ctnploi-ntent bye a corporation in which the town ori jeer or employee owns more than)5 o of die 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 hetlwen yourself(the applicant/ct��ctulrepresentative)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): qt%)tite owner of greater than 5°n of the shares of the corporate stock of the applicant (when the:applicant is a corporation); [3)the legal or henetic"sat owner of any'interest in it non-corporate entity(when the eapplicsnt is not a corpor=ation): _ C)itn officer.director,partner,or em io.."Ce of the applicant;Or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this d of 20� Signature'ZI Print Narne__g.li j - A. -..-- - —.- Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and einalovee. The naroose of this form is-toprovide-inforination which can alert the town of possiblegbnflicLq of interest and allow it to take whatever action is necessary to avoid same YOUR NAME: I T ✓ `�S �� !-c�S --(Mt name,first name griddle initial,unless you are aFolying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building _ Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have,a relationship with any officer or employee of the'rown of Southold? "Relationship"includes by blood,tuarriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even ii partial ownership of(or employment by)a corporation in which the town officer of employee owns'more than 5%of the shares. YES NO _z 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 applicantlag t/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe,in the ace provided. The town officer or employee or his or her spouse,s' ling,parent,or child is(check all that apply): A)the owner of greater than 5%of the ares of the corporate stock of the applicant (when the applicant is a corporate B)the legal or beneficial owner of iy interest in'a non-corporate entity(when the applicant is not a corporation C)ari-ofl'1cer,director,partner r employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELAT NSHIP Submitted this t3 day of"0 20 Signature -- Print Name -rr- ,-(at Er Form TS I SV1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: �z FAM z,--( STATE OF NEW YORK COUNTY OF SUFFOLK ��Ss '�Pri� br �,�e�� rr, , �pf-( , residing at `Z Gt/1?��'� `� being duly sworn, deposes and says that on the g day of Pr,`( , 20 I q , 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 ere mailed to each of said persons by CERTIFIED MAEURE URN RECEIPT. Sworn to bef re me this S�6 Day of 20 i 41 ZY. Notary Public GARY W MOSES Notary Public-State of New York Reg. No. 01M06186523 Qualified in Nassau County Commission Expires in May 5,2020 ~Michael J.Domino,President Q �FOC Town Hall Annex pti OG e, John M.Bredemeyer II1,Vice-President �� y,„ 54375 Route 25 Glenn Goldsmith o "� P.O.Box 1179 A.Nicholas Krupskiw Southold,NY 11971 Greg Williams o��01 0 Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of WILLIAM M. MASON & ANNA CARUSOS,LLC, c/o WILLIAM MASON 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 DAYS PRIOR TO THE PUBLIC HEARING DATE I, Scovr /4,ioS , residing at/dba 2 Wbg(lee7,M� A r ,14fe nrfz , l(-��a being duly sworn, depose and say: That on the 7 day of PI'� , 201 q, I personally posted the property known as jZ®o (A/e,+ ?0jfr4 �� /�jg4+,4Ut1c 1 A,-( Ii4\__�— by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday,/April 17, 2019. Dated: (signature) Sworn to before me this i-7 day of he 1 20 1 0%�" GARY W MOSES Notary Public Notary Public-State of New York Reg. 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(over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt bo L,1 FA Ry COMPLETE COMPLETE THIS SECTION ON DELIVE THIS SECTION CID SENDERM D, ° ■ Complete items 1,2,and 3. A. Signature ❑Agent h1ATTI�TLtCI 'mdY� ` r - �` ■ Print your name and address on thereverse , ❑Addressee j so that we can return the card to �► ✓i _. Li AL3 �/ � B. Received by rioted me) C. Date of Delivery r—1 Certified Mai!Feer ■ Attach this card to the back of the mailpiece, ra $ ''S!"! ar�r. 'a' ,;�1'CI or on the front if space permits. Extra Services&Fees(checkbox,add ree \ D, Is delivery address different from item 1? Yes p , `f 1. 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O Collect on Delivery Restricted Delivery ❑Signat '"' I LRG© :o o t A j _ _nrtrrlo N+rmhar!Transfer from service label)__ — ��I ❑Signature Confirmation t 7 018 0680 0 0 01 5115 4988 a�I Restricted Delivery Restricted Delivery I PS Form 3811,July 2015 PSN 7530-02-000-9053 ,Domestic Return Receipt N -UTILt: Uim HLAKING 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. S OWNER(S) OF RECORD : WILLIAM M. MASON & ANNA CARUSOS, LLC, c/o WILLIAM MASON SUBJECT OF PUBLIC HEARING : For a Wetland Permit to replace in-place existing 4'x33' and 6'x20' "T" shaped dock sections supported by (12) 10" diameter timber piles, and using a thru flow grated vinyl decking design. Located : 1200 Westphalia Road, Mattituck. SCTM# 1000-114-7-14.2 TIME & DATE OF PUBLIC HEARING : Wednesday, April 17, 2019 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the.hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list,policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town 3. If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be Mlained in detail, listind both supuorting and non- sup on- Su jortinE facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldto,%mmorthfork.net), the Board of Trustees Office,the Planning Department, all Iocal libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 114 - 107 - 14.2 PROJECT NAME Mason Project The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I I. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: Proposed replacement in same place and kind 4'x38'&6'x20'T shaped pier supported by (12) 10"x25'piling, all timber will be greenheart and all deck toping will be a vinyl thru flow Material that allowc� sun penetration All material will be delivered by an authorized upland source and all work will be done by a licensed and insured contractor Location of action: 1200 Westphalia Road Mattituck,NY 11952 Mattituck Creek) Site acreage: 2.02 Acres Present land use: Residential Present zoning classification: Residential 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: William Mason (b) Mailing address: 394 Old Country Rd Garden City,NY 11530 (c) Telephone number:Area Code( ) (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 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes'adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Q Yes ❑ No ❑ Not Applicable Proposed project in compliance with Policy 1 in that proposed is removal(Restore)of an approved(permitte, mooring=ier in came place and kind with u e of Q-reen_heart timber and a thrrc flow deck top material vs. eXig'. Hier timber and deek tnn timber antiquated material & creaSote n'lings Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—PoIicies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable . Proposed project}�hi�is--,--�t been identified as a historical site. l' _,lever,no modification to waterfront vegetation or landsca ell p=osed 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 ❑X Not Applicable The existing shoreline that are is not fortified should generally remain in a natural condition to respond to coastal ler with a more envirorumoIkIly safe practice material that wi 1 promote and enhance shoreline growth.No new development proposed other then remove and renlare came in kind and nlar-e existing permitted pier Attach additional sheets if necessary NATURAL COAST POLICIES Policy'4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section IH—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Existing shore line is not proposed to be modified Existing plant life should act as a natural buffer from tidal action.Proposed project will enhance nature plant life with the use of a deck top thru flow material on the vier allowing 60% sunlight pt enetration allowing for better growth Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes ❑ No ❑Not Applicable s d pMject in compliance with this polipy in that it will have no effect on drinking water and offiers n d' char a of pollutants into waterway.All debris will be removed to an authorized upland source Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes No _—. J Applicable Project is located on Mattituck Creek but offers no impact on plant,fish or other area wildlife No dredging,bulkhead installation or shoreline modification proposed. It is suspected fish and other wildlife will avoid the area during the vier installation. The pier will be constructed with a greenhart and thru flow deck toping that allow for a 0 sunlight exposure Ibis will enbance plant groWb :Vs the exisfing pier decking Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III— Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No D Not Applicable Proposed project will have no effect on air quality. 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 1:3 Not Applicable This policy is not applicable no dredging is proposed all material used to construct the pier will be environmeotal ftiejldly. all debris from the removal of the existing and construction of the new pier will be WM(Wed to an autlwrued ulplai1d Source. 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. El YWO No❑ Not Applicable Proposed water dependant project is in compliance with this policy in the existing permitted pier and proposed remove and replace in same place and kind offer no hindrance to navigation of passing vessels or obstruction of the shnre line_ Waterway inDroiect site is 160'wide from the high wate mark on both sided of the canal, project is last mooring on small canal inlet. Attach additional sheets if necessary WORT ING COAST PC SES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria. ®Yes ❑ No ❑ Not Applicable The proposed project is in compliance in that it offers no hindrance to navigation on Mattituck Creek The proposed(Permitted)pier replacement in kind and place will be constructed with more environmental friendly material that will offer a safer environment to fish and other area wildlife Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island,Sound, the Peconic Estuary and Town waters.See LWRP Section III—Policies;Pages 57 through 62 for evaluation criteria. 0 Yes ❑ No❑ Not Applicable The proposed is in cmpliance with this policy in that it offers no effect on a cultural land, is not located on a historical site, and will not interfere with plant,fish or other wild life.It is suspect fish and other wildlife will avoid the area during the pier construction and material used to construct the pier will he more envirnnmental friendlyyprmotigg plant owth. 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 Proposed project is a residential site and offer no interference with the agricultural community Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III--Policies;Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No ® Not Applicable P=osed is for a remove and replace of an exiWng�(nernnittedl mooring,pier PREPARED BY sco 7 • S S. TITLE NT DATE