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HomeMy WebLinkAboutTR-9401 Zz- SFFQ Su 1 K -� Michael J. Domino, President ��o� oGy Town Hall Annex John M. Bredemeyer, III, Vice-President _ < , 54375 Route 25 Glenn Goldsmith t'N ,? P.O. Box 1179 A Nicholas Krupski Southold, NY 11971 Greg Williams `mol , ,� � �- 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 %2 constructed 1� When project complete, call for compliance inspection; BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK 5. PERMIT NO. 9401 DATE: MARCH 20,2019 ISSUED TO: DONALD L. CLEVELAND,JR. PROPERTY ADDRESS: 1305 WINTHROP DRIVE,FISHERS ISLAND SCTM# 1000-9-8-6 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in Oy 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 Daid by Donald L. Cleveland, Jr. and subject to the 9 I Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove all remains of existing old dock; construct a 41x551 fixed dock; and Install two(2)tie off piles;with the condition of the use of thru-flow decking,and that no part of the vessel is to be seaward of the pier line; and as depicted on the site plan prepared by CME Associates Engineering,Land Surveying&Architecture,LLC dated September 14,2018,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. co 41- 13 TERMS AND CONDITIONS The Permittee Donald L Cleveland Jr residing at 1305 Winthrop Drive,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 5 DEC 2 1 2018 00 � BD2rd'0'T__ NOTES LOCATION MAP SCALE: 1"=500' 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT. 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR. 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS" 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, SECTION 009, BLOCK 8, LOT 6. StP11 nt!-yr�� 6.) TOTAL AREA = 0.10± ACRES (4,513± SF). �\GV\ 3t,o4 7.) SITE IS LOCATED IN FLOOD ZONE AE AS SHOWN ON— COMMUNITY: (TOW OF } �R SOUTHOLD NUMBER: 360813 PANEL 19 OF 1026 MAP NUMBER 36103 001 H REVISED SEPTEMBER 25, 2009. o 8.) BASE FOR LEVELS: NAVD 88. 9.) THERE IS NO COASTAL EROSION HAZARD LINE IN THIS AREA. qz� REVISIONS PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR I';, Land Surveying &Architecture, PLLC DONALD L. CLEVELAND, JR. formerly Chandler,Palmer&King 1305 WINTHROP DRIVE 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORKCME 101 East River Drive,1st Floor East Hartford,CT 06108 DATE: 09/14/18 SCALE: AS NOTED SHEET: 1 OF 5 JOB #2018820. 888-291-3227 1 www cmeengineering.com N/F CLEVELAND AREA — 1.499* SF 2'f VACANT LAND S 81rwO0•E ° 44.00• FIXED DOCK 48•f N 0400'49• E 48.09•—SURVEY \` STEPS CLOSING UNE 18" DRAINAGE ° OUTLET ° _ in 18 PIPE b__ N SM'00•W ( / 13.00• / �Q 3't / N/F 16•f, ,8 UNITED STATES i GOVERNMENT NAVY RAMP SILVER EEL CO VE I W: 5616.041&04 APPROXIMATE MEAN POLE 309 CB LOW WATER MH r POLE TF=7.11' C 311 S 8r38•o0•E oo cD d I 11 11 it 52.00 �1^Ov'', Ld 6't DEC 2 12018 ` 1 1 { 1 ( -----�-- ---- { ��;,` EXISTING 1 ID HOUSE' 41 io EXISTING \ 0 BOULDER SHORE , 8OrI FIXED DOCK— PROTECTION LOCATED IN 2008 APPROXIMATE MEAN o HIGH WATER, TOWER H Z 8 AND APPROXIMATE LIMITS \ c OF TIDAL WETLANDS N 1640'42•W 109.95—SURVEY CLOSING UNE 8 '" LOT 6 0 AREA = 4,513* SF I GRAVEL NOTE: 6 I PARKING THERE IS NO COASTAL Cir 4•t 1 m EROSION HAZARD LINE 2W* 1 IN THIS AREA. N BT24'oo•WT 16.00' WOOD FENCE EXISTING CONDITIONS 30 15 0 30 R E V I S 1 0 N S GRAPHIC SCALE IN FEET PLAN OF PROPOSED DOCK ziCME ASSOCIATES Engineering, PREPARED FOR / ' Land Surveying &Architecture, PLLC orf ,.f DONALD L. CLEVELAND, JR. formerly Chandler,Palmer&King 1305 WINTHROP DRIVE CME 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK 101 East River Drive, 1st Floor East Hartford,CT 06108 DATE: 09/14/18 1 SCALE: 1"=30' SHEET: 2 OF 5 JOB #2018820 888-291-3227 1 www.cmeengineering.com N/F CLEVELAND AREA — 1,499* SF 2'* VACANT LAND S 86'06'00•E 44,00- 0 FIXED DOCK 46'f x -`lN 040°'49' E r :' 413.09'-SUME1r ` STEPS ~1. ;• , CL081NG LINE 1 18" DRAINAGE 2�I DECi �o OUTLET L 2 1 2078 I _ m 1 PIPE b__ _ N UM'00'W !r 1x00* �P : APPR0 ,;-,��: f" N/F 1'' � uU ITED STATES i OARD OF 11ZUSTEES GOVERNMENT NAVY RAMP SOK LD N. 291.51 / DATE. W. 5616.04 - APPROXI ATE MEAN POLE Ca W WATER MH ♦309 POLE TF=7.11' C 311 S SrM'00'E 00 (0 t- 16-t 52-00 1+00 0+75 l0} _ �_- _ �,i 00 W -- --- De' EXISTING: SECTION LINE HOUSE, NEW PILES I ° �' ` 14 (TYP.) \0 PROPOSED 4' WIDE X I ^ r r R 55' LONG FIXED DOCK EXISTING �'r \ a O BOULDER SHORE , SI / FIXED DOCK— PROTECTION LOCATED IN 2008 \ X APPROXIMATE MEAN o HIGH WATER, TOWER y Z 8 F � AND APPROXIMATE LIMITS c ,°p 4� OF TIDALWETLANDS N 16'40'42'W 0 109.9x'-SURVEY - CLOSING UNE g LOT 6 29� AREA = 4,513* SF Z lG NOTE: �p ` I ARR ING AVEL THERE IS NO COASTAL �� 4'* I m EROSION HAZARD LINE 20� IN THIS AREA. N 67'24'°°'WT WOOD z FENCE PROPOSED DOCK 30 15 0 30 R E V I S 1 0 N S GRAPHIC SCALE IN FEET PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR / Land Surveying &Architecture, PLLC DONALD L. CLEVELAND, JR. formerly Chandler,Palmer&King 1305 WINTHROP DRIVE �� 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK 101 East River Drive,1st Floor East Hartford,CT 06108 DATE: 09/14/18 1 SCALE: 1"=30' SHEET: 3 OF 5 JOB #2018820 888-291-3227 1 www.cmeengineering.com PROPOSED SPACED 10' NOTE: ALL MATERIALS CENTER TO CENTER FIXED DOCK— ��.� TO BE CCA TIMBER 55 FT. LONG REMOVE ANY REMAINING ELEV. 3.2't 5APILES FROM FORMER DOCK G EXISTING = MEAN HIGH WATER BOULDER SHORE—? PROTECTION 0 II I MEAN LOW WATER II II � II II II II DEC 2 1 2018 —5 EXISTING II GRADENJ II II ii it \ II —10 PILINGS TO BE DRIVEN 25' MINIMUM II OR TO REFUSAL II \ I II \ DATUM ELEV —15.00 o) N N Lq N co M I I I PROFILE 0+00 0+50 0+75 1+00 SCALE HORZ: 1"=30' R E V I S 1 0 N S VERT: 1"=3' 1 7— PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR Land Surveying &Architecture, PLLC DONALD L. CLEVELAND, J R. �� formerly Chandler,Palmer&King 1305 WINTHROP DRIVE �� 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK 101 East River Drive,1st Floor East Hartford,CT 06108 DATE: 09/14/18 1 SCALE: AS NOTED I SHEET: 4 OF 5 JOB #2018820 888-291-3227 1 www.cmeengineering.com J WOOD PILE (TYP) 'j, L'----'----' w Ui STRINGER CROSS MEMBER U DEC 2 1 2018 4 H0 - - DECKING z 9 Srl ;. „?,,m S -Bo a rdaUsu �i;,,' 1" SPACE (TYP)--II-- - - I_ 10'± (TYP) r CENTER TO CENTER PLAN VIEW— 4' WIDE DOCK WITH 2" X 8" DECKING NOT TO SCALE 12" DIA x 8" DECKING 12" DIA PILING PILING II III III ELEV 3 2'± 111111 3" x 10" STRINGER I I III ELEV 3 2'± III ,p 3" x 8" SPLIT CLAMP III VIII M.H W. � I M.H.W. M.L W. I� 1111- 3" x 8" CROSS BRACE 5'± I I M.L W rCENTER TO CENTER N E vV PILES 10 FT MINUMUM CROSS SECTION SIDE VIEW 4' WIDE FIXED DOCK WITH 2" X 8" DECKING NOT TO SCALE R E V I S 1 0 N S 1 7- PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR Land Surveying &Architecture, PLLC DONALD L. CLEVELAND, J R. formerly Chandler,Palmer&King 1305 WINTHROP DRIVE 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORKCME 101 East River Drive,1st Floor East Hartford,CT 06108 DATE: 09/14/18 1 SCALE: AS NOTED I SHEET: 5 OF 5 JOB #2018820 888-291-3227 1 www.cmeengineering.com Michael J.Domino,President ��OF SOUjyO Town Hall Annex John M.Bredemeyer III,Vice-President h0 �O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas KrupskiG Q � � Telephone(631)765-1892 Greg WilliamsO a Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2019 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: DONALD L. CLEVELAND, JR. 1305 WINTHROP DRIVE, FISHERS ISLAND SCTM## 1000-9-8-6 Dear Mr. Just: The Board of Town Trustees took the following action during its Regular meeting held on Wednesday, March 20, 2019 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting Services, on behalf of DONALD L. CLEVELAND, JR.applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 21, 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, 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, 2 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, 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 DONALD L. CLEVELAND, JR. to remove all remains of existing old dock; construct a 4'x55' fixed dock; and install two (2) tie-off piles; with the condition of the use of thru-flow decking, and that no part of the vessel is to be seaward of the pier line; and as depicted on the site plan prepared by CME Associates Engineering, Land Surveying &Architecture, LLC dated September 14, 2018, 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 truly you Michael J. Domino, Vice-President, Board of Trustees MJD/dd e Michael J. Domino, President ��o� �Gy Town Hall Annex John M Bredemeyer, III, Vice-Presidenty ' " _ 54375 Route 25 Glenn Goldsmith 4 t P.O. Box 1179 A Nicholas Krupski ooh,; Southold, NY 11971 Greg Williams 'v Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO- DONALD L. CLEVELAND, JR. c/o J.M.O. ENVIRONMENTAL Please be advised that your application dated December 21, 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) '/2 Constructed ($50.00) xx Final Inspection Fee ($50 00) Dock Fees ($3.00 per sq. ft.) 30- Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $.50.00 BY: Michael J. Domino, President Board of Trustees Cantrell, Elizabeth From: Mueller, Cornelia A CIV USN NAVSTA NEWPORT RI (US) <cornelia.mueller@navy.mil> Sent: Wednesday, March 6, 2019 9:36 AM To: Cantrell, Elizabeth Subject: RE: Donald Cleveland dock application Elizabeth:We do not have any concerns regarding this project.Thank you for the opportunity to comment. V/r, Cornelia Cornelia Mueller, MS, LEED GA, CHMM, REM, QEP, IM Community Planning Liaison Officer Naval Station Newport One Simonpietri Drive Newport, RI 02841 P 401-841-7629 DSN 841-7629 F 401-841-2816 C 401-330-6355 ---------------------------------- ---------------------------------- Your opinion is important to me! Please take a moment to provide feedback via the comment card at the link below: https:Hice.disa.mil/index.cfm?fa=card&sp=113004&s=499&dep=*DoD&sc=5 <https://ice.disa.m it/index.cfm?fa=ca rd&sp=113004&s=499&dep=*DoD&sc=5> -----Original Message----- From: Cantrell, Elizabeth <elizabethc@town.southold.ny.us> Sent: Tuesday, February 26, 2019 9:20 AM To: Mueller, Cornelia A CIV NAVFAC MIDLANT, PWD Newport <cornelia.mueller@navy.mil> Subject: [Non-DoD Source] FW: Donald Cleveland dock application From: Cantrell, Elizabeth Sent:Tuesday, February 26, 2019 9:19 AM To: 'cornelia.m ueller@ navy.mill'<cornelia.mueller@navy.mill> Subject: Donald Cleveland dock application Please see attached. 1 t Cantrell, Elizabeth From: gjustl02l5@aol.com Sent: Tuesday, March 5, 2019 10:51 AM To: Cantrell, Elizabeth Subject: Fwd: Cleveland - Fishers Island Attachments: image001 jpg Liz- This is the response from the surveyor for your e-mail that I sent to hom. Glenn -----Original Message----- From: Richard Strouse <rstrouse@cmeengineering.com> To: gjustl02l5@aol.com <gjustl02l5@aol com> Sent: Tue, Mar 5, 2019 8:58 am Subject: RE- Cleveland - Fishers Island I do have a trip planned for next Tuesday (12th) assuming the weather cooperates. I have had to cancel the last 2 trips because of snow.What they are seeing is part of the old dock. We can locate what is there (I think old piles) and add them to the plan. You should have a picture that shows 3 old piles Maybe check with Elizabeth to make sure that is what they want. will send a picture in a following e-mail. Dick 0 Richard H. Strouse, P.E.L.S. Email-rstrouse(a)cmeengineering.com 33 Wilbur Cross Way, Suite 105, PO Box 5351 Mansfield, CT 06268 z T 860.885-1055 ext 2118 C 860-377-9340 1 www cmeengineering com From: gjust10215@aol.com <gjust10215@aol.com> Sent: Tuesday,.March 5, 2019 8:42 AM To: Richard Strouse <rstrouse@cmeengineering com> Subject: Fwd: Cleveland - Fishers Island Dick- Please take a look at this Thank you- Glenn -----Original Message----- From: Cantrell, Elizabeth <elizabeth c(q).town.south old.ny us> To: 'gjustl02l5@aol.com' <giust102l5 a(ZaoI com> Sent: Tue, Mar 5, 2019 8.20 am Subject: RE: Cleveland - Fishers Island Good Morning Glenn, _ 1 The Board of Trustees inspected the Cleveland property on Fishers Island last Thursday. When they were at the site they saw rebar out in the water in the approximate location of where the proposed dock may end. The Board is requesting that the rebar be added to the plan to give the Board a better perspective of how far out the dock may go. If this plan could be submitted before Monday, March 18, 2019 so that they can review it during their work session on the 18th it would be of great assistance. Elizabeth From: giust10215(cDaoI.com <giust10215(a)_aoI.com> Sent: Monday, March 4, 2019 8:34 PM To: Cantrell, Elizabeth <elizabethc(cD-town.southold.ny.us> Subject: Cleveland - Fishers Island Hi Liz- I received your voice mail, listened to it a few times but way too much background noise here with the contractors Could you please send me a short e-mail on what you would like us to do with the project plans. Thank you- Glenn Just 2 Cantrell, Elizabeth From: gjust10215@aol.com Sent: Tuesday, March 5, 2019'10:52 AM To: Cantrell, Elizabeth Subject: Fwd: Cleveland Attachments: 20190219_154022 jpg; image001 jpg Liz- This is another e-mail from the surveyor on this application. Glenn -----Original Message----- From: Richard Strouse <rstrouse@cmeengineering.com> To: gjustl02l5@aol.com <gjustl02l5@aol.com> Sent: Tue, Mar 5, 2019 9:04 am Subject: FW: Cleveland This picture shows the piles and some small bars a little further out. We will need to have a really low tide to get the bars just above the water line in this photo. Dick Richard H. Strouse, P.E.L.S. Email:rstrouse cmeengineering.com cl 33 Wilbur Cross Way, Suite 105, PO Box 535 1 Mansfield, CT 06268 T 860 885-1055 ext. 2118 1 C 860-377-9340 1 www.cmeengineering.com From: Richard Strouse Sent: Thursday, February 21, 2019 8:32 AM To: 'gjustl02l5@aol com' <gjust10215@aol com> Subject: Cleveland Glenn- We set a stake at Cleveland. There are a couple of piles still there (see picture) If they visit at low tide it will be easy to see the alignment. Dick OP. 02 Richard H. Strouse, P.E:L.S. Email:rstrouse(cDcmeengineering.com 33 Wilbur Cross Way, Suite 105, PO Box 535 Mansfield, CT 06268 T 860.885-1055 ext 2118 C 860-377-9340 1 www cmeengineering corn i - x w` t MW '„ 3' "*"' '" is .,.• �.1��' +? : ._ �S s� � r� s: y � y� � � �� ✓8r rT� r 6 > ' �wRl•., r.I e L V IN e �jFr• ��% d �' 9E � �'E..�'vt Y 'p ,,��'6 ab�. R i'IT 1C�5- w w Proposed Cleveland Pier Legend' . Summer 2018 Cruise Sumna 4ry._ .� S j } tr F Pow Y t F My 1! Yd. '!r`d J �¢'" - _F� p✓F s.N�y k �1 f� -" ... Tk w/tea.�,(s ! e ♦y, s t,., - : a< v� if �}(� ( '.• /i�1� .4 a C.. •,_t f r _ ^} s f f� s � �Y t d -F F sPj : f 1009 - Michael J. Domi' ;r"esident ®��SQEFQ(�' 34 `.� Town Hall Annex John M. Bredemeyer It,—V*ice-President ,``� `" ,; 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 C z A.Nicholas Krupski d Southold,NY 11971 Greg Williams 4, p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 2Y , 7� Completed in field by: J.M.O. Environmental Consulting on behalf of DONALD L. CLEVELAND, JR. requests a Wetland Permit to remove all remains of existing old dock; construct a 4'x55' fixed dock; and install two (2) tie- off piles. Located: 1305 Winthrop Drive, Fishers Island. SCTM# 1000-9-8-6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver'Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitay Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consulta nt/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / I - Present were: J. Bredemeyer `/ M,. Domino �`G. Goldsmith " N. Krupski G. Williams Other 7 ND AREA 1.499*SF 2't VACANT LAND 0 S 89wo0E 44.W FIXED DOCK \ 46't N 04'00'49' E 48.09'—SURVEf I \� STEPS CL061NG UNE 18" DRAINAGE 2�1 o OUTLET I L5 1 PIPE _ N8fft'W 11 13.00' 3.* 4 NF UNITED STATES 1r* GOVERNMENT • "NAVY RAMP" SILVER EEL COV, N: 291.51 / [W. 5616.04 APPROXIMATE MEAN POLE LOW WATER MH 309 CB ' POLE TF=7.11' C N _ 311 �00'E ^ry 0 clUj EXISTING'_, L O HOUSE` O 0 Co a� EXISTING FIXED DOCKBOULDER SHORE 8 LOCATED IN 2008S PROTECTION APPROXIMATE MEAN , HIGH WATER, ` TOWER y Z AND APPROXIMATE LIMITS OF TIDAL WETLANDS N 184042'w 10e.9W-6URM a CUBING UNE LOT 6 AREA 4,5131 SF I GRAVEL NOTE: 1 PARKING THERE IS NO COASTAL �'� 4'* 1 �' EROSION HAZARD LINE 2wt IN THIS AREA. N ®''24'°0'WT' w0OD �� FENCE EXISTING CONDITIONS 30 15 0 30 REVISION S GRAPHIC SCALE IN FEET PLAN OF PROPOSED DOCK 0111i CME ASSOCIATES Engineering, PREPARED FOR Land Surveying &Architecture, PLLC DONALD L. CLEVELAND, J R• �� formerly Chandler,Palmer&King 1305 WINTHROP DRIVE �� 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK 101 East River Drive,1st Floor East Hartford,CT 06108 DATE: 09/14/18 SCALE: 1"=,307 SHEET: 2 OF 5 JOB #2018820 888-291-32271 www.cmeenginearing.com 13iZi .,� F w �y y � t �.. 1 ii! 't r " ti + • , `• ^re's • - r •. � '4C :r• �i ,+�•��( .Y;' , ` 1 'r AA A .r.....-.-.....,,....-.._ .... ... � - -!- --#► ...JN-naw-'.. ,.�++.+r+. .,...,+•.a,+....a...w....,r.,,,.-. t i � r " t - 4 t • .. if Vc f } n i �IeN a s ,r�_ r * - _ sic � 1 " .,A1R' .1i �.._ ';-td, r i�. .�+!'� `/ a} �� F,.c '"�Y:y �r•i r. y' ��- r4`fiA � .S�Ir�' ySR� ,a ==h i...,;y �t'P�,1�.. ,•.. 1'qc. '�y�?G 1.-r 0./. l�n�,�. R k � ', A �'. '��, '" _ f .. '-! y,-. r .' Y ( .S,..R •�Yrr9� ,,•yam` ,wa -.� F._ .ir• % SY.f" y1��.� - �.. - � r{t _ y4 � ; J�_ �I-,� ', r' 1 � ,�-s. � �,h��!�` A� y ♦ �y� sGy � P;. W v � ,,, � - c � .. _ _o,�, 'iE-',*tom_•_. �.,��; Cleveland - 2008 : .K� Legend Write a description for your map. = �t Fishers Island Justice Shutters & Sails, LLC Winthrop Dr tir Winthr • • Dr -. i Uhl ,000gle Earth i ri DA 46 Sei vice Agency X11 ft Cleveland 2018 �� . �° �. � •. � �� . `� . f , . . Legend Write a description for your map. Fishers Island Justice Shutters & Sails, LLC Winthrop Dr �. r jVp- IA SO WO �V- 1 r� -1 -. .A ,?'� ..>� � '- Mme\ -�.\,' �� ,•y, 'jryi_: way,"-!, � ~L :'�' �' r•* ��;f ® 4. n � t.�..,� 7-S.�+P��'••.�t, rifF t ♦. a.\ r.•.�i.��'�.Q�� �"4�� ' I '� �� .,. `�;�.E_�!'�'�) a r '�_ i � jJ •may' ��� ��^r 4 _ � _ r I ,, .\ - - e'er,.- -. �� / .- w 4-^ '' �•- A. ��3 - 2 w __ BOJ s s• •O � OWNING 411 B 11A 4 ti��yo�n � a a •� � Ki o a g s2A(el /J iA l3Alc1 / ?f ? 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D, 2J NEW 113 1,5 18 O 2 21 23A / ]0P 5V'E OS t 'fl01`1 1p I S �Lpw 32 31 6 1 41 a• _ 32 6 41 ,Yy1 Cm 72 • a2A _ I S MAC 1 u USA 2 1 111V 1SA n e 11 111 1,1 AYE ; 8]A [ 93 M 11A � 16 J\ 'p 21 NoncE COUNTY OF SUFFOLK © E a� sournao SECnoN NO Real Property Tax Service Agency v /��//��� .sr o �m eiiFaltcoUMrvniX lMP�f wluwl,D Lw.nry Gr.M eF.r1m.,NY11K, Y Wi �' ruE rff 8 8 w ....i.. wrr .x.Nala.x�A m••�- —__— rwo..u. --•-- w��.owu.—.—m-- rxs numv,�e. wrnour NOM—W—l8. lf� m a a m A e wslwer xo 1000 .__ ax wrorertn ina ecwaAe6e� P 812 PROPERTY WIP 4O /\ 1.tAfc1_ / \ ._._ �'4w� .. a . ... �.. ary - h... •r .^'•~ - rt J� SEE eEC.NO.OW- .\� / �. i Environmental Consu ng Services P I March 22, 2019 x .r PAR a- Mr. Michael Domino, President i Board of Town Trustees Town of Southold Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Application for Donald L. Cleveland, Jr. �, 155USD r&ALr 1305 Winthroprive, Fishers Island NeW Pam #O-r MOW p 3.20.t q u� S.C.T.M.No. 1000-009-8-6 AT-Pte- A- DR'ia Dear Mr. Domino: � — ---- - ---- -- - - -- --- 1 As discussed during p g the public hearing for this project held on March 20, 2019 we have revised the.plans for this,project. I have enclosed four sets of the plans which have been revised to depict that the proposed fixed dock will utilize "Thru-Flow" decking and the a note has been added to the plans that state "docked boats should not extend beyond the seaward end if the dock". Upon the review of the plans please feel free to contact me at any time should there be any questions or comments. Respectfully, G lei2 Just Phone (631) 653-0607 ® Email G;ustl 0215@aol.com 121 Jessup Ave - 2nd Floor;© P.O. Box 447 Quogue,,New York 111959-0447 5 jj MAR 2 6 2019 SITE NOIES LOCATION MAP SCALE: 1"=500' 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED' HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT. 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR. 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS" 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, SECTION 009, BLOCK 8, LOT 6. 6.) TOTAL AREA = 0.10± ACRES (4,513± SF). 7.) SITE IS LOCATED IN FLOOD ZONE AE AS SHOWN ON— COMMUNITY: TOWN 0 { SOUTHOLD NUMBER: 360813 PANEL 19 OF 1026 MAP NUMBER 36103CO01If ('0, REVISED SEPTEMBER 25, 2009. 8.) BASE FOR LEVELS: NAVD 88. 9. THERE IS NO COASTAL EROSION HAZARD LINE IN THIS AREA. �p R E V I S 1 0 N S 1 03-21-19 1 TRUSTEE COMMENTS RHS PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR 1 SaP:i Land Surveying &Architecture, PLLC R. formerly Chandler,Palmer&KingDONALD L. CLEVELAND, J 1305 WINTHROP DRIVECME 33 Wilbur Cross Way, Mansfield,CT 06268 FISHERS ISLAND, NEW YORK 1,01 East River Drive, ist Floor East Hartford,CT 06108 DATE: 09/14/18 SCALE: AS NOTED I SHEET: 1 OF 5 JOB #2018820 888-291-3227 1 www.cmeengineering.com Mw �N CLEVELAND _ AREA a 1,499.+ SF t T _ VACANT LAND s es'osao•E ff'',, I)tel' "001 (: FCXED DOCK o ,6'* �r I MAR 2 6 2019 t' N 04?W41r E t - - CLOW a USTEPS t x NE 18" DRAINAGE i; i OUTLET / . ^. Il PIPE 13a�k of 1 sr N 8r38.00• W ( / 13.00• / N/F UNITED STATES i «Y' GOVERNMENT "NAVY RAMP", SILVER EEL . COVE W. 551&04 fl POLE APPROXIMATE MEAN 309 Cs LOW WATER POLE rF=�.MH OLD REBAR I I 31 1' S er38.00•E AND METAL �•* POST coLd gl g I `-4 j to ` � OUtS afiF O N E"..r2R �; EXISTING � \ M� -4 , BOULDER SHORE I , PROTECTION 8 FIXED DOCK— '< APPROXIMATE MEAN LOCATED IN 2008 w Z HIGH WATER, yT01NER r. AND APPROXIMATE LIMITS OF TIDAL WETLANDS N 14V40'42•W 1os.ss•—sumer � ,< CLWN0 1LINE LOTI6 z AREA = 4,513.+ SF 1 j GRAVEL NOTE: O0 f PARKING m THERE IS NO COASTAL EROSION HAZARD LINE 20•* 0 r IN THIS AREA. _ N er2WW WT c 18.00' 9 WOOD 1 FENCE EXISTING CONDITIONS 30 ' 15 0 30 R E V I S 1 0 N S 1 1 03-21-19 1 TRUSTEE COMMENTS RHS GRAPHIC SCALE IN FEET PLAN OF PROPOSED DOCK r CME ASSOCIATES Engineering, PREPARED FOR 1 Land Surveying & Architecture, PLLC pom DONALD L. CLEVELAND, J R. ,f formerly Chandler,Palmer&King 1305 WINTHROP DRIVE p A E 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK �V� 101 East River Drive,1 s Floor East Hartford,CT 06108 DATE: 09/14/18 SCALE: 1"=30' 1 SHEET: 2 OF 5 JOB #20188201 888-291-32271 www.cmeengineering.com 1 N7 CLEVELAND AREA - 1.499* SF 2't VACANT LAND S W08,00. E �--a 11 ( 0 44. �1 r' !1 FIXED DOCK o Oat r * � N 0400'49• E ` IL 48.09'-SURVEY 1 \` STEPS la l5 MAR 2 6 2019 CLOSING UNE 18" DRAINAGE o OUTLET I ff PIPE SDulheld T nnwm — S f�D1i Df Tn ,!e^ N 8T38'00•W 1 / { ..- 13.00' i S't f N/F 18'*, 8 UNITED STATES i GOVERNMENT "NAVY RAMP" SILVER EEL N. 291.51 / COVE W. 5616.04 NOTE: DOCKED BOATS SHOULD POLE NOT EXTEND BEYOND THE APPROXIMATE MEAN 309 SEAWARD END OF THE DOCK in LOW WATER MH ce POLETF=7.11' C OLD REBAR I 31;1 8 er38'ao•E AND METAL I POST N (.0l n u"s�et 1+00 0+75 0+ - - ---- 1 00 . EXISTING `-4 SECTION UNE NEW PILES o �, � Q 14 PROPOSED 4' WIDE X I 1 X°" OG fr F{ _a, F I I 55 LONG FIXED DOCK ROVIDE THRU—FLOW EXISTING DECKING BOULDER SHORE ` PROTECTION FIXED DOCK— APPROXIMATE MEAN LOCATED IN 2008 ` y ` HIGH WATER. �TO AND APPROXIMATE LIMITS I .� 4 OF TIDAL WETLANDS to 9s'wsuVW CLOSIW UNE LOT, 6 �9� AREA = 4.513* SIF 1 i GRAVEL NOTE: OD PARKING m THERE IS NO COASTAL �� 4't �.t 9 EROSION HAZARD LINE N BT2400•WT G � IN THIS AREA. 1s.00'� WOOD FENCE PROPOSED DOCK 30 15 0 30 REVISIONS; 1 03-21-19 1 TRUSTEE COMMENTS RHS GRAPHIC SCALE IN FEET PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR 2Land Surveying &Architecture, PLLC DONALD L. CLEVELAND, JR. formerly Chandler,Palmer&King 1305 WINTHROP DRIVE 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK CME East River Drive,1st Floor East Hartford,CT 06108 DATE: 09/14/18 1 SCALE: 1"=30' SHEET: 3 OF 5 JOB #2018820 888-291-32271 www.cmeengineering.com Ask PROPOSEDSPACED 1W NOTE: ALL MATERIALS FIXED DOCK— CENTER TO CENTER TO BE CCA TIMBER 55 FT. LONG (TY'.)i DECKING TO BE THRU—FLOW ELEV. 3.2t 5 PILES FFROM FORMER DOCK I ANY REMAINING :� � �;r r I ` ' E -- � E I � i ;u) MAR 2 6 2019 I _ Scu!f��id3��n EXISTING MEAN HIGH WATER - BoarclofT� st}e; BOULDER SHORE— PROTECTION HORE PROTECTION �\ 0 II MEAN LOW WATER II II I II -5 II II 1 EXISTING 11 GRADE IIo i� 1 II � —10 i PILINGS TO BE DRIVEN 25' MINIMUM II OR TO REFUSAL II II \\ \ I v II I II �, DATUM ELEV —15.00 j I N N U N CO r� I I I PROFILE 0+00 0+50 0+75 1+00 SCALE HORZ: 1"=30' REVISIONS VERT: 1"=3' 1 03-21-19 TRUSTEE COMMENTS RHS PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR ( Land Surveying &Architecture, PLLC DONALD L. CLEVELAND, JR. fonnedyChandler,Palmer&King 1305 WINTHROP DRIVECME ! 33 Wilbur Cross Way, Mansfield,CT 06268 FISHERS ISLAND, NEW YORK 101 East River Drive,1st Floor East Hartford,CT 06108 DATE: 09/1 77 SCALE: AS NOTED SHEET: 4 OF 5 JOB #2018820 888-291=32271 www.cmeengineering.com i J I; Ill J MAR 2 6 2019 THRU--•F�BW--DC-�K-1�J6j-�r��;-i==��_ __.3 WOOD PILE (TYP) D w ~ STRINGER z w U W r CROSS MEMBER M z LSLK• 1" SPACE (TYP):-;F-- 10'± (TYP) CENTER TO CENTER PLAN VIEW— 4' WIDE DOCK WITH TRU—FLOW DECKING NOT TO SCALE 12" DIA THRU—FLOW DECKING 12" DIA PILING PILING 11 11 1111 111 ELEV. 3.2'f III 3" x 10" STRINGER IIII III ELEV. 3.2'f �I 11 3" x 8" SPLIT CLAMP II III IIII M.H.W M.H.W. M.L.W. 1,—S' x 8" CROSS BRACE s't M.L.W. CENTER NEW PILES 10 FT MINUMUM CROSS SECTION SIDE VIEW 4' WIDE FIXED DOCK WITH THRU-FLOW DECKING NOT TO SCALE R E V I S 1 0 N S 1 03-21-19 1 TRUSTEE COMMENTS RHS PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR 1�( Land Surveying &Architecture, PLLC DONALD L. CLEVELAND, JR. formerly Chandler,Palmer&King 1305 WINTHROP DRIVE p 33 Wilbur Cross Way, Mansfield,CT 06268 FISHERS ISLAND, NEW YORK CME 101 East River Drive, 1st Floor East Hartford,CT 06108 DATE: 09/14/18 1 SCALE: AS NOTED I SHEET: 5 OF 5 JOB #2018820 888-291-32271 www.cmeengineering•com OFFICE LOCATION: s® ® MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631765-1938 COUa 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 8, 2019 Re: LWRP Coastal Consistency Review for DONALD L. CLEVELAND, JR SCTM# 1000-9-8-6 J.M.O. Environmental Consulting on behalf of DONALD L. CLEVELAND, JR. requests a Wetland Permit to remove all remains of existing old dock; construct a 4'x55' fixed dock; and install two (2) tie-off piles. Located: 1305 Winthrop Drive, Fishers Island. SCTM# 1000-9-8-6 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, the proposed action is recommended as CONSISTENT with the LWRP provided the Board considers: 1. Potential navigation conflicts with the Navy Dock to the south and vessel operation of the Fisher Island Ferry. 2 Verify how a vessel would be moored at the dock. Will it project past the terminus? 3. The reduction of CCA treated materials in the dock construction to further Policy 6. 4. Use of thru flow decking to further Policies 4 and 6. 1 believe eelgrass has been reported in the area. 4 - :r' •# g,. h.a'§P'>a ', >' `£ � ry� `3,,,C„ '` tl 4'r �`„ �� ear _ £ -s�"� ' ' S'P'A * "' �• £'�. 3 'b= 'S fi, �+ �z.,.rya,*"' . As Figure 1. Showing the proposed 55' long dock. • I This recommendation is made based upon the following: 1. Fishers Island is water dependent and relies on vessel transportation. 2. The action is not located within the Coastal Erosion Hazard Area: 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 f ' I i i ' - Cantrell, Elizabeth From: gjustl02l5@aol.com Sent: Thursday, March 7, 2019 2:08 PM To: Cantrell, Elizabeth Subject: Cleveland - Fishers Island Attachments: Cleveland - Dock Plans.pdf Hi Liz- I just want to follow up to our telephone conversation regarding this application. I have attached copies of the plans as well. I reviewing them I have noted that they depict that the proposed dock is almost the same length as the remains of the old dock which were located in 2008. The plans also note that the seaward end of the proposed dock will be located 228' from the bulkhead at the ferry terminal. Glenn Just JMO Environmental Consulting P.O. Box 447 Quogue, NY 11959-0447 631-653-0607 Sp 5 � 00 SITr NOIES LOCATION MAP SCALE: 1"=500' 1.) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT. 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR. 4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION STATION "PROS" 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP 1000, SECTION 009, BLOCK 8, LOT 6. 6.) TOTAL AREA = 0.10± ACRES (4,513± SF). 7.) SITE IS LOCATED IN FLOOD ZONE AE AS SHOWN ON— COMMUNITY: TOWN OF SOUTHOLD NUMBER: 360813 PANEL 19 OF 1026 MAP NUMBER 36103CO019H REVISED SEPTEMBER 25, 2009. 8.) BASE FOR LEVELS: NAVD 88. D �� 9.) THERE IS NO COASTAL EROSION HAZARD LINE IN THIS AREA. v �� 20 R E V I S I O N S Sou.hcld?ebdn 4. PLAN OF PROPOSED DOCK CME ASSOCIATES fi"ji'Nte-r-i7W, PREPARED FOR p �� Land Surveying & Architecture, PLLC DONALD L. CLEVELAND, J R. formerly Chandler,Palmer&King 1305 WINTHROP DRIVE CME , 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK 101 East River Drive, 1st Floor East Hartford,CT 06108 DATE: 09/14/18 SCALE: AS NOTED I SHEET: 1 OF 5 JOB #2018820 888-291-3227 1 www.cmeengineering.com N/F CLEVELAND AREA = 1,499± SF 2't _ VACANT LAND o S 88.08'00' E +4.00' FIXED DOCK 48't ►1 o N 04 00'49' E 48.09'-SURVEY STEPS CLOSING LINE �� 18" DRAINAGE U I OUTLET 1 m 1 B f PIPE N 8T38'00'W / 13.00' / N/F 19't/ 8 UNITED STATES �i �4P GOVERNMENT "NAVY RAMP" SILVER EEL COVE W 5s s:o4 POLE APPROXIMATE MEAN 309 CB LOW WATER MH POLE _ TF=7.11' C / 311 S 87'8'0' E 1 58'f 52.00 j 00 (.00-11 81f FYI I' ' � \ 1 �� ----- -- ---- \6- 1 0 s EXISTING \ $ I _ BOULDER SHORE EE IN 02008 PROTECTION ; o APPROXIMATE MEAN HIGH WATER, \ TOWER H Z n 8 AND APPROXIMATE LIMITS r A� ZO�� OF TIDAL WETLANDS N 18.40'42',w 0 109.95'—SURVEY \ g Z as CLOSING LINE Southold Town LOT 6 Board of Trustees 'G z 9� AREA = 4,513± SF I GRAVEL -) NOTE: �0 PARKING m THERE IS NO COASTAL �� 4't 20'f y i EROSION HAZARD LINE IN THIS AREA. N ar24'16. WT 18.00' � WOOD 1 FENCE EXISTING CONDITIONS 30 15 0 30 R E V I S 1 0 N S iiiii GRAPHIC SCALE IN FEET PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR Land Surveying & Architecture, PLLC DONALD L. CLEVELAND, JR. formerly Chandler,Palmer&King 1305 WINTHROP DRIVE 33 Wilbur Cross Way,Mansfield,CT 06268 101 East River Drive, 1st Floor FISHERS ISLAND, NEW YORK CMC East Hartford,CT 06108 DATE: 09/14/18 1 SCALE: 1"=30' SHEET: 2 OF 5 JOB #2018820 888-291-3227 1 www.cmeengineering.com N/F CLEVELAND AREA = 1,499± SF 2't _ VACANT LAND ° s aa'08'00' E ° 44.w. FIXED DOCK ° 46'f N 0400'49' E ` 48'09.—SURVEY \� STEPS CLOSING UNE i 18" DRAINAGE I U I ° OUTLET / -A'PIPE N arwoo'W / 13.00' / S't ! N/F ta't� c4 Cr UNITED STATES GOVERNMENT ��h "NAVY RAMP" SILVER EEL COVE N. 291.51 / W: 5616.04 POLE APPROXIMATE MEAN 309 C8 r, LOW WATER MH POLE TF=7.11' C I 311 s a7r3a'00' E I I I cV F r — 5ZOO ,* 00 c0 q CVII I U i1 8'f a 1+00 0+75 /0+5 I--I - - Jill ' 00 LLI 'EkI tiNG `-4 j Io I POSE SECTION LINE NEW PILES I ° r' 14 (TYP.) \o Q0 to, PROPOSED 4' WIDE X 1-11 I / ® 2 Cl- 55' LONG FIXED DOCK EXISTING "' \ BOULDER SHORE 8 a / FIXED DOCK- PROTECTION m LOCATED IN 2008 APPROXIMATE MEAN ` ~ l HIGH WATER, TOWER AND APPROXIMATE LIMITS J� OF TIDAL WETLANDS N 116*40'42' W 0 109.95'—SURVEY g z CLOSING LINE LOT 6 �� p AREA = 4,513± SF z 1 GRAVEL 70 NOTE: pp I PARKING �Tl THERE IS NO COASTAL �� 4't 20't EROSIO IN T I FWA. E 11 E N 8T24'�:0 T WOD FENCEBAR A 2019 PROPOSED DOCK 30 15 0 30 R E V I S I O N Southold iavrn GRAPHIC SCALE IN FEET PLAN-_Oar " i- CME ASSOCIATES Engineering, PREPARED FOR Land Surveying & Architecture, PLLC DONALD Lo CLEVELAND, JR®>o 41i formerly Chandler,Palmer&King 1305 WINTHROP DRIVE 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK CME 101 East River Drive,,CT 1st Floor East Hartford,CT 06108 DATE: 09/14/18 SCALE: 1"=30' 1 SHEET: 3 OF 5 JOB #2018820 888-291-3227 1 www.cmeengineering.com i PROPOSEDSPACED 10' NOTE: ALL MATERIALS CENTER TO CENTER FIXED DOCK— (rn,.) TO BE CCA TIMBER 55 FT. LONG REMOVE ANY REMAINING ELEV. 3.2'f 5 PILES FROM FORMER DOCK I I I EXISTING = MEAN HIGH WATER BOULDER SHORE— PROTECTION 0 I II I MEAN LOW WATER II II \ II II II I II II II II II II II 1 —5 EXISTING II' GRADE II I� \ II II II —10 II PILINGS TO BE DRIVEN 25' MINIMUM II OR TO REFUSAL EE II II �� MAR - u2019 DATUM ELEV —15.00 S=of wn N N Boaees N 00 M I I PROFILE 0+00 0+50 0+75 1+00 SCALE HORZ: 1"=30' R E V I S 1 0 N S VERT: 1"=3' PLAN OF PROPOSED DOCK CME ASSOCIATES Engineering, PREPARED FOR 4e'71 Land Surveying & Architecture, PLLC D0NALD L. CLEVELAND, JR. formerly Chandler,Palmer&King 1305 WINTHROP DRIVECME 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK 101 East River Drive, 1st Floor East Hartford,CT 06108 DATE: 09/14/18 1 SCALE: AS NOTED I SHEET: 4 OF 5 JOB #2018820 888-291-32271 www.cmeengineering.com I WOOD PILE (TYP) EW = w _ F- STRINGER CROSS:MEMBER U I -H 0 w I DECKING z w4 1° SPACE (TYP)--i[-- 1 0'± TYP)--If10't (TYP) CENTER TO CENTER PLAN VIEW— 4' WIDE DOCK WITH 2" X 8" DECKING NOT TO SCALE I I 12" DIA x 8" DECKING 12" DIA PILING PILING ELEV. 3.2't II 3" x 10" STRINGER II� I ELEV. 3.2't n� !1—3" x 8" SPLIT CLAMPII M.H.W. M.H.W. M.L.W. d 3" x 8" CROSS BRACE a s't I M.L.W. CEN EOOTTER NTER� NEW PILE S 10 FT MINUMUM CROSS SECTION SIDE VIEW 4' WIDE FIXED DOCK WITH 2" X 8" DECKING NOT TO SCALE j D ECEHE MAR - 8 2019 R E V I S 1 0 N S T- Southold Iawn PLAN OF PROPOSED DOCK j CME AS40CIATES EoWnWevirm. PREPARED FOR Land Surveying &Architecture, PLLC DONALD L. CLEVELAND, JR. ��� formerly Chandler,Palmer&King 1305 WINTHROP DRIVE 33 Wilbur Cross Way,Mansfield,CT 06268 FISHERS ISLAND, NEW YORK CMC; 101 East River Drive, 1st Floor East Hartford,CT 06108 DATE: 09/14/18 1 SCALE: AS NOTED I SHEET: 5 OF 5 JOB #2018820 888-291-32271 www.cmeengineering.com Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 r ` Southold,NY 11971 4,- �` Telephone(631)765-1889 j* Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 6, 2019 the following recommendation was made: DONALD L. CLEVELAND, JR. to remove remnants of old dock, construct a 4'X 55' fixed dock and install (2) tie-off piles. Located: 1305 Winthrop Dr., Fishers Island. SCTM#9-8-6 The CAC did not make an inspection, therefore no recommendation was made. 4F 519/1 �� Town Hall Annex Michael J.Domino,Presidents 54375 Route 25 John M. Bredemeyer III,Vice-President P.O.Box 1179 Glenn Goldsmith { Southold,New York 11971 A.Nicholas Krupski - (lr Telephone(631) 765-1892 Greg Williams �( F Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DEC 2 1 This Section For Office Use Only Southold Town Coastal Erosion Permit Application ar of Tr Wetland Permit Application Administrative Permit Amendment/Transfer/Extension Received Application: 12-21,l Received Fee: $ 250,00 Completed Application: 12,21.iq Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): V71—LWRP Consistency Assessment Form Sent: CAC Referral Sent: 1, 0,jq =Date of Inspection: Z-8111 Receipt of CAC Report: Technical Review: Public Hearing Held: Resolution: Owner(s) Legal Name of Property (as shown on Deed): Q,^^ lA L C Le vel Gtv\A= �f - Mailing Address: 7-7 S c a I r;rn S rn ��T ��a03 ��o -- Phone Number: ®'�—�� to 1 - Suffolk County Tax Map Number: 1000 - OOLI- 61 Property Location: (2C7 5� �i�n��� '��lP , �i cs -TS 10 og� (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): —'�v����f'����1(1 � C�����i'�� C� �Iehi� Mailing Address: Q Phone Number: t\� I l Board- of Trustees Applic 'iota GENERAL DATA Land Area(in square feet): 9 a Ind Area Zoning: Previous use of property: k3 Intended use of property. So Qna - Covenants and Restrictions on property? Yes No if"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes .L No If"Yes", be advised this application will be reviewed by the Building Dept,prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes �-/-- No Does the structure(s) on property have a valid Certificate of Occupancy? ,L Yes No Prior permits/approvals for site improvements: Agency Date �S2L, No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_—No Yes If yes,provide explanation: Project Description(use attachments if necessary): Li r Board of Trustees Applic _ ion i WETLAND/TRUSTEE LANDS APP�ICA ION DATA Purpose of the proposed operations; ' Area of wetlands on lot: S4 _ square feet Percent coverage of lot: C\ % Closest distance between nearest existing structure and upland edge of wetlands: � 11 S'feet Closest-distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No _ Yes If yes,how much material will be excavated? __ C cubic yards How much material will be filled? cubic yards Depth of whichmaterial will be removed or deposited: \�g_ feet Proposed slope throughout the area of operations: v tQ Manner in which material will be'removed or deposited: Statement of the effect,if any, on the wetlands and tidal waters of the town that may result by reason,of such proposed operations (use attachments if appropriate): S C Irn6S C Short Environmental Assessment Form Part 1 -Project Information Instructions for Comuletin a Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Proposed dock and tie off piles Project Location(describe,and attach a location map): 1305 Winthrop Drive,Fishers Island,location map enclosed Brief Description of Proposed Action: , Applicant proposes to remove any remnants of old dock and construct a 4'x55'fixed dock and install 2 tie off piles Name of Applicant or Sponsor: Telephone: 203-569-6151 Donald L.Cleveland Jr. E-Mail: Address: 77 Shady Lane City/PO: State: Zip Code: Stamford CT 06903-1716 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 W1 ❑ 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: Southold Town Trustees,N.Y S.D.E.0,MY S D O.S.&U S.A C.O.E. ❑ 17 3.a.Total acreage of the site of the proposed action? i 0.10 acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.10 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 El Other(specify): w❑Parkland I �. Page 1 of 3 5. Is the proposed action, T NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ EI- b. 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? ❑ ❑✓ 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:Fishers Island Sound ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑✓ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ n/a 571 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 7 ❑ n/a 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 0 ❑ b.Is the proposed action located in an archeological sensitive area? 0 ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Silver Eel Cove 220 sq-ft. 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 m 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? ❑ 16.Is the project site located in the 100 year flood plain? NO YES TT 114 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 systemsrunoff and storm drains)? If Yes,briefly describe:, (❑NO [—]YES Page 2 of 3 18.-Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ I 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: W] ❑ I AFFIRM THAT THE INFORMA ION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: GI n E. st as Date: ! Signature: PRINT FORM 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 I 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 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? [A 2. Will the proposed action result in a change in the use or intensity of use of land? o 3. Will the proposed action impair the character or quality of the existing community? 21 ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur 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. EICheck 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 im acts. Town of Southold-Board of Trustees 3 l q Name of Lead Acy Date • President 2MO- psiblern LeadPonAgency Title of Responsible Officer Signature of Respo able Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT Donald L. Cleveland, Jr. BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, i HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Properl wner SWORN TO BEFORE ME THIS DAY OF ,20 lam? IRAN-EET KXJR otary Public �I�'s�'AWRMC OFC NECTICUT ID 0 142529 ijj .I�,cn Fvdres&131/2020 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Donald L. Cleveland, Jr. owners of the property identified as SCTM# 1000- in the town of Southold ,New York, hereby authorizes Glen E. Just/ JMO Enviromental Consulting to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold"Town Board of Trustees for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF20 t otary P blic RAVNE.E i KAUR NOTARY FUBLIC CF CCN mECTIC'UT ID 11 14252.9 Ay comd lon Ex res 8!3112020 APPLICANVAGENT/REJPRESENIVA'TWE TRANSAMONAL DISCLOSURE FORM e`To o S t ofd's deo Ethi i ' eo 'cts irate ct o e rt of 'A era a io s ThDomosc o hi f iso Quid -i farinati n rvh'ah eaa alo he to Bible nil cGst dal w it o e h to actioni necessartrto avoid same. 4 YOUR NAME: r (Last n o,first name,. iddle initial,unless you are applying imthe 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 Punning Other (If"Other°',name the activity.) Ito you persooally-(or through your company,spouse,sibling,Parent,or child)have tr relationslrip,with Any otTcer or etnployce of the Town of-Southold? "Relationship"includes-by blood, interest.~'Business ltttcfest""means a busirim, including a partoersbip,In which the town officer or,cmployce f even a partial ownership ot''(or employnten#by)a corlwradori in which the towxt officer of-employee owns'mpie than STo 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 applicsiWageptlrepresentativo)and the town officer or employee.Either check the appropriate fine A)through D)andior describe in'tfiespace prodded. The town officer or employee or his or her spouse,sibling,-parent,or child is(check all that apply): A)'the owner of greater than 5%ofthe.shares of the corporate stock of the applicant , (when the applicant is a corporationk E)the leial,orbsiieficial ownet,,ofirny irttemsi in a,pon»corporate entity(when the applicant is not a£otporatiprt); q Aft officer,director,partner,or.employee of theapplicant;or D)the actual applicant. DESCRIPTION Or RELATtONSHIP Submitted thisa of 8 Signature Print Name 4 .x Ma Form TS 1 _l f i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the tart of town officers and emnloyecs.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. �initi YOURNAME: v� �'(Last name,fust n e,mid lunless you are applying to the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X — If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person — Describe the relationship between yourself(the npplicattt/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicvtt is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this �!87�day of Pour M>3*X20�4 Signature �L Print Name_Denaid—L. ieve-l=d,— Jr. Form TS I I i ' l &WPLYETE THIS SECTION . nature = ■ Complete items 1,2,and 3. ❑Agent ■ Print your name and address on the reverse X r ❑Addressee so that we can return the card to you. eceived by(Printed Name) C.tDat of Clehv ry ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 17 0 Yes GOA Ute(G� ZR. If YES,enter delivery address below: ❑No '�OnL-lt� l-• 1 J i lsO'I C-T ®Ino(7� II IIIIIII III El Service Type ❑Priority Mad Express® f II 1111111 IIII IDI I II it I I it I IIIII I II El Adult Signature ❑Registered MeiITM' ❑Adult Signature Restricted Delivery ❑Ra�isered Mail Restricted U2,Certfied Mall@ Delivery 9590 9402 1938 6123 6128 53 ❑Certified Mad Restricted Delivery ❑Return Receipt for El Collect on Delivery nature Confirmation TM ❑SI ollect on Delivery Restricted Delivery g ❑Signature Confirmation 7 017 p 6 6 p 5 5 9 7 13 5 0 nsured Mail nsured Mad Restricted Delivery Restricted Delivery (over$500) i Domestic Return Receipt , PS Form;3811',July 2015 PSN17530-02-000-9053, ; y ® Complete items 1,2,and 3. A. Sign re 5 ant ■ Print your name and address on the reverse X t so that we can return the card to you. dresses ! ■ Attach this card to the back of the mailpiece, B. Received by(Printed , a ¢ elivery or on the front if space permits. v 0 1. Article Addressed to: ff D. Is delivery elivery address di ro 17 If YES,enter delivery a dre 90 IP ZS�rS Ts\end' icsriolt 3. ice Type 11 Priority Mail 13 Registered MailTM rie 1:1 Adult Restricted Delivery 13 Registered Ml Rest te d ❑ ertified Mad@ Delivery9590 9402 1938 6123 6128 39 ertfed Mall Restricted Delivery 13 Return Receipt for act on Delivery Merchandise 2. Article Number_rr- f--- 1343 iucton Delivery Restricted Delivery, ❑Signature ConfrmationT ❑ red Mail ❑Signature Confirmation 7a17 (1660 0 00559 )I Restricted Delivery Restricted Delivery (over$500 PS Form 3811,July 2015 PSNJ530-02-000-9053 Domestic Return Receipt Ii o •- ■ Complete items 1,2,and 3. A. Sig-, ■ Print your name and address on the reverse X Agent so that we can return the card to you. Addressee ■ Attach this card to the back of the mailpiece, B. Receive (Printed Name C. i Delivery : or on the front if space permits. ' 1. Article Addressed to: D. Is delivery address 6eren f om item 17 Yes r d��e�r� � ( �� I/YES,enter delivery add s below: No L— I Irl ON43. Service 3� II I I IIII IIII ill II II i II I IIIII I III I I I II I II III ❑0 Adult Signature El AdultSignat Type re Restricted Delivery ❑Registered red M l Restricted, tel I , 9590 9402 1938 6123 6127 85 Hertified Mail@ Delivery I ertified Matl Restricted Delivery ❑Return Receipt for i ❑Collect on Delivery Merchandise ._�_. m Collect on Delivery Restricted Delivery ❑Signature ConfinnationT 7 017 0660 0 000 5 5 9 7 1374 Insured Mail ❑Signature Confirmation Insured Mail Restricted Delivery Restricted Delivery over$500) PS Form 3811,JUIy 201$PSN 7530-02-000-9053 Domestic Return Receipt ° 0 C3 Bo u7 M e Sl ANFURp � F; 136903 ' e :b = ', } ,E _ Er Certified Mall Fee $3.50 n9fi SWI Ln Extra Services&Fees(check box,add fee prpprfate) [I Return Receipt(hardcopy) ® [:1 Return Receipt(electronic) $ 1 I nn POS mark r-3 El Certified Mall Restricted Delivery $ �( e O []Adult Signature Required $ $0.0l'1 []Adult Signature Restricted Delivery p1(°Postage $ 7f( $ 0 . Total Postage and es__ r Soo {� Sent To ra \`/ ,C_� Lx-(e d� �------------------------------------ O S�Peet anoA 7 No.,or P Box No - P14 r ��--1 VI ----------------------------------------- ct s ie, ©(P Glc? UA :er r •rr•r , ° B M Be 0 M , FI SHE S f'€I-SL�j (, ,T Ub p— Certified Mad Fee$3.50 ® fa. Air LSI Lr) $ $2.$ AW— Extra Services&Fees(checkbox,add fee$(F�' DJ- H \- ❑Return Receipt(hardcopy) $ I E]Return Receipt(electronic) $ tu d i ❑Certified Mad Restricted Delivery $ ).�.d ❑Adult Signature Required $❑Adult Signature Restricted Delivery$O PostageI I,7tl OTotal Postage and Te!S. $ r••' Sent To j� � -- ►-��----------------------------------------------------------- C 3 ireet and Apt No,or PO Ba No. N Crhr.Ctaf�'Z/P+4 Lr .e U :ro r S. . ® Service CERTIFIED e O ■ ■ B. M NEW; .• l PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: �-k,UAI)c \3,S- �.0(0 STATE OF NEW YORK COUNTY OF SUFFOLK \ lc , residing at aCQ \w e,( a,l P , being duly sworn, dposes d says that on the -,b©4kA`day of C.r��r� , 20_a, deponent mailed a true copy of the Notice set forth in the Board of Truste s 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 own on the current assessment roll of the Town of Southold; that said Notices were m ' at the United States Post Officeat SY o, f �11 e, p�, that said Notices wer mai t each of said persons by CERT1 + +D MAIL�RN RECEIPT. Sworn to before me this Day of Fe,b Y(ko- 201�— IJ GITA A,LOCKE � Notary Public FNOTARYUB:1C,STATE OFNEWYORK ratonNo,OIL06057960 ified in Suffolk County Ision Expires Apr.30.20J—) Michael J. Domino, President ' O r` SUFFO(KC'' Town Hall Annex �'tr John M. 13redemeyer III, Vice-President 54375 Route 25 Glenn Goldsmith N z P.O. Box 1 179 A.Nicholas Krupski Southolcl.NY 11971 Gree Williams `' y _ �o�.,Y 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 DONALD L. CLEVELAND, JR. COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REAM INS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC FIEARING DATE 1, CIES Tofl0CtCC , residing at/dba Imo. tom. ,1L�Mb8�:Zttd1-` �A�1o+J being duly sworn, depose and say: 'That on the 314ay of .lA.,uhltl? • 201q , I personally posted the property known as 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, )Febmary 13, 2019. Dated: (signature) sworn to before me this eh day ofxd, 20/Q �•�`�41. DPE: '' ® ss �t A o :l , Notey—Public ,+ . rut JASON!lel✓liENA ••J�` Not,iI),Public-Mate of i 1.awYorl, No 01DR6^bOGS1 Cua4uedin Sufdk County ►�� ���� W,,Cc-mmssion Etp;res Rovember7,21720,, ,NUTILI: Ulm Ht: ARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD : DONALD. L. CLEVELAND, JR. SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove all remains of existing old dock; construct a 4'x55' fixed dock; and install two (2) tie-off piles. Located : 1305 Winthrop Drive, Fishers Island. SCTM# 1000-9-8-6 TIME & DATE OF PUBLIC HEARING : Wednesday, February 13, 2019 s 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 ASSESS NT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the:Town of Southold Local Waterfront Revitalization Program. A ro osed action will be, ev atedas to its -siuMcant beneficial and adverse_effects u on the coastal area, which includes all of'Sodthdld 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 roust be ex la`siaW in detail,listing both sMorting and now! sport ggfacts,. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be.undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net),the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION PROJECT NAME The Application has been submitted to(check appropriate response): Town Board U Planning Board 0 Building Dept. M Board of Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital construction,planning activity,agency regulation,land transaction) E (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: rZ Nature and extent of action: r aL i0 VA N Location-of action: Sof Site acreage: -� Present land use; ` Present zoning classification. , a- e) C 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: , C' (b) Mailing address: L C: - (c) Telephone number:Area Code( ) ® -5 (oC(_CP S (d) Application number,if any: / Will the action be directly undertaken,require fimding,or approval by a state or federal agency? Yes El' No R If yes,which state or federal agency? S `(.e�S�iv,(OJ . 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 bre returned for completion. DEYFL(3PED.!t3AST 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. E Yes No [:] Not Ap licable 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 91 Yes El No ❑ Not Applicable i Q�c1 G � C 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 [I NoEl Not Applicable t4 \n Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III--Policies Pages S through 16 for evaluation criteria Yes Q No Q Not Applicable ( ` L",J 11 l� '(r\ CA1.ne Aba,;,. Attach additional sheets if necessary Policy S, Protect and improve water quality and supply in the Town of Southold. See LVM Section III Policies Pages 16 through 21 for evaluation criteria Yes 1:1 No ONO Applica �� � ` Attach additional sheets if necessity 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 W Policies; Pages,22 through 32 for evaluation criteria. LJ Yes No Not Applicable ® v\ —1 e C Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP SectionI — Policies Pages 32 through 34 for IIevaluation criteria. Yes Ej No[:] Not Applicable c � � w— �° y a Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVM Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes El No Not Applicable h� �-)o coca zk COD 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 L'WIIP Section III—Policies; Pages 38 through 46 for evaluation criteria. YeZ1 No D Not Applicable W —�2 < 1 , Attach additional sheets if necessary i WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. Q Yes ❑ No ❑ Not Applicable nQkj x)rtlo v t S r ` I � f ` `C I 'T 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 LVVRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes 1:1 No❑ Not A.plicable �r G f C101 Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LVVRP Section III—Policies; Pages 62 through 65 for evaluation criteria. F] Yes 11 No L M Not Applicable tee 4 Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LVVRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No �j Not Applicable i PREPARED BY 71d 54- TITLE DA'Z'E I ILD