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HomeMy WebLinkAboutTR-9699 Glenn Goldsmith,President 0f SUUlTown Hall Annex Michael J.Domino,Vice-President �O� ire 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III [ Southold,New York 11971 A.Nicholas Krupski Telephone(631)765-1892 Greg Williams �� Fax(631) 765-6641 COUKf`1,� J \ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 7� HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED--OFF 1 BELOUV ; INSPECTION SCHEDULE •- -��-- --�----�.-------------- ,Pre-construcri6h;-h4 bale=liiiefsilt Boor i/s�1#ci stain _ 1St day of construction _ %constructed K When project complete, call for compliance inspection; r. _ TERMS AND CONDITIONS The Permittee Samuel J. DiMeglio, Jr., residing at 2280 Deep Hole Drive,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 no interference with the right of the public to pass and repass along the beach between high and low water marks. ?. 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. Glenn Goldsmith,President �,QF sorry Town Hall Annex Michael J.Domino,Vice-President ,`O� Ol0 54375 Route 25 John M.Bredeme er III P.O.Box 1179 York Y l�[ � Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631) 765-6641 Irou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 23, 2020 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: SAMUEL J. DIMEGLIO, JR. '2280 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-6 Dear Mr. Just: The Board of Town Trustees:took the following action during its regular meeting held on Wednesday, September 16,2020 regarding the above matter: , -WHEREAS, J.M.O. Environmental"Consulting Services on behalf SAMUEL J. DiMEGLIO, 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 March 4, 2020, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 6.3 & 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: plans submitted meet pier line; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 16, 2020 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, ander WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275rof 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 SAMUEL J. DiMEGLIO, JR. to install a 4'x50' wood chip path on grade through the buffer area leading to a 4'x8' stairs; 4'x120' fixed catwalk utilizing Thru-Flow decking which will be constructed at 5' above the grade of marsh; 2.5'x10' ramp; a 6'x20' floating dock secured by four(4) 10' diameter piles; and install four(4) 10" diameter tie-off piles; and as depicted on the site plan prepared by AM Weber Associates, LLC dated August 26, 2019 and stamped approved on September 16, 2020. 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: $1565.00 Very truly yours, Presid4, B6ard o GG/dd ,APPROVE.D ,BY RD OF TRUSTEES I ew aW DEEP 14&.F TO.WN_:OF SOUTHOLD > ATE SI�MGFR, 14� Zom oPeN G 0.T Pres(A?To SCALE I 1► - '1%g1 CCAJg5T5�'G" OC� OPfn/G0.AT[DECKInr e � �� _ 3r'Y 16"DufN1cE GIME(25(Gjr° � (^7Ht°JLaw'1 6" nz;:,Nlafi o•seD _ 1#'23$0 17EEP , 1 Lxlp TM1ooP&gPHDt!VVEt i D2rdL RSC�� cHo4E 1,SQpo°v I \p1 c I� h PAIN (homasflCPPst�PAlncc a4lae V '�yJELLI NG SPAw - rlW _5 Y 1 Tg4f i J 4R�9e FLoA7 %1o' 8�3T1NG TIDALWETL4NP 1` J- „IL. -v JS s n y woof 1 D NIV-- SD'Wrpe'8oT1oA�— .R ell xWCOOL65 PArM—� g'oN CENT£R I2�1 IU"x7a'P11•ES nt`N1w•�M 1o'4ENa1F,rT1eY5 �11rSdAN,S16PASN gG1c1+.c ANP - - / moo¢11a�Pu•e� � Se BDPFE� KIGJG t,s�I ,r• {�OS VIEWScn is SAm�e15 D1 NreGGrD1R C 5 �N1611 ___-- -L200 DEEP H.LE�41dE SC fY+� IDOU`12�•'a4'00(0 „N p°.NTb.aT MARDH d , r_, "-_ IMa(TrTUfc 1 hlEw YotY_ IIg57. �D'- Amr".a i -DEEP k}.er CG L C CREE1c�•W SVT H-2'15' ^''A"`N 2.'g $a.11+°lO r 1.11+ C.1F4ULK ColanrrY CItIP PATI oa F-1a ADE 1'3 So'R ufFelt ft-REM' '1 AASH nJe i.let Ilse - QSA�TA L1-'{'Va1DE-YS0 I-ON V WoDT H19� �' yp3TO LL,4'WfDE I�1/L°'LOA1G ca-r—I'KIPI6R 510')Ea VrtFOC UuErt UBGE-IA7bD t/ ! , TI'PAt W E{4 T H A 2,5'71 Id T(lat-.JZAMP AND (o'T.20•fLoRf AHC N°R SI GS A j7 L FooaC41 lOrr2o'P11eS AND Fo�A-C'k)10KXo'PI i f ATET C21�oAr' MAR 4 ?rITEe r1Ok 1'IAC 1 2020 TICAL. 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ENVIRONMENTAL Please be advised that your application dated March 4, 2020 has been reviewed by this Board at the regular meeting of September 16, 2020 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) Y2 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'x90' catwalk = 360 sq. ft.x $3.00 = 1080.00 2.5'x10 ramp = 25 sq. ft. x$3.00 = 75.00 6'x20' float = 120 sq. ft. x $3.00 = 360.00 I TOTAL FEES DUE: $ 1565.00 q�X0.20 Oslo BY: Glenn Goldsmith, President �tT Board of Trustees Glenn Goldsmith,President �QF SOUlTown Hall-Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.'Bredemeyer III [ Southold,New_York 111971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD , September 17, 2020 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW YORK STATE ENVIRONMENTAL QUALITY REVIEW ACT NYCCR-PART 617 SAMUEL J._DIMEGLIO,-JR. 2280 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-123-4-6 Dear Mr. Just: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, September 16, 2020: DESCRIPTION OF ACTION: JMO Environmental Consulting on behalf of SAMUEL J. DiMEGLIO, JR.-requests a Wetland Permit to install a 4'x50' wood chip path,on grade through the buffer area leading to a 4'x8' stairs; 4'x120' fixed catwalk utilizing Thru-Flow decking which will be constructed at 5' above the grade of marsh; 2.5'x10' ramp; a 6'x20' floating dock secured by four (4) 10' diameter piles; and install four (4) 10" diameter tie-off piles. Located: 2280 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-6 S,.E.Q:R.A. NEGATIVE-DECLARATION-OF ENVIRONMENTAL-SIGNIFICANCE: WHEREAS, the Southold Town Board of Trustees are familiar with this project having visited the site on August 11, 2020, and having considered the survey of Michael K. Wicks Land Surveying last dated September 17, 2019 and having considered the plans for this proposed project submitted by AM Weber Associates, LLC dated March 7, 2019 with hydrological data at the Trustee's September 14, 2020 work session; and, WHEREAS, on September 16, 2020 the Southold Town Board of Trustees declared itself Lead Agency pursuant to S.E.Q.R.A.; and, WHEREAS, on September 16, 2020 the Southold Town Board of Trustees classified the application as an unlisted action pursuant to S.E.Q.R.A.; and, Page 1 of 2 WHEREAS, in reviewing project plans submitted by AM Weber Associates, LLC dated March 7, 2019 with hydrological data it has been,determined by the Board of Trustees --- - — -twat alt-potenttatly-signifrc-ant-envVommentat c�ncLrn-s-have-been-a-ddres-sed-as-noted- -- herein: • Navigation: The proposed dock meets standards and"does not extend beyond 1/3 across the water body. Depths for the dock terminus are within Town Trustees, New York State Department of Environmental Conservation and United States Army Corps. ,of Engineers guidelines and there is no recognized Federal/New York State/Towri-navigation channel in the immediate vicinity of the proposed-structure: Scope: The proposed dock is comparable to docks on neighboring.properties in an area where docks historically are used for commercial and recreational purposes • Scope in relation to-the riparian rights of shell fishers: The plan allows a standard fixed catwalk to float design that will not impede access for those seeking shellfish and crustacea in season. • Scope in relation to view shed:,The seaward end'of the proposed dock will not extend appreciably beyond existing docks. As such the perspective will not be discernibly-,different from the existing view. • Environmental upkeep: The dock design projects a usual lifespan of 30 years with-limited-pale-replacement-sows-to-minimize_disturban-ce-of_the-bottom. THEREFORE, according to the foregoing, the Southold Town Board of Trustees Approve and Authorize the preparation of'a Notice of Negative Declaration pursuant-to SEQRA for the aforementioned project. Very truly yours, Glenn Goldsmith, President Board of Trustees GG/dd Page 2 of 2 Glenn Goldsmith, P entAP Town Hall Annex Michael J. Dorltino ;_ 54375 Route 25 John M. Bredemeyer IIIP.O.Box 1179 A.Nicholas Krupskis _ Southold,NY 11971 Greg Williams ;'t, Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: �� _,_ Completed in field by: _ ' # JMO Environmental Consulting on behalf of SAMUEL J. DiMEGLIO, JR. requests a Wetland Permit to install a 4'x50' wood chip path on grade through the buffer area leading to a 4'x8' stairs; 4'x120'fixed catwalk utilizing Thru-Plow decking which will be constructed at 5' above the grade of marsh: 2.5'x10' ramp; a 6'x20' floating dock secured by four(4) 10' diameter piles; and install four(4) 10" diameter tie-off piles. Located: 2260 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3, Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6, Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 V Ch. 111 SEQRA Type: I A II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: t I have read & acknowledged the foregoing Trustees comments: Agent/Owner- Present were: / J. Bredemeyer ✓ M. Domino VG. Goldsmith v`�' N. Krupski .,/G. Williams Other Aug/21/2020 1:35:43 PM law office 63154710772 1!1 SAMUEL I DiMEGLYO, JR. 2275 Deep Hole Drive Mattituck, NY 11952 � G 2 2V August 21, 2020 Southold Town Trustees Attention: Donna I would like to amend my permit(#9454) for 2280 Deep Hole Drive to include a concrete slab for the generator and A/C. Size of concrete slab is 4ft. x 20R. Attached is a copy of the survey with slab shown in its exact location. Please let me know if you need anything else. Since-Cly, Sameeglio N"Wide eea.� '�a&-DEEP Na.E 11" satJ� x 04 12OPEN G QT rtwCA D To SLRLE 9ME LL IUG 1� l , '1'tIi!'CCA.To15T5�tb"u y�'v -�` \r\ OP[N GRuALTe DECKfn.= 1W6" -rE'1ZtA7V&EPHoLC pT,i,AIflIaE � se�Dv♦"T 0'1-L•—n.4-a� L J—_ sZiG'DUG¢LEGN• EFj50 verep CHP 9¢t�L MEL R!c.SS F40L LF A,SQpm°c I r[ PATH Z� arewa TADMASIICAP6✓BAlnff(, \ '�yJET.f-TNG N —5 > rgJsr Y "WiC W UR"9e FLOAT CJa90' ,S � .I`I E'rr"`C TIVRL WFtLgtID 'Q."tloAay 5•'L"�4 I' �6d -4SS i IVR H'w1DE ) 50'Wry!'80TSQx R g"m Bc CON PIILF5 PAIN--4°. I r, to"x7o'P l�s n„�,M M,a'VeueTe,tloa l! aNc'•"a-AHt, �z1 (SQAN.SF6PAsN 1 ry 0024.3L Pae, go BDPFER IG hJG J _ rad C Ros5view - No, Tn seals I =---•. 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Y. j l LP, g M ;sl . SURVEYED: FEBRUARY 21, 2018 72 S.0' . +6.751 L'•1 L co ADD. INFO: APRIL 23, 2018 117 { / ONLY HYDRO. SURVEY: SEPT. 24, 2018 L10a Of FlLL� j+17'00) 7x6 P+ BE rN REVISED: OCT. 17, 2018 1C'6' I to MI REVISED: SEPT. 17, 2019 11 TEST HOLE - `I +7.22 ,a41� YARp• +11.00 MIN. ,LW OF FILL 3 � � GMtACE �-�' 46.0 r�i G.FL=12.5 BPROPOSEDEDROOM .5�S� D.W AIC AND �. NOT TO SCALE D•w. " f.FBED E RESIDENCE - - - oLa1vTASLAB o COMP. MCDONALD CEOSCIENCE Q rr\ LFL=s.o -0 2/15/18 ^�w EfM ER O. GRADE ELEV. 8.50' Q y - +4.65' F v b 46.0 DEPE MAR 4 2020 C -' I BROWN LOAM OL GRASS -aft FLOW DECKING' u BROWN sILTY SAND SM CERTIFIED TO: o GRAVEL BELOW 12x46 +s.to 0 5' To MEDIUM SP SAMUEL J. DIMEGUFINEO JR. \ ` > OPEN GRATE XCX JODI JACOBS OF ABSTRACTS INCORPORATED TITLE # 17-38-0150-11010 E PROP 4 stAe 3.sw `Np0°F NOTES: CHICAGO TITLE INSURANCE COMPANY o TANK 1,0:\'I' -�� to' PEOPLE'S UNITED BANK N.A. �� s 8 IGH 1. PROPERTY KNOWN AS TAX MAP# 1000-123-04-006 z C c ` STAKED HAY BALES • +4.z5' sllT BRIOGENSTONE 2. LOT AREA -17,813 SQ.FT. (0.408 ACRE(S)) WATER IN PALE q ` Wu1 99LF AT 50' 3. THIS SURVEY WAS PREPARED USING A TRIMBLE BROWN FlNE TOAl2FA • � MEDIUM SAND SP t� ,� � �.WIDE NON- R +4.8 ' BUFFER LINE S3 ROBOTIC TOTAL STATION. (LOCATION OF 4' 4. PROPERTY CORNER MONUMENTS WERE NOT SET AS 15' p, > f� I i.+ rn o / WADE PAIN TO BE PART OF THIS SURVEY. r 4i DET MM IN 5. ELEVATIONS REFER TO NAVD 1988 DATUM. > + 81' 6. EXISTING ELEVATIONS +10.00 PROPOSED ELEVATIONS (+10.00) o +3.09' Ix FLOOD MAP DATA: 3 20' MAP #: 36103CO482H WATER ENCOUNTERED 4.6' BELOW SURFACE v ZDNj,; A1, ; ; r h� MAP DATE: SEPT. 25, 2009 m ' - E FLOOD ZONE: AE (EL.6) do X _ u 50'WADE NON-DISNR pI Tn- FLAG 18 STANDARD NOTES: ~ 0 W FLAG #4 & - - - RAG J7 _ I� w r. CoPYP,'JJT 20tH M:NAEL K. WICKS Lkr) s,PVEYIN`, ` FLAG ,s • �+�W ',� y, U,;Ar1TFrOP^.ED A!_TERATI^N Or• ADD!T!CN T'1 THIS S'JkVFv MAP 9EAPNG A RAG 15 LAa:J SJPVFrOR'S SEAL IS A VIOLA-DN Or SECTIC.'l 72C,,.clj ry ARY _FAGGED BY :, •. �. _^ N 2, Or N'N YCN S'r.TE EDUC AT,0N LAW �nDAI 0 AN AssOMTM LLC) r a• r-.Fv T, _ _ IN CHUCK HAM ( to T "�U L n'+F ccNL:, i' TRUE A';D CCRRL r Ll r'IEs ::c:,',;P'': or'.'.INAL > �� • '3 MARCH 1A H w41ER +2.43 �O WOP!, ANI: uF":'iu T a +1.52 2 I..f CO a r P- ,;.r. ,E n^, TH', Fa^uN-,R sL,.r vA s-r>r ..`TI'AT 'E MA" x tl �l • 21 IO1Bun ^ ^� V,GS F':.'.• iN A."Ci.;w_E W,, y rHr ri•,var.. Ek"si^ CG.' r: U X69.32'62" Ss ,A:T:i� Fr;N., a •� O ~ A uV' F 5 a-,N' S R' „L a:-N' rCk,, c i R7 F�- 32.32 Q �� 1.84 (/� Fr1 LW TED aTIOa <,r , ,oFr =':vr,' LAN^ SUUN5r:ly r..., n•. is is -Cn"CN I, U•�'TFD TO PERSONS FI,R WHOM ',Hi ECUUGA„r S:,R4ENCY MNP IS PRF FARCD. F- 'u THF: TITLE ,27' NY, THF G ERNM.NIA AOf.NCv, p^In TO Tl•" j 6 "�► �rN "U Lt'ED CN 1.; F,,,4r;'r- r .o.,v V,AE l l H AtfA T-!E CE�'T:rICA^ONS HERE'N APC NOT TPA^:SFEaAR'E Q X11 +4.02 S r ho ',.3 O E TFIT L0CAT'ON Cf UNDERGROUND !:'P?R_JF�,a r,TS OR ENCaCACHMFNT^' AAE 0 /3 +11.41 O Oy NOT A"WAY'� KNOWN AND Of TCN Ml-,l PI E:J Ik14fFD. If A',Y UN:LH.-.P,, UND FYIS HOUSE ilp� S29'26'U1 ... ,.._a..- - _..,.... .»..... �. IMRR:+':EMENTG Or FNCf OACHVr N, A,,' C4 ARF 5„r„A N, THE _ 12.14 DEEDED PROPERTY LINE Rc'.FME> ; CP FNc PoacH," N_ AW N E ca rRO r:'r THIE = o CC' cr, HEREON a 7. 7•'E CFF � D,�,-n;^! 1 <r�O;'",; rn TROM THE S-RUCT;Jf?.S TG TH F.F. EL - 12.5' a -`nR,• w N74*36'2 IF ARE N1,T i`' l!'.�5 AIC FOk A 5E.:. C PO PC`F A'�0 I�.IF AND WARS,ORE w FINrSHED GRADE EL 10.70 1 ARE N,!r PJOS PLA TO GLADE THE ERFCTIorI of FL':cF^>, PI IA,r:!Nr; OTHER w r-A5, A!:G!r Gr 19.36 Poc s, PATIOS P ANnNG A cra TO PL' u!Ic nl:n AN'Y OTHER +1.16 c' c.cN'sTRucTlnv, CC r... NPEIP FT. 1' MIN. j9JV. ., S r N'i `HE LA^;; SLJF"J_YOF:'^ IN OF v'Y h An rrq •;; r l.10.4" g OR EFAPDSSED SEAL- FNALL NO,' PI=CONSIf'CPED TO BE A VALID COPY.FOCOUNDA�TION W.- 4 S1,000 CAL EPTIC TANK W.V (Z- plyLEACHING GALLEY r + . .r ewe X9.9 0.4 =9.2 ( 1 of 6) r gg -0.44 +1.72 f J EL-7.2' / -0.22 -026 -0.28 a +4.00 _ ..� L/ -0.25 -0.21 �. L) HIGHEST EXPECTED GROUND WATER EL.=4.' � 0.83 -0.79 -0.75 ��Cw-0 0 '�� O -0.22 OOb, +0.33 .` F.EL GROUND WATER EL=3.9' -0.80 -0.84 rr u -1.40 -1.45 w t a (1 c -1.34 -1.45 -1.33 -0.81 -0.25 +2.12 -2.23 -2.23 -2.21 -2.35 -2.19 -2.47 -2.49 -2.48 -247 _2.18 '0.77 -3.10 _3.09 -2.51 -2.43 -2.43 -127 3.14 -2.51 -2.15 - \\\ 4•e�' �` 2.15 -0.27 +0.56 \Cn. C z -3.50 -3.47 -3.1B -2.41 cl a� � .IC LOT COVERAGE INFO: _385 _3.53 5x15 RAMP-2.51 -0.73 1MICHA Z.S. #50390 E LOT AREA =17,813 SQ.FT. -3.95 _4.15 -3.53 3.21 -253 1.55 -0.26 UPLAND AREA (INCLUDING BUFFER) =14,308 SQ.FT. -4.15 -4.28 UPLAND AREA (EXCLUDING BUFFER) -8,844 SQ.FT. DEEP HOLE C�5 3 K _3� -3,11 -2.56-2� -,.52 -0.25 +0' MICHAEL .K. WICKS BUFFER AREA A =3,5 SQ.FT. -435 3.511 LAND SURVEYING v WETLANDS AREA =3,500 SQ.FT. -4.77 -4.55 -4.25 -4.65 -4.80 -4.80 -3.44 -0.80 -0.33 E % OF UPLAND COVERAGE -s20 -5.55 -S.Bo -4,55 -2.52 200 BELLE VIEW AVENUE, ADDITIONAL INFO: -t.ss J PROP. RESIDENCE =1,920 SQ.FT. (13.4%) -s.to _725 _5.35 f CENTER MORICHES, NEW YORK 11934 PROP. DECK =552 SQ.FT. (3.8%) 220 C.Y. OF FILL NEEDED FOR FRONT YARD -7.50 g 90 -5.43 -2.14 -0.85 I � VOICE: 631.874.0156 - FAX: 631.909.3845 PROP. PORCH -182 SQ.FT. (1.2%) 6x20 FLOATMG DOCK' -885 -2.45 1 www.wicksZaTldsurveyi'n.g.com d TOTAL =2,654 SQ.FT. (18.5%) rJ RECORDS OF RICHARD C. DRAKE o ADDITIONAL INFO: -5.75 -1.54 1 n PROPERTY OWNER SAM DiMEGL10 -6.80 -2115 SCALE: SURVEYED BY: DRAWN BY: SHEET: ADDRESS OF PROJECT: 2280 DEEP HOLE DRIVE MATTITUCK, NY 1"=30' B.W./S.S. J.W.W. 1 OF 1 -2.47 Glenn Goldsmith, P40, O�QS�FFO(�COG Town Hall Annex Michael J. Domino �� yj, '' 54375 Route 25 John M. Bredemeyer III y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971_ Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: rS�i144� Completed in field by: CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 y/ Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendmentyl Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey'<_ 5 years: Y/N Wetland Line by: C.E:H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: "Agent/Owner: Present were: a/ J. Bredemeyer __ZM. Domino, ,/ G. Goldsmith' N. Krupski �/ G. Williams Other tot .�.•' t A LI t err .44 i 14, i a —_ JE Illy, Or If Al Off, fIRV t _ � ��'•t r� I ��� ! I� 1 y� jF, �� � ( �����I�. � I�- � 1 �ll� f � -� � �?� .1� ry"y_ � : Proposed catwalk, ramp,float E,.:- �q i r�l z� i 2 •y l _ 2280 Deep Hole Drive,MAT X q r ;r:uw x. ,d••.:rug 2280 D - iA •xry(•eery He r �1 �. t � Deq, y M s - i f �s �e ' N n � Ol � JQinvt.A . nJuiCJ � i ' Tree Farm s Trimble's of ss - Corchaug Nursery + BP Mattituck-Cutchogue Q ry y 'oo Jr.Sr High School � A m � C I o Marratooka S New Sc�llo�kgy� p Pond • Love Lane Kitchen 0 ti u c k — a 'a o c� 0 o ?a L n w r CA Mattituck } 'ora , 2280 Deep Hole Drive 5 0 7 Marratooka Point V V ` E 1e9lon Arc KfatiSt Rd p '� �� o �asLn P�kAve �0 9 a'J a Q �1 a trong's Mar ;� s Q Q n 5 SEE SEC NO 115 SEE SEC.NO 115 1 3• SEE SEG-NO 115 sw No � GA1011 UNE e[E s[c. .115 __ Nsm N¢ ( 99 � • l8 feeu e FOR PCL NO SEE SEC NO ' 5yoto ! �, 2 1. DR. 15 • £' 3 ¢� 131` \A T 6 p 1p t w FOR PCL.NO y_ ,. ' M m m 2MI.) •+y "• N wI 'N SEE SEC.NO. 3 0 � �i • ' F,5� '�f To"OF 1, SOURgLD 5 11 �0 1� N�msvN,un I 2.1 5 rB ,e �♦ so.a1 22 O "All ° gS. CREEKK ISM '�' •' SER 1e 1° 5p n nn '\\\, —•/ •?N ,� GEN 20 �I '. ?7r 22 11 O 11 la.t sb 31 33 3• `, Y • ` Yt2 1,'yD'�` `P �' 9 9 29 39 31 } aT a Yy 7a ` p♦ zo1 1 s • P �O\5 58 4.13 83 1�'1 T P• //yt 2A r' ° '� M • {-•µI1 NW /% • ° ° 1Tµ1 1\` 1eµ1 `"A 1 25 � p1` •.t /� 51 iN t•`, /� e2Plc1 y1`t �t p0 • 6 .n O 1 1111 1JN` 111 . 1 11N\ P , IITP,rt.Fa++ w / IS 363 16 m • I 125 y i 126 LQ -1 e ,e 15 1• X1100 - I6µ1 c 1B 12.• A �_ / 19 1 � '�� • / IG BPY COUN OF SUFFOLK © e na ... NOTICE \) -'-- -- - 0 �- — „—— — •—— _ .NNS. Real Property Tax Sernce Agency r .., �°` 123 � � ...vrmcTNo 1w1 p ni•t�+ •.�n. , e OFFICE LOCATION: ��"P� MAILING ADDRESS: Town Hall Annex tidy" " P.O. Box 1179 54375 State Route 25 �� Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Telephone: 631 765-1938 Southold, NY 11971 b LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: September 16, 2020 Re: LWRP Coastal Consistency Review for SAMUEL DIMEGRO JR. SCTM# 1000-123-4-6 JMO Environmental Consulting on behalf of SAMUEL J. DiMEGLIO, JR. requests a Wetland Permit to install a 4'x50' wood chip path on grade through the buffer area leading to a 4'x8' stairs; 4'x120' fixed catwalk utilizing Thru-Flow decking which will be constructed at 5' above the grade of marsh; 2.5'x10' ramp; a 6'x20' floating dock secured by four (4) 10' diameter piles; and install four (4) 10" diameter tie-off piles. Located: 2280 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-6 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, it is my recommendation that the proposed action is INCONSISTENT with LWRP Policy 6.3 and therefore, INCONSISTENT with the 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. The applicant must demonstrate that the following dock standards pursuant to § 275-11. Construction and operation standards have been met: The applicant has not demonstrated that the following dock standards pursuant to § 275- 11. Construction and operation standards have been met. 1. The dock extends past the existing dock line to the north. A true assessment of the dock line cannot be provided due to insufficient information. 2. The size and draft of the vessel has not been provided. Water depth at the end of the dock is shown as 7.25 and 7.50. It is recommended that the Board clarify the need to the dock length. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. The dock will impede public access and interest in lands and waters held in public trust. 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 of F91 Peter Young,Chairman -� Town Hall,53095 Main Rd,. Lauren Standish, Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 9, 2020 the following recommendation was made: Moved by John Stein, seconded by John Chandler, it was RESOLVED to NOT SUPPORT the application of SAMUEL J. DIMEGLIO, JR. to install a 4'X 50' wood chip path on grade through buffer area leading to 4'X 8' stairs, 4'X 120' catwalk utilizing thru-flow decking, which will be constructed at 5' above the grade of marsh, 2.5'X 10' ramp, 6'X 120' float secured by 4 piles and install 4 tie-off piles. Located: 2280 Deep Hole Dr., Mattituck. SCTM#123-4-6 Inspected by: Peter Young, John Stein, John Chandler The CAC does Not Support the application due to the concern with the proposed elevations of the structure. The CAC is also concerned about the distance out into the channel and whether it will impede navigation. Vote of Council: Ayes: All Motion Carried = Glenn Goldsmith,President ��QF SUUry� Town Hall Annex 54375 Route 25 Michael J.Domino,Vice-President P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Greg Williams �l �� Fax(631) 765-6641 yCOUNTY,� _ BOARD OF TOWN TRUSTEESVFTOWN OF SOUTHOLD 4 2020 This Section For Office Use Only SOUr1iUIG iGbYi9�� ---/Coastal Erosion Permit Application �G° Lf�t� ices Wetland Permit Application Administrative Permit Am endment/Transfer/ExtensiiQgn Received Application:- JZeceived Fee: $ ZSQ.Oa Completed Application: ,20 Incomplete: SEQRA Classification: TypeI Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: �Coordination:(date sent): �• 3. LWRP Consistency Assessment Form t: CAC Referral Sent: •?S� ' Date of Inspection: •� Receipt of CAC Report: —,LTechnical Review: ✓ Public Hearing Held: Resolution: �� r Owner(s) Legal Name of Property (as shown on Deed): SaIMAe I NiN f Mailing Address: (Lk t M(2o VO _3kree� ��a`+rlcA v Phone Number: 51(o-`I}6-09k b Suffolk County Tax Map Number: 1000 - h3—QL1—ODfo Property Location: �0 r�,o� �o�� �r�JeCAY,J-ick (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): ���fOrlvr ���� C,\-)►nCcA� �r� Mailing Address: �PO J C4- L44q 10"OWe i J-3_f I I 1/ Phone Number: C'" - � ..z......_...i.�..�v:�....�;,:.,,.....__....._.._..Y....=...n_�.�.�..,......,..� ...,, •�....... --,.;.:w.a..,v - �_..,..ti_:.:..a..i.,...........v... ....,.........,i.s..:...'...n'.:v:._.,�-....::.._._�s....>n�.r.:....'^ - �....._,N.du.., ,";r' ,, ..,�,...�....,... Board of Trustees Applic on GENERAL DATA Land Area(in square feet): Area Zoning: Previous use of property: C v Intended use of property:5 �' 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 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 requir any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure (s) n property have a valid Certificate of Occupancy? Yes N0 Prior permits/approval 3 for site improvements: Agency Date `(� Vl (1_-) 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 explan tion: Project Description(use attachments if necessary): i i Applicant proposes to install a 4'x50' wood chip path on grade through buffer area leading to a 4'x8' stairs, 4'x120' catwalk utilizing "Thru-Flow" decking which will be constructed at 5' above the grade of marsh, 2.5'x10' ramp, 6'x120' float secured by 4 piles and install 4 tie off piles ? it Board of Trustees Appl� --,'Ltion WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: J"'i Ck-\P ce-C CFCA ionq I Area of wetlands on lot: 3 1 5D _square feet Percent coverage of lot: k5.,R % Closest distance between nearest existing structure and upland edge of wetlands: 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? cubic yards How much material will be filled? SCJ cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: k" 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): +—V\e"zc- 'Sba!�A- )L�a X2�0 neea4NC' wCP Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1—Project and Sponsor Information Name,of Action or Project: Proposed dock Project Location(describe;and attach a location map): 2280 Deep Hole Drive,Mattituck Brief Description of Proposed Action: Applicant proposes to install a 4'x50'wood chip path on grade through buffer area leading to a 4'x8'stair,4'x120'catwalk utilizing"Thru-Flow"decking which,will be constructed 5'above the grade of marsh,2.5'x10'ramp,6'x20'float secured by 4 piles and install 4 tie off piles Name of Applicant or Sponsor: Telephone: 516-978-2816 Samuel J.DiMeglio,Jr. E-Mail: Address: 141 East Main Street State: Zip Code: City/PO: 'Huntington NY 11743 1. Does the proposed action only involve the legislative adoption of a plan,local law,,ordinance, NO 'YES administrative rule,or regulation? El Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and permit or approval:Southold Town Trustees,N Y.S D.E.0,N Y.S D.O.S.&U.S.A.C.O.E. ❑ 3. a.Total acreage of the site of the proposed action? 0.40 acres b.Total acreage to be physically disturbed? 0.05 acres c:Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor?' 0.40 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑Urban m Rural(non-agriculture) ❑ Industrial ❑ Commercial ® Residential(suburban) ❑Forest ❑ Agriculture Aquatic ❑ Other(Specify): ❑.Parkland Page 1 of 3 SEAF 2019 NO YES N/A 5. Is the proposed action, a. A permitted use under the zoning regulations? ❑ Z b. Consistent with the adopted comprehensive plan? E] W NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? ❑ ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES Peconic Bay El W1 If Yes,identify: NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? F12TIE-1 b. Are public transportation services available at or near the site of the proposed action? tNO ED c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed El action? 9. Does the proposed action meet or exceed the state energy code requirements? 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: ❑ a 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: W1 ❑ On site sanitary system 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or districtV00 which is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for � ❑ p J � archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 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: _ Deep Hole Creek Catwalk 480 Sq Ft,ramp 25 Sq.Ft and float 120 Sq.Ft. _ Page 2 of 3 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 JZ]Wetland ❑ Urban ❑ Suburban 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? ❑✓ ❑ 16. Is the project site located in the 100-year flood plan? NO YES ❑ ❑✓ NO YES 17. Will the proposed action create storm water discharge,either from point or non-point sources? ❑ If Yes, a. Will storm water discharges flow to adjacent properties? ❑✓ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ ❑ If Yes,briefly describe: _ Leaders and gutters to dry wells 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: ❑ -19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: W1 ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed) for hazardous waste? If Yes,describe: ❑✓ ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor/n Gle n ust Date: Signature: Title:Agent PRINT FORM Page 3 of 3 Agency Use Only [If applicable] Project: Date: Short Environmentrcl Assessment Form Vart Z -Impact Assessment Part 2 is to be completed by the Lead Agency. 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?" ..l.i :hi��rl� ..rr•M V: �«c, " 'F,"t'0"+. f':'Nr�>cix,vx ,'Cwy$ ;'t• - "•'+ _ �=``��:,,.-.,�`::"'[,� '�i ;d'tx r `" 1�0 Or Moderate }:, ,r2`.'�f' !t';"',%n: ¢t Y".Y...^R r.:a'.5.';. '^'� .i„•,.•,-.ir_.�xZ',.^.w.- 7 , _ :?� ., .i4,....ra.e ..ri���i.,: 7,c3•�c._.,.—_».:a'c.”.��:'_ —uq2,:c:tz� _ {,s•. -*i iY 4. E'y '• ti,c£,.x i'N `55'ci w;•`h sa ;; Cw -`>. SITI�ill t0 1Al'af %lak�i,�i.;..,'w i' ,. • .�;t�:" `'"•a��s_:.a.;, :','7a; '1'G'.`i `n,#?i?'<.':'` »'' ;r: p imact impact �'L' - iY 'i.-'.l..vi. 4i:.-^` iFil'•r �£`t`{j.#� 'a`-::f�^t't^,µ a+.1'/.. .. ... , /� .'S,, •. '��, ..'✓c�.i.,.^;..Thr:f-r.^�„':.z:.r' e?``-;ia:•tA`};��:'::W.F3�,+„�warii..,fze'�C't;ywi'i:*,t:�tw�., -' -- ,v' if may IIL9y 1�.'si _•t-f-r- _ _r .p,u 4�,s ti- c£'*c,;^ �: (•7.4;.;,._,-.. OCCIIl' OCCUr µ.e: :'!E.nxre.i� ti: Ls.+ ..'�n.t�':'.-r=.c:9"-.ol'.�t�'s;sr"s�^.C✓�:;�` 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑� Elregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ ❑ 3. Will the proposed action impair the character or quality of the existing colmnunity? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the El E]establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or F-1 El 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 ❑ El available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑l a.public/private water supplies? J b.public!private wastewater treatment utilities? ❑ ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, E] El 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)? ❑ ❑ 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage El F1problems? 11. Will the proposed action create a hazard to environmental resources or human health? ❑ ❑ PRINT FORM Page 1 oft SERF 2019 Agency Use Only IIfapplicable] Project: Date: Short Environmental Assessment Forin Part 3 Determination of Significance 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,iu sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting, probability of occurring,duration,irreversibility,geographic scope and magnitude. Also consider the potential for short term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT FORM Page 2 of 2 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, 1 L�IN\ 0 t owners of the property identified as SCTM# 1000-S (D�—0—'Ob in the town of New York, hereby authorizes tYt 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. �O - Prope Owne 's Si nature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF 6 CA::� Notary Public LISA A.CHRISTY Notary Public,State of New York No 01 CI-114958570 Qualified in Suffolk County Commission Expires November 6,20-',1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sou J's Cndc of Ethics prohibits conflicts of interest on the tri of town officers and cmnhyyees.The purposed of this form is to provide information which can alert the town orpnssible eonfliets of interest and allow it to take whatever action is necessary to avoid same. G n 1 ��YOUR NAME: f"�/�' WD , (Last name,first name,laiiddle initial,unless you are applying in the time 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.) Tact grievance Building Variance_______ Trustee Change of Zone Coastal Erosion _ Approval of plat _ Mooring Exemption from plat or official map Planning �. Other (lf"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,ntarriage,or business interest-"Business hitcresC m6iis a business, including a partnership,in which the town officer or eniployce}ws even a partial ownership of(Or employment by)a corportrtion in which the town officer or employee owns more than 55%of the shares. YES _ _ _ __ NO If you answered"YES",complete the balance of this fort;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 applicantlagenUrepresentitive)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space prodided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A}the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); an officer,director,partner,or employee of the.applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted 'S J da o 28.212 Signature ---- Print Name Form TS i Board of Trustees Application AFFIDAVIT 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 HAIUMLESS 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 AGENTS) 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. Sid ature of Pr erty mer Signature of Propei-ty Owner SWORN TO BEFORE ME THIS �_-- DAY OF 20 Notary Public LISA A.CHRISTY Notary Public,State of New York No 01 CH4958570 Qualified in Suffoll<County Commission Expires November 6,20 2 APPLICANT%AGENT/REP RESEN'TATIVE TRANSACTIONAL DISCLOSURE FORM[ 'The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and ern to ees.The I)uMgse of this.form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same: YOUR NAME: /'!Y/, �� J (Last name,first n e,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If-so,indicate the other person's or company's name.)' NAME OF APPLICATION: (,Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat _ Mooring Exemption from plat or official map Planning Other (if"OtheC%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, incfuding,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 lk� — If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)tite owner of greater than 5%of the shares of the corporate,stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when•the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONS141P Submitted thts i d - � 20 :6% Signature L L Print Na e Form TS 1 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, .S'Ana J_� ,DMF owners of the property identified as SCTiv1# 1'000- ! t...A—Cf42 in the town of New York, hereby authorizes - Ai �^ iri � �'s� to act as my agent and handle all s a necessary work involved with the application process for permit(s) from the Southold Town- Board of Trustees for-this property. operty Own r' ignature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OFIVO 120 _ Notary Public LISA A.CHRISTY Notary Public,State of New York No 01CH4958570 Quali{,ed in Suffoik County :�omm+q^ncn cxPires November 6,20 ZI Board .of Trustees Application AFFIDAVIT QCYYIvSL J %�/1ilf���� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL S'T'ATEMENTS CONTAINED-HEREIN ARE TRUE TO THE BEST OF.HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE INTHE 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 I3Y 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 TN 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 PERtMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. C'iAaturrc gopertOwner Signature of Property Owner SWORN TO BEFORE ME THIS �_UAY,OF M&Il4 20�_ Notary Public LISA A CHRIST Y Notary Public,State of New York No. 01 CH4958570 QLI2I;t'ed in Suffolk County � Commission Expires November 6,202_.L. Glenn Goldsmith,President o�OSpFFf7('�-COG Town Hall Annex Michael J.Domino ,� y� 54375 Route 25 John M.Bredemeyer III y z P.O.Box 1179 A.Nicholas Krupski w0 Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 3, 2020 Glenn Just J.M.O. Environmental Consulting P.O. Box 447 Quogue, NY 11959 Re: Board of Trustees Application of Samuel J. DiMeglio, Jr. 2280 Deep Hole Drive, Mattituck SCTM# 1000-123-4-6 To Whom It May Concern: You are receiving this letter as notice that, in accordance with the Governor's Executive Order 202.1, this_application is now scheduled to be heard by the Southold Town Board of Trustees, via videoconferencing on Wednesday, September 16, 2020 beginning at 5:30 P.M. Please continue to check the Town's website as the meeting date approaches for the latest meeting agenda and videoconferencing information. Also enclosed is an informational notice regarding the videoconferencing meeting and how to access the online meeting. Please mail a copy of the informational notice along with all other required paperwork to each of the adjacent property owners. Please keep a copy of said informational notice for your records so that you can access the meeting in order to have a conversation with the Board during your application review. ery Truly Y urs, Glenn Goldsmith, President Board of Trustees Glenn G61dsmith,President O��SVfFDj,f-COG Town Ha_ITAnnex Michael J.Domino �� y� 54375 Route 25 John M.Bredemeyer III y a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 HCl �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD WORK SESSION & PUBLIC HEARINGS WEDNESEDAY, SEPTEMBER 16, 2020 5:OOPM & 5:30PM A Regular Work Session and Public Board Hearings of the SOUTHOLD TOWN BOARD OF TRUSTEES will be held on Wednesday, September 16, 2020 with the Work Session beginning at 5:OOPM and Public Hearings beginning at 5:30PM. Pursuant to Executive Order 202.1 of New York Governor Andrew Cuomo in-person access by the public will not be permitted. Town residents are invited to attend the public meetings virtually via the Zoom online platform on Wednesday, September 16, 2020 with the Regular Work Session beginning at 5:OOPM, and the Public Board Hearings beginning at 5:30PM. ,The public will have access to view and listen to the meeting as it is happening via Zoom. If you do not have access to a computer or smartphone, there is an option to listen in via telephone. Further details about how to tune in to the meeting are on the Town's website at https://www.southoldtownny.gov/calendar or call the Board of Trustees office at (631) 765-1892 Monday through Friday between the hours of 8:OOAM —4:OOPM. Options for public attendance: • Online at the website zoom.us, click on "join a meeting" and enter the information below. Zoom Meeting ID: 910 7289 9663 Password: 151944 • Telephone: Call 1(646) 558-8656 Enter Meeting ID and Password when prompted (same as above). In order to "request to speak" when the application you are interested in has begun, please press *9 on your phone and wait for someone to acknowledge your request. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Web Iink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "Trustees" folder; click on "Applications"; click on "Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. i J.M.0. Environmental Consulting Services t September 22, 2020 Mr. Glenn Goldsmith5 President fLi i Board of Town Trustees SEP 2 5 2020 Town of Southold St!, T, Town Hall Annex ao,rd of Trg;,,es 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: DiMeglio, 2280 Deep Hole Drive, Mattituck S.C.T.M.No. 1000-123-4-6 Dear Mr. Goldsmith: Enclosed please find the signed "Green Cards" from the certified mailings of the Notice of Public Hearing which was held on September 165 2020. Respectful leust Phone (631) 653-0607 • Email Gjust10215@aol.com 121 Jessup Ave • 2nd Floor • P.O. Box 447 Quogue, New York 11959-0447 Y � e> i COMPLETE SECTIONCOMPLEtE THIS SECTION • DELIVERY ■ Complete items 1,=2;anaW. A• ture ■ Print your name and address on the reverse XAAgent so that we can return the card to you. ❑Addressee i ■ Attach this card to the back of the B. Receive by note Name) C.Date of Delivery mailpiece, or on the frdht if space permits. V II d 1. Article Addressed to: D. Is delive ress different from item 1? ❑Yes �, s o €€d 0: �E_>('�� �p If address below: ❑No o, ur o. 01-5 11 E tCt3 S�n�s ° lG lS U �� E3 11 ❑❑ d d 9`o 1, r �. � ❑ �'yymELmm-c � 3. 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( �• o 13 If YES,enter delivery address below: o N -0 m r/1 ,_L p p N 1'tlP� N o U U O ur a (D � Er O T 00 3 0Co- ¢ j m E CL I O 'O O 0 LL II I I IIIIIIII 11 II III II I 111111 III 3• Service Type Priority Mall Express® U Q o ` = — Q II D- �- 1111111 I III El Signature 0 Registered Mall"I ■ ■ r ti Adult Signature Restricted Delivery ❑Registered Mail Restricted; �- - ertified Mail@ Delivery 9590 9403 0285 5155 6237 35 ❑Certified Mail Restricted Delivery ❑Retum Receipt for ❑Collect on Delivery Merchandise I ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation _n__a+i^la nliimbar 1Transfer_finm service labeb . - -Insured Mad • • :Z Signature Confirmation insured Mall Restricted Delivery '•! Restricted Delivery 7018 -.3090 0000 •4591+'9758 (over$500) <,r Domestic Fletum Receipt PS Form 3811,April 2015 PSN 7530-02-000-9053, _ w —_} i J.M.O. Environmental Consulting Services September 8, 2020 Board of Town Trustees SEP - S 2420 Town of Southold Town Hall Annex Southold Town Board of Tru tees 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: DiMeglio, 2280 Deep Hole Drive, Mattituck S.C.T.M.No. 1000-123-04-006 To Whom it May Concern: Enclosed please find are the notarized "Proof Of Mailing Of Notice" and "Affidavit Of Posting" for this application. 4ejust , Phone (631) 653-0607 • Email Gjust10215@aol.com 121 Jessup Ave • 2nd Floor • P.O. Box 447 Quogue, New York 11959-0447 Vi TM U.S. Postal ei� ce 1 co © ® ru •. • Ln •. • 0 M I " - 4 w 31 !. CUt , New ,• ( �, mss. Y its._ r � Cert tied Mad Fee$3.55 �2. � Certified Mall Fee $6.55 c 97 N 8c I_li -. $ Il 2 Extra Services&Fees(checkbwx add fe"a�p(p�nare) EMra Services&Fees(check box,add fee ) j li ❑ReturnRecel t ate � ❑Return Receipt(hardcepy) $ O' P(hardcepy $ I 1 O ❑Return Receipt(electronic) $—".00— -- Postmark' C:3 ❑Return Receipt(electonic) $ O ❑Certrfed Mad Restricted Delivery $ aV.vu Here M ❑Certified Mail Restricted Delivery� $ Postmark C3 Adult Signature Required $ D []Adult Signature Required rA ' Here El Adult Signature Restricted Delivery$ []Adult Signature Restricted Delivery$ 'r'tr•trtr L-j Postage $0.55 Postage C3 o $ C1.55 and a e s M Total Postage and Fees M Total Postage 6.95 rq �6.`9� 09/0,9/20213 s$ To m -------------------------------------- —— gl1 _ 'J_�l�P T f� ! ®� _r ^ O [ et a 11 t.No or PO§oz No. �`G F RL�C�_�!_ pt .,or P6 B o. - ^ + ?'Z - ern sI- --- : +f�(a-------- - City,State,ZIP ---- --------------t---------------------------------- TM U.S.Postal Service i CERTIFIED MAILPRECEIPT Lr) Domestic Mail Only � , Motoft��;�Y 120 - Er Certified Mail Fee $�.�?5 8-0:,97E 0972 $ o° 1 Extra Services&Fees(check box add fee dere) ui E=l ❑Return Receipt(hardcopy $ - M ❑Retum Receipt(electronic) $ $0-00 Postmark C:3 ❑Certified Mail Restricted Delivery $ •0, Here ' O []Adult Signature Required $ — ' []Adult Signature Restricted Delivery$ cr Postage $0.55 C3 61 Postage and F 95 u9/��5/2020 1:0 $ G t To no.,orgjui o. -=---------------------FF A PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: l STATE OF NEW YORK COUNTY OF°SUFFOLK residing at , being duly sworn, deposes says that on the ay o �•g 1 , 2002, 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 Notic s w e availed at th�3nited States Post Office at �L �3that said Notices a ailed each of said persons by CERTIFIEMAIL TURN RECEIPT. Sworn to before me this Day of S THERESA PSALTIS DANGELMAIER 0 { 20 ao Notary Public,State of Neer York No.,O},DA49689,18 Qualified in Suffolk County Commission Expires July 30;2 �a ----- -- u Notary Pc--- — - ------ --- - ------------ 1 - Glenn Goldsmith,President { �Q$UFFO(�-CO Town Hall Annex Michael J. Domino 41��0 G'� �� 54375 Route 25 John M. Bredemeyer III y a P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams p'r Telephone(631)765-1892 dolj Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of SAMUEL J. DiMEGLIO,JR. 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 residing at/dba being duly sworn, e ose and say: That on the day of , 20 , I personallyposted the property known as g by placing the Board of Trustees officialn5t Ging poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, September 16, 2020. Dated: (si re) Sworn to before me this -- day of—Y420 V THERESA PSALTIS DANGELMAIFR n f Notary Public,"ate�f New York �72 6;vyl'uj ��pt P10 Oin Su_68 918 Qualified in Suffolk'Coimty Commission Expires July 30,7_�J Notary Public NOTICE F HEARING V J NOTICE IS HEREBY GIVEN that a Public Hearing concerning this property will be held by the Southold Town Board of Trustees via the online Zoom platform. OWNER(S) OF RECORD: SAMUEL J. DIMEGLIO, JR. SUBJECT OF PUBLIC HEARING: For a Wetland Permit to install a 4'x50' wood chip path on grade through the buffer area leading to a 4'x8' stairs; 4'x120' fixed catwalk utilizing Thru- Flow decking which will be constructed at 5' above the grade of marsh; 2.5'x10' ramp; a 6'x20' floating dock secured by four (4) 10' diameter piles; and install four (4) 10" diameter tie-off piles. Located: 2280 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-6 TIME & DATE OF PUBLIC HEARING: Wednesday, September 16, 2020 — at or about 5:30P.M. — To access the Zoom meeting please see the meeting agenda located in the Trustees section of the Town website. If you have an interest in this project, you are invited to view the Town file(s) through the Southold Town website. To view the application files please visit: https://www.southoldtownny.gov At the bottom of the picture on the main screen click on the second button from the right "Town Records, Weblink/Laserfiche"; go to bottom of page and click on "pg. 2"; click on "'Trustees" folder; click on "Applications"; click on "'Pending"; all files are listed by name in alphabetical order. Click on the name of the application to view the file. 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 explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold 's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME�-o The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. 1:1 Board of Trustees 1 Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit,approval, license,certification: Nature and extent of action: Applicant proposes to install a 49x50' wood chip path on grade through buffer area leading to a 4'x8' stairs, 4'x120' catwalk utilizing "Thru-Flow" decking which will be constructed at 5` above the grade of marsh, 2.5'x10' ramp, 6'x120' float secured by 4 piles and install 4 tie off piles Location of action: baa-,,Jkate:b,--,Qe , Site acreage: C)"4 7- Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: �a n ,ue -T, - (b) Mailing address: kLA{ mckrv) (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 9 NoEl If Yes,which state or federal agency? W.- J\J--�$—S' F,C. C'a 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 LV*rRP Section III-Policies; Page 2 for evaluation criteria. R Yes [-] No [-] Not Applicable "Mr'nEL N'V\,e d Of-4k)e Qazm QAQ .4 Aa-kf�� lacn-kLL no tk 4 4 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 11 Yes 1:1 NoEl Not Applicable 4 WM yw-e M miwc--� wixio COQ LW:Q VA Kt-�) ic— Oj (m, Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section HI—Policies Pages 6 through 7 for evaluation criteria 0 Yes n No n Not Applicable oa-0\ sc\-acje- rser) mp: c-m—na R< 4"I 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 HI=Policies Pages 8 through 16 for evaluation criteria Yes 1:1 No 0 Not Applicable C10C V-A U4;�� 4COMN ar-QSWV-\ OC:sQ���4A Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section In —Policies Pages 16 through 21 for evaluation criteria Yes 1:1 No E]Not Applicable cansi"I)c &j 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 HI—Policies; Pages 22 through 32 for evaluation criteria. F 1-11 FI ❑ -7: Yes No Not Applicable i"'.\\ n r�'V".Al-'-)P(I I �'C\ -�1� M4-9-CQO - ` � ' 4�0 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LNVR.P Section HI - Policies Pages 32 through 34 for evaluation criteria. Yes [-] No Not Applicable ba)ro r-vn I mfw C nr\ V'A r- qf7W :1A ds JK -0I IL Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LVVRP Section III-Policies; Pages 34 through 38 for evaluation criteria. F511 Yes F] No 1:1 Not Applicable o\\)e--tn sp nl- cc-4-"D of V-NG-- I �Zrl��)OCA- �6-) const 5� ja\W N I FS 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 IH-Policies; Pages 38 through 46 for evaluation criteria. '91 Yef:1 NoF] Not Applicable so I N)sr c n r r�rs� y5A7��' ilk Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LVVRP Section M—Policies; Pages 47 through 56 for evaluation criteria. [J] Yes F] NoF] Not Applicable WAV ba- e- 0c) Nx----y7A u= &x? T\(', &:ebe A is J121"40 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 M—Policies; Pages 57 through 62 for evaluation criteria. Yes F] No 1:1 Not Applicable k i'TA\ V­,ru )e Jon 02(j��kjq Wnr,06k� f IcnIA --V%WC:D_ 1\3bo M&tLQ (3?RQ I C inn ltk Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LVVrRP Section III— Policies; Pages 62 through 65 for evaluation criteria. El Yes 1:1 No 91 Not Applicable I&4AI 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. 1:1 Yes F] No [j] Not Applicable 70-Ve Q�r=A AVOPC, C&L— 't n\1-00-, +NO2 aSP Ex- PREPARED BY— 7r,45 TITLE_&aa DATEq4-42 0 Q___