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HomeMy WebLinkAboutPetrowski Living Trust 1111 111/r �.:���111 111 ii::.^`•' .iAi'''"•i�Itl 111 ii•:. "'i�111 111'rr••� _ 111 rn:.� �`Tri�•11/ /l/•r "` •Ilf lll'rr'. °'.:;�\ //• \l /; /!r - :11 // R(11; // n •,11 //rVI // `:�`�� � � V('�' � � I 1 nn :O' u r = ` 7 = `�:r"`y✓Y;��uw:; � '`�,�,~`y� .�ft �.",.._ i�-., s ��',�.r4!,6:;E'!!,'.12^.Y.c°w.a�IJ.AGAR?^.�.'SI':uA?Y"XCru�3,+y?;x„tb.,'�:Ar„O.n:Ltr v':�.”.�:'f2%:7�2xa,,�'�Py°V.v.•'''S!X717:�.fl2'!«'''.'t'L!'S!::+.:SR'�''�'!,+?'?"12;?'1TSq!a,&'ti'.':.°:Crel.!:°b':^..1tfX;XdR>T!'.°.F'XRI:��'w''F'3�7'�'n'.">;+J�';�"".''=�.:2k°`!3�"7SY.'..•'TeW'��+f>"dT;:':�S'�'G.�h,,7F},�X'!�1+:?<Y!'�CY'!L?£!'�".,'�'4� �/' ��: !; Fx BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW ORK '�'''' for PERMIT NO. 9136 DATE: DECEMBER 13,2017 :• =1 ISSUED TO: PETROWSKI LIVING TRUST do RICHARD PETROWSKI ,�a' � `\111• ��.1'I'Pii . PROPERTY ADDRESS: 235 EAST LEGION AVENUE, MATTITUCK . SCTM# 1000-122-3-14 AUTHORIZATION ' # 'z Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in �1. a=: accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 13, 2017, :i;ll11:• •. and in consideration of application fee in the sum of$250.00 paid by Petrowski Living Trust c/o Richard £I Petrowski and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of a ;�,1•r Trustees authorizes and permits the following: 11� Wetland Permit to remove 92.4' of existing wood bulkhead and install in-place a new vinyl bulkhead with dead-man system; install and perpetually maintain a 15'wide non-turf buffer along the landward x edge of the bulkhead; and to restore any other disturbed areas using top soil and grass seed; with the condition that the disturbance be as minimal as possible; and the removal of the second floating dock; � `41 and as depicted on the site plan prepared by L.K. McLean Associates,P.C., received on November 8, _ t1'/ 2017,and stamped approved on December 13,2017. ll'i z IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, 1 _ a and these presents to be subscribed by a majority of the said Board as of this date. � ./��/�l /�_ _ t/•ISN:: y JKK We" MPA IN Or' I '`�i�L1`;ISS-111ir51uiPef, 55�ii'eS.Y��SY✓,neiGjniinl:, s5a'9"yi'�� irATA`e°euY).�Mb15w�knaeSlAiSiS�'R73.�GiLr.r',C�ia�SViW:,SN.55d.3`.f"i1X'Yv':ZGC57rSe'Ai;S-S.�`�^rr 'r4S�aJf`Ji1S:i-diS'I&nl`3'sa`fi�i£YDiie"A3A'Fiftriirl°ji2iSur3'i ,.p:vl`TYS'Zid1'a$`"7.riFifG � I:iQlr// IHi2:-' _ __- .•�i�lrl 1�1ii�;:.__ :;iiii_.►�i�i!�•• _ .::iilrlr./�1ia'�-` �:ii�i..H1:!•;__� _- _ :�ili...:,1'••- ��'/�':::::,1'`• _ TERMS AND CONDITIONS The Permittee Petrowski Living Trust-c/o Richard Petrowski, residing at 235 East Legion Avenue, 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. 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. The Permittee is required to provide evidence that a copy of this 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. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 11. 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. *QF SOU�y Michael J.Domino President Town Hall Annex�Q� Ol0 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Charles J.Sa riders v, y� Southold,New York 11971 Glenn Goldsmith • �O Telephone(631) 765-1892 A.Nicholas Krupski IiYCOU Fax(631) 765-6641 e BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE RE UIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PR OR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMEN FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CO SIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE P e-construction, hay bale line/silt boom/silt curtain 1st day of construction Ya constructed Project complete, compliance inspection F• . 3 of . ti „,t ,tln �•`�' J ,a.nnr,.i a' l .,,�; .r�:i ''"sem tl%� ^� � � o BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 136 DATE: DECEMBER 13, 2017 ISSUED TO: PETROWSKI LIVING TRUST do RICHARD PETROWSKI i PROPERTY DRESS: 235 EAST LEGION AVENUE,MATTITUCK SCTM# 1000-122-3-14 I AUTHORIZATION { Pursuant o the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on December 13. 2017, and in consideration of application fee in the sum of$250.00 paid by Petrowski Living Trust c/o Richard A Petrowski and sub ect to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorize and permits the following: Wetland Permit t remove 92.4' of existing wood bulkhead and install in-place a new vinyl bulkhead with dead-man sy tem; install and perpetually maintain a 15'wide non-turf buffer along the landward edge of the bulkh ad; and to restore any other disturbed areas using top soil and grass seed; with the condition that the disturbance be as minimal as possible; and the removal of the second floating dock; and as depicted o the site plan prepared by L.K.McLean Associates,P.C., received on November 8, 2017,and stamped approved on December 13,2017. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents o be subscribed by a majority of the said Board as of this date. . nr o� elo SAA • ®�� t, i . r W �y. `'��,•.' '�.,,:•, >`.;L�c `y ,r.. ' •„fly,y�' ` 3�� R,' TERMS AND CONDITIONS,- The Permittee Petrowski Living Trust c/o Richard Petrowski residing at 235 East Legion Avenue M ttituck New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That tht said Board of Trustees and the Town of Southold are released from any and all damage,, or claims for damages, of suits arising directly or indirectly as a result of any operatic n 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 rec uired 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, ind non-compliance with the provisions of the originating application may be cause for revc cation 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 ca se 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. The Petinittee is required to provide evidence that a copy of this Trustee permit has been recorde I 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. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 11. 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 tc 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. 1 Michael J.Doming,President _``*0 SOUrjfrO Town Hall Annex John M.Bredemeyer II ,Vice-President h� lQ 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith G • Q Telephone(631) 765-1892 A.Nicholas Erupski O Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 13, 2017 Christopher F. Dwyer, Associate L.K. McLean Associates, P.C. 437 S. Country Road Brookhaven, NY 11.719 RE: PETROW KI LIVING TRUST c/o RICHARD PETROWSKI 235 EAST LEGION AVENUE, MATTITUCK SCTM# 1000-122-3-14 Dear Mr. Dwyer: The Board of To n Trustees took the following action during its regular meeting held on Wednesday, December 13, 2017 regarding the above matter: WHEREAS, L.K. McLean Associates, P.C., on behalf of PETROWSKI LIVING TRUST c/o RICHARD P TROWSKI applied to the Southold Town Trustees for a permit under the provisions of hapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Sout iold, application dated November 2, 2017, 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 Inconsiste t with the LWRP, and, WHEREAS, the card of Trustees has furthered the Policy of the Local Waterfront Revitalization Pro ram to the greatest extent possible through the imposition of the following Best Management Practice requirements: conditioning that disturbance be as minimal as possible; and WHEREAS, a Pu lic Hearing was held by the Town Trustees with respect to said application on De ember 13, 2017, at which time all interested persons were given an opportunity to be ieard, and, 2 t WHEREAS, the Board members have personally viewed and are familiar with the premises in que tion and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the 3tructure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the 3oard 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 tie Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, tha the Board of Trustees approve the application of PETROWSKI LIVING TRUST /o RICHARD PETROWSKI to remove 92.4' of existing wood bulkhead and install in-place a new vinyl bulkhead with dead-man system; install and perpetually maintain a 15' wile non-turf buffer along the landward edge of the bulkhead; and to restore any othe disturbed areas using top soil and grass seed; with the condition that the disturbance lie as minimal as possible; and the removal of the second floating dock; and as depicted n the site plan prepared by L.K. McLean Associates, P.C., received on November 8, 20' 7, and stamped approved on December 13, 2017. Permit to constr ct 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 r quired at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, a 0 Michael J. Domino President, Board of Trustees MJ D/dd + CDEED)' EASTERL 1' S2— 8=__ DEED 2'38' —— LINE r \ INE \ \ �PTER 6"PILES 70 4' OF EXISTING TIMBER \ - BULKHEAD - BE REMOVED 'APPROVED BY ______________ - /E o q _ _ . EXISTING ELEATRIC 0--Br____________________________________ _-_7__________ N�-g . DISCONN CTED AND POST _ EXISTING PILE TO BE \ 14 E 4 ,-_ " - TEMPORARILY REMOVED RING SON 201 `-�;:,•__� B®ARD OF I"►�USTEES _ -LDNS -REMOVED (NP OF 15) \ _ ---- --------- - ---------------------- --- s-- ll€-DE 9'--------------------------- IL: W � � SOUTH L ; -0 BO R -1042 ` PTE C ARDPAN (HARDPAN) — -------------- \\ FZOATING DOC p \ F ------ 5 EDGE p _ 3 --------------------- -- ---------- \\ K 12"PILES---------\ -- _4 O ~. DATE �2 13� �[7 12_p �----6--- - -- --------------- -- -- --- DD BULK AD r r� F � I ` BULKHEAD • - ` OF gX15T1N�o AREA 4LIGNTS pUrLE 410 BUIXH 'Il QF BLOWOUT ELEG AREAE �\ _ } — T100 BE REMO]' 12" DF BLOWOUT p „--_ — t PILE _ 40' OF EXISTING A SATELLITE TIMBER BULKHEA DISH - O EXISTING AREA TO BE TO BE REMOVED w}\ ---- -3--_- H20/ELEG, EXISTING AREA TEEDED O BE TO BE REMOVED wTIpNFOR PROPOSEDN WORKN POST AREA OF BLOWOUT—~\ 1 r (31 ` u O � 1 I y \ PG 14' CEDAR C) \ ` 0 MGrRSY LIMB OF BP DISTURBANCE N/P O �i PETROWSKI LMNG TRUST Q O ` SCTM 1000-122-03-14 V U W jpL�.,, ///fin tni F� U CD JOSEPH J FIN`/RA REVOGOBLE TRUST SEESP� L,ONC ______________`` F_} f�— " .. E `f V �,J U SCTM 1000-122-03-13 X03, .SW PETER RN PETROWSKI ULA �l Q �16�� \ WD DECK — —M `p scrM 1000-122-03-26 �` o STOR&I 125' --' cn NOV - 2 2017 o 8` BLOCK WALL BELL I C) � 20,9' ENT \ CD Z \ ` Southold Town ` I Q Board of Trus ee 2-STY 0 WD, FR, \ 0 RES, ` o U � rn Li 90' —————— ` 1_S T y l�,.� _ DATE BY DESCRIPTION APPROV BY 3 2' 1 3'x4 2' o \ SNCL BRICK nL r ! dam try 'I '� REVISIONS ` L'ORCH `HINMEr D U �<{-�U ,f TOWN OF S O U T H O LD CD CD SUFFOLK COUNTY NY Eo a/ w \\ a, 235 EAST LEGION AVE., MATTITUCK NY — o BULKHEAD REPLACEMENT o / BRICK ` j STOOP 3 BRICK SW EXISTING CONDITIONS & � '` --�— _ ` d - DEMOLITIONS PLAN L. K. McLEAN ASSOCIATES, P.C. _ CONSULTING ENGINEERS X37 SOUTH COUNTRY RD,BROOKHAVEN.NEW YORK 11719 N EAST LEGION AVENUE 71°— _ C _ �YP�t�,�',r� Designed By MF/CFD s-m. AS NOTED Sheet NO SITE PLAN / 31'30" W �_ F � . j SCALE 7"=zo' 107 e 90,00' Drq—By MF Date OCTOBER 2017 3 0 v —— Approved By RGD File No 17062.001 EASTERLY 82+' (DEED) _ -- - NOTES: _83,69' —_— - - - 2�3�- _ _ — - 1 THE HORIZONTAL DATUM IS NYSPCS U ZONE, NAD83 (2011)AND THE VERTICAL DATUM IS NAVD88 (GEOIDI2A) - RTK GPS \ 2 CONTRACTOR SHALL INSTALL TEMPORARY SILT/OIL BOOM AS REQUIRED TO PROTECT ADJACENT WATERS \ 3 IT IS CONTRACTORS RESPONSIBILITY TO PROTECT THE WORK SITE AND STABILIZE ANY AREAS LEFT EXPOSED \ 4 THE CONTRACTOR MUST REPLACE THE BULKHEAD IN A TIMELY MANNER UPON REMOVAL OF THE EXISTING ANY SEDIMENT LOSS BY \ 704' (PROPOSED VINYL EROSION IS THE RESPONSIBILITY OF THE CONTRACTOR TO REPLACE FROM TIME OF REMOVAL TO THE COMPLETION OF PROP a \ BULKHEAD AS DETAILED) SHEETING INSTALLATION ' R 5 CONTRACTOR SHALL READ AND FOLLOW ALL PERMIT CONDITIONS AND SPECIAL CONDITIONS CONTAINED IN THE PERMIT TO ENSURE COMPLIANCE DURING THE TERM OF THE PERMIT THE PERMIT IS ATTACHED TO THE SPECIFICATIONS BOOK ---------------------9--- • 6 CONTRACTOR SHALL NOTIFY NEIGHBORS TO THE NORTH AND SOUTH SIDE OF R 0 W OF THE PROPOSED CONSTRUCTION START TIME !• > r-- \ --� -------- ------------------- 7 CONTRACTOR TO ACCESS THE SITE ON THE LANDWARD SIDE USING LEGION AVENUE ALL STAGING, DEMOLITION & CONSTRUCTION r---------------------- \ q PROPOSED CCA PILE _ C' SHALL BE LANDWARD OF EXISTING BULKHEAD V4_ (TYP OF 16) -- __----- -7_ EXISTING DOCK TO REMAIN 4---_ ___ '-_------- _ g UNSUITABLE FILL MATERIALS BEHIND BULKHEAD, DEBRIS IN WATER & DISPOSE OFF SITE & RAMP TO BE __ ______________________________ _______ ___Z______________ __-�1?-,- CLEAR &TGRUB EXISTING VEGETATION & SUPPORTED/PROTECTED I WETLANDS BOUNDARY DURING CONSTRUCTION LOCATED A7 THE FACE of \ I�Jhj1 9 CONTRACTOR SHALL RESTORE ANY DISTURBED AREAS IN KIND ---- c --i---- --------- THE PROPOSED BULKHEAD ----- L r ------------------- ------------- \ 10 VINYL SHEETING SHALL BE INSTALLED TO THE FULL LENGTH UNLESS OTHERWISE APPROVED BY ENGINEER 10 I�lx _�"H,;r nP4 _ ii. 11 ALL HARDWARE FOR CCA MARINE TIMBER SHALL BE HOT DIPPED GALVANIZED - 6' 0 C _$_ `-��.,� 12 ALL MARINE LUMBER (OTHER THAN DECKING) SHALL BE TREATED WITH CHROMATED COPPER ARSENATE TO A RETENTION OF NO LESS THAN 25 _ NP \ ' \ ---------110'PROP SED ;.� � � - POUNDS PER CUBIC FOOT AS SPECIFIED BY THE CURRENT AMERICAN WOOD PRESERVERS ASSOCIATION STANDARD C18 FOR STANDARD OF VINYL BULKHEAD I #_ PRESSURE TREATED PILES AND TIMBERS IN MARINE CONSTRUCTION TIMBER DECKING BOARDS SHALL BE TREATED WITH MICRONIZED COPPER .._,�-, �-_____ - -_.._- -_-,_.-a.,,-.F- �....-•-- _- _ - ,.AS DETAILED) AZOLE (MCA) WITH A RETENTION OF 006 POUNDS PER CUBIC FOOT _� � 3 O 13 MCA DECKING SHALL BE FASTENED WITH #9X3"STAINLESS STEEL SCREWS, 3/4" FROM, THE OUTSIDE EDGE AND 1-1/2"OFF THE ENDS OF \ OSED O '10_ D - O EACH PLANK (3 AT EACH END) OP ,� 15' MIN NON - L j1 O'CPR OLKHEADL.J r L, P V1NY D�P\LEON 'TURF BUFFER �� o --_c ;�_ 14 CONTRACTOR TO INSTALL TOP CAP ON RETURN UNLESS OTHERWISE DIRECTED BY THE ENGINEER if~ 15 CONTRACTOR TO SUPPLY BULKHEAD TERMINATION DETAIL AFTER FIELD CONDITIONS HAVE BEEN OBSERVED FOR ENGINEERS APPROVAL CDW AA 1 1 , ._. PURPOSE u y M w y � ---------- _r nL❑I+ THE EXISTING BULKHEAD IS DAMAGED AND NEEDS TO BE REPLACED THE INTENT OF THIS PROJECT IS TO REPLACE THE DAMAGED d ` ` ` , ` �J•\ BULKHEAD WITH A NEW, VINYL SHEETING BULKHEAD TO MINIMIZE SOIL EROSION AND STABILIZE THE SHORE LINE ,• RESTORE DISTURBED AREA AS •�)• NFEDEDyWITH,TOPSOIL& PEED y y 4 ' \t ACTIVITIES 1 INSTALL SILT/OIL BOOM TO PROTECT ADJACENT WATERS 2 EXCAVATE EXISTING MATERIALS ON LANDWARD SIDE OF BULKHEAD, AS SHOWN 3 REMOVE THE EXISTING BULKHEAD - - _ 4 INSTALL NEW BULKHEAD OF VINYL SHEETING, TO BE SHOREGUARD 550 SERIES VINYL SEAWALL SHEETING, OR APPROVED EQUAL, y i 1 0 \ •`�T ��_ _ _ - - USING CCA TIMBERS AND GALVANIZED HARDWARE INSTALL FILL AND GEOTEXTILE FILTER FABRIC L - 5 VEGETATE DISTURBED AREAS \ � - APPRO%IMATE LIMB OF DISTURBANCE 6 INSTALL 15' NON-TURF BUFFER BEHIND BULKHEAD 3 - r - C \ G ID NOV - 2 2017 I I \ o Z ✓/ ; `\ ` I Southold Town Board of Trustee o � \ �I _/ _--- -��- _ ------ DATE BY DESCRIPTION APPROV BY REVISIONS '-' TOWN OF SOUTHOLD 0 iS SUFFOLK COUNTY NY — _ ` /, ,; r� 235 EAST LEGION AVE., MATTITUCK NY — :/ 4--- __ c � � , BULKHEAD REPLACEMENT ------- �` I PROPOSED SITE PLAN LL L. K. McLEAN ASSOCIATES, P.C. •CA ' ————----- N — I ^ Ja~ ` �' CONSULTING ENGINEERS 437 SOUTH COUNTRY RD.,RROOKNAVEN,NEN PORI(11719 l•G_ Sheet No N 71'31'30" Lt/ —���—�__ �,r f? �,••����°/ Desgned By MF/CFD same AS NOTED y _ 90,00' —— _ 0�B- EAST LEGION AVENUE I --'- -- _ - Dm,�By MF Date OCTOBER 2017 A `J ' SITE PLAN - 61 0 0 SCALE 1"=20' I I Approved By RGD Fill.No 17062.001 U I GALV TIE RODS& 1 y CONNECTIONS,TYP, INCLUDED UNDER BULKHEAD ITEM 2X10 MCA TOP CAP -WHITE COINED PVC CAP 6"%6"CCA INTERIOR WALE ROOF�NAILS/GALVANRED 2'X10'MCA TOP CAP FASTENED WITH$9X3'LONG 316 SS SHEETS LAGGED TO WALES WITH WHITE CONED PVC CAP,FASTEN WITH "U CLEAN SELECT(GRANULAR FILL) SCREWS(3 AT EACH END) 7/6'X4"LAG BOLTS(TYP.) STAINLESS STEEL ROOFING NAILS(5) TOP VIEW `I AS NECESSARY elll R DIAMETER GALV TIE 10' LONG CCA PILE WITH ROD'AND CONNECTIONS 2"z10'MCA TDP CAP /1 ®6 O.0 FASTENED i0 OUTSIDE WALE SEE BULKHEAD SECDON 10"0 x CONTINUOUS f 3'(lYP) VINYL SHEETING TO BE MINIMUM TIP 10' PROPOSED�1 &{)2 8"%6"CCA WALE SHORECUARD 650 SERIES WITH 9X3'316 S.S SCREWS FOR SPACING LAY LOG SPLICES TO / SUBANGULAR STONE TOP OF BULKHEAD ELEV 45 WNYL SEAWALL SIUALING 3 AT EACH ENO b` - II/(/ OR APPROVED EQUAL ( ) OCCUR AT VERTICAL 8'kB°OUTSIDE "1 PIS CCA TIMBER WALE MEET EXISTING GRADE 19' �' M H W EL-2 03 B"X6'UPPER CCA TIMBER WALE TIMBER INSIDE CCA _ TIMBER WALE 3/4'm GALV-TIMBER BOLT W/WASHER&HEX p TIE ROD OR I'm LIMIT OF EXCAVATION — TIE RDD EL-1 O&L NUT(FULL COUNTERSINK AT WALE H PILE) GALV TIMBER BOLT BACKFILL WITH SUITABLE I I — LOWER WALE ELEV 0 DO 3/4'0 TIMBER BOLT W/ (COST IN IN PILE ITEM) ON-STYE MATERIAL M.L.W. EL=-2.of 3/4'm GALV TIMBER BOLT W/WASHER& WASHER&HEX NUT FRONT VIEW 6-MIN — I 25 CCA TREATED CLASS B �'TIMBER BOLT WITH WASHER HEX NUT(FULL COUNTERSINK AT PILE) 25'CCA TREATED CLASS B DOCK WASHER &NUT RECESSED INTO 235 E. LEGION AVE. PILES,6'O.0 AND NUT(EVERY OhITF PAIR) PILE C 6'OC PILES.SEE BULKHEAD SECTIONS JAMES CREEK EXISTING GROUND JAMES CREEK IO"DIAMETER GALV NE TYPICAL LAY LOG DETAIL CONTINUOUS HORIZONTAL CCA TIMBER EL VARIES(-29 TO "-'"'- RODS AND CONNECTIONS ilOAL WETLANDS BOUNDARY DEADMAN PILE 10"TIP AND MINIMUM 374) ®6'OC. LOCATED AT THE FACE OF NTS OF 10'LONG,SEE TYPICAL LAY LOC THE PROPOSED BULKHEAD. DETAIL --I ITT7TT''T�T'��I�7�— _ 6"X6'INTERIOR CCA — I I�I11 I--I I— _ TIMBER WALE 25'CCA TREATED CUSS B 6"z B"OUTSIDE 10'LONG CCA TIMBER PILE®6' L� I—II HBI I I�—I I I—I I I—I I I—I I� I—I I II PILES,6'0 C (SEE PILE CCA TIMBER WALE 0 C,WITH MINIMUM TIP t D' III—I I�1_T—I—I I I I I I I—I I M I I=1 I- CONNECNON DETAIL) 2D'-0" I—�I I I I I—III 3/4'EVER GALV TIMBER BOLT REMOVE EXISTING ANCHORAGE VINri SHEETING 70 BE SHOREGUARD 1-T= TR �Tf TTT SHEETS LAGGED TO WALES WITH WITH WASHER AND NUT, SYSTEM 650 SERIES VINYL 15'SEAWALL III—�,I I III I',��—I I 1 ,I I•,IJ I '1 Iii I I—I—I I I- ) SHEETING OR APPROVED EQUAL — — SHEETS LAGGED TO WALES WITH 3/8"%4'LAG BOLTS EVERY O PAI 3/B°X4"LAG BOLTS(TYP) B'z8"OUTSIDE CCA TIMBER WALE FACE OF PROPOSED SHEETING TO BE INSTALLED INLINE WITH FACE OF TIDAL WEAAN05 BOUNDARY EXISTING SHEETING LOCATED AT THE FACE OF AD PILE CONNECTION DETAIL ��.,.r JL THE PROPOSED BULKHEAD P ��' u-1%m DOME HEAD TIMBER BOLT N T.S. Li W/GALV DOCK WASHER&EXISTING NMBER BULNHEAO TD BE HEX NUT(I PER PAIR) REMOVED SECTION A—A VINYL BULKHEAD NOV ® 2 2017 NTS PARTIAL PLAN BULKHEAD (WITH TOP CAP NTS Southold Town Board of Trustees 3 v I CON TIE RODS& DEADMA CONTINUOUS HORIZONTAL I CONNECTIONS,SEE DEADMAN PILE.SEE BULKHEAD SHOREGUARD 650 CORNER 1'-0• 0 BULKHEAD SECTIONS SECTIONS OR APPROVED EQUAL 1-1/4' DIAMETER GALV. 2'-0' 87X8•WALE o VERTICAL ANCHORAGE PILE TIE Roos AND SEE BULKHEAD SECTIONS OUTSIDE CORNER LAP CONNECTIONS a B'O.C. 6• o LLI NOTE5-LL WALES AND 1'0 ITEM 20A 127 MUSHROOM H1 AHARDWARE IS TO BE HOT DIPPED BOLT THROUGH TIMBER 0 GALVANIZED,UNLESS OTHERWISE NOTED I 2 ALL PROPOSED SHEETING AND ANCHOR LL PILES MAY BE JERED HOWEVER,THE JAMES CREIX SHEETS LAGGED W WALES WITH I I t2- NALFI12"OF SHEETING MUST BE DRIVEN 3 THE CONTRACTOR SHALL BE RESPONSIBLE ]•X4'LAG BOLTS(TYP.� FOR ALL NOTIFICATIONS TO THE TOWN AND 1"0 DOME DOCK TIMBER BOLT REGULATORY AGENCIES PRIOR TO O COMMENCEMENT OF WORK %7 TIMBER BOLT WITH WASHER 2' HEX NUT cq AND NUT(EVERY OTHER PAIR) NOTE O SPLICES SHALL BE STAGGERED MINIMUM 4 n FEET SUCH THAT NO SPLICES ALIGN OVER j ANOTHER SPLICE N 3 735 F 1PG10N AAIE PLAN VIEW - TYPICAL WALE SPLICE 0 o N.T.S Y4 TIMBER BOLT WITH O PROPOSED#1 &#2 WASHER AND NUT O SUBANGULAR STONE 0 2"x10'MCA TOP 15'VINYL SHEETING TO BE 8'(8'UPPER CCA TIMBER WALE FASTENED w/#9z3" SHOREGUARD 650 SERIES u �I LONG 316 S5 SCREWS VINYL SEAWALL SHEETING (UPPER ONLY) (3 0 EACH END) OR APPROVED EQUAL iz ZHEET PILING,SEE SECTIONS \-1111111 WALE(TYP) °1 FOR DETAILS 8'X8'INTERIOR CCA TIMBER WALE SEE BULKHEAD SECTIONS DOCK WASHER&NUT RECESSED INTO GATE BY DESCRIPTION APPROV BY PILES,SEE BULKHEAD SECTIONS TYPICAL PLAN AT BULKHEAD a,� TYPICAL BULKHEAD RETURN DETAIL " _ ,� Y REVISIONS r, o NTS N.T.S cj� "� TOWN OF RIVERHEAD �� �� �" ®%�i; , SUFFOLK COUNTY, NY I E o cl) c" 235 EAST LEGION AVE., MATTITUCK NY — L 'a9, , k�__ zI BULKHEAD REPLACEMENT [ $1 BULKHEAD DETAILS L. K. McLEAN ASSOCIATES, P.C. )N 0 bs \� CONSULTING ENGINEERS 437 SOUTH COUNTRY RD,BROOKHAVEN.NEW YORK 11719 r` X0'9 �eg`V oealgmed BY MF/CFD smmPo AS NOTED sneeL Nm N ° u for lD.m.R By MF omle OCTOBER 20175 j ` O 0_ App­Cd By RGD F.I.Nm 17062.001 TOWN O SOUTHOLD SHEET LIST TABLE i; SHEET NUMBER SHEET TITLE I TITLE PAGE SUFFOLK C O U N T Y NY 2 PHOTO SHEET 7 3 EXISTING CONDITIONS & DEMOLITIONS PLAN 4 PROPOSED SITE PLAN 5 IBULKHEAD DETAILS � _,•- , ,., .t., Np ,- �-_ � 1 7 I VAS, O R` � •a t',i } �B w♦� �� `F' �'to- 1 - i - �' 4 PROJECT �\ • • e u.r,UJ LOCATION RqD L� c LE 11 vE r a ,,Yy1,. _` •• � I �� v 1 , NOV - 2 2017 ' CONSTRUCTION PLANS FOR Sourholdicwn 80ard of Trete^ 235 EAST LEGION AVE . , MATTITUCK NY BULKHEAD REPLACEMENT PERMIT NOTES: OCTOBER2017 1. REMOVE t 92.4 LF OF EXISTING DETERIORATED TIMBER BULKHEAD AND DEAD MAN SYSTEM AND DISPOSE OFF SITE. 2. CONSTRUCT *92.4 LF OF NEW VINYL SHEET PILE BULKHEAD AND DEAD MAN SYSTEM 3 REGRADE BEHIND THE NEW BULKHEAD WITH EXISTING SOILS TO A GRADE APPROXIMATELY 18' BELOW THE TOP OF BULKHEAD. 4. DISTURBED AREA BEHIND BULKHEAD TO HAVE NEW SUBANGULAR STONE (1S' MIN. BEHIND BULKHEAD) AND TOP SOIL & SEED (*2.700 S.F.) C I- 4/ 0 DATE BY DESCRIPTION APPROV BY y C (�` 0fr) REVISIONS TOWN OF SOUTHOLD SUFFOLK COUNTY Y Q ar A 0 235 EAST LEGION AVE., MATTITUCK NY - v BULKHEAD REPLACEMENT TITLE PAGE r c THE EDUCATION LAW OF THE STATE OF NEW YORK PROHIBITS ANY j`"' _ �"��� ��, L. K. McLEAN ASSOCIATES, P.C. PERSON FROM ALTERING ANYTHING ON THE DRAWINGS AND/OR y —__/`• CONSULTING ENGINEERS u3"7 SCMM W..xlGa VU.NEW rax 11719 THE ACCOMPANYING SPECIFICATIONS, UNLESS IT'S UNDER THE /)�� DIRECTION OF A LICENSED PROFESSIONAL ENGINEER, WHERE SUCH D—g-d By MF/CFD Scale AS NOTED Sheet No ALTERATIONS ARE MADE.THE PROFESSIONAL ENGINEER MUST SIGN, T SEAL,THDATE AND DESCRIBE THE FULL EXTENT OF THE ALTERATIONDD.—By MF Date OCTOBER 2017 \`" j ON E DRAWING AND/OR IN THE SPECIFICATION (NYS ED LAW 4 O/ SECTION 7209-2) Approved By RGD FlIe No 17062.001 EASTERLY CREEK JAMES ,JAMES dil PHOTO 1 (TAKEN 6/21/17) M i�c aiE a k I J", PHOTO 2 (TAKEN 6/21/17) + ._ .j _RES 9 \ � R i■ ., -- I) lrJ .� i , NOV 2 2017 L A'ii -_- - ' �+ ✓ Suu;hold Tmn •� LEGION AVENUE ' 1 PHOTO 3 (TAKEN 6/21/17) •ice, f �"{ �_ ± { { �.. 1wpm- got +1 . r -r 1 . - s 7 rfl i PHOTO 4 ♦a `, 1 (TAKEN 6/21/17) DATE BY DESCRIPTION APPROV BY REVISIONS TOWN OF SOUTHOLD SUFFOLK COUNTY NY SITE PLAN 235 EAST LEGION AVE., MATTITUCK NY - LEGEN G SCALEp1"=20' b c <' BULKHEAD REPLACEMENT 1 r = PROPERTY LINE - -,? PHOTO SHEET rl c PHOTO LOCATION k DIRECTION 1 �w '\�., 5�`��5 `0 j L. K. McLEAN ASSOCIATES, P.C. CONSULTING ENGINEERS 477 SOWN COUPM W..OWOMYEII,NEV YORK 11119 D9ned By MF/CFD saal. AS NOTED sn..t Na aei t 71 S� Oram BY MF Date. OCTOBER 2017 2 ApproveA By RGD RI.No 17062.001 f4� Town Hall Annex Michael J. Domino, Pr�sident fs fFo(k� � 54375 Route 25 John M. Bredemeyer, III, Vice-President �r�o ay; Charles J. Sanders o P.O. Box 1179 Glenn Goldsmith o�yX Southold, NY 11971 � ao Telephone (631) 765-1892 A. Nicholas Krupskif lo Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 2,lgo 7 TO: k-MOWS4 UVLA[6-T?_0Gr40 L,K. fita,5� A-6�, Please be advised that your application dated l 1'2-(7 has been reviewed by this Board at the regular meeting of 12.-[3.[ and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) 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) V 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. )fou will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $58d0-0 BY: Michael J. Domino, President Board of Trustees Michael J. Domino, Pre= " .. �o�QSOFFQ(��oG Town Hall Annex John M. Bredemeyer 111,Vice rresident „ yJ,q 54375 Route 25 Charles J. Sanders y P.O. Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski 4 Telephone(631)765-1892 Fax(63 l)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: L. K. McLean Associates, P.C. on behalf of PETROWSKI LIVING TRUST, c/o RICHARD PETROWSKI requests a Wetland Permit to remove 92.4' of existing wood bulkhead and install in- place a new vinyl bulkhead with dead-man system; install and perpetually maintain a 15' wide non- turf buffer along the landward edge of the bulkhead; and to restore any other disturbed areas using top soil and grass seed. Located: 235 East Legion Avenue, Mattituck. SCTM# 1000-122-3-14 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 1 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 d 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 IWetland 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 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino, Pre. t O�QSUFFQCCOG ! ) Town Hall Annex John M. Bredemeyer II1,Vice-'President �� yJ, 54375 Route 25 Charles J. Sanders o P.O. Box 1179 N Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski y p! Telephone(631)765-1892 HCl �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: L. K. McLean Associates, P.C. on behalf of PETROWSKI LIVING TRUST, c/o RICHARD PETROWSKI requests a Wetland Permit to remove 92.4' of existing wood bulkhead and install in- place a new vinyl bulkhead with dead-man system; install and perpetually maintain a 15' wide non- turf buffer along,the landward edge of the bulkhead; and to restore any other disturbed areas using top soil and grass seed. Located: 235 East Legion Avenue, Mattituck. SCTM# 1000-122-3-14 Ch. 275-12 -'STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 PROPERTY OF N/F P W K ENTERPRISES, PETROWSKI LIVING TRUST \ INC. AMES DATED DECEMBER 15, 1987,A REVOCABLE TRUST DFfL C�pE fK SITUATE AT MATTITUCK � S 83 0 �J,$';ER4 Y 8loe 3,9, E"< EEIJ>, TOWN OF SOUTHOLD ftftSUFFOLK COUNTY,NEW YORK 3 %ft AREA = 16,894± SQ.FT. OR 0.388 ACRE VA TER � N/F COUNTY OF SUFFOLK W61 P!<es C � 4� EDGE OF VATE \ W � q la., QQ V£TLAND BOUNDARY ^ �' IS FACE OF BULKHEAD J I + Nl O I R1 LINE PER O p!<f OO 9v<Ky�q� !2 �°i DATED JUNE 9 2HL RS SURVEY, <FS O EDGE/VEGETATION 4"POST V/ LIGHTS AND ELEC. OUTLET VD BH. �OOd V 02' E 04 <� NOTES yF'90 1. MEASUREMENTS ARE IN ACCORDANCE WITH US STANDARDS. rl 2. BEARINGS SHOWN ARE REFERENCED TO LIBER 12067 OF DEEDS AT PAGE 660 Y VERTICAL DATUM IS REFERENCED TO 0 3. NAVD88(GEOIDI2A) w �U W UNAUTHORIZED ALTERATION I MONKEY � 4. ADDITION TO A SURVEY MAP BEARING A BARS LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, N/F VD. BH 4" SUBDIVISION 2,OF THE NEW YORK JOSEPH J. FINDRA V 0.4' Pas STATE EDUCATION LAW AND GRACE A. FINDRA, I E 04' AS TRUSTEES ONLY COPIES FROM THE ORIGINAL OF 0 SEESAV 5. THIS SURVEY MARKED WITHAN ORIGINAL OF THE LAND SURVEYORS S "EMBOSSED"OR"INKED"SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES VALL E 07' I 9<OC� S CERTIFICATIONS INDICATED HEREON 3 << 6. SIGNIFY THAT THIS SURVEY WAS 4'd, PREPARED IN ACCORDANCE WITH THE SV EXISTING CODE OF PRACTICE FOR LAND ON LINE SURVEYORS ADOPTED BY THE NEW O � I N/F YORK STATE ASS yOCIATION OF PETER R. PROFESSIONAL LAND SURVEYORS CTO o PETRDWSKI SAID CERTIFICATIONS SHALL RUN ONLY ' � � �nF<< �?c?S. 3,4' TO THE PERSON FOR WHOM THE W 'vT SURVEY IS PREPARED AND ON HIS o M^ BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCYAND LENDING Q Z DVY. (INSTITUTION LISTED HEREON AND TO V 03' THE ASSIGNEES OF THE LENDING • i V� INSTITUTION. CERTIFICATIONS ARE NOT I I /Pi�/P TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS RIGHTS-OF-WAY NOT SHOWN ARE NOT i I O 7. CERTIFIED ��9S1 r� o� p N \• �� THE SURVEY CLOSES MATHEMATICALLY �FOj / �'�'Cy a V- 8. STODK� BpC9�'' `O MON1146, f.� 011 �Di�, / Q� 16.9' 90 OO. H . ��� • NOV m 8 201 LEGEND C�GIO Southold Town .. . UTILITY LIGHT POLE of �f� '9,r Boardf r �E �F ` • •••••••• •UTILITY POLE �'�P�pETE&✓ 0 • \ © • ......•• •ELECTRIC METER DATE BY DESCRIPTION APPROV. BY QS • •••••••• •SANITARY MANHOLE O = trd !Y " fn D REVISIONS • •••••••• •UTILITY MANHOLE n Town of Southold Wi CATCH BASIN �'k, 0 0500`�� �,� Suffolk County, New York �OtAND Sv235 East Legion Ave. —DH.. •••••••• •OVERHEAD WIRES MATTITUCK, NEW YORK PROPERTY SURVEY I hereby ertify that this map was ma a from an actual survey L. K. MCLEAN ASSOCIATES, P.C. SUFFOLK COUNTY REAL PROPERTY TAX MAP NO.: comp) a by me on 10/11/2017. CONSULTING ENGINEERS & LAND SURVEYORS DISTRICT 1000 437 SO. COUNTRY ROAD. BROOKHAVEN. NEW YORK SECTION 122.00 Field Survey By JL/JL Scale 1" = 20' Sheet No. BLOCK 03.00 DANIEL P.JEDLIC ,P Office Survey By TL S. Date OCTOBER 23 2017 I LOT 014.000 NYSPLS No.50098 Approved By DPJ File No. 17062.001 1 YORK Department of officeof Departrnertt STATE Environmental GeneralServices of State Conservation US Amey Corps al Engineers a JOINT APPLICATION FORM For Permits for activities activities affecting streams,waterways,waterbodies,wetlands, coastal areas,sources of water, and endangered and threatened species. You must separately apply for and obtain Permits from each involved agency before starting work. Please read all instructions. 1. Applications To: >NYS Department of Environmental Conservation '✓❑_Check here to.corifirm.you'sent this form'to NYSDEC. Check all permits that apply: ❑Dams and Impound- ❑✓ Tidal Wetlands' ❑ Water Withdrawal ❑Stream Disturbance ment Structures F-1Wild,Scenic and ❑Long Island Well F-] Excavation and Fill in ❑401 Water Quality Recreational Rivers ❑ Incidental Take of Navigable Waters Certification ❑Coastal Erosion Endangered/ ❑ Docks, Moorings or ❑Freshwater Wetlands Management Threatened Species Platforms >US Army Corps of Engineers ❑✓ Check hereto confirm' ou sent this form to USACE. Check all permits that apply: ❑Section 404 Clean Water Act ptiffleivEm InkAaErs Is the project Federally funded? ❑ Yes ❑ No If yes, name of Federal Agency: General Permit Type(s), if known: Precohstruction Notification: 0 Yes ❑ No >NYS Office of General Services � -5ou tq d own 0 Check here to. rifirm you's to NYSOG ��� fir Check all permits that apply: ❑ State Owned Lands Under Water ❑ Utility Easement(pipelines, conduits,cables,etc.) ❑ Docks, Moorings or Platforms >NYS Department of State ❑ Check here to confirm_ you sent this form°to,NYSDOS.. Check if this applies: ❑Coastal Consistency Concurrence 2. Name of Applicant Tax a er ID(itapplicant licant is NOT an individual Richard Petrowski Mailing Address Post Office/CitV State Zip' 2795 Ole Jule Lane Mattituck NY 11952 Telephone 516-857-8751 Email reflectingritr@optonline.net Applicant Must be(check all that apply): k Owner ❑ Operator ❑ Lessee 3. Name of Property Owner if different than Applicant) Petrowski Living Trust Mailing Address Post Office/City State Zi 2795 Ole Jule Lane Mattituck NY 11952 Telephone 516-857-8751 Email reflectingntr@optonline.net For Aaencv Use Only `Agency Application Number: , " JOINT APPLICATION FORM 08116 Page t of 4 JOINT APPLICATION FORM—Continued. Submit this completed page as part of your Application. 4. Name of Contact/Agent Christopher F. Dwyer Mailing Address Post Office/City State Zi 437 South Country Road Brookhaven LNY 11719 Telephone 631-286-8668 Email cdwyer@lkma.com 5. Project/Facility Name Property Tax Map Section/Block/Lot Number: 235 E. Legion Avenue 1000-122-03-14 Project Street Address, if applicable Post Office/City State Zi 235 E.Legion Avenue Mattituck NY 11952 Provide directions and distances to roads, intersections, bridges and bodies of water 300'East of Bay Avenue on the south side of James Creek f� Town Village City County StreamNVaterbody Name Southold I I Suffolk James Creek Project Location Coordinates: Enter Latitude and Lon itude in degrees, minutes, seconds: Latitude: 40 [K=, 09 Longitude: 72 ° 32 06 6. Project Description: Provide the_following information about your project. Continue each response and provide any additional information on other pages.Attach plans on separate pages. a. Purpose of the proposedproject: To replace approximately 92.4'of timber bulkhead with a vinyl sheet pile. The purposed of replacing the existing timber bulkhead is to minimize soil erosion and stabilize the shore line. b. Description of current site conditions: The existing site currently has a single family residence on site with a damaged timber bulkhead in need of replacement. c. Proposed site changes: r= IU See Plans NOV - 2 2017 LLZJ d. Type of structures and fill materials to be installed,and quantity of ma4 rials to be us ►(@WJo�9quare feet of coverage,cubic yards of fill material,structures below ordinary/mean ru s See plans e. Area of excavation or dredging,volume of material to be removed, location of dredged materialplacement: All excess material from the installation of the pilings will be removed. f. Is tree cutting or clearing proposed? Yes If Yes, explain below. No Timing of the proposed cutting or clearing (month/year): Number of trees to be cut: Acreage of trees to be cleared: JOINT APPLICATION FORM 08/16 Page 2 of 4 JOINT APPLICATION FORM—Continued. Submit this completed page as part of your Application. g. Work methods and type of equipment to be used: See plans ;It h. Describe the planned sequence of activities: I NOV - 2 2017 j See plans Southold Town -- Board of Trustees i. Pollution control methods and other actions proposed to mitigate environmental impacts: The contractor shall exhaust every effort to display industry best practices to mitigate environmental impacts. j. Erosion and silt control methods that will be used to prevent water quality impacts: The Contractor shall install silt/oil boom to protect adjacent water. k. Alternatives considered to avoid regulated areas. If no feasible alternatives exist, explain how the project will minimize impacts: I. Proposed use: ❑✓ Private ❑Public ❑Commercial m.Proposed Start Date:I December 2017 Estimated Completion Date: lianuary2018 n. Has work begun onproject? Yes If Yes, explain below. E-1 No o. Will project occupy Federal,State, or Municipal Land? ❑Yes If Yes, explain below. No p. List any previous DEC, USACE, OGS or DOS Permit/Application numbers for activities at this location: q. Will this project require additional Federal,State,or Local authorizations, including zoning changes? Yes If Yes,list below. No JOINT APPLICATION FORM 08116 Page 3 of 4 JOINT APPLICATION FoRm—Continued. Submit this completed page as part of your Application. 7. Signatures. Applicant and Owner(If different)must sign the application. Append additional pages of this Signature section if there are multiple Applicants, Owners or Contact/Agents. I hereby affirm that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. Permission to Inspect- I hereby consent to Agency inspection of the project site and adjacent property areas. Agency staff may enter the property without notice between 7:00 am and 7:00 pm, Monday- Friday. Inspection may occur without the owner,applicant or agent present. If the property is posted with"keep out"signs or fenced With an unlocked gate, Agency staff may still enter the property.Agency staff may take measurements, analyze site physical characteristics,take soil and vegetation samples,sketch and photograph the site. I understand that failure to give this consent may result in denial of the permit(s)sought by this application. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the NYS Penal Law. Further,the applicant accepts full responsibility for all damage,direct or indirect, of whatever nature, and by whomever suffered,arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C., Section 1001 provides for a fine of not more than$10,000 or imprisonment for not more than,5 years, or both where an applicant knowingly and willingly falsifies, conceals, or covers up a material fact; or knowingly makes or uses a false,fictitious or fraudulent statement. Sign re of Applicant Date /alb°�/7 Applicant Must be(check all that apply): ✓❑ Owner E]Operator ❑Lessee Printed Name Title Richard Petrowski Owner Si nature of Owner if different than Applicant) D e =# 7 I) tnNOV - 2 201 Printed Name Title Southold town Signature of Contact/Agent Date 10/20/10/17 Printed Name Title Christopher F. Dwyer Associate °For Aaency l.li j On ' DETERMINATION,OF NO PERMIT`REOUIRED Agency ApplicatiowNumber (AgencyName)has,.detarmined'that No,Permit,is, required,f rn thisFAgency for the project described'in this application. Agency Representative: Printed Title: Name Signature° Date y JOINT APPLICATION FORM 08/16 Page 4 of 4 SEE SEC NO 114 ,^ SEE sEc No 11a_ _ �1. 25 }¢MATCH 1 a� UNE x MATCH. fH�tt,GN °e.6o�in5ou°Kyn u 8 i2 5.3 n Sa � �Ptb` ? � x 1 e�p11NO 1 245 I a ^5 243 w • •' B AE� 4 2 A —_ um IXEJULE' 3.a m 35 IY-I 2 279A acx' q S^ P 9 rn ,r 3 19 q...q,, �i nT- q' 2a •$ ^0.{ ��� ®° �.� _ °3 1BA(cl I B9A q.p`9 sm s_P,�fi. q 21 d 1i1�_ ` a s O5 m 32 's,�.q, - I �� =bg m q 6�. ?ti 3 p ze t 29 39 31 ✓3z NA e I al 1�a c) \ ^ ] °„s x 6 = o f SNFF� Y. x•�9 y la 1 2 3] _ 3B FOR PCL NOo� 39 � �J SEE SEC NO g ti 4]1 a ' a' 19A� b 11 � 31&] 'q '•e 1.48 ^ � 1 •$ •3 4Q .a s r $6 320 7 ,/ $ bs0 + ,•a � 233 � � f� I a ti �9\P ;ep•°A $� //( / ,yl) + e$ ., M1 P ,° 3o i 73 \ TSA suFFOLKcou,— F� / 1 Q WATERAU,NO— (),pc\n °jY ( /5fitA2./ T13 x 3nAlx1 i z5 1// f I � snP1\ T. I 9 c/ O roWNOP M /fes Og ow C Y 2 g1P N a .Ae 23 13A FOR PCL NO94 a ISEE SEC NO 1 121-050011 15A 9 A F I 1&7G) 9A( � I � N ,�� eJY" Pa• $ t n sa b 1 ¢P' laalri.ra N 1woM 4• � �q .a MATCH -------------- ---------_-------- UNE SEE SEC NO 120 ! �NQrEANAPPARENTOYERIAP CON EIU /+ P` cEi WITHIN OLOCK 0a BETINEE—DQI CEL PAR53548358 G (21) —O—_ _ _ --°-- NOTICE owrsCOUNTY OF SUFFOLK © E t� 1� of Sp(JrNOLp SECTION NO ""'""`Eu1fiM"°"'"`E°" .�, a@ Real Property Tax Service Agency r 1„ ,,,,�oF n^`Y~... - --•-- — —tyC—RhAOc=E.NY11- M t2t 122 722 .. - • m-.. r''t' ..r..L�. — »F x PTMcrxo 1000 _ {1I SEESEC NO 115 �\ --q ... ,._ml +.. SEE SEC NO 115 OFFICE LOCATION: �*®f S® y® MAILING ADDRESS: Town Hall Annex �® l® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) CA � Q hone: 631 765-1938le Southold, NY 11971 � ® ® Telephone: Fax: 631 765-3136 C®U LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: December 6, 2017 Re: LWRP Coastal Consistency Review for PETROWSKI LIVING TRUST, c/o RICHARD PETROWSKI SCTM# 1000-122-3-14 L. K. McLean Associates, P.C. on behalf of PETROWSKI LIVING TRUST, c/o RICHARD PETROWSKI requests a Wetland Permit to remove 92.4' of existing wood bulkhead and install in- place a new vinyl bulkhead with dead-man system; install and perpetually maintain a 15' wide non- turf buffer along•the landward edge of the bulkhead; and to restore any other disturbed areas using top soil and grass seed. Located: 235 East Legion Avenue, Mattituck. SCTM# 1000-122-3-14 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is INCONSISTENT with Policy Standard Protect and restore the quality and function of the Town of Southold's ecosystem and therefore is INCONSISTENT with the LWRP. This area delineated and labelled Existing Area To Be Excavated As Needed For Proposed Work on page 4 of the plans is larger than normal and could impact wetlands and wetland vegetation on the western portion of the property. In the event the action is approved, require erosion control and turbidity controls in appropriate locations. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Peter Young,Chairman C Town Hall,53095 Main Rd. Lauren Standish,Secretary coo 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., December 6, 2017 the following recommendation was made: Moved by Peter Young, seconded by Greg Williams, it was RESOLVED to SUPPORT the application of RICHARD PETROWSKI for the installation of 92.4' of vinyl bulkhead with deadmen system. The new bulkhead will be installed in the same location as the existing timber bulkhead (to be removed). A non-turf buffer of 15' behind the bulkhead will be provided and any other restoration shall be top soil and seed. Now work will be performed on the seaward side of the bulkhead. Located: 235 East Legion Ave., Mattituck. SCTM#122-3-14 Inspected by: Peter Young, James Abbott The CAC Supports the application to install a vinyl bulkhead as applied for, however, questions the compliance of the additional floating dock. Vote of Council: Ayes: All Motion Carried L A Town Hall Annex Michael J.Domino,President A4125 {r John M.Bredemeyer III,Vice-President ` 54375 Route -� -- - P.O.Box 11799 Charles J.Sanders w .mm a Southold,New York 11971 Glenn Goldsmith + ` `` � �� Telephone(631) 765-1892 A.Nicholas Krupski• �'r �zt. Fax(631)76575641- DOA]Ei•D OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application —Administrative Permit, Amendment/Transfer(Extensiort Received Application: IhZ.11 nEi C� DD Received Fee: $ o,�® RELN_ L�`'' !S Completed Application: 13.1 Incomplete: 2 2017 SEQRA Classification: Type I_ Type-H Unlisted Lead Agency Determination: Coordination-(date sent): :: Southold Town LWRP Consistency Assessment Form Sent. ar Tru ee —CAC Referral Sent: iI.2d,l7 =Date of Inspection: 12-5•[7 Receipt of CAC Report: jZZ hicalReview:Hearing Held: Resolution: Legal Name of Property Owner(s): Richard Petrowski Mailing Address: 2795 Ole Jule Lane, Mattituck NY 11952 Phone Number: 516-857-07,�l Suffolk County Tax Map Number: 1000- 122-03-14 I Property Location: 235 East Legion, Avenue, Mattituck NY 11952 (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): L.K.McLean Associates PC Mailing Address: 437 South Country Road Brookhaven,NY 11719 Phone Number:. 631-286-8668 �� " Board of= Trustees- Appli�;=,;ion- GENERAL DATA Land Area(in square feet): 16,894 SF Area Zoning: -R-49 Previous use of property: Residential Intended use of property: Residential Covenants and Restrictions on-property? Yes X�No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? _Yes X No If"Yes",be advised this application will`be reviewed-by the Building Dept.prior to a Board-of Trustee review and.Elevation Plans will be required. Does this,project.require a variance from the Zoning Board of.Appeals? Yes _ X No- If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? X Yes No Does the structure(s)on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date No-prior permits/approvals for site improvements. Has.any permit/approval.ever.been-revoked-or suspended,by a governmental agency? X No Yes If yes,provide explanation:- Project Description(use attachments if necessary): The proposed project will include the installation of 92.41of vinyl bulkhead with dead man system. The new bulkhead will be installed in the same location as the existing timber bulkhead (to be removed. A non turf buffer of 15' behind the bulkhead will be provided and any other restoration shall be top soil & seed. No work will be performed on the seaward side of the bulkhead. } Board- of Trustees- Appli-Uncion- WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: The purpose of the project is to replace a deteriorating timber bulkhead with a new vinyl bulkhead to minimize soil erosion and stabilize the shore line. Area-of wetlands on-lot: 0 square-feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 65 feet Closest distance between nearest proposed structure and upland edge of wetlands: n/a feet Does the project involve excavation or filling? No X Yes If yes,how much material will be excavated? _2 0__ =cubic yards How much-material will.be filled? 0 cubic yards. Depth of which material�wiffbe removed or deposited:- 5 feet- (for horizontal deadman pile) Proposed slope throughout the area of operations: 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): There will be limited disturbance during the installation of the bulkhead. The new bulkhead wi.12 be installed in the same location as the existing. 61-7,20, Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. Ifadditional 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 I. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: - 235 E. Legion Avenue Project Location(describe,and attach a location map): 235 E. Legion Avenue, 360' east of Bay Avenue on the south side of James. Creak Brief Description of,Proposed Action: Work is to replace approximately 92.4' of timber bulkhead with a vinyl sheet pil bulkhead. Name of Applicant or Sponsor: Telephone: 516-857-8751 Richard Petrows'ki E-Mailreflectingntr@optonline.net Ad - -dress- := ' - 2795 Ole Jule Lane City/PO: State: Zip Code: Mattituck New Fork 11952 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, - NU� YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that n n 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: _❑ - NYSDEC Tidal Wetlands Permit 3.a.Total acreage of the site of the proposed action? _ 0.388 acres b.Total,acreage-to-be•physidally disturbed? 0.07 acres c.Total acreage(project site and any contiguous properties)owned or controlled by-the applicant orproject sponsor? 0.388 acres, 4.,Check all]and_uses that occur on,,adjoining and near.the.proposed_action. C]Urban ❑Rurnl(non-agriculture) []Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other_(specify); ❑Parkland Page 1 of 4 5. is the proposed action, _ NO YES N/Aµ , a. A permitted use under the zoning regulations? ❑ ❑ F1 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 Ct itical Environmental Area? NO YES If Yes,identify: j {nx ❑ 8. a.Will the-proposed.action resultttin 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? M ❑ c.Are any pedestrian accommodations or bicycle routes available on or•near,site of the proposed action? FRI 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: ❑ Elf IVA 10. Will the proposed action connect to an existing public/private water supply? 'NO YES, If No,describe method for providing potable water: ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: _ _ _ ❑ ❑ 12. a.Does the site contain.a structure_that,is listed on either the State or National Register of Historic_ NO YES Places? ❑ .(� _ b.Is the proposed action located-in an archeological sensitive area? L_.J ❑ ❑ 13.a,Does any portion of the-site of the proposed action,or fands_adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? 0 O 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: 14, Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑x 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? I"—i ❑ 16,is the project site located in the 100 year flood plain? YES NO X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, X a. Will storm water discharges flow to adjacent properties? ❑NO E]YES ❑ ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: TQNO AYES Page 2 of 4 18:Does the proposed action include construction or other activities that result in the impoundment of L � 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: T _ ❑ ❑ I"AFFIRM THSAT THE INFORMATION I'ROVIDED.ABOVE IS TRUE AND.ACCURAT.E TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Richard PeLrowski W___.__ Date: /.,)/3d�7 Signatur<�_ Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer aM of the following questions in.Part.2 using-the information-contained in Part,l and other materials-submitted by the-project sponsor-or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the-scale and context ofthe.proposed-action?" No,or Moderate small to large impact. impact, may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? _ 3. Will the proposed action impair the character or quality of the existing community? ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the t❑� 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. W it l 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 orquality,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 1:1problems? 11. W ill.the proposed,action create a,hazaid 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 clement 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 considerthe 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, t _t that the proposed action may result in one or more potentially large or significant adverse impacts an&an environmental impact statement is required. Check this box if you have determined,based-on-tlfe•iriforri►atidn-and-analysis above,and any sup orting documentation, that the proposed action will not result in any significant adverse environmental impacts Town of Southold-Board of Trustees /7 .��/�►�//-�1�-D Name-of Lead.Ag-- `� I)ate�~�- .��y� t v=c_� !` (,_ lJ 1✓1-lr_ T President Print,or T"NIIaMf Responsible Yficer in Lead Agency Title of Responsible Officer - --. _ Signature of Respon ' le Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Oki NT" Page 4 of 4 Board of- Tr1fstWe0- Appl"i,6� _ion_ AUTHORIZATION (Where the applicant isnot the owner) I/We, Richard Petrowski owners•of-the property,identified=as SCTM#.1000-T 12 2-0 3-14 in•the town.of Southold New York,hereby authorizes L.K. McLean Associates to act as my agent and handle all necessary work involved-with the application process for permit(sy from the Southold Town Board of Trustees-for this property. Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS .36 DAY OF—& ��o- ,20 � o Public EVE L.GATZ.SCHWPu\4B0RN NOTARY PUBLIC.STATE OF NEW YORK Registration No,OIGA6274028 Qualified in Suffolk County Commission Expires Dec.24,2Q Board- of Trust:®®`s Appl-lcaofda AFFIDAVIT Richard Petrowski BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SITE 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 TRIS APPLICATION AND AS MAY-BE-APPROVED BY THE'SOUTIIOLD TOWN'BOARD-0'F 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,ORBY-VIRTUE QF-SAID.PERWT_(S),,IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR-AGENT(S)-OR REPRESENTATIVES,INCL'UDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO 1VIY PROPERTY TO INSPECT THE PI29MJ8ES IN CONJUNCTIONWITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL, EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES-DURING THE TERM 'OF THE PERMIT. `Signature of Property Owner 'Signature of Property Owner SWORMTO-BEFORE-MRTHIS -DAY OF *try Public EVE L,OrATZ•SCHWA2\4BORN NOTARY PUBLIC,STATE OF NEW YORK Registration No,OIGA6274028 Qualified in Suffolk County Commission Expires Dec,24,20 f APPLICANTIAGENT/REPRESENTATIVE TRANSACTIONAL- ]DISCLOSURE FORM. The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town4ficers and emnlovices The nutnosc of this f rtit is to provide inforination which can alert-the town of possible conflicts bf-interest and allow it to take•whatever actirnl is, necessary to avoid same. YOURNAME: Richard Petrowski (Last name,fust name,slriddle initial,uNess 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.) i 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 X Other (If"Other",name the activity.) Do yiitt personally(or through your company,spouse:,sibling,-parent,or child)have a relationship with:my 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 oremployee has even a partial ownership of(or employment by)a corporation in Which the town officer-or employee owns more than 5%,ofthe shares. YES NO- X ifyou answereeYES",complete the balance-of this form and date and sign where indicated. $ t Name of person employed by the Town of Southold Title or position of that person r # Desdibe the yelationship,between yourself(tile applicartt/agent/representative)and the town officer or employee.Either check_ the appropriate line A)through D)and/or describe in the space provided. ! i- 'Me town officer or employee or his or her spouse,91bling,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 benercial owner of any interest.in a non-corporate entity(When tite- applicant is not a corporation); C)-an officer,director;partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP 1 • Submitted this YD da of &Yqkr 0 7 Signature, Print Name , Form TS 1 Michael J.Domino, President Opp �1 CCG Town Hall Annex John M. Bredemeyer 111,Vice-President yam , 54375 Route 25 Charles J. Sanders y ,�� P O. Box 1179 Glenn Goldsmith � ,} Southold,NY 11971 A Nicholas Krupski �' ® p� (Y Telephone(631)765-1892 40 ✓ Fax(63))765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of PETROWSKI LIVING TRUST, c/o RICHARD PETROWSKI COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO-BE COMPLETED AFTER POSTING REMAINS-IN PLACE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE- 1, Christopher F. Dwyer , residing at/dba The Office of L.K. McLean Associates PC 437 South Country Road Brookhaven,New York 11719 being duly sworn, depose and say: That on the5th day of December , 2017 , I personally posted the property known as 9-95 F. Legion Avenue Mattituck New York 11952 (Petrowski Living Trust, c/o Rich Petrewski) 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, December 13, 2017. Dated: (signature) Sworn tobe ore me is o (�. 20 7 CHRISTINE WIEGAND otary Public NOTARY PUBLIC,State of New York No.01 commission lExpirre Aug August 17 ( j • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Richard Petrowski c/o Richard PetrowskiAddress: 295 E. Legion Avenue Mattituck NY 11952 Joseph J. Finora REVOCABLE TRUST 135 E. Legion Avenue Mattituck NY 11952 Jeryl Morris 330 E. Legion Avenue Mattituck NY 11952 CHRISTINA MITCHERLING 290 E. Legion Avenue Mattituck NY 11952 Petrowski Living Trust 220 E. Legion Avenue Mattituck NY 11952 STATE OF NEW YORK_ COUNTY OF SUFFOLK Christopher F. Dwyer ,residing at The Office of L.K. McLean Associates PC 437 S. Country Rd. Broo aven NY being duly sworn,deposes and says that on the Sth day of December ,2017, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names;that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Brookhaven.NY 11719_,that said Notices were mailed to each of said persons by CERTII-TED MAIL/RETURN RECEIPT. Sworn t6Wbre me this Day - 20 i i Notary Public CHRISTINE WIEGAND NOTARY PUBLIC,State 01 New Y�k IWo.01WI6210359,Suffolk Coun commission Expires August 17 � NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Petrowski Living Trust c/.o Richard Petrowsk§CTM# 1000-143-03-14 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the'intention of the undersigned to request a Permit from the Board of Trustges to: Allow the applicant at 235 East Legion Avenue in in Mattituck the proper authorization to remove 92 .4 ' of timber bulkhead and replace with 92 .4 ' of new vinyl bulkheading with a dead man system. All work to be done landward of the ex. bulkhead with a 15 ' wide non-turf buffer (behind bulhead) to remain in perpetuity. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows- Joseph J. Finora Revocable Trust 135 E. Legion Avenue Mattituck NY 11952 SCTM#: 1000-122-03-013 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wednesday December 13 , 2017 at or about 5 : 30 PM You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: Petrowski Living Trust c/o Richard Petrowski MAILING ADDRESS: 2795 Ole Jule Lane, Mattituck, NY 11952 PHONE#: 516-857-8751 AGENT: L.K. McLean Associates PC (Christopher F. Dwyer) MAILING ADDRESS: 437 South Country Road Brookhaven, NY 11719 PHONE ##: 631-286-8668 (x245) Enc: Copy of sketch.or plan showing proposal for your convenience. • G:• F"�'F`'�r'k°� ;•}:4i`- ''.�..�^. "-4.:::.§::d::<t;^ _ '" -_.r�::F. _ _- _. _ —_ ._�____ ._._.__ __.....�_..�'�="=a'2`ii'i i'o >`, '��,. t'``.,`T_`J:z_�,,rc,•'ao_=, ,r:t`�~•:`'�N.<.��;.'L"y.,vt^.-..' 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Postage $ Q `� p '9G Certified Fee �� Certified Fee y Q �2 j ru stmark ru rk 1 CI Return Receipt Fee t Here p Return Recelpt Fee �` ere 3 (Endorsement Required) E3 (Endorsement Required) t t l C3 Restricted Delivery Fee ra Restricted Delivery Fee (Endorsement Required) O (Endorsement Required) ,. 1 ��+ I p Ln Ln Total Posh J m Total Joseph J. Finora Rev. Trust j M Christina Mitcherling sent To _ i 135 E. Legion Avenue Sent c a 290 E. Legion Avenue -------- Street,lI fLL r-9 Stieet Apt l ) C3 or P01 Mattituck,NY 11952 --_____,_ M or PO Box Mattituck,NY 11952 r- City s Cary,State,J , i F—S - :le 11. 1_7 I. • Q . .. • e- flJ a® • M Y! 0 f': a It• zr M1 Postage $ L q Postage $ C3 Certified Fee Certified Fee ru C P ru bs fit na M Return Recelpt Fee (n ostm C3 Return Receipt Fee f A '�1 Here �' p (Endorsement Required) Q '", He ._ (Endorsement Required) "r C3 Restricted Delivery Fee Restricted Delivery Fee \ (Endorsement Required) ^ �� O (Endorsement Required) b (,� O Ln Total Posi m Total Posq Jeryl Morris M sent To Petrowski Living Trust Sent To I 330 E. Legion Avenue ------------ 220 E. Legion Avenue __ a Street,AWL I Mattituck NY 11952 i O Street Apt or PO Box A or POBox i Mattituck NY 11952 r`- ------------- [�- ° ...... City,state, City State, EDEN • I . rOT;m , ru i. • 179 Po g� $ /(�00li(/� O Certified Fee OA rut k Q Return Receipt Fee. �� �4 ere r3 (Endorsement Required) l� �t C3 Restricted Delivery Fee Q (Endorsement Required) e ,,, Total Postage 8 m Richard Petrowski Sent To c/o Richard Petrowski Street,Apt:No.; 295 E. Legion Ave. N --Po Box"o. -- Mattituck NY 11952 City State,ZIP+4 I1 :11 11. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 31 STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20____, deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by CERTIFIED L/RETURN RECEIPT. Sworn to before me this Day of , 20 I a Notary Public i NOTICE OF HEARING 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: PETROWSKI LIVING TRUST, c/o RICHARD PETROWSKI SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove 92.4' of existing wood bulkhead and install in-place a new vinyl bulkhead with dead-man system; install and perpetually maintain a 15' wide non-turf buffer along the landward edge of the bulkhead; and to restore any other disturbed areas using top soil and grass seed. Located: 235 East Legion Avenue, Mattituck. SCTM# 1000-122-3-14 TIME & DATE OF PUBLIC HEARING : Wednesday, December 13, 2017 — 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 G"MUSZEES *-TO-MM-OF SOUTHOLD * (631) 765-1892 i Town of Southold LWRP CONSISTENCE'ASSESSMENT(FORM -A. INSTRUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions. including Building Permits. and other ministerial permits not located within the Coastal Erosion hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contaihed 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 :end non- saipporting 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# 1000 - 122-03 - 14 PROJECT NAME 235 E. Legion Avenue The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 0 1. Category of Town-of Southold agency-action(check-appropriate'response): (a) Action undertaken directly by Town agency(e.g.capital- ❑ construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g. grant,loan,-subsidy) (c) Permit,approval,license,certification: 0 Nature and extent of action: The p aposed action is to construct a vinyl bulkhead on the -property located -at 235 E. Legion Avenue Location of action: 235 East Legion, Mattituck NY, 11952 Site acreage: 0.388 Present land use: Residential Present zoning classification: R-4 0 2. If an application-for the proposed action has been-filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: Richard Petrowski (b) Mailingaddress: 27.9,5 Ole ,Jule .Lame., Matt,ituck NY ,1.1-952 (c) Telephone number: Area Code( ) 516-8 5 7-8 7 51 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No 0 If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will.further-each-policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development.in the-Town of Southold:that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LVVRP Section IH--Policies; Page 2"for evaluation- criteria. 0 Yes ❑ No [:] Not Applicable The proposed actio-r� .is not an altexcatzon to the site. The existing bulkhead_wi I bere-olced with a new vinyl bulkhead in the same location- Attach ocation-Attach additional sheets if necessary Policy -2. Protect and -preserve historic and archaeological resources of the Town of-Southold.,-See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No E] Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRF Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No U Not Applicable Attach additional-sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes 0 No ❑Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and-Wildlife Habitats and wetlands. See LWRP Section III•—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ a Yes No Not Applicable Attach additional sheets if necessary "Policy 7. Protect and improve- air quality in the Town of Southold. See-LWRP Section-III"— Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑No x❑ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances-and wastes. See-LVVRP Section"III--Policies; Pages 34 through,38 for evaluation-criteria. ❑ Yes ❑ No El Not Applicable -PUBLIC COAST POLICIES. Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III--Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye2 No❑ Not Applicable Attach additional sheets if necessary WORIIIC COAST POLICIES Policy 10. Protect Southold's water-dependent uses and-promote siting,of new water-dependent,asses_in. suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. Yes No 0 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62-'through 65 for evaluation criteria. —] Yes ❑ No 1 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section-III=Policies; Pages.65 through 68 for•evaluation-criteria. ❑Yes ❑ No.Q Not Applicable PREPARED BY—Christopher F. Dwyer TITLE Associate DATE 10/30/17 L11AA L. K. McLEAN ASSOCIATES, P.C. LETTER OF TRANSMITTAL CONSULTING ENGINEERS DATE: 11/03/17 JPROJ NO.: 17062.001 437 SOUTH COUNTRY ROAD ATT: Diane DiSalvo BROOKHAVEN, NEW YORK 11719 RE: Petrowski Living Trust 235 East Legion Avenue, Mattituck, NY TO: Southold Town Trustees P.O Box 1179 Southold, NY 11971-0959 We are sending you ® Attached Under separate cover via the following items: Shop Drawings Prints X Plans Samples Specifications Copy of Letter Change Order Other: Copies Date No. Sheets DeE q=15Z 1 11/3/2017 Site Plans IF. V LF. 0 V 1 11/3/2017 Survey Southold Town Board of Tfustees J— These are transmitted as checked below: For Approval Approved as Noted Resubmit Copies for Approval X For Your Use Returned for Corrections Submit Copies for Distribution As Requested No Exception Taken Make Corrections as Noted For Review and Comment Other: For Bids Due Prints Returned'After Loan to Us REMARKS: Copy To: LKMA File Signed: Anthony M Bratz LKAKA L. K. McLean Associates P.C. 437 South Country Road • Brookhaven New York • 11719 CONSULTING ENGINEERS (631)286-8668 • FAX(631)286-6314 Associates EUGENE F DALY,P E,P.T O E.TM,PRESIDENT and C.E.O CHRISTOPHER F DWYER RAYMOND G.DiBIASE,P.E.,P.T O.E TM,PTP TM,EXECUTIVE VICE PRESIDENT ROBERT A.STEELE,P.E. DANIEL P.JEDLICKA,P L.S,VICE PRESIDENT JAMES L.DeKONING,P.E. STEVEN W EISENBERG,P.E. ANDREW B.SPEISER MATTHEW C.JEDLICKA,LEED AP October 30, 2017 Town of Southold Trustees 54375 Main Rd. D E E P.O.Box 1179 Southold,NY 11971 - 22011 RE: Town of Southold—235 East Legion Avenue NOV Mattituck,New York Southold Town LKMA No. 17062.001 To whom it may concern: As Consulting Engineers for Richard Petrowski, we are submitting, on his behalf, an application for a Wetlands Permit to construct new vinyl sheet pile bulkhead. Enclosed herewith for your review,please find(1)original and(3) copies of the following: 1. Board of Trustees Application. 2. Short Environmental Assessment Form 3. Survey 4. Set of Permit Drawings 5. Check in the amount of$250.00 made payable to the Town of Southold. If you have any questions or require additional information,please contact this office. Very truly yours, ` NOV - 2 2011 DD I CFD:mf Christopher F.Dwyer,Associate L. K McLean Associates, P.C. Enc. (5) Cc: Rich Petrowski, w/enc. LKMA File Copy w/enc. •Founded in 1950 •