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HomeMy WebLinkAboutTR-1728 Glenn Goldsmith,President QF S0(/�y Town Hall Annex A. Nicholas Krupski,Vice President QOl0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G Q Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 eoUNT`1,� BOARD OF TOWN TRUSTEES April 15, 2021 TOWN OF SOUTHOLD Neil &Amelia MacDonald 15-Blueberry Ridge Road Setauket, NY 11733 RE: 855 LUPTON'S POINT ROAD, MATTITUCK SCTM#: 4000-115-11-5 Dear Mr. and Mrs. MacDonald: - The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, April 14, 2021: RESOLVED that the Southold Town Board of Trustees APPROVE`the Administrative Amendment to Wetland Permit,#1728 for the as-built 4'x54' fixed-wooden pier with thru-_flow decking, 3'x17' ramp; fourteen(14),1t0"-piles; three ('3) 5'x12'floats;"and as depicted on the site plan prepared by Neil Alexander MacDonald, RA, dated`March 11, 2021, and stamped approved on April 14, 2021. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 4 Genn Gold mith President, Board of Trustees GG/dd MAP OF DESCRIBED PROPEiZ� OWN SOUT'HaD ;: MArnTUu�, T of � DEEP HOLE CREEK `�� ;. � ;. SUFFOLK COUNTY, N.Y. (PUP HOLD GREEK) ; I TAX MAP NO.: 1000-115--11-005 ooa LOT AREA I5,1�O SF. (0.3}7 ACRES) •✓ ':.; DATE SURVEYED: FEBRUARY 1.4, 2020 PY PINNACLE LAND SURVEYING 1 ebb SITE PLAN FOR DOCK REPLACEMENT: MARCH II, 2 I * UTILITY MARK-OUT AS fIAGGF-P i3Y On-ERs "` 5.- ` * ELEVATIONS REFER TO MLLW DATUM. x; , 'Fes' �"'^- .�i w�;tt,, ,;� �, „'" 0 2000 4000 l "' Feet _', ��;: �` KEY MAP ;- k r , , SCALE I" = IOOd odc� MAP SOURCE: USGS QUAD MAP k , ,_ - - - - - - o� A R C H I T E C T S a 15' ROW V0 n Y 12-1 TECHNOLOGY DRIVE SETAUKET NY 11733 n 3> ; .4.""r ,�i P. 631.689.8450 1 F. 631.689.8459 1 www.wfcaia.com .pry �•'�} �} syr +� �/j,/j q,r+:t " Tit. © �`� \. enr \\`. < Ce' �' -' `�' nA• ° ------------ S -69 �` `� BulvIG4 _ .. ��tiFJ � � o`� pow ; CONSULTANT: r° Mattituek �', ° Q.2 k °° per ' �--• ��o� o ±; may; i� ��,`` AP RO`JED BY Airport o a• ,�o .,$ O °�- ,�/ MONUMENT �`S \ J 0.2 �� ; q �{��p }�gf�y /� h / +4.4 \� `'� `}t-0. BOA OF I r�USTEES 'Q trfC 1 ...••+.✓" ft#Wi! �i.ii i/� 4i �' /� ��\\\ MONUMEM ` s i tl�! �o �o / ,\SiO4, +0., ND \ TOW OF SOUTHOLD ° D�`TE �Q " , o �� + 7.a 0 ,Z/Z , w\l\ +-0.3 M ` - , ii(IQ I L_ �`C�2021 C" °- +5. .. \ a p PROJEOT LOCATION So •°° OV oho a '�,, +0.8 s N c N Vhr`�Lgti M HG` ' ��°`' +7.s ° �eFR n°�MFN G sr�sFR \\ y lyq \ --- , �O�B + -------- NO. DATE SUBMISSION +8.3 PROPOSED ACTIVITIES M k +8, 65 " APPLICANT REQUESTS TO AMEND EXISTING E(STING WETLANDS-PERMITTED FIXED WOOD PIER, RAMP AND PIL ES WITH MINOR f"�e ALTERATIONS. RETAIN EXISTING FLOATS p , , , , MONUMENT CONSTRUCT NEW A X 54} WOOD PIER UTILIZING COMPOSITE THRU�-FLOW DECKING, Id PILES, AND 3 X 17 RAMP. FOUND 0 RETAIN EXISTING FLOATING DOCK. 10.5 + LL CCD 0 - INSTALL WATER ANP ELECTRICAL CONDUITS 15ENEAT H POCK TO PROVIDE ELEOTRI61TY ANP WATER TO DOCK TERMINUS •- J tO - MAINTAIN EXISTING NO TURF ZONE LANDWARD USING A MIXTURE OF NATIVE MARITIME PLANTS OF GRASSES ANP StIRUl6 ( LITTLE W I w f5l-UE STEM, PANIC GRA'S5, BEACH GRASS, CARAX SPECIES AND PAYPERRY M46H PLUvI ETC.) � M w � W ' 'MASOIJRY Q PATIO . . . . �� � � W O 20.0' x!3.8'^���18.7�� . . . W O GENERAL NOTES o ' , s o 0 0 03/11/21 ISSUED FOR FILING. >- W a OVERHANG 3.8' 13' 15.1 O 3 - 1. DOCK SHALL_ M CONSTRUGTEP OF STURDY, DURABLE AND STA13L..E MATERIALS GAPAf5L.E OF MAINTAINING POSITION AND it 3 0 (WALKOUT BASEMEN o El � LOCATION, SUPPORTING PEDESTRIAN TRAFFIC, AND RESISTING LATERAL LOADS RESULTING FROM WIND, WAVE, AND IMPACT w w o 2 n D CK o Z 3 NO. DATE REVISION - SHOWER CORY STEPS 0 U FORCES. DOCKS SHALL BE. CONSTRUCTED, WHERE POSSIBLE, TO PERMIT THE FREE CIRGUATION OF WATER, REDUCE THE p w METAL X DWELLING (n EFFECTS OF FLUCTUATING WATER LEVELS, ANP PREVENT ADVERSE MODIFICATION OF THE SHORELINE. INSTALLER SNAIL �, 2 FENCE 8.4' #855 I 14'' O CERTIFY AS TO THE STRUCTURAL_ INTEGRITY OF THE POCK SO AS NOT TO CAUSE A THREAT TO THE PERSON OR PROPERTY o N a;STY- ''6' i N OF OTHERS. POCK AND GANGWAY ONTO SUCH POCK SHALL PROVIDE A SAFE PEDESTRIAN SURFACE AT ALL TIMES. o= ° a e.6' I i sroRr 1 J I . . ,,; I � 1ST FLOOR 2. IN ORDER TO PREVENT THE RELEASE OF METALS AND OTHER CONTAMINANTS INTO THE WETLANPS AND WATERS OF o �,, � 263, I J OVERHANG - Z = A w a �. STOOP . w ��OLl1-I101D, THE USE OF L-UM3ER PRE-TREATED WITH ANY PRESERVATIVE, INCLUPING BLIT" NOT LIMITED TO CHROMATEP COPPER o U MAsoNRY . . . .4 Y �' 743' Z ARSENATE (ALSO KNOWN .q5 "GGA'), COMMERCIAL COPPER gUAT (CCI), QU (/AGI) Z �3 ' PENIA PRODUCTS, ALKALINE COPPER AT OR 1t I I ..'. .' ' ' ..'.'.MASONRY' ' x HOMEMADE WOOD PRESERVATIVES IS PROHIBITED FOR USE IN SHEATHING ANP PEOKING ON STRUCTURES IN THE WETLANDS AS m O WELL AS ON ANY PART OF A STRUCTURE IN LOW TIDAL FLOW WETLAND AREAS AS DETERMINED BY THE TRUSTEES. THE USE Q / wn 22.3' 3 OF CREOSOTE IS PROHIBIMP. THE USE OF TROPIOAL HARDWOODS IS PROHIBITED UNLESS IT IS CERTIFIED BY THE FOREST O `fi Z / STEWARDSHIP COUNCIL OR. SIMILAR ORGANIZATION. SUPPORTING STRUCTURE TO BE OF PRESERVATIVE-TREATED WOOD. POSTS r N GARAGE N 3 ANP COLUMNS THAT ARE IN DIRECT OONTAGT WITH THE EARTH SHALL BE RATEP FOR GROUND CONTACT IN AGGORPANGE WITH NYS COPE SECTION R'117. SUCH POSTS ANP COLUMNS SHALL BE TREATED WITH 010 POUNDS PER CUI31C FOOT OF ALKALINE 01 Z N " yU COPPER QUATERNARY OR EQUAL A5 SPECFEP IN AWPA UI, OR OTHER APPL-IOAi� AWPA STANDARD FOR SOIL CONTACT. Ir /� JOISTS, STRINGERS, SLEEPERS, GRIPERS AND OTHER STRUCTURAL ELEMENTS SHALL BE TREATED WITH 0.25 POUNDS PER s ' 22.3' 3 3� CU61C FOOT OF ALKALINE COPPER QUATERNARY OR EQUAL AS SPECFIED IN AAWPA UI OR OTHER APPLICABLE AWPA STANDARD FOR OUTDOOR USE. I I I 3. FASTENERS IN CONTACT- WITH PRESERVATIVE-TREATED WOOD SHALL 13E HOT DIPPED GALVANIZED, SILICON BRONZE, OR GRAVEL Pry / COPPER UNLESS SUCH FASTENERS ARE I/2"o OR GREATER DIAMETER STEEL BOLTS. I DRryEWAY N I' 3 4 PILE EM15EPMENT TO SUIT SOIL CONDITIONS CONSIPERING CURRENTS, SCOUR, WIND, WAVES, VESSEL MOORING LOADS AND UPL AFT DUE TO FLOODING. PILJ= HEIGHTS AT FL OAT GUIPES SHALL EXT ENP TO PREVENT FLOOD STAGE PISL_OOATION. \2D' _ MOFOUND I _ HEDGE VINYL NCE 5. DESIION� IS COMPLIANCE WITH THE RESIDENTIAL CODE OF IRO 2020 AS SUPPLEMENTEP BY NYS UNIFORM GORE SUPPLEMENT. ASCE 7-05 _ ?y- 01� OH OH HATER OH -OH- - OH- - OH_ _ OH M FIVE �M METER ASCE 2q--05 ® S 79'45'10"-W 100.00' �.D'E 6. ROOK ANP FLOAT SHALL_ HAVE THE STREET ADDRESS OF THE SUBJECT PREMISES PERMANENTLY AFFIXED TO THE MOST LUPTON POINT ROAD f� SEAWARD FACE FOR IDENTIFICATION. SAID ADDRESS SHAM BE AT LEAST THREE INCHES HIGH AND CONSTRUCTED OF METAL, _ �� rnT lS� WOOD, PLASTIC OR OTHER: MATERIAL SUCH THAT IT GAN WITHSTAND EXPOSURE TO THE ELEMENTS AND IS VISIBLE FROM THE WATER (LUPTON'S POINT ROAD, 20' WIDE R.O.W) IAP 1 2 2021 GONSTRUGTION PROCEDURE & NOTES 1. MACHINE EXCAVATION IS PROH1151TEP IN TIDAL OR FRESHWATER WETLAND AREAS. NO EQUIPMENT WILL M OPERATED NOR SITE PLAN Southold uste SUPPLIES WILL I3E STORED IN TIDAL WETLAND AREAS. Oe~�I of Trustees 2. ALL EXCESS FILL FROM INSTALLATION OF PILINGS MUST PE REMOVED FROM TIDAL OR FRESHWATER WETLAND AREA ON THE 1 SAME DAY AS INSTAL-ATION AND DISPOSED OF IN AN APPROVED UPLAND DISPOSAL AREA. SCALE: 1 "=201-0" MACDONALD RESIDENCE �'-p" 64 t 64 64 64 64 54 64 DOCK REP LAC EM ENT PROPOSE=P RU-FLOW PROPOSED THRU SLOW MONARG GONE SHAPED DECKING W STAINLESS PEOPOS W STAINLESS PILING S (TYP) STS FAS ERs. 855 LUPTON'S POINT ROAD STEEL FASTENERS. �P� q"' x 6"" MATTITUCK, NY MONARCH CONE SHAPED GGA STRINGERS PILING GAPS (TYP.) PROPOSED h' x 6' PROPOSED 3'x17 WOOD EXISTING FLOATING DOCK ``� GGA STRINGERS RAMP W/ HANDRAILS TITLE: • PROPOSFJ� A" x 6" _.._._._._ _. _ _.._._.._ _. ._.._.._.._.._.._.. _.._._._.._ _.. ._.MEAN HIGH ATER MEAN hiGrt - A - - - - - - - - - -cGA GIIZDERs CrYP.> _MEAN LOW ATER _.._._. .. _.._._ _._.._.._.._._._.-. - - - - - - - - - - - - - - - - - - - - SITE P LAN AND DETAILS V x S" DIAGONAL BRACE (TYP-) EXISTING GRADE PROPO�.�ED x (o" PROPOSED Id' x W FXCISTING GRADE GGA GI (fYP.) DATE: 03/11/21 AGQ ANCHOR PILES PROJECT NO: - PROP Id' x W DRAWN BY: AGQ AN PILES PG �/-�•- CHECKED BY: NM �� ���GTION !'�-'A SL.�1 1� SCALE: AS NOTED mm (�$ r DRAWING NO: SECTION! 2 S� - ALE: 1/2"=11-0" suFFoc�r Glenn Goldsmith, P " - dent 0�0 CSG ' Town Hall Annex A. Nicholas Krur, Vice-President ,� �� ' 54375 Route 25 John M. Bredemeyer, III o z P.O. Box 1179 Michael J. Domino o Southold, NY 11971 Greg Williams y 0! Telephone (631) 765-1892 dol Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time:4/-?/2) 4,50 Completed in field by: a. g,)IMA NEIL & AMELIA MacDONALD request an Administrative Amendment to Wetland Permit#1728 for the as-built 4'x54' fixed wooden pier with thru-flow decking, 3'x17' ramp; fourteen (14) 10" piles; three (3) 5'x12' floats. Located: 855 Lupton's Point, Mattituck. SCTM#: 1000-115-11-5 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 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: I II U n I istecf 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: .J IJ�'i� C,�� AoSI�►®sena Qc�c� c ,n ��C1Q y./ha� � O��rP(���! �h��e I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino J G. Goldsmith N. Krupski G. Williams Other ons ngs er urface and The offsets or dimensions hewn from structures to the property Imes are for a specific purpose and use,and therefore,are not intended to guide i monuments rection f feceplas, als a part)of patios, suaveytiCertrficauo�is on this s siurvey1s signify that the survey was prepared in onmental conditions were not examined or considered as a part of this survey Easements,Rights-of-Way of record,if any,are not shown Property accord the lending nthinstitut on Ixsteid on this s of Practice vey ce d certifications for I Surveys s and adopted here New are notk StaAstransferable r aeon of Professional Land Surveyors,Inc The certification is limited to persons for whom the survey is prepared,to[he title company,to ilia governmen a agency, ance th e Current ng CO and to g K___�:IPSSoaorud' DEEP HOLE CREEK MAR 12 2021 shold TownT F �,of Trustees o 0"-,ti JM,, 'u cotiSG Qv y�6' oosF \ aPFtiT �eFp�T6VCyF T SLS `!V 0 ST \\\ y70 14 q� r O1V J OA /.-NIE1 ENT O,fF� W \ MONUMENT ^�\ FOUND p�O G�6v P ^ V O TIMBER OOSt,S\\ I STEPS TOS ^ _Y FE 2 0'E FE MF\N� 0 9'W 100 3' DEEP DRYWELL C" 100 6' DEEP DRYWELL 6"0 PVC PIPE MONUMENT p 6'o PVC PIPE (TYPICAL) O FOUND (TYPICAL) D FE \ O W 0 3'W D —� p \ (0O r a o a o J IXW Wy U (tW z o MASONRY OW LL: Wv o 20 0' N3 W IX oN o _ a' --1a�__ o O Q W u FLOOR3 e. 15 11' >x J } W OVERHANG 13• O 3:J_ 3 O N ('WALKOUT BASEMENT) rn WOOD o In Z 3 W = o DECK & o �' W SHOWER pwSrORY STEPS �-- o x ELLING FENCE O \ 8 4' #855 1 14 1 15.4' O T— 1 IX OH of S� 48 1 I 0 U) = v 88' f 1 STORY ^ 1S FLOOR 3 J T f `� f 1 0 RHANG 0 LL, I 263- f J Z 2 I 3 I STOOP 14 3' it v (,) MASONRY I w x I z oa I U 3 i MASONRY x m / LO ^ � 22 3' 3 � a41 w � N O 0 r 4 I a 1Y O N GARAGE 3�� �10 0 O 1 Z h 6 22 3' 3� FE 3 0 4'E / GRAVEL iv I DRIVEWAY N I 3 \ I FE I MO1 7'E t820� FOUND NT HEDGE VINYL ENCE o WATER _ MONUMENT OHI OH OH METER OH OH m OH OH— — OH—FOUND _ — S 79'45'10" W 100.00, ,D'E LUPTON POINT ROAD Certified to' Title No.: PAIS931S Date Revision NEIL A MACDONALD AMELIA MACDONALD STEWART TITLE INSURANCE COMPANY 2/14/2020 FINAL SURVEY 1/3/19 PROPOSED ADDITION ADDED 11/13/18 WETLANDS DELINEATED lhtauthonzed alteration or addition to this survey is a violation of Section 7209,sub-division 2,New Tax Map:DISTRICT 1000 SECTION 115 BLOCK 11 LOT 5 York State Education law �1OFAIE � Situate:MATTITUCK,TOWN OF SOUTHOLD County: SUFFOLK ZPINNACLE a / OSP Map of: DESCRIBED PROPERTY LAND SURVEYORS LLP to Map Lot: Map Block: c� t File Date: File No.: 41 55 VETERANS HIGHWAY, SUITE 1 1 631 648 9273 �� -, � Scale: i" = 20' RONKONKOMA, NEW YORK 1 1 779 WWW PLSLI.COM Copies of this survey map not bearing the land surveyor's ernbossed seal and signature shall notDate:SEPTEMBER 26 2018 Project No.: 180313 © 2018 PINNACLE LAND SURVEYORS LLP he considered to he a true and valid copy MAP OF DESGRIf3ED PROPERTY ;r :! SITUATE MATTIT UGK, TOWN OF SOUTHa-P -k: DEEP HOLE CREEK r, SUFFOLK COUNTY, N.Y. (DEP HOLE GREEK) " TAX MAP NO.: 1000-115-11--0&5 0 LOT AREA 15,140 SP. (0.347 ACRES) ' DATE SURVEYED: FEBRUARY 14, 2020 PY PINNACLE LAND SURVEYING ( 1 SITE PLAN FOR DOCK REPLACEMENT: MARCH II, 2021 1 1 I * UTILITY MARK-OUT AS FL AGC D 13Y OTHERS * ELEVATIONS REFER TO MLLW DATUM. ' INS 0 2000 4000 µ; Feet AP x KEY w�` 1 MAP SOURCE: USGS QU SCALE I" = IOOd AD MAP18 1 A R C H I T E C T S ` 0 M 15' ROW 12-1 TECHNOLOGY DRIVE, SETAUKET, NY 11733 �►� e;, . P. 631.689.8450 I F. 631.689.8459 1 www.wfcaia.com Fi' ,�. r. $iJ C}LK AVE NEW (�j( Q \\ LTiILA I 11rr�� ■t■i � !,. n. J� i� 6R �'. '£ "`` fie' , • ' ..-'N r i" ♦\\♦ elf. �, • ( ;------_----; .h /l •, A. µ �r V `*a^• w.. ' • ��� 11 OFN - OO 110 / • ' ♦\ � J rn 1 r- BUNS", ;01� FJ o/ / ao K'k, CONSULTANT: 4,1 ' ltl>) I�Ctj 1' ,.� `� , \��\ +o. !YtX44 ♦ �k6 Airport �� ..� O�OO %K•? Q , \ �° °,J`= / ' 0-2\ osENrs.2 ' \+o. +4.4 G�E • 4♦�`-0 MOONUUNMDE\NTT' MdrrryfVJk} 04" 0.Ct ��� \ \ iI' i I ' - 40 L 0 ,ON r . ry\ +o.sM \ \ a ° oe� ' PRO =GT LOCATION _ yi NO. DATE SUBMISSION s'? 41 �+ \ PROPOSED ACTIVITIES M k +8.� 8.5 \ \ - APPLICANT RECESTS TO AMEND EXISTING EXISTING WETLANDS--PERMITTED FIXED WOOD PIER, RAMP AND PILES WITH MINOR F"Ce ALTERATIONS. RETAIN EXISTINe FLOATS 0 -N MONUMENT 0 - CONSTRUCT NEW 4 X 54 WOOD PIER UTILIZING COMPOSITE THRU-FLEW DF_GKING, 10 PILES, AND 3 X II RAMP. FOUND - RETAIN EXISTING FLOATING DOCK. 1p's + o - INSTALL WATER AND ELECTRICAL CONDUITS PENEATH DOCK TO PROVIDE ELECTRICITY AND WATER TO DOCK TERMINUS •- J `j - MAINTAIN EXISTING NO TURP ZONE LANDWARD USING A MIXTURE OF NATIVE MARITIME PLANTS OF eRASSES AND SHRUBS ( LITTLE I w Y FLUE STEM, PANIC, GRASS, PEACH eRASS, CARAX SPECIES AND PAYPERRY BEACH PLUM ETC.) w tO w MASONRY . . . . o . . . PATIO . . . . U-LL: r. W I GENERAL NOTES 3 20.0- 0 (/) ^3g �Dv RooR/�'3.9• 13 15.1' 3 0 0 03/11/21 ISSUED FOR FILING. 1• DOCK SHALL f3E CONSTRUCTED OF STURDY, PU AfI-E AND STABLE MATERIALS 6APA15LE OF MAINTAINING POSITION AND o cwA�O� o > w O N BASEMENT) a, D WOOD D o z 3 NO. DATE REVISION LOCATION, SUPPORTING PEDESTRIAN TRAFFIC, AND RESISTING LATERAL LOADS RESULTING FROM WIND, WAVE, AND IMPACT m w � SHOWER 2 STORY STEPS ' o FORGES. DOCKS SHAM f3E CONSTRUCTED, WHERE POSS113LE, TO PERMIT THE FREE CIRCULATION OF WATER, RFJ7IJGE THE o w MEAL x DVWELU I v� EFFECTS OF FLUCTUATING WATER LEVELS, AND PREVENT ADVERSE MODIFICATION OF THE SHORELINE. INSTALLER SHALL `` 7 "GE T- 64' _ 4 #855 G "' CERTIFY AS TO THE STRUCTURAL_ INTEGRITY OF THE DOCK SO AS NOT TO CAUSE A THREAT TO THE PERSON OR PROPERTY o 0 off a N OF OTHERS. DOCK AND GANGWAY ONTO SUCH DOCK SHALL PROVIDE A SAFE PEDESTRIAN SURFACE AT ALL TIMES. = 8'8' ' �0� 1 ST FLOOR 3 J I^--�-�b a 26.3' OVERHANG 2. IN ORDER TO PREVENT THE RELEASE OF METALS AND OTHER CONTAMINANTS INTO THE WETLANDS AND WATERS OF 0 w - SOUTHOLD, THE USE OF LUMBER PRE-TREATED) WITH ANY PRESERVATIVE, INCLUDING PUT- NOT LIMITED TO GHROMATEP COPPER z = ! W I STOOP w U ' ' MASONRY' . . iY I. .'.' 14.3' „ , Z oa I w ARSENATE (ALSO KNOWN AS GGA , COMMERCIAL COPPER QUAT (CCQ), PENIA PRODUCTS, ALKALINE COPPER QUAT (AGQ), OR 03 I MASONR'' e I Ry . HOMEMADE WOOD PRESERVATIVES IS PROHIBITED FOR USE IN SHEATHING AND DECKING ON STRUCTURES IN THE WETLANDS AS m 0 WELL AS ON ANY PART OF A STRUCTURE IN LOW TIDAL FLOW WETLAND AREAS AS DETERMINED BY THE TRUSTEES. THE USE Q / !� 22.3' 3 OF CREOSOTE IS PROHIBITED. THE USE OF TROPICAL HARDWOODS IS PROHIBITED UNLESS IT IS CERTIFIED 15Y THE FOREST o / a STEWARDSHIP COUNCIL OR SIMILAR ORGANIZATION. SUPPORTING STRUCTURE TO BE OF PRESERVATIVE-TREATED WOOD. POSTS b o AND COLUMNS THAT ARE IN DIRECT CONTACT WITH THE EARTH SHALL BE RATED FOR GROUND CONTACT IN AGGORDANGE WITH �� 0 C4 GARAGE N 3c", NYS CODE SECTION 8317. SUCH POSTS AND COLUMNS SHALL BE TREATED WITH 0.60 POUNDS PER CUBIC FOOT OF ALKALINE01 Z COPPER QUATERNARY OR EQUAL AS SPECFIED IN AWPA UI, OR OTHER APPLIGAf� AWPA STANDARD FOR SOIL CONTACT. JOISTS, STRINGERS, SLEEPERS, GRIPERS AND OTHER STRUCTURAL_ ELEMENTS SHALL BE TREATED WITH 0.25 POUNDS PER s ' 22.3 CUBIC FOOT OF ALKALINE COPPER QUATERNARY OR EQUAL AS SPEGFIED IN AAWPA UI OR OTHER APPLICADL.E AWPA STANDARD I f I FOR OUTDOOR USE. Vg / 3. FASTENERS IN CONTACT WITH PRESERVATIVE-TREATED WOOD SHALL BE HOT DIPPED GALVANIZED, SILICON BRONZE, GR DGRAVEL RIVEWAY 6 1 COPPER UNLESS SUCH FASTENERS ARE 1/2'o OR GREATER DIAMETER STEEL BOLTS. \ 3 4 PILE E-4 PEPMENT TO SUIT SOIL CONDITIONS CONSIDERING CURRENTS, SCOUR, WIND, WAVES, VESSEL MOORING LOADS 1 AND UPLIFT DUE TO FLOODING. PILE HEIGHTS AT FLOAT GUIDES SHALL EXTEND TO PREVENT FLOOD STAGE DISLIIGATION. `20 — Moo ND"r — — — — — — — — — HEDGE VINYLFENCE JQ 5. DESIGN IS COMPLIANCE WITH THE RESIDENTIAL GORE OF IRC 2020 AS SUPPLEMENTED 15Y NYS UNIFORM GODS SUPPLEJv1ENT. OHI OH OH WATER OH OH�— OH OH MONUMENT FOUND ASCE 7-05 — — — J S 79"45'l 0�W 100.00' — — 1.o'E ASCE 24-05 G. DOCK AND FLOAT SHALL HAVE THE STREET ADDRESS OF THE SUBJECT PREMISES PERMANENTLY AFFIXED TO THE MOST SEAWARD FACE FOR IDENTIFICATION. SAID ADDRESS SHALL. BE AT LEAST THREE INCHES HIGH AND CONSTRUCT P OF METAL, LUPTON POINT ROAD r T r0 THE ELEMENTS AND IS VISIBLE FROM THE WOOD, PLASTIC OR OTHER MATERIAL SUCH THAT IT CAN WIST D H AN EXPOSURE WATER. (LUPTON'S POINT ROAD, 20' WIDE R.O.W) F� I PAR 12 2021 CONSTRUCTION PROCEDURE & NOTES 1• MACHINE EXCAVATION IS PROHIPITED IN TIDAL OR FRESHWATER WETLAND AREAS. NO EQUIPMENT WILL PE OPERATED NOR SITE PLAN Southold Town SUPPLIES WILL STORED IN TIDAL WETLAND AREAS. Boar of Trustees PE 2. ALL EXCESS FILL FROM INSTALLATION OF PILINGS MUST PE REMOVED FROM TIDAL OR FRESHWATER WETLAND AREA ON THE 1 SAME DAY AS INSTALLATION AND DISPOSE? OF IN AN APPROVED UPLAND DISPOSAL AREA. SCALE: 1 20'-O" MACDONALD RESIDENCE �4 L �-e t 64 64 L 64 L 64 64 L 94 DOCK REPLACEMENT PROP05EP RU-PLOW PROPOSED THIZU-FL OW MON CONE SHAPED DECKING W STAINLESS DECKING W STAINLESS PILING S (T-YP.) STEEL FAS S. 855 LUPTON'S POINT ROAD PECKI FASTENERS. PROPOSED 4" x 6"' MATTITUCK, NY PI_—MONARCH N�A C(S TYP)A� CGA STRINGERS 4 PROPOSED 3'x17 WOOD EXISTING FLOATINe DOCK PROPOSED A!, x RAMP W/ HANDRAILS TITLE: GGA STRINGERS MEAN HIGH WATER _ _ -'_ PROPOSED 4" x 6" _ _ _ _ _ _ _ _ _ _ _ _ MEAN HIGH WATER _.._.._.._.._._.._.._..- - -.._.._._.._.. ...... _._.._._ ................... GCA GIRDERS (T'YP.) _._ _._._._. ._._._._._.._.. .._.._ _.._.._._.. ._._ _._.._._.. _ME � . Ate_ _.._.._.. .. .._.._._._._ _._ _._ _ _ _ - _ _ - - - - _ _ _ _ _ _ _ _ SITE PLAN AND DETAILS V x S" DIAGONAL PRICE (TYP.) „ EXISTINe - - - - - - - - - - - - - - - PROPOSEIP x G PROPOSED Id' x W EXISTING GRADE GGA el (TYP.) DATE: 03/11/21' AGQ ANCHOR PILES PROJECT NO: - PROP Id' x W DRAWN BY: ACQ AN PILES PG �/ I �/ / � CHECKED BY: NM GROSS SECTION A-'A RSEOTIO `� SCALE: AS NOTED %4r- DRAWING NO: 2 SECTION SP 6 SCALE: 1/2"=1 -0 Michael J. Domino,President �QF SOUTTown Hall Annex John M.Bredemeyer III,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 '4UN1`1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 17, 2019 Neil &Amelia MacDonald 15 Blueberry Ridge Road Setauket, NY 11733 RE: 855 LUPTON POINT ROAD, MATTITUCK SCTM# 1000-115-11-5 Dear Mr. and Mrs. MacDonald: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, July 17, 2019: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #1728 from George W. Kreling, as issued on October 26, 1983. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, o � o Michael J. Domino, President Board of Trustees MJD/dd Town Hall Annex Michael J. Domino, Presi John M. Bredemeyer III, Vice-Press ent zoo % 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 ZZ A.Nicholas Krupski 'Pry, Southold,NY 11971 Grea Williams ��,Ol r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 6� '4:-rX9 Completed in field by: NEIL & AMELIA MacDONALD request a Transfer of Wetland Permit #1728 from George W. Kreling, as issued on October 26, 1983. Located: 855 Lupton Point Road, Mattituck. SCTM#: 1000-115-11- 5 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 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: ��CisTi�g doc� Ac&s nnA r­a�c , 'XNe_ OGe1S SuLm Ae� Mav IS ,Zo99 . X)ac_V' %5 33, kQ ?< 2 sC m p . Tl-e« oce- CNo Q�OA;na AcirAs co«'ey-M / . 1 lOON"cNo, 0\0AS Gov)A Looy oc-' GoG� �0 �L's we_5� NJ i I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino ✓ G. Goldsmith N. Krupski G. Williams Other -7/ iol p J- n �ovse �e�/ieti✓. can ALL MCC iG_ STAKES MUST -DISPL, VI MOORING NU:',BERS ALL DOCKS AND BULKHEADS MUST , VSPr.AY- VISIBLE PERMIT NUMBERS '� `�.1..• �� ,yx - .:.fir '`iy�• �: •��;� ���°r• '•iyQ� `�y�, �'� -5L �:•• � �� v�� ,�c�• y �� '/ y sr. { r.' j y ��• V. ,�, +• �V, ��rc� �Y• �/h V. �Y •j �Y�)�1�, 11 .r+.,` � � � r: �7'11i�'� (�tilhQp— �'.•..a�la. .ay-,!£/ ZZ�T1n+� :3� ' ��Q,,� '�_+_•��iia_r__��-�_3 -.r._,—iV�:.�"—ii���'iJ��.is �i yi=i�^iir.�'i f'w� __�i.7 �+ _ '^:`C:''. �7 ,�19,}•�• \� !' Board Of Southold Town Truste,.s SOUTHOLD, NEW YORK Mooring ? AN PERMIT NO. .1728 DATE: Oct- 26, 1983 ISSUED TO George W Kre•ling.. ..... ..... r JT AN Pursuant to the provisions of Chapter 615 of the Laws of y the State of New York, 1893; and Chapter 404 of the Laws of the :. F: State of New York 1952; and the Southold Town Ordinance en- - `, titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and theti'; REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM jF• _�� LANDS UNDER TOWN WATERS;" and in accordance with the . . rF� Resolution of The Board adopted ata meeting held onOct. 11 c I9 ....q3 and in consideration of the sum of paid by ,t �A, ,: .................................... .George....W......I re l ng. .. .................. ........................ =�i �s of ......Matt tuck -- N. Y. and subject to the `; :`{° . =,r Terms and Conditions listed on the reverse side hereof, ; > ;o�� i•� of Southold Town Trustees authorizes and permits the following: Application approved to secure a permit for a doc'INS ' Fa; ramp and float in Deep Hole- Creek, under the ., r 4 r jy -grandfather clause. M all in accordance with the detailed specifications as presented in 9 aPP9 the originating application. I � > IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to q, be subscribed by a majority of the said Board as of this date. rj ' - , Truste h�)'� � 1�`r —� .� . -- -.J, _•_�__ _��_ sir- �_ __� Ste. �_�_ ____ — - - __.��►I fc • � .a +t.$� �A' Sbc�► � .�;,-, A A '� a7 .•F' Please tear off and return to the Trustees _ • Eocard Of Southold Tov.ln T rusr�es Grandfather SOUTHOLD, NEW YORK Clause MOORI_,Z'G NO. PERMIT NO. 1 72 3 DATE: M Qc- ---26 v 1983 ISSUED TO (�Pnrrra TA7 V ; ,,n -- Z, certify that the Work as authorized in this :er:nit has been cc:npieted and is now read-.- _`c= you= inspec- t:en. Also, the nu:ii:er required on thin project is clearly visible. I f4=ther understand this permit is noz val:3 until this tear sheet is rezur_^.ed to the Tr'uzstees. All nn,f-vr y TERMS and CONDITIONS The Permittee George W. Kreiling at Box 757 Lupton Point, Mattituck residing N. Y., as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the Southold Trustees Permit must be prominently displayed on the premises effected thereby during the period of That the said Board of Trustees and the Town of Southold are released from any and work all damages, or claims for damages, of suits arising directly or indirectly as a result of any oiler- unde t,;tion performed pursuant to this permit, and the said Permittee will, at his or her own expense, the ;defend any and all such suits initiated by third parries, and the said Permittee assumes full liability permi with respect thereto, to the complete`exclusion of the Board of Trustees of the Town of Southold 3.. That this Permit is valid for a period of 12 mos. which is considered to be the sufficient 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. 4 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 auth. orization was originally obtained, ' S: 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. 6. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 7. 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. 8. 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 or project herein stated without expenses to the Town of Southold. 9. That the said Board will be notified by the Permittee of the completion of the work auth- orized. (See tear off sheet. ) 10 . That the Permittee will obtain all other permits and consents that may be required sup. plemental to this permit which may be subject to revoke upon failure to obtain same. f f l CO�Ll,,`� V�Y TELEPHONE BOARD OF TOWN TRUSTEES (516) 765-1892 TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 26, 1983 Mr. George W. Kreiling - -_ P. 0. Box 757 Lupton Point Mattituck, New York 11952 Dear Mr. Kreiling: Transmitted herewith is your permit which was granted under the Grandfather Clause, for your structure. Please post your permit number on your structure, so that it can be seen from the water. Thank you for your co-operation, in regard to this matter. Very truly yours, Board of Town Trustees Ilene Pfiffer ing Clerk to Trustees Attachment TELEPHONE (516)765-1801 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 Dear _ This past summer the Trustees conducted a survey and inventory of, Deep Hole Creek. The purpose of this survey was to update our records. According to our records, your structure(s) has no permit on file, yet a visual inspection indicates that your structure is old enough to fall under the Grand- father Clause. You are required to fill out an application, including a sketch of the structure, the date of construction and remit this along with a $5.00 filing fee. After the Trustees review the application, you will be sent your permit number, which you are to post so that it is visible from the water. We are working within a limited time frame and would like your response as soon as possible. Very truly yours, i Board of Town Trustees _ Frank Kujawski Chairman of Creek Survey BOARD OF TOWN TRUSTEES ' I Town Of Southold 1 �3 Hein Road Southold, New York 11971 1 r � I APPLICATION FOR FnXED and/or FLOATI.\G DOCI\S 1. Applicant's name and address:4�'.. .......:./��®�®� ...................................................... Z�7(-4f'• � .� 2. Contractor's name and address: ..... ..� fS�YttLIf;� ............ ....... .... ... .............. ..... .............................................................. ..............................................................T e 1.:....................,.... 3. Briefly explain the purpose of this application: ........................................... .. ........................... toh.. .. ... ..:3.t. f .... .............. 6to-s 4. After issuance o= a Permit, work must be completed within one year. LARGE 5. Secure the correct Area V%cp from the Clerk of this Board, and by using a/X WITHIN A CIRCLE indicate as closely as possible the location of this deck. On the reverse side of this mop, provide a SCALE DRAWING which will show Ordinary High Water Marla, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-up n boat. Give all dimensions necessary to determine the area of the dcct; surface �: ;Cti EX'I'E_•�DS Off'='SHCRy from the O. H. W. M. if adjacent property owners have docks , specify location and length to scale. 6. Will any portion of this construction extend offshore into Town Waters beyond en imaginary line or boundary formed by other similar structures along the area's shoreline? YES o N If it does extend beyond this so-call!d deck line indicate by how for, approximately,.......... t. 7. Provide the following documents: I c C .� ai v�d. (b) A copy of the Contractor's Plons and Specifications.? ((c Short Environmental Assessment form. (d Wetlands Application 8. W� I this censrruction require the Filling of any land offshore of the Ordinary High Water t,,lark or the Dredging of any material from Town Lands under water? YES or NO. If it does, Form A14 (Appliccnon for Dredging/Filling) must be completed and attached as part of this cppl iccticn. 9. In requesting approval of this application, I subrrtit that- the information presented 'herein is true cnd correct to the best of my knowledge and belief; I am the person ccccuntcbie for the performance of the work in accordance with the plans and specificchons attacned; I have read cr em fomihor with the provisions of any Southoid Town Ordinance pertinent to the work involved; and furrher, I intend to achere to and abide by the Terms and Ccnouicns of the Permit, when and if issued to me. 10. To expedite finding specific locat n for in�zection, indicate 2/82 by using a temporary marker: A/2 Rev.' L. S. ... . ........ ...... ....... ............ ... ...... .. .. GEORGE W. KREILING P. O. BOX 757, LUPTON POINT MATTITUCK, NEW YORK 11952. 5r 14llJo/lAX--- r ti I � OEM - - ■�■■■■ ■i■ " ~ a �; � �■ : �■ � ----� _� � , NOON■ ■ MENEM ONE III on M ■ `� �� � i� � �: . _ NOON ■■ ■ .� � ■ ■■ ■ ONES■■ ■■N . . ■■■■o■■■■■■�_- - ■■�■■ E ONE ■■■ ■EEO MEMO■■■ ■■■O■OOOE ■■■■ ■■■■■`■O■ N■E■■EO■■■ ■MEN moms ME I ■NE■ NONE MENEM Em 0 ■N j .��■"■N ■ENo Em W"m mmw�m MOEN OMEN I OSS 0 No ONES ME OO ■ ■E■■ENE■EN ■\\■EOE■OOE ■■ ■� � mmmmmmmm ■■E■E ■N ■■■■N w - ■r - - ■ ■E■■ON ■ mollm MEMMEME ■■■■■■■N■■NEM mm ON - - . ■■ EEE■■ORE ■■■ENEE■■E _ ems ME ■O■E■NEN ■■ENE■■ENMEO mm MMENIMEM A, ■■■ ■■■L/■ ■/- ■� _ ■ �■tee ■■ � ■ ■■■■■ ,. ■mom■■ �■skomm■■■■■■■■■ ■■■■■■■■■ mom ": - ■■ l�■■■■■■■■■■E■■■■■■■■■■■ ■■B■ ■■■ ■�■ momMEN ■■■■■■■■■■■■■■■■■■■■ ■■■ e -- ■■ eF"i■■■ ■■■ ■ ■�■.■� ME ■■■■■ ON ■ ■ ■■■■ ■�■ ■■■M ■■■■■■■■ ■ ,■rte ■ ■■■E■M ■ ■SOI ■■ MEMOi■■■�■■■■■■■■■■■■■■■■■■■ _ , ■■■■■ ■■■■■■■■■■■n�■■■■■e■■ ■■ ■v ■■■■■■■■■■■■■■■■■■►■■■■■a ■■ ■■■■■■■■E■■� No ■ = C= ■s ■■■■■ ■■■■■■■■■MEMO�■■■■■■■I ■ � n ■ ME OEM _ Qom_ ■■■■■■■■■■■ Maid■■■■■■■■■■ON , 0 MNEME ME ■■■■■■■ ■■ ..;- - - tlO ■ MEMO■■■ ■ .��■ ■ ■■■■■■ V Pe • i MgRRgroo �, 0 ALL GE ^` a Kq Rpq _' UN FT.� lb 4 ' T y F AR 40 v . •' yob F-� ;,� ~ � a3 a r , �• . , . . , •; :. � - ��� �� � mac? . . q`F ., .. i > - 3 N b I I Agency [ uvision/Precinct New York State _ )RI 4.s0 Ong 5 Case No 6 Incident No INCIDENT REPORT NY-7_- i El r 1?/. 7l r' 7 Report Day 8 Date 9 Report Time Occurred F10ay 11 Date 12 Time Occurred 13 Day 14 Date 15.iime VOn/From - MJ Oay yr To l 11.10 Da Yr F- 16 Incident Type 17 Business Name 18 Weapon(s)- Z / �— A Q lJ 19 Incident Address(Street No,Street Name,Bldg No.Apt No) 20 City,State,Zip(❑C ❑ T ❑V) 21 Location Code B Z 1 I--7Z 22 OFF NO LAW I SECTION 5UB CL CAT DEG ATT NAME OF OFFENSE CTS 23 No of Victims C 1 2 24 No of Suspects D 3 l 77 25 Person Type.CO=Complainant OT=Other PI=Person Interviewed PR=Person Reporting Wl=Witness N1=Not Interviewed VI=Victim 26 Victim also complainant ❑Y❑N E TYPE/NO NAME(LAST,FIRST,MIDDLE,TITLE) Date of STREET NO..STREET NAME,BLDG NO,APT.NO,CITY, STATE, ZIP Telephone No Z Birth 9 Sy 1 F d i . ' _ - f 4 / n ' RESIDENCE 0 / 805,NE55 G. uLJ Qt� ,'c` r� ,v,- 1� . >/ r R`'i1DEtyCr<'J 7 W J % 7 BUSINESS H O ILn RESIDENCE Q _ BUSINESS 1 RFSIDENCF 27.Date of Birth 28 Age 29 Sex 30.Race 31 Ethnic 32 ndicap 33 Residence Status [-]Temp Res-Foreign Nat. Mo Day Yr ❑ M ❑ White❑ Black❑Other Hispanic Ha ❑ Unk. ❑ Ye ❑ F C] s ❑ Resident ❑Tourist[]Student C]Other 1 > Q U ❑Indian [-]Asian[]Unk ❑Non-Hispanic ❑No ❑Commuter❑Military ❑Homeless❑Unk 34 Type/No 35.Name(Last,First,Middle) 36 Alias/Nickname/Maiden Name(Last,First,Middle) 37 Apparent Condition K Z ❑ Impaired Drugs ❑ Mental Dis []Unk Q TABLED N ❑ Impaired Alco ❑InJ/III ❑App Norm Cr uj a 38.Address(Street No,Street Name,Bldg No,Apt No,City,State,Zip) 39 Phone No Q Home 40 Social Security No. L FO ❑ Work w wN 41 Date of Birth 42 Age 43.Sex 44.Race 45 Ethnic 46 Skin 47.Occupation twit C N10 Doy Yr ❑ M ❑ F C] White C] Black EI Other ❑ Hispanic C] Unk C] Light ❑Dark ❑ Unk. M :)if ❑ U ❑ Indian❑Asian ❑ Unk. ❑Non-Hispanic ❑Medium ❑Other TABLE a NQ 48 Height 49 Weight 50 Hair 51 Eyes 52 Glasses 53 Build 54 Employer/School 55 Address N ? ft in ;ABLE O TABLE R ❑ Yes❑ Contacts ❑Small ❑Large N ❑ No ❑ Medium 56 Scars/Marks[Tattoos(Describe) 57 Misc 1 58 Victim or Property Property Quantity/ Make or ❑ Suspect No Status Type Measure Drug TVpe Model Serial No. Description Value 2 TABLES TABLET -r BL E U TA8LI,V 0. 59 Statuse 60 License Plate No Full C] 61 State 62 Exp Yr 63 Plate Type 64 Value ''o±.�l a O TABLE VV Partial❑ 5❑ � w a V 65 Veh Yr 66 Make 67 Model 68 Style 69 VIN ❑ = 6 W 70.Color(s) 77 Towed By 72 Vehicle Notes 7❑ To / 73. 2 � � -`�� l7 7 .r � r -� �G� F1 , 10 w / ElQ � 12 Q Z 13 Total w 74 Inquiries(Check all that apply) 75 NYSPIN Message No 76 Complainant Signature B > ❑ DMV ❑ WantfWarrant ❑ Scofflaw use cover Q r I— ❑Crim History E]Stolen Property ❑ Other sheet 77 eW ing Officer Signature(11r dude Rank) 78 ID No 79 Supervisor's Signature(Include Rank) 80 ID No � _ , - Xag 22 /81 Status ❑,Open j 1j Closed(If Closed,check box below) ❑Unfounded 82 Status Date 83 Notified/TOT 0 ❑Vict.Refused to Coop ❑Arrest ❑Pros Declined [IWarrant Advised PAo Day Yr Q E]CBI C]Juv -No Custody []Arrest-Juv ❑Offender Dead Q Extrad Declin E]Unknown ) Iz 7 I f Pages '\ DCJS-3205 (2/97) *FALSE STATEMENTS ARE PUNISHABLE AS A CRIME,PURSUANT TO THE NEW YORK STATE PENAL LAW - - 'INFORMATION FOIA VICTIMS :OF CRIMES AS A CRIME VICTIM YOU ARE ENTITLED TO THE FOLLOWING ASSISTANCE: 1. INJURED VICTIMS OF CRIMES, OR THEIR DEPENDENTS; MAY RECOVER - - : COSTS-OF MEDICAL TREATMENT_ AND REIMBURSEMENTS-FOR LOSS OF = - .- WAGES. 2: IF DEATH RESULTS FROM A CRIMINAL ACT, THE VICTIM'S FUNERAL - " --EXPENSES MAYBE PAID--FOR BY THE-STATE. _ YOUR LOCAL LAW ENFORCEMENT AGENCY HAS BROCHURES AND APPLICATIONS AVAILABLE FOR YOU TO APPLY FOR THESE BENEFITS. COMPLETED APPLICATIONS ARE_TO.BE'FORWARDED TO-THE-NEAREST. CRIME VICTIM'S BOARD, WHICH ARE LISTED BELOW. LISTED BELOW ARE THE VARIOUS,LOCATIONS•FOR THE CRIME VICTIM'S" BOARDS THROUGHOUT-NEW YORK STATE - Crime Victim's Board - _ Crime Victim's Board - 845 Central Avenue,'Room 107 -270 Broadway,-Room 200 ' Albany,New York_ 12.206-1588 New Fork, New York 10007-5160 - (518) 457-8727 _ ; (212) 587-5160 Crime Victim's Board ; 65 Court St., Room 408 Buffalo,-New York 14202-3408 ; (716) 847=7992 -- - -" TELEPHONE (516)765-1801 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 PLEASE FILL OUT THE FOLLOWING FORM AND RETURN WITH YOUR SIGNED STATEMENT: 1. Was the structure put in in accordance to the plan submitted? Yes No If no, please explain on the reverse side. 2. Was structure placed o the applicant' s property according to the plan submitt ? ( The distance must be at least 15 feet from his ighbor' s line. ) Yes NO If no, pleade explain on the reverse side. 3. Is there easy access over or around the structure, so that pedest ans can move along the public' s right of way below_ Xigter mark? NO _ please explain on the reverse side. structure high enough so as not to inhibit the growth of the natural grasses along or below the structure? Yes NO If no, please explain on the reverse side. 5. Additional comments: 1 � r Date ` r Signature of T ust� e Glenn Goldsmith,President �t�©f s®(/rTown Hall Annex A.Nicholas Krupski,Vice President �QV� �lO 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III ST22rSouthold,New York 11971 Michael J.Domino �.` Telephone(631) 765-1892 Greg Williams % ` J� Fax(631)765-6641 BOARD OF TOWN TRUSTEES . TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit --UAmendment/Transfer/Bxtension _X-Received Application: -3,12.24 Received Fee: $ 10T Ac-- X Completed Application: 3vIZZ1 Incomplete: SEQRA Classification: Type I Type Il Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): FMAR E U IZ LWRP Consistency Assessment Form Sent: V CAC Referral Sent: Date of Inspection: 2 2021 Receipt of CAC Report: Technical Review: _Public Hearing Held: L16 14,24 Southold Town Resolution: Board of Trustees Owner(s)Legal Name of Property(as shown on Deed): Neil and Amelia MacDonald Mailing Address: 15 Blueberry Ridge Road, Setauket, NY 11733 Phone Number: 516-658-0453 Suffolk County Tax Map Number: 1000 - 115-11-005 Property Location: 855 Lupton's Point Road, Mattituck, NY 11952 (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): Mailing Address: Phone Number:. Email: neil.macdonald@wfcaia.com Board of Trustees Application GENERAL DATA Land Area(in square feet): 15,140 SF (0.347 Acres) Area Zoning: R-40 Residential Low Density Previous use of property: Single Family Intended use of property: Same Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes X No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: A enc Date #42 32�L4 Interior Alt, Addition & Legalization 11/15/18 #1728 Wetland Permit- Dock Ramp, Floats 10/26/83 Transferred to new owners on 07/17/19. #Z7545 Addition 03102171 #Z-19036 Garage 05/09/90 #Z 432 House 11/25/59 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No X Yes If yes,provide explanation: Project Description(use attachments if necessary): Applicant requests to amend existing administrative permit to replace existing wetlands permitted fixed wood pier, ramp and piles with minor alterations and retain existing floats. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Partial replacement and minor alteration Area of wetlands on lot: 803 square feet Percent coverage of lot: 12.35 Closest distance between nearest existing structure and upland edge of wetlands: 75 feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): None. s 61Z20 Appendix B Short Environmental Assessment Form Instructions for Comnletin Part I -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: MacDonald Dock Replacement and Alteration Project Location(describe,and attach a location map): Fixed wood pier, ramp, floats and piles at rear of property Brief Description of Proposed Action; Replacement of existing wetlands permitted fixed wood pier, ramp and piles with minor alterations. Retain existing floats. Name of Applicant or Sponsor: Telephone: 516-658-0453 Neil and Amelia MacDonald E-Mail:neil.macdonald@wfcaia.com, Address: 15 Blueberry Ridge Road City/PO: State: Zip Code: Setauket NY 11733 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that F_X1 ❑ 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: 1771 3.a.Total acreage of the site of the proposed action? 0.35 acres b.Total acreage to be physically disturbed? Q acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.35 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial [Residential(suburban) El Forest ❑Agriculture ❑Aquatic []Other(specify): ❑Parkland Page 1 of 4 5 Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ n ❑ b.Consistent with the adopted comprehensive plan? ❑ rVi ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ L_1 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: El 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ ❑ © ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ® El 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES if No,describe method for providing potable water: ❑ a 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment. existing ❑ 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? a 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? ❑ a If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Deep Hole Creek-Replacement of existing fixed wood pier, ramp,floats and piles with minor alterations.fixed pier 268 sf, ramp 51 sf,float120 sf 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline El Forest ❑Agri cultural/grasslands ❑Early mid-successional ® Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ® ❑ 16.is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO YES 1XI ❑ b.Will stogn water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO AYES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: a, ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorname: Neil MacDonald Date: 03/11/21 Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? ' 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 communityv ❑ ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate F-1 ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: F-1a.public/private water supplies? b.public/private wastewater treatment utilities? F] 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,Flooding or drainage ❑ ❑ problems? ' 11. Wil l the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President 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 Page 4 of 4 Board of Trustees Application AFFIDAVIT Neil and Amelia MacDonald BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Ifroperry Ow er Signature of Property Owner SWORN TO BEFORE ME THIS, i - DAY OFa4rd/1 120 CHRiSTINc A.ROSATO Notary Public Nbtary Public,State of New York No.01 R06.69602 Qualified in Suffolk MOT OmhlisSiDn Irxpires on APPLICANT/AGENT/REPRESENTATIW TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The puroose of this form is to provide information which can alert tile town of possible conflidts-of interest and allow it to,take whatever action is necessary to avoid same. YOURNAME: Neil MacDonald (Last name,first name,iriddle 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 v Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 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 RELATIONSHIP Submitted this l� day of Signature Print Name NII Ma a Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town ofSouthold's Code of Ethics prohibits conflicts of interest on the part oftowri officers and employees.The pumose of this form is to'provide inforinafion which can alert the town ofpossible conflicts of hiteresYand allow it.t&take,whathver:action is necessary to a-void,acne. YOUR NAME:, Amelia MacDonald (Last name,first name,Qiiddle 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"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, ' including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br 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 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); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant, DESCRIPTION OF RELATIONSHIP Submitted this d ay of 2002 Signature Print Name Amelia MacDonald Form TS I Town of Southold LWRP CONSISTENCY 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 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# 115 _ 11 _ 5 PROJECT NAME MacDonald Dock Replacement and Alteration The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ 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: Replacement of existing wetlands permitted fixed wood pier, ramp, floats and piles with minor alterations P Location of action: Rear of property Site acreage: 0.35 acres Present land use: Single Family Residential Present zoning classification: R-40 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: Neil and Amelia MacDonald (b) Mailing address: 15 Blueberry Ridge Road, Setauket, NY 11733 (c) Telephone number: Area Code( ) 516-658-0453 (d) Application number,if any: N/� Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No[X�J 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. Poster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. -]Yes ❑ No X❑ Not Applicable 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 0 Not Applicable F-1 Yes [:] No Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No © 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 ❑ No N 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. ❑ ❑ 0 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 F-]No® 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 LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No FXI 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. El Ye❑ No 0 Not Applicable 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 LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No X❑ 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 ® 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. a ❑Yes ❑ No 191 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 0 Not Applicable PREPARED BY_ g ��� ITLE �� / DATE � � l i Glenn Goldsmith,President Qf SO(/T� Town Hall Annex 54375 Route 25 Michael J.Domino,Vice-President �0� OlO P.O.Box 1179 John M.Bredemeyer III i ! Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631)765-1892 Greg Williams 0 �a0 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OTHER STATE AGENCIES YOU MIGHT HAVE TO APPLY TO N.Y.S. Dept. of Environmental Conservation (DEC) SUNY at Stony Brook 50 Circle Road Stony Brook, NY 11790-3409 (631) 444-0355 Wednesday & Friday only during the hours of 8:30a.m. — Noon & 1 p.m. — 3p.m. Email: rldep angw.dec.state.ny.us Suffolk County Dept. of Health Services Office of Wastewater Management 360 Yaphank Avenue, Suite 2C Yaphank, NY 11980 (631) 852-5700 Email: WWM(ci3suffolkcountyny.pov U.S. Army Corps. of Engineers, N.Y. District Attn: Regulatory Branch 26 Federal Plaza, Room 1937 New York, NY 10278-0090 (917) 790-8511 Website for applications & helpful information: hftp.-://www.nan.usac-e.arm-y.mil/Missions/Regulato!y.aspx N.Y.S. Department of State Division of Coastal Resources Consistency Review Unit One Commerce Plaza 99 Washington Ave, Suite 1010 Albany, NY 12231-00001 (518) 474-6000 Website: www.nysWaterfronts.com I T E C T S Partners Steven R.Saraniero,AIA,LEER AP March 11,2021 Ned A.MacDonald,AIA,LEED AP Eldon W Smith,AIA Robert F.Heymach,AIA Partners,Emerituslens E (ni 2 �n Welham F Collins,AIA Board of Trustees IIv_ Ilr�� V Thomas R Turkel,AIA Town of Southold ® I i Senior Assoc iate Town Hall Annex Christopher M Clans,AIA,NCARB 54375 Route 25 MAR 1 2 2021 Associate William S Brady,AIA,LEED AP P.O. Box 1179 Southold, NY 11971 Southold Town Board of Trustees Re: Application to Amend Existing Wetland Permit MacDonald Residence Minor Alteration of Existing Wetlands Permitted Dock, Ramp, Floats and Piles 855 Lupton's Point Road, Mattituck, NY 11952 SUM#1000-115-11-5 Dear Members of the Board, We respectfully request to amend the above referenced existing wetlands permitted fixed wood pier, ramp,floats and piles with minor alterations.Applicant proposes to remove existing fixed dock, and to construct a 4'x 54'fixed dock utilizing"Thru-Flow"decking and 3'x 17'ramp,retaining the existing floats. I have also included a check for the application fee of$100.00, as well as documents describing the prior approvals and Town of Southold permits on the site. Please note that the original dock was permitted under Town of Southold Wetland Permit Number 1728 dated 10/26/83 and transferred to current owners on 07/17/19. Attached for your consideration, please find one original and one copy of the application packet, 4 copies of the property survey and 4 original signed and sealed sets of plans. Should you have any questions or require any additional information,please do not hesitate to contact me at(516)658-0453 or via email at.neii.macdonald@wfcaia.com. Thank you advance for your assistance in this matter. Kind Regards, Neil MacDonald,AIA LEED AP 12-1 TECHNOLOGY DRIVE EAST SETAUKET,NY 1 1733 PH 631-689-8450 FAX 631-689-8459 WWW.WFCAIA COM 1 ED EC E I T E C T S 1 MAA 16 2021 Partners Steven R.Samniero,AIA,LEED AP March 12, 2(]21 SOUtholdTOWn Neil A MacDonald,AIA,LEED Al' of Trustees Eldon W Smith,AIA Board Robert F Heymach,AIA Partners,Emeritus William Collins,ALA Ms. Diane DiSalvo Thomas R Turkel,AIA Board of Trustees Senior Associate Town of Southold Christopher Crans,AIA,NCARB Town Hall Annex Associate 54375 Route 25 William S Brady.AIA,LEEP AP P.O. Box 1179 Southold, NY 11971 Re: Application to Amend Existing Wetland Permit MacDonald Residence Minor Alteration of Existing Wetlands Permitted Dock, Ramp, Floats and Piles 855 Lupton's Point Road, Mattituck, NY 11952 SUM#1000-115-11-5 Dear Ms. DiSalvo, Enclosed please find a check in the amount of$100.00 for the Application Fee associated with the above referenced application. I had inadvertently omitted it from the filing packet that was hand delivered earlier today. Should you have any questions or require any additional information,please do not hesitate to contact me at(516)658-0453 or via email at.neii.macdonald@wfcaia.com. Kind Regards, 10 Neil MacDonald,AIA LEED A 12-1 TECHNOLOGY DRIVE EAST SETAUKEr.NY 1 1733 PH 631-689-8450 FAX 631-669-8459 WWW WFCAIA COM Michael J. Domino, President SO Town Hall Annex John M.Bredemeyer III,Vice-President �� lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith ,Southold, New York 11971 A. Nicholas Krupski G • Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 �'YOOUNI`1�� ECE0E BOARD OF TOWN TRUSTEES MAY IS 2019 TOWN OF SOUTHOLD Southold Town ar fru toe APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE OWNER j iL AMP "Lto �G`�ALV PHONE lo/`k5g- OA5 3 MAILING ADDRESS t��L13 � �2ivc t-,�z ker. 17,"3 AGENT iia PHONE ADDRESS PROPERTY LOCATION-� L 14 P1—oaJ S Fid 1?-V• Mi7T`r���L TAX MAP NO. I/We (va i 4- QlA,r-a.1 A. IY LC [ ia, ALP request a Transfer of Permit# 1-72-9� from �D► � ��1 ��l� & �� G� Signed By: Board of Trustees Applic tion AFFIDAVIT Ac-Qj '.4CV BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE' BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAH) PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCILJO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION; -- INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF 20� Z-4 7RY Y JOTO.STATE OF NEW YORK Notary Public SUFFOLK COUNTY 01TEE035194 PIRES 12=27-2.0 MEN M mmmmm 0 10 0 1 ffimo-VON so _■■■■ ON, ■E■■■■■■■■ .- I_ I!Il■■■■■■m - 011101110 ■■■ ■■ ■ ■ ■■E■EN■ ��IIIEiii■ NOMEW", Biu■E■■■■■ ■■ ■■■■rmrm—m ■■ ■ �� - = NEON ■ ■ ■■■■■ ■ ■rr.��.!: �■��■ ■ iii- ■■O �E ■O■■■ ■ Emil..§ ■ � ■ r ■■tit■SIMM ■ ■\■■■■■■■■■ ■__� IN } ■/� ■■E■■■■ ■ ■ ■� '■ESE ■E ■F RiAMMOMM mmr ■ ■■ ■E■■ ON NO NOME M ME 11■ Lilmmi■i■■ �,� ■■ EENNEINNEM �� �m���i��M■■■ �mimm�i !J vt C■■■■ owl %■■Q20mmmmm MEN MENNESE ME ` �■■■■■■viii N■NEE■■ ■ ■■■EEN■E ■■■N■■■Er/■1►�-a■�■■ ■SME■■ ■E ■ ■NONE E■■N■■■N ■■ am?�N ' '' � � '�:s■E0 all MENEM No ■■ ME ME M ME on MEN ME MEMO NNW r r , s GEORGE W. KREILING P. O. BOX 787, LUPTON POINT " MATTITUCK, NEW YORK 11052 �oc� rZ� Dr Cll/ ED MAY 15 2019 Southold Town B ar of Trus oes