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Home My WebLink AboutTR-4096 Amend Michael J. Domino, President ��0f SUy� Town Hall Annex John M.Bredemeyer III,Vice-President ti0 lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • 0 Telephone(631) 765-1892 Greg Williams 'O Fax(631) 765-6641 �yC4UM'1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 18, 2018 Michael Kimack P.O. Box 1047 Southold, NY 11971 RE: JOHN & KORI ESTRADA 2350 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-123-4-7 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 18, 2018 regarding the above matter: WHEREAS, Michael Kimack on behalf of JOHN & KORI ESTRADA applied to the Southold Town Trustees to request a Transfer of Wetland Permit #4096 from David B. Tuthill to John and Kori Estrada, and for an Amendment to Wetland Permit #4096 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 28, 2018, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 6.3 and 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: that plans submitted indicate that dock and boat will not exceed one-third rule, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 18, 2018, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE the Transfer of Wetland Permit#4096 from David B. Tuthill to John & Kori Estrada, as issued on December 10, 1992 and Amended on June 1, 1993, and RESOLVED, that the Board of Trustees APPROVE the Amendment to Wetland Permit #4096 to construct a 4'x8' fixed dock extension using Thru-Flow decking and two (2) 8" diameter dock pilings onto the seaward end of existing fixed dock for a new total length of 58'; reconfigure existing floating dock to an "L" shape configuration; relocate the existing two sets of floating dock securing two-batter pilings; and install one 8"-10" tie-off piling approximately 15' to the west from the new floating dock location; and as depicted on the revised site plan prepared by Michael A. Kimack, received on April 19, 2018, and stamped approved on April 24, 2018. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $96.00 Very truly yours, //�� Bo Michael J. Domino President, Board of Trustees MJD/dd of soar Michael J. Domino,President �0� yTown Hall Annex John M. Bredemeyer III,Vice-President Ire) O 54375 Route 25 Charles J. Sanders P.O. Box 1179 cn Q Glenn Goldsmith Southold, New York 11971 G 'Q �� Telephone(631) 765-1892 A. Nicholas Krupski 100UNN Fax (631) 765-6641 qiaiq BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: TbtW/ 6?21 egg& A- Please be advised that your application dated Zg I &l$ has been reviewed by this Board at the regular meeting of Wlr_-(S, Zot 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) 1 sc Day of Construction ($50.00) Y2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ). ft. q,& EXTEl��log = �(` 301 30- Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ qlo 40r95 BY: Michael J. Domino, President Board of Trustees Michael J.Domino,President ��0f SOUIy� Town Hall Annex John M.Bredemeyer III,Vice-President h0 lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • i� Telephone (631) 765-1892 Greg Williamsy�DUNT`I O Fax(631) 765-6641 � ,�� f BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 6, 2018 Michael Kimack P.O. Box 1047 Southold, NY 11971 RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW YORK STATE ENVIRONMENTAL QUALITY REVIEW ACT NYCCR PART 617 JOHN & KORI ESTRADA 2350 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-123-4-7 Dear Mr. Kimack: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, April 5, 2018: DESCRIPTION OF ACTION: Michael Kimack on behalf of JOHN & KORI ESTRADA request a Transfer of Wetland Permit #4096 from David B. Tuthill to John and Kori Estrada as issued on December 10, 1992, and Amended on June 1, 1993; and for an Amendment to Wetland Permit #4096 to construct a 4'x8' fixed dock extension using Thru-Flow decking and two (2) 8 diameter dock pilings onto the seaward end of existing fixed dock for a new total length of 58'; reconfigure existing floating dock to an "L" shape configuration; relocate the existing two sets of floating dock securing two- batter pilings; and install one 8"-10" tie-off piling approximately 15' to the west from the new floating dock location. Located: 2350 Deep Hole Drive, Mattituck. SCTM#-1000- 123-4-7 S.E.Q.R.A. POSITIVE DECLARATION OF ENVIRONMENTAL SIGNIFICANCE: WHEREAS, the Southold Town Board of Trustees found that the application of JOHN & KORI ESTRADA is to be classified as an Unlisted Action Positive Decision pursuant to SEQRA Rules and Regulations. A Long Environmental Assessment Form and a field and it is hereby determined that the proposed dock will have a significant effect on the environment. WHEREAS, the Southold Town Board of Trustees are familiar with this project having visited the site on March 14, 2018 and having considered plans for this proposed dock at their March 19, 2018 work session, and; WHEREAS, in reviewing the project plans dated October 5, 1992, revised March 19, 2018, and the Nathan T. Corwin survey dated January 17, 2008, it has been determined by the Board of Trustees that potentially significant environmental concerns have been noted herein: • Navigation: The proposed dock does not meet the standards as set forth in Chapter 275-11 C(2)(a) "docks shall be designed, constructed, and located so as to reduce a dock's potential adverse impacts to navigation, public safety, and waterway congestion." The proposed dock and configuration including the beam of a docked vessel potentially creates navigation issues for the neighboring docks and the public. In addition Chapter 275-11 C(2)(b)[2] "within creeks and narrow waterways, no dock length shall exceed 1/3 the total width of the waterbody. Determination of the length of the dock must include the dimensions of the vessel." The proposed dock and survey do not show a vessel nor the distance across the waterway as required. • Scope: The dock as it is presently configured is comparable to docks on neighboring properties. • Scope in relation to riparian rights of shellfishers: The plan provides for a standard piling design that will permit access beneath the decking for small vessels at low tide and those seeking shellfish and crustacea on foot during season. • Environmental upkeep: The dock design projects a usual lifespan of 30 years with limited pile replacement so as to minimize disturbance of the bottom. THEREFORE, on account of the foregoing, the Southold Town Board of Trustees Approve and Authorize the preparation of a Notice of Positive Declaration pursuant to SEQRA for the aforementioned project. If you have any questions regarding the above, please contact this office. Very truly yours, QY ' Michael J. Domino, President Board of Trustees i� APPROVED BY , . -BOARD OF 1 iRUSTEES. : C R SSS V1 E V�/ P jA C7�AM - -TOWN OF SOUTHOLD REF_ F-92-642 DATE ,qP,��.2 � 2o�g _ _.__U A Y, coeps of E" 1 mEERS AjY O/sr- PEQw& epL. 92-157910- bEC # f-.4738-0060600001-a i SE��/`XEO G3�CK ExT. rz&CA! x_ - I e W 5W 13 _9f F Ta 1-IOU,S E r --1M5P AgE,k 12 DEPTH. OFI Em _235O�o�,EP�dCQ _�RL4.L� ".4777 T `r _=_ _I�_, 7 ___T�zC.12�9�?N.O.J.A�-.!23�04-00? -• � o .► ,0x APR 1 9 2018 I .�yAr �,zo�g_ro_o.E1_'id.�2s O� O�r~/oma p'A�9�.a'G��.�1?5 ffY/l/CH.4FL A.%�✓M.4C�<,AC-�/,7"' o �� Board of-mi-'!ccs i CROSS-VIE W AIAO AM REF: F-92-6¢2 AWK COPPS of 5AX/NeC-2S�AIY DIS?` PEPWIT ,¢PPL 09 -159/0- • 6FC r- 4738-006o6 0000/-0 -152 - - - - - - - - - - - - - - - - - - - - - - - - NILW - - - S T-a 140015 E AI TER TIP 12' DEPT14 of �E�y�r��-Trow QCSC : POCK P-4MP FLOAT PILC-S D6-Ep HOLE CREC-1< 1�T7-rTUCK , N3' APPI-IC�tNr : DAVID B. TUTHILL N rE , 10-5-7 r Rev.- 10-2,7-72 scALE e 1"= fC}' REv: f2-04-9 RFV: 4-2I-9 i•• • f Untitled M a � Legend Write a description for our map. e 2350 Deep Hole Dr P Y =�,sw�,;'+• .,re.M �{.°a w',Kt .a, � a' ( ##�� .•.:. s�,�tq�.,_� 5x•� 'aRi•K �z"'�ky r: of �p ^"�'�°t >yn� ,�Y;�, �y �<�✓}a # .;0'1;",�, '¢ +{•��s sJ a r' „s',,.�• ".'�• ";� �, -:oY �f� �a�y' ,,�,� �c�Y�y e�rk y t�,sr �;,� ��"'L a -�•.,j .Y:, t"�r.rt'`� ..a+� '�'x y d'�..ii,�••r ^.*a�:�� a<a'�.` . + '�'..' ,�� mf+ys �,„y}� SC -' i p,,. v+K"'d <•✓�•,,..�` •¢� ^- p,.°. ��'�+�c��g,,.. fie• . .9 a r v 9. """ ,-ri - ,,,±..* ?. W.-`� ,. .r ,S v � M""".,,, n4� p` .r - - ,�+C'�t'..A:,",, .4f"a�"!a.' 3.'"�y„ f "4��„{:.. r ''w^��'r°;;?r`-ate., sem' .aN�&�:" a,4:.•.: +�.' r '4 r '• M�• ..,.;1,,�,v .�^.�- ..,r;..nx�^�,'- ,�..�s*: .,�e,-.':..:,,.: • r..s, "��`�.^ .rk+'�"�r,a§:? r ;.,ryk'*".. aa«::� �% <„c„a�z.,�w ;t+ e+!;•::,..y.1 ✓. ". 4"� �`k ,. t+ �. � „,. ..�+.�''E %�",,'^' xa�''' "`a>. .,�. `...+a .�„y'^{`��.Y'�rrt; ,r� r '�£° �t ,r�, "":F' ',s`e�.�,. �a, ;s»-::. <.r r` o- ..; �..' ,rr, .., .;.J' ..„;: „+. � �.. � •< i K"tr �,�""' d."� ham'va.� � �, r .� t.. _ <.„�•. mM..�r•„a:.' ,r'�'�'"4 a'��"r✓�`-.�:N '.�.�. {'Y+'sr" y,-a-`''`,�..,<' � � fit': r••�• r.a .�� #�"�f.'^`•.A' � "qs•w... 'r- �" � �•�,�.»•r+u3,..-.?..,.;^•'' - �'? ,s;�', `4 .,:�. w„�r,.ap..�mr '�� #�,��>1�-,, e 9-;d. ••:.e'✓ `' +ic=..,. `.�>� _ ..v' � s .,. ,r"r;=r �'^ >.,: �'yy �,-"� ..�5 .wt '•AfH<x7. ��T 6.::- .�' +.l qa r - _ H= t_'•;'%< - a.`e� _�,>,�+,-__ �Y.+.�v.....o..-vt• ..>,��.�•.. _...� _ _ _.._R�.�� ._s; ..w�..'::sx"��`S"�.d.�;:..La`«'-s. ...�.,^«��.-_. .a'' __.. •�'" ._ s._ SURVEY FOR NOTE: JOHN AND KORI ESTRADA 1, ELEVATIONS SHOWN HEREON ARE IN 1988 N.A.V.D. EXISTING ELEVATIONS ARE SHOWN THUS:,U SITUATE EXISTING CONTOUR LINES ARE SHOWN THUS: -----5----- 2. FLOOD ZONE INFORMATION TAKEN FROM: MATTITUCK FLOOD INSURANCE RATE MAP No. 36103CO482H ZONE AE. BASE FLOOD ELEVATIONS DETERMINED TOWN O F S O U T H O L D ZONE X: AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOOOPLAIN. SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-123-04-007 SCALE 1"=40' JANUARY 17, 2008 FEBRUARY 18, 2009 LOCATED WETLANDS APRIL 20, 2010 ADDED PROPOSED DECK & UPDATE SURVEY SEPTEMBER 8, 2010 ADDED LOT COVERAGE SEPTEMBER 28 2015 UPDATE SURVEY OCTOBER 31, 11015 REVISE SITE PLAN DECEMBER 9, 2015 REVISE SITE PLAN FEBRUARY 13, 2016 REVISE WETLAND NOTE AND PER S.C.D.H.S. NOTICE 02/11/2016 MARCH 2, 2016 ADD POOL FENCE APRIL 8, 2016 ADD WETLAND BUFFER APRIL 14, 2018 ADD WATER DEPTHS AREA = 39,453 sq. ft. NEW SUFFOLK0'.906 ac. AvfNUE CERTIFIED TO' JOHN ESTRADA m KORI ESTRADA 11 N N v DEEP H� (iogj�F �s R:=:,3,30, x-�9 E DRI VE Guy Rf =54.24 ,e. Each Sxm �u — _ . 3'20'40"E 60.76' WATp7 1A E L, x'U Uj EDGE OF PAVEMENT rt .LY e Z \ -U, \ 9VERHI A WIRES z I xV x HED C) \\� �_�\ I BB 7.�µ6 12"TREE ILI Xu HOLE Z Z W CONC4.6 N .2 3 UNIT EXISTING LOT COVERAGE OVER UPLAND LOT AREA 2 IO 'o ff P K Z 83' 1D' 00 UPLAND LOT AREA = 35,934 sq. ft. ONE of /Nf k CE N CE 0_ -ux DESCRIPTION AREA % LOT COVERAGE `f�• 6 CHIMNEY W j'c N OUTSIDE �U j 2 "�' Kai HOUSE 1,972 sq ft. 5.5% S� x L p SHOWER W ICD L'k 0:5.0, x�7 1a7ipff \ 2.7 2tn N DECK 521 sq. ft. 1.5% 1=W s \ x4'1 E E k =.Z ME ^ 12.2' SLATE STOOP 45 sq. ft 0.1 FRAW � SHEDn ----__ \ WOO Ff7 Bim- =° X (2) SHEDS 259 sq. ft. 0.7% J� STEPS 32.3' 12.1. x ——6 - - Ai EXIST. WOOD v�T*tf DECK `��:t TOTAL 2,797 sq. ft. 7.8% 2a• iD� 1a•TR �0* X X\ — IONe f� ,Op � — o --x —,4 Af (f 1 16hyIN TREES�--- 16•.ITREE 20'TREE �. 6/ Xu Lp x x� X2.5 x2.9---- I —3 = Iry � x x x 1� .J.2 i � I / / / 1q•TREE��_ 11T , / \ 1 x f I 12?REE xJAWN I "EE 10•ra I nr \ I x9.B \ g10�4R i 121REE�\ \r e7+a7694e wn4 pe,- ssi 12-TREE �R j 4Pin�SJiL \ x9.4 n rs qR ny fRs FkjSnN sig y/sa c\\ *s yP x�F"4� \ -42 pr FIkfD A \S° \ \ xAd (� Gs \ \ \ F x°N �S�k s *7.15 \ \\ �FF \\ 1 OF , \ 01 p 71 pk p �q /fes R� L,OS �r•JJ' "✓( ��. `�{L\ \1��/ STANDARDSIN ACIFITILECO _SU AS-6STABUSHED �T'17y m 1p A, °h' \ Z�7� FOR-BY E ' U S D DATE D f0 dR ,1,''��s � J� _/� eF n0 V o / RFL oglo= A(, Cp• eY OW �G>FOK 6. f'1N LpfPjR 28. 1 I. N S� WgrEq FR `37' � 11, ? ST B T MC OF 2 gG,�fF e�NG'00, FR z8R P0, ��0 °0 C � _`K F9TF0 a 67 Lic. No. 50467 -n It Nathan orwin III r it UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. wl� ny Land Surveyor APR v 2018 ��7 THE I LAND SURVEYOR'S S INKS SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID'TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isoksen, Jr L.S. ONLY TO THE PERSON FOR WHOM.THE SURVEY Joseph A. Ingegno L.S. IS PREPARED,AND ON HIS BEHALF TO THE S3tltllold Trwn TITLE COMPANY,GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout LDING INSTITUTIONI HERON.AND Board of Trust ^C TTO THE ASSIGNEES OF THEE E NDING INSTI- -'� TUnON. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHT OF WAYS 1586 Main Road P.O. Box 16 AND/OR EASEMENTS OF RECORD, IF James ort, New York 11947 James ort, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED. P P ��.�. ,�• � � � "'� �' � -� Legend _ Untitled Map r :� �r, �� p T� �1 �e ti , „ > < . 2350 Deep Hole Dr Write a description for your map. ��'"- _ �•✓A",'f •fr-� ,�, h; � � ��„� d'^+�e� �,.`��? c 4 "�► In i✓3.,• "'' �',,.* "` � yid•,+u � Y ,�4 _'�'�y�� `�'" Ir -j;.. -. r- .�dil�l AIILV ro (i5H`flarn Cross"Ie �• G J � award of a ��agra+h d. age ' Proposed ofaoek 50 tt. wawa ! . Sejwara oi�y�W a°t boat Es De # tea Mt tv Ii J Est mated d s apCe ti nao0 p a t Shore S Zoo, =gram ,Nqx f +>,.r•✓"y`+.'fpp' _q" Pty .fy, _ `P�•'C.q"''.}° r.s•'y 34�y bb a r" r'�.�dx ! .a- �,. ,;='��Tjr%'.7.''' � s' .}.p^•a,•a„y' .:,� ,s`,.71� a y..'�:' .rt "X" .'4`.•,,.a:� '"'�" ,�, ��y.`'�a�'�r' r ..� 14 ,„r a w 9 rt .i F, -„'., ;,� J `rRr. .t,�. :'a'hs•`�.J'i. ",.+� .+L'-i r�, .r.r:«r= .v � t��+f�' ,�3 r f'` .kYd�s'NYi°�� Xt .��.� �� iI�1+ ��G 1 �s''�`• ��.. +44t+,s. r:w .F yr a_w+r ;+ice".'' � e'm^{+� ,,y� '«�v' � ,y.. ,t�'... . 6R i •� �• I � � f d K, 'ter z• � ,�� +',�' � .;Ys�. .�a> ,�'c �•��a.t ,. ��` ww � I_ fa' � "� •'„� *++s � x?t -,i i. ':3r)k, �: ,k,.>.. �: �s.,,s' �,�i yr rA�.t ip ._'.�r""�,.is.�� ..�:•sj. _. .>t'.t ��...,`•'..•},.�`.,r��. �.'�r:_ _ _ i4,�...��2y��'9'�i" w,�`• _.._-'✓'��v�4�.3��:2r-t^.c "�lu'_'"_"';"�—.�_e� � `_. ' S�fF01k Michael J. Domino, Pres O�0 CSG Town Hall Annex John M. Bredemeyer III,Vice-rresident to 54375 Route 25 Glenn Goldsmith o �` P.O. Box 1179 A.Nicholas Krupski ® a" ` Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 11�18- 3:3-5 Completed in field by: G. G6 )619M , Michael Kimack on behalf of JOHN AND KORI ESTRADA request a Transfer of Wetland Permit #4096 from David B. Tuthill to John and Kori Estrada as issued on December 10, 1992, and Amended on June 1, 1993; and for an Amendment to Wetland Permit #4096 to construct a 4'x8' fixed dock extension using Thru-Flow decking and two (2) 8" diameter dock pilings onto the seaward end of existing fixed dock.for a new total length of 58'; reconfigure existing floating dock to an "L" shape configuration; relocate the existing two sets of floating dock securing two-batter pilings; and install one 8"-10" tie-off piling approximately 15' to the west from the new floating dock location. Located: 2350 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-7 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 v // Ch. 111 SEQRA Type: I 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: Dont n,+ arri nG o ! Any tuS' Yh�Y Aar) �XlS�'nq I have read & acknowledged the foregoing Trustees comments: Agent/Owner: J - Present were: J. Bredemeyer ✓ M. Domino G. Goldsmith ✓ N. Krupski tl,//G. Williams Other Page 1 of 2 Michael J Domino, Pres 0��$11fF0(,�COG Town Hall Annex John M Bredemeyer III, Vice-President 54375 Route 25 Glenn Goldsmith o z P.O. Box 1179 A.Nicholas Kru ski y '*► P Southold,NY 11971 Greg Williams 4 �a01� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Michael Kimack on behalf of JOHN AND KORI ESTRADA request a Transfer of Wetland Permit #4096 from David B. Tuthill to John and Kori Estrada as issued on December 10, 1992, and Amended on June 1, 1993; and for an Amendment to Wetland Permit #4096 to construct a 4'x8' fixed dock extension using Thru-Flow decking and two (2) 8" diameter dock pilings onto the seaward end of existing fixed dock for a new total length of 58'; reconfigure existing floating dock to an "L" shape configuration; relocate the existing two sets of floating dock securing two-batter pilings; and install one 8"-10" tie-off piling approximately 15' to the west from the new floating dock location. Located: 2350 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-7 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. s25% 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 G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 A 111 ` d � . � sub i. t '��►• �Y. ,�1 1 r 1 \ 4 11 `/,2'0 18, ; ,15 ,-T 14 S+ti�.,. .�-:v:tF _. _ __ - 'ati'�+�-_.. ^ � 4 '�•'" i�T� ...ems. � _�"ir _.. 999Untitled Va p Legend _..... Dr 2350 Deep Hole Dr Write a description for your ma "+* ♦ ��A�'iy "�Y�'«+ a _�Yip '� s+�,.by ss a e "� 5 �. ,�,. ,�n'8„ �'� ��'"�f5�t �� 'air y,v "t^� .f '�.,; r 1�4 /"�r"� M{ ✓ i Sf �.. r taM CroSSv�e ndwaof w rd D�agraIh .0 I roPo edge of ft. Sed Seawa Clock Seaward of M side otbo-t ' i 4 /F �w ed� tedCteMSW lige J a Estimated rro d s ane so 0ao'p 9rashore 2pp teat`/ m e wry a ,:°s ..a+ .:+.� r ,- ,� s ;�* $��•�"t•• swk'�f�'".,, a•-"r 3"m.h'�-, ,:�(r�-+��;Yn � -:z..rr' 61 �. ..�. .. '. >~„ F,• •. a:.'-. ,yp .y. .: — .�' k�4 ?/..5. w+` yS` .f_ ryM•r,.F r� tr., r-'T' ��-`'y^,y�s ..r _ �yw*�; t� A � „fit w� ��-- 'a,i_. s "7Fr3=..,�a�""'` r ^...��•a��tee., .' y } -J, DiSalvo, Diane From: DiSalvo, Diane Sent: Thursday, March 15, 2018 2:17 PM To: 'mkimack2@verizon.net' Subject: Estrada dock application The following is from Trustee President Michael J. Domino: 1. 1 reviewed the Nathan Corwin plans for the Estrada application that were received by this office February 15, 2018 and the new configuration does not take into consideration the beam of the vessel; 2. All dock applications/alterations must be staked for Trustee review; 3. All application plans must show that the dock does not violate the one-third navigation rule; 4. The next Trustee work session is March 19, 2018 at 4:30 p.m. at the Annex should you wish to attend. D%Avt.0 Di,SAI.�D Southold Town Trustees Town Hall Annex/First Floor 54375 Route 25 P.O. Box 1179 Southold,NY 11971-0959 (631) 765-1892 Fax: (631) 765-6641 i Michael J. Domino, President �0 CO b� �, Town Hall Annex John M. Bredemeyer 111, Vice-President h�0 Gym 54375 Route 25 Glenn Goldsmith y = P.O. Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 4,- p� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: .3��/16' 3:25 Completed in field by: �•Gof�s,,, `�� Michael Kimack on behalf of JOHN AND KORI ESTRADA request a Transfer of Wetland Permit #4096 from David B. Tuthill to John and Kori Estrada as issued on December 10, 1992, and Amended on June 1, 1993; and for an Amendment to Wetland Permit #4096 to construct a 4'x8' fixed dock extension using Thru-Flow decking and two (2) 8" diameter dock pilings onto the seaward end of existing fixed dock for a new total length of 58'; reconfigure existing floating dock to an "L" shape configuration; relocate the existing two sets of floating dock securing two-batter pilings; and install one 8"-10" tie-off piling approximately 15' to the west from the new floating dock location. Located: 2350 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-7 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4 Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3 Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structurest 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: NA 54aked Needs I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino /G. Goldsmith N. Krupski G. Williams Other Page 1 of 2 Michael J Domino, President O��gUFFO(,�COG Town Hall Annex John M. Bredemeyer 111, Vice-President- �� y� 54375 Route 25 Glenn GoldsmithN z P O. Box 1179 A.Nicholas Krupski 0 • Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 ��l Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Michael Kimack on behalf of JOHN AND KORI ESTRADA request a Transfer of Wetland Permit #4096 from David B. Tuthill to John and Kori Estrada as issued on December 10, 1992, and Amended on June 1, 1993; and for an Amendment to Wetland Permit#4096 to construct a 4'x8' fixed dock extension using Thru-Flow decking and two (2) 8" diameter dock pilings onto the seaward end of existing fixed dock for a new total length of 58'; reconfigure existing floating dock to an "L" shape configuration; relocate the existing two sets of floating dock securing two-batter pilings; and install one 8"-10" tie-off piling approximately 15' to the west from the new floating dock location. Located: 2350 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-7 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 t 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 G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 John and Kori Estrada 2350 Dep Hole Drive,Mattituck SCTM#: 1000-123-4-7 3/14/18 - - {!$rte r t 1 ,.M�� '., �X x;5.1•1:�. � � .F��I J�-� !� v •1' � t 1��1� m � 1,11 4ipt�';� w� �`�' �A ;, lea ;~r r ji�� ;,.�� ,.t P � „��•a't .PE's, t �, ,t� � , {.�YS �l .( A` � � •,�.ya'�,P .e✓�l 77.h a^ 't K5{i 4'�► i�-- � ��1�i�rda�@,,,,' `.... K>-r. j,+,�'_ p: 7`s.� 1^544��Py r is �1� n� r�Y!�fir,. ,M, �.� �"i�p,J�::{i�+'' �`��l i'a•'' �:..y�. ,,r�;/ a• �. ',� r' �. ° Z "7c P�jR. s .c-. _ '•� �.'• ..'*.=. �'.�:?� q7n-.�v 5/JT��O,. .. �. �•- `3lFF°'CO. .�iie �'�3iR�,��4X�3.Tr�'d��n G'�'.. :,J�1:!d ..F ��'� � - '►` ` •• ? • .r 10" \ j . 12`TREE � y •� \ 1 F�, . REE _Jo \ x 4.5 �� > L44- 12"TREE x 12TREE / \ L lS > S R -x- 3.9 4,7 14 .TREE x 4.2 x- WOODEN DOCK WITH `1►\ \ \ �! J �12 TREE � PILINGS ON EACH SIDE J all/ \ � 12"TREE 2.2 12 6 r - ,i re I i - A+n r qtF If r I / , ' r wi�. rx � ,r� � •f� "� 1. 'i� C ,. s r . Z. s wi 4 (3)Fs4ada Residence i. t t w a Taken 1eb.13,2018 i,4-1 A',,! d• - Looking West s - - j4, (41 Estrada Residence .r a.a�• �q r5` �~w - `� /{ .,a ; w'• "y � Laken Eeb.1:1,2018 Looking SVv imp F } s Ot .,r 1 -=y°� "- ~� (5)Est rads Residence Taken Feb.13,2018 Looking SSW Av * x ,4n .r 40 s Y� v �t I - _ 4 - .A P (6)Estrada Residence Taken feb.13,20 18 - -- - - Looking NNE Untitled Map _ - Legend 350 Deep Hole Dr Write a description for your map. .°Fy _, s 2 m ` ffi„w Y} L 'Y OFFICE LOCATION: �0� SU(/ryOlO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor Main Rd. &Youngs Ave.) G Southold, NY 11971 p Telephone: 631 765-1938 O Fax: 631765-3136 �yC4UM`I,Nct� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To. Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: April 12, 2018 Re- LWRP Coastal Consistency Review for of JOHN AND KORI ESTRADA SCTM# 1000-123-4-7 The project is located in Deep Hole Creek a waterbody within the National Peconic Estuary System. Michael Kimack on behalf of JOHN AND KORI ESTRADA request a.Transfer of Wetland Permit#4096 from David B. Tuthill to John and Kori Estrada as issued on December 10, 1992, and Amended on June 1, 1993; and for an Amendment to Wetland Permit#4096 to construct a 4'x8' fixed dock extension using Thru-Flow decking and two (2) 8" diameter dock pilings onto the seaward end of existing fixed dock for a new total length of 58'; reconfigure existing floating dock to an "L" shape configuration; relocate the existing two sets of floating dock securing two- batter pilings;-and install one 8"-10" tie-off piling approximately 15' to the west from the new floating dock location. Located: 2350 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-7 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the denoted following Policy Standards and therefore is INCONSISTENT with the LWRP. 1. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems. Policy 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The applicant must demonstrate that the following dock standards pursuant to § 275-11. Construction and operation standards have been met: The applicant has not demonstrated that the following dock standards pursuant to § 275-11. Construction and operation standards have been met. (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: [1] Whether the dock will impair navigation or be located in areas of high vessel traffic or vessel congestion; Chapter 275 requires that the determination of the length of the dock must include the dimensions of the vessel as proposed. The dimensions of a vessel were provided on a Google Earth photo with the current dock configuration. The applicant has not correctly demonstrated that the dock meets the 1/3 rule and is consistent with "pier" line of the water body. A Google Earth map was provided but does not show the total proposed dock length in relation to the distance of the other side of the waterbody or pier line. A discussion on the potential impacts (if any) to navigation of all vessels have not been provided. It is recommended the navigation channel in relation to the proposed dock is assessed. [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, waterskiing and other water-dependant activities; The application does not discuss the potential impediments/impacts regarding public use. (11] Whether the cumulative impacts of a residential and commercial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts; and The application does not discuss cumulative impacts to the waterway or environment. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. The applicant currently enjoys access to public waters via an existing dock structure. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action Cc: Damon Hagan, Assistant Town Attorney i F91,�co tiy` GS Peter Young,Chairman C - Town Hall,53095 Main Rd. Lauren Standish,Secretary P O Box 1179 • `Z`' 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., March 14, 2018 the following recommendation was made: Moved by James Abbott, seconded by Peter Young, it was RESOLVED to SUPPORT the application of JOHN & KORI ESTRADA to construct an 8' addition to existing dock with thru-flow decking (2) 8" dia. pilings and relocate two sets of batter piles and add one 8-10" piling for boat tie down. . }- Located: 2350 Deep Hole Drive, Mattituck. SCTM#123-4-7 Inspected by: James Abbott, Peter Young Vote of Council: Ayes: All Motion Carried Sr7U Michael J Domino, PresidenL Tovm Hall Annex John jM Bi-edumever 111, Vice President 54375 ROLIte 25 A�Z 1.1.0 Box 1179 Glenn Guldsmith Southold, New York 11971 Coe) A Nicholas Krupski (� e-- , 'Telephone (631, 765-1.892 �-efo ! ,0- -cf."i\V ill I iEA I I Fax (631) 765-6641. L o r U FEB 2 8 2018 BOARD OF TOWN TRUSTEES S TOWN OPSOUTHOLD Board o0 2pc-i APPLICA,rION FOR A TRANS HER OF A WETLAND PERM IT DATE 2&5-.,z I r OWNER XC, ,r PHONE F/ 7 604- 14 ?1 MAILING ADDRII'SSAp 0&5 VA!U-ST N. Y MY AGENT PHONE -516 6r6 6867 ADDRESS P. 01- 9ox04Z Pow-lvoZ v PROPFRTY LOCATION Pee, /#-/,4 TAX INIAP NO 0 0 0 no-7 I/We 7' request al'TaIlSfier Of Perrnit from V122 Signed By /xv 7 �F S,0Ul Michael J. Domino,President �O� yOIO Town Hall Annex John M. Bredemeyer III,Vice-President LkIL 54375 Route 25 P.O. Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® .. :O Telephone (631) 765-1892 A. Nicholas Krupski lif'C+D� 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 Amendment/Transfer/Extension 6�e`ived Applic tion: 2.157, Received Fee: $ 50. 00 Completed Application: J �r Incomplete: - SEQRA Classification: Type T— Type II Unlisted ✓ ( �� i Lead Agency Determination: i FEB 1 5 2018 Coordination:(date sent): LWRP Consistency Assessment Form Sent: �_ # - CAC Referral Sent: 2- �r`.i:'• '� Zg- le Date of Inspection: Board of fr;slc^5 Receipt of CAC Report: Technical Review: _ Public Hearing Held: < Resolution: Legal Name of Property Owner(s): ,2'O" / ,�STiP.rld�rS� Mailing Address: �2 Y,,=,,-R j%r 4a:: 30.5 AK z (O 00 S Phone Number: Ql 7 /QQ Z Suffolk County Tax Map Number: 1000- �� -- (24 — O O 7 Property Location: 2350 OMER 460 � 42Z1/.--l' Z74AT rd im;lr.1'r�,a (If necessary,provide LILCO Pole#,distance to cross streets, and location) AGENT(If applicable): N/C6?h �. A &/&A Ce Mailing Address: PC. RDOG 4117 .IOU,77/04291 { Phone Number: Ll 6' c`3 — 6�W 7 .�� Board of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: - � Previous use of property: Intended use of property: 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 _XNo If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes _XNo Does the structure(s)on property have a valid Certificate of Occupancy?_ Yes —No Prior permits/approvals for site improvements: Agency Date 7--,P- X096 �2� q��_ rR- No prior permits/approvals for site improvements. Has any permit/approval,ever been revoked or suspended by a governmental agency?_ No Yes If yes, provide explanation: Project Description (use attachments if necessary): Ploc w 0V,E e-10 //FW1 & 9oK 46eA7- Da eve! • Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: TD &P yURN i L ,477N6 00 C1(_' 9'4 70 (JAZZ& Arl-049 L� Area of wetlands on lot: 37 DD square feet Percent coverage of lot: % 41, Closest distance between nearest existing structure and upland edge of wetlands: D feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? IV Oit/�. cubic yards How much material will be filled? &O,t/,,-'_- cubic yards Depth of which material will be removed or deposited: IVIA feet Proposed slope throughout the area of operations: A11.4 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): / /&W o 4L W14r4-Rs 40ORING A!Movlve A& AI72-�,e ID7UtiG_ p1Ul/GS'. . M,5 6MPA�'l"s'� 94) 71-P-41- &11'7ZW5 \ � r Board of Trustees Application AFFIDAVIT _ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE 1S THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL, STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/ITER KNOWLEDGE AND BELIEF, AND THAI- ALI, WORK WILL BE DONE IN 'THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTI[OLD_ ,TO_WN BOARD-OF TRUSTEES. _ THE AP-PLICA-NT AGREES TO-116LD 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), 1F GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE -TRUSTEES,THEIR AGENT(S) 01.2 REPRESENTATIVES, INCLUDING THE; CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. 1 FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITII ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PER.NIIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM 59F-�HE PERMI' C- f � (!:� Ohl�lE.SY�PADA Signature of'Property Owner SWORN TO BEFORE ME THIS l 44 - DAY OF ��/ vo` r 20 �g - — Notary._ aA6maw NotaMI HAEL A KIMACK rY Public,State of New York Cu91111ed In Nevequ Cou�n�tyy To"eXPIFOR hAarmh t }g99 Z t91� Board of Trustees Application ikumoinZATION (where the applicant is not the owner) I,, WVA.,..ES7AAk.; fl.mIel 6S'lX1�I�p. ._.... residing at �Y�.�' �`' 30,5- (print name of owner of'properly) (� �4P1.address) /✓,. Y-W-IX .......... _.. .-.... . _._ do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf Owner's signature) TO/�iv ESTRiODfI -e 10 MICHAEL A KIMACK NotaryPub"c Slate of New York Club 1111eUirK15056823 Tsryn ExplresMSh°County 2x18 APPLICAN T/AGIP,'..NT/RE]IRESENTATIVE TRANSACTIONAL DISCLOSURE FORM I 1LIS1.�o%vll a—S'oil(hold's Code of,F(Illes[)roll ihil.s C.-u Ujcts i)r Lut -I on Ill P 'r -1 r this hon is InircYJt , low qJ11C.-s On -CA, ,ticand allow it to(like whatever nc to YOUR NAME. (Last name,first name,,piddle biftial,lalless you are applying in the name of someone c1sc or other entity,such as a company. 11'so, indicate the DtIlcl, person's of company's NAME OF APPLICATION- Wheck all that apply Tax grievanceBijildiiq,, Variance 'Flusice Change ol'Zone Coastal Erosion Approval of plat Mooring Exemption From plat or official ma ------- Other ,(If"Other',marpe the activily) ,you pernolm I ly(or IIIt voI,,'I i yl Pur cot I i Im,y,,,pl,IsL%sibling.! lmrr-w clalinnsl�il," includes by bland,nhuriol;�,ur business inAuesl "L(usinrs interest"nn:nus a busing•:•, illt:llldillf:it parolvi-ship. in which the(own o(fikxI-m 11;+s cN':"it pallial ONVIwINIlip(,Uor cinplovillvill hti);r cusp tr,ili lit in which the lmvn rllirr r cn,l,lnyrc owns num:Ilan.5"'0 0l Ibc slct:e,. VES NO If you answered"YES",complete the lialance of form and date,incl sign�,vlierc indicated. Nance of'person employed by the Town of Southold Title or position of(hat persoil Describe the relationship between yolirscW(the and the town office.:or employee. Either check the appropriate line A)through D)and/or describe:in the space I)ro%;i(l-,d. The town offlicer or employee or h;s or her spouse,siding,parent,or,:held is(check all that apply) -----A)Ilw owner ol'grcater tha:i 59,6 of the shares ot'the corporale Mock of the applicant (When the applicant is it corporation); .-B)the legal orL-eileficijil oNylle,of any in(crw to a 1`100-OrPorite entity(when the applicant is not a corporation); C)an officer,director,parlijer,or employee ill the appljcullt;or D)the actual applicant. DESCRIPTION OF ITLATIONSIfIl, ........... . .......... Submitted I is _204 p S tirePrint Nath- koz,0 ot Form TSI APPLICANT/AGI?,NT/RE]IRESENTATIVP, TRANSACTIONAL DISCLOSURE FORM The Town o(',Soij dio Id's Cody.r)'F.thic Pr Li LL11 i—Ct s of jItqM3 LM II g-,-p s., it .1woflowntiffiecrum(lo -)1oyqe.s.*rhcjjujj)2.,— !!ltct(�Ivjial•n sllecsm!ji!�scL -rust and zilli)w it to Ink.g wha(uver octio—iLL: liewssi YOUR NAME: (Last name,first name,rpidd'o Htial, wiless you are applying in the name of someone else or other entity,such as it company, 11'so, indicate the other 1)erson's or company,s name.) NAME OF APPLICATION' (Check illi that apply) Tax grieva.nce Building Variance Trustee Change M'Zonc Coastal Lrosiori Approval of plat Exemption from plat -.)r official map Planning Other ,(If"Other",nailic the activity D,o,voil per.soilalk,lot 111loof..01 y(jilr coolpally,spntlw,siblinf.t,parent,ur child)have a relationshipwith tiny oflh'.cr or c1liplovCC ul,11ICTOwn ol'Sout)wlil'l "Reltdiolishii)"includes by blood,in;irriaite,or business inte-rusl "Business:illiewsl"Illoolls a bllNilw,y, indodill).:1 plirlilvi-shill.in Which the(own officer or employct-.hos a pal-lbil owlicl-shil)of(ill.cloployllik-111 hy)a ul-1polali"ll in whirl)11tc io%yll or ovins more Ilion 5,110 YESNO lryou allswercci"YES",collipl(*:the h3lince ul'(his lorin and date;lod sign where indicated. Name of person employed by the Town of Southold Title or position ol*that person Describe the relationship bctweer yourself(the apl)licwiVngt;:ilirepre,,cii(ativ,-.)and the to"11 officer or employee. Eillicr check the appropriate line A)through 1))and/or describe in the,;pace provided. The town officer or 4xiployce or his or her spouse,sibling, parent,or child is(check all that apply) -.--A)the owner(:f greater than 5%of the shares of the corporate stock of the applicant (When the i1pplical)t is Li corporation); —.-.--B)the legal or beneficial Owner ol'any imercst in a non-corpc-rate entity(wher,(11' applicunt is not a corporation); —C)an officer,Erector,par.ner,or employee of lite applicant;or D)the actual applicant. DESCRIPTION OF kELATIONSIfill Submitted 11 1 )f rV*,r(f nfl 00, -7— Print Naito Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and em.Rloveec The purpose of rnig Conn is tar provide itiforiiiation which citn alert the town ofpossiblc conflicts ofinterest and allow ii to take whatever action is necesslry to avoid:same, YOUR NAME: kZ/_,� ,_ . 141 CWAE'L . (Last name,-first name,ipiddle 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 person illy.(or thrinlpli your crintpaity;sj5otlse,sibling,parent,or child).havc a relationship wilh.miy.611.icer or employee ol'thc'T'own cif Southold? "Relationship"includes.by,blo6dj nTalrial e,,or business>IntCfCSI:.".BUSIItISS InICtCS[."mcans a i?nsiii(ss, iiicluiliiig.a partnership, in-which the.towii,o[Ticer.or,cluliloyc c hps;cvcn;i partial 6vnidrship of(or uniploymept by);:a corpgrltion in which the lown,of7icer.or cmlilr y4e;owns'in6re than;.5p/o of.tlic.slleres: YES NO if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold _. Title or position of that person Describe the relationship between yourself(the applicant/agcnt/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 da o f.A 20$'� Signature Print Name, / /r( 0& Form TS 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: !4 h/c,�,!!!EL �' CY•eGti �UD�� 1405IIE�o OI�G�PJ h.47r17vice/+4y. z/s/4-!S' 4rfV•✓o,Py Cet!h'y�lit/ o. F.Tox 364, rfarr�r-vcic M' 123-4-6 QEF oFTER/�l[c �PUSS'ELL E{/S80t'4-/ C'.4'pl 0oH.t' /9'0' ��Z 12,3 4-8 SXPf/;IV �' �.-e4N C/A/CG p. a Bd�C /440/ �l.�P1'/y've,L!Aly. 9 STATE OF NEW YORK COUNTY OF SUFFOLK f/CVAFL' �L/.�i.4 C'k , residing at 0. ,80x /047, .1`�UTf� NY/f 97/ , being duly sworn, deposes and says that on the day of H,4 Com , 20a, 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 SrjUy?/OL,D , that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. ,,/ a 4_�I� Sworn to before me this IRS Day of I'4lf4�4_ , 201 IANE DISALVO Notary Public NBTAPY PUBLIC-STATE OF NEW YORK No, O1D1475593 /440111100 In Suffolk County VIV ftW7 M%!0n Expiles April 30,=L9 Michael J Domino, President O�Q COG Town Hall Annex John M. Bredemeyer I1I,Vice-President ti� y� 54375 Route 25 Glenn Goldsmith N P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams 'y ® p� Telephone(631)765-1892 �� s �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ---------------------------- ---------------------------------- In the Matter of the Application of JOHN & KORI ESTRADA COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, Al/ L' 4,,6L .4. ."i` Ve , residing at/dba e O. ,!DOC /047 1b VM01-A97/ being duly sworn, depose and say: That on the ( day of /tel,4,eCP , MIR, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, March 21, 2018. Dated: _'�� (signa ure) Sworn to before me this jq� day of 201K AwP 4r DIANE DISALVO NOTARY LIC-STATE OF NEW YORK Notary Public No. O1 D1475593 Qualified in Suffolk County MY COmmialon Expires April 30, 201 �l SENDER: 1 ■ Complete,items 1,2,.and 3. A ❑Agent ■ Print your name and address on the reverse so that we can return the card to you. ❑Addressee mftv(� ■ Attach this card to the back of the mailpiece,,e, B. Recehled by(Priv d Name) C. Date of Delivery or on the front If space permits. 1. Article Addressed to: D. Is delivery a rd from Item 1? ❑Yes- If YES below: p No 56 N.Y !l 95-4 IIIIIiI�II�III6IIIIllllll III III III II'IIIIIIIII 3 C81j�Pe aL.r1u ❑ tYmail EXpress® ❑ elute Istared Mail Ad Restrlcted:Deliveiy'- Istered Mail Restricted 9590 9402 3554 7305 7878 91 ��n I® o� .�+ Ren,Receiptfor ❑collect on Merchandise _n..i ie.ni: ,r,e.rrppefocfmm_ccnirro=inlanll !! ❑Collect on D ry ❑Signature ConflimattonTM 0 In L 5 0 6 4 0 010 011 i 15 4 2 7 1719 0 0 i i i i 1i i Insured Mail Restricted t)eli yi I l l t l signature Bred Derv*cn (over$500) PS:Form 381,1.,;July 20.15:PSN 7530x02-000-9053 . Domestic Return Receipt SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ;T r ■ Complete items 1,2,and 3. A Signature - r� ■ Print your name and address on the reverse `�'"/—' 1 ❑A9ent so that we can return the cans to you. X S ( � h e �`�� ❑Addressee ■ Attach this card to the back of the mailpiece, B• Received by(Printed Name) C. Date of.Delivery or on the front if space permits. 1. Article Addressed to: 95 1 item dress different from 1? ❑Yes If YE livery address below: 0 No 2018 II�IIIIII IIII IIIII I IIII I III III I 11111111 bAdul Signa pe 0RegntyMaU� D Adult Signature ❑Registered Mall C� ❑Adult Signature Delivery ❑Registered Mail Restricted 9590 9402 3554 7305 7878 15 9 oemrery Receiptfor Merchandise GRirlo.Ni�mhnr_?ronefai/mm_cunilrn.or.,on ❑Collect on Delivery Restricted Delivery ❑Signature ConfimrationTM ❑insured Mail D Signature Ccnflrmation 7 015 0 6 4 0::0 0 01: 5 4:2 7 :7.917 ❑:Insured Mail Restricted Deilvery ; Restricted Delivery i !over$500 ; 1'PS Form 3811.,July,2815 PSN i,530;M.ooa905s .i Domestic Return Receipt ; I i U.S. Postal Service'm Service" CERTIFIED RECEIPTd�mestic Mail Only r3 CERTNFIED MAILP RECEIPT C3 Domestic Mail Only 117 cc r— ,� N •MAVTP j 95? L U .MATSTP IP1.1 1 L 171-1 Certified Mail Fee $3.45 Y ,_T $Certified Mail Fee 53.45 ` Ln s0. 1 Extra Services&Fees(check box,add tee ro) 9y Services&Fees(check bon add tee argil i t-q ❑Regan Receipt Mardcopy) S �O E3Retum Receipt(hardcopy S Q '•�� r ❑Retum Receipt(electronic) $ �� Post t � i O ❑Retum Receipt(electronic) $ Pos tl�rk Q ❑Certified Mail Restricted Dellmy $ — D ❑Certified Mall Restricted Delivery, S f�re O ❑Adult signature Required $ _ 'v I O ❑Adult Signature Required S A []Adult Signature Restricted Del"$ �r�•V V O _gyp\ r i •E]Q Adult signature Restricted Delivery$ 12 O Postage $0.50 s Q Postage $0.50 C3 Total Postage and Fees 08/20 p Total Postage and Fees 08/ZQ $ $6.70 $ $6.70 u7Sent ToLr)r9 sent t 0street "C 'g ffox�o_L ----------------- svea1enn Lae o.F3 zlJo. -- ------------------------- t;il)4 Mate,Zf 4 v `Uty Mete, lP --,- I 530-Oi-000-9D47 02-000-9047 See Reverse for Instructions2015 PSN 7530 -PS.!Form 3660,April 2015 PSN 7 See Reverse for Instructions PS Form 3800,April U.S. postal Service" I CERTIFIED o Domestic Mail Only ti -5omestic Mail Only Er a- .MA T1��t4t 1YO,C51 A L U S r`- � . te CfledMaileQ )71CARn 8345 9Ui H2C ru Certified Mail Fee 83.45 71 .u7 $ Se Ce3& 98S(check Dox,add lee �. $ to) \j 9 7 1 i ❑Retum Receipt(hardcopy) $ Extra Service9&Fees(check bon add reg �� I ❑Retum Receipt(electrenic) $ t,,,� ❑Retum Receipt(hardcopy) $ en �tf1 p ark ❑Certined Mail Restricted DeMery $ ;� erB ❑Ratum Receipt(eiectmnic) $—so 00 ❑Adult Signature Requited $ C3 ❑Certified Mail Restricted DeMery $ C]Adult Signature Restricted DelNerY$ � Q� Q ❑Adult Signature Required $----$ID—.ID" Postage N r E]Adult Signature Restricted Deft"$ Q a '$0.50 Postage $0.50 J' p Total Posmge and Fees 3/08 H $ $6.70 i C3 Total Postage and Fees 1 + i $ $6.70 i { Sent ��r?!! iw`. --------------- t -_ z/ Sento C L i O Sveetan .,'OI X o Sheet and 1 ---------------------- i r � PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS v 1 Name: >' A.�,?7y`"r' .. ,j;i,.,• r,.t xr:�• '�i�:�,E4..lr;=�-;r•.>•-y�,'�S ••"L rY�� .r.�t.I�w,�-�f�.•�+"3. ..: .i.•r, jjt;lv.�-.'••r} R.>iy.�.•'iai' ysy��• 1`V`�•��1:��`fir- ��.��+Y;��vL:%^':�..,':..l t:;�.'<�;;^•' �::5�. �.'Z"• 3S'l:r ti„!%,i:�F�T i� '_y..r. :f.�— rT" .y.,:.• F��{. p. �.'^'��`,-',�s.`5(-t�tY:t"-�yv rt�.$�'•„ r.:.�'^.�''�:�e rq,y7r�.I•s:,":�:'Sr'�'vrt...�'ir�`�gg (w�f -f�� Y�;��r�.� �,JJ t-('. i_..A1 _ �i-� '•ETf t,.+�yy �' -'% y�� K,»�:.. ,�'Ftd'•-i t1!`�` �€ j �a'^,;�".rt�;i '?'ris�3!ya'"r�t?sr:;-��.�;:;_K'a'i'r�o->';.;��1�:c:i:«^a:.�...:•r4=<,4: t`y;r.��„� q '-T .1� .v< '.:..�'. .C ,'{" `r'Yr'C9YL't,�� Y•f Jp+>v'-.'�'' ,i Ft: ,'✓�:i-S: r,^p:*��t:�;I!.ri:}x�i.'t t+,r::rt.,:u�;`.��'.. ?i.g, �'�S4 •r''- ^r�'tJ.4Y -a�'�x;.N,r.�!�S:i rw.r'ru"-•�}`a-.✓gs"'.}r... ,.y�r�r`i�,.�i1"" f.?� .T,•J I,, r:;�;;'�1:. 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Yl- STATE y t' YL,c.:+�•-r F:r 7`-{1•..v 4q� ;Y1 ��'.,'�^�]" �Y.,.k•r',�LG�'... •'4=L+ f�-L �' 3'�• ty'ic:`.,%�.��.,:�-t��r7� �••R� �� "�.{!', t' •5.11':`-.�i..I N3;.y °sti�A'•'. v4�Y.1 �.�"iJ' Ly..�. .��j.� "• 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 MAIL/RETURN RECEIPT. I Sworn to before me this Day of , 20 Notary Public ,NUTILt: Ulm HLAKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: JOHN & KORI ESTRADA SU BJ ECT OF P U B L I C H EA R I NG : For a Transfer of Wetland Permit #4096 from David B. Tuthill to John and Kori Estrada as issued on December 10, 1992, and Amended on June 1 , 1993; and for an Amendment to Wetland Permit #4096 to construct a 4'x8' fixed dock extension using Thru-Flow decking and two (2) 8" diameter dock pilings onto the seaward end of existing fixed dock for a new total length of 58'; reconfigure existing floating dock to an "L" shape configuration; relocate the existing two sets of floating dock securing two-batter pilings; and install one 8"-10" tie-off piling approximately 15' to the west from the new floating dock location. Located: 2350 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-7 TIME & DATE OF PUBLIC HEARING : Wednesday, March 21, 2018 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 617.20 Appendix B Short F.nvi.ronn:ental Assessment Form hstr•uctionu .for Comliktiilt; Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and maybe 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• .1' OC ��- YfY L,0477iVG ock, Project Location(describe,and attach a location map): 0 D C Brief Description of Proposed Action• CoNJ7'APU 1 A�N B AT A0,0/rle X1 X7-0 ESC/S WI 771,eOFgOUI 0,X C e1A/G ,"40 258 N!l .�1/Jl� d��°�ou Git/• � Name of Applicant.or Sponsor- Telephone: Q7 E-M i Address: P A6!.0.,y_Z047 City/PO: State: Zip Code: L / 7/ I.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that X F1 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: El' 3.a.Total acreage of the site of the proposed action? _ 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? _OL��acres 4. Check all land uses that occur on,adjoining and near the proposed action. _ ❑Urban E_-]Rural (non-agriculture) E]Industrial ❑Commercial lidResidential(suburban) ❑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? ❑ El b Consistent with the adopted comprehensive plan? 1:1 0 6 is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:_ _ ® ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES LEN ❑. 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? Ig 0 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 �///q _ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment• • LY �.._—__..__.__ ❑ 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? 13.a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YE wetlands or other waterbodies regulated by a federal,state or local agency? b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: _ -Jd� O ,� 42 A o, `Z,VG 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: �QShoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional Wetland ❑Urban Suburban 15 Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? FX ❑ 16. is the project site located in the 100 year flood plain? NO YES 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 YES1 ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO F]YES Page 2 of 4 18 Does the proposed action include construction or other activities that result in the impoundment of' NO YPS 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: ❑ ; I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: -Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the,following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 9 2. Will the proposed action result in a change in the use or intensity of use of land? F1i 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 ❑ establishment of a Critical Environmental Area(CEA)? 8 5. Will the proposed action result in an adverse change in the existing level of traffic or l }l ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7 Will the proposed action impact existing: a.public/private water supplies? EL b.public/private wastewater treatment utilities? L 8. Will the proposed action impair the character or quality of important historic,archaeological, a architectural or aesthetic resources? 9 Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, a 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 drainageW problems? ❑ 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail, identify the impact,including any measures or design elements that have been includeq by the project sponsor to avoid or-reduce impacts. Part 3 should also explain how the lead agency detcrrnined 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 imps sI. of Southold uthold-Board of Trustees ` __. _.._..._ _ __. ....-........................._____ Name of Lead A cncy Date IJ- 0 I`1 I I"V President Print or ype Na e of Responsi Officer in lead Agency Title of Responsible Officer _ Signature of Respokkble Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) C RINT .k— Page 4 of 4 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 effect's upon the:coastal area(which includes.ail of Southold 'Gown). 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 ex1ilained in.detail, isting both supportint; and non- supporting.facts: If an action cannot be certified as consistent with the LWRP policy standards and conditions,Jt shall-got be tuldertakeia. A copy of the LWRP is available in the following places: online at the Town of South.old's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION O�F�JSITE AND PROPOSED ACTION SCTM# PROJECT NAME OGk SI 6/V MQ Lo�Tl/I�l� 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 extentof action: �V;)-X1-e61C,1' ,411 9 A7'• h1DD/J~�d& O-V mkvzzow P,,!5ce1Y& 4"4) lZ,8Z 0C 7-872G0 o PAijy a� jerAMR P`UN&S ANAP t4,Op Q/UAe- PIC /o I Location of action:. O ,I2)5-,6,P ,L/(z1 ., ."A7 z z J� Site acreage: D, 919 (e Present land use: 5—J-LD,EN 7-1AL at?�6 r--Aell-y Present zoning classification: R S'f n J5&nAz OW /'Cj4iy/�y 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:. AMZ ST /��i�� sZ RW4, 4 (b) Mailing address: G'�4Y25,e 57- "7-,�% N. y &- /D a0,S (c) Telephone nuunber: Area Code( (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 1-1No X If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. RlYes F-1 No L-.,4�Not Applicable ,I" pock O G a OC16 w LL Ae a 00.41' o -r 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 0. No TR Not Applicable i 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 g Not Applicable o v VI-5'04Z- U L/ NO Attach additional sheets if necessary NATURAL COAST .PO.L.ICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies sPPages 8 through 16 for evaluation criteria F] Yes ❑ Nov -� 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 ®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. F-1 ❑ 0 Yes No Not Applicable P,-`HOOA/Z/A/05' AhIP REJ`5772IN6 0-MAY25, CtJ C 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 0 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 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. ❑ Ye❑ No® Not Applicable P g&I C 1-�CcE95/"ZVA Z2e- 02 0 C e 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 g Not Applicable C&141-- a c or 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. ❑ Yes ❑ No JZ 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 ® Not Applicable PREPARED BY RA i O. &A C/f TITLE__ DATE Z TRUSTEESO�O$UFFO(,�c0 SUPERVISOR John M. Bredemeyer, III, President �Z �y SCOTT L.HARRIS Albert J. Krupski, Jr., Vice President c Henry R Smith * ,? Town Hall John B. Tuthill • 53095 Main Road William G. Albertson P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 1, 1993 Harley Arnold i Y P.O. Box 48 Mattituck, NY 11952 Re: David B. Tuthill SCTM # 1000-123-4-7 Dear Mr. Arnold: The following action was taken by the Board of Trustees at their regular meeting of May 26, 1993 : RESOLVED that the Southold Town Board of Trustees approved the request for an amendment to Permit #4096 to make the dock to 4t X50 ' and ramp 3 ' X 121 . If you have any questions, please call our office. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:djh R�SO Board Of Southold I own Trustees SOUTHOLD, NEW FORK 0-1 PERMIT NO. ..._....... DATE: ....!- /10/92 . .. �5 4� A� _ ,� f ISSUED T .....DAVID B. TUTHIL ._. . - -.__ k I � � � t kS N J � �'� ifs ^• r t. V. ton gAnt4o ® ! ,. Pursuant to the provisions of Chapter 615 of the Laws of s = the State of New York, 1893; and Chapter 404 of the Laws of the al State of New York I9S2® and the Southold Town Ordinance erg- k3 . tined "REGULATING AND THE PLACING F OBSTRUCTIONS t��.• >:, � '# IN AND ON TOWN WATERS AND PUBLIC LANDS and the \ � REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM E �i LANDS UNDER TOWN " ATERS-," and in accordance with the v Resolution of The Board adapted at a meeting held on ....Nov.,_..2..fl.,. �p I9 9.2.., and in consideration of the sus of � .711..00 paid by $ p` e D av1d, B. -Tuthill _ _ . ...._.... ........................ .......... NT at 'tuck � i apN. Y. and subject to the _ ; Terms and Conditions listed on the reverse side hereof, � \ <� of Southold Town Trustees authorizes and permits the fallowing: +' Dock 41 X 40', catwalk with 8" piles, 8' to 10' on �! center, 31 X 161 amp to a 6' X 20' floating dock 4 1 with 2 8i1 X 25f1 piles. F A� � ij all in accordance with the detailed specifications as presented in the originating application. �� w IN WITNESS WHEREOF, The said Board of Trustees Isere- 6; i wj by causes bits Corporate Seal t be affixed, and these presents to 1= be subscr;bed by a majority o� a said Board as of this date. 1 r , f T` � Trus�es ....o.. III A IIS - k TEE 5% SUPERVISOR John M. Brederneyer, IIS, President SCOTT L.HARRIS Albert J. Kr ps i, Jr., Vice President Henry P Smith Town 'Hail Jahn B. Tuthill 53095 Main Road, William G. Albertson P.O. Box 1.179 Telhone 516 7b5-1592 Southold, New •Ycarlc 11971 _p ( ) Fax 516 765-11823 BOARD OF TOWN TRUSTEES TOWN p OF SOUT HOLD November 25, 1992 David B. Tuthill P.O. Box 48 , - Mattituck NY 1.1.952 Re: SCT #1000-123-4-7 Dear Mr. Tuthill: The following action was taken by the Board of Town Trustees during its regular meetin held on November 20, 1992 regarding the above matter: WHEREAS, Harley Arnold. on behalf of David Tuthill applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application. dated. October '' , 1992 and. '',WHEREAS said application was referred to the Southold Town o servation Advisory Council for their fi.ndi ngs and recommendations, :,Conservation .nd, WHEREAS, a public hearing was held by 'the Town Trustees with respect to said application on November 20, 1992 at which time all interested persons were given an opportunity to he heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and., - WHEREAS, the Board has considered all the testimony and documentation '' submitted concerting this application, and, EREAS, the Board has determined that the project as proposed will not affect the hearth, safety and general welfare of the ;people of b the town:, ,�:NOW, THEREFORE E 1T RESOLVED that the Board of Trustees approves the application of Harley Arnold can behalf of David. B. Tuthill to construct a 41 ' catwalk with 31 X 16' ramp and 6' X 201 float as shown on survey. Chis permit will expire two years from the date it is signed® Fees must be paid., jilLapplicable, and permit :issued within six months of the date of this notif.ica tion m Two .inspections are required and the Trustees are to e notified upon completion of said project. . Perm-it will be issued upon payment of the following fees for work to e done below Mean High Water Mark: "fiery truly yours, John M. Bred.emeyer, III President, Board of Trustee 3:dj CC: II _ il i �N 0 �( ® TRUSTEES John M.Bredemeyer,III,President %� SUPERVISOR Henry P. Smith,Vice President ✓ SCOTT L.HARRIS Albert J. Krupski,Jr. ,� John L.Bednoski Jr. =A� `' a`,9Town Hall John B.Tuthill 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: /Coastal Erosion Permit Application Wetland Permit Application Trustee Lands Permit Application Grandfather completed Apps. Date. 8 SQ? Variance Required, ff% Neighbors notified Date: � h SEQRA Type � ¢� Coord. Review-opt. ,mand. :7I nsp. comp. /date: b*_ 4 SEQRA Determin. /date: Public Hearing/date: Off 8 M2 Findings: Permit Vote: (Y/N) : Special Conditions: (also see file) Application Number; SCTM 41000- 113 — Project 13 —Project Name (If any) Dock. Date Prepared: 10-05-92 Applicant: David B. `,E'uthili Address: 2350 Deep Hole Drive, Box 48, iviattituck, NY 11952 Phone (516 )298-8340 Interest: (owner, consultant,lessee,etc. ) Gwner Owner of Property: ranee as applicant Address Phone ( ) Subject Property Location: 2350 Deena Hole Drive on the northeast side of lleela k3ole Creek see map (Provide LILCO Pole #, llistance to cross Streets if not on location map) THIS IS NOT A PERMIT County of Suffolk ) State of New York ) David B. Tuthill 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 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 TOWN 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 REPRESENTATIVE( s) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SIGNATURE SWORN TO BEFORE ME THIS 7L DAY OF , 191 OTARY PUBLIC LUCA ILK 3n SUN* 1 pp r <g Suggested space for location Map. THIS IS NOT A PERMIT Yds. to be excavated: none Yds. to be filled: none Manner in which material will be removed or deposited: Width of canal, creek or bay fronting property: 205 feet �y Aver. rise feet �i Depth at low tide: 1 � feet in tide: Distance to nearest channel: 15 feet Distance project extends beyond similar projects in area: none Area zoning: residential Land area in acres: 1 A Is project for private or business use: private Intended use of property: private home Describe known prior operations conducted on premises : Homebuilding, original plus addition; construction of dock ( now unusabbe ) , landfill by Southold Town dredging. Has any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: NO Has cense or permit ever been revoked or suspended H s an license b a � Y P P Y Governmental Agency: NO Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures. (i.e. , pipeline and septic system; make additional attachments if necessary) . `xock will be 4' X40' boardwalk with 8" Visiles 8' to 101 on center. a V X16' ra= to a 6' X20' floating dock with two 8"X25' piles or batter piles. Authorization (Where the applicant is not the owner) I W/A residing at N/A (Print-owner of subject property) (Mailing address-phone) do hereby authorize N/A to apply for Coastalrosion permit( s) from the Southold Town Trustees Signature THIS IS NOT A PERMIT 14.164 1,2f67)_.-Tease 32 PROJECT LD.iaUMISEib SEOR Appendix C State Environmental Quality Review SHORTENVIRONMENTAL T For UNLISTED ACTI IONS Only PART I— INFORMATiON (To be completed by Applicant or Project soon or) . A PLICANIT ISPONSO -- - 6"` R E David B. Tuthill Dock _ Municipality ToWn of Southold ( t c ) 1-'Ounty Suffolk 4. PRECISE LOGATiON(Street address and road Intersections,prominent iandrnaakv,etc.,or provide snap) - 2350 Deep Ll Drive,, Mattituck, North side of Deep mole creek, � Tax Map Data 1000-123-41-7 d _See MAP of PROPaRTY enclosed. 8. &S PROPOSED ACTIOM L New Ell Expansion Moditicationlai4eraVon � L€�.��?i3E PROJECTBRIEFLY: ._®.,.._wDock ill be 4':x"40' boardwalk with " piless, 81 to 101 on center, . ' rarnp to 6'X20' float. g dock with two 8"X251 piles -0-- batter -:batter ilex. I f 7. AMOUNT OF LAND AFFECTED: by dock a�minimal. acres . LIKI nateiy acres S. WILL PROPOSED ACTIONCOMPLYVNTH EXISTiNG Zfa�NNG OR OTHER EXISTING LAND USE RESTRICTIONS? M Yes D No it Nov describe briefly S. WHAT IS PRESENT LAID USE IN VICPNITY OF PROJECT? �_� i2 Residential El industriai Commercial dAgdculture ParldForestlOpen space 01 Lather Describe: I 10DOES ACTION INVOLVE A PERN11T APPROVAL,OR FUNDING, NOW OR ULT I A?'Es.Y FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOGAL10 Yes No it yes, 1;st agency( )and permitlapiprovais Board of Town Tr tees, Town of Southold application umitt d. t _ i 11. DOES ANY ASPECT®OF THE ACTION i°?A+,6E a3 CURRENTLY VAL0 PERMIT OR APPROVAL? --- "I Yea INo I#yes,IiWt agency name and rersnitrappsW gal 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERWT{APPROVAL REQUIRE izAOEIHFICAT'=ION?� fides N o I CERTIFY THAT THE INFO MATiON PROV0ED ABOVE IS TRUE TO THE BEST OF t'AY KNOWLEDGE Applicant/sponsor nt;sponsor r Haile: _ id - - - Tratethill ' v_ It the action IS In flhe Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment CROSS VIE VV P06RAM . REF. F-92-642 ___U�' AR�t/I Y C�,2PS off' ��IIGI t1EERS�Y DIS7: l�E/2f�1 f T PPL. �92-159lU-L 2 PEC I- 4738-00606/0000/-0 50 ____.__-___. 2,o 7'Y-P. - - - -- - - - - - - - - - - - - - - - IgLW - - - �--15 2° Q E F Y-0 NOW E 22 ' 141rEPTrflAL 12DEP7'r-f OF D -SC : DOCK RAMP FLOAT PIGS DEEP POLE CREEK CIO ° ' M�TT�TucK N�� m APPClCAAITT: PAV1D B. T"UTHILL PReP'�D 8Y. //AQLO 1,04P wj DAT-E /0-5--,? REV: /0 Z9-42 SCALE e 1,i� .�D' REV: f2-d¢-g REV- 4-21-9� "93 OFEIJC;,V��RS/rV�W}'Ok,C I�IsT PFLIMIT 4PA-, 92-15910-L2 I' �'C # 1-438-6460�f00Ol-0 X36 pis �C/) ti 19)3 w 0 � 4 AL1 1 �W In,A'l�: ,/.5) t��'Jf t PI L£S ONLY � 4'x 50' Dock 3 ` 3`X l2' �, I2�F PkoTQ V/,Cu/ � s _ r�r • �_X 20 FC 047" VTt 17'Y POLE S r A KES PILE r47- IV,47-7-17"UC 14� 9 Co, W AMP HM 9-A�-92 REV /0-29_92 12,- IN � ,sE 5EC k9 S s. nl .03 fl4R J - i s'e_ ~ '✓ ". j 3/Arl ! g ��•�" � � SflGB'1£OLFI y� g - S� 0�p _ a � g " a,. ^tel •. .F;�la> ai' s _&,�� \rata s.ascs r x�{�\] n vj �2 "s.-t.Y .•� ,✓' 80 ^� vas. 626'�.e.;�✓.�t�^''r ¢ Yh�Q 1a x�6 j`\'•\� 2�,r`a.'rN\ \ 9\+v t� 2b 6�, P.. �\_ �:. >ts \\see st"E,A ,+�.a„�r""Y°� a ,.KS✓ `t\ \,,.. � 4u5\SCea ` q 06 Q'o '""gag, •-� � i .�'�. mE 4F4.r.,,.s•s � fit.,:. Q/ E .'---"— ores a4pfFv.S E. E \ p•'-'_" �'