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HomeMy WebLinkAboutTR-10170 ft Glenn Goldsmith, President X "Zf 60 Town Hall Annex MP, A. Nicholas Krupski,Vice President I 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly CAI Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 It day of construction '/2 constructed When project complete, call for compliance inspection; .............. ............ .......... BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 10170DATE: JUNE 15,2022 ISSUED TO: KATHLEEN D. COLLINS &PAULINE C.REENEY(EXEC.) PROPERTY ADDRESS: 1457 PENINSULA ROAD,FISHERS ISLAND SCTM#: 1000-10-4-15.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 15, 2022, and in consideration of application fee in the sum of$250.00p aid by Kathleen Q. Collins&Pauline C. Heeney(Exec) and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: V Wetland Permit for the existing 3.5 x21 fixed dock secured by four(4) 4"x4l' posts; a 3'x12.5' 1 ramp; a 6.5'x331 floating dock secured by four(4)4"x4" posts; and a 6'xl2' floating dock situated in an "L"configuration; propose to replace eight(8) 4"x4" posts with eight(8) 10" gib: 9p diameter piles and install two (2) 10"diameter tie-off piles; and as depicted on the site plan prepared by Richard H. Strouse,LPE,dated August 23,2021, and stamped approved on June 15,2022. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the year and day first above written. %%3f F01 10621 C2 0 TERMS AND CONDITIONS The Permittee Kathleen D. Collins &Pauline C. Heeney(Exec.) residing at 6180 Clay Point Road 1457 Peninsula Road Fishers Island New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Perm ittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Glenn Goldsmith, President fjf SUj y Town Hall Annex O� ® A. Nicholas Krupski,Vice President �® �® 54375 Route 25 P.O. Box 1179 Eric Sepenoski E i Southold, New York 11971 Liz Gillooly CIOs G Telephone(631) 765-1892 Elizabeth Peeples ® y® Fax(631) 765-6641 0 nil BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 17, 2022 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: KATHLEEN D. COLLINS & PAULINE C. HEENEY (EXEC.) 1457 PENINSULA ROAD, FISHERS ISLAND SCTM# 1000-10-4-15.1 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 15, 2022 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting on behalf of KATHLEEN D. COLLINS & PAULINE C. HEENEY (EXEC.) applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 23, 2022, 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 Policy of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: issuance of a permit for the structures, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 15, 2022, at which time all interested persons were given an opportunity to be heard, and 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application KATHLEEN D. COLLINS & PAULINE C. HEENEY (EXEC.) for the existing 3.5'x21' fixed dock secured by four (4) 4"x4" posts; a 3'x12.5' ramp; a 6.5'x33' floating dock secured by four (4) 4"x4" posts; and a 6'x12' floating dock situated in an ".L" configuration; propose to replace eight (8) 4"x4" posts with eight (8) 10" diameter piles and install two (2) 10" diameter tie-off piles; and as depicted on the site plan prepared by Richard H. Strouse, LPE, dated August 23, 2021, and stamped approved on June 15, 2022. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $ 50.00 V e r ly your o Glenn Goldsmith President, Board of Trustees GG:dd f� 4 DARBIES COVE WEST HARBOR D SITE p E C E I V E ° 45 MAR 2 3 2422 a Southold Town Board of Trustees J V) V) Z Z w a EAST END ROAO NOTES SCALE: 1 =400 ABUTTERS LEGEND 1.) THIS SURVEY -WAS PREPARED FOR THE PARTIES AND -PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO 1.) McNAMARA FAMILY TRUST BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE KAREN P. LOGROPPO ENGAGEMENT. 20 KALMIA STREET 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, NORTHPORT, NY 11731 UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO 2 ) R. BRADFORD BURNHAM ALTER AN ITEM IN ANY WAY. 915 FIFTH AVENUE FL 19 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S NEW YORK, NY 10010 'SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR. 3.) PENN duPONT SANGER 1.616 PENINSULA ROAD 4.) THE SITE IS LOCATED IN FLOOD ZONE AE ELEVATION 9 PER FIRM (FLOOD #608 INSURANCE RATE MAP) FOR SUFFOLK COUNTY, NEW YORK. COMMUNITY FISHERS ISLAND, NY 06390 NUMBER 36103C, MAP NUMBER 36103CO019H MAP REVISED SEPTEMBER 125, 2009. ,r 4.) PENINSULA SHAD ROW LLC s 1522 PENINSULA ROAD 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK 7LaX MAP D� #16 1000, SECTION 010, BLOCK 4, LOT 15.1. ^ ,d FISHERS ISLAND, NY 06390 6.) TOTAL AREA = 0.23± ACRES (10,065± S.F.) 7.) SITE IS LOCATED IN R-40 ZONE. ,-h, 5.) PIRATES COVE MARINE LLC 8.) BASE FOR LEVELS: NAVD88 �r ur , ` ` ' ;+ 1422 365 PENINSULA ROAD .t� APIP LICANTv ,5 FISHERS ISLAND, NY 06390 PAULINE C. HEENE R E V I S I O N S 1341 WALNUT STREET NEWTON, MASSACHUSETTS 02461 PLAN OF EXISTING DOCK & PROPOSED RENOVATIONS PREPARED FOR 33 Wilbur Cross Way,Mansfield,CT 06268 PAULINE C. HEENEY 101 East River Drive,1 st'Floor East Hartford,CT 06108 1457 PENINSULA ROAD 860-885-1055 1 www.chacompanies.com FISHERS ISLAND, NEW YORK DATE:08/23/21 I SCALE:AS NOTED SHEET- 1 OF 3 JOB # 066732 a DECEIVE PROVIDE 4— 10" DIA. PILES FOR FLOAT MAR 2 3 20� SUPPORT AND 2- NOTE- 10" DIA. TIE-OFF THERE IS N COASTAL y 7PILES THIS I NEROSEA ®ld�T}m(w�m�� Bow of o �a 7 oP� ISS \ GP (FOUND) 0 \ — ( o EXISTING 3.5' WIDE FIXED DOCK, E� RAMP & FLOATS \ \�? � �� / O. O• C Rt✓5� `\ 4 RETAINING WALL 4' !y \ wv \N r MN A 3° ` \ �TF=4.73 \\ �ti =` , LIMITS OF )2. 94' POLE \ C u TIDAL WETLANDS =g°0„ w #465 �\ \\ \ VERIFIED BY G. JUST 03-25-2021 o N 6�42 3p\\ BOAR® OF i RWS ES ��p�1 SOUTH® ; TOWNOF MON. p-y� �^ 1. �Il F1 (FOUND) DATE V V ts1 �i/ � �'cf. � T S/� j� C 4 POLE \`1 ���'p z �R//VF COV O� #{464 \" .I ° F -.--'EX-I-STI-N.-C_.0 O-ND I. I 0 N & PROPOSED RENOV TIONS LEGEND —12— — EXISTING CONTOUR R E V I S 1 0 N S x -^4.6 EXISTING SPOT GRADE ELEVATION 30 15 0 30 GRAPHIC SCALE IN FEET PLAN OF EXISTING DOCK & PROPOSED RENOVATIONS PREPARED FOR 33 Wilbur-Cross Way,Mansfield,-CT 06268 PAULINE C. HEENEY 101 East River Drive,1st Floor East Hartford,CT 06108 1457 PENINSULA ROAD 860-885-1055 1 www.chacompanies.com FISHERS ISLAND, NEW YORK DATE: 08/23/7_i SCALE: 1'=30' SHEET:2 OF 3 JOB # 066732 r � NOTE. ALL MATERIALS 2" IRON PIPE TO BE CCA TIMBER SUPPORTS (3 SUPPORTING 4" X 4" POSTS FLOATS) EXISTING (TYP.) FIXED DOCK— REMOVE EXISTING PIPE 21t FT. LONG ELEV. 3.6't SUPPORTS—PROVIDE 10" DIA. PILES (SEE SHEET 2) s I , 12' 1 RAMP I rjD E C E IV FLOAT I VE - _ SHW �� f MAR 2 3 2022 - -�� MEAN HIGH WATER 0 — Southold Town j Board of Trustees F _ I TIDAL WETLANDS MEAN LOW WATER P PILINGS TO BE DRIVEN 25' MINIMUM GRADE EXISTING OR TO REFUSAL 0+00 0+50 1+00 4" X 4" WOOD PROFILE POSTS (TYP.) SCALE: HORIZ.— 1"_ 40' VERT.— 1"= 4' I" X 6" WOOD DECKING 2" X 10" 2" X 8" (TYP.) 2" X 4" (TYP.) c 2" X 4" (TYP.) f D ETAI L SCALE: 1" = 4' R E V I S 1 0 N S PLAN OF EXISTING DOCK & PROPOSED RENOVATIONS PREPARED FOR- 33 Wilbur Cross Way,Mansfield,CT 06268 PAULINE C. HEENEY -101 East River Drive,1st Floor East Hartford,CT 06108 1457 PENINSULA ROAD 860-885-10551 www.chacompanies.com FISHERS ISLAND, NEW YORK DATE:08/23/21 1 SCALE:AS NOTED SHEET:3 OF 3 IJOB # 066732 Glenn Goldsmith, President ay Town Trustees A Nicholas Krupski, Vice-PresidentH = 54375 Route 25 Eric Sepenoski o ^* P.O. Box 1179 Liz Gillooly Southold, NY 11971 y � Elizabeth Peeples �1 " ' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: KATHLEEN D. COLLINS & PAULINE C. HEENEY c/o J.M.O. ENVIRON Please be advised that your application dated March 23, 2022 has been reviewed by this Board at the regular meeting of June 15, 2022 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) %Constructed ($50.00) x Final Inspection Fee ($50.00) - Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 50.00 BY: Glenn Goldsmith, President Board of Trustees f 6 Glenn Goldsmith,President �O��g�FFU(4-cpG Town Hall Annex A.Nicholas Krupski,Vice President y1 54375-Route 25 Eric Sepenoski y z n, P.O.Box 1179 Liz Gillooly Southold,NY 11971 Elizabeth Peeples �Ol ,� ��,yv Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: J.M.O. Environmental Consulting on behalf of KATHLEEN D. COLLINS & PAULINE C. HEENEY (EXC.) requests a Wetland Permit for the existing 3.5'x21' fixed dock secured by four (4) 4"x4" posts; a 3'x12.5' ramp; a 6.5'x33' floating dock secured by four (4) 4"x4" posts; and a 6'x12' floating dock situated in an "L" configuration; propose to replace eight (8) 4"x4" posts with eight (8) 10" diameter piles and install two (2) 10" diameter tie-off piles. Located: 1457 Peninsula Road, Fishers Island. SCTM# 1000-10- 4-15.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples s ' DARBIES COVE WEST ARBOR 2 (D SITE ECEIVE 04_ilRi 0 MAR 2 3 2022 Southold Town a Board of Trustees o z z w 4 - FAST fN0 ROAO NOTES SCALE: 1 =400 " ABUTTERS LEGEND 1.) THIS SURVEY -WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO 1.) McNAMARA FAMILY TRUST BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE KAREN P. LOGROPPO ENGAGEMENT.. 20 KALMIA STREET 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, NORTHPORT, NY 11731 UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY. 2.) R. BRADFORD BURNHAM 915 FIFTH AVENUE FL 19 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S NEW YORK, NY 10010 SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR. 3.) PENN duPONT SANGER 161-6 PENINSULA ROAD 4.) THE SITE IS LOCATED IN FLOOD ZONE AE ELEVATION 9 PER FIRM (FLOOD #608 INSURANCE RATE MAP) FOR SUFFOLK COUNTY, NEW YORK. COMMUNITY FISHERS ISLAND, NY 06390 NUMBER 36103C, MAP NUMBER 36103CO019H MAP REVISED SEPTEMBER-_25 2009. ;' z�4 3r e�j1 pU . 4.) PENINSULA SHAD ROW LLC ,� 1522 PENINSULA ROAD 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK,rTMAP o,' 1000, SECTION 010, BLOCK 4, LOT 15.1. s' y, `u #16 sr`r FISHERS ISLAND, NY 06390 -6.) TOTAL AREA 0.23± ACRES (10;065± S.F.) 7.) SITE IS LOCATED IN R-40 ZONE {' _ , 5.) PIRATES COVE MARINE LLC �'I - rF� ' 1 1422 PENINSULA ROAD 8.) BASE FOR LEVELS: NAVD88 r ` r #365 APPLICANT:' "s5 -'�`} FISHERS ISLAND, NY 06390 PAULINE C. HEENE R E V I S 1 0 N S 1341 WALNUT STREET NEWTON, MASSACHUSETTS 02461 PLAN OF EXISTING DOCK & PROPOSED RENOVATIONS PREPARED FOR 33 Wilbur Cross Way,Mansfield,CT b6268 PAULINE C. HEENEY 101 East River Drive,-Ist Floor East Hartford,CT 06108 1457 PENINSULA ROAD 860-885-10551 www.chacompanies.com FISHERS ISLAND, NEW YORK DATE: 8/23/21 1 SCALE:AS NOTED SHEET: 1 OF 3 JOB # 066732 MAR 2 3 209Ul PILES 4- 10" DIA. PILES FOR FLOAT SUPPORT AND 2- NOTE- 10" DIA. TIE-OFF THERE IS NO COASTAL --+ PILES EROSION HAZARD LINE I j ggWNoIdT1 THIS AREA _ E3n^rt?cfTNstei MON.- -� w n��' -0"5( (FOUND) S � � <o Lp MON. (POUND) CIO. O= I EXISTING 3.5' WIDE \ rn �� �� " \ FIXED DOCK, RAMP & FLOATS RETAINING WALL wv MH AF N 30'94'\ \ POL�TF=4.73 \\ �ti LIMITS OF n ' TIDAL WETLANDS #465 \ \ VERIFIED BY \\ \� G. JUST 03-25-2021 L I N 9 .30, 214, a� � AD N/S •. U m00 SH 2 ROW 0 LL MON. (FOUND) .6,i ifs 7POLE #464 p�, •- SCC � EXISTING CONDITIONS BC PROPOSED RENOV TIONS LEGEND —12— — EXISTING CONTOUR R E V I S 1 0 N S x -4.6 EXISTING SPOT GRADE ELEVATION 30 15 0 30 GRAPHIC SCALE IN FEET PLAN OF EXISTING DOCK & PROPOSED RENOVATIONS PREPARED FOR 33 Wilbur Cross Way,Mansfield,-CT 06268 PAULINE C. HEENEY 101 East River Drive,1st Floor East Hartford,CT 06108 1457 PENINSULA ROAD 860-885-1055 1 www.chacompanies.com FISHERS ISLAND, NEW YORK DATE: 08/23/21 SCALE: 1'=30' SHEET:2 OF 3 JOB # 066732 s , NOTE: ALL MATERIALS 2" IRON PIPE TO BE CCA TIMBER SUPPORTS (3 SUPPORTING 4" X 4" POSTS FLOATS) EXISTING (TYP.. FIXED DOCK— REMOVE EXISTING PIPE 21t FT. LONG ELEV. 3.6't SUPPORTS—PROVIDE 10" DIA. PILES (SEE SHEET 2) E C E I V ED I RAMP \ FLOAT MAR 2 3 2022 - SHW MEAN HIGH WATER Southold Town Board of Trustees 0 LIMITS OF TIDAL WETLANDS \ — i —fl MEAN LOW WATER PILINGS TO BE DRIVEN 25' MINIMUM EXISTING I OR TO REFUSAL GRADE 0+00 0+50 1+00 4' X 4" WOOD PROFILE POSTS (TYP.) SCALE: HORIZ.— 1"= 40' VERT.— 1"= 4' 1" X 6" WOOD DECKING 2" X 10" 2" X 8" (TYP.) 2" X 4" (TYP.) X 4" (TYP.) 2" X 4" (TYP.) D ETAI L SCALE: 1" = 4' R E V I S 1 0 N S PLAN OF EXISTING DOCK & PROPOSED RENOVATIONS PREPARED FOR 33 Wilbur Cross Way,Mansfield,CT 06268 PAULINE C. HEENEY 101 East River Drive,1st Floor East Hartford,CT 06108 1457 PENINSULA ROAD C+tk860-885-1055 1 www.chacompanies.com FISHERS ISLAND, NEW YORK DATE:08/2.3/21 SCALE:AS NOIED SHEEP:3 OF 3 JOB 066732 Glenn Goldsmith,President � e.19, Town Hall Annex A.Nicholas Krupski,Vice President .e 54375 Route 25 0 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples �Ol �� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 611512.z-co Completed infield by: !R-. J.M.O. Environmental Consulting on behalf of KATHLEEN D. COLLINS & PAULINE C. HEENEY (EXC'.) requests a Wetland Permit for the existing 3.5'x21' fixed dock secured by four (4) 4"x4" posts; a 3'x12.5' ramp; a 6.5'x33' floating dock secured by four (4) 4"x4" posts; and a 6'x12' floating dock situated in an "L" configuration; propose to replace eight (8) 4"x4" posts with eight (8) 10" diameter piles and install two (2) 10" diameter tie-off piles. Located: 1457 Peninsula Road, Fishers Island. SCTM# 1000-10- 4-15.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: V Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: _Review in MA, se%im Present Were: V G. G Idsmith ZN.7E. ski �/ E. Sepenoski L. Gillooly Peeples Collins-&Heaney 1457 Penninsula Rd., Fishers Island ! M#: 100D-10-4-15.1 0 /15/22 4 �,. CP\ PROVIDE 4- 10" DIA. PILES FOR FLOAT I SUPPORT AND 2- NOTE- �'p Q 10" DIA. TIE-OFF THERE IS NO COASTAL EROSION HAZARD LINE IN PILES o9n� �� THIS AREA 0�1- MON. � 4\15'( (FOUND) I� O ✓ , ^ a� MON. �. L 'FOUND) \ \ O P 0= EXISTING 3.5' WIDE FIXED DOCK, r\ RAMP & FLOATE / �0 \O� RE' LRE � TAINING \ ,WALL L. ^ 'I_ 30.9 LIMITS OF�? 4 18'p TIDAL WETLANDS ' V \ , S 0" _VERIFIED BY G. JUST 03-25-2021 2 rV 6� 3044, ' O ` SNA p NROSU(q app etc �. MON. (FOiJND) p�RATE MgRiNF cod' �D,q ((C \ EXISTING CONDITIONS & PROPOSED RENOV TIONS LEGEND EXISTING CONTOUR 3 E V I S 1 0 N S EXISTING SPOT GRADE ELEVATION 0 ---- - _ter--:--- ---- GRAPHIC SCALE IN FEE ;'LAC OF EXISTING JOCK & PROPOSED RENOVATIONS FNE _D FOR ' 33 Wilbur Cross Way,Mansfield,CT 06268 PAULINC. HEENEY 101 East River Drive, 1st Floor 1457 aENINSULA ROACA _ East Hartford.CT 06108 FISHERS ISLAND, NEW YORK cl 860-885-1055 www.ch a companies.com DAi4: SCALE: ' SHEFf: ,;OB # 066732 i j x P r i - f w a. x i 4 J r I r � y � Vii` •r \� 1 '� t `' a 7. ir. - Ft,.s y'w` su ••�.tis,�1`.q �+ °'Li ie ,y,n- ";t: 1'" 'i' l- .._- �i .1 - «�� ,- L �w,r - ` ; ..+kr - .. :Y��E.� �.in�1 .. '� F'��.�•�+"�'-vp� 'cW r =CJL MN: �dti_.:� Ln 100, i 3d 'Y, �� } '" 9 +�� _. -.4' . � � ♦ � i. /� �3�. 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' / }� y.<� t.b '�• / 4 .i/�: ^� z 'V - DECREE/FINAN(-'lz-u, :'ORT STATE OF l L. fICUT RECORDED: AND DISTRIBUTION DECEDENT'S ESTATE COURT OF PROBATE PC-263A REV 1/14 Page 1 of 1 COURT OF PROBATE, Plainfield-Killingly Probate Court DISTRICT NO.PD27 ESTATE OF _ FIDUCIARY Pauline C.Heeney, 1341 Walnut Street,Newton,MA 02461 Kathleen D. Collins (14-00090) DATE OF FINANCIAL REPORT December 21,2016 ,deceased On the petition of the fiduciary for the approval of the Financial Report,ascertainment of distributees and an order of distribution, as of record appears, PRESIDING JUDGE:Hon. Andrea L.Truppa THE COURT FINDS that: All persons known to be interested in these proceedings have received a Notice Re:Probate Petition/Decedent's Estate,PC-236C. No distributee has filed an objection or petitioned the court for a hearing. The fiduciary has certified to the court that a copy of the Financial Report and Addendum dated July 2018 has been sent to all. parties and attorneys of record. There is no estate tax due the State of Connecticut. WHEREFORE, it is ORDERED AND DECREED that: The final financial report is approved. The rest, residue,and remainder, if any, of the estate or trust is to be distributed,transferred and_paid by the fiduciary thereof in accordan, the findings of the court as indicated above. The fiduciary is released from liability with respect to all items shown in the final financial report pursuant to C.G.S.section 45a-176. Dated at Plainfield, Connecticut,this 16th day of July 2018. �'. ... .........., ..................................................................... Andrea L. Truppa,Judge As used in this decree,the word fiduciary includes the plural,where the context requires. CERTIFICATION The undersigned hereby certifies that a copy of the above decree was mailed on 7/ i (0/18 to the following as provided in the Probate Court Rules of Procedure, section 8.2: Name and Address Pauline C.Heeney, 1341 Walnut Street,Newton, MA 02461 Catherine A. Collins,255 Promenade Street Apt. 335,Providence,RI 02908 Nan Scott,Chief Clerk DECREE/FINANCIAL REPORT AND DISTIBUTION DECEDENT'S ESTATE f PC-263A s REGISTRY DIVISION ROF. 'TliE CITY OF BOSTON GO€JWPY0FSUFFOLK CCtv9A.4QPttNIRCniOFAdA,si,SF?CHUSEYP'5,UNt'rEI3M7E90FAt2ER7C+t ; Certificate R NO C II the Earralersirten!heret5y cerl ,<thtrt I htrhl ffie riff tce (e.. City Regi stair°of`the Cit}!<rf`Bostcrn talrcf l certif y the f«ffrytvin factx apl,,ear rrrT tfre rer(M is(Oirths,Af'arriage;s and Deaths,kept in said City as mquired by ffr;t T lje Cntitt7lottii rattl at p�lassnd tfs#ettK ([y�{{��{!�77 f� t SP, , ) Sr OQ42Ham( ' `� STAXrUAP:t10ERT35fCA[6 OF tJfrttrtt � � t ..� nCGiwlreY 'VYfAfrtig¢^pjrtlxy,+epxtarsrr .. �.txx�x.raex. eta..,, arzt. - .. 'm rc. sa ,*r-e a srtzanc�ax.f -. ,ter ens+' r aa+ ws�vs r<a a cars xvi 4. l itlh fr oil 7atr! MuguL:B, - .. �A,�F"fr 'F: &•a..P �Po faa It,�3 .'-""..�...�Fn;�•�gi r��Us:,�PUYtsrcns�. urnwnn e�f.a.w+?' x.+Y ,"'"""�." t3ostati Suffolk Dana Farber Cancer Institute �a+e teats rx =>�.dtu ,�F>an»sfx�arxa 1,30 28-4587 �� �� FYYg63w�K2�A zaA - € STtlet(•"S@[ X,VE(tp eL'Y�itAY lz 1W, apt 7, 19. Canada .m 9xe c ac ua s lu..sw .wk"+Iclxzuamtxsi �..u"-Z�' `3"�i '3aT" a Kathleen t3aoleyi— I General M nal;ete .Wir,e &4 Cable Co. � � �ope� .` f' itazeld Windham CT } 374 .r.c. , ....... _.m., sr x:e< w�.+s,arma ss m� s- rPng.`"'-"""- , .1,, .4�,maei a1Gwa2,l Collinsr �� anac a AtEtt oseithYl pnaid u `aiiat'Ta Im - ,nxu w:a.ria„ ,s.ko o?_txrn eJ'trr 4znr Yr nrnazs�r-rav •. Katileen Collins 30 1oer Rd., P ainl`xe� -CI''{16374 a �.* � 'eH, r r<s xx. �,un�ra�;c u }tx ca•nfw �uaec �� < °"sue aatam t �s sfr«n��faxastare: Robert."7. Lawler, �Jr: - 4 e�� 5784, SttxciaeCremator �"` - -- ioston MA s .r ^^---- > Aug 13, 2012 S wler �Crosby funeral Hone 1803 Centre St. BostonmA (721.32 sxa $ —1V i d s .. txa«sy:atio-esu ae ti-:v Wtt P, rogt x„�».a xRae rtuzpp3vH enf s2-k*s Remit 4sa✓sga,ase+c-w}spxeq F t'I�dT qA fSAke:FAX7&C8V4R-tSY - HM oda.fhrat+hY l!awv+ .. r„,c...,✓„s 1'SBtiTtkOTlifi WBEI{$ ` Disseminated infection. a r«,n t WEEKS vAG,T -�Nkai Fr?'d<'daR csxeSfxkK Y!W'4isdx�iti�neHF�rAy tar.�.sM1i]14:6&A m9<FXe)... .-'.. IAS AVi� {'pV f68r' YNllA.Lhfak � . Se�&wtHlR'Y6JW a� a� Ile t-1 PRO.M �x nrai lrmm '+af . N YEE nsrrurrf �larrrc+aw, asp asI:lxnavxslrexn,.€sem�xaa ac,Mr i; eu 'aas�s �g-e-a- ;vw mw ZZs k10 ..3ac$xs'a C'wax_ s.resa.zttz u<,>�-�ruseesuYt __.. ___w_ 're a;. I aeuth a% cs uaxsrr f+t+^.' a['C&ikw evs e ac,"ayf""eAae�.�� rj +»>r axuac xm,m,r ate„ . - �yw`"`++-..,,, �y2y�` P Y�� 'pa.uv�ux e�ixii6w rame �wsa s±Aee cal G:nmRa �gg it. `,>sM�3t a+ im nsm yecFpgr�:a�..4sas,aciwdMhe Cao. 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Brighton � -.... ............1874 of the AsAttarrfCiifRe¢lstr1msliallhave 11wsamctorctswrle"fTctls-i 6Test its�€a!r}• - that Of the Ciry Et�� ear, fy&-11A v_., .,."i'912� r Jr obx m ,0�-00 � 1� ••q 0 �¢on - raNa yc rl0 12-Zeno `f t .)cam 11Wn1 't. S' 2'9A 2B-0? f 11 $•/.gip 3- 06164 GOOseNp R'J 4[V .� HENRYNUBERG— '9 A9P13A(l)so, 4 /SU F t , 6� Wa o9xoDD { ��.� �_ _t 2onn1• C _ � a Obttus 4 I ( obt o s . , ate } _ t a, ,2i n to Wc) wesr HAR80F 1o.[M a1 z ie axasxo o"•o ,z9 9... (caearH.vteorry .1 r z. ', a s � 02 ( aeA ' K �¢ 1. aLoexseracoaK � m �'�MA AL_ 4/ __°' 6/ rY eto sG Z • ..., � � ?¢- o , •�°4e D F 11 G.""'r �fgY/ P %l ,zm © _ 0 ry `S a• t a, �s w _ z� 21" 17. NENRv o.FERweo 2� d �.• NMUSEUN A2Ne1 `s o`• ` a 71• 1214 WI IJA ,z,s q.., (A`�? F.D.27\ a 1M ,x.n ,z„ ••'a,'• ' zSNa ,�_ ,.w z�Wc) ,.s ,.0 2iYc) yL , 'io ,_„'�� ® ,.ra2 1 er' 1 a a s. -.<. ,eu aa +a e c au ' ,,�" � Zola i y 4.2 •� n9 / ♦ tWe) —t— - _ 104sEe.No.,m +.2A(a � f c4' EEE . Wa ..,. 0 i O / f rCOUNTY OF SUFFOLK© N NOTwE e R.o. 1ea sEcrwN Nu Reel Property Tax Service Agency v '1 E —_ ., w ^ .Np awl9n,an 010 N �" ——'—— �——•—— ,._ . iao (21) �.. .. p ar ____— 9 OFFICE LOCATION: ��" MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 OUN LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: June 7, 2022 Re: LWRP Coastal Consistency Review for KATHLEEN D. COLLINS & PAULINE C. HEENEY (EXC.) SCTM# 1000-10-4-15.1 J.M.O. Environmental Consulting on behalf of KATHLEEN D. COLLINS & PAULINE C. HEENEY (EXC.) requests a Wetland Permit for the existing 3.5'x21'fixed dock secured by four (4) 4"x4" posts; a 3'x12.5' ramp; a 6.5'x33' floating dock secured by four (4) 4"x4" posts; and a 6'x12' floating dock situated in an "L" configuration; propose to replace eight (8) 4"x4" posts with eight (8) 10" diameter piles and install two (2) 10" diameter tie-off piles. Located: 1457 Peninsula Road, Fishers Island. SCTM# 1000-10-4-15.1 The proposed as built dock 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 proposal is INCONSISTENT with LWRP Policy 6.3 therefore, INCONSISTENT with the LWRP. In the event that the action is approved, an alternative to CCA treated pilings is recommended. 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: Honorable Lori Hulse, Attorney o�OSUFFOt�-�® John G.Stein,Chairpersonti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 y'flpl �ao� 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., May 11, 2022 the following recommendation was made: KATHLEEN D. COLLINS & PAULINE C. HEENEY to replace fixed dock support posts with four 10" piles; install four 10" piles for floating dock support and install two 10" tie-off piles. Located: 1457 Peninsula Road, Fishers Island. SCTM#10-4-15.1 The CAC did not make an inspection, therefore no recommendation was made. C'-Tenn Goldsmith,President *0 so(/�y Town Hall Annex ..Aliael J.Domino,Vice-President ,`O� Ol0 54375 Route 25 ; P.O.Box 1179 John M.Bredemeyer III l�[ 1 Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 - Greg Williams �� Fax(631) 765-6641 D OF TOWN TRUSTEES BOAR �FMAR TOWN OF SOUTHOLD 2 3 202 This Section For Office Use Only _ Southol Town /,Coastal Erosion Permit Application Board of Trustees Wetland Permit Application - Administrative Permit rReceived endment/Transfer/Extension eived Application:Fee: $ ZSO .O -Completed Application: 3.2 •ZY Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: �oordination:(date sent): WRP Consistency Ass ssmept Form,Sent: d / AC Referral Sent: Date of Inspection: Receipt of CAC Report: Technical Review: Public Hearing Held: /J1la� Resolution: kA Owner(s) Legal Name of Property (as shown on Deed)� e< QC,n�.a r � Mailing Address: 13t-ll WG,\N�� , K)A ]AUn I NSA M 4Co r Phone Number: Suffolk County Tax Map Number: 1000 - I C? 4 S, Property Location: ,� rsx su\o-TkA,S �, :]�S4 Q OA, (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): SVQ n 2 Mailing Address: �(�.F�C�,L 14LJ ��m5�JIC�T.&)�f Phone Number: (0 0S_SNOQ a, � i Heeney - .1457 Peninsula Road, Fishers Island Existing 3.5'x 21' fixed dock secured by four (4) 4"x4" posts; 3'x 12.5' ramp; 6.5' x 33' float secured by four (4) 4"x4" posts and a 6' x 12' float in an "L" configuration. Applicant proposes to replace eight (8) 4" x 4" posts with eight (8) 10" piles and install two (2) 10" tie off piles. GENERAL DATA Land Area(iii square feet): Area Zoning: Previous use of property: ,\n oyo- Intended use of property: :Snvp�e Covenants and Restrictions on property? Yes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes -/-No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes L 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 -�L No Does the structure(s) on property have a valid Certificate of Occupancy? ')4- Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 4 No Yes If yes, provide explanation: Project Description (use attachments if necessary): Am-L-C���C +0 t�ks 4C4\04 ckc� &=A an�& -1 nsw� -�Qo - � WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: C' Supr4� An2Ank�a:�Inq o4 tCle-Y4 Area of wetlands on lot: 4 `3,LA0Q square feet Percent coverage of lot: i\ C; % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: (X feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? M - cubic yards How much material will be filled? n ka- cubic yards Depth of which material will be removed or deposited: a-A- feet Proposed slope throughout the area of operations: () C' Manner in which material will be removed or deposited: 0 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): o � 4V\12J ShO�A\ be nQ n��VE k 1�- J � Short Environmental Assessment Form Part 1 -Project Information Instructions for ComWeting Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to fiurther 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: Dock support Project Location(describe,and attach a location map): 1457 Peninsula Road,Fishers Island Location map enclosed Brief Description of Proposed Action: Applicant proposes to replace fixed dock support posts with four 10"piles;install four 10"piles for float dock support and install two 10"tie-off piles. Name of Applicant or Sponsor: Telephone: 617-331-9375 Kathleen D.Collins and Pauline C.Heeney(exc.) E-Mail: pmcheeney@gmail.com Address: 1341 Walnut Street City/PO: State: Zip Code: Newton MA 02461 -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 may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes,list agency(s)name and pen-nit or approval:Southold Town Trustees,N.Y.S.D.E.C.,-N.Y.S.D.O.S.-&-U.S:A.C:O.E. ❑ 3. a.Total acreage of the site of the proposed action? 0.23 acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.23 acres 4. Check all land uses that occur on,-are adjoining or-near-the proposed action: ❑Urban ✓❑ Rural(non-agriculture) ❑ Industrial ❑ ,Commercial ❑ Residential (suburban) ❑Forest .❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Pagel of 3 SEAF 2019 5. Is the proposed action, NO YES N/A a. A pennitted use under the zoning regulations? ❑ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑ NO YES 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? 7. Is the site.of the proposedaction,located-in,or-docs it adjoin,-a state listed Critical Environmental.Area? NO- YES Fishers Island Sound If Yes,identify: ❑ NO YES 8. a. Will the proposed action result in a substantial increase.in-traffic above present levels? ❑ ❑ b. Are public transportation services available at or near the site of the proposed action? ❑ c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed ❑ .action? 7Z 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: ❑ W] 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for-providing potable water: 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treahnent: On site sanitary system F F-1 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the ❑ Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b.Is the project site,or any portion of it,located in or adjacent to an area designated as sensitive for archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lauds 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? ❑ ❑L If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: West Harbor Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to-be found on the project site.Check all that apply: Shoreline ❑ Forest ❑Agricultural/grasslands ❑ Early mid-successional ✓❑Wetland ❑ Urban ❑ Suburban 15. Does the site-of the proposed action contain any species-of animal,-or associated habitats,-listed by the State or NO YES Federal government as threatened or endangered? ❑ ❑ 16. Is the project site located in the 100-year flood plan? NO YES F] W-1 17. Will the-proposed action-create storm waterdischarge,either.from-point.or non-point sources? NO YES If Yes, ❑ a. Will storm water discharges flow to adjacent properties? ❑ ❑ b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? ❑ ❑ If Yes,briefly describe: - 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain.the purpose-and size of the-impoundment: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed) for hazardous waste? If Yes,describe: I-CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND-ACCURATE TO THE-BEST-OF MY KNOWLEDGE Applicant/sponsor/name: Glenn E.,lust Date:March 22,2022 Signature: Title;Agent PRINT FORM Page 3 of 3 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSUREFORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the vart of town officers and employees.The u ose of this form is to rovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: U C-�, l�r�P NI [� .. r (Last name,first name,*iddie 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 ofZone - Approval of plat Coastal Erosion Exemption from plat or official map Mooring Other Planning (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,rgarriage,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 D� 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 a f 202. Signature Form TSI — Print Name :�ion Board of Trustees Applic:� AUTHORIZATION (Where the applicant is not the owner) 1 �'� I/We, _k_ I � �, owners of the property.identified as SCTM# 1000- 0 t0` in the town of ,S1�rS SS l0 New York, hereby authorizes oenin --JZA S-) r 1 -Oliov to act as my agent and handle all necessary work involved with the application process for pernlit(s) from the Southold Town Board of Trustees for this property. ` Property Owner's S'i'gnatureoperty Owner's Signature 7 SWORN TO BEFORE ME THIS , DAY OF 20 22 Notary Public SHAWN R.MCNAMAM q• NOTARY PUBLIC 1�A COMMONWEALTH OF MASSACHUSM MY COMMISSION EXPIRES 03/10/2028 Board of Trustees Application AFFIDAVIT t4YJW e� ��. BEIN DULY ORN 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. S gnature of Property caner7 1gnatn1e of roperty Owner SWORN TO BEFORE ME THIS /6-K DAY OF J vin r-C A , 20= No Zry Public 7 SHAWN R.MCNAMARA NOTARY PUBLIC COMMONWEALTH OF MASSACHUSETTS MY COMMISSION EXPIRES 03/10/2028 APPLICANT/AGEN'T/RE-PRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Town of Southold's Code of Ethics prohibits conflicts of intcrest on the part of town officers and employees.The purpose of ,this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: l e e Jit°y ,7.t i A,1P C (Last nam6,first name,piddI6 initial,un—less 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 theactivity.) Do you personally(or through your company,spouse,sibling,parent,or child)haven relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriagc,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 o(licer or employee owns more than 5%of the shares. YES NO If you answered"'YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the 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,a 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 day of 1120 (9, Signature Print Name �� .--• _ Form TS 1 Board of Trustees Applin PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: NAME: /a - y - Ia, 3 3 . D- 3- /0 - 3-/o lo - 3 - 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 their 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 located at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this Day of . 20 Notary Public �.yilx4=� Glenn Goldsmith,President ~�oL4glIFFQLq`oGyr`` Town Hall Annex A.Nicholas Krupski, Vice President 54375 Route 25 Eric Sepenoski c 'l co zd P.O. Box 1 179 Liz Gillooly �I s �j Southold NY 11971 Elizabeth Peeples J�j01 �y0y� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ---------------------------------------------- In the Matter of the Application of KATHLEEN D. COLLINS & PAULINE C. HEENEY EXC. COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING D "N' T"`CI�VId'EE�TE�THIS`FORM 1111�TI� THE P�STIN� �� 9���%�A .q,��,�' II T,SLA'C FOR A'7° EA 'T SE VEN DA Y�S`PJ?,j 'O 9Li&W 1qT-E'=C0MPEETE_THIS FORM_ONE GTH AaY OR. TER C , residing at/dba � •� 7 �l� �L1�,�-. /cEl C C being duly sworn, depose and say. That on the 3 day of Tom_ , 20ao'l-,J personally posted the property known as lLt -�-? t e— fe:)- ad. by placing the Board of Trustees official noticing poster where it can easily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday, June 15, 2022. Dated: (signature) IIIIIIIIIIIIIIf/f Sworn to beforg me this DAQ,fff I3 day of 20 1on ' .��o� i'•• '. OAC• oz,�E4'° jar, b lc ®,>°4 J.M.0. Environmental Consulting, Services June 13, 2022 ID , EC� E0VE Mr. Glenn Goldsmith, President Board of Town Trustees JUN _-_ 1_12022 Town of Southold Town Hall Annex Southold Town Bo 54375 Route 25 ard of Trustees P.O. Box 1179 Southold; NY 11971 Re: Application for Kathleen D. Collins & Pauline C. Heeney (Exc.) 1457 Peninsula Road, Fishers Island S.C.T.M.No. 1000-10-4-15.1 Dear Mr. Goldsmith- Enclosed please find are the "Green Cards" for the mailings of the Notice of PuF °! COMPLETE THIS DELIVERY SEN.PE.: COMPLETE THIS SECTION Resp t • Complete items 1,2;and 3. A..Signure Print our name and address on the reverse _ Agent f so that we can return the card to you. K dressee B. ceived b nr�ted N eJ� C. Da elivery ■ Attach this card to the back of the mailpiece, .( tea` S M or on the front if space permits. _ ! 1. Article Addressed to:. D. Is delivery address diffe m Re ❑ 65 ! 1�5 C e_ �d l( L�L. If YES,enter delivery a tib below. o 0 cz C$4 3(0!�_ PSrs 546X\�,t Pq II I IIII�I IIII III I II I II II I I I IIIIII I II'IIII II'll 3. Service Type ❑Priority Mail Express® El,Adult Signature ❑Registered MaiITM � ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted Sitcartified Mail@ Delivery 9590 9402 6640 1060 4216 77 ❑Certified Mail Restricted Delivery ❑Signature Confirmation^' ❑Collect on Delivery ❑Signature Confirmation r-`_ —!- K'...+)--LTraecfpr from-serviCB label) [I Collect on Delivery Restricted Delivery Restricted Deliveryi I'm-Insured Mail. R 70181 1;13yq 00*i0Oj 3;659 j 02'1741 j j} I ,Ohtu 0;118 ltrictt `eryj ! PF" 'PS Form 381q�I�Vuly 2020 PSN 4580-02"-000-9053 4�„ Domestic Return Receipt s j381 i ill S i ti 1 1 �:� u.... I I Jessup Ave • 2nd poor • P.O. BOX-447 Quogue, New York 11959-0447 f- . r COMPLETE DELIVERY COMPLiFTE THIS SECTION ■ Complete item;1—,f-2,and 3. A ignature ❑Agent ■ Print your name and address on the reverse X see so that we can return the card to you. eived by ■ Attach this card to the back of the mailpiece, p Bc (Pr" ted Na S. (�� y ■ ■ ■ or on the front if space permits. �V,co =, 27 ! -n o D o v 0 1. Article Addressed to: D. Is delivery address different froW a o � 0 0 3: 3 If YES,enter delivery address18 j ( a (� co ri. o n 'CD� CD w m z ` El E' CD ■� CL a co rn r= W N o rn b w j -= o � w Si Q ro ��S\W(s, .4-s�01� �0b3�cool c- ;p; O yr 'a 6 CO Q 3. Service Type ❑Priority Mail Express@ cn- •p• I - —7 � O O m W I ❑Adult Signature ❑Registered Mail C3 � 3 ; IIIIIIIII IIII IIIIIII II II II IIIIIII IIIIIIIIII III g TM 'z. 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Received by(Printed Name) ,s:�'�C3datei of-Delivery CL -� o 2 N or on the front if space permits. ►��� ,�e ��,f' �, Co 'k4 a 1. Article Addressed to: D. Is delivery address differedfrom itemVN ❑Yes', z o a m m `� • I I ✓ If YES,enter delivery address below:r ElNo��-)" m m Wm • �a�+s- Av�4Ja'�TC�(�,i�l� t 2 B �; 0 011 000 CID p: a 3 5 w m ma�� anal 130 ❑ Q1om�, mo ❑yrD ❑ 3 =_ in w y �`17�II I1lI�I III IIII IIS I II I IIl II I I 11/1 1111 Il 1111111 ill 3. Service , TYe— 11 Priority Mail Exp ess@ N Adult Signature ❑Registered Mail� m 0 mID " Adult Signature Restricted Delivery 11 Registered Mail Restricted' Q -,Certifed Mail(R) Delivery j a 9590 9402 6640 1060 4216 60 ❑Certified Mail Restricted Delivery ElSignature ConfirmationTM ❑Collect on Delivery ❑Signature Confirmation + ❑Collect on Delivery Restricted Delivery Restricted Delivery 2. Article Number ransfer from service lobe!) ry ry ry 7018 7,1301 0000 j 36591)31267 1 ❑Insured Mail ❑Insured Mail Restricted Delivery (over$500) PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt II Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL REC IPTS �ti rev.�. c�e1►►►ns ���.{i,,,�c�l�e�,��L��c� APPLICATION NAME & SCTM#: ao0tl io- `�— 15.1 NAME: ADDRESS: lease 5-� (a c�c�[n� STATE OF NEW YORK COUNTY OF SUFFOLK �tenn �. ��o , residing at 3(i 'f^�U�), i PlY�je being duly sworn, deposes and says that on the :2day of i�a`�1 , 202 , 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 their 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 located at k)q , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN I �6� Sig ture Sworn to before me this Day of // `' , 20 �o7i JOHN A. MAKI �✓ Notary Public-State of New York No. 01 MA6164838 Qualified in Suffolk County Notary Pub/c My Commission Exp.04/30/2023 R B Burnham 915 Broadway Fl 19 New York, NY 10010 Penn Sanger DuPont P.O. Box 1 Fishers Island, NY 06390-0001 Peninsula Shad Row LLC. 1522 Peninsula Road P.O. Box 16 Fishers Island, NY 06390-0016 Pirates Cove Marine LLC. P.O. Box 365 Fishers Island, NY 06390-0365 McNamara Family Trust LoGripppo Revoc. Trust 20 Kalmia Street Northport, NY 11731 Elbert M. Burr 44 Emerald Glen Ln. Salem, CT 06420 T1 TM U.S. Postal Service U.S. Postal Service CERTIO-lEb MAILP RECEIPT CERTAEb MAILP RECEIPT Domestic Mail Only a Domestic Mail Only ru ru For delivery information,visit our website at www.usps.comO. 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PostmarkG) C3 []Certified Mall Restricted Delivery $ , I-cr Here r,3 El Return Receipt(electronic) $ Sill-Firl Postmark E3 []Adult Signature Required $ it in 01T2 M 0 Certified Mall Restricted Delivery $ $0 Here []Adult Signature Restricted Delivery$ r-3 El Adult Signature Required $ $9.09 C3 Postage El Adult Signature Restricted Delivery$ M $0.79 91 C3 Postage H $ —�F�15/24,Y�26122 M $ $0.78 r-3 Total Postage and FIS $ $ .58 r-1 Total Postage and;73 58 05/24/2022 co t TO $ rq rp'r A 1;M-------------- T, C3 - ------- ----A I� — H set and PO Box No. C3 -------------------------------------------- ox a n t. .'or x r93 qcj 01 4 -a--r C)al-3 --L�------------------------------- Ir- , - INOTICE OF HL'm. ARINC 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: KATHLEEN D. COLLINS & PAULINE C. HEENEY (EXC.) SUBJECT OF PUBLIC HEARING: For a Wetland Permit for the existing 3.5'x21' fixed dock secured by four (4) 4"x4" posts; a 3'x12.5' ramp; a 6.5'x33' floating dock secured by four (4) 4"x4" posts; and a 6'x12' floating dock situated in an "L" configuration; propose to replace eight (8) 4"x4" posts with eight (8) 10" diameter piles and install two (2) 10" diameter tie-off piles. Located: 1457 Peninsula Road, Fishers Island. \ SCTM# 1000-10-4-15.1 TIME & DATE OF PUBLIC HEARING: Wednesday, June 15, 2022 — 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 online at www.southoldtownny.gov and/or in the Trustee Office until 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 t -43 4 Town of Southold LWRPC NSISrENCY ASSESSMENT FORM A. INSTRUCTIONS 1• All applicants for permits* including Town of Southold) agencies shall s CCAF for Proposed actions that are subject to the Town of Southold Waterfront C nsi t nmcylRevete iew Law. it making a determination of consistency. s assessment is intended to supplement other information used by a Town of Southold agency in *Except minor exempt actions and other ministerial permits not located within the Coastal including Building Permits Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A ro osed action will be 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", will then the proposed action affect the achievement of the LWRP policy standards and conditions l review law: Thus each answer must be ex lamed in detail contained in the consistency coon listin both su ortin and non-. su ortin 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# _ Ij PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept.tElP . Board of Trustees 1 Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g. capital Elconstruction,planning activity, agency regulation,land transaction) (b) Financial assistance(,e. g. grant,loan, subsidy) (c) Permit, approval,license, certification: Nature and extent of action: r� A` 11 Location of action:141 Site acreage: -- 0. Present land use: Present zoning classification: 2• If an application for the proposed action has been filed with the Town of Southold agency, the information shall be provided: following (a) Name of applicant: " C 1 (b) Mailing address: L\ r 04 CQ� (c) Telephone number: Area Code (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes No❑ If yes, which state or federal agency? • , ,SA, 31 EL C. Evaluate the project to the following policies by analyzing how the project will further support not support the policies. Provide all proposed Best Management Practices that will furthereach por l Incomplete answers will require that the form be returned for completion. each policy. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, ty character minimizes adverse effects of development. See LWRP Section III–Policies; Page 2 for evaluation and criteria. ©Yes ❑ No ❑ Not Applicable c .S ^ Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the LWRP Section III–Policies Pages 3 through 6 for evaluation criteria Town of Southold. See Yes ❑ No ❑ Not Applicable ` r— ,es. -F ; - is 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 W1 Yes ❑ No ❑ Not Applicable L�;��4� �. � 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 Ac CA -T 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 c e 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. 4�J ❑ ❑ Yes No Nod,,,")plicable EC - t-0`c d `S Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No ❑ 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—PoIicies; 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. YesD No❑ Not Applicable e o- Attach additional sheets if necessary ®WORKING COAST POLIS 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 ❑ 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. ❑ Yes ❑ No® Not Applicable �_' rQ 1�liS CC_ 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�K Not Applicable C reeS e c 6 4 PREPARED BY TITLE DATE a