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Home My WebLink AboutTR-4027 U Glenn Goldsmith,President O��®f S0Town Hall Annex r/y®� 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly C Telephone(631) 765-1892 Elizabeth Peeples aQ Fax(631) 765-6641 BOARD OF TOWN TRUSTEES August 17, 2023 TOWN OF SOUTHOLD Michael A. Kimack P.O. Box 1047 Southold, NY 11971 RE: OSPREY'S COMPASS LLC 2223 INDIAN NECK LANE, PECONIC SCTM# 1000-86-5-11.3 Dear Mr. Kimack: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 16, 2023: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#4027 from Gerald Weir to Osprey's Compass LLC, as issued on May 29, 1992; and BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#4027 for a 4'x80.7' (322.8sq.ft.) dock with 2"x10"x4' wood board decking and nine (9) sets of 8" diam. pressure treated pilings with two (2) 2"x6"x16' lateral boards to support a kayak or canoe, in lieu of the previously approved 4'x60' dock; a 30"x14' wood ramp (35sq.ft.) with 1"x6" wood board decking in lieu of the previously approved 3'x10' ramp; and an 8'x20' floating dock (160sq.ft.) with two (2) 8" diameter dauphin anchor pilings; and as indicated on the site plan prepared by M.A. Kimack, dated July 15, 2023, and stamped approved on August 16, 2023. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Glenn Goldsmith, President Board of Trustees GG/dd ii i i 4 FT.X 80.7 FT.WOOD WALKWAY 30"X 14 FT.WOOD RAMP i 18 FT.X 20 FT.FLOATING DOCK EkIST!!yG MHW GRADE / '- I +2.2FT.MHW - --, J- _-- MLW f0.00 MLW LATERAL 2"X 6" CANOE/KAYAK SUPPORT DAUPHIN ANCHORS 8 FT.X 20 FT.FLOATING DOCK W!TWO(2)8"DIAM.DAUPHINS 4 FT. ?XISTING 1"PE WATER LINE 30"X 14 FT.WOOD RAMP , O 14 FT.X 80.7 FT.WOOD WALKWAY I NINE(9)SETS OF 8"DIAM,PILINGS W ' 00 80.7 LF 10.3 LF 30 LF 111 LF OVERALL, ~ ARD- OF !I-USTFES JOW,R.OF.SOUTHOLD 0 ®ATF OSPREY'S COMPASS LLC 0,1410 THREE(3) EXISTING DARK SKYLIGHTS J U L 1 8 2023 �' 2223 Indian Neck Lane, Peconic Amendment to Permit No. 4027 to Conform Portions of Existing Dock System By:M.A. Kimack Dated:July 1S,2023 Glenn Goldsmith,President �o\p .0, Town Hall Annex A.Nicholas Krupski,Vice President 0 54375 Route 25 Eric Sepenoski W ,? P.O.Box 1179 Liz Gillooly �y • �� Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Ava s-14,u23 Completed in field by: Ui?Ak4l PmDa es Michael A. Kimack on behalf of OSPREY'S COMPASS LLC requests a Transfer of Wetland Permit#4027 from Gerald Weir to Osprey's Compass LLC, as issued on May 29, 1992; and for an Administrative Amendment for a 4'x80.7' (322.8sq.ft.) dock with 2"x10"x4' wood board decking and nine (9) sets of 8" diam. pressure treated pilings with two (2) 2'x6"x16' lateral boards to support a kayak or canoe, in lieu of the previously approved 4'x60' dock; a 30"x14' wood ramp (35sq.ft.) with 1"x6" wood board decking in lieu of the previously approved 3'x10' ramp; and an 8'x20' floating dock (160sq.ft.) with two (2) 8" diameter dauphin anchor pilings. Located: 2223 Indian Neck Lane, Peconic. SCTM# 1000-86-5-11.3 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Ch'apt.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.: Si`raCah4-Po Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly ✓ E. Peeples SUFFOLK CO. HEALTH DEPT-APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL • _.._ — iJ �� J : �'+t';° '�i•_ . ...' t SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE 4 C. 71 0 ! SUFFOLK CO. DEPT. OF HEALTH SERVICES. �' r' r �� (sl cC `O it %Z, I �a APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH ! JUL 1 8 2023 SERVICES — FOR APPROVAL FOR A 4e5 CONSTRUCTION ONLY DATE: 42A H. S. REF. NO.: APPROVED: �f !/ s .-� = ►; : r� �`��rcSr ft ti,�}2 SUFFOLK CO. TAX MAP DESIGNATION Ld L) L �,� 6 �� DIST. SECT, BLOCK PCL. 1000 08G //Q V i Q rye % a r tt OWNERS ADDRESS: eA5 --2K E31—YO. , o t ¢a s. 5ALDWiN, N.Y. 15110 �, � i L)�i` •�---.- S9=+- • `� � u � 2 � � ,�, t@� � Lie c,j`� �'+ (�' a �J �•, dz `' � ••, `�, ,`y�••� "!'EI....3'Xg-3b6O DEED: L.2210 P. 2`td f' j . .t• c�f ' s TEST HOLE STAMP F ( � �.�,� 3 t ' .'y.7• l,Z. , r r�� f°:n--ti„�..,.e gfaer;.ripR�+f 8°°��fSnl'! � 'r•,� Q 3 �•�j" \\ / � �.-_..-__.��J _.• :' �^" } y � 4•,e•_'-sem+.^v is n Y�r�ti^T)of dLeeetiao LoV4 M co0A2,o4"virB®9 f&V VrBt!!8L h I a 1 (� w ,� e2ow'N tm 12M surveyws,inked sea!cc Y G L% '5,M vnb:.2d 59o)fty notimemm!d'md to be s valid tragi� _ �� _ ✓-W �_ �� i t' r 1►� +' anlr to f iAarm for ti��o^wVer • .,�,,.�•: is'1 fA �� '` is p^eosr�,slNf ort his bshitiS Zm t'^s s _ , Q r i3!"Zl�Vv'i\i 1�tx n;anY,Sov�xnmakris!ages y&_ �� 7+G j tTi 1# {J� r-�� 'IM:i.2:.iS9C�.11ution a^u�Oi tllt�l0 9'�.rr n:`" '� ."G. �.l+.J .r" L, •i e "A' SAN C:'C4f.Z:rci.T2CtS0r8n02G"PSt?."'..':^^;h°� p f ^1'^ C •- f i q * ° to red:;md irr umiont 49 submuont 40 1 �;-* SEAL ; .',•�3Y 1r..iV..'cr �wr +r g" igC)i; • •"/ i �v" _ _ _ AP�.27.' 4:• JLYI1,' .� .., ��1 e y �� r,{A;E�: of NE •�`l'"' 4 ! ••�+4!S 1�.!`.. I,... r :1,F '•� . .ti,.w.� s". G �.'�ti , V T+� ..\7 �^�.. +r. •h'�'... /'�Y"':r,G_� .A _ r+ `CKV O ' V�,; t,. •: ` ,: ^'p M.f_ _ ; .:: L w' -Ii'�''f c - i✓j., i$ y �Fi�pM G.c �^; ,-r•�•)-.•, "•:•, c: ,�� 'f'J Ms -s� ,r� ��,1�i.C;.w.:. R017ERICK VAi�tT„�,fYL.P.C.� - ;-:�c�tor2 �••psi 1..:'. !V •"''�+i1 V:!'':"� r M = v v M"t.-+�-•�`'_„�j_ _."i -- ---..�_�_ +'�..+,O �4.+,�.. .� M. �� (1y�4�/� �O Yg� LI'CENSEO LANDS •V£YO;ftS �SF�4S 25LAND SJ � GREENPORT NEW YORK re�nrcve vasr Na,12o �5 Glenn Goldsmith,President �t Town Hall Annex� 'Y=. 54375 Route 25 A.Nicholas Krupski,Vice President ' P.O.Box 1179 Eric$'epenoski � � r .� Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples BOARD OF TOWN TRUSTEES JUL 18 2023 TOWN OF SOUTHOLD This Section For Office Use Only Southold Town Board of Trustees Coastal Erosion Permit Application Wetland Permit Application ___K_Administrative Permit Amendment/Transfer/Extension Received Application: __Received Fee: $ fW. ✓ -- Completed Application: 7.31 Z3 Incomplete: . SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _ Coordination:(date sent): LWRP Consistency Assessment Form Sent: _CAC Referral Sent: Date of Inspection: Receipt of CAC Report: _ =Technical Review: Public Hearing Held: Resolution: Owner(s)Legal Name of Property (as shown on Deed): QS'PREV 1'C C-1003 Mailing Address: , d. 900 484rbc � f�� 0 , Phone Number: Suffolk County Tax Map Number: 1000- Property Location: �2�+� /&lC,k 4WA1,,c_ � (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): ZV OCI A L A. 1e1H4 CIC Mailing Address: � Q 13 a4 I0'V74 5-01117Y04.42 JAI/ /Z 7/ Phone Number: S 64X 9'$07 Email:_jYj<1jM&!6q ✓A.X lZOA✓.&E T Osprey's Compass LLC: Project Description Trustee Permit 4027 which granted the construction of a 4 ft. x 60 ft. dock with a 3 ft. x 10 ft. ramp and 8 ft. x 20 ft. floating dock to be amended as follows: Fixed dock is 4 ft. x 80.7 ft. in length ( 322.8 SF ) with 2 " x 10 " x 4 ft. wood board decking and nine ( 9 ) sets of 8" diam. pressure treated pilings w/ two ( 2 ) 2" x 6 " x 16 ft. lateral boards to support a kayak or canoe. A 30 " x 14 ft. wood ramp ( 35 SF ) with 1 "x 6 " wood board decking. An 8 ft. x 20 ft. floating dock (160 SF ) with two ( 2 ) 8 " diam. dauphin anchor pilings Board of Trustees Application GENERAL DATA Land Area(in square feet): ...Area Zoning: Previous use of property: /p 3' 17 J1/T�AL aNL G�/-/// y Intended use of property: � /LTJ AIX_PA1411-Y _ 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 FX.No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X_No If"Yes", please provide copy of decision. Vfl�his projectany demolition as per Town Code or as determined by the Building Dept.? re Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes=No Prior permits/approvals for site improvements: Agency Date 2T!( rr.E Tf2_4 02 7. I /z 101 �- ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No_n Yes If yes, provide explanation: Project Description(use attachments if necessary): .�rc Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: no f1�,�/1llJ a�iQ�'!/1r Ald4 -dal7 Area of wetlands on lot: 377 0 square feet= Percent coverage of lot: S-,.% 41-- Closest distance between nearest existing structure and upland edge of wetlands: l66'—feet Closest distance between nearest proposed structure and upland edge of wetlands:16,J feet Does the project involve excavation or filling? _No � Yes If yes,how much material will be excavated? /VON`cubic yards How much material will be filled? M ONCE cubic yards Depth of which material will be removed or deposited: AdA feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: A41A 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): 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of.the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part l 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 l -Project and Sponsor Information Namction or Project: If COO S'S Project Location(describe;and attach a location map): 22 /N ! c�c L N WWI C Brief Description of Proposed Action: Name of Applicant or Sponsor: Telepho" a' E-Mai /G/i C&g, �� Address: City/PO: State: Zip Cod/ e: r TOP /71 I 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 governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ 3.a.Total acreage of the site of the proposed action? AE acres b:Total acreage to be physically disturbed? 6 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1. Q, acres 4. Che 11 land us at occur on,adjoining an ar the prop action. Urban �Rural.(nori-agriculture) Industrial Commercial Residential (suburban) Forest ❑Agriculture Aquatic QOther(specify): Parkland Page I of 4 '5. Is the proposed action, NO { YES T N_/A a.A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? MAN 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO I YES If Yes,identify: _ Mr ._ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO. YES b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 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: yy� 10. Will the proposed action connect to an existing'public/private water supply? NO ' YES If No,describe method for providing potable water: FT 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment:. A1A,4 ❑ 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? i 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain O YES wetlands or other waterbodies regulated by a federal,state or local agency? b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. ntify the typic bitat types that oc n,or are likely to be found on tf�reject site. Check all that apply: Shoreline Forest gricultural/grasslands Early mid-successional Wetland HUrban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 16.1s 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? PNO If Yes, a.Will storm water discharges flow to adjacent properties? [:]NO OYES b.Will storm water discharges be directed to established conveyance systemsff an m drains)? If)Yes,briefly describe: rJN0 YES Page 2 of 4 c 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: � _�,,,�„�_ �� _ � ❑ 19.Has the'site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: JX F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY , KNOWLEDGE Applicant/sponsor name: r(; __�4 � C Date:.—��v.i Signature:, Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all ofthe,following questions in Part 2 using the information contained in Part I 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 I. Will the proposed action create a material conflict with an adopted land use plan or zoning Elregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? rEl F 3. Will the proposed action impair the character or quality of the existing community? EJ 4. Will the proposed action have an impact on the environmental characteristics that caused the El establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ ❑ affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑' a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, a, a waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 i No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in thepotential for erosion;flooding or drainage 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 included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based'on t}ie information and analysis above,and any supporting doMmel itation, that the proposed.action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. oCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in leadAgency Signature of Preparer(if different from Responsible Officer) , PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES 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. ignatu e of Property Owner V ' Signature of Property Owner osaeexr f?6HP.4SS �C MFIJdE2 SWORN TO BEFORE ME THIS_ _ DAY OF .7()4Y Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No, O1 D1475593 Qualified In Suffolk County My Commission Expires April 30, 20 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) &e, La_.,� 11Vel AXe roc b er e Co L C owners of the property identified as SCTM# 1000- in the town of .New York, hereby authorizes M! .4. to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. 0_!�Palr�onpeyvownerq Signature Property Owner's Signature C�SPl��EYS CGyP�gSs' LLC N1�`JE�ie SWC :N TO BEFORE ME THIS _ DAY OF , 20_02 Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O1 D1475593 Auolified in Suffolk county My Commission Expires April 30, 20~ I APPLICANVAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The T:Nn of Southold's Code of Ethics prohibits conflicts of interest on the hart of town officers and employees The purpose of this fo;n is to provide information which can alert the town of Rgssible conflicts of interest and allow it to take whatever action is neces,r ry to avoid same. k YOUR.NAME: �GZ.e.C.li � M f/fyz i- (Last name,first name,rpiddle 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 mune.) NAME:OF APPLICATION: (Check all that apply.) Tax gr.a-vane Building Variant-. Trustee Change of Zone Coastal Erosion ApprovA of plat Mooring Exempt on from plat or official map Planning Other (If"Oth!r,name the activity.) Do you iersonally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the T)wn of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, includin,a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in whirl the town officer or employee owns more than 5%of the shares. YES __.�_.,__ NO z If you a rswered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold _ Title or Irosition of that person Describe the relationship between yourself(the applicant/agent/mpresentative)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): 1nm the owner of greater than 5%of the shares of the corporate stock of the applicont f2 (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); Q an officer,director,partner,or employee of the applicant;or U)the actual applicant. DESCRI'TION OF RELATIONSHIP Submitted s day of (J �20 Signature C, Print Name , Form TS l `� APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibiis conflicts of interest on the part of town officers and,emoloXees.The pwmese of this form is to provide information which can'ale-rt the town of possible conflicts of interest and allow it to take whateveraction`is necessary to avoid same. YOUR NAME: L (Last name,first name,#piddle initial,unless you are applying in-the name of someone else orother entity,.such as a company.If so,indicate,the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance . Building Variance Trustee Change of Zone Coastal Erosion Approval of plat' Mooring Exemption from plat or official map Planning Other .(If"Other",name the activity.) Do you personally(or through your company,spouse;sibling,parenf;or child)have a,relationship.with-any officer or employee of the Town of Southold? "Relationship"includes by blood;marriage,or business interest."Business interest'means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee.owns more than 5%of the shares. YES F-1 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): _nA)the owner of greater than 50/6 of the;shares of the corporate stock of the applicpnt _n (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 off icer,director,•partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of__ ZY 2 Signature_ 92 Print Name A-1/e wASL 4, Form TS 1 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 thatare 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 determinationof consistency. *Except minor exempt actions including.Building Permits and other m#nisterial.permits not located within the Coastal Erosion Hazard Area. 2. Before.answering:the,questions in Section C, the preparerof 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-Prono'sed- action.•-will be evaluated_ as .to its.Simificant beneficial and adverse effects:upon:the coastal area(which includes allof Southold Town). 3: If any 'question in Section.0 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,.ea¢h answer must be.1ekylaWW 'iii detail, listihK both supporting and now. supporting'facts. If an action cannot be certified as consistent with the LWRP policy standaids and conditions,if 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# V., _ PROJECT NAME d' / ' }� CO/LlPi4S.1' . �L C.- The .-The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of.Trustees 1. Category of Town of Southold agency action(check appropriate'response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b), Financial assistance(e.g:grant;loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: 4Tc"ZION Aga Ny 1 l Osprey's Compass LLC: Project Description Trustee Permit 4027 which granted the construction of a 4 ft. x 60 ft. dock with a 3 ft. x 10 ft. ramp and 8 ft. x 20 ft. floating dock to be amended as follows: Fixed dock is 4 ft. x 80.7 ft. in length ( 322.8 SF ) with 2 " x 10 " x 4 ft. wood board decking and nine ( 9 ) sets of 8" diam. pressure treated pilings w/two ( 2 ) 2" x 6 "x 16 ft. lateral boards to support a kayak or canoe. A 30 " x 14 ft. wood ramp ( 35 SF ) with 1 " x 6 " wood board decking. An 8 ft. x 20 ft. floating dock (160 SF ) with two ( 2 ) 8 " diam. dauphin anchor pilings. Three ( 3 ) existing dark sky light fixtures and existing 1" PE water line located at end of fixed dock. Location of action: =6 19'C.k LAN161 AIECO Vi C Site acreage: A (J"j"' Present land use: r//fie Present zoning classification: 2. If an application for the proposed:action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name.of applicanf: Qs��CY�` c-a a1_A9_q I C (b) Mailing address:_ p U. /gO�C 4�1; pA COAL, N. Y. (c) Telephone number: Will the action be directly undertaken,require funding,or approval by a state or federal agency? } Yes ❑ Nol^ I 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. ❑Yes ❑ No 9 Not Applicable A rc%9C' TD. A!,1 C f1IIaALD CRA6E Attach additional sheets if necessary f Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—,Policies Pages 3 through 6 for evaluation criteria ❑ Yes'❑ No ® Not Applicable y 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 F-1 Yes ❑ No Not Applicable Paar_Y N1-A mo A RP.4/c,42/o .Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes. ❑ No Not Applicable P Attac a itional s eets 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. ❑ Yes. No V Not Applicable Attach addiiional'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. o Not Applicable ❑ Yes ❑N C'0 I /l.-A r—O A f &I u4xz ow 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 Z.Not Applicable i�0 Ll Cy i? N A._ rO ARR1,1 CA4 T>0 N 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 kflJ Not Applicable _1C WAL 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 0 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No® Not Applicable I I '' 'k?tL CY 19 Al 14 770 44?_4 CA rl QAl 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 0 Not Applicable PdL!Cy 17 &/ A Z:4 .Al-P4/C4770N Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No 0 Not Applicable PDQ C y !R AIIA To ., LP& Q4,7T O A/ PREPARED BYE r/ �� TITLE G �r DATE_Z46 Z02 3 tax tviap inquiry with ArcUISWeb Ap Builder i � Find tax map#or address Q� } w , M } r , 2bOft Osprey's Compass LLC Property Legend Write a description for your map. 'r 2223 Indian Neck Ln At Sl- Aq IJL 4,6,W, �r+"S A ��. ;�� . - _� -orf? :� '; �' - ---- - r _ • '�;_ is ', • � � ��_ � A3fly k a: ti r . t c.� �---- ss - E:, � - \ �\ if �, _ �-•.•---t�,-fir i� � 3� � � � � _ 21 .10 �:• - C�;';�� } s$'� �� [ { ?',�>~t+ ti`s .'J..�'�Y. �1� } ��i... T • A. t, APS. 27 (95Z JUN.t •lt2. Q2 �r ..� _ _ n 1 t a `,rwM r :1 ��,, {', r,�aelt. �:�L�. i��r rr.'aE i W�ti , �J�Jf .L>�+-.•\ �L/ �•t'Y 4 �r'al'. �T 1�.1��4 i��i✓"': rZF,"-s= rZ T1. MEA.t,l �� {,!C�„�.. I�;ls,,�,,C:. RODERICK VAS•T•JJYL, F'.C. 6...a ., �- .c', Y+-,... ti Ask 2023/07/ 17 08 17 i i. . ..ray._ 4.. y; •"K.;� �K 7. " �. 1 �� ,,., ?14171 `t�'�''�^- ��t�. �. .�� '-,' •`r�, 'R �j. ` 2023/07/ 1'7; 08 : 17 (3)Osprey's Compass Prop Taken July 17,2023 Looking ENE v I�I r F. ln, � rY,7,7�177 o a o�i ca-- (4) (4)Osprey's Compass Prop Taken July 17,2023 Looking WSW Glenn Goldsmith, President �rg S®(/r� Town Hall Annex A. Nicholas Krupski,Vice President ® ®�� 54375 Route 25 P.O. Box 1179 Eric Sepenoski 8i Southold,New York 11971 Liz Gillobly AN: Telephone(631) 765-1892 Elizabeth Peeples 1h, �� Fax(631) 765-6641 C®f/ltl 1`s a� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 15, 2023 Laura Bolliver Dorie Henning Ospreys Compass LLC P.O. Box 481 Peconic, NY 11958 RE: 2223 INDIAN NECK LANE, PECONIC SCTM#: 1000-86-5-11.3 Dear Ms. Bolliver and Ms. Henning: On June 12, 2023, a Field Inspection was performed and it was determined that the existing docking facility on the above-mentioned property does not match the dimensions of the dock permitted under Wetland Permit#4027. The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, June 14, 2023: RESOLVED, that the Southold Town Board of Trustees DENIES the request for a Transfer of Wetland Permit #4027 from Gerald Weir to Osprey's Compass LLC, as issued on May 29, 1992. If you have any questions, please contact our office at (631) 765-1892. Sincerely, `,may,,,_,... A �4�2_71 Glenn Goldsmith President, Board of Trustees GG/dd Glenn Goldsmith,President �OvOgOFFO4 COG, Town Hall Annex A.Nicholas Krupski,Vice President C 0 54375 Route 25 Eric Sepenoski ,$ P.O. Box 1179 Liz Gillooly �y • o�� Southold,NY. 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 12.12,S Completed infield by: Edi 46*VA Q des OSPREY'S COMPASS LLC requests a Transfer of Wetland Permit#4027 from Gerald Weir to Osprey's Compass LLC, as issued on May 29, 1992. Located: 2223 Indian Neck Lane, Peconic. SCTM#: 1000-86-5-11.3 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 Typp 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.: F,cauw-es a.A AAmmsirmAivv, Ayn,ean.dmn i- as r urvm+ :�e ei rlo r k. is, 8228" Ihc.�C� eF oevMi+kA bb` ( akA roLmp is 1411)' insieaAofapbreved lb'b" Present Were: G. Goldsmith N. Kru ski E. Sepenoski L. Gillooly LYE. Peeples � t Soard of Trustees, ApplicatK-_,, AFFIDAVIT. BEING DULY SWORN DEPOSES AND AFFIRMS TAAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERM Y(S)-AND'THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS-AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO-MY PROPERTY AND AS REQUIRED TO-INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property OwneV Signature of Property Owner SWORN TO BEFORE ME THIS 10 DAY OF. .2077 C� Notary Public TINA L.PENDLETON Notary Public;State of'M'W9 PN Ce pion Exoros 813012025 OPERATING AGREEMENT OF OSPREY'S COMPASS,LLC ' AGREEMENT dated as of April 8;2021 by and among DORIE ANNE HDMG,residing at 27 School.Street,.Rockport,ME 04856,and LAURA BOLLIVER,residing at 365 Seawood Drive,Southold,NY 11971,(being referred to as the"Members"). RECITALS WHEREAS,the Members have formed a Limited Liability Company pursuant to tile New-York Limited Liability Company Law,as amended from time to time(the"Act");and WHEREAS;'the Members desire to set forth their aglecra-ra to the business and. management of the Company,and their interest therein;this agreement to replace,restate and supersede any prior agmtrient of the Members; TFMREFORE,in consideration.of the agreements set forth,the Members agme.as follows:. 1. FORMATION. 1.01.Name. The name of the limited liability company(the"Company")is OSPREY'S COMPASS,LLC. 1.02:Terri. The term of the Company shall commence on April 8,2021 and will continue until dissolved. 1.03.Purpose. The Comoany is formed to engage in the holding and developinen-t of teal - - _-- estate,and all.activities incidental or complementary"thereto;as well as any other activities as maybe engaged by a company formed under the Act: 1.04 Powers. The Company shall have the power and.authoriry to taste any and all.actions necessary,aPProPriproper,advisable;incidetr l or canveirir nti to or fur the furtheranceofthe purposes set"forth in,Section 1.63:heieiii to the extent provided for in the Act 1.05 Principal Office. The principal office of the Company shall be looted atcto Laura Bolliveri 365 Seawood Drive,Southold,NY 11471.. 2. MANAGEMENT. 2,01 The Company shall.be managed by the Members.The Members shall not-be paid a " management fee without approval of all Members. 2:02 Management The Members shall manage.the Company iii accordance with this, Agreement,and either Members shall have authority to bind the Company, The members shall have full and exclusive discretion to manage and control the business and affairs of the company" . to make,all decisions affecting.the business of the Company,and to take-all such actions as,he deems:necessary or appropriate to accomplish the"purposes of the Company or to e$ectuate:the powers°of the Company,under the.Act The consent of all.the,hfembers will be required-to,obtain. loans to the Company;make loans from the Company,:or;obligate the Company.for dte.debts,or obligations of any other person or entity,or to execute deeds or mortgages of the Company's - property.The Members may expressly delegate his authority and may retain.otlier-persons,to: assist the Members in managing the Company,all at the expense.ofthc Company. �TIrL 7 delegation may include the authority to sign Company checks. 2,03 Execution of Documents. All documents executed by the Company shall be executed by the Members,or their designee,including,without limitation,the execution of contracts, Checks,and any other documents to the extent not limited by this Agreement s 2.04 Liability, To the c=nt permitted by law,the Members and any designee acting under authority is exempt and released fromliabilityfor damages and other monetary relief on account Of any act,omission or conduct in the Members or designee's managerial capacity. 3.05 Tax Matters Panner Doric Anna Heiming is designated as ee and as such is authorized to make the elections and to take suctions as pere"tax mitted by Satters Sechons j 6221 through 6223 of the Code. i 3. ME:'vMERSHII' r 3.01 Members. The initial Members shall be those individuals and entities set forth in the preface to this Agreement. New Members may be admitted to the Company in accordance with the fallowing criteria,whereupon they shall become Members; i I a) Written consent of theMembers of the Company,.together i4ith acceptauce,and execution of this Agreement and any other documents which the Members may nquire, b) Receipt by the Company of a Capital Contn'bution in an amount determined by the Members. 3.02 LLC Interest The LLC Interest shah be a Menhbees ownership interest in the Company,eepressed as a percentage,equal to a&action the numerator of which is the Member's Capital"Contribution and the denominator is the aggregate Capital Contributions of all Members. The LLC Interest,as same may be.adjusted from time to.time,shall-be sat forth on-&c—h—edjule A annexed hereto..LLC Interest shall include,without limitation,the right of such Member to participate in the allocations and distributions,of the Company and any benefits to which the Membec may be entified as provided in this Agreement and in the Act,together with the " obligations of such Member to comply with the-terms and provisions of this Agrecment amd the. Act 3.03 Liability, No Member shall be.personally liable for any debts,losses or obligations of the Company in excess of their respective Capital Contributions,except as otherwise expressly provide&for by the Act 4. CAPITAL CONTRIBUTIONS. 4.01 Definitions.,A Capital Contribution shall mean any contribution to the capital.of the Company in cash,property or services rendered or a promissory note or other obligation:to contribute cash or property or to render services. A Capital Account shall mean the Capital Contribution to the Company by"a Member,as adjusted pursuant to'this Agreement 4.02' Original Contributions. The Members original"contributions to the capital of the Company are as follows:. . embe Aj noun Doric Anne Henning ; $500.00 Laura Bolliver t the Company within seven(7)months following histher death: b)The sale,exchange,or other disposition by the Company of alt or substantially all of the Company's property; c)the written consent of the Members;or i d)the entry of a decree of judicial dissolution under the Act ' 8.02 Distribution on Dissolution Upon a dissolution of the Co Panye�haallMeemaubs tfre designate Laura Mliver as the Liquidating Trustee: The Liquidating Company's certified public accountant to make a full accounting of all assets.liabilitics and operations of the Company within two(2)months after closing. The Liquidating Trustee reasonable authorize the act proceeds equally to the members promptly after closing,retaining reserve pending finalization of the.accounting and payment of all expenses,the balance to then be distributed equally among the members in accordance with the terms of this Agreement;and, apply and distribute the:proceeds in the following order a)to Members in proportion to their positive Capital Accounts to the extent permitted. in Itis Liquidating Trustee shall provide the closing statement 8.03 Notice. Upon closing, 4 via email to.the Members. 8.04 Winding Up,,Upon dissolution,the Liquidating Trustee shall wind up the business . and affairs of the.Company. Thirty days shall be allowed for the period of winding up. 9...MISCELLANEOUS. $ shall be construed under the laws of the State of 4'j 9.01 Goveming Law This Agreementt New York,without regard to conflicts of laws rules. 1 9.02 Entire Agreement. This Agreement sets forth the entire agreement of the parties withrespect to 9 the subject matter herein,and cannot be amended,modified,or terminated kept by cit orgies hereto,including New Members. an agreement in writing executed by p €i 9.o3 Notices..All notices-to be given to Members shall.be in writing and personalty delivered or sent by certified mail,return receipt requested,to the address set forth in the preface to this Agreement,or such other address as a Member may hereafter give to the other Members. 9.04. Severability, Any term or provision of this Agreement which is invalid or unenforceable in any jurisdiction shall,as to such jurisdiction,be ineffective to the extent of such invatidity or unenforceability without rendering,Iinvalid or-unenforceable the remaining terms and provisions of this Agreement,or affecting:the validity or enforceability of any of the terms ar provisions of this Agreement in any other jurisdiction. 9.05 Waiver of Jury Trial. ALL PARTIES HERETO.HEREBY WAIVE TRIAL.BY]URY IN ANY ACTION OR PROCEEDING INVOLVING,.DMECTLY OR INDIRECTLY,ANY;. MATTER(WHETHER SOUNDING IN TORT,CONTRACT OR OTHERWISE)JN ANY WAY , ARISING Our OF,RELATED TO,OR CONNECTED WITH THIS AGREEMENT OR ANY DOCUMENT TO BE DELIVERED HEREUNDER OR THE RELATIONSHIP ESTABLISHED THEREUNDER s IN WITNESS WHEREOF,the parties have executed this Agreement on the date set forth:in. the preface to this Agreement Laura BO[[iveT Dorie Anne Henning EXMB[T A NAW LLC MEIMERSH W INTEREST DORM ANNE HENNPIG 50% LAI3RA'BoLLIVER 50°/a t LLCO,P,eySc,,,. wcpAs-ospComgZ02I 5 i i May 2,2023 MAY - 9 2023 0 Board of Southold Town Trustees Southold Town PO Box 1179 Board of Trustees 54375 Main Road Southold, NY 19971 To Whom it May Concern, This letter is'a request for the Board of Southold Town Trustees to transfer the permit #4027 for dock construction at 2223 Indian Neck Lane(86.-5-11.3)for 5/29/1992 to Gerald Weir which the Board adopted at a meeting held 5/28/1992 to Ospreys Compass LLC. The property has been inherited by Gerald Weir's daughters Laura Bolliver and Dorie Henning and deeded to Opsreys Compass LLC which is on file with Southold Town Building Department. Enclosed please find a check for the required fee. Please feel free to contact either of the co-owners if additional information is required. Sincerely yours, Laura Bolliver Dorie Henning co-owner co-owner (631)921-2993 (207)542-5700 PO BOX 481 PECONIC,NY 11958 OSPREYSCOMPASS@OPTONLINE.NET Southo d Town SOUTHOLD, NEW YORK Trustees PERMff NO, 49~7 ..... D~TE: !~¥..~9, ISSUE[) TO Gerald ?felt Pursu~n* fo $he provMons of Ch,~pfer 6t5 of ~h,s Laws fhe Sfafe of New York, ~893; and .;~%pfet 404 of fhe Laws of Sfafe of New York t952; and fhe SoufhoJd Town Ordbance R~ULAT~NG AND THE PLA..~NG OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUB.LIC LANDS REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN VCATERS:' and b a~ordance Resobt['on of The Board adopfed afa meef~n9 held on .~!~y a~ ~9 9.2..~, and ~n cons[derafioa of fhe sum of $ 699.,.00 pa~d by G-f? 1 . ..... ~d ~Re]~ .......................... of N. Y~ a~d ~bjecf ~o fhe Ter'm~ arid Condff~o~ ii,fed on fhe rever~e ~[de hereof, of Soufho[d Tow~ Trusfee~ aufhor[zes and perm[es fhe to constz~uct a 4~ X 60~ dock with a 3~ X t0~ zamp 8~ X ~0~ fIoa. t as pez map dated Ma~eh i6, JN WITNESS WHEREOF. The ~aJd by causes ifs Corporafe Sea~ ~o be offixed~ and fhe~e be sub,ct[bed by a m~orffy of +t /4 TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Kmpski, Ir. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 September 3, 1991 Gerald and Linda Weir 2917 Eastern Boulevard Baldwin, NY 11510 Gerald and Linda Weir SCTM ~1000-86-5-11.3 Dear Mr. & Mrs. Weir: The Board of Trustees reviewed the application submitted for the above referenced property. After an on site inspection, this project was determined not to be in the Trustees jurisdiction if clearing takes place 75 feet back from wetland line. Please note at the day of inspection your neighbor to the south was told the:same thing and the 75' line was point out to him. All other approvals that may be applicable should be secured prior to the commencement of the project. Very truly yours r John M. Bredemeyer, III President, Board of Trustees JMB: jt cc: Building Dept. "[ 7 I[I[I ''I ' Ir;?l!l':['' TRUSTEES John M. Bredemeyer, III, President Albert J. Krupsld~ Jr., Vice President Henry. E Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OFTOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Halt 53095 Main Road EO. Box t179 Southold, New 'York 11971 June 9, 1992 John Geideman P.Oo Box 416 East Marion, NY 11939 Gerald Weir SCTM Dear Hr. Geideman: The following action was taken by the Board of Tov~n Trustees during its re~aiar meeting held on May 28t 1992 regarding the above matter: %~EREAS John Geideman on oena±~ of Gerald Weir applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southoid~ application da~ed~ April 9~ 1992 and~ WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendationst and~ WHEREAS~ a public hearing was held by the Town Trustees with respect to said application on May 28, 1992 at which time all interested persons were given an opportunity to be heard, and~ WHEREAS~ the Board members have personally viewed and are fm~itiar with 'the premises in question and the surrounding area, and~ WHEREAS, the Board has considered all the testimony and dccu~entation submitted concerning this application~ and, 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 JOH~ GEIDF/~AN ON BEHALF OF GERA~ WEIR to construct a 4' X 60~ dock with a 3' X 10~ rm~p and a 8' X 20~ float as per map da'ned March 26, 1992. This permit will expire two years from the date it is signed. Fees must be paid, if a~p_%icable~_ and permit issued within six months of. the date of this notification. ~o inspections are required am~ the Trustees are to be notified upon completion of said project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark~ Dock 4' X 20.' = 80 X $2.00 = 160.00 Ramp 3' X 10' = 30 X 2.00 = 60.00 float 8~ X '20~ =160 X 2°00 = 320.00 540.00 ~truly yours, John M. Bredemeyerr Ii! President,-Board of Trustee J~B:jt TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednosld, Jr. John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 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: Variance Required, Neighbors notified Date: SEQRA Type Coord. Review-opt.,mand. Insp. comp./date: SEQRA Determin../date: Public Hearing/date: Findings: Permit Vote: (Y/N): Special Conditions: (also see file) Date Rec. by Office Application Number; SCTM ~1000- Project Name (If any) ~6/~z~- ~/~/~. ~/ Date Prepared: Applicant: Address: /,J.y. Phone ( Interest: (owner, consultant,lessee,etc.) Owner of Property: Address /~ / vd Phone Subject Property Location: ~z ~ ,al,,, c/c /--r ~, ~" (Provide LILCO Pole #, Distance to cross Streets if not on location map) THIS IS NOT A PERMIT Yds. to be excavated: ~ Yds. to be filled: ~ Manner in which material will be removed or deposited: Width of canal, creek or bay fronting property: /~-~ Depth at low tide: Aver. rise in tide: Distance to nearest channel: 7~'~ Distance project extends beyond similar projects in area: Area zoning: ~-~. Land area in acres: /, Is project for private or business use: Intended use of property: prior opera,ions conducte~ ~on premises: Describe known ~ (?~-~?~ ~ Has any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: ~c~ Has any license or permit ever been revoked or suspended by a Governmental Agency: 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). Authorization (Where the applicant is not the owner) I residing at (Print-owner of subject .property) (Mailing address-phone) do hereby authorize to apply for Coastal Erosion permit(s) from the Southold Town Trustees Signature THIS IS NOT A PERMIT County of Suffolk ) State of New York ) ~ £~/~ k~ 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 WORKWILL 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. I SIGNATURE SWORN TO BEFORV, ME THIS <-~d !' .'~AY OF ~t[ 0NOTARY PUBLI ~-~ ~UZ~;.; ,ANN Term Expires OctOber Suggested space for location Map ~{IS IS NOT A PERMIT 14-16.4 (2/87~--Text 12 '~1 PR~)JECT I.D. NUMBER ! i' State Envir~n~nta! Quality Review SH : y IR' : E tAL ASSESSMENT FORM PART I--PROJECT INFORMATION ~o be completed by Applicant or Project spbnsor) 3. PROJECT LOCATION: 4. PRECISE LOCATION (Street address and road intersections, prominent SEQF 5. IS PROPOSED ACTION: - ~New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT Of LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~]'~Residential [] !ndustrial [] Commercial Describe: [] Agriculture [] Park/Forest/Open space [] Other 10. DOES ACTION INVOLVE A PERM T APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~ Yes [] No If yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [~'No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WiLL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? [] Yes Applicant/sponsor nan' e: Signature.~~'''~ [] No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE -'-.-- ]>,L. " - If action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this a.~s~essment OVER 1 PART II--ENVIRONMENTAL AS?~-~SMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I -~RESHOLD IN 6 NYCRR, PART 617.127 [f yes, coormnate the review process and use the FULL.' DA.F. [] Yes [] No '' B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or'groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: ~C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly. C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified in Cl-C57 Explain briefly. C7. Other impacts (incl-uding changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No if Yes, explain briefly PART IIi--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occn..'cJng; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient de.tail to show that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive-declaration. [] 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 n~.~y significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name or Lead Agency Print or ['ype Name ol I~esponslbie Otflcer m Lead Agency S~gnature oi Respons,ble OJhcer m Lead Agency Date Title ct Responsible Otticer Signature of Preparer (If d~fferent from responsible officer) / ~u'd ? z t'( i