HomeMy WebLinkAboutTR-4735Albert J. Krupski, President
John Hotzapfel, Vice President
Jim King
Martin H. Garrell
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hail
53095 Main Road
P.O. Box 1179
Southold. New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
Office Use Only
Coastal Erosion Permit App!icatJ
t/~tland Pezmit Application
· Grandfather Permit Application
Waiver/Amendment/Changes
%/Received Application: ~P~-~7
?_~eceived Fee:$ /~ ~
c/Completed Application 3 ~?
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sent)
CAC Referral Sent: ~--~?
Date of Inspection: ~-~f~ 7
Receipt of CAC Report:
Lead Agency Determination:__
Technical Review:
Public Hearing Held: ~7
Resolution:
Phone Number
Suffolk County Tax Map Number: 1000
Property Location: ~d ~/7 ~/~ ~ ~/~
(provide LiLCO Pole ~, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone:
FAX~:
ard of Trustees Applicati~
GENERAL DATA
Land Area (in square feet):
Area Zoning: ~-/~
Previous use of property:
intended use of property:
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Has any permit/approval ever been revoked or suspended by a
goverD~ental agency?
~ No Yes
if yes, provide explanation:
Project Description (use attachments 'if necessary):
Co~67~.~ ~ e~y3J C~-~zl~, 8 Sit/ n,~n¥~,
~-' ~.rd of Trustees Applicatio?
WETLAND/TRUSTEE LANDS A~PLICATION DATA
Purpose of the proposed operations: ...~0/~. w~/~7~/~,.J
Area of wetlands on lot: .square feet
Percent coverage of ~ot: %
Closest distance between nearest existing structure and upland
edge of wetlandS: /$ ~ feet
Closest distance between nearest proposed structure and upland
edge of wetlands: O feet
Does the project involve excavation or filling?
'~ No Yes
if yes, how much material wil! be excavated?
How much material will be ~ilted?
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
c~bic yards
cubic yards
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):
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES~ TOWN OF SOUTHOLD
In the matter of applicant:
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to: ~d/v~/~ /~ ~~~
2. That the property which is the s~hject of Environmental
Review is located adjacent to your property and is described as
follows:
3. That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment. You may contact the Trustees Office at 765-!~92 or in
writing.
The above referenced proposal is under rev!ew of the Board of
Trustees of the Town of Southold and does not reference any
other agency that might have to review same proposal.
OWNERS NAME: ~/~/
MAILING ADDRESS:
PHONE $: ~-.~,~--
Enc.: Copy of sketch or plan showing proposal for your
convenience.
I,=qOJECT !.D, ;4U~,~SSP,
Appendix C
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED AC~ONS Only
PART !--PROJECT INFORMATION ¢o de comole.*eo dy Aopficant or Proiec~ soonson
SEC.
5. IS PF~OPOSED ACTION:
7 AMOUNT OF LA.NO AFFECTED:
nitieHy acres
PRESENT LANO US~ iN VIC:NIT'Y OF PROJECT7
I~es,denlla~ ]~--,!n~u~trlal ~ C~mmerc;al
~--% AgrtcuJtura
ACTION NVCLVF. A PERMIT A¢PROVAL .OR FUNDING. NOW OR UL%MATEL,¥ FROM ANY OTHER GOVERNMENTAL AGENCY
~ves ~ No If yes, :is~ ~.gency(sl aa~ oermltlaa~rovals
.%--
DOES ANY A~ OF THE ACTION HAVE A CURREN'P_Y VALId P~RMIT OR APPROVAL?
12. AS A ~ESULT OF
~POSEO ACT]CN ,NIL'.. ~[S77N~ PERMIT/APPROVAL ~EQUIRE MODIFiCATiON?
~ Yes ~ No
CE~Ti~¢ THAT T:~E ~BOVE tS T~UE TO THE 3E~T OF MY KNOWLEDGE
NFORMATICN
P~OVIO~
If the action is in the Coestai Area. and you are a state sgency, ccmoiete the
Co~.stal Assessme.qt Form before proceeding with '~",~as a~sessmen~~,
P 3~6 413 132
US Postat Service
eceip Certified
No insurance Coverage Provided.
Do not use for [nterna~ons~ Mai~ ~
} S~qt to
PROOF OF MA!L!NG OF NOTICE
ATTACH C~RTIFIED MAIL RECEIPTS
8pecieJ Delivery Fee
R~stdcted Det[very Fee
--
Return Recaipt Show~n.e tb
~ & Dat~ Deilvere~
~e~'am Receipt Sho',ving to Whom
~ being duly sworn, deposes and says
that on the c~ day of ~ ,19 ~ ~, deponent mailed
a true copy of the Notice set forth in the Board of Trustees
Application, directed to each o~ the above named persons at the
addresses set opposite there respective names; that the
addresses set opposite the names of said persons are the'address
of said persons as shown on the current assessment roll of the
Town of Southold; that ~said Notices were mailed at the United
States Post Office at ~'~yC~L--- , that said Notices
were mailed to each of said persons by (certified) (registered)
mail.
Sworn to~,before me this
day of ~ ,19 ~
Not~ry P~!ic
No. 490~712 A
6
~ard of Trustees App!icati
County of Suffolk
State of New York
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 M3/AqER SET FORTH IN THiS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD _nSTE 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPW~RTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
swoRN To BEFO THIS
Signatur~
Notary P~blic
Deep Hole Creek
Ebb Flood
Width 500'
Prop, 6' x20'
Applicant:
Purpose:
Datum:
Locus:
Float
_Z! Prop,3'xl2' Ramp
Prop,4'x32' el. Catwalk
7
Scale
1,,=40'
300 Deep Hole Dr
Warren W. Jackson
Private recreational docking
MeAn Low Water
72v31'/ 4o 59'
Prepared by; Warren W. Jackson
page lof2
roposed, dock at 300 Deep h,,~e Dr. Mattituck
SECTION
SCALE
1,,=10'
Plrop. 4'x32~ el. Catwalk
Prop. 3'x12' ramp
Grade
ProP. 6'x20" float
Bottom
Material; Marine Grade CCA~ Styrofoam billets
Prepared by Warren W. Jackson
Page 2 of 2
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
Antl nrizatinn
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATER5 AND PUBLIC LANDS and the
REMOVAL OF SAND, -~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on
19..97..., and in consideration of the sum of $. . 9].8.,.00 .... paid by
h/arran .. &., Ma~y... Ja,ck s on
of ~. N. Y. and subiect to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and .permits the following:
4' X 32: catwalk, 3' X 12' ramp and a 6~ X 20' float in
a "T" configuration.
all in accordance with the detailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board o{ Trustees here-
by causes its CorPorate Seal to be affixed, and these presents to
be subscribed by a majority of the said BOard as of this dat,e.
.....
Albert J. Krupski, President
John Hohapfel, Vice President
Jim King
Martin H. Garrell
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765 - 1823
Nay ~ 1997
Warren & Mary Jackson
300 Deep Hole Drive
Mattituck, NY 11952
Re: Warren & Mary Jackson
SCTM 9115-12-4
Dear Mr. & Mrs. Jackson:
The following action was taken by the Board of TownTrustees
during its regular meeting held on April 30, 1997 regarding the
above matter:
~EREAS, WARREN AN~ I~RY JACKSON applied to the SoutholdTown
Trustees for a permit under the provisions of the Wetland
Ordinance of the Town of Southctd, application dated March 26,
1997, and,
WHEREAS, said application was referred to the Southold Town
Conservation Advisory Council for their ~indings and
recommendations., and
WHEREAS, a Public Hearing was held by th.e Town Trustees with
respect to said application on April 30, 1997, at which time all
interested persons were given an opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are
familiar with the premises in question and the surrounding area,
and,
WHEREAS, the Board has considered all the testimony and
documentation submitted concerning this application, and,
W~EREAS, the structure complies with the standard set forth in
Chapter 37-18 of the Southold Town Code,
WHERF~S, the Board has detezmined that the project as proposed
will not affect the health, safety and genera1 welfa=e of the
people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board o~ Trustees grant a Wetland permit to
construct a 4' X 32' catwalk, 3' X 12' ramp and a 6' X 20' float
in a "T" configuration, and,
BE IT FURTHER RESOLV~ tb~t this determination should not be
considered a determination made for any other Department or
Agency which may also have an. application pending for the same
or similar project.
Permit to construct project will expire two years frill the date
it is signed. Fees must be paid, if applicable, and pezmit
issued within six months of the date o~ this notification.
Two inspections are required and the Trustees are to be notified
upon completion of said project.
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/jmd
Albert J. Kmpsld, President
John Holzapfel, Vice President
William G. Albertson
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Please be advised that your application, dated ~
has bee reviewed by this Board, at the regular meeting of
~?~\ ~ ~7 and the following action was taken:
Application Approved.
Application Denied.
Application Tabled.
(see below)
(see below)
(See below).
If you application is approved as noted shove, a pe~a,it fee is
now due. Make check or money order payable to the Southold Town
Trustees. The fee is computed below according to the schedule
of rates as set forth iht he sintruction sheet.
The following fee must be paid within 90 days or reapplication
including fees will be necessary.
COMMENTS AND REMARKS:
COMPUTATION OF PERMIT FEES:
SIGNED:
PRESIDENT, BOARD OF TRUSTE~
BY:
BOARD OF TOWN TRUSTEES
6/95
DEC PERMIT NUMBER
1-4738-01181/00002
NEW YORK
FACILITY/PROGRAM NUMBER(S)
'~TE DEPARTMENT OF ENVIRONMENTAL CONSERVATIC'
TYPE OF PERMIT m New
Renewal
PE IT
Under the Environmental
Conservation Law
IEFFECTIVE DATE
June 3, 1997
EXPIRATION DATECS)
June 30~ 2001
Modification i Permit to Construct ~ Permit to Operate
Article 15, Title 5: Protection
of Waters
Article 15, Title 15: Water
Supply
Article 15, Title 15: Water
Transport
Article 15, Title 15: Long
Island Wells
Article 15, Title 27: Wi[d,
Sqenic and Recreational Rivers
Other:
6NYCRR 608: Water Quality
Certification
Article 17, Titles 7, 8: SPDES
Article 19: Air Pollution
Control ·
Article ~, Title 27: Mined Land
Reclamation
Article 24: Freshwater Wet[ands
Article 25: Tidal Wetlands
Article 27, Title 7; 6NYCRR 360:
Solid Waste Management
Article 27a Title 9; 6NYCRR 373:
Hazardous Waste Management
Article 34: Coastal Erosion
Management
Article 36: Floodplain
Management
Articles 1, 3, 17, 19, 27, 37;
6NYORR 380: Radiation Control
PERMIT ISSUEO TO TELEPHONE NUMBER
Warren Jackson (516) 298-3220
ADDRESS OF PERMITTEE
300 Deep Hole Drive
Mattituck, NY 11952
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Same as above
NAME ANO AODRESS OF PROJECT/FACILITY
Jackson Property
300 Deep Mole Drive
LOCATION OF PROJECT/FACILITY
Mattituck
COUNTY . I TOWN
Suffolk I Southold
DESCRIPTION OF AUTHORIZED ACTIVITY
Construct catwalk, ran~o, and float.
WATERCOURSE IMYTH COORDINATES
Deep Hole Creek
ALt work shall be done in accordance to plans prepared by Warren Jackson stan1:~-~d
NYSDEC approved on 6/2/97.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict co(epLiance with the
ECL, all applicable regulations, the Genera[ Conditions specified (see page 2) and any Special conditions included as part of
this permit.
DEPUTY REGIONAL PERMIT ADMINISTRA-
TOR:
George W. Ha~narth
AUTHORIZED SIGNATURE
ADDRESS
Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356
DATE
June 3, 1997
Page i of 5
Eastern Permits Section
DEPARTMENT OF THE ARMY
NEW YORK DISTRICT, CORPS OF ENGINEERS
JACOB K. JAVITS FEDERAL BUILDING
NEW YORK, N.Y. 10278-0090
May 15, 1997
SUBJECT: Department of the Army Permit No. 10GP-97-05330
Warren W. Jackson
300 Deep Hole Drive
Mattituck, New York
11952
Dear Mr. Jackson:
We have completed our review of the above application.
From the information submitted it appears that the proposed
work is authorized by our General Permit for Non-Commercial
Mooring Structures (NYDGP-10) a copy of which is enclosed. Your
work should be performed according to the conditions of this
General Permit.
Please display the enclosed Notice of Authorization sign at
your work site.
You are required to submit to this office the dates of
commencement and completion of your work. Enclosed are two forms
for you to use to submit the required dates.
Notice is hereby given that the permittee should recognize
that a possibility exists that the structure permitted herein may
be subject to wave wash from passing vessels. The issuance of
this permit does not relieve the permittee from taking all proper
steps to insure the integrity of the structure permitted herein
and the safety of boats moored thereto from damage by wave wash
and the permittee shall not hold the United States liable for any
such damage.
It should be noted that this permit does not relieve you of
the obligation to obtain any State or local approvals for your
work.
If, for any reason, a change in your plans or construction
methods is found necessary, please contact us immediately to
discuss modification of your permit. Any change must be approved
before it is undertaken.
Sincerely,
C~tef, Eastern Permits Section
Enclosure
Telephone
(516) 765-1801
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COU~-NC1L
The following recommendation was adopted at the April 28, 1997 meeting of the-
Southold Town Conservation Advisory Council:
No. 1~33
Moved by Mary Griffin, seconded by Robert Keith, it was
RESOLVED to recommend to the Southold Town E~oard of Trustees APPROVAL
WITH PROVISIONS of the Wetland Application of WARREN W. and MARY A.
JACKSON 115-12-~ to construct a ~,' x 32' catwalk, 3'x 12' ramp, and 6' x 20'
float. 300 Deep Hole Dr., Mattituck
The Council recommends approval provided the catwalk is 1;. above grade of
marsh and that a non-turf buffer be installed.
Vote of Council: Ayes: All
Motion Carried
Pro~osed dock at 300 Deep Hole ~r. Mattituck
SECTION
SCALE
1,,=lO'
Plrop. 4'x32~ el. Catwalk
Grade
Prop. 3'x12' ramp
Prop. 6'x20' float
Bottom
Material; Marine Grade CCA, Styrofoam billets
Prepared by Warren W. Jackson
Page 2 of 2
Deep Hole Creek
Ebb Flood
Width 500'
_~,~[-- -~.~.~Prop,6'x20' Float
_17 ~l! Prop, 3"x12' Ramp
Prop,4'x32' el. Catwalk
SFD
Scale
1"=40'
300 Deep Hole Dr
Applicant:
Purpose:
Datum:
Locus:
Warren W. Jackson
Private recreational docking
MeAn Low Water
72~31'/ 40 59'
Prepared by; Warren W. Jackson
page lof2