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TR-1617 AMEND
. ViDiBLE .r ~-.'~' · ' ' hO0..±~,= NU:-IBE RS A-~ blOORIi:GS AN..~ S~Ai~S ~'IUST DISPLAY ALL DCC~ n~',D ou~nuS HUST - ~--v ViSiBLE ors ' Id T ....... Board outno own rustees SOU-HOLD, NEW YORK MOO~ZNG ~O. PERMIT NO...16.11 .................. DATE: ....... .qR~....~?..~ 19', ISSUED TO .......... Z. oha...g.,.....~.~ ~. .......................... Pursuanf fo fhe provMons o~ Chap%er 615 o{ fha Laws o~ fha S,ar_ o~ New Yor~, 1893; and Ghapfer 404 o~ fha Laws o~ me Sfafe a~ New Yar~ 1952; and *ne Sou*no~o Town Ordinance en- fff~ed "REGULATPqG AND THE PLACING O~ O~STRUCTIONS tN AND ON TOWN WA~=,S AND PUBLIC LANDS and fha REMOVAL OF SAND, G~AVc_ OR OIm:~ MATERiALS. FROM LANDS UNDER TOWN WATERS;" and in ~ccordance ROsa[uriah o~ The ~oerd adopfed afa m~e~ng he~ an .._...~.~....~.?' 19...8.3..., and ~n consideration of fha sum of $ .................... 5.00 pa~ ~o~ ~. Do~ba of ........Cute~.g~e ............................................... N. Y. end '' su~jec, fo fha Conm,~ons ]isled on fhe reverse side hereof, Terms and "~' ct Soutna]~ Town Trustees aufnonzes aha perm~;s the zoaowm~: Application approved under the Grandfather ~-zause . construction of a dock in Little Creek, Cutchogue, ali in accordance w~Tn ,ne OeTmieo specmcaNans as presented fha o6g~nafing " " app,canan. tN V¢ITNES5 ~V ...... Or, 7he sa,O Boar8 aC 7rusfees here- 'by causes ~s Corporafe Sea~ fo ~e a{{ize~, an~ ~hes~ pres'enfs be subscribed by a ma[0rlfy of fhe said Board as of fhis daf.e. ~ ~ ~ ~%~ ~ ~ .......................... ~ .... s // "-"~:~. ' Board Of Southold Town Trustees SOUTHOLD, NEW YORK I400..~.~G NO. N/A PERMIT NO...1.6~:.7 ..... DATE: ....June !r .0..z.. 1983~ ISSUED TO John J. Bomba 5, certify that the work as authorized t,~_s permit has been completed and is now r~ady for your inspec- ticn. Also, the n'um%er requLred on this pro~ect is clearly v~s!Dle. I further understand this permit is not valid untL1 this tearlsheet is returned to the Trustee~. I -_ TER~S ,and CONDITIONS /~ne Permi~ John ,7. Bomba, Pine Tree Rd. , Cu%chogue, NY r~ld[ng a: (see above) lowing: !. That the Southold Trustees Permit must be prominently disotayed cn the oremizes effected thereby durinq the period of 2~ ~nar ~e ~d B~ of T~s ~d ~ Town of ~u~ofd ~ damages, or da~ for dmag~, of ~ adJ~g ~y or ~Jy anon' ~rfomd p~: to ~s ~ ~d ~= Nd. Pe~r~. ~ defend any ~d ~i su~ ~ ~t~ ~ ~d pa~, and ~e ~d P.~ w~m respect ~ere~o, to ~e ~mpl~e ~ci~m= of ~e ~d of T~e~ of ~e Town of ~oid~ 3. Thae ~ Pe~r ~ ~d ~or a ~ of.O~ ~AR w~ sufficient ~e r~uired to ~mpiere ~e work ~votv~ but should ~c~ w~ for = e=e=ion may be=de to ~e Bud at a Inter 4. ~aat ~s Per~t shoed be reta~ ~def~tely, or as long m m:intain the s~e or pmje~ invoIv~, to provide e~d~qce ~o ot~adon w~ ori~milv obt~ned. 5. ~at ~e work ~volved w~I be ~bj~ to ~e ~sp~oa ~d ap~rovM of in agents, and noa-comp~ance ~th the provNiom of me ori~a~g revoca~on of this Pe~it by r~oluffon of the sald Bmrd. 6. ~ar there wB1 be no ~:sonab!e interi~e~ce wi~ na~fion herein audmr~ed. ~5e beach be~een high and Iow water re=ks. 8.. That ff furore oper~iom of ~e Town of ~old r~uke ~e'r~oval ~d/or ~temfiom in the loc~:ion of ~e work her~n au~o~ or~,~ ~¢opi~onof~eBo~dofT~e~e work sh~ ~use u~e~onable obs~on to free na~gation, ~e s~d Peewee u~n. due nodce, to remove or alter ~Js wor~ or project ~erem stated ~our o~ed. (See tear off sheet.) !0. ~at the Permirree will obt~n all o~er pe~ and co~en= ~t plemen:~ to ~is pe~r whi~ my ~ mb~ to revoke upon ~e Martin H, Gan-ell ,~ ~ Southold, New York 11971 Peter Wenczet Telephone (5 t 6) 765-1892. Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Grandfat~t Application ~ver/~fme ndmen~ Cha~ge s ~ceived Application: ~--~ ~eceived Fee:$ ./,~,~ ' '. ~rampleted Applica' tion~~ Incomplete SEQRA Classification: Type I .Type II Unlisted Coordination:"(date sent) ~ ~ac Referral Sent: ~9-~& Date of Inspection: ~ ~eceipt of CAC Report: ~/~/~ -Lead Agency DeterminatiOn: ~ Technical Review: Public Hearing Held: Resolution: N~ne of Applicant Eugene & Ann Burger Address 2515 Pine Tree Road, Cutchogue, N.Y. 11935 · Phone Number:(516) 734-5217 Suffolk County Tax Map Number: 1000 - 098-1-14 Property Location: same (provide LILCO Pole ~, distance to cross streets, and location) AGENT: J.M.0. Consulting (If applicable) ', P.O. Box 447 Address: quoKue, N.Y. 11959-0447 Phone: 653-0607 FAX%: ~ -3ard of Trustees Applicat~ ~ GENEI~ALDATA Land Area (in square feet): 0.954 acres Area Zoning: unknown Previous use of property: single family dwelling Intended use of property: single family dwelling Prior permits/approvals for site improvements: Agency Date xx No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a ~ governmental agency? xx No Yes If yes, provide explanation: Project Description (use attachments if necessary): ApDlicant Droposes to install ~ 6'x 20' floats. ~3ard of Trustees Applicat~ ~, WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Private recreational docking Area of wetlands on lot: unknown square feet Percent coverage of lot: unknown % Closest distance between nearest existing structure and upland edge of wetlands: 27 feet Closest distance between nearest proposed structure and upland edge o~ wetlands: n/~ fee~ : Does the project involve excavation or filling? xx No Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: n/a feet Proposed slope throughout the area of operations: n/a Manner in which material will be removed or deposited: n/a Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): As proposed, project shall have no ~v~ impacts on the Wetlands or waters of the Town o~ SoutboTH NOTICE TO ADJACENT PROPERT~f OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of SCTM~1000- 098-1-14 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: install (2) 6'x 20' floats 2. That the property which is the subject Environmental Review is located adjacent to your property and is described as follows: 2515 Pine Tree Road, Cutch0Kue 3. That the property 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 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and dose not reference any other adjacent that might have to review same proposal. OWNERS NAME: Eugene & Ann Burger MAILING ADDRESS: 2515 Pine Tree Rd Cutchogue, N.Y. 11935 ' 'PHONE ~: 734-5217 Enc.: Copy of sketch or plan showing proposal for your convenience. 5 PROJECT i.D. HUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM FOr UNLISTED ACTIONS Only PART I--PROJECT INFORMATION {To be completed by Applicant ~or Project sponsor) 1. APPLICANT/SPONSOR .2. pROJECT NAME Municipality C ~. [;]l ~ County 4. PRECISE LOCATION (Street address ~n~ roa~ersecUows, prominent landmarks, etc., or provide ma~p~ 2515 Pine Tree Road S.C.T,M.No. 1000-098-1-!4 f, ocation map & survey enclosed 5. IS PROPOSED ACTION: [] Expansion [] Modificat/onYalteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to install (2) 6'x 20' floats. 7. AMOUNT OF LAND AFFECTED; Initially r, 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 [] Industriat [] Commercial [] Agriculture [] Park/Forest/Open space [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT 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 VAL{D 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 ~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: /~/~ / n~ ~f~ ,),~._ Date: Gle as agent 3/.30/96 Ii the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form betore proceeding with this assessment OVER 1 THE FOLLOWING ARE THE ADJACENT PROPERTY OWNER8 ACCORDING'TO THE SUFFOLK COUNTY DEPARTMENT OF REAL PROPERTY TAX SERVICES. PROPERTY OWNER- _E_~e_n_~_~_A_n_~_B_u_r_g. ej .............. ,S.C.T.M. No.- ___1222:2~-_.1.-_1.~ ................ 1000-098-1-13 Arthun & Ester Matelli 17209 32nd Street " Flushing, N.Y, 11358 1000-098-1-15 Carl & Enid Rothleder Pine Tree Road PiP Cuthhogue, N.Y. 11935 11971 11958 HOG N '~ BAY LITTLE ~.~ HOG NECK NASSAU POINT / / /' FF'rfll : *mi* 0311'2:UL¥~1113 F'HI3NE NO. : 65~ 0607 Ri,r. B5 19'B6 12:SgF'H P02 Board o~ T~ustees Application County of Suffolk State of,New York DEPOSE~ AND A?FI~S THAW ~E/~HE IS THE APPLI~ FOR T~E ~O~ DESCRIBED PE~IT{S) AND T~T ALL STATEM~TS CO~AINED HE~IN TRUE TO THE BEST OF HIS/HER ~OWLEDGE ~D BELIEF, ~ T~T ~L WO~ WILL BE DONE IN THE M~NER SET FOR~ IN ~IS APPLICATION gS~D AS ~Y BE APPROVED BY T~E SOUTHO~ TO~ BO~ OF TRUSTEES, THE APPLIC~T A~ES TO HOLD THE TO~ OF $OUTHO~ ~ ~E TO~ TRUSTEES ~LESS ~ F~E FROM ~ ~D ALL D~GES ~D CLAIMS ARISING UNDER OR BY VIR~E OF SAID PE~IT(S), IF G~TED. ~DL~TI~IC ~;'rq a~r,T~TTNN,, T HEREBY AU~fHQE~ ~E TRUSTEES, THEIR AGENT(S) OR REP~SENTATIVES(S),. TO ENTER O~O APPLICATION. 7 FF'C~I1 : 3rn£/ tr311SULT]I~G F'HOhlE ~0. : 6~ 060? Apl-. 0~ 1996 1~:29Pbl PO~ Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) t, ~ ~~-- residin~ at (pria~ owner of property) (mailing address) ~,O ~~t~%~ 'tO apply for permit(s) from the Sou~hoi~)Board of Town Trustee~ on my behalf. TRUSTEES ~ SUPERVISOR John M. Bredemeyer, III, President SCOTT L, HARRIS Albert J. Krupski, Jr., Vice President Henry E Smith 9~/~ ~O~t. Town Hall John B. Tuthill ~'~ 53095 Main Road William G. Albertson ,%.-,oej, P.O. Box 117,9 Telephone (516) 765-1892 ~ Southold, New Yor~c 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 1, 1993 Burger Construction 2515 Pine Tree Road Cutchogue, NY 11935 Re: Linda Klein SCTM # 1000-98-1-14 Dear Mr. Burger: The following action was taken by the Board of Trustees at their regular meeting of May 26, 1993: RESOLVED that the Southold Town Board of Trustees approved the request for an amendment to Permit ~1617 to include bulkhead u~der grandfather permit. If you have any questions, please call our office. Very truly yours, President, Board of Trustees JMB:djh HARMS TRUSTEES Supervisor John M. Bredemeyer, Ili, President Henry P. Smith, Vice President Town Hail, 53095 Main Road Albert J. Krupski, Jr. P.O. Box 1179 John L. Bednoski, Jr. Southold, New York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 APPLZCATION FOR SPECIAL ICE DAMAGE PERMIT iNSTRUCTIONS: complete form ~-~ "and return to above address. You should have this application approved and returned to you within a week. o 1._Applicant's Name & Address: Ll~kf)~ ~J-~%% Tei'No.~[~-~=~a~ 2. Contractor's Name & Address: ~(3~ 'C~A~%T~ Tel.No. 3.The purpose of this application: Redriving or replacing openwork dock. or openwork pier piling, and mooring piles, removal of damaged piling, repair, resetting or replacement of floating docks, ramps, or decking, all necessitated by ice and storm damage resulting during 1989-1990 winter. SPECIAL CONDITIONS 1. No dredging or filling is permitted. 2. Repairs to existing structures shall be limited to replacement of timbers without change in design or dimension. ~ NO repair or replacement of ~"~- ~ ~ l~ permitted ..... ~his permit. 4. No freshwater of tidal wetlands are to be disturbed under any circumstances. 5. A yellow permit sign provided by this office shall be displayed on the project at all times while under replacement. 6. Original permit numbers (3"high) must be displayed on project. 7. Groins and bulkheads are. subject to inspection prior to issuance of permit. CONSTRUCTION, INC. ~,~¥ I 2 I~J3 Eugene Burger/Pres. ~ 2515 PINE TREE ROAD(516)CUTCHOGUE' NEW YORK 1 ??~)i~ 0~g S0 UTH~[.'[}i 734.5217 May 12, 1993 ' Southold Town Trustees Southold Town Hall P.O. Box 1179 Southold, New York 11971 To Whom It May Concern: We are writing on behalf of Linda Klein, property located at 2215 Pine Tree Road, Cutchogue, New York 11935. We are requesting to amend the existing Permit ~1617, to include bulkhead under grandfather clause. Enclosed herewith is a check for $40.00. Thank you. Sincerely, Eugene Burger enc. TRUSTEES SCOTT L. HARRIS Supervisor John M. Bredemeyer, III. President Henry P. Smith. Vice President Town Hall. 53095 Main Road Albert J. Kmpski. Jr. P.O Box 1179 John L. Bednoski. Jr. Southold. New York 1 t971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone 1516} 765-t892 TOWN OF SOUTHOLD Telephone (516~ 765-1800 July 31, 1990 Linda Klein Pine Tree Road Cutchogue, NY 11935 RE: Ice Damage Permit / 91617 Dear Ms. Klein: The following action was taken by the Board of Trustees at its regular meeting held on July 26, 1990: RESOLVED The Town Trustees approve your application for a special permit to repair dock in kind/in place, damaged by ice on property located on Pine Tree Road, Cutchoguef NY on Little Creek. Should you have any questions, please feel free to contact this office. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jb BOARD OF TOWN TRUST Town o£ Southoid Mnin Southold, New York 11971 NOTICE OF ACTION - NOT A PEPd. IIT 1. Your application, dated .... 5.J.1.0./.83 .................................................... has been reviewed by this Board, mt a meeting of the Trustees held on June 7, 1983 and resulting in the action, os indicated below: (...,...XXI Application approved. ( ............ ) Application denied. ( ............ ) Application tabled. / / 2. Comments and remarks: Application approved under the Grandfather Clause, to obtain a permit number for your structure. :: I A PER,MIT FEE 3. If your cgoJ~cerion ~s oo~roved above. ,~ .-'~.mi¢ ,-F-c-? is now due, and should be made p~ycbJe ]p ,~,or~r at, ~e Board of SouthoJd Town Trustees. Th,s tee is computed below acc~rdina to ,me.~gne~qJgOr Ngtesos set forth in the Instruction Chee*f~crm J/11 This fee ~ust ~e pazo ~fzcnln Mu cays or re-app~yzn9 and addi~zonaZ ~ee wzzz Be necessan- If me Permit Fee is auld in person to the Secretary of the Board, The Permit wiJl be ob?aincble at the same time. If the 'fee is paid by mail, the permit will be mailed in repJy. Computation af Permff Fee: Total Fee for this application ............................. t .............................. $ . . Signed . .. Pres. Board of Sout,~old Town Tiustees. ...................... Clerk ~/ ~//// ~tMn Ro~d Soothe!d, New York 11971 ~} APPLICATION FOR FIXED and/or FL0:_2INb ~on,,~c,o. s name and ~ddress: Tel. 4. After issuance of a Permit, work , ' ~ musc be completed within one year. 5. Secure the correct Area b~cp tram the ~le_.. o~ this ~ogra, end by usna a/X x~I'TH[N A CI~CL[ {ndicare cs cJosMy as possible the {eastman o( this dock. On thq re/erse s[dc o{ mop, provide a SCALE DRAWING which will show Ordinary H~g., VZoter M~rk, Th~ sac? cn~ s~ze of ~he dock and any suppJementa} pH;ags which ore needed to hold c ~cc~ng I*~ZCH EX~NDS O ..... O~ from. the O. M. W. ~. If adjacent proFe~y owners nave docks, specify location and length to scale. 6. ~/ill any portion of this construct[on extend offshore ~nto Town x~'crers beyond an line or boundaW fbrmed by other s~milor structures aiong the areo's zhorei?ne? YES d~ ~NO if it does extend beyond this so-ached ~ccK hne mdlcate by now for, ¢- ~ ' 7. Provide the t ~ 'n~ ' (a[ A k~censed ~ngmeer s Survey of ~he property Mvolved. ,b, A copy of the Contractors Pl~ns and c~ Shor~ ~n~i. onm~.tal Asse~m~n~ Fo ..... 8...-ii th~s construction'require the rhdng of any land of,snore of the Ordinary High FAerk or the DredgMg of any materia[ from Town L~nds u~der wc;~er? YES or NO. ;~ ~t Form A/4 (Appi]cst~or~ for Dredg[ng/FiJJ[~g) must be compiefed cr,d attached as pa¢~ oS applicsficn. i ~ 9. Jn requesting agprova~ a¢ th~s application, i sub.it that: the inCarmatian ~ a__. aC ~' is true end correct to the best of my know[edge and beJ[ef; [ am the person acccuntcbia for ~. the performance of the work n accordance w h the p oas and spec fast o~s attacheS; ~ have ~-t ~ read or om familiar wlrh the provisions of any boutaoid To,,n Ordinance pertinent to lhe work ~ [~voived; ~nd further, I ;ntand to adhere to and ob~de by the Terms and Conditions Of the o) Permit, when and if issued to me. To expeczte ~zn~zng sDeczzzc zoca~on for ~n~ection, ~n~:.cate by ~slng a temporary marker& ,~( .... TOWN OF SOUTHOLD SHORT ENVIRONMENTAL ASSESS~JENT FOR~4 INSTRUCTIONS': . (a) tn order to answer the.questions in this short EAF it is assumed that the preparer will use currently avoilobie ~nformotion concerning the project and the likely impacts of the action, ti is not expected that additional studies~ research or other investigations will be undertokeno (b) If any question bas been answered Yes the project may ~e significant and o completed Environmental Assessment Form is necessary. (c) tf otl questions hove been answered No it is likely th§t this project i~ not significant. -~.~. (d) Ehvironmentol Assessment 1. Will project resu±z ina large physzcoz change to the project site or physically alte~ more than 10 acres aT lond...~.~ ................... __Yes 2. Wilt there be o major change to any unique or 3. ~nusual land form found on the site? ...... ~..~ %;i!1 project alter ar have a large effect on ~ ~xisting body of water? ....................... 4. %~ill project hove a potentially large impact -~- ~// on groundwater quality ............. 5. Will project significantly effect drainage .... flow on adjacent sites?.., ...... ' ............... ~___Y~s ~. %Vill projec% o~fecl any ~nreotened or ~ .// endangered pton~ or ?nimol species? ...... i .... 7. ~;ill project result in o major adverse efTect on air quotity? ............................... 8. %'/iii projec~ have o major effect on visual chor6cier Of the community or scer~ic views or vistas known ~o be important to ~he community? 9. Will projecl adversely impact any site or $lruciure of historic~ prehistoric or paleontological importance or ~ny site designated as ~ critical environmental area by a local sgency? ............. .~..-.~.~-.~.-~-'~..v 10. %'Jilt project have o bajor effect on existin~ ~ or future recreolionsi opportunities? ......... 11. ~zxl projec~ re=ul~ in major traffic problems or cause a major effec~ fo existing %ranspor~alion system'5?/'~ ............. ' ........ __Yes 12. Will project regularly cause objectionable od~rs~ noise~ glare~ vibra~ion~ or electrical d~siurbsnc~ os a resul~ or the project s 13. %9ill project have amy impact on public health -- '- or aafe~y? ........ ~ ........................ ---.' Y~s No 14. Will project a[fe~ the existing community ~ ~ directly causlng a growth in permanent population of more ~han ~ percent over a one year period or hav~ a major negative effect j' / on lhe c~ara~er of the community or neighbornood? ..... ~ ...... .................. '~ 15. !S there public controversy concerning ~he --"Y~s project? .... ~ ........ ~---~ ................. SIGNATURE / /~ ~ ' ' D~TE' PREPARER~S STATE Of NEW YORK DEPARTMENT OF STATE ALBANY. NY 12231-0001 s~c~^~ o~ $*^r~ June 11. 1996 Glerm E. Just J.M.O. Consulting P.O. Box 447 Ouogue, NY 11959-0447 Re: F-96-222 U.S. Army Corps of Engineers/New York District Permit Application #96-03840-L2 Eugene & Ann Burger, Little Creek Town of Southold. Suffolk County Dear Mr. Just: The Depmm~ent of State has completed its evaluation of your Federal Consistency Assessment Form and certification that the above proposed permit activity complies with New York State's approved Coastal Management Program, and will be conducted m a mmmer cons~stem with this program. Pursuant to 15 CFR Section 930.63, and based upon the project information submitted, the Department of State concurs with your consistency certification. This concurrence is without prejudice to. and does not obviate the need to obtain all other applicable licenses, permits. and approvals required under existing State statutes. The U.S. Army Corps of Engineers is being notified of this decision by copy of this letter. Sincerely, George R. Stafford Director Division of Coastal Resources and Waterfxont Revitalization GRS:KI)V:dlb cc: COE/New York District - Denise Butts DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski Albert J. Kmpski, President Town Hall John Holzapfel, Vice President 53095 Main Road Jim King P.O. Box 1179 Martin H. Garrell Southold, New York 11971 Peter Wenczel Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 22, 1996 J.M.O. Consulting Glenn E. Just P.O. Box 447 Quogue, NY 11959-0447 RE: EUGENE & ANN BURGER SCTM g98-1-14 The following action was taken by the Board of Trustees at their regular meeting of May 22, 1996: RESOLVED that the Southold Town Board of Trustees approve the request for an Amendment to Permit %t6t7 to remove platform and add 3- 6' X 16' floats with 4- 2 pile dolphins. Located: 2515 Pine Tree Road, Cutchogue. This does not constitute any other permits from any other agencies. tf you have any questions, please call our office. Sincerely, President, Board of Trustees AJK/djh cc. CAC J.H.O. Consuit~ng P.O. Box 44T .. quogue, N.~. ~959~0447 s~s ~63 Oeo~ To: ~ ~.'~ ~.~ "'~'<~ Number of pages tncluding cover _3 .. I£ you do not ~*e~.~s:w~ th~ corroet ~umber of pages, please call our offlc, a~ soon as pos~lble* SECTION PR Ex, 4,'x ~2' ::,4 .,. EX,.4,X40~CA WALK BOT TOb.,,f' SCALE I~0..~. 'ON BNOHd BNII~nSNOD g~£ : WOEL~ . 8uf'~olk County . Hagstrom ~a~ 29 - , Applicant pr*p*s~ to install (3) 6~ I~ Sou:hold, SuffOlk County, New York. E Location of Ailk' aud Al,iV ~,i~os as ,/ pet' G. Just 3, 13/96. 'APPLICANT: EUGENE~ ANN I;:¢URG[-..R_.. -~ PURPOSE :PRIVATE RECREATION At... ~3t.~.Jl,.IC LOCATION:25 5PINt TREE ~OAD CUTCHOGLJEj ~.Y. ,,t~, 3-29-96 { 1000-098-1-~4 {"~"~"0 ~l~lq~ DATUM: M EAH LOW;,,WATER LOCUS: ~2¢2~ 41"01~ SHEET { OF I JMO CONSULTING QUOGUE~ N.Y. ~655-060~ £08 W8PO:PO 966~ 9~ '~EW £09'i ~9 : 'ON BNOHd 9NI±qnSNO3 J.M.O. Consultln~ P.O. Box 447 Quogue, N.Y. 11959-0447 §~6-663-0607 FAX COYER $IIElgT Number of pages including cover ~ I~ you do not receive the correct number of pages, please call our office as soon as possible. STATE OF NEW YOrK DEPARTMENT Of STATE ..... ~ ALBANY, NY 1223t-0001 t~ Gle~ E. Just ~..-2_:~.~- ................ :'~ J.M.O. Cons~g P.O. Box 447 Quote, ~ 11959-0447 Re: F-96-222 U.S. ~y Co~s of En~eers/New York D~ct Pe~t Application Eugene & ~ Burger, Little Creek To~ of Sou~old, Suffo~ Coun~ Ac~owledaement of Federal Consistency Assessment Fora Dear Mr. Just: The Department of Stare received your Federal Consistency Assessment Form and supporting /rfformation on April 15, 1996 and has determJxted that the submitted docurnentation is adequate to commence our review of your proposed project. We w~d contact you if additional information may be necessary for consistency review purposes. You and the Corps of Engflaeers will be notified of our decision when we have completed our review of th/s project for its consistency with the New York State Coastal Manageme. pt Program. The Corps of Engineers cannot issue a perm/t for this project unless tl~e Department of State concurs with your consistency certification. Please call Kevin D. Vienneau at (518) 474-6000 if you have any questions. Sincerely, ., W~am F. Barton Chiet~ Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB:dlb cc: COE/New York D/strict - James Haggerty NYS DEC/Region 1 - Robert Greene Town of Southold - Albert Krupsld TovmH'a. ll. 53095 Main Road P.O. Box 1179 Telephone Southold. New York 11971 (516) 765-1801 $OUTHOLD TO~N CONSERVATION _&DVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, April 22f 1996, the following action was made: A-53 Moved by Bruce Loucka, seconded by Allan Connell, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the request to amend permit of EUGENE AND ANN BURGER 98-1-1t~ to install (2) 6' x 20' floats The CAC recommends disapproval because there is no need and the additions would cover excessive creek bottom. 2515 Pine Tree Road. Cutchogue Vote of Council: Ayes: All Motion carried. APR 2 2. t996 STATE Of NEW YOrK ~=.__ ........... _~_~ DEPARTMENt OF STATE ALBANY. NY 12231-0001 ALEXANDER F. TREADWELL April 18. 1996 Albert J. Krupski. Jr. Trustee, Town of Southold 53095 Main Street P.O. Box 1179 Southold. NY 11971 Re: F-96-222 U.S. Army Corps of Engineers/New York District Permit Application Eugene & Ann Burger, Little Creek Dear Mr. Krupski: Enclosed is a copy of the information subrmtted to the Department of State for review q the above-referenced project with respect to its consistency with the Coastal Managemer~t Program for your information and preliminary review. Please contact Kevin D. Viermea~, the DOS reviewer assigned to this project, at (518) 474-6000 to discuss your concerns, anal any additional information which may be necessary to assist you in reviewing this project. Any comments you may have will assist the Department in reaching a decision as to the consistency of the proposed action with the approved NYS Coastal Management Program. Please note, however, that if we do not hear from you within 45 days of the date of t~s letter, we will presume that you have no objections to the proposed Project. Sincerely, L~; William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB:dlb ~'~ prlnled on r ~c~ed paper ~ ~ P.O. Box 1179 Jim King ~- ~ Southold. New York 11971 Martin H. Garrell Peter Wenczel Telephone (516) 765-1892. ~~ Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application Waiver/Amendment/Changes Received Application: Received Fee:$ Completed Application Incomplete SEQRA Classification: Type I Type II UnlLsted Coordination:Id~te sent) CAC Referral Sent: Date of Inspection: Receipt of CAS Report: Lead Agency Determination:__ Technical Review: Public Hearing Held: Resolution: N~ne of Applicant Eugene & Ann Burger Address 2515 Pine Tree Road, Cutchogue, N.Y. 11935 Phone Number:(516) 734-5217 Suffolk County Tax Map Number: 1000 - 098-1-14 Property Location: same (provide LILCO Pole ~, distance to cross streets, and location) AGENT: J.M.0. ConsultinK (If applicable) P.O. Box 447 Address: QuoRue, N.Y. 11959-0447 Phone: 653-0607 FAX~: Board of Trustees Application GENERAL DATA Land Area (in square feet): 0.954 acres Area Zoning: unknown Previous use of property: single family dwelling Intended use of Property: single family dwelling Prior permits/approvals for site improvements: Agency Date xx No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? xx No Yes If yes, provide explanation: Project Description (use attachments if necessary): Applicant proposes to install (2) 6'x 20' floats. " ÿÿÿÿ E`7 5 àÿÿÿÿ J`7 8 ¯nÿÿÿÿ K`7 6 ©Bÿÿÿÿ R`7 5 ³ÿÿÿÿ S`7 8 Ðÿÿÿÿ Y`7 7 Dnÿÿÿÿ _`7 8 Dgÿÿÿÿ j`7 5 ÿÿÿÿ ›`7 8 $åÿÿÿÿ ¤`7 8 Xhÿÿÿÿ µ`7 7 ÿOÿÿÿÿ ¹`7 9 ëªÿÿÿÿ Ø`7 6 =®ÿÿÿÿ Ù`7 5 ¶ÿÿÿÿ Ý`7 8 ´fÿÿÿÿ à`7 8 Wfÿÿÿÿ é`7 5 Ýÿÿÿÿ í`7 5 Gÿÿÿÿ þ`7 5 xÿÿÿÿ a7 8 ¼gÿÿÿÿ ]a7 5 ¦ÿÿÿÿ aa7 8 nÿÿÿÿ la7 5 Ùÿÿÿÿ ™a7 5 Úxÿÿÿÿ ºa7 5 1ÿÿÿÿ Éa7 7 .ÿÿÿÿ Ña7 7 5ÿÿÿÿ Üa7 5 Dÿÿÿÿ àa7 8 äfÿÿÿÿ øa7 8 ÀVÿÿÿÿ ûa7 8 nÿÿÿÿ b7 3 ñÿÿÿÿ .b7 7 ,Pÿÿÿÿ Fb7 5 qÿÿÿÿ Jb7 6 „°ÿÿÿÿ ˆb7 5 ìÿÿÿÿ ‘b7 9 ‹ÿÿÿÿ ©b7 5 ¿ÿÿÿÿ ´b7 5 xÿÿÿÿ Ìb7 : ¶pÿÿÿÿ Îb7 5 èÿÿÿÿ ]c7 7 ÈPÿÿÿÿ ec7 " ö:ÿÿÿÿ vc7 8 D©ÿÿÿÿ Åc7 3 žùÿÿÿÿ Ïc7 6 µvÿÿÿÿ #d7 5 Aÿÿÿÿ @d7 7 B.ÿÿÿÿ Rd7 7 ÝPÿÿÿÿ ‰d7 5 sÿÿÿÿ –d7 6 @ÿÿÿÿ d7 5 ÿÿÿÿ ·d7 8 !åÿÿÿÿ Ãd7 8 iÿÿÿÿ Èd7 8 µeÿÿÿÿ Êd7 7 äOÿÿÿÿ Îd7 8 `fÿÿÿÿ Ðd7 5 sÿÿÿÿ âd7 5 ÿÿÿÿ îd7 7 ²{ÿÿÿÿ e7 7 8Pÿÿÿÿ e7 " D#ÿÿÿÿ e7 8 ìmÿÿÿÿ #e7 5 ÿÿÿÿ +e7 8 ˆnÿÿÿÿ He7 7 öOÿÿÿÿ te7 5 Ïzÿÿÿÿ ve7 7 ßQÿÿÿÿ ’e7 5 üÿÿÿÿ œe7 5 Ìÿÿÿÿ ¦e7 5 Ÿÿÿÿÿ ®e7 7 àPÿÿÿÿ f7 5 Mÿÿÿÿ f7 5 ` ÿÿÿÿ 3f7 9 ›ÿÿÿÿ 4f7 5 ‚ÿÿÿÿ :f7 5 dÿÿÿÿ Ff7 5 ™ÿÿÿÿ Hf7 7 $Mÿÿÿÿ Žf7 7 ÿÿÿÿ NOTICE TO ADJACENT PROPERT~f OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In'the matter of SCTM~1000- 098-1-14 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: install (2) 6'x 20' floats 2. That the property which is the subject Environmental Review is located adjacent to your property and is described as follows: 2515 Pine Tree Road, Cutcho~ue 3. That the property 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 765-1892 or in writing. The above referenced proposal is under review of the Beard of Trustees of the Town of Southold and dose not reference a/]y other adjacent that might have to review same proposal. OWNERS NAME: Eugene & Ann Burger MAILING ADDRESS: 2515 Pine Tree Rd Cutchogue, N.Y. 11935 ' 'PHONE ~: 734-5217 Enc.: Copy of sketch or plan showing proposal for your convenience. 14-16-4' (2/87}--Text 12 S~QR PROJECT I.D. NUMBER 617.21 ' ' Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART i--PROJECT iNFORMATiON (To be complsted by Applicant,0r Project sponsor) 1. APPLICANT/SPONSOR .2. PROJECT NAME Municipality County 4. PRECISE LOCATION (Street address an[I roa~[~rsections, prominent landmarks, etc., or provide rna~ 2515 Pine Tree Road $.C.T,M.No, 1000-098-1-14 Location map '& survey enclosed 5. IS PROPOSED ACTION: ~ew [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to install (2) 6'x 20' floats. 7. AMOUNT OF LAND AFFECTED: Initially ~ acres Ultimately 0 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~ Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN V~CINITY OF PROJECT? ~ Residential [] industrial [] Commercial [] Agriculture [] Park/Forest/Open sp~ce [] Other Describe: DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? --'J~ Yes [] No !f yes, list agency(s) and permit/approvals qn-tbo]d Tn~') T~',~f~% NY ~ I~.FC. NYRDOS h U,~DOA 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes ~ No if yes, list agency name and permltlapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: /~1~ ~~ Date: Glen fl as agent 3/30/96 ~ Signature: ,L% If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 THE FOLLOWING ARE THE ADJACENT PROPERTY OWNERS ACCORDING'TO THE SUFFOLK COUNTY DEPARTMENT OF REAL PROPERTY TAX SERVICES. PROPERTY OWNER- _~_~._&__A_~._~_._~._u._~_~ ............. ,$.C.T.M.No.- ___L~=~=L=L~ ................ 1000-098-1-13 Arth~n & Ester Matelli 17209 32nd Street Flushing, N.Y. 11358 1000-098-1-15 Carl & Enid Rothleder Pine Tree Road Cuthhogue, N.Y. 11935 119'71' PECO N I Soufhold 11958 H / HOG NE CK BAY LITTLE HOG NASSAU / FF-'rjf~ : ~m!_-~ EOII.E:ULfHIL~ PHONE 1,10. : 6~3'~' 0,50? Rpr'. 85 19~5 12.,~P~' '~q PE~2 Board of Trustees Appliuation County of Suffolk State of:New York Dm~OSES ~D aFF~S THAT HE/~hE ~S THE A~PLIC~ FOR THE ~O~ DESCRIBED ~E~IT(S) AND T~T ALL STATBM~TS CO~AINED HE~IN TRUE TO THE BEST O~ HIS/HER ~OWLEDGE ~D BELIEF, WO~ WILL BE DONE IN ~E M~NER SET FOR~ I~ ~IS APPLICATION ~4D AS ~Y BE APPROVED BY TNE SOUTHOLD TO~ ~O~ OF TRUSTEES. THE APPLIC~T AG~S TO HOLD THE TO~ OF SOUTHO~ ~ ~E TO~ TRUSTEES ~LESS ~ P~E FROM ~ ~D ALL D~GES ~D CLAIMS ARISING UNDER OR BY VIR~E OF SAID PE~IT(S), IF G~TED. ~OMDL~TIMC ¢~;'rq 5?~f, TC~TT~N, T HE~E~Y AU'f~QE~ ~E TRUSTEES, THEIR AGENT(S) OR REP~SEN~ATIV~S(S),- TQ ENTER O~O APPLI CATION. " Notary ~ublic ~ FPgll : ;rW3 fFJtlL~I_ILTIHI] F'HOHE NO. : 653 0607 Apr. 05 1996 12:29PM P03 Board of Trust~es Appiication AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailin~' address) ~,~,D~~;r~ tO ~pl~ for pelmitls) f~om Sou~h~) Board of Town Trustee8 on my behalf.