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Home My WebLink AboutTR-4715Aibcrt J. Knlpsk. i, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wejmzel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only .Coastal Erosion Permit Application L--Wetland Permit Application Grandfather Permit Application Waiver/Amendment/Changes ceived Application: eceived Fee:$ ~5~--- ~LC_01npleted Application Incomplete SEQRA Classification: %~rpe I .T!rpe II Unlisted Coordination:(date sent) L-~CAC Referral Sent: L~-Date of Inspection: ~;o-~7 ~-'~eceipt of CAC Report: Lead Agency Determination: Technical Review: P~blic Hearing Held: Resolution: To~n Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516~ 765-1892. Fax (516) 7fi5-1823 t- 11952 N~ne of Applicant Stephen &' Susan Tuthill Address 1895 Naugles Drive, Mattituck, N.Y. Phone Number:616 ) 298-2162 'Suffolk County Tax Map Number: 1000 -99-04-21 PrOperty Location: 1895 Naugles Drive, Mattituck (provide LILCO Pole ~, distance to cross streets, and location) AGENT: J.M.0. Consulting (If applicable) '~ Address: P.O. Box 447, Quogue, N.Y.. 11959-0447 Phone: 653-0607 FAX~: bb3-334~ Board of Trustees Application GENERAL DATA Land Arga (in gquare feet): Area Zoning: ~ k~,o,~ Previous use of property: Intended use of property: single family d~lling single family dwelling Prior permits/approVals for site improvements: Agency . Date v/ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? __ No .Yes If yes, provide explanation: Project Description (use attachments if necessary): ~ Applicant proposes to reconstruct existing 3'x 15' walk, 6'x 60.5' catwalk~ 3'x t8' ramp and to install a 10'x 20' float and a 3'x 66 extension to the landward end of an existing walk. Board of Trustees Application WETLAND/TRUSTEE LANDS A~LICATION DATA Purpo~s~of the proposed operations: ~-i~ (-CCC~C%~O~o_[ ~( Area of wetlands on lot: Percent coverage of lot: ~- ~ ~ OOO .square ,'~ ~ c~. % feet Closest distance between nearest existing structure and upland edge of wetlands: ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ fee~ Does the project involve excavation or filling? v/ No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or' deposited: feet Proposed slope throughout the area of operations: Manner in w~ich material will be removed or deposited: cubic 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): To whom it may J.M.O. Envi.onmental Consulting Services J .H .0. Please be advised that we have authorized the firm of J.M.O. Environmental Consulting Services to act as our agent on our behalf in a[~plying for certain approvals through your aSency and others involved with this project. J.M.O. Consultin~ Services h~ve been retained to coordinate all approvals necessary through your and'other involved agencies, as well as our architect, engineer and contractors, we request that all com~mnications, correspondence, notices, approvals and calls be addressed directly to the offices of Consulting Services. Dated /- ~3 - q 7 Phone (516) 653-0607 · Fax (516) 653-3348 I ?_1 Jessup Ave · 2nd Floor · P.O. Box 447 Quogue, NewYork 11959-0447 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing address) Southold do hereby authorize (Agent) to apply for permit(s) from the Board of Town Trustees on my behalf. ' (Owner ~ signature 4 Board of Trustees Application County of Suffolk state%~f New. York ~T~N% ~6R~ --~-U~%Lt BEING DULY SWO~ DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE . ~ ~u '±'HE BEST OF~IS~HER KNOWLEDGE AND BELIEF, AND THAT ALL ~RK_~I~L BE DONE IN-THE MANNER SET FORTH IN THIS APPLICATION-- ~ A~ MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. T~S~LICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN ~ TEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN C6MPLETING THIS APPLICATION, I HEREBY AUTHORIZETHE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY/ TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS 'APPLICATION. SWORN TO BEFORE ME THIS Si'~ature ' Notary ~ublic 3 dO' MATT ' '~ K ITUCK CREE .<-EBB FLOOD'~ WlDT H*~I20' PROP. IO'X2d "'~' EX. lO'X20' A/.~, FLOAT~ FLOAT .s~ II1~ BAN K ~ Z NAUC>LES ROAD JMO CONSULTING Suffolk County Hagstrom Map 25 Scale 1"=3,000' Applicant proposes to reconstruct existing 3'x 15' walk, 6'x 60.5' catwalk, 3'x 18' ramp and to ins a lO'x 20' float and a 3'x '66' extension to the landward end of existing Walk. ^~ Mattituck Cree Mattituck, Town of Southold, Suff¢ County, New York. Applicant: Susan & Stephen Tuthil LocatXon: 1895 Naugles Road Datum: Apparent Low Water Locus: ~2o32' 4~01' S.C.T.M.NO. 1000-99-04-21 Purpose: Private Recreational Doc SCALE 0 25 .50 StiEET r OFZ QUOGLJE~ I',I.Y. 5lb 7 ._lb'lO G.._),q~.~LJLTING QUOGI. Jl!{-, I~'IY (:::>!7>..5-(~Z'3, ?_,§611 G ~V V ~/ D ~ 0 7 .I Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. J':'l~ ~- DATE: ..M,a:~ch 27' 1997 ISSUED TO ~.'~[,.b~....,Y. ~-.~g:A ~'~. .............................................. ' · Pursuant fo fhe provisions of Chepfer 615 of fhe Laws of the State of New York, 18.93; and Chapter 404 of the Laws of the State of New York 1952, and the Southeld Town Ordinance en- ~- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LAND5 and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with fha Resolution of The Board adopted at a meeting held on .k[~:S~ ~.~ 19 97., and in consideration of the sum of $ ~50:,.~.0 paid by ..d~,.M_,Q,~...(~.9~S~ng on behalf of Mr. & Mrs. Tuthill of ................................ N.Y. and subject to the Terms and Conditions listed on the reverse si~e hereof, of Soufhold Town Trustees aufhorlzes and permlfs the following: to reconstruct existing 3~ X 15' walk, 6~ X ~0~ 5~ catwalk, 3'X18' ramp and float shall be a ~otal of 10' X 30', a 3~ X 66' to ~he landward end of the exis~ign walk, also to replace s~airs all in accordance with the defaiJed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents fo be subscribed by a maiorlty of ('he sald Board as of this daf, e; Albert J. Krupski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTie~ES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 March 28. 1997 J.M.O~ Consulting P.O. Box 447 Quo~ue, NY 11959-0447 Re: Stephen & Susan Tutkill SCTM 9 99-4-21 Dear Mr. Just: The following action was taken by tha Board of Town Trustees ,during its regula~ meeting held on March 26, 1997 regard%ng above matter: WHEREAS, JoM.O. Consulting on behatf of STE~HANANDSUSAN TUTHILLappliedtathe Southotd Town Trustees for a permitunde~ the provisions of the Wetland Ordinance of the Town of Sou~h~ldt applicatica/ dated Fe~ 6, 1997, and, WHEREAS, ~a~d appticationwas refe~ed to ~b~ So~tholdTown Conservation Ad~isor~ Council for their findings and reco~endations, and 9/tIF__~, a Pubtic ~eariug was held by the Town Trusteeswitk respect to said applicatio~on~areh Z6, 1997, at which time all inte~estedpersonswe~e give~an ~pportw~nitytobehea~, and, WHEREAS, the Boazd members have pezsonatty viewed, and a~e familiar with the premises in questinn and the surroundin~ and, WHEREAS, the Boa~d ham conside~edatl documentation sutm~tted co-cernin~this application, and, WHEREAS, the structure ec~ptieswith the s~nan~d set ~o~-~/ in Chapter 37-18 of the Seuthold Town Cede, WHEREAS, the Board has determined that the p=o3ectasprc~sed will not affect the health, safety and general welEare o~ the people of the town, NOW TM]~P~2~O~ BE IT, RESOLVED, that the Board of Trustees grant a Wetland Permit to reconstruct existing 3' X 15' walk, 6' X 60.5 catwalk, ~' X 18' ramp and float shall be a total of 10' X 30', a 3' X 66' extension to the landward end of the existing walk, also to replaoe stairs, an~, BE IT FU~',KK ~OLVED that th~s determination should not be considered a deter~4-~tionmade for any o~h-v Depa=em--t or Agency which may also have an application p-n8%-q for the same or similar project. Permit to construct project will expire two years frc~ the date it is signed. Fees must be paid, if applicable, a~tpermit issued within six months of the date of ~h~s notification. Two inspections are required an~the Trust--~ are to be notified upon completion of said project. FEES: 10' X 10' = 100 s.f. X $3.00 = $300.00 Very truly yours, Albert J. K~upski, Jr. President, Board of Trustees AJK/jmd Albert J. Faupski, President John Holzapfel, Vice President William G. Alb~ason Martin H. Gan'ell Peter Wenezel 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) 7 ':~'1823 Please be advised that your application, dated ~/~ has bee reviewed by this Board, at the regular mee~ihg of ~/~./~7 and the following action was take~: ( ~ Application Approved. ( ) Application Denied. (see below) (see below) (See below) ( ) Application Tabled. If you application is approved as noted above, a permit fee is now due. Make check er 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 REMAR~g: COMPUTATION OF PERMIT FR~.g: TOTAL FEES DUE: SIGNED: BY: PRESIDENT, BOARD OF TRUSTEES CL~ BOARD OF TOWN TRUSTEES k3 6/95 George E. Pataki Alexander E TreadweIl Secretary of State February 28, 1997 UU- ~IAR - 3 I~37 ~11 [F?_~'N 9F SOUTHOL~i Environmental Consuking Services February 27~ i9~ Mrs. Jill Thorp Board of Town Trustees Town of Southotd 53095 Main Road, P.O. Box 1179 Southoid, N~Y. i1971-1179 RE: Application for Tuthill, 1895 Naugles Drive~ S.C.T.M~No. 1000-99-4-21 Dear Mrs, Thorp: Mattituck For your review, we have enclosed the revised plan and section. As always, should you have any comments or questions regarding this project, please feel free to contact our office~ GEJ;arh Phone (516) 653-0607 o Fax (516) 653-3348 121 jessup Ave ~ 2nd Floor ~ P.O. Box 447 Quogue, NewYork 11959-0447 Please be advised that I recently met at this project site with NYSDEC Department staff member Charles T. Hamilton, Lou Chiareita and Southold Town Trustee James King. At that time, it was determined that the application should be modified. The requested modification is to reconstruct existing 3'x 15' walk, 6'x 60.5' catwalk, 3'x 18' ramp, to install a lO'x 20' float, to construct a 3'x 88' extension to the landward end of the existing dock. All walks, catwalks and fixed docks would be reconstructed/constructed 3.5' above grade of existing marsh. At this time, the applicant is also seeking to reconstruct in kind in place the existing timber stairway leading down the bluff (±4'x %70'). MATTITUCK ~- EBI~ FLOOD-) WlDTH~t20' FLOAT EX. IO'X 20' OF BAN K Applicant proposes to reconstruc existing 3'x 15' walk, 6'x 60.5' catwalk, 3'x 18' ramp, to install a I0' 20' float, to construct a 3'x 66' extension to the !andwar( end of the existing dock. All walks, catwalks, and fixed docks would be reconstructed/construct~i 3.5'above grade of existing marst Reconstruct in kind in place the existing timber stairway leading down the bluff (+4'x +70'). Applicant: Susan & Stephen Tuthi~l ~ Location: 1895 Naugles Road ~ Datum: Apparent Low Water ~ Locus: ~2o32' 41001, ~ S.C,T.M.N0. 1000-99-04-21 ~ Purpose: Private Recreational Docking, .~ MO ~OE OF BANK .~ EX. STEPS TO I~ ~cO~_,~/ ~ TWL - ~ ~ d X QUOGIJE~ Telephone (516) 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Town Hall. 53095 Main Road P.O. 15ox 1179 Southold. New York 11971 The following recommendation was passed at the Southold Town Conservation Advisory Council meetin~l which was held Friday, February 1% 1997: No. 1420 Moved by Robert Keith. seconded by Melvyn Morris, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROV~AL WITH STIPULATIONS of the Wetland Application of STEPHEN and SUS~AN TUTHILL 99-a,-21 to reconstruct existing 3' x 15' walk, 6' x 60.5' catwalk,I 3' x 18' ramp and to install a 10' x 20' float and a 3' x 66' extension to the landward end of an existing walk. The Council recommends approval with the following stipulations: 1, The dock extend no furthei' than the dock to the north, 2, The catwalk be elevated 3' above grade. 3, The new float not encroach into neighbor's area and limit navigation, 1895 Naugles Drive, Mattituck Vote of Council: Ayes: Al Motion Carried George E. Paraki Alexander E Treadwell Secretary ~f State Glenn E. Iust J.M.O. Consulting P.O. Box 447 Quogue, _NY 11959-0447 Dear Mr. Just: Re: February ll, 1997 F-97-088 U.S. Army Corps of Engineers/New York District Per Application - Stephen & Sasan Tuthill, Mattitack Creek Town of Southold, Suffolk County Acknowled~emem of Federal Consistency Assessm, Form The Department of State received your Federal Consistency Assessment Form and supporting informafi on February 10, 1997 and has determined that the submitted documentation is adequate to commence review of your proposed project. We will contact you if additional information may be necessary consistency review purposes. You and the Corps of Engineers will be notified of our decision when we have completed our review ofl project for its consistency with the New York State Coastal Management Program. The Corps of Engine~ cannot issue a permit for this project unless the Department of State concurs with your consisten certification. Please be advised that the Corps of Engineers may authorize the oroposed project under an existh an existing nationwide is project by the Department of State would 1 necessary. Please call Stevan C. Resler at (518) 474-6000 if you have any questions. Sincerely, H William F. Barton , WFB:dlb Chief, Project Review and Analysis Bureau cc: COE/New York District - James W. Haggerty NYS DEC/Region i - Regional Permit Administrator Town of Southold - Albert J. Krupski, Jr. nit ur or ,is tg :nvironmental Consuking Services February 5, 1997 Mrs. Jill Doherty Town of Southold Board of Town Trustees 53095 Main Road, P.O. Box 1179 Southold, N.Y. 11971-1179 RE: Application for Stephen and Susan Tuthill 1895 Nau~les Drive, Mattituck S.C.T.M.No. 1000-99-04-21 Dear Mrs. Doherty: For the Board's review, we have enclosed an application which we have prepared for the above no{ed homeowners. Please be advised that prior to.the ~reparation of this application, a pre-application meetin~ was held. Mr. James King was kind enough to take time from his personal schedule to meet with me at the site to discuss all aspects of this application. It should be noted that Mr. TuthilI has been liven a used 10'x 20' float which he wishes to install at the site and that there shall be no need for the proposed float to be constructed or purchased. As always~ refardin~ this application~ office at your convenience. GEJ:arh should you have any comments or questions please feel free to contact our Phone (516) 653-0607 ~ Fax (516) 653-3348 121 Jessup Ave · 2nd Floor ~ P.O. Box 447 Quogue, NewYork 11959-0447 George E. Pataki Governor Alexander E Treadwell Secretary of State AJbert J, Kmpsid, Trustee, Town of Southold 53095 Main Street P.O. Box 1179 Southold, NY 11971 February 11, 1997 Re: F-974)88 U.So Army Corps of Engineers/New York District Pern~it Application - Stephen & Susan Tuthill, Mattituck Creek Dear Mr. Kmpski: Enclosed is a copy of the information submitted to the Depamneut of State for review of the above-referenc~ project with respect to its consistency with the Coastal Management Program for your information ag~~ preliminary review. Please contact Steven C. Resler, the DOS reviewer assigned to this project, at (51~) 474-6000 to discuss your concerns, and 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 ~o 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 this letter, we w'~l presume that you have no objections to the proposed project. Sincerely,~/~~" William F. Barton Chief, Project Review and Analysis Bureau Enclosures WFB:dlb Division of Coastal Resources and Waterfront RevitaliZation Voice: (518) 474-6000 ]ea~' (518) 47,3-2464 DEPART~E~ OF SIATE COASTAL PROGRAMS FEB 1 0 1997 redere, 4. RECEIVED A. ~PPLICANr ~..a~e: Stephen & Susan Tuthitl (pteaee print) Address: 1895 Naugles Drive, Mattituck, N.Y. Telephone: Area code I ) 516-298-2162 11952 Applicant proposes to recqnstruct existing 3'x 15 1. 8rlerdescrlptl~or acttvlt~elk' 6'x 60.5' catwalk, 3'x 18' ~amp and to inst~ll a 10'~ 20' 'oat and a 3'x 66' ex ' , ~Wl~ln~ wa{~, tenslqn to the landward end oflan L ~ur~seof~c~lv~: Private recreational docking Suffolk Mattituck 1895 Naugles County City, [o~n or %'1 [rage Street or Site Oescrlptlen Type of federal penptt/Hcense required: U. S. D. 0, A. Federa{ apptlcatlon ntmber. If known: Currently unknown ire provide the appttca~ton or permit n[~er, Ir Imo~: NYSDEC'TI~sl wet app ~f currently unknown a. ~,~t~rfront ~tte? (Z, ZI,~'Zll~,! ...................... : ........................................... v~ sections of the coastn~.,ai-e~ .. (5)..~.%'~. ................................ ; ....................... ~ ~ c. ConstitUte,? rec~st~ction of a ft~ or erosl~ c~t~l structure~ {13, 1~, 16} ............ ~ e. State air ~a[ ty pe~.t or certtflcatton~~ (41, 45} ............................................. Wilt the proposed activity occur within and/or affect an area covered by a State approved toca[ waterfront revitalization procJrenl? (see policies in local program document-) ........................ .2_. J D. ADDITIOIlAL SI[EPS 1. If alt of the question, s in Section C are answered "No". then the applicant or agency shall c~lete Sec[ion E and sunlit the doc[incitation required by Section Fr If any of the questions in Secttc~ C are answered "Yes", then the applicant or agent is advised to consult the CHP, or ~here appropriate, the iccp[ ~aterf~nt revltatlzatl~ pr~r~ doc~[*. The pro~s~ activity must be anatyz~ tn ~re detail ~ith respect to the epp[tcabte state pr local coastal ~[tctes. In the space provid~ bm[~4 or on a separate peg.(s), tho ~pptJcant or ag~t ~ha[[=- (a) Identify, by their ~[tcy nt~ers, ~hich coastal ~[tctos ere effected by tho activity, (b) brtefty asses~ the effects of the activity u~ the m~, (c) state h~ the activity Is c~ststent with each ~[tcy. Fot[~tn9 the c~tetion of this ~rt~ten assessment, the a~ttcant or agency shall c~[ete Sectt~ E a~ audit the doc~entatl~ r~utred by Section CERTI FICAT loll -'~ fha apptlcant or agent must certify that the propos~J activity is consistent with the State's Chip or the approved [ocs[ waterfront revitalization pr~r~, as a~rtate. If this certification ca~ot be made, the pro~s~ activity shall not be u.dertaken. I[ th~s certification can be ~de, c~[ete tht~ Section. "The proposed activity complies with Pe~ York State's approved Coastal Hanage~nent Pro~jram. or with the applicable approved local waterfront revitalization program, and wit[ he conducted in a manner consistent with such program." App[icant/Age~t"s N~'~et J.M.O. Consulting Address: P.O. Box 447~ Quogue, N.Y. 11959-0447 Telephone: Area code ~ ! 516-6~3/~0607 I /I // __ ~UO~SSION REOUIREHE~IS 1. lhe eppllcant or age. t shall surfeit the follow, lng doctxnents to the Ne~ York State Department of state, Division a. Original signed form. b. Copy of the co.plated federal ag~cy application. c. other available information ~ld~ ~outd support the certification of consistency. The applicant or eg~'~t shall also sul~alt a copy of this completed form ato~J with hie/her application to the federal agency. there are any questl~x~s regarding the subedsslo~ of this forte, contact the Department of State et {S18} "As proposed, project should have no' adverse impac,t,s upon Coastal Management Zone ipOlicy Nos. 2,21,22 'or '44.' NEW YORK STATE ~ DEPARTMENT OF ENVIRONMENTAL CONSERVATION UNITED STATES ARMY CORPS OF ENGINEERS JOINT APPLICATION FOR PERMIT DEC APPLICATION NUMBER US ARMY CORPS APPLICATION NO DISTRIBUTION 1st COPY Permit Administrator 2nd COPY Corps of Engineers 3rd COPY Program 4th COPY NYS Agency 5(h COPY Applicant Please read AL~.jn..structJons on back befor~ completing this application. Please type or print clearly in ink. Attach additional information as needed. [] FRESHWATEF[ WETLANDS- [~TIDAL WETLANDS ~ WATER SUPPLY --~ LONG ISLAND WELL [] PROTECTION OF WATERS FOR: [] A. Construction o¢ placement of docks and moorings [] B. Construction, reconstruction, or repair of a DAM or other impoundment structure [] C. Disturbance of a STREAM SED or BANKS or excavation in or fill of NAVIGABLE WATERS [] 401 WATER QUALITY CERTIFICATION [] COASTAL EROSION CONTROL [] LAKE GEORGE PARK COMMISSION Docks and Mcoringsl [] WILD. SCENIC OR RECREATIONAL RIVERS [] AQUATIC PEST CONTROL FOR: [] A. Aouatic Vegetation Control [] B. Fish Control [] C. Insect Control 1. LIST PREVIOUS PERMIT/APPLiCATION NUMBERS AND DATES (if any) IF OTHER THAN INDIVIDU.~L. PROVIDE Unknown 2. APPLICANT IS Alan ]~[~Owner [] Operator [-- Lessee TAXPAYER iD NUMBER [] Municipality/Governmental Agency [Check as m~ny as apply) 3. NAME OF APPLICANT (U~e Full Name~ Stephon & St~sa~ tuthi]l MAILING ADDRESS 1895 Nauglss Drive POST OFFICE Mattituck TELEPHONE ~Nhere can ~ mac~ed duNng dayl (516 298-21621 I ~ATE ZIP C~E NY 1195 4. NAME OF [] Ownel ~-agen~Contacl Person (Check one) Glenn E. Just/ J.M.O. Consulting MAIL~NG ADDRESS P.O. Bo× 447 TELEPHONE (Where can be reac~ed during dayl 5t~ 653-0607[ POST OFFICE quogue 5. PROJECT/FACiLITY LOCATION (Mark location on mab. see Number la on reverse side; County Snffolk Town or city Southold I VHlage Matt/tuck STREET ADDRESS/LOCATION df different from aoolicant) POST OFFICE STATE ZIP CODE I DEC USE ONLY NYTM-E NYTM-N 4 6. NAME OF STREAM OR BODY OF WATER Matt/tuck Creek 7. HAS WORK BEGUN ON PROJECT? If YES. attach explanation on starting work without permit, include dates. I 8. PROPOSED STARTING DATE Show work on map and/or drawing. [] Yes [~No 1 A,q A P APPROXIMATE COMPLETION DATE 10. PROPOSED USE: 11. WiLL PROJECT OCCUPY ST/rE LAND? A S A P I ~ Private "-~ Public [] Commercial [] Yes [] NO / 12. PROPOSED DURPOSE: Private recreational docking 13. PROJECT DESCRIPTION: ts.g- uuantity and type of material t({ be excavated, dredged or used for fill or r[~ ram. location of disposallsltes; ~ype oi Au_.pl{can+_ pr,-_,pume.~ to reconstruct existing 5~z 15' ;-~alk. iD'x ~g.$- ca~ws]k.- 3's iC'- ramp and to install a i0'x 20' float and ~ ~ 'x ~8' ~-gtension to the landward enJ of sn existin.{ walk. 14. ~tS PROJE~ REQUIRE ADDITIONAL FEDERAL. STATE AND/OR LOCAL PERMITS? ~ Yes ~ No if yes, p[~ list: Southold Town Trustees 15. Separate Authorization or Letter of NO JURfSD[CnON Should be Received from DEC and the LIS Army Corps Prior to Initiation of Wo~ in Wetlands end Waterways. ] hereby affirm that information provided on ibis form and ail attachments submitted herewith is true to the best of my knowledge aha belief. FaIse statements ma~3e heres are D~Jntshahle as a Class A misdemeanor oursuant to Section 210.~ of the Penal Law. Forths. the auolicant accepts full r~ponsibility or a damage, direct or nd fact of whatever na ure. and by whomever suffered, arising out of the proj~t ~ri~d her mane agrees to 'nde ' Y C S~c~on 10~1 roy d=s or ~ ne of'no more than $10 ~0 or imprisonment for not more t~ [~e years, or ~th, where an Federal Law, 18 U.S. 1~.-I6-4 (2~87)--Text 12 iii PRO, soT I.D. ,t, SER 61;'.2t ........ . . ';· Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT iNFORMATION ~1'o be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR I 2. PROJECT NAMS Stephen & Susan Tuthill Private recreational docking 3. PROJECT LOCATION: Mun~pamy Mattituck County Suffolk 1895 Naugles Drive, Mattituck S.C.T.M.NO. 1000-99-04-21 5. IS PROPOSED A~ION: ~ New ~ Expansion ~ Modlflcatlon/alt.afl~ ' "': .... Applicant p~oposes to r~construct existlnE 3'x 15'~ walk ~'x 80.5'n~atwalk,- ~o~x '~8' ramp and to Install' a .lO'x 20: float 7. AMOUNTOF~NDAFFE=ED: ~niflal~y ~ acres Ultimately 8. W~ PROPOSED A~ION ~MPLY WITH ~STING ZONING OR O~HER ~NG ~ND ~E ~.Yes ~ No I~ No, descrl~.br[efly g. WHAT IS PRESENT ~D USE IN VICINI~ OF PROJE~ ~Resldent~al · ~ Industrial ~ ~mmerclal ' ~ Agri~lture ~ ~for. U~ apse ~Offier Describe: 10. DOES A~ION INVOLVE A PERMIT APPROVA~ OR FUNDING, N~ OR ~L~MA~Y F~ ~Y STATE OR LOCAl? ~Yes ~ No I~ yes, ~tst agency(s) and permlHappm~ls ................... 11. DOES ANY ASPECT OF THE A~ION HAVE A 'CURRENTLY VAUD PERM~ OR ~OV~? ~ Yes ~ If yes, list agency name and perml~approvM ~ .... DYes ~No .'. C~TI~ THAT THE INFORMA~ON PRO~D~ ~O~E ~ T~E ~O ~ ~T · a~p.ca.u~ponso, name: ~ ~ ~ ~le~n E. Just as agent ' ' SEQR _/ If the action Is in the Coastal Ares, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER J.M.O. Environmental Consulting Services To whom it may concern: Please be advised that we have authorized the firm of J.H.O. Environmental Consulting Services to act as our agent on our behalf in applying for certain approvals through your agency and others involved with this project, J.M.O. Consulting Services have been retained to coordinate all approvals necessary through your and 'other involved agencies, ,~.s well as our architect, engineer and contz'actors, we request that all co, n~unications, correspondence, notices, approvals and calls be addressed directly to the offices of J.M.O. Consulting Services. Signature ~c~2~'~ Dated /- 53 - ri 7 Phone (516) 653-0607 · Fax(5t6) 653-3348 tTljessup Ave · 2nd Floor. RO. Box 447 Quogue, NewYork Ii959-0447 ~OE OF STE PS TWL B~ EX. I--- h2 o.~ ~-, ~::2 ~-, ~,. r_o ~.-, Lo ~. %') m · o ~ o*o o ~ -~ 0 0 ~ 0 ~0~ I 0 ~ -. 34 35 36 L 0 N G I S L A N D 4 MA ITU 11952 LAUI~EI