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HomeMy WebLinkAboutTR-10397 Glenn Goldsmith,President �o®F s®�f�� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ,�®� ® P.O. Box 1179 Eric Sepenoski 8 Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 14ou TI, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed X When project complete, call for compliance inspection; BOARD OF SOUTHOLD TOWN TRUSTEES Sr SOUTHOLD,NEW YORK PERMIT NO. 10397 DATE: JUNE 14,2023 f. ISSUED TO: GEOFFROY L.PENNY, SR. PROPERTY ADDRESS: 1010 FISHERMAN'S BEACH ROAD, CUTCHOGUE SCTM# 1000-111-1-21 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on June 14, 2023, and in consideration of application fee in the sum of$250.00 paid by Geoffroy L. Penny, Sr. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove existing staircase,fixed walkway,wood ramp,floating dock and pilings; construct a proposed landward 4'x6' (24sq.ft.) fixed ramp to a 41021 (128sq.ft.) fixed dock using Thru-Flow decking throughout; install a 3'x14' (42sq.ft.)aluminum ramp off seaward end to a proposed 6x2 (120sq.ft.) floating dock situated in an "L"configuration; install five(5)sets of 6" diameter pressure treated pilings at 8' on-center for the fixed dock, and two(2) 8"diameter pressure treated pilings to anchor floating dock; and as depicted on the site plan prepared by M.A.Kimack,last dated May 24 2023 and stamped approved on June 14, 2023. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of the day and year first above written. qv k IF FGJ POI .......... . ........ TERMS AND CONDITIONS The Permittee Geoffroy L.Penny, Sr., residing at 1010 Fisherman's Beach Road Cutchoaue New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1• That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 36 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,.upon due notice,to remove or alter this work project herein stated without expenses-to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. ' I , ry) ' CRfE� WIpTH ` 26p�k kEp pOc f 01EER [/jj 4 ` +2.6 FT.EL. , ;+5.5 FT.EL TOP OF WALKWAY k •ILL �r c + 1 OD 9v�KHE90 - COq j` f��0,, f 2.4 FT.EL.MHO 4.0 ' 10.00 FT.EL.ML ` Qoe a_ I +3.0 FT.EL. Mw 0.0 o 0 " , d ' EDGE OF B4nl APPROVED `�y�v � c�c�, 2 s 4�2s4� � �BY' e o �p O 24 S2, BOARD OF '!RUSTEES fY 24 TOWN OF-SOUTHOL® T1Y 4,8 p :•. TYPOCAL CROSS SECTION hY O SCALE: ONE INCH 10 FEElr ®ATE J6 Zc�z3 A� �g�°oo°o' o 0 00 N�-"i 4 FT.X 6 FT.FIXED RAMPdh `( 1 W/THRU FLOW DECKING 3 FT..X 14 FT.ALUM RAMP FIVE(5)SETS OF 6^DIAM. z I � v PRESSURE TREATED PILINGS W 20 SCALE. •��-� C� \I(2)8•'DIAM.PRESSURE W TREATED ANCHOR PILING J PROPERTY OF JEOFFROY Le PENNY '� r LL W o '`tel SO N E a + X ®•• ' N 1010 FISHERMAN'S BEACH ROAD,CUTCHOGUE 4 FT.X32 FT.WALKWAY TOWN OF SOUTHOLD SCTM:1000-111-1-2 W1 THRU FLOW DECKING s REMOVE EXISTING FIXED WALKWAY, WOOD , , —� " _ E 32 Fr. I I 12 FT. FT. 56 LF.OVERALL LENGHT I RAMP, FLOATING DOCK and PILINGS. REPLACE WITH FIXED RAMP, FIXED WALKWAY, MAY 2 5 2023 , ALUM. RAMP, FLOATING DOCK and PILINGS r ' °`« -°`-'i. h Board,cf T;L;s:es TYPICAL LAYOUT By:M.A. Kimack Dated:May 14,2023 ^ ' SCALIE:ONE INCH '90 [FEET r' Revision dates: Mav,20.2023 May 24,2023 Glenn Goldsmith, President -r- s®�/�� Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ®� ®�® P.O. Box 1179 Eric Sepenoski ! ! Southold, New York 11971 Liz Gillooly roe Telephone(631) 765-1892 Elizabeth Peeples � Fax(631) 765-6641 C®Uflr�`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 16, 2023 Michael A. Kimack P.O. Box 1047 Southold, NY 11971 RE: GEOFFROY L. PENNY, SR. 1010 FISHERMAN'S BEACH ROAD, CUTCHOGUE SCTM# 1000-111-1-21 Dear Mr. Kimack: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 14, 2023 regarding the above matter: WHEREAS, Michael Kimack on behalf of GEOFFROY L. PENNY, SR. applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 9, 2023, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 14, 2023, 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, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of GEOFFROY L. PENNY, SR. to remove existing staircase, fixed walkway, wood ramp, floating dock and pilings; construct a proposed landward 4'x6' (24sq.ft.) fixed ramp to a 4'x32' (128sq.ft.) fixed dock using Thru-Flow decking throughout; install a 3'x14' (42sq.ft.) aluminum ramp off seaward end to a proposed 6'x20' (120sq.ft.) floating dock situated in an "L" configuration; install five (5) sets of 6" diameter pressure treated pilings at 8' on-center for the fixed dock, and two (2) 8" diameter pressure treated pilings to anchor floating dock; and as depicted on the site plan prepared by M.A. Kimack, last dated May 24, 2023, and stamped approved on June 14, 2023. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $920.00 V'Mo: Glenn Goldsmith President, Board of Trustees GG:dd Glenn Goldsmith,PresidentO��S�FFO(kCOG Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 CO Eric Sepenoski "' ,? P.O.Box 1179 Liz Gillooly �A • oe� Southold,NY 11971 Elizabeth Peeples � Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: P. gf,p1i•+ Michael Kimack on behalf of GEOFFROY L. PENNY, SR. requests a Wetland Permit to remove existing staircase, fixed walkway, wood ramp, floating dock and pilings; construct a proposed landward 4'x6' (24sq.ft.) fixed ramp to a 4'x32' (128sq.ft.) fixed dock using Thru-Flow decking throughout; install a 3'x14' (42sq.ft.) aluminum ramp off seaward end to a proposed 6'x20' (120sq.ft:) floating dock situated in an "L" configuration; install five (5)sets of 6" diameter pressure treated pilings at 8' on-center for the fixed dock, and two (2) 8" diameter pressure treated pilings to anchor floating dock. Located: 1010 Fisherman's Beach Road, Cutchogue. SCTM# 1000-111-1-21 Typ"f area to be impacted: V Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under�Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: VZYes No Not Applicable Info need ed/V od ificatio ns/Cond itio ns/Etc.: s�'r«� 1��i1.✓�d( W/ #\kemd i Present Were: '� G. goldsmith ✓N. Kru ki E. Sepenoski L. Gillooly E. Peeples Geoffroy L.Penny 1010 Fisherman's Beach Road,Cutchogue SCTM#: 1000-111-1-21 5/9/23 Ofto r 444 v J !. 'p,:'�'�`►!C.i�-r'k '�,;�--„��'t ;� � /;iYfj�Y$, ��o`��,�'`.,?.3t"�-� � ;_3"a+� � '1�'� _ �� - ► fir r= .� err, vs- Ix 4. _ e :q R . y Glenn Goldsmith, President ��o oy Town Trustees A Nicholas Krupski, Vice-President y z 54375 Route 25 Eric Sepenoski P.O. Box 1179 Liz Gillooly 'ylj ao�g Southold, NY 11971 Elizabeth Peeples ' ` Telephone (63'1) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: GEOFFROY L. PENNY, SR., c/o MICHAEL KIMACK Please be advised that your application dated March 9. 2023 has been reviewed by this Board at the regular meeting of June 14 2023 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project— (stairs with description) SILT FENCE Inspection Fee ($50.00) 1St Day of Construction ($50.00) %Constructed ($50.00) x Final Inspection Fee ($50.00) - x Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 4'x32' fixed dock = 128sq. ft. x $3.00 = 384.00 3'x14' ramp = 42sq. ft. x $3.00 = 126.00 6'x20' float 120 sq.ft. x $3.00 = 360.00 TOTAL FEES DUE: $920.00 BY: Glenn Goldsmith, President 2Z� Board of Trustees Penny Project Description Remove existing staircase, fixed walkway, wood ramp, floating dock and pilings. Install a 4 ft. x 6 ft. fixed ramp ( 24 SF) with thru flow decking, 4 ft. x 32 ft. fixed walkway with thru flow decking( 128 SF), (total of 152 SF ). Install 3 ft. x 14 ft. Aluminum ramp (42 SF) to 6 ft.x 20 ft. floating dock( 120 SF ). (total dock system: 314 SF ). Install five (5) sets of 6" diam. pressure treated pilings at 8 ft. O.C. for fixed walkway and ( 2 ) 8" diam. pressure treated pilings to anchor floating dock l 1V AY ga cqC�,WrpTH zsp� 111*F0 f aE>rR Upg , enSFT.EL TOP OF WALKWAP pOCk 8'en coV�+ FT.EL.PAH, e o N 4.0 0.90 FT.EL.ML &xr OF gq/yX L J .L I-2.fi FT. {F,ye INM1QyD0At •z., 1644 .6 �.� 24 "B k o IW 4.60 2i KMy 2'4 TYPICAL CROSS SECTION fTj 2S q SCALE:ONE INCH=10 FEET 4FT.XGFT.FIXEDRAMP WITHRU FLOW DECKING 3FT.X44FT.ALUMRAMP O Z FIVE 16 E ETSTEE OF 6•DIW,ILINO G PRESSURE TREATED PILIN65 ' 29 SCALE 9+-h�'f 0 � IAM'�ITREATED ANCHOR PILING �G PROPERTY OF JEOFFROY L.PENNY 0+ 1010 FISHERMAN'S BEACH ROAD,CUTCHOGUE �® 4 Fr,z3a FT.wALKwnv d g .�� I TOWN OF SOUTHOLD SCTM:1000-111.1.2 � WI THRUFLCWDECKING ._ IB.O FT, �32 FT. I X12 FT. 6FT. REMOVE EXISTING FIXED WALKWAY,WOOD 56 LF.OVERALL LENGHT i - , RAMP,FLOATING DOCK and PILINGS. I f. REPLACE WITH FIXED RAMP,FIXED WALKWAY, ALUM.RAMP,FLOATING DOCK and PILINGS — TYPICAL LAYOUT By:M.A.Kimack Y Dated:May 3A,2023 --- ---.-� SCALE:ONE INCH=10 FEET Revision datesr May 20.2023 May 24,2823 Penny Project Description Remove existing staircase,fixed walkway, wood ramp,floating dock and pilings. Install a 4 ft. x 6 ft. fixed ramp ( 24 SF )with thru flow decking, 4 ft.x 32 ft. fixed walkway with thru flow decking ( 128 SF ), (total of 128 SF ). Install 3 ft.x 14 ft.Aluminum ramp (42 SF) to 6 ft. x 20 ft. floating dock ( 120 SF ) Install four (5) sets of 6" diam. pressure treated pilings at 8 ft. O.C. for fixed walkway and ( 2 ) 8" diam. pressure treated pilings to anchor floating dock E LC E 6 E MAY 2 2 2023 00 Southold Town Board of Trustees CqE� WW7}I 250 f 1 . F/ pC* � 06aR LINE 4 � B PY QL. T.EL YOP oP NYALNWAT c s r QV`''�t _ 'AYCXig• SBU 3Fx .. F(04r tom.�aa-� t2A FT.EI.MHI BU(/rHEAO �J. (EDO FT,EL.ML 7w 4.0 40—_ Ek'E OF aye 2 -2.6 FT. ? Tf sea rr5v £ � 24.52. E a• ' TYPICAL CROSS SECTION h 'SCALE:ONE INCH=10 FEET hy 'IV S�• $Qpp\ ��fsfloao ` 4FT.X6FT.FIXED RAMP 3F7.%14FT.AlUMRAMP �7 UP THRU FLOW DECKINB u S.A.TREATED pILINe9 S U 20 SCALE9V \I1�)8"DIAM.PRE99URQ Q + TREAT60 ANFHA.'A.NG W PROPERTY OF JEOFFROY L.PENNY 1010 FISHERMAN'S BEACH ROAD,CUTCHOGUE •� A I %22 FT.WALKWAY m 3 TOWN OF SOUTHOLD SCTM:1000-111-1-2 �n OQ� I �__ OF THRU FL DW DECKING RLMAYr lJ rE VVV B.O FT, X92 FT. 12 FT. 6FTREMOVE EXISTING FIXED WALKWAY,WOOD �(1•YyJGRAMP,FLOATING DOCK and PILINGS. Z 2'20 BT FY.OVERALL LENGHT REPLACE WITH FIXED RAMP,FIXED WALKWAY, Southold Town Board of Trustees ALUM.RAMP,FLOATING DOCK and PILINGS TYPICAL LAYOUT By:M.A.Kimack Dated:May 14,2023 SCALE:ONE INCH-40 FEET Revision dates:May 20,2023 osufIFaj/r��� John G. Stein,Chairperson 0 Town Hall,53095 Main Rd. Lauren Standish, Secretary 9 P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 al ` Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held on Wed., May 10, 2023, the following recommendation was made: Moved by John Chandler, seconded by John Stein, it was RESOVLED to SUPPORT the application of GEOFFROY L. PENNY to remove existing staircase, fixed walkway, ramp, floating dock and pilings. Install 4'X 6' fixed ramp, 4'X 32' fixed walkway with thru flow decking, 3'X 14' aluminum ramp, 6'X 20' floating dock with marine grade decking. Install 5 (5) sets of 6" dia. green heart pilings at 8' OC for fixed walkway and two (2) 8" dia. green heart pilings to anchor floating dock. Located: 1010 Fisherman's Beach Rd., Cutchogue. SCTM#111-1-21 Inspected by: John Chandler, Caroline Burghardt Vote of Council: Ayes: All Motion Carried fi 7-77311 jil .• s. M1 -'RL - - } J� ■7 .0 L'Lq� �j r �. _ -.� •.: _r��—�.. .-�.� � •.ui:;�—d':r:r.: T_-� —'_ '-- __ :� .. - _. x.R.�-'t 4 �, �~�~ :o: `f � �.r. J T—. .V. • .r. MAY-14-2023 11:45AM From:631-734-7553 To: page:1/1 John J.Slattery 460 West Cove Rd, Cutchogue,NY 11935 May 14,2023 Southold Board of Trustees RE:Wetlands Permit Application (Geoffroy L Penny) Tax Map 1000-111-1-21 Greetings Trustees; Asa sometime dock tenant,at the east end of the Fisherman's Beach channel, labject toany portion of applicant's project that would further restrict navigation when compared to'the as built structures.The existing natural un-dredged channel Is extremely narrow as it passes the applicants property,thereby allowing only inches to clear a moored vessel at anything less than half tide. Respectfully,___-----_ J-h��glatfery p- .U; Penny Project Description Remove existing staircase,fixed walkway,wood ramp and pilings.Install in the same location a 4 ft.x 6 ft.fixed ramp(24 SF)with thru flow decking,4 ft.x 26 ft.fixed walkway with thru flow decking(104 SF),(total of 128 SF).Install 3 ft.x 14 ft.Aluminum ramp(42 SF).Existing floating dock to remain(approved under trustee permit No.4321).Install four (4)sets of 6"diam.pressure treated pilings at 8 ft.O.C.for fixed walkway. t t G PROPERTY LINES �RFfk W/D ry2sof s I IIA +2.6 FT.EL. -.+5.5 FT.EL TOP OF WALKWAY Fifa oak yyAT�,�s .Q COV.& `T�Ta F+ FLOAT 6x16'}`2 + WOOLJ �+ ``�7a F«AF +1 +2A FT.EL.MHW $�'CktrF9O -kti "p � 0.00 FT.EL.I ]]] 7W 4.0 - yamLW + .� �'`�a CJ t70� 8+ � FOGE'OF.ggry� c5 4� 24.82• �. yell 2-4 +z,e TYPICAL CROSS SECTION t77 ILU SCALE:ONE INCH=10 FEET P0' O P &+ yy p`l3 {� Pa f/ 4FT.X6 FT.FIXEDRAMP WI THRU FLOW DECKING 3 FT.X 14 FT.ALUM.RAMP .rGf (4)SETS`OF 6-DIAM. -`( PRESSURE TREATED PILINGS 20 SCALE y+ � -- -- - EXISTING FLOATING PROPERTY OF JEOFFROY L. PENNY FT.X26 FT WALKWAY 4 DOCK TO REMAIN WI THRU FLOW DECKING 1010 FISHERMAN'S BEACH ROAD,CUTCHOGUE 6.0 FT. 26 FT. 11.6 FT CERTIFICATION IL— TOWN OF SOUTHOLD SCTM:5000-111-1-2 I HEREBY CERTIFY THAT THIS IS A TRUE COPY OF A PORTIONIuI-I Hk - 56 w 1.1 OTAL REMOVE EXISTING FIXED WALKWAY,WOOD SURVEY BY KENNETH M.WOYCHUK,LAND SURVEYOR DATED JAN.20,2023 RAMP and PILINGS.REPLACE IN KIND WITH NO DETAILS OR FEATURES WHICH BEAR UPON THIS APPLICATION FIXED RAMP,FIXED WALKWAY and ALUM.RAMP HAVE BEEN OMITTED TYPICAL LAYOUT By:M.A.Kimack Dated:May 14,2023 SCALE:ONE INCH=10 FEET Revision dates: MICHAEL A.KIMACK,AGENT MAY 14,2023 Cantrell, Elizabeth From: mkimack2@verizon.net Sent: Thursday, May 11, 2023 2:49 PM To: Cantrell, Elizabeth Subject: Geoffrey Penny Hi Liz: I respectfully request a postponement for the Penny application. Best ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i Glenn Goldsmith,Presidents Town Hall Annex " A.Nicholas Krupski,Vice President ";. 54375 Route 25 Eric Sepenoski P.O.Box 1179 Liz Gillooly � ' " n r Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 5 . 03 Completed in field by: N, hr Michael Kimack on behalf of GEOFFROY L. PENNY requests a Wetland Permit to remove existing staircase, fixed catwalk, ramp, floating dock and pilings; construct a 4'x6' (24 sq.ft.) landward fixed ramp to a 4'x32' (128 sq.ft.) fixed catwalk using Thru- Flow decking, a 3'x14' (42 sq.ft.) aluminum ramp, and a 6'x20' (120 sq.ft.) floating dock with marine grade decking situated in a "T" configuration; install five (5) sets of 6" diameter greenheart pilings at 8' on center for fixed catwalk and two (2) 8" diameter greenheart pilings to anchor floating dock. Located: 1010 Fisherman's Beach Road, Cutchogue. SCTM# 1000-111-1-21 Type of area to be impacted: ✓Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: �,ZChapt.275 Chapt. 111 other Type of Application: "Wetland Coastal Erosion Amendment Administrative Emergency Pre-Su mission Violation Notice of I-leariing card posted on property: es No Not Applicable Info needed/Mo 'ification /Conditions/Etc. I(,C (6A f-xP � o sL � l ier wJ , Present Were: ✓ G. C}oldsmith /N, lru ski E. Sepenoski ✓ L. Gillooly E. Peeples S.C.T.M. NO. DISTRICT: 1000 SECTION: 111 BLOCK: 1 LOT(S):21 77--n qTp a F MAR g 2023 CREED WIDTH 260'* HAYW F'xFa D AVERS Dock CO VE moo.. FLOAT 6 X16' ?Wp2� FL0AT +�pO BULK + � + boy HEAD � w \��'• + 11V 4.0 6+ .O•• MLW 0.0 X0.0 O an O 8+� OQ EDGE OF BANK , a IMfR71DAL 2 QIT/ELINE y MARSH S 64'1234„E q0 p 24.52, MHW 2.4 MHW 2.4 TW 4.8, � w h7 V 2s O 5918 0 •00. o Oo R�+�I w mi IQ, A�cF C A�VF �s+ENT �O FEMA MAP 36103CO164H EFF. 9/25/2009 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVA77ONS AND OR DATA OBTAINED FROM OTHERS. AREA: 281 S.F. or 0.01 ACRES ELEVA77ON DATUM. __MLW 0_0 ---� UNAUTHORIZED ALTERATION OR ADD177ON TO THIS SURVEY IS A VIOLA77ON OF SEC77ON 7209 OF THE NEW YORK STA 7F EDUCA77ON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE 77TLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS77TU77ON LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO 774E STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREC77ON OF FENCES, ADDIT70NAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE S7RUMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: P/O LOT 22 CERTIFIED TO: FRANCIS S. PERRONE; MAP OF: PECONIC BAY PROPERTIES, INC. FILED: JULY 28, 1966 No. 786 SITUATED AT: NASSAU POINT TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Bog 153 Aquebogue, New York 11931 PHONE (631)298-1588 FAX (831) 298-1588 FILE # 222-150 SCALE: 1"=20' DATE: JAN. 20, 2023 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. eoychuk cR�k wio � MAR - 9 �i Ty 260 f PROPOSED RELOCATED _ DOCK SYSTEM HAYWA +2.6 FT.EL. +5.5 FT.EL TOP OF WALKWAY TtS xFp OpCk PEER LINE R /y goy - (,U +2.4 FT.EL.MHW tm IW 4,0 \S k ' +� 10.00 FT.EL.MLW 10 MLt0.0 v' O EDGE OF 84NK 7 W W INIFRppA( 2 T o ' y� MARSH O 00 4: ^ O � s 48 O MHf _ ti' Cj24 TYPICAL CROSS SECTION •� ('" SCALE: ONE INCH = 10 FEET � soO' o 0 Ir(p. lz %"+� p•.r? O` �� vY 14 FT.X 6 FT.FIXED RAMP .X 14 FT.ALUM RAMP W!THRU FLOW DECKING 3 FT ( Y �"( G Z (5)SETSS OF 6'DIAM GREEN HEART PILINGS z W 20 SCALE �`9-}- FO (2)""DIAM.ANCHO C � F O� PILINGS(GREEN HEART) U. U o Z N N O+ x Q PROPERTY OF JEOFFROY L. PENNY - O4 FT.X32 FT.WALKWAY w W!THRU FLOW DECKING 1010 FISHERMANS BEACH ROAD,CUTCHOGUE s '' 6.0 FT. 32 FT.j 12 FT.TOWN OF SOUTHOLD SCTM 1000-111-1-21 CERTIFICATION 6 FT. i • f REMOVE EXISTING DOCK SYSTEM AND REPLACE WITH I HEREBY CERTIFY THAT THIS IS A TRUE COPY OF A PORTION OF THE57 FT.OVERALL LENGHT RELOCATED FIXED RAMP, WALKWAY,ALUM. RAMP SURVEY BY KENNETH M.WOYCHUK, LAND SURVEYOR DATED JAN.20,2023 a AND FLOATING DOCK WITH NEW GREEN HEART PLINGS NO DETAILS OR FEATURES WHICH BEAR UPON THIS APPLICATION By: M.A. Kimack Dated 3/4/2023 HAVE BEEN OMITTED_ TYPICAL LAYOUT Revision dates: �9OL>^ SCALE: ONE INCH = 10 FEET MICHAEL A. KIMACK,AGENT MARCH 4, 2023 NEW YOPK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of CriviiannionLal Permits,Region'] SUNY 6 Stony Brook,50 Circle Road,Stony Biook,NY 11790 P:(631)444 0365 1 F:(631)4414-0360 April 13, 2023 PENNY, GEOFFROY PO BOX 1440 MATTITUCK, NY 11952 Re: PENNY PROPERTY I010 FISHERMANS BEACH RD SCTM# 1000-111-1-21 CUTCHOGUE, NY 11935 DEC ID: 1-4738-04945/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6 NYCRR Part 621), we are enclosing your permit for the referenced activity. ity. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather, and a Notice of Commencement/Completion of Construction form. Sincerely, Laura F. Star APR 1 4 2023 Deputy Permit Administrator Enc. Cc: M. A. Kimack DEC-BMHP J" NEW l Department of U YO STATE EnviFoninental Conservation NEW Y01, I'A'ri?, T)EPARTIVIENT OF ENVIRONl9E1 f,C.'ONSERVA'T'ION Facility llEC 11) 1-1738-0d945 PERMIT Under the .Cnvironmental Conservation Law (ECL) Permittee and-facility Information Permit Issued To: Facility: G.E?OFI�ROY PENNY PENNY PROPERTY PO 13OX 1440 1010 I-'ISHI RMANS .1.31-;ACI-1 .R1)ISC'T'Mii 1000- 111-1-21 MA`1'r1'ITUCK, NY 1 .1952 CUTCIOGUE,NY 11935 Facility Application Contact: MICHAEL A 1CIMACK PO BOX 1047 SOU'.l'1-IOI_..D,NY 11971-1047 (516) 658-6807 Facility Location: in SOUTHOLD in SUF1'OLK COUNTY Village: Cuthoguc Facility.Principal Reference Point: NYTM-E: 713.721 NY'Ii'V[-N: 4542.79.3 Latitude: 41100'30.0" I.,oingitude: 72°27'30.9" Project Location: 1010 Fishermans Bcac.h R.d. Watercourse: i-Iaywaters Cove Authorized Activity: Remove existing dock and replace with 4'x6' mixed ramp, 4'x32' catwalk with - tllru-flow decking, 3'x]4' ramp, and 6'x20' Float. All activities authorized by this permit roust be in strict conformance with the attached plans stamped approved by NYSDIC on April 1 3;2023. __......_......................._................._...._.............__....-_-..._......._............_._........_........_._..............-....-._...-...._.............. .... — Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-04945/00001 New Permit Effective Date: 4/13/2023 Expiration.Date: 4/12/2028 ___..__...._.._._... - ....................._._.........._.. __ -.._....._.__............._.....................- - N YS EC Approval lay acceptance of this permit, the permittee agrees that the permit is contingent upon strict tn compliance with the.E.CL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: LAURA I` S"I'AR, Deputy Regional Permit Administrator Address: NYSDI C Region 1 Headquarters Si.JNY (u), Stony BrookJ50 Circle Rd Stony Brook, NY 11790 -3409 Authorized Signature: �• Date / / Page I of 7 NEW YOU d'ATE DEPAR"1'ti' EWE OF ENVIRONi41E CONSERVATION Facility DEC iD 14738-019=15 .__ — — __ ............ ..................................._ I)istlil)utiolll .List ..............._.._....__..._._...._............__.._________ _ _ ..__._.._..............__..___..__.._ __.__._..........__._...__........ MICHAEL A KIMACK Marine 1"labitt:lt Protection LAURA F S"T'AR Permit Components NATURAL, CONDITIONS GL?Nl?RA.L, CONDITIONS, APPLY TO ALL At.1'LHORII:.,ED I'I RM.1`-S NO"ITFICATION OF O'T'.-ILIR l) RMI'I"l'.Ef. OBLIGATIONS —.--.--..____.._...__._.....__............_..._..._..._......... ..._------- ______.._...._.._..._._ �__....._._... N.A"I'URAI.., 'RiI S®URClE :Plf+RMIT CONDITIONS - Apply to the Following Pennits: TIDAL WETLANDS 1. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plaits submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by M. A. Kimack, dated March 4, 2023, and stamped approved by NYSD.IC on April 13, 2023. 2. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 3. Notice of Commencement At least 48 hours prior to commencement of- the project, the permittee and contractor shall sign and return the top.portion of the enclosed notification form certifying that they are fully aware of aril understand all teriris and conditions of this permit. Within 30 days of conipletioil of project, the bottom portion of'the form must also be signed and returned, along with photographs of the completed work. 4. Install, Maintain Erosion Controls Necessary erosion control measures, i.e., straw bales, silt fencing, etc., are to be placed on the downslope edge of'any disturbed area. ']'his sediment barrier is to be put in place before any disturbance of the ();round occurs and is to be maintained Ill good and functional condition until thick vegetative cover is established. 5. Maintain Erosion Controls All erosioncontrol devices shall be maintained in good and functional condition until the pr( ject has been completed and the area has been stabilized. 6. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from C011StrUC6011 01'thiS prOleCt Shall be Completely removed from the adjacent area (upland) -incl removed to an apps-oved Upland 'circa for disposal, No clebrls is permitted in wetlands and/or protected bUffcr areas. P?lore 2 of 7 N[M YOi TATE DEPA12TMENT OP ENVIRONMEJ f,CONSERVATION Facility DEC ID 1.4738-0.1945 7. Materials Disposed at [Upland Site Any demolition debris, excess construction materials, alld./or excess excavated materials shall be immediately and completely disposed of in all authorized solid waste inamigGment facility. These materials Shall be suitably stabilized as not to re-enter ally water body, wetland or wetland adjacent arca. 8. No Disturbance to Vegetated Tidal Wetlands "There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result ofthe permitted activities. 9. Storage of Equipment, Materials The storage of construction cqu11.11"ricrlt. and Materials shall be confined on a barge and/or upland areas greater than 75 linear feet from the tidal wetland boundary. A barge shall only be used during periods of high tide and may not rest on grade, disturb intertidal vegetation or benthic sediments. 10. Dock, Catwalk Size Dock or catwalk shall not exceed 4 feet In width and shall be a 1Tllnlll'11.1111 of'4 lect above grade (as measured from ground to bottom of dock/catwalk decking) over tidal wetland areas. 11. Wood Preservatives a. Pressure treated wood used for construction of in-water structures must have undergone a treatment process approved (staunped or otherwise marked as cerci fieri) by the American Wood Preservative Association. b. Wood treated with Penlachlorophenol (PCP) must not be used in marine or brackish waters. Wood treated with PCP must be aged-in.the open air for at .least three .months prior to in-water use. c. The use of creosote.treated W0, 6d.is:prohibited both in the water and upland areas. d. C,'.hromated Copper Arsenate (C('A) pressure treated wood must be clean and .free of CCA surface deposits. Wood with surface deposits mist be washed .for at least 5 minutes under running water prior to use. The Wash111g must occur greater than 100 feet landward of any regulated wetland and/or water body. (Note "E." below for handling wash water.) c. Any wood debris such as sawdust or wash water must not.enter any water body, including wetlands or protected buffer areas. 12. Catwalk Decking- 60% Open Spice The catwalk decking shall he constructed of fiberglass grating with a minimum of 60% open space to reduce shading impacts. 13. No Floats, Ramps in Vegetated Tidal Wetlands 1'loots and ramps may not rest on or be stored in any vegetated tidal wetland. 14. No 1'rop Dredging Prop dredging, or the act of utilizing and/0r directing the propeller or propulsion syste.n of a motorized vessel and/or the water-borne forces created by said propeller or propulsion system, to excavate or displace CX1St111g bottorn sediment aild benthiC habitat for the direct of indirect purpose of establishing or increasing water depth, is a regulated activity and is not al.111101".zed by this permit. Prop dredging is strictly prohibited Without further written authorization (permit, modification or luncnd.nlent) from the department. l',,.l;e 3 of 7 NEW YO1 rATE DEPARTMENT OF ENVIRONMEI I.,CONSERVATION Facility DEC 11) 1-4738-04945 15. No Dredging or Excavation No dredging, excavating or other alteration of.'shoreline or uncicrwater areas is authorized by this hermit, nor shall issuance of t.his permit be construed to suggest that the Department will issue a permit for such activities in the future. 16. No Permanent Structures on Dock No permanent structures shall be installed on clock/catwalk/float without first obtaining Nvi'itten Department approval (permit, modification, Or amendment). 17. Docks at Property Lines Docks/catwalks/floats niust not: a. extend laterally beyond property lines, b. interfere with navigation, or c. interfere with other landowners riparian rights. 18. No Structures on Pilings No Structures, other than structures specifically authorized by this permit, shall be constructed on pilings without Further authorization frons the department (permit, modification or amendment). 19. Pilings at.Propea•ty Lines Pilings shall not: a. extend laterally beyond property lines, b. interfere with navigation, or c. interfere with other landowners riparian rights. 20. Incidental Disturbance to Vegetation It is the responsibility ol'the applicant to remedy any incidental disturbances resulting in clanlage or removal of wetland vegetation. Upon completion o.-f' constrUctlon activities, any disturbed areas shall be planted with the appropriate marsh vegetation. Please contact the Bureau of Marine Habitat at (631)444-0205 ibr more in-Fort-nation. 21. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude coiiianlination of any Nvetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete; leachate or any other environmentally deleterious materials associated with the project. 22. State Not Liable for Damage The State of New York shall in no case be liable for any daniage or inJury to the Structure oi• work herein authorized which may be caused by or result from future operations undertaken by (he State for the conservation or improven1ent of navigation, or .for other purposes, and 110 claire or right to conll')L isallon shall accrue h•0111 any SL1cI1 daIM'12e. Page 4 of 7 NEW Y01 TATE DEPARTMENTOF ENVIRONMF, t,CONSERVATION `per Facility DEC 11) 1-4738-0494-5 23. State May Order Removal or Alteration Of Werk if fUtUre operations by the State of'New York require an alteration Ill the Position of tile. Structure or wort: herein Authorized, or if', in the opinion of fhe Department of E rivironniental (Il onscrvation it shall cause unreasonable obstruction to the 1rec navigation of said waters or flood flows or enclaiiger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without CXpeI1SC to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of*the watercourse hereby authorized shall not be completed, the owners, shall, Without expense to the State, and to such extent an(] in such time: and manner as the Departnlelit of' Environmental Conservation may require, rernove all or any portion of the uncompleted Structure or fill and restore to its 'former condition the navigable and flood capacity of the watercourse. No claim shall be made against the; State of New York on account of any such removal or alteration. 24. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without. expense to the State, and to such extent and in such tulle and manner as the Department off.7.liviroriniclital. Conservation may lawfully require, remove all or any portion Of the uncompleted structure or fill and restore the site to its filrmer condition. No claim shall be made against the State of New York on account of any Such renlowil or alteration. GENERAL CONDI11ONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Dcpartmeeit 'I'lle permitted site or facility, including relevant records, is SUblect to inspection at reasonable hours and intervals by an authorized represeIltative of the .Department of Environmental Conservation (tile Department) to determine whether the permittee is complying with this permit aild the ECL. Such representative may order the work suspended pursuant to EC'L 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy ofthis permit, including all referenced inaps, drawings and special conditions, must be available for inspection by the f)cpartillent at all times at the project site Or facility. failure to produce a copy of the permit upon request by a .I:)cpa.rtulent representative is a violation of this permit. 2. Relationship of this Permit to t)ther Deharhnent Orders and Determinations Unless expressly provided for by the Department, Issuance of this permit does not modify, supersede or rescind ally order or determination previously issued by the Department or ally of1he tCrITIS, conditions Or rcquirerllentS contained in such order or determination. Pale 5 of 7 NE'W Y01 1'ATE DEPARTMEWFOF ENVIRONMEJ L,CONSERVATION Facility DE C ID 1-4738-049,15 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a Separate written application to the Department for permit renewal, modliIication or transfer of this permit. Stich application must include tllly 1101-ITIS Or SUP111Cl7lental intOrination the Deparnrient requires. Any renewal, modification or transfer granted by the Department inust be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional .Permit Administrator NYSI:)[-"C Region 1 Headquarters St.1NY ;it, Stony BrookJ50 Circle Rd Stony Brook,NY 11790 -3409 4. Submission of Renewal Application I'lle permittee must submit a renewal application at least 30 days before permit expiration for the following hermit authorizations: Tidal Wetlands, 5. Permit Modifications, Suspensions and Revocations by the Department "1'he Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the peI'mlt application or supporting paper's; b. failure by the: permittee to comply with any teri7ls or conditions of the permit; c, exceeding the scope of the project as described in the permit application, d. newly discovered material information or a material Change in environt-fiental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of'the f rivlronmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of Ownership. Page 6 of 7 NISW YON' ATI: DFA'ARTMI"Wor rNVI ONMP CONSERVATION Facility DEC 11) 1-4738-049-15 .....__..........................._.-.........--............._................._._........_.-____.....__...... N0I1 ICA'TION OF OTHER PERMITTEE EE O.1C LIGAr1IONS l Item A: Permittee Accepts LegalResponsibility, and Agrees to Indemnification The pel•111ittCe, CXcepting state or,federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittec's acts or omissions in connection with the pCralittec's undertaking o.f activities in Connection with, or operation and maintenance of, the lacitity or facilities authorized by the permit whether in WrllplianCC or not Hl C0111pliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's Own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising tinder Article 78 of the New York Civil Practice T.,aws and Rules or any citizen suit or civil rights provision under federal or state laws. Item I3: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents all([ assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the pertniited activities, and such persons shall be subject to the same sanctions for violations of the F;nvlronmental Conservation Law as those prescribed -For the permittee. Item C: Permittee 'Respousible for Obtaining Other Required Permits "I'he permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this peri-nit. Item D: No (Right to 'Trespass or Interfere with (Riparian Rights "his permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perf:orrn the permitted wort: nor does it Authorize the impairment of.' any rights, title, or interest in real or personal property held or vested in a person not a party to the Permit. Page 7 of 7 NEWYORK Department f STATE OF OPPORTUNITY. EnWronmental Conservation # O. TICE i � I The Department of Environmental Conservation (DEC) has issued � permits) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator Permit Number if SUSAN ACKERMAN Expiration Date NYSDEC-ENV PERMITS SUNY@STONY BROOK 50 CIRCLE ROAD NOTE: This notice is NOT a permit STONY BROOK, NY 11790-3409 NOTICE OF COMMENCE r OF.CONSTRUCTION RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0272 Marine Habitat Protection- NYSDEC E-Mail: dee.sm.R1MHP-BEH@dec.ny.gov SUNY at Stony Brook 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Dear DEC: Pursuant to the special conditions of the referenced permit,you are hereby,notified.that the authorized activity shall commence on , We certify that we have read the referenced permit and approved plans and fully understand .the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans, We can do so in full compliance with all plan notes and permit conditions,The permit, permit sign,and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITTEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND IOR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT,MAY SUBJECT THE PERMITTEE ANDIOR CONTRACTOR.TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line X X X X X. X _. X NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0272 Marine.Habitat Protection-NYSDEC E-Mail: dec.sm.R1MHP-BEH@dec.ny.gov 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: . PERMITTEE NAME& PROJECT ADDRESS: - CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required) PERMITTEE: DATE CONTRACTOR: DATE THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE, , MUST.BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. 1 WIDTy 260 i - PROPOSED RELOCATED DOCK SYSTEM I Y�T P� +2.6 FT.EL. +5.5 FT.EL TOP OF WALKWAY DpCk J PEER LINE 7.. -I' U.,. BULkyEyD y�- + gyp,• I+2.4 FT.EL.MHU 0.00 FY.lz ML 0. �-- - 1_0.0 /p y �� a Y 00 �+ o EDGE OF QgIyK w w° a� IMERD�c TI `° ^' T c \ sw a MH A1HW N Y S D E C. 1W 4.8 O 2.4 TYPICAL CROSS SECTION APPROVED AS PER 7'EI IMS k SCALE: ONE INCH = 10 BEET AND CONDITIONS OF 3 MHAAAIT No sr .p DATE -- - -- y + Op„LJi O 14 FT.X 6F FT.FIXED RAMP/� I W/THRU FLOW DECKING I 3 FT.X 14 FT.ALUM RAMP (5 )SETSS OF G'DIAM 0Z GREEN HEART PILINGS Z v 20 SCALE 9Fpc� Lu \, (L2AM.ANCHOR/ Q w OF p GREEN HEART) km i �SpNP oZ N PROPERTY OF JEOFFROY L. PENNY � � a O� 4 FT.X32 FT.WALKWAY u 1010 FISHERMW/THRU FLOW DECKING BEACH ROAD,CUTCHOGUE TOWN OF SOUTHOLD SCTM 1000-111.1-21 CERTIFICATION 6.0 FT. 32 FT. 12 FT. 6 FT. REMOVE EXISTING DOCK SYSTEM AND REPLACE WITH I HEREBY CERTIFY THAT THIS IS A TRUE COPY OF A PORTION OF THE 57 FT.OVERALL LENGHT RELOCATED FIXED RAMP, WALKWAY,ALUM. RAMP SURVEY BY KENNETH M.WOYCHUK, LAND SURVEYOR DATED JAN .20,2023 t AND FLOATING DOCK WITH NEW GREEN HEART PLINGS NO DETAILS OR FEATURES WHICH BEAR UPON THIS APPLICATION By: M.A. Kimacic HAVE BEEN OMITTED j y Dated 3/4/2023 - TYPICAL LAYOUT Revision dates: dJ/arz e2 ���� � I SCALE: ONE INCH = 10 FEET MICHAEL A. KIMACK,AGENT MARCH 4, 2023 EK CR' .260'* HA WATERS C 0 + 'vu- FLOAT 6' 16' /11 0,4 7- OD Luk D 7W 4.0 + "(?0,. —XL—w 0.0 X0.0 EDGE OF BANK Jol 77S IIVe INTERTIDAL kARSH00 64 cii 24.52' MMy 2.4 MHW 2-4 TW 4.8 t17 So ( 0, 19L INFo So Y y,. a . • ..�,w (I)Penny Property Taken March 6,2023 Looking NNW Is list (2)Penny Property Taken March 6,2023 Looking ENE Ayr•_.+y .pt y .,, r� "7! 4 .A i 3) Penny Property Taken March 6, 2023 Looking NNE - — _Ja AW _ 11,011111p, _ pow (4)Penny Property t Taken March 6, 2023 Looking NNE • r L , s; AIL ITW ot-ILL5IL 1 . M (5)Penny Property 3w .. _.. `: Taken March 6,2023 " Looking SSW 1 114, iA 'k 40,A ,i • _ � .,- _ �w w!+i '�� ..Y A Vii.. v may.. 1t „�,fY• y � � }'�1r j►, Nt, `, _ _ .tom ,� k A j �' `` >> ` ' x • � '�. , F YjL (6)Penny Property itY « < .J ,` ,;`i � ?�!: A 1 . Taken March 6,2023 Looking ENE '��a� �:.a. .. r�,�a �°�%%��� �;�a. �� ,;ate' `�►',�' � �' ��?;�� ; Board Of Southold •Town Trustees �► =*� ' SOUTHOLD, NEW YORK r«, PERMIT NO. /.. DATE: ..51.. .6..1...9.4............. r �.� ISSUED TO .......:.FAANQ1i.$... E RRONE.................................................... ��. ( °^,`.• .:j 7777 N Pursuant-to the provisions of Chapter 615 of the-Laws of the State of New York, 'I 893; and Chapter 404 of the Laws of theti „ -State of New York 1952; and the Southold Town Ordinance en- .titled "REGULATING AND THE- PLACING OF OBSTRUCTIONS ;y IN AND ON TOWN WATERS AND PUBLIC LANDS and they REMOVAL OF SAND, GRAVEL OR. OTHER MATERIALS FROM. ; LANDS UNDER TOWN WATERS;' . and in accordance with the Y' a> Resolution of The Board adopted ata meeting held on ....5:(261 4_._. E 19..94 , and in consideration of the sum of �04....... paid by 4..,. ...... 'w FRANCIS EZ RO TE of ......Gutchogue....................................................... N. Y. and subiect to the Terms and Conditions -listed 'on the reverse side hereof, ' of Southold Town Trustees authorizes and permits the following: Replace pilings, a 6' X 20' dock & walkway and a 3' X 16' r Spartina patens be planted in bare area, catwalk elevated 3 w t 1/2' above pgradeextend. elev�� catwalk to within 5' of road to r a to taccor�an ve�+vVttne cpjaa gch ec�pcafions as presented in .. ;. s: the originating application. ; a IN WITNESS WHEREOF, The said Board of 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 date. I( ...........".....1 .....�. ti...................., .............:.....:....•.....s.................. �- JF-'�'iT:i•--- � ii.:-�--G•� �:Jct•... �M F.' �'� ,�� �.:..��'�•ie'-u'..=r.R•a• �s�`C,e�'c'.dL,�.�.:c::,�..�..-eara.z -f•—z -a'�'�=1�r`..�.. r .i _ - ._ - a .Ca:'•� x,i J .�r:�T•.'vu'�''-" x•_.•is a.,.r._:d�,R-�f_,:....r�-�.a a' �• '(` :.�:I., .°5•iR�. ��= +�y/.'�"'4,f,;,��►,�`v�.�_`' ��.12�C c�yK���,�•$. :�9i;�..e �:r y0. `u+ �y L/yz!afA�►�,S•.,`Z L ",may✓ice"+�:'� dy,fG'.i ALL MOORINGS AND STAKES MUST DI AY VISIBLE MOORING NUMBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS �� s)�j6'.. ,- �_'� ..,;.i �,,. w _:/<•. .:.•.... _.:, .•;: �_.•.::y ..'".— :_QC's_ ,. C�cy ✓ .� ��:��,r�""�.r.�.-�"*.�l��+f�f.i,�'v`-�7%+�!,,.�1 Irl=p::.:.�T'.FE'.'i' •�l' /. Board Of Southold Town Trustees NEW YORK Mooring # N/A 1892 PERMIT NO. .............................._.. DATE: SePt.-....28,.....198 • : ..:;r. : ISSUED TO Francis „.•_._.Pne., ,.D......._...._-- _......_.._ i/`."r,•t .:. .._.... ._......S .erro . ....�.. d,= Pursuant to the provisions of Chapter b 15 of the Laws of the S{ate,of_New York;.1.893;.end 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 :i IN. AND.ON TOWN WATERS.AND PUBLIC LANDS., and theS : REMOVAL:OF SAND, GRAVEL OR OTHER MATERIALSFROM LANDS UNDER TOWN WA* TERS;:' and in accordance:wifh the Resolution of The Board adopted.at a meeting held.on ... ept...__27, 19:.B_4: and in consideration of� e um of 5.00 t .s $.........,._ . _ _paid by -.� ...__............__ .__]~xd n iS....S.......P.erron��...M,.D:.............._ of N. Y.. and subject to the j Terms and. Conditions listed. on the eeverse' side. hereof, �I•. of Southold Town Trustees authorizes and-permits the following: Application a _ . . . �•� pp approved to secure 'a permit for catwalk;.-ramp and-•floating'dock; in Haywater. •:. ••� •` Cove, Cutchogue, all in accordance with -the licat'on s tt d d Gra df laus � h pe 'f�tt(ions aid jn :.i•: ^ �w a n.actor ante w� e efaild s ci. the originating application. IN WITNESS WHEREOF The said Board of Trustees here- _,, a by causes its.Corporate Seal to be affixed, and these presents to be subscribed by a majority of the sai and as of this date' -- - ....... ..fi-.. ..._........ � ..� c ..... „ ,,. • s -.� T leer r. — � -�9��1."'. ./. :i:... i/tips, -•. .a '/i e. - ' • fff/// � � :•�� �� •4V1.•'.N� 3�'.,1.r�:�/9Z!...I .•j.L^C � ••`i t:�:�.:.� �\ .� ... __..... �{Y�� � '•:^<�j� � AV1t�� �rJ4.:1•• � :K+uxy � .?v�M,'. �.?t��':Y!�'•`. Please tear off and return to 'the Trustees Board Of Southold Town I ruSLQa$ - Phone No. SOUTHOLD, NEW YORK MOORING NO. PERMIT NO. DATE: ISSUED TO Icertify that the work as author:ned in this per-nit has been completed and is now read`_ for vour inseec- tion. also, the num—er required on this prosect is clearly visible. I further understand- this permit is not valid until this tear sheet is rnr.\rnnA to the Trustees'. TWEEN Lynn Perrone and',feanne Rose Perrone as Co-Executors of the Estate of Francis S. Perrone,with an address at 565 Fisherman's Beach Road Cutchogue,New York 11935 1 Party of the first part,and , 3735` Geoffroy L.Penny Sr. residing at DWO Deep Hole Drive Mattitucl., Nevi York 11952 �{ 1 party of the second part, I WITNESSETH,that the party,of the first part,in consideration of Two ihellsecond eight does hereby grant and -- 001100�� t52,aoo,000.00) dollars paid by the party release unto the party of the second part, the heirs Or successors and assigns of the party of the second past forever, and improvements thereon erected, situate, ALL that certain plot, piece or parcel of land, with the buildings lying and being in the Nassau Point,Cutchogue,Town of Southold, Suffolk County, New York SEE SCHEDULE A ATTACHED HERETO AND MADE A PART HEREOF DISTRICT 1000 SECTION 111.00 BLOCK 01 LOT 029.000 AND 021.000 KNOWN AS 965 FISHERrAAN'S BEACH ROAD CUTCHOGUE,NEW YORK 11935 Beingand intended to be the same premises conveyed by deed dated 07109/1984 in Liber 9643 Pds ago 233 ' TOGETHER with all right, title and interest, if ans and roa ,linesthdreof;of tTOGETHER whe first part in ithdthe appurtento any ances and all j abutting the above described premises to the center ` the estate and rights of the party of the rrrst�part in and to said premises; TO HAVE AND TO HOLD the ? premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of I !: the second part forever. I ! dil AND the party of the first part covenants that the party of the first part has not done or suffered anything %+hereby the said premises have been encumbered in any way whatever, except as aforesaid. f AND the party of the first part, in compliance with Section 13 of the Lien law, covenants that the party of the first,part will receive the consideration for this conveyance and will hold'the right to receive such consideration i as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the.improvement before using any part of the total of the same for any other j purpose. The word "party" shall be construed as if it read "parties° whenever the sense of this indenture so requires. i IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above. written. I i i i N PRESENCE OF: LYNN rRRONE ASCO-EXECUTOR }' ;`+>''' ANNE ROSE PERRONE AS CO-EXECUTOR 1, 1 r1 11 .Ii ,il 4� 1 TO BE USED ONLY WHEN THE ACKNOWLEDGMF.NT'IS MADE 1N-NRW YORK STATE !'I I rt�n'yprzy� - tete of Now York,Oounty of ftot, s: State of Nevr York„County of Suffolk ss: �f-nuccy!n,rGwA •' On the inti day Of Jcrra yoar 2023 On tho day of January In the yea:2023 ba fore mo,the undorafgned,personally appoarod boforo me,the undersigned,pereonaliy appearod j LYNN PERRONE JEANNE PERRONE I l par;-onally known'to mo or provad to mo on tho basisof personally known to me or proved to me 'on the basis of d J E salistac cry evidence to be the Individual,( ti�'lloso name(-.q is satisfactory ovidenee to be the•tndlvldual(e)who,-,e names)is -{ere)-subscribed to the Within Instrument and nchnowledged to (are) subscribed to the vdthin Insinrriion:and ackn6%viedged to mo that he q?e hoy oxaculod the sanio In hisitifirltheir me that helshehhey 'oxocuted the same in 'hisihodihcir capacily(iaa)l and that' by hiq!oo thelr signaturo(,0,- on the capacity(ics), and trial by hisr'nomheir sign3turc(s) on the i instrument,(tie Individual(s),or the,puraon upan behalf of vinlch instrument,4;a individuat(s),'OrTle person upon behalf of.vdilcti `i�riytljtk�{y�duaJ(c)acted,executed the I lstrument, the individuol(s)acted,,exe c,uteri the instrument, p"P„ ETN iinTe (sCgr •p.'eond office of individual taking.,cknovitedgment), (si(jnature and offi a of individu31 taking ackr,`ovrlodgm t) dUALiFlE IN = %ticiMi'OAACQirNTY; _ Comm EXP ............ o````� TO BE t1SED ONLY WHEN THE ACKNGWLEDOMIENT IS MADE OUTSIDE iJEW YORK 5?ATE 1i al • i State(or District of Columbia,Territory,or Fcieign Country)of ft-0140A ss: 1 On the Ai� day of In the year 6%'�''3b foro mo,.the undersigned,pe:sonally,appeated i JGr 14g aOSS 1790_09,dE personally knovrn,to,me or proved to mo on the basis-of satisfactory evidence,to be the.individual(s)Whose naime(s) is•(are) subscribed to the within.instrument and acknrnvledged to me that holihtiithey nt executed the sae in hlsihedtheir capac(ty(to'S),and that by hislherltheir signatures)on the instrument,the iddivldual(s), Or the person upon behalf of which the ind7Mdua1(s)acted, executed tho Instrument,and dial such individual made such appearance before the undersigned in'the In1((n�" (:G'.�f J� i jls',6ry�ou!��1 Ca .I (insert the City-or other pc,it 'al sulxliv7s1e0) (and insarJ the S, t or Cbdntry orotner place lha ackri ,liedgment was taken), !. ll�si�urr�IfjGr,Ji 'i, ap,gR�/'Ld, s gna i- aiid offico of individual taking.acicnovl,adamont} . _ Aly Comm.Expires _ June 1,2112: ('; = Comin.eGG920-153 = 'BARGAIN AND SALE DEED SECTION Dist: 1000 Section:111 r WITH COVENANT AGAINST GRANTOR'S ACTS BLOCK 0 LOT 021.21.0 000&029:000 - Title No.HTA-8605-S COUNTY OR TOWN Southold PERRONE STREET ADDRESS 965 Fisherman'"s Beach Road TO PENNY. STANDARD FORM OF NEN!YORK BOARD OF TITLE UNOER'NF21TFJtS J Disvl4uted by RETURN BY MAIL TO: jI 1 Law Office of David Jude Jannuzzi, Esq. Hamlet Title Agency, �fnc. 13235 Main Road P.O. Box 1672 Mattituck,New York 11952 !Y Title,Num'Aer: HTA-8605-S !� Page 1 { SCHEDULE A DESCRIPTION ' AMENDED ! i PARCEL 1: ALL.that certain plot, piece or parcel of land, situate, tying and being at Nassau Point, Cutchogue, i -town of Southold,Suffolk County, New York, designated res part of lots 14 and 15 as shown on a r. certain map entitled, 'Subdivision Map Peconic bay Properties, Inc.%surveyed February G, 1931 { i by Otto W Van Tuyl, Surveyor and filed in Suffolk County Clerk's Office on April 15, 1931 as Map i i No. 786. Said part of tots when taken together being more bounded and described as follows: I i ! SCGINNING at a point on the Southwesterly side of Fisherman's Beach Road (Haywaters Road) + ' I distant 866.4 feet westerly from the corner formed by the intersection of.the vaesterly side of Landing Road with tfle Fisherman's Beach Road(Ha' aters Road); RUNNING THENCE South 38 degrees 43 minutes 00 seconds West 320.53 feet (survoy)to the tie line along the current mean high water mark of Cutchogue Harbor, 185 feet, more or less,to i the ordinary high water make of Cutchogue Harbor(dared/tax map); 1 RUNNING THENCE along said mean high water mark of Cutchogue Harbor South 55 degrees 05 i minutes 24 seconds Edst 149.8 feet; r G RUNNING THENCE North 51 degrees 05 minutes 50 seconds East 342.81 (survey) 185 feet J more or less (deed/tax map)to the southwesterly side of Fisherman's Beach Road (Haywaters } 4 Road); k RUNNING THENCE along the southwesterly side of Fisherman's Beach Road (Haywaters Road) i South 48 degrees 00 minutes 00 seconds 76.10 feet to the point or place of BEGINNING. I TOGETHER WITH all the right, title and interest of the party of the first part, of, in and to land below the high water mark and under the waters of Cutchogue Harbor adjacent to said premises. i PARCEL It: ALL that certain plot, piece or parcel of land, situate, lying and being at Nassau Point, Cutchogue, Town of Southold, Suffolk County, New York, designated as the-northerly 25 feet of Lot No. 22 as shown on a certain map entitled, `Subdivision Map Peconic bay Properties, Inc.", surveyed { February 6, '1931 by Otto W. Van Tuyl, Surveyor-and filed in Suffolk County Clerk's Office on April I 15, 1931 as Map No. 786. Said part of lot being more bounded and described as follows: BEGINNING ata point on the Northeasterly side of Fisherman's Beach Road (Haywaters Road) at the boundary line between Lot Nos. 21 and 22 on said map; k RUNNING THENCE along said boundary line, North 30 degrees 00 minutes 00 seconds East 08.00 feet to the fie line along high water mark of Haywaters Cove; f RUNNING THENCE along said tie.line along the. high water mark of Haywaters Cove, South 64, degrees 12 minutes 54 seconds East 24.52 feet to a point; RUNNING THENCE South 30 degrees 00 minutes 00 seconds West 15.00 feet to the Northeasterly-side Fisherman's Beach Road (Haywaters Road); i RUNNING THENCE along said Northeasterly side of Fisherman's Beach Road (Haywaters Road), ! North 48.degrees 00 minutes 00 seconds West 25.00 feet to the point or place of BEGINNING. 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'•, >r r�:,-.;' g•{';/d",.t1 ao90i i j,k4" e+-"r .1'!a2~s, •::`�,`-�•� t .. .. .. ., i ,20A1c) . 9t C� Ir' n'Jl f°ARIj 31 ),•' \A "� - , Y, TA 5 \ o'{• r1' r •S�`F 26A(c) �:4 ,1P\c�a, A Pn t' S .^ +H FDR VGt,NO.Po/y, $5 'S• �, .. .. J$ 1• q,m#a. W' •'r ;bEE LEG'Nb d �f`y ,tyw:• 30B `y:(:�' �nz .p$ojmi I ., aqA 'lTpt4F \ pQ'90 }\4 ; ;s ` .. �'9<.Fo / 'MAiOH Lilv<,l' ,so; a1 tla If fi� 1.r. r •Q Ir A A taAl S n =iRE COUNTY OF SUFFOLK(D NOTICE NyTa b ce Agency eweneYmr.nTe'.noN buena vwW E Yrv5 Nm+u'NT!WR1bN OF THE ro o< SOUTIOLDp- wr..+ --^^-- `» _--- .,•r+.w o»..� `®ter g nrx lroxt.T,aS serrrE.aucr w,rao- To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: June 13, 2023 Re: LWRP Coastal Consistency Review for JEOFFROY PENNY SCTM# 1000-111-1-21 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the LWRP the following is considered: 1. Limit the introduction of CCA-treated materials in marine waters. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Honorable Lori Hulse, Attorney Glenn Goldsmith, 1 5 ' Town Hall Annex President ; . '`•'4. A.Nicholas Krupski,Vice President '. _ �c;, 54375 Route 25 _ . `•, P.O.Box 1179 Eric ^Sepenoski `. Southold,New York 11971 ;$ Liz Gillooly c f' s Telephone(631) 765-1892 Elizabeth Peeples P Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit s/_Amendment/Transfer/Exte sir Received Application: '`1.23 Received Fee: $ ?S6.0 Completed Application: 3,IT w Incomplete:. . SEQRA Classification: Type I,_ Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination:(date sent): WRP Consistency ?Date AC Referral Sent: of[nspection: •2� MAR — 9 2023 Receipt of CAC Report:— y _ Technical Review: -' Public Hearing Held: _ Resolution: Owner(s) Legal Name of Property (as shown on Deed): Gt_"9,o!:rA_RQV _P,--AI IlV Mailing Address: n y)!}4f0 1'1..� 7X, A/V Phone Number: Suffolk County Tax Map Number: 1000- 177 /_ Z.L_ _. Property Location: !U D /S, �/PAl.¢" if gy /W _C-a-r- � C&449, (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): &I CM4SY .� C�eX Mailing Address: P 0 C6X 104-7 S'OUW 96P� 97/ Phone Number:,476 6S8 6f�D7 _ Email:IZI! I" 7A AJ.A q � I Board of Trustees Applica )n GENERAL DATA Land Area(in square feet): --- Area Zoning: R- 40 Previous use of property Vii�°�A/7— Intended Intended use of property: , VA 4 h T- -Covenants and Restrictions on property? —ayes No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes ]Z_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 _No If"Yes", please provide copy of decision. his projectre any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s) on property have a valid Certificate of Occupancy? Yes No IVIA Prior permits/approvals for site improvements: Agency Date ❑ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?11 No-Yes If yes, provide explanation: Project Description(use attachments if necessary): Penny Project Description Remove existing staircase, fixed walkway, ramp,floating dock and pilings. Install 4 ft.x 6 ft. fixed ramp ( 24 SF ),4 ft.x 32 ft. fixed walkway with thru flow decking ( 128 SF ), 3 ft. x 14 ft. Aluminum ramp (42 SF ), 6 ft.x20 ft. floating dock with marine grade decking ( 120 SF ). Install five (5) sets of 6" diam. green heart pilings at 8 ft. O.C.for fixed walkway and two (2) 8 diam. greenheart pilings to anchor floating dock Board of Trustees Applica Dai WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Z72 RA00011AC,e�E 9X11'�/J eAwmnw b0 ce "oI "&241 rg Rax 10 uEe10oow Area of wetlands on lot: Q square feet Percent coverage of lot: �. Closest distance between nearest existing structure and upland edge of wetlands: Q feet Closest distance between nearest proposed structure and upland edge of wetlands: _ d feet Does the project involve excavation or filling? ® -No Yes If yes, how much material will be excavated? Al cubic yards How much material will be filled?_ Al aOVO- cubic yards 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: W/ CR41V16-- 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): 4VW/Uy ay1zL A-C ��ILARY !9 p/r7'1 RAYW Gtr/ 1Ji�L AC770N 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 i. Responses become part of the application for approval or funding,are.subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. if additional research or investigation would be needed to fully. respond to any item,please answer as thoroughly as possible'based on current information.. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part T-Project and Sponsor Information Name of Action or Project: __- ' Project Location(describe,and attach a location map): D oA T14A 5ZHAN5' HE c . Brief Description of Proposed Action: T�� ®f24�'�eT 1��'C�GP�'7dN �DrGI DLUL�I/l� Name of Applicant or Sponsor: Telephone: _ 6�D 7 4f E- W ill .49KZ V,6R1Z.WI— Address: 0x t OQ City/P0: State: Zip Code: 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 requirea' permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: D� Al YY 3.a.Total acreage of the site of the proposed action? L7.O j acres b.Total acreage to be physically disturbed? zQ/ acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? Q acres 4. Che I land us at occur on,adjoining anpliar the prop action. Urban Rural(non-agriculture) IndustrialCommercial IgResidential(suburban) Forest QAgriculture HAquatic QOther(specify): Parkland Page 1 of 4 Penny Project Description Remove existing staircase, fixed walkway, ramp, floating dock and pilings. Install 4 ft.x 6 ft. -- ----fixed-ramp (24 SF ),-4 f#.-x-32-ft:fixed walkway-with thru-flow decking( 128 SF ), 3 ft.-x 14 ft. Aluminum ramp (42 SF ), 6 ft. x20 ft. floating dock with marine grade decking ( 120 SF ). Install five (5) sets of 6" diam. green heart pilings at 8 ft. O.C. for fixed walkway and two (2) 8 "diam. greenheart pilings to anchor floating dock 5. Is the proposed action, NO -1 YES I NIA 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? 7: Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO„ YES , If Yes,identify: � ❑ 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:� ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES ' �[f No,describe method for providing potable water: AIM � M- ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: . �� ❑ 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? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbod and extent of alterations in uare feet or acres: pQ 14. ntify the typic bitat types that ocn'o r are likely to be'found on t roject site. Check all that apply: Shoreline Forest 3Agricultural/gragslands Early mid-successional Wetland Urban Subrban 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.Is 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? NO If Yes, a. Will storm water discharges flow to adjacent properties? ONO DYES El b.Will storm water discharges be directed to established conveyance systems ff anfzLarm drains)? If Yes,briefly describe: N0 YES Page 2 of 4 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: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name:: JLJ,_9 A!FZ_4. J tC� Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of theffollowing questions in Part 2 using the information contained in Part 1 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical.Environmental Area(CBA)? ❑ ❑ 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 El 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? ❑ F1 8. Will the proposed action.impair the character or quality of important historic,archaeological, ❑ Elarchitectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, El ❑ waterbodies,groundwater,air quality,.flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may -occur occur 10. Will the proposed action result in an increase in the potential 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 ori the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. 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 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 Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Trustees Application AFFIDAVIT 0 y PY �Al V BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SME IS THE APPLICANT FOR THE ABOVE __ DESC_ RIBEI) PERM-I-T-(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 HOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), 1F _ GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY A THORIZE 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 DIY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCY; WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURINGTHE TERM OF THE PERMIT. Signature of Property Owner ^ ^• �• G�oA6,470,y L, P�&lily Signature ofProperi) O�vner SWORN TO BEFORE ME THIS _ �..__ U11Y OF _ 202.-7 Notary Public 4"�� MICHAEL A.KIMACK Notary Public,State of New York No. 02KI5056823 Qualified in Nassau County Commission Expires March 11,2026 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) Owe, owners of the property identified as SCTM# 1000- –_2 o -- in the town of _„_... New York, hereby authorizes 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. Property Owner's Signature Property Owner'sSignature 64C-O CROY L. P�ryy SWORN TO BEFORE ME THIS` _1✓ DAY OF. _ — 20_, 3 Notary Public MICHAELA. KIMACK Notary Public,State of New York No. 02KI5056823 Qualified in Nassau County Commission Expires March 11,2026 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold' Code of Ethics rohibits conflicts of interest on the art frown officers and em to ecs.The tse of this form is to Provide information which can alert the town of Possible conflicts of interest and allow it to take whatever actio, is necessary to avoid same YOUR NAME:__ "Y 4. -- (Last name,first name,Middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other _-- person's or company's name) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Building Change of Zone Trustee Approval of plat Coastal Erosion Exemption from plat or official mapMooring Other a Planning (If"Other",name the activity.) Do you personally(or through your company,spouse.sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood, 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 sown officer or employee owns more than 5%of cite shares. YES „_.._ NO F1 If you ansxvered"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): f2A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); -_nB)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this da of_ e54�W 204�2 Signature_ _ Print Name Form TSI APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code.of Ethics prohibits conflicts of interest on the part of town*officers and employees.The putvose of this form is to provide information which can alert the.town of possible conflicts.of interest and allow it to take whatever action is necessary fo avoid same. YOUR NAME: (Last name,first name,yrtddle initial,unless you-are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change 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,parent,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'offtcer or employce has even-a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than.5%ofthe shares. YES NO . If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/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,dr child is(check all that apply): 1:1A)the owner of greater than 5%of the shares of the corporate stock of the applicant _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the Eapplicant is nota corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of RCY, 20Z,-? Signature Print Name Form TS 1 Board of Trustees Applica, m PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & cr rna++• ) / NAME: J 111- I _ C23 ° l STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at ,that said Notices were mailed to each of said persons by CERTIFIED MAILIRETURN RECEIPT. Signature Sworn to before me this Day of , 20 Notary Public Glenn Goldsmith,President � (� Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski o -` P.O.Box 1179 Ze Liz Gillooly p Southold,NY 11971 Elizabeth Peeples 41, �a4 v Telephone(631)765-1892 �T Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------7---------------------------- In the Matter of the Application of GEOFFROY L. PENNY COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING DO NOT COMPLETE THIS FORM UNTIL THE POSTING HAS REMAINED INPLA CE FOR AT LEAST SEVEN DA YS PRIOR TO THE PUBLIC HEARING DATE— COMPLETE THIS FORM ON EIGHTH DAY OR LATER I, H A �l�G�esiding at/dba G. &dX 40 ,4(7 47 s QOrA�" )v y 419 7f being duly sworn, depose and say: That on the 2 day of 202.3, I personally posted the property known as by placing the Board of Trustees official noticing poster where it caneasily be seen from the street, and that I have checked to be sure the noticing poster has remained in place for a full seven days immediately preceding the date of the public hearing. Date of hearing noted thereon to be held Wednesday,May 17,2023. Dated: /1119 Y `� Z o Z 3 ��0��'2:�4 wa� (signature) Sworn to before me this /5-/50day of11AY20 2 3 DIANE DISALVO AA� �l D�Q,/ U NOTARY PUBLIC-STATE OF NEW YORK Notary Pub 1c No. OID1475593 Qualified In Suffolk County my commission Expires April 30, 20 • Board of Trustees Application PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS APPLICATION NAME & SCTM#: 62!0105 e0y pl_rNlky /0007 NAME: ADDRESS: go rurn Al.it eels ReF�FROAIe RM Y My, l,t�702/ STATE OF NEW YORK COUNTY OF SUFFOLK .N/C&�4a residing at ©. .eO?l-I 10417 SDS/40 IVY l/Q 7l , being duly sworn, deposes and says that on the z�—'AV day of Mfi X , 202e , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office located at 5702 f/ 01 , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Signature Sworn to before me this f Day of 17i�i?� , 202— _ DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK 1 DI475593 Notary Public Qualified In Suffolk county My Commission Expires April 30, 204 Postal _ i Postalo RECEIPT © D. Only m '' Only nj co —13j L e k`.-•i j L—u { �.. —s co Certified Mail Fee d•, c co Certified Mail Fee cEr s °;'` ! 1") $ s_: •;c ,.,.. !�I( Extra Services&Fees(check box,add/ee a J �J'-JC '�? Ir Extra Services&Fees(check box,add fee q,I. '-ate) f 4 ( '(� )� rq ❑Return Receipt(hardcopy) $ �, yil,° I� ❑ Return Receipt(hardcopY) $ Q i• %�. 0 ❑Return Receipt(electronic) $ `•!(-!!!i Postmark�`r M ❑Return Receipt(electronic) $ r!I U U E ��` Posgm r�J, ❑Certified Mail Restricted Delivery $ $1`1 11 i 1 y Here �' 1 ❑Certified Mail Restricted Delivery $ `I'1 =�a �{�'4�.� I C3 []Adult Signature Required $ , MAY 2 �1w 1 E3 ❑Adult Signature Required $— -.i n `w1� ❑Adult Signature Restricted Delivery$ _ 1°W ❑Adult Signature Restricted Delivery$ I I J / 1j V' 0 PostageLn tl6 J f 0 Postage $ %t'c r_ Ln s!.!.t�; \i c i, 'C m Ti i,l s�!`t, L71LeeiwaterAve. -'',E �,. Francis 9 PC2 1- \Q�TA� $ erroneA Marian Gelbwaks" rru s310 E 75 th St. 6N ----------------------------------- "' Ne ua N.Y. 11758 N.Y. N.Y. 10021 ------------------------------------ Massapequa, --------------------------------- q U.S. Postal Service"" CERTIFIED oRECEIPT' Ln I ..mestic mail Only co I UI' E we ,- •� E J° Apt L �'�• I E � .O _ 1, �= cO Certified Mal!Fee j c ! t rq 35 Extra Services&Fees(check box,add fee ffpr(oPfiate) i �.- rl ❑Return Receipt(hardcoPY) $ $13 I° I I %� • i- ❑Return Receipt(electronic) $ r PggS�(prk` 0 ❑Certified Mall Restricted Delivery $ $0.!-! ! 0 0 []Adult Signature Required $ 1-1,f i!l-— +•' �i P ,�t •-?J []Adult Signature Restricted Delivery$ 0 Postage $0.63 Ln .^i O *n j s Bobette°Suter N ' P.O. Box 79 C3 , Cutchogue, N.Y. 119k -------_:------------------ I MR.M11 ,r T1 - - t H ,t- `AK, 1i4G 11 U �w U F NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: GEOFFROY L. PENNY SUBJECT OF PUBLIC HEARING: For a Wetland Permit to remove existing staircase, fixed catwalk, ramp, floating dock and pilings; construct a 4'x6' (24 sq.ft.) landward fixed ramp to a 4'x32' (128 sq.ft.) fixed catwalk using Thru- Flow decking, a 3'x14' (42 sq.ft.) aluminum ramp, and a 6'x20' (120 sq.ft.) floating dock with marine grade decking situated in a "T" configuration; install five (5) sets of 6" diameter greenheart pilings at 8' on center for fixed catwalk and two (2) 8" diameter greenheart pilings to anchor floating dock. Located: 1010 Fisherman's Beach Road, Cutchogue. SCTM# 1000-111-1-21 TIME & DATE OF PUBLIC HEARING: Wednesday, May 17, 2023 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available online at www.southoldtownny.gov and/or in the Trustee Office until to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES *TOWN OF SOUTHOLD * (631) 765-1892 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 that are 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 determination of consistency. *Except minor exempt:actions including.Building Permits and other ministerial permits-not located within the Coastal Erosion Hazard Area. 2: Before answering the-questions in-Section. C,-the preparer of this form should review the exempt minor, action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization. Program. A proposedaction, will be evaluated as to its "si 'ficant berieficial,and adverse effects,utionthe coastal,area(which includes all of.Southold-Town). 3:` - . If any,question in Section C 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, each answer must be explained in detail, listink both supporting and non-_, su_ptiortin facts: If an action cannot be certified as'consistent with the LWRP policy statidards'and conditions,"it shall not be undertaken: A copy of the LWRP is available in the following places:.online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# _ PROJECT NAME REYAI Y : EjCZG ' Z6 /911 C-Le _VJ_7 The Application has been submitted to.(check appropriate-response)- Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Z 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: APO CC 0Gy/NLz Penny Project Description Remove existing staircase, fixed walkway, ramp,floating dock and pilings. Install 4 ft. x 6 ft. fixed ramp ( 24 SF ),4 ft. x 32 ft.fixed walkway with thru flow decking( 128 SF ), 3-ft. x 14 ft--- -- Aluminum ramp (42 SF ), 6 ft.x20 ft. floating dock with marine grade decking ( 120 SF ). Install five (5) sets of 6" diam.green heart pilings at 8 ft. O.C. for fixed walkway and two (2) 8 "diam. greenheart pilings to anchor floating dock Location of action: /OL 0 Site acreage: 0. O/ Present land use: VA CAN Present zoning classification: 0 _ 2. If an application for the proposed actionhas been filed with the Town of Southold agency, the following information shall be provided: (a) Name of-applicant:: /fl- CL4�G .. !Gl f9.� CIG (b) Mailing address:__ d.. 460C 10,47, TO O)W 61-D. Al-Y `19 V (c).Telephone number: 43 d ��� _ 349 0.Z Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No 21 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. ZYes : ❑ No L j'Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LNW Section III=-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable .N o NIrroelc Z1061 CAL AD 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 ❑ Yes ❑ No ® Not.Applicable - ��L Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. MMinimize loss of life, structures, and natural resources from flooding and erosion. See LVVRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ®,Not Applicable C Y 4 AIAQ 7-0 hvl- C#77 d Al Attach�additional sheeis 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 E01 61 C s- iy A 7-0- 4 P2 e4 770JV Attach additional sheets if necessary Policy 6. Protect and "restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III-Policies; Pages 22 through 32 for evaluation criteria. ❑ Yes ❑No Not Applicable 6 gZ ZA 7-D .44144 CA 77041 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑Nor7l Not Applicable PQUCy ? A11A TO 4CA?~la!V 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 ZNot Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the 'Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ Ye❑ No® Not Applicable P011CY 9 Al ro A&OCA 274V Attach additional sheets if necessary WORKING COAST POLICI .., Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No"-, Not Applicable PFJ L C Y a A114 rO .4 Pp C4 770 Al 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 ❑ Noz Not Applicable poz/cy /I_ rD 4-2sP /.C'4 z7ey P&?a1,EP L90 C/G Al or-40 c y'E N,Cke A I E Rz5-M�,-CS, Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No� Not Applicable dUCy LZ A4ZA W AARVC4r-lati 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� Not Applicabl PQ L/C Y /.3 N ,4 r6 4,P Cil 72Ml PREPARED BYft J 4. e -A CIL TITLE AL Emss " DATE Z 3