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HomeMy WebLinkAboutTR-10472A Glenn Goldsmith, President ®� so Town Hall Annex Route 25 A. Nicholas Krupski,Vice President ®� ®�® 54375 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone (631) 765-1892 Elizabeth Peeples • a® Fax(631) 765-6641 'rou 11,E 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 1St day of construction '/2 constructed When project complete, call for compliance inspection; Glenn Goldsmith,President ®� so Town Hall Annex �®� ®�® 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 ®lyc®U ,.� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 10472A Date of Receipt of Application: September 18, 2023 Applicant: AWC Dockside LLC c/o Daniel Cooke SCTM#: 1000-106-6-1 Project Location: 5505 Mill Road, Mattituck Date of Resolution/Issuance: October 18, 2023 Date of Expiration: October 18, 2026 Reviewed by: Glenn Goldsmith, President Project Description: For the removal of newly installed treated timber decking material and replacing same with new untreated timber decking material in two (2) separate sections along existing bulkhead. The 45.5'x6' north section and the 12.5'x6' south section, resulting in approximately 350sq.ft. of existing timber to be replaced. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by Barrett, Bonacci &Van Weele, PC, dated December 5, 2022, and stamped approved on October 18, 2023. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. 4— 4-e" Glenn Goldsmith, President Board of Trustees Glenn Goldsmith,President Town Hall Annex A.Nicholas Krupski,Vice President .�'� y�e 54375 Route 25 Eric Sepenoski W ? P.O.Box 1179 Liz Gillooly �y • 01� Southold,NY 11971 Elizabeth PeeplesTelephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 1 Completed infield by: G.(mac, aS rn b"1 Christopher F. Dwyer on behalf of AWC DOCKSIDE LLC c/o Daniel Cooke requests an Administrative Permit for the removal of newly installed treated timber decking material and replacing same with new untreated timber decking material in two separate (2) sections along existing bulkhead. The 45.5'x6' north section and the 12.5'x6' south section, resulting in approximately 350sq.ft. of existing timber to be replaced. Located: 5505 Mill Road, Mattituck. SCTM#: 1000-106-6-1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: ✓Chapt.275 Chapt. 111 other Typ of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: 1,3 Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly E. Peeples TAX I 1000-99-4 23 I _ 4820--E_.�.,, 145.94' BULKHEAD � Y� i 11 ��&. 2.� x x ,.3'N FE 16'E 2.8'5 GATE BOARD OF j t'.USTEES / �. \DDD TOWN! QI ��:LI, �-tOLD /•,.' ,. DOCK DATE e�-T0�5�. 18 2oz 3 / 00 ;� to / O „ �• M �. 00 o 41 ' / I w 1 „ L , _ 0 m LEGEND app \\\'„ CONCRETE CURB \ DROP CURB \ I WALL EDGE OF PAVEMENT OH OVERHEAD WIRES GUY WIRE \ —x x CHAIN LINK FENCE \ i I —0-0— FENCE OTHER \ CONCRETE 1 I El ELECTRIC CONTROL BOX 3'XB' I i © CABLE TV CONTROL BOX SHED I T Q UTILITY POLE SIGN W Oy 0\11- DHy----_,\\, \>ON A. 235.6' \ r U _ ON i o o Z N OH 00 0. � 1 Zo, BULKHEAD TITLE NO.: 4.9'E Lij �t 0 p 9664—TLS CERTIFIED TO: O ~ � Q AWC DOCKSIDE LLC THOMPSON LAND SERVCIES, INC. STEWART TITLE INSURANCE COMPANY `,\ // TD BANK, N.A., its successors and/or assigns, / M \�` \\ as their interest may appear \ , /.' NOTES: ftj O 1. THE EXISTENCE OF ANY COVENANTS, RESTRICTIONS, EASEMENTS AND/OR N RIGHTS OF WAY OF RECORD, IF ANY, ARE NOT SHOWN OR ADDRESSED. 2. PROPERTY CORNER MONUMENTS WERE NOT PLACED AS PART OF THIS SURVEY. 3. SUBSURFACE AND ENVIRONMENTAL CONDITIONS WERE NOT EXAMINED OR 47w CONSIDERED AS PART OF THIS SURVEY. o N 4. THE OFFSETS OR DIMENSIONS SHOWN FROM THE STRUCTURES TO THE f PROPERTY�/' HEREFORE LINES ARE FOR A AKE NOT INTENDED TO GI UIDE RN OSE THE AND ECTIONAND OF FENCES, f f / ° ° PLANTING AREAS, ADDITIONS TO / X rn f i 3 o RETAINING WALLS, POOLS, PATIOS, BUILDINGS OR ANY OTHER CONSTRUCTION. ° o (V5.i 11 5. LOT AREA = 179,073 SQUARE FEET OR 4.1109 ACRES. s /.:'. WELL HEAD i O .` WALL 1' __— / / , ate DRevision Checked by: Surveyed by: C.S.CA.V.R. C.W.raeY: , 0 Barrett bIF�T'dc G VEL .. RA MONUMENT N Bonacci FOUND ro 2g�. 11' , r - o (n 01-1,5;, ry Van Weele, Pyr 8 0 N S 1r ' �{ - _ 3• 7 l 0•k` O BULKHEAD ...... 1, R. r».�_ � ..._ //. 16 61,66. <o y 6.,E g • Surveyors Planners �. 1 3 �G o "- Engineers MONUMENT ?N P :" f I; �. ++ Yd FouNe \\' p; 'I 175A Commerce Drive Hauppauge, NY 11788 40 o y\ k 19 - T 631.435.1111 F 631.435.1022 ° / 7 0 1 ° ° \ \, I SEP ._._ www.bbvpc.com OLD A4 \` MONUMENT / ,, '`L 1 FOUND ,/ '.' � "Y ,,, (' -,•',.:,.i.:. . 00 ___ = : -Tax Map: DISTRICT 1000 SECTION 106 BLOCK 6 LOT 1 �3 ` I 3 Certifications indicated hereon signify that this plot OO, ` of the property depicted hereon was made in PROPERTY accordance with the existing Code of Practice fo - land Surveyors adopted by the New York State WALL " Association of Professional land Surveyors. This SITUATE 5' certification is only for rhe lands depicted hereon and is not certification of title,zoning or freedom ��IT�� ` of encumbrances. Said certifications shall run �?ao only to the persons and/or entities listed hereon and are not transferable to additional persons, TOWN OF SOUTHOLD SUFFOLK COUNTY 161 ;• entities or subsequent owners. , N.Y. MONUMENT., BULKHEAD 99, FOUND T au homed alteration or addi io t th urvey BOUNDARY s a violation of Section 7209 Ne York WA, g ypna- ''V)I`..2 `� Stale Education Law S 11 RV EY P 6.52.0 \ Copies of this survey map not bearing the land J survoyor's embossed seal and signature shall �j 6 �1'` not be.considered to be a true and valid copy © 2022 BBV PC UA: SURVEY \ Date ScaleFM20651 ject No. Sheet No. VIEW. SURVEY DECEMBER 5,2022 1" = 30' Of K:\Da22\A220651\DWG\A220651.dwg,SURVEY,9/8/2023 3:01:43 PM,Barred,BonaoG&Van Weele/AVR r � t e .1 Jr hb <0> 1♦ h� �b b PROPOSED •P P, PLACEMENTn9fii0L o PHOTO 1 b - (TAKEN ON 8/30/23) 1 , M Rk - � Y f , F41 - - l -py 40 f �`` • +�` 1. PHOTO 2 r i _ (TAKEN ON 8/30/23) LEGEND: PROPOSED NEW TIMBER AREA M N 1.0--EXISTING CONTOUR c ARl E ®`; p R i Sr e - 41 SITE PLAN^` SEP 1 8 2023 m SCALE: 1"= 30' 1 1s z S c • NOTES: - c s �? + 1. NEWLY TREATED TIMBER SECTIONS ARE TO BE REPLACED BY UNTREATED c - TIMBER TO MATCH EXISTING DECKING DIMENSIONS. o 2. PROPOSED 1—}" UNTREATED DECKING TO BE FASTENED WITH 3" LONG SDWS 21 S.S. SCREWS. DATE BY DESCRIPTION APPROV. BY ° `,QZE• �i•� y REVISIONS .s �i ��a • IST �P�•. TOWN OF SOUTHOLD v * O SUFFOLK COUNTY NY = t^ _ t MATTITUCK COTTAGES CAP REPLACEMENT CAP REPLACEMENT PLAN PHOTO 3 PHOTO 4 077 7 P��aV L. K. McLEAN ASSOCIATES, P.C. N CONSULTING ENGINEERS U]SOUTH COUNTRY RD,/POO—EN.NEM YDRR 11111 (TAKEN ON 8/30/23) (TAKEN ON 8/3D/23) SS'O "`vsn,a Y, .n n a'c ..�.�, Deagneo By: MF/CFD sem.: AS NOTED Sneet No. wi , .ccwe.M.ac r10♦u.m In D.o.D By: MF Dote: SEPT . 2023 C 1 - Appro.ea BY: RGD rk No 23103.000 .aNc! MATCn LWE' YnTCM LwE '!.YT±.a.ai. i i eu of i R6. 22.-0J � ,. {�� + ✓. ! t! 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"31 2w34 *N ♦ , i F ,� r� - - � 7 t tMlcl ,LM 1 °_n a� _—__ *-..Hy,�` ! m .. < J ., ! � •� 3IA ar zov+ ,ax., ro .. +i ,. .'✓" �,�1 F aP<.l2 t 1 � Y' SEE SEC.NO.itJ y *gi • .RAY' 1 , i - ^� "" "" •..._ •• �i°'� COUNTY OF SUFFOLK U .lgctt., W en;war utr corznc�r or T� � � ! wT ., w R,00wutxaD sr`'"Os — r O��QF SU OFFICE LOCATION: yOl MAILING ADDRESS: Town Hall Annex h O P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) vs Southold,NY 11971 a� Telephone: 631 765-1938 couffm LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD To: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: October 16, 2023 Re: LWRP Coastal Consistency Review for AWC DOCKSIDE LLC c/o Daniel Cooke SCTM# 1000-106-6-1 Christopher F. Dwyer on behalf of AWC DOCKSIDE LLC c/o Daniel Cooke requests an Administrative Permit for the removal of newly installed treated timber decking material and replacing same with new untreated timber decking material in two (2) separate sections along existing bulkhead. The 45.5'x6' north section and the 12.5'x6' south section, resulting in approximately 350sq.ft. of existing timber to be replaced. Located: 5505 Mill Road, Mattituck. SCTM#: 1000-106-6-1 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 EXEMPT from LWRP review. 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 d - Glenn Goldsmith,President x0F so Town Hall Annex A. Nicholas Krupski,Vice President �d OHO 54375 Route 25 P.O. Box 1179 Eric S'epenoski l l�i Southold,New York 11971 Liz Gillooly G Telephone (631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application X Administrative Permit _Amendment/Transfer/Extens ion tReceived Applicat'io�n: 4•IS'•Z3 Received Fee: $ &70.0 Completed Application: R-�•� Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: _Coordination:(date sent): r �- X LWRP Consistency Assessment Form Sent: CAC Referral Sent: SLA Date of Inspection: �•l�• hi ! Receipt of CAC Report: _ SEP 1 8 2023 _Technical Review: t Public Hearing Held: Southoldlown Resolution: Board of Trustees Owner(s) Legal Name of Property (as shown on Deed): Daniel Cooke(AWC Dockside LLC) Mailing Address: 72 Louis Street Staten Island, NY 10304 Phone Number: 917-750-5381 Suffolk County Tax Map Number: 1000 - 106-06-01 Property Location: 5505 Mill Road Matituck. On the West side of Mattituck Inlet and the northeast corner of W.Mill Road&Naugles Road. (If necessary, provide LILCO Pole #, distance to cross streets, and location) AGENT (If applicable): Christopher F. Dwyer, Associate, LKMA Mailing Address: 437 South Country Road, Brookhaven, NY, 11719 Phone Number: 631-286-8668 Email: cdwyer@lkma.com Project Description 5505 W Mill Rd Mattituck, Proposed Timber Cap Replacement The project description for the Southold administrative Trustees Permit review includes the following; The Removal of newly installed treated timber decking with new untreated timber decking in 2 separate sections along existing bulkhead.The (45.5' x 6') north section and (12.5'x 6')South Section as depicted on the attached plans will result in approximately 350 SF of existing timber to be replaced. No additional work is being proposed. i Board of Trustees Appl-4 -,ation GENERAL DATA Land Area(in square feet): 179,032 SF Area Zoning: MII Industrial Previous use of property: Waterfront/Marina Intended use of property: Marina Covenants and Restrictions on property? _Yes =No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes ]allo 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 _Z_No If"Yes", please provide copy of decision. WriU 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 FI—No Prior permits/approvals for site improvements: Agency Date NYSDEC (1-4738-00032/00004) 2/22/21 NYSDEC ( 1-4738-00032/00007) No Jurisdiction as of 3/23/22 Town Trustee Permit#511 8/20/2014 ElNo prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓�No1:1 Yes If yes, provide explanation: _ Project Description (use attachments if necessary): The proposed action is the removal of newly installed treated timber decking material with untreated timber decking along two (2) sections of a 6' wide cap along an existing bulkhead. The total area of removal and replacement is 350 SF. Board of Trustees Appl ,ation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: The purpose of the proposed operation is to reconstruct two (2) areas of existing top cap in accordance with the Town Code to safely access watercraft. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: NIA _feet Closest distance between nearest proposed structure and upland edge of wetlands: 1 feet Does the project involve excavation or filling? ❑✓ No Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 0 feet Proposed slope throughout the area of operations: <5% Manner in which material will be removed or deposited: n/a Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): The Proposed work will have no impact on the adjacent wetlands. Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Daniel Cooke,AWC Dockside LLC , owners of the property identified as SCTM# 1000-106.00-06.00-001.000 _in the town of Southold .New York,hereby authorizes Christopher F. Dwyer,Associate, LKMA 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. C Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF , 20 � Notary Public State of Florida Sharmeyn Pena My commission O ry c B18!a HH 224765 Exp. 2/6/2026 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose 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 to avoid same. YOUR NAME: Daniel Cooke,AWC Dockside LLC (Last name,firstname,jriddle 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 officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES ❑ NO ..rsyl ._..._.... If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): L[A)the owner of greater than 9°!o 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 applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Subm a his day W1 lr Z0� Signature• Print Name Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics_prohibits conflicts of interest on the part of town officers and employees.The numose 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 to avoid same. YOUR NAME: Christopher F. Dwyer, LKMA (Last name,first name,rpiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's 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 officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO 7 If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): ELA)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 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 15th day of September 2o23 Signature's 0 Print Name Chris opher F. t�_ gent Form TS 1 I ! Board of Trustees Application AFFIDAVIT Christopher F. Dwyer BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 'BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. C 10 Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF _--_---_. 20 Notary Public State of Florida Sharmeyn Pena My commission HH 224765 Ot tw 1C Exp. 2/6/2026 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 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 l -Project and Sponsor Information AWC Dockside LLC Name of Action or Project: Maintenance of existing top cap along existing bulkhead. Project Location (describe,and attach a location map): 5505 W. Mill Road Mattituck NY 11952 (see attached map) Brief Description of Proposed Action: The proposed action is the removal of newly installed treated timber decking material with untreated timber decking along two (2) sections of a 5' wide cap along an existing bulkhe% The total area of removal and replacement is Name of Applicant or Sponsor: Telephone: 631-286-8668 x245 Christopher F. Dwyer E-mail: cdwyer@lkma.com Address: 437 South Country Road City/PO: State: Zip Code: Brookhaven NY 11719 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. 1f no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: ❑ W] NYSDEC ( 1-4738-00032/00004) 3.a.Total acreage of the site of the proposed action? acres b.Total acreage to be physically disturbed? U acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 4.11 acres 4. Che I land usat occur on,adjoining an ar the prop action. Urban Rural(non-agriculture) ✓ Industrial Commercial ❑Residential (suburban) Forest ❑Agriculture Aquatic ❑Other(specify): marina/waterfront Parkland Page I of 4 5 5. Is the proposed action, NO YES I N/A a. A permitted use under the zoning regulations? b.Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ✓ 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: Fv_/1 ❑ 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? Y 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: El ❑�o_t a-DDlicable - removal and renlacemen o l c�it�t�co small areas 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: FV(1 ❑ 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? I IV/1 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 waterbody and extent of alterations in square feet or acres: 14. ntify the typic bitat types that oc n,or are likely to be found on troject site. Check all that apply: f�p ✓ Shoreline Forest Agricultural/grasslands Early mid-successional Wetland Urban Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? 16.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, ❑ Ela. Will storm water discharges flow to adjacent properties? ONO DYES b. Will storm water discharges be directed to established conveyance systemsff an m drains)? If Yes,briefly describe: rJNO L_ 'ES 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: _ 7 ❑ 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: Fv/1 ❑ 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: W ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ChiStopher F. Dwyer (Agent) Date:8/28/23 Signature: Part 2 -Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following 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. Will the proposed action create a material conflict with an adopted land use plan or zoning [1regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ El 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 El ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El 1:1affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: E a. public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, El El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 --EAF Mapper Sumi y Report Friday, September 15, 2023 1:19 PM Disclaimer: The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies in preparing an environmental assessment form(EAF).Not all questions asked in the EAF are answered by the EAF Mapper.Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although 99.-4-2 the EAF Mapper provides the most up-to-date digital data available to DEC,you may also need to contact local or other data sources in order to obtain data not provided by the Mapper.Digital data is not a substitute for agency determinations. 99.:3 2 3.1 �- -•_�,_ - - - -- -- ;-- �c�eiRirl KlnotFst �Blanrtp . 106.-9-313U ' ToFntlto _ai.y t.,�pa,a ti A-�„e 1.0crn 6.-6-1 j _•_ i ,', i r,.F L��rnitton Ft�CIICStr.T i' i 0 Albany. - ` r' •JTZ I �jk-,4-2 1. �`ry ,s USG : ., l 4 d r•; I Esr;HEFxE..Gnrmi�, USGS;list w urges;E�ri, WEFE, i ru. 5G�Nk�te.la7al3;Ihu� P,tEh1T 'IJapar NIET\MB a ilRCar Esr J3� gy.(f.1E3;I Esrii�I3ir.a,'h�rri�' �r Esri;vcl Es;!, Chida fHcorD. Y. ngj:`.Esri Kar a�£sri',.haiG C �[r� �#r?eth 1aia. n�trr^iit_&"V3” - I . I �, > �yFJy 1 0.6.-6-,AP'•ii ['_rrinan�tj User �nii�i��i�,:E5r1 HESE;�Arn n i6�,. Pk9P5 J 9' 106.:G6 i 4- '_ L. c�. 1 Part 1 /Question 7 [Critical Environmental `No ;Area] Part 1 /Question 12a [National or State 'Yes Register Register of Historic Places or State Eligible Sites] 'Part 1 /Question 12b [Archeological Sites] !No !Part 1 /Question 13a [Wetlands or Other iYes- Digital mapping information on local and federal wetlands and I Regulated Waterbodies] Iwaterbodies is known to be incomplete. Refer to EAF Workbook. ;Part 1 /Question 15 [Threatened or Yes Endangered Animal] Part 1 /Question 15Threatened or��- (Piping Plover !Endangered Animal [Name] !Part 1 /Question 16 [100 Year Flood Plain] ?Yes ' 'Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions 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. proposed action will be evaluated as to its si>?nificant beneficial and adverse effects upon the 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, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards 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# 106 -06 _001 PROJECT NAME Maintenance of existing top cap along existing bulkhead. The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑✓ Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑✓ construction,planning activity, agency regulation, land transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit, approval, license,certification: ❑ Nature and extent of action: The proposed action is the removal of newly installed treated timber decking material with untreated timber decking along two(2) sections of a 6'wide cap along an existing bulkhead.The total area of removal and replacement is 350 SF Location of action: 5505 W Mill Rd., Mattituck, NY, 11952 Site acreage: 0.583 Ac Present land use: Improved Present zoning classification: Mll Industrial 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Chirstopher F. Dwyer,Agent (b) Mailing address: 437 South Country Road, Brookhaven, NY, 11719 (c) Telephone number: 631-286-8668 Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No❑✓ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No FV(] Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No W1 Not Applicable 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 Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑✓ Yes ❑ No ❑Not Applicable 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 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 ❑No❑✓ Not Applicable 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 0 Not 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. ❑ YeW No❑ Not Applicable Attach additional sheets if necessary WORKING COAST PL-_CIES 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 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No❑✓ Not Applicable 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 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 Applicable PREPARED BY TITLE Agent DATE 828/23 LIURA L. K. McLean Associates P.C. ❖ 437 South Country Road Brookhaven • New York • 11719 (631)286-8668 • FAX(631)286-6314 ❖ 25 Newbridge Road • Suite 212 • Hicksville • New York • 11801 https://www.lkma.com RAYMOND G.DiBIASE,P.E.,PTOE,PTP,PRESIDENT and CEO Associates ROBERT A.STEELE,P.E.,EXECUTIVE VICE PRESIDENT CHRISTOPHER F.DWYER JAMES L.DeKONING,P.E.,VICE PRESIDENT STEVEN W.EISENBERG,P.E. ANDREW B.SPEISER MATTHEW C.JEDLICKA,LEED AP KEITH J.MASSERIA,P.E. VINCENT A.CORRADO,P.E. Town of Southold, Board of Town Trustees September 15,2023 TAMARA L.STILLMAN,P.L.S. Town Hall annex P.O. Box 1179 54375 Route 25 Southold, New York 11971 Re: Trustees Admin Wetlands Permit Mattituck Cottages—Cap Replacement LKMA#23103.000 SCTM#: 1000-106-06-001.000 To Whom It May Concern: As Consulting Engineers for AWC Dockside LLC, we are submitting on his behalf an application for an administrative Wetlands Permit to replace approximately 350 SF of Cap at the above-referenced site. Enclosed herewith for your review is the following: � ����""-''''�� — --� — •. --N/ L `I'''� z b • Application (3 copies) �� • Project Description (1 copy) i SEP 1 • Agent authorization form (1 original) 8 2023 • Applicant disclosure form (1 original) SDoAWd TOV---- iln Agent Disclosure form (1 copy) aoz;a otTn�tcQs • LLC Operating agreement(1 copy) • LWRP Consistency form (1 copy) • Project Plans including photographs of relevant site conditions(1 Original,3 copies) • Signed survey(4 originals) • $250 permit application fee If you have any questions please call the undersigned. Very truly yours, Christopher F Dwyer,Associate L. K. McLean Associates, P.C. CFD:mf Cc: Daniel Cooke w/enc. LKMA File Copy TODAY'S CHALLENGES I TOMORROW'S SOLUTIONS Since 1950