HomeMy WebLinkAboutTR-4956
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Board Of Southold Town Trustees
SOUTH OLD, NEW YORK
PERMIT NO. 495t.
ISSUED TO. JAM¡;;S R1r...1'X.
DATE:. Feb. 24, 1999
Autqnri1!utinu
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893: and Chapter 404 of the Laws of the
State of New York 1952: and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;". and in accordance with the
Resolution of The Board adopted at a meeting held on. 2/24/99
19.99, and in consideration of the sum of $ 150..00 paid by
James R,iley .. ...........U..mmmm.....
of . ... ...ç:<>tçJ:>.ogtle N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of South old Town Trustees authorizes and permits the following:
Wetland Permit to install 3.5X 35' of catwalk (3'above veg.)
4'X60' fixed dock, 3'X 12' ramp, 6'X 20' float secured by two
2-pile dolphins, install two 2-pile dolphins 20' offset from each
of '/aat in an L-shanetconfilzl>r"ti¡;¡,n. ·f· t' t d '
al In accoraance WITn ne 'ÖeTðnea- ",..eCI Ica Ions as presen e In
the originating application.
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.
Al~h-Absent
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.. . rustees
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TERMS and CONDITIONS
The Permittee
James Riley
residing at
part o( the
lowing:
1. That cite said Board o( Tru5t«s and cite Town o( Souclto[d ate released (rom any and
aU damages, or claims (or damages, o( suiea arising dltecdy or Indirec:dy IS a result o( any opet'.
arion perfottned punuant to this permit, and cite aid Permittee will, at hIs or her own expense,
defend any and al[ such suits initiated by third parties, and cite aid Permittee .151...... fall IiabIIIty
wiclt respect cltereto, to cite complete exclusion o( cite Board o( Trustees of the Town of Soudtold
153 Oxford Blvd. ,Garden City, NY 11530 N. Y, IS
consideration (or the issuance o( cite Permit does I1Jtderstand and prescribe to cite (0['
2. That this Permit Is ttUd (or a period o( 24 mos. which Is coosideted to be cite
estimated time required to complete cite work invol~ but should årcumstances wlitraot, request
(or an extension may be made to cite Board at a later date.
3. llJat this Permit should be retained indefinitely. or IS long IS cite said Permittee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned cltat ouclt.
orization was otiginally obtained.
4. That cite work involved wiI[ be subject to cite inspection and approval o( cite Board or
Its agents, and non-compliance wiclt cite provisions o( cite originating application, may be ClUJ(! (or
revocation o( this Permit by resolution o( cite said Board.
S. Thar rhere will be no unreasonable interference wiclt navigation IS a result o( cite work
herein au'dtOrized.
G. That cltere shall be no interference wiclt the right o( cite public to pus and repass aloog
cite beach between bigh and [ow water marks.
7. That H future operations o( cite Town o( Soudto[d require cite removaI and/or alterations
In cite location o( cite work herelo oucltorlzed, or H, in cite opinion o( cite Board of Trustees, cite
work sball cause unreasonable obsttuctJon to (ree navigation, cite said Permittee will be required,
upon due notia:, to remove or alter cltis work or project herein stated without expe..... to cite Town
o( Southold.
8. That the said Board will be notiEied by the Permittee Ot the completion of cite work ouclt.
oriud.
9. That the Permittee wiU obtain aU oclter permits and consents dlat may be required aap-
plemental to cltis permit which may be subject to revoke upon (allure to obtain ume.
.
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Town Hall
53095 Main Road
P,O. Box 1179
SOUlhold. New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
Albert J, Krupski, President
John Holzapfel, Vice President
Jim King
Martin H, Garrell
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
ORIGINAL
Coastal Erosion Permit Applicatio
3Z=Wetland Permit Application
Grandfather Permit Application
---Waiver/Amendment/Changes
Received Application: ¡,;z,-l-fr
Recei ved Fee: $ /.$"'C), r C)
Completed Application 1.:1.. - '7-''''
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination: (date sent) ----
CAC Referral Sent: 1-1/- ,~
Date of Inspection: ,.: 1.1 -,~
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
Public Hearing Held: ¡-'¿O-1r
Resolution:
Office Use anI
OlOHlnOS :10 NMOl
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Name of Applicant 3AJ'v\E"\ RILE) C----{~~ (..,>,-/;. i O;¿ - ?r;."rr
Address 1:53 O'/...FO Rf\ f1.LV D.) {.;ARDEN l.IT~ / NY J t ').~('\
Phone Number: (Sf <ø) .J. '18 - Cf 7? '?
Suffolk County Tax Map Number: 1000 - III -.~- J~
Property Location: 3loÓl"'> \/A-t-l"\TC'>N ROAD, c.1JrCHD~LJE..
LbC.A-TI(')N Mfl.'P l'JN 'PRD,r:;,c..T 'PLA}'o.\,<;·
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: CÖS-rEL..\..{) tviA~INE. C.Df'-.lTRt>.c:tïI--lC COR'?·
(If applicable)
Address:'f>,(), Bö)t. ~I a~ I G REE..N. 'PoRT N ~ II~
Phone :Ç(J,,) 'i 7 '7 - /I qc¡
FAX#: 't '77 - ()no"
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4Itoard of Trustees APPlicat~
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GENERAL DATA
Land Area (in square feet):
3.61.{-S .AQ.~E.S
Area Zoning: ?E.SI!)E:NTI A-l - S,JI..U;;.U: FA-r...IlL.~ UJATE¡¡:'FRDNI
Previous use of property: EJlI:":.ïIN<::' RE5lnE./'olc.~
Intended use of property: Nt> C. ~A-NG Ë.
Prior permits/approvals for site improvements:
Agency
Date
UNK NDU)¡....\
PRE.VIDlJS owNE.R. - BURT c;.. L..EWIS
No prior permits/approvals for site improvements,
Has any permit/approval ever been revoked or suspended by a
governmental agency?
/
No
Yes
If yes, provide explanation:
I'J.JA
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Project Description (use attachments if necessary):
, ( ~ ' :\
:t:N5TAL I.. 'i X 3S CA-T IAJ AU:: <.J ABOVE.. VEÇ.G-TA-TIDN¡
I ' / I (
t.j xroo FI>lE:.D DOC.K ,3 X 1.;1.. RAMP, ÚJ ')( d.O Fl--.ÓAT
5E-c..IJRE.b WITH ìvJD .;l-PllE. bDLPI-tIN.5 I ..r:NSTA-LL
_TI"JO a-P/l~ DDlfH-IN~ f)"D ðfFSE.í FR(){V\ EA-C.H
511'\F OF ¡::l--.DA-T ('1 bOLPt+JNS) ,
2
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ttoard of Trustees APPlicat~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
"P'Rn A-T :"
R¡:"~I D!õ..I\IT/AL J)ðC\::. Ff\C.¡ L tTY
I
Area of wetlands on lot: -ß I ',;J ó 0 + - square feet
Percent coverage of lot: /oJLA %
,
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 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
deposited: NIA
I
Depth of which material will be removed or
feet
Proposed slope throughout the area of operations:
JollA
I
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 os such proposed
operations (use attachments if appropriate):
ND NE(;,ATIlIF'
SF F E-c. T !)()C' \é If) i'I E-
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~ Al>{)V E. \/E.(;E. íA-r/()N
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NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of
-rAt--IE.<:' 'RIL.Ë'J
SCTM#lOOO- 111- S-/'¿
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
IN 5-rA-l L C.ATUJA-Lk. FI\lr=D ~)DC k R A-M? PLI'>A T
AND D6LPH/N ~ \ "
2. That the property which is the subject Environmental Review
is located adjacent to your property and is described as
follows:
~~bDD \¡AN'sTDN \«(')1'.1:)
ARk-A- NAP ðK t'R03€CT PL.A"-lS
3. That the property which is subject to Environmental Review
under Chapters 32,37,or 97 of the Town Code is open to public
comment. You may contact the Trustees Office at 765-1892 or in
writing.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southold and dose not reference any
other adjacent that might have to review same proposal.
OWNERS NAME: JA* ~~~
MAILING ADDRESS: /..l,., NARINE: c.D1' 11'l.ÄQ.ìJNG
.,·6 . '?'D)( DlI~Y CRE.S.IJ~D1Z.T I 1-1\/ 1l9'l~
PHONE ~:' ~"It0 </7'7- //99
Ene.: Copy of sketch or plan showing proposal for your
convenience.
5
~oard of Trustees APPlica~
County of Suffolk
State of New York
G;'EORG::.E D, t.bSTE-LLD , S'R, 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 TOWN
TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS
ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN
COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,
THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
~~~ 0 ~(Jc[~
- -si~ature
SWORN TO BEFORE ME THIS
30'M\
DAY OF t\SD\J E.1-,n3.E-~
,199cg'
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Notary Pub ic
SUSAN e, LONG
Notary Public. State 01 Haw York
No. 01 L04 958343
Qualified in Suffolk County _ Q a
CommIuIon Expires November 6, 11U.-1
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COSTEllO MARINE CONTRACTING CORPORATION
DOCK BUILDING. JETTIES· BULKHEADING· STEEL & WOOD PILING· FLOATS
423 FIFTH STREET. P,O, BOX 2124 . GREEN PORT, NEW YORK 11944 . (516) 477'1199/477,1393/477-0682
FAX - (516)477-0005
AUTHORIZATION FORM
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36ÒcI
,<;),I.~..-'l>. ¡'7'-"J
owner of {V...~I L......
~ / . Busines~ pr~perty Name
l fð/J"5fr/V Ý?c{, { tfl-c/~. ~/a p r
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located at
do hereby give Costello Marine Contracting Corp, the authority to
act as agent in my behalf in applying for all of the necessary
permits in order for work to be done on my property described
above.
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617..21
Appendix C
SI.le Envlronment.1 Qu.llly Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
ÞART I.,.,.ÞROJECT'INFORMATION (To be completed by Appllc.nt or Project sponsor)
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I. APPLlCANT,ISPONSOR 2. PROJECT NAME
Costello Marine Contracting Corp.
3. PROJECT LOCATION, c..UTc. It CX;;U E-
Municipality () T Counly Suffolk
A. PRECISE LOCATION (Slreet address and foad Inler!5edlon5, promlnenllandm"rk!l. ele., or provIde map)
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,..'Ir4¡ïiBl!-TexI12
I PROJEcr LD, NUMBER
SEaR
See Attached area map.
5. IS PROPOSED ACTION:
fßJ New 0 E.II.~an!Jlon 0 Modlflcallon/al1etallon
6, DESCR'BE PROJECT BRIEFLV: ( (£TL.A 1) Vf%E.TAïtD'N L1' X. / 0 (
C.oN5TRuCT t-f''f-3S c..A"tWAL'K,1J /I.B6VE. W- N ,-1 <.D
FI )(¡::D DOCK 3/';( fc1' RAN P, (" 'X ~Dt fLC>ATINC þoC.K S!õCVKE.D W IT~ <IT~g#
.,?-PILE -PDLPH,'NS. TWO ;¿-f'rLE DDLPt/tNS oFFSET FROM fL.DA--T ''I
:S1:I:> E. (a.¡ j)bL.PItINS ,
7, AMOUNT OF LAN8 AFFECTED: 0
Initially acres Ulllmalely acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE nESTAICTlONS7
Œt Yes 0 No II No. describe brlelly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PAOJECT1
[?9 Residential Dlnduslrlal 0 CommercIal
Describe:
o Agriculture
o Park/ForeslfOpen space
Dallier
WATERFRONT
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVemlMENrAl AGENCY (FEDERAL.
STATE OR LOCALJ1
Q9 Ya:! 0 No II ye:!, IIsl agencYI!) and permlllapproval:!
NYS DEC. ACOE 'tÖWN öF SöuTIiOL
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
o Yn ~o It yes. IIsl agency name and permlllapproval
12, AS A RESULT OF PROPOSED ACTION WILL EXISnNO PERMIT/APpnOVAL REQUIRE MDDlFICATlON?
Dve. ŒlNo
I CERTlFV THAT THE INFORMATION pnOvlDED ABOVE IS TRUE TO THE BEST OF MV kNOWLEDOE
COSTELLO MARINE CONTRACTING
ApDllcan11SD0r1S0r name:
Signature: ~.l..Ll1..lVV\J. ~
Dale:
l'IIJ.~ln
II [he acllon Is In the Coaslal Area, and you are a stale agency, complete the
Coastal Assessment Form befDre proceeding wllh·lhls assessment
OVER
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Albert J, Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
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Town Hall
53095 Main Road
P,O, Box 1179
Southold, New York 11971
Telephone (516) 765,18f 2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
of
- ~ fllY-LE£_ - - - - (Ç._l_4:_ ~ 1- - - - --
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
ORIGINAL
AFFIDAVIT OF POSTING
I, ..::JDHN A· C.tJSTEL LÒ ,residing at ~R£I:.N PC R. T
NEW 'tOR¥-.
being duly sworn, depose and say:
That on thel~~ day of~AKUARí 199~, I personally posted the
property known as 3(,.,DO VA-NST6 N RoAI"> C \/íC !:to Ç,IJE
by placing the Board of Trustees official poster where it can
easily be seen, and that I have checked to be sure the poster
has remained in place for seven days prior to the date of the
public hearing, (date ot hearing noted thereon to be held oN O~ 1'J1j(}G{7
7: I r .... oM. ;f:IIJJ. tJ1.;... , I ,'''/
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Dated: :Jf\N\jA¡C:~ .z.;¡ 1\'1'19
Sworn to before me this
,;?atJDday of ~ANUI'tR~ 199'
1u.MV?~
Notary Public
,~
SUSAN E, LONG
Notary Public. State of New YortI
No, 01 L04958343
Qu.'ifled In Suffolk Coul1!y
Commluion Expires November 6, t~
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ELIZABETH A. NEVILLE
TOWN CLERK
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Town Hal!, 53095 Main Road
P.O, Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
REGISTRAR OF VIT.-\L STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
APPLICATION FOR PUBLIC ACCESS TO RECORDS
INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's
Office (agency Freedom of Information Officer). One copy will be returned to you
in response to your request. or as an interim response.
-------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------
SECTION I~ 1,
TO: / f1/õ/~
(Department or Officer, if known, that has the information you are requesting.)
RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply
tax map number, and any 0 er p rtinent information.)
ICCD - jl I~:;- ~k k, r/11/1
Address:
Printed Name:
Signature of Applicant:
~
;)¡)'
Mailing Address
-----------------------------~------------------------------------------------------
---------------------------------~--~--------------------~--------------------------
[ ] APPROVED
[ ] APPROVED WITH DELA y*
RECEIVED
[
DENIED*
~t2~/¿
Elizal' th A, Neville
Freedom of Information Office,'
JUN 2 8 2002
S Date
outhord Town Clerk
* If delayed or denied See reverse side for explanation.
·
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Albert J, Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P,O, Box 1179
Southold, New York 11971
Telephone (516) 765,18<12
Fax (516) 765,1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
February 25, 1999
Costello Marine Contracting Corp.
P.O. Box 2124
Greenport, NY 11944
Re: JAMES RILEY
SCTM#111-5-12
Dear Mr. Costello:
The following action was taken by the Board of Town Trustees
during its regular meeting held on February 24, 1999 regarding
the above matter:
WHEREAS, Costello Marine Contracting Corp, on behalf of JAMES
RILEY applied to the Southold Town Trustees for a permit under
the provisions of the Wetland Ordinance of the Town of Southold,
application dated December 7, 1998 and,
WHEREAS, said application was referred to the Southold Town
Conservation Advisory Council for their findings and
recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with
respect to said application on February 24, 1999, at which time
all interested persons were given an opportunity to be heard,
and,
WHEREAS, the Board members have personally viewed and are
familiar with the premises in question and the surrounding area,
and,
WHEREAS, the Board has considered all the testimony and
documentation submitted concerning this application, and,
WHEREAS, the structure complies with the standard set forth in
Chapter 37-18 of the Southold Town Code,
.
.
WHEREAS, the Board has determined that
will not affect the health, safety and
people of the town,
the project as proposed
general welfare of the
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees grant a Wetland Permit to
JAMES RILEY to install 3.5'X 35'of catwalk (3' above
vegetation), 4'X 60' fixed dock, 3'X 12' ramp, 6'X 20' float
secured with two 2-pile dolphins, install two 2-pile dolphins
20' offset from each side of the float in an L-shape
configuration,
BE IT FURTHER RESOLVED that this determination should not be
considered a determination made for any other Department or
Agency which may also have an application pending for the same
or similar project.
Permit to construct and complete project will expire two years
from the date it is signed, Fees must be paid, if applicable,
and permit issued within six months of the date of this
notification.
Two inspections are required and the Trustees are to be notified
upon completion of said project.
FEES: None
Very truly yours,
¿¿¿tL'¡ ~ /~ 91
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
cc: DEC
ACE
Dept. of State
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Telephone
(516) 765-1801
Town "aU. 53095 Main Road
p ,0, Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Tuesday, January 19,
1999 the following recommendation was made:
Moved by Melvyn Morris, seconded by Richard Smith, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL with
Stipulation of the Wetland Permit Application of JAMES RILEY 111-5-12 to install a 4'X 35'
catwalk (4' above marsh), a 4'X 60' fixed dock, a 3'X 12' ramp and a 6'X 20' float with two 2-
pile dolphins 20' offset from each side of the float.
3600 Vanston Rd. Cutchogue
The CAC recommends approval with the stipulation that the catwalk begins outside the Wetland
boundary.
Vote of Council: Ayes: All
Motion Carried
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DEPARTMENT OF THE ARMY.
NEW VORK DISTRICT, CORPS OF ENGINEERS
JACOB K, JAVITS FEDERAL BUILDING
NEW YORK. N,Y, 10278-{)090
. REPLY TO
ATTENTION OF
December 8, 1998
to' ._-~
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frOWN OFSÕÜTHlD
Eastern Permits Section
SUBJECT: Application Number 98-14830-L2 by James Riley
To Whom It May Concern:
The New York District, U.S. Army Corps of Engineers, has
received a request for Department of the Army authorization for
the following activity:
APPLICANT:
James Riley
153 Oxford Boulevard
Garden City, NY 11530
ACTIVITY:
Install a 4 foot by 35 foot fixed timber walkway,
a 4 foot by 60 foot fixed timber pier, elevated a
minimum of 4 feet above the grade of the wetland,
a 4 foot by 12 aluminum walk-ramp, a 6 foot by 20
foot float secured to two 2-pile dolphins and four
2-pile dolphins at a distance of 20 feet off both
sides of the proposed float. The purpose of this
project is to provide an mooring facility.
WATERWAY:
Horseshoe Cove, Great Peconic Bay
LOCATION:
Cutchogue, Town of Southold, Suffolk County, NY
As this is minor in nature, authorization may be by Letter
of Permission. This is in accordance with current Federal
Regulations governing work in navigable waters of the United
States. To accomplish the coordination required, prior to the
issuance of a Letter of Permission, your review of the enclosed
drawings is requested.
Pursuant to Section 307 (c) of the Coastal Zone Management
Act of 1972 as amended (16 U.S.C. 1465 (c) (3) (A)), the applicant
has certified that the activity complies with and will be
conducted in a manner that is consistent with the approved state
coastal zone management program.
To allow for the timely processing of the subject
application, your comments are requested within 15 days of the
date of this letter.
Sincerely,
Enclosures
-vi .~~
Ja es w. Haggerty- LÎ~V\'
Chi f, Eastern Permits Section
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FROM : COSTELLO MARINE CONT.
PHONE NO. 516 477 0ØØ5
Feb. 24 1999 09:42AM Pi
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COSTED~~~U'~~~~E~. B~~!~~~rI~~OD ~~!:~L~~ATION
423 FIFTH STREET. p,O, BOX 2124 . GREENPORT. NEW YORK 11944 . (516) 477-1199/477.1393/477-( 882
FAX # (516)477-0005
TO:
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DATE:
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PROJECT:
WE ARE SENDING: Proposal Permits _ Application !?lans
Letter Photos
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VIA: Mail Ovoarn1ght Mail Foaderal Express Fa (
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P' .RT II_ENVIRONMENTAL ASSESSMENT ¡A'e cOlllpleled l>y Ay"IIVi) --~ -'
" ~_ .___ fULL £AF
A. DOES ACTIO'" UC,EDA"'~ TYPE I rHRESHOLD \... 6 tI~C"R, PART 617,121 II ,OJ çoc"o'nm Ihe ,e p<oees. onò D.. ,no '
DYes 0 No _---. - __n__ --p;,AT 6 i 7 .61 II No, . neoall'll!l decl.ar8l1on
a, W,~~ ACTIO'" RECEIVE COORDINATED REVIEW AS PROVIDED mn UNLlSrED AGflûtlS III · 1f<CAR,
møy be superseded b!( anolher Invol"ed agency.
0... 0"0 ----------
G COU~D ACTIO'" RESULr ,... MIY ADVEnSE EFFECTS ASSûC'ArCU wlIH THE FOLLOViIlIU, IAn'''.'' ".., b. h.nd""llIon, II I.glbr.,
, CI. E'I,"nIÌ ,,, qo.III., .ort.ce 0' g<oun"",'\.' qu""' 0' qu.""'.' nol.. '.'.", e,'."n~ ,.allle p."""" 501lÒ ....I. p,o"ocllon or ."po.,',
. poten11al1or 8r0810n. drainage Of lIootllng problClns"} EJlplaln bllelly: _1
hl.roric, 0' Other natulii¡ 0' cul\ural reSOUlce3; Of cClflunUIIUy 01 neighborhood characle,? e...pllln bel,II.:
C2. AeslheUc, agricullural, archaeological.
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C3, veg.,.llon or I.un.. lI.h, ,,,.IIII.h 0' ,,110"'0 .pecl.., "g,,'''eenl h.bll." o. ""..,."eo 0' end.nge..d .peelo.1 E,pi.in .,rell,:
C4, A com,..unll." .,,,"n. pl.... or .0'"'' ollie"". edoD',d,", . e"..... In u.. 0' 'nle",II. 01 u.. 01 'e"d 0' o,"e' nOlo,el,.eoo,e..1 e,pioln .".11y
CIS. Growth, subsequent deve1opmenl, or Jelaled ,Jcll..llles IIkelv 10 bo Induced bV Ihe ploposed actlou7 EoICplaln bllelly.
C6 Long IB.m. short lerm. cumLlIQII'Ie. or olher elføcts not Identllled In CI·C507 EoICplaln brlelly.
CT. Other ImpaclS Ilncludlnu chiJIngee In LIse 01 ellh8f quantltv or Iype 01 energv)7 E.Ioplil.llI bdelly.
O. IS THERE. OR IS THERE lIK~L'{ fa BE. CONTROVERSY RELATED TO POTENTIAL .ADVERSE eUVIAONMENTAL IMPACTS?
o Yes 0 No If 'i es. 8)1plaln bllefly
PART III_DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse ellect Identified above, detefmlne whe~hef It Is substantlal,large,lmportant or olherwlse significant.
Each elleet should be assessed In connecUon wllh Its (a) setllng (I.e. urban or rural); (b) probability of occurrlng¡ (e) dur.Uon; (d)
Irreversibility; ,e) geographiC sccpe; aed (I) magnlrode, II necessary, add attachmenIJ or relerence supporllng malarlale, Ena.ro thai
explanations conté1ln sufltclent detaU '0 show thai all rolevant adverse Impacts have been IdenUfled and adequatelv addressed.
o Check this box If IOU havß Idantlfled ona or mOla potentially larga or significant advarsa Impacts which MAY
OCCUr. Then proceed dlractly 10 the FULL EAF and/or prepare a poslllve declarallon,
o ,Check this box If you have datarmlned. based on tha Info,matlDn and aualysl'; above and any 8upporllng
documentallon, that the proposed action Will NOT result In any slgnlllcant adversA environmental Impacts
AND provide on attachments as necessary. the reasonJ supporting Ihls determlnatlo~: .'
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Sianalur4l' 01 Prepa'rt Itf'iJifferrnt Irom l.tponii6lïõnlurl
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