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Home My WebLink AboutTR-5806Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT .O.. 5~Og ............... DATE:~Lq'..24~h, ..?0.03 ISSUED TO ........ C??.~.~.{ .N...~,/~87 ................................... Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893~ and Chapter ~ of the Laws of the State of New York 1952; and the Southold Town Ordinance en- lifted "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 B6ard adopted afa meefincj held on .?09~..., and in consideration of the sum of $ . .~.~.0.~.rgQ .... paid by ct ....................... Ca~e~npo~t., ............... N. Y. and subiect to the Terms and Conditions lis~ed on the reverse side hereof, of Soufhold Town Trustees authorizes and permits fha following: Wetland Permit to install a 51 foot bulkhead with C-Loc vinyJ sheathing place 18" in front of existing bulkhead install a 4'x 8' dE/well ring with an 8' diameter dome and cast iron cover with the condition cfa ten foot non turf buffer and return to be put in place. all in accordance wlfh the detailed specifications es presented in the origlnating application. IN WITNESS WHEREOF, The said Board of Trustees Izere- by causes its Corporate Seal to be affixed, and these p.resents to be subscribed by a 'majority of the satd Board as of th~s datm Truttee$ TERMS and CONDmONS The P~ittee CATHERINE HEARST residing mt 1195 Shore ~Lnad~ Green~ort, ~ of the coosideradoo fo~ ~he L~us~ce of zhe la~,: do~s unde~stsad ~md pn~ribe to the foi- ~5. 't~at d~s .Permit should be zete~ed ~detrmke~y, or'as loog ~ the ~bl Petm~tee ~ to maintain the structure or,project involved, to ptovicle evldeoce to anyone concernd that otlzat~on was originally obtained. 4. 1'nat &ewo& involved will be ~ubject to t~e in~ ..a apptovtl of the ~ ot its ~.en~ and non-com~!;~,~e w~dx the prov~ions o~ the oci~.~-~ apptlcation, may be erase fo~ 5. T~at t~ere will be no unreasonable interference wi~ navigation as the said Board will be notified by the Petn~ttee ot the ~ of t~e wodt ~ 9. ~'hat the petmlttee will obtain all other p,~m~es and consents that may be tequlted mp- pfemental to this permit which may be subject to revoke upon f~[u~e to ~ ~ Albert J. Krupski, President . James King. Vice-President Artie Foster Ken poliwoda Peggy A. Dickerson . Town Hall 53095 Route 25 P.O. Box 1179 Southold. New York 11971-0959 Telephone (631) 765-1892 Fax (63ll 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD yOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK. TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. ,-I- v:- rr+ INSPECTION SCHEDULE Pre-constnJction. hay bale line 1st day of construction 'h constructed / Project complete. compliance inspection. - . . Albert J. Krupski, President James King, Vice-President \ Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 29, 2003 Costello Marine Contracting Corp. PO Box 2124 Greenport, NY 11944 RE: SCTM#47-2-24 Catherine Hearst 1195 Shore Road Greenport, NY Dear Mr. Costello: The Board of Town Trustees took the following action during a Regular Meeting, held on September 24th, 2003 regarding the above matter. WHEREAS, Costello Marine Contracting, Corp. on behalf of CATHERINE HEARST applied to the Southo1d Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southo1d, application dated August 4th, 2003 WHEREAS, said application was referred to the Southo1d 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 September 24, 2003 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 97-18 of the Southo1d Town Code. . 2 . 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 approved a Wetland Permit for CATHERINE HEARST to install a 51 foot bulkhead with C-Loc vinyl sheathing place 18" in front of existing bulkhead install a 4'x 8' drywell ring with an 8' diameter dome and cast iron cover with the condition of a ten foot non turfbuffer and return to be put in place. 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 proj ecl. Fee must be paid, if applicable and permit issued within six months of the date of this notification. Ifinspections are required, at a fee of$5.00 per inspection (See attached schedule). FEES: None Very truly yours, dtlf'll4.1Kl1jllsW. . 1. rL President, lfoar~ r. AJKIcjc cc: DEC Building Department J- Telephone (631) 765-1892 . _ SOUTHOLD TOWN CONSERV AnON ADVISORY COUNCIL Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 At the meeting of the South old Town ConserVation Advisory Council held Tuesday, September 23, 2003, the following recommendation was made: Moved by William Cook, seconded by Bob 'Ghosio, it was RESOLVED to recommend to the Southold Town Board ofTrustees APPROVAL of the Wetland Permit application of CATHERINE HEARST to install a 51' bulkhead with C- Loc vinyl sheathing within 18" of existing bulkhead. Install a 4'X 8' drywell ring with an 8' diameter dome and cast iron cover. Located: 1195 Shore Rd., Greenport. SCTM#47-2-24 Vote of Council: Ayes: All Motion Carried . </ Field Inspection 8,12/53 'f'1/~ . . . (:0/(.,1/1:, (Q'I1/B uo!p:ldsUI PI:ll.:! . ~ Install a 51' bulkhead with (-LOC vinyl sheathing placed 18" in front of existing bulkhead. Install an additional 4' x 8' drywell ring with an 8' diameter dome and cast iron cover to- control roof run off. Catherine Hearst Shore Rd. Greenport, NY 09/08/02 . . Catherine Hearst Shore Rd. Greenport, NY 09/08/02 Leakage . . ~ ;:~, [/1f :I~.II , i Catherine Hearst Shore Rd. Greenport, NY 09/08/02 .' e- Install a 51' bulkhead with C-LOC vinyl sheathing placed 18" in front of existing bulkhead. Install an additional 4' x 8' drywell ring with an 8' diameter dome and cast iron cover to- control roof run off. Catherine Hearst Shore Rd. Greenport, NY 09/08/02 - -- , Catherine Hearst Shore Rd. Greenport, NY 09/08/02 Leakage " . .- ~ '~I ' , _.1, ... L '~f.!~ ; './1 11'\ Catherine Hearst Shore Rd. Greenport, NY 09108/02 Install a 51' bulkhead with C-LQC vinyl sheathing placed 18" in front of existing bulkhead. Install an additional 4' x 8' drywell ring with an 8' diameter dome and cast iron cover to- control roof run off. Catherine Hearst Shore Rd. Greenport, NY 09/08/02 . . I Catherine Hearst Shore Rd. Greenport, NY 09/08/02 Leakage , . . . 'ti' , ,I~r . [/1J; Jill :1 Catherine Hearst Shore Rd. Greenport, NY 09/08/02 f5) [E (C; [E ~ W [E rm lrl1 AUG - 4 2003 lW South old Town Board of Trustees It " . . I ~ 1/ 1N CD .1'\11..... " / / / /' N //'/' I I \ \ \ . HI ~,.. .) ~Pi'ft~h'" / / /' E ",,,,~ ,,0 F ---- RII(N'8('lce<;l rrom NYSDEC. NYS 7.5 Mlnlltl Quadrllngle IlT\8g88 Ref8Pllnced from S.C,T.M lOCATION MAP SCALE: 1"= 400' VICINITY MAP SCALE: 1": 2000' ADJACENT PROPERTY OWNERS: CD BUCKHEIT RICHARD BELL, DAVIT W. 1095 SHORE DR. GREEN PORT, NY 11944 f5) [E ~ [E, ~ W [E rm lnl AUG - 4 2003 lW (2;1 SHACK, JOHN & MARIE A 146 PLEASANT ST. WOBURN, MA 01801-4152 (1265 SHORE DR.) Soulhold Town Board of Truslees PROPOSED: 1.INSTALL A 51' BULKHEAD WITH C-LOC VINYL SHEATHING PLACED 18" BEHIND EXISTING BULKHEAD. 2. INTAll AN ADDITIONAL 4'x8' DRYWELl RING WITH AN 8' DIAMETER DOME AND CAST IRON COVER TO CONTROL ROOF RUN-OFF ACCESS: BY ROAD (SHORE DRIVE) Sheet 1 of 3 JOB I SITE ADDRESS MS. CATHERINE HEARST 1195 SHORE DRIVE GREENPORT, NY 11944 S.C.T.M.1000-47-2-24 PREPARED BY: COSTEllO MARINE CONTRACTING CORP. P.O. BOX,2124 GREENPORT, NY 11944 631-477-1199 ORIGINAL: 7/9/03 APPLICANT: MS. CATHERINE HEARST 1195 SHORE DRIVE GREENPORT, NY 11944 EXISTING BULKHEAD TO REMAIN w > 0::: o ~<v o ~-<- & ~,() 0f- '1'0 -'% Vo ''? 7-} 0- <f~0,.. '1~~ '1- --I PROPERTY OF "MORRIS FAMilY PARTNERSHIP" <'<- 'Pi), <6 <'0 \ '\l. ~ ~ SHED 0 , , """ I I I I I I I I I I I I I , I ...... -.{ v \ 1,_, / / / ,:,,<v (,0 rvC:> <i~ PARTIAL PLAN SCALE: 1"= 40' PREPARED BY: COSTEllO MARINE CONTRACTING CORP. PO BOX 2124 GREENPORT, NY 11944 631-477-1199 ORIGINAL: 7/9/03 JOB I SITE ADDRESS MS. CATHERINE HEARST 1195 SHORE DRIVE GREENPORT, NY 11944 S.C.T.M.1000-47-2-24 c..i ~ _T N l!! tii o ~ ~ z en [jj Cl I- zen <l: >- en -' cr:!!!- w > -' iii PROPOSED 4'x8' DRYWEll N ~ PROPOSED 51' NEW BULKHEAD WITH C-lOC VINYL SHEATHING PLACED 16"IN FRONT OF EXISTING BULKHEAD ;'[i'~^' ~ n ~c ~ D ~ AUG -, >Gel ~ Soulhold 10wn Board of 1ruslees Sheet 2 of 3 APPLICANT: MS. CATHERINE HEARST 1195 SHORE DRIVE GREENPORT, NY 11944 A.LW A.HW 2" x 12" CAP +8.5' PREPARED BY: COSTEllO MARINE CONTRACTING CORP. P.O. BOX 2124 GREENPORT, NY 11944 631-477-1199 ORIGINAL: 7/09/03 EXSTING STRUNGER TO REMAIN EXSTlNG SHEATHING TO REMAIN ~ EXISTING PILES TO BE REMOVED 6"x6" STRINGER 10. PILING 60.C. PROPOSED "c-LOC" INTERLOCKING 10' VINYL SHEATHING TO BE PLACED WITHIN 18" IN FRONT OF EXISTING BUlKHEAD 6'O.C. BULKHEAD RESHEATHING TOP VIEW 1"=2' 8' CLEAN Fill (10 C.Y. OF TRUCKED IN SAND) 9"0 x 25' HORIZONTAL DEADMAN 6" x 6" STRINGERS ~ EXISTING BUl TO REMAIN E D 8"0 x 8' "C-lOC" VINYL SHEATHING 10' LONG 10"0 PilE, 12' lONG, 6' O,C. [E~\Yl[E~ AUG - 4 2003 I.W CROSS-SECTION SCALE: l' = 30' Southold Town Board of Trustees 3 of 3 JOB I SITE ADDRESS MS. CATHERINE HEARST 1195 SHORE DRIVE GREEN PORT, NY 11944 S.C.T.M. 1000-47-2-24 APPLICANT: MS. CATHERINE HEARST 1195 SHORE DRIVE GREENPORT,NY11~ f--- I j I ( ,j - ~-- _..~ .--.--. ( . - L--~--- I I I , I L JflT /3 -I I _~ ____L_ I ( , I \ I I i I I . 1 I I I I I I I i I' - - - . . . - . - . ,. - . - . - '- - . , . . , - , .; i LWLl4 - I I s:ffi4d4o"E. - 7 125.0 1 lAU-P.IP.E I F1='~ """"...,...-/ a''-= , ~.~ _LJ~__ "l- I, Z' 11'1 --~~ _ n___-',u ~ ~ '. ~ w ' , ' o tlL----r- _ ___1.._. C\J ~ - ::~, ::i uJ > ct Q '- J ---, OJ ;..3 6 tj ~I. , 1fI'2 ~--~ <(' In tn F'OSl' .. '! -., -n I ffi~ >-:.;. = ~--/ /, / , ./ .. " , , , , " , , , , " " -( '9)'- <"'IS , , " , " , NOTES: , _llO1 NQ5,REFEQ ill MAP OF ~NFOUT 5HJl<E5'SE1;:T ~~ ~'FlLEV IN THE SLlFF. CO l;:LEQX'c;, OFFICE A'3 ~~00,59 - 2 SUrf: CQ, lAY MAP DAT}!< ro:x.J - ":..fT' 225 -tf:1.()?if '- L{;~:,;~~~S~2~::~~~~I:~ I 1IIb"--- ,..,.,:-,'" :..-aSalttfl:;-l lr.:!nL...~.,. ~-::;~... !.......~ a:'" .~:: MAP O~ PROPERTY -'-------.------~-- (r 'SU,rZVEYED FOQ OOUGLAS 'i MON! MOJ2QIS ""II Eg "-' = ~ I CD = <t: lb!b!I -"-lE~ ~ - . GrlEENP012..T lb!b!I TOWN~.QF saurnDLD, N ~;j " '.L.; - , \ ,- ~--......~- ;;. --~: :"J) \ . - .. - ~".J'_~!I '{;<' _ _ '_'~'_~0'/ I \ -(~~'_~~~_ \):-~0>/- . ~->/ \~ \ \ \ . . 5CALE-4~ - ~_2r;A_. 15,..1,'1 ::-:-.,~, (lv ~!~~_ ~..).p - Q~~~-.~~_> ~'P.~ry:j:D Tv. FIQ5T Al:'IsRJ5',I:'N TITLE - - - --~- n.r5ur~ GJ, - ~5UQVEYEC-JUN26,IJC.:z QODEQIC~ VA:\J TUYl Pc. ________.~_ _,._.______ _I _ "_ , / /~-J-if /~ '- ../ .------- ---"'> q '-~~~'\~ ,,/ ,- y'- '"_:"1 ':'f: ~__'~. ~ i ' ~ e~ ,,2' ~~ =>'= <5- =0 15-:= o~ "'0 '" I l I 1 " . . ~ti. I~ ~/I~/CJJ.~ .. COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING' JETTIES' BULKHEADING · STEEL & WOOD PILING · FLOATS 423 FIFTH STREET' P.O. BOX 2124 . GREENPORT, NEW YORK 11944 . (631) 477-1199 1.477-1393/477-0682 . FAX (631) 477-0005 .' *r " "J AUTHQtpZATIONFORM . C,4"rN-4At.,'N d 1/"#fI4Zs-r- 1\.1 II ~ 5 5w...~ /2..,4 i) Business/Property Name 10( .. I 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 for work to be completed at my above referenced property. 3-12.-0-3 Date ~k Signature , , .;.r- 'f PART 1 - PROJECT INFORMATION r 617.20 · APPENDIX C STATE ENVIRONMENTAL QUALllY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACnONS Only (To be completed by Applicant or Project Sponlor) 2. PROJECT NAME Catherine Hearst SEQR I PROJECT 10 NUMBER 1. APPLICANT' SPONSOR Costello Marine Contracting Corp. 3.PROJECT LOCATION: Southold Town Municipality 4. PRECISE LOCATION: Street 1195 Shore Drive Greenport, NY 11944 Suffolk County Add... and Road Inte"ection.. Prominent landmar1<s ete - or provide map scm 1000-47-2-24 LatlLong 41.0935, -72.3781 5. IS PROPOSED ACTION: 0 New 0 Expansion ~ Modification ,.Ileration 6. DESCRIBE PROJECT BRIEFLY: Install a 51' bulkhead with C-LOC vinyl sheathing placed 18" infront of existing bulkhead. Install an additional 4'x8' drywall ring with an 8' diameter dome and cost iron cover to control roof run off. 7. AMOUNT OF LAND AFFECTED: Initially 0 .cres Ultimately 0 acre. 6. IMLL PROPOSED ACTION COMPLY IMTH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yel 0 No If no. describe briefly: 9.IMiAT IS PRESENT LAND USE IN VICINllY OF PROJECT? (Choose a. many asapply.) ~ Residential 0 Industrial OCommen:lal DAgricuttllll 0 Park' Forest' Opan Space OOther (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NON OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Fedaral, Slale or Lacsl) ~Y" 0 No If yea, list agency name and permit, approval: ACOE, NYSDOS, NYSDEC, Southold Town 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYe. ~NO If yes. list agancy name and permit' approval: INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOIM..EDGE Permit Manager @ CMCC Date: e/' /o~ If the action Is a Costal Area, and you are a stata agency, complete the Coastal ASSMSment Fonn before proceeding with this _ment . . PART II. IMPACT ASSESSMENT To be com letOO b Lead A en A. DOES ACTION EXCEED MolY TYPE I THRESHOLD IN 6 NYCRR, PART 617,4? Ilye., coordinate the revlowprocosa and UIO the FULL EAF. o V.. 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 ff No, e nogatl... docJarotlon moy be IUporaeded by another Invol\llld .gency. V.. 0 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (An.....rs moy be handwittten, ff legible) C1. Exloting .Ir quellty, IUrtace or groundwater quality or quantity, noloe le...lo, exl.tlng tratllc pattem, .0I1d waste production or dl.posal, potential for erosion, drainage or flooding problem.? Explaln briefly: I I C2. Aesthetic, agrtcullural, .rchaeological, hl.torlc, or othor natural or cullural resource.; or community or neighborhood charactor? explain brtofly: C3. Vagollltlon or fauna, fish, shellfi.h or wildlife speclOl, gm hi 1I.1lI, or thre.tened or end.ngered spocloa? explain brio 01-, A community's exlstlr'G plans or goals a. oil yado I or a change n use or mens of UN of land or other naWfBl resources? I C5. Growlh, lublOquent development, or rel.led .c:tIvllloa likely to be induood by tho proposed .ction? Expl.ln briofly: I C6. Long term, short lerm, cumulative, or olhoro_ not Idontlfied in C1.c5? explain brtofly: In brloIIy: C7. Other I eta Includi chin e.ln UI8 of elt r UI or , of ene '.In b ofl : D. WILL THE PROJECT HAVE Mol IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yea, explain briefly: o V.. 0 No I E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? II YOl explain: o V.. 0 No I PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agoncy) INSTRUCTIONS: Foroach adverse effect Identified above, determine whether II is .ubllllnti.l, I.rge, importentorotherwise .ignificant Each effect .hould be ......ed in connection with Its (.) .ottlng (I.e. urb.n or rur.I); (b) probability 01 oc<:urrlng; (c) duretion; (d) irreversibility: (e) geogrephic .cope; .nd (I) magnitude. II nece..ary, add attachmentl or reference .upportlng material.. En.ure that explanation. contain .ufficient detail to .how that all reiev.nt .dverse Impacts have been IdantiflOd and adequately addressed. If question d 01 part II was checked ye., the determination 01 .ignificance mUlteveluats the potential Impact 01 the propOled action on the environmental characteriltics 01 the CEA. Check this box ffyou ha... Identified one or mora potentially '.rge or significant adverse Impacts IMllch MAY occur. Then proceed dlractlyto the FUll EAF and/or prepare a positive dec!aratlon. Check this box ~you have datennined, based on thelnlormatlon and analysis above and any .upportlng documentation, lI1at the proposed actJOI WILL NOT resullln any significant adverse envirorvnentallmpacts AND provide, on attachment. as necosaary, the reasons .upporting \hi determination. Name 01 Lead Agency Date Print or Type Name of Responsible Dmcer In Lead AQency TIlle of Responsible OtIIcer Signature Of ResponSIble Umcer In Lead Agency 51gnalure of Preparer (If dlflerent from responsible otllcer) PART 1 - PROJECT INFORMATION r 617.20 · APPENDIX c-:w' STATE ENVIRONMENTAL QUALllY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME Catherine Hearst SEQR I PROJECT 10 NUMBER 1. APPliCANT' SPONSOR Costello Marine Contracting Corp. 3.PROJECT LOCATION: Southold Town Municipality 4. PRECISE LOCATION: Street 1195 Shore Drive Greenport, NY 11944 Suffolk County Addess and Rosd In_cIions, Prominent landmarks etc - or prollide map SCTM 1000-47-2-24 LatlLong 41.0935, -72.3781 5. IS PROPOSED ACTION: 0 New 0 Expanslon ~ Modificstion' alteration 6. DESCRIBE PROJECT BRIEFLY: Install a 51' bulkhead with C-LOC vinyl sheathing placed 18' infront of existing bulkhead. Install an additional 4'x8' drywall ring with an 8' diameter dome and cost iron cover to control roof run off. 7. AMOUNT OF LAND AFFECTED: Initially 0 acres Ultimataly 0 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yas 0 No If no,desCfibabriefly: g. VvHAT IS PRESENT LAND USE IN VICINllY OF PROJECT? (Choose as many aupply.) o Residential 0 Industrial o Commercial DAgriCUlfure 0 Part<' Forast' Open Spaos o Other (describa) 10. OOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NCfoN OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Fedoral, SlOte or Local) ~Yes 0 No If yes, list agency name and pannit, approvol: ACOE, NYSDOS, NYSDEC, Southold Town 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? OYas ~NO If yes, list agency name and pannit , approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT' APPROVAL REQUIRE MODIFICATION? es II No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF Permit Manager @ CMCC MY KNOWI.EDGE Date: el' /o~ If the action Is a Costal Area, and you are a state agency, complete the Coastal A..888ment Fonn before proceeding with this _888ment --> . PART II _ IMPACT ASSESSMENT 0 be com leted b Lead A en A. DOES ACTION EXCEED IW'( TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? Ifyel, coordinate the revlewplOC8ll and uaethe FULL EAF. o Yea 0 No B. WILL ACTION RECEIVE COORDINATED REVtEW AS PROVIDED FOR UNLISTED ACTtONS IN 6 NYCRR, PART 617.61 W No, e negative declaration mey be superseded by another Involved agency. Yea 0 No C. COULD ACTtON RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Ana"''' mey be handwlttten, W legible) C1. ExIlling air quality. surface or groundwater quality or quantity, nollalall8ll, exlltlng tnImc pattern, 10I1d weate production or dlapolal, potential lor eroalon, drainage or loadl probleml? Explain C3. Vegetation or fauna, loh, ohellfilh or wi dllla apac a, a gnl cart habitata, or raatened or endangered apaclaa? Explain brIe C2. Aellhatic, agricuftural, archaeological, _, or othar natural or cuftural raaourcaa; or oornmunlty or nalghborhood characlar? Explain briefly: C4 A community s existing p\8ns or goals I' ofI\da . IUd. or I c ange In UN or inlenalty of .... of land or other n8tural resources? ptaln briefly: '\' . \ C5. rh' lubeaquent development, or ralated a_ lll<aly to be Induced by tha propoaad action? Explain briefly: I C6. Lig term, wI! term, cumulative, or othare_ not Idart1fiad In C1.c5? Explain briefly: I C7. Other I eta (includl chan" In l*t of either UII or of ens Ex lain briefty: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yea, explain briefY; o Yea 0 No I E. IS THERE, OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTtAL ADVERSE ENVIRONMENTAL IMPACTS? If ex lain: o Y.. 0 No PART III_ DETERMINATION OF SIGNIFICANCE (To be completad by Agency) INSTRUCTIONS: Foraach adverse eff8ct Identlllad above, determine whether tt is subltantlal, large, Importantorotherwisa lignlficant Each affact Ihould be asseSlad in connactlon with III (a) aalllng (I.a. urban or rural); (b) probability of occurring; (e) duration; (d) Irreversibility; (a) geographic scopa; and (f) magnitude. If nacaSlary, add allaehmenll or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been Identifl8d and adequately addressed. W question d of part ii was checkad yes, the determination of slgnlflC8nce must evaluate the potential impact of the proposed action on the environmental charaCl8ristica of the CEA. Check this box Wyou hall8ldentifted one or mora poIentlaliy lallle or significant edll8r8O Impacts vIlich MAY occur. Then proceed dlractlyto the FUu EAF and/or prepare a poslllve declaration. . Check this box II you have determined, based on tile Information and analysll above and any supporting documentation, thalthe proposed actio! WILL NOT resullln any significant adveraa envirorvnantallmpacts AND provide, on attachments as necessafY, the resSonl supporting \hi detamination. Name of Lead Agency Date PMt or Type Name Of Responsible Dmcer In Lead Agency TItIa of Responalble Dmcor Slgnature of ResponSible omcer In Lead Agency SIgnature of preparer (If dmerent from responsible omcer) 1. APPLICANT I SPONSOR Costello Marine Contracting Corp. r ~w · APPENDIX C STATE ENVIRONMENTAL QUALIlY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM fMUNUSTEDAcnONsOn~ (To be completed by A Iicant or Project Sponaor) 2. PROJECT NAME Catherine Hearst SEQR I PROJECT 10 NUMBER PART 1 - PROJECT INFORMAnON 3.PROJECT LOCATION: Southold Town Municipality 4. PRECISE LOCATION: Street 1195 Shore Drive Greenport, NY 11944 Suffolk county Addess and Road I_ona, Prominent lendmorks etc - or provide I118Il SCTM l00().47-2-24 LatlLong 41.0935, -72.3781 5. IS PROPOSED ACTION: 0 New 0 Expanalon ~ Modification /alteretion 6. DESCRIBE PROJECT BRIEFLY: Install a 51' bulkhead with C-LOC vinyl sheathing placed 18' infront of existing bulkhead. Install an additional 4'x8' drywall ring with an 8' diameter dome and cost iron cover to control roof run off, 7. AMOUNT OF LAND AFFECTED: Initially 0 acres Ultimately 0 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~ Yes 0 No If no, describe briefly: g. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECl? (Choose as many asapply.) ~ Residential 0 Industrial o Commercial DAQricu_ure 0 ParK / Forest/ Open Spa08 o Other (desaibe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~Yes 0 No If yes, list agency name end pennil I BPP<oval: ACOE, NYSDOS, NYSDEC, Southold Town 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes ~NO If yes, list agency name and permit I app<oval: 12. AS A R ULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? es ... No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF Applicant Permit Manager @ CMCC MY KNO'M.EDGE Date: B/,/(j~ If the action Is a Costal Area, and you are a stata agency, complete the Coastal A..-ment Fonn before proceeding with this __men! . . PART /I - IMPACT ASSESSMENT 0 be com leted b Lead A en A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NVCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. o V.. 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? ~ No, a I18gIti.. daclaration may be supe"'eded by another Involved agency. V. No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Anawers may be handwritten, ~ legible) C1. ExlalJng air quality, surfaoa or groundwater quality or quantity, noisale..'s, existing tralnc pattem, sclld waste production or d18posa/, potential lor erosion, drainage or ftOOdlng problems? Explaln : . C2. AellhetJc, agrlcunural, archaeologicol, h1atorlc, or other natural or cunural rooou"",s; or ocmmunlty or neighborhood character? Explain briefly: C3. VagelaUon or fauna, noh, ohallnsh or wi dll spec s, slgn nt he la, or threllane or e Ingered speclao? plain Ct. A community's existing plans or go81... ci. . pte ,or Ie n UN or lrane of UN 0 land or other natural resources? plain briefly: OI I Iyto UCed the Proposed Iction? plain briefly: C6. Long term, short term, CUmulative, or other etrects not ldeOUlled In Cl.cs? Explain briefly: c:ts ncludin cha e. in UII 0 either ua or ofene lain brie : D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITiCAl ENVIRONMENTAL AREA CEA? If OI ex Ilin brll : o V.. 0 No E. IS THERE, OR IS THERE LIKEL V TO BE CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? II OI ox lain: o Voo ONo PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreach advellleeffect Identified above, determlna whethar /I Is sUbstantial,large, importentorotherwlsa significant Each effect should be asaeasad In connection with Its (a) seUlng (I.a. urban or ru,,"I); (b) probability of OCCUrring; (c) dU""tion; (d) Irreversibility; (e) geographic scope; and (I) megnltude. If nece_ry, add attachmanta or reference supporting materiels. Ensure thet explenations contain sufficient datell to show that all ralavant adverse Impacts hava bean Idantifl8d and adequately add....Sed. If question d of part II waa checked yes, the datermination of significance mustavaluate tha potantiallmpact of tha PropOSed action on tI1a environmental characteristics of the CEA. Check this bex ~you ha..ldentilled one ormore potentially large or slgnlncant ad_lmpec!l vtllch MA Voccur. Then procaed directly to the FUll EAF end/or prepare e positive declaration. Check this box If you have determined, basad on the InformetJon end analysis above and any supporting documentation, that the proposed actl'" WILL NOT resu/l In any slgnlficant adye",e envlronmentellmpacts AND provide, on attachments as necessary, the reasons sUPporllng thi detemlnation. Name of Leed Agency Date Prrll Of Type Name of Responsible omcer In Lead' Agency TItle of Rooponslble OfIIcer SJgnature of Responsible omcer In Lead' Agency Signature of Preparer (If dfTferent from responalDle omcer) . . . 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.'l2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only --LCoastal Erosion Permit Application ~wetland permit Application Grandfather Permit Application -Waiver / Amendment/ C~7r:'.gf_s,.. Rece~ved APplic~n,;.. %/' ~_ Rece~ved Fee:$ Completed Application Q/j 0 Incomplete SEQRA Classification: 'Type I Type II Unlisted COO,dination, (date!:f/t ~-, CAC Referral Sent: (f.~ 1. ., Date of Inspection: I:I~ Receipt of CAC Report: f Lead Agency Determination: Technical Review: t' Public Hearing Held:-'1 ~~/V~ Resolution: o IefCle~WIefR) AUG - 4 2003 lW Soultlold Ton Board of Trustees Name of Applicant J15. G.fhenYlp. Address //9"5 ~or(l Road , I/fa(l~+ 6(~nfXJr.J.. , I Number: (431 ) NY /1911- 4,/- ~l.P ~9' 1000 - ..17 -2.-2.+ Phone Suffolk County Tax Map Number: / Property Location: (provide LILCO Pole i, distance to cross streets, and location) AGENT:~~\nf. ~+r(l(:h~1\ ()nv_p' (If applicable) iJlJj---U Address: ~ P~~::~7-1: ~p)'~ ,~ ~'\ 1 .. ~oard of Trustees . Application v GENERAL DATA Land Area (in square feet): Area Zoning: ~IO - Jmq\e ~m\~ ~e.v\C.e.. Previous use of property: ~~k \6mlly f61ltVlffi Intended use of property: ~_ 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? x No Yes If yes, provide explanation: Project Description (use attachments if necessary): I - 0 L~" 11'1 fr()f1L.aJ e)(lcJi~I~L1a. 0. : I x B' dryV\ffl \ n0.q~ ax' 5' d.uure.k(" ClllWlflo_ I rim rr-,I/c{ ----p!nff. -1rfzlal1 -CWd C~~ 2 . eard of Trustees 1" · App 1cation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~ it \~ force. ().x\ ~ e~iS+lnq_ Area of wetlands on lot: o [) square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: .~ feet Closest distance between nearest proposed structure and upland edge of wetlands: Cl. feet Does the project involve excavation or filling? . No x Yes If yes, how much material'will be excavated? IDO cubic yards How much material will be filled? Ill) cubic yards Depth of which material will be removed or deposited: B feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: ~LC~ Statement of the effect, if waters of the town that may operations (use attachments W~\ ~ WI~n\1af ~11( ~stLl. any, on the wetlands and tidal result by reason of such proposed if appropriate): artv,x~ rfffc.\-s tlY\ fh- fVlV\(Ov'WV\e.f\-L ~(fe -d~t -In 3 PROOF OF MAILING OF NOTICE A~ACH CERTIFIED MAIL RECEIPTS t 7001 2510 0000 1246 2371 0: 0 CI): CI) "'I ~Ii ~ ~ ~i to::j Oi :; Iil~raL 0 ~: p~o ! 11 -.~ . :-;S ~ :,...t:. t"" _ : il:" : . : : fh !-Q~ ~ ,W" ' . i[! r i\f\~ i~T' '(b , rrl Address: 7001 2510 0000 1246 2388 0: 0 en: CI) ",i "Ii ~ 2' CI): 0_: ;; !!. &': ~i-k)1 0 'V .~, , _' 0 t:!i ~:'::i . & r~?[ i r~~ -<~'-t- ~i ~ ~. ~ 0.... O:II ii!Ii/" ~ & ~3 i~ i~ ~ ~~ ~~ ~ ~." j" ~ s:E s3: .. mAl m 5.$ a Iq~ ~ 3. <II 3 ;;~ i~ ~ ~~ ~~ ! g iT! [" " g sa: ~% l& ([I '? ':- /" \".: \ \ <;;2,,' V,,\ 1] --po j :>~~ / ,'") -./ '0< iHD., ~ S?v - ~ o I~ . 3 . . " STATE OF NEW YORK COUNTY OF SUFFOLK ~~V\C'! rt',~~\\a , residing at?O,~'j.. 7i~ ~6. "-~ \ \9i7l1 , being duly sworn, deposes and says that on the I day of - A~q- I~~~I deponent mailed a true copy of the Notice~lhe Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there 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 id No 1c s we mailed at the United States Post Office at e, ( , that said Notices were mailed to each of said ersons by rtified) re istered) mail. Sworn to before me this I day of f)u~ ,:14 aCC3 a~/)C.-oAl) d/jYCUd{' Notary Public REBEeeA A. VIlAAf)1 NOTARY PUBlIC, STATE OF NEW YORK QUAliFIED IN SUFFOU< COUNTY NO: 01WOE1039106 0 COMMISSION EXPIRES MARCH 27, f2(JC; 6 O 0 Board of Trustees App1icae1on County of Suffolk State of New York '1~nC1 CaS"/' j !o ~JI\':>r BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS 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. ~~~ ~ S.r natu e SWORN TO BEFORE ME THIS 1 DAY OF ~ u)~ ~ , t-9: dOD '5 ~p~~/));/luc&' Notary Public REBECCA A. VIlARDI NOTARY pUBUC. STATE OF NEW YORK QUALIFIED IN SUFFOLK COUNTY NO" olW00039106 ') ,...., ^ r ~ COMMISSION" EXPIRES MARCH 27, CZV U \{..J 7 I o -- 7 - APPLlCANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold 's Code of Ethics nrohibits confliets of interest on the Dart of town officers and ernolovees. The nomose of this form is to nrovide infonnation which can alert the town of nossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: jOH"Ii . C05T<9LL C.O n:s:-c..c..o /IIl4/Z.:"4<!:; (Last name, fust name, middle initial, unless you are app . g in the name of someone else or other entity, such as a company. If so, mdicate the other person's or company's name.) NAME OF APPLICATION: (Check all thai apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from pIal or official map Other ~~ . II (If"Other",name the activity.) ~"f\\glb~ ,.,.S4>..~ I - "g"'IA.K.t+l!A.D 1?v-pU4CJSME.NT 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% oCthe shares. YES NO x If you answered ''Y~. complete the balance of this form and date and sign where indicated. Nfl::.. NfA Name of person employed by the Town of South old 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, paren~ or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (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. ?j2.~~T'c...'1 ') No , oNlO .€.. og... N.oN6 , O"-H 6'Jt!.,S . DESCRIPTION OF RELATIONSHIP NoN.e!. Submitted this.:f1;y of '5 e-p< 200 ",3 Stgnature a - Cf-: ~ s. - Print Name " ...... . (!" ~l...LoC f' . o o NOTtCE TO AD~ACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: C(lth~(IVle.. ~flQi7f. SCTMlIlOOO- 47- Z ~ Z"1 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: o \Y\7\-Q11 Q '51' bll.l~ht:ad with C-LOt vi~yl sVfQrVtVV/1 !':>tQced 15" beVli.vl.d ~)<\~-IW\q blAl\:.hwd 'd' d e (j)11\~\1 0.: 4'.8' c\fpJel1 flMg vJHlt\Q.,Vlf) I~W OM. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: IIQ'S ~ Voo.d 6ernjlOf-t 1 Ny \ I q44- 3. That the project 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 does not reference any other agency that might have to review same proposal. OWNERS NAME: MAILING ADDRESS: PHONE 1I: Ene.: Copy of sketch or plan Showing proposal for your convenience. .s- --- b - - o Catherine Hearst ~ ~ S~EP ~1 9~ 2WJ003LE ~ Shore Rd, Greenport Bulkhead Replacement Southold Town Board of Trustees '\.~ " " ",,,' ... + ) 01 -il-:; ;I_~_- . i > ~ '" 10 "" !Q ~ II 19 . . . . ll..!___ " loU.lc) . " --- -" " " 15 ....." . ~ - . .!l___ - @ \il -~-... - - 2~-- - ----- 25.' Jy. fvC, /~ L ~".Ih -~~ - -- ---.. --.. --SCII- .....~Ih --N__ ...... ~.. '-~ -- NOTICE . COUNTY OF SUFFOLK @ K ? E --i!-- (21) @ ... .- - ~- ~""~ E --.... --~ -~ ........ --F__ -.... .. --11__ """- H ... .. Rea Property Tax ServIce AgenCy G -... ------ -- .......... --1-- ~Ih -1I5T__ - . ..... IWnBWa, AlTERATION, SAlE OR Y E --- - . ..... lISlRIlITDI Of IHY f'OlTQt OfnE CoUlty Cent.- Rlverheod. N Y mot N -,- "'-"'-'-'---' -- -.. ... .... .. --L-_ ........~Ih--.__ - """'" SlJ'flU tolMY TAX IiIN' IS PlllHlITED . . ,- SCAlENFEETI . D -~ .. -- 12.l Aldl or 12.1A .... ---- ... .... .. --p-- __.........Ih -n__ -- IlSltY.1EIl I1TIIlUTIRTTEHPEIIlIS:SICItOfTIE . . . . . -- I2.1M" -.. ----- -.... .. --5__ IlEAL PAlFERTY TAX SEFM:E AGBCY. P