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Home My WebLink AboutTR-5467 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ) I o~,~ ( 3- has been reviewed by this Board at the regular meeting of drl l~t( ~- and your application has been approved pending the corripletion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ½ Constructed ($50.00) -'//'Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTALFEES DUE:$<~'-0,~,~ BY: James F. King, President Board of Trustees James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 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. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ 1st day of construction '~ constructed Project complete, compliance inspection James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765~1892 Fax (631) 765-6641 April 18, 2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. John Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenpod, NY 11944 RE: ROBERT & LAUREN EICHER 1555 SHORE RD., GREENPORT SCTM#47-2-29 Dear Mr. Costello: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., April 18, 2012: WHEREAS, Costello Madne Contracting Corp. on behalf of ROBERT & LAUREN EICHER applied to the Southold Town Trustees for a Transfer of Wetland Permit #5467 from Monique Morris to Robed and Lauren Eicher and an Amendment to Wetland Permit #5467, under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold applications dated January 25, 2012, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the applications to be Consistent with the Local Waterfront Revitalization Program, and, BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVES the Transfer of Wetland Permit #5467 from Monique Morris to Robert & Lauren Eicher, as issued on December 21, 2001, and, RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #5467 to install five (5) new bulkhead face pilings adjacent to the existing face pilings, and as depicted on the project plan prepared by Costello Marine Contracting Corp. dated January 3, 2012 and stamped approved on April 18, 2012. This is not a determination from any other agency. Sincerely, James~ Presid~ Board of Trustees JFK:lms Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 15, 2012 the following recommendation was made: Moved by Audrey Horton, seconded by Derek Bossen, it was RESOLVED to SUPPORT the application of ROBERT & LAUREN EICHER to Amend Wetland Permit #5467 to install five (5) new bulkhead face pilings adjacent to the existing face pilings. Located: 1555 Shore Rd., Greenport. SCTM#47-2-29 Inspected by: Audrey Horton The CAC Supports the application with the Condition of a 10' non-turf buffer. The CAC questions the legality of the deck and wire fence. Vote of Council: Ayes: All Motion Carried Jmnes F King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeye~ Michael J Domino PO. Box 1179 Southold, NY 11971 Telephone{631 765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ROBERT & LAUREN EICHER request a Transfer of Wetland Permit #5467 from Monique Morris to Robert & Lauren Eicher, as issued on December 21, 2001 and an Amendment to Wetland Permit #5467 to install five (5) new bulkhead face pilings adjacent to the existing face pilings. Located: 1555 Shore Rd., Greenport. SCTM#47-2-29 Type of area to be impacted: ~ __Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~hapt.275 Chapt. 111 __other Type of Application: Wetland __Coastal Erosion f~Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Conditions: Present Were:__~//J. King __" B. Ghosio ~J. Bredemeyer ,..-"Michael Domino Bergen, '-'"' D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Robert & Lauren Eicher 1555 Shore Road~ Greenport SCTM# 47-2-29 4/~/2012 Robert Eicher 1/3/12 Robert Eicher i/3/12 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees FEll I § 2012 From: Mark Terry, Principal Planner LWRP Coordinator Date: February 15, 2012 Re: Proposed Wetland Permit for ROBERT & LAUREN EICHER SCTM#1000-47-2-29 Costello Marine Contracting Corp. on behalf of ROBERT & LAUREN EICHER requests a Transfer of Wetland Permit #5467 from Monique Morris to Robert & Lauren Eicher, as issued on December 21, 2001 and an Amendment to Wetland Permit #5467 to install five (5) new bulkhead face pilings adjacent to the existing face pilings. Located: 1555 Shore Rd., Greenport. SCTM~,7-2-29 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 proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. In the event that the action is approved to further Policy 5: Protect and Improve Water Quality in the Town of Southold and Policy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem it is recommended that a vegetated buffer is required landward from the bulkhead. 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: Lori Hulse, Assistant Town Attorney COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING · JETTIES · BULKHEADING · STEEL & WOOD PILING · FLOATS 423 FIFTH STREET · P.O. BOX 2124 · GREENPORT, NEW YORK 11944 · (631) 477-1199/477-1393/477-0682 · FAX (631) 477-0005 Southold Town Trustees PO Box 1179 Southold, NY 11971 Permit 05467 issued to Monique Morris 1555 Shore Road, Greenport SCTM 01000-47-2-29 Dear Trustees: I am requesting a permit transfer for the above referenced permit. The new owners of this property are Robert & Lauren Eicher. Their mailing address is 11 Hillcrest Drive, Pelham Manor, NY 10803. I am also requesting an amendment to the above-referenced permit to allow the installation of five new bulkhead face piling adjacent to the existing face piling. The overall condition of this bulkhead is good but unfortunately some support piling have fractured. We are confident these additional piling will add the needed support without the need to do any extensive work to the bulkhead. Enclosed is a copy of our project plans, a copy of permit #5467 and check #8553 in the amount of $100.00 representing the fee associated with both the permit transfer and amendment. If any additional information is needed, please do not hesitate to contact me. Sincerely, '~//Jane P. Costello Permit Manager enclosures Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~.~J~--J DATE: .D.~c~ 2!,.....Z.0.01 ISSUED TO MONIQUE MORRIS Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the ,L~. ws 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 FROId LANDS UNDER TOWN WATERSide; and in accordance with the Resolution of The Board adopted at a meeting held on .~).~.L..~.~' ..... .2~.~.]:..., and in consideration of the sum of $ ~0.0.t.(~?. ..... peld by Costello Marine Contractin~ f~ ~Vloniaue Mar ~ of ............. ~?.P~? ....................................... N. Y. and subieot to the Terms and Conditions listed on the reverse side hereof, ~v" of $o~thold Town Trustees authorizes and permits the following: e~anu ~-erm~t to construct 100" of new bulkhead (with C--Loc vinyl sheathing) immediately in fr6nt of exist, bulkhead, with condition that a 10' non-turf buffer is maintained behind the bulkhead and the piles are to be removed and the C-Loc constru, all in .~c. cor.dance w,!fh .the detailed specifications as presented in ~une ofl-'net~ln-aDDhcahon, right against the existing whalers, and U-x:yw;~[s ~n~ta~l~'d to contain the roof run-off. ' IN WITNESS WHEREOF, The said Board of Trustees here- by causes its COrporate Seal fo be affixed, and these ~.resenh; fo be subserlbed by a 'majority of the said Board as of this darn. TER)dS end C..ONDmONS The Pem~tee Monique Morris. ,- residit~ ~ 1555 Shore Rd., Greenport N. pt.:- of the conskleattion for 1~: L ~ for ~ ~y~ to ~ss '6. ...... · ~- ~ ~- ~ O~ ~ ~ ~~ ~ ~ '~ ' 8. That the said Board will be no.led by the Permittee ot the ~io~ the wodc nmb- orized. 9. That the Pezmittee will a~'~;- iH other l~"rmlts ~nd coasents d~at may be ~equlted sup- plement~l to this permit which n~y be subject to revoke upon f~;z~,~ to obtah same. James F. King, President Bob Ghosio, Jr,, Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of FEB 2 2 2012 ROBERT & LAURENEICHER COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1, ,}~tt~_'--~/~[OJr lID .residing at/dba /ngJelID being duly sworn, depose and say: That on the 5 day or ~.)0 Cu.a.v }/ ,201,2, t pcrso,3ally posted the property known as by placing the Boa~aYd'0f~u~m¢ial p~teF wl;e're 'it ~an easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed, February 22~ 2012 on or about 6:00 PM. Dated: '-'~J°x't'j I S~m to beibre me this o~ ~ay of "~.20 I'~- Ndtary Public gEicher Posting 2/3/12 Eicher PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Barbara B. Dai Living Trust & Joseph Dal Living Trust Elizabeth Gardiner Town of Southoid FEll 2 2 20]2 6295 Tall Cypress Circle, Lake Worth, FL 33463 2932 Davis Street, Oceanside, NY 11572 P.O. Box 1179, Southoid, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK Sworn t%before me this Day of '~"~(.~ ,201~- Jane P. Costello, Permit Manager , residing at Co~teilo Marine Contracting Corp. PO Box 2124, Greenport, NY 11944 , being duly sworn, deposes and says that on the 14 day of Febraury ,20 12 , deponent mailed a true copy of thc Notice set forth in the 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 said Notices were mailed at the United States Post Office at ., that said otlces were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. I /'~btary Public 7010 0780 0000 7010 0000 8660 4~ ' · Complete Itom~',[, 2, and 3. Also complete · Print your name and address on the reverse so that~ve can return the card to you. · Atta~a~l to the back of the mailpiece, 1. A~tlcie Addressed to: Barbara B. Dai Living Trust ~' ~loseph Dai Living Trust 6295 Tall Cypress Ch-cie Lake Worth, FL 33463 B. Rece~d by ( Pdnted Name) C. Date of Delivery r If YES, enter delivery address below: '~ NO [] Registered "~,Retum Receipt for Memhandise · Coml~lete items 1,2, and 3. Also complete Ifem ~ If Resbfeted De~ve~ la desired. · PHnt your name end address on the reverse so that we can return the card to you. · Attach this card to the back of the ma~lpiece, or on the front If space permits. 1. Article Addressed to: Town of Southold P.O. Box 1179 Southold, NY 11971 2. Aracle Number ~?ansfe? from sea/ce lab~ A. S~gnatup D. Is ddlive~ address different from It ~f YES, enter delive~ r'l Yes 3..s~v~=e , [] Reg~lst~ I~Retum ~ fo~ ~?chandise 7010 0780 0000 8660 4203 PS Form 3811, February 2004 Domestic Return Receipt PS Form 3811, Febma~ ~ A, Slgratum 4. Rae~afatdd Deliver? (Exba Fee) tB 0000 8660 4197 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: ROBERT & LAUREN EICHER SCTM# 1000--47-2-29 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: INSTALL 5 NEW ADDITIONAL BULKHEAD FACE PILINGS ADJACENT TO EXISTING FRACTURED FACE PILINGS. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1555 SHORE ROAD, GREENPORT, NY 11944 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: Wed., Feb. Z2, Z01?. at 6pm . 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: Robert & Lauren Eicher MAILING ADDRESS: 11 HJllcrest Drive Pelham Manor, NY 10803 PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. STIRLING EAST ~A~ION . .,d?PLIC..,dlvt' Office Use Only .Coastal Erosion Permit Application Wetland Permit Application ~ AmendmenffTran~fer/~xtension 4~_Reeeived Application: I ~Received Fee:$ ./(5 D~ ~ompleted Application I !.2~ ! __Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) --,~WRP Consistency Assessment l~orm ~'~AC Referral Sent: ~_\ ~ [ 0~ ' ~'lSate of Inspection: __Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~blic Hearing Held: e)-! ~ __Resolution: Administrative Permit JAN 2 4 2012 Name of Applicant ROBERT & LAUREN EICHER Address 11 HILLCREST DRIVE, PELHAM MANOR, NY 10803 Phone Number:( ) 914.138.8746 Suffolk County Tax Map Number: 1000 - 47-2~29 Property Location: 1555 SHORE DRIVE, GREENPORT (provide LILCO Pole #, distance to cross streets, and location) AGENT: COSTELLO MARINE CONTRACTING CORP. (If applicable) Address: PO BOX 2124, GREENPORT, NY 11944 Phone: 631.477.1199 Ird of Trustees Applicati~ GENERAL DATA Land Area (in square feet): 14,960 square feet R-40 RESIDENTIAL LOW DENSITY AA Area Zoning: SINGLE FAMILY RESIDENCE Previous use of property: SAME Intended use of property: Covenants and Restrictions: Yes X No If "Yes", please provide copy. Does this project requ'tre a variance from the Zoning Board of Appeals __ If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date TOWN PERMIT #5467 2001 Yes X No __ 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): Install S new additional bulkhead face pilings adjacent to existing fractured face pilin~ - bolt in-place. of Trustees Applicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To reinforce existing bulkhead in area where existing support piling fractured. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A Proposed slope throughout the area of operations:N/A Manner in which material will be removed or deposited: feet 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): There are no vegetative wetlands on the project site. All construction debris will be contained and will not be allowed to enter the waterway. We do not expect any adverse effect on the wetlands or tidal waters of the Town. 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 12. PROJECT NAME ROBERT & LAuREN EICHER /BULKHEAD REPAIR 3. PROJECT LOCATION: Municipality GREENPORT, SOUTHOLD TOWNSHIP County SUFFOLK 4. PRECISE LOCATION (Street address and road intersections, prominent randmarks, etc., or provide map) 1555 SHORE DRIVE, GREENPORT, NY 11944 SCTM #1000-47-2-29 LAT/LONG: N:41.093/W: 72377 5. PROPOSEDACTION IS: [] New [] Expansion [] Modification/a~teration 6. DESCRIBE PROJECT BRIEFLY: INSTALL 5 NEW ADDITIONAL BULKHEAD FACE PILINGS ADJACENT TO EXISTING FRACTURED FACE PILINGS. 7. AMOUNTOF LAND AFFECTED: Initially 0 acres Ultimately 0 ac~es 8. WILL__PROPOSED ACTION~ COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? I~J Yes ~ I NO if NO, descdbe briefly [~ Residential [] Industrial [] Commercial [] Agriculture [] ParkJForest~)pen Space [] Other Describe: PRIVATE RESIDENTIAL WATERFRONT lO. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [] No If Yes, list agency(s) name and permit/approvals: ARMY CORPS OF ENGINEERS, NYSDOS, NYSDEC, TOWN OF SOUTHOLD 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [] No If Yes, list agency(s) name and permit/approvals: 12. As A RESULT OF PRO"OSEO AC~ION,'~LL EXlSTINO PERMiT, APPROV^L REOUiRE MODiFiCATiON? E]Yes[]No I CERTIFY ~ROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE name: ,OWNER / / action is in the Coastal Area, and you Coastal Assessment Form before OVER 1 Reset PART II - IMPACT ASSESSMENT ~e corn leted b Lead A enc ~ * A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617,4? ~ [] Yes [] No ~, if:yen coordinate the review process and use the FULL EAF. WILL ACTION RECEIVE COORDINATED REVIEWAS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency: C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATE'S-WITH THE FOLLOVVING: (Answ~m may be handwritten, if I~ld) C1, Existing air qual~, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, hist~ic, or other natural or culterel resources; or community or neighbs~neod character? F-~in briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. Acommunlty'se]dstingplansorgeeleasofficialivad~atm~m ~. _L . ~ ---.---, ~, a ~aange in use or intensity' of use of land o~ othor netuod mseurces? Explain briefly: C5. Growth, subsequent develoPment, or related activities likely to he induced by the proposed action? Explain briefly: C6. Long term, shod ~rm, cumulalNe, or other el~ not ldenf~Bed in C1-C$? Explain b~ie~. C7. Other impacts (including changes in use of either quent~ or type of energy)? Explain briefly: WILL THE PROJECT HAVE AN IMPACT ¢~HARACTERISTICS T~ ~"'~O ESTABLiSHMENVIRONMENTAL AREA (CEA)? F A CRITICAL I-lYes J-]No ~f Yes, explain brlafly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADV ~ [] Yes [] ER"'~'~NVlRONMENTAL IMPACTS? No If Yes, explain briefly: PART III. DETERMINATION OF SIGNIFICANC~o be completed by Agency) ~ INSTRUCTIONS: For each adveme effect identified above, detennins whether it is substantial, large, impo~nt or otherwise significant. Each effect should be assessed in Connection wfth its ' * geographic scope; and (fi magnitude. (a} setting (i.e. urban or rural); (bi pmbebility of occumng; (c) duration; (d) in'eversibility; (e) If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show Oat all relevant adveme impacts have been identified and adequately addressed. .... · . . If question D of Part II was c~ yes[~ the determination ofs~gniticance must evaluate the potarlfialimpact of the proposed action on the environmental characteristics oftbe CE.a [] Checkthisl!oxifyo~h.av_edeteenined, ba~edentheinforrnafionandanalyaisabeveanden se . NOTresultlnanys~gn'rrmantadvemeenvlronmentalimpectsANDm3mvida ,,,,~#...~__~._Y Pl3ortingdocumentetmn, tbettheprogesedactionWlU .......... o,~,**~o=~ es iI~ce,~saiT, the reasons supportlag this dote~ljllatio~ Name Of Lead Agency Print or Type Name of Rs~p~=ible Of~ue£ in Lead Agency Date T~la of Rs~p~. ,~;[/,e Officer PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 6~17.47 if yes, coordirmle the review process and use the FULL EAF. r-]Yes r~-i No B. WtLL ACTION REC~IYE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative dedaratl~ may ~e superseded by aeothe¢ levolved agorlcy. C. COULO ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (A~swem may be handwritten, If fegible) C1. F--~sling ak quarry, sudace or groundwater quality or quantity, noise levels, existing traffic po(tam, suF~l waste prequc~en or disposal, potential for erosion, drainage or Iteoding problems? Explain briefly:. I C2. Aesthetic. aflricultaml, archaeeing~cal, hlafedc~ or other na~urel or cuttarel rassurces: or communiP/or neighborhood character? Explain b~iefl~: I C3. Vegetation or fauna, fish, shst~sh or wildlife species, significant habltala, or tl~astened of endangered species? Explain briery: C4. A ~,,,,~nl~y $ ~a~, ~u plafls or gee s as officially adopted o~ a change in use or Inte~ of use of laed m' other nafural rese~rsea? F-xpla~n b~efly C5. (,rowth, subsequent developmenL or related activitms like y to be educed by the proposed action* Explain buefly I C6. Long term, shorttelm, cumulative, orothereffectsnotide.ntifledinCl-C5? Explainbriel~y: i C7. Olher impacts, (indeding changes in use of either qiJanti~t/or ~ of energy/? Ex~lain O. WILL THE PROJECT NAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL E. IS THERE, OR IS THERE MKELY TO BEI CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRORMENTAL IMPACTS? If PART III - U= I ~.~iNA'lqON OF $1GNIRCANCE (To be completed by Agency) . IN~TR~$: Fro'each adverse effec~ identified above, detemllne whether it is substantial, ispge, Impertent or othenvtse significant. Each effect should be assessed in connection with its (a) selling (i.e. urban or mini); (b) ~ of occutflng; (c) duration; (d) Irrevemibit'e/; (e) geographic sonpe; and (f) me~nitede. If neceauarj, add attachments or reference suplx~t;ng mate~ts. Ensure Ihet e~tie~$ oo~aln sul~tent detail to show that all reisvant adverea impacts have been ldenlifled and adequately addmsead. If quesllon d of pa~t il was checked yes, Ihe dete~nlnation ~f significance must evaluate ~e potential impa~ of the proposed aclion on the environmental characteristics of Ihe CEA EAF and/~ prepare a pual~ve bedarabo~. 1MLL NOT re"~lt in any slgnlficar~ adhere environmental impacts AND i~ro~lde, off Mtadunents as necess~/, the mesons supp~ting ~, de~'minatinn. Board of Trustees Name of Lead Agency /. Print or Type Name of Responsible Officer in Lead Agency Signature ~,Respoasible Offioee Iff tead)tt~ncy Date President Title of Responsible Officer Signab~re ~f Preparer (If different ~om msponsib!e officer) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD 2012 In the matter of applicant: ROBERT & LAUREN EICHER SCTM# 1000--47-2-29 YOU ARE HEREBY GIVEN NOTICE: That it is the intention of the undersigned to request a Permit from the Board of Trustees to: INSTALL 5 NEW ADDITIONAL BULKHEAD FACE PILINGS ADJACENT TO EXISTING FRACTURED FACE PILINGS. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1555SHOREROAD, GREENPORT, NYll~4 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: Wed., Feb. 22, 201:~ at 6pm . 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: Robert & Lauren Eicher MAILING ADDRESS: 11 Hillcrest Drive Pelham Manor, NY 10803 PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. STIRLING of Trustees Applicati~ County of Suffolk State of New York Jane P. Costello for Costello Marine Contacting Corp. 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 1N 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. SWORN TO BEFORE ME THIS DAYOF Ja~O(~'~ ,20 t2- BRITTANY A. GENOINO Notmy Public, State of New York No. 01GE6245154 Qualified in Suffotk County Commission Exptes J y 12 20 I_,~ COSTELLO MARINE CONTRACTING CORPORATIOI~ O00K BUILDII~ * ~TrlE8 * ~2(H~ · 8T~.L & ~X)D ~{~N{2t · FLOATS 42~ FIFTH ~ll'Fr~l · RO. BOX2124" GI~'~?- -~"'OFF~, NEWYORK 1174 * (~8,1) 477.1188/477-1~/4:'/7-0~82 ' FAX(631) 477-00~ Eieher Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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. 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 Waterfi~nt Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). o If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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 Deparlment, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION 47 2 29 SCTM# The Application has been submitted to (check appropriate response): Town Board [--] Planning Dept. ~ Building Dept. ~ Board of Trustees [~] 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: Instal 5 new additionM bulkhead face piling adjacent to existing fractured face piling. Bolt in-place. Location of action: 1555 SHORE DRIVE, GREENPORT Site acreage: 0.34 ACRES Present land use: SINGLE FAMILY RESIDENCE Present zoning classification: R-40 RESIDENTIAL LOW DENSITY AA 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: ROBERT & LAUREN EICHER (b) Mailing address: 11 HILLCREST DRIVE, PELHAM MANOR, NY 10503 (c) Telephone number: Area Code ( ).914.738.8746 (d) Application number, if any: 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? NYSDEC, NYSDOS, ACOE 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 [--] Not Applicable The scope of the proposed work is minor. Five existing support piling have fractured and the additional piling will help support the bulkhead which is otherwise in good condition. Our proposal will not have any effect on the community character or preservation o£ open space. The adjacent properties have similar structures. ^nacn ao.(ll[lonal meets 1~ 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 ~] Not Applicable This proper(y has no slgMtlcant historic resources. 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 Our proposal will have no effect on the visual qua§ff or protection of scenic resources throught the Town of Southold. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of Hfe, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~'~ Yes ~ No ~'~ Not Applicable Our proposal will not have any intluence on the loss of life, structures and naturM resources from flooding and erosion. We are installing additional support piling to an exJsting bulkhead. The bulkhead is in good condition but five support piling have fractured. The additional piling will have no influence on the natural resources. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section Ill - Policies Pages 16 through 21 for evaluation criteria ~] Yes [--] No ~Not Applicable The proposal will not have any impact on the water qualiff or supply of the Town of Southold. Attach additional sheets ii' 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 This proposal will not have any impact on the Town o£Southold's ecosystem. ,411 construcgon debris will be contained and MI Best Management guidelines will be adhered to. Attach additional sheets ifnecessaW Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section Ill - Policies Pages 32 through 34 for evaluation criteria. ~ Yes ~No~-] Not Applicable This proposal will not have any impact on the air quality o£ the Town of Southold. 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 II1 - Policies; Pages 34 through 38 for evaluation criteria. ~-'~Yes [] No ~ Not Applicable This proposM will not degrade the environment with solid waste or hazardous substances. 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 Ill - Policies; Pages 38 through 46 for evaluation criteria. ~ YeN No~ Not Applicable Our proposal will not limit the public's abiliqy to access coastal waters, public lands or public resources of the Town of Southold. There will be no seaward extension. Attach additional sheets if necessary WORKING COAST POLICIES 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 This property is generally used to engage in water-dependent activities such as fishing, boating and swimming by the property owners and their family. These activities will continue at the site. The installation o£ the additional piling will have no intluence on these water dependent activities. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~]Yes ~--~ No~'~ Not Applicable The proposed installation of five new support piling will have no significant effects on the living marine resources. 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 This proposal w/II have no impact on the agricultural lands in the Town of Southold. 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. [ lYes [--] No [~ Not Applicable This proposal has no iniiuence on the development o£ energy or mineral resources. Created on 5/25/05 11:20 AM STIRLING AST MARION ~VED BY ~C,ARD OF TRUSTEES TOWN OF SOUTHOLD DATE JAN 2 4 2012 LOT NUMBERS REFER TO "MAP OF GREENPORT SHORES' FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JUNE 29, 1950. ANY ALTERATION OR ADDITION TO THIS SUR~.ZY IS A VIOLATION OF S~CTION 7209OF THE NE~ YORK STA17S EDUCATION LAW. EXCEPT AS P~R S£CTION 720Q-SUBDIVISION 2. ALL CE~?TIFICATIONS HEREON ARE VAUD FOR THIS MAP AND COPIES TH~'REOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR ICHOSE SIGNATURE ,APPEARS HER£ON. SURVEY OF PROPERTY A T GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. l O00-4 ?-OB-R~ SCAI_~: 1~30' DECEMBER 14, 2009 JAN 2 4 2012 /~comc (651) 765-50~1) 765-1797 P.O. BOX 909 ,2zo ~ER s~rI I Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO.. ~.c/~7 DATE: .~c..~1., _%001 IvIONIQUE MORRIS ISSUED TO ................................................................... Pursuant to the provisions of Chapter 615 of the I-~ws of the State of New York, 1893; and Chapter ~ of the L~ws 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 ~).~.L...~.L .. 20.0.1..., and in consideration of the sum of $ ................. 200.00 paid by ... C9.~.~l.o..Mar~n~. Ggq?~c.~ing..fgr ~4oniq.ue...Mo~c~Ls ........ o[ ......... ~y?~.poE~ .................. N. Y. and subiect to the Terms and Conditions listed on the reverse side hereof, w . of Squthald Town Trustees authorizes and permits the following: etlanc! Permit to construct 100" of new bulkhead (with G--Loc vinyl sheathing) immediately in fr6nt of exist, bulkhead, with condition that a i0' non-turf buffer is maintained behind the bulkhead and the piles are to be removed and the C-Loc all in accordance with the detai~ed specifications as ~esented in the oriajnatincl application, right against the existing whalers, and clrywells mgtallbd to contain the roof run-off. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by · 'majority of the said Board as of this date. TER~S and CONDITIONS T~ Pem.i~ Monique Morris. ~ at 1555 Shore Rd. ~ Greenport N. Y~ as part of the conslde~atlo~ for t~e i~uance of the P*~t do~ unclemta~d ~ad pte~'~e to the fol- lo~aag: 1. Th~ the said Boazd o~ Tmste~ a~d the Town 2. That this Petmlt i$ valld f~r a period of 24 . mos. which/~ wmldet~l to be the e~ated time requimd m compile the work involved, but ~dd ~,~'~ war. m, ~ for an e~c,~on may be made to the Bo*rd at a hter dale. 3. That this Permit daould be zetained iade//nitely, or as loog as the ~ld P~t~'ee whhe$ to t~*;m~in the mxzctu~e or project involved, to pm,tide evidence m z~one ~ ~ m~ 4. That the work involv~l will be mbjec* to the inspection and appt~al o/ d~ Bo*rd o~ it~ agem:, and non-o~nplianee with. the provi~om o/the od~,,-~%o application, nay be cau~ foe t'evocation of this Petxnit by ze~olutlon o{ the ~ald Board. 5. That there will be no ~le interference with mvlgafi~ as · t~mflt of the w~k he~dn agthorized. 6. That theze al:all be no interference with the right of the public eo 1~ mM ~ ~ che beach between high and low water m,~'ks. 7. Tha~ if future operatiom of the Town of ~outhold req~re the mnoval and/of sltm-atioas lathe location of the work herdn tmhottzed, or if, in the optnk~ of the Bo~d of Tmstee~ the wof:k shah cause unreaso~ble ob~lzuct~n to free navigatio~ the sam pennittee will be Zeqxflz~ upo~ due notice, to remove or alter ~ wo& o~ project hec~ rote/witlz~t ~ to the To~n o/,%uthold. 8. That the said Board will be notis'i~ by the Permittee ot the cmuptetl~zlof the waek mzth- orized. 9- 'That the Permittee will obtain all other permlt~ and coasenb that may be requix~cl plemental to this permit which may be mbject to tx*voice upon felh,m to ob~m Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda 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 December 21, 2001 Mr. John Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 MONIQUE MORRIS 1555 Shore Rd., Greenport SCTM#47-2-29 Dear Mr. Costello: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 19, 2001 regarding the above matter: WHEREAS, Costello Marine Contracting Corp. on behalf of MONIQUE MORRIS applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated November 29, 2001, 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 December 19, 2001, 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 standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MONIQUE MORRIS to construct 100' of new bulkhead (with C-Loc vinyl sheathing) immediately in fi:ont of existing bulk_head, with the condition that a 10' non-turf buffer is maintained behind the bulkhead and the piles are to be removed and the C-Loc constructed right against the existing whalers, and drywells installed to contain the roof rrm-off. 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 oame or similar project. Permit to construct and complete project will expire two years fi:om 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, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms DEC ACE Dept. of State Telephone (631) 765-1892 Town l-lall. 53095 Ma,in Road P.O. Box 11~9 ,~mt. hoM. New York t197t SOUTHOLD TO]VN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Consemation Advisory Council held Thursday, December 13, 2001, the following recommendation was made: Moved by Scott Hilary, seconded by Melvy~ Morris, it was RESOVLED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application of MONIQUE MORRIS to construct 100' of new bulkhead (with C-Loc vinyl sheathing) immediately in front of existing bulkhead. Located: 1555 Shore Dr., Greenport. SCTM¢~47-2-29 The CAC recommend Disapproval of the application within 18" and recommends in- place replacement only, and a 10' non-turf buffer behind the bulkhead. The practice of replacing structures within 18" has a negative impact to the wetland resource and would infringe upon and take away from the public domain. Replacing bulkheads within 18" has an accumulative effect on the loss of wetland resources throughout the Town of Southold. Vote of Council: Ayes: All Motion Carried VICINJITY MAP COV'E PROPO6ED: CONSTli'.IX;TIN~ IOO~ NEW ~ULKHEAD ~W/¢-LOC ViM'fL ~HE[ATHIHe'J IIVINIEI;) ATEL¥ IN I~lt. OH'l' OF E~U L~,H E;AO. NOV 2 9 ' CO~TELLO MAI;~.IME CONTKAC, T|I~I5 bOX '~IP_4- ~RE. ENPOI~.T~ MY 11~.4, Al°l°L I CANT: MONI~UE MOREl5 1,4-~,6 LAUE, EL HOLLOW I~1~. ~Yo6SETI NY 1179t- 9e$3 OGT. |~ ~OOl ~HF_ET I OF. ~ pI~I:pAP. ED C.06-rE LL.O MAR. I N E GON'I"ffi~C'I'I N~ ~1- 477- I I~ APPLICANT: MONIQUE MO R.R.I 5 1,4,~ LAUIP~L HOLLOW (1565 ~HO~E ~.~ OCT. I~.~ '~oo I ,~HEET ~. OF 5 , . . . EL.. + t>.4 ... &XIOT. l:lUL.KHI!.~D "f0 ReMAIN AMHW EL..+2..5_ v:'.. a' TI e ROO 10' FACE-TO-FACE ,,"., r.~ 6TRI Nc;,ER.~ HOR.IZ. DEADMAN e.O-rTOM AMLW EL.~ I I I I I I l- I } \1 Y "e-l.Oe" 'i'il'l2'5N~HeATH I Nc::. EXI&T. PI L.E TO e.E RI!.MOVED e.ACKI Nc;, PIL.E PROP. IO"tJ lC I~ PIL.E. f;ULKHEAO eR055 5EC:TION o - - - - 2' . ,,: NOli 2 9 PR.EPARED e.'i': COSTEL.L.O MARINE CONTR.ACTING CORP. P.o. tlol<. 2124- c;,R.eENPO~, NY I I~# Ci>~1-4T7-11'?I'?I APPLICANT: MONIQue MORRIS 14&& LAUREl. HOLl.OW RD. ~Y055ET "NY Ili!!\ - !!Go~~ CI~~5 l!IHORE. DR., 6REENPo...T) OCT. I '!I, 2.001 SHEET ~ OF ~ / ,. , \,' 1\,1 ~J... v , l;.; c, DRIve: 5l-40RE. I \ \ N.!'SOo38'30"E. \ 100.0 ---_._~_._-'<<.- l...t:ence -0""" "~e 1 (~-1="eHG-e-O"" H...~ i) ~/' / ,'~ 01 /. .'2 .). J '- ,. I I >- ' , '0 j , U-L. . I . f; 1 1st',,! : ~'I <:,aY"""le Lo- I III ! '; J ~; . ..... I ~ \ S+OY'.i -tVC1t-tt.E HOLASS I ~. !\\l~:~'lo__d--.. III ,~ \'..; ~ 14 Ql } III a) (\.I' 1~!...J , I i i , I MAP OJ:" LAND SURVC:YED FOR j "t III 1:1 ; qj , ~. -s , i ~ V J: \J I \.l. DOUGL,L\S P ~ MONIQUE MOR.R1S I i I I ___dJ . i' " I AT GR EENPOF<.T 'OWN Ol=" SoU1""HOLD, N.Y. I\l " ~ " v ~ 8 ,\ " l:?-~'t" + Q .J "t- o J .e.3 ~:a w . ~. '0 rt) '0 , - If) rJ - (l) IV . rn ~ If) ro z: O.,.~k 5;;;ale : ~O'=l" [g ~ H-lO!-1Vt+1eK-+ NOTe.~ L.o+ ;.<,.. I-H beys SHqW~''''4il+$Y +0 . Mop o-t GyP.~;o(P<")'r + $ho\"~" - ~ec+io,., OH.e'; fi\ed 11-1 +\.1e SI4..ffolk CoV{r1+1) C\ev \.::'5 o+.fi{~Z' o'S Map N~ 1"T59. ~o.:)o - " I[lf~;'-;:-"-':'_;;;;"'-'::~-'." '. f ~ct:v\4. 'i l i l.., e"ltk".e'~. (I~ t.yC'. ~.W ~~o."~.' .... \. 1'2- -/ t' a; :..\' , \D , I Z'd,4L.ltd. 5.50.04' \0' V'. .. C'evll<kc+d o.l1.wl.... Oi.+ ./ \' ,,\' {\ i . .-----.-4 II \'~I \ :;. ---' _.- --"-" -- . - '--A/" ::: rr":"'Hia~ W<;.,..+9Y Yt-10'"fk QH +11e.o. .-'-'.....p ~.~ p, PES . COVE I ---1__ ~ 1 1. ~ - - ......... ..............-... .--- -...... 'CopiltSO!-~,...fIj)b} '. ..Ihe.IBnd,IUMl)'Ql'Iiw.md;_1::1K 'embouecl...,..not..... I' II 1ctba..vald.true.cow. "l'lInI...inllcated~,. orrtytOthepersonforMlom".~ Is prepeNd, and on his behll(tI)b '1il:!ecornpany, govemmental~ .tJendi.'19 Insti:ulionllS:ed hemon;llJti ~the c~i9nGC~ cllho krndlng.in$Uo ltl2tbn.C~:lt.:m;~czo:.r<ln:x~ ~:J&.tIUli.iil.li.iuM'-JlII!""""'l~l ,. - . G1-iOYclI-.fe.ed. --to The Ti+l<e. <S\.IQyQ....+e.~ COl-HpOI"J-.I. ... +0 +1-1~ Scu+\-1old, ~..,.;,:<. 6.q"k c:t~ stJvveyed JUI1~ <0,19'72. VAN IUVj,. '* SON C..-m' .. y/:h:fJ" <Z_b"'{ -,.Ii.. ' v.........:...,-_ " . - I " Licc\'1seci L.aHc:1slt",,,~yS G.....K Qv+,N;e~~. . ./ THIs. NM t~'7.539a. ~. . . .1.:;';"'''".;'~,..-~:..... ~ ;0< < Monique Morris Grtlenport, NY 9/26/0 I NO" 7.. 9 h. . . Monique Morris Greenport, NY 9/26/0 I . . ,r . \.11 \ . IA'II i . ' t\W II. , ~\\\[l ; r. I 1\\ . T 'II~\ , . ill' '. Monique Morris Greenport, NY 9/26/01 I . . T ..IF~--:- ;~ :<_~ - ::T -~--~ ~ ~~ - _.~;-~~ ~ -~~ -=.-. - ~=a.?--- ~_e:::.~ -.=;>~ ..- ~-: --~.,.~~~_.-:~ ~ ---'~ --' ~: NO'v l: L Monique Morris Greenport, NY 9/26/0] . . . :'>-" ~, ..~:;p . .:i:"i..iiii:!;-,J- :::;:;:-' .=~-<. '-...- '..........~_..,.. ~~. ':;;;~~'-, , - -~~'-:- -~"'-'" ~:=:=::', _"'0 ~-.,.;,.4-- - Monique Morris Posted 12/11/0 I " , Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . '. 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 Office Use Only ---..Pmstal Erosion Permit Application L Wetland Permit Application ........Major _ Waiver/ Amendme~anges ~eceived Application! I I1JI ~eived Fee:$ JJ/"n ' _:;;COmpleted Application~ _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _Coordination:(date sent) :;cAe Referral sent~ ~ate ofInspection: J.J. _Receipt of CAC Report: _Lead Agency Determination: Technical Review: ....-1SUblic Hearing Held: I~J'9/()1 Resolution: Minor NOV 2.9 2001 , L'. C' ( . rr Name of APPlicant~V\l~ue,M~\<, Address_\4e8 11111 (pJ IMIoIAI 'Road Phone Number: ( Syos::d- l ~ '{ l lqq r ) 5\lD loq ~ - ?M7 Suffolk County Tax Map Number: 1000 - -=t- 7 - ;;; - ;tf Property Location:J~~ :,)hO~f 1Sood hrFfV\~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: Cn~ft>IIo_JJ"l;\Vlf, (If applicable) COl'\wac.h~ Oo~~. rJQ1- I hretY\?'l'e-+ I ~~ I ~~4 ~~"'\~ Address:_l?o I ff:X Phone: , . Board of Trustees . Application GENERAL DATA Land Area (in square feet): AreaZoning:~~'lhl 1Ze~( I Previous use of property: 7a..W1 e.. Intended use of property: 7<t.111.e.. 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? 1- No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): Cl16trl1.d 100' J 1"e1A) bJJ..l.tW>nd (wjC'.-cUf, v;V\yL .' . Board of Trustees . Application WETLANDtrRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:--=::]O ;W\\tJYrf/ 01'\ (",Xl5~ ta\\lY\~ ~ Area of wetlands on lot: o () square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 5D feet Closest distance between nearest proposed structure and upland edge of wetlands: 5l) feet Does the project involve excavation or filling? No)< Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, ifany, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): -:XMe WIIL~ W\;V\ ~\JV1'l.l&fecJs ()V\ tie enW7JIIIMl.t1+_ 31Jk. . . Albert J. Krupski, President James King. Vice-President Henry Smith Artie Foster Ken Poliwoda 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 SOUTH OLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of ~~~~~;;~~-------------- STATE OF NEW YORK) I, :G:Yln;+if :gr~ ,residing &~+I N~ \l'14-4 oeing uly sworn, depose and say: That on the \ r1!,. day of Dtul11be.( 00 l , ersonally posted the ,) property known as S65 ,'v It "}if, 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 eight days prior to the date of the public ~ing. Da~.~_ of hearing noted thereon to be held ~ec. 1'l,cUol on DfQ :t' 1:00 \om . AFFIDAVIT OF POSTING at J:l] to Ncu n 81, ApT. Z 6/ Dated:D..oa~n..., <;I, . , \<-\. ';:l.00\ (~~ Sworn to before me this \<-\ day ofb~oot ~..~>-~r,D~rnu. ~ Notary Public . Reb8cca i\. Wolfram Notary Public, State of New York No: 01W06039106 ;~ Qualified in Suffolk County __..",/' -,ommrs~Jnf"' Fxr)!f',.::;s March 27,.;101/17 NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOlD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, . Southold, New York, concerning this property. OWNER(S} OF RECORD: JrlCnl~Ui \Taras SUBJECT OF PUBLIC HEARING:~\\l\1eod TIME & DATE OF PUBLIC HEARING: Dtt''''~ ,q,caco~ on rr o.\'xu-t , ~ Pin, If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 .' . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: A'Lis limIt !:V!wY51l(/' SCTMUOOO- 47 -;(-.30 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: '.~\ . Goi17/rud /00 I nav bult:h~d { vJ Ie. -:LOC- y'IVlcf- S'wa..fh~l<'L(JJ J~Mldla~ ~ hwd "f ~)(IShY1Cj b",lthau:f. ' 2. That the property which is the subject of Environmental Review.-is located adjacent to your property and is described as follows: / &{, 5 Shott })elvc ~rrtylfr'rf, Ny /1944- 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 on: 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: 4 Rd PHONE #: Ene.: Copy of sketch or plan showing proposal for your convenience. NOV 2 9 ~. , l s PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: 7001 0360 0001 0522 0430 O' O!!/' .. ~! ::'~i g .. [~ ~o- (,I): o~: .... e.!i/~ ~ ~! ~~! t} g ~[ ~~ 0 _ ~! ~ij~ i!~!1 ~ +. ~.'~ Do.2::i .2:-- It -g ... ';5 ." c~ c"S c. 1iI ~ ! n n ;' 4 ~g~' ~ :~~~ I~i~' .~ te= ~ r Address: 7001 0360 0001 0522 0423 M. (j ~:Il~ W .. 0 ~ Q::1. o::tl :;; ~ g ~ ~ o 3~ 33 ! as' a:J:l 'jl ,,'" ,,~ pl ~~ ~"S f n n o ib' ~ 3i " i!. 0 "' i . . ~ -N 00 /-; 0" ~r~>NOV2~1 \> I m !l, . \ / JJ;;-, ,t STATE OF NEW YORK COUNTY OF SUFFOLK . ~ Att-1E' t'T'~ , residing at 3~ ~, , being duly sworn, deposes and says that on the ;71 day of NO",l\\D-v ,~..&1, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective nameSi 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 Southoldi that said Noti~s wJre mailed at the United States Post Office at Gif~~T ~1 ~ , that said Notices were mailed to each of said'per ns' y (certified) (registered) mail. 1\"I5D ~t;~~?ft ak;;;,~~~_ .> Mat-i.\S o 0 Board of Trustees Application County of Suffolk State of New York Ja,vc. l~V1 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. SWORN TO BEFORE ME THIS ~~o'h r9 / DAY OF J;eJ~,20f2L r1t!:~)~ JOINT APPLICA llcO FOR PERMIT Applicable 10 agandIIl and permit CUgOriN ~ i'lltem 1. 1. Chock perm"" appllocl lor: NYS Oept of Environmental COl1Hrntlon o Stream Disturbance (Bed and Banks) o Navigable W.... (Excavation and flU) o Decks. MoorIngs Of PIatIonns (Construct Of P1ace) o Dams and Impoundment SIruc:tuI8o (Construct. R_ Of Ropal~ o Fl1lShwater_ DTIdaI_ o Coastal Eroslon Control o WId. _and __RIven o 40' Wata,QuaIIty~, o Potable Watar Supply o Long Island WoIIs o Aquatic Vegetation Control o Aquatic Insed Control o Fish Control NYS omce of General ServlcH (Stata Owned Lands Undar Wata~ o lease, License, Easement or other Real Property Interest o Utility Easemenl (plpellnea, conduits, cables, etc.) o Decks, MoorIngs Of platforms (ConStructOfP_) , Adirondack Park Aglncy o Fl1lShwater _ PennIt o Wild, scenic and _ RIvara Lake George Perk COmmlulon o Decks (Construct Of P1ace) o MoorIngs (Establish)', us Anny Corps of Engl~.., o Section 404 (Wota;' 01 the Unltad StalBa) o Section 10 (Rivers and H.-Act) o Nationwide Pennit (I) ldenlily Numbef(s) For Agency U.. Only. DEe APPLlCA nON NUMBER US ARMY CORPS OF ENGINEERS , * 95-19-3 (8100) pip If.iiiiiI - 0, York State United States Army Corps of Engineers . ............ ntrucliona on beck. . Att8Ch tldlWoneI.f'Ionnlllion . needed. PtNH pri'll ~ or type. T.lephone Number (daytime) 3. T_or ID (N 8PPlJcan11s 001 an IndlviduaQ .. Applicant Is alan: (ohoc:k as many as 8jlPly) Owner 0 0peraI0r 0 L..... 0 Munlolpellty I GoverM1entaI Agancy ''t;t, I.ProjocI/FacIlItr LocaIIon (mark IocaIIon on map. ... inIlructionla.) County: TownICiIy: ' Tax Map SecIIon/ Blook Ilol Numbar: IL -~ (deytime) I._of NYTM-E NYTM.N 4 I. project o.crtpllon and PurpoH: (C8tegofy of Activity e.g. new conatruc:tionlinatalaation, maintenance Of ~ Typo 01 Slruc:luIe Of Aotivity a.g. bulkhead, dradgtng, ftlUng, dam. dock. taking of waler, Type of Malerials and Q_; ~ and WorkAnla DilllOllOionl; Need Of PUrpolB Sarvad) . .....Cote~ilc,n~'I-. Joo:. .~~...bu.t'cVlea.cL(w .~t;~ VIYJY j S,^"hll.'. . \ ...^'" 1..4\ h1 -l- r . . __ 1J::u.m\~.-)- .IMt'V'n.1ta.ILllj __.m. __ .orc.. at: ..exlsh~q. .., . . . bu.lldto.d.... . . . . . : . .. . . .. . . . ...... ..... ................. . . . . . . . . . . - - - - - - - ~ - - -.- - - - - - - - - - - - - - - - - - - - - - - - - - - . . - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - 11. WIll PlOjact Occupy 12. Propooad Start 121 0 0 - Land? 0 0 Data: Q.P'*'IIc~ Y.. No 13. EatlmUtd Completion Date: 1.. Has Work Bagun on Projacl? (If yas. attach 0 '" 11. LIat P-' PonnR I Appllcallon Numbl,und D_: (N Any) explanation of why __ I_ wilIIouI pemlit.) V.. No , 11. Wllllhla PlOjact Raqulro~ FR.rel, St8te, or Local Permlta? ... .,~, g '~L1st'~ ,A!y~OO':> ~Y';;.C€L...lOW\1 of So\{It1o~ . '".";,, ..".r 17. if appUcant II not the own.r, both must algn the application I hereby allinn lhallntcnnation provided on this form and aU attachmenla submittad herewith Is true to the bello/my knowIecIge and belief. False statements made he,eln o o 14-16-4 (12117)-q fROJECT 10 NUMBER '17.20 APPENDOCC STATE ~AL 0lIALIlY REYIEW . SHORT ENVIRONMENTAL ASSESSMENT FORM . . for UNUSTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 2. PR ECT NAME SEOR M~I' 0 ~ 4. PRECISE LOCATION: (Stroot odd.... ond road ''''rHCIiono, prominent fond........ ole.. '" _ map) j 555 Sho"e.. bRive (1<<eYlPJU1 N.Y IIq4+ S. Q..TM. 1000 - 4'1-J- ~'1 It \'v\a.f> A#achtd S. IS PROPOSED ACTION: o Now 0 Ex_lion ~ Modlflcotionl..._ 6. DESCRIBE PROJECT BRIEFL~ CoY\stYl.([+i~ i\'V\Medilttely 100' neW b~t\1tad (~I c. -LOe.. viY\~ I sne!1-+Yilt'~) in fYCflt of ex\shl'\9 . 7. AMOUNT Of LANO AFFECTED: IniIiolIy 0 _ UlIim8Iy f) _ 8. WIll. PROPOSED ACTION COMPLV WITH ElCIBTING ZONING OR OTHER ElCIBTING LAND USE RESTRICTIONS? )1[.... ONe "no,_brioIIy 8. WHAT IS PRESENT LAND USE IN VICINITY Of PROJECT? J'. == 0 InduotrIal C Colnn*Ciol C Agr-... C PorIcII'omlIOpo~. prlva.te re~~det1hoJ WC1terfTnYl:+ C 0IIl0r 10. OOES ACTION INVOLVE A PERMIT APPROVAl., OR FUNIllNG, lION OR ULTlMATELV _ ANY OTHER GOVERNMENTAL AGENCY ~. Stato 0' Locol)? )( .... 0 No . "yn. Iiot _Co, ond ponnlII_ .... ,;.,.~ >!". . . kr>f. N'6Dc~1 KYSt>EL...lOww (If ~+hok:f ". OOES ANY ASPECT Of THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? o Yn "Ne "yn. IIot _...... ond ponnlII__ (, (. N!~.i! " " ) 'I .~.J 12. AS A RESULT OF PROPOSED ACTION WIll. EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? avo. j(No Applicant/Sponsor I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST Of MV KNOWLEDGE . . CO. Dote II /1? J(J { I I Signature If the .ctlon I. In Ihe CO....I Area, and you .re a ."Ie agency, . complele Ihe eoa."1 Aue..ment Form before proceeding wllh Ihl. assessment OVER c' o A. DOES ACTION EXCEED ANY IT"" I THRESHOLD IN' NYCRR ,...... .1U? . . a Yn aNa" _. coordlnobt tho _ _ end UN tho FULL EAF. . B. WILL ACTION RECEIVE COORDINATa! REVIEW AS PlIOV10E0 FOR UNUSTED ACTIONS IN' NYCRR PART .,7.I? o Vel C No Itno,.neaatfwdeCtarattonmevbel'~fra.d.dbvanotherlnvolYedaaencv. C. COULD ACTION RESULT IN AllY ADVERSE EFFECTS "'SOCIATa! WITH THE FOLLOWING: (Anawerl may be handwrl1len. " legible) . . Ct. billing air quality, .urf... or groundwater quality or quantity. noiN tevell. ,lIRng traffic paaema. lOUd w.... production or diapoMl: potentiAl 'or "O$lon, drainage or ftoodlr,g probMms? ExplaIn bMfty: . C2. Aesthetic, agricultural. archaeological, historic, or other natural or cultural resource.; or communtty or ....ighborhood character? Explain briefly: ca. v~ge\ation or f~~r\I, fish, ,ht;ltfilh or wildlil"lpeciei, ligniticarit habitats. or thr.atened or .ndang....d Ipeciei'1 Expiain briefly: .' . . . .. C4. A community', ..illing piana or goalS U officially adopted, or . change In UH or Intenatty 01 UN of land or other natural ,.,oureea? explain briefly: , C5. Growth. lubHquenl: ow.topmerd, cr.ralaIed' actMIiH IlketVlO be .induced by the proPoHd .ction? Explain briefly: '. .. I C.. Lang IOrm. OlIo" IOrm; curnulelive. or other _ not _In Cl.ca? Elq>IeIn brietIy: . C7. Other impactl (including changes in UN 01 .ether quantity or tyJ>> 01 energy)? ExpIIIln bridy: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF A CEA? o v.s a No E. IS THERE. OR IS THERE UKELY TO BE, CONTROVERSY RELATa! TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? o V.s aNa II yea, Ixplain briefty PART I!-ENVIRONMENTAL ASSESSMENT (To be completed by Agency) PART II-DETERMINATION OF SIGNIFICANCE (To be completed by Agency) . INSTRUCTIONS: For each adYI,.. ItIect identtt*i above. d..nniI.. whither .. .. aubIW1UaI. aarve, Important or othtJrwiae signUicant. Each effect should be ....._1n00l._ _Ill (.) HIlIng (Le., _ or nnI); (b) ~ of occuntng; (e) duretlon; (d) IrTOVOrllbll"y; (e) gellllreph'c 'Cope; and (f) magnitude. " necnaary, add abchrMnla or.......... WlrppVl1iltg INIIrtaIa. Enaure1Mt Ixp#anetiona contain sufficient detail tp show thaI all retevam 1ldvI,.. 6mpacta haw been identified MIl ".1I""f)' addu.H.ed. "question D 01 Part II wu c~ked ves, the determination and sig- nllicence mUl' evel.... tho ~ Impect 01 tho ~ _ on tho erwlronmenlei cherecIO_ of the CEA. . o Check this box if you havB idBntifiad one or more potentially large and significant Bdverse impacts which may occur. ThBn proceed dirBctiy to the FUll EAF and/or prepare a posnlve declaration. o Check this box if you have detBrmined, baaed on the information and analysis above and any supporting documentation. that the proposed action WILL NOT resun In any significant adverse environmental Impacts AND providB on Bllachments as necessary, the rBasons supporting this determinBtion: . Nome of LeId Agency Print or Type Nam. 01 Responsible Officer enlAad ~ncy TtlI. of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (It different trom r,.ponsible officer) Dote o o COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING. JETTIES. BULKHEADING . STEEL & I/(OOD PILING. FLOATS 423 FIFTH STREET' P.O. BOX 2124 . GREENPORT, NEW YORK 11944 . (631) 4n-1199/4n-1393/477-0682 . FAX (631) 477-0005 AumQRIZATION FORM I,:h ~f)'H-j\ owner of j lW.I.AA t." l5VL .P BuSinesslPrp~ Name located t S7lJ)Rt2-" "ed 'tr~QI' J<)>t-f. 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. 110 I '2 I.n I ~ ~UUA~ ~ NOV [ f, +- ~- ~-<><"'S' IIIIlIlIillIlIIlliliilllllilIIlIilllIl . + ~, , , \ I ~,.-:::-==:;.=-- z--<:.::> I .n o - v -\- J