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Home My WebLink AboutHarrington, DavidAlbert 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 February 6, 200l Mr. Thomas C. Law c/o Docko, Inc. PO Box 421 Mystic, CT 06355 RE: David Harrington West Harbor Fisher's Island, NY SCTM#002-1-12 De~ Mr. Law: As per our telephone conversation of this date, please be advised that Pernfit #5272 xvas written in error. Therefore, it is null and void. There was a clerical error and the pernfit should not have been processed. The applicant must apply for a Wetland Permit (application attached), since the dock is 50% non-functional. There is also an additional charge of $100.00 We xvould appreciate you returning the original permit xvhen you submit the new application. The application must be in our office by March 1, 2001 so that it can be placed in the legal notices and that the meeting will be held on March 21, 2001 Thank you again for your cooperation in this matter. If you require any additional inforn~ation please contact this office.. i.~incerely, cx /~ , ~ CC: David Harrington -9.[3 -7.5 -6.3 -6.0 -7.3 5.8 -5,0 -6.6 1~,~5':~ 1.8 L4 D~. ~ ~..~01%~T5~ TIE OiR= ExI~TIN~ I~e'lP · TO BE DOC;KO, lNG. TOP OF DECK 4' ABOVE DECK ~ ~T~E WA~ UNE ~oJ~: DE::~K ~EF__~N~Ti2UCr/ON DATF= JAN~ 1~ ~ AoI~C~F: DAV~ ~N~-'I'ON ~ :,~ % ~.~ . , ~..~ ~. - ~ ~ .... ~' ~ ..~. . . ~,.. + ,." . I / ~1 ,.~ ~.~ ~, ,~.~ r, ' ,,~,=: (~t '~,~ ~L'/'~.M-~= ~',0 ~.'~.d~ '"M ,~J / ,/ '[~5~ ...... · ~ ~ '~ · .' , · ' . ~',, ~ ;~//!'/~7/' -" W ., <' I/:d?~:,: / LOCATION ~P ~ ': ~' f ~.// / Project. ~ocg ~econstructmn ~ , C~ -~, ~ , ~, ~ Wate~ay. Fishers Island Sound ,~,,~ ~ ,,A' ~ ,,, · Location. Fishers ~land, Town of Southold ~' / J~ .-/' Suffolk Count, New York ~.~/' ../ _-~ __ .. . ..... ~-~ . .~-~ ~ Date: Janua~ 18, 2000 Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ISSUED TO ~"~y~ DATE: .tT~-nuary 24, 2001 DAVID HARRINGTON the State of New York, 1893; and~p~iL40~ of the Laws of the State of New York 1952: and th,~Southcld Town Ordinance en- titled "REGULATINC~ AND T~ ~ACIN~ OF OBSTRUCTIONS IN AND ON TOWN WATERI ~D P~BLIC LANDS and t~ of ~s.b~r'~d,. ~Y. and subject to the Terms e~d ~Jons listed o~he revere *Jde h~reof, of Soufhold Town~usfees aufh~ and permits the following: ~72 +/-l[x~ .wide ~i~ed ~k t~tcI~di~ seven batte~ braced ell in accordance wi~e defM[ed spe(fficetions ~s pre~nfed in the origlnefing epplicmfion. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. [tenrX Smith (absent) T~ephcne (631) 765-1892 Town Hall. 5309.5 Maiu ~ P.O. Box 1179 ~u~hold, New York I197~. $OUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservatipn Advisory Council held Thursday, January 18, 2001, the following recommendation was made: DAVID HARRINGTON 2-I-12 to reconstruct 148 linear fl. 0fan existing 172'X 7' fixed do. ck including seven batter braced tie-off pilings waterward of the high tide line. West Harbor, South of Clay Point, Fishers Island The CAC did not make an inspection, therefore no recommendation was made. Eastern Permits Section DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 40278-0090 December 13, 2000 SUBJECT: Application Number 2000-01593-L2 by David Harrington To Whom It May Concern: The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for the following activity: APPLICANT: David Harrington 919 Sun Stone Lane Kennett Square, PA 19348 ACTIVITY: Reconstruct a 148 linear foot portion of a deteriorated 172 foot long by 7 foot wide fixed timber pier, with an associated ladder, two mooring piles, and five 2-pile mooring dolphins. The purpose of this project is to provide a recreational mooring facility. WATERWAY: West Harbor, Long Island Sound LOCATION: Fishers Island, Town of Southold, Suffolk County, New York As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c) (3) (A)), the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. To allow for the timely processing of the subject application, your comments are requested within 15 days of date of this letter. the Enclosures Sincerely, //~mes ~. Hagger~/Y ief, Eastern Permits Section 'LOCATION MAP' ~EF. CHART 12372 [ ~ J=~ ~:1 i~ ~ I GRAPHIC SCALE i000 0 1ooo YARDS NOTES: 1. ELEVATION DATUM IS MEAN LOW WA~R. TIDE DATA IS TAKEN FROM THE 2000 NOAA TIDE TABLES. REFERENCE NL CT AND SILVER EEL COVE, FISHERS ISLAND. NEW YORK PROJECT DESCRIPTION: RECONETRUCT 14.~i OF ~ E}(ISTING 172:t:LF X 7' WIDE FIXED DOCK INCLUDING SEVEN BAll'ER BRACED TIE-OFF PIUNGS WATERWARD OF THE HIGH TIDE UNE. PROJECT PURPOSE: THIS IS A PRNATE DOCK FOR RECREA~ONAL BOA~NG. THESE APPUCATION DRAWINGS REPRESENT A COMPI~ON SURVEY FOR PERM~ PURPOSES. THEY ,ARE NOT CONS-rRUC~ON CONTRACT DOCUMENTS. N/F ~ OF ..-/ JAEAT,,O L~. I' ' PA~J'NE~IP / '.. ..' ADJOINING PROPERTY OWNERS: NORTH: SARAH U. ~USON et al. 33 8~CHWOOD ~E SO~: ~CO L~. P~ERSHIP 101 PROSPE~ ~ PRO~DENCE, RI 029D3 Docko, Inc. RO. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, e-mail: docko@snet.net November 29,2000 Mr. Albert Krupski. President Southold Board of Trustees P.O. Box 1179 Southold. NY 11971 Re: David Harrington Dock Reconstruction Dear Mr. Krupski: On behalf of Mr. David Harrington, we enclose herewith the following in support of his permit application for Dock Reconstruction at his property on Fishers Island. Two prints each of plans titled: Project: Waterway: Location: Applicant: Date: "Dock Reconstruction'' Fishers Island Sound Fishers Island, Town of Southold Suffolk Coumy, New York David Harrington January 18, 2000 Two copies of the Southold Board of Trustees permit application, U.S. ACOE and DEC applications, Tax Assessor's Map, site photographs and location map. Check in the amount of $100 payable to the Town of Southold I trust that you will fred this application package complete and acceptable; please let me ~know if the need for further information arises. Very truly yours, (~[NC. Thomas C. Law TCL:jm Enclosures CC: Mr. David Harrington ACOE: Mr. Jim Haggerty NYS DEC: Regulatory. Affairs File: 98-09-9[4 HARRINGTON Docko, Inc, RO. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, e-mail: docko@snet.net November 29, 2000 Mr. James Haggerty U.S. Army Corps of Engineers Jacob Javits Federal Center, Room 1937 New York, New York 10278-0090 Re: David Harrington Dock Reconstruction Dear Mr. Haggerty: On behalf of Mr. David Harrington, we request a Departmem of the Army General Permit for dock reconstruction on Fishers Island, New York. We enclose herewith the following in support of this permit application: Two prints each of plans titled: Project: Waterway: Location: Applicant: Date: Dock Reconstruction Fishers Island Sound Fishers Island, Town of Southold Suffolk County, New York David Harrington January 18, 2000 Two copies of Corps of Engineers and NYS DEC Application Forms, Location Map, Tax Assessor's Map, photographs and NYS DOS Federal Consistency Assessment Form. I trust that you will f'md this application package complete and acceptable; please let me know if the need for further information arises. Very truly yours, Thomas C. Law TCL:jm Enclosures CC: Mr. David Harrington NYS DEC: Roger Evans Town of Southold: Krupski File: 98-09-914 HARRINGTON Oocko, Inc, ..~.,~ ' PO. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: {860) 572-7569, e-mail: docko@snet.net November 29,2000 Mr. Roger Evans NYS DEC, Regulatory Affairs Building 40, SUNY Stony Brook, NY 11790-2356 Re: David Harrington Dock Reconstruction Dear Mr. Evans: On behalf of Mr. David Harrington, we request a Tidal Wetlands Permit and Coastal Erosion Permit, including Water Quality Certifications, as necessary, for reconstruction of a dock on Fishers Island, New York. We enclose the following in support of this permit application: Four prints each of plans titled: Project: Waterway: Location: Applicant: Date: Dock Reconstruction Fishers Island Sound Fishers Island, Town of Southold Suffolk County, New York David Harrington January 18, 2000 Four copies of the NYS DEC Joint Application, including the Short Environmental Assessment Form, Tax Assessor's Map, Photographs and Location plan. I trust that you will find this application package complete and acceptable; please let me ~know if the need for further information arises. Very truly yours, Thomas C. Law TCL:jm Enclosures CC: Mr. David Harrington US ACOE: Haggerty Town ofSouthold: Krupski File: 98-09-914 HARRINGTON ~ J. Krupski, President James King, Vice-President ~ Henry Smith ~ Arkie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD office Use Only Coastal Erosion Permit Application Wetland Permit Application :~x_Grandfather Permit Application Waiver/Amendment/Cha~geq Received Application: Received Fee:$ [O'"O-- I -- . Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) CAC Referral Sent: i~l~.----~ Date of Inspection: Receipt of CAC Report:'' . Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18,~2 Fax (516) 765-1823 Name of Address Applicant David Harrinqton 919 Sun Stone T~ne, Kennett Scp~are, PA 19348 Phone Number: (610) 444-0546 Suffolk County Tax Map Nuraber: 1000 - Property Location: West Harbor~ South of Clay Point (provide LILCO Pole 9, distance to cross streets, and location) AGENT: Docko, Inc., Thc~as C. Law (If applicable) Address: P.O. Box 421, Mystic, C~ 06355 Phone: (860)' 572'-8939 FAX#: (R~N) q72-7q6Q B~d of Trustees Applicatio~ GENERAL DATA Land Area (in square feet): Area Zoning: Residential Previous use of property: Intended use of property: Residential Residential Prior permits/approvals for site improvements: Agency Date X 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): Reconstruct 1~± LF of an existing I~±LF x 7' wide fixed dock including seven batter braced tie-off piling waterward of the high tide line. Purpose of Bo! of Trustees Application N/A WETLAND/TRUSTEE LANDS APPLICATION DATA the proposed operations: Area of wetlands on lot: 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: feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? How much material will be filled? 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: cubic yards cubic yards 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): NOTICE TO ADUACENT PROPERTY OWNER BOARD OF TRUSTEESr TOWN OF SOUTHOLD In the matter of applicant: David Hmrrington SCTM~1000- 01 - 1-12 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Reconstruct 19~± LF of an existing 17~± LF x 7' wide fixe~ dock including seven batter braced tie-off piling waterward of the high tide line. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: Site is located in Fishers Island Sound, South of Clay Point. 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: David Harrington MAILING ADDRESS: 919 Sun Stone Lane ~,:,nn~=t-t~ ~c~lmrm: PA 19348 PHONE #: (610) 444-0546 Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF M~ILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Sarah M. Ferguson, et al Jabco Ltd. Partnership Address: 33 Beechwood Lane, New Haven, C~ 06511 102 Prospect Street, Providence, RI 02903 ~66~ ludv 'O09g wJo=t Sd STATE OF NEW YORK COUNTY OF SUFFOLK Docko, I~c.. (Agent) , residing at .Stafford Street M.y~-in, ~p , being, duly SWorn, deposes and says that on the // day of ~~oc~,' deponent mailed a true copy of the Notice set~ort~...tn~.the Board of Trtt~tees 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 Mystic, CT , that said Notices were mailed to each of said persons b~R(certified) (registered) mail. ~C~ ~ ( Sworn to Jpe~or~e me this /_/ ~_~ day ~,~ =Jo0~ /~/~otary Public ~ 6 Lrd of Trustees Applicati, County of Suffolk State of New York David Harrington BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEM~qTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, A~rD 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 ~ Signature~/~, ~o IV DAY OF BEU. A INGU~ NOTARY PUi~LIC ~Jy Cu,-,-.~;~;on Expires December 13, 21101 of Trustees Appl_tcatio~ (where AbT~ORIZA'£'iON the applicant is not the owner) I, Dauid Harrington (print 'owner of property) residing at 919 Sun Stone Lane~ Kennett Square, (mailing address) PA119348 P.O. Box 421, Mystic, CT 06355 do hereby authorize Dock% I~c. (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. Owner "s s~a~u~)~ LOCATION MAP RE~. CH~ 12372 I I==l I=l I==1 ~=1 ~=I ~ GP, APHIC SC. NJ[ iooo o aooo YARDS NOTES: 1. ELEVATION DATUM IS MEAN LOW WATER. 2. TIDE DATA IS TAKEN FROM THE 2000 NOAA TIDE TABLES. REFERENCE NL CT AND SILVER EEL COVE, FISHERS ISLAND, NEY/ YORK 5. PROJECT DESCRIPTION: RECONS]RUCT 148:E OF AN EXISTING 172:ELF X 7' WIDE FIXED DOCK INCLUDING SEVEN BATI1ER BRACED TIE-OFF PIUNGS WA~]ERWARD OF THE HIGH TiDE ENE. 4. PROJECT PURPOSE: THIS IS A PRNATE DOCK FOR RECREATIONAL OOA]ING. 5. THESE APPUCATION DRAWINGS REPRESENT A COMPILA]ION SURVEY FOR PERMIT PURPOSES. THEY ABE NOT CONSTRUCTION CONTRACT DOCUMENTS. 6. ADJOINING PROPERPf OWNERS: NORTH: SARAH M. FERGUSON et al. 55 BEECHWOOD lANE NEW HAVEN, CT 06511 SOUTH: JABCO LTD. PARTNERSHIP 101 PROSPECT STREET PROVIDENCE, RI 02905 I::~g. OJEC'1': APPLICATION FOR I~kRTMENT¢33 ('I.R 325~ OF TIlE ARMY PERMIT OMBExp iresAPPROVALoctoberNO'1096°71°4)°3 PRIVACY ACf STATEMENT Authorit3.: 33 USC 40 l, bcclion [0: [413, %ection 404 Principal I'urposc: Tllese la~s require pernuts authorizing aetMties in. navigable ~atcrs of the United Slales the &~harge of dredged or till materml into ~ater~ of the Unilcd State~, and the tran,portat/on of dredged material lbr the purpose of dumping ~t into ocean waters DAVID IIARRING 919 SUN STONE LANE KENNETT SQUARE, PA 19348 b. llu~ine~s (302) 657-5405 4 I)A'I E APl' COMPI ETED ~I. AU 1110RIZED A(J[ NI'S NAME & ] I'[LE DOCKO, INC. KEITH B. NEILSON, P.E. }. ACiEN'I'S Al)DRESS P. O. BOX 42 I MYSTIC, CT 06355 10. AGENT'S PHONF NO'S W/AREA CODE Ii.s.les~, (860) 572-8939 11 S 1ATEME NY O1' AU'I IIORIZA [ ION NAMI:. II }'.'^ [ 1~ IN AND DESCRI P I'[ON OF PROJLCT OR ACTIVITY DOCK RECONS'I RUCTION 13. NAMEOI WAflRIIODY. II. KNOW(LI'applieabI¢) FISIIERS )SI_AND SOUND 14 PROJECT S'I'REE I' ADDRESS ( ifapplicablel SUFI:OLK NY TIlE SITE IS LOCATED ON I HE WEST SHORE OF CLAY POINT AT THE ENTRANCE OF WEST HARBOR. THE SITE CAN BE ACCESSED BY FERRY FROM NEW LONDON, CT OR ARRANGEMENTS CAN BE MADE TO VISII' 'FILE SITE BY BOAT FROM MYSTIC, C f BY CONTACTING DOCKO, INC. RECONSTRUCT Iq~'(~/-) [.F OF AN EXISTING 172 (U-) LF X 7' WIDE FIXED DOCK INCLUDING SEVEN BATI'ER BRACED TIE-OFF PII.ING WAI'ERWARD OF TIlE HIGH TIDE LINE. TtlIS IS A PRIVATE DOCK FOR RECREATIONAl. BOATING ACCESS. I~NE BI .OCKS 20-22 IF DREI){;ED AND/OR HI.L MATERIAl, IS '1'O BE DI.SCIIARCED N/A N/A N/A No X IF YI!S, I)[!SCRIBI: I lIE COMPLE]'ED WORK N()Rrl ti: SARAH M. FERGUSON et al, 33 BEECtlWOOD LANE, NEW HAVEN. CT 06511 SOUTII: JABCO LTl). PARTNERSHIP, 101 PROSPECT STREET, PROVIDENCE, RI 02903 >,( iENC Y I ~i I'1' APPROVAl * I I)I:N I' NI JMI}I:R I)A IE APPLIED I)AI E APPKI )Vl'l ) DATt! I)ENIEI ) NYS DEC TOWN OF SOU'FItOLD PENDING PENDING *Would Jllcludc bul ts luJt rc~tr toted lo Zolllltg, building and flood plain pcmlits. SI( ;NA [ t ~{t:~)F ~Pl ICA~ I DA'It: SIGNA'I'URI: OF AG EN'I DA I E 18 ti S C ~tion 100 } gro~ kles thai: Whocx ,;r, in any numncr v,,hm thc jurisdiction ofaay deparm~ent or agency of the United Slat~ knowingly *,1J 5; (i PO' 1994-520~ 78/82018 NEW YORK STATE ,~, ~ 1st COPY Po,mi! Admlnlst,alor DEPARTMENT OF ENVIRONMENTAL CONSERVATION~ ~ 2nd COPY Corps of Engineers UNITED STATES ARMY CORPS OF ENGtNEERS US ARMY CORPS APPLICATION NO 3rd COPY Program 4lb COPY NYS Agency JOINT APPLICATION FOR PERMIT 5th COPY Applicant Please read ALL Instructions on back before comple[Ing Ihls applicallon. Please type or print clearly in Ink. Attach additional Inlorma~lon es needed. [] FRESHWATER WETLANDS [] TIDAl WETLANDS [] WATER SUPPLY [] LONG ISLAND WELL [] PROTECTtON OF WATERS FOR: [] C. Dlslurbance gl ~'{~TREAM BED of BANKS gl' excavation In or fiji of NAVIGABLE WATERS [] 40(WATER QUALITY CERTIFICATION [] COASTAL EROSION CONTROL [] LAKE GEORGE PARK COMMISSION (Dccks and Moorings) [] WILD, SCENIC OR RECREATIONAL RIVERS [] AQUATIC PEST CONTROL FOR: [] A. Aqualic Vegelallon Conlfol [] 8. Fish Control [] ~[ Insecl Conlrol I. LIST PREVIOUS PERMIT/APPLICATION NUMBERS AND DATES (Il any) JF OTHER THAN INDIVIDUAL. PROVIDE TAXPAYER ID NUMBER 2. APPLICANT IS A/AN ~ Owner '[~] Operalor [] Lessee ' [] MunlclpalltylGovernmenlal Agency (Check as many as apply) 3. NAME OF APPLICANT (Use Full Name) David Harrinqton MAILING AOORESS J TELEPHONE (Where can ~)e reached durl,g day 919 Sun Stone Lane (610) 444-0546 POST OFFICE STATE ZiP CODE Kennet t Square PA 19348 4. NAME OF [] Owr~er [] AgenllConlac! Person (Check one) Docko, Inc,, Thomas C, Law MAILINGADDRE$S[:). O. BOX 421 I TELEPHON~=(Wherecanbeteacheddurlngday)( 8601 572-8939 POST OFFtCE STATE I ZIP CODE My~ic c~J D6qs~ 5. ~ROJECT/FACILITY LOCATION (Mark location on map. sea Number. la on reverse side) Coualy Suffolk J Town or cry Southold J wHage Fishers Island STREET ADDRESS/LOCATiON {If diffetenl Irom appbcanl) POST OFFICE STATE ZIP CODE DEC USE ONLY Fishers Island NY 06390 NYTM.E NYTM-N 4 6. NAME OF STREAM OR BODY OF WATER Fishers Island Sound -' ~. HAS WORK BEGUN ON PROJECT? II YES. aHach axplanallon On s~aHIng work wJthoul permll, include dales. 8. PROPOSED STARTING DATE Show work on map and/or drawing. [] Yes [] NO SLamler 2001 9. APPROXIMATE COMPLETION DATE I 10. PROPOSED USE: J 11. WILL PROJECT OCCUPY STATE LAND? Fall 2001J [] Prl,a,e [] Public [] Comme,c~al[ [~ Yes [] No 12. PROPOSED PURPOSE: This is a private dock for recreational boating. and type ol docks and moorings lobe installed;etc.) Reconstruct 1Hg+ LF of an existing 177._+ LF x 7' wide fixed dock including seven batter braced tie-off pilings waterward of the high tide line. US ACOE General Permit, Town of Southold=Grandfather Permit Application PROJECT I.D. NUMBER 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) SEQR I. APPLICANT/SPONSOR J 2. PROJECT NAME Dav~ ~rrin~ton I Dock Reconstructibn' 3. PROJECT LOCATION: Munlclpallly Fishers Island, Town of Southold C0un,y Suffolk" 4. PRECISE LOCATION (SUeel address and road intersections, prominent landmarks, elc., or provide map) Site is located just south of Clay Point on Fishers Island Sound.. 5. IS PROPOSED ACTION: [] New [] Expansion ~[Modlflcalion/alleraIIon :. 6. DESCRIBE PROJECT BRIEFLY: Reconstruct lq~'_+ LF of an existing 172_+ LF x 7' wide fJ xed dock including seven batter braced tie-off pilings waterward of the high tide line. ?. AMOUNT OF LAND AFFECTED: Inillally 200-+ SF ac[es Ulllmalely acres 8. WILL PROPOSED ACT[ON COMPLY WITH EXISTING ZONING OR OTHER EXISTfNG LAND USE RESTRICTIONS? --[~ Yes [] No Il No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [~ Residential [] Induslrlal [] Commercial [] Ag~cullure [] ParkJForesllOpen space Descrl~: All land on this section of Fishers Island is residential. 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? [~] NO If yes, Iisi agency(s) and permlllapprovals Town of Southold Tidal Wetlands & Coastal Erosion Permit, US AOOE General Permit DOES ANY ASPECT OF THE ACTION HAVE A CURRE;'4TLY VALID PERMIT OR APPROVAL? Yes [~ No If ye:L Iisi agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes '~--~ NO N/A I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor me: -- David ~~ If the action is in the Coastal Area, and you are a state agency, complete !he Coastal Assessment Form before proceeding with this assessment OVER 1 PART II--ENVIRONMENTAL AS~J~J~MENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 il yes. coordlnala the revJew process and use Ihe FULL EAF. [] Yes [] NO B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 Il NO, a nag&live declaration [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: {Answers may be handwritten, if legible) CI. Ex,sUng air quallly, surface or groundwater quaJIly or quantJty, noise leveJs, exisllng tralhc panerns, so~id wasle production or disposal, polenllal for erosion, drainage or I~ooding problems? Explain brlelly: C2. Aesthellc, agr*cultural, archaeological, hisloric, or other nalura~ or cultural resources; or community or neighborhood ~:haracter? Explain brlelly. C3. Vegetation or fauna, lish, sheIJfJsh or wlldllle species, significant habitats, or Ihreatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or Inlenslty of use of land or other natural resources? Explain brief C5. Growth, subsequent development, or related acbvlties likely Io be induced by Ihe proposed action? Explain brlelly. C§. Long term, short term, cumulative, or other eflecls no[ Identified tn Cl.C§? Explain brlelly. C7. Olher Impacts (including changes In use of either quantity or type of energy)? Explain briefly. D. WiLL THE PROJECT HAVE AN iMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? [] Ye, [] No E. IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL JMPACTS? [] Yes [] No If Yes, expJaln briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each aciverse effect identified above, determine whether it ts substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c} duration; (d) Jrreversibility; (e) geographic scope; and (f) magnitude. If necessa~, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to sl~ow that all relevant adverse impacts have been identified and adequately addressed, if question D of Part II was checked yes, the delermlnatlon and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, thaf the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Albert J. Krupski, President James King, Vice-President Hen~, Smith 2~rtie 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 TOW~SI OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Ma%ter of the Application AFFIDAVIT OF PO~.T. ING resi~ing being duly sworn, depose and say: That om the ]~/~dav ,>f~.t, . 2201: 7 personally posted the propertV kncwn as ~V,~.__ ~_F.~JO~ - .r~s~..e~ officia~ posner where it can by placing the Board o~ ~ -'~-o ' ~ easily be seem~ and that I have checked to be sure the poster has remained in placs for :~i~h~ ~ays prior to the ~ate o~the Qate of hearing noted thezecn to be held~~ ~ ~ Sworn to before me this day of 200 Notary Public THOMAS; F, DOHF. I'4TY JR, Notary Public State of New York No. 4806559