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HomeMy WebLinkAboutTR-5346Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. I ,~. ,~).I--/~.(~ DATE: ~ ~l 12~:' ''2lglOl]~ l~ TO .............. ~lgJ ~l ~ l ~ ~l J . l ~l~l ~/~l ~l~ ................................................ Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: end CJ~apter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC: LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER IdATERIALS FROM LANDS UNDER TOWN'WATERS:'~. and in accordance with the May 24, 2001 Resolution of The B6ard adopted at a meeting held on ............................. ............ end in consideration of the sum of $ I I II l~ j~gl 'l lgj0 ...... paid by of'''--I~'~I~P'~'~ ................................................. N. Y. and subject to the Terms end Conditions listed on the reverse slde hereof, of Southoid Town Trustees authorizes end permits the following: Wetland Permit to construct 4')~6' platform of existing bulkhead wirh 32"x20" aluminum ramp leading to a 6'x20' float heading westerly secured by two - 2 p. ile dolp,hins wi*,h a ten foot non-turf buffer 5ehind the bulkheac~. all in accordance with the detailed specifications as presented in .the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Sad to be affixed, .end these ~.resenft to be subserved by a lmajorify Of the seld Board as of thru daf~. TERMS and GONDmOIqlS ROBERT STICKLE stskllag at 415 Harbor Li~Ht~ rl~i,~ ~'_~the?_, N. Y~ ss pan' o~ ~e comiae~ioa for ~he iausace of me p.~af does m~e~-_ -a sad pmatbe to the roi- I. l"h~ cbc ~cl l~mtd of Tnm~s md d~e Towa of Soud~td m ze.l~m~ f~n ~j, ~mcl w~i~ tesl~Ct thereto, to the c~m~aete ,~ of d~e ikn~d ~'l¥~ee~ zf ~he Towa ~f S~gd~okl 2. That thh lPem~ is' valM tot a pedod of ~ m0~ wi~kh Is mmiaemi to be the estimated tlme' ~,eSulzed to cmx:ple~e d:e w, xk a,,,rol,.xd, Ix,* dxmkl ~ w--~ar, z~loa~ for aa -~-~aon may be made to the Bessd at a ~ ~ ~a~ion of this Pe~it by zesolutioa of dae aid Bo~L ~;. That ~ will be no um~ssoaable inte~fel'ence with navi~0a ss · malt o~ the week hete~ upon dee notice, to remove or alter this work o~ project beteia stated wilhoet eq~emes to dae Town 8. That the said Board will be nollfled by the Petmittee o~ the cempiede~ ~ Ihe wedc emh. ori=a. That the Permitme will cax~in all odaer pem~s ami come~s d~t m~ be rapimi rap. plemen~ to chis pemdt which ,,-y be subject to ~.voee upea f-:~e to obmia ~ Albert J. Krupski, President James King, Vice-President Henry Smith Artie Fester Ken Poliwoda Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fsx (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 1, 2001 Costello Marine Contracting Corp. PO Box 2124 Greenport, NY 11944 ROBERT STICKLE 415 Harbor Lights Drive Southold, NY SCTM#71-02-04 Gentlemen: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on May 24, 2001, regarding the above matter. WHEREAS, COSTELLO MARINE CONTRACTING CORP., on behalf of ROBERT STICKLE applied to the Southold Town Trustees for a permit under the provisions of thc Wetland Ordinance of the Town of Southold, application dated May 3, 2001 WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Heating was held by the Town Trustees with respect to said application on May 24, 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 standard set forth in Chapter 97-18 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 Trustee approved the application of COSTE££O MARINE CONTR/ICTING CORP on behalf of ROBERT STICKLE for a Wetland Permit to construct a 4'x6' platform of existing bulkhead with 32"x20" aluminum ramp leading to a 6'x20' float heading westerly secured by two- 2 pile dolphins with a ten foot non-turf buffer behind the bulkhead BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. 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 when project is started and on completion o f said project. FEES: NONE Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AllUcjc cc: DEC Army Corp. Dept. of State Telephone (631) 765-1892 Tovnt Hall. 5309.5 Main Road P.O. Box 1179 Southold. blew York t1971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, May 14, 2001, the following recommendation was made: ~;~)BERT~$TICKL~E 71-2-4 to construct a 4'X 6' platform off existing.bulkhead with a 32"X 20' aluminum ramp leading to a 6'X ~)0' float heading westerly secured by two 2- pile dolphins. 415 Harbor Lights Dr., Southold The~AC~did not make an insFection, therefore no recommendation was made. 6' x 20' Float Ramp 4' x 6' Platform Photo # 1 3/31/2001 Photo # 2 3/,~ 1/2001 PREPARED BY: COSTELLO MARINE CONTRACTING CORP. PO Box 2124, Gmenport NY 11944 (631) 477-1199 3 May 2001 APPLICANT: ROBERT STICKLE 416 Harbor Lights Dr., Southold NY 11971 SCTM # 1000-71-02-04 Page 125'- 150': Ea~ Photo # 3 3/31/2001 4' x 6' Platform 6' x 20' Float 120'Ramp Photo # 4 3/31/2001 PREPARED BY: COSTELLO MARINE CONTRACTING CORP. PO Box 2124, Gmenport NY 11944 (631) 477-1199 3 May 2001 APPLICANT: ROBERT STICKLE 416 Harbor Lights Dr., Southold NY 11971 SCTM# 1000-71-02-04 Page Photo # 5 3/31/2001 Adjacent Dock Owner: John & Leslie Graham Same distance into Canal 3/31/2001 Photo # 6 PREPARED BY: COSTELLO MARINE CONTRACTING CORP. PO Box 2124, Gmenport NY 11944 (631) 477-1199 3 May 2001 APPLICANT: ROBERT STICKLE 415 Harbor Lights Dr., Southold NY 1'1971 SCTM# 1000-71-02-04 A.lbert J, Krupski, Presider James King, Vice-Preaiden Henry Smith Aa'tie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southo[d, New York 11971-0959 Telephone (631) 765-1892 Fax (63 l) 765-1366 BOARD OFTO'~NTRUST~ES TOWN OFSOUTHOLD Office Use Only Coastal Erosion Permit Application' .~Wetland Permit Application I/ Major Waiver/Am end me ?n.~ h~a~es ~.5'-b Rec~'eived Application: 5-[.~ O / "'_Received Fee:$ ]:~"~ ~~/~l- Completed Application~ · Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent).~ · CAC Referral Sent: ~]~3~0 ! --'Date of Inspection: ~57[ I,~ [D / ' Receipt of CAC Report': Lead Agency Determination:__ Technical Review: _ ~ ! ---Public Hearing Held: ~:~]~,~/f) ! __Resolution: t Minor Name of Applicant Robert Stickle Address 62 Lakeshore BIvd., Massepequa NY 1f758 Phone Number: (631) 795 - 4587 Suffolk County Tax Map Number: 1000 - 71 - 02 - 04 Property Location: 415 Harbor Ughts Drive Southold NY ff971 (provide LILCO Pole #. distance to cross streets, and location) AGENT: Costello Marine Contracting Coqo. (If applicable) Address: PO Box 2124 Greenport NY 11944 Phone: (031) 477- 1'199 Fax: (63'0 477- 0005 Page FAX - Page 2 ~ ~'~., Board of Trustees Application County of Suffolk State of New York of Costello Mar/ne Contracting Corp, BEING DULY SWOKN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARt-. TRUE TO THE BEST OF HIS[HER KNOWLEDGE AND BELIEF, AND Tl-b¥I' ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD Tov, rN BOARD OF TRUSTEES. THE APPI.ICANT AGREES TO HOLD THE TO~,~ OF SOUTHOLD AND THE TOWN I'RUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMfr(s), IF GRANTED. IN COMPLETING Tills 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. Signature SWORN TO BEFORE, ME THIS _3 DAY OF ~4 J ,20 P/ Nota~ Public SUSAN K TOOKER NOTARY PO BLI C. State of New York No 01 TO5078120 Qualiheo ,, Suffolk Coun~ Oorllmission Exp,res May /~i Page3©~ I~ Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Construct a 4' x 6'platform off existing bulkhead with a 32"x 20' aluminum ramp leading to a 8'x 20' float -- heading westerly secured by two 2-pile dolphins. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: fO2 feet (from existing bulkhead to house) Closest distance between nearest proposed structure and upland edge of wetlands: O feet (proposal is for dock platform to be attached to bulkhead) Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated?__ }iow much material will be filled7 N/A Depth of' which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: N/A cubic yards cubic yards N/A N/A N/A feet Statement of the effect, if any, on the wetlands and tida{ waters of the town that may result by reason ot such proposed operations (use attachments if appropriate): No negative Impact Page Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes ofproposed activity: To construct a platform, ramp and float residential dock facility. Are wetlands present within 100 feet of the proposed activity? No X Yes 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) Manner in which material will be removed or deposited: N/A Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) No negative impact Page Board of Trustees Application GENERAL DATA 20,000 sq. ft Land Area (in square feet): ~ea Zoning:. Residential Previous use of property:. Private residential Intended use of property:. Private resident/a/ Prior permits/approvals for site improvements: Agency Date (approved dwelling is existing on site) X No prior permks/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 (usc attachments if necessary): Construct a 4' x 8'platform off ex/sting bulkhead with a 32" x 20' aluminum ramp leading to a 6'x 20' float heading westedy secured by two 2-pile dolphins. Page PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS U.S. Postal Service CERTIFIED MAIL RECEIPT ,[ ,'lO 1 ~NIT ID: 09q4 ',lerk: KT¥4C4 U.S. Po~t~l' Service CERTIFIED MAIL RECEIPT (Domestic Marl Only; No Insurance Coverage Provided) m Postage 0.34 LIb'II T STATE OF NEW YORK COUNTY OF SUFFOLK G#be~F~ll~ms , residing at 319 Sixth Street Greenpo~ NY?f944 , being duly sworn, deposes and says that on the 3rd day of May 200~ , deponent mailed a true copy of the Notice set forth in the Board of Trustees Applica=ion, 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; t~at said Notices were mailed at the United States Post Offlce a= Greenpo~,NY , that said Notices were mailed to each of said persons.by (certified) (registered) mall. d~c~J~%\~ SUSAN K TOOKER NOTARY PUBLIC. Sta~e of New Yo~ No 01TO5078120 Oual/hed in SuFfolk Coun[y COr~n~ssion Expires May /~j ~,00_._~ Sworn to before me this .~ day of Notary Public PageT©F 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,~d~&~l/~__~ , residing at ~ ~L_~4: being duly sworn, depose and say: That on the }0 day of ~, 2001, I personally poste~ the property known as ~[9 ~J~ ~,~ ~{4ts~.Ny by placing the Board of T~us~es o~ficial 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 hearing. Date of hearing noted thereon to be held Dated: .~-~Sworn to befor~ me this day of /~ 200 / ~/' / Veronica E Cidone Notary Public, ~ate ~ N~ No: 52~61~6 Qualified In S~k ~u~ ~ Co~mission Ex~ims Dec. 31 ~2F2/ NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEESz TOWN OF SOUTHOLD the matter of applicant: RobertStIck;e SCTM#1000- F1-02-04 YOU ARE HEREBY GIVEN NOTICE: [. That it is the intention of the Permit from the Board of Trustees to: undersigned to request a Construct a 4' x 6' p/atform off existing bulkhead with a 32"x 20' aluminum ramp leading to a 8'x 20' float heading westerly secured by two 2-pile dolphins. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described fellows: # 4l$Harbor£/ghtsDdve Southo/d NY ~97~ as 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: TBA 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: Robert Stickle 62 Lakeshora Bvld. Massapequa NY ~1758 PHONE #: (631) 795 o 4587 Enc.: Copy of sketch or plan showing proposal for your convenience. Page '~,~o,,~~ .-....... Photo Locations PREPARED BY: COSTELLO MARINE CONTRACTING CORP. PO Box 2124, Greenport NY 11944 (631) 477-1199 3 May 2001 APPLICANT: ROBERT STICKLE 415 Harbor Lights Dr., Southold NY 1197~ $CTM # 1000-71-02-04 Page -- 6' x 20' Float 4' x 6' Platform Photo # 1 3/31/2001 Photo # 2 3/31/2001 PREPARED BY: COSTELLO MARINE CONTRACTING CORP. PO Box 2124, Gmenpo~ NY 11944 (631)477-1199 3 May 2001 APPLICANT: ROBERT STICKLE 415 Harbor Lights Dr., Southold NY 11971 SCTM # 1000-71-02-04 Pagel00~ 6' x 20' Float Ramp,...__ 4'X6' T4 Platform Photo # 1 3/31/2001 Photo # 2 3/31/200'1 PREPARED BY: COSTELLO MARINE CONTRACTING CORP. PO Box 2124, Greenpott NY 11944 (631) 477-~ 199 3 May 2001 APPLICANT: ROBERT STICKLE 4~$ Harbor Lights Dr., Southold NY 11971 SCTM# 1000-71-02-04 Page I10 - Photo # 6 3/31/2001 Adjacent Dock Owner: John & Leslie Graham Pmpceed Dock Same distance into Canal 3/31/2001 Photo # 6 PREPARED BY: COSTELLO MARINE CONTRACTING CORP. PO Box 2124, Greenport NY 11944 (631) 477-1199 3 May 2001 APPLICANT: ROBERT STICKLE 415 Harbor Lights Dr., Southold NY 11971 SCTM # 1000-71-02-04 Page ~O~THO~ VI¢!~ITY MAP I LOGATI 0 N MAP P~0POS~O: C. 0~$TI~UCTIN~ A ~'x(~' PLA-i'FO?-M OFF ~W ~W0 ~-PIL[ ~0LPHIN~. I~Y LANO~ THI~0UeH OWNEP./5 C;O.~TE~LL0 MAl~llq~ CONITIiP..A(-.TI l'J~ ¢01~1~ G~I -4-/'7- 119~J APPLI CAI.IT; R01~ERT 5TI C, I< L F_- G~. LAKE~HORE t~LV0. MA55A PE~UA, NIy (4-15 HAUl, OR LIGHT5 MA.G.GAI::'E(~U^~ NY 117.G~, (4-1~ HAF. DOltVlE~V LIGHTS D~./ 50UTH 0 LD, NY') C05TELLO MAI~.INE C..,~IqTI~..AC. TIKIO P.O. I~OX F_I"~4 GR. EE1,J~Of~--T/ Nh' ¢R055 5ECTIOI'-I "~" 5hlEET ?_ OF '5 ' ~ F r~x.~.O FLOAT ~. PF.,~PO.SEP ~ ~ 3~' x P-O' RAMP POLFHIN 5 ~ x, / t-,iv, Off -,,. xG ~, ~ ///PI ATFOR. M AMLW ,~ AMHW PROR 2 8" t @]. .',. PLAN VI EW Q INDICATE,.5 ~'VATEI~. Pr--pTH JN FEET WHEP..E AMLW = O.O ~L c~ E Z z 4~ PLA'-fFOR. Mi-,X\ '~/' EL. -~ 7.0 ~L.+4. O ~.5 " 0.0 - ~.0~ P, AM p-~ I I ~ E)OTTO M FLOAT OF CANAL ¢F~055 5ECTIOM TOP' OF ~XIST. E, ULKHEAO A~W -- AMLW P~E PAI~ ED ~: C05TCLLO MARII~E COtJTRACTIN8 COLOR bOX ~124 G[EEhJPOP..T/ NY 11944- APPLICANT: R01~E ~% 5TI Ci~LE (~ LAKESHORE ~lVO. MA85APEGUA¢ NY 1175& APE. [1~ ~001 COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING · JE'Iq'IES · 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 May 7, 2001 Southold Town Trustees P.O. Box 1179 Southold, NY 11971 ATTN: Lauren RE: Robert SUckle L.... 415 Harbor Lights Drive Southotd, NY 11971 Dear Lauren: Enclosed please find a chec~ for $50.00 for the application submitted on Friday, May 4, 2001. Also enclosed are the original notarized forms and copies of the Short Environmental Assessment Form that were left out of the odginal application packet. If you have any other questions, please do not hesitate to contact me. Sincerely, Costello Walsh Permit Manager Enclosures Appendix C Stats Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEQR PART I--PROJECT INFORMATION ('To be completed by Applicant or Project sponsor) I. APPLICANT/~PON$OR Corp, 2. PROJECT NAME COSTELLO MARINE CONTRACTING Robert Stickle 3. PROJECT LOCATION: Mu.~clp~llty Southold county Suffolk 4. PRECISE LOCATION (Street addrele and load Inle~lecllonl, prominent landmarkl, ate., ac provide map) 415 Harbor Lights DHve SCTM # fOOO-7f-02-04 Southold NY flg71 5. IS PROPOSED ACTION: [~ New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Construct a 4' x 6' platform off existing bulkhead with a 32"x 20' aluminum ramp leading to a 6' x 20' float heading westerly secured by two 2-pile dolphins. 7. AMOUNT OF {.AND AFFECTED: Inlllill¥ NONE .=,. Ultlmaloly acres .. W, LL P.OPOSE. ACTIO. COMPLY mT. ~X,ST,.G ZO.~.~ OR OT.E. ~XIST,.Q IA.D USE 9. WHAT IS PRESENT lAND USE IN VICINITY OF PROJEOT? ~ Relldentlel [] Indullrlal [] Commercial [] Agrlcult ute [] Perk/Fo,est/Open space [] Other Private residential waterfront 10. DOES ACTION INVOLVE A PER~T APPROVAL, OR FUNmNO, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL~? ~'] Yes [] No I! yes, tilt agency(s) ~nd permit/approvals NYS-DE¢. NYS-DO$, ACOE, town of Southol~ II. ODES ANY A~pECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes [Z~No II yes, lilt agen=y name and DeFinE/approval t=. AB ^ RESULT O...O.O.EO ACTED. WILL ~X,BT,.G PERMI.APP.OVAL .E~..~ MO.,F<^T,D.? ELY,, rXl.o I CERTIFY THAT THE iNFORMATION PROVIDED ABOVE lB TRUE TO THE BEST OF MY KNOWLEDGE Appllc.nt/sponso, nam.: COSTELLOMARINECONTRACTINGCorp. Dale: *~/*'*'~/'~)~' If the action Is In the Coastal Area, and you are a stale agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 ~ART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) O WILL 1'HE PROJECT IIAVE AN IMPACT ON THE ENVIRONMENTAL CHARACIERIS~'I&~; THAT CA%fSED THE ESTABLISHMENr OF a CEA· [] Yes [] No E. IS THERE. OR IS THERE I. IKEL¥ TO RE. CONTROVERSY RELATED TO POTENTIAL AOVERSE ENVIRONMEN[AL IMPACTS? ~ Yes 0 No If Yea, explain bfle~ly PART Ill--DETERMINATION OF SIGNIFICANCE (To be compleled by Agency) INSTRUCTIONS= For each sdvaese elf~ct Identified above, determine whether ii is subslanllal, large, Important or olherwine slgniflcanl. Each effecl ahould be assessed in connection wllh Ils Ia) selling (I.e. urban of rural); (b) probability of occurring; (c) dmafion; Id) Irreversibllit¥; (e) geographic scope; and (f) magnllude. If necessary, add altschmenh or tolerance eupporli.g resle~lals. Ensure thai explanations conlain sufficient detail to show that all relevant adverse Impacts have beea Idenlifled a~d ade~uatei¥ addressed TI quasllnn D of Pad II was checked yes, Ihs deterrelnalion and significance rreust evaluate Ihs poteFItlal Impact or the proposed action ca Ihs environreeFItal characteristics of the CEA. [] Check Ihls box if you have Idenlifted one or more potentially large or significant adverse impacts which MAY occur. Then proceed dlreclly 1o Ihs FULL EAF and/or prepare a positive declaralion. [] Check this box II you have delermlned, based on Ihs information and analysis above and any supporting documentation, that the proposed acllon WILL NOT result in any stgnlflcanl adverse envlronmenlal tmpacls AND provide on attachments as necessary, the reasons supporting this determination: 2 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) t. APPLICANT/~PONSOR I 2. PROJECT NAME COSTELLO MARINE CONTRACTING Corp.I Robert Stickle 3. PROJECT LOCATION: Munlclpallly Southold cou.ty Suffolk 415 Harbor Lights Drive SCTM # 1000-71-02-04 Southold NY 11971 [Xl New [] Expansion [] Modlflcetlelyalt er etlon Construct a 4' x 6'platform off existing bulkhead with a 32"x 20' aluminum ramp leading to a 6' x 20' float heading westerly secured by two 2-pile dolphins. Initially NONE awes Ultimately acres SEQR S. WILL PROPOSED AOI'ION COMPLY WITH EXlSTI'G ZOflIHG OR OTHES EXISTINg LAND USE RESTRICTIONS/ [] NO "No, a.~,lbo b,,el,y 9. WHAT IS PRESet, ri' LAND USI~ IN VICINITY OF PROJECT? ~] Residential [] Indu$1rl.l [] Commerclel [] AOrlculture [] Perk/Forest/Open space [] Other Describe: Private residential waterfront 10, DOES ACTION iNVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ADF~ICY (FEDERAL, STATE OR LOOAL)? [] No I! yes, list agent)la) a~d ee~mlt/apptO.,'sle NYS-DEC, NYS-DOS, ACOE, Town ofSouthold II. DOES ANY A~pECT OF THE ACTION HAVE A CURRE~ITLY VALIO PERMIT OR APPROVAL? F-lYes ~X~No II yes, list agency name end permit/approval 12. AB A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? []~,, [XI.o CERTIFY THAT THE INFORMATION PROVIDED ABOVE lB 1RUE TO THE BEST OF MY KNOWLEDGE ....: COSTELLOMAR, NECO~TRAC,~OOo,p. De,.: If tho action ia In the Coastal Ama, and you are a state agency, complete tho Coastal Assessment Form before proceeding with this assessment OVER 1 ~ART II--ENVIRONMENTAl. ASSESSMENT (To be completed by Agency) C COULD ACTION ~ I~ANY ADVERSE EFFECT~ A~SOCIAI[D WITH THE FOLt0W]N~: (An~weFs may be WILL rile PROJECT llAVE AN IMPACT ON THE ENVIRONMENTAL CHARACtERIStICS T~AE CAUSED THE ESTAaUBHMENT OF A CEA? [] Yes [] No IS IHERE. OR IS THERE LIKELY TO RE. COI,ITROVERSV RELATEO IO FOrENTIAL ADVERSE ENVIRONM[:NIAL IMPAC. r$? PART III--DE?ERMINA?ION OF SIGNIFICANCE (To be compleled by Agency) INSTRUCTIONS: For each adverse eltecl Idenllfied above, delerminu whether Il is sub$1anlial, large, Imporlent or olherwi~e slgflificanl Each effecl should be assessed in conneclion with Its (al selling (i.e. urban or rural); (bi probabilily o! occurring; (c) duralion; Idl irreversiblllly; (e) geographic scope; and (0 magnitude. It necessary, add attachmenls or relerence supporting malerlals Ensnare lhmt explanations contain sufficient detalt Io chow that all rele~anl adverse impacts have been iderd~Ued amd adequately addressed II qusslIon D Of Pert II was checked yes, the delermlnatloR aRd slgmlflCaRCe musl evaluate the ~otenllsl Impact ol the proposed aclion on Ihs environmental charactedallcs of Ihs CEA. Check Ibis box if you have Idenlified one or more potentially large or significant adverse Impacls which MAY occur. Then proceed dlrecUy to the FULL EAF and/or prepare a positive declaralion. Check this box If you have determined, based oR Ihs information and analysis above end any supporling documenlaflon, that Ihs proposed acllon WILL NOT resull In any signillcanl ad,,*erse environmental impacls AND provide on atlachments as necessary, the reasons supporting Ihls delermlnalion: 14.16-4 (9~15)--Text 12 PROJECT f.l~. NUMeER Appendix C State EnvlroDmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I. APPLICANT/~PONSOR I 2. PROJECT NAME COSTELLO MARINE CONTRACTING Corp.I Robert Stickle 3. PROJECT LOCATION: MunlclpalUy Southold cou.,y Suffolk SEQR 4. PRECISE LOCATION (Street address and ro~d Inlersecllons. p~omlnent landmarks, etc.. o~ provide map) 415 Harbor Lights Drive SCTM # 1000-7f-02-04 Southold NY 11971 5. IS PROPOSED ACTION: [~ New [] Expansion [] Modlglcat Ion~atteratlon d. DESCRIBE PROJECT BRIEFLY: Construct a 4' x 6'platform off existing bulkhead with a 32" x 20' aluminum reap leading to a 6' x 20' float heading westerly secured by two 2-pile dolphins. ?. AMOUNT OF LAND AFFECTED: Inlll&lly NONE sues Ultimately acres 8. WILL PROPOSED ACTION COMPLY W1TH EXISTING ZONING OR OTHER EXISTING LAND USE RESI'RIOTIONS7 iXlYe. [].o ,t .o, d.c,~, b,,eRy 9. WHAT I$ PRESENT LAND USS IN VICINITY OF PROJECT? IX] Re$1def~tlel []Industrial r~ Co~rTlerclel E~] AOHculIuro P~va~e ~sidentiel wate~ron~ ·TATE OR L~? ~ NO If yeS, list agenc~e) ~d permiqlppr~als NYS-DEC, NYS-DOS, ACOE, Town of So~hoM 11. DOES ANY ~PECT OF THE A~ION HAVE A ~RRE~LY VALID P~RMIT OR APPROVAL? ~ Yes ~No U ye~, Iisi ~gency name a,d perml~lpp~gf 12. AS A RESULT ~ PRO~SEO A~lO. WILL ~ISTING PERMIT/APPROVAL RE. RE M~IF~AT,O.? ~ Yes ~ "0 I CERTIFY THAT THE INFORMATION PROVIDED ASOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action la In thc Coastal Area, and you ars a state agency, complete tho Coastal Assessment From before proceeding with this assessment OVER 1 PART II--ENVIRONMENTAl ASSESSMENT (TO be completed by Agency) I~ Ye~ L_I Ho D. WILl- THE PROJECT tlAVE AN IMPACT ON THE ENVIRONMENTAl_ ~HARACIERISTICLe~ THAT CAUSED THE ESTABLISHMENT OF A CEA~ [] ,res [] No E. IS THERE. OR lB THERE LIKELY TO liE, CONTROVERSY RELATED 10 POTENTIAL ADVERSE ENVlBONMENIAL IMPACTS? [] Yes [] No If Yes, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be compleled by Agency) INSTRUCTIONS: For each adverse effect Identified above, determine whether II is subslanfial, large, Important or nlherwl.~e significant Each effecl should be assessed in connection wllh If.~ (a) selling {i.e. urban or ~ural); (bi probability of occurring; (c) duralion; id) t~reverslblllty: (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting maleflals. Ensure that exptanations contain sufficient detail Io show that all relevant adverse Impacts have been identified and adequately addressed. II quasllon D OI Peri II was checked yes, the delerminallon and slgnllleance must evaluate the potential impact Gl the proposed action on the environmental chara~lertslics of the CEA. [] Check lhls box If you have idenlified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FI. ILL EAF andlor prepare a positive declaralion. [] Chock this box if you have determined, basod OR the information and analysis above and any supporting documentallon, Ihal Ihs proposed acllon WILL NOT result In any slgnlflcanl adverse environmental tmpacls AND provide on altachments aB necessary, the reasons supporting this determlRallon: 2 Board of Trustees Application County of Suffolk State of New York of Costello Marine Contracting Corp. BEING DULY SWORN DEPOSES AND AFFIRMS THAT HFdSHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERNIlT(S) AND THAT ALL STATEM'ENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/It]ER KNO'CFt. EDGE AND BELIEF, AND THAT At,l. 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 APPI.ICANT 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 AUTItORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), IO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN'ro BEFORE ME *H S DAY Or ,20 ~/ Notary Public SUSAN K TOOKER NOTARY PUBLIC, State of New Yo~ No 0 ITO5075120 QualifieO m Suffolk County ~O~n~ssion Exp,res May ~' Page~OF [~ SURVEY OF LOT 46 MAP OF HARBOR LIGHTS ESTATES FILE No 4681 FILED JULY 26, 1966 BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DEC 8, 1998 REVISED PROP. HOUSE MAY 17, 1999 REVISED PROP, SEPTIC SYS JAN. 19, 2000 REVISED PROP. GRADES FEB 17, 2000 ADDED ROW OF HAY BALES & BUFFER MAY 8, 2000 FOUNDATION LOCATION DECEMBER 9, 2000 FINAL SURVEY % / NORTH FORK SANK NOTES" ZONE AE (EL 9,: BASE FLOOD EL~ATiONS D.ERMINED ZONE X: AREAS OF 500-YEAR FLOOD: AR~S OF IO0-Y~R FLOOD WITH AVERAGE 98-444~